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0.9326171875}, {"start": 2201.7, "end": 2202.6, "word": " ونون", "probability": 0.819091796875}, {"start": 2202.6, "end": 2202.96, "word": " جمع", "probability": 0.9931640625}, {"start": 2202.96, "end": 2203.48, "word": " المذكر", "probability": 0.9622395833333334}, {"start": 2203.48, "end": 2203.88, "word": " السالم", "probability": 0.9404296875}, {"start": 2203.88, "end": 2204.3, "word": " تعالوا", "probability": 0.9716796875}, {"start": 2204.3, "end": 2204.74, "word": " وانظروا", "probability": 0.9224609375}], "temperature": 1.0}, {"id": 93, "seek": 222419, "start": 2205.38, "end": 2224.2, "text": "النون المثنى في نحو مسلميني نقول مسلمان ومسلمون لا خوف عند إذ مسلمان واضحة في حالة الرفع نقول المثنى مسلمان وفي حالة الرفع في جمع ذا الكرسى نقول مسلمون", "tokens": [6027, 1863, 11536, 9673, 12984, 1863, 7578, 8978, 8717, 5016, 2407, 47524, 19528, 9957, 1829, 8717, 39648, 47524, 19528, 7649, 4032, 2304, 3794, 19528, 11536, 20193, 16490, 38688, 43242, 11933, 8848, 47524, 19528, 7649, 4032, 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الفرق بينهما إذا لم ننتبه كيف ننتبه؟ مسلمين مقام اليائي مفتوح وبعدها مقصور في جامعي مبكر سام العكس", "tokens": [3224, 8315, 16490, 15040, 5172, 37495, 22653, 27188, 2288, 4587, 4032, 46958, 5016, 44381, 9673, 8592, 28820, 3660, 8978, 12174, 12610, 8315, 47524, 19528, 9957, 4032, 47524, 19528, 9957, 11933, 15730, 32767, 8717, 29399, 3555, 3224, 30731, 27188, 2288, 4587, 49374, 3224, 15042, 11933, 15730, 32767, 8717, 29399, 3555, 3224, 9122, 33911, 8717, 29399, 3555, 3224, 22807, 47524, 19528, 9957, 3714, 4587, 10943, 45595, 16373, 1829, 3714, 5172, 2655, 2407, 5016, 46599, 22488, 11296, 3714, 4587, 9381, 13063, 8978, 10874, 10943, 3615, 1829, 3714, 3555, 37983, 8608, 10943, 18863, 4117, 3794], "avg_logprob": -0.19225544174728187, "compression_ratio": 1.9107142857142858, "no_speech_prob": 0.0, "words": [{"start": 2224.9, "end": 2225.34, "word": "هنا", "probability": 0.82275390625}, {"start": 2225.34, "end": 2226.02, "word": " خلاف", "probability": 0.6529134114583334}, {"start": 2226.02, 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قبل", "probability": 0.962646484375}, {"start": 2248.39, "end": 2248.93, "word": " الياه،", "probability": 0.2985026041666667}, {"start": 2248.93, "end": 2249.31, "word": " مفتوح", "probability": 0.98642578125}, {"start": 2249.31, "end": 2249.43, "word": " من", "probability": 0.8203125}, {"start": 2249.43, "end": 2249.57, "word": " قبل", "probability": 0.814697265625}, {"start": 2249.57, "end": 2249.73, "word": " الياه،", "probability": 0.7784830729166666}, {"start": 2249.73, "end": 2250.05, "word": " عكس", "probability": 0.7842610677083334}, {"start": 2250.05, "end": 2250.57, "word": " تماماً", "probability": 0.82305908203125}, {"start": 2250.57, "end": 2251.15, "word": " العكس", "probability": 0.7410481770833334}, {"start": 2251.15, "end": 2252.19, "word": " تماماً", "probability": 0.9110107421875}, {"start": 2252.19, "end": 2252.81, "word": " فنقول", "probability": 0.8904622395833334}, {"start": 2252.81, "end": 2253.23, "word": " جاء", "probability": 0.93798828125}, {"start": 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إذ؟ مسلمين رأيته رجالا مسلمين من السياق يعني أو من السياق يعني يظهر لكن إذا تكون المشكلة إذا مثلا يعني إذا", "tokens": [2407, 23032, 3555, 3615, 995, 11933, 15730, 32767, 6055, 8592, 28820, 33251, 19528, 3660, 5296, 1863, 37279, 28480, 11296, 11933, 15040, 9154, 16490, 1211, 6027, 21136, 25528, 4587, 11933, 15730, 12174, 1211, 2655, 5296, 4117, 10874, 16606, 34051, 12602, 10721, 36081, 12602, 7435, 1211, 9957, 1829, 4032, 39182, 11296, 12602, 10721, 36081, 33251, 19528, 3660, 3714, 45636, 995, 8608, 2655, 30544, 43242, 11933, 8848, 22807, 47524, 19528, 9957, 12602, 10721, 36081, 3224, 12602, 7435, 6027, 995, 47524, 19528, 9957, 9154, 21136, 25528, 4587, 37495, 22653, 34051, 9154, 21136, 25528, 4587, 37495, 22653, 7251, 19913, 3224, 2288, 44381, 11933, 15730, 6055, 30544, 9673, 8592, 28820, 3660, 11933, 15730, 50113, 15040, 37495, 22653, 11933, 15730], "avg_logprob": -0.12657620679391057, "compression_ratio": 2.136842105263158, "no_speech_prob": 0.0, "words": [{"start": 2273.62, "end": 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{"start": 2390.06, "end": 2390.28, "word": " الله", "probability": 0.96875}, {"start": 2390.28, "end": 2390.88, "word": " عليه", "probability": 0.9072265625}, {"start": 2390.88, "end": 2391.34, "word": " وسلم", "probability": 0.905517578125}, {"start": 2391.34, "end": 2391.9, "word": " إذا", "probability": 0.6875}, {"start": 2391.9, "end": 2392.16, "word": " نعم", "probability": 0.746337890625}, {"start": 2392.16, "end": 2392.36, "word": " قد", "probability": 0.977783203125}, {"start": 2392.36, "end": 2392.72, "word": " يشكر", "probability": 0.9231770833333334}, {"start": 2392.72, "end": 2393.14, "word": " الأمر", "probability": 0.821044921875}, {"start": 2393.14, "end": 2393.7, "word": " إن", "probability": 0.68701171875}, {"start": 2393.7, "end": 2394.04, "word": " كنا", "probability": 0.989501953125}, {"start": 2394.04, "end": 2394.18, "word": " في", "probability": 0.92138671875}, {"start": 2394.18, "end": 2394.56, "word": " جملة", "probability": 0.92919921875}, {"start": 2394.56, 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14739, 33427, 11242, 5016, 14739, 6055, 11242, 1829, 19986, 18863, 3555, 9640, 3660, 4724, 4117, 19528, 3660, 5551, 34740, 7578, 33427, 11242, 5016, 11296, 34051, 14739, 6055, 8592, 28820, 11296, 20666, 8592, 28820, 20666, 9566, 3555, 3615, 9122, 15042, 31439, 16247, 29973, 43242, 8315, 34105, 8608, 33604, 6027, 4386, 8608, 33604, 6027, 4386, 5551, 8592, 37983, 24793], "avg_logprob": -0.1339983300172857, "compression_ratio": 2.068421052631579, "no_speech_prob": 0.0, "words": [{"start": 2398.26, "end": 2398.7, "word": "لذلك", "probability": 0.8544921875}, {"start": 2398.7, "end": 2398.9, "word": " كنا", "probability": 0.78076171875}, {"start": 2398.9, "end": 2399.36, "word": " يحسن", "probability": 0.774200439453125}, {"start": 2399.36, "end": 2399.84, "word": " التنبيه", "probability": 0.875}, {"start": 2399.84, "end": 2399.94, "word": " من", "probability": 0.962890625}, {"start": 2399.94, "end": 2400.16, "word": " خلال", "probability": 0.9806315104166666}, {"start": 2400.16, "end": 2400.58, "word": " السياق", "probability": 0.912109375}, {"start": 2400.58, "end": 2400.9, "word": " يعني", "probability": 0.82763671875}, {"start": 2400.9, "end": 2402.5, "word": " برجلين", "probability": 0.8125}, {"start": 2402.5, "end": 2403.16, "word": " مجاهدين", "probability": 0.97744140625}, {"start": 2403.16, "end": 2403.32, "word": " أو", "probability": 0.87158203125}, {"start": 2403.32, "end": 2403.78, "word": " برجال", "probability": 0.9724934895833334}, {"start": 2403.78, "end": 2404.44, "word": " مجاهدين", "probability": 0.987890625}, {"start": 2404.44, "end": 2404.82, "word": " يعني", "probability": 0.87060546875}, {"start": 2404.82, "end": 2405.12, "word": " يحسن", "probability": 0.844482421875}, {"start": 2405.12, "end": 2405.32, "word": " عند", "probability": 0.982421875}, {"start": 2405.32, "end": 2405.92, "word": " السياقة", "probability": 0.81787109375}, {"start": 2405.92, "end": 2406.58, "word": " أن", "probability": 0.85302734375}, {"start": 2406.58, "end": 2407.0, "word": " تشيرة", "probability": 0.9200846354166666}, {"start": 2407.0, "end": 2407.22, "word": " أن", "probability": 0.6591796875}, {"start": 2407.22, "end": 2407.72, "word": " توضح", "probability": 0.8932291666666666}, {"start": 2407.72, "end": 2407.98, "word": " أن", "probability": 0.6259765625}, {"start": 2407.98, "end": 2408.46, "word": " تضيئ", "probability": 0.836669921875}, {"start": 2408.46, "end": 2409.24, "word": " العبارة", "probability": 0.9906005859375}, {"start": 2409.24, "end": 2410.34, "word": " بكلمة", "probability": 0.971923828125}, {"start": 2410.34, "end": 2410.74, "word": " أخرى", "probability": 0.970703125}, {"start": 2410.74, "end": 2411.4, "word": " توضحها", "probability": 0.91357421875}, {"start": 2411.4, "end": 2411.96, "word": " أو", "probability": 0.9462890625}, {"start": 2411.96, "end": 2412.2, "word": " أن", "probability": 0.89306640625}, {"start": 2412.2, "end": 2412.8, "word": " تشكلها", "probability": 0.932861328125}, {"start": 2412.8, "end": 2414.24, "word": " بالشكل", "probability": 0.9464518229166666}, {"start": 2414.24, "end": 2414.78, "word": " بالطبع", "probability": 0.9110107421875}, {"start": 2414.78, "end": 2415.76, "word": " كما", "probability": 0.9716796875}, {"start": 2415.76, "end": 2416.32, "word": " هو", "probability": 0.97900390625}, {"start": 2416.32, "end": 2416.82, "word": " الأمر", "probability": 0.966796875}, {"start": 2416.82, "end": 2417.22, "word": " عندنا", "probability": 0.994873046875}, {"start": 2417.22, "end": 2417.44, "word": " هنا", "probability": 0.7109375}, {"start": 2417.44, "end": 2418.06, "word": " سؤال", "probability": 0.94140625}, {"start": 2418.06, "end": 2419.18, "word": " ..", "probability": 0.304443359375}, {"start": 2419.18, "end": 2419.7, "word": " سؤال", "probability": 0.89013671875}, {"start": 2419.7, "end": 2421.0, "word": " ..", "probability": 0.560546875}, {"start": 2421.0, "end": 2421.94, "word": " أشكركم", "probability": 0.853271484375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2423.74525, "duration_after_vad": 2334.136249999992}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/PipQoIEPW8g.srt b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/PipQoIEPW8g.srt
new file mode 100644
index 0000000000000000000000000000000000000000..053212642f83e3729d5a3beebfa273dff6014252
--- /dev/null
+++ b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/PipQoIEPW8g.srt
@@ -0,0 +1,1111 @@
+1
+00:00:22,410 --> 00:00:24,630
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:24,630 --> 00:00:27,430
+الرحيم الحمد لله والصلاة والسلام على رسول الله
+
+3
+00:00:27,430 --> 00:00:31,630
+وآله وصحبه ومن ولاه، لازلنا في الجملة الاسمية
+
+4
+00:00:31,630 --> 00:00:39,790
+والجملة الاسمية مرة أخرى هي إحدى جملتين بهما
+
+5
+00:00:39,790 --> 00:00:43,250
+يساق المعنى، ينقل المعنى في اللغة العربية
+
+6
+00:00:43,250 --> 00:00:49,950
+فاللغة العربية تأتي إلينا من طريقين، بنمطين
+
+7
+00:00:51,480 --> 00:00:55,120
+بنمط الجملة الاسمية التي تدل على الثبوت، وبنمط
+
+8
+00:00:55,120 --> 00:00:59,180
+الجملة الفعلية التي تدل على الحدوث، الجملة الاسمية
+
+9
+00:00:59,180 --> 00:01:04,240
+فيها ركنان: المبتدأ والخبر، وهما مرفوعان إلا إن دخل
+
+10
+00:01:04,240 --> 00:01:09,600
+عليهما مناسخ، وذكرنا في المرة السابقة هذه المجموعات
+
+11
+00:01:09,600 --> 00:01:14,680
+الست، ثلاث منها ترفع المبتدأ وتنصب الخبر، واثنتان
+
+12
+00:01:14,680 --> 00:01:19,400
+منها تنصب المبتدأ وترفع الخبر، وفي هذه المجموعات
+
+13
+00:01:19,400 --> 00:01:24,560
+الخمس، كلها تظل الجملة جملة اسمية، أما في المجموعة
+
+14
+00:01:24,560 --> 00:01:29,160
+الأخيرة، وهي مجموعة ظن وأخواتها، ففي هذه المجموعة
+
+15
+00:01:29,160 --> 00:01:33,200
+تُقلب، عندما تدخل ظن على الجملة الاسمية تُقلب
+
+16
+00:01:33,200 --> 00:01:38,440
+المبتدأ والخبر إلى مفعولين، وعندئذٍ تصبح جملة
+
+17
+00:01:38,440 --> 00:01:45,040
+فعلية، إن وأخواتها مجموعة من مجموعتين، تدخلان على
+
+18
+00:01:45,040 --> 00:01:49,660
+الجملة الاسمية فتنصب المبتدأ ويُسمى اسمها، وترفع الخبر ويُسمى خبرها، هذه المجموعة الأولى إن وأخواتها،
+
+19
+00:01:49,660 --> 00:01:54,540
+المجموعة الثانية من كلمة واحدة، من حرف واحد فقط وهو
+
+20
+00:01:54,540 --> 00:01:59,440
+لا النافية للجنس، إن وأخواتها هذه أحرف ستة، ولها قصة
+
+21
+00:01:59,440 --> 00:02:06,560
+لطيفة، كما يروى عن أبي الأسود الدؤلي، عندما حثه عليّ
+
+22
+00:02:06,560 --> 00:02:13,540
+بن أبي طالب رضي الله عنه على البحث عن قواعد، عن طرق
+
+23
+00:02:13,540 --> 00:02:18,840
+تحفظ اللغة من خلالها، فعاد مرة إلى علي بن أبي طالب
+
+24
+00:02:18,840 --> 00:02:24,120
+رضي الله عنه، وأخبره بأنه وجد ستة، أو وجد خمسة أحرف
+
+25
+00:02:24,120 --> 00:02:29,480
+خمسة كلمات، وجد خمسة أحرف، هذه الأحرف الخمسة يأتي
+
+26
+00:02:29,480 --> 00:02:37,070
+لا اسم بعدها دائماً وأبداً منصوبة، فقال إن، وأن، و
+
+27
+00:02:37,070 --> 00:02:45,290
+كأن، وليت، ولا، وعَلَّى، فرد عليه أمير المؤمنين علي بن أبي
+
+28
+00:02:45,290 --> 00:02:51,780
+طالب رضي الله عنه بقوله: لكن مثلها، لماذا نسيتها؟ قال
+
+29
+00:02:51,780 --> 00:02:57,220
+لم أنتبه إلى أنها من القلب، التي هي منها ضاعت، معها
+
+30
+00:02:57,220 --> 00:03:02,180
+فصار عندنا هذا الباب الذي ندرسه الآن، إن وأخواتها
+
+31
+00:03:02,180 --> 00:03:07,620
+وأخواتها، كما ترون ستة أحرف: إن، وأن، و لكن، وكأن، وليت، ولا،
+
+32
+00:03:07,620 --> 00:03:15,500
+وعَلَّى، إن تدل على التوكيد، وأن كذلك، لكن بينهما فرق كما
+
+33
+00:03:15,500 --> 00:03:15,940
+سنرى
+
+34
+00:03:18,670 --> 00:03:26,150
+بعد قليل، ولكل حرف من هذه الأحرف معناه الخاص، هذه الحروف الستة تدخل على الجملة الاسمية فتنصب
+
+35
+00:03:26,150 --> 00:03:31,710
+المبتدأ ويُسمى اسمها، وترفع الخبر ويُسمى خبرها، يعني
+
+36
+00:03:31,710 --> 00:03:36,790
+أحمد نشيط، أحمد مبتدأ، نشيط خبر، عند دخول إن يختلف
+
+37
+00:03:36,790 --> 00:03:43,530
+الأمر، تصبح هذه الكلمة الأولى أحمد التي كانت مبتدأ
+
+38
+00:03:43,530 --> 00:04:02,730
+قبل ذلك، تصبح الآن اسم إن منصوب، وعلامة نصبه الفتحة الظاهرة على آخره، ونشيط خبر إن الآن مرفوع، وعلامة
+
+39
+00:04:02,730 --> 00:04:10,260
+رفعه ضمة ظاهرة كما ترون هنا على آخره، إذا إن أحمد
+
+40
+00:04:10,260 --> 00:04:16,020
+نشيط، هذه الجملة كانت جملة اسمية فيها مبتدأ وخبر
+
+41
+00:04:16,020 --> 00:04:22,060
+فقط، وكلاهما مرفوع، بعد دخول إن ظهر ما ترون، وانظروا
+
+42
+00:04:22,060 --> 00:04:27,540
+عمل إن وأخواتها، بعكس عمل كان وأخواتها، تذكرون أن
+
+43
+00:04:27,540 --> 00:04:33,920
+كانت تدخل على الجملة الاسمية فترفع المبتدأ، وتنصب الخبر، إن ترفع الخبر، واضح هذا
+
+44
+00:04:33,920 --> 00:04:38,420
+الكلام، معانيها، إن تفيد التوكيد، يعني أنا عندما أقول
+
+45
+00:04:38,420 --> 00:04:44,780
+أحمد نشيط، هناك مؤكدات لهذه الجملة، لهذا المعنى
+
+46
+00:04:44,780 --> 00:04:49,420
+والإنسان يحتاج إلى هذا المؤكد، وقد تبلغ المؤكدات
+
+47
+00:04:49,420 --> 00:04:53,800
+أكثر من مؤكدين، وثلاثة أو أربعة في القرآن الكريم،
+
+48
+00:04:53,800 --> 00:04:57,880
+رزقكم في السماء، وما توعدون، جاء ربنا سبحانه هنا
+
+49
+00:04:57,880 --> 00:05:01,700
+لأن الرزق، يعني يعني مظنة تردد الناس، وتشككهم، وقلقهم،
+
+50
+00:05:03,120 --> 00:05:07,340
+وانزعاجهم، يقسم رب العزة هنا، ويؤكد رب العزة هنا
+
+51
+00:05:07,340 --> 00:05:16,220
+بخمسة مؤكدات، ورب السماء والأرض، إنه لحق مثل ما
+
+52
+00:05:16,220 --> 00:05:21,120
+أنكم تنطقون، حتى يؤكد هذا، الإنسان يحتاج للتأكيد،
+
+53
+00:05:21,120 --> 00:05:27,220
+ونحن نستخدم هذا في حياتنا العادية، والله فعلت كذا
+
+54
+00:05:27,220 --> 00:05:32,130
+أقسم بالله إني، هذا المعنى ينبغي أن نلتفت إليه،
+
+55
+00:05:32,130 --> 00:05:37,690
+فهذه المعاني، وهذه الأدوات إنما جاءت في اللغة
+
+56
+00:05:37,690 --> 00:05:41,350
+الفصيحة لكي تسد حاجات إنسانية معروفة، نحن نتعاطى
+
+57
+00:05:41,350 --> 00:05:44,550
+معها في حياتنا العامية، إذا إن تفيد التوكيد،
+
+58
+00:05:44,550 --> 00:05:50,650
+تفيد التوكيد، ونسميه حرف توكيد ونصب، مثال: العدو
+
+59
+00:05:50,650 --> 00:05:53,450
+جبان، جملة اسمية، أردت أن أؤكدها أكثر، أقول: إن العدو
+
+60
+00:05:53,450 --> 00:06:01,000
+جبان، العدو هنا، من يعرف الجملة كلها
+
+61
+00:06:01,000 --> 00:06:05,420
+هنا، أنا حرف توكيد
+
+62
+00:06:05,420 --> 00:06:11,380
+ونصب، هذه الأحرف كلها على فكرة مبنية على الفتح، و
+
+63
+00:06:11,380 --> 00:06:17,140
+كلها لا محل لها من الإعراب، حتى ننتبه، يعني في هذه
+
+64
+00:06:17,140 --> 00:06:23,610
+الأحرف كلها نقول بعد ما نشير، بعد ما نشير،
+
+65
+00:06:23,610 --> 00:06:27,410
+بعد أن نشير إلى نوعه، نقول مبني على الفتح لأنها
+
+66
+00:06:27,410 --> 00:06:31,310
+كلها مبنية على الفتح، لا محل لها من الإعراب، نعم
+
+67
+00:06:49,760 --> 00:06:56,720
+صحيح بالضبط، إذا إن العدو جبان، إن حرف توكيد ونصب
+
+68
+00:06:56,720 --> 00:07:01,320
+مبني على الفتح، لا محل له من الإعراب، العدو اسم إن
+
+69
+00:07:01,320 --> 00:07:06,360
+منصوب، وعلامة نصبه الفتحة الظاهرة على آخره، جبان
+
+70
+00:07:06,360 --> 00:07:11,760
+خبر إن مرفوع، وعلامة رفعه الضمة الظاهرة كما ترون
+
+71
+00:07:11,760 --> 00:07:15,980
+على آخره، أن تفيد التوكيد والمصدرية، انظروا إلى
+
+72
+00:07:15,980 --> 00:07:24,030
+الفرق الآن ما بين إن وأن، إن تؤكد الجملة، وكذلك أن،
+
+73
+00:07:24,030 --> 00:07:30,770
+لكن الفرق بينهما أن أن مع معموليها تؤول بمصدر،
+
+74
+00:07:30,770 --> 00:07:37,640
+تؤول بمصدر، علمت أن أحمد مسافر، يعني أنا عندما قلت
+
+75
+00:07:37,640 --> 00:07:43,220
+مثلاً لو أنا أدخلت أن على أحمد مسافر، نؤكد، نعم
+
+76
+00:07:43,220 --> 00:07:48,900
+وتبقى الجملة جملة، أحمد مسافر، أكدتها، أن أحمد مسافر،
+
+77
+00:07:48,900 --> 00:07:55,980
+لكن تخيل لو قلت أن أحمد مسافر، هل تم المعنى؟ إذا أن
+
+78
+00:07:55,980 --> 00:08:02,670
+تعيد الجملة كلها إلى معنى الكلمة المفردة، إلى معنى
+
+79
+00:08:02,670 --> 00:08:07,430
+الكلمة المفردة، إن تدخل على الجملة وتظل جملة، أن
+
+80
+00:08:07,430 --> 00:08:13,670
+تدخل على الجملة ولا تظل جملة، وإنما تصبح ذات معنى
+
+81
+00:08:13,670 --> 00:08:19,550
+كمعنى الكلمة المفردة، لذلك لا يجوز أن أقول أن العدو
+
+82
+00:08:19,550 --> 00:08:25,760
+جبان، أن العدو جبان، لو قلت أن العدو جبان هذه ليست
+
+83
+00:08:25,760 --> 00:08:32,540
+جملة مفيدة، إن أردت أن تكمل معنى ربما يعني يسعك أن
+
+84
+00:08:32,540 --> 00:08:39,280
+تقول أن العدو جبان حقيقة ظاهرة، كأنك قلت جبانه أو
+
+85
+00:08:39,280 --> 00:08:45,520
+جبنه العدو حقيقة ظاهرة، واضح، علمتُ أن أحمد مسافر،
+
+86
+00:08:45,520 --> 00:08:54,200
+كأنك قلت علمتُ سفر أحمد، علمتُ يعني أن أحمد مسافر،
+
+87
+00:08:54,200 --> 00:09:01,140
+وكأنك فهمتَ، وكأن معناها سفر أحمد، هذا الفرق
+
+88
+00:09:01,140 --> 00:09:08,260
+الجوهري المهم بين إن وأن، نحن نقول نعم عن كليهما حرف
+
+89
+00:09:08,260 --> 00:09:11,980
+توكيد ونصب، لكن إن تبقي على الجملة كما هي بل
+
+90
+00:09:11,980 --> 00:09:16,620
+تزيدها تأكيداً، أن تؤكد المعنى فقط، ولكنه لا يظل
+
+91
+00:09:16,620 --> 00:09:21,840
+وافياً مفيداً، بل يعود كمعنى الكلمة المفردة، وإذن نقول
+
+92
+00:09:21,840 --> 00:09:30,830
+أن ومعموليها مصدر مؤول، كأن تفيد التشبيه، كأن وهذا
+
+93
+00:09:30,830 --> 00:09:36,050
+لسنا في حاجة للتأكيد عليه، كأن زيداً أسد، كانت الجملة
+
+94
+00:09:36,050 --> 00:09:42,970
+قبل دخول كأن زيد أسد، زيد أو أسد، حتى نوضح رفع
+
+95
+00:09:42,970 --> 00:09:50,930
+الخبر، دخلت كأن، أصبحت كلمة زيد التي كانت مبتدأ
+
+96
+00:09:50,930 --> 00:09:58,210
+المرفوعة، أصبحت الآن اسم كأن منصوب، وعلامة نصبه
+
+97
+00:09:58,210 --> 00:10:07,170
+الفتحة، أسد خبر كأن مرفوع، وعلامة رفعه، لكن تفيد
+
+98
+00:10:07,170 --> 00:10:13,470
+الاستدراك، وكأنك تستدرك أمراً بعد أمر، وغالباً ما يكون
+
+99
+00:10:13,470 --> 00:10:19,170
+الاستدراك مخالفاً لما قبله، يعني انظروا زيد غني، زيد
+
+100
+00:10:20,210 --> 00:10:25,210
+غني، ومقتضى الغنى أن يكون سخياً كريماً، سبحان الله زيد
+
+101
+00:10:25,210 --> 00:10:32,170
+غني لكنه بخيل، يعني هذا البخل لا ينسجم مع غنى زيد،
+
+102
+00:10:32,170 --> 00:10:37,820
+هذا معنى الاستدراك، زيد غني، يفهم الإنسان من هذا
+
+103
+00:10:37,820 --> 00:10:41,800
+الغنى أو يتوقع المرء من هذا الغنى أن يكون كلمة
+
+104
+00:10:41,800 --> 00:10:48,820
+سخية، استدرك هذه الخصلة لتنسجم مع غنى زيد، إذا زيد
+
+105
+00:10:48,820 --> 00:10:53,610
+غني لكنه بخيل، من يعرف لنا الجملة كلها، تفضل، ده أيضاً
+
+106
+00:10:53,610 --> 00:10:56,950
+مبتدأ مرفوع علامة رفعه الضمة، ده مبتدأ، وخبر
+
+107
+00:10:56,950 --> 00:11:01,390
+مبتدأ مرفوع علامة رفعه الضمة، لكن لكن هذا
+
+108
+00:11:01,390 --> 00:11:05,290
+استدراك مبني على الفتح، ده محلّه من الإعراب،
+
+109
+00:11:05,290 --> 00:11:10,350
+لهذا نُرْمي، مبني في محلّ، مبنية على، لكنّه
+
+110
+00:11:10,350 --> 00:11:14,650
+على الضمة، على الضمة، نعم، مبنية في محل نصب، اسم
+
+111
+00:11:14,650 --> 00:11:17,960
+الذي أكدناه، بالضبط، نُبَيِّنُهُ، خبر لكن مرفوع على
+
+112
+00:11:17,960 --> 00:11:23,420
+مفرد الضمة، بالضبط، إذا لكن حرف استدراك مبني على
+
+113
+00:11:23,420 --> 00:11:27,660
+الفتح، لا محل له من الإعراب، ودائماً الحروف لا محل
+
+114
+00:11:27,660 --> 00:11:34,200
+لها من الإعراب، الهاء ضمير متصل مبني على الضم في
+
+115
+00:11:34,200 --> 00:11:40,920
+محل نصب، اسم لكن، بخيل خبر لكن مرفوع، وعلامة رفعه
+
+116
+00:11:40,920 --> 00:11:46,290
+واضحة، معنى ليت طبعاً تفيد التمني، التمني في الأمر
+
+117
+00:11:46,290 --> 00:11:52,390
+المستحيل، أو في الأمر الصعب جداً، يعني في أمر يصعب
+
+118
+00:11:52,390 --> 00:11:58,930
+تحققه في هاتين، يعني المساحتين من المعنى، ليت تفيد
+
+119
+00:11:58,930 --> 00:12:02,810
+التمني لأمر مستحيل أو صعب، تعالوا إلى مثل ليت
+
+120
+00:12:02,810 --> 00:12:12,340
+الشباب يعودوا يوماً، ليت الشباب يعودوا، أصل الجملة الشباب
+
+121
+00:12:12,340 --> 00:12:16,820
+يعودوا، أصل الجملة، ولو بالافتراض، يعني ولو لم تستخدم
+
+122
+00:12:16,820 --> 00:12:21,260
+يعني هذه الجملة، ليت الشباب، أصبحت الشباب بعد ما
+
+123
+00:12:21,260 --> 00:12:28,180
+كانت مبتدأ مرفوعاً، بدخول ليت أصبحت اسم ليت منصوبة
+
+124
+00:12:29,640 --> 00:12:36,060
+وعندئذٍ طبعاً هو منصوب، اسم ليت منصوب وعلامة نصبه
+
+125
+00:12:36,060 --> 00:12:42,680
+الفتحة الظاهرة، يعود فعل، نعم، لا نقول خبر، لأنّه فعل
+
+126
+00:12:42,680 --> 00:12:49,260
+مضارع مرفوع، ما السبب في رفعه يا شباب؟ لم يسبق بناصب
+
+127
+00:12:49,260 --> 00:12:54,080
+ولا بجار، هذا هو السبب في رفعه، والنحاة يقولون هنا
+
+128
+00:12:54,080 --> 00:12:59,600
+سبب رفعه عامر معنوي، فالخلو معنى خلو الفعل المضارع
+
+129
+00:12:59,600 --> 00:13:06,360
+من سبقه بلم أو لن، هذا معنى، هذا معنى، إذا يعود فعل
+
+130
+00:13:06,360 --> 00:13:11,780
+مضارع مرفوع، وعلامة رفعه ضمة ظاهرة، والفاعل ضمير
+
+131
+00:13:11,780 --> 00:13:12,640
+مستتر
+
+132
+00:13:14,960 --> 00:13:21,880
+هو موجود لكنه مستتر طبعاً، وتقديره، والجملة الفعلية
+
+133
+00:13:21,880 --> 00:13:29,080
+كلها، الجملة الفعلية كلها في محل رفع خبر ليت،
+
+134
+00:13:29,080 --> 00:13:35,080
+هذا يعني أن إن وأخواتها تدخل على الجملة الاسمية،
+
+135
+00:13:35,080 --> 00:13:40,770
+إذا كان خبرها جملة، إذا كان خبرها جملة، نحن نظرنا
+
+136
+00:13:40,770 --> 00:13:45,630
+فرأينا أن إن دخلت على الجملة أحمد نشيط، هنا الخبر
+
+137
+00:13:45,630 --> 00:13:50,190
+مفرد، إذا أيضاً تدخل على الجملة الاسمية إذا كان
+
+138
+00:13:50,190 --> 00:13:55,530
+خبرُها جملة، يوم منظَرِف، يوم منظَرِف، لأنّ ظرف زمان منصوب
+
+139
+00:13:55,530 --> 00:14:03,300
+وعلامة نصبه، عسى تفيد الرجاء أو الإشفاق أو التعليل،
+
+140
+00:14:03,300 --> 00:14:08,080
+الرجاء في أمر محبوب، عسى الله يرحمنا، في أمر محبوب،
+
+141
+00:14:08,080 --> 00:14:13,940
+الإشفاق، عسى الله يرحمني، أنا أرغب، أنا أرجو أن
+
+142
+00:14:13,940 --> 00:14:20,000
+يرحمِني، أن يرحمني الله سبحانه، أنا أرجو ذلك، عسى هنا
+
+143
+00:14:20,000 --> 00:14:24,020
+تفيد الرجاء في الأمر المحبوب، إذا الله لفظ الجلالة،
+
+144
+00:14:24,020 --> 00:14:28,800
+اسم عسى منصوب، على ما تنصبه، يرحمنا جملة فعلية كما
+
+145
+00:14:28,800 --> 00:14:33,280
+ذكرنا، يعود قبل قليل، مثال، مثال على الأمر المكروه،
+
+146
+00:14:33,280 --> 00:14:38,800
+يعني أنا أشفق من أمر، انظر إلى هذا المثال، تخيلوا أن
+
+147
+00:14:38,800 --> 00:14:44,020
+قائداً عسكرياً، أن قائداً من قادة المجاهدين يحذر، ينبّه
+
+148
+00:14:44,020 --> 00:14:51,580
+جنوده، ينبّه المجاهدين، انتبهوا، عسى العدو يهجم الليلة،
+
+149
+00:14:51,580 --> 00:14:56,950
+انتبهوا، هل يرجو اجتياح اليهود لنا؟ لا، لا، لا يرجو
+
+150
+00:14:56,950 --> 00:15:03,850
+ذلك، انتبهوا، احذروا، بمعنى الحذر، نحن نشفق على أنفسنا
+
+151
+00:15:03,850 --> 00:15:09,470
+أن يغدر بنا عدونا، فلذلك ينبغي أن، نعم، تستخدموا عسى
+
+152
+00:15:09,470 --> 00:15:15,110
+في هذا الموضع، انتبهوا، عسى اليهود، عسى العدو
+
+153
+00:15:15,110 --> 00:15:21,060
+يهجموا الليلة، يجتاحون الليلة، واضح؟ يحدث أيضاً أو
+
+154
+00:15:21,060 --> 00:15:26,420
+تُستخدم عسى أيضاً للتعليل، وهذا في النص القرآني، فقول
+
+155
+00:15:26,420 --> 00:15:34,000
+له قولاً ليناً، لعله يتذكر أو يخشى، دعوا هنا كلمة كي،
+
+156
+00:15:34,000 --> 00:15:41,080
+هل يستقيم المعنى؟ قول له قولاً ليناً كي يتذكر أو
+
+157
+00:15:41,080 --> 00:15:44,620
+يخشى، طبعاً في غير القرآن، وذلك قال العلماء، يعني
+
+158
+00:15:44,620 --> 00:15:48,280
+العلماء لم يخترعوا الأمر من عندهم، يعني لم يجتمعوا
+
+159
+00:15:48,280 --> 00:15:52,880
+اجتماعاً طارئاً، وقالوا تعالوا نُقَرِّر ماذا نفعل في شأن
+
+160
+00:15:52,880 --> 00:15:56,760
+اللغة، هم قرأوا اللغة واستنبطوا هذه القواعد التي
+
+161
+00:15:56,760 --> 00:16:02,520
+تحرس لغتنا، وتمضي بناءً على نفس النسق في معانيها، و
+
+162
+00:16:02,520 --> 00:16:05,640
+تراكيبها وما إلى آخره، واضح يا شباب؟
+
+163
+00:16:08,180 --> 00:16:12,880
+لا، لا، كي ليست من
+
+223
+00:21:52,640 --> 00:21:58,360
+تحكم عليه يا أحمد ما شأنه نشيط؟ شكرا، فهمت الآن.
+
+224
+00:21:58,360 --> 00:22:04,120
+أخبرتني عن أحمد أنه نشيط، لكن تخيل ماذا يمكن أن
+
+225
+00:22:04,120 --> 00:22:09,760
+تقول على الكرسي؟ ماذا في البيت؟ ماذا ستخبروا يعني عن
+
+226
+00:22:09,760 --> 00:22:14,040
+هذا؟ ليه يخبروا عنه؟ أنت لابد أن تخبر عن شيء محدد، أن
+
+227
+00:22:14,040 --> 00:22:21,770
+تحكم عليه بحكم واضح. الخبر قد يكون كلمة مفردة، اسم
+
+228
+00:22:21,770 --> 00:22:27,990
+صريح، أو مصدر مؤول، وقد يكون شبه جملة ظرفية أو جار
+
+229
+00:22:27,990 --> 00:22:34,230
+ومجرور، وقد يكون جملة اسمية أو فعلية. تذكرون هذا
+
+230
+00:22:34,230 --> 00:22:39,020
+الكلام؟ هذه الحروف تدخل على كل هذه الأنواع. انظروا
+
+231
+00:22:39,020 --> 00:22:42,820
+عندنا مجموعات لا تدخل على الأنواع كلها، يعني كادَ
+
+232
+00:22:42,820 --> 00:22:45,320
+وأخواتها لا ندرسها في هذا المصاد، لكن مبادرة
+
+233
+00:22:45,320 --> 00:22:49,840
+تنبيه فقط. كادَ وأخواتها لا تدخل إلا على الجملة
+
+234
+00:22:49,840 --> 00:22:55,680
+الاسمية التي يكون خبرها جملة فعلية، وفعلها مضارع.
+
+235
+00:22:55,680 --> 00:22:59,000
+كادَ
+
+236
+00:22:59,000 --> 00:23:07,850
+السماء تمطرُ، كادَ السماء تمطرُ. خبرُ كادَ هنا الجملة
+
+237
+00:23:07,850 --> 00:23:15,230
+الفعليّة تمطرُ. شرعتْ السماء تمطرُ. إذا هذه الأفعال كادَ
+
+238
+00:23:15,230 --> 00:23:24,310
+وأخواتها، خبرها لا يكون إلا جملة. أحوال خبرها من
+
+239
+00:23:24,310 --> 00:23:27,590
+الممكن أن ننتبه لها، أو أن نلخص الأمر كله في كلمة
+
+240
+00:23:27,590 --> 00:23:32,890
+واحدة: أحوال خبرها. إنه وأخواتها تماماً كأحوال خبر
+
+241
+00:23:32,890 --> 00:23:37,600
+المبتدأ، فيكون مفرداً كما في قولنا: إن السماء صافية.
+
+242
+00:23:37,600 --> 00:23:44,240
+هنا صافية خبرُها. إن مرفوع، وعلامة رفعه ضمة. إن
+
+243
+00:23:44,240 --> 00:23:48,920
+الإيمان في القلب. إن الإيمان في القلب. أين خبرُ إن
+
+244
+00:23:48,920 --> 00:23:54,400
+هنا؟ أين خبرُها؟ المؤمن؟ شبه الجملة في القلب. الجملة
+
+245
+00:23:54,400 --> 00:24:00,680
+كانت قبل دخول إن. الإيمان في القلب. دخلت إن، الإيمان
+
+246
+00:24:00,680 --> 00:24:08,940
+في القلب. الخبر قد يكون جملة أيضاً. إن الإسلام ينتصر.
+
+247
+00:24:08,940 --> 00:24:13,660
+إن الإسلام ينتصر. من يعرف الجملة كلها هنا؟ نعم، سعيد.
+
+248
+00:24:20,650 --> 00:24:22,050
+أحسن.
+
+249
+00:24:29,000 --> 00:24:35,000
+بالضبط. والجملة الفعلية كلها في محل رفع خبر
+
+250
+00:24:35,000 --> 00:24:39,080
+المبتدأ. واللام مزحلقة. هذه اللام أصلاً يأتي في
+
+251
+00:24:39,080 --> 00:24:45,780
+الجملة قبل دخولها. لِمحمدٍ نشيط. لِمحمدٍ نشيط. محمد
+
+252
+00:24:45,780 --> 00:24:51,000
+المبتدأ المرفوع. نشيط خبر مرفوع، خبر المبتدأ. اللام
+
+253
+00:24:51,000 --> 00:24:55,620
+غرضُ اللام هنا أن تؤكد الجملة. هذا غرضُها، أن تؤكد
+
+254
+00:24:56,460 --> 00:25:00,000
+الجملة، لكنها لا تعمل بها، يعني ما معنى لا
+
+255
+00:25:00,000 --> 00:25:07,360
+تنصب، لا تجر، لا ترفع. هذه مهملة، لا تعمل، لا تعمل في
+
+256
+00:25:07,360 --> 00:25:14,670
+اللفظ، لكن لها معنى، ومعناها التوكيد. أردنا أن نؤكد
+
+257
+00:25:14,670 --> 00:25:18,310
+الجملة أكثر، كما أُشير إلى ذلك في أول
+
+258
+00:25:18,310 --> 00:25:23,170
+المحاضرة. قد نحتاج أكثر أن نؤكد. تخيل أننا أدخلنا
+
+259
+00:25:23,170 --> 00:25:28,470
+إن. عند دخول إن، تتزحلق اللام إلى الخبر. انظروا هي
+
+260
+00:25:28,470 --> 00:25:34,530
+كانت لِمحمدٍ النشيط. عند دخول إن، تزحلقت اللام من
+
+261
+00:25:34,530 --> 00:25:40,900
+المبتدأ إلى الخبر. واضح؟ فأصبحت: إن محمداً نشيط.
+
+262
+00:25:40,900 --> 00:25:46,160
+محمداً اسمُ إن منصوب، تماماً كما تعلمنا، وعلامة نصبه
+
+263
+00:25:46,160 --> 00:25:53,020
+الفتحة. اللام هنا اللام المزحلقة، حرف مبني على الفتح،
+
+264
+00:25:53,020 --> 00:25:57,600
+لا محل له... كسائر الحروف. نشيط خبرُ إن مرفوع، وعلامة
+
+265
+00:25:57,600 --> 00:26:02,620
+رفعه الضمة. هل يجوز أن نسمي اللام أيضاً هنا بلام
+
+266
+00:26:02,620 --> 00:26:07,730
+الابتداء؟ أُمّ يجوز؟ آه، نعم، رغم تزحلقها، هي لازالت
+
+267
+00:26:07,730 --> 00:26:13,010
+نفس اللام. إذا يجب أن نسميها باللام المزحلقة، وأيضاً
+
+268
+00:26:13,010 --> 00:26:18,210
+باللام الابتدائية. السؤال: لماذا لم تتزحلق إن، وتزحلقت
+
+269
+00:26:18,210 --> 00:26:26,670
+اللام؟ لماذا؟ تفضل. إن تعمل، وسبحان الله، دائماً أقوى
+
+270
+00:26:26,670 --> 00:26:30,990
+هو الذي يسيطر. إن هي التي تعمل، والعامل أقوى من غير
+
+271
+00:26:30,990 --> 00:26:38,630
+العامل. دخول ما الكافة؟ دخول ما الكافة. ما حرف زائد،
+
+272
+00:26:38,630 --> 00:26:46,190
+يكفئ إن عن العمل. يعني أنا عندما أقول: فتسمى ما كافة،
+
+273
+00:26:46,190 --> 00:26:50,930
+وإنما كافية. مثال: إنما المؤمنون إخوة. هذه كانت أصلاً
+
+274
+00:26:50,930 --> 00:26:56,330
+المؤمنون إخوة، في غير القرآن بالطبع. دخلت إن، صارت إنما
+
+275
+00:26:56,330 --> 00:27:00,230
+المؤمنين بدخول
+
+276
+00:27:00,230 --> 00:27:07,390
+ما. كفتْ إن عن العمل. هي التي حجبت بين الحرف الناسخ
+
+277
+00:27:07,390 --> 00:27:13,710
+واسمه. ولم يَظَل اسمُه، ولم يَظَل اسمُه. هو عاد مبتدأ كما
+
+278
+00:27:13,710 --> 00:27:20,090
+كان قبل دخول إن. مرة أخرى: المؤمنون إخوة. جملة، جملة
+
+279
+00:27:20,090 --> 00:27:24,290
+نسميها قبل دخول إنما، أو قبل دخول إن، كانت جملة
+
+280
+00:27:24,290 --> 00:27:30,980
+اسمية من مبتدأ وخبر. دخلت إنما، أصبحت إنما المؤمنين إخوة.
+
+281
+00:27:30,980 --> 00:27:37,080
+المؤمنين هنا اسمُ إنما منصوب، وعلامة نصبهِ ليه؟ لأنه
+
+282
+00:27:37,080 --> 00:27:41,160
+جمَّدَ. قدْ قَدِ الإنسان. دخلت ما، حجبت بين الناسخ واسمه،
+
+283
+00:27:41,160 --> 00:27:48,960
+لكنه لا يظل اسمه، يعود مبتدأ كما كان. إذا ما كفتْ
+
+284
+00:27:48,960 --> 00:27:57,550
+إن عن العمل. إن حرف مكفوف، وما حرف كافٍ لإن عن العمل.
+
+285
+00:27:57,550 --> 00:28:03,790
+ونستطيع أن نقول إنما كافة، ومكفوفة. إنما كافة،
+
+286
+00:28:03,790 --> 00:28:07,730
+ومكفوفة. وعندئذٍ يجب أن تدخل على الجملة الفعلية،
+
+287
+00:28:07,730 --> 00:28:14,410
+يجب أن تدخل على الجملة الفعلية. لماذا؟
+
+288
+00:28:14,410 --> 00:28:24,070
+انظروا: إن حرف مختص بالاسم. إن حرف مختص بالاسم، ولا
+
+289
+00:28:24,070 --> 00:28:27,370
+يدخل على الفعل. إذا لأنه يعمل في الاسم فهو
+
+290
+00:28:27,370 --> 00:28:32,570
+يطلب، يطلب الأسماء دائماً. إذا دخلت ما، كفتْ إن عن
+
+291
+00:28:32,570 --> 00:28:37,230
+اختصاصها بالاسم. عندئذٍ يجوز أن تدخل إنما على
+
+292
+00:28:37,230 --> 00:28:39,750
+الأسماء، ولا على الفعل، كما طرحنا هنا: إنما المؤمنون
+
+293
+00:28:39,750 --> 00:28:44,210
+إخوة. جاهز. إنما يخشى الله من عباده العلماء. أيضاً
+
+294
+00:28:44,210 --> 00:28:49,950
+جاهز. لكن تخيلوا إن تدخلوا على يخشى، لا يستقيم، لا
+
+295
+00:28:49,950 --> 00:28:58,000
+يمكن. إذا إنما... الآن غير مختصة، كلها معاً غير مختصة
+
+296
+00:28:58,000 --> 00:29:03,860
+بالأسماء. تعالوا نعرف: إنما المؤمنون إخوة. نعم، من
+
+297
+00:29:03,860 --> 00:29:08,920
+يعرفها لنا؟ تفضل. مبتدأ
+
+298
+00:29:08,920 --> 00:29:10,500
+تماماً كما كانت قبل دخولها.
+
+299
+00:29:13,830 --> 00:29:19,650
+إخوة... إخوة خبر... خبر. مبتدأ مرفوع. نعم، وعلى المرفوع.
+
+300
+00:29:19,650 --> 00:29:22,930
+أضمن صحيح. إنما يخشى الله من عباده العلماء. من
+
+301
+00:29:22,930 --> 00:29:28,750
+يعرفها لنا هذه الآية... هذه الآية الكريمة؟ من
+
+302
+00:29:28,750 --> 00:29:33,810
+يعرفها لنا هذه الآية الكريمة؟ آيةٌ. شابٌ، تفضل. نعم.
+
+303
+00:29:36,590 --> 00:29:41,470
+إنما حرف... يسوق... يسوق... يمكنك أن تعربها حرف
+
+304
+00:29:41,470 --> 00:29:47,290
+قصر مبني على السكون. لما حللناه. إعراب حرف القصر أو
+
+305
+00:29:47,290 --> 00:29:51,390
+حرف حصر... حصر وقصر بنفس المعنى. يخشى... يلاّ، ما أن
+
+306
+00:29:51,390 --> 00:30:00,390
+يعلموا... تفضل كمل. يخشى
+
+307
+00:30:00,390 --> 00:30:06,250
+فعل مضارع مرفوع، وعلامة رفعه الضمة المقدرة منع من
+
+308
+00:30:06,250 --> 00:30:10,370
+ظهورها التعذر. التعذر يعني الاستحالة، والألف يستحيل
+
+309
+00:30:10,370 --> 00:30:15,650
+أن تتحرك. الألف حرف ساكن أبداً، لا يمكن أن يتحرك،
+
+310
+00:30:15,650 --> 00:30:20,590
+نعم صحيح.
+
+311
+00:30:20,590 --> 00:30:24,610
+لفظ الجلالة الله، لفظ الجلالة مفعول به منصوب،
+
+312
+00:30:24,610 --> 00:30:33,140
+وعلامة نصبه الفتحة. نعم. من حرف جر، ومجرور، وهو
+
+313
+00:30:33,140 --> 00:30:36,900
+مضاف، والهاء مضاف إليه، والهاء في محل جر مضاف إليه. لا
+
+314
+00:30:36,900 --> 00:30:42,260
+نقول عن المبني مجرور أو مرفوع أو منصوب، أو لا يقال
+
+315
+00:30:42,260 --> 00:30:47,460
+عن المبني بالذات، نقول إنه في محل جرّ، كده في محلّ
+
+316
+00:30:47,460 --> 00:30:53,670
+جرّ، كده. نعم. أحسن. العلماء هو الفاعل، فاعل مرفوع، وعلامة
+
+317
+00:30:53,670 --> 00:30:57,890
+رفعه الضمة الظاهرة على الآخر. هذه... هذه ما
+
+318
+00:30:57,890 --> 00:31:04,710
+يختص بإن... وأخواته. سؤالٌ، شابٌ؟ نعم، سعيد. على نفس
+
+319
+00:31:04,710 --> 00:31:08,870
+الأمر، على نفس القضية، يعني مثلاً يجوز أن يكون
+
+320
+00:31:08,870 --> 00:31:17,730
+خبرُها مفرداً أو شبه جملة أو جملة. نفس القضية بهذه
+
+321
+00:31:17,730 --> 00:31:22,810
+التفاصيل. نفس القضية. سؤال يا شباب؟ إعراب
+
+322
+00:31:22,810 --> 00:31:30,990
+الإعراب نُعيده كله. ماشي. إنما حرف حصر مبني على
+
+323
+00:31:30,990 --> 00:31:38,840
+السكون، لا محل له من الإعراب. يخشى فعل مضارع مرفوع،
+
+324
+00:31:38,840 --> 00:31:44,280
+و علامة رفعه الضمة المقدرة منع من ظهورها التعذر.
+
+325
+00:31:44,280 --> 00:31:50,300
+الله لفظ الجلالة منصوب، مفعول به منصوب، وعلامة نصبه
+
+326
+00:31:50,300 --> 00:31:56,420
+الفتحة. من حرف جرّ مبني على السكون، لا محل له من
+
+327
+00:31:56,420 --> 00:32:02,050
+الإعراب. عبادي اسم مجرور، وعلامة جره الكسرة، وهو
+
+328
+00:32:02,050 --> 00:32:09,630
+مضاف، والهاء ضمير متصل مبني على الكسر، هنا في محل جرّ
+
+329
+00:32:09,630 --> 00:32:14,850
+مضاف إليه. العلماء فاعل مرفوع، وعلامة رفعه الضمة.
+
+330
+00:32:14,850 --> 00:32:16,190
+ومؤمن.
+
+331
+00:32:19,020 --> 00:32:22,140
+أو طبعاً، يعني يمكنك أن تُعرفها بالتفصيل. إن حرف
+
+332
+00:32:22,140 --> 00:32:27,260
+التوكيد والنصب، كذا كذا، لا محل له من الإعراب. يعني وما حرف
+
+333
+00:32:27,260 --> 00:32:31,240
+زائد مبني على السكون، لا محل له من الإعراب. ممكن أعم، ممكن
+
+334
+00:32:31,240 --> 00:32:36,180
+لكن أسهل يعني أن تُعرفها مع... نعم، العلماء، العلماء.
+
+335
+00:32:36,180 --> 00:32:41,100
+نعم، ممكن.
+
+336
+00:32:41,100 --> 00:32:45,440
+آه، إنما كلها كافة ومكفوفة. نعم، ممكن. لكن الأفضل أن
+
+337
+00:32:45,440 --> 00:32:51,440
+تشير إلى... يعني وظيفتها هي حرف قصر أو حصر. أشكركم.
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/WN8zMdVeFao_raw.srt b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/WN8zMdVeFao_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c585c28b40ff67b4c96a74c4629a175102721278
--- /dev/null
+++ b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/WN8zMdVeFao_raw.srt
@@ -0,0 +1,1204 @@
+1
+00:00:21,600 --> 00:00:23,780
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:23,780 --> 00:00:26,440
+الرحيم الحمد لله والصلاة والسلام على رسول الله
+
+3
+00:00:26,440 --> 00:00:34,840
+وآله وصحبه ومن ولا نأتي اليوم إلى عين الفعل تذكرون
+
+4
+00:00:34,840 --> 00:00:39,900
+عين الفعل أو عين الكلمة عين الكلمة هو الحرف الأوسط
+
+5
+00:00:39,900 --> 00:00:45,460
+إن كان او إن كانت الكلمة من ثلاث أحرف هو الحرف
+
+6
+00:00:45,460 --> 00:00:50,780
+الثاني في الكلمة فنذكر مثلا كتب ما ميزانهكتب فعل
+
+7
+00:00:50,780 --> 00:00:58,580
+كتب فعل ما هو عين الفعل كتب تعالوا ننظر إلى عين
+
+8
+00:00:58,580 --> 00:01:08,760
+الفعل إن كان طبعا حرف عل اولا الفعل الماضي نذكره
+
+9
+00:01:08,760 --> 00:01:13,020
+مرة أخرى هو مدلة على حدث قبل زمن التكلم شيء مضى
+
+10
+00:01:13,020 --> 00:01:18,260
+حدث و مضى الفعل المضارع هو الذي يدل على حدث في زمن
+
+11
+00:01:18,260 --> 00:01:23,740
+التكلمولازالة مستمرة انا عندما اقول احمد يكتب هو
+
+12
+00:01:23,740 --> 00:01:27,320
+الان يكتب في هذه اللحظة ثم ان الكتابة لازالت
+
+13
+00:01:27,320 --> 00:01:32,720
+مستمرة لذلك نقول الفعل المضارع يدل على الحال
+
+14
+00:01:32,720 --> 00:01:37,900
+والاستقبال يدل على الحال والاستقبالالآن الفعل
+
+15
+00:01:37,900 --> 00:01:42,580
+المضارع لابد و أن يبدأ بأحد هذه الأحرف الأربع التي
+
+16
+00:01:42,580 --> 00:01:48,720
+جمعت فينا أيتو أو نأتي الفعل المضارع أي فعل مضارع
+
+17
+00:01:48,720 --> 00:01:54,660
+على الإطلاق لابد أن يبدأ إما بالن نكتب أو بالهمزة
+
+18
+00:01:54,660 --> 00:02:04,160
+أكتب أو باليا يكتب أو بالت تكتب أنا أكتب نحن نكتب
+
+19
+00:02:04,160 --> 00:02:14,080
+أنت تكتبوهو يكتب او هي تكتب ايضا اذا لابد ان يبدأ
+
+20
+00:02:14,080 --> 00:02:17,620
+الفعل المضارع بحرف من هذه الأحرف الأربعة هذه قاعدة
+
+21
+00:02:17,620 --> 00:02:21,440
+لا يمكن ابدا الا ان يبدأ بأحد هذه الأحرف الأربعة
+
+22
+00:02:21,440 --> 00:02:26,870
+لكن انتبه ليس كل فعل بدأ بهذهأو بحرف من هذه الأحرف
+
+23
+00:02:26,870 --> 00:02:31,490
+يعني أنه فعل مضارع فقد يبدأ بأحد هذه الأحرف و ليس
+
+24
+00:02:31,490 --> 00:02:38,650
+مضارعة و ليس مضارعة كما في مثلا نامة أكلة بدأ
+
+25
+00:02:38,650 --> 00:02:44,320
+بالهمزة تفاجأة تفاجأة بدأ بال تاءبدأ بال تاء، لأ،
+
+26
+00:02:44,320 --> 00:02:48,460
+إذا الفعل مضارع يجب أن يبدأ بأحد هذه الأحرف لكن
+
+27
+00:02:48,460 --> 00:02:53,880
+ليس كل فعل بدأ بهذه الأحرف أو بحرف من هذه الأحرف
+
+28
+00:02:53,880 --> 00:02:58,680
+يعني أنه فعل مضارع، واضح هذا الكلام؟ إذا لابد أن
+
+29
+00:02:58,680 --> 00:03:02,760
+يبدأ الفعل المضارع بالنون أو بالهمزة أو باليا أو
+
+30
+00:03:02,760 --> 00:03:07,050
+بالتاء، انظروا لهذه اللوحةالفعل المضارع أو الفعل
+
+31
+00:03:07,050 --> 00:03:10,130
+الماضي في الأصل الثلاثي نتكلم عن الفعل الماضي
+
+32
+00:03:10,130 --> 00:03:18,430
+الثلاثي لا يمكنه إلا أن يكون على وزن فعل أو فعلة
+
+33
+00:03:18,430 --> 00:03:24,170
+أو فاولة نتكلم عن الفعل الماضي الثلاثي لابد أن
+
+34
+00:03:24,170 --> 00:03:30,730
+تكون فاءه مفتوحة دائما وأبدا ليس عندنا فعل ماضي
+
+35
+00:03:30,730 --> 00:03:39,280
+مبني للمعلوموفاؤه مضمومة أو مكسورة لا يمكنه أبدا
+
+36
+00:03:39,280 --> 00:03:44,180
+الفعل الماضي المبني للمعلوم ينبغي أن يبدأ بحرف
+
+37
+00:03:44,180 --> 00:03:53,140
+مفتوح كتب ش شرب ع عمل ص صعد ووقف دائما أين وطبعا
+
+38
+00:03:53,140 --> 00:03:57,490
+اللام لابد أن تُبن علىالفتح كما ترون إلا في أحوال
+
+39
+00:03:57,490 --> 00:04:00,770
+وقد درسناها قبل ذلك تذكرون؟ يعني الأصل في الماضي
+
+40
+00:04:00,770 --> 00:04:05,190
+أن يُبنى على الفتح وقد يُبنى على غير الفتح إن اتصل
+
+41
+00:04:05,190 --> 00:04:09,970
+مثلا بتاء الفاعل المتحرك عند إذن يُبنى على السكون
+
+42
+00:04:09,970 --> 00:04:16,730
+كتب كتبت على السكون أو إذا أُسند إلى نون النسوة
+
+43
+00:04:16,730 --> 00:04:24,070
+كتبنا كتبنا واضح؟ تذكرون هذا الكلامإذا أين
+
+44
+00:04:24,070 --> 00:04:28,670
+الاختلاف سيكون؟ أين التنوع سيكون؟ في عين الفعل فقط
+
+45
+00:04:28,670 --> 00:04:33,510
+انظر إلى هذه اللوحة التي تنبه هنا إلى أن الفعل فعل
+
+46
+00:04:33,510 --> 00:04:39,710
+فقط فقط هو الذي يأتي منه أنواع الأفعال الثلاثة
+
+47
+00:04:39,710 --> 00:04:46,570
+التي تفتح عينها أو تضم عينها أو تكسر عينها لكن لا
+
+48
+00:04:46,570 --> 00:04:51,380
+نتكلم هنا عن فعل واحدإنما نتكلم عن أفعال يعني ليس
+
+49
+00:04:51,380 --> 00:04:55,360
+الفعل الذي نقول في مضارعي يفعل هو نفسه نقول فيه
+
+50
+00:04:55,360 --> 00:05:01,240
+يفعل ويفعل لأ أقصد هناك أفعال يعني الأفعال التي
+
+51
+00:05:01,240 --> 00:05:09,560
+تأتي على وزن فعل قد يكون مضارعها على وزن يفعل أو
+
+52
+00:05:09,560 --> 00:05:19,800
+يفعل أو يفعل لكن المضارعة منفعولة قطعا مضارعه على
+
+53
+00:05:19,800 --> 00:05:24,880
+وزن يفعل مرة أخرى الماضي على وزن فعولة الماضي مثل
+
+54
+00:05:24,880 --> 00:05:30,590
+شجوعة شجوعةالمضارع منه لابد أن يكون على وزن يفعل
+
+55
+00:05:30,590 --> 00:05:38,170
+إذن يشجع حسن يحسن كرم يكرم واضح لماذا نقرأ ولماذا
+
+56
+00:05:38,170 --> 00:05:41,790
+ندرس مثل هذه النقاط حتى نستفيد من هذه الاستفادة
+
+57
+00:05:41,790 --> 00:05:47,050
+إذا سنرى من خلال الأمثلة مثل هذه الأفعال لكن الفعل
+
+58
+00:05:47,050 --> 00:05:54,370
+الذي يكون على وزن فاعلةمضارعه إما أن يكون على وزن
+
+59
+00:05:54,370 --> 00:06:00,010
+يفعل أو يفعل .. يفعل أو يفعل .. يفعل يعني مرة أخرى
+
+60
+00:06:00,010 --> 00:06:06,550
+إن رأيت فعلا ماضيا ثلاثية .. إن رأيت فعلا ماضيا
+
+61
+00:06:06,550 --> 00:06:11,770
+ثلاثية على وزن فاولة مضارعه ليس عندنا فيه إلا خيار
+
+62
+00:06:11,770 --> 00:06:18,540
+واحد مضارعه على وزن يفعلإن رأيت فعل على وزني فعل
+
+63
+00:06:18,540 --> 00:06:23,520
+مضارعه إما أن يكون على وزني يفعل أو يفعل لكن لن
+
+64
+00:06:23,520 --> 00:06:28,580
+يكون على وزني يفعل لكن الماضي الذي على وزني فعل
+
+65
+00:06:28,580 --> 00:06:33,560
+هذا الأمر الآن عندنا متنوع قد يكون مضارعه على وزني
+
+66
+00:06:33,560 --> 00:06:38,100
+يفعل أو يفعل أو يفعل تعالوا ننظر إلى الأمثلة فعل
+
+67
+00:06:38,100 --> 00:06:42,400
+هنا مثل
+
+68
+00:06:42,400 --> 00:06:54,920
+الفعل أو مثل الفعل رفعفعل رفع رفع يرفع يرفع لكن
+
+69
+00:06:54,920 --> 00:07:02,490
+كتب يكتب لأ كتب يكتب انظروا فعل يفعل جلس يجلسأه
+
+70
+00:07:02,490 --> 00:07:10,370
+فعل يفعل مثل جلس يجلس إذا رفع وجلس ونصر على واسد
+
+71
+00:07:10,370 --> 00:07:15,650
+فعلة هذه الأفعال الثلاثة لكن مضارعة كل منها اختلفة
+
+72
+00:07:15,650 --> 00:07:22,550
+عن الآخر واضح الفكرة لكن رفع وجلس ونصركلها على وزن
+
+73
+00:07:22,550 --> 00:07:27,950
+فأع لا هل اتفقت في مضارعها لم تتفق في مضارعها رفع
+
+74
+00:07:27,950 --> 00:07:37,430
+على مضارعه على وزن يرفع جلس يجلس هنا نصر ينصر هنا
+
+75
+00:07:37,430 --> 00:07:41,390
+فتحنا العين لازالت العين مفتوحة هنا العين كسرت هنا
+
+76
+00:07:41,390 --> 00:07:45,630
+العين عينه الفعل يعني ضمن تعالوا ننظر إلى فعلة
+
+77
+00:07:45,630 --> 00:07:52,220
+عندنا فعلا هنا علمةعلمة على وزني فاعلة لكن مضارعه
+
+78
+00:07:52,220 --> 00:07:57,920
+على وزني يفعل، يعلم أما حسبة مضارعه على وزني يفعل
+
+79
+00:07:57,920 --> 00:08:04,180
+أو يحسب لكن فاعلة كما قلت لكم قبل قليل مضارعه لابد
+
+80
+00:08:04,180 --> 00:08:09,860
+أن يكون على وزني يفعلهنا لا نتحير لكن هنا ينبغي أن
+
+81
+00:08:09,860 --> 00:08:14,960
+نعرف .. ينبغي أن نفحص إن لم نعرف الفعل وضبطه
+
+82
+00:08:14,960 --> 00:08:17,920
+وينبغي أن نعود طبعا إلى المعاجم لكي نطبطه لكن
+
+83
+00:08:17,920 --> 00:08:22,020
+الفعل الذي على وزن فعل من دون أن نبحث إذا تأكدنا
+
+84
+00:08:22,020 --> 00:08:28,820
+أن ماضي الفعل هكذا ماضيه فعل إذا مضارعه يفعل من
+
+85
+00:08:28,820 --> 00:08:31,240
+دون ترد واضح؟
+
+86
+00:08:32,590 --> 00:08:37,930
+وفعلا وفاعلة عندنا خياران فقط اما يفعل او يفعل اين
+
+87
+00:08:37,930 --> 00:08:45,050
+ينبغي ان ننتبه في الوزن فعلا في الوزن فعلا بناء
+
+88
+00:08:45,050 --> 00:08:51,210
+الفعل المجهول قلنا قبل قليل ان الفعل المبني
+
+89
+00:08:51,210 --> 00:08:55,810
+للمعلوم من الثلاثي لابد ان تكون فاوه دائما وأبدا
+
+90
+00:08:56,510 --> 00:09:01,110
+مفتوحة لابد أن تكون مفتوحة لن تجد الفعل ثلاثيا
+
+91
+00:09:01,110 --> 00:09:11,850
+أوله غير مفتوح أبدا لن تجد أبدا إذا أردنا أن نبني
+
+92
+00:09:11,850 --> 00:09:16,250
+الفعل للمجول طبعا هناك أحوال للماضي و هنا أحوال
+
+93
+00:09:16,250 --> 00:09:20,970
+للمضارع إذا الفعل المبني للمعلوم هو ما ذكر فعله
+
+94
+00:09:20,970 --> 00:09:26,170
+نذكره هنا فقطالمبني للمعلوم هو الذي علم فاعله خلق
+
+95
+00:09:26,170 --> 00:09:31,230
+الله الإنسان هنا علم الفاعل أو ذكر الفاعل هنا هذا
+
+96
+00:09:31,230 --> 00:09:35,710
+هو المقصود ذكر الفاعل لكن الفعل المبني للمعلوم هو
+
+97
+00:09:35,710 --> 00:09:43,110
+الذي حذف فاعله وأنيب عن فاعله مثلا بكلمة أخرى كخلق
+
+98
+00:09:43,110 --> 00:09:47,480
+الإنسان وقد درسنا ذلك تذكرونانظروا في المثال الأول
+
+99
+00:09:47,480 --> 00:09:53,340
+خلق الله خلق الفعل الماضي الله او الله الفاعل لفظ
+
+100
+00:09:53,340 --> 00:09:57,740
+الجلالة الفاعل مرفوع الإنسان المفروض بيه منصوب
+
+101
+00:09:57,740 --> 00:10:03,460
+عندما غاب الفاعل المفروض بيه رفع لأنه ناب هنا عن
+
+102
+00:10:03,460 --> 00:10:08,180
+الفاعل في الأول قلنا خلق الله الإنسان لكن عندما
+
+103
+00:10:08,180 --> 00:10:15,080
+صار نائبا خلق الله أو خلق الإنسان لأنه يقوم بمهمة
+
+104
+00:10:15,080 --> 00:10:21,110
+الفاعلهنا هو في مهمة الفعل تعالوا ننظر إلى بناء
+
+105
+00:10:21,110 --> 00:10:24,910
+الفعل طبعا بناء الفعل الماضي يعني يختلف عن بناء
+
+106
+00:10:24,910 --> 00:10:30,510
+المضارع بناء الماضي له أحوال و بناء المضارع له
+
+107
+00:10:30,510 --> 00:10:34,250
+أحوال تعالوا ننظر إلى الماضي القاعدة في كليه مع
+
+108
+00:10:34,250 --> 00:10:38,030
+الفكرة في الأصل القاعدة العامة طبعا في استثنائات
+
+109
+00:10:38,030 --> 00:10:43,440
+لكن القاعدة العامة أن الفعلإذا بني لي المجهول ضم
+
+110
+00:10:43,440 --> 00:10:50,720
+أوله هذا في الماضي و في المضارة تذكروا هذا شريبة
+
+111
+00:10:50,720 --> 00:10:57,540
+المبني و المجهول منه شريبة شو إذا انضمنا أوله
+
+112
+00:10:57,540 --> 00:11:02,920
+يشربواهذا فعل مضارع إذا أردنا بناءه للمجموع نضمه
+
+113
+00:11:02,920 --> 00:11:07,780
+أولا يُ .. يُشربوا إذا الضم في كلاهما لكن الاختلاف
+
+114
+00:11:07,780 --> 00:11:12,440
+يكون في ما قبل الآخر كما سنرى إذا القاعدة العامة
+
+115
+00:11:12,440 --> 00:11:18,660
+التي أحيانا نستثني شيئا منها فيها استثنات القاعدة
+
+116
+00:11:18,660 --> 00:11:25,600
+العامة أننا إذا أردنا أن نضم فعلا ماضيا نضم أولا و
+
+117
+00:11:25,600 --> 00:11:32,520
+نكسر ما قبل آخرهنضم أولا و نكسر ما قبل آخره تعالوا
+
+118
+00:11:32,520 --> 00:11:45,580
+نجرب ذهب ذهب جلس جلس على فكرة نحن حتى و لو لم نضبط
+
+119
+00:11:45,580 --> 00:11:50,800
+هذه القواعد حتى تطمئنه الفعل بناء الفعل اللي
+
+120
+00:11:50,800 --> 00:11:54,080
+المرجو ليس صعبا علينا يعني قبل الضبط أحسنت يعني
+
+121
+00:11:54,080 --> 00:11:58,100
+قبل أن نأتي للقواعد تعالوا نجربحتى تطمأنوا يعني
+
+122
+00:11:58,100 --> 00:12:01,640
+احنا لسنا في حاجة في كل أمر إلى ضبط الأمر بالقواعد
+
+123
+00:12:01,640 --> 00:12:05,980
+قلت ربما مرة في مرة سابقة أننا نحتاج إلى القواعد
+
+124
+00:12:05,980 --> 00:12:10,700
+عندما نجهل الأمر انت ماتتمسك بخارطة للأشياء انت
+
+125
+00:12:10,700 --> 00:12:14,360
+لاتتمسك بخارطة للعودة إلى بيتك لأنك تعرف طريقة
+
+126
+00:12:14,360 --> 00:12:18,740
+بيتك تماما تعرف طريقك إلى الجامعة أيضا تماما فانا
+
+127
+00:12:18,740 --> 00:12:22,650
+هذا أعرفه تعالوا نجربسأعطيكم أفعال ربما تكون غريبة
+
+128
+00:12:22,650 --> 00:12:31,570
+وسنرى كيف ستحسنون صياغتها للمجهول تعالوا نجرب قاتل
+
+129
+00:12:31,570 --> 00:12:35,970
+قوتل
+
+130
+00:12:35,970 --> 00:12:44,170
+استعمل استعمل انفتح انفتح ممتاز اعشوشب
+
+131
+00:12:45,850 --> 00:12:50,270
+عشوشبة اعشوشبة
+
+132
+00:12:50,270 --> 00:13:04,430
+اعشوشبة اعشوشبة تكرمتكرمة تكرمة تكرمة تكرمة تكرمة
+
+133
+00:13:04,430 --> 00:13:07,370
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+134
+00:13:07,370 --> 00:13:07,370
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+135
+00:13:07,370 --> 00:13:07,370
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+136
+00:13:07,370 --> 00:13:07,750
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+137
+00:13:07,750 --> 00:13:10,870
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+138
+00:13:10,870 --> 00:13:13,230
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+139
+00:13:13,230 --> 00:13:15,450
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+140
+00:13:15,450 --> 00:13:18,550
+تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة تكرمة
+
+141
+00:13:18,550 --> 00:13:24,460
+تكرمة تكرمة تكرمة تكرمة تكرمة تكربالضبط قصرنا هنا
+
+142
+00:13:24,460 --> 00:13:30,540
+ام لا اذا بالضبط فو تي ح من فتحة هنا تعالى و ننظر
+
+143
+00:13:30,540 --> 00:13:34,320
+ايه الأفعالي هنا قد بنى للمجهول قرية ما الذي حصل
+
+144
+00:13:34,320 --> 00:13:40,080
+ضممنا اوله و قصرنا ما قبل اخره ما هو اوله القف ما
+
+145
+00:13:40,080 --> 00:13:46,500
+هو قبل اخره بالضبط الفعل هنا ايه الفعل هنا يا اكرم
+
+146
+00:13:46,500 --> 00:13:52,960
+زول زيلة ما الذي حصلضمنا الأول و قصدنا قبل الآخر،
+
+147
+00:13:52,960 --> 00:13:56,620
+يعني واضح، تنبيهات هذه التنبيهات هي التي سنتبه من
+
+148
+00:13:56,620 --> 00:14:00,160
+خلالها إلى الفعل الناقص، درسناه ما هو الفعل
+
+149
+00:14:00,160 --> 00:14:03,640
+الناقص؟ ماذا يذكرنا من الفعل الناقص؟ نعم أكتر،
+
+150
+00:14:03,640 --> 00:14:10,940
+سعيد؟ هو الذيينتهي بحرف علة هو الذي يبدأ .. او
+
+151
+00:14:10,940 --> 00:14:16,780
+يعني ينتهي بحرف علة واحد فقط لا نقول هو الذي ينتهي
+
+152
+00:14:16,780 --> 00:14:22,160
+بحرف علة فقط لأن اللفيفة أيضا ينتهي بحرف علة حتى
+
+153
+00:14:22,160 --> 00:14:25,100
+لا يلتبس الأمر علينا إذن هو الذي يحتوي على حرف
+
+154
+00:14:25,100 --> 00:14:31,240
+واحد فقط وفي آخرهوفي آخره واضح إلا هذا استثنائه ما
+
+155
+00:14:31,240 --> 00:14:35,440
+الذي نقوله فيه ما هو الذي ننبهه هنا أن الحرف
+
+156
+00:14:35,440 --> 00:14:40,220
+الأخير هذا ينقلب إلى إيش إلى ياء إلى ياء سواء كان
+
+157
+00:14:40,220 --> 00:14:48,070
+أصله واوا أو ياء يعني مثل دعاءدعا دعي هنا ماذا
+
+158
+00:14:48,070 --> 00:14:51,790
+فعلنا هنا أصلا انظروا ما الذي دعانا أصلا إلى تحويل
+
+159
+00:14:51,790 --> 00:14:56,450
+الألف تحويل الألف نعم إلياه لأنه تخيل أنت على
+
+160
+00:14:56,450 --> 00:15:02,050
+القاعدة مطالب بضم الأول ضمنا دو هل يمكن أن تكسر ما
+
+161
+00:15:02,050 --> 00:15:07,110
+قبل الآخر وأن يظل ألفامن المستحيل جرب يعني أصلا ..
+
+162
+00:15:07,110 --> 00:15:13,350
+أصلا هذه الألف لا يمكن إلا أن تفتح ما قبلها وهناك
+
+163
+00:15:13,350 --> 00:15:17,790
+من قال وهذا في العلم الحديث أن الحرفة العين هنا
+
+164
+00:15:17,790 --> 00:15:24,870
+أصلا محرك بالألف لأن الألف هي حركته هي فتحة طويلة
+
+165
+00:15:24,870 --> 00:15:30,250
+فإذا نقول هنا الدال هنا مفتوحة دعا والعين هنا
+
+166
+00:15:30,250 --> 00:15:36,210
+محركة بالألف أو بالفتحة الطويلةفلا يمكن أن يكون ما
+
+167
+00:15:36,210 --> 00:15:40,650
+قبل الألف مفتوحا، عفوا، مضموما أو مقصورا، لا يمكن
+
+168
+00:15:40,650 --> 00:15:46,410
+أبدا، واضحة؟ إذا هنا نقلب الألف إلى رمى، سواء كانت
+
+169
+00:15:46,410 --> 00:15:50,790
+الألف كما قلت سواء كانت مقصورة أو ممدودة، سواء
+
+170
+00:15:50,790 --> 00:15:57,230
+كانت في أصلها و أو ي هنا فقط نقلب، إذا على القاعدة
+
+171
+00:15:57,230 --> 00:16:04,220
+فقط هنا ننبه إلى أن نقلب الألف إلى يإذا كان الفعل
+
+172
+00:16:04,220 --> 00:16:10,720
+الماضي على وزن فعله فعله شاركه هنا يجب أن نضم
+
+173
+00:16:10,720 --> 00:16:17,300
+الأول تعالوا وجربوا هل يمكن أن نضم شينا هنا والألف
+
+174
+00:16:17,300 --> 00:16:20,820
+موجودة قبل قليل قلنا لا يمكن هذا الكلام إذا
+
+175
+00:16:20,820 --> 00:16:25,020
+المسألة بدهية أنت لا يمكنك هنا لن تخطئ أصلا إذا
+
+176
+00:16:25,020 --> 00:16:30,410
+حفظت القاعدة هنا لن تخطئشو؟ إذا هنا ينبغي أن تنقلب
+
+177
+00:16:30,410 --> 00:16:34,930
+الألف إلى و ينبغي أن تنقلب الألف إلى و إذا شارك
+
+178
+00:16:34,930 --> 00:16:47,830
+شرك عامل عومل قابل قوبل قاتل قوتل شارك
+
+179
+00:16:47,830 --> 00:16:53,390
+شرك إلى آخره إذا
+
+180
+00:16:53,390 --> 00:16:56,630
+بدأ الفعل الماضي بتاء المطاوعة ما هي تاء المطاوعة؟
+
+181
+00:16:57,340 --> 00:17:01,520
+تاء المطاوعة انظروا هي التي تدل على مطاوعة الفعل
+
+182
+00:17:01,520 --> 00:17:07,640
+لفعل آخر يعني أنا عنده اقول دهرجته فتدهرج يعني
+
+183
+00:17:07,640 --> 00:17:16,420
+كأنه طاعت دهرجت انا دهرجته دهرجت الكورة فتدهرجت هل
+
+184
+00:17:16,420 --> 00:17:17,760
+طاعتني عندما ..
+
+185
+00:17:22,280 --> 00:17:29,000
+علمته فتعلم أحسنت علمته فتعلم يعني استجاب للتعليم
+
+186
+00:17:29,000 --> 00:17:34,160
+استجاب للتعليم فسموها تاء المطاوع هذه التاء .. هذه
+
+187
+00:17:34,160 --> 00:17:39,880
+التاء إذا بدأ بها الفعل لابد أن نضم ثانية مع الأول
+
+188
+00:17:39,880 --> 00:17:45,080
+هذه القاعدة فقط هذه اللي نضيفه هنا يعني تعلمتعوك
+
+189
+00:17:46,350 --> 00:17:50,070
+تُعُو يعني على القاعدة الأصلية نضم الأول و نخسره
+
+190
+00:17:50,070 --> 00:17:54,210
+من قبل الآخر لكن نضيف هنا أننا نضم الثانية مع
+
+191
+00:17:54,210 --> 00:17:57,770
+الأول تعلّم
+
+192
+00:17:57,770 --> 00:18:14,880
+تُعُو تعلّم تفتح تفوتح تنفس تنفس و هكذاتعلم تعلّم
+
+193
+00:18:14,880 --> 00:18:19,760
+إذا بدأ الفعل الماضي بهمزة واصلبهمزة وصل وليس
+
+194
+00:18:19,760 --> 00:18:26,080
+بهمزة قطع وهذا يكون في الفعل الخماسي على وزن اتفعل
+
+195
+00:18:26,080 --> 00:18:34,100
+وانفعل والسوداسي استفعل او افعو على سنأتي إلى هذه
+
+196
+00:18:34,100 --> 00:18:38,680
+الأوزان مثل الشوشبة سنأتي إلى هذه الأوزان نختفي
+
+197
+00:18:38,680 --> 00:18:45,080
+الآن مثلا بانفرجة هنا نضم الثالثة مع الأولالذي
+
+198
+00:18:45,080 --> 00:18:50,140
+نزيده على القاعدة أنا نضم ثالث مع الأول في تاء
+
+199
+00:18:50,140 --> 00:18:53,940
+المطاوعة ضممنا الثانية مع الأول في همزة الوصل
+
+200
+00:18:53,940 --> 00:18:59,360
+ضممنا الثالث مع الأول والثاني .. الثاني ساكن إذا
+
+201
+00:18:59,360 --> 00:19:12,280
+انفرج أُنفو أُنفرج استعمل أُس أُسأُس تُ .. الثاني
+
+202
+00:19:12,280 --> 00:19:22,500
+هنا ساكن أُس تُعمل استكبر أُس تُكبِر أُس تُكبِر
+
+203
+00:19:22,500 --> 00:19:26,480
+إذا هذا هو الفرق في تاء المطوعات نضم الثاني مع
+
+204
+00:19:26,480 --> 00:19:29,960
+الأول إذا بدأ الفعل بهمزة الوصد نضم الثالث مع
+
+205
+00:19:29,960 --> 00:19:34,420
+الأول استغفر أُس تُفِر
+
+206
+00:19:37,840 --> 00:19:42,780
+إذا كان الماضي مضاعفا ثلاثية شدّة عدّة هنا لا نكسر
+
+207
+00:19:42,780 --> 00:19:47,840
+ما قبل الآخر لا ينكسر ما قبل الآخر لأنه مضاعف لأنه
+
+208
+00:19:47,840 --> 00:19:56,160
+مضاعف فالمبني للمجهول من شدّة شدّة عدّة عدّة ردّة
+
+209
+00:19:56,160 --> 00:20:04,630
+ردّة حجّة حجّة حجّة إلى البيت السنة السابقةأخر
+
+210
+00:20:04,630 --> 00:20:10,790
+نقطة فيها تفاصيل إذا كان الفعل الثلاثي أجوف إذا
+
+211
+00:20:10,790 --> 00:20:17,870
+كان الفعل الثلاثي أجوف هنا نفرق القاعدة باع بيع ما
+
+212
+00:20:17,870 --> 00:20:22,830
+معناه نفرق القاعدة نترك القاعدة الآن لا نضم الأول
+
+213
+00:20:22,830 --> 00:20:31,680
+لا نضم الأول نقول بيع بيع قالقيلة صامة صيمة هذا
+
+214
+00:20:31,680 --> 00:20:37,760
+إذا كان الفعل الأجواف ثلاثية طبعا هناك تفاصيل أخرى
+
+215
+00:20:37,760 --> 00:20:43,480
+بالنسبة لهذا الموضوع بالذات لكنه في تفاصيلة نعرضها
+
+216
+00:20:43,480 --> 00:20:49,560
+عند المتخصصين الآن إذا كان الفعل الماضي هذا أكثر
+
+217
+00:20:49,560 --> 00:20:55,370
+من ثلاثة أحرفإذا كان هذا الفعل أجوف من قال وصام
+
+218
+00:20:55,370 --> 00:21:02,930
+أكثر من يأتين بفعل من قال بأكثر من ثلاث أحرف قالة
+
+219
+00:21:02,930 --> 00:21:08,510
+أقالة
+
+220
+00:21:08,510 --> 00:21:13,610
+وأقالة واستقالة
+
+221
+00:21:13,610 --> 00:21:19,230
+على سم الفعل أقالة واستقالة واضح؟ إذا كان الفعل
+
+222
+00:21:19,230 --> 00:21:25,150
+الماضي الأجوف زائداعلى الثلاثي له ثلاث حالات
+
+223
+00:21:25,150 --> 00:21:29,990
+انظروا الحالة الأولى إذا كان على وزن أفعل مثل أقال
+
+224
+00:21:29,990 --> 00:21:38,290
+هنا هنا نضم الأول نضم الأول و نقلب الأليف إلى يأ
+
+225
+00:21:38,290 --> 00:21:43,610
+انظروا أقال و هنا لا نكسر ما قبل الآخر و إنما نكسر
+
+226
+00:21:43,610 --> 00:21:51,180
+ما قبل اليأ هنا نكسر ما قبل اليأ أقالة وقيلة أين
+
+227
+00:21:51,180 --> 00:21:54,420
+ما قبل اللي هنا؟ هو الحرف الثاني هو عينه الفعل يا
+
+228
+00:21:54,420 --> 00:21:58,600
+عفوا هو فأه الفعل يا عفوا هو فأه الفعل هنا نخسره
+
+229
+00:21:58,600 --> 00:22:03,800
+هنا لا نخسره ما قبل ال .. ما قبل ال .. يعني مثلا
+
+230
+00:22:03,800 --> 00:22:07,400
+في الفعل أكرم
+
+231
+00:22:08,160 --> 00:22:16,700
+أكرمة هنا لا نكسر فاء الفعل هنا نسكنه أكرمة أكرمة
+
+232
+00:22:16,700 --> 00:22:19,960
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+233
+00:22:19,960 --> 00:22:20,020
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+234
+00:22:20,020 --> 00:22:20,020
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+235
+00:22:20,020 --> 00:22:20,460
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+236
+00:22:20,460 --> 00:22:24,120
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+237
+00:22:24,120 --> 00:22:30,620
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+238
+00:22:30,620 --> 00:22:32,400
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+239
+00:22:32,400 --> 00:22:32,400
+أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة أكرمة
+
+240
+00:22:32,400 --> 00:22:36,880
+أكرمة أكرمة أكرإذا كان هذا الفعل الأجواف على وزن
+
+241
+00:22:36,880 --> 00:22:48,880
+انفعل أو افتعل هنا نكسر أولى وثالثة هنا نكسر أولى
+
+242
+00:22:48,880 --> 00:22:55,290
+مثل انهازة اختارةالمبلور المجهول منه انحيزة ما
+
+243
+00:22:55,290 --> 00:23:06,090
+الذي حصل هنا هنا طبعا قلبنا الألف ياء ثم كسرنا أول
+
+244
+00:23:06,090 --> 00:23:10,790
+الفعل و ثالثة كسرنا أول الفعل وهي همزة الوصل كسرنا
+
+245
+00:23:10,790 --> 00:23:17,090
+همزة الوصل هناوكسرنا الحرفة الثالث اللذي هو أيضا
+
+246
+00:23:17,090 --> 00:23:20,730
+فأو الفعل اللذي أيضا هو فأو الفعل لكنه ليس دائما
+
+247
+00:23:20,730 --> 00:23:25,410
+عفون فأو الفعل هو فأو الفعل في انفعله وهي تأذأ
+
+248
+00:23:25,410 --> 00:23:32,090
+زائدة في افتعله واضح؟ اذا هذا ال .. ربما كان هذا
+
+249
+00:23:32,090 --> 00:23:38,330
+الوزن هو الجديد انحز امحز اختار اختير
+
+250
+00:23:39,760 --> 00:23:49,020
+احتارة احتيرة اذا كان عوزا استفعل مثل
+
+251
+00:23:49,020 --> 00:23:56,720
+استقامة هنا نضم الأولى و الثالث لكن الرابع يكسر
+
+252
+00:23:56,720 --> 00:24:00,760
+لكن الرابع يكسر لماذا هو الذي جاء قبل الـya هو
+
+253
+00:24:00,760 --> 00:24:08,630
+الذي جاء قبل الـyaأُس تُ قيمة ما الذي اختلف هنا عن
+
+254
+00:24:08,630 --> 00:24:18,890
+استفعله ما قبل يعني .. يعني استقامة أس ت قيمة الأن
+
+255
+00:24:18,890 --> 00:24:26,740
+عين الفعل في استفعله سُكنت عين الفعل في ..أسطه
+
+256
+00:24:26,740 --> 00:24:31,980
+قيمة انقلبت إلى يَ بعد ما كانت ألفة انقلبت إلى يَ
+
+257
+00:24:31,980 --> 00:24:38,960
+إلى أن في استفعل نسكن الفاء استفعلى في هذا الوزن
+
+258
+00:24:38,960 --> 00:24:44,320
+اذا كان اجواف اذا كان الفعل اجواف نكسر فأ الفعل
+
+259
+00:24:44,320 --> 00:24:49,400
+انظر اين فأ الفعل هنا القاف فأ الفعل هنا القاف
+
+260
+00:24:49,400 --> 00:24:54,260
+ماذا فعلنا في القاف كسرناه هذا الذي يختلف فقط يعني
+
+261
+00:24:54,260 --> 00:24:58,890
+اذا اردنا ان نقولها بطريقة اخرى هذا الوزناستفعل
+
+262
+00:24:58,890 --> 00:25:06,150
+هذا الوزن إن كان لفعل أجوف فإننا نقلب الألف إليه و
+
+263
+00:25:06,150 --> 00:25:11,670
+نكسر فأل الفعل و نكسر فأل الفعل انا في ظني يعني
+
+264
+00:25:11,670 --> 00:25:21,590
+يغني عن يعني هذه القواعد ممارستنا لهذه المثلة هذه
+
+265
+00:25:21,590 --> 00:25:25,830
+المثلة لن تتعيبناأه لن تتعبنا وأنا أرجو أن نأتي
+
+266
+00:25:25,830 --> 00:25:29,370
+بالقاعدة من خلال الأمثلة بالذات من هذه المسألة أن
+
+267
+00:25:29,370 --> 00:25:33,190
+نأتي بالقاعدة من خلال الأمثلة كما فعل العلماء إذا
+
+268
+00:25:33,190 --> 00:25:37,070
+نأتي بالقاعدة من خلال الأمثلة بالذات كما فعل
+
+269
+00:25:37,070 --> 00:25:41,990
+علمائنا رحمة الله تعالى عليه بناء الفعل المضارع
+
+270
+00:25:41,990 --> 00:25:48,010
+للمجهول المضارع أسهل من الماضي أسهل هنا نضم الأول
+
+271
+00:25:48,010 --> 00:25:52,180
+كما تذكرونلكننا لا نخسر ما قبل الآخر كما فعلنا في
+
+272
+00:25:52,180 --> 00:25:56,560
+الماضي وإنما نفتح ما قبل الآخر إذا نضمه الأول
+
+273
+00:25:56,560 --> 00:26:07,820
+يشربوا يشربوا يشربوا يدرسوا يدرسوا فإن كان ما قبل
+
+274
+00:26:07,820 --> 00:26:14,640
+الآخر واواً أو ياءً قُلبت أليفة قُلبت أليفة انظروا
+
+275
+00:26:14,640 --> 00:26:20,570
+في الماضي كنا نقلب الأليفة إلى ياءدعا دعي رمى ربي
+
+276
+00:26:20,570 --> 00:26:27,650
+هنا العكس هنا الذين تاب و او يأ نقلبها أليفة العكس
+
+277
+00:26:27,650 --> 00:26:36,110
+تقولنا مثلا يقول يقال يبي يباع سواء كانت هذه العلة
+
+278
+00:26:36,110 --> 00:26:39,190
+سواء كان هذا الحرف حرف العلة قبل الآخر أو كان
+
+279
+00:26:39,190 --> 00:26:46,040
+الآخرسواء كان الآخر أو قبض الآخر يعني يقول هنا حرف
+
+280
+00:26:46,040 --> 00:26:50,760
+العلة عين الفعل يدعو هنا حرف العلة لام الفعل في
+
+281
+00:26:50,760 --> 00:26:55,720
+هتين الحالتين إذا انتهى الفعل بواو أو ياء أو كانت
+
+282
+00:26:55,720 --> 00:27:02,480
+عين الفعل واو او ياء تنقلب كلها إلى الف إلى الف
+
+283
+00:27:02,480 --> 00:27:10,010
+طبعا هذا أسهل مختصر كما تراه تعالوا نجرب يعنيفي
+
+284
+00:27:10,010 --> 00:27:17,290
+بعض الأفعال تعالوا نجرب ما
+
+285
+00:27:17,290 --> 00:27:21,610
+الفعل المضارع المبني للمجهول من الفعل يستحسن
+
+286
+00:27:21,610 --> 00:27:35,800
+يستحسن يستحسن يستفيد يستفاد يتعاملوايتعاملوا
+
+287
+00:27:35,800 --> 00:27:41,080
+يتكسروا
+
+288
+00:27:41,080 --> 00:27:49,560
+من يقول يتكسروا اه نعم يا اكرم يتكسروا افتح ما قبل
+
+289
+00:27:49,560 --> 00:27:57,840
+الآخر يتكسروا يتكسروا يبتهجوا
+
+290
+00:27:57,840 --> 00:28:07,540
+نعم يبتهجوا بالضبط يبتهجوايبتهجوا يبتهجوا ينفتحوا
+
+291
+00:28:07,540 --> 00:28:18,640
+ينفتحوا يستقيلوا يستقالوا يستقالوا هل من سؤال؟
+
+292
+00:28:18,640 --> 00:28:26,120
+يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا
+
+293
+00:28:26,120 --> 00:28:29,720
+يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا
+
+294
+00:28:29,720 --> 00:28:33,180
+يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا
+
+295
+00:28:33,180 --> 00:28:33,180
+يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا
+
+296
+00:28:33,180 --> 00:28:33,180
+يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا
+
+297
+00:28:33,180 --> 00:28:34,510
+يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوا يبتهجوالأ
+
+298
+00:28:34,510 --> 00:28:38,390
+نضمه الثاني دايما نقول نضمه الأول في الماضي و
+
+299
+00:28:38,390 --> 00:28:46,130
+المضارع جرب بالضبط بالضبط نضمه الأول و نفتحه ما
+
+300
+00:28:46,130 --> 00:28:50,470
+قبل الآخر مثلا لو تحتاج فقط إلى شيء من المعارضة هل
+
+301
+00:28:50,470 --> 00:28:55,150
+من سؤال سؤال أشكركم
+
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/hW90dOKb_HM_postprocess.srt b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/hW90dOKb_HM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f4073233f1b9978daa0e66b184047fb11c4ccb10
--- /dev/null
+++ b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/hW90dOKb_HM_postprocess.srt
@@ -0,0 +1,1968 @@
+1
+00:00:21,480 --> 00:00:23,640
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:23,640 --> 00:00:26,320
+الرحيم الحمد لله والصلاة والسلام على رسول الله
+
+3
+00:00:26,320 --> 00:00:33,420
+وآله وصحبه ومن ولا نأتي اليومإلى الصرف قبل أن ندف
+
+4
+00:00:33,420 --> 00:00:37,280
+إلى موضوع الصرف ننبه إلى الفرق الجوهري ما بين
+
+5
+00:00:37,280 --> 00:00:43,260
+النحو والصرف النحو علم يعالج أواخر الكلمات عرابا
+
+6
+00:00:43,260 --> 00:00:48,280
+وبناء بمعنى أن النحو يدرس الكلمة ووظيفتها في
+
+7
+00:00:48,280 --> 00:00:52,820
+الجملة يدرس وظيفة الكلمة في الجملة يعني يدرس وظيفة
+
+8
+00:00:52,820 --> 00:00:57,300
+الكلمة أو علاقة الكلمة مع غيرها الصرف يدرس بناء
+
+9
+00:00:57,300 --> 00:01:02,710
+الكلمة نفسه فقطلا يدرسوا علاقة الكلمة بما بعدها
+
+10
+00:01:02,710 --> 00:01:09,470
+وإنما يدرسوا بناء الكلمة نفسها فقط يعني مثلا عندما
+
+11
+00:01:09,470 --> 00:01:17,010
+نقول كتب كيف نأتي بكلمة كاتب و مكتوب و مكتبة و
+
+12
+00:01:17,010 --> 00:01:23,130
+استكتبة في الأفعال ان كتبة تكاتبة كاتبة إلى آخره
+
+13
+00:01:23,130 --> 00:01:28,670
+إذا بناء الكلمة نفسه هو الذي يعالجه علم الصرفأما
+
+14
+00:01:28,670 --> 00:01:33,170
+النحو فإننا بعد ما ننتهي من بناء الكلمة نأخذها إلى
+
+15
+00:01:33,170 --> 00:01:37,310
+سياق النحو إلى سياق الكلام وعند إذا ندرس علاقة
+
+16
+00:01:37,310 --> 00:01:42,030
+الكلمة بما بعدها ماهي وظيفتها في الجملة واضح؟ هذا
+
+17
+00:01:42,030 --> 00:01:47,280
+هو الفرق الجوهري ما بين النحو والصرف الصرفأولا ما
+
+18
+00:01:47,280 --> 00:01:50,460
+معنى الصرف لغة كما تعودنا أن نشير إلى المعنى
+
+19
+00:01:50,460 --> 00:01:54,760
+اللغوي أي ماذا كانت تعني هذه الكلمة قبل أن ينطقيها
+
+20
+00:01:54,760 --> 00:02:00,420
+قبل أن يختارها العلماء علما على هذا العلم على علم
+
+21
+00:02:00,420 --> 00:02:07,220
+الصرف الصرف في اللغة لها أكثر من معنى منها التوبة
+
+22
+00:02:07,220 --> 00:02:12,370
+منها الحيلةيعني عندما يقولوا أو عندما يقالوا لا
+
+23
+00:02:12,370 --> 00:02:17,250
+يقبل منه صرف ولا عدل، لا يقبل منه توبة عن صنيعه،
+
+24
+00:02:17,250 --> 00:02:22,190
+لا يقبل منه صرف ولا عدل أو الحيلة بمعنى يحتال،
+
+25
+00:02:22,190 --> 00:02:29,240
+يتدبر أمره، إنه لا يتصرف في الأمورإنه لا يحتال لكي
+
+26
+00:02:29,240 --> 00:02:35,680
+يحسن أحواله أو لكي يتدبر أمره إنه يتدبر أمره ..
+
+27
+00:02:35,680 --> 00:02:41,880
+إنه يتدبر أمره موفق في تصرفاته يحسن الحيلة في
+
+28
+00:02:41,880 --> 00:02:48,880
+تحقيق مقاربه إلى آخره أيضا الصرف والتغيير والتحويل
+
+29
+00:02:49,460 --> 00:02:53,960
+و احنا نستخدمه حتى لأن نصرفه تصرف العملة اه تصرف
+
+30
+00:02:53,960 --> 00:03:00,900
+العملة التغيير أيضا تغيير العملة فهذه المعاني كلها
+
+31
+00:03:00,900 --> 00:03:07,200
+لازالت حاضرة في اللغة العربية حتى الآن في الاصطلاح
+
+32
+00:03:07,200 --> 00:03:13,820
+هو تغيير في الكلمة نفسها لغرض ما لغرض ما اما
+
+33
+00:03:13,820 --> 00:03:20,350
+لإنتاج معاني جديدة او للتخفيف لغرض معنويأو لفظي إن
+
+34
+00:03:20,350 --> 00:03:28,410
+كان الغرض معنويًا فعند إذن يكون التغيير لتوليد
+
+35
+00:03:28,410 --> 00:03:34,750
+كلمات جديدة وهناك تغيير فقط في اللفظ للتخفيف فقط
+
+36
+00:03:34,750 --> 00:03:40,030
+يعني لا يؤثر في معنى الكلمة وإنما هو تغيير للتخفيف
+
+37
+00:03:40,030 --> 00:03:44,510
+في اللفظ أو لتجميله أو لتلطيفه إلى آخره إذا هو
+
+38
+00:03:44,510 --> 00:03:50,710
+تغيير في بنية الكلمة لغرض معنويأو لفظي هذا هو
+
+39
+00:03:50,710 --> 00:03:55,630
+الصرف إذا الصرف تغير في الكلمة نفسها من أجل أن نجد
+
+40
+00:03:55,630 --> 00:04:01,850
+أن نبدع أن نخترع كلمات جديدة أو من أجل أن نخفف نطق
+
+41
+00:04:01,850 --> 00:04:09,590
+الكلمة واضح؟ إذا المراد في نهاية الأمر انظر إذا
+
+42
+00:04:09,590 --> 00:04:14,670
+المراد في نهاية الأمر بنية الكلمة ما هو المراد
+
+43
+00:04:14,670 --> 00:04:20,460
+ببنية الكلمة حرفها؟ما هو المقصود بالحروف؟ انظروا
+
+44
+00:04:20,460 --> 00:04:29,400
+الى عناصر بنية الكلمة اولا نوع الحروف انا عندما
+
+45
+00:04:29,400 --> 00:04:35,910
+اقول درس ودبسبما اختلفت الكلمتان في حرف الضاضي فقط
+
+46
+00:04:35,910 --> 00:04:41,990
+هنا ضاض و هنا دال إذا هل تغير المعنى بناء على تغير
+
+47
+00:04:41,990 --> 00:04:51,170
+الحرفين أم لا؟ تغير المعنى بالتأكيد درس و دبس درس
+
+48
+00:04:51,170 --> 00:04:55,170
+الدبس المعروفة، لا تعرفوا الدبس؟
+
+49
+00:04:58,990 --> 00:05:03,510
+أنا في البقى ماشي انا انا عفوا انا قولت ماشي انا
+
+50
+00:05:03,510 --> 00:05:06,950
+قولت اختلفتها فقط في الضاد الاختلف في الضاد يورق
+
+51
+00:05:06,950 --> 00:05:12,470
+اه نعم لكن في جرس الكلمة درس و dips قريبا لكنه
+
+52
+00:05:12,470 --> 00:05:16,050
+مختلفة و احسنت يا عبدالكريم يعني انت المستيقظ
+
+53
+00:05:16,050 --> 00:05:19,250
+الوحيد في المحاضرة اه نعم درس انا لم انتبه إلى
+
+54
+00:05:19,250 --> 00:05:24,760
+السيني و البقى هناأه نعم كثيرة نعم جرس و حرس إلى
+
+55
+00:05:24,760 --> 00:05:29,620
+آخره المهم طبعا اختلفت الحروف و لو قولنا مثلا ضربة
+
+56
+00:05:29,620 --> 00:05:37,760
+و ذبحة اختلفت الكلمتان اختلافا
+
+57
+00:05:37,760 --> 00:05:44,460
+كبيرا لأن الحروف كلها مختلفةهنا اتفقت الكلمتان في
+
+58
+00:05:44,460 --> 00:05:49,700
+حرف واحد فقط او اختلفت في حرفين او اختلفت في حرفين
+
+59
+00:05:49,700 --> 00:05:53,320
+اذا هنا المقصود من هذا الكلام اذا اختلف الحرف
+
+60
+00:05:53,320 --> 00:05:58,000
+اختلف المعنى فالحرف هو الذي يؤثر في معنى الكلمة في
+
+61
+00:05:58,000 --> 00:06:05,620
+دلالة الكلمة نوع الحرف هل هناك شيء اخر غير النوع
+
+62
+00:06:05,620 --> 00:06:10,990
+نعم عندنا انظر ترتيب الحروفهنا الحروف نفسها الدال
+
+63
+00:06:10,990 --> 00:06:17,010
+والرا والسين في كل الكلمات في كل الكلمات درس فيها
+
+64
+00:06:17,010 --> 00:06:21,890
+الدال والرا والسين و سرد فيها السين والرا والدال
+
+65
+00:06:21,890 --> 00:06:26,310
+نفس الحروف و كذلك دسر الان درس نعرف معناه اتعلم
+
+66
+00:06:26,310 --> 00:06:32,360
+بمعنى اه لكن سرد بمعنى قصةدُسر في القرآن وحملناه
+
+67
+00:06:32,360 --> 00:06:37,800
+على ذات ألواح ودُسر ودُسر مجموع الديسار والديسار
+
+68
+00:06:37,800 --> 00:06:42,660
+هو ما يربط به أو يشد به ألواح السفينة وقيل إنه
+
+69
+00:06:42,660 --> 00:06:47,580
+المسمار وقيل إنه المسمارإذاً ترتيب الحروف يعني لا
+
+70
+00:06:47,580 --> 00:06:51,640
+يكفي أن تكون الحروف نفسها في الكلمة لكي تكون كلمة
+
+71
+00:06:51,640 --> 00:06:56,160
+بنفس المعنى لأ إنما يجب أن ترتب ترتيبا واحدة إذا
+
+72
+00:06:56,160 --> 00:07:00,120
+الترتيب يؤثر إذا اختلفت الكلمتان في ترتيب الحروف
+
+73
+00:07:00,120 --> 00:07:05,120
+اختلف المعنى الآن عدد الحروف عندنا في ال .. في كل
+
+74
+00:07:05,120 --> 00:07:09,200
+الكلمات عندنا الكافو والتأو والباء لكن في الكلمة
+
+75
+00:07:09,200 --> 00:07:13,380
+الثانية زاد الألف وفي الثالثة زاد ال wow اختلف
+
+76
+00:07:13,380 --> 00:07:19,090
+المعنىالواو والميم اه نعم الواو والميم صحيح عدد
+
+77
+00:07:19,090 --> 00:07:22,390
+الحروف في الأولى ثلاثة في الثانية أربعة في الثالثة
+
+78
+00:07:22,390 --> 00:07:28,910
+خمسة إذا بنيته الكلمة تتأثر من نوع حروف وترتيب
+
+79
+00:07:28,910 --> 00:07:35,670
+الحروف وعدد الحروف وبقى إيش حركات بقى حركات الحروف
+
+80
+00:07:36,860 --> 00:07:42,600
+كتب انظر كاف و تاء و باء في الكلمات كلها كاف و تاء
+
+81
+00:07:42,600 --> 00:07:47,940
+و باء في الكلمات كلها ما الذي غير المعنى حركة
+
+82
+00:07:47,940 --> 00:07:52,760
+الكاف في الأولى ضامة في الثانية فتحة في الثالثة
+
+83
+00:07:52,760 --> 00:07:57,860
+ضامة التأو في الأولى ضامة في الثانية فتحة في
+
+84
+00:07:57,860 --> 00:08:03,540
+الثالثة كسرة كتب مجموع كتاب كتب بمعنى رسم أو سجل
+
+85
+00:08:04,340 --> 00:08:09,980
+كتبة المبني للمجهول من كتبة اختلف المعنى اذا ما هي
+
+86
+00:08:09,980 --> 00:08:16,140
+عناصر بنية الكلمة عدد الحروف نوع الحروف وترتيب
+
+87
+00:08:16,140 --> 00:08:21,020
+الحروف وحركة الحروف واضح؟ اي عنصر من هذه العناصر
+
+88
+00:08:21,020 --> 00:08:26,580
+شابه اصابه شيء من التغيير يؤدي الى تغيير في المعنى
+
+89
+00:08:26,580 --> 00:08:31,960
+يؤدي الى تغيير في المعنىواضح ان شاء الله؟ اذا اي
+
+90
+00:08:31,960 --> 00:08:35,440
+تغيير في هذه العناصر الأربعة يؤدي الى ولادة كلمة
+
+91
+00:08:35,440 --> 00:08:45,520
+جديدة بمعاني جديدة بمعاني جديدة أنواع التغيير كما
+
+92
+00:08:45,520 --> 00:08:49,660
+أشرنا في بداية المحاضرة أنواع التغيير تغيير معنوي
+
+93
+00:08:49,660 --> 00:08:56,540
+وتغييرغرضه الأبنية الجديدة وتغيير اللفظي تعالوا
+
+94
+00:08:56,540 --> 00:09:01,400
+ننظر إلى هذه التغييرات التغيير المعنوي هو أن نغير
+
+95
+00:09:01,400 --> 00:09:06,220
+في الكلمة من أجل ولادة كلمة جديدة نشتاق كلمة جديدة
+
+96
+00:09:06,220 --> 00:09:13,460
+ننسب إلى كلمة ما نصغره كلمة ما يعني مثلا في
+
+97
+00:09:13,460 --> 00:09:18,120
+التصغير أنا عندي كتاب تصغيره كتيب كتيب ليست تعني
+
+98
+00:09:18,120 --> 00:09:23,910
+كتابا بالضبط لاليست تعني كلمة كتاب إنما تعني كتاب
+
+99
+00:09:23,910 --> 00:09:32,610
+صغيرة النسب هذا رجل مصري هذا رجل مصري نسبنا إلى
+
+100
+00:09:32,610 --> 00:09:39,010
+مصر بإضافة النسبة التثنية رجل رجلان أضفنا الألف
+
+101
+00:09:39,010 --> 00:09:44,210
+والنون من أجل أن نأتي بمعنى يدل على رجلين وليس على
+
+102
+00:09:44,210 --> 00:09:49,540
+رجل واحد وقد درستنا التثنية كما تذكرون الجامعةنضيف
+
+103
+00:09:49,540 --> 00:09:53,000
+و و نونا أو ي و نونا على الكلمة من أجل أن نأتي
+
+104
+00:09:53,000 --> 00:09:57,820
+بالجمع تذكرون هذا هذا كله تغيير معنوي يعني غيرنا
+
+105
+00:09:57,820 --> 00:10:02,000
+في الكلمة من أجل معاني جديدة من أجل معاني جديدة
+
+106
+00:10:02,000 --> 00:10:08,120
+لكن التغيير اللفظي فقط من أجل التخفيف في اللفظ فقط
+
+107
+00:10:09,370 --> 00:10:12,850
+سندرسه بالتفصيل سنرى ما معنى التخفيف في اللفظ
+
+108
+00:10:12,850 --> 00:10:18,890
+الإبدال والإتغام والحذف الإبدال والإتغام والحذف
+
+109
+00:10:18,890 --> 00:10:23,750
+والقلب والنقل سندرسه بالتفصيل تذكروا أن هذا غرضه
+
+110
+00:10:23,750 --> 00:10:28,750
+التغيير اللفظي الذي لا يؤثر في المعنى كما سنرى
+
+111
+00:10:28,750 --> 00:10:32,630
+الآن ان شاء الله رب العالمين سنرى كيف يكون التغيير
+
+112
+00:10:33,590 --> 00:10:37,070
+من دون تغيير في المعنى تغييره في اللفظ لا يؤدي إلى
+
+113
+00:10:37,070 --> 00:10:40,130
+تغيير في المعنى الأصل هو أن التغيير في اللفظ يؤدي
+
+114
+00:10:40,130 --> 00:10:44,270
+إلى تغيير في المعنى لكن الإبدال والاضغام والنقل
+
+115
+00:10:44,270 --> 00:10:51,130
+والقلب والنقل هذا تغيير لا يؤدي إلى تغيير في
+
+116
+00:10:51,130 --> 00:10:51,950
+المعنى الإبدال
+
+117
+00:10:54,710 --> 00:11:00,370
+الإبدال هو إذا دخلنا حرفا صحيحا مكان .. جئنا بحرف
+
+118
+00:11:00,370 --> 00:11:07,250
+صحيح مكان حرف صحيح آخر لحصول على كلمة مخففة انظر
+
+119
+00:11:07,250 --> 00:11:13,330
+لامثلة وهذه قواعد تتبعها علماء وجدوها قواعد مضطردة
+
+120
+00:11:13,330 --> 00:11:19,270
+يعني انظر أنا عندما أقول المثال ازدهر أنتم تعرفون
+
+121
+00:11:19,270 --> 00:11:24,660
+الكلمة ازدهر كيف كانت هذه ازدهر؟ من أين جاءت؟أنا
+
+122
+00:11:24,660 --> 00:11:30,920
+ليس عندي هذا الوزن أنا عندي هذا الوزن افتعل افتعل
+
+123
+00:11:30,920 --> 00:11:34,340
+كما سندرس الأوزانة وطريقة الأوزان بالتفصيل لكن أنا
+
+124
+00:11:34,340 --> 00:11:38,640
+عندي دائما هذا الفعل زهرة إذا جئت بهذه الكلمة ببث
+
+125
+00:11:38,640 --> 00:11:45,300
+هذه الكلمة كقول قاربة قاربة هذا الوزن الان اق طرب
+
+126
+00:11:45,300 --> 00:11:53,050
+وليس اق درب او اق طرب اق طرب لماذا تحولتالتأ هنا
+
+127
+00:11:53,050 --> 00:12:01,370
+إلى دال لأن زايا حرف مجهور قوي فأثر على التأ التأ
+
+128
+00:12:01,370 --> 00:12:08,380
+حرف مهموس حرف خفيف لطيف حرف خفيف لطيفلمجاورة هذا
+
+129
+00:12:08,380 --> 00:12:13,380
+الحرف الخفيف اللطيف لحرف القوي أثر عليه فقوي به
+
+130
+00:12:13,380 --> 00:12:18,000
+فقوي به يعني وهذا يؤشر على التواصل في بنية اللغة
+
+131
+00:12:18,000 --> 00:12:21,320
+العربية في بنية الكلمة في اللغة العربية الكريمة
+
+132
+00:12:21,320 --> 00:12:26,340
+فصارت ازدهر الا ان هذه ليست فقط في هذه الكلمة في
+
+133
+00:12:26,340 --> 00:12:28,580
+أي كلمة تأتي
+
+134
+00:12:30,460 --> 00:12:35,260
+أو تبدأ بالدالي أو الذالي أو الزاى في أي كلمة في
+
+135
+00:12:35,260 --> 00:12:40,020
+أي فعل يبدأ بالدالي أو الذالي أو الزاى إذا جئنا
+
+136
+00:12:40,020 --> 00:12:43,360
+بهذا الوزن الذي يأتي بألف الوصل قبل هذا الحرف
+
+137
+00:12:43,360 --> 00:12:49,720
+وبالتالي بعد هذا الحرف تنقلب التاء إلى دا قاعدة
+
+138
+00:12:49,720 --> 00:12:57,180
+إذا هذا الوزن افتعل انظر افتعل هذا الوزن كما ترون
+
+139
+00:12:57,180 --> 00:13:02,840
+إذا جاءت التاء هنا زائدةوالألف قبل فاء الفعل زائدة
+
+140
+00:13:02,840 --> 00:13:10,980
+هذه التاء تنقلب إلى دال إن كان فاء الكلمة ما هو
+
+141
+00:13:10,980 --> 00:13:15,400
+فاء الكلمة؟ حرف الأول حرف الأول إن كان فاء الكلمة
+
+142
+00:13:15,400 --> 00:13:22,140
+دالا أو ذالا أو زايا واضحة؟ واضحة؟ مانعطيني كلمة
+
+143
+00:13:22,140 --> 00:13:22,660
+أخرى؟
+
+144
+00:13:26,320 --> 00:13:32,060
+ليست .. الضاد ليست ضمن الدالي والذالي والوزاي أه
+
+145
+00:13:32,060 --> 00:13:41,540
+كلمة ذاليه .. ذاليه هذا اسمه ليس فعله أه لكن احسنت
+
+146
+00:13:41,540 --> 00:13:51,940
+زجرة احسنت يا عبدالكريم زجرة ز از ت جر از ت جات
+
+147
+00:13:51,940 --> 00:13:55,020
+التة هنا بعد اذا ازدجر ذكر
+
+148
+00:14:03,300 --> 00:14:11,140
+أفتعل نفس الوزن إذا جئنا به وكان الصاد أو الضاد أو
+
+149
+00:14:11,140 --> 00:14:15,160
+الطا أو الضاء بدلا من الدال أو الذال أو الزيت
+
+150
+00:14:19,590 --> 00:14:24,390
+تبرى أصل الفعل هنا صبر أصل الفعل هنا صبر إذا جينا
+
+151
+00:14:24,390 --> 00:14:28,410
+بألف همزة .. بهمزة الواصل قبل الصاد وبالتائي قبل
+
+152
+00:14:28,410 --> 00:14:32,830
+الصاد من الفعل الثلاثي .. من الفعل الثلاثي وجب هنا
+
+153
+00:14:32,830 --> 00:14:41,010
+أن نحول التائي إلى طاق قاعدة في أي فعل اه .. ضربة
+
+154
+00:14:41,840 --> 00:14:48,940
+ضربة كما قال زميلكم ضربة اضطربة ضد اذا نعم ايضا
+
+155
+00:14:48,940 --> 00:14:56,360
+تصبحوا اضطربة اضطربة اه طربة
+
+156
+00:14:56,360 --> 00:15:04,730
+طربة ايضا اضطربة اصلها اضطربة اه اهو هكذا .. و
+
+157
+00:15:04,730 --> 00:15:08,470
+هكذا .. واضح؟ أي فعل يبدأ بالصد للفعل الثلاثية
+
+158
+00:15:08,470 --> 00:15:14,030
+يبدأ بالصاد و جينا بيها على هذا الوزن افتعل على
+
+159
+00:15:14,030 --> 00:15:17,690
+هذا الوزن و كان الفعل مبدوعا بالصاد او الضاد او
+
+160
+00:15:17,690 --> 00:15:20,850
+الطاي او الضائي كما تراون أمامكم هذا لا يبقى تاء
+
+161
+00:15:20,850 --> 00:15:28,870
+انما يتحول بكل سهولة إلى طاء واضح؟ من يتيني بكلمة
+
+162
+00:15:28,870 --> 00:15:29,250
+أخرى؟
+
+163
+00:15:40,170 --> 00:15:45,570
+قلناها اضطربة صاحبة
+
+164
+00:15:45,570 --> 00:15:57,730
+احسنت صاحبة اصطحب احسنت اصطحب اذا اه احسنت ضرى ضرى
+
+165
+00:15:57,730 --> 00:16:08,730
+بدأ بالضاد ضرى اذا اضضر اضضر اه طلع اضطلع
+
+166
+00:16:13,620 --> 00:16:20,360
+اضطربة اضطربة تقصد اضطربة من ضربة وليس من طربة اما
+
+167
+00:16:20,360 --> 00:16:27,540
+اضطربة اضطربة من من طربة نعم غفرة
+
+168
+00:16:27,540 --> 00:16:32,180
+غفرة ان كان من هذا الوزن يعني اه يعني هل هناك اذ
+
+169
+00:16:32,180 --> 00:16:37,910
+طفرة اذ طفرةالظفرة ممكن الظفرة او الطفرة يجوز
+
+170
+00:16:37,910 --> 00:16:45,070
+الوجهة انا ممكن طيب تعالوا الى ايضا ابدا لفاء
+
+171
+00:16:45,070 --> 00:16:50,350
+الافتعالة تان اذا كانت واو الفاء هنا الأن اول
+
+172
+00:16:50,350 --> 00:16:55,510
+الكلمة اذا كانت واو هذه الواو نفسها تنقل إلى تان
+
+173
+00:16:55,510 --> 00:17:01,020
+هذه الواو نفسهالأن أنت من أين جئت بكلمة اتصلة؟
+
+174
+00:17:01,020 --> 00:17:07,840
+أليست اتصلة من الوصل؟ من أين ذهبت ال wow؟ فكر
+
+175
+00:17:07,840 --> 00:17:12,120
+العلماء عندما رأوا مثل هذه الكلمة اتصلة رأوها هكذا
+
+176
+00:17:12,120 --> 00:17:18,400
+بدأوا رأوا كلمة اتصلة اتصل الحبل بعد ما وصله فلان
+
+177
+00:17:18,400 --> 00:17:23,800
+اتصلةبعد ما ذهبت الواو فتشوا عن الواو و قاسوه على
+
+178
+00:17:23,800 --> 00:17:27,880
+كلمة أخرى فوجدوا أن الواو هنا على هذا الوزن انقلبت
+
+179
+00:17:27,880 --> 00:17:33,720
+إلى تاء افتعلى أصلها اتصلت الواو انقلبت إلى تاء
+
+180
+00:17:33,720 --> 00:17:38,820
+والتاء هنا طبعا أضيمت مع التاء الثاني لأنها نفس
+
+181
+00:17:38,820 --> 00:17:44,240
+الحرف فصارت اتصلت مثل هذه الكلمة عندنا أيضا اتعدى
+
+182
+00:17:45,450 --> 00:17:49,490
+أصلاً من وعدة، أصلاً اوتعدة، يعني عندنا أيضاً
+
+183
+00:17:49,490 --> 00:17:57,710
+اوتسرة نفس القضية قانون اتسرة اتقى احسن من وقى يقي
+
+184
+00:17:57,710 --> 00:18:04,590
+اه نعم اتسرة بمعنى تساهلة سهلة مال إلى السهولة
+
+185
+00:18:04,590 --> 00:18:12,240
+ايضاً اتسمة بمعنى اتصف من الوسمأيه التسمة أصلها؟
+
+186
+00:18:12,240 --> 00:18:14,520
+انظروا إلى هذه الأمثلة وأكترت هنا من هذه الأمثلة
+
+187
+00:18:14,520 --> 00:18:18,160
+لأنها حتى نعرف أصل الكلمة عندنا كيف جئنا بها
+
+188
+00:18:18,160 --> 00:18:23,500
+انظروا الحديث هنا كله عن بنية الكلمة كيف جئنا بها
+
+189
+00:18:23,500 --> 00:18:27,320
+ما هو أصل الكلمة ما هو أصل الكلمة يعني أنت إذا
+
+190
+00:18:27,320 --> 00:18:31,460
+رأيت أصل الكلمة التسمة من أين جاءت التسمة؟ إذن هي
+
+191
+00:18:31,460 --> 00:18:37,140
+من الوسم واضح؟ حتى نعرف شيئا عن لغتنا كيف وصلنا
+
+192
+00:18:37,140 --> 00:18:45,580
+إلى مثل هذه الكلمةالان اتصلة كيف نزينها على الأصل
+
+193
+00:18:45,580 --> 00:18:50,120
+يا شبابها؟ يعني لا أقول هنا اف .. افعلى أو اتعلى،
+
+194
+00:18:50,120 --> 00:18:55,180
+لا لأ وزنها افتعلى على الأصل يا رحمكم الله وزنها
+
+195
+00:18:55,180 --> 00:19:00,280
+على الأصل يعني عندما أزينه اتصلة وكأني وزنته او
+
+196
+00:19:00,280 --> 00:19:06,060
+تصلة او على الوزن، على الأصل لأن التاهن لم تحذف،
+
+197
+00:19:06,060 --> 00:19:11,890
+لم تغبإنما الـ Wow تحولت إلى تاء الـ Wow هنا لم
+
+198
+00:19:11,890 --> 00:19:15,970
+تغيب تحولت إلى تاء، إذن هي موجودة، هي موجودة
+
+199
+00:19:15,970 --> 00:19:19,630
+فعندما أزنها، يعني هل فاء الكلمة، هل الحرف الأول
+
+200
+00:19:19,630 --> 00:19:27,150
+من الكلمة فقد؟ غاب؟ لإنما تغير نطقه، تغير لفظه من
+
+201
+00:19:27,150 --> 00:19:31,190
+أجل أن نخفف الكلمة انظروا الآن هنا اتصل ايه ما
+
+202
+00:19:31,190 --> 00:19:37,460
+أخف؟ اتصل ام اتصل؟أي ما ألطف وأجمل اتصل ام اوتصل
+
+203
+00:19:37,460 --> 00:19:44,540
+او اتسم لأ اتسم أجمل لكن الوزن يبقى على الأصل اذا
+
+204
+00:19:44,540 --> 00:19:51,820
+وزن اتصل واتعد واتسر واتسم كلها افتعل الوزن هنا
+
+205
+00:19:51,820 --> 00:20:01,360
+افتعل الوزن هنا افتعل الاضغام الاضغام الكثير ما
+
+206
+00:20:01,360 --> 00:20:07,430
+سمعتموه وأشهرهاانت عندما تضغي محرفا في حرف مادة هي
+
+207
+00:20:07,430 --> 00:20:17,070
+أصلها ماددة ماددة مادة كر كذلك كبرة استظلة أصل
+
+208
+00:20:17,070 --> 00:20:23,370
+الفعل هنا هي ضللة أصلها من الأصل يعني ضللة والدليل
+
+209
+00:20:23,370 --> 00:20:27,550
+أقول هنا ضللت عندما تسند أو يسند الفعل إلى تاء
+
+210
+00:20:27,550 --> 00:20:34,670
+الفعلي أقول ضللتظليلتوا لكن اللامة هنا شددة ضالة
+
+211
+00:20:34,670 --> 00:20:38,010
+ضالة يعني عندما تسندوا إلى تائل الفعل يجب أن يفك
+
+212
+00:20:38,010 --> 00:20:43,490
+الإضغام يجب أن يفك الإضغام عند إذ فهذا إضغام
+
+213
+00:20:43,490 --> 00:20:48,210
+الحرفين معا لأن هما نفس الحرف لأن هما الحرف او لأن
+
+214
+00:20:48,210 --> 00:20:53,650
+هما الحرف نفسه هذا هو الإضغام الحذف هو أن نحلف
+
+215
+00:20:53,650 --> 00:20:58,010
+حرفا من الكريمة من أجل التسييط من أجل التسييط يعني
+
+216
+00:20:58,010 --> 00:21:04,480
+مثلا انظر أكرمالمضارع منها يُكرِم المضارع منها
+
+217
+00:21:04,480 --> 00:21:10,060
+يُكرِم كيف عرفناها؟ دهرجة ما المضارع من دهرجة؟
+
+218
+00:21:10,060 --> 00:21:17,020
+يُدهرج دهرجة يُدهرجوا هل حذفنا شيء من دهرجة؟
+
+219
+00:21:17,020 --> 00:21:20,820
+الدالو موجودة والحاء موجودة والرأو موجودة والجيو
+
+220
+00:21:20,820 --> 00:21:27,040
+موجودة لكن أكرم الهمزة حُذفت في يُكرِم فوجدوا أنها
+
+221
+00:21:27,040 --> 00:21:32,910
+حُذفت لأجل التخفيفأه حُرفت لأجل التخفيف و هذا
+
+222
+00:21:32,910 --> 00:21:39,910
+محظوظ في بنية الكلمة لأجل التخفيفلماذا نحذفها في
+
+223
+00:21:39,910 --> 00:21:44,390
+دهرج؟ لماذا نحذف الدالة؟ نقول مثلا يحرج لأن يحرج
+
+224
+00:21:44,390 --> 00:21:48,710
+غيره يدحرج، لم نحذفها لأن ال .. ثم إن الهمزة هنا
+
+225
+00:21:48,710 --> 00:21:54,450
+همزة تعدية، همزة زائدة عن أصل .. أصل الفعل كرمة،
+
+226
+00:21:54,450 --> 00:21:58,210
+لكي نأتي بالربعي من جئنا بالهمزة هنا، بهمزة القطع
+
+227
+00:21:58,210 --> 00:22:04,090
+هنا، لكن الفعل دهرج كله أصلي، كله أصلي، أن المثال
+
+228
+00:22:04,090 --> 00:22:10,520
+أخرج .. يخرجواأه فالمضارع منه يقول هذه قاعدة عامة
+
+229
+00:22:10,520 --> 00:22:15,460
+بالطبع أحسن يحسنوا حذفنا الأمزة هنا هذا ربما لم
+
+230
+00:22:15,460 --> 00:22:18,680
+تسمعوا به هذا الحذف ربما لم تسمعوا به لكن سمعتهم
+
+231
+00:22:18,680 --> 00:22:23,700
+انظر سمعتهم بصفة من وصفها أي ان ذهبت ال wow أصل
+
+232
+00:22:23,700 --> 00:22:28,680
+الفعل او صفةو لازلنا يا شباب في لغتنا العمية نسمع
+
+233
+00:22:28,680 --> 00:22:34,980
+به مثل هذا التركيب اوصف ليه شكل فلان اوصف ما منكم
+
+234
+00:22:34,980 --> 00:22:40,300
+قالها اوصف يوم من الأيام اوصف تقولونها انت في
+
+235
+00:22:40,300 --> 00:22:44,800
+العمية لا تقول اوصف ليه تقول ماذا تقول يا مؤمن كيف
+
+236
+00:22:44,800 --> 00:22:51,120
+تقولها يا أحمد اوصف اوصف اوصف اه اه يا أنهض ماذا
+
+237
+00:22:51,120 --> 00:22:57,410
+تقولأه انت ماذا تقول يا أكرم اوصف اه اوصف كلنا
+
+238
+00:22:57,410 --> 00:23:00,370
+تقريبا يعني مان منكم في لغتي العامية لا يقول ايه
+
+239
+00:23:00,370 --> 00:23:06,690
+اوصف مان منكم لا يقول ايه اوصف كيف تقول يا عبد
+
+240
+00:23:06,690 --> 00:23:15,090
+الكريم كيف تقول تقول صفلي في العامية يعني أمك و
+
+241
+00:23:15,090 --> 00:23:22,340
+جدك يقولان صفلي و أنت مثقفون إذاأنا لم أسمع أحدا
+
+242
+00:23:22,340 --> 00:23:27,040
+يعني أنا .. يعني موجود قبلك في ال .. في غزة ولم
+
+243
+00:23:27,040 --> 00:23:31,980
+أسمع يعني من قال صف ليه إلا على في ال .. أه في لغة
+
+244
+00:23:31,980 --> 00:23:35,320
+الفصيحة ولا أظن أنك سمعت أنت .. أنت تخيل و أنك
+
+245
+00:23:35,320 --> 00:23:42,520
+سمعت أنت لم تسمع ففي أرخة طبق الهمزة بيُأرخ أه لأ
+
+246
+00:23:42,520 --> 00:23:47,550
+لها أحوال حسنتلها أحوال طبعا احنا فقط نشير إشارات
+
+247
+00:23:47,550 --> 00:23:53,350
+سريعة فقط صف الآن صف حذفنا فاء الكلمة جد أيضا
+
+248
+00:23:53,350 --> 00:23:58,110
+حذفنا فاء الكلمة أول الكلمة قم حذفنا أوسط الكلمة
+
+249
+00:23:58,110 --> 00:24:05,310
+أصلها قامةعش حذفنا أوسط الكلمة هب من وهبة حذفنا
+
+250
+00:24:05,310 --> 00:24:10,670
+أول الكلمة ارمى حذفنا أخر الكلمة هي أصلها رمى يرمى
+
+251
+00:24:10,670 --> 00:24:16,270
+اسعى حذفنا أخر الكلمة قى حذفنا أولها وأخرها يا
+
+252
+00:24:16,270 --> 00:24:24,590
+أيها الذين آمنوا قو أنفسكم وأهليكم نارا قو أنفسكم
+
+253
+00:24:24,590 --> 00:24:30,530
+وأهليكم ناراهنا إذا كنت .. إذا .. إذا أردت أن تقول
+
+254
+00:24:30,530 --> 00:24:37,390
+لواحد فقط يا نفس .. يا فلان قه نفسك ممكن لكن لو
+
+255
+00:24:37,390 --> 00:24:39,830
+أردت أن تقف عليها .. يجب أن تقف عليها على هذه
+
+256
+00:24:39,830 --> 00:24:48,870
+السكت إن وقفت عليها قه اه إن وقفت عليها قه القلب
+
+257
+00:24:48,870 --> 00:24:56,970
+اه القلب هو أن نغير حرف علةإلى ألف مثل إذا كان
+
+258
+00:24:56,970 --> 00:25:00,630
+مصورة من الفتحة مع شروط لكن لا نتتبع شروط هنا طبعا
+
+259
+00:25:00,630 --> 00:25:07,510
+شروط كثيرة يعني قولة هم يقولون أن أصلها قال قولة
+
+260
+00:25:07,510 --> 00:25:12,730
+قولة ما الدليل أننا في الموضوع نقول يقول المصدر
+
+261
+00:25:12,730 --> 00:25:16,670
+قول من أن جاءت هذه الألف إذا أصلها الواو أصلها
+
+262
+00:25:16,670 --> 00:25:23,480
+الواو عاش أصلها عاشمن أين عرفنا؟ من الفعل المظهر
+
+263
+00:25:23,480 --> 00:25:29,320
+هي عيش المصدر عيش اللهم لا عيش إلا عيش الآخرة
+
+264
+00:25:29,320 --> 00:25:34,860
+فاغفر للأنصار والمهاجرة إذا من أين جاءت هذه الألف؟
+
+265
+00:25:34,860 --> 00:25:40,280
+أصلها .. والألف دائما يا شباب لها أصل الألف دائما
+
+266
+00:25:40,280 --> 00:25:44,560
+لها أصل إما الواو وإما الياه الألف ريست أصليا في
+
+267
+00:25:44,560 --> 00:25:51,250
+اللغة العربية واضح؟النقل .. النقل هنا جميل و لطيف
+
+268
+00:25:51,250 --> 00:25:57,050
+ينظر .. أنا أقول يصوم، صح؟ يصوم أتعلمون أن هذا
+
+269
+00:25:57,050 --> 00:26:02,470
+الوزن غير موجود في الفعل المدارس؟ ليس موجودة هل
+
+270
+00:26:02,470 --> 00:26:09,850
+عندي وزن يفعل؟ يفعل؟ أنا أقول يدرس لماذا لم أقول
+
+271
+00:26:09,850 --> 00:26:18,040
+يصوم؟ أرأيتم؟ أنا أقول فتح يفتحيف أول كلمة في
+
+272
+00:26:18,040 --> 00:26:29,440
+المضارع دائما ساكن انظر فتح يفتح درس يد رس عمل
+
+273
+00:26:29,440 --> 00:26:35,540
+يعمل الفعل المضارع يأتي الحرف الأول منه هنا لم
+
+274
+00:26:35,540 --> 00:26:41,180
+يأتي .. لم يأتي .. أنا قلت يصوم لم أقول يصوم له
+
+275
+00:26:41,180 --> 00:26:47,090
+الأصل يصومالاصل يصوم و لذلك وزده يصوم ليس يفعل لأ
+
+276
+00:26:47,090 --> 00:26:53,210
+يفعل طب مالذي حصل انظروا انظروا إلى جمال المعلومة
+
+277
+00:26:53,210 --> 00:26:57,410
+انظروا إلى جمال المعلومة انظروا يصوم هي الأصل
+
+278
+00:26:57,410 --> 00:27:05,990
+الصاده ساكنه والواه متحركه الصاده هي الحرف الصحيح
+
+279
+00:27:05,990 --> 00:27:10,110
+القوي يعني والواه هو حرف العلة الضعيف ما معناه علة
+
+280
+00:27:10,660 --> 00:27:14,160
+العلة من الضعف من المرض نقول الرجل العلي المريض
+
+281
+00:27:14,160 --> 00:27:19,640
+الواو والياء والألف هذه حروف العلة يعني حروف الضعف
+
+282
+00:27:19,640 --> 00:27:27,940
+حروف ضعيفة فكأنني بالصاد لم
+
+283
+00:27:27,940 --> 00:27:32,820
+يقبل أن يظل ساكنة وهو القوي وأن يتحرك الواو وهو
+
+284
+00:27:32,820 --> 00:27:39,810
+الضعيف فتحرك بدلا منهفقامت السادة تتحرك تدافع نحيم
+
+285
+00:27:39,810 --> 00:27:45,970
+الوطن وسكنت الواو لأنها ضعيفة انظروا إلى هذا
+
+286
+00:27:45,970 --> 00:27:53,510
+الإيثار إلى هذا الخلق الرفيع في بنية لغتنا العربية
+
+287
+00:27:53,510 --> 00:28:02,620
+لغة تعكس القيمتعكسوا الأخلاق الرفيعة واضح الفكرة؟
+
+288
+00:28:02,620 --> 00:28:11,740
+لأن الصد هو القوي نفس الكلام يسير أصلها يسير يسير
+
+289
+00:28:11,740 --> 00:28:18,880
+أصلها يسير السينو قوية تستطيع أن تقوم و أن تتحرك و
+
+290
+00:28:18,880 --> 00:28:23,100
+ليها ضعيفةقال هذا ليس عدلاً .. الصين قالت هذا ليس
+
+291
+00:28:23,100 --> 00:28:31,180
+عدلاً يعني أن يتحرك الضعيف وأن يخلد أو أن يخلد
+
+292
+00:28:31,180 --> 00:28:38,000
+القوي للراحة لأ فذهبت و استراحت و قام حرف الصين
+
+293
+00:28:38,000 --> 00:28:44,500
+للعمل لأنه قوي صحيح فصارت يسير لكن عند الوزن نزلوا
+
+294
+00:28:44,500 --> 00:28:54,310
+على الأصل يصوموزنها يفعل يصوم يصوم وزنها أيضا يفعل
+
+295
+00:28:54,310 --> 00:28:59,670
+على الأصل انظر لأن كل دارس يدرس كما أشرته قبل درب
+
+296
+00:28:59,670 --> 00:29:06,530
+يضرب يض .. انظر الدال .. الضاد سكنت في المدارس لكن
+
+297
+00:29:06,530 --> 00:29:11,990
+فيه يصوم لم تسكن للأسباب التي أسلف الإشارة إليه
+
+298
+00:29:11,990 --> 00:29:19,630
+يصعي يصعي لم .. لم أسمعك يصعيلم أسمعك .. سمعني ..
+
+299
+00:29:19,630 --> 00:29:25,850
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+300
+00:29:25,850 --> 00:29:30,230
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+301
+00:29:30,230 --> 00:29:30,290
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+302
+00:29:30,290 --> 00:29:30,450
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+303
+00:29:30,450 --> 00:29:32,930
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+304
+00:29:32,930 --> 00:29:36,030
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+305
+00:29:36,030 --> 00:29:39,890
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يصعد ..
+
+306
+00:29:39,890 --> 00:29:43,270
+يصعد .. يصعد .. يصعد .. يصعد .. يصعد .. يهي لم تكن
+
+307
+00:29:43,270 --> 00:29:47,630
+كما قلت يعني، لم تكن، هي ساعدة يصعدوا، هذا هو
+
+308
+00:29:47,630 --> 00:29:52,730
+الفعل، ساعدة يصعدوا، الآن الساعدة ساكنة، سكنت في
+
+309
+00:29:52,730 --> 00:29:58,810
+المدارس كما في دراسة يدرس، ضرب يضرب، أه، واضح؟
+
+310
+00:29:58,810 --> 00:30:05,550
+انظر إلى هذه الملاحظة، قد يحدثوا تغيرانفي الكرمة
+
+311
+00:30:05,550 --> 00:30:11,290
+يعني لا يختصر الأمر على وجوب أو على حدوث تغيير
+
+312
+00:30:11,290 --> 00:30:17,530
+واحد يعني الكرمة قد يحدث فيها اضغام وابدال هل هذا
+
+313
+00:30:17,530 --> 00:30:22,210
+ممكن؟ اه نعم ممكن كقولنا من الفعل ذكرى وجئنا
+
+314
+00:30:22,210 --> 00:30:28,050
+بالوزن فعل افتعل عفوا افتعل من ذكرى ما الذي يحدث؟
+
+315
+00:30:28,050 --> 00:30:34,760
+اذ تكرى اذ تكرى جاءت التأة هناقلنا إذا جاءت بعد
+
+316
+00:30:34,760 --> 00:30:39,780
+الذال تتحول إلى دال قاعدة جاءت الدال اذا ذكرت إلى
+
+317
+00:30:39,780 --> 00:30:45,040
+الذال والدال متقاربتان الذال والدال حرفان متقاربان
+
+318
+00:30:45,040 --> 00:30:50,600
+فاضغبناهما معا او حولنا الدال قبل ذلك حولنا الدال
+
+319
+00:30:50,600 --> 00:30:55,980
+إلى ذال اذا ذكرت وعندما تشابه الحرفان اضغبناهما
+
+320
+00:30:55,980 --> 00:31:01,050
+معاالأن يجوز أن يتحول الدال إلى ذال ويجوز أن يتحول
+
+321
+00:31:01,050 --> 00:31:08,190
+الذال إلى ذال يجوز الوجهان مرة أخرى عندما وصلنا
+
+322
+00:31:08,190 --> 00:31:14,870
+إلى اذ ذكر يجوز أن يتحول الدال إلى ذال او الذال
+
+323
+00:31:14,870 --> 00:31:19,730
+إلى ذال يجوز الوجهان اذا
+
+324
+00:31:19,730 --> 00:31:25,250
+في المنتهى اذ ذكر يصبح الذكر او الذكر
+
+325
+00:31:27,380 --> 00:31:33,180
+لكن .. لكن قال بعض العلماء لأن الدكرة هي التي وردت
+
+326
+00:31:33,180 --> 00:31:37,720
+في القرآن الكريم فهي أفصح فهل من مدكر .. أحسنت يا
+
+327
+00:31:37,720 --> 00:31:43,160
+عبدالكريم أيه هو المدكر والكريم؟ أه فهل من مدكر ..
+
+328
+00:31:43,160 --> 00:31:47,600
+قالوا أفصح لورودها فكل ما ورد في القرآن أفصح كما
+
+329
+00:31:47,600 --> 00:31:57,600
+تعلمون واضح؟ أيضا مثال آخر الوزن افتعل من طلعةطلع
+
+330
+00:31:57,600 --> 00:32:01,920
+قلنا إذا جاءت الطاء أو إذا جاءت التاء بعد الطاء
+
+331
+00:32:01,920 --> 00:32:10,100
+تتحول إلى طاء هذا إيش؟ إبدال أبدلنا ووصلنا إلى
+
+332
+00:32:10,100 --> 00:32:15,960
+اطلع تشابه الحرفاني هنا فاضغمناهما معاً إذا هنا
+
+333
+00:32:15,960 --> 00:32:21,240
+عندنا اضغام بعد الإبدال أولا جاء الإبدال ثم جاء
+
+334
+00:32:21,240 --> 00:32:30,150
+الاضغام اضرر نفس القضيةدرّى عندنا حرفان درّى يعني
+
+335
+00:32:30,150 --> 00:32:37,150
+من الدرر درّى اضطرى التو يتجسس بعد الطا تتقلب تبدل
+
+336
+00:32:37,150 --> 00:32:48,150
+تتحول إلى طا ثم اضغمنا الرا طبعا هنا كما ترون مثل
+
+337
+00:32:48,150 --> 00:32:52,070
+آخر على تغيرين في الكلمة على تغيرين في الكلمة
+
+338
+00:32:52,070 --> 00:32:57,860
+القلب والنقل القلبوالنقل حتى لا تظنوا أن الأمر
+
+339
+00:32:57,860 --> 00:33:02,420
+يقتصر فقط على الإبدال والاضغام لأ قد يكون هناك
+
+340
+00:33:02,420 --> 00:33:09,500
+تغيران آخران كقولنا مثل نالة أصله كما قلنا في قالة
+
+341
+00:33:09,500 --> 00:33:15,940
+أصله نالة نيلة أصله نالة نيلة والدليل نقول النيل
+
+342
+00:33:15,940 --> 00:33:22,460
+المصدر هو النيلأه النيل وما نيل المطالب بالتمني
+
+343
+00:33:22,460 --> 00:33:28,600
+ولكن تأخذ الدنيا غلابة وهذا من المعاني المهمة يعني
+
+344
+00:33:28,600 --> 00:33:32,360
+انا شخصيا يزعجني ان ارا من يقول انا لا اقدر على
+
+345
+00:33:32,360 --> 00:33:37,570
+ذلك انا امس قادر يطالب وانا لا افهم النحوهذا أمر
+
+346
+00:33:37,570 --> 00:33:44,430
+لا يليق بالطالب المجتهد والرجل الهمام وبالإنسان
+
+347
+00:33:44,430 --> 00:33:49,110
+العصامي وكما قال النبي صلى الله عليه وسلم استعن
+
+348
+00:33:49,110 --> 00:33:54,790
+بالله ولا تعجزوكان يتعوذ النبي صلى الله عليه وسلم
+
+349
+00:33:54,790 --> 00:34:00,570
+اللهم إني أعوذ بك من الهم والحزن ومن العجز والكسل
+
+350
+00:34:00,570 --> 00:34:07,670
+فالمسلم يتعوذ من العجز لا يليق بإنسان يحترم نفسه
+
+351
+00:34:07,670 --> 00:34:13,750
+أن يعجز أن يستسلم أن ينهار .. لا يجوز وما ينيل
+
+352
+00:34:13,750 --> 00:34:19,010
+مطالب بالتملي إذا نال أصلها نيلة ما المضارع منها؟
+
+353
+00:34:20,840 --> 00:34:24,740
+ينايل نعرفه ذلك كيف جئنا إلى ينايل كيف جئنا إلى
+
+354
+00:34:24,740 --> 00:34:33,540
+تعالوا ننظر الان نايل أصلها نايلة المضارع منه ينيل
+
+355
+00:34:33,540 --> 00:34:43,160
+نايلة ضرب ضرب فتحة ما المضارع من فتحة فتحة يفتحوا
+
+356
+00:34:44,060 --> 00:34:49,660
+المضارب من فتحة يفتحوا نيلة ينيلوا نفس الكلمة هذا
+
+357
+00:34:49,660 --> 00:34:57,440
+متشابه بين الكلمتين ن يقل ينيلوا لأننا قلت فتحة
+
+358
+00:34:57,440 --> 00:35:02,160
+يفتحوا يفتحوا بقيت كما هي ينيلوا لم تبقى كما هي
+
+359
+00:35:02,160 --> 00:35:09,540
+الآن النون ساكنةالنونو ساكنة واليأو متحركة هل
+
+360
+00:35:09,540 --> 00:35:16,220
+يليقوا هذا؟ القوي مستريح والضعيف متحرك فاستبدل
+
+361
+00:35:16,220 --> 00:35:23,880
+مكانيهم وصارت النونو هي المتحركة ينيلوا
+
+362
+00:35:23,880 --> 00:35:28,560
+كما ترون في الكلمة الثالثة وسكنت اليأو هذه يأو
+
+363
+00:35:28,560 --> 00:35:32,400
+ساكنة إذا جاءت بعد حرف مفتوح تنقلب إلى ألف فصارت
+
+364
+00:35:32,400 --> 00:35:39,550
+ينيلفاهمنا كيف وصلنا إلى ينال؟ إذا النايلة ينيالوا
+
+365
+00:35:39,550 --> 00:35:43,150
+كما نقول فتحة يفتحوا يفتحوا تبقى كما هي ليس عندنا
+
+366
+00:35:43,150 --> 00:35:50,210
+مشاكل لأن الحروفة فتحة كلها صحيحة لكن ينيالوا لأ
+
+367
+00:35:50,210 --> 00:35:55,510
+الحرف الضعيف هنا متحرك والقوي ساكن الأصل أن يتحرك
+
+368
+00:35:55,510 --> 00:36:02,690
+القوي وأن يسكن الضعيف ما الأصل أن يحارب الأعداء؟
+
+369
+00:36:02,690 --> 00:36:06,710
+الرجلوالمقصد هو أن نحمي النساء هذا الأصل لا أن
+
+370
+00:36:06,710 --> 00:36:10,290
+تخرج النساء للحروب وأن يبقى الرجال في بيوتهم لا
+
+371
+00:36:10,290 --> 00:36:20,250
+يليقوا هذا يعني إلى حد ما الأفكار .. نعم
+
+372
+00:36:20,250 --> 00:36:28,140
+القلب نعم نحن يا مؤمنيعني هذا أنا أعلم أنه يفتح
+
+373
+00:36:28,140 --> 00:36:33,120
+شهيتك لمزيد نحن لا نريد أن .. لأن هذا ندرسه في
+
+374
+00:36:33,120 --> 00:36:38,040
+الجامعة في ثلاثة مساقات في ثلاثة مساقات ونحن
+
+375
+00:36:38,040 --> 00:36:42,380
+أخصصنا له فقط جزء من المساق يعني ربع المساق فقط
+
+376
+00:36:42,380 --> 00:36:48,180
+ربما كما ترا فلا نريد أن نستطلط منزلة علم الصرف
+
+377
+00:36:48,180 --> 00:36:54,690
+بين العلم أهمية علم الصرفأول ما يطبطوا صحة الكلمة
+
+378
+00:36:54,690 --> 00:36:58,910
+من خلال علم الصرف نقرأ الكلمة بشكل صحيح يعني مثلا
+
+379
+00:36:58,910 --> 00:37:03,510
+عندنا نقول بر عندنا كلمة بر و بر و بر الصرف الذي
+
+380
+00:37:03,510 --> 00:37:09,510
+يعلمنا من خلال المعاجم بالطبع أن كلمة بر هو القمح
+
+381
+00:37:09,510 --> 00:37:15,110
+بر اليابسة
+
+382
+00:37:15,110 --> 00:37:20,400
+عكس البحر احسنت يا عبدالكريم البر هو الاحسانمن انا
+
+383
+00:37:20,400 --> 00:37:25,160
+اعرف ذلك من خلال علم الصرف ومن خلال المفتاح وليس
+
+384
+00:37:25,160 --> 00:37:32,520
+المعاجم علم الصرف تعلمنا ان هذا مفتاح وفق وليس وفق
+
+385
+00:37:32,520 --> 00:37:38,950
+التي تطبط الكلماتهي التي تساعدنا نضيجة ينضج وليس
+
+386
+00:37:38,950 --> 00:37:43,170
+نضجة كما يسمع الكثيرون وكما يقول الكثيرون نضاجة
+
+387
+00:37:43,170 --> 00:37:49,870
+ينضج لأ غلط هي الأصل نضيجة ينضج نضيجة ينضج إذا كيف
+
+388
+00:37:49,870 --> 00:37:55,510
+نعرف لفظ الكلمات بشكلها الفصيح من خلال علم الصرف
+
+389
+00:37:55,510 --> 00:38:00,130
+والمعاجم أيضا يساعد على البحث عن معاني الكلمات في
+
+390
+00:38:00,130 --> 00:38:05,150
+كتب المعاجمكيف نعرفه الحرف الصحيح؟ يعني مثلا، كيف
+
+391
+00:38:05,150 --> 00:38:12,430
+عرفنا أن كتابة هي أصل كتاب وكتب ومكتبة ومكتوب وإلى
+
+392
+00:38:12,430 --> 00:38:16,170
+آخرة؟ نتشترك في الكافي والتائي والباء، إذا هذه حرف
+
+393
+00:38:16,170 --> 00:38:22,810
+أصلية وكلها تدور حول مسألة الكتابة يطبط عملية
+
+394
+00:38:22,810 --> 00:38:30,000
+الاشتقاق أيضا، ذكرت هذا المثال قبل قليلكتب منه
+
+395
+00:38:30,000 --> 00:38:35,920
+الكتاب والكتب والكاتب والمكتوب والمكتبة وكتيب إلى
+
+396
+00:38:35,920 --> 00:38:39,600
+آخره واستكتب في الأفعال وانكتب وانكتب وانتكتب
+
+397
+00:38:39,600 --> 00:38:43,260
+وانتكتب وانتكتب وانتكتب وانتكتب وانتكتب وانتكتب
+
+398
+00:38:43,260 --> 00:38:45,280
+وانتكتب وانتكتب وانتكتب وانتكتب وانتكتب وانتكتب
+
+399
+00:38:45,280 --> 00:38:47,040
+وانتكتب وانتكتب وانتكتب وانتكتب وانتكتب وانتكتب
+
+400
+00:38:47,040 --> 00:38:52,400
+وانتكتب وانتكتب
+
+401
+00:38:52,400 --> 00:38:57,380
+وانتكتب
+
+402
+00:38:57,380 --> 00:39:02,760
+وليست عربية، عندنا أوزان عربي، يعني كما نقول ممعنى
+
+403
+00:39:02,760 --> 00:39:06,300
+الوزن، النمط العربي، أنا ليس عندي هذه الكلمة أو
+
+404
+00:39:06,300 --> 00:39:10,940
+مثل هذه، ليس عندي كلمة تشبه تلفزيون، تلفزيون، ليس
+
+405
+00:39:10,940 --> 00:39:14,660
+عندي في اللغة العربية مثل هذه الكلمة، ليس عندي، هل
+
+406
+00:39:14,660 --> 00:39:23,710
+عندي كلمة تشبه فعلليون؟أه لكن عندي فعلال مثلا من
+
+407
+00:39:23,710 --> 00:39:32,070
+شار زلزال فغيروا غيروا في كلمة تلفزيون فصارت تلفاز
+
+408
+00:39:32,070 --> 00:39:37,070
+غيرنا فيها بعض الشي حتى تناسب طريقتنا في النطقحتى
+
+409
+00:39:37,070 --> 00:39:41,610
+تناسب طريقتنا في النطق فإذا كيف يمكن أن نعرّب
+
+410
+00:39:41,610 --> 00:39:47,030
+الكثير من الكلمات من خلال طبعا علم الصرف؟ من خلال
+
+411
+00:39:47,030 --> 00:39:50,230
+.. لأننا من خلال علم الصرف نعرف أوزان لغة العربية
+
+412
+00:39:50,230 --> 00:39:55,990
+ومن خلال علم الصرف نعرف أن هذه عربية أم لا يعني
+
+413
+00:39:55,990 --> 00:39:59,830
+كلمة تلفزيو ليست عربية لماذا؟ ليس عندنا كلمة عربية
+
+414
+00:39:59,830 --> 00:40:04,350
+كهذه الكلمة أحيانا في الترجمة أيضا إذا في التعريب
+
+415
+00:40:04,350 --> 00:40:11,440
+وفي الترجمةكما في facts facts هنا ماله إلى عدم
+
+416
+00:40:11,440 --> 00:40:15,300
+التعريب التعريب هو أن تغير شيئا ما في الكلمة حتى
+
+417
+00:40:15,300 --> 00:40:21,160
+تصبح كوزن الكلمة العربية لكن الترجمة أن تأتي بلفظ
+
+418
+00:40:21,160 --> 00:40:30,000
+عربي يقابل اللفظ الأجنبي يقابل اللفظ الأجنبي بقى
+
+419
+00:40:30,000 --> 00:40:33,620
+عندنا مصطلح لم أذكر هنا وهو الادخال أن تدخل الكلمة
+
+420
+00:40:33,620 --> 00:40:40,530
+الأجنبية كما هيان تدخل الكلمة الأجنبية كمان واضح؟
+
+421
+00:40:40,530 --> 00:40:46,670
+اه تليفون ليس عندنا كلمة تليفون عندنا هاتف الآن اه
+
+422
+00:40:46,670 --> 00:40:55,370
+هاتف هاتف هنا ادخال او تعريف او ترجمة لأ ترجمة اه
+
+423
+00:40:55,370 --> 00:41:02,070
+ترجمة اه يجينا بالكلمة العربية من الأصل واضح؟
+
+424
+00:41:02,070 --> 00:41:06,830
+مجاله علم السحر في آخره نقطةما هو الذي يناقشه
+
+425
+00:41:06,830 --> 00:41:12,590
+ويعالجه علم الصرف؟ ما الذي يعالجه علم الصرف؟ أولا
+
+426
+00:41:12,590 --> 00:41:19,590
+الأسماء المعربة أه يعني الأسماء المبنية لا تدرسوا
+
+427
+00:41:19,590 --> 00:41:23,070
+في علم الصرف وكذلك الأفعال المتصرفة الأفعال
+
+428
+00:41:23,070 --> 00:41:26,290
+الجامدة لا تدرسوا في علم الصرف طبعا الأسماء
+
+429
+00:41:26,290 --> 00:41:33,930
+المبنية قليلة والأفعال الجامدة أيضا أقل حتىيعني
+
+430
+00:41:33,930 --> 00:41:40,590
+مثلا كلمته .. كلمته هذه .. هذه اسمه إشارة مبنوعة
+
+431
+00:41:40,590 --> 00:41:43,350
+على الكسر طب سؤال لماذا لا ندرسه في علم الصرف؟
+
+432
+00:41:43,350 --> 00:41:49,390
+لماذا؟ لماذا ليس له وزن يعني؟ لماذا؟ لأنه ليه
+
+433
+00:41:49,390 --> 00:41:53,490
+تغير؟ بالضبط .. ليه تغير؟ هو ليس ضميرا، اسمه إشارة
+
+434
+00:41:54,090 --> 00:41:59,870
+هذه .. هذه لا يتغير لا نزيده وننقص منه ونغير فيه
+
+435
+00:41:59,870 --> 00:42:03,790
+لا لغرض لفظي ولا لغرض معنوي لا نغير فيه اسم
+
+436
+00:42:03,790 --> 00:42:10,210
+الاستفهام man لا نغير فيه ماذا ندرس فيه علم مسترفي
+
+437
+00:42:10,210 --> 00:42:13,810
+يدرس زيادة ونقصان في الكلمة نفسها هذه لا تزيد ولا
+
+438
+00:42:13,810 --> 00:42:15,790
+تنقص ماذا ندرس فيه إذا؟
+
+439
+00:42:18,570 --> 00:42:39,750
+الذي ماذا ندرسه فيه انتم انت ماذا ندرسه فيه جميل
+
+440
+00:42:39,750 --> 00:42:44,270
+جميل انعم علم الصرف لا يدرس الكلمة التي تكون اقل
+
+441
+00:42:44,270 --> 00:42:48,510
+من ثلاثة أحرف احسنت يا عبدالكريمجيد يا شباب؟ ما
+
+442
+00:42:48,510 --> 00:42:51,450
+الذي لا يدرس علم الصرف إذا؟ تعالوا ننظر أولا
+
+443
+00:42:51,450 --> 00:42:56,210
+الحروف جميع أنواعها الحروف بجميع أنواعها لا يدرسوا
+
+444
+00:42:56,210 --> 00:43:00,210
+علم الصرف الأفعال الجامدة ما هي الأفعال الجامدة؟
+
+445
+00:43:00,210 --> 00:43:06,870
+قليلة كما قلت مثل نعمة، بئسة، عسى، ليس، خلا، عدى،
+
+446
+00:43:06,870 --> 00:43:11,770
+حاشة، أفعال الشروع، هذه كلها لا يدرسوا علم الصرف
+
+447
+00:43:13,520 --> 00:43:16,840
+الاسماء المبنية الدمائر واسماء الإشارة واسماء
+
+448
+00:43:16,840 --> 00:43:21,680
+الموصولة واسماء الاستفهام واسماء الشرط الأسماء
+
+449
+00:43:21,680 --> 00:43:26,060
+المبنية لا يدرسوا المصرف أيضا الأسماء الأعجمية
+
+450
+00:43:26,060 --> 00:43:29,940
+إبراهيم هذا لا يدرسوا المصرف ماذا ندرسه فيه هذا
+
+451
+00:43:29,940 --> 00:43:34,060
+اسم أعجم يجينا به من خارج اللغة العربية اللي كان
+
+452
+00:43:34,060 --> 00:43:38,180
+استخدمه عالما على بعض الأشخاص فماذا ندرسه فيه لا
+
+453
+00:43:38,180 --> 00:43:43,810
+يزيد ولا ينقص واخرها أسماء الأفعالأسماء الأفعال لا
+
+454
+00:43:43,810 --> 00:43:50,150
+تتصرف يعني مثلا هيهات شتان شتانة ما بين الحق
+
+455
+00:43:50,150 --> 00:43:54,630
+والباطل شتانة شتانة ما بين الطالب المشتهد والطالب
+
+456
+00:43:54,630 --> 00:44:03,530
+الكسول صح أه أه بين الثرى والثورية وليس بين الثرى
+
+457
+00:44:03,530 --> 00:44:11,150
+والثورية بين الثرى أنت في درس نحوي يا رجل بين
+
+458
+00:44:11,150 --> 00:44:12,150
+الثرى والثورية
+
+459
+00:44:18,250 --> 00:44:25,850
+لالا لالا لالا هي مستويات نحن عندما ندرس عندنا
+
+460
+00:44:25,850 --> 00:44:30,470
+عندما ندرس نبدأوا المستوى الصوتي وهي دراسة الحرف
+
+461
+00:44:30,470 --> 00:44:35,320
+نفسه ندرس الحرفوهذه دراسة واسعة أيضا على فكرة
+
+462
+00:44:35,320 --> 00:44:39,840
+دراسة واسعة يؤشر عليها علم التلاوة ما الذي ندرسه
+
+463
+00:44:39,840 --> 00:44:43,540
+في علم التلاوة ندرسه كيف ننطق بالحرف كيف نلفظ
+
+464
+00:44:43,540 --> 00:44:51,280
+الحرف والحروف والكلمات بسم الله الرحمن الرحيم متى
+
+465
+00:44:51,280 --> 00:44:54,920
+نراقق متى هذا هو بعد ما ننتهي من علم الصوت نأتي
+
+466
+00:44:54,920 --> 00:44:58,540
+لعلم الصرف نبني الكلمةإذا ابتدينا نبني الكلمة
+
+467
+00:44:58,540 --> 00:45:03,820
+ننتقل إلى المستوى النحوي نأخذ الكلمة لكي نوظفها في
+
+468
+00:45:03,820 --> 00:45:07,640
+جملة يعني كلمة كاتب بنينها في علم الصرف ثم جينا
+
+469
+00:45:07,640 --> 00:45:12,440
+بيها إلى علم النحو جاء كاتب كلمة كاتب هنا ماذا أدت
+
+470
+00:45:12,440 --> 00:45:17,520
+وظيفة الفعلية أه رأيت كاتبا ماذا أدت هنا وظيفة
+
+471
+00:45:17,520 --> 00:45:23,940
+المفعلية جاء أحمد كاتبا درسة وظفة وظيفة الحالية
+
+472
+00:45:23,940 --> 00:45:29,840
+أدت وظيفة الحاليةمررت بكاتب ادت وظيفة المجاوزة
+
+473
+00:45:29,840 --> 00:45:36,260
+يعني جاوزها احمد او جاوز احمد هذا الكاتب و هكذا ثم
+
+474
+00:45:36,260 --> 00:45:41,900
+ننتقل لمستوى الدلالي المستوى الدلالي ما معناه
+
+475
+00:45:41,900 --> 00:45:46,140
+المستوى الدلالي انا عندما اقول بننا الجملة و
+
+476
+00:45:46,140 --> 00:45:51,080
+اكملنا بناءها اهلا وسهلا اهلا وسهلا جملة تامة
+
+477
+00:45:51,080 --> 00:45:54,880
+المعنى لكن هل نستخدم نفس الدلالة دائما وابدا
+
+478
+00:45:54,880 --> 00:45:59,340
+بالتأكيد لايعني مثلا لو جاءني ضيف أرحب به أهلا
+
+479
+00:45:59,340 --> 00:46:03,460
+وسهلا من ضيوف الكرام لو جاء طالب متأخر يعني ربما
+
+480
+00:46:03,460 --> 00:46:08,550
+قلت له أهلا وسهلا وفيها شيء من التأنيبأه لكن لو
+
+481
+00:46:08,550 --> 00:46:14,310
+فكر الأعداء باقتحام بلدنا سنقول إذا فكر الأعداء
+
+482
+00:46:14,310 --> 00:46:19,090
+باقتحام أرضنا فأهلا وسهلا هل أنا ترحيب يعني هنا
+
+483
+00:46:19,090 --> 00:46:24,110
+التوعد وتهديد هذا المستوى الدلالي واضح والكثيرون
+
+484
+00:46:24,110 --> 00:46:28,150
+قصروا المستويات على أربعة مستويات هناك المقال هناك
+
+485
+00:46:28,150 --> 00:46:34,710
+المستوى المعجمي هناك المستوى الكتابي كلها تنجع إلى
+
+486
+00:46:34,710 --> 00:46:35,790
+مستوى هذه المستويات
+
+487
+00:46:39,090 --> 00:46:48,790
+أنا اسم أعجمي كل
+
+488
+00:46:48,790 --> 00:46:56,330
+أسماء الأنبياء أعجمية سواء محمد صلى الله عليه وسلم
+
+489
+00:46:56,330 --> 00:47:03,120
+وصالح وهود وشعيب فقط أربع أدم ليس عربياليس عالمًا
+
+490
+00:47:03,120 --> 00:47:06,200
+عربيًا أو اسمًا عربيًا، هكذا يعني يقولون عندنا كل
+
+491
+00:47:06,200 --> 00:47:10,120
+أسماء الأنبياء الخمسة واثوان وعشرون أعجمية سوى
+
+492
+00:47:10,120 --> 00:47:14,560
+أربعة الأسماء هذه سؤال؟ أشكركم
+
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/k0hTx3plXQ8_raw.srt b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/k0hTx3plXQ8_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..01dd530c3e3aff66f31d0bb6cf78407ecbe64191
--- /dev/null
+++ b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/k0hTx3plXQ8_raw.srt
@@ -0,0 +1,1380 @@
+1
+00:00:21,700 --> 00:00:23,780
+أعوذ بالله من الشيطان الرجيم باسم الله الرحمن
+
+2
+00:00:23,780 --> 00:00:26,540
+الرحيم الحمد لله والصلاة والسلام على رسول الله
+
+3
+00:00:26,540 --> 00:00:32,500
+وآله وصحبه ومن ولاه لازلنا في الجملة الرسمية
+
+4
+00:00:32,500 --> 00:00:39,140
+والجملة الرسمية من رقنين من مبتدأ وخبر والمبتدأ
+
+5
+00:00:39,140 --> 00:00:45,080
+والخبر دائما مرفوعانولكن هما لا يظلان مرفوعين
+
+6
+00:00:45,080 --> 00:00:50,420
+دائما و أبدا فقد يدخل مغير على هذه الجملة فيغير
+
+7
+00:00:50,420 --> 00:00:55,220
+فيها وهذه التي نسميها النواسخ عندنا ست مجموعات
+
+8
+00:00:55,220 --> 00:01:00,530
+تدخل على الجملة الرسمية فتغير فيهاهذه المجموعات
+
+9
+00:01:00,530 --> 00:01:07,790
+إحداها كان و أخواتها ماذا تفعل هذه النواسخ تدخل
+
+10
+00:01:07,790 --> 00:01:11,810
+على الجملة الرسمية كان و أخواتها مثال على ذلك مثال
+
+11
+00:01:11,810 --> 00:01:16,750
+على ذلك كانت تدخل على الجملة الرسمية فترفع المبتدأ
+
+12
+00:01:16,750 --> 00:01:21,670
+و يسم اسمها وتنصب الخبر و يسم خبرها ولكنها تظل بعد
+
+13
+00:01:21,670 --> 00:01:27,040
+ذلك جملةاسمية حتى بعد دخولي هذه الأفعال إلا أنها
+
+14
+00:01:27,040 --> 00:01:33,540
+تظل جملا اسمية وسببه بسيط لأن الجملة الفعلية يجب
+
+15
+00:01:33,540 --> 00:01:37,660
+أن تحتوي على الرقنين على فعل وفاعل وهذا فعل نعم
+
+16
+00:01:37,660 --> 00:01:42,240
+لكن ليس عندي فاعل لكن عندي في هذه الجملة ما أصله
+
+17
+00:01:42,240 --> 00:01:47,800
+المبتدأ والخبر اسمه كان في الأصليمبتدأ وخبره كان
+
+18
+00:01:47,800 --> 00:01:52,360
+هو في الأصل إيش؟ خبر إذا عندنا أصله رقني الجملة
+
+19
+00:01:52,360 --> 00:01:56,040
+الرسمية أما الجملة الفعلية فعندنا فقط منها ركن
+
+20
+00:01:56,040 --> 00:02:02,800
+واحد وهو فعل ناقص فعل ناقص ليس فعلا مكتملا كسائر
+
+21
+00:02:02,800 --> 00:02:08,540
+الأفعال التي نعرفها للتعريف بالنواسخ عندنا النواسخ
+
+22
+00:02:08,540 --> 00:02:13,870
+ست مجموعاتالنواسخ ال 6 انتبهوا لهذه المجموعات كيف
+
+23
+00:02:13,870 --> 00:02:19,170
+تفترق في بعض عملها او خصائصها عندنا ثلاث مجموعات
+
+24
+00:02:19,170 --> 00:02:23,950
+تدخلوا على الجملة الاسمية فترفعوا المبتدأو يسمى
+
+25
+00:02:23,950 --> 00:02:28,970
+اسمها و تنسب الخبر و يسمى خبرها و هذه المجموعات
+
+26
+00:02:28,970 --> 00:02:33,470
+الثلاثية كان و أخوتها و كان و أخوتها و الحروف التي
+
+27
+00:02:33,470 --> 00:02:38,590
+تعمل عمل ليس سندرس في هذا المساقى المختصر مجموعتين
+
+28
+00:02:38,590 --> 00:02:43,590
+فقط منها و هي كان و أخوتها و الحروف التي تعمل عمل
+
+29
+00:02:43,590 --> 00:02:48,610
+ليس هذه سندرسها بالتفصيل المجموعة الثانية من
+
+30
+00:02:48,610 --> 00:02:56,200
+مجموعتين و هي التيتنسب المبتدأ وترفع الخبر، انظروا
+
+31
+00:02:56,200 --> 00:03:00,180
+بعكس المجموعات الأولى أو المجموعات الثلاث الأولى
+
+32
+00:03:01,660 --> 00:03:05,700
+هذه المجموعة وهتان المجموعتان هما إن وأخواتها و لا
+
+33
+00:03:05,700 --> 00:03:09,940
+النافية للجنس طبعا إن أخواتها سندرسها بالتفصيل لا
+
+34
+00:03:09,940 --> 00:03:13,720
+النافية للجنس لن ندرسها في هذا المساقى المختصر وهي
+
+35
+00:03:13,720 --> 00:03:18,260
+كلمة بالطبع واحدة فقط في هذه المجموعات الخامسة
+
+36
+00:03:18,260 --> 00:03:23,860
+تبقى الجمل اسمية بعد دخول هذه النواسخ تظهر جمل
+
+37
+00:03:23,860 --> 00:03:30,680
+اسمية لكن في المجموعة الأخيرة وهي ظن وأخواتها هذه
+
+38
+00:03:31,410 --> 00:03:35,610
+إذا دخلت على الجملة الرسمية، لا تظل جملة رسمية، بل
+
+39
+00:03:35,610 --> 00:03:40,050
+تقلبها إلى جملة فعلية، لأنها عندئذ ستقلب المبتدأ
+
+40
+00:03:40,050 --> 00:03:45,990
+إلى مفعول به أول، وتقلب الخبر إلى مفعول به ثان،
+
+41
+00:03:45,990 --> 00:03:51,460
+وغني عن القول أن هما طبعا عندئذ منصوبانإذا تقلبهما
+
+42
+00:03:51,460 --> 00:03:57,720
+إلى مفعول أول مفعول ثان وطبعا يكونان عندئذ منصوبين
+
+43
+00:03:57,720 --> 00:04:02,240
+هذه طبعا لن ندرسها أيضا هذا لكن للتعريف بذلك فقط
+
+44
+00:04:02,240 --> 00:04:09,670
+ذكرنا هذه الان كانوا أخواتها عددها 13 فعلاو أنا
+
+45
+00:04:09,670 --> 00:04:13,410
+شخصيا أحب في هذه المواطن أن ننبه على مسألة الترتيب
+
+46
+00:04:13,410 --> 00:04:17,810
+كيف ينبغي أن نرتب معلوماتنا لأننا كثيرا ما نمتلك
+
+47
+00:04:17,810 --> 00:04:22,570
+الكثير من المعلومات ولكن المؤسفة أننا لا نرتبها
+
+48
+00:04:22,570 --> 00:04:27,530
+والمعلومات القليلة المرتبة أفضل بكثير من المعلومات
+
+49
+00:04:27,530 --> 00:04:32,760
+الكثيرة المتناثرة غير المرتبةوهذه حقيقة ينبغي أن
+
+50
+00:04:32,760 --> 00:04:36,120
+نلتفت إليها يعني لما نظرنا إلى المكتبة المكتبة
+
+51
+00:04:36,120 --> 00:04:40,640
+فيها الألف المؤلفة من الكتب لو لم ترتب لن يكون لها
+
+52
+00:04:40,640 --> 00:04:44,200
+أي تقيمة لأن عملية الترتيب هي التي تساعدها على
+
+53
+00:04:44,200 --> 00:04:48,500
+استفادة من المكتبة ولذلك في مكتبة عميد ونائب عميد
+
+54
+00:04:48,500 --> 00:04:52,640
+وأقسام ورؤساء أقسام وعندنا طواقم وتعمل هي لا تصنف
+
+55
+00:04:52,640 --> 00:04:58,040
+الكتب عملها يقتصر على عملية الترتيب وهو أمر مهم لو
+
+56
+00:04:58,040 --> 00:05:04,460
+ضربنا مثلا آخر الجيشالجيشلو أنه رغم إمكانياته
+
+57
+00:05:04,460 --> 00:05:09,720
+وطائراته وبوارجه وصواريخه وكل عدده لو لم يرتب نفسه
+
+58
+00:05:09,720 --> 00:05:13,200
+هل سيكون له قيمة؟ إذا مسارة الترتيب في غاية
+
+59
+00:05:13,200 --> 00:05:17,600
+الأهمية أن نرتب معلوماتنا و هذه الثلاثة عشر فعلا
+
+60
+00:05:17,600 --> 00:05:22,100
+إذا لم نرتبها لن نستفيد من هذه أو على الأقل لو
+
+61
+00:05:22,100 --> 00:05:26,760
+ذهبنا نجمعها لو ذهبنا نذكرها سنتعب كثيرا حتى
+
+62
+00:05:26,760 --> 00:05:29,060
+نحصرها يعني في لوحة واحدة
+
+63
+00:05:32,160 --> 00:05:37,480
+يعني اقترحوا هذا الترتيب أولا ثلاثة الأفعال هذه
+
+64
+00:05:37,480 --> 00:05:43,480
+كان وصار وليس كما تنظرون أفعال مختلفة يعني ربما لو
+
+65
+00:05:43,480 --> 00:05:49,360
+أردنا أن ننظر إلى ما يربط بينها يعني كان عكس صارة
+
+66
+00:05:50,000 --> 00:05:54,220
+كان أحمد مريضا في الماضي، لكن صار أحمد مريضا في
+
+67
+00:05:54,220 --> 00:05:58,840
+المستقبل، وليس ربما تنفي، هي لنفي الحال، ليس أحمد
+
+68
+00:05:58,840 --> 00:06:03,220
+مريضا، يعني ربما إلى حد ما، لكن في الأفعال هذه
+
+69
+00:06:03,220 --> 00:06:08,240
+أصبح وأضحى وأمسى بينها قاسم مشترك واضحيبدأ الإنسان
+
+70
+00:06:08,240 --> 00:06:13,300
+يومه من الصبح ثم يأتي الضوحى ثم ننتهي إلى المساء
+
+71
+00:06:13,300 --> 00:06:17,280
+وهذا في اليوم بالطبع إذا أضحى أمسى أنا عندما
+
+72
+00:06:17,280 --> 00:06:22,840
+أستشعر هذا الإحساس و هذه الفكرة يعني يساعد على
+
+73
+00:06:22,840 --> 00:06:27,400
+حضوري المعلومة عندي على الدوام أصبح أضحى أمسى
+
+74
+00:06:27,400 --> 00:06:31,860
+أحفظها معاك وأصبح عندما أقول أصبح أحمد نشيطا يعني
+
+75
+00:06:31,860 --> 00:06:36,570
+تلبس أحمد بالنشاط في الصباحهذا معناها أضحى نشيطا
+
+76
+00:06:36,570 --> 00:06:41,670
+اتصف بالنشاط وقت الضحا أمسى نشيطا اتصف بالنشاط وقت
+
+77
+00:06:41,670 --> 00:06:47,050
+.. هذا المعنى عندنا كلمة تجمع هذه كلها و هي ظلى
+
+78
+00:06:47,050 --> 00:06:51,610
+يعني أصبح تدل على اتصاف أحمد بالنشاط في الصباح
+
+79
+00:06:51,610 --> 00:06:57,050
+أضحى في الضحا أمسى وقت المساء بعد العصر يعني لكن
+
+80
+00:06:57,050 --> 00:07:05,150
+ظلى أحمد نشيطا طوال النهار إذا اظلىتعبّر عن أصبح
+
+81
+00:07:05,150 --> 00:07:11,530
+وأضحى وأمس معاه تجمعها معاه بات تدل على الليل بات
+
+82
+00:07:11,530 --> 00:07:17,550
+أحمد نائما هنا لا نقصد بات بمعنى نام لأ بمعنى
+
+83
+00:07:17,550 --> 00:07:23,290
+استمر في الليل بات أحمد ساهرا على كتبه بات أحمد
+
+84
+00:07:23,290 --> 00:07:33,510
+يذاكر دروسه بات أحمديذاكروا دروسه يراجعوا معلوماته
+
+85
+00:07:33,510 --> 00:07:39,130
+بات المجاهدون ساهرين على ثغر الوطن إذا باتوا ليس
+
+86
+00:07:39,130 --> 00:07:44,730
+معناه نام واضح كما طبعا في سياقات أخرى الآن
+
+87
+00:07:44,730 --> 00:07:49,750
+واللطيف هنا يعني انظروا يعني كيف تلفيتنا اللغة إلى
+
+88
+00:07:49,750 --> 00:07:55,250
+هذه اللطائف يعني النهار مكان الحركةالنهار مكانه
+
+89
+00:07:55,250 --> 00:07:58,610
+الحركة ولكن عندنا كلمات كثيرة تدل على أول النهار
+
+90
+00:07:58,610 --> 00:08:02,870
+وأوسطه واخره وعندنا كلمة تجمعه لكن الليلة يكفيه
+
+91
+00:08:02,870 --> 00:08:06,330
+كلمة واحدة لأنه أصلا مكانه السكون هذه لطيفة من
+
+92
+00:08:06,330 --> 00:08:11,290
+اللطاف كل ذلك يساعد على رسم الصورة الجميلة للغتنا
+
+93
+00:08:11,290 --> 00:08:14,210
+وعلى مستوى التطبيق وليس على مستوى الحفظ النظري
+
+94
+00:08:14,210 --> 00:08:22,100
+سطحي فقط هذه الأفعال الأربعة زالةوبارحة وفتقة
+
+95
+00:08:22,100 --> 00:08:27,840
+وانفك بنفس المعنى بالضبط وبنفس العمل بالضبطواضح؟
+
+96
+00:08:27,840 --> 00:08:34,900
+هذه معناها استمر عندما أقول ما زال المطر نازلا،
+
+97
+00:08:34,900 --> 00:08:38,340
+معناها من فك المطر نازلا، معناها من فت المطر
+
+98
+00:08:38,340 --> 00:08:41,580
+نازلا، معناها من فك المطر نازلا، بالنفس المعنى،
+
+99
+00:08:41,580 --> 00:08:45,200
+إذا متشابه، شعوري بهذه المعلومة، فهمي لهذه
+
+100
+00:08:45,200 --> 00:08:48,740
+المعلومة يساعدني على جمعها وعلى استحضارها دائما
+
+101
+00:08:48,740 --> 00:08:54,730
+وأبدأ، دائما وحيدةدامة وحيدة ولذلك ليس يسبقها إلا
+
+102
+00:08:54,730 --> 00:08:59,730
+ما المصدرية كما سنرى عند حديثنا عن شروط عملها إذا
+
+103
+00:08:59,730 --> 00:09:03,210
+نذكروا هذه اللوحة واذكروا مثلا مرة أخرى أن أصبح
+
+104
+00:09:03,210 --> 00:09:12,120
+وأضحى وأمسى بمعنى ظلى بمعنى ظلى تفضلهي المصدرية
+
+105
+00:09:12,120 --> 00:09:18,320
+الظرفية هنا قد تكون مصدرية فقط لكن هنا مصدرية
+
+106
+00:09:18,320 --> 00:09:23,560
+ظرفية كما سنشرح بعد قليليعني ينبغي أن ننتبه إلى
+
+107
+00:09:23,560 --> 00:09:27,520
+أهميتي هذا الترتيب حتى نجمع المعلومة حتى نحفظ
+
+108
+00:09:27,520 --> 00:09:31,680
+الثلاثة عشر فعلا دائما وأبدأ أنا متأكد من مثل هذه
+
+109
+00:09:31,680 --> 00:09:35,220
+اللوحة لن يغيب عني فعل منها لأنها مرتبطة بعضها مع
+
+110
+00:09:35,220 --> 00:09:39,880
+بعض لكن لو جئت اليها و هي متناثرة سأتعب و أن أجمع
+
+111
+00:09:39,880 --> 00:09:45,520
+هذه الأفعال هذا إن تمكنت من جمعيها كلهاعملوا كانوا
+
+112
+00:09:45,520 --> 00:09:49,440
+أخواتي عندى ثمانية أفعال هي ثلاثة أنواع نعم عملوها
+
+113
+00:09:49,440 --> 00:09:54,360
+هناك ما يعملوا منها من دون شروط من دون شروط تدخل
+
+114
+00:09:54,360 --> 00:09:58,160
+الجملة فتعملوا منها تعملوا فيها من دون شروط وهي
+
+115
+00:09:58,160 --> 00:10:02,830
+ثمانية أفعالهي كان و صر و ليس و أصبح واضح و أمس
+
+116
+00:10:02,830 --> 00:10:07,870
+وظل و بات ما معنى من دون أن يسبقها حرف أو كذا أو
+
+117
+00:10:07,870 --> 00:10:13,790
+كذا هذه تعمل أحمد و نشيط أدخل كان مباشرة كان أحمد
+
+118
+00:10:13,790 --> 00:10:21,620
+و نشيط عاملة من دون شرط كان أحمد نشيطوالمثال كان
+
+119
+00:10:21,620 --> 00:10:26,300
+الله غفورا رحما وعلى فكرة كان هنا في حق الله عز
+
+120
+00:10:26,300 --> 00:10:29,440
+وجل وفي بعض المواطنين الأخرى تدل على الاستمرار
+
+121
+00:10:29,440 --> 00:10:37,480
+وعلى الثبات وكان الله غفورا رحما تعالوا نعرف هذه
+
+122
+00:10:37,480 --> 00:10:41,280
+الجملة كان وكان الله غفورا رحما تفضل
+
+123
+00:10:46,110 --> 00:10:49,690
+لكن مع الله بن ذات يعني تأدبا مع لفظه نقول لفظه
+
+124
+00:10:49,690 --> 00:11:02,850
+الجلالة اسمه كان مرفوع نعم نعم بالضبط
+
+125
+00:11:02,850 --> 00:11:09,150
+طب تعالوا نعودوا إلى الجملة قبل دخولي كان كيف كانت
+
+126
+00:11:09,150 --> 00:11:16,380
+الجملة أي مؤمن؟الله غفور الرحيم الله عندئذ لفظ
+
+127
+00:11:16,380 --> 00:11:21,200
+الجلالة والمبتدأ غفور هو الخبر وكان الله غفورا
+
+128
+00:11:21,200 --> 00:11:25,860
+رحيما وعلى فكرة كان في حق الله كما قلنا هنا تدل
+
+129
+00:11:25,860 --> 00:11:29,460
+على الاستمرار والثبات وأيضا في غير حق الله في حق
+
+130
+00:11:29,460 --> 00:11:34,890
+الأمة ربما يعني على سبيل مثال كنتمخير أمة أخرجت
+
+131
+00:11:34,890 --> 00:11:39,110
+للناس يقول علماء هنا كنتم وما زلتم فتدل أيضا على
+
+132
+00:11:39,110 --> 00:11:44,600
+الاستمرار فالمعنى هو الذي يقودنا واضح يا شبابالآن
+
+133
+00:11:44,600 --> 00:11:50,400
+أربعة أفعال يشرط في عملها أن تكون مسبوقة بنفي أو
+
+134
+00:11:50,400 --> 00:11:56,400
+نهي بنفي أو نهي وهي الأربعة التي أشرنا إلى تشابهها
+
+135
+00:11:56,400 --> 00:12:00,940
+في معناها وعمليها زالة وبرح وانفك وفتئة يعني أنا
+
+136
+00:12:00,940 --> 00:12:05,200
+عندما أقول لن نبرح عليه عاكفين لن نبرح نبرح لا
+
+137
+00:12:05,200 --> 00:12:11,440
+تعمل من دون لن أو لا أو ماأو إلى أخرى من أداوة
+
+138
+00:12:11,440 --> 00:12:15,220
+النفي أو لا أناهية ما الفرق بالمناسبة بين النفي
+
+139
+00:12:15,220 --> 00:12:24,160
+والنهي ما الفرق بين النفي والنهي النفي عندما أنفي
+
+140
+00:12:24,160 --> 00:12:32,700
+خبرا من الأخبار أقول مثلا سمير لا يكذبأنا نفيت
+
+141
+00:12:32,700 --> 00:12:38,160
+الكذبة عن سمير ولم أطلب شيء أنا نفيت نفيته خبرا
+
+142
+00:12:38,160 --> 00:12:42,320
+فقط لكن عندما أقول لسمير لا تكذب أنا أطلب منه
+
+143
+00:12:42,320 --> 00:12:49,700
+عندئذ أن لا يكذب لطلبية فيها طلب و الطلب النهي عكس
+
+144
+00:12:49,700 --> 00:12:55,200
+الأمر الطلب أمر أو نهي أو أو إلى آخره الآن النهي
+
+145
+00:12:55,200 --> 00:13:04,070
+عكس الأمر أصدق أمر لا تكذب نهيلكن النفي سمير لا
+
+146
+00:13:04,070 --> 00:13:09,670
+يكذبلا يكذب أدوات النفي كثيرة عندي لن و لم و لم
+
+147
+00:13:09,670 --> 00:13:18,650
+الجازمة و لا و ما لكن أداة النهي فقط لا فقط لا إذا
+
+148
+00:13:18,650 --> 00:13:23,130
+لا هي المشاركة فقط ما بين النهي و النفي لا ناهية
+
+149
+00:13:23,130 --> 00:13:28,410
+فيها طلب لا ناهية خبر فقط نفي لخبر ما هذا
+
+150
+00:13:28,410 --> 00:13:34,430
+بالمناسبة إذا لا قلت مثلالن نبره عليه عاكفين لن
+
+151
+00:13:34,430 --> 00:13:41,930
+نبره عليه عاكفين لن نبره عليه عاكفين نبره عملت فقط
+
+152
+00:13:41,930 --> 00:13:47,570
+عندما سبقها لن لولا للا ما عملت هذا معناه أنها
+
+153
+00:13:47,570 --> 00:13:54,810
+تعمل بشرط إذا لن نبره لن نبره فعل طبعا نبره فعل
+
+154
+00:13:54,810 --> 00:14:03,190
+مضارع منصوب و علامة نصبه الفتحةبسبب سبقه بلن لأنه
+
+155
+00:14:03,190 --> 00:14:07,030
+سُبق بلن لن تنصب الفعل المضارع إذا هو الفعل
+
+156
+00:14:07,030 --> 00:14:11,570
+المضارع المنصوب لأنه سُبق بلن ونبرح عملت في الجملة
+
+157
+00:14:11,570 --> 00:14:17,750
+الاسمية لأنها سُبقت بلن أصل الجملة هنا قبل أن نعرف
+
+158
+00:14:17,750 --> 00:14:24,550
+كيف كانت الجملة قبل دخولنا نبرح عليها كيف كانت؟
+
+159
+00:14:24,550 --> 00:14:29,850
+نحن عاكفون عليها يعني لو أردنا نكتبها نحن
+
+160
+00:14:33,890 --> 00:14:41,010
+عاكفون عليه هذا أصل الجبهة نحن عاكفون عليه أو نحن
+
+161
+00:14:41,010 --> 00:14:44,930
+عليه عاكفون عليه طبعا قدمنا عليه نحن عاكفون عليه
+
+162
+00:14:44,930 --> 00:14:49,310
+دخلت لن نبرح عند إذن نحن تستتر عند دخول مثل هذا
+
+163
+00:14:49,310 --> 00:14:56,670
+الفعل تستتروا نحن لن نبرح يعني نحن صامدونتخيل لو
+
+164
+00:14:56,670 --> 00:15:03,230
+قلنا سنظلوا سنظلوا صامدين نحن صامدون انا طالب في
+
+165
+00:15:03,230 --> 00:15:08,490
+الجامعة الإسلامية اه لو دخلت مازالة مازلت طالب في
+
+166
+00:15:08,490 --> 00:15:12,310
+الجامعة الإسلامية عند اذا طبعا اتصل الضمير لم يظل
+
+167
+00:15:12,310 --> 00:15:19,930
+انا اتصل طبعا وما مثله هنا تاء الفاعلالضمير المتصل
+
+168
+00:15:19,930 --> 00:15:24,970
+المبني على الضمء إذا لن نبره عليه عاكفين كيف نعرفه
+
+169
+00:15:24,970 --> 00:15:30,140
+لأن لن نبره عربناها أين اسمه لن نبرها؟مستتر، لا
+
+170
+00:15:30,140 --> 00:15:34,940
+نقول محذوف، نعم عن الفاعل ونائب الفاعل واسم الفعل
+
+171
+00:15:34,940 --> 00:15:40,120
+الناقص، لا نقول محذوف، نقول مستتر مرة أخرى الفاعل
+
+172
+00:15:40,120 --> 00:15:44,980
+ونائب الفاعل واسم الفعل الناقص، لا نقول إنها
+
+173
+00:15:44,980 --> 00:15:49,920
+محذوفة، هذه مستترة، إن لم نراها، فهي مستترة لنبرح
+
+174
+00:15:49,920 --> 00:15:55,540
+إذن واسم لنبرح ضمير مستتر تقديره نحن أين خبر
+
+175
+00:15:55,540 --> 00:16:03,430
+لنبرح؟ عاكفين، واضح يا شباب؟المجموعة الثالثة إذا
+
+176
+00:16:03,430 --> 00:16:09,210
+هي ثلاث مجموعات مجموعة تعمل من دون شرط ومجموعتين
+
+177
+00:16:09,210 --> 00:16:13,470
+تعملان بشرط المجموعة الأولى من المجموعتين هتين
+
+178
+00:16:13,470 --> 00:16:18,570
+التي تعمل بشرط سبقها بنفي أو نهي جينا بالثاني على
+
+179
+00:16:18,570 --> 00:16:25,130
+النفي النهي كما لو قلت لك لا تزال مجتهدا في دراستك
+
+180
+00:16:25,970 --> 00:16:31,750
+لا تزل أنا أطلب .. او يعني أطلب منك أن تظلى مشتهدا
+
+181
+00:16:31,750 --> 00:16:37,650
+في .. لا هنا لأنها و تزل جاء فعلا مجزوما بلا و
+
+182
+00:16:37,650 --> 00:16:42,510
+علامة جزمه السكون واسم لا تزل ضمير مستثر تقديره
+
+183
+00:16:42,510 --> 00:16:48,710
+أنت تقديره أنت ومشتهدا طبعا خبره لا تزل منصوب
+
+184
+00:16:48,710 --> 00:16:52,210
+وعلامة نصبه الفتح واضح؟ نعم
+
+185
+00:17:02,010 --> 00:17:14,750
+الطلاه تفتأ تذكر يوسفه تفتأ تذكر
+
+186
+00:17:14,750 --> 00:17:23,150
+يوسفه تفتأ تذكر يوسفهأه إذا أداة نفي هنا مقدرة
+
+187
+00:17:23,150 --> 00:17:28,210
+يعني ليست لأن الفعل لا يعمل من دوني أه من دوني
+
+188
+00:17:28,210 --> 00:17:34,630
+طبعا أداة نفي المجموعة الأخيرة هي داما داما هذه لا
+
+189
+00:17:34,630 --> 00:17:41,570
+تعمل إلا بسبقها بما المصدرية الظرفية ما هنا يعني
+
+190
+00:17:41,570 --> 00:17:47,260
+ليست كما التي تسبق زالة ما زال ما هناك نافيةما
+
+191
+00:17:47,260 --> 00:17:53,360
+التي تسبق زالة أو انفكة أو فتئة أو بريحة تلك ما
+
+192
+00:17:53,360 --> 00:17:59,840
+النافية ما هنا مصدرية ضرفية ما معناه أنها مصدرية
+
+193
+00:17:59,840 --> 00:18:04,640
+ضرفية انظروا وأوصاني بالصلاة والزكاة ما دمت حيا
+
+194
+00:18:04,640 --> 00:18:11,400
+وأوصاني بالصلاة والزكاة ما دمت حيا
+
+195
+00:18:14,270 --> 00:18:19,150
+بالضبط هذا ليس ممكن فقط هذا هو المعنى ما مصدرية
+
+196
+00:18:19,150 --> 00:18:24,510
+نؤورها مع فعلها بمصدر مؤول كما سنرى الآن لكن ما
+
+197
+00:18:24,510 --> 00:18:28,770
+معنى ظرفية تعالوا ننظر ما معنى مصدري أنظروا أنا
+
+198
+00:18:28,770 --> 00:18:32,490
+عندما أقول أوصاني بالصلاة والزكاة ما دومت حيا أليس
+
+199
+00:18:32,490 --> 00:18:38,390
+المعنى أوصاني بالصلاة والزكاة مدة دوامي حيا ثم ما
+
+200
+00:18:38,390 --> 00:18:43,790
+معنى الظرفيةكلمة مدة هي التي دلت عليها تخيلوا هل
+
+201
+00:18:43,790 --> 00:18:49,810
+نستطيع هنا أن نستغني عن كلمة مدة؟ هل يمكن؟ جربوا
+
+202
+00:18:49,810 --> 00:18:54,690
+وأوصاني بالصلاة والزكاة دوامح هل يستقيموا المعنى؟
+
+203
+00:18:54,690 --> 00:18:59,050
+لا يستقيموا المعنى من دوني لذلك قيل إنها مصدرية
+
+204
+00:18:59,050 --> 00:19:04,320
+ضرفيةيعني هي تدل على المصدر مع فعلها وتدل أيضا على
+
+205
+00:19:04,320 --> 00:19:08,440
+مدة زمانية واذي يسميها بعض العلماء بعض العلماء
+
+206
+00:19:08,440 --> 00:19:16,960
+يسمونها ماء الزمانية ماء الزمانيةالمصدرية إذا
+
+207
+00:19:16,960 --> 00:19:23,700
+أوصاني بالصلاة والزكاة مدة دوامي حية هذا المعنى لا
+
+208
+00:19:23,700 --> 00:19:30,220
+نلمسه في ما التي في مازالة ما التي في مازالة حرف
+
+209
+00:19:30,220 --> 00:19:37,620
+نفي فقط حرف نفي فقط واضح؟ لو عقدنا مقارنة بين
+
+210
+00:19:40,690 --> 00:19:45,950
+زالة و دامة تعالوا نعقد مقارنة ما بين هذين الفعلين
+
+211
+00:19:45,950 --> 00:19:53,130
+تعالوا نعقد مقارنة سريعة هيا من يحاول تفضل ما التي
+
+212
+00:19:53,130 --> 00:19:56,950
+في مادامتك مصدرية ضرفية بالضبط إذا الفرق الأول ما
+
+213
+00:19:56,950 --> 00:20:01,710
+التي في مادامة التي تسبق دامة مصدرية ضرفية ما التي
+
+214
+00:20:01,710 --> 00:20:06,090
+تسبق زالة نافية فقط هذا الفرق الأول الثاني
+
+215
+00:20:09,360 --> 00:20:14,020
+أحسن، ما لا يسويقه إلا هذا الحرف، هذا حرف وحيد
+
+216
+00:20:14,020 --> 00:20:18,900
+فقط، لكن زال يسويقها ما وغيره ما من حروف النفي
+
+217
+00:20:18,900 --> 00:20:23,380
+والنهي، ممتاز، من يعطينا فرق ثالث، النعمما دام يجب
+
+218
+00:20:23,380 --> 00:20:27,920
+أن تكون ما .. أن تسبق دام ما .. ما .. في ال .. ما
+
+219
+00:20:27,920 --> 00:20:30,560
+ممكن يعني تسبب درجة .. كلها في الفرق الثاني، هذا
+
+220
+00:20:30,560 --> 00:20:34,460
+هو الفرق الثاني، نعم حمزة ما دام تدل على الاستضافة
+
+221
+00:20:34,460 --> 00:20:39,440
+أحسنت .. أحسنت و هذا هو الأصل الفرق الأول، نعم، ما
+
+222
+00:20:39,440 --> 00:20:44,670
+دام تدل على التلازممازال تدل على الاستمرار ما معنى
+
+223
+00:20:44,670 --> 00:20:47,690
+التلازم والاستمرار يعني انا عندما اقول مازال المطر
+
+224
+00:20:47,690 --> 00:20:54,610
+يعني يحطل مادام المطر هنا مازال المطر ينزل مازال
+
+225
+00:20:54,610 --> 00:20:58,570
+هي تدل هنا فقط على استمرار نزول المطر لكن مادام
+
+226
+00:20:58,570 --> 00:21:03,290
+تدل على تلازم أمرين معاه سأظل في البيت سأبقى في
+
+227
+00:21:03,290 --> 00:21:08,540
+البيتما دام المطر ينزل يعني أنا ألزمت ما بين هذين
+
+228
+00:21:08,540 --> 00:21:12,760
+الأمرين مكثي في البيت ونزول المطر هناك تلازم
+
+229
+00:21:12,760 --> 00:21:18,080
+بينهما سأبقى في البيت ما دام المطر ينزل هذا هو
+
+230
+00:21:18,080 --> 00:21:21,740
+التلازم هذا هو التلازم لكن في ما زالة لا تدل على
+
+231
+00:21:21,740 --> 00:21:25,300
+مثلي هذا التلازم هي تدل على الاستمرار فقط ما زال
+
+232
+00:21:25,300 --> 00:21:29,000
+المطر ينزل انتهى تدل على هذه الفكرة فقط أن المطر
+
+233
+00:21:29,000 --> 00:21:34,830
+لازال ينزل واضح ما نعطيه فرقا رابعةأنا عم .. أيه
+
+234
+00:21:34,830 --> 00:21:44,210
+حمزة؟ أحسنت .. أحسنت هذا الفرق الرابع دام فعل جامد
+
+235
+00:21:44,210 --> 00:21:48,890
+لا يأتي منه لا المضارع ولا الأمر زال يأتي منه
+
+236
+00:21:48,890 --> 00:21:51,730
+المضارع فقط الأمر لا يأتي منها أيضا و من هذه
+
+237
+00:21:51,730 --> 00:21:57,830
+الأفعال كلها إذا زال فعل ناقص متصرف تصرفا ناقصة
+
+238
+00:21:58,240 --> 00:22:04,160
+متصرف انتصرفا ناقصا بمعنى يأتي منه الماضي والمضارع
+
+239
+00:22:04,160 --> 00:22:09,860
+ما نعطيه فرقا خامسة نعم صحيح
+
+240
+00:22:09,860 --> 00:22:18,300
+مازال المطر مستمر نعم مادام يمكن لكن على أساس يعني
+
+241
+00:22:18,300 --> 00:22:23,180
+مادام المطر مستمرا سأظل في البيتأه بهذا المعنى
+
+242
+00:22:23,180 --> 00:22:27,840
+يعني لا يكتفى بها لا تقوم بها جملة إلا بملزوم
+
+243
+00:22:27,840 --> 00:22:34,440
+بملزومي هذه الجملة أنتم لم تقولوا أنتم انتبهتم لكن
+
+244
+00:22:34,440 --> 00:22:39,900
+لم تشيروا إلى أن دامة وحيدة لكن زالة لها أخوات أه
+
+245
+00:22:39,900 --> 00:22:47,200
+زالة لها أخوات واضح حد فنوني مضارع كانةهذه النون
+
+246
+00:22:47,200 --> 00:22:50,220
+يجوز
+
+247
+00:22:50,220 --> 00:22:55,600
+حذفها للتخفيف والمثال
+
+248
+00:22:55,600 --> 00:23:01,980
+على ذلك وإن تكن حسنة يضاعفها طبعا هذه آية قرآنية
+
+249
+00:23:01,980 --> 00:23:05,500
+لا يجوز أن نغير فيها لكن في غير القرآن هل يجوز أن
+
+250
+00:23:05,500 --> 00:23:11,100
+نقول وإن تكن حسنة أنا عم يجوز بالضبط إذا هذا يجوز
+
+251
+00:23:11,800 --> 00:23:18,060
+وإن تكن حسنة أيجوز ويجوز أن نحذفها طب ما الغرض من
+
+252
+00:23:18,060 --> 00:23:21,900
+هذا التخفيف .. من هذا الحذف التخفيف .. الغرض من
+
+253
+00:23:21,900 --> 00:23:28,400
+الحذف التخفيف يعني فيها لطف وخفة وسلاسة وعذوبة في
+
+254
+00:23:28,400 --> 00:23:33,340
+هذه اللغة الكريمة متى يجوز أن نحذف مثل هذه؟ أولا
+
+255
+00:23:33,340 --> 00:23:40,370
+يجب أن يكون الفعل مضارع ومجزومهذا يعني أن نونا
+
+256
+00:23:40,370 --> 00:23:45,850
+الماضي لا تُحذف ونون الأمري لا تُحذف إذن يجب أن
+
+257
+00:23:45,850 --> 00:23:50,950
+يكون مضارعا ومجزومة وانظر هنا تكون هل هو مضارع أه
+
+258
+00:23:50,950 --> 00:23:55,750
+نعم أصلها تكون طب هل هي مجزومة أه نعم كلمة مجزومة
+
+259
+00:23:55,750 --> 00:24:01,750
+ما سبب جزمه جزم هذا الفعل المضارع أه نعم سبب الجزم
+
+260
+00:24:01,750 --> 00:24:11,450
+اي مؤمن حرف الشرط إن إن تدرس تنجحإن تكن إذا إن
+
+261
+00:24:11,450 --> 00:24:15,610
+تجزم الفعلين وليس فعلًا واحدة بالضبط الشرط الثاني
+
+262
+00:24:15,610 --> 00:24:20,930
+أن تكون علامة الجزم السكون يعني لو كانت علامة هل
+
+263
+00:24:20,930 --> 00:24:24,890
+يمكن أن تكون علامة جزم الفعل المضارع غير السكون
+
+264
+00:24:24,890 --> 00:24:31,150
+ممكن أه نعم الأفعال الخامسة علامة جزم حرف النون
+
+265
+00:24:31,870 --> 00:24:38,050
+المضارع المعتل الأخر علامة جزمه حذف حرف العلة إذا
+
+266
+00:24:38,050 --> 00:24:43,090
+لكي يجوز حذف النون يجب أن تكون علامة الجزم حرف
+
+267
+00:24:43,090 --> 00:24:51,040
+السكونان تكون حرفة ا نعم صحيح علامة الجسم ان كانت
+
+268
+00:24:51,040 --> 00:24:55,880
+سكونا فهي أصلية وان لم تكن سكونا فهي فرعية نعم حدف
+
+269
+00:24:55,880 --> 00:25:00,540
+حرف العلة فرعي وحدف النون أيضا فرعي الشرط الثالث
+
+270
+00:25:00,540 --> 00:25:06,010
+ان لا يكون مضارعها متصلا بضميركما صرنا الأنثواط
+
+271
+00:25:06,010 --> 00:25:09,470
+أنثرة على ذلك كيف يكون متصرا بضمير الشرط الرابع
+
+272
+00:25:09,470 --> 00:25:14,670
+اللي يكون ما بعد مضارعها حرفا ساكنة كيف نستوفي هذه
+
+273
+00:25:14,670 --> 00:25:19,590
+الشرط انظروا أنثرة لا يجوز فيها حذف النورحتى نشعر
+
+274
+00:25:19,590 --> 00:25:24,350
+الأمثلة كلها يعني مثلا سنكون دوما شامة بين الناس
+
+275
+00:25:24,350 --> 00:25:27,270
+كما وصلا النبي صلى الله عليه وسلم سمعتم بهذا
+
+276
+00:25:27,270 --> 00:25:32,670
+الحديث قال الرسول صلى الله عليه وسلم كونوا شامة
+
+277
+00:25:32,670 --> 00:25:36,990
+بين الناس نحن الأرقى إذ إننا مسلمون كما قال ربنا
+
+278
+00:25:36,990 --> 00:25:41,810
+سبحانه و لا تهنوا ولا تحزنوا وأنتم الأعلون إن كنتم
+
+279
+00:25:41,810 --> 00:25:47,710
+مؤمنين فالمؤمن دائما مستعل بدينه راق بإسلامه
+
+280
+00:25:48,730 --> 00:25:51,050
+سنكونوا دوما .. هنا هل يجوز وحاد فنون يا
+
+281
+00:25:51,050 --> 00:25:55,130
+عبدالكريم؟ لماذا؟ صحيح لأ، لا يجوز، لماذا السؤال؟
+
+282
+00:25:55,130 --> 00:26:00,250
+لأنه لسه اتمش ذومه، هذا الفعل وانظروايعني أنت لو
+
+283
+00:26:00,250 --> 00:26:04,230
+حاولت أن تحذف النون هنا انظر كيف سيكون اللفظ عند
+
+284
+00:26:04,230 --> 00:26:11,170
+إذن سنكون دوما يعني ليست يعني طيب لو كانت علامة
+
+285
+00:26:11,170 --> 00:26:15,070
+الجزم غير النون كما في قول تعالى إن تكونوا تألمون
+
+286
+00:26:15,070 --> 00:26:21,080
+تكون هنا فعل مجزوم أيضا لأنه جزمه بإن الشرطيةهنا
+
+287
+00:26:21,080 --> 00:26:26,400
+علامة الجزم حذفه النون جرّ اللي حذفنا نون هنا طبعا
+
+288
+00:26:26,400 --> 00:26:30,200
+علامة الجزم حذفه النون الافعال الخامسة لو جينا
+
+289
+00:26:30,200 --> 00:26:36,800
+نحذفه نون الفعلي نفسه هنا نون الفعلي نفسه هنا انظر
+
+290
+00:26:36,800 --> 00:26:41,500
+ان تكون انت يعني لا يستقيم اللفظ نعم
+
+291
+00:26:44,320 --> 00:26:49,920
+لم يكن .. هناك جاز حذفها .. جاز حذفها .. اصلا لم
+
+292
+00:26:49,920 --> 00:26:56,980
+يكن .. اه .. شيئ .. اه .. او .. و لم اكن بغية .. و
+
+293
+00:26:56,980 --> 00:27:01,320
+لم اكن .. اصلا هنا جاز .. اه جاز طبعا .. الحقيقة
+
+294
+00:27:01,320 --> 00:27:09,080
+الماضحة لكي يجوز حذف النون يجب ان لا يتصل الفعل
+
+295
+00:27:09,080 --> 00:27:14,610
+بضمير .. بضمير .. انظرواإن تكنه هذا الأنموذج يعني
+
+296
+00:27:14,610 --> 00:27:18,290
+مثلا تكلمنا عن صلاح الدين الأيوبي على سبيل المثال
+
+297
+00:27:18,290 --> 00:27:25,030
+فما قلتلي طلبتي هذا الأنموذج الكريم إن تكنه ترتقي
+
+298
+00:27:25,030 --> 00:27:30,950
+وتتقلق وتنجح وتعز إلى أخرت إن تكنه هنا لا يجوز حذف
+
+299
+00:27:30,950 --> 00:27:35,270
+النوم هذا مثال على اتصال الفعل المضارع المجزوم
+
+300
+00:27:35,270 --> 00:27:41,240
+بضمير هنا لا يجوز أن نحذفقال سبحانه وتعالى إن
+
+301
+00:27:41,240 --> 00:27:45,160
+الذين كفروا وظلموا لم يكن الله ليغفر لهم ولا
+
+302
+00:27:45,160 --> 00:27:49,260
+ليهديهم هنا لا يجوز أن نحذف النون لأنه جاء بعد
+
+303
+00:27:49,260 --> 00:27:54,700
+النون بعد الفضل المضارع المجدوم حرف ساكن هنا لا
+
+304
+00:27:54,700 --> 00:27:58,800
+يجوز أن نحذفه لا يجوز أن نقول لأ لا يجوز ولا نريد
+
+305
+00:27:58,800 --> 00:28:05,700
+أن نفضه لمجيء الحرف الساكني بعده مباشرة واضح؟واضح
+
+306
+00:28:05,700 --> 00:28:10,180
+هذه الأمثلة واضحة سؤال يا شباب طب تعالوا نعرف في
+
+307
+00:28:10,180 --> 00:28:14,620
+الدقائق المتبقية ان تكونوا تألمون انا عام يا حمزة
+
+308
+00:28:14,620 --> 00:28:21,480
+و
+
+309
+00:28:21,480 --> 00:28:25,360
+أوصاني بالصلاة والزكاة
+
+310
+00:28:26,550 --> 00:28:33,070
+وأوصاني بالصلاة والزكاة مدة والمصدر المؤول في محل
+
+311
+00:28:33,070 --> 00:28:37,370
+نصبي ضارف زمان أه نعم أحسن لأن عد إلى المعنى
+
+312
+00:28:37,370 --> 00:28:44,070
+وأوصاني بالصلاة والزكاة مدة مدة ضارف زمانمدة ثم
+
+313
+00:28:44,070 --> 00:28:49,250
+أضافنا ضرف الزمان إلى ما بعده والمضاف ليه في
+
+314
+00:28:49,250 --> 00:28:54,030
+النهاية في حجر المضاف إذا نعم في محلي نصبي ضرفي
+
+315
+00:28:54,030 --> 00:28:58,790
+زمان وأوصاني بالصلاة والزكاة وهذا سؤال محترم يا
+
+316
+00:28:58,790 --> 00:29:05,330
+حمزة حقيقة سؤال محترم من محترم سؤال أيه يا شباب طب
+
+317
+00:29:05,330 --> 00:29:08,750
+تعالوا نعرف ان تكونوا تألمون فإنهم يألمون كما
+
+318
+00:29:08,750 --> 00:29:09,350
+تألمون
+
+319
+00:29:12,320 --> 00:29:18,120
+تفضل تكونوا فعل مضارع منصورة تكونوا وإن أليس لحد
+
+320
+00:29:18,120 --> 00:29:24,300
+من ال .. نعم أن حد توقيتني أنا فقط سأقتصر على
+
+321
+00:29:24,300 --> 00:29:27,020
+إعراف بما يطلبه منا في المصاد على فكرة وإن هنا
+
+322
+00:29:27,020 --> 00:29:30,600
+مطلوبته مننا سندرسه بالتفصيل سندرس حروف الشرط
+
+323
+00:29:30,600 --> 00:29:38,330
+وأسماء بالتفصيل نعم inحرف شرط مبني على السكون لا
+
+324
+00:29:38,330 --> 00:29:44,630
+محل له من العرب انظر
+
+325
+00:29:44,630 --> 00:29:50,530
+كم مرة كررنا اه نعم اذا فعل المضارع مجزوم
+
+326
+00:29:53,960 --> 00:29:59,660
+بالضبط إذا تكون فعل مضارع مجزوم و علامة جزمه حذف
+
+327
+00:29:59,660 --> 00:30:03,760
+النون إن لم تكن علامة الجزم السكون يجب أن نعلّل
+
+328
+00:30:03,760 --> 00:30:08,840
+فعند الذنب نقول لأنه من الفعال الخامسة والواو ضمير
+
+329
+00:30:08,840 --> 00:30:18,390
+ضمير متصل مبني على السكون في محل رفع اسم تكونفي
+
+330
+00:30:18,390 --> 00:30:24,190
+محل رفع اسمه تألمون فعل مضارع مرفوع وعلامة رفعه
+
+331
+00:30:24,190 --> 00:30:27,650
+ثبوت النون لأنه من الأفعال الخامسة إذا لم تكن
+
+332
+00:30:27,650 --> 00:30:31,370
+اتضامة علامة على الرفع أيضا نعلل والواو ضميره متصر
+
+333
+00:30:31,370 --> 00:30:35,950
+مبنون على السكون في محل رفع فاعل والجملة الفعلية
+
+334
+00:30:35,950 --> 00:30:41,690
+تألمون في محل نصب خبر تكون
+
+335
+00:30:46,090 --> 00:30:53,250
+أه نعم بعد تألمون والجملة الفعلية تألمون من الفعلي
+
+336
+00:30:53,250 --> 00:30:56,870
+والفعلي بالطبع الفعل تألمون والواو طبعا هي فاعلها
+
+337
+00:30:56,870 --> 00:31:02,350
+في محل نصب خبر تكون الفاء طبعا هو الواقعات وفي
+
+338
+00:31:02,350 --> 00:31:07,830
+جواب الشرط تألمون فإنهم عفوا إن حرفه توكيد ونصب
+
+339
+00:31:07,830 --> 00:31:13,830
+مبني على الفتح لمحل من إعراب هم ضمير متصل مبني على
+
+340
+00:31:13,830 --> 00:31:20,300
+السكون في محل نصباسمي إنه يألم الفعل مضارع مرفوع
+
+341
+00:31:20,300 --> 00:31:25,860
+وعلامة رفعي ثبوت النون والواو ضمير متصل مبني على
+
+342
+00:31:25,860 --> 00:31:30,460
+السكون في محل رفعي فائل والجملة الفعلية هنا في محل
+
+343
+00:31:30,460 --> 00:31:37,140
+رفعي خبري إنه والجملة الفعلية إنهم يألمون في محل
+
+344
+00:31:37,140 --> 00:31:42,360
+جزمي جواب الشرط في محل جزمي جواب الشرط سؤال يا
+
+345
+00:31:42,360 --> 00:31:45,740
+شباب هل هناك سؤال أشكركم
+
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/kawsmqr0UQw_postprocess.srt b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/kawsmqr0UQw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..efa021727fff8fd7cfb053a5e2988c126ca751a6
--- /dev/null
+++ b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/kawsmqr0UQw_postprocess.srt
@@ -0,0 +1,1376 @@
+1
+00:00:20,650 --> 00:00:25,040
+أعوذ بالله من الشيطان الرجيمبسم الله الرحمن الرحيم
+
+2
+00:00:25,040 --> 00:00:28,080
+الحمد لله و الصلاة والسلام على رسول الله و آله و
+
+3
+00:00:28,080 --> 00:00:35,600
+صحبه ومن ولا طبعا نأتي في هذا المصادق الكريم إلى
+
+4
+00:00:35,600 --> 00:00:42,040
+هذه المحاضرة و هي حول علامات الاسم الاسم له علامة
+
+5
+00:00:42,040 --> 00:00:46,000
+طبعا قلنا الكلمة تنقسم إلى ثلاثة أقسام و نبهنا في
+
+6
+00:00:46,000 --> 00:00:50,500
+المرة السابقة إلى أن الاسم قسم من أقسام الكلمة
+
+7
+00:00:50,500 --> 00:00:55,280
+لكنه القسم الأكبر وذكركم مرة أخرىبأن الحروف قليلة
+
+8
+00:00:55,280 --> 00:00:59,740
+يعني عندما نقول أن الكلمة تتقسم لأقسام ثلاثة لا
+
+9
+00:00:59,740 --> 00:01:04,200
+يعني أن الأقسام متساوية في حجمها فالحروف قليلة لا
+
+10
+00:01:04,200 --> 00:01:09,020
+تزيد عن مائة حرف في عشرات الحروف فقط الأفعال
+
+11
+00:01:09,020 --> 00:01:13,240
+بالألاف ربما لكن الأسماء بالملايين الأسماء في غاية
+
+12
+00:01:13,240 --> 00:01:20,860
+الكثرة وذلك له مؤشراتكثيرة لكن انا سندرس علامات كل
+
+13
+00:01:20,860 --> 00:01:26,660
+كلمة كل قسم من هذه الأقسام ماهي علامات الاسم وحتى
+
+14
+00:01:26,660 --> 00:01:31,260
+نريح أنفسنا وننظر إلى هذه المسألة العلاماتهي
+
+15
+00:01:31,260 --> 00:01:36,020
+مؤشرات تساعدنا على التعرف على هذا الاسم تماما كما
+
+16
+00:01:36,020 --> 00:01:40,620
+لو ذهبت إلى المستشفى ستعرف من خلال اللباس الأبيض
+
+17
+00:01:40,620 --> 00:01:44,640
+أن هذا طبيب أو ممرض أنت في المجتمع عندما تنظر إلى
+
+18
+00:01:44,640 --> 00:01:48,960
+اللباس الأزرق تعرف أن هذا من الشرطة إن رأيت رجل
+
+19
+00:01:48,960 --> 00:01:53,740
+يلبس اللباس الأحمر تتنبه إلى أن هذا يؤشر على أنه
+
+20
+00:01:53,740 --> 00:01:58,000
+من رجال الدفاع المدني و هكذا فهذه إشارات مساعدات
+
+21
+00:01:58,490 --> 00:02:05,210
+إذا هي مؤشرات تساعدنا في التعرف على الكلمةإذا هي
+
+22
+00:02:05,210 --> 00:02:09,650
+أمور تساعدنا وليس تثقل كاهلنا ينبغي أن نستشر هذا
+
+23
+00:02:09,650 --> 00:02:15,170
+المعنى إيه الآن من علامات الاسم الجر عندما نقول أن
+
+24
+00:02:15,170 --> 00:02:19,730
+الجر من علامات الاسم إن رأينا كلمة مجررة فهي قطعا
+
+25
+00:02:19,730 --> 00:02:25,210
+اسم الفعل لا يجر والحرف أصلا لا يعرب الحرف لا يجر
+
+26
+00:02:25,210 --> 00:02:29,850
+ولا ينصب ولا يرفع ولا يجزم فالحرف مبني دائما وأبدا
+
+27
+00:02:29,850 --> 00:02:35,590
+لا يتأثر بعاملولا تظهر عليه حركة إعرابية الحرف
+
+28
+00:02:35,590 --> 00:02:42,690
+مبني إذا أنا عندما أقول الجر من علامات لسم بمعنى
+
+29
+00:02:42,690 --> 00:02:48,190
+أنه لا يجر إلا لسم كما سنرى أنه في الأفعال لا يجزم
+
+30
+00:02:48,190 --> 00:02:58,390
+إلا الأفعال إذا هذه .. إذا هذه علامة علامة للسم
+
+31
+00:02:58,390 --> 00:03:03,990
+ما معنى الجر؟ الجرأو قبل أن نقول ما معنى الجر
+
+32
+00:03:03,990 --> 00:03:09,490
+تعالوا نمر على هذه العلامات الجر والتنوين والنداء
+
+33
+00:03:09,490 --> 00:03:14,830
+وقبول ال والإسناد تعالوا ندرس هذه العلامات واحدة
+
+34
+00:03:14,830 --> 00:03:20,130
+واحدة ما هو الجر الجر هو تغيير في آخر الاسم تغيير
+
+35
+00:03:20,130 --> 00:03:24,230
+في آخر الاسم يعني أنا عندما أقول مثلا بسم الله
+
+36
+00:03:24,230 --> 00:03:31,190
+الرحمن الرحيم باسمياسم ظهرت على أخرها كسرة ما الذي
+
+37
+00:03:31,190 --> 00:03:36,650
+جاء بالكسرة حرف الباء بغض النظر عن العامل سواء كان
+
+38
+00:03:36,650 --> 00:03:43,420
+حرف جر أو كان إضافةأو كان تبعية ما معنى هذا الكلام
+
+39
+00:03:43,420 --> 00:03:48,120
+يعني سواء كان العامل حرفا او مضافا او تبعية حرف
+
+40
+00:03:48,120 --> 00:03:54,880
+الجر نعرفه ان ذهبت الى الجامعة T انا في البيت حرف
+
+41
+00:03:54,880 --> 00:04:00,310
+الجر هذا تجر الأسماء من بعدهاالمضاف هو الذي يجر
+
+42
+00:04:00,310 --> 00:04:06,150
+المضاف إليه رجله جاء رجله الشرطة T ما الذي جر كلمة
+
+43
+00:04:06,150 --> 00:04:12,430
+الشرطة المضاف المضاف هو الذي جر المضاف إليه أو
+
+44
+00:04:12,430 --> 00:04:17,030
+ربما كان سببه في الجر التبعية والتوابع يعني النعت
+
+45
+00:04:17,030 --> 00:04:23,000
+أو التوكيد أو العطف واضح؟إذا عندما أقول الرحمن هنا
+
+46
+00:04:23,000 --> 00:04:29,760
+بسم الله الرحمن الرحمن نعت لفظ الجلالة فجرت لهذا
+
+47
+00:04:29,760 --> 00:04:35,200
+السبب هذه الكلمات عندما نراها مجرورة هذا قطعا يعني
+
+48
+00:04:35,200 --> 00:04:39,620
+أنها أسماءيعني أنها أسماء لأنه لا يجر إلا الأسماء
+
+49
+00:04:39,620 --> 00:04:44,140
+الآن هذا أتعلمته أنا أتعلمت هذا الكلام وأعرف أن
+
+50
+00:04:44,140 --> 00:04:49,180
+الجر لا يكون إلا في الأسماء ولو رأيت كثرة على آخر
+
+51
+00:04:49,180 --> 00:04:54,120
+كلمة أخرى تلك لها أسباب أخرى أنا أتكلم عن كثرة
+
+52
+00:04:54,120 --> 00:04:58,600
+الإعراب وليست الكثرة الطارئة على سبيل المثال كما
+
+53
+00:04:58,600 --> 00:05:05,710
+في قوله تعالى يرفع الله الذين آمنوا من يرفعييرفع
+
+54
+00:05:05,710 --> 00:05:10,090
+الله هذا فعل وسبه هذه الكثرة التقاء الساكنة أصل
+
+55
+00:05:10,090 --> 00:05:18,290
+الآية يرفعالله يرفع الله لارتقاء السكن كي نتخلص
+
+56
+00:05:18,290 --> 00:05:22,590
+نعم من التقاء الساكنين قصرنا الساكن الأول فهذه
+
+57
+00:05:22,590 --> 00:05:27,950
+ليست قصرة إعراب إنما قصرة تخلص من ظرف معين تلك
+
+58
+00:05:27,950 --> 00:05:33,430
+التي نسميها هذا الظرف يعني التقاء الساكنين إذا هو
+
+59
+00:05:33,430 --> 00:05:39,230
+تغيير في آخر لسن يقتضي قصرة بمعنى أن الجرّةيقتضي
+
+60
+00:05:39,230 --> 00:05:43,030
+علامة تدل على هذا الجر والعلامة الأصلية على الجر
+
+61
+00:05:43,030 --> 00:05:46,710
+هي الكسرة وهناك ما ينوب عن الكسرة ما الذي ينوب عن
+
+62
+00:05:46,710 --> 00:05:51,510
+الكسرة اليأ في جمع المذكر السالم واليأ أيضا في
+
+63
+00:05:51,510 --> 00:05:58,180
+المثنى واليأ أيضا في إيشفي الاسم المنقوص؟ لأ في
+
+64
+00:05:58,180 --> 00:06:02,320
+الأسماء الخمسة في أحسنت نعم إذا اللي هو في هذه
+
+65
+00:06:02,320 --> 00:06:08,500
+العنوين الثلاثة تنوب عن الكسرة وهناك أيضا ما ينوب
+
+66
+00:06:08,500 --> 00:06:11,180
+عن الكسرة تذكروا ما الذي ينوب أيضا عن الكسرة
+
+67
+00:06:11,180 --> 00:06:17,890
+الفتحة نعم لأ الفتحة في الممنوع من الصرفالفتحة
+
+68
+00:06:17,890 --> 00:06:25,910
+مررت بأحمد بأحمد لكن في الاسم المنقوص وفي الاسم
+
+69
+00:06:25,910 --> 00:06:31,890
+المقصور الكسرة هي التي تدل على الجر إلا إن كان
+
+70
+00:06:31,890 --> 00:06:35,950
+منوع من الصرف بالطبع إلا إن كان منوع من الصرف كما
+
+71
+00:06:35,950 --> 00:06:42,470
+نقول مثلا موسى اسم المقصور نقول مررت بموسى معرب
+
+72
+00:06:42,470 --> 00:06:50,880
+موسى هنامررتوا بموسى تفضل موسى اعرب موسى بصوت
+
+73
+00:06:50,880 --> 00:06:56,280
+مرتفع جار و مجرور موسى جار و مجرور موسى اعراب موسى
+
+74
+00:06:56,280 --> 00:06:59,920
+اسم مجرور بالضبط اذا اسمه مجرور كمل اسم مجرور
+
+75
+00:06:59,920 --> 00:07:04,040
+بالكسرة المقدر على اهل انظر هو مجرور بالباق و ليس
+
+76
+00:07:04,040 --> 00:07:08,640
+بالكسرة وعلى ما تجرهي الكسرة مقدر على اهل ارايتم
+
+77
+00:07:08,640 --> 00:07:16,080
+ما رأيكم في هذا الاعراب ما رأيكالثقة التعذر التعذر
+
+78
+00:07:16,080 --> 00:07:22,440
+نعم لكنها ليست كسرة اسم مجرور وعلامته جره الفتحة
+
+79
+00:07:22,440 --> 00:07:28,040
+المقدرة نيابا او نيابة عن الكسرة منع من ظهورها
+
+80
+00:07:28,040 --> 00:07:33,260
+التعذر لأن الألف يستحيل أن تتحرك الألف دائما لا
+
+81
+00:07:33,260 --> 00:07:38,040
+تتحرك نقول الثقة مثلا عن القاضي نقول جاء القاضي
+
+82
+00:07:38,040 --> 00:07:42,940
+نقول القاضي هنا فاعل مرفوعوعلامة رفعه الضمة
+
+83
+00:07:42,940 --> 00:07:47,060
+المقدرة منع من ظهورها الثقل لأن انا استطيع ان اقول
+
+84
+00:07:47,060 --> 00:07:52,620
+القاضي لكنها ثقيلة و لغة و لغة مرهفة لطيفة رقيقة
+
+85
+00:07:52,620 --> 00:07:59,240
+جميلة اي امر يعني يستثقل يستبعد فاقول ناجها القاضي
+
+86
+00:07:59,240 --> 00:08:07,330
+لكن كلمة موسىألف ولا تتحرك أبدا لا بفتحة ولا كسرة
+
+87
+00:08:07,330 --> 00:08:10,870
+ولا ضمة دائما و أبدا و لذا نقول منع من ظهورها
+
+88
+00:08:10,870 --> 00:08:14,930
+التعذر أي الاستحالة لأنه يستحيل أنه يحرك الألف
+
+89
+00:08:14,930 --> 00:08:18,770
+والألف هو الصوت الوحيد هو الحرف العربي الوحيد الذي
+
+90
+00:08:18,770 --> 00:08:24,300
+لا يتحرك أبداإذا موسى حتى تطرد القاعدة نعم هي لم
+
+91
+00:08:24,300 --> 00:08:30,280
+تظهر لا حركة لا كسرة ولا فتحة لكن حتى تطرد القاعدة
+
+92
+00:08:30,280 --> 00:08:35,460
+لأنه منع من الصرف نقول اسم مجرور بالباء وليس بشيء
+
+93
+00:08:35,460 --> 00:08:42,260
+آخر وعلى ما تجره الفتحة المقدرة منع منظهر التعذر
+
+94
+00:08:42,260 --> 00:08:49,320
+وسبب مجيء الفتحة هنا أن كلمة موسى ممنوعة من الصرف
+
+95
+00:08:49,320 --> 00:08:56,900
+واضح ان شاء اللهالتنوين العلامة الثانية التنوين ما
+
+96
+00:08:56,900 --> 00:09:03,460
+هو التنوينانظر انا اتكلم هنا عن صوت النون في حالة
+
+97
+00:09:03,460 --> 00:09:08,240
+خاصة فانا عندي اكثر من نون انا عندما اقول جاء محمد
+
+98
+00:09:08,240 --> 00:09:16,180
+هذا الصوت نون وهو الذي يسمى التنوين لكن من هذا
+
+99
+00:09:16,180 --> 00:09:20,380
+الصوت نون لكن هل هو تنوين هذا حرف وينبغي ان نتنبه
+
+100
+00:09:20,380 --> 00:09:25,140
+الى هذه المثال رغم بدايتها عند الاكثرين التنوين هو
+
+101
+00:09:25,140 --> 00:09:35,000
+نون ساكنة زائدةزائدة تلحق آخر الاسم لفظا لا خطا
+
+102
+00:09:35,000 --> 00:09:39,540
+لغير التوكيد ما معنى هذا الكلام أنا عندما أقول جاء
+
+103
+00:09:39,540 --> 00:09:48,960
+محمد جاء خالد أخذته قلما مررت بجهادهذا هو التنوين
+
+104
+00:09:48,960 --> 00:09:51,680
+والتنوين هو ثلاثة أنواع كما تعلمون تنوين الضم
+
+105
+00:09:51,680 --> 00:09:58,680
+وتنوين الفتح وتنوين الكسر هذا هو التنوين وانتم
+
+106
+00:09:58,680 --> 00:10:02,800
+ترون اننا لا نكتبها نونة هذا معناه انها تأتي لفظا
+
+107
+00:10:02,800 --> 00:10:07,860
+لا خطةيعني لا نخطها نونا كما نعرفها حرف النون لأ
+
+108
+00:10:07,860 --> 00:10:12,120
+إنما نسمعها في اللفظ فقط ونشير اليها بالحركتين
+
+109
+00:10:12,120 --> 00:10:16,200
+بواوين أو بضمتين بفتحتين أو بكسرتين إشارة إلى
+
+110
+00:10:16,200 --> 00:10:22,000
+التنمن لكننا لا نكتبها نونا وهذا معناه أنها تنمن
+
+111
+00:10:22,000 --> 00:10:27,080
+ساكنة زائدة تلحق أخرى لاسم لفظا لا خطة لغير
+
+112
+00:10:27,080 --> 00:10:32,140
+التوكيدما معنى لغير التوكيد الآن حتى نتنبه إلى نون
+
+113
+00:10:32,140 --> 00:10:35,800
+التوكيد وبخاصة إنها وردت في القرآن الكريم وهذه
+
+114
+00:10:35,800 --> 00:10:40,220
+ليست من علامة الأسماء وهي قوله تعالى لَنَسْفَعَنَ
+
+115
+00:10:40,220 --> 00:10:44,140
+هي رسمت هذا الرسم في القرآن فقط يعني إذا أردنا أن
+
+116
+00:10:44,140 --> 00:10:48,060
+نكتبها بطريقتنا ينبغي أن نكتبها على هذه الصورة
+
+117
+00:10:48,060 --> 00:10:57,340
+لَنَعمَلَنَ لَنَسْفَعَنَ لَنَسْفَعَنَ لَنَسْفَعَنَ
+
+118
+00:10:57,530 --> 00:11:01,430
+فالرسم الوارد في القرآن هذا رسم خاص إذا ليس من
+
+119
+00:11:01,430 --> 00:11:05,530
+علامات الأسماء التنوين في كلمة لن أسف عنه لأن هذه
+
+120
+00:11:05,530 --> 00:11:13,450
+نون التوكيد المخففة أن أقول لن أعملن أكدت الفعل لن
+
+121
+00:11:13,450 --> 00:11:18,170
+أعمل بنون التوكيد الثقيلة أما أن أقول لن أعملن هذه
+
+122
+00:11:18,170 --> 00:11:24,240
+النون التوكيد الخفيفةالخفيفة لكن لماذا رسمت على
+
+123
+00:11:24,240 --> 00:11:28,360
+هذه الصورة هذا رسم قرآني فقط خاص بالقرآن أما في
+
+124
+00:11:28,360 --> 00:11:33,020
+الإملاء المعاصر ينبغي أن اكتبها على هذه الصورة
+
+125
+00:11:33,020 --> 00:11:39,120
+لنسفع لما جهي على هذه الصورة أكد علماؤنا أنها لغير
+
+126
+00:11:39,120 --> 00:11:42,620
+التوكيد التنوين لغير التوكيد حتى لا يلتبس الأمر
+
+127
+00:11:42,620 --> 00:11:46,480
+علينا في مثل هذه الحالة في قوله تعالى كلا لإن لم
+
+128
+00:11:46,480 --> 00:11:50,320
+ينتهي لنسفع بالناصية واضح هذه النقطة
+
+129
+00:11:53,890 --> 00:11:59,510
+النداء طبعا التنوين له أنواع نحن ما يهمنا هنا هذا
+
+130
+00:11:59,510 --> 00:12:03,530
+التنوين الذي يؤشر على الاسم ونحن إن رأينا كلمة
+
+131
+00:12:03,530 --> 00:12:08,450
+منونة بكل بساطة نفهم أنها اسم لأن الفعل لا ينون
+
+132
+00:12:08,450 --> 00:12:13,860
+وجرب هل رأيت فعل منونةيعني مثلا تعالى إلى الفعل
+
+133
+00:12:13,860 --> 00:12:20,080
+يدرس تخيل يعني يدرس بتنمين الضم أو يدرس أو يدرس
+
+134
+00:12:20,080 --> 00:12:25,260
+يعني مستحيل فنريد أن ننبه على هذه المسائل لأهميتها
+
+135
+00:12:25,260 --> 00:12:31,780
+لنا حتى إذا جئنا إلى الكلام عرفنا كيف نميز بين اسم
+
+136
+00:12:31,780 --> 00:12:37,030
+وفعل وحرف النداءلا ينادى إلا رسمي هو وقوع الرسم
+
+137
+00:12:37,030 --> 00:12:42,130
+بعد حرف النداء لا ينادى إلا رسمي مفهوم النداء لا
+
+138
+00:12:42,130 --> 00:12:46,250
+يكون إلا للأسماء أنت لا تنادي الأحرف ولا تنادي
+
+139
+00:12:46,250 --> 00:12:53,390
+الأفعال لكنك تنادي الأسماء أقول يا محمد يا سمير
+
+140
+00:12:53,390 --> 00:13:00,060
+وقد أنادي حتى الأسماء المعنوية يعني ياكرامة
+
+141
+00:13:00,060 --> 00:13:06,540
+المسلمين قد اناديها اه صح ايها الجهاد اين اينا اي
+
+142
+00:13:06,540 --> 00:13:10,940
+ايتها العزة الكريمة تعالى الى عودي الى بها كذا
+
+143
+00:13:10,940 --> 00:13:16,400
+استطيع ان انادي فلسطين فلسطين الحبيبة كيف احيا
+
+144
+00:13:16,400 --> 00:13:22,820
+بعيدا عن سهولك والهضاب فلسطين ليست ممن ينادي على
+
+145
+00:13:22,820 --> 00:13:26,850
+الحقيقة هذا نداء مجازيإذا لا ينادى إلا الأسماء
+
+146
+00:13:26,850 --> 00:13:30,850
+سواء كان بالحقيقة أو بالمجازة لكن الفعل يدرس هل
+
+147
+00:13:30,850 --> 00:13:34,930
+يمكن أن أناديه حتى و لو من باب المجازة تخيلوا يا
+
+148
+00:13:34,930 --> 00:13:40,630
+يدرس هل لها معنى هل هذا من سمة كلام العرب أو أيها
+
+149
+00:13:40,630 --> 00:13:45,130
+الحرف فيه يعني هل يمكن أن ينادى الحرف إذا لا ينادى
+
+150
+00:13:45,130 --> 00:13:52,330
+إلا الأسماء كما في قوله تعالى يا نوحه بط بسلاممنا
+
+151
+00:13:52,330 --> 00:13:56,590
+وبركات عليك وعلى أمم من قبلك إلى آخر آية الكريمة
+
+152
+00:13:56,590 --> 00:14:02,410
+ما هي حروف النداء طب عندما نقول حروف النداء ا و ا
+
+153
+00:14:02,410 --> 00:14:15,160
+اي و اي ثم ايا و هي و و ياالأصل فيها كلها يا
+
+154
+00:14:15,160 --> 00:14:22,060
+أشهرها يا هي المعروفة أ ربما سمعنا بيها أنا أقول أ
+
+155
+00:14:22,060 --> 00:14:31,640
+محمد أ فلسطين كذا الهمزة لكن أ هل سمعنا بيها قبل
+
+156
+00:14:31,640 --> 00:14:36,240
+ذلك أو هل نشعر بيها الغريب أننا لا نلتفت إلى ذلك
+
+157
+00:14:36,240 --> 00:14:40,700
+لكن أنا شخصيا أشعر أننا لازمنا نستخدمها حتى في
+
+158
+00:14:40,700 --> 00:14:45,440
+حياتنا العاميةونقولها في حياتنا العامية وربما
+
+159
+00:14:45,440 --> 00:14:51,040
+تعرفون أن بعض الكلمات لازالت موجودة في لغتنا
+
+160
+00:14:51,040 --> 00:14:55,240
+العامية في لهجتنا لهجاتنا العامية ونقولها تخيلوا
+
+161
+00:14:55,240 --> 00:15:02,240
+مثلا محمد يلّا نمدها
+
+162
+00:15:02,240 --> 00:15:08,300
+أم لا تذكروا هذا الكلام حتى نستشعر المعنى محمد
+
+163
+00:15:08,300 --> 00:15:15,400
+يلّاإذا لازلنا نستخدمها نقول أي تذكرون أي بنية انك
+
+164
+00:15:15,400 --> 00:15:21,200
+خرجت من العشر الذي فيه درجت او أي بنية أي .. أي
+
+165
+00:15:21,200 --> 00:15:27,780
+بنية اذا و هي فيها نوع من التحبب أي .. هذه ربما
+
+166
+00:15:27,780 --> 00:15:31,160
+يعني انا لا اذكر اننا استخدمناها مثلا في
+
+167
+00:15:31,160 --> 00:15:34,880
+استعمالاتنا العامية لكنها موجودة في تراتنا في
+
+168
+00:15:34,880 --> 00:15:39,540
+كتبنا الكريمة أي .. وهي أبدلنا
+
+169
+00:15:42,620 --> 00:15:49,180
+الحمزة هأأ والحمزة والها قريبا بعضهما من بعض لأن
+
+170
+00:15:49,180 --> 00:15:54,760
+كلاهما حرف حلقي ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا
+
+171
+00:15:54,760 --> 00:15:54,980
+ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا
+
+172
+00:15:54,980 --> 00:15:56,400
+ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا
+
+173
+00:15:56,400 --> 00:15:57,960
+ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا
+
+174
+00:15:57,960 --> 00:15:58,020
+ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا
+
+175
+00:15:58,020 --> 00:15:58,700
+ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا
+
+176
+00:15:58,700 --> 00:16:01,190
+ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا ا او هذه و
+
+177
+00:16:01,190 --> 00:16:06,530
+الندبة ولم تستعمل إلا نادرا من أجل النداء فقط و
+
+178
+00:16:06,530 --> 00:16:11,350
+تعلمون أن الندبة من أنواع النداء أقول و إسلاما
+
+179
+00:16:11,350 --> 00:16:16,290
+كأنني أنادي الإسلام أن يأتي لكي يسعفنا لكي ينقذنا
+
+180
+00:16:16,290 --> 00:16:22,390
+لكي ينقذنا من أحوالنا و من تيهنا و من هزيمتنا
+
+181
+00:16:22,390 --> 00:16:28,750
+الحالية إذا و إسلاما و معتصما هو نداء لكن و هذه
+
+182
+00:16:28,750 --> 00:16:33,920
+خاصة بالندبةيا تلك التي نعرفها و هي الأشهر و لو
+
+183
+00:16:33,920 --> 00:16:39,960
+أننا نادينا من دون أدا و أردنا أن نقدر لا نقدر ولا
+
+184
+00:16:39,960 --> 00:16:46,140
+يعني فلسطين الحبيبة كيف أحيا فلسطين أقول هذا منادا
+
+185
+00:16:48,460 --> 00:16:53,680
+وأدات النداء المقدرة ي لا يجوز أن اقدرها ا او اي
+
+186
+00:16:53,680 --> 00:16:58,680
+او اي او ايا لا لا لا يجوز اقدر فقط ي يعني ان حذف
+
+187
+00:16:58,680 --> 00:17:06,500
+حرف النداء ليكن الا ي لا اقدر الا ي حذف
+
+188
+00:17:06,500 --> 00:17:12,050
+حرف النداء مقيسمقيص يعني كثير في اللغة العربية،
+
+189
+00:17:12,050 --> 00:17:17,830
+ليس شاذة، إذا هو نمط عربي، محمد قم معي، حتى يعني
+
+190
+00:17:17,830 --> 00:17:21,790
+أمر نستسيقه، نستسيقه أن نحدي في حرف النداء، محمد
+
+191
+00:17:21,790 --> 00:17:28,460
+قم معي، علي هي، فلسطينوفلسطين الحبيبة كيف أحيا إذا
+
+192
+00:17:28,460 --> 00:17:33,340
+هل هذا أمر شاذ أو نادر له أمر مقيص معناه موجود
+
+193
+00:17:33,340 --> 00:17:39,240
+مضطرد فصيح ليست فيه أي مشاكل قالوا ربنا اغفر لنا
+
+194
+00:17:39,240 --> 00:17:46,800
+ذنوبنا ما المقصود هنا قالوا يا ربنا او او اذا
+
+195
+00:17:46,800 --> 00:17:53,280
+قدرنا اداة نداء اخرى ماذا يمكن ان نقدر او
+
+196
+00:17:54,190 --> 00:17:58,670
+قلنا لا يجوز إلا أن نقدر يا قبل خليه يقولنا لا
+
+197
+00:17:58,670 --> 00:18:04,930
+يجوز إلا أن نقدر يا إن غابت أداة النداء لا نقدر
+
+198
+00:18:04,930 --> 00:18:11,170
+إلا ياالان قد تدخل هذه الحروف على ما ليس اسمها
+
+199
+00:18:11,170 --> 00:18:15,650
+انظروا ها تدخل عليها لكنها لا تنادى كم مثلا في
+
+200
+00:18:15,650 --> 00:18:22,090
+قوله تعالى قيل ادخل الجنة قال يا ليت قوم يعلمون يا
+
+201
+00:18:22,090 --> 00:18:26,750
+هنا دخلت علي ليت وليت تعلمون أنها من حروفي من
+
+202
+00:18:26,750 --> 00:18:32,030
+أخواتي انها ها قلنا دخلت عليها لكننا لم نقول إنها
+
+203
+00:18:32,030 --> 00:18:38,700
+نادتها ليت لم تنادى اه ليت لا نناديهاواضح؟ إذا ما
+
+204
+00:18:38,700 --> 00:18:43,040
+معنى هذا الإشكال؟ كيف نحل هذا الإشكال؟ قولنا هذه
+
+205
+00:18:43,040 --> 00:18:50,330
+الحروف علامات على الاسمولا ينادى إلا الاسم لكننا
+
+206
+00:18:50,330 --> 00:18:55,370
+لم نقول لا تدخل هذه الكلمات إلا على الاسم قد تدخل
+
+207
+00:18:55,370 --> 00:19:01,590
+على غير الاسم وهي عند إذن احتمال من احتمالين وفي
+
+208
+00:19:01,590 --> 00:19:05,530
+قراءة أخرى أيضا الكسائي ألا يسجدوا لله الذي يخرج
+
+209
+00:19:05,530 --> 00:19:10,720
+الخبأ في السماوات والأرضألا يسجدوا هذه قراءة خاصة
+
+210
+00:19:10,720 --> 00:19:16,160
+بالكسائي والكسائي من علماء الأمة وهو عالم في
+
+211
+00:19:16,160 --> 00:19:23,740
+القراءات وأيضا رأس من رؤوس علم نحو بل هو من مؤسسي
+
+212
+00:19:23,740 --> 00:19:33,090
+المدرسة الكوفية توفي عام 93 بعد المئة الأولىقيل
+
+213
+00:19:33,090 --> 00:19:36,910
+ادخل الجنة قال يا ليت هنا يا ليت دخلت يا على ليت
+
+214
+00:19:36,910 --> 00:19:43,170
+حرف ألا يسجدوا دخلت يا على فعل إذا يا قد تدخل على
+
+215
+00:19:43,170 --> 00:19:49,190
+حرف أو على فعل لكن عندئذ لن تكون أداة نداء خرجها
+
+216
+00:19:49,190 --> 00:19:54,570
+العلماء علنا هنا للتنبيه هنا هي للتنبيه كما أنها
+
+217
+00:19:54,570 --> 00:20:00,420
+للتنبيه في أسم الإشارة أقول هذا اسم الإشارة دهأ
+
+218
+00:20:00,420 --> 00:20:06,600
+اسم الإشارة ده ه للتنبيه فقط ه ده و لازلنا ننبه
+
+219
+00:20:06,600 --> 00:20:13,040
+بعضنا بها او هي عندنا في لغتنا العامية انا اذكر
+
+220
+00:20:13,040 --> 00:20:16,000
+لغتنا العامية حتى نستأنسى بهذه الإشارات ان احنا
+
+221
+00:20:16,000 --> 00:20:21,760
+نقول مثلا هي يلاهي نميلها نعم لكن نستخدم هذا
+
+222
+00:20:21,760 --> 00:20:27,980
+التنبيه هذا إذا لقلنا ذا بدونها ممكن اسمه إشارة ثم
+
+223
+00:20:27,980 --> 00:20:33,400
+إنها لا نستخدمها عند إشارة إلى البعيد ذاك نقول ذاك
+
+224
+00:20:33,400 --> 00:20:39,820
+و نقول ذلك من دون التنبيه بها عند إذ إذن هذه قد
+
+225
+00:20:39,820 --> 00:20:45,620
+تكونوا التنبيه أو قد تكونوا يعني دائية نعم
+
+226
+00:20:45,620 --> 00:20:51,720
+والمنادة محذوفةيعني في الآية الأولى قال يا الله يا
+
+227
+00:20:51,720 --> 00:20:58,000
+الله ليت قوم يعلمون ممكن المنادة هنا محذوف وفي
+
+228
+00:20:58,000 --> 00:21:03,700
+الثانية ألا يا مسلمون أسجدوا لله الذي يخرج الخبأ
+
+229
+00:21:03,700 --> 00:21:09,860
+إذا من الممكن أن نعدها يا التنبيه كما أنها للتنبيه
+
+230
+00:21:09,860 --> 00:21:15,630
+أو أن نعد المنادة محذوفةو نقدره و نقول المنادة
+
+231
+00:21:15,630 --> 00:21:20,030
+محظوف تقديره كذا مما يتفق مع السياق مما يتفق مع
+
+232
+00:21:20,030 --> 00:21:24,150
+السياق هذا للمذهبان الأول للتنبيه و الثاني للنداء
+
+233
+00:21:24,150 --> 00:21:29,170
+طبعا و المنادة محظوف اذا ما هي العلمات اللتي
+
+234
+00:21:29,170 --> 00:21:34,570
+ذكرناها حتى الآن التنوين نعم والجار
+
+235
+00:21:36,150 --> 00:21:39,690
+أو أنا غيرته في الترتيب نحن خذنا الجر أولا ذكرنا
+
+236
+00:21:39,690 --> 00:21:49,430
+الجوار ثم التمين ثم النداء ثم النداء قبوله الوأذكر
+
+237
+00:21:49,430 --> 00:21:54,570
+مرة أخرى هذه علامات تساعدنا تريحنا في التفاعل مع
+
+238
+00:21:54,570 --> 00:21:59,390
+الكلمة العربية كيف نعرف هذه كيف نميز هذه عن تلك
+
+239
+00:21:59,390 --> 00:22:04,030
+كيف نفرق الإسم عن الفعل إذا هذه أمور تريحنا وليست
+
+240
+00:22:04,030 --> 00:22:11,890
+تثقل كاهلنا قبل ال ال لا تتصر بالأفعاللاتتصل
+
+241
+00:22:11,890 --> 00:22:17,970
+بالفعل هل اقول اليدرس او الدرس او او او اليدرس هل
+
+242
+00:22:17,970 --> 00:22:21,470
+استخدم هذا الكلام اذا هي بدهية عندنا على فكرة و
+
+243
+00:22:21,470 --> 00:22:25,750
+احنا فقط نرتبها ليس اكثر نرتبها نبوّب المعلومات في
+
+244
+00:22:25,750 --> 00:22:30,490
+ذهننا حتى تساعدنا في التعرف على هذه الفروقات ما
+
+245
+00:22:30,490 --> 00:22:36,330
+بين الاسم والفعل و الحرق قبل ال ال بالمناسبة اكثر
+
+246
+00:22:36,330 --> 00:22:43,250
+من نوع عندنا ال المعرفة جاء رجلوقال الرجل يعني
+
+247
+00:22:43,250 --> 00:22:47,110
+الراجل الذى جاء قبل قليل اللى هنا معرفة وقد تكون
+
+248
+00:22:47,110 --> 00:22:52,870
+الزائدة ان اقول جاء ابو حسن اعرفه وجاء ابو الحسن
+
+249
+00:22:52,870 --> 00:22:58,690
+لم يزدهذا الدخول لال الكلمة التعريفة لأنها معرفة
+
+250
+00:22:58,690 --> 00:23:03,410
+من قبل دخول ال فقالوا هذه ال الزائدة ال المعرفة
+
+251
+00:23:03,410 --> 00:23:07,670
+التي تنقل لسم من النكرة إلى المعرفة من التنكير إلى
+
+252
+00:23:07,670 --> 00:23:11,170
+التعريف ال الزائدة التي لا تغير في اسم شيء هو
+
+253
+00:23:11,170 --> 00:23:15,110
+معرفة من قبل أن تدخل عليها ال وسندرس أنواع ال
+
+254
+00:23:15,110 --> 00:23:20,050
+بالتفصيل ان شاء الله في ثانية هذا المسارالان ال
+
+255
+00:23:20,050 --> 00:23:25,150
+سواء كانت معرفة او زائدة كلاهما لا يتصلوا الا
+
+256
+00:23:25,150 --> 00:23:33,670
+بالاسم ان رأيت ال لا تتصلوا الا بالاسم عندي هناك
+
+257
+00:23:33,670 --> 00:23:42,030
+بيت شعري عندي هنا بيت شعري اتصلت فيه ال بفعل لكنها
+
+258
+00:23:42,030 --> 00:23:47,050
+ليست ال المعرفة ولا ال الزائدة يقول فيه الشعر
+
+259
+00:23:49,630 --> 00:23:56,330
+ما أنت بالحكم
+
+260
+00:23:56,330 --> 00:24:06,770
+اللي ترضى حكومته ولا الأصيل ولا
+
+261
+00:24:06,770 --> 00:24:12,150
+ذي الرأي والجدلي
+
+262
+00:24:13,490 --> 00:24:18,090
+ما أنت بالحكم اللي ترضى حكومته ولا الأصيل ولا ذي
+
+263
+00:24:18,090 --> 00:24:25,810
+الرأي والجدل هنا ال اتسرت بالفعل ترضى الفعل ترضى
+
+264
+00:24:25,810 --> 00:24:33,230
+ترضى هذا فعل مبني للمجهول فعل مضارع مبني للمجهول
+
+265
+00:24:33,230 --> 00:24:39,870
+تخيلوا هل هذه ال المعرفةأم هي ال الزائدة أنا سُقت
+
+266
+00:24:39,870 --> 00:24:44,090
+هذه الإشارة الآن حتى لا تخلط بينها وبين ال المعرفة
+
+267
+00:24:44,090 --> 00:24:47,850
+والال الزائدة إن رأيتموها مرة يعني في طريق
+
+268
+00:24:47,850 --> 00:24:53,790
+مطالعتكم من يخمن معنى ال هنا تفضل الذي حق هذا
+
+269
+00:24:53,790 --> 00:24:59,500
+المعنى يفرض نفسه علينا ما أنت بالحكم الذيترضى
+
+270
+00:24:59,500 --> 00:25:05,720
+حكومته إذا هذه ال الموصولة هكذا يسميها علماؤنا ال
+
+271
+00:25:05,720 --> 00:25:10,560
+الموصولة لأنها بمعنى اسم الموصول الذي ما أنت
+
+272
+00:25:10,560 --> 00:25:16,340
+بالحكم الذي ترضى حكومته والالموصولة هذه موجودة في
+
+273
+00:25:16,340 --> 00:25:22,560
+لغتنا أنا عندما أقول جاء الكاتب جاء الكاتب يعني
+
+274
+00:25:22,560 --> 00:25:29,640
+جاء الذي كتب جاء الكاتب أو جاء الذي يكتب جاءالكاتب
+
+275
+00:25:29,640 --> 00:25:38,720
+يعني جاء الذي يكتب وربما تعلمون أن كلمة يكتب سمى
+
+276
+00:25:38,720 --> 00:25:42,600
+بهذا الاسم بأنه فعل مضارع لأنه يضارع أسم الفاعل
+
+277
+00:25:42,600 --> 00:25:50,480
+يضارعه في المعنى وفي أشياء أخرى لفظية أو شكلية إذا
+
+278
+00:25:50,480 --> 00:25:56,900
+ألهن بمعنى الذي ألهن أيضا موصولة جاء الكاتب جاء
+
+279
+00:25:56,900 --> 00:26:03,550
+الذي يكتبإذا أنا لا أتكلم عن ال .. الموصول أتكلم
+
+280
+00:26:03,550 --> 00:26:12,390
+عن الزائدة أو المعرفة الغلام قال هنامعرفة جاء غلام
+
+281
+00:26:12,390 --> 00:26:17,870
+أو جاء رجل ثم قال الرجل صرت أعرف الرجل المذكور
+
+282
+00:26:17,870 --> 00:26:25,110
+لأنه ذكرا قبل قليل جاء الحسن جاء الوليد الوليد ابن
+
+283
+00:26:25,110 --> 00:26:28,910
+المغيرة لو قلت وليد ابن المغيرة سيظله معرفة عندى
+
+284
+00:26:28,910 --> 00:26:32,850
+إذا قال هنا لم تزد الكلمة تعريفة لأنها معرفة من
+
+285
+00:26:32,850 --> 00:26:37,190
+قبل دخولي الاسناد الاسناد
+
+286
+00:26:38,580 --> 00:26:42,240
+ما هو الإسناد حتى نفهم الإسناد الإسناد بالطبع هو
+
+287
+00:26:42,240 --> 00:26:47,340
+أن يُنسب إلى لسم حكم تحصر به الفائدة ما هو الإسناد
+
+288
+00:26:47,340 --> 00:26:50,960
+ما
+
+289
+00:26:50,960 --> 00:26:58,100
+هو الإسناد تخيلوا حتى نبسط الفكرة الإسناد تخيلوا
+
+290
+00:26:58,100 --> 00:27:03,500
+أو عندما تسمعون أن وزارة كذا أُسندت إلى الوزير كذا
+
+291
+00:27:04,670 --> 00:27:10,430
+نسمع هذا الكلام أسندت وزارته كذا إلى فلان إذا كل
+
+292
+00:27:10,430 --> 00:27:17,650
+في الوزير بالوزارة إذا هل يمكن أن نسند وزارة إلى
+
+293
+00:27:17,650 --> 00:27:25,210
+فعل مثلا أو إلى حرف ممكن إذا لا يسند إلا لاسم لا
+
+294
+00:27:25,210 --> 00:27:30,680
+يسند إلا إلى الاسمواضح الفكرة تخيل تذكروا قصة
+
+295
+00:27:30,680 --> 00:27:34,660
+الوزارة او تخيلوا قصة الرحلة تخيل لو خرجنا في رحلة
+
+296
+00:27:34,660 --> 00:27:41,340
+وردنا نوزع على أنفسنا مهام الرحلة من طهي للطعام او
+
+297
+00:27:41,340 --> 00:27:48,180
+من تجهيز للشاي او الاخر قد نقول انت يا فلان احمد
+
+298
+00:27:48,180 --> 00:27:54,160
+أسندنا اليه مهمة الطهي و سمير أسندنا اليه مهمة
+
+299
+00:27:54,160 --> 00:28:00,330
+تجهيز الشايو محمد أسند لي مهمة جم الحطب و هكذا و
+
+300
+00:28:00,330 --> 00:28:04,270
+قال النبي صلى الله عليه وسلم و أنا علي جمع الحطب
+
+301
+00:28:04,270 --> 00:28:09,850
+هل من الممكن أن نكلف الفعل يكتب بمهمة من هذه
+
+302
+00:28:09,850 --> 00:28:16,330
+المهام هل يمكنإذا لا يمكن أن يكلف أو أن يسند شيء
+
+303
+00:28:16,330 --> 00:28:21,230
+إلى فعل هل يمكن أن نسند مهمة إلى حرف؟ يعني الحرف
+
+304
+00:28:21,230 --> 00:28:27,930
+فيه سيطلخ لنا يعني الحرف فيه الفعل يكتب سيجهز لنا
+
+305
+00:28:27,930 --> 00:28:33,450
+الشاي سيعد لنا الشاي هذه فكرة بسيطة جميلة تنبهنا
+
+306
+00:28:33,450 --> 00:28:37,330
+إلى معنى الإسناد لذلك لا يسندوا إلا إلى الأسماء
+
+307
+00:28:38,670 --> 00:28:45,310
+الفعل لا يُسند إليه لكن الفعل قد يُسند فلان يُعد
+
+308
+00:28:45,310 --> 00:28:51,270
+الشاي إذا الإعداد الشاي يُعد أسنده إلى من؟ إلى
+
+309
+00:28:51,270 --> 00:29:00,370
+أحمد على سبيل المثال نقول مثلا يُعد أحمد الشاي نحن
+
+310
+00:29:00,370 --> 00:29:06,510
+كلفنا يُعد أحمد
+
+311
+00:29:08,800 --> 00:29:15,620
+الشاي الان هنا كلفنا أحمد بإعداد الشاي أم كلفنا
+
+312
+00:29:15,620 --> 00:29:27,500
+يعد بأحمد كلفنا بماذا؟ اذا هذا هو المسند إليه وهذا
+
+313
+00:29:27,500 --> 00:29:33,710
+مسند فقط هو المسندالفكرة هنا واضحة طبعا الإسناد
+
+314
+00:29:33,710 --> 00:29:38,930
+يشكوا منه الطلبة أحيانا ويشكونا من عدم فهمه إذا
+
+315
+00:29:38,930 --> 00:29:45,750
+بستطعها بهذه الصورة يصلح معنى الإسناد واضح إذا ..
+
+316
+00:29:45,750 --> 00:29:52,830
+إذا الفعل لا يسند إليه أبدا الفعل لا يسند إليه
+
+317
+00:29:52,830 --> 00:30:00,920
+أبدا الاسم هو الذي يسند إليه دائمالكن هل نسند اسم
+
+318
+00:30:00,920 --> 00:30:06,680
+أيضا إلى اسم؟ هل يمكن أن نسند اسما إلى اسم؟ تعالوا
+
+319
+00:30:06,680 --> 00:30:16,120
+وانظروا أنا عندما أقول نجح أحمد هذا المسند صح؟ هذا
+
+320
+00:30:16,120 --> 00:30:21,140
+المسند إلي و هذا إيش؟ هذا المسند، هذا هو المسند
+
+321
+00:30:21,140 --> 00:30:26,840
+نحن كلفنا أحمد بالنجاح أم كلفنا النجاح بأحمد؟كلفنا
+
+322
+00:30:26,840 --> 00:30:31,360
+أحمد بالنجاح إذا هذا هو المسند إليه هو الذي قام
+
+323
+00:30:31,360 --> 00:30:36,000
+بمهمة النجاح لو جئنا بهذه الفكرة في جملة نسمية
+
+324
+00:30:36,000 --> 00:30:44,240
+وقلنا محمد ناجح لازال هذا المسند إليه و أيه المسند
+
+325
+00:30:44,240 --> 00:30:51,740
+إذا الإسم أيضا قد يسندوعلى فكرة المُسند إليه إما
+
+326
+00:30:51,740 --> 00:30:56,100
+أن يكون فاعل أو نائب فعل طبعا هذا في الجملة
+
+327
+00:30:56,100 --> 00:31:00,500
+الفعلية أو مبتدأ في الجملة الإسمية تضحى المسألة
+
+328
+00:31:00,500 --> 00:31:07,720
+هذا هو المُسند إليه إذا الإسم يُسند إليه ويُسند
+
+329
+00:31:07,720 --> 00:31:14,260
+إلى غيره الفعل يُسند إلى اسم فقط هو يُسند و لا
+
+330
+00:31:14,260 --> 00:31:20,340
+يُسند إليه الحرف يُسند أم يُسند إليهبالضبط الحرف
+
+331
+00:31:20,340 --> 00:31:24,620
+لا يُسند ولا يُسند إليه لذلك هذا الجدول اللي لطيف
+
+332
+00:31:24,620 --> 00:31:31,060
+الاسم انظره يُسند نعم يُسند إليه بالطبع نعم الفعل
+
+333
+00:31:31,060 --> 00:31:36,280
+فقط يُسند ولا لا يُسند إليه أما الحرف فلا يُسند
+
+334
+00:31:36,280 --> 00:31:42,640
+ولا يُسند إليه لأن الحروف أيها الأعزاء مجرد روابط
+
+335
+00:31:42,640 --> 00:31:50,650
+فقط مجرد روابط فقطولذلك قالوا عن الإسناد هو أقوى
+
+336
+00:31:50,650 --> 00:31:55,210
+علامات الإسم لأن الإسم قد يظهر فيه أو قد يقبل
+
+337
+00:31:55,210 --> 00:32:01,630
+علامتين أو ثلاثا أو أربعة هناك أسماء لا تنون هناك
+
+338
+00:32:01,630 --> 00:32:05,830
+أسماء المنوع من الصرف لا ينون الإسم المبني لا ينون
+
+339
+00:32:05,830 --> 00:32:13,310
+هذا الأول هناك أسماء لا تجرمثلا من بعض الكلمات
+
+340
+00:32:13,310 --> 00:32:19,390
+التي لها حق الصدارة هناك أسماء لا تتصل ب ال أبدا
+
+341
+00:32:19,390 --> 00:32:26,430
+أسماء مبنية لا تتصل ب ال و هناك أسماء لكن الأسماء
+
+342
+00:32:26,430 --> 00:32:32,490
+كلها يسندوا إليها يعني كل الأسماء تقبلوا الإسنادة
+
+343
+00:32:32,490 --> 00:32:41,150
+بالذات الإسنادة بالذات هل من سؤال سؤال يا شباب
+
+344
+00:32:42,630 --> 00:32:43,250
+أشكركم
+
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/mplhdPomXpM_raw.json b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/mplhdPomXpM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..612c19c83bbefe1de7d991ae12fbd5b3fd24252b
--- /dev/null
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@@ -0,0 +1 @@
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الف الاتنين كيف تبدو المسألة هل تعملاني لي معروفة هل تعملاني انظر الالف ولم تحدث انظر هل تعملاني", "tokens": [20292, 20449, 32887, 5172, 3660, 23758, 6055, 5016, 20292, 1211, 20666, 9566, 3555, 3615, 44381, 1975, 8315, 43242, 15042, 8717, 33604, 4117, 3215, 27188, 30241, 9673, 11242, 9640, 3615, 9673, 3794, 41260, 3224, 2423, 7578, 27188, 2423, 9307, 1863, 9957, 9122, 33911, 6055, 44510, 2407, 9673, 3794, 10721, 37977, 8032, 1211, 6055, 25957, 1211, 7649, 1829, 32239, 20449, 32887, 5172, 3660, 8032, 1211, 6055, 25957, 1211, 7649, 1829, 16472, 19913, 2288, 2423, 6027, 5172, 4032, 19528, 6055, 24401, 12984, 16472, 19913, 2288, 8032, 1211, 6055, 25957, 1211, 7649, 1829], "avg_logprob": -0.1850694371594323, "compression_ratio": 1.9741935483870967, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1616.91, "end": 1617.33, "word": "لي", "probability": 0.82470703125}, {"start": 1617.33, "end": 1617.99, "word": " معروفة", "probability": 0.905517578125}, {"start": 1617.99, "end": 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نفس الإعراب يعني فقط ربما أنتم تفعلان كل خير كل هنا مفعول بيه وهو مضاف وخير مضاف إليه مجرور وعلى ما تجره الكسرة سؤال أه نعم هل من سؤال هل من سؤال أشكركم", "tokens": [10721, 3224, 8717, 36178, 33688, 3615, 2288, 16758, 37495, 22653, 6156, 47432, 12602, 3555, 15042, 14739, 39237, 6055, 5172, 30241, 7649, 28242, 16490, 13546, 28242, 34105, 3714, 5172, 3615, 12610, 4724, 1829, 3224, 37037, 2407, 3714, 11242, 31845, 4032, 9778, 13546, 3714, 11242, 31845, 11933, 20292, 3224, 3714, 7435, 2288, 13063, 4032, 3615, 23942, 19446, 6055, 7435, 2288, 3224, 33251, 3794, 25720, 8608, 33604, 6027, 5551, 3224, 8717, 25957, 8032, 1211, 9154, 8608, 33604, 6027, 8032, 1211, 9154, 8608, 33604, 6027, 5551, 8592, 37983, 24793], "avg_logprob": -0.16542513963094976, "compression_ratio": 1.7421383647798743, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 2395.39, "end": 2395.81, "word": "أه", "probability": 0.572021484375}, {"start": 2395.81, "end": 2396.67, "word": " نفس", "probability": 0.95263671875}, {"start": 2396.67, "end": 2397.19, "word": " الإعراب", "probability": 0.7894287109375}, {"start": 2397.19, "end": 2397.85, "word": " يعني", "probability": 0.799560546875}, {"start": 2397.85, "end": 2398.15, "word": " فقط", "probability": 0.96923828125}, {"start": 2398.15, "end": 2398.47, "word": " ربما", "probability": 0.94970703125}, {"start": 2398.47, "end": 2398.71, "word": " أنتم", "probability": 0.739501953125}, {"start": 2398.71, "end": 2399.35, "word": " تفعلان", "probability": 0.94287109375}, {"start": 2399.35, "end": 2399.65, "word": " كل", "probability": 0.62548828125}, {"start": 2399.65, "end": 2399.97, "word": " خير", "probability": 0.9951171875}, {"start": 2399.97, "end": 2400.21, "word": " كل", "probability": 0.85205078125}, {"start": 2400.21, "end": 2400.41, "word": " هنا", "probability": 0.67529296875}, {"start": 2400.41, "end": 2400.85, "word": " مفعول", "probability": 0.9517822265625}, {"start": 2400.85, "end": 2401.99, "word": " بيه", "probability": 0.7088216145833334}, {"start": 2401.99, "end": 2402.29, "word": " وهو", "probability": 0.7161865234375}, {"start": 2402.29, "end": 2402.75, "word": " مضاف", "probability": 0.9892578125}, {"start": 2402.75, "end": 2403.43, "word": " وخير", "probability": 0.9386393229166666}, {"start": 2403.43, "end": 2404.73, "word": " مضاف", "probability": 0.9879557291666666}, {"start": 2404.73, "end": 2405.29, "word": " إليه", "probability": 0.8264973958333334}, {"start": 2405.29, "end": 2405.91, "word": " مجرور", "probability": 0.990234375}, {"start": 2405.91, "end": 2406.77, "word": " وعلى", "probability": 0.8489583333333334}, {"start": 2406.77, "end": 2406.91, "word": " ما", "probability": 0.8837890625}, {"start": 2406.91, "end": 2407.51, "word": " تجره", "probability": 0.9578857421875}, {"start": 2407.51, "end": 2408.09, "word": " الكسرة", "probability": 0.90283203125}, {"start": 2408.09, "end": 2408.95, "word": " سؤال", "probability": 0.94189453125}, {"start": 2408.95, "end": 2410.63, "word": " أه", "probability": 0.415771484375}, {"start": 2410.63, "end": 2410.81, "word": " نعم", "probability": 0.98828125}, {"start": 2410.81, "end": 2411.39, "word": " هل", "probability": 0.665771484375}, {"start": 2411.39, "end": 2411.53, "word": " من", "probability": 0.99755859375}, {"start": 2411.53, "end": 2411.99, "word": " سؤال", "probability": 0.96533203125}, {"start": 2411.99, "end": 2414.29, "word": " هل", "probability": 0.7120361328125}, {"start": 2414.29, "end": 2415.31, "word": " من", "probability": 0.99609375}, {"start": 2415.31, "end": 2416.07, "word": " سؤال", "probability": 0.9923502604166666}, {"start": 2416.07, "end": 2418.15, "word": " أشكركم", "probability": 0.9193115234375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2419.24075, "duration_after_vad": 2332.887499999994}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/npTo3Qo3-e4.srt b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/npTo3Qo3-e4.srt
new file mode 100644
index 0000000000000000000000000000000000000000..08d32d79778538502fafc7113c325c0612cb03c0
--- /dev/null
+++ b/PL9fwy3NUQKwYhHrX4IIV26LQP7Hwav1eP/npTo3Qo3-e4.srt
@@ -0,0 +1,1294 @@
+1
+00:00:21,700 --> 00:00:23,860
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:23,860 --> 00:00:27,200
+الرحيم الحمد لله والصلاة والسلام على رسول الله
+
+3
+00:00:27,200 --> 00:00:31,220
+ وآله وصحبه ومن ولا كنا في المحاضرة السابقة في نصب
+
+4
+00:00:31,220 --> 00:00:37,460
+الفعل المضارع ولازلنا في هذه المحطة نفسها ننهي هذه
+
+5
+00:00:37,460 --> 00:00:42,820
+المحطة بهذه المحاضرة إن شاء الله رب العالمين طبعا
+
+6
+00:00:42,820 --> 00:00:47,100
+نذكر مرة أخرى بما ينبغي أن نذكر به الفعل ينقسم إلى
+
+7
+00:00:47,100 --> 00:00:54,280
+ثلاثة أقسام: إلى الماضي والمضارع والأمر الماضي
+
+8
+00:00:54,280 --> 00:00:59,200
+والأمر دائما مبني، المضارع
+
+9
+00:00:59,200 --> 00:01:05,760
+غالبا معرب، يبنى فقط إذا اتصل بنون النسوة وإذا اتصل
+
+10
+00:01:05,760 --> 00:01:11,040
+اتصالا مباشرا بنون التوكيد، وفي غير ذلك بالطبع هو
+
+11
+00:01:11,040 --> 00:01:19,200
+معرب، الفعل المضارع يرتفع إن لم يسبق بناصب أو
+
+12
+00:01:19,200 --> 00:01:25,350
+بجازم، إن سُبق بناصب طبعا يُنصب، وإن سُبق بجازم طبعا
+
+13
+00:01:25,350 --> 00:01:31,970
+ينجزم، نذكر مرة أخرى بالنواصب الأربعة وهي: لن، كي، أن، أن
+
+14
+00:01:31,970 --> 00:01:39,230
+إذا أشارنا إلى أن أن هي الأقوى، إذا هي الأضعف، أن تنصب
+
+15
+00:01:39,230 --> 00:01:44,650
+ربما، وهي مدمرة وسنأتي لأحوال إِدْمارها الآن، إذا لا
+
+16
+00:01:44,650 --> 00:01:49,530
+تنصب إلا و هي ظاهرة و ليس في كل الأحيان لا تنصب
+
+17
+00:01:49,530 --> 00:01:54,070
+إلا بشروط، من ذكرنا بشروط نصبي إذا للفعل المضارع من
+
+18
+00:01:54,070 --> 00:01:59,790
+ذكرنا، نعم بالضبط
+
+19
+00:01:59,790 --> 00:02:03,010
+و
+
+20
+00:02:03,010 --> 00:02:08,360
+أن، ذُلُّها على الاستقبال، إن لم تدل على الاستقبال لا
+
+21
+00:02:08,360 --> 00:02:15,340
+تنصب، إن لم تتصدر لا تنصب، وإن فصل بينها وبين فعلها
+
+22
+00:02:15,340 --> 00:02:20,960
+بفاصل غير القسم أيضا لا تنصب، واضح؟ عندنا حرفان
+
+23
+00:02:20,960 --> 00:02:27,240
+مصدريان من هذه الأحرف فقط، ما هما؟ أن وكي، أن وكي
+
+24
+00:02:27,240 --> 00:02:31,460
+عندما نقول هما حرفان مصدريان، ما معنى أن يكون حرفين
+
+25
+00:02:31,460 --> 00:02:36,610
+مصدريين؟ ما معنى هذا الكلام؟ أي مؤولان؟ نعم، يعني هذا
+
+26
+00:02:36,610 --> 00:02:42,170
+الحرف مع الفعل يؤولان أو يؤولان، كلاهما يؤولان
+
+27
+00:02:42,170 --> 00:02:48,450
+بالمصدر، إذا هذان مصدر مؤول، أن تصوموا مصدر مؤول،
+
+28
+00:02:48,450 --> 00:02:53,350
+صيامكم، عندئذ طبعا صرحنا به، صيامكم صيام مصدر صريح،
+
+29
+00:02:53,350 --> 00:03:01,200
+واضح، أحوال أن من حيث الإظهار والإِدْمار، أحوال أن من
+
+30
+00:03:01,200 --> 00:03:06,840
+حيث الإظهار والإِدْمار، ثلاثة، الحالة الأولى التي
+
+31
+00:03:06,840 --> 00:03:10,620
+أشهرنا إليها في المحاضرة السابقة هي الحالة التي
+
+32
+00:03:10,620 --> 00:03:16,320
+يجب فيها أن تظهر أن، يجب أن تظهر أن، ما هما هتانِي
+
+33
+00:03:16,320 --> 00:03:21,480
+الحالة؟ ما هما ذكرنا بهما؟ نعم، تقع بين لام الجار و
+
+34
+00:03:21,480 --> 00:03:24,860
+لام النافية، بالضبط، تقع بين لام الجار ولام النافية
+
+35
+00:03:24,860 --> 00:03:28,400
+بالضبط، إذا في كلا الحالتين تقعان أولا بين لام
+
+36
+00:03:28,400 --> 00:03:33,330
+الجار و لام، لكن في الحالة الأولى لام نافية، في الحالة
+
+37
+00:03:33,330 --> 00:03:38,650
+الثانية لام زائدة، إذا وجوب الإظهار، الآن سندرس وجوب
+
+38
+00:03:38,650 --> 00:03:43,130
+الإِدْمار، وسندرس أيضا حالة واحدة من حالات جوازي
+
+39
+00:03:43,130 --> 00:03:50,610
+الوجهين، ثانيا وجوب الإِدْمار، ما هو؟ أولا وجوب الإظهار
+
+40
+00:03:50,610 --> 00:03:54,350
+تلك التي درسناها في المحاضرة السابقة، وإشرنا إليها
+
+41
+00:03:54,350 --> 00:03:58,930
+قبل قليل، وجوب الإِضْمار، يجب أن تُضْمر، وأنبهكم هنا من
+
+42
+00:03:58,930 --> 00:04:05,150
+الأول، يعني يجب أن تُضْمر في خمسة مواضع بعد لام
+
+43
+00:04:05,150 --> 00:04:11,390
+الجحود، وبعد أو، وبعد حتى، وبعد فاء السببية، وبعد واو
+
+44
+00:04:11,390 --> 00:04:16,890
+المعية، يعني ليست هذه الحروف التي تنصب الفعل المضارع،
+
+45
+00:04:16,890 --> 00:04:23,130
+إنما ينتصب المضارع بأن مضمرة وجوبا بعدها، واضح؟
+
+46
+00:04:23,130 --> 00:04:27,270
+تعالوا نروحها حرفا حرفا، الحرف الأول طبعا لام الجحود،
+
+47
+00:04:27,270 --> 00:04:33,210
+الجحود، مصطلحه يعني النفي، الجحد، النفي، الجحود هو
+
+48
+00:04:33,210 --> 00:04:40,130
+النفي، ونستخدم هذه الكلمة يعني جحد فلان حاجة فلان
+
+49
+00:04:40,130 --> 00:04:44,910
+أو غرض، يعني أنكر وجود الحاجة عنده، إذا الجحد هو
+
+50
+00:04:44,910 --> 00:04:50,010
+النفي، الجحود هو النفي، ما هي لام الجحود؟ هذا انظر
+
+51
+00:04:50,010 --> 00:04:54,310
+تعالوا إلى المثال، قبل أن ننظر، وما كان الله ليضيع
+
+52
+00:04:54,310 --> 00:05:01,940
+إيمانكم، وما كان الله ليضيع إيمانكم، الجملة كلها تدل
+
+53
+00:05:01,940 --> 00:05:07,380
+على النفي، إذا هذه اللام، لام الجحود التي إذا سبقت
+
+54
+00:05:07,380 --> 00:05:14,340
+بنفي، يجب أن تسبق بنفي و بكان الناقصة، هذه هما الشرطان
+
+55
+00:05:14,340 --> 00:05:19,460
+أن تصبح، إذا هي لام مسبوقة بكون منفي، بكون يعني
+
+56
+00:05:19,460 --> 00:05:26,020
+كان أو تكون، بالطبع بشرط أن تكون كان هذه ماضية في
+
+57
+00:05:26,020 --> 00:05:30,080
+اللفظ والمعنى، أو في اللفظ فقط كما سنرى بعد قليل، ما
+
+58
+00:05:30,080 --> 00:05:37,180
+معنى أن تكون ماضية في اللفظ فقط؟ إذا هذه اللام لو لم
+
+59
+00:05:37,180 --> 00:05:42,840
+تكن سبقت بـ كان، و لو لم تُسبق بنافي، هي ليست
+
+60
+00:05:42,840 --> 00:05:47,480
+لام الجحود، إذا بغينا نركز على هذين الشرطين، هل
+
+61
+00:05:47,480 --> 00:05:52,400
+سبقت هنا بما؟ النافي؟ آه نعم، ما؟ هل سبقت بكان؟
+
+62
+00:05:52,400 --> 00:05:57,400
+آه نعم، إذا هذه لام الجحود، إذا هذه اللام تنصب
+
+63
+00:05:57,400 --> 00:06:03,950
+الفعَلَ؟ لا، تنتصب المضارع بأن مضمرة وجوبا، هي لا تنصب
+
+64
+00:06:03,950 --> 00:06:09,250
+إن، لو قلت لك مثلا لام الجحود تنصب الفعل المضارع إن
+
+65
+00:06:09,250 --> 00:06:15,090
+سبقت بما نافية وكان، ربما ركزت نظرك أنت على سبق
+
+66
+00:06:15,090 --> 00:06:19,310
+بالنفي ولا .. انتبه، هي لا تنصب الفعل المضارع، إنما
+
+67
+00:06:19,310 --> 00:06:23,650
+ينتصب المضارع بعدها بأن مضمرة وجوبا، لا تظهر أبدا،
+
+68
+00:06:23,650 --> 00:06:29,620
+لكن النصب بأن .. ما معنى السبق هنا بالماضي لفظا
+
+69
+00:06:29,620 --> 00:06:34,840
+ومعنى، إذا كان في اللفظ فعل ماضي أم لا، ممتاز، هل
+
+70
+00:06:34,840 --> 00:06:40,140
+المعنى يدل على الماضي أم لا؟ إذا هنا كان فعل ماضي
+
+71
+00:06:40,140 --> 00:06:46,880
+لفظا ومعنى، لكن لو كانت ماضية في المعنى فقط، انظر
+
+72
+00:06:46,880 --> 00:06:53,280
+الفعَلُ هنا لم يكن، يكون فعل مضارع، بالضبط، لكنها صارت
+
+73
+00:06:53,280 --> 00:07:01,080
+تدل على الماضي بمساعدة لم، لذلك لم حرف قلب يقلب
+
+74
+00:07:01,080 --> 00:07:05,120
+المضارع إلى الماضي، لأن المعنى هنا لم يكن الله
+
+75
+00:07:05,120 --> 00:07:09,480
+معناها ما كان الله ليغفر لهم، ما كان الله ليغفر لهم،
+
+76
+00:07:09,480 --> 00:07:15,180
+إذا الفعل هنا فعل مضارع، نعم، لكنه مع لم صار فعلا أو
+
+77
+00:07:15,180 --> 00:07:20,600
+صار معناه ماضيا، أصبح يدل على المعنى الماضي، واضح؟ إذا
+
+78
+00:07:20,600 --> 00:07:27,410
+مرة أخرى لام الجحود، لام الجحود هي اللام التي ينتصب
+
+79
+00:07:27,410 --> 00:07:32,690
+الفعَلُ المضارع بعدها بأن مضمرة وجوبا بشرطين، أن تسبق
+
+80
+00:07:32,690 --> 00:07:40,310
+بكون ناقص وبنفي، أو أن نختصرها كما لخصنا هنا، أن
+
+81
+00:07:40,310 --> 00:07:47,070
+تسبق بكون منفي ناقص، ماضي لفظا ومعنى أو ماضي معنى
+
+82
+00:07:47,070 --> 00:07:52,650
+فقط، واضح؟ ما كان الله ليضيع إيمانكم، المعنى أن الله
+
+83
+00:07:52,650 --> 00:07:58,110
+عز وجل لا يضيع إيمان المؤمنين، الله عز وجل لا يضيع
+
+84
+00:07:58,110 --> 00:08:03,170
+إيمان المؤمنين، ما كان الله ليضيع إيمانكم، واضح؟
+
+85
+00:08:03,170 --> 00:08:05,750
+الكلام، سؤال فضلا
+
+86
+00:08:08,820 --> 00:08:12,820
+لِكان، كان فقط، نتكلم هنا عن كان وليس عن أخواتها،
+
+87
+00:08:12,820 --> 00:08:16,920
+هذا هو السؤال، آه، هنا نتكلم عن كان فقط، نعم، لم يكن
+
+88
+00:08:16,920 --> 00:08:19,980
+آه
+
+89
+00:08:19,980 --> 00:08:26,040
+نعم فعلا، يكن هنا فعل مضارع مجزوم وعلامة جزمه السكون، أجبتك عن السؤال حول هذه النقطة، هذا بعد لا،  ملجأ
+
+90
+00:08:26,040 --> 00:08:32,640
+بعد أو، آه، بعد أو، طبعا لام الجحود منتشرة في
+
+91
+00:08:32,640 --> 00:08:37,700
+اللغة، كثيرة في اللغة، أو قليلة، أو قليلة، تعالوا ننظر
+
+92
+00:08:43,520 --> 00:08:51,880
+متى ينتصب الفعل المضارع بعد أو؟ بعد أو، انظروا تُضْمَرُ
+
+93
+00:08:51,880 --> 00:08:56,600
+أن وجوبا بعد أو في موضعين، الموضع الأول إذا صلح في
+
+94
+00:08:56,600 --> 00:09:03,480
+موضعها حتى، تعالوا ننظر إلى المثال، لأستسهلَنَّ الصعبة أو
+
+95
+00:09:03,480 --> 00:09:08,000
+أدركَ المُنَى، فَمَنْ قَادَتْ الآمالُ إلاّ لِصابِرِي، ما معنى
+
+96
+00:09:08,000 --> 00:09:14,060
+البيت؟ لأستسهلَنَّ الصعبة، وهذا من الأبيات الجميلة
+
+97
+00:09:14,060 --> 00:09:20,580
+ومعناها جميل، لأستسهلَنَّ الصعبة حتى أدركَ المُنَى، فَمَنْ
+
+98
+00:09:20,580 --> 00:09:25,410
+قادت الآمال إلاّ لِصابِرِ، هذه المعاني كثيرة موجودة في
+
+99
+00:09:25,410 --> 00:09:30,010
+تراثنا الشعري، مثلا،
+
+100
+00:09:30,010 --> 00:09:36,450
+لا تَحْسَبَنَّ المجدَ تَمْراً أنتَ آكِلُهُ، لن تبلغ المجدَ حتى تلعقَ
+
+101
+00:09:36,450 --> 00:09:45,070
+الصبرة، أيضا، إذا غامرتَ في شرفٍ مَرومٍ فلا تَقْنَعْ بما دونَ
+
+102
+00:09:45,070 --> 00:09:49,870
+النجوم، كلام جميل، يعني، إذا الشعبُ يوماً أرادَ الحياةَ
+
+103
+00:09:49,870 --> 00:09:56,050
+فلابد أن يستجيب القدرُ، ومن لا يُحِبُّ صعودَ الجبالِ يعيشُ
+
+104
+00:09:56,050 --> 00:10:00,730
+أبداً دهراً بين الحفر، هذا المعنى طبعا كثيرا ما ذكره
+
+105
+00:10:00,730 --> 00:10:06,670
+الشعراء في أبياتهم، إذا المعنى لأستسهلَنَّ الصعب حتى
+
+106
+00:10:06,670 --> 00:10:12,830
+أدرك المنع، حتى أدرك المنع، فَمَنْ قَادَتْ الآمالُ إلاّ
+
+107
+00:10:12,830 --> 00:10:21,890
+لِصابِرٍ،وعزمٌ ميمونٌ لو لامسَ صخراً لعادَ الصخرُ روضاً
+
+108
+00:10:21,890 --> 00:10:26,630
+أزهراً، لعاد الصخر، يعني هذه المعاني الجميلة، لأستسهل
+
+109
+00:10:26,630 --> 00:10:31,810
+السؤال الصعب، أو أدرك المؤهن، بمعنى حتى، إذا جاءت أو
+
+110
+00:10:31,810 --> 00:10:39,670
+بمعنى حتى، نصبت إيش؟ غلط، انتصب المضارع بعدها بأن
+
+111
+00:10:39,670 --> 00:10:43,930
+مضمرة وجوبا، انتبه، سامحوني أن أحاول وأن أؤكد لكم
+
+112
+00:10:43,930 --> 00:10:47,910
+هذا المعنى حتى لا تنسوه إن شاء الله، إذا جاءت أو
+
+113
+00:10:47,910 --> 00:10:54,390
+بمعنى حتى، انتصب المضارع بعدها بأن مضمرة وجوبا، هذا
+
+114
+00:10:54,390 --> 00:11:02,410
+هو الموضع الأول، الموضع الثاني، تفضل، حرف واطف، أو
+
+115
+00:11:02,410 --> 00:11:10,130
+حرف واطف،الموضوع الثالث، إذا صلح إلا في مكانها و كنت
+
+116
+00:11:10,130 --> 00:11:18,590
+إذا غمزت قناة قوم كسرت كعوبها، أو تستقيمها، المعنى
+
+117
+00:11:18,590 --> 00:11:24,090
+المعنى، وكنت إذا ضربت قناة قوم، القناة هي الرمح،
+
+118
+00:11:24,090 --> 00:11:31,890
+المعنى، إذا وكنت إذا غمزت قناة قوم، إذا ضربت رمح قوم،
+
+119
+00:11:31,890 --> 00:11:34,610
+هنا يتكلم عن المعركة، انظر إلى المعنى ما أجمله
+
+120
+00:11:34,610 --> 00:11:39,530
+المعنى، الذي يُعْرِضُ الشجاعةَ والبأسَ والشدةَ والتحديَ
+
+121
+00:11:39,530 --> 00:11:44,250
+والقوة في مقارعة الأعداء، وكنت إذا غمزت قناة قوم،
+
+122
+00:11:44,250 --> 00:11:49,230
+كسرت كعوبها، أو تستقيمها، انظر أنت عندما تمسك بالرمح
+
+123
+00:11:49,780 --> 00:11:55,480
+وتضرب أعداءك، الرمح على فكرة طويل، يقارب طوله ربما
+
+124
+00:11:55,480 --> 00:12:00,440
+ثلاثة أمتار ربما، فالرمح طويل، وانظر أنت تمسك
+
+125
+00:12:00,440 --> 00:12:05,500
+بالرمح، وخصمك يمسك أيضا برمح آخر، فانظر المسافة
+
+126
+00:12:05,500 --> 00:12:11,640
+بينهما الآن، فهو لشدة شجاعته لا يضرب سن الرمح فقط،
+
+127
+00:12:11,640 --> 00:12:15,610
+أو رأس الرمح فقط، يضرب كعب الرمح، هو يتجاوز الرمح
+
+128
+00:12:15,610 --> 00:12:20,530
+كله، ويضرب كعب الرمح، أين كعب الرمح؟ في يد الخصم،
+
+129
+00:12:20,530 --> 00:12:24,690
+وهذا يدل على جرؤته وشجاعته، انظروا إلى الصورة كيف
+
+130
+00:12:24,690 --> 00:12:28,830
+يُعْرِضُ صورته، كيف يُعْرِضُ شجاعته من خلال هذه الصورة،
+
+131
+00:12:28,830 --> 00:12:35,640
+وكنت إذا ضربت قناة قوم كسرت كعوبها، إذا كان قد
+
+132
+00:12:35,640 --> 00:12:39,760
+يكسرُ أو قد كسر الكعب فما المسألة إذا؟ ما المعنى
+
+133
+00:12:39,760 --> 00:12:46,860
+إذا؟ أنه هزم الأعداء واقتحم عليهم
+
+134
+00:12:46,860 --> 00:12:53,420
+حصونهم أو إلى آخره، أو تستقيم، إلا أن تستقيم هنا لا
+
+135
+00:12:53,420 --> 00:12:57,080
+يجوز أن يكون المعنى حتى، لأنه هل يستقيم الرمح بعد
+
+136
+00:12:57,080 --> 00:13:01,240
+الكسر؟ إذا المعنى هنا إلا أن تستقيمه، واضح؟ لماذا
+
+137
+00:13:01,240 --> 00:13:05,320
+لم يجوز هنا أن تكون بمعنى حتى، استئنلوا الآن كيف
+
+138
+00:13:05,320 --> 00:13:11,180
+يستقيم الرمح؟ إذا مرة أخرى يقول وكنت إذا دخلت
+
+139
+00:13:11,180 --> 00:13:17,580
+المعركة كسرت رماح الأعداء إلا أن تستقيم، ربما
+
+140
+00:13:21,110 --> 00:13:26,770
+أحسن، إذا .. إذا غنمناها، متى يستقيم السلاح؟ إذا صار
+
+141
+00:13:26,770 --> 00:13:31,830
+في أي دين يدافع عن الفضيلة وعن الحق وعن ال .. يعني
+
+142
+00:13:31,830 --> 00:13:35,790
+.. يعني حقنا وعدلنا، هذا هو المعنى، أنا
+
+143
+00:13:40,200 --> 00:13:45,640
+ربما من الممكن، لكن ربما المعنى الأجمل في رأيي على
+
+144
+00:13:45,640 --> 00:13:53,840
+الأقل أن الاستقامة تكون بغنم، باغتنام رماح الأعداء،
+
+145
+00:13:53,840 --> 00:13:57,220
+عندئذ ستصبحوا في أيدينا، وعندئذ ستقاتلوا في سبيل
+
+146
+00:13:57,220 --> 00:14:01,380
+الحق وستستقيموا عندئذ، المعنى جميل بهذه الطريقة، إذا
+
+147
+00:14:01,380 --> 00:14:08,440
+مرة أخرى، وكنت إذا غمزت قناة قوم كسرت كعوبها إلا أن
+
+148
+00:14:08,440 --> 00:14:14,920
+تستقيم، وانظروا عندما احتجنا إلا، احتجنا بعدها أن لا
+
+149
+00:14:14,920 --> 00:14:20,140
+يستقيم، المعنى إلا أن، جرب، كسرت كعوبها إلا أن
+
+150
+00:14:20,140 --> 00:14:26,000
+تستقيم، وهذه من الإشارات التي دلت العلماء على إِدْمار
+
+151
+00:14:26,000 --> 00:14:31,520
+أن مع أو، لا تظهر، لكن مع إلا يجب أن تظهر، يجب أن
+
+152
+00:14:31,520 --> 00:14:37,840
+تظهر، واضح الكلام؟ أو، إذا ينتصب المضارع بعدها بأن
+
+153
+00:14:37,840 --> 00:14:44,720
+مضمرة وجوبا إن كانت بمعنى حتى، أو بمعنى إلا، بعد حتى
+
+154
+00:14:44,720 --> 00:14:51,580
+أيضا ينتصب المضارع بعدها، وليس بها، بأن مضمرة وجوبا،
+
+155
+00:14:51,580 --> 00:14:56,960
+أيضا في موضعين، الموضع الأول إذا كانت بمعنى كي، أطع
+
+156
+00:14:56,960 --> 00:15:06,510
+ربك حتى تدخل الجنة، أطع ربك حتى تدخل، أليست هنا بمعنى
+
+157
+00:15:06,510 --> 00:15:11,510
+كي؟ وكي تنصب المضارع كما تعرفون، إذا جاءت حتى بمعنى
+
+158
+00:15:11,510 --> 00:15:17,930
+كي، انتصب المضارع بعدها بأن مضمرة وجوبا، بأن كأننا
+
+159
+00:15:17,930 --> 00:15:22,830
+نقول أطع ربك كي
+
+160
+00:15:22,830 --> 00:15:29,190
+تدخل الجنة، السؤال، هل يجوز هنا نقول أطع ربك حتى أن
+
+161
+00:15:29,190 --> 00:15:34,870
+تدخل الجنة؟ لا يجوز، لأن إِضْمار أن واجب، إِضْمار أن
+
+162
+00:15:34,870 --> 00:15:42,170
+واجب، لكنها تجوز لو أننا جئنا بكي بد
+
+223
+00:21:27,160 --> 00:21:33,660
+بالغنائم التي.. على ما أظن يعني هكذا الآية هل
+
+224
+00:21:33,660 --> 00:21:38,130
+سبقات.. هل الفاء سببية هنا؟ نعم؟ الكون معهم المكث
+
+225
+00:21:38,130 --> 00:21:44,250
+معهم يؤدي للفوز هل سبقت بنفي؟ لا بطلب نعم، إذا نعم
+
+226
+00:21:44,250 --> 00:21:48,190
+ينتصب الفعل المضارع بأن مضمرة وجوبا لأن شرطين قد
+
+227
+00:21:48,190 --> 00:21:52,390
+تمّ الشرط الأول أن تكون الفاء سببية، الشرط الثاني أن
+
+228
+00:21:52,390 --> 00:21:57,330
+تسبق بطلب أو نفي، وبالمناسبة نذكر بالطلب: الطلب هو
+
+229
+00:21:57,330 --> 00:22:05,390
+الأمر والنهي والاستفهام والنداء والتمني،
+
+230
+00:22:05,390 --> 00:22:12,590
+والترجي، يكفي هذا عندنا طلب، والتحديد يعني عرض، و
+
+231
+00:22:12,590 --> 00:22:16,750
+التحديد، العرض والتحديد ليسا مشهورين كثيرا، واضح يا
+
+232
+00:22:16,750 --> 00:22:22,390
+شباب، إذا لسه بيقعد طلب كتمني هنا أو بأمر أو نهي أو
+
+233
+00:22:22,390 --> 00:22:28,090
+استفهام أو نداء أو ترجي، بالطبع هذا بعد فاء سببية
+
+234
+00:22:28,800 --> 00:22:37,820
+كيف نعرف أفوز هنا؟ من يعرف أن أفوز هنا؟ ولو
+
+235
+00:22:37,820 --> 00:22:43,160
+لم تشرح هذا الشرح لكفاك، يعني فعل المضارع المنصوب، و
+
+236
+00:22:43,160 --> 00:22:48,620
+علامة نصبه الفتحة الظاهرة، يسعك أن تكتفي بذلك، لكن
+
+237
+00:22:48,620 --> 00:22:52,260
+قلت لك خرج الشاهد، هذه التفاصيل كلها، من يخرج الشاهد
+
+238
+00:22:52,260 --> 00:22:55,800
+في هذه الآية الكريمة؟ من يخرج الشاهد؟ تفضل
+
+239
+00:23:00,180 --> 00:23:06,260
+وجوبا هنا، هنا نبه على وجوب إضمارها بالضبط،
+
+240
+00:23:06,260 --> 00:23:12,080
+ووجود طلب قبل الفاء، ممتاز، انظروا كيف نخرج الشاهد
+
+241
+00:23:12,080 --> 00:23:17,820
+مرة أخرى حتى نرسخ المعلومة، أفوز هذا الفعل المضارع
+
+242
+00:23:17,820 --> 00:23:25,060
+جاء منصوبا بأن مضمرة وجوبا بعد الفاء السببية التي
+
+243
+00:23:25,060 --> 00:23:31,730
+سبقت بطلب، هنا..أه..هنا بطلب يكفي، يعني خلاص
+
+244
+00:23:31,730 --> 00:23:38,190
+ننبه على الشاهد وحده فقط، واضح؟
+
+245
+00:23:38,190 --> 00:23:44,230
+يا ليتني كنت معهم فأفوز فوزا، بالمناسبة، ما يُعرف فوزا
+
+246
+00:23:44,230 --> 00:23:54,650
+هنا مفعول مطلق، يا ليتني.. يا ليتني كنت معهم، ليت
+
+247
+00:23:54,650 --> 00:24:02,470
+من أخواتها.. ماذا؟ ليت من أخواتها، ماذا تصنع؟ تدخل
+
+248
+00:24:02,470 --> 00:24:08,070
+على الجملة الاسمية، فتنصب مبتدأها ويسمى اسمها، وترفع
+
+249
+00:24:08,070 --> 00:24:18,230
+خبره، أين اسمها هنا؟ أين اسمها؟ مستتر، الياء
+
+250
+00:24:18,230 --> 00:24:24,610
+الياء هي اسم ليت، كيف نعرفه؟ من يعرفه؟ أه، نعم، تفضل
+
+251
+00:24:24,610 --> 00:24:30,840
+هنا نعملها ضمير متصل.. ضمير متصل مبني على
+
+252
+00:24:30,840 --> 00:24:34,820
+السكون في محل نصب.. في محل نصب اسم.. بالضبط، في
+
+253
+00:24:34,820 --> 00:24:39,320
+محل نصب اسم، أين خبره.. ليتني عفوا.. أين خبره
+
+254
+00:24:39,320 --> 00:24:45,020
+ليتني؟ كنت معهم، بالضبط، كل الجملة.. جملة كنت معهم
+
+255
+00:24:45,020 --> 00:24:51,000
+.. جملة كنت معهم، من يعود إلى الجملة قبل دخول ليت؟
+
+256
+00:24:51,000 --> 00:24:55,420
+من يأتينا بالجملة قبل دخول ليت؟ كيف كانت الجملة
+
+257
+00:24:55,420 --> 00:25:00,300
+الرئيسية؟ ألم نقول إن ليت تدخل على الجملة الرئيسية؟
+
+258
+00:25:00,300 --> 00:25:05,460
+ما هي الجملة الرئيسية التي دخلت عليها ليت؟ أنا كنت
+
+259
+00:25:05,460 --> 00:25:09,580
+معهم، ممتاز، أنا كنت معهم، فدخلت ليت، صارت
+
+260
+00:25:09,580 --> 00:25:17,020
+ليتني كنت معهم، كنت معهم، كان دخلت على جملة رئيسية
+
+261
+00:25:17,020 --> 00:25:22,020
+أيضا قبل دخولها، كيف كانت الجملة؟ أنا معهم، بالضبط
+
+262
+00:25:22,020 --> 00:25:26,140
+هذا التفصيل يريحنا، يساعدنا على تفكيك الجملة ومعرفة
+
+263
+00:25:26,140 --> 00:25:34,980
+أركانها، وواضح بعد واو المعية، واو المعية لها شرطين
+
+264
+00:25:34,980 --> 00:25:40,180
+الشرط الأول أن تكون الواو للمعية، يعني أن تدل على
+
+265
+00:25:40,180 --> 00:25:47,720
+المصاحبة، الشرط الثاني هو نفسه شرط فاء السببية، يعني
+
+266
+00:25:47,720 --> 00:25:50,820
+الشرط، لو أنت كونه المعية، الشرط الثاني أن تسبق بنفي
+
+267
+00:25:50,820 --> 00:25:56,910
+مُحَضّ أو طلب مُحَضّ، واضح؟ تعالَ وننظر أولا أن تكون
+
+268
+00:25:56,910 --> 00:26:01,110
+مسبوقة بنفي مُحَضّ كما في قوله تعالى: أم حسبتم أن
+
+269
+00:26:01,110 --> 00:26:05,790
+تدخلوا الجنة ولمّا يعلم الله الذين جاهدوا منكم
+
+270
+00:26:05,790 --> 00:26:11,690
+ويعلم الصابرين، ويعلم، هذه الواو تدل على المعية،
+
+271
+00:26:11,690 --> 00:26:16,010
+يعني هي بمعنى مع، يعني يجوز أن تأتي بكلمة مع بدل
+
+272
+00:26:16,010 --> 00:26:21,360
+المع، تعالى جرب: أم حسبتم أن تدخلوا الجنة ولمّا يعلم
+
+273
+00:26:21,360 --> 00:26:26,240
+الله الذين جاهدوا منكم مع علمه للصابرين، أنا ممكن
+
+274
+00:26:26,240 --> 00:26:31,820
+إذا مع، أه، إذا هنا الواو بمعنى مع، ولمّا هذه جازمة
+
+275
+00:26:31,820 --> 00:26:36,100
+سنتي إليها إن شاء الله عند حديثنا عن الجوازم، بمعنى
+
+276
+00:26:36,100 --> 00:26:42,100
+لمّ، أه، لكنها تختلف عن لمّ في بعض النقاط، وسنتي إليها
+
+277
+00:26:42,100 --> 00:26:45,560
+بالتفصيل إن شاء الله، إذا الواو هنا تدل على المعية،
+
+278
+00:26:45,560 --> 00:26:53,660
+ممتاز، هل سبقت بنفي؟ ما هو النفي هنا؟ مثلاً كما قلنا
+
+279
+00:26:53,660 --> 00:26:58,180
+لما هنا نافية جازمة، إذا تحقق الشرطان، إذا
+
+280
+00:26:58,180 --> 00:27:03,680
+الإعراب هنا، إذا الواو هنا نصبت إيش؟ لا لم تنصب
+
+281
+00:27:03,680 --> 00:27:11,020
+الفعل، انتصب المضارع بعد بأن مضمرة وجوبا، أنا انتصب
+
+282
+00:27:11,020 --> 00:27:14,200
+الفعل المضارع بعدها بأن مضمرة.. لماذا أنا أسألُه
+
+283
+00:27:14,200 --> 00:27:16,660
+مثل هذه.. أسألُه بهذه الطريقة لأن الخطأ يكثر في
+
+284
+00:27:16,660 --> 00:27:22,800
+مثل هذا الموضع، إذا ينتصب الفعل المضارع بالواو
+
+285
+00:27:22,800 --> 00:27:30,680
+المعية بـ.. بشَرْطَيْنِ، غلط، ليس بالواو، بأن، بأن، قبل قليل
+
+286
+00:27:30,680 --> 00:27:34,560
+قلناها، انتبه إلى هذه النقطة، إذا ينتصب الفعل
+
+287
+00:27:34,560 --> 00:27:39,520
+المضارع بأن مضمرة وجوبا بعد واو المعية بشرطين،
+
+288
+00:27:39,520 --> 00:27:43,120
+الشرط الأول أن تكون الواو للمعية، أن تدل على
+
+289
+00:27:43,120 --> 00:27:47,000
+المصاحبة، يعني، الشرط الثاني أن تسبق بنفي مُحَضّ أو
+
+290
+00:27:47,000 --> 00:27:53,550
+بطلب مُحَضّ كما في قول الشاعر: لا تنهى عن خلق وتأتي
+
+291
+00:27:53,550 --> 00:28:00,730
+مثله عار عليك إذا فعلت عظيمًا، إذا الناهي هنا لا، هنا
+
+292
+00:28:00,730 --> 00:28:06,310
+ناهية، والدليل جزمت الفعل بعدها، الفعل أصله تنهى،
+
+293
+00:28:06,310 --> 00:28:14,690
+تنهى، ينتهي بألف لينة، عندما جُزِمَ بحذف هذه الألف
+
+294
+00:28:14,690 --> 00:28:19,510
+اللينة، دلالة على الجزم، دلالة على الجزم، لتنهى عن
+
+295
+00:28:19,510 --> 00:28:26,740
+خلق ومع إتيان مثله، لا تنهى عن الكذب مثلاً وأنت تكذب،
+
+296
+00:28:26,740 --> 00:28:32,280
+هذا غريب، يعني، يعني هل يجوز أن يكذب بدون أن ينهى
+
+297
+00:28:32,280 --> 00:28:38,080
+يعني هو هنا ينهى عن الجمع بين الكذب والإتيان به،
+
+298
+00:28:38,080 --> 00:28:41,980
+عن النهي عن الكذب عفواً والإتيان به، يعني هل هذا
+
+299
+00:28:41,980 --> 00:28:46,620
+يعني أن الكذب بدون أن ننهى عنه جائز؟ ما المقصود
+
+300
+00:28:46,620 --> 00:28:47,240
+بالبيت إذاً؟
+
+301
+00:28:50,390 --> 00:28:55,790
+أحسنت جداً، أنا هذا أقبح، يعني أنت عندما تكذب قبيح،
+
+302
+00:28:56,640 --> 00:29:01,840
+حاشاكم، أه، قبيح، لكن أن تكذب أو أن تنهى عن الكذب
+
+303
+00:29:01,840 --> 00:29:08,120
+وتكذب هذا أشد قبحاً، هذا المقصود، لا تنهى عن خلق، و
+
+304
+00:29:08,120 --> 00:29:14,860
+تأتي مثله، عار عليك إذا فعلت عظيمًا، أراد أن يشدد في
+
+305
+00:29:14,860 --> 00:29:21,220
+إظهار قبح ذلك الأمر، لكن الكذب أيضاً قبيح وهو في غاية
+
+306
+00:29:21,220 --> 00:29:25,980
+القبح أيضاً، واضح يا شباب؟ لتنهى عن خلق وتأتي مثله،
+
+307
+00:29:25,980 --> 00:29:31,340
+عار عليك إذا فعلت عظيمًا، تعالوا ندرس الواو هنا، هل
+
+308
+00:29:31,340 --> 00:29:35,700
+الواو هنا تدل على المعية، على المصاحبة؟ أه، نعم،
+
+309
+00:29:35,700 --> 00:29:39,760
+لتنهى عن خلق مع.. أه، نعم، دلت على المعية، هل سبقت
+
+310
+00:29:39,760 --> 00:29:46,450
+بطلب مُحَضّ؟ أه، نعم، لا ناهية هنا، إذا هذا طلب مُحَضّ، إذا
+
+311
+00:29:46,450 --> 00:29:54,250
+تحقق الشرطان، وانتصب عندئذٍ الفعل المضارع بعدها بأن
+
+312
+00:29:54,250 --> 00:30:03,190
+مضمرة وجوبا، نعم، خالص، يعني الطلب المُحَضّ والطلب
+
+313
+00:30:03,190 --> 00:30:09,090
+الخالص، الخالص من الإثبات، أه، نعم، يعني مثلاً لو أردنا
+
+314
+00:30:09,090 --> 00:30:17,110
+أن نأتي بمثال: الآن أسكت، طلب مُحَضّ بفعل أمر، واضح ليه؟
+
+315
+00:30:17,110 --> 00:30:23,610
+اسكت أيضاً طلب مُحَضّ بلام الأمر، لكن لو قلت: سكوتاً يا
+
+316
+00:30:23,610 --> 00:30:27,990
+فلان، هذا الطلب جاء بالمصدر، هذا ليس طلباً مُحَضّاً، أليس
+
+317
+00:30:27,990 --> 00:30:36,830
+طلباً خالصاً، النفي، لازال، لازال المطر منهمراً، لا نافية
+
+318
+00:30:37,650 --> 00:30:42,970
+لكنها ما عائدة، ما عادت نافية، لا زالة، إذا هذا نعم،
+
+319
+00:30:42,970 --> 00:30:47,790
+فيه نفي، هو أسلوبه نفي، لكنه لم يتمحض للنافي، لم
+
+320
+00:30:47,790 --> 00:30:52,230
+يَحْصُرْ للنافي، بالعكس هو يدل على الاستمرار، واضح؟
+
+321
+00:30:52,230 --> 00:30:57,050
+وأمثلة أخرى، المهم يعني، النافي يكون مُحَضّاً بلا
+
+322
+00:30:57,050 --> 00:31:02,950
+النافية، بلا..لمّ..لمّ..ما النافية، بشكل واضح،
+
+323
+00:31:03,400 --> 00:31:09,820
+الطلب المُحَضّ يكون بلا الناهية، بالأمر، بالتمني،
+
+324
+00:31:09,820 --> 00:31:14,520
+باستفهام، بالنداء، بالترجي، والعرض، والتحديد، واضح؟
+
+325
+00:31:14,520 --> 00:31:21,060
+أجبتُك؟ سؤال؟ سؤال؟ إذا هذه خمسة مواضع التي ينتصب
+
+326
+00:31:21,060 --> 00:31:26,880
+الفعل المضارع بعدها بأن مضمرة وجوبا، من يذكرنا بها؟
+
+327
+00:31:26,880 --> 00:31:27,960
+آية، مؤمن؟
+
+328
+00:31:31,080 --> 00:31:34,300
+بقى أنت لم تختبرها، قلت أنت بعد لام الجحود، وهذا
+
+329
+00:31:34,300 --> 00:31:40,180
+صحيح، نعم، وبعد، أو وبعد حتى.. بالضبط، وبعد فاء سببية
+
+330
+00:31:40,180 --> 00:31:47,600
+والمعية، واضح؟ وشروطها طبعاً عرضناها الآن، ثالثاً جواز
+
+331
+00:31:47,600 --> 00:31:51,860
+الوجهين، أنا سأكتفي هنا فقط بلام التعليل، بلام
+
+332
+00:31:51,860 --> 00:31:56,920
+التعليل، لأنها الأشهر، وهناك أمور يعني ليست ظاهرة
+
+333
+00:31:56,920 --> 00:31:59,900
+كثيرة في اللغة، يكفي لام التعليل، وليست في الكتاب
+
+334
+00:31:59,900 --> 00:32:02,360
+أصلاً على فكرة، لم تظهر في الكتاب، وأنا أضفتها
+
+335
+00:32:02,360 --> 00:32:10,340
+لأهميتها، حقيقة مهمة، جميلة، ليس فيها ثقل علينا،
+
+336
+00:32:10,340 --> 00:32:16,600
+أو عبء علينا، جئت لأدرس، يجوز هنا نقول: جئت لأن أدرس،
+
+337
+00:32:18,210 --> 00:32:24,890
+إذاً هنا يجوز، لكن لا تنهى عن خلق وتأتي مثله، لا يجوز
+
+338
+00:32:24,890 --> 00:32:32,070
+أن تظهر أن، عندئذٍ، لكن هنا يجوز، ما دليلنا على فكرة
+
+339
+00:32:32,070 --> 00:32:36,010
+من أين جاء العلماء بهذه الحالات؟ حالات الجواز، و
+
+340
+00:32:36,010 --> 00:32:41,290
+حالات، من أين جاءوا بذلك؟ من كلام القرآن أو الحديث،
+
+341
+00:32:41,290 --> 00:32:45,650
+أو الأشعار القديمة، فقطع أولئك الذين كانوا
+
+342
+00:32:45,650 --> 00:32:48,890
+يتحدثون اللغة العربية على السليقة، تذكرون كلامنا في
+
+343
+00:32:48,890 --> 00:32:55,710
+أول المصطلحات، واضح؟ فضلاً إن شاء الله تعيشوا معهم في
+
+344
+00:32:55,710 --> 00:33:00,310
+الجنة، إن شاء الله..إن شاء الله..إذا يجوز من
+
+345
+00:33:00,310 --> 00:33:02,710
+أين الجنة؟ انظر إلى القرآن الكريم.. انظر إلى
+
+346
+00:33:02,710 --> 00:33:06,390
+القرآن الكريم، إذ إن الوجهين قد ورد في القرآن
+
+347
+00:33:06,390 --> 00:33:11,750
+الكريم، ورد الوجهان..انظر، وأمرنا لنسلم لرب
+
+348
+00:33:11,750 --> 00:33:16,950
+العالمين، هذه اللام لام التعليل، يعني تؤدي معنى
+
+349
+00:33:16,950 --> 00:33:21,950
+التعليل، ظهرت أن، هنا وأمرت لأن أكون أول المسلمين،
+
+350
+00:33:21,950 --> 00:33:26,870
+ظهرت، وهي نفس اللام، واضح، هذا الذي دفع العلماء إلى
+
+351
+00:33:26,870 --> 00:33:30,490
+الخروج بهذه القاعدة، لأن القاعدة لم تستنبط من
+
+352
+00:33:30,490 --> 00:33:36,250
+الهواء، أو من الهواء، أو من الأذهان، أو باجتهاد
+
+353
+00:33:36,250 --> 00:33:39,970
+العلماء بالطبع لا، إنما جاءوا بها من خلال استقراء
+
+354
+00:33:39,970 --> 00:33:44,620
+اللغة، نظروا إلى هذا الأمر، فوجدوها، ظهرت مرة ولم تظهر
+
+355
+00:33:44,620 --> 00:33:48,920
+في أخرى، واستقرأوا اللغة، وجدوا هذا الأمر قد تكرر في
+
+356
+00:33:48,920 --> 00:33:52,880
+الحديث، في الشعر، في كلام العرب الأوائل، فخرجوا هذه
+
+357
+00:33:52,880 --> 00:33:56,880
+القاعدة، إذا يجوز لي أن أقول، وأنا أظن أن بعضكم على
+
+358
+00:33:56,880 --> 00:34:00,860
+الأقل لا يستسيغ: جئتُ لأن أدرس، نحن متعودون على
+
+359
+00:34:00,860 --> 00:34:04,940
+جئتُ لأدرس، يعني، ما منكم يستسيغ جئتُ لأن أدرس،
+
+360
+00:34:05,820 --> 00:34:09,860
+لأظن، نحن تعودنا على: جئتُ لأدرس، جئتُ لأن أدرس،
+
+361
+00:34:09,860 --> 00:34:14,740
+فصيحة بالتأكيد، وردت في القرآن الكريم، قمة الفصاحة
+
+362
+00:34:14,740 --> 00:34:20,540
+في كلام العرب، إذاً هنا يجوز أن تظهر أن، ويجوز أن
+
+363
+00:34:20,540 --> 00:34:27,340
+تُضمر، فإذا قلنا: جئتُ لأدرس، أدرس فعل مضارع منصوب
+
+364
+00:34:27,340 --> 00:34:34,930
+بأن مضمرة، هنا جواز، هنا إضمار جواز، جئتُ لأن أدرس،
+
+365
+00:34:34,930 --> 00:34:41,810
+هنا أدرس فعل مضارع منصوب بأن مضمرة جوازاً أو وجوباً،
+
+366
+00:34:41,810 --> 00:34:49,110
+أحسنت، أه، هنا ظاهرة، جئتُ لأن أدرس، ممتاز يا هيثم، جئتَ
+
+367
+00:34:49,110 --> 00:34:57,000
+لأن أدرس، هنا ليست مضمرة، هنا ظاهرة، جئتُ لأن أدرس، إذا
+
+368
+00:34:57,000 --> 00:35:00,520
+إذا رأينا أن، فهي ظاهرة، وإن لم نرها بعد لام
+
+369
+00:35:00,520 --> 00:35:09,360
+التعليل فهي مضمرة، لكن الإضمار هنا جائز وليس واجباً،
+
+370
+00:35:09,360 --> 00:35:15,440
+تعالوا نعرف هذه الجملة: جئتُ لأدرس، تعالوا نعرفها، من
+
+371
+00:35:15,440 --> 00:35:18,200
+يعرفها؟ جئتُ لأدرس، صدر
+
+372
+00:35:22,020 --> 00:35:28,880
+جاء، وآخر، الفعل، الهمزة، جاء، بالضبط
+
+373
+00:35:28,880 --> 00:35:35,080
+حرف
+
+374
+00:35:35,080 --> 00:35:42,420
+وإيش؟ حرف و التعليل، هو حرف جر بالضبط، حرف، و
+
+375
+00:35:42,420 --> 00:35:50,260
+التعليل، هو حرف جر، حرف جر، إذا مبني على الكسر،
+
+376
+00:35:50,260 --> 00:35:58,000
+لا محل لهما من الإعراب، نعم، كم؟ والمصدر
+
+377
+00:35:58,000 --> 00:36:02,780
+المؤول أن أدرس، من أن المضمرة، وأدرس في محل جر،
+
+378
+00:36:02,780 --> 00:36:09,460
+بلام الجر، في محل جر بلام الجر، المصدر المؤول عندي أن
+
+379
+00:36:09,460 --> 00:36:15,540
+أدرس، سواء كان ظاهراً أو مقدرًا أو مضمراً، يعني هي في
+
+380
+00:36:15,540 --> 00:36:18,480
+محل جر بلام الجر، سؤال؟
+
+381
+00:36:23,680 --> 00:36:29,000
+جئتُم، هي بمعنى جئتُم للدراسة، هنا لا نتحدث عن
+
+382
+00:36:29,000 --> 00:36:33,360
+التعلق، هذا تعلق، جئتُم للدراسة، نقول: وشبه الجملة
+
+383
+00:36:33,360 --> 00:36:37,420
+متعلق بالفعل جاء، لكننا لا نذكر التعلق في مثل هذا
+
+384
+00:36:37,420 --> 00:36:41,04
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d6eb7f2eb3fb71293ed18bcf0a0926e6f6aefcf7
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U.srt
@@ -0,0 +1,2423 @@
+1
+00:00:20,520 --> 00:00:25,160
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة
+
+2
+00:00:25,160 --> 00:00:31,660
+الله وبركاته. في المحاضرة السابقة بدأنا في ال
+
+3
+00:00:31,660 --> 00:00:36,120
+difficulties  في جهاز ال retinascope صعوبات 
+
+4
+00:00:36,120 --> 00:00:42,780
+retinascope. Number one: some refractions are easy
+
+5
+00:00:42,780 --> 00:00:49,540
+like myopia, hypermetropia. بعض الأخطاء الانكسارية are
+
+6
+00:00:49,540 --> 00:00:54,400
+easy سهلة، while others are extremely difficult لكن
+
+7
+00:00:54,400 --> 00:00:58,220
+الأخطاء الأخرى مثل high myopia, high
+
+8
+00:00:58,220 --> 00:01:02,800
+astigmatism, high hypermetropia تعتبر صعبة جدا
+
+9
+00:01:03,990 --> 00:01:09,210
+The retinoscope is an art. جهاز ال retinoscope هو
+
+10
+00:01:09,210 --> 00:01:15,730
+عبارة عن فن which requires painstaking practice
+
+11
+00:01:15,730 --> 00:01:21,050
+and cannot be learned in one day. أنه بيحتاج إلى مثابرة
+
+12
+00:01:21,050 --> 00:01:26,210
+عملية، ولا يمكن تعلمه خلال يوم واحد. The retinoscope
+
+13
+00:01:26,210 --> 00:01:32,150
+is essential practical علمي، and you cannot
+
+14
+00:01:32,150 --> 00:01:32,550
+learn it
+
+15
+00:01:38,160 --> 00:01:42,560
+اليوم هنبدأ في special difficulties في جهاز الرتينوسكوب،
+
+16
+00:01:42,560 --> 00:01:47,520
+أو ال special difficulties في الرتينوسكوب. ما هي الصعوبات
+
+17
+00:01:47,520 --> 00:01:54,760
+الخاصة في جهاز الرتينوسكوب؟ طبعا أول صعوبة:
+
+18
+00:01:54,760 --> 00:02:00,900
+fainting of the red reflex. بمعنى فنت، شو معناها؟ باهت
+
+19
+00:02:00,900 --> 00:02:06,640
+fainting of the red reflex، يعني ال red reflex بكون باهت
+
+20
+00:02:06,640 --> 00:02:12,010
+غير واضح. طيب، ال fainting of the red reflex، شو ال
+
+21
+00:02:12,010 --> 00:02:18,130
+causes؟ أسبابه؟ السبب الأول: ممكن أنه يكون ocular
+
+22
+00:02:18,130 --> 00:02:24,050
+media opaque.  كلمة opaque شو معناها؟ عتامة في
+
+23
+00:02:24,050 --> 00:02:30,590
+ال ocular media، أي بمعنى الوسط العيني، طبعا مثل ال
+
+24
+00:02:30,590 --> 00:02:37,340
+corneal opacities.  القرنية اللي فيها يوكوما، أي بمعنى white
+
+25
+00:02:37,340 --> 00:02:42,400
+opacities of the cornea، يعني بيكون عتامة بيضاء على
+
+26
+00:02:42,400 --> 00:02:48,700
+القرنية. Okay، number two: blood in the anterior
+
+27
+00:02:48,700 --> 00:02:54,260
+chamber، like hyphema. Number three: a mature
+
+28
+00:02:54,260 --> 00:02:57,460
+cataract.  أي بمعنى cataract غير ناضجة
+
+29
+00:03:00,650 --> 00:03:06,450
+ال anterior chamber، أخذنا شو تعريفه؟
+
+30
+00:03:06,450 --> 00:03:11,250
+The space between the cornea and
+
+31
+00:03:11,250 --> 00:03:13,190
+the anterior surface of the iris.
+
+32
+00:03:28,930 --> 00:03:33,670
+إذا، ال anterior chamber is a fluid space that fills
+
+33
+00:03:33,670 --> 00:03:36,450
+between the cornea and the iris.
+
+34
+00:03:39,310 --> 00:03:45,190
+Number four: mild vitreous hemorrhage. أي بمعنى نزيف
+
+35
+00:03:45,190 --> 00:03:50,110
+في ال vitreous، لكن هذا النزيف بيكون بسيط، غير حاد،
+
+36
+00:03:50,110 --> 00:03:56,290
+mild، قلنا بسيط. Okay، and retinal detachment. بمعنى
+
+37
+00:03:56,290 --> 00:04:01,910
+انفصال في الشبكية. شو تعريف ال retinal detachment؟
+
+38
+00:04:01,910 --> 00:04:06,390
+مار عليكم تعريف ال retinal detachment؟ Up to you.
+
+39
+00:04:08,330 --> 00:04:12,890
+الشبكية اللي فيها طبقات، مش شبكية، في ال
+
+40
+00:04:12,890 --> 00:04:21,950
+elevation. إذا كلامك صح، في another definition
+
+41
+00:04:21,950 --> 00:04:29,510
+بالظبط.
+
+42
+00:04:29,510 --> 00:04:33,670
+أنه separation، انفصال، between the retinal pigment
+
+43
+00:04:33,670 --> 00:04:34,470
+epithelium
+
+44
+00:04:38,440 --> 00:04:42,460
+أول طبقة من ال rods and cones، أي بمعنى الطبقة الأولى والثانية
+
+45
+00:04:42,460 --> 00:04:48,260
+للشبكية، due to maybe loss of nutrition
+
+46
+00:04:48,260 --> 00:04:53,800
+فقدان في التغذية لل retina. هذا السبب الأول لمين؟
+
+47
+00:04:53,800 --> 00:04:58,920
+لل fainting of the red reflex. السبب الثاني: high
+
+48
+00:04:58,920 --> 00:05:03,100
+refractive error. Okay، high refractive error مثل
+
+49
+00:05:03,100 --> 00:05:06,460
+high myopia أو high hypermetropia.
+
+50
+00:05:17,800 --> 00:05:20,600
+Special difficulties.
+
+51
+00:05:39,220 --> 00:05:44,980
+Maybe the question will be: discuss and draw the
+
+52
+00:05:44,980 --> 00:05:49,140
+special difficulties in retinoscopy. أي بمعنى
+
+53
+00:05:49,140 --> 00:05:54,580
+ناقش وارسم الصعوبات الخاصة في جهاز ال retinoscope
+
+54
+00:05:54,580 --> 00:06:00,780
+one by one.
+
+55
+00:06:00,780 --> 00:06:02,680
+Number two.
+
+56
+00:06:12,230 --> 00:06:20,130
+fainting of the red reflex. أي
+
+57
+00:06:20,130 --> 00:06:28,870
+بمعنى باهت أو عدم وضوح في ال red reflex. طبعا
+
+58
+00:06:28,870 --> 00:06:33,350
+ال causes، أسبابه.
+
+59
+00:06:33,350 --> 00:06:36,830
+A popular
+
+60
+00:06:42,010 --> 00:06:50,690
+ocular media opaque. بمعنى
+
+61
+00:06:50,690 --> 00:06:59,730
+عتامة في وسط العين. بتشمل: number one: corneal
+
+62
+00:06:59,730 --> 00:07:02,770
+opacities.
+
+63
+00:07:14,030 --> 00:07:26,230
+White opacities of
+
+64
+00:07:26,230 --> 00:07:31,050
+the cornea.
+
+65
+00:07:43,150 --> 00:07:47,010
+In the anterior chamber. طبعا اختصار AC، anterior
+
+66
+00:07:47,010 --> 00:07:54,530
+chamber. بنسميها الهايفما، الهايفما
+
+67
+00:07:54,530 --> 00:07:58,330
+بمعنى blood في ال anterior chamber، يعني بيكون فيه
+
+68
+00:07:58,330 --> 00:08:02,610
+دم في ال anterior chamber. طبعا في الصورة
+
+69
+00:08:05,000 --> 00:08:08,440
+الـ  الـ  ال hyphema.  أه، ممكن أنه مرات ما يكون
+
+70
+00:08:08,440 --> 00:08:12,600
+عنده diabetes mellitus، يكون عنده الـ السبب له
+
+71
+00:08:12,600 --> 00:08:18,300
+lead to hyphema. Number three: immature
+
+72
+00:08:18,300 --> 00:08:22,560
+cataract.
+
+73
+00:08:22,560 --> 00:08:27,000
+يعني
+
+74
+00:08:27,000 --> 00:08:33,100
+بمعنى مياه بيضاء غير ناضجة. Number four: mild
+
+75
+00:08:46,650 --> 00:08:57,470
+Vitreous hemorrhage. أي
+
+76
+00:08:57,470 --> 00:09:04,750
+بمعنى نزيف غير حاد في ال vitreous. Okay، number five:
+
+77
+00:09:15,770 --> 00:09:22,650
+Retinal detachment. انفصال
+
+78
+00:09:22,650 --> 00:09:34,230
+في الشبكية. It is a separation between
+
+79
+00:09:36,790 --> 00:09:42,370
+ما بين الطبقة الأولى، retinal pigment epithelium
+
+80
+00:09:42,370 --> 00:09:51,730
+and photoreceptors.
+
+81
+00:09:51,730 --> 00:09:57,670
+اللي بتتمثل في ال rods and cones. هذا السبب الأول: ال
+
+82
+00:09:57,670 --> 00:10:02,850
+ocular media opaque. السبب الثاني: high
+
+83
+00:10:02,850 --> 00:10:07,740
+refractive error.  الـ high refractive
+
+84
+00:10:07,740 --> 00:10:15,880
+error. اه، ال fainting of the red reflex، اه بي يعني صحيح
+
+85
+00:10:15,880 --> 00:10:24,300
+بي اه. Okay، يعني
+
+86
+00:10:24,300 --> 00:10:28,380
+هاد ال fainting of the red reflex، ال causes بتاعتها ايه؟
+
+87
+00:10:28,380 --> 00:10:36,040
+Ocular media opaque، عتامة في سطح العين، اه، أنه .. أنه
+
+88
+00:10:36,040 --> 00:10:40,220
+إيش السبب بتاعها؟ زي الكورنيا، اليوكوما، mild
+
+89
+00:10:40,220 --> 00:10:44,200
+vitreous hemorrhage، immature cataract، blood in
+
+90
+00:10:44,200 --> 00:10:49,240
+the anterior chamber، and retinal detachment.
+
+91
+00:10:49,240 --> 00:10:54,620
+بيه؟  قائمة؟
+
+92
+00:10:54,620 --> 00:10:58,060
+طبعا.
+
+93
+00:10:58,060 --> 00:10:59,280
+High refractive error.
+
+94
+00:11:24,500 --> 00:11:32,220
+High refractive
+
+95
+00:11:32,220 --> 00:11:37,700
+error. هذا اختصار لـ refractive error، زي مثلا high
+
+96
+00:11:37,700 --> 00:11:44,480
+myopia or
+
+97
+00:11:44,480 --> 00:11:47,740
+high hypermetropia.
+
+98
+00:11:50,440 --> 00:11:55,840
+هذه كلها ضمن مين؟ ال fainting of the red reflex، بهاء
+
+99
+00:11:55,840 --> 00:12:02,400
+لأُو عدم وضوح ال red reflex. واضح؟
+
+100
+00:12:06,330 --> 00:12:09,730
+يعني الآن، الـ الـ ال special difficulties،
+
+101
+00:12:09,730 --> 00:12:14,230
+الصعوبات، أول حاجة أنه في صعوبة في رؤية ال red
+
+102
+00:12:14,230 --> 00:12:18,950
+reflex. بنسميها ال faint. إذا الآن، يما بتـ بتـ
+
+103
+00:12:18,950 --> 00:12:22,530
+بتعملي ال procedure، عملية ال retinoscopy،
+
+104
+00:12:22,530 --> 00:12:26,630
+وبتشوفيش ال red reflex بشكل واضح. إيش بنقول؟ أنه
+
+105
+00:12:26,630 --> 00:12:30,450
+هادي faint. بتقولي لي: ال red reflex مش واضح.  كي
+
+106
+00:12:30,450 --> 00:12:31,950
+fainting of the red reflex.
+
+107
+00:12:36,830 --> 00:12:40,430
+أخذنا، أعتقد، ال characteristics لمين؟ لل red reflex.
+
+108
+00:12:40,430 --> 00:12:44,770
+من ضمنهم أنه يكون، إذا كان bright، بيكون عند المريض
+
+109
+00:12:44,770 --> 00:12:49,170
+small refractive error. وإذا كان faint، بيكون عنده
+
+110
+00:12:49,170 --> 00:12:55,010
+high refractive error. Okay، هذه كلها النقطة الأولى:
+
+111
+00:12:55,010 --> 00:13:01,870
+أنه fainting of the red reflex. واضح؟ Number two:
+
+112
+00:13:01,870 --> 00:13:04,010
+variation
+
+113
+00:13:07,680 --> 00:13:16,740
+اختلاف of the red reflex in
+
+114
+00:13:16,740 --> 00:13:32,640
+different parts of
+
+115
+00:13:32,640 --> 00:13:33,620
+the pupil.
+
+116
+00:13:36,060 --> 00:13:42,120
+In dilated pupils. للبيوپيل
+
+117
+00:13:42,120 --> 00:13:46,320
+كيف
+
+118
+00:13:46,320 --> 00:13:52,540
+تفسير هذه؟ الآن نفترض عند طفل، استخدمنا معه ال
+
+119
+00:13:52,540 --> 00:13:56,940
+cycloplegic، عمل dilate للبيوپيل، وعمل
+
+120
+00:13:56,940 --> 00:14:02,800
+paralysis للعضلة الـ ciliary. الآن بتلاحظي أنه ممكن في
+
+121
+00:14:02,800 --> 00:14:07,220
+ال center يكون ال red reflex bright، لكن بال
+
+122
+00:14:07,220 --> 00:14:11,260
+peripheral إيش يكون؟ faint. أو العكس في ال
+
+123
+00:14:11,260 --> 00:14:14,680
+peripheral يكون faint، وفي ال center إيش يكون؟
+
+124
+00:14:14,680 --> 00:14:18,820
+bright. طبعا هذه سببها إيه؟ ال spherical aberration.
+
+125
+00:14:18,820 --> 00:14:25,430
+ال spherical aberration، بمعنى الزيغ الكروي. طبعا
+
+126
+00:14:25,430 --> 00:14:31,970
+هي optical defect، مشكلة بصرية.  observe إيه بتحدث؟
+
+127
+00:14:31,970 --> 00:14:36,410
+مين بيحدثها؟ ال mirror أو ال lens، العدسة أو المرآة.
+
+128
+00:14:36,410 --> 00:14:42,230
+طيب، كيف هذي بتحدث؟ أنه نتيجة تغير ال refraction.
+
+129
+00:14:42,230 --> 00:14:46,150
+تذكروا في أول محاضرة، ميزنا ما بين ال physical
+
+130
+00:14:46,150 --> 00:14:49,910
+refraction والـ clinical refraction. قلنا ال
+
+131
+00:14:49,910 --> 00:14:54,390
+physical refraction، يما بينتقل الضوء من وسط إلى وسط
+
+132
+00:14:54,390 --> 00:14:59,190
+آخر مختلف الكثافة. هذا بنسميه إيش؟ ال refraction.
+
+133
+00:14:59,190 --> 00:15:03,310
+فال change في ال refraction هذا، إيش بنسميه؟
+
+134
+00:15:03,310 --> 00:15:07,850
+spherical aberration. طبعا ال spherical aberration
+
+135
+00:15:07,850 --> 00:15:14,500
+فيها أنواع: يا إما high order aberration أو low
+
+136
+00:15:14,500 --> 00:15:19,360
+order aberration. شو الفرق بين الاثنين؟ ال low order
+
+137
+00:15:19,360 --> 00:15:24,780
+aberration، بمعنى أنه ممكن تصحيحه بالنضارة أو
+
+138
+00:15:24,780 --> 00:15:30,300
+العدسة اللاصقة، زي الميوپيا والـ hypermetropia، أو بعملية
+
+139
+00:15:30,300 --> 00:15:35,000
+جراحية. لكن ممكن can be corrected by glasses or contact
+
+140
+00:15:35,000 --> 00:15:40,010
+lenses. هذا بنسميه إيه؟ low order aberration. ال high
+
+141
+00:15:40,010 --> 00:15:44,210
+order aberration cannot be corrected by glasses or
+
+142
+00:15:44,210 --> 00:15:47,590
+contact lenses. كيف ممكن أصلحه؟ بال surgery،
+
+143
+00:15:47,590 --> 00:15:52,250
+بالعملية. فيه له أنواع كمان: الكوما والـ coma زي
+
+144
+00:15:52,250 --> 00:15:56,310
+الآن بيجي مريض عندك في المركز أو في العيادة أو في
+
+145
+00:15:56,310 --> 00:16:01,690
+المشفى، تعملي له مثلا refraction، بعدها بنستخدم ال
+
+146
+00:16:01,690 --> 00:16:05,990
+pinhole، no improvement، مافيش تحسن في الرؤية
+
+147
+00:16:05,990 --> 00:16:10,850
+عنده. طب، إيش الحل؟ بدي أفكر دائما في ال high order
+
+148
+00:16:10,850 --> 00:16:14,750
+aberration. قلنا ال high order aberration مش ممكن
+
+149
+00:16:14,750 --> 00:16:19,150
+أصلحه بمين؟ بالنضارة أو بالعدسة اللاصقة. لازم ال
+
+150
+00:16:19,150 --> 00:16:22,890
+surgery. فدايما إيش بقول للمريض: إن أنت بدك صورة
+
+151
+00:16:22,890 --> 00:16:27,990
+corneal topography، إنه فحص لتضاريس القرنية من
+
+152
+00:16:27,990 --> 00:16:32,130
+خلال الصورة هذه، ممكن أنه يكتشف المريض إذا كان عنده
+
+153
+00:16:32,130 --> 00:16:36,330
+high order أو low order aberration. Okay؟
+
+154
+00:16:37,950 --> 00:16:41,770
+إذا، عندنا ال variation of the red reflex in different
+
+155
+00:16:41,770 --> 00:16:48,330
+parts during dilated pupils. نقطة ثالثة: ال
+
+156
+00:16:48,330 --> 00:16:52,130
+scissor shadow. أعتقد معظمكم مر عليكم ال scissor
+
+157
+00:16:52,130 --> 00:16:59,830
+shadow، الحركة المقصية. فهمتوهاش؟ Okay، الآن أنا عندي
+
+158
+00:16:59,830 --> 00:17:06,930
+طفل، Okay، حطيت له cycloplegic، قطر توسيع. الآن
+
+159
+00:17:06,930 --> 00:17:12,530
+أجينا نفحص بال retinoscope، لجينا في عندنا
+
+160
+00:17:12,530 --> 00:17:15,910
+peripheral وفي ال center، ال red reflex مش فيه له
+
+161
+00:17:15,910 --> 00:17:20,440
+peripheral وفي له center، صح؟ لاحظت أنت ال red
+
+162
+00:17:20,440 --> 00:17:24,580
+reflex، صارت مع بعض الطالبات حتى في المعمل عندنا
+
+163
+00:17:24,580 --> 00:17:29,260
+أنه حكولي في ال peripheral، ال red reflex إيش ماله؟
+
+164
+00:17:29,260 --> 00:17:34,300
+faint، باهت، لكن في ال center clear، واضح، أو bright
+
+165
+00:17:34,300 --> 00:17:39,360
+مضيء. Okay، فهذا إيش .. نتيجة إيش اللي صار؟ أنه ال
+
+166
+00:17:39,360 --> 00:17:43,280
+spherical aberration. ال spherical aberration شو
+
+167
+00:17:43,280 --> 00:17:48,740
+معناها؟ أنه optical defect، أي بمعنى مشكلة بصرية.
+
+168
+00:17:48,740 --> 00:17:54,440
+مين اللي بيحدثها؟ ال mirror أو ال lens، يعني المرآة
+
+169
+00:17:54,440 --> 00:17:58,580
+أو العدسة. كيف؟ طيب، نتيجة التغير في ال refraction.
+
+170
+00:17:58,580 --> 00:18:02,460
+ال physical ولا ال clinical refraction؟ ال
+
+171
+00:18:02,460 --> 00:18:06,140
+physical، أنه بتغير من one meridian لـ two meridian
+
+172
+00:18:06,140 --> 00:18:11,680
+مختلفة الكثافة. طيب، ال spherical aberration له أنواع
+
+173
+00:18:11,680 --> 00:18:16,380
+زي إيش الأنواع بتاعته؟ low order aberration
+
+174
+00:18:16,380 --> 00:18:20,260
+والـ high order aberration. ال low order aberration
+
+175
+00:18:20,260 --> 00:18:25,000
+myopia، يعني مثلا لو أنا myopic، أعتبر low order
+
+176
+00:18:25,000 --> 00:18:30,880
+aberration. لو زميلتك hypermetropic، تعتبر low
+
+177
+00:18:30,880 --> 00:18:35,200
+order aberration. ال high order aberration لا يمكن
+
+178
+00:18:35,200 --> 00:18:38,480
+تصحيحه بالنضارة أو بالعدسة اللاصقة. شو بدنا؟
+
+179
+00:18:38,480 --> 00:18:47,580
+Surgery، في العملية. Okay؟ يعني عندنا كمفهوم للـ
+
+180
+00:18:47,580 --> 00:18:48,800
+spherical aberration.
+
+181
+00:19:30,210 --> 00:19:39,250
+بمعنى الزيغ الكروي، optical defect،
+
+182
+00:19:39,250 --> 00:19:50,950
+أنه مشكلة بصرية، observed، بتلاحظها ال
+
+183
+00:19:50,950 --> 00:19:55,610
+mirror أو
+
+184
+00:19:55,610 --> 00:19:58,070
+ال lens.
+
+185
+00:20:04,060 --> 00:20:10,940
+Due to، سببها
+
+186
+00:20:10,940 --> 00:20:18,160
+a change of
+
+187
+00:20:18,160 --> 00:20:20,920
+refraction.
+
+188
+00:20:25,210 --> 00:20:29,090
+وعن بين جثين ال physical refraction. Spherical، كروي،
+
+189
+00:20:29,090 --> 00:20:33,090
+aberration. زي، وطبعا ال spherical aberration
+
+223
+00:23:14,620 --> 00:23:22,240
+astigmatism؟ ما هو معنى الـ mixed astigmatism؟
+
+224
+00:23:22,240 --> 00:23:26,700
+بالضبط أو أقل أن one of the principal meridians are
+
+225
+00:23:26,700 --> 00:23:29,600
+not perpendicular to each other يعني واحد من
+
+226
+00:23:29,600 --> 00:23:33,320
+المحاور لا يكون عمودي على الآخر، فبذلك
+
+227
+00:23:33,320 --> 00:23:39,030
+يكون الـ irregular astigmatism، فهذه لا يمكن أن
+
+228
+00:23:39,030 --> 00:23:43,310
+يُصلح بـ: نظارة، يعني الـ irregular astigmatism
+
+229
+00:23:43,310 --> 00:23:47,190
+you can try with glasses or contact lenses، لكن إذا
+
+230
+00:23:47,190 --> 00:23:50,670
+لم تصلِ إلى نتيجة، ننتقل إلى الـ high order
+
+231
+00:23:50,670 --> 00:23:51,430
+aberration
+
+232
+00:23:54,050 --> 00:23:59,270
+حاجة تقريباً عمرها سبعة وستون عاماً، أجرت عملية
+
+233
+00:23:59,270 --> 00:24:03,310
+cataract بالـ left eye، و عندها fibrosis (تليف) في
+
+234
+00:24:03,310 --> 00:24:07,790
+الشبكية، طبعاً أجروا لها الدكتور bleeding
+
+235
+00:24:07,790 --> 00:24:12,970
+في الـ vitreous، آسفة، bleeding في الـ fibrosis (التليف)
+
+236
+00:24:12,970 --> 00:24:16,750
+و أجروا لها عملية الـ cataract (المياه البيضاء) الـ
+
+237
+00:24:16,750 --> 00:24:22,870
+visual acuity في الـ left eye ستة على ستين، Okay with
+
+238
+00:24:22,870 --> 00:24:28,150
+correction ستة على أربعة وعشرين، يعني تقريباً ما من تحسن
+
+239
+00:24:28,150 --> 00:24:31,290
+أكثر من ستة على أربعة وعشرين
+
+240
+00:24:35,140 --> 00:24:39,600
+What is your opinion؟ شو رأيك؟ فقلت له أنه يجب
+
+241
+00:24:39,600 --> 00:24:43,280
+أن تُجرى لها صورة corneal topography، قد يكون عندها
+
+242
+00:24:43,280 --> 00:24:47,180
+high order aberration، أنه هو السبب، يعني تحتاج
+
+243
+00:24:47,180 --> 00:24:50,900
+إلى جراحة  لتحسين الرؤية
+
+244
+00:24:50,900 --> 00:24:55,040
+لماذا؟ لأن عندها أيضاً  الـ retina (الشبكية) clear (صافية)،
+
+245
+00:24:55,040 --> 00:24:59,460
+لا مشكلة فيها، أو الاحتمال الثاني
+
+246
+00:24:59,460 --> 00:25:04,150
+أن نجري لها صورة للشبكية، لو كان هناك مثلاً عندها، بالتأكيد
+
+247
+00:25:04,150 --> 00:25:07,890
+ما مر عليكم الـ liquid، مثل الـ tearing، يعني
+
+248
+00:25:07,890 --> 00:25:12,810
+دموع، أو ترشحات نسميها بالعربية في الشبكية
+
+249
+00:25:12,810 --> 00:25:19,370
+إحدى هاتين الحالتين، حسناً، لدينا أنواع spherical
+
+250
+00:25:19,370 --> 00:25:20,050
+aberration
+
+251
+00:25:38,420 --> 00:25:46,360
+types of spherical
+
+252
+00:25:46,360 --> 00:25:50,340
+aberration
+
+253
+00:25:50,340 --> 00:25:57,060
+number
+
+254
+00:25:57,060 --> 00:26:04,180
+one low order aberration
+
+255
+00:26:13,090 --> 00:26:25,550
+مثل myopia, hypermetropia
+
+256
+00:26:25,550 --> 00:26:33,150
+astigmatism number
+
+257
+00:26:33,150 --> 00:26:39,070
+two high order
+
+258
+00:26:46,310 --> 00:27:05,290
+Aberration، طبعاً هنا can be corrected by glasses or
+
+259
+00:27:05,290 --> 00:27:14,500
+contact lenses، الـ high order aberration، مثل الـ
+
+260
+00:27:14,500 --> 00:27:21,900
+regular astigmatism
+
+261
+00:27:21,900 --> 00:27:27,900
+و
+
+262
+00:27:27,900 --> 00:27:33,740
+تحتاج إلى جراحة، يعني
+
+263
+00:27:33,740 --> 00:27:35,640
+بمعنى عملية، حسناً؟
+
+264
+00:27:39,130 --> 00:27:46,210
+هذه أنواع الـ spherical aberration
+
+265
+00:27:46,210 --> 00:27:54,370
+حسناً
+
+266
+00:27:54,370 --> 00:27:59,770
+تمّ، حسناً
+
+267
+00:27:59,770 --> 00:28:04,270
+الآن، الرقم ثلاثة من الصعوبات الخاصة
+
+268
+00:28:04,270 --> 00:28:09,500
+في الـ retinoscopy، الـ silver shadow/scissor shadow، عبارة عن
+
+269
+00:28:09,500 --> 00:28:16,220
+حركة مقصية، بمعنى أن واحد ونصف، لو أن كل عين، كما
+
+270
+00:28:16,220 --> 00:28:20,100
+أنتم تعرفون، فيها two meridians (محورين) horizontal و
+
+271
+00:28:20,100 --> 00:28:25,420
+vertical meridian (عمودي)، قد يكون normal أو يكون oblique
+
+272
+00:28:25,420 --> 00:28:30,940
+الآن، واحد ونصف منهما تكون حركته مثلاً with
+
+273
+00:28:30,940 --> 00:28:37,360
+والنصف الآخر، ماذا يكون؟ against، حسناً، إذا كان الاثنان
+
+274
+00:28:37,360 --> 00:28:40,900
+يتحركان، يعني مثلاً لو افترضنا هذا meridian، هذا
+
+275
+00:28:40,900 --> 00:28:45,300
+meridian آخر، نصفه يتحرك with، والنصف الثاني ماذا
+
+276
+00:28:45,300 --> 00:28:50,440
+يتحرك؟ against، فيعمل حركة مثل المقص، حركة
+
+277
+00:28:50,440 --> 00:28:55,800
+المقص، يعني you can imagine the shadow، حسناً،
+
+278
+00:28:55,800 --> 00:29:02,130
+in your eye، أن تتخيلوا كأنه مقص أمامكم كيف يتحرك
+
+279
+00:29:02,130 --> 00:29:06,390
+المقص، أن تجدوا واحد ونصف منهما يتحرك في نفس
+
+280
+00:29:06,390 --> 00:29:12,190
+الاتجاه، والنصف الآخر يتحرك باتجاه آخر، وهذا يسبب لي
+
+281
+00:29:12,190 --> 00:29:17,530
+الـ scissor shadow،  أختنا خديجة رأت بالأمس الـ
+
+282
+00:29:17,530 --> 00:29:21,330
+scissor shadow، طبعاً هي تعتبر من الصعوبات الخاصة
+
+283
+00:29:21,330 --> 00:29:22,470
+في الـ retinoscopy
+
+284
+00:29:25,870 --> 00:29:30,330
+طبعاً الـ scissor shadow، في حالات يكون فقط في
+
+285
+00:29:30,330 --> 00:29:34,230
+الـ center، لكن الحالة التي رأيناها بالأمس كانت في الـ center وفي
+
+286
+00:29:34,230 --> 00:29:37,330
+الـ periphery، يعني يمكنك أن تغطي الـ center، لكن الـ
+
+287
+00:29:37,330 --> 00:29:39,530
+periphery، ماذا يبقى؟ مفتوح
+
+288
+00:29:57,030 --> 00:30:00,890
+أو تكون أسباب الـ regular astigmatism مثل
+
+289
+00:30:00,890 --> 00:30:07,110
+الـ keratoconus (القرنية المخروطية)، number
+
+290
+00:30:07,110 --> 00:30:12,890
+three scissor
+
+291
+00:30:12,890 --> 00:30:16,470
+shadow
+
+292
+00:30:16,470 --> 00:30:20,250
+الـ
+
+293
+00:30:20,250 --> 00:30:31,370
+causes (الأسباب)، number one: corneal scar، بمعنى ندبة في
+
+294
+00:30:31,370 --> 00:30:40,530
+القرنية، number two: keratoconus
+
+295
+00:30:40,530 --> 00:30:45,750
+(القرنية المخروطية)، irregular
+
+296
+00:30:45,750 --> 00:30:49,790
+astigmatism
+
+297
+00:30:57,450 --> 00:31:03,770
+تحدثنا عن تعريف الـ irregular astigmatism، أنه one of
+
+298
+00:31:03,770 --> 00:31:06,930
+the two principal meridians are not perpendicular
+
+299
+00:31:06,930 --> 00:31:12,130
+to each other، يعني لا يكون عمودياً على الآخر، حسناً
+
+300
+00:31:12,130 --> 00:31:15,890
+number
+
+301
+00:31:15,890 --> 00:31:21,010
+four: لدينا الـ squinting eye (الحول)، مثل الأطفال عندما
+
+302
+00:31:21,010 --> 00:31:22,650
+يكون عنده squint
+
+303
+00:31:27,150 --> 00:31:32,090
+للخارج، هذا من الصعب أن تُجرى له written score
+
+304
+00:31:32,090 --> 00:31:38,150
+حسناً، الحالة الأخيرة أن الـ nystagmus (الرأرأة) في العين
+
+305
+00:31:38,150 --> 00:31:43,410
+يكون لديه حركة في العين، إذا لدينا
+
+306
+00:31:43,410 --> 00:31:48,810
+number four: misalignment
+
+307
+00:32:04,950 --> 00:32:16,250
+Squint، number five: nystagmus (رأرأة)
+
+308
+00:32:16,250 --> 00:32:16,870
+في العين
+
+309
+00:32:22,020 --> 00:32:27,920
+توازن العينين أو عدم استقامة العينين، الذي نسميه
+
+310
+00:32:27,920 --> 00:32:32,740
+squint، و الأخيرة أن الـ nystagmus (رأرأة العين) هذه
+
+311
+00:32:32,740 --> 00:32:38,120
+من الصعوبات الخاصة في الـ retinoscopy
+
+312
+00:32:38,120 --> 00:32:45,420
+في جهاز الـ retinoscope، تفضلي، you need
+
+313
+00:32:45,420 --> 00:32:46,040
+practice
+
+314
+00:32:56,670 --> 00:33:05,700
+ماذا يمكنني أن أفعل؟ ماذا يمكنني أن أفعل؟  لقد قلت إنه in
+
+315
+00:33:05,700 --> 00:33:10,960
+my opinion، إذا كان لأحدكم وقت فراغ، ولديه حالة
+
+316
+00:33:10,960 --> 00:33:14,760
+ممكن أن تعرضها عليّ، أو تعمل عليها وأنا موجود
+
+317
+00:33:14,760 --> 00:33:18,980
+وأنا لديّ ساعات عمل، سواء كان ذلك للمعمل أو
+
+318
+00:33:18,980 --> 00:33:23,980
+لـ ... الـ ... الـ theory،  أنتم حتى الآن لم تأتوا بـ
+
+319
+00:33:23,980 --> 00:33:24,220
+واحدة
+
+320
+00:33:29,090 --> 00:33:33,610
+القرنية المخروطية،  الـ keratoconus نتيجة
+
+321
+00:33:33,610 --> 00:33:37,290
+change في curvature of the cornea، نتيجة تغير
+
+322
+00:33:37,290 --> 00:33:42,530
+في تحدب القرنية، حسناً، في الغالب الـ keratoconus فيه
+
+323
+00:33:42,530 --> 00:33:46,210
+تصنيف: mild، moderate، severe، إذا
+
+324
+00:33:46,210 --> 00:33:51,020
+كانت الحالة severe، فلا حل إلا إزالة
+
+325
+00:33:51,020 --> 00:33:54,460
+أو تغيير القرنية، لكن إذا كانت الحالة mild أو
+
+326
+00:33:54,460 --> 00:33:58,080
+moderate، فيمكن استخدام glasses أو contact
+
+327
+00:33:58,080 --> 00:34:02,780
+lenses، أو عدسات لاصقة، حسناً، طيب، من هذه
+
+328
+00:34:02,780 --> 00:34:06,320
+النقطة، من يتحدث عن صعوبات الـ retinoscopy
+
+329
+00:34:06,320 --> 00:34:11,400
+الخاصة، يعني،  الـ special difficulties في
+
+330
+00:34:11,400 --> 00:34:14,800
+retinoscopy، number one، هيا بنا
+
+331
+00:34:18,870 --> 00:34:28,590
+special difficulties في الـ retinoscopy، nystagmus
+
+332
+00:34:28,590 --> 00:34:32,830
+(رأرأة العين)، number two: fainting of red reflex
+
+333
+00:34:32,830 --> 00:34:37,490
+causes ...causes fainting of red reflex
+
+334
+00:34:51,370 --> 00:34:58,330
+بعد ذلك، إن شاء الله،  و corneal leukoma، و
+
+335
+00:34:58,330 --> 00:35:03,630
+... ... ... ... ... ... ... ... ...
+
+336
+00:35:03,630 --> 00:35:06,810
+... ... ... ... ... ... ... ... ...
+
+337
+00:35:06,810 --> 00:35:07,150
+... ... ... ... ... ... ... ... ...
+
+338
+00:35:07,150 --> 00:35:09,330
+... ... ... ... ... ... ... ... ...
+
+339
+00:35:09,330 --> 00:35:12,340
+... ... ... ... ... ... ... ... ...
+
+340
+00:35:12,340 --> 00:35:15,760
+high refractive error، high myopia أو high hypermetropia
+
+341
+00:35:15,760 --> 00:35:20,840
+حسناً، آخر واحد وهو scissor shadow، scissor
+
+342
+00:35:20,840 --> 00:35:24,360
+shadow، حسناً، variation of red reflex of the
+
+343
+00:35:24,360 --> 00:35:28,480
+different parts in the dilated pupil، in the
+
+344
+00:35:28,480 --> 00:35:33,240
+dilated pupil، يعني بمعنى variation (اختلاف) في الـ red
+
+345
+00:35:33,240 --> 00:35:38,640
+reflex خلال dilatation (اتساع) الـ pupil، أن يكون الـ center
+
+346
+00:35:38,640 --> 00:35:45,260
+مثلاً bright، و الـ periphery faint، حسناً، طيب
+
+347
+00:35:45,260 --> 00:35:49,680
+الـ special difficulties في الـ retinoscopy، هذه
+
+348
+00:35:49,680 --> 00:35:57,480
+number one، هيا بنا، اختلف
+
+349
+00:35:57,480 --> 00:36:04,620
+في ... هو الـ reflex في أجزاء مختلفة من
+
+350
+00:36:04,620 --> 00:36:10,760
+البيئة، number two: fainting of red reflex، الـ
+
+351
+00:36:10,760 --> 00:36:17,280
+causes of fainting of red reflex، الـ
+
+352
+00:36:17,280 --> 00:36:21,200
+causes
+
+353
+00:36:21,200 --> 00:36:29,320
+هذه الـ ocular media، number one
+
+354
+00:36:29,320 --> 00:36:37,060
+الـ causes of ocular، number two، number three
+
+355
+00:36:38,830 --> 00:36:42,990
+number 4، number
+
+356
+00:36:42,990 --> 00:36:52,230
+5، number
+
+357
+00:36:52,230 --> 00:36:53,230
+5، number 5، number 5، number 5، number 5، number 5، number 5، number 5،
+
+358
+00:36:53,230 --> 00:36:55,290
+number 5، number 5، number 5، number 5، number 5، number 5، number 5، number 5،
+
+359
+00:36:55,290 --> 00:36:56,350
+number 5، number 5، number 5، number 5، number 5، number 5، number 5، number 5،
+
+360
+00:36:56,350 --> 00:36:56,410
+number 5، number 5، number 5، number 5، number 5، number 5، number 5، number 5،
+
+361
+00:36:56,410 --> 00:36:56,450
+number 5، number 5، number 5، number 5، number 5، number 5، number 5، number 5،
+
+362
+00:36:56,450 --> 00:36:59,770
+number 5، number 5، number 5، number 5،
+
+363
+00:37:08,680 --> 00:37:22,280
+ما هو تعريف الـ spherical aberration؟
+
+364
+00:37:29,420 --> 00:37:35,320
+هي حالة بصرية ألاحظها، تُشاهد في
+
+365
+00:37:35,320 --> 00:37:39,880
+الـ lens أو الـ mirror، نتيجة التغير في ماذا؟ في الـ
+
+366
+00:37:39,880 --> 00:37:43,700
+reflection، الفيزيائية أم السريرية؟ الفيزيائية
+
+367
+00:37:43,700 --> 00:37:49,340
+reflection، high أم low؟
+
+368
+00:37:49,340 --> 00:37:53,000
+classification of spherical aberration
+
+369
+00:38:03,850 --> 00:38:08,490
+ممتاز، special difficulties of retinoscopy، number
+
+370
+00:38:08,490 --> 00:38:19,370
+one: fainting of red reflex، حسناً، آخر واحد، آخر واحد
+
+371
+00:38:27,820 --> 00:38:42,060
+Variation of Red Reflex in Dilated Pupil، Special
+
+372
+00:38:42,060 --> 00:38:55,540
+Difficulties
+
+373
+00:38:55,540 --> 00:38:56,400
+in Retinoscopy
+
+374
+00:39:05,900 --> 00:39:12,560
+بمعنى بهتان أو عدم وضوح الـ red reflex، causes
+
+375
+00:39:12,560 --> 00:39:19,690
+(الأسباب)، وباك للـ ocular media، إذا أول سبب يبرر أن
+
+376
+00:39:19,690 --> 00:39:23,350
+fainting للـ red reflex، هو عدم وضوح الـ red reflex
+
+377
+00:39:23,350 --> 00:39:29,350
+ما هي أسبابه؟ وباك للـ ocular media، وباك بمعنى عدم
+
+378
+00:39:29,350 --> 00:39:36,230
+وضوح، عتامة للـ ocular media، طبعاً هي opposite
+
+379
+00:39:36,230 --> 00:39:42,400
+لمن؟ للـ transparent، وباك للـ ocular media، مثل الـ
+
+380
+00:39:42,400 --> 00:39:46,880
+Corneal leukoma، Corneal leukoma، بمعنى white
+
+381
+00:39:46,880 --> 00:39:53,420
+opacities of the cornea، number two: blood in
+
+382
+00:39:53,420 --> 00:39:59,300
+anterior chamber، مثل hyphema، number three: lens
+
+383
+00:39:59,300 --> 00:40:04,420
+opacities، عتامة في العدسة، مثل immature cataract
+
+384
+00:40:04,420 --> 00:40:10,520
+(مياه بيضاء غير ناضجة)،  يعني بمعنى أنه غير ناضجة
+
+385
+00:40:10,520 --> 00:40:14,920
+حسناً، لأن هناك أنواع من الكاتراكت، ممكن أن تكون immature
+
+386
+00:40:14,920 --> 00:40:20,360
+(غير ناضجة)، ممكن أن تكون mature و hypermature، حسناً
+
+387
+00:40:20,360 --> 00:40:27,080
+vitreous bleeding، يعني إزالة الـ vitreous، يعني
+
+388
+00:40:27,080 --> 00:40:31,310
+يقول أحدهم مثلاً bleeding، بمعنى removal،  نستخدمها كثيراً
+
+389
+00:40:31,310 --> 00:40:35,630
+في العيادات، يقول أحدهم أنه عمل retinal
+
+390
+00:40:35,630 --> 00:40:40,850
+bleeding، bleeding بمعنى removal، حسناً، mild vitreous
+
+391
+00:40:40,850 --> 00:40:45,210
+hemorrhage، أي نزيف في الـ vitreous، لكن ماذا
+
+392
+00:40:45,210 --> 00:40:51,130
+يكون؟ خفيف، retinal detachment (انفصال في الشبكية)،
+
+393
+00:40:51,130 --> 00:40:57,890
+very high refractive error، مثل high myopia أو
+
+394
+00:40:57,890 --> 00:40:59,310
+hypermetropia، حسناً
+
+395
+00:41:09,770 --> 00:41:15,430
+الجلوكوما لها علاقة في موضوع الـ intraocular
+
+396
+00:41:15,430 --> 00:41:20,650
+pressure، زيادة أو نقصان في ضغط العين
+
+397
+00:41:49,650 --> 00:41:54,350
+Vitreous hemorrhage، طبعاً هذه الصورة ليست mild، هي
+
+398
+00:41:54,350 --> 00:41:56,170
+تُعتبر moderate أو severe
+
+399
+00:42:05,460 --> 00:42:10,120
+retinal detachment (انفصال الشبكية)، separation
+
+400
+00:42:10,120 --> 00:42:13,920
+بين retinal pigment epithelium و
+
+401
+00:42:13,920 --> 00:42:18,640
+photoreceptors، variation of red reflex في أجزاء مختلفة من
+
+402
+00:42:18,640 --> 00:42:20,940
+الـ dilated pupil
+
+403
+00:42:33,880 --> 00:42:38,020
+الجزء المركزي مختلف عن
+
+404
+00:42:38,020 --> 00:42:43,140
+الـ periphery، يعني بمعنى أن الـ center يكون bright، و
+
+405
+00:42:43,140 --> 00:42:47,660
+الـ periphery ماذا يكون؟ faint
+
+406
+00:42:47,660 --> 00:42:50,220
+الـ periphery يكون faint
+
+407
+00:42:57,070 --> 00:43:03,830
+هذا الاختلاف يظهر من خلال توسيع البؤبؤ، كلمة
+
+408
+00:43:03,830 --> 
+
+445
+00:46:06,440 --> 00:46:10,220
+point أن كله كأنه بيتجمع على الشبكات لكن هنا هو
+
+446
+00:46:10,220 --> 00:46:15,440
+عدسة يعني الآن لو هنا بدنا نطبقه أنه عبارة عن
+
+447
+00:46:15,440 --> 00:46:20,280
+light rays أمامه optical state سواء mirror أو lens
+
+448
+00:46:20,280 --> 00:46:24,820
+وكل الأشعة إذا كانت minus spherical aberration كل
+
+449
+00:46:24,820 --> 00:46:29,270
+الأشعة هتتجمع في نقطة واحدة، لكن في ال positive
+
+450
+00:46:29,270 --> 00:46:33,710
+spherical aberration هو يعتبر تخيلة، virtual، okay
+
+451
+00:46:33,710 --> 00:46:42,710
+فكلها بتتجمع عبارة عن line، خط طبعا
+
+452
+00:46:42,710 --> 00:46:46,110
+هذه تعتبر positive ولا negative؟ spherical
+
+453
+00:46:46,110 --> 00:46:49,590
+aberration؟ لأ، positive، positive، ليش؟ لأن في
+
+454
+00:46:49,590 --> 00:46:54,190
+الأشعة بتتجمع أنه عبارة عن ايه؟ line واحد، إذا هذه
+
+455
+00:46:54,190 --> 00:46:56,690
+positive ولا negative؟ spherical aberration
+
+456
+00:46:57,530 --> 00:47:02,090
+Positive، لأن كله بيتجمع بعد ال optical state في line
+
+457
+00:47:02,090 --> 00:47:07,310
+واحد، okay؟ عندنا
+
+458
+00:47:07,310 --> 00:47:13,450
+ال scissor shadow أي الحركة المقصية، when a mix
+
+459
+00:47:13,450 --> 00:47:21,690
+of aberrations بمعنى لما يكون الزيغ مُنْزَمِج يعني بمعنى
+
+460
+00:47:21,690 --> 00:47:21,810
+فيه
+
+461
+00:47:36,530 --> 00:47:40,910
+بمعنى أن واحد ونص فيهم بيتحرك with أو بيتحرك
+
+462
+00:47:40,910 --> 00:47:45,820
+against، وال half الثاني إيش بيتحرك؟ عكسه، يعني الآن
+
+463
+00:47:45,820 --> 00:47:49,860
+واحد ونص منهم اتحرك نفس الحركة، وال half الآخر
+
+464
+00:47:49,860 --> 00:47:56,740
+اتحرك حركة another direction، two band reflexes
+
+465
+00:47:56,740 --> 00:48:01,140
+appear which move toward and away from each other
+
+466
+00:48:01,140 --> 00:48:07,460
+like the blades of scissors، زي حركة مين؟ المقص، أنه
+
+467
+00:48:07,460 --> 00:48:11,200
+الجزئين بتوع ال parts of scissors اللي هو
+
+468
+00:48:11,200 --> 00:48:13,200
+الجزئين بتوع المقص
+
+469
+00:48:16,190 --> 00:48:21,670
+The optics، الظاهرة أو دائما ال retinascope له
+
+470
+00:48:21,670 --> 00:48:27,710
+optics بمعنى أنه لما بتجمع الضوء، كيف بنشوف ال red
+
+471
+00:48:27,710 --> 00:48:31,810
+reflex، وبعدين بنعكسها لل patient، من ال patient I لل
+
+472
+00:48:31,810 --> 00:48:35,570
+examiner I، فكلمة optics يعني إيش المبدأ أو ال
+
+473
+00:48:35,570 --> 00:48:40,190
+principle بتاعه، okay؟ the optics of the phenomenon
+
+474
+00:48:40,190 --> 00:48:45,690
+أي بمعنى الأساس لهذه الظاهرة، where in one of the
+
+475
+00:48:45,690 --> 00:48:49,730
+aberrations is relatively myopic and the other
+
+476
+00:48:49,730 --> 00:48:52,810
+hypermetropic، اللي إحنا بنسميه ال mixed
+
+477
+00:48:52,810 --> 00:48:57,390
+astigmatism، يعني الظاهرة تحت ال scissor shadow
+
+478
+00:48:57,390 --> 00:49:03,250
+معتمدة عالميا على ال mixed astigmatism، بمعنى one of
+
+479
+00:49:03,250 --> 00:49:05,790
+the principal meridian focuses in front of the
+
+480
+00:49:05,790 --> 00:49:09,530
+retina، والتاني وين؟ behind the retina، يعني واحد
+
+481
+00:49:09,530 --> 00:49:14,450
+ميوب وواحد hypermetrop، عشان هيك واحدة من الحركة
+
+482
+00:49:14,450 --> 00:49:21,190
+حركة ونص with or against، و another half إيش بده
+
+483
+00:49:21,190 --> 00:49:24,010
+يكون؟ opposite direction، عكس الحركة
+
+484
+00:49:27,520 --> 00:49:31,640
+إذا ال scissor shadow دائما بيكون مرتبط في مين؟ في
+
+485
+00:49:31,640 --> 00:49:34,860
+ال mix astigmatism، إن one of the principal
+
+486
+00:49:34,860 --> 00:49:38,880
+meridians focuses behind the retina and another one
+
+487
+00:49:38,880 --> 00:49:44,340
+focuses in front of the retina، فكيف
+
+488
+00:49:44,340 --> 00:49:48,920
+يتقلب هذا الظاهرة؟ ولما يكون على نحوه مثل
+
+489
+00:49:48,920 --> 00:49:54,720
+الفتحة يكون والد والنحو التالي يكون أجلس؟
+
+490
+00:49:59,780 --> 00:50:05,380
+لما يكون one meridian with the rule and another
+
+491
+00:50:05,380 --> 00:50:09,120
+meridian against the rule، هذه بيكون عند المريض
+
+492
+00:50:09,120 --> 00:50:13,340
+إيه؟ Astigmatism، لكن ممكن يكون..ممكن يكون
+
+493
+00:50:13,340 --> 00:50:17,560
+regular astigmatism، بمعنى أن two principal
+
+494
+00:50:17,560 --> 00:50:21,000
+meridians are perpendicular to each other، يعني
+
+495
+00:50:21,000 --> 00:50:27,460
+عموديين على بعض، okay؟ هذا بيكون mixed astigmatism
+
+496
+00:50:27,460 --> 00:50:32,860
+يعني واحد جاب الشبكية والتاني خلف الشبكية، okay
+
+497
+00:50:32,860 --> 00:50:36,220
+يعني one of the principal meridians focuses behind
+
+498
+00:50:36,220 --> 00:50:39,660
+the retina and another one in front of the retina، لو
+
+499
+00:50:39,660 --> 00:50:43,720
+بتذكر أخذنا ال types of astigmatism، واحد منهم ال
+
+500
+00:50:43,720 --> 00:50:47,760
+mixed astigmatism اللي أنت بتحكي عنه، هو ال simple
+
+501
+00:50:47,760 --> 00:50:51,360
+سواء hypermetropic أو myopic astigmatism
+
+502
+00:50:54,640 --> 00:50:58,460
+هتشوف أنه زي السماء اللي مدعس حرب السماء؟ هي ال ..
+
+503
+00:50:58,460 --> 00:51:02,160
+ال .. تسألوا السؤال مش عن ال scissor shadow، الفرق
+
+504
+00:51:02,160 --> 00:51:05,740
+ما بين ال regular و ال irregular astigmatism، بمعنى
+
+505
+00:51:05,740 --> 00:51:09,120
+شو الفرق ما بين ال regular و ال mixed astigmatism؟
+
+506
+00:51:09,120 --> 00:51:13,700
+صح؟
+
+507
+00:51:13,700 --> 00:51:17,740
+زي ما اتفقنا أن ال scissor shadow present in
+
+508
+00:51:17,740 --> 00:51:22,100
+corneal scar، corneal scar، بمعنى ندبة في القرنية
+
+509
+00:51:23,080 --> 00:51:27,200
+دائما بتعرفوا أن ال characteristics للقرنية أن هي
+
+510
+00:51:27,200 --> 00:51:31,600
+transparent، طبيعتها شفافة، فالآن لو بتعرض المريض
+
+511
+00:51:31,600 --> 00:51:37,280
+لإصابة بصير opaque، أو مثلا بصير ندبة في
+
+512
+00:51:37,280 --> 00:51:41,300
+القرنية، هذه سببها إيش؟ الندبة اللي في القرنية؟
+
+513
+00:51:41,300 --> 00:51:46,410
+نتيجة أن بتصبح أن ال connective tissue ما بصيرلهاش
+
+514
+00:51:46,410 --> 00:51:50,770
+عملية إيش؟ regeneration، فبصير اللي هو زي necrosis
+
+515
+00:51:50,770 --> 00:51:59,250
+أن بتموت الخلايا هذه، فبتعمل زي ندبة، ال regular
+
+516
+00:51:59,250 --> 00:52:03,930
+astigmatism، like keratoconus، طبعا هانتكلمنا فيها
+
+517
+00:52:03,930 --> 00:52:09,050
+أن القرنية المخروطية، أنه تغير في مين؟ في تحدب
+
+518
+00:52:09,050 --> 00:52:14,800
+القرنية، وبرضه بيديني shadow ال .. ال .. ال
+
+519
+00:52:14,800 --> 00:52:18,480
+squinting children، or strabismus، or deviation
+
+520
+00:52:18,480 --> 00:52:22,120
+children، طبعا هذه في حالات اللي هو ال misalignment
+
+521
+00:52:22,120 --> 00:52:29,420
+of the eye، وآخر حاجة ال nystagmus، corneal scar
+
+522
+00:52:29,420 --> 00:52:35,980
+ندبة في القرنية، أنه بيكون بالنسبة للمنطقة المضيقة
+
+523
+00:52:35,980 --> 00:52:42,230
+زي كأنه ندبة في القرنية، في داخل القرنية، يعني
+
+524
+00:52:42,230 --> 00:52:46,350
+ما بتسلط .. أكيد إذا شغلته على الستلام، يعني ما بركز
+
+525
+00:52:46,350 --> 00:52:51,410
+عليها، بيحس زي فيه أنه كأنه activity، أنه زي كأنه
+
+526
+00:52:51,410 --> 00:52:55,910
+ندبة في هالقرنية، okay؟ زي الندبة اللي مرة اتلوحت
+
+527
+00:52:55,910 --> 00:53:02,110
+مثلا، بصير healing، شفاء لها، فبصير إيه؟ زي بتعلم إحنا
+
+528
+00:53:02,110 --> 00:53:06,350
+بنقول عنها، فهذه عبارة عن ال corneal scar، ليش بيصير
+
+529
+00:53:06,350 --> 00:53:09,230
+ال corneal scar؟ لأن ال cornea طبيعتها إيه؟
+
+530
+00:53:09,230 --> 00:53:15,070
+transparent، شفافة، keratoconus، القرنية المخروطية
+
+531
+00:53:15,070 --> 00:53:21,570
+تان شايفين هنا ال normal؟ لما تكون normal بيكون ال
+
+532
+00:53:21,570 --> 00:53:21,790
+..
+
+533
+00:53:26,430 --> 00:53:31,630
+keratoconus بتكون protrusion، يعني زي نتوء، أنها بارزة
+
+534
+00:53:31,630 --> 00:53:36,150
+okay، misalignment
+
+535
+00:53:36,150 --> 00:53:42,030
+of the eye، زي الطفل هذا أنه عنده misalignment في
+
+536
+00:53:42,030 --> 00:53:51,170
+ال eye، عبارة عن ال squint، الحول، طيب ال
+
+537
+00:53:51,170 --> 00:53:55,900
+subjective verification for refraction، في حالة ال
+
+538
+00:53:55,900 --> 00:53:59,900
+subjective verification for refraction، بداية بدنا
+
+539
+00:53:59,900 --> 00:54:04,440
+نفهم الآن ال subjective، يمكن إحنا أخذنا ال
+
+540
+00:54:04,440 --> 00:54:08,400
+definition لل subjective refraction أو ال
+
+541
+00:54:08,400 --> 00:54:14,260
+subjective method، نعمل refinement أو verification
+
+542
+00:54:14,260 --> 00:54:18,640
+ل ..
+
+543
+00:54:18,640 --> 00:54:23,560
+نعمل verification لمين؟ لل refractive error
+
+544
+00:54:26,590 --> 00:54:29,990
+باستخدام، أنه نحدد قد إيش، ال objective method to
+
+545
+00:54:29,990 --> 00:54:34,150
+obtain the best vision، okay، with the response from
+
+546
+00:54:34,150 --> 00:54:38,750
+the patient، الآن لو إجاب مثلا مريض في ال written
+
+547
+00:54:38,750 --> 00:54:48,610
+scope، plus مثلا تلاتة، وplus اتنين، ده ال final
+
+548
+00:54:48,610 --> 00:54:49,710
+objective refraction
+
+549
+00:54:59,350 --> 00:55:13,170
+عشان كده؟ كده؟ كده؟ كده؟ كده؟ كده؟ كده؟ كده؟
+
+550
+00:55:13,170 --> 00:55:20,330
+كده؟ كده؟
+
+551
+00:55:40,080 --> 00:55:45,240
+طيب، الآن هذه عبارة عن مين؟ الـ Final Objective
+
+552
+00:55:45,240 --> 00:55:46,180
+Refraction
+
+553
+00:55:48,990 --> 00:55:53,870
+هذه عبارة عن ال final objective refraction، طيب هل
+
+554
+00:55:53,870 --> 00:55:58,790
+هذه الوصفة هي ال final prescription، أي بمعنى
+
+555
+00:55:58,790 --> 00:56:04,830
+الوصفة النهائية اللي تديها للمريض؟ فبدنا نعمل إيه؟
+
+556
+00:56:04,830 --> 00:56:08,950
+verification، verification، بمعنى refinement، تأكيد
+
+557
+00:56:08,950 --> 00:56:14,790
+تأكيد لل refractive error، الوصفة هذه إيش كانت؟
+
+558
+00:56:16,010 --> 00:56:22,490
+الوصفة هذه إيش؟ هذه عبارة عن plus ولا cylinder؟
+
+559
+00:56:22,490 --> 00:56:28,510
+plus، زي ال cylinder، صح؟ يعني .. يعني تعتبر سفير
+
+560
+00:56:28,510 --> 00:56:35,030
+cylinder، لكن لو أخذنا مثلا وصفة
+
+561
+00:56:35,030 --> 00:56:40,010
+بالشكل هذه، plus 3، تعمليها
+
+562
+00:56:40,010 --> 00:56:43,410
+الـ..ال final objective refraction
+
+563
+00:56:56,260 --> 00:57:03,600
+هتطلع السفير، يعني هي plus plus plus plus plus plus
+
+564
+00:57:03,600 --> 00:57:05,740
+plus plus plus plus plus plus plus plus plus plus
+
+565
+00:57:05,740 --> 00:57:06,080
+plus plus plus plus plus plus plus plus plus plus
+
+566
+00:57:06,080 --> 00:57:08,060
+plus plus plus plus plus plus plus plus plus plus
+
+567
+00:57:08,060 --> 00:57:08,080
+plus plus plus plus plus plus plus plus plus plus
+
+568
+00:57:08,080 --> 00:57:11,300
+plus plus plus plus plus plus plus plus plus plus
+
+569
+00:57:11,300 --> 00:57:11,340
+plus plus plus plus plus plus plus plus plus plus
+
+570
+00:57:11,340 --> 00:57:11,360
+plus plus plus plus plus plus plus plus plus plus
+
+571
+00:57:11,360 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+572
+00:57:11,900 --> 00:57:15,820
+plus plus plus plus
+
+573
+00:57:15,820 --> 00:57:21,270
+plus plus plus، هذه عبارة عن مين؟ الاسفير، يعني هذه
+
+574
+00:57:21,270 --> 00:57:24,970
+وصفة ال final objective refraction بالنسبة للاسفير
+
+575
+00:57:24,970 --> 00:57:30,130
+الآن هذه أنا ما بقدرش أديها بشكل direct، مباشر لمين؟
+
+576
+00:57:30,130 --> 00:57:35,390
+للمريض، لازم أعمل عملية verification or refinement
+
+577
+00:57:35,390 --> 00:57:42,000
+تأكيد لمين؟ للوصفة بتاعتي، فأول فحص بعمله من خلال
+
+578
+00:57:42,000 --> 00:57:46,920
+ال refinement or verification for spherical power
+
+579
+00:57:46,920 --> 00:57:54,040
+عندنا ال duochrome test، duochrome test، بمعنى أن
+
+580
+00:57:54,040 --> 00:58:00,600
+الألوان، أنه فحص مش ال color vision، لأ، في عندنا
+
+581
+00:58:00,600 --> 00:58:07,580
+slide، slide، بمعنى لوحة أو مثلا شريحة، بشكل هذه، فيها
+
+582
+00:58:07,580 --> 00:58:13,130
+red و green، بيكون red color و green color، بتعتمد ال
+
+583
+00:58:13,130 --> 00:58:16,810
+principle بتاعها على مبدأ إيه؟ ال chromatic
+
+584
+00:58:16,810 --> 00:58:23,550
+aberration، بمعنى الزيغ اللوني، طبعا ال chromatic
+
+585
+00:58:23,550 --> 00:58:30,230
+aberration بتكون من red، orange، yellow، green،
+
+586
+00:58:30,530 --> 00:58:34,770
+blue، indigo، violet، صح؟
+
+587
+00:58:37,980 --> 00:58:46,740
+إيش يعتبر high wavelength؟ ال green color يعتبر
+
+588
+00:58:46,740 --> 00:58:51,960
+less than، compared to، less wavelength compared to
+
+589
+00:58:51,960 --> 00:58:57,580
+red color، ال yellow إيش يعتبر؟ ما بين ال green
+
+590
+00:58:57,580 --> 00:59:04,280
+وما بين ال red color، الآن في عندنا مصطلح ال
+
+591
+00:59:04,280 --> 00:59:08,750
+refractive index، معامل الانكسار، ال Refractive
+
+592
+00:59:08,750 --> 00:59:13,570
+Index، ال Speed of Light in Vacuum على ال Speed
+
+593
+00:59:13,570 --> 00:59:20,790
+of Light in Material، فالآن المبدأ بتاع الديو-كروم
+
+594
+00:59:20,790 --> 00:59:25,110
+تيست، Electronic Aberration، Electronic Aberration
+
+595
+00:59:25,110 --> 00:59:28,930
+هذه من وين جاءت؟ من Electronic Dispersion
+
+596
+00:59:28,930 --> 00:59:35,860
+Electronic Dispersion، بمعنى التشتت اللوني، الآن
+
+597
+00:59:35,860 --> 00:59:41,200
+عندما يكون الإنسان عنده red، orange، yellow،
+
+598
+00:59:41,200 --> 00:59:50,520
+green، blue، indigo، violet، هذا يحفظوها، رجيب رجيب
+
+599
+00:59:50,520 --> 00:59:56,980
+okay
+
+600
+00:59:56,980 --> 01:00:04,330
+الآن عندما يكون عنده رجيب red، orange، you know، عشان
+
+601
+01:00:04,330 --> 01:00:11,170
+ما تنسوها، يعني أن لو أنت مثلا نسيتيها، المصطلح هذا
+
+602
+01:00:11,170 --> 01:00:18,430
+بيحفظ لك إياها، الآن لما يكون واحد in the group ال
+
+603
+01:00:18,430 --> 01:00:25,550
+red color، وين بيتركز؟ focus on the retina، or in
+
+604
+01:00:25,550 --> 01:00:29,390
+front of the retina، or behind the retina، behind
+
+605
+01:00:29,390 --> 01:00:30,610
+the retina، why؟
+
+606
+01:00:36,170 --> 01:00:41,010
+الآن في حالة ال red color، لما يكون اللون أحمر،
+
+607
+01:00:41,010 --> 01:00:45,990
+بدها تجاوب، هنخلص الفصل ونقول نفس الكلمة، الآن في
+
+608
+01:00:45,990 --> 01:00:49,970
+ال red color، اللون الأحمر، لما يكون عنده patient
+
+609
+01:00:49,970 --> 01:00:54,670
+أو condition، ال red color وين
+
+610
+01:00:54,670 --> 01:01:00,410
+بيتركز؟ in front or behind or in the retina؟ behind
+
+611
+01:01:00,410 --> 01:01:02,490
+the retina، why؟
+
+612
+01:01:06,280 --> 01:01:11,340
+بالضبط، لأنه في عنده long wavelength، يعني هنا ال
+
+613
+01:01:11,340 --> 01:01:17,860
+red color يعتبر إيه؟ أطول ال .. أطول ال .. أطول ال
+
+614
+01:01:17,860 --> 01:01:18,180
+.. أطول ال .. أطول ال .. أطول ال
+
+615
+01:01:18,180 --> 01:01:18,200
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+616
+01:01:18,200 --> 01:01:18,340
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+617
+01:01:18,340 --> 01:01:18,440
+ال .. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+618
+01:01:18,440 --> 01:01:18,680
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+619
+01:01:18,680 --> 01:01:24,140
+أطول ال .. أطول ال .. أطول
+
+620
+01:01:24,140 --> 01:01:30,860
+ال .. أطول ال .. أطول ال .. أط
+
+621
+01:01:32,420 --> 01:01:38,020
+إذا ال red color وين بيتركز؟ خلف الشبكية، إذا
+
+622
+01:01:38,020 --> 01:01:42,540
+behind the retina، طيب بالنسبة لل yellow، in front،
+
+623
+01:01:42,980 --> 01:01:48,900
+behind or on the retina؟ تفضلي، on the retina، why؟
+
+624
+01:01:48,900 --> 01:01:54,780
+بالضبط، إذا هو بيكون on the retina، طيب لو أخذنا ال
+
+625
+01:01:54,780 --> 01:02:01,290
+green color، وين؟ okay، yeah، same، أنه نفس ال yellow
+
+626
+01:02:01,290 --> 01:02:05,090
+هو يعتبر، إذا ال green color وين بيتركز؟ in front
+
+667
+01:06:01,340 --> 01:06:08,480
+Hypermetropia، ليش زي الميوبيا؟ كما يكون Artificial
+
+668
+01:06:08,480 --> 01:06:11,960
+Hypermetropia، هيشوف زي الـ Hypermetropia، كأنه
+
+669
+01:06:11,960 --> 01:06:18,240
+صناعي، يعني أنا .. أنا حكيت لك؟ Okay, I'm so sorry،
+
+670
+01:06:18,240 --> 01:06:21,620
+إذا الـ Artificial Hypermetropia هيكون زي مين؟ الـ
+
+671
+01:06:21,620 --> 01:06:27,230
+Hypermetropia، لكن أصله إيش؟ ميوبيا، okay؟  يما يكون
+
+672
+01:06:27,230 --> 01:06:32,610
+مثلاً Artificial ميوبيا هيكون زي مين؟ زي الميوبيا،
+
+673
+01:06:32,610 --> 01:06:37,330
+okay؟ إذا بالنسبة للـ light rays هيتركز إما in
+
+674
+01:06:37,330 --> 01:06:43,390
+front or behind the retina. طيب الـ .. الـ diachrome
+
+675
+01:06:43,390 --> 01:06:47,790
+test، وين التركيز بتاعه؟ إنه هل هنستخدمه
+
+676
+01:06:47,790 --> 01:06:54,060
+verification للسفير ولا للسلندر؟ للسفير، إذا لو
+
+677
+01:06:54,060 --> 01:06:57,720
+حكينا مثلاً الـ diachrome test، هل ممكن إنه يستخدم
+
+678
+01:06:57,720 --> 01:07:05,000
+للسلندر؟ لأ، إذا only for سفير، إذا الـ diachrome
+
+679
+01:07:05,000 --> 01:07:11,120
+test verification for spherical power. إذا only for
+
+680
+01:07:11,120 --> 01:07:15,920
+spherical power without a stigmatism، لأن كل هيتا
+
+681
+01:07:15,920 --> 01:07:20,080
+بتكون المحاور have the same power in all meridians.
+
+682
+01:07:23,150 --> 01:07:28,410
+لقيت فهمته؟ الـ .. الـ .. بالنسبة لـ .. الـ principle
+
+683
+01:07:28,410 --> 01:07:35,910
+للدياكروم test، okay؟ هذا أهم verification للدياكروم
+
+684
+01:07:35,910 --> 01:07:42,210
+test. أنا متخيل إنه قد تكون فهمتي 20%، غير يما
+
+685
+01:07:42,210 --> 01:07:45,770
+التبقى في العملي واضح، لأن المعمل الجاي إن شاء الله
+
+686
+01:07:45,770 --> 01:07:50,190
+يعني الأسبوع القادم هنطبق اللي هو كعمل، كيف الديو
+
+687
+01:07:50,190 --> 01:07:54,130
+كروم تست، ممكن أشوفه بمعنى إنه كان عندي مريض طلع
+
+688
+01:07:54,130 --> 01:07:58,990
+minus two، okay. بدأ أعمله verification للسفير
+
+689
+01:07:58,990 --> 01:08:05,770
+فبستخدم مين؟ الدياكروم تست، okay. خلي أخصها لدي
+
+690
+01:08:05,770 --> 01:08:24,190
+achrome Test لعام؟
+
+691
+01:08:24,190 --> 01:08:27,930
+لأ، لسه أنا ما أخدتهوش.
+
+692
+01:08:35,900 --> 01:08:40,820
+دياكروم test
+
+693
+01:08:40,820 --> 01:08:52,960
+أو المسمى الثاني red-green test، بمعنى
+
+694
+01:08:52,960 --> 01:08:56,860
+the same meaning، يعني ممكن حد يقول لك red-green test
+
+695
+01:08:56,860 --> 01:09:02,580
+أو دياكروم test، نفس الحاجة، okay. نعم.
+
+696
+01:09:02,580 --> 01:09:14,240
+في سؤال؟ لأ، لأ. الـ diachrome test، هو هذا
+
+697
+01:09:14,240 --> 01:09:19,640
+هو عبارة عن slide بعرضه للمريض، فيه عندنا الـ red
+
+698
+01:09:19,640 --> 01:09:25,000
+color والـ green color، يما يكون إمترب أو ميوب أو
+
+699
+01:09:25,000 --> 01:09:29,100
+هايبرمتروب، بشوف مين أوضح، إنه الـ red ولا الـ green
+
+700
+01:09:29,100 --> 01:09:35,080
+color. آه، بشوف مين الأوضح فعلاً صحيح، يعني بشوف مين
+
+701
+01:09:35,080 --> 01:09:35,920
+الأوضح.
+
+702
+01:09:39,510 --> 01:09:44,030
+طيب، في سؤال قبل ما نكمل أيضاً .. السلام .. لما أعمل
+
+703
+01:09:44,030 --> 01:09:48,390
+الـ diachrome test أو الـ red-green test، هل بعمل
+
+704
+01:09:48,390 --> 01:09:54,470
+verification للسفير أولاً ولا للسلندر؟ للسفير ..
+
+705
+01:09:54,470 --> 01:10:01,030
+دائماً ببدأ في مين؟ في السفير. دائماً ببدأ في الاسفير.
+
+706
+01:10:01,030 --> 01:10:06,490
+طبعاً كل حاجة .. فأنا مش مستوعب .. دائماً ببدأ في الـ
+
+707
+01:10:06,490 --> 01:10:09,970
+verification يا ميس، في الاسفير، ما أبدأش في الـ
+
+708
+01:10:09,970 --> 01:10:14,530
+cylinder، okay؟ من ناحية الـ verification، إنه تأكيد
+
+709
+01:10:14,530 --> 01:10:22,450
+okay؟ Of course.
+
+710
+01:10:22,450 --> 01:10:33,030
+الـ subjective refraction. طيب
+
+711
+01:10:33,030 --> 01:10:39,010
+أنا حاسس إنه شوية الاستيعاب مش واضح كتير، بلكي
+
+712
+01:10:39,010 --> 01:10:44,850
+اليوم نطبقها في المعمل، وبعدين نكملها، طيب.
+
+713
+01:10:44,850 --> 01:10:48,590
+طبعاً اليوم بنكون أخذنا هيك الـ special difficulties
+
+714
+01:10:48,590 --> 01:10:51,970
+الـ written scope، إن شاء الله في المحاضرة القادمة
+
+715
+01:10:51,970 --> 01:10:56,630
+بنبدأ في الـ verification for spherical power.
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4f90aebc29e6050677987ee17c45242a07bd8882
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_postprocess.srt
@@ -0,0 +1,2860 @@
+1
+00:00:20,520 --> 00:00:25,160
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:25,160 --> 00:00:31,660
+الله و بركاته في المحاضرة السابقة بدأنا في ال
+
+3
+00:00:31,660 --> 00:00:36,120
+difficulties ال retinascope صعوبات في جهاز ال
+
+4
+00:00:36,120 --> 00:00:42,780
+retinascopeNumber one some repractions are easy
+
+5
+00:00:42,780 --> 00:00:49,540
+like mayob, hypermetrop, بعض الأخطاء الانكسرية are
+
+6
+00:00:49,540 --> 00:00:54,400
+easy سهلة while others are extremely difficult لكن
+
+7
+00:00:54,400 --> 00:00:58,220
+الأخطاء الأخرى مثل ال high mayob, high
+
+8
+00:00:58,220 --> 00:01:02,800
+astigmatism, high hypermetrop تعتبر صعبة جدا
+
+9
+00:01:03,990 --> 00:01:09,210
+written scope is an art جهاز ال written scope هو
+
+10
+00:01:09,210 --> 00:01:15,730
+عبارة عن فن which requires painstaking practice
+
+11
+00:01:15,730 --> 00:01:21,050
+and cannot learn in one day أنه بيحتاج إلى مثابرة
+
+12
+00:01:21,050 --> 00:01:26,210
+عملية و لا يمكن تعلمه خلال يوم واحد written scope
+
+13
+00:01:26,210 --> 00:01:32,150
+essential practical أنه أساس علمي and cannot you
+
+14
+00:01:32,150 --> 00:01:32,550
+learn
+
+15
+00:01:38,160 --> 00:01:42,560
+اليوم هنبدأ في ال special difficulties الرتنسكوبي
+
+16
+00:01:42,560 --> 00:01:47,520
+او special difficulties الرتنسكوبي ما هي الصعوبات
+
+17
+00:01:47,520 --> 00:01:54,760
+الخاصة في جهاز الرتنوسكوب طبعا اول صعوبة ال
+
+18
+00:01:54,760 --> 00:02:00,900
+fainting of red reflex بمعنى فينت شو معناها باهت
+
+19
+00:02:00,900 --> 00:02:06,640
+fainting of red reflex انه ال red reflex بكون باهت
+
+20
+00:02:06,640 --> 00:02:12,010
+غير واضحطيب ال fainting of red reflex شو ال
+
+21
+00:02:12,010 --> 00:02:18,130
+causes؟ أسبابه؟ السبب الأول ممكن انه يكون ocular
+
+22
+00:02:18,130 --> 00:02:24,050
+media opaque انه كلمة opaque شو معناها؟ عتامة في
+
+23
+00:02:24,050 --> 00:02:30,590
+ال ocular media أي بمعنى الوسط العيني طبعا مثل ال
+
+24
+00:02:30,590 --> 00:02:37,340
+corneal اليوكومةالقرنية اللي يكومة أي بمعنى white
+
+25
+00:02:37,340 --> 00:02:42,400
+opacities of the cornea انه بيكون عتامة بيضاع على
+
+26
+00:02:42,400 --> 00:02:48,700
+القرنية okay number two a blood in anterior
+
+27
+00:02:48,700 --> 00:02:54,260
+chamber like hyphema number three a mature
+
+28
+00:02:54,260 --> 00:02:57,460
+cataract أي بمعنى cataract غير ناضجة
+
+29
+00:03:00,650 --> 00:03:06,450
+الـ anterior chamber أخدنا شو تعريفه؟
+
+30
+00:03:06,450 --> 00:03:11,250
+الـ space between the corneas of the cornea and
+
+31
+00:03:11,250 --> 00:03:13,190
+the anterior surface of the cornea
+
+32
+00:03:28,930 --> 00:03:33,670
+إذا الـ anterior chamber a fluid space the fills
+
+33
+00:03:33,670 --> 00:03:36,450
+between the cornea and the iris
+
+34
+00:03:39,310 --> 00:03:45,190
+number four mild vitreous hemorrhage أي بمعنى نظيف
+
+35
+00:03:45,190 --> 00:03:50,110
+في ال vitreous لكن هذا النظيف بيكون بسيط غير حاد،
+
+36
+00:03:50,110 --> 00:03:56,290
+mild قلنا بسيط okay and retinal detachment بمعنى
+
+37
+00:03:56,290 --> 00:04:01,910
+انفصال في الشبكية شو تعريف ال retinal detachment؟
+
+38
+00:04:01,910 --> 00:04:06,390
+مار عليكم تعريف ال retinal detachment؟ up to you
+
+39
+00:04:08,330 --> 00:04:12,890
+الشبكية اللي فيها في طبقات مش شبكية في ال
+
+40
+00:04:12,890 --> 00:04:21,950
+elevation اذا كلامك صح في another definition
+
+41
+00:04:21,950 --> 00:04:29,510
+بالظبط
+
+42
+00:04:29,510 --> 00:04:33,670
+انه separation انفصال between the retinal pigment
+
+43
+00:04:33,670 --> 00:04:34,470
+epithelium
+
+44
+00:04:38,440 --> 00:04:42,460
+أول من ال road و ال quad أي بمعنى الطبق الأولى و
+
+45
+00:04:42,460 --> 00:04:48,260
+التانى للشبكية due to maybe loss of nutrition
+
+46
+00:04:48,260 --> 00:04:53,800
+فقدان في التخزيه ل ال retina هذه السبب الأول لمين
+
+47
+00:04:53,800 --> 00:04:58,920
+لل fainting of red reflex السبب التانى ال high
+
+48
+00:04:58,920 --> 00:05:03,100
+refractive error okay ال high refractive error مثل
+
+49
+00:05:03,100 --> 00:05:06,460
+ال high mayob او ال high hyper metro
+
+50
+00:05:17,800 --> 00:05:20,600
+special difficulties
+
+51
+00:05:39,220 --> 00:05:44,980
+maybe the question will be discuss and draw the
+
+52
+00:05:44,980 --> 00:05:49,140
+special of difficulties in written scope اي بمعنى
+
+53
+00:05:49,140 --> 00:05:54,580
+ناقش و ارسم الصعوبات الخاصة في جهاز ال written
+
+54
+00:05:54,580 --> 00:06:00,780
+scope one by one
+
+55
+00:06:00,780 --> 00:06:02,680
+number two
+
+56
+00:06:12,230 --> 00:06:20,130
+of red reflex اي
+
+57
+00:06:20,130 --> 00:06:28,870
+بمعنى بهات او عدم وضوح في ال red reflex طبعا
+
+58
+00:06:28,870 --> 00:06:33,350
+ال causes اسبابها
+
+59
+00:06:33,350 --> 00:06:36,830
+ا popular
+
+60
+00:06:42,010 --> 00:06:50,690
+media و bacon بمعنى
+
+61
+00:06:50,690 --> 00:06:59,730
+عتامة في وسط العين بتشمل number one corneal
+
+62
+00:06:59,730 --> 00:07:02,770
+اليوكوما
+
+63
+00:07:14,030 --> 00:07:26,230
+white opacities of
+
+64
+00:07:26,230 --> 00:07:31,050
+the corneal
+
+65
+00:07:43,150 --> 00:07:47,010
+in anterior chamber طبعا اختصار AC anterior
+
+66
+00:07:47,010 --> 00:07:54,530
+chamber بنسميها الهايفمة الهايفمة
+
+67
+00:07:54,530 --> 00:07:58,330
+بمعنى blood في ال anterior chamber يعني بيكون فيه
+
+68
+00:07:58,330 --> 00:08:02,610
+دم في ال anterior chamber طبعا في الصورة
+
+69
+00:08:05,000 --> 00:08:08,440
+ال .. ال .. ال hyphema اه ممكن انه مرات ما يكون
+
+70
+00:08:08,440 --> 00:08:12,600
+عنده diabetes mellitus يكون عنده ال .. السبب له
+
+71
+00:08:12,600 --> 00:08:18,300
+lead to hyphema number three immature
+
+72
+00:08:18,300 --> 00:08:22,560
+لل
+
+73
+00:08:22,560 --> 00:08:27,000
+cataract يعني
+
+74
+00:08:27,000 --> 00:08:33,100
+بمعنى مياه بيضاء غير ناضجة number four mild
+
+75
+00:08:46,650 --> 00:08:57,470
+Vitreous Hemorrhage أي
+
+76
+00:08:57,470 --> 00:09:04,750
+بمعنى نزيف غير حد في ال vitreous okay number five
+
+77
+00:09:15,770 --> 00:09:22,650
+original detachment انفصال
+
+78
+00:09:22,650 --> 00:09:34,230
+في الشبكية it is a separation between
+
+79
+00:09:36,790 --> 00:09:42,370
+ما بين الطبقة الأولى retinal pigment epithelium
+
+80
+00:09:42,370 --> 00:09:51,730
+and photoreceptor
+
+81
+00:09:51,730 --> 00:09:57,670
+اللى بتتمثل فى ال rod و ال cone هذا السبب الأول ال
+
+82
+00:09:57,670 --> 00:10:02,850
+ocular media opaque السبب التانى ال high
+
+83
+00:10:02,850 --> 00:10:07,740
+refractive error السبب التانىالـ high refractive
+
+84
+00:10:07,740 --> 00:10:15,880
+error اه ال fainting of red reflex اه بي يعني صحيح
+
+85
+00:10:15,880 --> 00:10:24,300
+بي اه okay يعني
+
+86
+00:10:24,300 --> 00:10:28,380
+هاد ال fainting of red reflex ال causes بتاعها ايه
+
+87
+00:10:28,380 --> 00:10:36,040
+اوكلر ميديا او بيك عتمة في سطح العيناه انه .. انه
+
+88
+00:10:36,040 --> 00:10:40,220
+ايش السبب بتاعها؟ زي الكورنيا اليوكوما، ال mild
+
+89
+00:10:40,220 --> 00:10:44,200
+vitreous hemorrhage، immature cataract، blood in
+
+90
+00:10:44,200 --> 00:10:49,240
+anterior chamber and retinal detachment
+
+91
+00:10:49,240 --> 00:10:54,620
+بيه؟ لسته؟
+
+92
+00:10:54,620 --> 00:10:58,060
+طبعا
+
+93
+00:10:58,060 --> 00:10:59,280
+ال high refractive error
+
+94
+00:11:24,500 --> 00:11:32,220
+ب high refractive
+
+95
+00:11:32,220 --> 00:11:37,700
+error هذ اختصار لو refractive error زي مثلا high
+
+96
+00:11:37,700 --> 00:11:44,480
+ميوب or
+
+97
+00:11:44,480 --> 00:11:47,740
+high hypermetrop
+
+98
+00:11:50,440 --> 00:11:55,840
+هذه كلها ضمن مين؟ ال fainting of red reflex بهاد
+
+99
+00:11:55,840 --> 00:12:02,400
+لأو عدم وضوح ال red reflex واضح؟
+
+100
+00:12:06,330 --> 00:12:09,730
+يعني الآن ال .. ال .. ال special difficulties
+
+101
+00:12:09,730 --> 00:12:14,230
+الصعوبات أول حاجة أنه في صعوبة في رؤية ال red
+
+102
+00:12:14,230 --> 00:12:18,950
+reflex بنسميها ال faint إذا الآن يما .. يما بت ..
+
+103
+00:12:18,950 --> 00:12:22,530
+بتعملي ال procedure عملية ال written score
+
+104
+00:12:22,530 --> 00:12:26,630
+وبتشوفيش ال red reflex بشكل واضح إيش بنقول؟ أنه
+
+105
+00:12:26,630 --> 00:12:30,450
+هادي faint بتقوليليش ال red reflex مش واضح كي
+
+106
+00:12:30,450 --> 00:12:31,950
+fainting of red reflex
+
+107
+00:12:36,830 --> 00:12:40,430
+واخدنا اعتقد ال characteristics لمين لل red reflex
+
+108
+00:12:40,430 --> 00:12:44,770
+من ضمنهم انه يكون اذا كان bright بيكون عند المريض
+
+109
+00:12:44,770 --> 00:12:49,170
+small refractive error واذا كان faint بيكون عنده
+
+110
+00:12:49,170 --> 00:12:55,010
+high refractive error okay هذه كلها النقطة الأولى
+
+111
+00:12:55,010 --> 00:13:01,870
+انه fainting of red reflex واضح number two
+
+112
+00:13:01,870 --> 00:13:04,010
+variation
+
+113
+00:13:07,680 --> 00:13:16,740
+اختلاف of red reflex of
+
+114
+00:13:16,740 --> 00:13:32,640
+different parts of
+
+115
+00:13:32,640 --> 00:13:33,620
+different parts
+
+116
+00:13:36,060 --> 00:13:42,120
+in dilated للبيوبل
+
+117
+00:13:42,120 --> 00:13:46,320
+كيف
+
+118
+00:13:46,320 --> 00:13:52,540
+تفسيرة هذه؟ الآن نفترض عند طفل استخدمنا معه ال
+
+119
+00:13:52,540 --> 00:13:56,940
+cycle of ventilate عمل dilate للبيوبل وعمل
+
+120
+00:13:56,940 --> 00:14:02,800
+paralysis لل celery muscleالان بتلاحظى انه ممكن فى
+
+121
+00:14:02,800 --> 00:14:07,220
+ال center يكون ال red reflex bright لكن بال
+
+122
+00:14:07,220 --> 00:14:11,260
+peripheral ايش يكون؟ faint او العكس فى ال
+
+123
+00:14:11,260 --> 00:14:14,680
+peripheral يكون faint و فى ال center ايش يكون؟
+
+124
+00:14:14,680 --> 00:14:18,820
+bright طبعا هذه سببها ايه ال spherical aberration
+
+125
+00:14:18,820 --> 00:14:25,430
+ال spherical aberration بمعنى الذيوه الكراويطبعا
+
+126
+00:14:25,430 --> 00:14:31,970
+هي optical defect مشكلة بصرية observe ايه بتحدث؟
+
+127
+00:14:31,970 --> 00:14:36,410
+مين بيحدثها؟ ال mirror او ال lens العدسة او المرقة
+
+128
+00:14:36,410 --> 00:14:42,230
+طيب كيف هذي بتحدث؟انه نتيجة تغير ال refraction
+
+129
+00:14:42,230 --> 00:14:46,150
+تذكروا في اول محاضرة ميزنا ما بين ال physical
+
+130
+00:14:46,150 --> 00:14:49,910
+refraction و ال clinical refraction قولنا ال
+
+131
+00:14:49,910 --> 00:14:54,390
+physical refraction يما بنتقل الضوء من وسط الى وسط
+
+132
+00:14:54,390 --> 00:14:59,190
+اخر مختلف ايش الكثافة هذا بنسميه ايش ال refraction
+
+133
+00:14:59,190 --> 00:15:03,310
+فال change في ال refraction هذا ايش بنسميه
+
+134
+00:15:03,310 --> 00:15:07,850
+spherical aberration طبعا ال spherical aberration
+
+135
+00:15:07,850 --> 00:15:14,500
+فيها انواعيا اما high order aberration او low
+
+136
+00:15:14,500 --> 00:15:19,360
+order aberration شو الفرق بين الاتنين ال low order
+
+137
+00:15:19,360 --> 00:15:24,780
+aberration بمعنى انه ممكن تصحيحه بالنضارة او
+
+138
+00:15:24,780 --> 00:15:30,300
+العدسة اللاصقة زي الميوب و الhypermetro او بعملية
+
+139
+00:15:30,300 --> 00:15:35,000
+لكن ممكن can you correct by glasses or contact
+
+140
+00:15:35,000 --> 00:15:40,010
+lens هذا بنسميه ايه low order aberrationالـ high
+
+141
+00:15:40,010 --> 00:15:44,210
+order aberration can not correct by glasses or
+
+142
+00:15:44,210 --> 00:15:47,590
+contact lens، كيف ممكن أصلحه؟ بال surgery،
+
+143
+00:15:47,590 --> 00:15:52,250
+بالعملية، فيه له أنواع كمان الكومة والسيجما زي
+
+144
+00:15:52,250 --> 00:15:56,310
+الآن بيجي مريض عندك في المركز أو في العيادة أو في
+
+145
+00:15:56,310 --> 00:16:01,690
+المشفة، تعمليله مثلا refraction، بعديها بنستخدم ال
+
+146
+00:16:01,690 --> 00:16:05,990
+pinhole، no improvement، مافيش تحسن أيه في الرؤية
+
+147
+00:16:05,990 --> 00:16:10,850
+عنده، طب إيش الحل؟بدي افكر دايما بال high order
+
+148
+00:16:10,850 --> 00:16:14,750
+aberration قولنا ال high order aberration مش ممكن
+
+149
+00:16:14,750 --> 00:16:19,150
+اصلحه بمين؟ بالنضارة او بالعدسة اللازقة لازم ال
+
+150
+00:16:19,150 --> 00:16:22,890
+surgery فدايما ايش بقول للمريض ان انت بدك صورة
+
+151
+00:16:22,890 --> 00:16:27,990
+corneal topography انه فحص لتضاريس القرانية من
+
+152
+00:16:27,990 --> 00:16:32,130
+خلال الصورة هذه ممكن انه اكتشف المريض اذا كان عنده
+
+153
+00:16:32,130 --> 00:16:36,330
+high order or low order aberration okay؟
+
+154
+00:16:37,950 --> 00:16:41,770
+إذا عندنا ال variation of red reflex in different
+
+155
+00:16:41,770 --> 00:16:48,330
+parts during dilated lip pupil نقطة تالتة ال
+
+156
+00:16:48,330 --> 00:16:52,130
+scissor shadow أعتقد معظمكم بر عليكم ال scissor
+
+157
+00:16:52,130 --> 00:16:59,830
+shadow الحركة المقصية فهمتيهاش؟ okay الآن أنا عندى
+
+158
+00:16:59,830 --> 00:17:06,930
+طفل okay حطيتله cycle of ventulate قطر التوسيعالان
+
+159
+00:17:06,930 --> 00:17:12,530
+اجينا نفحص بال written scope لجينا في عندنا
+
+160
+00:17:12,530 --> 00:17:15,910
+peripheral و في ال center ال red reflex مش فيه له
+
+161
+00:17:15,910 --> 00:17:20,440
+peripheral و فيه له center صح؟لاحظت انت ال red
+
+162
+00:17:20,440 --> 00:17:24,580
+reflex صارت مع بعض الطالبات حتى في المعمل عندنا
+
+163
+00:17:24,580 --> 00:17:29,260
+انه حكولي في ال peripheral ال red reflex ايش ماله؟
+
+164
+00:17:29,260 --> 00:17:34,300
+faint باهت لكن في ال center clear واضح او bright
+
+165
+00:17:34,300 --> 00:17:39,360
+مضيق okay فهذا ايش .. نتيجة ايش اللي صار؟ انه ال
+
+166
+00:17:39,360 --> 00:17:43,280
+spherical aberrationالـ spherical aberration شو
+
+167
+00:17:43,280 --> 00:17:48,740
+معناها؟ انه optical defect أي بمعنى مشكلة بصرية
+
+168
+00:17:48,740 --> 00:17:54,440
+مين اللي بيحدثها؟ ال mirror او ال lens يعني المرأة
+
+169
+00:17:54,440 --> 00:17:58,580
+او العدسة كيف؟ طيب نتيجة التغير في ال refraction
+
+170
+00:17:58,580 --> 00:18:02,460
+ال physical ولا ال clinical refraction؟ ال
+
+171
+00:18:02,460 --> 00:18:06,140
+physical انه بتغير من one meridian ل two meridian
+
+172
+00:18:06,140 --> 00:18:11,680
+مختلف الكثافةطيب ال spherical aberration له أنواع
+
+173
+00:18:11,680 --> 00:18:16,380
+زي ايش الأنواع بتاعته؟ low order aberration
+
+174
+00:18:16,380 --> 00:18:20,260
+والhigh order aberration ال low order aberration
+
+175
+00:18:20,260 --> 00:18:25,000
+ميوب يعني مثلا لو انا ميوب اعتبر low order
+
+176
+00:18:25,000 --> 00:18:30,880
+aberration لو زميلتيك hyper metroid تعتبر low
+
+177
+00:18:30,880 --> 00:18:35,200
+order aberration ال high order aberrationلا يمكن
+
+178
+00:18:35,200 --> 00:18:38,480
+تصحيحه بالنضارة أو بالعدسة اللاصقة، شو بدنا؟
+
+179
+00:18:38,480 --> 00:18:47,580
+Surgery في العملية، okay؟ يعني عندنا كمفهوم ل ال
+
+180
+00:18:47,580 --> 00:18:48,800
+spherical aberration
+
+181
+00:19:30,210 --> 00:19:39,250
+بمعنى الزيوغ الكروي optical defect
+
+182
+00:19:39,250 --> 00:19:50,950
+انه مشكلة بصرية observed بتلاحظها ال
+
+183
+00:19:50,950 --> 00:19:55,610
+mirror او
+
+184
+00:19:55,610 --> 00:19:58,070
+ال lens
+
+185
+00:20:04,060 --> 00:20:10,940
+due to سببها
+
+186
+00:20:10,940 --> 00:20:18,160
+change of
+
+187
+00:20:18,160 --> 00:20:20,920
+refraction
+
+188
+00:20:25,210 --> 00:20:29,090
+وعن بين جثين ال physical refraction Spherical كروي
+
+189
+00:20:29,090 --> 00:20:33,090
+aberration زي وطبعا ال spherical aberration can be
+
+190
+00:20:33,090 --> 00:20:37,690
+classified in two types low order aberration high
+
+191
+00:20:37,690 --> 00:20:40,870
+order aberration what is the type of spherical
+
+192
+00:20:40,870 --> 00:20:45,130
+aberration low order aberration spherical
+
+193
+00:20:45,130 --> 00:20:48,350
+aberration can be classified in two types low
+
+194
+00:20:48,350 --> 00:20:51,680
+order aberration high order aberrationLow order
+
+195
+00:20:51,680 --> 00:20:55,340
+aberration ميوب هايبر متروب كيف ممكن أصلحه؟ for
+
+196
+00:20:55,340 --> 00:21:00,800
+glasses high order aberration بالنضارة أو العدسة
+
+197
+00:21:00,800 --> 00:21:05,940
+اللاسقة تصحيحه من خلال مين؟ ال surgery العملية ال
+
+198
+00:21:05,940 --> 00:21:12,940
+high order aberration اه لا يمكن ال high order
+
+199
+00:21:12,940 --> 00:21:15,700
+aberration you cannot correct by glasses or
+
+200
+00:21:15,700 --> 00:21:18,500
+contact lens only by surgery okay
+
+201
+00:21:21,640 --> 00:21:27,820
+مين مش فاهم؟ مش فاهمة؟ ال high order aberration
+
+202
+00:21:27,820 --> 00:21:31,900
+يعني الآن لو مريض عنده high order aberration سواء
+
+203
+00:21:31,900 --> 00:21:35,920
+الكومة او السيجما لو انا عملتله نضارة no
+
+204
+00:21:35,920 --> 00:21:40,260
+improvement contact lens no improvement اذا ايش
+
+205
+00:21:40,260 --> 00:21:44,160
+بستخدم؟ ال surgery سواء ال laser surgery or
+
+206
+00:21:44,160 --> 00:21:46,240
+refractive surgery okay؟
+
+207
+00:21:52,150 --> 00:21:57,650
+كتبتوها دي؟ اه اه كتبتوها؟
+
+208
+00:21:57,650 --> 00:22:12,150
+حاضر حاضر record
+
+209
+00:22:12,150 --> 00:22:18,710
+طب
+
+210
+00:22:18,710 --> 00:22:22,340
+إيش سبب الحين دي الأسباب؟ يعني إيش سبب المشكلة؟ال
+
+211
+00:22:22,340 --> 00:22:25,500
+spherical aberration، الآن أنا عندي ميوب أو
+
+212
+00:22:25,500 --> 00:22:29,960
+hypermetrop، احنا حكينا انه optical defect، انه
+
+213
+00:22:29,960 --> 00:22:34,900
+مشكلة بصرية، مين بلاحظها؟ ال lens أو ال contact
+
+214
+00:22:34,900 --> 00:22:39,850
+lens، sorry or ال mirror، okay؟ليش؟ طيب، نتيجة
+
+215
+00:22:39,850 --> 00:22:43,750
+تغير في ال refraction، يعني بمعنى أن الضوء بينتقل
+
+216
+00:22:43,750 --> 00:22:49,250
+من one medium ل medium آخر، زي بالظبط أنه بنتقل من
+
+217
+00:22:49,250 --> 00:22:55,570
+medium عالي ل medium أقل، من high medium .. طيب،
+
+218
+00:22:55,570 --> 00:22:59,050
+أه الميوب يعتبر ايه؟ low order aberration،
+
+219
+00:22:59,050 --> 00:23:03,090
+الhypermetrop low order aberration، الastigmatism
+
+220
+00:23:03,090 --> 00:23:06,830
+مثلا ال regular astigmatism يعتبر low order
+
+221
+00:23:06,830 --> 00:23:11,920
+aberrationالـ high order aberration زي مثلا ال
+
+222
+00:23:11,920 --> 00:23:14,620
+regular astigmatism شو تعريف ال irregular
+
+223
+00:23:14,620 --> 00:23:22,240
+astigmatism؟ مارو معنى؟ ال mixed astigmatism؟
+
+224
+00:23:22,240 --> 00:23:26,700
+بالظبط أو أقل ان one of the principle meridian are
+
+225
+00:23:26,700 --> 00:23:29,600
+not perpendicular to each other يعني واحد من
+
+226
+00:23:29,600 --> 00:23:33,320
+المحاور بيكونش عمودي على مين؟ على التاني فبدين
+
+227
+00:23:33,320 --> 00:23:39,030
+مين؟ ال irregular astigmatismفهذه مش ممكن أنه
+
+228
+00:23:39,030 --> 00:23:43,310
+يصلحوا بإيه؟ بنضارة، يعني ال irregular astigmatism
+
+229
+00:23:43,310 --> 00:23:47,190
+you can try by glasses or contact lens لكن إذا
+
+230
+00:23:47,190 --> 00:23:50,670
+ماوصلتش لنتيجة بحوله على مين ال high order
+
+231
+00:23:50,670 --> 00:23:51,430
+aberration
+
+232
+00:23:54,050 --> 00:23:59,270
+حاجة تقريبا عمرها سبعة و ستين سنة عاملة عملية
+
+233
+00:23:59,270 --> 00:24:03,310
+cataract بال left eye و عندها fibrosis تليف في
+
+234
+00:24:03,310 --> 00:24:07,790
+الشبكية طبعا عاملين هما الدكتور bleeding لها
+
+235
+00:24:07,790 --> 00:24:12,970
+الفيترياس sorry bleeding لها ال ال fibrosis للتليف
+
+236
+00:24:12,970 --> 00:24:16,750
+و عاملين لها عملية ال cataract الميال بيضا ال
+
+237
+00:24:16,750 --> 00:24:22,870
+visual acuity في ال left eye ستة على ستينOkay with
+
+238
+00:24:22,870 --> 00:24:28,150
+correction ستة على أربع وعشرين، يعني تقريبا مافيش
+
+239
+00:24:28,150 --> 00:24:31,290
+improvement أكتر من ستة على أربع وعشرين
+
+240
+00:24:35,140 --> 00:24:39,600
+What is your opinion؟ شو رأيك؟ فانا قلتله انه لازم
+
+241
+00:24:39,600 --> 00:24:43,280
+تنعملها صورة colonial topography قد يكون انه عندها
+
+242
+00:24:43,280 --> 00:24:47,180
+high order aberration انه .. انه السبب يعني بدها
+
+243
+00:24:47,180 --> 00:24:50,900
+ال surgery عشان انه يصل لعملية ايه improvement
+
+244
+00:24:50,900 --> 00:24:55,040
+ليش؟ لأنه عندها كمان ال retina الشبكية clear صافية
+
+245
+00:24:55,040 --> 00:24:59,460
+مافيش فيها مشكلة او الأمر التاني الاحتمال التاني
+
+246
+00:24:59,460 --> 00:25:04,150
+انه يصل لها صورة للشبكية لو كان في مثلا عندهاأكيد
+
+247
+00:25:04,150 --> 00:25:07,890
+مار عليكم ال liquid انه زي اللي هو tearing يعني
+
+248
+00:25:07,890 --> 00:25:12,810
+دموع انه أو ترشيحات بنسميها بالعربي في الشبكية
+
+249
+00:25:12,810 --> 00:25:19,370
+فواحدة من التنتين okay فعنا ال types of spherical
+
+250
+00:25:19,370 --> 00:25:20,050
+aberration
+
+251
+00:25:38,420 --> 00:25:46,360
+types of spherical
+
+252
+00:25:46,360 --> 00:25:50,340
+aberration
+
+253
+00:25:50,340 --> 00:25:57,060
+number
+
+254
+00:25:57,060 --> 00:26:04,180
+one low order aberration
+
+255
+00:26:13,090 --> 00:26:25,550
+like ميوب hyperpetrope
+
+256
+00:26:25,550 --> 00:26:33,150
+stigmatism number
+
+257
+00:26:33,150 --> 00:26:39,070
+two high order
+
+258
+00:26:46,310 --> 00:27:05,290
+Aberration طبعا هان can correct by glasses or
+
+259
+00:27:05,290 --> 00:27:14,500
+contact lens ال high order aberrationlike مثلا ال
+
+260
+00:27:14,500 --> 00:27:21,900
+regular stigmaism
+
+261
+00:27:21,900 --> 00:27:27,900
+و
+
+262
+00:27:27,900 --> 00:27:33,740
+بتحتاج لل surgery يعني
+
+263
+00:27:33,740 --> 00:27:35,640
+بمعنى عملية okay؟
+
+264
+00:27:39,130 --> 00:27:46,210
+هدول ال types of spherical aberration أنواعها
+
+265
+00:27:46,210 --> 00:27:54,370
+okay
+
+266
+00:27:54,370 --> 00:27:59,770
+done طيب
+
+267
+00:27:59,770 --> 00:28:04,270
+الآن number three من ال special difficulties
+
+268
+00:28:04,270 --> 00:28:09,500
+الرتنسكوبي ال silver shadowscissor shadow عبارة عن
+
+269
+00:28:09,500 --> 00:28:16,220
+حركة مقصية بمعنى ان واحد و نص لو الان كل عين زي ما
+
+270
+00:28:16,220 --> 00:28:20,100
+انتوا عارفين فيها two meridian horizontal و
+
+271
+00:28:20,100 --> 00:28:25,420
+vertical meridian ممكن يكون normal او يكون oblique
+
+272
+00:28:25,420 --> 00:28:30,940
+الان واحد و نص منهم بيكون حركته حركته مثلا with
+
+273
+00:28:30,940 --> 00:28:37,360
+والنص الآخر ايش بتكون against okayإذا الاتنين
+
+274
+00:28:37,360 --> 00:28:40,900
+بتحركوا، يعني مثلا لو فرضنا هذا meridian، هذا
+
+275
+00:28:40,900 --> 00:28:45,300
+meridian آخر، نصه بتحرك with و النص التاني إيش
+
+276
+00:28:45,300 --> 00:28:50,440
+بتحرك؟ again فهي بتعمل الحركة زي ال scissors، حركة
+
+277
+00:28:50,440 --> 00:28:55,800
+الامقص، يعني you can imagine for the shadow okay
+
+278
+00:28:55,800 --> 00:29:02,130
+in your eyeانه تخيلي زي كأنه مقص أمامك كيف بتحرك
+
+279
+00:29:02,130 --> 00:29:06,390
+الامقاص انه بتلاقي واحد و نص منهم بتحرك في نفس
+
+280
+00:29:06,390 --> 00:29:12,190
+الاتجاه و النص الآخر بتحرك باتجاه آخر فهذا بيسببلي
+
+281
+00:29:12,190 --> 00:29:17,530
+ال Caesar shadow يمكن أختنا خديجة شافة من بارح ال
+
+282
+00:29:17,530 --> 00:29:21,330
+Caesar shadow طبعا هي تعتبر special difficulties
+
+283
+00:29:21,330 --> 00:29:22,470
+ال retinoscopy
+
+284
+00:29:25,870 --> 00:29:30,330
+طبعا ال Caesar shadow في منه حالات انه ممكن بس بال
+
+285
+00:29:30,330 --> 00:29:34,230
+center لكن الحالة من بارح كانت في ال center و بال
+
+286
+00:29:34,230 --> 00:29:37,330
+peripheral يعني ممكن تسكري ال center لكن ال
+
+287
+00:29:37,330 --> 00:29:39,530
+peripheral ايه بظل فاتح
+
+288
+00:29:57,030 --> 00:30:00,890
+أو بيكون ال causes بتاعه ال regular astigmatism زي
+
+289
+00:30:00,890 --> 00:30:07,110
+ال keratoconus القرنية المخروطية number
+
+290
+00:30:07,110 --> 00:30:12,890
+three scissor
+
+291
+00:30:12,890 --> 00:30:16,470
+shadow
+
+292
+00:30:16,470 --> 00:30:20,250
+ال
+
+293
+00:30:20,250 --> 00:30:31,370
+causes أسبابه number onecorneal scar بمعنى نذبة في
+
+294
+00:30:31,370 --> 00:30:40,530
+القرانية number two keratoconus
+
+295
+00:30:40,530 --> 00:30:45,750
+قرانية المخروطية irregular
+
+296
+00:30:45,750 --> 00:30:49,790
+astigmatism
+
+297
+00:30:57,450 --> 00:31:03,770
+حكينا تعريف ال irregular astigmatism انه one of
+
+298
+00:31:03,770 --> 00:31:06,930
+the two principal meridian are not perpendicular
+
+299
+00:31:06,930 --> 00:31:12,130
+to each other يعني مايكونش عمودي على الآخر okay
+
+300
+00:31:12,130 --> 00:31:15,890
+number
+
+301
+00:31:15,890 --> 00:31:21,010
+four عندنا ال squinting eye زي مثلا الأطفال عندما
+
+302
+00:31:21,010 --> 00:31:22,650
+يكون عنده squint
+
+303
+00:31:27,150 --> 00:31:32,090
+للخارج هذا من الصعب انه ايه اعمله written score
+
+304
+00:31:32,090 --> 00:31:38,150
+okay الحالة الأخيرة ان ال stagmas الرأرقة في العين
+
+305
+00:31:38,150 --> 00:31:43,410
+انه بيكون عنده ايه movement of the eye اذا عندنا
+
+306
+00:31:43,410 --> 00:31:48,810
+number four misalignment
+
+307
+00:32:04,950 --> 00:32:16,250
+Squent number five mystagmus رقراء
+
+308
+00:32:16,250 --> 00:32:16,870
+في العين
+
+309
+00:32:22,020 --> 00:32:27,920
+توازن العنتين او عدم استقامة العنتين اللى بنسميه
+
+310
+00:32:27,920 --> 00:32:32,740
+squint حوله والاخيرة ان ال stagmas رقرت العين هذه
+
+311
+00:32:32,740 --> 00:32:38,120
+ال special difficulties الرتنسكوبى الصعوبات الخاصة
+
+312
+00:32:38,120 --> 00:32:45,420
+في جهاز الرتنسكوب اه تفضلي you need
+
+313
+00:32:45,420 --> 00:32:46,040
+practice
+
+314
+00:32:56,670 --> 00:33:05,700
+ماذا يمكنني فعله؟ ماذا يمكنني فعله؟أنا حكيت إنه in
+
+315
+00:33:05,700 --> 00:33:10,960
+my opinion إذا أي واحد عنده وقت فراش و عندك حالة
+
+316
+00:33:10,960 --> 00:33:14,760
+ممكن إنه تعرضيها عليا أو تشتغليها و أنا أكون موجود
+
+317
+00:33:14,760 --> 00:33:18,980
+و أنا في عندى ساعات مكتبية إذا سواء كان للمعمل أو
+
+318
+00:33:18,980 --> 00:33:23,980
+لال .. ال .. ال theory بس أنتوا لحد الآن مش واحدة
+
+319
+00:33:23,980 --> 00:33:24,220
+إجت
+
+320
+00:33:29,090 --> 00:33:33,610
+القرانية المخروطية اه ال .. ال keratoconus نتيجة
+
+321
+00:33:33,610 --> 00:33:37,290
+change لل curvature of the cornea نتيجة تغير
+
+322
+00:33:37,290 --> 00:33:42,530
+التحدب القرانية okay في الغالب ال keratoconus فيها
+
+323
+00:33:42,530 --> 00:33:46,210
+classification تصنيف mild, moderate, severe إذا
+
+324
+00:33:46,210 --> 00:33:51,020
+كان في حالة ال severeبتكون يعني ملهوش حل الا ازالة
+
+325
+00:33:51,020 --> 00:33:54,460
+او تغيير للقرانية لكن اذا كان في حالة ال mild او
+
+326
+00:33:54,460 --> 00:33:58,080
+ال moderate ممكن انه نستخدم معه glasses او contact
+
+327
+00:33:58,080 --> 00:34:02,780
+lens او عدسلاز خهار contact lens okay طيب من الشجة
+
+328
+00:34:02,780 --> 00:34:06,320
+هذه مين يحكي لل difficulties ال retinoscopy
+
+329
+00:34:06,320 --> 00:34:11,400
+special يعني اه special difficulties ال
+
+330
+00:34:11,400 --> 00:34:14,800
+retinoscopy number one يلا يا أمي
+
+331
+00:34:18,870 --> 00:34:28,590
+special difficulties ال retinoscopy نستاجموس
+
+332
+00:34:28,590 --> 00:34:32,830
+رأرات العين number two fainting of red reflex
+
+333
+00:34:32,830 --> 00:34:37,490
+causes ..الcauses للfainting of red reflex
+
+334
+00:34:51,370 --> 00:34:58,330
+بعد ال .. ان شاء الله و ال .. كورنيال اليوكوما و
+
+335
+00:34:58,330 --> 00:35:03,630
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+336
+00:35:03,630 --> 00:35:06,810
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+337
+00:35:06,810 --> 00:35:07,150
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+338
+00:35:07,150 --> 00:35:09,330
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+339
+00:35:09,330 --> 00:35:12,340
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. الالـ
+
+340
+00:35:12,340 --> 00:35:15,760
+high refractive error high ميوب او high بارمترود
+
+341
+00:35:15,760 --> 00:35:20,840
+okay another one اللي هو scissor shadow scissor
+
+342
+00:35:20,840 --> 00:35:24,360
+shadow okay variation of red reflex of the
+
+343
+00:35:24,360 --> 00:35:28,480
+different parts in the dilated pupil in the
+
+344
+00:35:28,480 --> 00:35:33,240
+dilated pupil يعني بمعنى variation اختلاف لل red
+
+345
+00:35:33,240 --> 00:35:38,640
+reflex during dilated ofبيوبل انه بيكون ال center
+
+346
+00:35:38,640 --> 00:35:45,260
+مثلا bright و ال peripheral بيكون faint okay طيب
+
+347
+00:35:45,260 --> 00:35:49,680
+ال special difficulties الرتنسكوبي الشجة هذه
+
+348
+00:35:49,680 --> 00:35:57,480
+number one يالا باي اختلف
+
+349
+00:35:57,480 --> 00:36:04,620
+في ال .. هو ال reflex of different part of
+
+350
+00:36:04,620 --> 00:36:10,760
+environment number twofainting of red reflex ال
+
+351
+00:36:10,760 --> 00:36:17,280
+causes fainting of red reflex ال
+
+352
+00:36:17,280 --> 00:36:21,200
+causes
+
+353
+00:36:21,200 --> 00:36:29,320
+ده ال ocular media number one
+
+354
+00:36:29,320 --> 00:36:37,060
+ال causes of ocular number two number three
+
+355
+00:36:38,830 --> 00:36:42,990
+نمبر 4 نمبر
+
+356
+00:36:42,990 --> 00:36:52,230
+5 نمبر
+
+357
+00:36:52,230 --> 00:36:53,230
+5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+358
+00:36:53,230 --> 00:36:55,290
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+359
+00:36:55,290 --> 00:36:56,350
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+360
+00:36:56,350 --> 00:36:56,410
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+361
+00:36:56,410 --> 00:36:56,450
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+362
+00:36:56,450 --> 00:36:59,770
+نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+363
+00:37:08,680 --> 00:37:22,280
+ماذا هو تعريف الـ spherical aberration؟
+
+364
+00:37:29,420 --> 00:37:35,320
+انه حالة بصرية بلاحظها مين انه observed بتحدث لل
+
+365
+00:37:35,320 --> 00:37:39,880
+lens او ال mirror نتيجة التغير في مين؟ في ال
+
+366
+00:37:39,880 --> 00:37:43,700
+reflection ال physical ولا ال clinical؟ ال
+
+367
+00:37:43,700 --> 00:37:49,340
+physical reflection ال high و ال low؟
+
+368
+00:37:49,340 --> 00:37:53,000
+classification of spherical aberration
+
+369
+00:38:03,850 --> 00:38:08,490
+ممتازة special difficulties of retinoscopy number
+
+370
+00:38:08,490 --> 00:38:19,370
+one of red reflex okay another one another one
+
+371
+00:38:27,820 --> 00:38:42,060
+Variation of Red Reflex in Dilated Pupil Special
+
+372
+00:38:42,060 --> 00:38:55,540
+Difficulties
+
+373
+00:38:55,540 --> 00:38:56,400
+in Retinoscopy
+
+374
+00:39:05,900 --> 00:39:12,560
+بمعنى بهاد أو عدم وضوح ال red reflex causes
+
+375
+00:39:12,560 --> 00:39:19,690
+أسبابهاوباك للـ ocular media إذا أول سبب يبرق أنه
+
+376
+00:39:19,690 --> 00:39:23,350
+fainting لل red reflex أنه عدم وضوح ال red reflex
+
+377
+00:39:23,350 --> 00:39:29,350
+شو أسبابها؟ وباك لل ocular media وباك بمعنى عدم
+
+378
+00:39:29,350 --> 00:39:36,230
+وضوح عكس أو عتامة لل ocular media طبعا هي opposite
+
+379
+00:39:36,230 --> 00:39:42,400
+لمن؟ لل transparent وباك لل ocular mediaزي مثلا ال
+
+380
+00:39:42,400 --> 00:39:46,880
+Cornial Iliocoma Cornial Iliocoma بمعنى white
+
+381
+00:39:46,880 --> 00:39:53,420
+opacities of the cornea number two blood in
+
+382
+00:39:53,420 --> 00:39:59,300
+anterior chamber like hyphema number three lens
+
+383
+00:39:59,300 --> 00:40:04,420
+opacities عتمة في العدسة like immature cataract
+
+384
+00:40:04,420 --> 00:40:10,520
+عدم نفوج العدسةيعني بمعنى انه عنده مياه بيظلكن مش
+
+385
+00:40:10,520 --> 00:40:14,920
+ناضجة okay لان في أنواع للكتلاج ممكن تكون immature
+
+386
+00:40:14,920 --> 00:40:20,360
+غير ناضجة ممكن تكون mature وhyper mature okay
+
+387
+00:40:20,360 --> 00:40:27,080
+vitreous bleeding انه يعني إزالة لل vitreous يعني
+
+388
+00:40:27,080 --> 00:40:31,310
+واحد يقولك مثلا bleeding بمعنى removalهذه كتير
+
+389
+00:40:31,310 --> 00:40:35,630
+بنستخدمها في العيادات واحد بيقولك انه عمل retinal
+
+390
+00:40:35,630 --> 00:40:40,850
+bleeding bleeding بمعنى removal okay mild vitreous
+
+391
+00:40:40,850 --> 00:40:45,210
+hemorrhage أي بمعنى نزيف في ال vitreous لكن إيه
+
+392
+00:40:45,210 --> 00:40:51,130
+شماله؟ خفيف retinal detachment انفصال في الشبكية
+
+393
+00:40:51,130 --> 00:40:57,890
+very high refractive error like high myopic or
+
+394
+00:40:57,890 --> 00:40:59,310
+hyper metropic okay
+
+395
+00:41:09,770 --> 00:41:15,430
+الجلوكومة لها علاقة في موضوع ال intraocular
+
+396
+00:41:15,430 --> 00:41:20,650
+pressure انه زيادة او نقصان في ضغط العين
+
+397
+00:41:49,650 --> 00:41:54,350
+Vitreous hemorrhage طبعا هذه الصورة مش mild، هي
+
+398
+00:41:54,350 --> 00:41:56,170
+تعتبر moderate أو severe
+
+399
+00:42:05,460 --> 00:42:10,120
+retinal detachment انفصال في الشبكية separation
+
+400
+00:42:10,120 --> 00:42:13,920
+between the retinal pigment epithelium and
+
+401
+00:42:13,920 --> 00:42:18,640
+photoreceptorvariation of red reflex in different
+
+402
+00:42:18,640 --> 00:42:20,940
+parts of the dilated pupil
+
+403
+00:42:33,880 --> 00:42:38,020
+the central part being different from the
+
+404
+00:42:38,020 --> 00:42:43,140
+periphery انه بيكون الجزء المركزي مختلف عن مين ال
+
+405
+00:42:43,140 --> 00:42:47,660
+periphery يعني بمعنى انه ال center بيكون bright و
+
+406
+00:42:47,660 --> 00:42:50,220
+ال peripheral اش بيكون انه faint
+
+407
+00:42:57,070 --> 00:43:03,830
+الاختلاف هذا بيبرز من خلال توصيع مين البؤبؤ كلمة
+
+408
+00:43:03,830 --> 00:43:11,050
+accentuated بمعنى إبراز أو تبرز أو تظهر خلال توصيع
+
+409
+00:43:11,050 --> 00:43:16,370
+مين البؤبؤ this
+
+410
+00:43:16,370 --> 00:43:21,390
+is due to spherical aberrations نتيجة زيوغ كراوي
+
+411
+00:43:22,330 --> 00:43:27,070
+Tense بمتد to cause an increase in the brightness
+
+412
+00:43:27,070 --> 00:43:30,550
+of the center or the periphery of the pupil
+
+413
+00:43:30,550 --> 00:43:34,390
+depending on whether the aberrations are negative
+
+414
+00:43:34,390 --> 00:43:39,370
+in hypermetrop or positive in myopic يعني ممكن ان
+
+415
+00:43:39,370 --> 00:43:43,070
+يكون كمان ال spherical aberration positive او يكون
+
+416
+00:43:43,070 --> 00:43:47,310
+negative طبعا دايما ال positive هو virtual تخيلة
+
+417
+00:43:47,310 --> 00:43:52,720
+مش موجودعلى يعني أرض الواقع بمعنى أنه الآن بيمر ال
+
+418
+00:43:52,720 --> 00:43:57,380
+light rays لكن بتجمع بإيه؟ ب line، بخط لكن في ال
+
+419
+00:43:57,380 --> 00:44:01,100
+.. في ال negative aberration بتجمع بنقطة واحدة بعد
+
+420
+00:44:01,100 --> 00:44:05,580
+ما يمرمين من ال optical system أي بمعنى النظام
+
+421
+00:44:05,580 --> 00:44:12,160
+البصري سواء كانت lens أو mirror okay negative
+
+422
+00:44:12,160 --> 00:44:15,160
+aberration what is the difference between the
+
+423
+00:44:15,160 --> 00:44:19,950
+negative and positive aberrationبمعنى الزيوغ ال
+
+424
+00:44:19,950 --> 00:44:24,370
+plus أو ال minus ال negative aberration بيكون
+
+425
+00:44:24,370 --> 00:44:29,730
+الأطراف فين لكن ال center ايش بيكون shine, shine
+
+426
+00:44:29,730 --> 00:44:35,290
+بمعنى مضيق ال positive aberration ال periphery is
+
+427
+00:44:35,290 --> 00:44:40,750
+shiny and the center is فين أي بمعنى الأطراف بتكون
+
+428
+00:44:40,750 --> 00:44:47,290
+مضيقة و ال center بتكون فين this is virtualيعني
+
+429
+00:44:47,290 --> 00:44:52,690
+هذا مش ممكن تشوفيه على يعني أمر ايه انه موجود هذا
+
+430
+00:44:52,690 --> 00:44:59,290
+تخيلي okay أهم شيء في ال spherical aberration ال
+
+431
+00:44:59,290 --> 00:45:02,910
+definition of aberration or spherical aberration
+
+432
+00:45:02,910 --> 00:45:07,550
+and classification of spherical aberration انه
+
+433
+00:45:07,550 --> 00:45:11,890
+كتصنيف ل ال spherical aberration ممكن
+
+434
+00:45:17,140 --> 00:45:20,780
+إذا عندنا ال positive spherical aberration ان ال
+
+435
+00:45:20,780 --> 00:45:24,980
+light rays كله تجمع بإيه؟ blind وهذا يعتبر virtual
+
+436
+00:45:24,980 --> 00:45:30,840
+يعني مش ممكن انه تطبيقه okay ال negative spherical
+
+437
+00:45:30,840 --> 00:45:35,300
+aberration كل ال light rays تجمع بنقطة واحدة انه
+
+438
+00:45:35,300 --> 00:45:41,240
+one point okay ال spherical ال positive spherical
+
+439
+00:45:41,240 --> 00:45:47,360
+aberration انه كله بتجمع blind خط okayهذا بالنسبة
+
+440
+00:45:47,360 --> 00:45:50,360
+لها ال positive spherical aberration، ال negative
+
+441
+00:45:50,360 --> 00:45:54,800
+spherical aberration بتجمع بنقطة، ب one point ال
+
+442
+00:45:54,800 --> 00:45:57,600
+negative بتعامل زي ال astigmatism، في واحد على
+
+443
+00:45:57,600 --> 00:46:02,200
+تقريتنا و واحد على تقريتنا، صح؟ ال line، أنا بدأها
+
+444
+00:46:02,200 --> 00:46:06,440
+المنطقة هذهالـ negative spherical aberration one
+
+445
+00:46:06,440 --> 00:46:10,220
+point ان كله كأنه بتجمع على الشبكات لكن هان هو
+
+446
+00:46:10,220 --> 00:46:15,440
+عدسة يعني الآن لو هانا بدنا نطبقه انه عبارة عن
+
+447
+00:46:15,440 --> 00:46:20,280
+light rays أمامه optical state سواء mirror أو lens
+
+448
+00:46:20,280 --> 00:46:24,820
+وكل الأشعة إذا كانت minus spherical aberration كل
+
+449
+00:46:24,820 --> 00:46:29,270
+الأشعة هتتجمع في نقطة واحدةلكن في ال positive
+
+450
+00:46:29,270 --> 00:46:33,710
+spherical aberration هو يعتبر تخيلة، virtual، okay
+
+451
+00:46:33,710 --> 00:46:42,710
+فكلها بتتجمع عبارة عن line خط طبعا
+
+452
+00:46:42,710 --> 00:46:46,110
+هذه تعتبر positive ولا negative؟ spherical
+
+453
+00:46:46,110 --> 00:46:49,590
+aberration؟ لأ positive positive ليش؟ لأن في
+
+454
+00:46:49,590 --> 00:46:54,190
+الانجلة تتصف انه عبارة عن ايه؟ line واحد إذا هذه
+
+455
+00:46:54,190 --> 00:46:56,690
+positive ولا negative؟ spherical aberration
+
+456
+00:46:57,530 --> 00:47:02,090
+Positive لأن كله تجمع بعد ال optical state في line
+
+457
+00:47:02,090 --> 00:47:07,310
+واحد okay؟عنا
+
+458
+00:47:07,310 --> 00:47:13,450
+ال scissor shadow أي الحركة المقصية when a mix
+
+459
+00:47:13,450 --> 00:47:21,690
+aberrations بمعنى يما يكون الزيوغ منزمج يعني بمعنى
+
+460
+00:47:21,690 --> 00:47:21,810
+فيه
+
+461
+00:47:36,530 --> 00:47:40,910
+بمعنى ان واحد و نص فيهم بتحرك with او بتحرك
+
+462
+00:47:40,910 --> 00:47:45,820
+against وال half التاني ايش بتحرك عكسهيعني الان
+
+463
+00:47:45,820 --> 00:47:49,860
+واحد و نص منهم اتحرك نفس الحركة و ال half الآخر
+
+464
+00:47:49,860 --> 00:47:56,740
+اتحرك حركة another direction two band reflexes
+
+465
+00:47:56,740 --> 00:48:01,140
+appear which move toward and away from each other
+
+466
+00:48:01,140 --> 00:48:07,460
+like the blades of scissors زي حركة مين؟ المقص انه
+
+467
+00:48:07,460 --> 00:48:11,200
+الجزئين بتاعون ال parts of scissors اللي هو
+
+468
+00:48:11,200 --> 00:48:13,200
+الجزئين بتاعون المقص
+
+469
+00:48:16,190 --> 00:48:21,670
+The optics الظاهرة أو دايما ال retinascope له
+
+470
+00:48:21,670 --> 00:48:27,710
+optics بمعنى أنه يما بتجمع الضوء كيف بنشوف ال red
+
+471
+00:48:27,710 --> 00:48:31,810
+reflex وبعدين بنعكس لل patient من ال patient I لل
+
+472
+00:48:31,810 --> 00:48:35,570
+examiner I فكلمة optics يعني شو المبدأ أو ال
+
+473
+00:48:35,570 --> 00:48:40,190
+principle بتاعه okay؟the optics of the phenomenon
+
+474
+00:48:40,190 --> 00:48:45,690
+أي بمعنى الأساس لهذه الظاهرة where in one of the
+
+475
+00:48:45,690 --> 00:48:49,730
+aberration is relatively myopic and the other
+
+476
+00:48:49,730 --> 00:48:52,810
+hypermetropic اللي احنا بنسميه ال mixed
+
+477
+00:48:52,810 --> 00:48:57,390
+astigmatism يعني الظاهرة تحت ال scissor shadow
+
+478
+00:48:57,390 --> 00:49:03,250
+معتمدة عالميا على ال mixed astigmatismبمعنى one of
+
+479
+00:49:03,250 --> 00:49:05,790
+the principal meridian focus in front of the
+
+480
+00:49:05,790 --> 00:49:09,530
+retina والتاني وين behind the retina يعني واحد
+
+481
+00:49:09,530 --> 00:49:14,450
+ميوب وواحد hypermetron عشان هيك واحدة من الحركة
+
+482
+00:49:14,450 --> 00:49:21,190
+حركة و نص with or against و another half ايش بده
+
+483
+00:49:21,190 --> 00:49:24,010
+يكون opposite direction عكس الحركة
+
+484
+00:49:27,520 --> 00:49:31,640
+إذا ال scissor shadow دايما بيكون مرتبط في مين؟ في
+
+485
+00:49:31,640 --> 00:49:34,860
+ال mix، a stigmatism إن one of the principal
+
+486
+00:49:34,860 --> 00:49:38,880
+meridian focus behind the retina and another one
+
+487
+00:49:38,880 --> 00:49:44,340
+focus in front of the retina فكيف
+
+488
+00:49:44,340 --> 00:49:48,920
+يتقلب الهاد الظاهرة و لما يكون على نحوه مثل
+
+489
+00:49:48,920 --> 00:49:54,720
+الفاتحة يكون والد و النحو التالي يكون أجلس؟
+
+490
+00:49:59,780 --> 00:50:05,380
+عما يكون one meridian with the rule and another
+
+491
+00:50:05,380 --> 00:50:09,120
+meridian against the rule، هذه بيكون عند المريض
+
+492
+00:50:09,120 --> 00:50:13,340
+ايه؟ Astigmatism، لكن ممكن يكون .. ممكن يكون
+
+493
+00:50:13,340 --> 00:50:17,560
+regular astigmatism بمعنى ان two principal
+
+494
+00:50:17,560 --> 00:50:21,000
+meridian are perpendicular to each other، يعني
+
+495
+00:50:21,000 --> 00:50:27,460
+عموديين على بعض، okay؟هذا بيكون mixed astigmatism
+
+496
+00:50:27,460 --> 00:50:32,860
+يعني واحد جابلي الشبكية والتاني خالفي الشبكية okay
+
+497
+00:50:32,860 --> 00:50:36,220
+يعني one of the principal meridian focus behind
+
+498
+00:50:36,220 --> 00:50:39,660
+the retina and another one in front the retina لو
+
+499
+00:50:39,660 --> 00:50:43,720
+بتذكر ياخدنا ال types of astigmatism واحد منهم ال
+
+500
+00:50:43,720 --> 00:50:47,760
+mixed astigmatism اللي انت بتحكي عنه هو ال simple
+
+501
+00:50:47,760 --> 00:50:51,360
+سواء hypermetropic او myopic astigmatism
+
+502
+00:50:54,640 --> 00:50:58,460
+هتشوف أنه زي السماء اللي مدعس حرب السماء؟ هي ال ..
+
+503
+00:50:58,460 --> 00:51:02,160
+ال .. تسألوا السؤال مش عن ال scissor shadow الفرق
+
+504
+00:51:02,160 --> 00:51:05,740
+ما بين ال regular و ال irregular astigmatism بمعنى
+
+505
+00:51:05,740 --> 00:51:09,120
+شو الفرق ما بين ال regular و ال mixed astigmatism؟
+
+506
+00:51:09,120 --> 00:51:13,700
+صح؟
+
+507
+00:51:13,700 --> 00:51:17,740
+زي ما اتفقنا أنه ال scissor shadow present in
+
+508
+00:51:17,740 --> 00:51:22,100
+corneal scar, corneal scar بمعنى ندبة في القرنية
+
+509
+00:51:23,080 --> 00:51:27,200
+دايما بتعرفوا ان ال characteristics للقرانية ان هي
+
+510
+00:51:27,200 --> 00:51:31,600
+transparent طبيعتها شفافة فالان لو بتعرض المريض
+
+511
+00:51:31,600 --> 00:51:37,280
+لاقت روما ضربة بصير opaque او مثلا بصير ندبة في
+
+512
+00:51:37,280 --> 00:51:41,300
+القرانية هذه سببها ايش الندبة اللي في القرانية؟
+
+513
+00:51:41,300 --> 00:51:46,410
+نتيجة انهبتصبح ان ال connective tissue مابصيرلهاش
+
+514
+00:51:46,410 --> 00:51:50,770
+عملية ايش؟ regeneration فبصير اللي هو زي necrosis
+
+515
+00:51:50,770 --> 00:51:59,250
+انه بتموت الخلايا هذه فبتعمل زي ندبة ال regular
+
+516
+00:51:59,250 --> 00:52:03,930
+astigmatism like keratoconus طبعا هانتكلمنا فيها
+
+517
+00:52:03,930 --> 00:52:09,050
+ان القرانية المخروطية انه تغير في مين؟ في تحدب
+
+518
+00:52:09,050 --> 00:52:14,800
+القرانيةو برضه بديني shadow ال .. ال .. ال
+
+519
+00:52:14,800 --> 00:52:18,480
+squinting children or strabismus or deviation
+
+520
+00:52:18,480 --> 00:52:22,120
+children طبعا هذه في حالات اللي هو ال misalignment
+
+521
+00:52:22,120 --> 00:52:29,420
+of the eye و أخر حاجة ال nystagmus corneal scar
+
+522
+00:52:29,420 --> 00:52:35,980
+نبأ في القرنية انه بيكون بالنسبة للمنطقة المضيقة
+
+523
+00:52:35,980 --> 00:52:42,230
+زي كأنه نبأ في القرنيةفي داخل القرانية، يعني
+
+524
+00:52:42,230 --> 00:52:46,350
+مابسلط .. أكيد اذا شغلته على الستلام، يعني مابركز
+
+525
+00:52:46,350 --> 00:52:51,410
+عليها بيحس زي فيه انه كأنه activity، انه زي كأنه
+
+526
+00:52:51,410 --> 00:52:55,910
+ندبة في هالقرانية، okay؟ زي الندبة اللي مرة اتلوح
+
+527
+00:52:55,910 --> 00:53:02,110
+مثلابصير healing شفاء له فبصير ايه؟ زي بتعلم احنا
+
+528
+00:53:02,110 --> 00:53:06,350
+بنقول عنها فهذه عبارة عن ال corneal scar ليش بيصير
+
+529
+00:53:06,350 --> 00:53:09,230
+ال corneal scar؟ لأن ال cornea طبيعتها ايه؟
+
+530
+00:53:09,230 --> 00:53:15,070
+transparent شفافة keratoconus القرنية المخروطية
+
+531
+00:53:15,070 --> 00:53:21,570
+تان شايفين هان ال normal؟ لما تكون normal بيكون ال
+
+532
+00:53:21,570 --> 00:53:21,790
+..
+
+533
+00:53:26,430 --> 00:53:31,630
+matoconus بتكون protrusion يعني زي نتوق انه بارزة
+
+534
+00:53:31,630 --> 00:53:36,150
+okay misalignment
+
+535
+00:53:36,150 --> 00:53:42,030
+of the eye زي الطفل هذا انه عنده misalignment في
+
+536
+00:53:42,030 --> 00:53:51,170
+ال eye عبارة عن ال squint الحوالي طيب ال
+
+537
+00:53:51,170 --> 00:53:55,900
+subjective verification for refractionفي حالة ال
+
+538
+00:53:55,900 --> 00:53:59,900
+subjective verification for refraction بداية بدنا
+
+539
+00:53:59,900 --> 00:54:04,440
+نفهم الآن ال subjective يمكن احنا أخدنا ال
+
+540
+00:54:04,440 --> 00:54:08,400
+definition لل subjective refraction او ال
+
+541
+00:54:08,400 --> 00:54:14,260
+subjective method نعمل refinement او verification
+
+542
+00:54:14,260 --> 00:54:18,640
+ل ..
+
+543
+00:54:18,640 --> 00:54:23,560
+نعمل verification لمن؟ لل refractive error
+
+544
+00:54:26,590 --> 00:54:29,990
+باستمارة انه نحدد جديش ال objective method to
+
+545
+00:54:29,990 --> 00:54:34,150
+obtain the best vision okay with the response from
+
+546
+00:54:34,150 --> 00:54:38,750
+the patient الان لو اجانب مثلا مريض في ال written
+
+547
+00:54:38,750 --> 00:54:48,610
+scope plus مثلا تلاتة و plus اتنين دين ال final
+
+548
+00:54:48,610 --> 00:54:49,710
+objective refraction
+
+549
+00:54:59,350 --> 00:55:13,170
+عشان كده؟ كده؟ كده؟ كده؟ كده؟ كده؟ كده؟ كده؟
+
+550
+00:55:13,170 --> 00:55:20,330
+كده؟ كده؟
+
+551
+00:55:40,080 --> 00:55:45,240
+طيب، الآن هذه عبارة عن مين؟ الـ Final Objective
+
+552
+00:55:45,240 --> 00:55:46,180
+Refraction
+
+553
+00:55:48,990 --> 00:55:53,870
+هذه عبارة عن ال final objective refraction طيب هل
+
+554
+00:55:53,870 --> 00:55:58,790
+هذه الوصفة هي ال final prescription أي بمعنى
+
+555
+00:55:58,790 --> 00:56:04,830
+الوصفة النهائية اللي تديها للمريض؟ فبدنا نعمل ايه؟
+
+556
+00:56:04,830 --> 00:56:08,950
+verification verification بمعنى refinement تأكيد
+
+557
+00:56:08,950 --> 00:56:14,790
+تأكيد لو refractive error الوصفة هذه إيش كانت؟
+
+558
+00:56:16,010 --> 00:56:22,490
+الوصفة هذي إيش؟ هذي عبارة عن plus ولا cylinder؟
+
+559
+00:56:22,490 --> 00:56:28,510
+plus زي ال cylinder صح؟ يعني .. يعني تعتبر سفيره
+
+560
+00:56:28,510 --> 00:56:35,030
+cylinder لكن لو أخدنا مثلا وصفة
+
+561
+00:56:35,030 --> 00:56:40,010
+بالشكل هذي plus 3 تعمليها
+
+562
+00:56:40,010 --> 00:56:43,410
+ال .. ال final objective refraction
+
+563
+00:56:56,260 --> 00:57:03,600
+هتطلع السفير يعني هي plus plus plus plus plus plus
+
+564
+00:57:03,600 --> 00:57:05,740
+plus plus plus plus plus plus plus plus plus plus
+
+565
+00:57:05,740 --> 00:57:06,080
+plus plus plus plus plus plus plus plus plus plus
+
+566
+00:57:06,080 --> 00:57:08,060
+plus plus plus plus plus plus plus plus plus plus
+
+567
+00:57:08,060 --> 00:57:08,080
+plus plus plus plus plus plus plus plus plus plus
+
+568
+00:57:08,080 --> 00:57:11,300
+plus plus plus plus plus plus plus plus plus plus
+
+569
+00:57:11,300 --> 00:57:11,340
+plus plus plus plus plus plus plus plus plus plus
+
+570
+00:57:11,340 --> 00:57:11,360
+plus plus plus plus plus plus plus plus plus plus
+
+571
+00:57:11,360 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+572
+00:57:11,900 --> 00:57:15,820
+plus plus plus plus
+
+573
+00:57:15,820 --> 00:57:21,270
+plus plus plusهذه عبارة عن مين؟ الاسفير يعني هذه
+
+574
+00:57:21,270 --> 00:57:24,970
+وصفة ال final objective refraction بالنسبة للاسفير
+
+575
+00:57:24,970 --> 00:57:30,130
+الآن هذه انا مابقدرش اديها بشكل direct مباشر لمين؟
+
+576
+00:57:30,130 --> 00:57:35,390
+للمريض لازم اعمل عملية verification or refinement
+
+577
+00:57:35,390 --> 00:57:42,000
+تأكيد لمين؟ للوصفة التاعتى فأول فحص بعملهمن خلال
+
+578
+00:57:42,000 --> 00:57:46,920
+ال refinement or verification for spherical power
+
+579
+00:57:46,920 --> 00:57:54,040
+عندنا الديو كروم test ديو كروم test بمعنى انه
+
+580
+00:57:54,040 --> 00:58:00,600
+الألوان انه فحص مش ال color vision لأ في عندنا
+
+581
+00:58:00,600 --> 00:58:07,580
+slide slide بمعنى لوحة أو مثلا شريحة بشكل هذه فيها
+
+582
+00:58:07,580 --> 00:58:13,130
+red و greenبكون red color و green color بتعتمد ال
+
+583
+00:58:13,130 --> 00:58:16,810
+principle تاعة على مبدأ ايه؟ ال chromatic
+
+584
+00:58:16,810 --> 00:58:23,550
+aberration بمعنى الزيوغ اللوني طبعا ال chromatic
+
+585
+00:58:23,550 --> 00:58:30,230
+aberration بتكون من red, orange, yellow, green,
+
+586
+00:58:30,530 --> 00:58:34,770
+blue, indigo, violet صح؟
+
+587
+00:58:37,980 --> 00:58:46,740
+ايش يعتبر high wavelength؟ ال green color يعتبر
+
+588
+00:58:46,740 --> 00:58:51,960
+less than compared to less wavelength compared to
+
+589
+00:58:51,960 --> 00:58:57,580
+red color ال yellow ايش يعتبر مدرت مابين ال green
+
+590
+00:58:57,580 --> 00:59:04,280
+و مابين ال red color الان في عندنا مصطلح ال
+
+591
+00:59:04,280 --> 00:59:08,750
+refractive index معامل الانكسارالـ Refractive
+
+592
+00:59:08,750 --> 00:59:13,570
+Index الـ Speed of Light in Vacuum على الـ Speed
+
+593
+00:59:13,570 --> 00:59:20,790
+of Light in Material فالان المبدأ بتاع الديو-كروم
+
+594
+00:59:20,790 --> 00:59:25,110
+تيست Electronic Aberration Electronic Aberration
+
+595
+00:59:25,110 --> 00:59:28,930
+هذه من وين جاءت؟ من Electronic Dispersion
+
+596
+00:59:28,930 --> 00:59:35,860
+Electronic Dispersion بمعنى التشتت اللونيالان
+
+597
+00:59:35,860 --> 00:59:41,200
+عندما يكون الإنسان إمتراب عندنا رد، أورنج، يالو،
+
+598
+00:59:41,200 --> 00:59:50,520
+جرين، بلو، انديجو، فيولد، هاد يحفظوها رجيب رجيب
+
+599
+00:59:50,520 --> 00:59:56,980
+okay
+
+600
+00:59:56,980 --> 01:00:04,330
+الان عندما يكون عنده رجيبred orange you know عشان
+
+601
+01:00:04,330 --> 01:00:11,170
+ما تنسيها يعني انه لو انت مثلا نسيتيها المصطلح هذا
+
+602
+01:00:11,170 --> 01:00:18,430
+بيحفظك إياها الان يما يكون واحد in the group ال
+
+603
+01:00:18,430 --> 01:00:25,550
+red color وين هيتركز؟ focus on the retina or in
+
+604
+01:00:25,550 --> 01:00:29,390
+front of the retina or behind the retina behind
+
+605
+01:00:29,390 --> 01:00:30,610
+the retina why؟
+
+606
+01:00:36,170 --> 01:00:41,010
+الان في حالة ال red color، يما يكون اللون أحمر،
+
+607
+01:00:41,010 --> 01:00:45,990
+بدها تجاوب، هنخلص الفصل و نقول نفس الكلمة الان في
+
+608
+01:00:45,990 --> 01:00:49,970
+ال red color اللون الأحمر، يما يكون إمتراوب
+
+609
+01:00:49,970 --> 01:00:54,670
+patient أو إمتراوب condition ال red color وين
+
+610
+01:00:54,670 --> 01:01:00,410
+بتركز؟ in front or behind or in the retina؟ behind
+
+611
+01:01:00,410 --> 01:01:02,490
+the retina why؟
+
+612
+01:01:06,280 --> 01:01:11,340
+بالظبط لأنه في عنده long wavelength يعني هان ال
+
+613
+01:01:11,340 --> 01:01:17,860
+red color يعتبر ايه؟ أطول ال .. أطول ال .. أطول ال
+
+614
+01:01:17,860 --> 01:01:18,180
+.. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+615
+01:01:18,180 --> 01:01:18,200
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+616
+01:01:18,200 --> 01:01:18,340
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+617
+01:01:18,340 --> 01:01:18,440
+ال .. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+618
+01:01:18,440 --> 01:01:18,680
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+619
+01:01:18,680 --> 01:01:24,140
+أطول ال .. أطول ال .. أطول
+
+620
+01:01:24,140 --> 01:01:30,860
+ال .. أطول ال .. أطول ال .. أط
+
+621
+01:01:32,420 --> 01:01:38,020
+إذا ال red color وين هيتركز؟ خلف الشبكية إذا
+
+622
+01:01:38,020 --> 01:01:42,540
+behind the retina طيب بالنسبة لل yellow in front,
+
+623
+01:01:42,980 --> 01:01:48,900
+behind or on the retina؟ فضلين on the retina why؟
+
+624
+01:01:48,900 --> 01:01:54,780
+بالظبط إذا هو هيكون on the retina طيب لو أخدنا ال
+
+625
+01:01:54,780 --> 01:02:01,290
+green color وين؟ okay yeah sameإنه نفس ال yellow
+
+626
+01:02:01,290 --> 01:02:05,090
+هو يعتبر، إذا ال green color وين هيتركز؟ in front
+
+627
+01:02:05,090 --> 01:02:15,510
+the retina طيب، الآن ال green color in front the
+
+628
+01:02:15,510 --> 01:02:23,010
+retina، ال green color أو ال green color و ال blue
+
+629
+01:02:23,010 --> 01:02:25,950
+color نفس الطول الموجي بتاعهم
+
+630
+01:02:28,850 --> 01:02:34,010
+الان احنا من ناحية ال diagram test ال slide بتاعنا
+
+631
+01:02:34,010 --> 01:02:37,910
+اما بيكون red او green لكن انتوا أخدتوها في ال
+
+632
+01:02:37,910 --> 01:02:41,570
+geometrical optics أخدتوا ال blue لكن ال blue و ال
+
+633
+01:02:41,570 --> 01:02:46,090
+green هم يعتبروا مقاربين من ناحية ال wavelength
+
+634
+01:02:46,090 --> 01:02:50,810
+okay دايما you must to listen and then you can
+
+635
+01:02:50,810 --> 01:02:54,900
+give for commentالـ green و ال blue قريبين من بعض
+
+636
+01:02:54,900 --> 01:02:58,560
+من ناحية ال wavelength فالان ال blue color وين
+
+637
+01:02:58,560 --> 01:03:01,720
+بتجمع in front of the retina ال green color in
+
+638
+01:03:01,720 --> 01:03:04,480
+front of the retina انا عندى في ال diachrome test
+
+639
+01:03:04,480 --> 01:03:08,240
+مافيش blue color عندى green color red green slide
+
+640
+01:03:08,240 --> 01:03:14,480
+okay فهيتجمع وين in front of the retina okay الان
+
+641
+01:03:14,480 --> 01:03:18,540
+في حالة يما يكون عندى patient ميوب انه ميوب
+
+642
+01:03:18,540 --> 01:03:28,670
+patient whatDo you suspect for the patient يما
+
+643
+01:03:28,670 --> 01:03:34,490
+يكون مريض لحظة يما يكون مريض ميوب عنده قصر النظر
+
+644
+01:03:34,490 --> 01:03:40,150
+ايش بتتوقع يكون التوزيع للألوان ال red و ال green
+
+645
+01:03:40,150 --> 01:03:47,910
+و ال yellow ال red وين هيتركز في حالة الميوب اه
+
+646
+01:03:47,910 --> 01:03:48,290
+تفضلي
+
+647
+01:03:58,770 --> 01:04:07,710
+Okay another answer on the retina why؟ لأنه الآن
+
+648
+01:04:07,710 --> 01:04:12,390
+ال light rays وين هيتركز في حالة الميوب in front
+
+649
+01:04:12,390 --> 01:04:17,750
+the retina إذا ال red color وين هيتركز بها on the
+
+650
+01:04:17,750 --> 01:04:22,440
+retina في حالة الميوب في حالة ال hypermetropال
+
+651
+01:04:22,440 --> 01:04:26,160
+green color وين هيتركز or ال blue color؟ on the
+
+652
+01:04:26,160 --> 01:04:35,460
+retina صح؟ طيب لو انفرضنا عند patient ميوب نستخدم
+
+653
+01:04:35,460 --> 01:04:41,490
+معاه إيش؟ minus ولا plus؟minus length okay لو
+
+654
+01:04:41,490 --> 01:04:45,550
+فرضنا انه خلناه artificially hyper metroid شو
+
+655
+01:04:45,550 --> 01:04:49,250
+معناه artificially hyper metroid؟ اي بمعنى عنده
+
+656
+01:04:49,250 --> 01:04:54,390
+طول نظر لكن إصطناعي بمعنى خديجة عندها minus two
+
+657
+01:04:54,390 --> 01:05:00,150
+ميوب okay روحت خلتلها minus two point five صارت
+
+658
+01:05:00,150 --> 01:05:06,130
+ايش؟ hyper metroid صح؟ انه مصلحش عندهابالظبط، إذا
+
+659
+01:05:06,130 --> 01:05:15,930
+الـ Artificial Hyper Metrope هيشوف زي مين؟ زي
+
+660
+01:05:15,930 --> 01:05:20,350
+الميوب و ال Artificial Hyper Metrope هيشوف زي مين؟
+
+661
+01:05:20,350 --> 01:05:32,030
+زي الميوب مش فاهمين؟ حاضر، againالآن نفرض patient
+
+662
+01:05:32,030 --> 01:05:38,370
+عنده minus two ديوب تر، ما يوب، إذاً كده بالصلحة؟
+
+663
+01:05:38,370 --> 01:05:43,790
+minus two صح؟ لو حطينا minus two point five، إيش
+
+664
+01:05:43,790 --> 01:05:50,240
+هيصير؟هيصير Artificial Hyper Metrop بمعنى Hyper
+
+665
+01:05:50,240 --> 01:05:55,420
+Metrop الصناعي، واضح؟ اذا هذا المريض لما يصير
+
+666
+01:05:55,420 --> 01:06:01,340
+Artificial Hyper Metrop، هيشوف زي مين؟ Artificial
+
+667
+01:06:01,340 --> 01:06:08,480
+Hyper Metrop، ليش زي الميوب؟كما يكون Artificial
+
+668
+01:06:08,480 --> 01:06:11,960
+Hypermetroid، هيشوف زي الـ Hypermetroid، كأنه
+
+669
+01:06:11,960 --> 01:06:18,240
+صناعي، يعني انا .. انا حكيتك؟ Okay I'm so sorry،
+
+670
+01:06:18,240 --> 01:06:21,620
+اذا الـ Artificial Hypermetroid هيكون زي مين؟ الـ
+
+671
+01:06:21,620 --> 01:06:27,230
+Hypermetroid، لكن هو أصله إيش؟ ميوك، okay؟يما يكون
+
+672
+01:06:27,230 --> 01:06:32,610
+مثلا Artificial ميوب هيكون زي مين؟ زي الميوب،
+
+673
+01:06:32,610 --> 01:06:37,330
+okay؟ إذا بالنسبة لل light rays هيتركز إما in
+
+674
+01:06:37,330 --> 01:06:43,390
+front or behind the retina طيب ال .. ال diachrome
+
+675
+01:06:43,390 --> 01:06:47,790
+test وين التركيز بتاعه؟ إنه هل هنستخدمه
+
+676
+01:06:47,790 --> 01:06:54,060
+verification للسفير ولا للسلندر؟للسفير، إذا لو
+
+677
+01:06:54,060 --> 01:06:57,720
+حكينا مثلا ال diachrome test هل ممكن إنه يستخدم
+
+678
+01:06:57,720 --> 01:07:05,000
+للسلندر؟ لأ، إذا only for سفير، إذا ال diachrome
+
+679
+01:07:05,000 --> 01:07:11,120
+test verification for spherical power إذا only for
+
+680
+01:07:11,120 --> 01:07:15,920
+spherical power without a stigmatism لأن كل هيتا
+
+681
+01:07:15,920 --> 01:07:20,080
+بتكون المحاور have the same power in all meridian
+
+682
+01:07:23,150 --> 01:07:28,410
+لقيت فهمته؟ ال .. ال .. بالنسبة ل .. ال principle
+
+683
+01:07:28,410 --> 01:07:35,910
+لديوكروم test okay؟ هذا أهم verification لديوكروم
+
+684
+01:07:35,910 --> 01:07:42,210
+testانا متخيل انه قد تكون افهمتي 20% غير يما
+
+685
+01:07:42,210 --> 01:07:45,770
+التبقى في العملى واضح لان المعمل الجاى ان شاء الله
+
+686
+01:07:45,770 --> 01:07:50,190
+يعني السبوع القادم هنطبق اللى هو كعمل كيف الديو
+
+687
+01:07:50,190 --> 01:07:54,130
+كروم تست ممكن اشوفه بمعنى انه كان عندى مريض طلع
+
+688
+01:07:54,130 --> 01:07:58,990
+minus two okay بدأ اعمله verification للاسفير
+
+689
+01:07:58,990 --> 01:08:05,770
+فبستخدم مين الديو كروم تست okayخلّى أخصها لدي
+
+690
+01:08:05,770 --> 01:08:24,190
+Chrome Test لعام؟
+
+691
+01:08:24,190 --> 01:08:27,930
+لأ لسه أنا مااخدنهوش
+
+692
+01:08:35,900 --> 01:08:40,820
+ديو كروم test
+
+693
+01:08:40,820 --> 01:08:52,960
+او المسمى التاني red green test بمعنى
+
+694
+01:08:52,960 --> 01:08:56,860
+the same meaning يعني ممكن حد يقولك red green test
+
+695
+01:08:56,860 --> 01:09:02,580
+او ديو كروم test نفس الحاجة okay نعم
+
+696
+01:09:02,580 --> 01:09:14,240
+في سؤاللأ لأ ال D chrome test هيه هذا
+
+697
+01:09:14,240 --> 01:09:19,640
+هو عبارة عن slide بعرضه للمريض فيه عندنا ال red
+
+698
+01:09:19,640 --> 01:09:25,000
+color و ال green color يما يكون امتروب او بيوب او
+
+699
+01:09:25,000 --> 01:09:29,100
+hypermetrob بشوف مين اوضح انه ال red ولا ال green
+
+700
+01:09:29,100 --> 01:09:35,080
+color اه بشوف مين الاوضح فعلا صحيح يعني بشوف مين
+
+701
+01:09:35,080 --> 01:09:35,920
+الاوضح
+
+702
+01:09:39,510 --> 01:09:44,030
+طيب في سؤال قبل ما نكمل ايضا .. السلام .. لما اعمل
+
+703
+01:09:44,030 --> 01:09:48,390
+ال diachrome test او ال red green test هل بعمل
+
+704
+01:09:48,390 --> 01:09:54,470
+verification للسفير اول ولا للسلندر؟ للسفير ..
+
+705
+01:09:54,470 --> 01:10:01,030
+دايما ببدأ في مين؟ في السفيردائما ببدأ في الاسفير
+
+706
+01:10:01,030 --> 01:10:06,490
+طبعا كل حاجة .. فانا مش مستوعب .. دائما ببدأ في ال
+
+707
+01:10:06,490 --> 01:10:09,970
+verification يا ميسا في الاسفير ماببدأش في ال
+
+708
+01:10:09,970 --> 01:10:14,530
+cylinder okay؟ من ناحية ال verification، انه تأكيد
+
+709
+01:10:14,530 --> 01:10:22,450
+okay؟ of course
+
+710
+01:10:22,450 --> 01:10:33,030
+ال subjective reflectionsubjective refraction طيب
+
+711
+01:10:33,030 --> 01:10:39,010
+انا حاسس انه شوية الاستيعاب مش واضح كتير بلكة
+
+712
+01:10:39,010 --> 01:10:44,850
+اليوم منطبقها في المعمل و بعدين نكملها طيب
+
+713
+01:10:44,850 --> 01:10:48,590
+طبعا اليوم بنكون أخدنا هيك ال special difficulties
+
+714
+01:10:48,590 --> 01:10:51,970
+ال written scope ان شاء الله في المحاضرة القادمة
+
+715
+01:10:51,970 --> 01:10:56,630
+بنبدأ في ال verification for spherical power
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..ffa82d74b43ad2b36db53e6949899ca81e47f69a
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3694, "start": 20.52, "end": 36.94, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و بركاته في المحاضرة السابقة بدأنا في ال difficulties ال retinascope صعوبات في جهاز ال retinascope", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 47525, 10721, 8315, 8978, 2423, 14399, 2423, 1533, 17094, 13960, 20328, 3615, 37746, 9307, 8978, 10874, 3224, 31377, 2423, 1533, 17094, 13960], "avg_logprob": -0.13013979844879686, "compression_ratio": 1.5751633986928104, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 20.52, "end": 20.98, "word": "طيب", "probability": 0.9816080729166666}, {"start": 20.98, "end": 21.2, "word": " بسم", "probability": 0.910400390625}, {"start": 21.2, "end": 21.38, "word": " الله", "probability": 0.98486328125}, {"start": 21.38, "end": 21.72, "word": " الرحمن", "probability": 0.9129231770833334}, {"start": 21.72, "end": 22.26, "word": " الرحيم", "probability": 0.9925130208333334}, {"start": 22.26, "end": 24.04, "word": " السلام", "probability": 0.869140625}, {"start": 24.04, "end": 24.6, "word": " عليكم", "probability": 0.9560546875}, {"start": 24.6, "end": 24.84, "word": " و", "probability": 0.99169921875}, {"start": 24.84, "end": 25.16, "word": " رحمة", "probability": 0.85791015625}, {"start": 25.16, "end": 25.36, "word": " الله", "probability": 0.98291015625}, {"start": 25.36, "end": 25.52, "word": " و", "probability": 0.982421875}, {"start": 25.52, "end": 26.2, "word": " بركاته", "probability": 0.915771484375}, {"start": 26.2, "end": 27.98, "word": " في", "probability": 0.67578125}, {"start": 27.98, "end": 28.74, "word": " المحاضرة", "probability": 0.9500732421875}, {"start": 28.74, "end": 29.82, "word": " السابقة", "probability": 0.9905598958333334}, {"start": 29.82, "end": 30.96, "word": " بدأنا", "probability": 0.9855143229166666}, {"start": 30.96, "end": 31.3, "word": " في", "probability": 0.98291015625}, {"start": 31.3, "end": 31.66, "word": " ال", "probability": 0.64404296875}, {"start": 31.66, "end": 32.54, "word": " difficulties", "probability": 0.9345703125}, {"start": 32.54, "end": 32.9, "word": " ال", "probability": 0.60009765625}, {"start": 32.9, "end": 33.62, "word": " retinascope", "probability": 0.4267578125}, {"start": 33.62, "end": 35.0, "word": " صعوبات", "probability": 0.9459228515625}, {"start": 35.0, "end": 35.16, "word": " في", "probability": 0.98291015625}, {"start": 35.16, "end": 35.74, "word": " جهاز", "probability": 0.9949544270833334}, {"start": 35.74, "end": 36.12, "word": " ال", "probability": 0.93212890625}, {"start": 36.12, "end": 36.94, "word": " retinascope", "probability": 0.8429361979166666}], "temperature": 1.0}, {"id": 2, "seek": 6280, "start": 38.58, "end": 62.8, "text": "Number one some repractions are easy like mayob, hypermetrop, بعض الأخطاء الانكسرية are easy سهلة while others are extremely difficult لكن الأخطاء الأخرى مثل ال high mayob, high astigmatism, high hypermetrop تعتبر صعبة جدا", "tokens": [45, 4182, 472, 512, 1085, 1897, 626, 366, 1858, 411, 815, 996, 11, 9848, 5537, 1513, 11, 45030, 11242, 16247, 9778, 9566, 16606, 2423, 7649, 4117, 3794, 2288, 10632, 366, 1858, 8608, 3224, 37977, 1339, 2357, 366, 4664, 2252, 44381, 16247, 9778, 9566, 16606, 16247, 34740, 7578, 50113, 1211, 2423, 1090, 815, 996, 11, 1090, 5357, 46496, 1434, 11, 1090, 9848, 5537, 1513, 6055, 34268, 26890, 20328, 3615, 49401, 10874, 28259], "avg_logprob": -0.22037761099636555, "compression_ratio": 1.3969849246231156, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 38.58, "end": 39.76, "word": "Number", "probability": 0.598388671875}, {"start": 39.76, "end": 40.1, "word": " one", "probability": 0.794921875}, {"start": 40.1, "end": 40.76, "word": " some", "probability": 0.6123046875}, {"start": 40.76, "end": 41.92, "word": " 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spherical", "probability": 0.953125}, {"start": 858.08, "end": 858.82, "word": " aberration", "probability": 0.975341796875}, {"start": 858.82, "end": 859.68, "word": " ال", "probability": 0.51953125}, {"start": 859.68, "end": 860.12, "word": " spherical", "probability": 0.92041015625}, {"start": 860.12, "end": 860.9, "word": " aberration", "probability": 0.98681640625}, {"start": 860.9, "end": 862.02, "word": " بمعنى", "probability": 0.99111328125}, {"start": 862.02, "end": 863.02, "word": " الذيوه", "probability": 0.7742919921875}, {"start": 863.02, "end": 864.1, "word": " الكراوي", "probability": 0.7268880208333334}], "temperature": 1.0}, {"id": 31, "seek": 87837, "start": 865.03, "end": 878.37, "text": "طبعا هي optical defect مشكلة بصرية observe ايه بتحدث؟ مين بيحدثها؟ ال mirror او ال lens العدسة او المرقة طيب كيف هذي بتحدث؟", "tokens": [9566, 3555, 3615, 995, 39896, 20674, 16445, 37893, 28820, 3660, 4724, 9381, 2288, 10632, 11441, 1975, 1829, 3224, 39894, 24401, 12984, 22807, 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871.09, "end": 871.97, "word": " بتحدث؟", "probability": 0.873291015625}, {"start": 871.97, "end": 872.25, "word": " مين", "probability": 0.962158203125}, {"start": 872.25, "end": 873.35, "word": " بيحدثها؟", "probability": 0.9638671875}, {"start": 873.35, "end": 873.53, "word": " ال", "probability": 0.9111328125}, {"start": 873.53, "end": 873.81, "word": " mirror", "probability": 0.8203125}, {"start": 873.81, "end": 874.15, "word": " او", "probability": 0.818115234375}, {"start": 874.15, "end": 874.27, "word": " ال", "probability": 0.98193359375}, {"start": 874.27, "end": 874.59, "word": " lens", "probability": 0.90771484375}, {"start": 874.59, "end": 875.57, "word": " العدسة", "probability": 0.871337890625}, {"start": 875.57, "end": 875.93, "word": " او", "probability": 0.958740234375}, {"start": 875.93, "end": 876.41, "word": " المرقة", "probability": 0.73193359375}, {"start": 876.41, "end": 877.25, "word": " طيب", "probability": 0.89501953125}, {"start": 877.25, "end": 877.49, "word": " كيف", "probability": 0.984375}, {"start": 877.49, "end": 877.65, "word": " هذي", "probability": 0.5374348958333334}, {"start": 877.65, "end": 878.37, "word": " بتحدث؟", "probability": 0.9830322265625}], "temperature": 1.0}, {"id": 32, "seek": 90891, "start": 879.69, "end": 908.91, "text": "انه نتيجة تغير ال refraction تذكروا في اول محاضرة ميزنا ما بين ال physical refraction و ال clinical refraction قولنا ال physical refraction يما بنتقل الضوء من وسط الى وسط اخر مختلف ايش الكثافة هذا بنسميه ايش ال refraction فال change في ال refraction هذا ايش بنسميه spherical aberration طبعا ال spherical aberration فيها انواع", "tokens": [7649, 3224, 8717, 31371, 7435, 3660, 6055, 17082, 13546, 2423, 1895, 26766, 6055, 8848, 37983, 14407, 8978, 1975, 12610, 3714, 5016, 46958, 25720, 3714, 1829, 11622, 8315, 19446, 49374, 2423, 4001, 1895, 26766, 4032, 2423, 9115, 1895, 26766, 12174, 12610, 8315, 2423, 4001, 1895, 26766, 7251, 15042, 4724, 29399, 4587, 1211, 6024, 114, 2407, 38207, 9154, 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"end": 894.81, "word": " اخر", "probability": 0.91650390625}, {"start": 894.81, "end": 895.63, "word": " مختلف", "probability": 0.9812825520833334}, {"start": 895.63, "end": 896.01, "word": " ايش", "probability": 0.8776041666666666}, {"start": 896.01, "end": 896.87, "word": " الكثافة", "probability": 0.9530029296875}, {"start": 896.87, "end": 897.33, "word": " هذا", "probability": 0.74609375}, {"start": 897.33, "end": 897.95, "word": " بنسميه", "probability": 0.9339599609375}, {"start": 897.95, "end": 898.27, "word": " ايش", "probability": 0.9378255208333334}, {"start": 898.27, "end": 898.63, "word": " ال", "probability": 0.904296875}, {"start": 898.63, "end": 899.19, "word": " refraction", "probability": 0.8671875}, {"start": 899.19, "end": 900.09, "word": " فال", "probability": 0.919189453125}, {"start": 900.09, "end": 900.49, "word": " change", "probability": 0.7607421875}, {"start": 900.49, "end": 900.71, "word": " في", "probability": 0.7177734375}, {"start": 900.71, "end": 900.81, "word": " ال", "probability": 0.96484375}, {"start": 900.81, "end": 901.31, "word": " refraction", "probability": 0.89306640625}, {"start": 901.31, "end": 901.81, "word": " هذا", "probability": 0.85791015625}, {"start": 901.81, "end": 902.35, "word": " ايش", "probability": 0.92919921875}, {"start": 902.35, "end": 903.31, "word": " بنسميه", "probability": 0.9620361328125}, {"start": 903.31, "end": 904.17, "word": " spherical", "probability": 0.6435546875}, {"start": 904.17, "end": 904.91, "word": " aberration", "probability": 0.9677734375}, {"start": 904.91, "end": 906.57, "word": " طبعا", "probability": 0.9716796875}, {"start": 906.57, "end": 906.77, "word": " ال", "probability": 0.9853515625}, {"start": 906.77, "end": 907.21, "word": " spherical", "probability": 0.9814453125}, {"start": 907.21, "end": 907.85, "word": " aberration", "probability": 0.97802734375}, {"start": 907.85, "end": 908.33, "word": " فيها", "probability": 0.71142578125}, {"start": 908.33, "end": 908.91, "word": " انواع", "probability": 0.8597005208333334}], "temperature": 1.0}, {"id": 33, "seek": 93842, "start": 910.1, "end": 938.42, "text": "يا اما high order aberration او low order aberration شو الفرق بين الاتنين ال low order aberration بمعنى انه ممكن تصحيحه بالنضارة او العدسة اللاصقة زي الميوب و الhypermetro او بعملية لكن ممكن can you correct by glasses or contact lens هذا بنسميه ايه low order aberration", "tokens": [25528, 1975, 15042, 1090, 1668, 4340, 2405, 1975, 2407, 2295, 1668, 4340, 2405, 13412, 2407, 27188, 2288, 4587, 49374, 2423, 9307, 1863, 9957, 2423, 2295, 1668, 4340, 2405, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 3714, 43020, 6055, 9381, 5016, 1829, 5016, 3224, 20666, 1863, 11242, 9640, 3660, 1975, 2407, 18863, 3215, 3794, 3660, 13672, 33546, 28671, 30767, 1829, 9673, 1829, 37746, 4032, 2423, 3495, 610, 45400, 1975, 2407, 4724, 25957, 1211, 10632, 44381, 3714, 43020, 393, 291, 3006, 538, 10812, 420, 3385, 6765, 23758, 44945, 38251, 1829, 3224, 1975, 1829, 3224, 2295, 1668, 4340, 2405], "avg_logprob": -0.1593105620944623, "compression_ratio": 1.7314814814814814, "no_speech_prob": 0.0, "words": [{"start": 910.1, "end": 910.4, "word": "يا", "probability": 0.6708984375}, {"start": 910.4, "end": 910.76, "word": " اما", "probability": 0.738525390625}, {"start": 910.76, "end": 912.28, "word": " high", "probability": 0.88037109375}, {"start": 912.28, "end": 912.8, "word": " order", "probability": 0.90087890625}, {"start": 912.8, "end": 913.74, "word": " aberration", "probability": 0.978759765625}, {"start": 913.74, "end": 914.28, "word": " او", "probability": 0.837890625}, {"start": 914.28, "end": 914.5, "word": " low", "probability": 0.9794921875}, {"start": 914.5, "end": 915.02, "word": " order", "probability": 0.9619140625}, {"start": 915.02, "end": 915.86, "word": " aberration", "probability": 0.984375}, {"start": 915.86, "end": 916.48, "word": " شو", "probability": 0.823974609375}, {"start": 916.48, "end": 916.82, "word": " الفرق", "probability": 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{"start": 932.8, "end": 933.26, "word": " correct", "probability": 0.93310546875}, {"start": 933.26, "end": 933.68, "word": " by", "probability": 0.97509765625}, {"start": 933.68, "end": 934.26, "word": " glasses", "probability": 0.8251953125}, {"start": 934.26, "end": 934.58, "word": " or", "probability": 0.9189453125}, {"start": 934.58, "end": 935.0, "word": " contact", "probability": 0.93408203125}, {"start": 935.0, "end": 935.36, "word": " lens", "probability": 0.7783203125}, {"start": 935.36, "end": 935.9, "word": " هذا", "probability": 0.7939453125}, {"start": 935.9, "end": 936.56, "word": " بنسميه", "probability": 0.84619140625}, {"start": 936.56, "end": 936.88, "word": " ايه", "probability": 0.825439453125}, {"start": 936.88, "end": 937.38, "word": " low", "probability": 0.85205078125}, {"start": 937.38, "end": 937.8, "word": " order", "probability": 0.96484375}, {"start": 937.8, "end": 938.42, "word": " aberration", "probability": 0.982421875}], "temperature": 1.0}, {"id": 34, "seek": 96779, "start": 939.51, "end": 967.79, "text": "الـ high order aberration can not correct by glasses or contact lens، كيف ممكن أصلحه؟ بال surgery، بالعملية، فيه له أنواع كمان الكومة والسيجما زي الآن بيجي مريض عندك في المركز أو في العيادة أو في المشفة، تعمليله مثلا refraction، بعديها بنستخدم ال pinhole، no improvement، مافيش تحسن أيه في الرؤية عنده، طب إيش الحل؟", "tokens": [6027, 39184, 1090, 1668, 4340, 2405, 393, 406, 3006, 538, 10812, 420, 3385, 6765, 12399, 9122, 33911, 3714, 43020, 5551, 36520, 5016, 3224, 22807, 20666, 7930, 12399, 20666, 25957, 1211, 10632, 12399, 8978, 3224, 46740, 14739, 14407, 3615, 9122, 2304, 7649, 33251, 20498, 3660, 16070, 3794, 1829, 7435, 15042, 30767, 1829, 6024, 48506, 4724, 1829, 7435, 1829, 3714, 16572, 11242, 43242, 4117, 8978, 9673, 31747, 11622, 34051, 8978, 18863, 1829, 18513, 3660, 34051, 8978, 9673, 8592, 5172, 3660, 12399, 6055, 25957, 20292, 43761, 50113, 15040, 1895, 26766, 12399, 45030, 16254, 11296, 44945, 14851, 9778, 40448, 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"word": " glasses", "probability": 0.85205078125}, {"start": 943.93, "end": 944.21, "word": " or", "probability": 0.90771484375}, {"start": 944.21, "end": 944.59, "word": " contact", "probability": 0.93115234375}, {"start": 944.59, "end": 945.25, "word": " lens،", "probability": 0.4306640625}, {"start": 945.25, "end": 945.49, "word": " كيف", "probability": 0.960693359375}, {"start": 945.49, "end": 945.79, "word": " ممكن", "probability": 0.986328125}, {"start": 945.79, "end": 946.55, "word": " أصلحه؟", "probability": 0.9359375}, {"start": 946.55, "end": 946.81, "word": " بال", "probability": 0.96484375}, {"start": 946.81, "end": 947.59, "word": " surgery،", "probability": 0.5863037109375}, {"start": 947.59, "end": 948.51, "word": " بالعملية،", "probability": 0.955078125}, {"start": 948.51, "end": 948.77, "word": " فيه", "probability": 0.716064453125}, {"start": 948.77, "end": 948.87, "word": " له", "probability": 0.466064453125}, {"start": 948.87, "end": 949.29, "word": " أنواع", 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0.87890625}, {"start": 955.57, "end": 956.05, "word": " العيادة", "probability": 0.9619140625}, {"start": 956.05, "end": 956.17, "word": " أو", "probability": 0.9384765625}, {"start": 956.17, "end": 956.31, "word": " في", "probability": 0.98095703125}, {"start": 956.31, "end": 957.37, "word": " المشفة،", "probability": 0.83935546875}, {"start": 957.37, "end": 957.89, "word": " تعمليله", "probability": 0.8392333984375}, {"start": 957.89, "end": 958.31, "word": " مثلا", "probability": 0.9912109375}, {"start": 958.31, "end": 960.19, "word": " refraction،", "probability": 0.669189453125}, {"start": 960.19, "end": 960.57, "word": " بعديها", "probability": 0.8448893229166666}, {"start": 960.57, "end": 961.31, "word": " بنستخدم", "probability": 0.96875}, {"start": 961.31, "end": 961.69, "word": " ال", "probability": 0.8623046875}, {"start": 961.69, "end": 962.73, "word": " pinhole،", "probability": 0.4514973958333333}, {"start": 962.73, "end": 962.87, "word": " no", "probability": 0.83740234375}, {"start": 962.87, "end": 963.97, "word": " improvement،", "probability": 0.80517578125}, {"start": 963.97, "end": 964.27, "word": " مافيش", "probability": 0.9519856770833334}, {"start": 964.27, "end": 964.91, "word": " تحسن", "probability": 0.974853515625}, {"start": 964.91, "end": 965.27, "word": " أيه", "probability": 0.7371826171875}, {"start": 965.27, "end": 965.65, "word": " في", "probability": 0.94775390625}, {"start": 965.65, "end": 965.99, "word": " الرؤية", "probability": 0.9581705729166666}, {"start": 965.99, "end": 966.77, "word": " عنده،", "probability": 0.9073893229166666}, {"start": 966.77, "end": 966.93, "word": " طب", "probability": 0.9248046875}, {"start": 966.93, "end": 967.13, "word": " إيش", "probability": 0.8704427083333334}, {"start": 967.13, "end": 967.79, "word": " الحل؟", "probability": 0.9886067708333334}], "temperature": 1.0}, {"id": 35, "seek": 99633, "start": 968.49, "end": 996.33, "text": "بدي افكر دايما بال high order aberration قولنا ال high order aberration مش ممكن اصلحه بمين؟ بالنضارة او بالعدسة اللازقة لازم ال surgery فدايما ايش بقول للمريض ان انت بدك صورة corneal topography انه فحص لتضاريس القرانية من خلال الصورة هذه ممكن انه اكتشف المريض اذا كان عنده high order or low order aberration okay؟", "tokens": [3555, 16254, 1975, 5172, 37983, 11778, 47302, 15042, 20666, 1090, 1668, 4340, 2405, 12174, 12610, 8315, 2423, 1090, 1668, 4340, 2405, 37893, 3714, 43020, 1975, 36520, 5016, 3224, 4724, 2304, 9957, 22807, 20666, 1863, 11242, 9640, 3660, 1975, 2407, 20666, 22488, 3794, 3660, 13672, 31377, 28671, 5296, 31377, 2304, 2423, 7930, 6156, 3215, 47302, 15042, 1975, 1829, 8592, 4724, 39648, 5296, 19528, 16572, 11242, 16472, 16472, 2655, 47525, 4117, 20328, 13063, 3660, 1181, 716, 304, 1192, 5820, 16472, 3224, 6156, 5016, 9381, 5296, 2655, 11242, 9640, 1829, 3794, 25062, 2288, 7649, 10632, 9154, 16490, 1211, 6027, 31767, 13063, 3660, 29538, 3714, 43020, 16472, 3224, 1975, 4117, 2655, 8592, 5172, 9673, 16572, 11242, 1975, 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المقصية فهمتيهاش؟ okay الآن أنا عندى طفل okay حطيتله cycle of ventulate قطر التوسيع", "tokens": [28814, 15730, 43242, 8315, 2423, 12990, 295, 2182, 23802, 294, 819, 3166, 1830, 11504, 770, 8280, 44533, 8717, 47432, 3660, 6055, 6027, 2655, 3660, 2423, 795, 891, 284, 8576, 5551, 34268, 28543, 20449, 19913, 2304, 24793, 4724, 2288, 25894, 24793, 2423, 795, 891, 284, 8576, 21542, 31747, 3660, 9673, 4587, 9381, 10632, 6156, 16095, 31371, 11296, 8592, 22807, 1392, 6024, 48506, 41850, 43242, 7578, 23032, 5172, 1211, 1392, 11331, 9566, 36081, 43761, 6586, 295, 6931, 5256, 12174, 9566, 2288, 16712, 41779, 40228], "avg_logprob": -0.2774849253964711, "compression_ratio": 1.4478260869565218, "no_speech_prob": 0.0, "words": [{"start": 997.95, "end": 998.23, "word": "إذا", "probability": 0.706787109375}, {"start": 998.23, "end": 998.69, "word": " عندنا", "probability": 0.78076171875}, {"start": 998.69, "end": 998.97, "word": " ال", "probability": 0.70458984375}, {"start": 998.97, "end": 999.39, 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" تالتة", "probability": 0.9451904296875}, {"start": 1008.09, "end": 1008.33, "word": " ال", "probability": 0.4287109375}, {"start": 1008.33, "end": 1008.61, "word": " scissor", "probability": 0.8142903645833334}, {"start": 1008.61, "end": 1008.93, "word": " shadow", "probability": 0.955078125}, {"start": 1008.93, "end": 1010.09, "word": " أعتقد", "probability": 0.8264973958333334}, {"start": 1010.09, "end": 1010.75, "word": " معظمكم", "probability": 0.98291015625}, {"start": 1010.75, "end": 1010.97, "word": " بر", "probability": 0.673583984375}, {"start": 1010.97, "end": 1011.49, "word": " عليكم", "probability": 0.796875}, {"start": 1011.49, "end": 1011.83, "word": " ال", "probability": 0.712890625}, {"start": 1011.83, "end": 1012.13, "word": " scissor", "probability": 0.9031575520833334}, {"start": 1012.13, "end": 1012.49, "word": " shadow", "probability": 0.9423828125}, {"start": 1012.49, "end": 1013.65, "word": " الحركة", "probability": 0.9073893229166666}, {"start": 1013.65, "end": 1014.63, "word": " المقصية", "probability": 0.99365234375}, {"start": 1014.63, "end": 1016.97, "word": " فهمتيهاش؟", "probability": 0.524169921875}, {"start": 1016.97, "end": 1017.27, "word": " okay", "probability": 0.6328125}, {"start": 1017.27, "end": 1018.89, "word": " الآن", "probability": 0.6568603515625}, {"start": 1018.89, "end": 1019.35, "word": " أنا", "probability": 0.70458984375}, {"start": 1019.35, "end": 1019.83, "word": " عندى", "probability": 0.6650390625}, {"start": 1019.83, "end": 1020.17, "word": " طفل", "probability": 0.9949544270833334}, {"start": 1020.17, "end": 1021.29, "word": " okay", "probability": 0.4716796875}, {"start": 1021.29, "end": 1022.39, "word": " حطيتله", "probability": 0.8563232421875}, {"start": 1022.39, "end": 1022.77, "word": " cycle", "probability": 0.41796875}, {"start": 1022.77, "end": 1022.91, "word": " of", "probability": 0.49462890625}, {"start": 1022.91, "end": 1023.47, "word": " ventulate", "probability": 0.360595703125}, {"start": 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mirror او ال lens يعني المرأة او العدسة كيف؟ طيب نتيجة التغير في ال refraction ال physical ولا ال clinical refraction؟ ال physical انه بتغير من one meridian ل two meridian مختلف الكثافة", "tokens": [6027, 39184, 37300, 4340, 2405, 13412, 2407, 20449, 8315, 11296, 22807, 16472, 3224, 20674, 16445, 36632, 4724, 2304, 3615, 1863, 7578, 37893, 28820, 3660, 4724, 9381, 2288, 10632, 3714, 9957, 13672, 1829, 4724, 1829, 24401, 12984, 11296, 22807, 2423, 8013, 1975, 2407, 2423, 6765, 37495, 22653, 9673, 2288, 10721, 3660, 1975, 2407, 18863, 3215, 3794, 3660, 9122, 33911, 22807, 23032, 1829, 3555, 8717, 31371, 7435, 3660, 16712, 17082, 13546, 8978, 2423, 1895, 26766, 2423, 4001, 49429, 2423, 9115, 1895, 26766, 22807, 2423, 4001, 16472, 3224, 39894, 17082, 13546, 9154, 472, 3551, 34681, 5296, 732, 3551, 34681, 3714, 46456, 46538, 33251, 12984, 31845, 3660], "avg_logprob": -0.1858473506111365, "compression_ratio": 1.6254980079681276, "no_speech_prob": 0.0, "words": [{"start": 1061.86, "end": 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"word": " تعتبر", "probability": 0.8841145833333334}, {"start": 1110.26, "end": 1110.88, "word": " low", "probability": 0.98583984375}, {"start": 1110.88, "end": 1111.26, "word": " order", "probability": 0.97216796875}, {"start": 1111.26, "end": 1111.8, "word": " aberration", "probability": 0.985107421875}, {"start": 1111.8, "end": 1112.5, "word": " ال", "probability": 0.8076171875}, {"start": 1112.5, "end": 1112.74, "word": " high", "probability": 0.91552734375}, {"start": 1112.74, "end": 1113.08, "word": " order", "probability": 0.978515625}, {"start": 1113.08, "end": 1113.68, "word": " aberration", "probability": 0.98388671875}], "temperature": 1.0}, {"id": 41, "seek": 112880, "start": 1114.52, "end": 1128.8, "text": "لا يمكن تصحيحه بالنضارة أو بالعدسة اللاصقة، شو بدنا؟ Surgery في العملية، okay؟ يعني عندنا كمفهوم ل ال spherical aberration", "tokens": [15040, 7251, 43020, 6055, 9381, 5016, 1829, 5016, 3224, 20666, 1863, 11242, 9640, 3660, 34051, 20666, 3615, 3215, 3794, 3660, 13672, 33546, 28671, 12399, 13412, 2407, 47525, 8315, 22807, 6732, 7337, 8978, 18863, 42213, 10632, 12399, 1392, 22807, 37495, 22653, 43242, 8315, 9122, 2304, 5172, 3224, 20498, 5296, 2423, 37300, 4340, 2405], "avg_logprob": -0.20386202380342303, "compression_ratio": 1.2662337662337662, "no_speech_prob": 0.0, "words": [{"start": 1114.52, "end": 1114.8, "word": "لا", "probability": 0.83984375}, {"start": 1114.8, "end": 1115.2, "word": " يمكن", "probability": 0.971435546875}, {"start": 1115.2, "end": 1115.82, "word": " تصحيحه", "probability": 0.9879557291666666}, {"start": 1115.82, "end": 1116.44, "word": " بالنضارة", "probability": 0.9408203125}, {"start": 1116.44, "end": 1116.58, "word": " أو", "probability": 0.78955078125}, {"start": 1116.58, "end": 1117.08, "word": " بالعدسة", "probability": 0.734375}, {"start": 1117.08, "end": 1117.8, "word": " اللاصقة،", "probability": 0.76287841796875}, {"start": 1117.8, "end": 1117.98, "word": " شو", "probability": 0.889892578125}, {"start": 1117.98, "end": 1118.48, "word": " بدنا؟", "probability": 0.93603515625}, {"start": 1118.48, "end": 1119.26, "word": " Surgery", "probability": 0.6766357421875}, {"start": 1119.26, "end": 1119.58, "word": " في", "probability": 0.576171875}, {"start": 1119.58, "end": 1120.62, "word": " العملية،", "probability": 0.869140625}, {"start": 1120.62, "end": 1122.8, "word": " okay؟", "probability": 0.740234375}, {"start": 1122.8, "end": 1123.04, "word": " يعني", "probability": 0.794677734375}, {"start": 1123.04, "end": 1123.52, "word": " عندنا", "probability": 0.824462890625}, {"start": 1123.52, "end": 1124.62, "word": " كمفهوم", "probability": 0.97548828125}, {"start": 1124.62, "end": 1124.9, "word": " ل", "probability": 0.63427734375}, {"start": 1124.9, "end": 1127.58, "word": " ال", "probability": 0.5361328125}, {"start": 1127.58, "end": 1128.04, "word": " spherical", "probability": 0.288818359375}, {"start": 1128.04, "end": 1128.8, "word": " aberration", "probability": 0.938720703125}], "temperature": 1.0}, {"id": 42, "seek": 119807, "start": 1170.21, "end": 1198.07, "text": "بمعنى الزيوغ الكروي optical defect انه مشكلة بصرية observed بتلاحظها ال mirror او ال lens", "tokens": [3555, 2304, 3615, 1863, 7578, 6024, 110, 1829, 2407, 17082, 33251, 32887, 1829, 20674, 16445, 16472, 3224, 37893, 28820, 3660, 4724, 9381, 2288, 10632, 13095, 39894, 15040, 5016, 19913, 11296, 2423, 8013, 1975, 2407, 2423, 6765], "avg_logprob": -0.17388091216216217, "compression_ratio": 1.1367521367521367, "no_speech_prob": 0.0, "words": [{"start": 1170.21, "end": 1170.79, "word": "بمعنى", "probability": 0.8318603515625}, {"start": 1170.79, "end": 1171.37, "word": " الزيوغ", "probability": 0.8724609375}, {"start": 1171.37, "end": 1171.97, "word": " الكروي", "probability": 0.7207845052083334}, {"start": 1171.97, "end": 1173.91, "word": " optical", "probability": 0.876953125}, {"start": 1173.91, "end": 1179.25, "word": " defect", "probability": 0.96728515625}, {"start": 1179.25, "end": 1181.27, "word": " انه", "probability": 0.7061767578125}, {"start": 1181.27, "end": 1181.91, "word": " مشكلة", "probability": 0.9851888020833334}, {"start": 1181.91, "end": 1182.75, "word": " بصرية", "probability": 0.93115234375}, {"start": 1182.75, "end": 1185.49, "word": " observed", "probability": 0.67724609375}, {"start": 1185.49, "end": 1187.39, "word": " بتلاحظها", "probability": 0.959375}, {"start": 1187.39, "end": 1190.95, "word": " ال", "probability": 0.90478515625}, {"start": 1190.95, "end": 1191.29, "word": " mirror", "probability": 0.83740234375}, {"start": 1191.29, "end": 1195.61, "word": " او", "probability": 0.79345703125}, {"start": 1195.61, "end": 1197.71, "word": " ال", "probability": 0.97900390625}, {"start": 1197.71, "end": 1198.07, "word": " lens", "probability": 0.92626953125}], "temperature": 1.0}, {"id": 43, "seek": 122092, "start": 1204.06, "end": 1220.92, "text": "due to سببها change of refraction", "tokens": [67, 622, 281, 8608, 3555, 3555, 11296, 1319, 295, 1895, 26766], "avg_logprob": -0.11507161582509677, "compression_ratio": 0.8085106382978723, "no_speech_prob": 0.0, "words": [{"start": 1204.0599999999997, "end": 1205.4599999999998, "word": "due", "probability": 0.9013671875}, {"start": 1205.4599999999998, "end": 1206.86, "word": " to", "probability": 0.9716796875}, {"start": 1206.86, "end": 1210.94, "word": " سببها", "probability": 0.9637451171875}, {"start": 1210.94, "end": 1213.44, "word": " change", "probability": 0.826171875}, {"start": 1213.44, "end": 1218.16, "word": " of", "probability": 0.9853515625}, {"start": 1218.16, "end": 1220.92, "word": " refraction", "probability": 0.736328125}], "temperature": 1.0}, {"id": 44, "seek": 124986, "start": 1225.21, "end": 1249.87, "text": "وعن بين جثين ال physical refraction Spherical كروي aberration زي وطبعا ال spherical aberration can be classified in two types low order aberration high order aberration what is the type of spherical aberration low order aberration spherical aberration can be classified in two types low order aberration high order aberration", "tokens": [2407, 3615, 1863, 49374, 10874, 12984, 9957, 2423, 4001, 1895, 26766, 1738, 34340, 9122, 32887, 1829, 4340, 2405, 30767, 1829, 4032, 9566, 3555, 3615, 995, 2423, 37300, 4340, 2405, 393, 312, 20627, 294, 732, 3467, 2295, 1668, 4340, 2405, 1090, 1668, 4340, 2405, 437, 307, 264, 2010, 295, 37300, 4340, 2405, 2295, 1668, 4340, 2405, 37300, 4340, 2405, 393, 312, 20627, 294, 732, 3467, 2295, 1668, 4340, 2405, 1090, 1668, 4340, 2405], "avg_logprob": -0.3159246575342466, "compression_ratio": 2.229299363057325, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1225.21, "end": 1225.51, "word": "وعن", "probability": 0.5926106770833334}, {"start": 1225.51, "end": 1225.61, "word": " بين", "probability": 0.5986328125}, {"start": 1225.61, "end": 1226.09, "word": " جثين", "probability": 0.6863606770833334}, {"start": 1226.09, "end": 1226.33, "word": " ال", "probability": 0.8359375}, {"start": 1226.33, "end": 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1239.59, "end": 1239.77, "word": " the", "probability": 0.92822265625}, {"start": 1239.77, "end": 1240.19, "word": " type", "probability": 0.97509765625}, {"start": 1240.19, "end": 1240.43, "word": " of", "probability": 0.97509765625}, {"start": 1240.43, "end": 1240.87, "word": " spherical", "probability": 0.5283203125}, {"start": 1240.87, "end": 1241.61, "word": " aberration", "probability": 0.98291015625}, {"start": 1241.61, "end": 1242.73, "word": " low", "probability": 0.69091796875}, {"start": 1242.73, "end": 1243.71, "word": " order", "probability": 0.9677734375}, {"start": 1243.71, "end": 1244.33, "word": " aberration", "probability": 0.985107421875}, {"start": 1244.33, "end": 1245.13, "word": " spherical", "probability": 0.347412109375}, {"start": 1245.13, "end": 1245.75, "word": " aberration", "probability": 0.9638671875}, {"start": 1245.75, "end": 1246.07, "word": " can", "probability": 0.93505859375}, {"start": 1246.07, "end": 1246.23, "word": " be", "probability": 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glasses high order aberration بالنضارة أو العدسة اللاسقة تصحيحه من خلال مين؟ ال surgery العملية ال high order aberration اه لا يمكن ال high order aberration you cannot correct by glasses or contact lens only by surgery okay", "tokens": [43, 305, 1668, 4340, 2405, 3714, 1829, 37746, 8032, 47302, 26890, 44650, 32887, 3555, 9122, 33911, 3714, 43020, 5551, 36520, 5016, 3224, 22807, 337, 10812, 1090, 1668, 4340, 2405, 20666, 1863, 11242, 9640, 3660, 34051, 18863, 3215, 3794, 3660, 13672, 32277, 28671, 6055, 9381, 5016, 1829, 5016, 3224, 9154, 16490, 1211, 6027, 3714, 9957, 22807, 2423, 7930, 18863, 42213, 10632, 2423, 1090, 1668, 4340, 2405, 1975, 3224, 20193, 7251, 43020, 2423, 1090, 1668, 4340, 2405, 291, 2644, 3006, 538, 10812, 420, 3385, 6765, 787, 538, 7930, 1392], "avg_logprob": -0.24272016960788856, "compression_ratio": 1.6727272727272726, "no_speech_prob": 0.0, "words": [{"start": 1251.16, "end": 1251.38, "word": "Low", "probability": 0.650390625}, {"start": 1251.38, "end": 1251.68, "word": " order", "probability": 0.82861328125}, {"start": 1251.68, "end": 1252.3, "word": " aberration", "probability": 0.84326171875}, {"start": 1252.3, "end": 1252.86, "word": " ميوب", "probability": 0.6456298828125}, {"start": 1252.86, "end": 1253.24, "word": " هايبر", "probability": 0.5174153645833334}, {"start": 1253.24, "end": 1253.76, "word": " متروب", "probability": 0.8172200520833334}, {"start": 1253.76, "end": 1254.2, "word": " كيف", "probability": 0.85400390625}, {"start": 1254.2, "end": 1254.48, "word": " ممكن", "probability": 0.988525390625}, {"start": 1254.48, "end": 1255.16, "word": " أصلحه؟", "probability": 0.765380859375}, {"start": 1255.16, "end": 1255.34, "word": " for", "probability": 0.17041015625}, {"start": 1255.34, "end": 1257.04, "word": " glasses", "probability": 0.91796875}, {"start": 1257.04, "end": 1257.56, "word": " high", "probability": 0.30322265625}, {"start": 1257.56, "end": 1257.92, "word": " order", "probability": 0.9716796875}, {"start": 1257.92, "end": 1258.5, "word": " aberration", "probability": 0.965087890625}, {"start": 1258.5, "end": 1259.92, "word": " بالنضارة", "probability": 0.91494140625}, {"start": 1259.92, "end": 1260.14, "word": " أو", "probability": 0.7578125}, {"start": 1260.14, "end": 1260.8, "word": " العدسة", "probability": 0.814208984375}, {"start": 1260.8, "end": 1261.3, "word": " اللاسقة", "probability": 0.8294270833333334}, {"start": 1261.3, "end": 1262.0, "word": " تصحيحه", "probability": 0.9144694010416666}, {"start": 1262.0, "end": 1262.1, "word": " من", "probability": 0.998046875}, {"start": 1262.1, "end": 1262.4, "word": " خلال", "probability": 0.9781901041666666}, {"start": 1262.4, "end": 1262.88, "word": " مين؟", "probability": 0.8077799479166666}, {"start": 1262.88, "end": 1263.52, "word": " ال", "probability": 0.460205078125}, {"start": 1263.52, "end": 1263.88, "word": " surgery", "probability": 0.6865234375}, {"start": 1263.88, "end": 1264.66, "word": " العملية", "probability": 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"text": "مين مش فاهم؟ مش فاهمة؟ ال high order aberration يعني الآن لو مريض عنده high order aberration سواء الكومة او السيجما لو انا عملتله نضارة no improvement contact lens no improvement اذا ايش بستخدم؟ ال surgery سواء ال laser surgery or refractive surgery okay؟", "tokens": [2304, 9957, 37893, 6156, 995, 16095, 22807, 37893, 6156, 995, 16095, 3660, 22807, 2423, 1090, 1668, 4340, 2405, 37495, 22653, 6024, 48506, 45164, 3714, 16572, 11242, 43242, 3224, 1090, 1668, 4340, 2405, 8608, 2407, 16606, 33251, 20498, 3660, 1975, 2407, 21136, 1829, 7435, 15042, 45164, 1975, 8315, 6225, 42213, 2655, 43761, 8717, 11242, 9640, 3660, 572, 10444, 3385, 6765, 572, 10444, 1975, 15730, 1975, 1829, 8592, 4724, 14851, 9778, 40448, 22807, 2423, 7930, 8608, 2407, 16606, 2423, 12530, 7930, 420, 45353, 488, 7930, 1392, 22807], "avg_logprob": -0.17251090514798498, "compression_ratio": 1.674641148325359, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1281.64, "end": 1281.9, "word": "مين", 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انه optical defect، انه مشكلة بصرية، مين بلاحظها؟ ال lens أو ال contact lens، sorry or ال mirror، okay؟", "tokens": [6027, 37300, 4340, 2405, 12399, 6024, 48506, 41850, 18871, 16254, 3714, 1829, 37746, 34051, 9848, 5537, 1513, 12399, 1975, 5016, 8315, 11331, 4117, 1829, 8315, 16472, 3224, 20674, 16445, 12399, 16472, 3224, 37893, 28820, 3660, 4724, 9381, 2288, 10632, 12399, 3714, 9957, 4724, 15040, 5016, 19913, 11296, 22807, 2423, 6765, 34051, 2423, 3385, 6765, 12399, 2597, 420, 2423, 8013, 12399, 1392, 22807], "avg_logprob": -0.25768848827907015, "compression_ratio": 1.3863636363636365, "no_speech_prob": 0.0, "words": [{"start": 1342.1, "end": 1342.34, "word": "ال", "probability": 0.98095703125}, {"start": 1342.34, "end": 1342.74, "word": " spherical", "probability": 0.55712890625}, {"start": 1342.74, "end": 1343.88, "word": " aberration،", "probability": 0.75830078125}, {"start": 1343.88, "end": 1344.18, "word": " الآن", "probability": 0.735107421875}, {"start": 1344.18, "end": 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كتير بنستخدمها في العيادات واحد بيقولك انه عمل retinal bleeding bleeding بمعنى removal okay mild vitreous hemorrhage أي بمعنى نزيف في ال vitreous لكن إيه شماله؟ خفيف retinal detachment انفصال في الشبكية very high refractive error like high myopic or hyper metropic okay", "tokens": [3224, 24192, 9122, 2655, 13546, 44945, 14851, 9778, 40448, 11296, 8978, 18863, 1829, 18513, 9307, 36764, 24401, 4724, 1829, 39648, 4117, 16472, 3224, 6225, 42213, 1533, 2071, 19312, 19312, 4724, 2304, 3615, 1863, 7578, 17933, 1392, 15154, 9467, 265, 563, 8636, 24362, 71, 609, 36632, 4724, 2304, 3615, 1863, 7578, 8717, 11622, 33911, 8978, 2423, 9467, 265, 563, 44381, 11933, 1829, 3224, 13412, 2304, 6027, 3224, 22807, 16490, 5172, 33911, 1533, 2071, 1141, 23908, 16472, 5172, 9381, 6027, 8978, 25124, 3555, 4117, 10632, 588, 1090, 45353, 488, 6713, 411, 1090, 452, 40216, 420, 9848, 1131, 39173, 1392], "avg_logprob": -0.21651785714285715, "compression_ratio": 1.5061728395061729, "no_speech_prob": 0.0, "words": 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" vitreous", "probability": 0.9318033854166666}, {"start": 2444.65, "end": 2444.97, "word": " لكن", "probability": 0.9306640625}, {"start": 2444.97, "end": 2445.21, "word": " إيه", "probability": 0.6669108072916666}, {"start": 2445.21, "end": 2445.79, "word": " شماله؟", "probability": 0.85078125}, {"start": 2445.79, "end": 2446.59, "word": " خفيف", "probability": 0.9415690104166666}, {"start": 2446.59, "end": 2448.87, "word": " retinal", "probability": 0.841796875}, {"start": 2448.87, "end": 2449.51, "word": " detachment", "probability": 0.869873046875}, {"start": 2449.51, "end": 2450.35, "word": " انفصال", "probability": 0.9520263671875}, {"start": 2450.35, "end": 2450.49, "word": " في", "probability": 0.9755859375}, {"start": 2450.49, "end": 2451.13, "word": " الشبكية", "probability": 0.984375}, {"start": 2451.13, "end": 2453.35, "word": " very", "probability": 0.81298828125}, {"start": 2453.35, "end": 2453.61, "word": " high", "probability": 0.912109375}, {"start": 2453.61, "end": 2454.23, "word": " refractive", "probability": 0.96240234375}, {"start": 2454.23, "end": 2454.55, "word": " error", "probability": 0.912109375}, {"start": 2454.55, "end": 2455.27, "word": " like", "probability": 0.8798828125}, {"start": 2455.27, "end": 2456.89, "word": " high", "probability": 0.71435546875}, {"start": 2456.89, "end": 2457.59, "word": " myopic", "probability": 0.57666015625}, {"start": 2457.59, "end": 2457.89, "word": " or", "probability": 0.89794921875}, {"start": 2457.89, "end": 2458.25, "word": " hyper", "probability": 0.84619140625}, {"start": 2458.25, "end": 2458.99, "word": " metropic", "probability": 0.337890625}, {"start": 2458.99, "end": 2459.31, "word": " okay", "probability": 0.87109375}], "temperature": 1.0}, {"id": 90, "seek": 248065, "start": 2469.77, "end": 2480.65, "text": "الجلوكومة لها علاقة في موضوع ال intraocular pressure انه زيادة او نقصان في ضغط العين", "tokens": [6027, 7435, 1211, 2407, 4117, 20498, 3660, 5296, 11296, 11203, 995, 28671, 8978, 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"probability": 0.96923828125}, {"start": 2475.83, "end": 2476.59, "word": " انه", "probability": 0.65673828125}, {"start": 2476.59, "end": 2477.17, "word": " زيادة", "probability": 0.9732666015625}, {"start": 2477.17, "end": 2477.47, "word": " او", "probability": 0.8369140625}, {"start": 2477.47, "end": 2479.17, "word": " نقصان", "probability": 0.9952392578125}, {"start": 2479.17, "end": 2479.51, "word": " في", "probability": 0.8818359375}, {"start": 2479.51, "end": 2480.31, "word": " ضغط", "probability": 0.8504231770833334}, {"start": 2480.31, "end": 2480.65, "word": " العين", "probability": 0.981201171875}], "temperature": 1.0}, {"id": 91, "seek": 251617, "start": 2509.65, "end": 2516.17, "text": "Vitreous hemorrhage طبعا هذه الصورة مش mild، هي تعتبر moderate أو severe", "tokens": [53, 270, 265, 563, 8636, 24362, 71, 609, 23032, 3555, 3615, 995, 29538, 31767, 13063, 3660, 37893, 15154, 12399, 39896, 6055, 34268, 26890, 18174, 34051, 8922], "avg_logprob": -0.4401041666666667, "compression_ratio": 0.9897959183673469, "no_speech_prob": 0.0, "words": [{"start": 2509.6499999999996, "end": 2510.49, "word": "Vitreous", "probability": 0.5295944213867188}, {"start": 2510.49, "end": 2511.11, "word": " hemorrhage", "probability": 0.8018798828125}, {"start": 2511.11, "end": 2511.51, "word": " طبعا", "probability": 0.923828125}, {"start": 2511.51, "end": 2511.73, "word": " هذه", "probability": 0.740234375}, {"start": 2511.73, "end": 2512.17, "word": " الصورة", "probability": 0.9697265625}, {"start": 2512.17, "end": 2512.37, "word": " مش", "probability": 0.48486328125}, {"start": 2512.37, "end": 2513.95, "word": " mild،", "probability": 0.273895263671875}, {"start": 2513.95, "end": 2514.35, "word": " هي", "probability": 0.341552734375}, {"start": 2514.35, "end": 2514.85, "word": " تعتبر", "probability": 0.9471028645833334}, {"start": 2514.85, "end": 2515.23, "word": " moderate", "probability": 0.95458984375}, {"start": 2515.23, "end": 2515.61, "word": " أو", 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"probability": 0.975341796875}, {"start": 2529.14, "end": 2530.12, "word": " separation", "probability": 0.638671875}, {"start": 2530.12, "end": 2531.12, "word": " between", "probability": 0.9375}, {"start": 2531.12, "end": 2531.58, "word": " the", "probability": 0.68408203125}, {"start": 2531.58, "end": 2532.34, "word": " retinal", "probability": 0.949462890625}, {"start": 2532.34, "end": 2532.72, "word": " pigment", "probability": 0.92529296875}, {"start": 2532.72, "end": 2533.52, "word": " epithelium", "probability": 0.9581298828125}, {"start": 2533.52, "end": 2533.92, "word": " and", "probability": 0.9296875}, {"start": 2533.92, "end": 2535.3, "word": " photoreceptor", "probability": 0.9373779296875}], "temperature": 1.0}, {"id": 93, "seek": 254094, "start": 2536.02, "end": 2540.94, "text": "variation of red reflex in different parts of the dilated pupil", "tokens": [34033, 399, 295, 2182, 23802, 294, 819, 3166, 295, 264, 11504, 770, 44533], "avg_logprob": -0.2237723171710968, "compression_ratio": 1.0161290322580645, "no_speech_prob": 0.0, "words": [{"start": 2536.02, "end": 2536.8, "word": "variation", "probability": 0.767578125}, {"start": 2536.8, "end": 2537.04, "word": " of", "probability": 0.9599609375}, {"start": 2537.04, "end": 2537.22, "word": " red", "probability": 0.95263671875}, {"start": 2537.22, "end": 2537.76, "word": " reflex", "probability": 0.72265625}, {"start": 2537.76, "end": 2538.22, "word": " in", "probability": 0.90380859375}, {"start": 2538.22, "end": 2538.64, "word": " different", "probability": 0.85595703125}, {"start": 2538.64, "end": 2539.28, "word": " parts", "probability": 0.9072265625}, {"start": 2539.28, "end": 2539.58, "word": " of", "probability": 0.9619140625}, {"start": 2539.58, "end": 2539.72, "word": " the", "probability": 0.7021484375}, {"start": 2539.72, "end": 2540.36, "word": " dilated", "probability": 0.98681640625}, {"start": 2540.36, "end": 2540.94, "word": " pupil", "probability": 0.556640625}], "temperature": 1.0}, {"id": 94, "seek": 257021, "start": 2553.88, "end": 2570.22, "text": "the central part being different from the periphery انه بيكون الجزء المركزي مختلف عن مين ال periphery يعني بمعنى انه ال center بيكون bright و ال peripheral اش بيكون انه faint", "tokens": [3322, 5777, 644, 885, 819, 490, 264, 26807, 88, 16472, 3224, 4724, 1829, 30544, 25724, 11622, 38207, 9673, 31747, 11622, 1829, 3714, 46456, 46538, 18871, 3714, 9957, 2423, 26807, 88, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 2423, 3056, 4724, 1829, 30544, 4730, 4032, 2423, 40235, 1975, 8592, 4724, 1829, 30544, 16472, 3224, 21104], "avg_logprob": -0.17173793859649122, "compression_ratio": 1.5354838709677419, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2553.88, "end": 2554.22, "word": "the", "probability": 0.5830078125}, {"start": 2554.22, "end": 2554.92, "word": " central", "probability": 0.919921875}, {"start": 2554.92, "end": 2555.7, "word": " part", "probability": 0.91845703125}, {"start": 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spherical aberration positive او يكون negative طبعا دايما ال positive هو virtual تخيلة مش موجود", "tokens": [51, 1288, 4724, 2304, 2655, 3215, 281, 3082, 364, 3488, 294, 264, 21367, 295, 264, 3056, 420, 264, 26807, 88, 295, 264, 44533, 5413, 322, 1968, 264, 4340, 12154, 366, 3671, 294, 9848, 5537, 1513, 420, 3353, 294, 452, 40216, 37495, 22653, 3714, 43020, 16472, 7251, 30544, 9122, 2304, 7649, 2423, 37300, 4340, 2405, 3353, 1975, 2407, 7251, 30544, 3671, 23032, 3555, 3615, 995, 11778, 47302, 15042, 2423, 3353, 31439, 6374, 6055, 9778, 26895, 3660, 37893, 3714, 29245, 23328], "avg_logprob": -0.21269531156867744, "compression_ratio": 1.5589519650655022, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2602.33, "end": 2603.07, "word": "Tense", "probability": 0.4320068359375}, {"start": 2603.07, "end": 2604.53, "word": " بمتد", "probability": 0.56207275390625}, {"start": 2604.53, "end": 2604.75, "word": " to", "probability": 0.89501953125}, {"start": 2604.75, "end": 2605.11, 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98, "seek": 268549, "start": 2657.91, "end": 2685.49, "text": "بمعنى الزيوغ ال plus أو ال minus ال negative aberration بيكون الأطراف فين لكن ال center ايش بيكون shine, shine بمعنى مضيق ال positive aberration ال periphery is shiny and the center is فين أي بمعنى الأطراف بتكون مضيقة و ال center بتكون فين this is virtual", "tokens": [3555, 2304, 3615, 1863, 7578, 2423, 11622, 1829, 2407, 17082, 2423, 1804, 34051, 2423, 3175, 2423, 3671, 4340, 2405, 4724, 1829, 30544, 16247, 9566, 23557, 5172, 8978, 1863, 44381, 2423, 3056, 1975, 1829, 8592, 4724, 1829, 30544, 12207, 11, 12207, 4724, 2304, 3615, 1863, 7578, 3714, 11242, 1829, 4587, 2423, 3353, 4340, 2405, 2423, 26807, 88, 307, 16997, 293, 264, 3056, 307, 8978, 1863, 36632, 4724, 2304, 3615, 1863, 7578, 16247, 9566, 23557, 5172, 39894, 30544, 3714, 11242, 1829, 28671, 4032, 2423, 3056, 39894, 30544, 8978, 1863, 341, 307, 6374], "avg_logprob": -0.15736607241106557, "compression_ratio": 1.7918781725888324, "no_speech_prob": 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عكسه", "tokens": [3555, 2304, 3615, 1863, 7578, 16472, 36764, 24401, 4032, 8717, 9381, 8978, 16095, 39894, 5016, 31747, 365, 1975, 2407, 39894, 5016, 31747, 1970, 16070, 1922, 16712, 7649, 1829, 1975, 1829, 8592, 39894, 5016, 31747, 6225, 4117, 3794, 3224], "avg_logprob": -0.19300881104591566, "compression_ratio": 1.2666666666666666, "no_speech_prob": 1.2516975402832031e-06, "words": [{"start": 2856.5299999999997, "end": 2857.45, "word": "بمعنى", "probability": 0.819287109375}, {"start": 2857.45, "end": 2857.65, "word": " ان", "probability": 0.34619140625}, {"start": 2857.65, "end": 2858.07, "word": " واحد", "probability": 0.9580078125}, {"start": 2858.07, "end": 2858.19, "word": " و", "probability": 0.98193359375}, {"start": 2858.19, "end": 2858.41, "word": " نص", "probability": 0.943359375}, {"start": 2858.41, "end": 2858.87, "word": " فيهم", "probability": 0.938720703125}, {"start": 2858.87, "end": 2859.61, "word": " بتحرك", "probability": 0.9251302083333334}, {"start": 2859.61, 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two band reflexes appear which move toward and away from each other like the blades of scissors زي حركة مين؟ المقص انه الجزئين بتاعون ال parts of scissors اللي هو الجزئين بتاعون المقص", "tokens": [40228, 22653, 2423, 7649, 36764, 24401, 4032, 8717, 9381, 9154, 16095, 1975, 2655, 5016, 31747, 8717, 36178, 21542, 31747, 3660, 4032, 2423, 1922, 6024, 95, 34740, 1975, 2655, 5016, 31747, 11331, 31747, 3660, 1071, 3513, 732, 4116, 23802, 279, 4204, 597, 1286, 7361, 293, 1314, 490, 1184, 661, 411, 264, 20066, 295, 16066, 30767, 1829, 11331, 31747, 3660, 3714, 9957, 22807, 9673, 4587, 9381, 16472, 3224, 25724, 11622, 19986, 9957, 39894, 45761, 11536, 2423, 3166, 295, 16066, 13672, 1829, 31439, 25724, 11622, 19986, 9957, 39894, 45761, 11536, 9673, 4587, 9381], "avg_logprob": -0.18458104723102445, "compression_ratio": 1.625, "no_speech_prob": 0.0, "words": [{"start": 2865.24, "end": 2865.5, "word": "يعني", "probability": 0.9375}, {"start": 2865.5, "end": 2865.82, "word": " الان", "probability": 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astigmatism بمعنى شو الفرق ما بين ال regular و ال mixed astigmatism؟ صح؟ زي ما اتفقنا أنه ال scissor shadow present in corneal scar, corneal scar بمعنى ندبة في القرنية", "tokens": [3224, 2655, 8592, 38688, 14739, 3224, 30767, 1829, 21136, 2304, 16606, 13672, 1829, 3714, 3215, 3615, 3794, 11331, 25513, 21136, 2304, 16606, 22807, 39896, 2423, 4386, 2423, 4386, 6055, 3794, 10721, 1211, 14407, 21136, 33604, 6027, 37893, 18871, 2423, 795, 891, 284, 8576, 27188, 2288, 4587, 19446, 49374, 2423, 3890, 4032, 2423, 29349, 5357, 46496, 1434, 4724, 2304, 3615, 1863, 7578, 13412, 2407, 27188, 2288, 4587, 19446, 49374, 2423, 3890, 4032, 2423, 7467, 5357, 46496, 1434, 22807, 20328, 5016, 22807, 30767, 1829, 19446, 1975, 2655, 5172, 4587, 8315, 14739, 3224, 2423, 795, 891, 284, 8576, 1974, 294, 1181, 716, 304, 10569, 11, 1181, 716, 304, 10569, 4724, 2304, 3615, 1863, 7578, 8717, 3215, 49401, 8978, 25062, 2288, 1863, 10632], "avg_logprob": -0.2002604176600774, "compression_ratio": 1.8425531914893618, 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violet صح؟", "tokens": [3555, 30544, 2182, 2017, 4032, 3092, 2017, 39894, 34268, 2304, 3215, 2423, 8665, 6055, 995, 27884, 15844, 3714, 44510, 10721, 1975, 1829, 3224, 22807, 2423, 16209, 2399, 4340, 2405, 4724, 2304, 3615, 1863, 7578, 6024, 110, 1829, 2407, 17082, 13672, 11536, 1829, 23032, 3555, 3615, 995, 2423, 16209, 2399, 4340, 2405, 39894, 30544, 9154, 2182, 11, 7671, 11, 5566, 11, 3092, 11, 3344, 11, 1016, 7483, 11, 46480, 20328, 5016, 22807], "avg_logprob": -0.164062498551276, "compression_ratio": 1.440217391304348, "no_speech_prob": 0.0, "words": [{"start": 3489.55, "end": 3490.03, "word": "بكون", "probability": 0.78662109375}, {"start": 3490.03, "end": 3490.29, "word": " red", "probability": 0.52880859375}, {"start": 3490.29, "end": 3490.67, "word": " color", "probability": 0.91162109375}, {"start": 3490.67, "end": 3490.99, "word": " و", "probability": 0.96435546875}, {"start": 3490.99, "end": 3491.25, "word": " green", "probability": 0.91162109375}, {"start": 3491.25, "end": 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"end": 3810.11, "word": " مريض", "probability": 0.9890950520833334}, {"start": 3810.11, "end": 3810.57, "word": " لحظة", "probability": 0.8199462890625}, {"start": 3810.57, "end": 3810.93, "word": " يما", "probability": 0.828857421875}, {"start": 3810.93, "end": 3811.17, "word": " يكون", "probability": 0.992431640625}, {"start": 3811.17, "end": 3811.51, "word": " مريض", "probability": 0.9977213541666666}, {"start": 3811.51, "end": 3811.89, "word": " ميوب", "probability": 0.9197591145833334}, {"start": 3811.89, "end": 3813.01, "word": " عنده", "probability": 0.97607421875}, {"start": 3813.01, "end": 3813.49, "word": " قصر", "probability": 0.9560546875}, {"start": 3813.49, "end": 3814.49, "word": " النظر", "probability": 0.8732096354166666}, {"start": 3814.49, "end": 3814.87, "word": " ايش", "probability": 0.8020833333333334}, {"start": 3814.87, "end": 3815.67, "word": " بتتوقع", "probability": 0.962646484375}, {"start": 3815.67, "end": 3816.05, "word": " يكون", "probability": 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{"start": 3822.93, "end": 3823.09, "word": " وين", "probability": 0.757568359375}, {"start": 3823.09, "end": 3823.79, "word": " هيتركز", "probability": 0.883056640625}, {"start": 3823.79, "end": 3825.41, "word": " في", "probability": 0.383544921875}, {"start": 3825.41, "end": 3825.87, "word": " حالة", "probability": 0.9952799479166666}, {"start": 3825.87, "end": 3826.39, "word": " الميوب", "probability": 0.9482421875}, {"start": 3826.39, "end": 3827.91, "word": " اه", "probability": 0.5233154296875}, {"start": 3827.91, "end": 3828.29, "word": " تفضلي", "probability": 0.88623046875}], "temperature": 1.0}, {"id": 141, "seek": 386117, "start": 3838.77, "end": 3861.17, "text": "Okay another answer on the retina why؟ لأنه الآن ال light rays وين هيتركز في حالة الميوب in front the retina إذا ال red color وين هيتركز بها on the retina في حالة الميوب في حالة ال hypermetrop", "tokens": [8297, 1071, 1867, 322, 264, 1533, 1426, 983, 22807, 5296, 33456, 3224, 6024, 48506, 2423, 1442, 24417, 4032, 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"probability": 0.9638671875}, {"start": 3852.39, "end": 3852.95, "word": " the", "probability": 0.53515625}, {"start": 3852.95, "end": 3853.33, "word": " retina", "probability": 0.983154296875}, {"start": 3853.33, "end": 3853.93, "word": " إذا", "probability": 0.6893310546875}, {"start": 3853.93, "end": 3854.15, "word": " ال", "probability": 0.53125}, {"start": 3854.15, "end": 3854.33, "word": " red", "probability": 0.880859375}, {"start": 3854.33, "end": 3854.59, "word": " color", "probability": 0.86572265625}, {"start": 3854.59, "end": 3854.79, "word": " وين", "probability": 0.9736328125}, {"start": 3854.79, "end": 3855.69, "word": " هيتركز", "probability": 0.956298828125}, {"start": 3855.69, "end": 3856.93, "word": " بها", "probability": 0.595458984375}, {"start": 3856.93, "end": 3857.59, "word": " on", "probability": 0.859375}, {"start": 3857.59, "end": 3857.75, "word": " the", "probability": 0.9306640625}, {"start": 3857.75, "end": 3858.07, "word": " retina", "probability": 0.978515625}, {"start": 3858.07, "end": 3858.35, "word": " في", "probability": 0.9501953125}, {"start": 3858.35, "end": 3858.77, "word": " حالة", "probability": 0.9964192708333334}, {"start": 3858.77, "end": 3859.35, "word": " الميوب", "probability": 0.9850260416666666}, {"start": 3859.35, "end": 3859.83, "word": " في", "probability": 0.681640625}, {"start": 3859.83, "end": 3860.21, "word": " حالة", "probability": 0.99853515625}, {"start": 3860.21, "end": 3860.33, "word": " ال", "probability": 0.9638671875}, {"start": 3860.33, "end": 3861.17, "word": " hypermetrop", "probability": 0.4297688802083333}], "temperature": 1.0}, {"id": 142, "seek": 387770, "start": 3862.2, "end": 3877.7, "text": "ال green color وين هيتركز or ال blue color؟ on the retina صح؟ طيب لو انفرضنا عند patient ميوب نستخدم معاه إيش؟ minus ولا plus؟", "tokens": [6027, 3092, 2017, 4032, 9957, 39896, 2655, 31747, 11622, 420, 2423, 3344, 2017, 22807, 322, 264, 1533, 1426, 20328, 5016, 22807, 23032, 1829, 3555, 45164, 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0.7159423828125}, {"start": 3865.94, "end": 3865.94, "word": " on", "probability": 0.47900390625}, {"start": 3865.94, "end": 3866.16, "word": " the", "probability": 0.8759765625}, {"start": 3866.16, "end": 3868.58, "word": " retina", "probability": 0.964599609375}, {"start": 3868.58, "end": 3869.2, "word": " صح؟", "probability": 0.6615397135416666}, {"start": 3869.2, "end": 3870.34, "word": " طيب", "probability": 0.9625651041666666}, {"start": 3870.34, "end": 3870.84, "word": " لو", "probability": 0.80126953125}, {"start": 3870.84, "end": 3871.58, "word": " انفرضنا", "probability": 0.8680419921875}, {"start": 3871.58, "end": 3872.4, "word": " عند", "probability": 0.9443359375}, {"start": 3872.4, "end": 3873.14, "word": " patient", "probability": 0.91259765625}, {"start": 3873.14, "end": 3873.72, "word": " ميوب", "probability": 0.8291015625}, {"start": 3873.72, "end": 3875.46, "word": " نستخدم", "probability": 0.93408203125}, {"start": 3875.46, "end": 3875.74, "word": " معاه", "probability": 0.87353515625}, {"start": 3875.74, "end": 3876.26, "word": " إيش؟", "probability": 0.804931640625}, {"start": 3876.26, "end": 3876.58, "word": " minus", "probability": 0.96923828125}, {"start": 3876.58, "end": 3876.86, "word": " ولا", "probability": 0.91552734375}, {"start": 3876.86, "end": 3877.7, "word": " plus؟", "probability": 0.925537109375}], "temperature": 1.0}, {"id": 143, "seek": 390399, "start": 3879.19, "end": 3903.99, "text": "minus length okay لو فرضنا انه خلناه artificially hyper metroid شو معناه artificially hyper metroid؟ اي بمعنى عنده طول نظر لكن إصطناعي بمعنى خديجة عندها minus two ميوب okay روحت خلتلها minus two point five صارت ايش؟ hyper metroid صح؟ انه مصلحش عندها", "tokens": [2367, 301, 40116, 70, 392, 1392, 45164, 6156, 43042, 8315, 16472, 3224, 16490, 1211, 8315, 3224, 39905, 2270, 9848, 1131, 6490, 13412, 2407, 20449, 8315, 3224, 39905, 2270, 9848, 1131, 6490, 22807, 1975, 1829, 4724, 2304, 3615, 1863, 7578, 43242, 3224, 23032, 12610, 8717, 19913, 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3882.69, "end": 3883.33, "word": " خلناه", "probability": 0.9163818359375}, {"start": 3883.33, "end": 3884.25, "word": " artificially", "probability": 0.8974609375}, {"start": 3884.25, "end": 3884.67, "word": " hyper", "probability": 0.82421875}, {"start": 3884.67, "end": 3885.19, "word": " metroid", "probability": 0.20831298828125}, {"start": 3885.19, "end": 3885.55, "word": " شو", "probability": 0.801025390625}, {"start": 3885.55, "end": 3885.89, "word": " معناه", "probability": 0.90771484375}, {"start": 3885.89, "end": 3886.65, "word": " artificially", "probability": 0.870849609375}, {"start": 3886.65, "end": 3887.01, "word": " hyper", "probability": 0.96240234375}, {"start": 3887.01, "end": 3887.99, "word": " metroid؟", "probability": 0.8292643229166666}, {"start": 3887.99, "end": 3888.17, "word": " اي", "probability": 0.65380859375}, {"start": 3888.17, "end": 3888.73, "word": " بمعنى", "probability": 0.978515625}, {"start": 3888.73, "end": 3889.25, "word": " عنده", "probability": 0.982666015625}, {"start": 3889.25, "end": 3889.55, "word": " طول", "probability": 0.99462890625}, {"start": 3889.55, "end": 3890.07, "word": " نظر", "probability": 0.9861653645833334}, {"start": 3890.07, "end": 3890.67, "word": " لكن", "probability": 0.9189453125}, {"start": 3890.67, "end": 3891.77, "word": " إصطناعي", "probability": 0.8800862630208334}, {"start": 3891.77, "end": 3892.61, "word": " بمعنى", "probability": 0.9548828125}, {"start": 3892.61, "end": 3893.25, "word": " خديجة", "probability": 0.908447265625}, {"start": 3893.25, "end": 3893.67, "word": " عندها", "probability": 0.99755859375}, {"start": 3893.67, "end": 3894.01, "word": " minus", "probability": 0.8876953125}, {"start": 3894.01, "end": 3894.39, "word": " two", "probability": 0.79833984375}, {"start": 3894.39, "end": 3895.45, "word": " ميوب", "probability": 0.7682291666666666}, {"start": 3895.45, "end": 3896.61, "word": " okay", "probability": 0.6748046875}, {"start": 3896.61, "end": 3897.29, "word": " روحت", 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405625, "start": 4043.15, "end": 4056.25, "text": "لقيت فهمته؟ ال .. ال .. بالنسبة ل .. ال principle لديوكروم test okay؟ هذا أهم verification لديوكروم test", "tokens": [1211, 4587, 36081, 6156, 16095, 47395, 22807, 2423, 4386, 2423, 4386, 20666, 1863, 35457, 3660, 5296, 4386, 2423, 8665, 5296, 16254, 2407, 37983, 20498, 1500, 1392, 22807, 23758, 5551, 16095, 30206, 5296, 16254, 2407, 37983, 20498, 1500], "avg_logprob": -0.253906260979803, "compression_ratio": 1.3017241379310345, "no_speech_prob": 0.0, "words": [{"start": 4043.15, "end": 4043.47, "word": "لقيت", "probability": 0.81103515625}, {"start": 4043.47, "end": 4044.41, "word": " فهمته؟", "probability": 0.819580078125}, {"start": 4044.41, "end": 4044.41, "word": " ال", "probability": 0.7265625}, {"start": 4044.41, "end": 4046.05, "word": " ..", "probability": 0.9736328125}, {"start": 4046.05, "end": 4046.43, "word": " ال", "probability": 0.9716796875}, {"start": 4046.43, "end": 4046.69, "word": " ..", "probability": 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"probability": 0.989501953125}, {"start": 4214.53, "end": 4216.43, "word": " okay؟", "probability": 0.589599609375}, {"start": 4216.43, "end": 4216.75, "word": " of", "probability": 0.2127685546875}, {"start": 4216.75, "end": 4222.45, "word": " course", "probability": 0.96728515625}, {"start": 4222.45, "end": 4225.33, "word": " ال", "probability": 0.7900390625}, {"start": 4225.33, "end": 4225.77, "word": " subjective", "probability": 0.97265625}, {"start": 4225.77, "end": 4226.91, "word": " reflection", "probability": 0.67041015625}], "temperature": 1.0}, {"id": 157, "seek": 425663, "start": 4228.05, "end": 4256.63, "text": "subjective refraction طيب انا حاسس انه شوية الاستيعاب مش واضح كتير بلكة اليوم منطبقها في المعمل و بعدين نكملها طيب طبعا اليوم بنكون أخدنا هيك ال special difficulties ال written scope ان شاء الله في المحاضرة القادمة بنبدأ في ال verification for spherical power", "tokens": [30131, 1020, 488, 1895, 26766, 23032, 1829, 3555, 1975, 8315, 11331, 32277, 3794, 16472, 3224, 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{"start": 4234.01, "end": 4234.61, "word": " حاسس", "probability": 0.9890950520833334}, {"start": 4234.61, "end": 4234.85, "word": " انه", "probability": 0.76953125}, {"start": 4234.85, "end": 4235.09, "word": " شوية", "probability": 0.7955729166666666}, {"start": 4235.09, "end": 4235.71, "word": " الاستيعاب", "probability": 0.9217529296875}, {"start": 4235.71, "end": 4236.01, "word": " مش", "probability": 0.978515625}, {"start": 4236.01, "end": 4236.31, "word": " واضح", "probability": 0.9925130208333334}, {"start": 4236.31, "end": 4236.71, "word": " كتير", "probability": 0.95947265625}, {"start": 4236.71, "end": 4239.01, "word": " بلكة", "probability": 0.47894287109375}, {"start": 4239.01, "end": 4239.23, "word": " اليوم", "probability": 0.920166015625}, {"start": 4239.23, "end": 4239.75, "word": " منطبقها", "probability": 0.8202880859375}, {"start": 4239.75, "end": 4239.89, "word": " في", "probability": 0.7177734375}, {"start": 4239.89, "end": 4240.25, "word": " المعمل", "probability": 0.9845377604166666}, {"start": 4240.25, "end": 4240.37, "word": " و", "probability": 0.611328125}, {"start": 4240.37, "end": 4240.57, "word": " بعدين", "probability": 0.9169921875}, {"start": 4240.57, "end": 4241.39, "word": " نكملها", "probability": 0.970703125}, {"start": 4241.39, "end": 4244.85, "word": " طيب", "probability": 0.9627278645833334}, {"start": 4244.85, "end": 4245.83, "word": " طبعا", "probability": 0.9908447265625}, {"start": 4245.83, "end": 4246.15, "word": " اليوم", "probability": 0.984375}, {"start": 4246.15, "end": 4246.49, "word": " بنكون", "probability": 0.85205078125}, {"start": 4246.49, "end": 4246.91, "word": " أخدنا", "probability": 0.916015625}, {"start": 4246.91, "end": 4247.23, "word": " هيك", "probability": 0.9482421875}, {"start": 4247.23, "end": 4247.41, "word": " ال", "probability": 0.97216796875}, {"start": 4247.41, "end": 4247.75, "word": " special", "probability": 0.9521484375}, {"start": 4247.75, "end": 4248.59, "word": " difficulties", "probability": 0.90869140625}, {"start": 4248.59, "end": 4248.93, "word": " ال", "probability": 0.66455078125}, {"start": 4248.93, "end": 4249.15, "word": " written", "probability": 0.272705078125}, {"start": 4249.15, "end": 4249.59, "word": " scope", "probability": 0.338623046875}, {"start": 4249.59, "end": 4250.27, "word": " ان", "probability": 0.900390625}, {"start": 4250.27, "end": 4250.51, "word": " شاء", "probability": 0.960693359375}, {"start": 4250.51, "end": 4250.63, "word": " الله", "probability": 0.96142578125}, {"start": 4250.63, "end": 4250.83, "word": " في", "probability": 0.8779296875}, {"start": 4250.83, "end": 4251.35, "word": " المحاضرة", "probability": 0.986572265625}, {"start": 4251.35, "end": 4251.97, "word": " القادمة", "probability": 0.9930013020833334}, {"start": 4251.97, "end": 4253.07, "word": " بنبدأ", "probability": 0.9510091145833334}, {"start": 4253.07, "end": 4253.51, "word": " في", "probability": 0.5732421875}, {"start": 4253.51, "end": 4254.29, "word": " ال", "probability": 0.73779296875}, {"start": 4254.29, "end": 4255.01, "word": " verification", "probability": 0.994140625}, {"start": 4255.01, "end": 4255.41, "word": " for", "probability": 0.857421875}, {"start": 4255.41, "end": 4255.87, "word": " spherical", "probability": 0.88134765625}, {"start": 4255.87, "end": 4256.63, "word": " power", "probability": 0.7998046875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 4256.844625, "duration_after_vad": 3855.609374999984}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..11f96d9d46608e1d7f71b633cef60b5ba9a50dfa
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/-Yn1iDcGP1U_raw.srt
@@ -0,0 +1,2956 @@
+1
+00:00:20,520 --> 00:00:25,160
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:25,160 --> 00:00:31,660
+الله و بركاته في المحاضرة السابقة بدأنا في ال
+
+3
+00:00:31,660 --> 00:00:36,120
+difficulties ال retinascope صعوبات في جهاز ال
+
+4
+00:00:36,120 --> 00:00:42,780
+retinascopeNumber one some repractions are easy
+
+5
+00:00:42,780 --> 00:00:49,540
+like mayob, hypermetrop, بعض الأخطاء الانكسرية are
+
+6
+00:00:49,540 --> 00:00:54,400
+easy سهلة while others are extremely difficult لكن
+
+7
+00:00:54,400 --> 00:00:58,220
+الأخطاء الأخرى مثل ال high mayob, high
+
+8
+00:00:58,220 --> 00:01:02,800
+astigmatism, high hypermetrop تعتبر صعبة جدا
+
+9
+00:01:03,990 --> 00:01:09,210
+written scope is an art جهاز ال written scope هو
+
+10
+00:01:09,210 --> 00:01:15,730
+عبارة عن فن which requires painstaking practice
+
+11
+00:01:15,730 --> 00:01:21,050
+and cannot learn in one day أنه بيحتاج إلى مثابرة
+
+12
+00:01:21,050 --> 00:01:26,210
+عملية و لا يمكن تعلمه خلال يوم واحد written scope
+
+13
+00:01:26,210 --> 00:01:32,150
+essential practical أنه أساس علمي and cannot you
+
+14
+00:01:32,150 --> 00:01:32,550
+learn
+
+15
+00:01:38,160 --> 00:01:42,560
+اليوم هنبدأ في ال special difficulties الرتنسكوبي
+
+16
+00:01:42,560 --> 00:01:47,520
+او special difficulties الرتنسكوبي ما هي الصعوبات
+
+17
+00:01:47,520 --> 00:01:54,760
+الخاصة في جهاز الرتنوسكوب طبعا اول صعوبة ال
+
+18
+00:01:54,760 --> 00:02:00,900
+fainting of red reflex بمعنى فينت شو معناها باهت
+
+19
+00:02:00,900 --> 00:02:06,640
+fainting of red reflex انه ال red reflex بكون باهت
+
+20
+00:02:06,640 --> 00:02:12,010
+غير واضحطيب ال fainting of red reflex شو ال
+
+21
+00:02:12,010 --> 00:02:18,130
+causes؟ أسبابه؟ السبب الأول ممكن انه يكون ocular
+
+22
+00:02:18,130 --> 00:02:24,050
+media opaque انه كلمة opaque شو معناها؟ عتامة في
+
+23
+00:02:24,050 --> 00:02:30,590
+ال ocular media أي بمعنى الوسط العيني طبعا مثل ال
+
+24
+00:02:30,590 --> 00:02:37,340
+corneal اليوكومةالقرنية اللي يكومة أي بمعنى white
+
+25
+00:02:37,340 --> 00:02:42,400
+opacities of the cornea انه بيكون عتامة بيضاع على
+
+26
+00:02:42,400 --> 00:02:48,700
+القرنية okay number two a blood in anterior
+
+27
+00:02:48,700 --> 00:02:54,260
+chamber like hyphema number three a mature
+
+28
+00:02:54,260 --> 00:02:57,460
+cataract أي بمعنى cataract غير ناضجة
+
+29
+00:03:00,650 --> 00:03:06,450
+الـ anterior chamber أخدنا شو تعريفه؟
+
+30
+00:03:06,450 --> 00:03:11,250
+الـ space between the corneas of the cornea and
+
+31
+00:03:11,250 --> 00:03:13,190
+the anterior surface of the cornea
+
+32
+00:03:28,930 --> 00:03:33,670
+إذا الـ anterior chamber a fluid space the fills
+
+33
+00:03:33,670 --> 00:03:36,450
+between the cornea and the iris
+
+34
+00:03:39,310 --> 00:03:45,190
+number four mild vitreous hemorrhage أي بمعنى نظيف
+
+35
+00:03:45,190 --> 00:03:50,110
+في ال vitreous لكن هذا النظيف بيكون بسيط غير حاد،
+
+36
+00:03:50,110 --> 00:03:56,290
+mild قلنا بسيط okay and retinal detachment بمعنى
+
+37
+00:03:56,290 --> 00:04:01,910
+انفصال في الشبكية شو تعريف ال retinal detachment؟
+
+38
+00:04:01,910 --> 00:04:06,390
+مار عليكم تعريف ال retinal detachment؟ up to you
+
+39
+00:04:08,330 --> 00:04:12,890
+الشبكية اللي فيها في طبقات مش شبكية في ال
+
+40
+00:04:12,890 --> 00:04:21,950
+elevation اذا كلامك صح في another definition
+
+41
+00:04:21,950 --> 00:04:29,510
+بالظبط
+
+42
+00:04:29,510 --> 00:04:33,670
+انه separation انفصال between the retinal pigment
+
+43
+00:04:33,670 --> 00:04:34,470
+epithelium
+
+44
+00:04:38,440 --> 00:04:42,460
+أول من ال road و ال quad أي بمعنى الطبق الأولى و
+
+45
+00:04:42,460 --> 00:04:48,260
+التانى للشبكية due to maybe loss of nutrition
+
+46
+00:04:48,260 --> 00:04:53,800
+فقدان في التخزيه ل ال retina هذه السبب الأول لمين
+
+47
+00:04:53,800 --> 00:04:58,920
+لل fainting of red reflex السبب التانى ال high
+
+48
+00:04:58,920 --> 00:05:03,100
+refractive error okay ال high refractive error مثل
+
+49
+00:05:03,100 --> 00:05:06,460
+ال high mayob او ال high hyper metro
+
+50
+00:05:17,800 --> 00:05:20,600
+special difficulties
+
+51
+00:05:39,220 --> 00:05:44,980
+maybe the question will be discuss and draw the
+
+52
+00:05:44,980 --> 00:05:49,140
+special of difficulties in written scope اي بمعنى
+
+53
+00:05:49,140 --> 00:05:54,580
+ناقش و ارسم الصعوبات الخاصة في جهاز ال written
+
+54
+00:05:54,580 --> 00:06:00,780
+scope one by one
+
+55
+00:06:00,780 --> 00:06:02,680
+number two
+
+56
+00:06:12,230 --> 00:06:20,130
+of red reflex اي
+
+57
+00:06:20,130 --> 00:06:28,870
+بمعنى بهات او عدم وضوح في ال red reflex طبعا
+
+58
+00:06:28,870 --> 00:06:33,350
+ال causes اسبابها
+
+59
+00:06:33,350 --> 00:06:36,830
+ا popular
+
+60
+00:06:42,010 --> 00:06:50,690
+media و bacon بمعنى
+
+61
+00:06:50,690 --> 00:06:59,730
+عتامة في وسط العين بتشمل number one corneal
+
+62
+00:06:59,730 --> 00:07:02,770
+اليوكوما
+
+63
+00:07:14,030 --> 00:07:26,230
+white opacities of
+
+64
+00:07:26,230 --> 00:07:31,050
+the corneal
+
+65
+00:07:43,150 --> 00:07:47,010
+in anterior chamber طبعا اختصار AC anterior
+
+66
+00:07:47,010 --> 00:07:54,530
+chamber بنسميها الهايفمة الهايفمة
+
+67
+00:07:54,530 --> 00:07:58,330
+بمعنى blood في ال anterior chamber يعني بيكون فيه
+
+68
+00:07:58,330 --> 00:08:02,610
+دم في ال anterior chamber طبعا في الصورة
+
+69
+00:08:05,000 --> 00:08:08,440
+ال .. ال .. ال hyphema اه ممكن انه مرات ما يكون
+
+70
+00:08:08,440 --> 00:08:12,600
+عنده diabetes mellitus يكون عنده ال .. السبب له
+
+71
+00:08:12,600 --> 00:08:18,300
+lead to hyphema number three immature
+
+72
+00:08:18,300 --> 00:08:22,560
+لل
+
+73
+00:08:22,560 --> 00:08:27,000
+cataract يعني
+
+74
+00:08:27,000 --> 00:08:33,100
+بمعنى مياه بيضاء غير ناضجة number four mild
+
+75
+00:08:46,650 --> 00:08:57,470
+Vitreous Hemorrhage أي
+
+76
+00:08:57,470 --> 00:09:04,750
+بمعنى نزيف غير حد في ال vitreous okay number five
+
+77
+00:09:15,770 --> 00:09:22,650
+original detachment انفصال
+
+78
+00:09:22,650 --> 00:09:34,230
+في الشبكية it is a separation between
+
+79
+00:09:36,790 --> 00:09:42,370
+ما بين الطبقة الأولى retinal pigment epithelium
+
+80
+00:09:42,370 --> 00:09:51,730
+and photoreceptor
+
+81
+00:09:51,730 --> 00:09:57,670
+اللى بتتمثل فى ال rod و ال cone هذا السبب الأول ال
+
+82
+00:09:57,670 --> 00:10:02,850
+ocular media opaque السبب التانى ال high
+
+83
+00:10:02,850 --> 00:10:07,740
+refractive error السبب التانىالـ high refractive
+
+84
+00:10:07,740 --> 00:10:15,880
+error اه ال fainting of red reflex اه بي يعني صحيح
+
+85
+00:10:15,880 --> 00:10:24,300
+بي اه okay يعني
+
+86
+00:10:24,300 --> 00:10:28,380
+هاد ال fainting of red reflex ال causes بتاعها ايه
+
+87
+00:10:28,380 --> 00:10:36,040
+اوكلر ميديا او بيك عتمة في سطح العيناه انه .. انه
+
+88
+00:10:36,040 --> 00:10:40,220
+ايش السبب بتاعها؟ زي الكورنيا اليوكوما، ال mild
+
+89
+00:10:40,220 --> 00:10:44,200
+vitreous hemorrhage، immature cataract، blood in
+
+90
+00:10:44,200 --> 00:10:49,240
+anterior chamber and retinal detachment
+
+91
+00:10:49,240 --> 00:10:54,620
+بيه؟ لسته؟
+
+92
+00:10:54,620 --> 00:10:58,060
+طبعا
+
+93
+00:10:58,060 --> 00:10:59,280
+ال high refractive error
+
+94
+00:11:24,500 --> 00:11:32,220
+ب high refractive
+
+95
+00:11:32,220 --> 00:11:37,700
+error هذ اختصار لو refractive error زي مثلا high
+
+96
+00:11:37,700 --> 00:11:44,480
+ميوب or
+
+97
+00:11:44,480 --> 00:11:47,740
+high hypermetrop
+
+98
+00:11:50,440 --> 00:11:55,840
+هذه كلها ضمن مين؟ ال fainting of red reflex بهاد
+
+99
+00:11:55,840 --> 00:12:02,400
+لأو عدم وضوح ال red reflex واضح؟
+
+100
+00:12:06,330 --> 00:12:09,730
+يعني الآن ال .. ال .. ال special difficulties
+
+101
+00:12:09,730 --> 00:12:14,230
+الصعوبات أول حاجة أنه في صعوبة في رؤية ال red
+
+102
+00:12:14,230 --> 00:12:18,950
+reflex بنسميها ال faint إذا الآن يما .. يما بت ..
+
+103
+00:12:18,950 --> 00:12:22,530
+بتعملي ال procedure عملية ال written score
+
+104
+00:12:22,530 --> 00:12:26,630
+وبتشوفيش ال red reflex بشكل واضح إيش بنقول؟ أنه
+
+105
+00:12:26,630 --> 00:12:30,450
+هادي faint بتقوليليش ال red reflex مش واضح كي
+
+106
+00:12:30,450 --> 00:12:31,950
+fainting of red reflex
+
+107
+00:12:36,830 --> 00:12:40,430
+واخدنا اعتقد ال characteristics لمين لل red reflex
+
+108
+00:12:40,430 --> 00:12:44,770
+من ضمنهم انه يكون اذا كان bright بيكون عند المريض
+
+109
+00:12:44,770 --> 00:12:49,170
+small refractive error واذا كان faint بيكون عنده
+
+110
+00:12:49,170 --> 00:12:55,010
+high refractive error okay هذه كلها النقطة الأولى
+
+111
+00:12:55,010 --> 00:13:01,870
+انه fainting of red reflex واضح number two
+
+112
+00:13:01,870 --> 00:13:04,010
+variation
+
+113
+00:13:07,680 --> 00:13:16,740
+اختلاف of red reflex of
+
+114
+00:13:16,740 --> 00:13:32,640
+different parts of
+
+115
+00:13:32,640 --> 00:13:33,620
+different parts
+
+116
+00:13:36,060 --> 00:13:42,120
+in dilated للبيوبل
+
+117
+00:13:42,120 --> 00:13:46,320
+كيف
+
+118
+00:13:46,320 --> 00:13:52,540
+تفسيرة هذه؟ الآن نفترض عند طفل استخدمنا معه ال
+
+119
+00:13:52,540 --> 00:13:56,940
+cycle of ventilate عمل dilate للبيوبل وعمل
+
+120
+00:13:56,940 --> 00:14:02,800
+paralysis لل celery muscleالان بتلاحظى انه ممكن فى
+
+121
+00:14:02,800 --> 00:14:07,220
+ال center يكون ال red reflex bright لكن بال
+
+122
+00:14:07,220 --> 00:14:11,260
+peripheral ايش يكون؟ faint او العكس فى ال
+
+123
+00:14:11,260 --> 00:14:14,680
+peripheral يكون faint و فى ال center ايش يكون؟
+
+124
+00:14:14,680 --> 00:14:18,820
+bright طبعا هذه سببها ايه ال spherical aberration
+
+125
+00:14:18,820 --> 00:14:25,430
+ال spherical aberration بمعنى الذيوه الكراويطبعا
+
+126
+00:14:25,430 --> 00:14:31,970
+هي optical defect مشكلة بصرية observe ايه بتحدث؟
+
+127
+00:14:31,970 --> 00:14:36,410
+مين بيحدثها؟ ال mirror او ال lens العدسة او المرقة
+
+128
+00:14:36,410 --> 00:14:42,230
+طيب كيف هذي بتحدث؟انه نتيجة تغير ال refraction
+
+129
+00:14:42,230 --> 00:14:46,150
+تذكروا في اول محاضرة ميزنا ما بين ال physical
+
+130
+00:14:46,150 --> 00:14:49,910
+refraction و ال clinical refraction قولنا ال
+
+131
+00:14:49,910 --> 00:14:54,390
+physical refraction يما بنتقل الضوء من وسط الى وسط
+
+132
+00:14:54,390 --> 00:14:59,190
+اخر مختلف ايش الكثافة هذا بنسميه ايش ال refraction
+
+133
+00:14:59,190 --> 00:15:03,310
+فال change في ال refraction هذا ايش بنسميه
+
+134
+00:15:03,310 --> 00:15:07,850
+spherical aberration طبعا ال spherical aberration
+
+135
+00:15:07,850 --> 00:15:14,500
+فيها انواعيا اما high order aberration او low
+
+136
+00:15:14,500 --> 00:15:19,360
+order aberration شو الفرق بين الاتنين ال low order
+
+137
+00:15:19,360 --> 00:15:24,780
+aberration بمعنى انه ممكن تصحيحه بالنضارة او
+
+138
+00:15:24,780 --> 00:15:30,300
+العدسة اللاصقة زي الميوب و الhypermetro او بعملية
+
+139
+00:15:30,300 --> 00:15:35,000
+لكن ممكن can you correct by glasses or contact
+
+140
+00:15:35,000 --> 00:15:40,010
+lens هذا بنسميه ايه low order aberrationالـ high
+
+141
+00:15:40,010 --> 00:15:44,210
+order aberration can not correct by glasses or
+
+142
+00:15:44,210 --> 00:15:47,590
+contact lens، كيف ممكن أصلحه؟ بال surgery،
+
+143
+00:15:47,590 --> 00:15:52,250
+بالعملية، فيه له أنواع كمان الكومة والسيجما زي
+
+144
+00:15:52,250 --> 00:15:56,310
+الآن بيجي مريض عندك في المركز أو في العيادة أو في
+
+145
+00:15:56,310 --> 00:16:01,690
+المشفة، تعمليله مثلا refraction، بعديها بنستخدم ال
+
+146
+00:16:01,690 --> 00:16:05,990
+pinhole، no improvement، مافيش تحسن أيه في الرؤية
+
+147
+00:16:05,990 --> 00:16:10,850
+عنده، طب إيش الحل؟بدي افكر دايما بال high order
+
+148
+00:16:10,850 --> 00:16:14,750
+aberration قولنا ال high order aberration مش ممكن
+
+149
+00:16:14,750 --> 00:16:19,150
+اصلحه بمين؟ بالنضارة او بالعدسة اللازقة لازم ال
+
+150
+00:16:19,150 --> 00:16:22,890
+surgery فدايما ايش بقول للمريض ان انت بدك صورة
+
+151
+00:16:22,890 --> 00:16:27,990
+corneal topography انه فحص لتضاريس القرانية من
+
+152
+00:16:27,990 --> 00:16:32,130
+خلال الصورة هذه ممكن انه اكتشف المريض اذا كان عنده
+
+153
+00:16:32,130 --> 00:16:36,330
+high order or low order aberration okay؟
+
+154
+00:16:37,950 --> 00:16:41,770
+إذا عندنا ال variation of red reflex in different
+
+155
+00:16:41,770 --> 00:16:48,330
+parts during dilated lip pupil نقطة تالتة ال
+
+156
+00:16:48,330 --> 00:16:52,130
+scissor shadow أعتقد معظمكم بر عليكم ال scissor
+
+157
+00:16:52,130 --> 00:16:59,830
+shadow الحركة المقصية فهمتيهاش؟ okay الآن أنا عندى
+
+158
+00:16:59,830 --> 00:17:06,930
+طفل okay حطيتله cycle of ventulate قطر التوسيعالان
+
+159
+00:17:06,930 --> 00:17:12,530
+اجينا نفحص بال written scope لجينا في عندنا
+
+160
+00:17:12,530 --> 00:17:15,910
+peripheral و في ال center ال red reflex مش فيه له
+
+161
+00:17:15,910 --> 00:17:20,440
+peripheral و فيه له center صح؟لاحظت انت ال red
+
+162
+00:17:20,440 --> 00:17:24,580
+reflex صارت مع بعض الطالبات حتى في المعمل عندنا
+
+163
+00:17:24,580 --> 00:17:29,260
+انه حكولي في ال peripheral ال red reflex ايش ماله؟
+
+164
+00:17:29,260 --> 00:17:34,300
+faint باهت لكن في ال center clear واضح او bright
+
+165
+00:17:34,300 --> 00:17:39,360
+مضيق okay فهذا ايش .. نتيجة ايش اللي صار؟ انه ال
+
+166
+00:17:39,360 --> 00:17:43,280
+spherical aberrationالـ spherical aberration شو
+
+167
+00:17:43,280 --> 00:17:48,740
+معناها؟ انه optical defect أي بمعنى مشكلة بصرية
+
+168
+00:17:48,740 --> 00:17:54,440
+مين اللي بيحدثها؟ ال mirror او ال lens يعني المرأة
+
+169
+00:17:54,440 --> 00:17:58,580
+او العدسة كيف؟ طيب نتيجة التغير في ال refraction
+
+170
+00:17:58,580 --> 00:18:02,460
+ال physical ولا ال clinical refraction؟ ال
+
+171
+00:18:02,460 --> 00:18:06,140
+physical انه بتغير من one meridian ل two meridian
+
+172
+00:18:06,140 --> 00:18:11,680
+مختلف الكثافةطيب ال spherical aberration له أنواع
+
+173
+00:18:11,680 --> 00:18:16,380
+زي ايش الأنواع بتاعته؟ low order aberration
+
+174
+00:18:16,380 --> 00:18:20,260
+والhigh order aberration ال low order aberration
+
+175
+00:18:20,260 --> 00:18:25,000
+ميوب يعني مثلا لو انا ميوب اعتبر low order
+
+176
+00:18:25,000 --> 00:18:30,880
+aberration لو زميلتيك hyper metroid تعتبر low
+
+177
+00:18:30,880 --> 00:18:35,200
+order aberration ال high order aberrationلا يمكن
+
+178
+00:18:35,200 --> 00:18:38,480
+تصحيحه بالنضارة أو بالعدسة اللاصقة، شو بدنا؟
+
+179
+00:18:38,480 --> 00:18:47,580
+Surgery في العملية، okay؟ يعني عندنا كمفهوم ل ال
+
+180
+00:18:47,580 --> 00:18:48,800
+spherical aberration
+
+181
+00:19:30,210 --> 00:19:39,250
+بمعنى الزيوغ الكروي optical defect
+
+182
+00:19:39,250 --> 00:19:50,950
+انه مشكلة بصرية observed بتلاحظها ال
+
+183
+00:19:50,950 --> 00:19:55,610
+mirror او
+
+184
+00:19:55,610 --> 00:19:58,070
+ال lens
+
+185
+00:20:04,060 --> 00:20:10,940
+due to سببها
+
+186
+00:20:10,940 --> 00:20:18,160
+change of
+
+187
+00:20:18,160 --> 00:20:20,920
+refraction
+
+188
+00:20:25,210 --> 00:20:29,090
+وعن بين جثين ال physical refraction Spherical كروي
+
+189
+00:20:29,090 --> 00:20:33,090
+aberration زي وطبعا ال spherical aberration can be
+
+190
+00:20:33,090 --> 00:20:37,690
+classified in two types low order aberration high
+
+191
+00:20:37,690 --> 00:20:40,870
+order aberration what is the type of spherical
+
+192
+00:20:40,870 --> 00:20:45,130
+aberration low order aberration spherical
+
+193
+00:20:45,130 --> 00:20:48,350
+aberration can be classified in two types low
+
+194
+00:20:48,350 --> 00:20:51,680
+order aberration high order aberrationLow order
+
+195
+00:20:51,680 --> 00:20:55,340
+aberration ميوب هايبر متروب كيف ممكن أصلحه؟ for
+
+196
+00:20:55,340 --> 00:21:00,800
+glasses high order aberration بالنضارة أو العدسة
+
+197
+00:21:00,800 --> 00:21:05,940
+اللاسقة تصحيحه من خلال مين؟ ال surgery العملية ال
+
+198
+00:21:05,940 --> 00:21:12,940
+high order aberration اه لا يمكن ال high order
+
+199
+00:21:12,940 --> 00:21:15,700
+aberration you cannot correct by glasses or
+
+200
+00:21:15,700 --> 00:21:18,500
+contact lens only by surgery okay
+
+201
+00:21:21,640 --> 00:21:27,820
+مين مش فاهم؟ مش فاهمة؟ ال high order aberration
+
+202
+00:21:27,820 --> 00:21:31,900
+يعني الآن لو مريض عنده high order aberration سواء
+
+203
+00:21:31,900 --> 00:21:35,920
+الكومة او السيجما لو انا عملتله نضارة no
+
+204
+00:21:35,920 --> 00:21:40,260
+improvement contact lens no improvement اذا ايش
+
+205
+00:21:40,260 --> 00:21:44,160
+بستخدم؟ ال surgery سواء ال laser surgery or
+
+206
+00:21:44,160 --> 00:21:46,240
+refractive surgery okay؟
+
+207
+00:21:52,150 --> 00:21:57,650
+كتبتوها دي؟ اه اه كتبتوها؟
+
+208
+00:21:57,650 --> 00:22:12,150
+حاضر حاضر record
+
+209
+00:22:12,150 --> 00:22:18,710
+طب
+
+210
+00:22:18,710 --> 00:22:22,340
+إيش سبب الحين دي الأسباب؟ يعني إيش سبب المشكلة؟ال
+
+211
+00:22:22,340 --> 00:22:25,500
+spherical aberration، الآن أنا عندي ميوب أو
+
+212
+00:22:25,500 --> 00:22:29,960
+hypermetrop، احنا حكينا انه optical defect، انه
+
+213
+00:22:29,960 --> 00:22:34,900
+مشكلة بصرية، مين بلاحظها؟ ال lens أو ال contact
+
+214
+00:22:34,900 --> 00:22:39,850
+lens، sorry or ال mirror، okay؟ليش؟ طيب، نتيجة
+
+215
+00:22:39,850 --> 00:22:43,750
+تغير في ال refraction، يعني بمعنى أن الضوء بينتقل
+
+216
+00:22:43,750 --> 00:22:49,250
+من one medium ل medium آخر، زي بالظبط أنه بنتقل من
+
+217
+00:22:49,250 --> 00:22:55,570
+medium عالي ل medium أقل، من high medium .. طيب،
+
+218
+00:22:55,570 --> 00:22:59,050
+أه الميوب يعتبر ايه؟ low order aberration،
+
+219
+00:22:59,050 --> 00:23:03,090
+الhypermetrop low order aberration، الastigmatism
+
+220
+00:23:03,090 --> 00:23:06,830
+مثلا ال regular astigmatism يعتبر low order
+
+221
+00:23:06,830 --> 00:23:11,920
+aberrationالـ high order aberration زي مثلا ال
+
+222
+00:23:11,920 --> 00:23:14,620
+regular astigmatism شو تعريف ال irregular
+
+223
+00:23:14,620 --> 00:23:22,240
+astigmatism؟ مارو معنى؟ ال mixed astigmatism؟
+
+224
+00:23:22,240 --> 00:23:26,700
+بالظبط أو أقل ان one of the principle meridian are
+
+225
+00:23:26,700 --> 00:23:29,600
+not perpendicular to each other يعني واحد من
+
+226
+00:23:29,600 --> 00:23:33,320
+المحاور بيكونش عمودي على مين؟ على التاني فبدين
+
+227
+00:23:33,320 --> 00:23:39,030
+مين؟ ال irregular astigmatismفهذه مش ممكن أنه
+
+228
+00:23:39,030 --> 00:23:43,310
+يصلحوا بإيه؟ بنضارة، يعني ال irregular astigmatism
+
+229
+00:23:43,310 --> 00:23:47,190
+you can try by glasses or contact lens لكن إذا
+
+230
+00:23:47,190 --> 00:23:50,670
+ماوصلتش لنتيجة بحوله على مين ال high order
+
+231
+00:23:50,670 --> 00:23:51,430
+aberration
+
+232
+00:23:54,050 --> 00:23:59,270
+حاجة تقريبا عمرها سبعة و ستين سنة عاملة عملية
+
+233
+00:23:59,270 --> 00:24:03,310
+cataract بال left eye و عندها fibrosis تليف في
+
+234
+00:24:03,310 --> 00:24:07,790
+الشبكية طبعا عاملين هما الدكتور bleeding لها
+
+235
+00:24:07,790 --> 00:24:12,970
+الفيترياس sorry bleeding لها ال ال fibrosis للتليف
+
+236
+00:24:12,970 --> 00:24:16,750
+و عاملين لها عملية ال cataract الميال بيضا ال
+
+237
+00:24:16,750 --> 00:24:22,870
+visual acuity في ال left eye ستة على ستينOkay with
+
+238
+00:24:22,870 --> 00:24:28,150
+correction ستة على أربع وعشرين، يعني تقريبا مافيش
+
+239
+00:24:28,150 --> 00:24:31,290
+improvement أكتر من ستة على أربع وعشرين
+
+240
+00:24:35,140 --> 00:24:39,600
+What is your opinion؟ شو رأيك؟ فانا قلتله انه لازم
+
+241
+00:24:39,600 --> 00:24:43,280
+تنعملها صورة colonial topography قد يكون انه عندها
+
+242
+00:24:43,280 --> 00:24:47,180
+high order aberration انه .. انه السبب يعني بدها
+
+243
+00:24:47,180 --> 00:24:50,900
+ال surgery عشان انه يصل لعملية ايه improvement
+
+244
+00:24:50,900 --> 00:24:55,040
+ليش؟ لأنه عندها كمان ال retina الشبكية clear صافية
+
+245
+00:24:55,040 --> 00:24:59,460
+مافيش فيها مشكلة او الأمر التاني الاحتمال التاني
+
+246
+00:24:59,460 --> 00:25:04,150
+انه يصل لها صورة للشبكية لو كان في مثلا عندهاأكيد
+
+247
+00:25:04,150 --> 00:25:07,890
+مار عليكم ال liquid انه زي اللي هو tearing يعني
+
+248
+00:25:07,890 --> 00:25:12,810
+دموع انه أو ترشيحات بنسميها بالعربي في الشبكية
+
+249
+00:25:12,810 --> 00:25:19,370
+فواحدة من التنتين okay فعنا ال types of spherical
+
+250
+00:25:19,370 --> 00:25:20,050
+aberration
+
+251
+00:25:38,420 --> 00:25:46,360
+types of spherical
+
+252
+00:25:46,360 --> 00:25:50,340
+aberration
+
+253
+00:25:50,340 --> 00:25:57,060
+number
+
+254
+00:25:57,060 --> 00:26:04,180
+one low order aberration
+
+255
+00:26:13,090 --> 00:26:25,550
+like ميوب hyperpetrope
+
+256
+00:26:25,550 --> 00:26:33,150
+stigmatism number
+
+257
+00:26:33,150 --> 00:26:39,070
+two high order
+
+258
+00:26:46,310 --> 00:27:05,290
+Aberration طبعا هان can correct by glasses or
+
+259
+00:27:05,290 --> 00:27:14,500
+contact lens ال high order aberrationlike مثلا ال
+
+260
+00:27:14,500 --> 00:27:21,900
+regular stigmaism
+
+261
+00:27:21,900 --> 00:27:27,900
+و
+
+262
+00:27:27,900 --> 00:27:33,740
+بتحتاج لل surgery يعني
+
+263
+00:27:33,740 --> 00:27:35,640
+بمعنى عملية okay؟
+
+264
+00:27:39,130 --> 00:27:46,210
+هدول ال types of spherical aberration أنواعها
+
+265
+00:27:46,210 --> 00:27:54,370
+okay
+
+266
+00:27:54,370 --> 00:27:59,770
+done طيب
+
+267
+00:27:59,770 --> 00:28:04,270
+الآن number three من ال special difficulties
+
+268
+00:28:04,270 --> 00:28:09,500
+الرتنسكوبي ال silver shadowscissor shadow عبارة عن
+
+269
+00:28:09,500 --> 00:28:16,220
+حركة مقصية بمعنى ان واحد و نص لو الان كل عين زي ما
+
+270
+00:28:16,220 --> 00:28:20,100
+انتوا عارفين فيها two meridian horizontal و
+
+271
+00:28:20,100 --> 00:28:25,420
+vertical meridian ممكن يكون normal او يكون oblique
+
+272
+00:28:25,420 --> 00:28:30,940
+الان واحد و نص منهم بيكون حركته حركته مثلا with
+
+273
+00:28:30,940 --> 00:28:37,360
+والنص الآخر ايش بتكون against okayإذا الاتنين
+
+274
+00:28:37,360 --> 00:28:40,900
+بتحركوا، يعني مثلا لو فرضنا هذا meridian، هذا
+
+275
+00:28:40,900 --> 00:28:45,300
+meridian آخر، نصه بتحرك with و النص التاني إيش
+
+276
+00:28:45,300 --> 00:28:50,440
+بتحرك؟ again فهي بتعمل الحركة زي ال scissors، حركة
+
+277
+00:28:50,440 --> 00:28:55,800
+الامقص، يعني you can imagine for the shadow okay
+
+278
+00:28:55,800 --> 00:29:02,130
+in your eyeانه تخيلي زي كأنه مقص أمامك كيف بتحرك
+
+279
+00:29:02,130 --> 00:29:06,390
+الامقاص انه بتلاقي واحد و نص منهم بتحرك في نفس
+
+280
+00:29:06,390 --> 00:29:12,190
+الاتجاه و النص الآخر بتحرك باتجاه آخر فهذا بيسببلي
+
+281
+00:29:12,190 --> 00:29:17,530
+ال Caesar shadow يمكن أختنا خديجة شافة من بارح ال
+
+282
+00:29:17,530 --> 00:29:21,330
+Caesar shadow طبعا هي تعتبر special difficulties
+
+283
+00:29:21,330 --> 00:29:22,470
+ال retinoscopy
+
+284
+00:29:25,870 --> 00:29:30,330
+طبعا ال Caesar shadow في منه حالات انه ممكن بس بال
+
+285
+00:29:30,330 --> 00:29:34,230
+center لكن الحالة من بارح كانت في ال center و بال
+
+286
+00:29:34,230 --> 00:29:37,330
+peripheral يعني ممكن تسكري ال center لكن ال
+
+287
+00:29:37,330 --> 00:29:39,530
+peripheral ايه بظل فاتح
+
+288
+00:29:57,030 --> 00:30:00,890
+أو بيكون ال causes بتاعه ال regular astigmatism زي
+
+289
+00:30:00,890 --> 00:30:07,110
+ال keratoconus القرنية المخروطية number
+
+290
+00:30:07,110 --> 00:30:12,890
+three scissor
+
+291
+00:30:12,890 --> 00:30:16,470
+shadow
+
+292
+00:30:16,470 --> 00:30:20,250
+ال
+
+293
+00:30:20,250 --> 00:30:31,370
+causes أسبابه number onecorneal scar بمعنى نذبة في
+
+294
+00:30:31,370 --> 00:30:40,530
+القرانية number two keratoconus
+
+295
+00:30:40,530 --> 00:30:45,750
+قرانية المخروطية irregular
+
+296
+00:30:45,750 --> 00:30:49,790
+astigmatism
+
+297
+00:30:57,450 --> 00:31:03,770
+حكينا تعريف ال irregular astigmatism انه one of
+
+298
+00:31:03,770 --> 00:31:06,930
+the two principal meridian are not perpendicular
+
+299
+00:31:06,930 --> 00:31:12,130
+to each other يعني مايكونش عمودي على الآخر okay
+
+300
+00:31:12,130 --> 00:31:15,890
+number
+
+301
+00:31:15,890 --> 00:31:21,010
+four عندنا ال squinting eye زي مثلا الأطفال عندما
+
+302
+00:31:21,010 --> 00:31:22,650
+يكون عنده squint
+
+303
+00:31:27,150 --> 00:31:32,090
+للخارج هذا من الصعب انه ايه اعمله written score
+
+304
+00:31:32,090 --> 00:31:38,150
+okay الحالة الأخيرة ان ال stagmas الرأرقة في العين
+
+305
+00:31:38,150 --> 00:31:43,410
+انه بيكون عنده ايه movement of the eye اذا عندنا
+
+306
+00:31:43,410 --> 00:31:48,810
+number four misalignment
+
+307
+00:32:04,950 --> 00:32:16,250
+Squent number five mystagmus رقراء
+
+308
+00:32:16,250 --> 00:32:16,870
+في العين
+
+309
+00:32:22,020 --> 00:32:27,920
+توازن العنتين او عدم استقامة العنتين اللى بنسميه
+
+310
+00:32:27,920 --> 00:32:32,740
+squint حوله والاخيرة ان ال stagmas رقرت العين هذه
+
+311
+00:32:32,740 --> 00:32:38,120
+ال special difficulties الرتنسكوبى الصعوبات الخاصة
+
+312
+00:32:38,120 --> 00:32:45,420
+في جهاز الرتنسكوب اه تفضلي you need
+
+313
+00:32:45,420 --> 00:32:46,040
+practice
+
+314
+00:32:56,670 --> 00:33:05,700
+ماذا يمكنني فعله؟ ماذا يمكنني فعله؟أنا حكيت إنه in
+
+315
+00:33:05,700 --> 00:33:10,960
+my opinion إذا أي واحد عنده وقت فراش و عندك حالة
+
+316
+00:33:10,960 --> 00:33:14,760
+ممكن إنه تعرضيها عليا أو تشتغليها و أنا أكون موجود
+
+317
+00:33:14,760 --> 00:33:18,980
+و أنا في عندى ساعات مكتبية إذا سواء كان للمعمل أو
+
+318
+00:33:18,980 --> 00:33:23,980
+لال .. ال .. ال theory بس أنتوا لحد الآن مش واحدة
+
+319
+00:33:23,980 --> 00:33:24,220
+إجت
+
+320
+00:33:29,090 --> 00:33:33,610
+القرانية المخروطية اه ال .. ال keratoconus نتيجة
+
+321
+00:33:33,610 --> 00:33:37,290
+change لل curvature of the cornea نتيجة تغير
+
+322
+00:33:37,290 --> 00:33:42,530
+التحدب القرانية okay في الغالب ال keratoconus فيها
+
+323
+00:33:42,530 --> 00:33:46,210
+classification تصنيف mild, moderate, severe إذا
+
+324
+00:33:46,210 --> 00:33:51,020
+كان في حالة ال severeبتكون يعني ملهوش حل الا ازالة
+
+325
+00:33:51,020 --> 00:33:54,460
+او تغيير للقرانية لكن اذا كان في حالة ال mild او
+
+326
+00:33:54,460 --> 00:33:58,080
+ال moderate ممكن انه نستخدم معه glasses او contact
+
+327
+00:33:58,080 --> 00:34:02,780
+lens او عدسلاز خهار contact lens okay طيب من الشجة
+
+328
+00:34:02,780 --> 00:34:06,320
+هذه مين يحكي لل difficulties ال retinoscopy
+
+329
+00:34:06,320 --> 00:34:11,400
+special يعني اه special difficulties ال
+
+330
+00:34:11,400 --> 00:34:14,800
+retinoscopy number one يلا يا أمي
+
+331
+00:34:18,870 --> 00:34:28,590
+special difficulties ال retinoscopy نستاجموس
+
+332
+00:34:28,590 --> 00:34:32,830
+رأرات العين number two fainting of red reflex
+
+333
+00:34:32,830 --> 00:34:37,490
+causes ..الcauses للfainting of red reflex
+
+334
+00:34:51,370 --> 00:34:58,330
+بعد ال .. ان شاء الله و ال .. كورنيال اليوكوما و
+
+335
+00:34:58,330 --> 00:35:03,630
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+336
+00:35:03,630 --> 00:35:03,630
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+337
+00:35:03,630 --> 00:35:03,630
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+338
+00:35:03,630 --> 00:35:03,630
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+339
+00:35:03,630 --> 00:35:06,810
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+340
+00:35:06,810 --> 00:35:07,150
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+341
+00:35:07,150 --> 00:35:07,150
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+342
+00:35:07,150 --> 00:35:09,330
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+343
+00:35:09,330 --> 00:35:09,330
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+344
+00:35:09,330 --> 00:35:09,330
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+345
+00:35:09,330 --> 00:35:09,330
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+346
+00:35:09,330 --> 00:35:12,340
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. الالـ
+
+347
+00:35:12,340 --> 00:35:15,760
+high refractive error high ميوب او high بارمترود
+
+348
+00:35:15,760 --> 00:35:20,840
+okay another one اللي هو scissor shadow scissor
+
+349
+00:35:20,840 --> 00:35:24,360
+shadow okay variation of red reflex of the
+
+350
+00:35:24,360 --> 00:35:28,480
+different parts in the dilated pupil in the
+
+351
+00:35:28,480 --> 00:35:33,240
+dilated pupil يعني بمعنى variation اختلاف لل red
+
+352
+00:35:33,240 --> 00:35:38,640
+reflex during dilated ofبيوبل انه بيكون ال center
+
+353
+00:35:38,640 --> 00:35:45,260
+مثلا bright و ال peripheral بيكون faint okay طيب
+
+354
+00:35:45,260 --> 00:35:49,680
+ال special difficulties الرتنسكوبي الشجة هذه
+
+355
+00:35:49,680 --> 00:35:57,480
+number one يالا باي اختلف
+
+356
+00:35:57,480 --> 00:36:04,620
+في ال .. هو ال reflex of different part of
+
+357
+00:36:04,620 --> 00:36:10,760
+environment number twofainting of red reflex ال
+
+358
+00:36:10,760 --> 00:36:17,280
+causes fainting of red reflex ال
+
+359
+00:36:17,280 --> 00:36:21,200
+causes
+
+360
+00:36:21,200 --> 00:36:29,320
+ده ال ocular media number one
+
+361
+00:36:29,320 --> 00:36:37,060
+ال causes of ocular number two number three
+
+362
+00:36:38,830 --> 00:36:42,990
+نمبر 4 نمبر
+
+363
+00:36:42,990 --> 00:36:52,230
+5 نمبر
+
+364
+00:36:52,230 --> 00:36:53,230
+5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+365
+00:36:53,230 --> 00:36:55,290
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+366
+00:36:55,290 --> 00:36:56,350
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+367
+00:36:56,350 --> 00:36:56,350
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+368
+00:36:56,350 --> 00:36:56,350
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+369
+00:36:56,350 --> 00:36:56,410
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+370
+00:36:56,410 --> 00:36:56,450
+نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+371
+00:36:56,450 --> 00:36:59,770
+نمبر 5 نمبر 5 نمبر 5 نمبر 5
+
+372
+00:37:08,680 --> 00:37:22,280
+ماذا هو تعريف الـ spherical aberration؟
+
+373
+00:37:29,420 --> 00:37:35,320
+انه حالة بصرية بلاحظها مين انه observed بتحدث لل
+
+374
+00:37:35,320 --> 00:37:39,880
+lens او ال mirror نتيجة التغير في مين؟ في ال
+
+375
+00:37:39,880 --> 00:37:43,700
+reflection ال physical ولا ال clinical؟ ال
+
+376
+00:37:43,700 --> 00:37:49,340
+physical reflection ال high و ال low؟
+
+377
+00:37:49,340 --> 00:37:53,000
+classification of spherical aberration
+
+378
+00:38:03,850 --> 00:38:08,490
+ممتازة special difficulties of retinoscopy number
+
+379
+00:38:08,490 --> 00:38:19,370
+one of red reflex okay another one another one
+
+380
+00:38:27,820 --> 00:38:42,060
+Variation of Red Reflex in Dilated Pupil Special
+
+381
+00:38:42,060 --> 00:38:55,540
+Difficulties
+
+382
+00:38:55,540 --> 00:38:56,400
+in Retinoscopy
+
+383
+00:39:05,900 --> 00:39:12,560
+بمعنى بهاد أو عدم وضوح ال red reflex causes
+
+384
+00:39:12,560 --> 00:39:19,690
+أسبابهاوباك للـ ocular media إذا أول سبب يبرق أنه
+
+385
+00:39:19,690 --> 00:39:23,350
+fainting لل red reflex أنه عدم وضوح ال red reflex
+
+386
+00:39:23,350 --> 00:39:29,350
+شو أسبابها؟ وباك لل ocular media وباك بمعنى عدم
+
+387
+00:39:29,350 --> 00:39:36,230
+وضوح عكس أو عتامة لل ocular media طبعا هي opposite
+
+388
+00:39:36,230 --> 00:39:42,400
+لمن؟ لل transparent وباك لل ocular mediaزي مثلا ال
+
+389
+00:39:42,400 --> 00:39:46,880
+Cornial Iliocoma Cornial Iliocoma بمعنى white
+
+390
+00:39:46,880 --> 00:39:53,420
+opacities of the cornea number two blood in
+
+391
+00:39:53,420 --> 00:39:59,300
+anterior chamber like hyphema number three lens
+
+392
+00:39:59,300 --> 00:40:04,420
+opacities عتمة في العدسة like immature cataract
+
+393
+00:40:04,420 --> 00:40:10,520
+عدم نفوج العدسةيعني بمعنى انه عنده مياه بيظلكن مش
+
+394
+00:40:10,520 --> 00:40:14,920
+ناضجة okay لان في أنواع للكتلاج ممكن تكون immature
+
+395
+00:40:14,920 --> 00:40:20,360
+غير ناضجة ممكن تكون mature وhyper mature okay
+
+396
+00:40:20,360 --> 00:40:27,080
+vitreous bleeding انه يعني إزالة لل vitreous يعني
+
+397
+00:40:27,080 --> 00:40:31,310
+واحد يقولك مثلا bleeding بمعنى removalهذه كتير
+
+398
+00:40:31,310 --> 00:40:35,630
+بنستخدمها في العيادات واحد بيقولك انه عمل retinal
+
+399
+00:40:35,630 --> 00:40:40,850
+bleeding bleeding بمعنى removal okay mild vitreous
+
+400
+00:40:40,850 --> 00:40:45,210
+hemorrhage أي بمعنى نزيف في ال vitreous لكن إيه
+
+401
+00:40:45,210 --> 00:40:51,130
+شماله؟ خفيف retinal detachment انفصال في الشبكية
+
+402
+00:40:51,130 --> 00:40:57,890
+very high refractive error like high myopic or
+
+403
+00:40:57,890 --> 00:40:59,310
+hyper metropic okay
+
+404
+00:41:09,770 --> 00:41:15,430
+الجلوكومة لها علاقة في موضوع ال intraocular
+
+405
+00:41:15,430 --> 00:41:20,650
+pressure انه زيادة او نقصان في ضغط العين
+
+406
+00:41:49,650 --> 00:41:54,350
+Vitreous hemorrhage طبعا هذه الصورة مش mild، هي
+
+407
+00:41:54,350 --> 00:41:56,170
+تعتبر moderate أو severe
+
+408
+00:42:05,460 --> 00:42:10,120
+retinal detachment انفصال في الشبكية separation
+
+409
+00:42:10,120 --> 00:42:13,920
+between the retinal pigment epithelium and
+
+410
+00:42:13,920 --> 00:42:18,640
+photoreceptorvariation of red reflex in different
+
+411
+00:42:18,640 --> 00:42:20,940
+parts of the dilated pupil
+
+412
+00:42:33,880 --> 00:42:38,020
+the central part being different from the
+
+413
+00:42:38,020 --> 00:42:43,140
+periphery انه بيكون الجزء المركزي مختلف عن مين ال
+
+414
+00:42:43,140 --> 00:42:47,660
+periphery يعني بمعنى انه ال center بيكون bright و
+
+415
+00:42:47,660 --> 00:42:50,220
+ال peripheral اش بيكون انه faint
+
+416
+00:42:57,070 --> 00:43:03,830
+الاختلاف هذا بيبرز من خلال توصيع مين البؤبؤ كلمة
+
+417
+00:43:03,830 --> 00:43:11,050
+accentuated بمعنى إبراز أو تبرز أو تظهر خلال توصيع
+
+418
+00:43:11,050 --> 00:43:16,370
+مين البؤبؤ this
+
+419
+00:43:16,370 --> 00:43:21,390
+is due to spherical aberrations نتيجة زيوغ كراوي
+
+420
+00:43:22,330 --> 00:43:27,070
+Tense بمتد to cause an increase in the brightness
+
+421
+00:43:27,070 --> 00:43:30,550
+of the center or the periphery of the pupil
+
+422
+00:43:30,550 --> 00:43:34,390
+depending on whether the aberrations are negative
+
+423
+00:43:34,390 --> 00:43:39,370
+in hypermetrop or positive in myopic يعني ممكن ان
+
+424
+00:43:39,370 --> 00:43:43,070
+يكون كمان ال spherical aberration positive او يكون
+
+425
+00:43:43,070 --> 00:43:47,310
+negative طبعا دايما ال positive هو virtual تخيلة
+
+426
+00:43:47,310 --> 00:43:52,720
+مش موجودعلى يعني أرض الواقع بمعنى أنه الآن بيمر ال
+
+427
+00:43:52,720 --> 00:43:57,380
+light rays لكن بتجمع بإيه؟ ب line، بخط لكن في ال
+
+428
+00:43:57,380 --> 00:44:01,100
+.. في ال negative aberration بتجمع بنقطة واحدة بعد
+
+429
+00:44:01,100 --> 00:44:05,580
+ما يمرمين من ال optical system أي بمعنى النظام
+
+430
+00:44:05,580 --> 00:44:12,160
+البصري سواء كانت lens أو mirror okay negative
+
+431
+00:44:12,160 --> 00:44:15,160
+aberration what is the difference between the
+
+432
+00:44:15,160 --> 00:44:19,950
+negative and positive aberrationبمعنى الزيوغ ال
+
+433
+00:44:19,950 --> 00:44:24,370
+plus أو ال minus ال negative aberration بيكون
+
+434
+00:44:24,370 --> 00:44:29,730
+الأطراف فين لكن ال center ايش بيكون shine, shine
+
+435
+00:44:29,730 --> 00:44:35,290
+بمعنى مضيق ال positive aberration ال periphery is
+
+436
+00:44:35,290 --> 00:44:40,750
+shiny and the center is فين أي بمعنى الأطراف بتكون
+
+437
+00:44:40,750 --> 00:44:47,290
+مضيقة و ال center بتكون فين this is virtualيعني
+
+438
+00:44:47,290 --> 00:44:52,690
+هذا مش ممكن تشوفيه على يعني أمر ايه انه موجود هذا
+
+439
+00:44:52,690 --> 00:44:59,290
+تخيلي okay أهم شيء في ال spherical aberration ال
+
+440
+00:44:59,290 --> 00:45:02,910
+definition of aberration or spherical aberration
+
+441
+00:45:02,910 --> 00:45:07,550
+and classification of spherical aberration انه
+
+442
+00:45:07,550 --> 00:45:11,890
+كتصنيف ل ال spherical aberration ممكن
+
+443
+00:45:17,140 --> 00:45:20,780
+إذا عندنا ال positive spherical aberration ان ال
+
+444
+00:45:20,780 --> 00:45:24,980
+light rays كله تجمع بإيه؟ blind وهذا يعتبر virtual
+
+445
+00:45:24,980 --> 00:45:30,840
+يعني مش ممكن انه تطبيقه okay ال negative spherical
+
+446
+00:45:30,840 --> 00:45:35,300
+aberration كل ال light rays تجمع بنقطة واحدة انه
+
+447
+00:45:35,300 --> 00:45:41,240
+one point okay ال spherical ال positive spherical
+
+448
+00:45:41,240 --> 00:45:47,360
+aberration انه كله بتجمع blind خط okayهذا بالنسبة
+
+449
+00:45:47,360 --> 00:45:50,360
+لها ال positive spherical aberration، ال negative
+
+450
+00:45:50,360 --> 00:45:54,800
+spherical aberration بتجمع بنقطة، ب one point ال
+
+451
+00:45:54,800 --> 00:45:57,600
+negative بتعامل زي ال astigmatism، في واحد على
+
+452
+00:45:57,600 --> 00:46:02,200
+تقريتنا و واحد على تقريتنا، صح؟ ال line، أنا بدأها
+
+453
+00:46:02,200 --> 00:46:06,440
+المنطقة هذهالـ negative spherical aberration one
+
+454
+00:46:06,440 --> 00:46:10,220
+point ان كله كأنه بتجمع على الشبكات لكن هان هو
+
+455
+00:46:10,220 --> 00:46:15,440
+عدسة يعني الآن لو هانا بدنا نطبقه انه عبارة عن
+
+456
+00:46:15,440 --> 00:46:20,280
+light rays أمامه optical state سواء mirror أو lens
+
+457
+00:46:20,280 --> 00:46:24,820
+وكل الأشعة إذا كانت minus spherical aberration كل
+
+458
+00:46:24,820 --> 00:46:29,270
+الأشعة هتتجمع في نقطة واحدةلكن في ال positive
+
+459
+00:46:29,270 --> 00:46:33,710
+spherical aberration هو يعتبر تخيلة، virtual، okay
+
+460
+00:46:33,710 --> 00:46:42,710
+فكلها بتتجمع عبارة عن line خط طبعا
+
+461
+00:46:42,710 --> 00:46:46,110
+هذه تعتبر positive ولا negative؟ spherical
+
+462
+00:46:46,110 --> 00:46:49,590
+aberration؟ لأ positive positive ليش؟ لأن في
+
+463
+00:46:49,590 --> 00:46:54,190
+الانجلة تتصف انه عبارة عن ايه؟ line واحد إذا هذه
+
+464
+00:46:54,190 --> 00:46:56,690
+positive ولا negative؟ spherical aberration
+
+465
+00:46:57,530 --> 00:47:02,090
+Positive لأن كله تجمع بعد ال optical state في line
+
+466
+00:47:02,090 --> 00:47:07,310
+واحد okay؟عنا
+
+467
+00:47:07,310 --> 00:47:13,450
+ال scissor shadow أي الحركة المقصية when a mix
+
+468
+00:47:13,450 --> 00:47:21,690
+aberrations بمعنى يما يكون الزيوغ منزمج يعني بمعنى
+
+469
+00:47:21,690 --> 00:47:21,810
+فيه
+
+470
+00:47:36,530 --> 00:47:40,910
+بمعنى ان واحد و نص فيهم بتحرك with او بتحرك
+
+471
+00:47:40,910 --> 00:47:45,820
+against وال half التاني ايش بتحرك عكسهيعني الان
+
+472
+00:47:45,820 --> 00:47:49,860
+واحد و نص منهم اتحرك نفس الحركة و ال half الآخر
+
+473
+00:47:49,860 --> 00:47:56,740
+اتحرك حركة another direction two band reflexes
+
+474
+00:47:56,740 --> 00:48:01,140
+appear which move toward and away from each other
+
+475
+00:48:01,140 --> 00:48:07,460
+like the blades of scissors زي حركة مين؟ المقص انه
+
+476
+00:48:07,460 --> 00:48:11,200
+الجزئين بتاعون ال parts of scissors اللي هو
+
+477
+00:48:11,200 --> 00:48:13,200
+الجزئين بتاعون المقص
+
+478
+00:48:16,190 --> 00:48:21,670
+The optics الظاهرة أو دايما ال retinascope له
+
+479
+00:48:21,670 --> 00:48:27,710
+optics بمعنى أنه يما بتجمع الضوء كيف بنشوف ال red
+
+480
+00:48:27,710 --> 00:48:31,810
+reflex وبعدين بنعكس لل patient من ال patient I لل
+
+481
+00:48:31,810 --> 00:48:35,570
+examiner I فكلمة optics يعني شو المبدأ أو ال
+
+482
+00:48:35,570 --> 00:48:40,190
+principle بتاعه okay؟the optics of the phenomenon
+
+483
+00:48:40,190 --> 00:48:45,690
+أي بمعنى الأساس لهذه الظاهرة where in one of the
+
+484
+00:48:45,690 --> 00:48:49,730
+aberration is relatively myopic and the other
+
+485
+00:48:49,730 --> 00:48:52,810
+hypermetropic اللي احنا بنسميه ال mixed
+
+486
+00:48:52,810 --> 00:48:57,390
+astigmatism يعني الظاهرة تحت ال scissor shadow
+
+487
+00:48:57,390 --> 00:49:03,250
+معتمدة عالميا على ال mixed astigmatismبمعنى one of
+
+488
+00:49:03,250 --> 00:49:05,790
+the principal meridian focus in front of the
+
+489
+00:49:05,790 --> 00:49:09,530
+retina والتاني وين behind the retina يعني واحد
+
+490
+00:49:09,530 --> 00:49:14,450
+ميوب وواحد hypermetron عشان هيك واحدة من الحركة
+
+491
+00:49:14,450 --> 00:49:21,190
+حركة و نص with or against و another half ايش بده
+
+492
+00:49:21,190 --> 00:49:24,010
+يكون opposite direction عكس الحركة
+
+493
+00:49:27,520 --> 00:49:31,640
+إذا ال scissor shadow دايما بيكون مرتبط في مين؟ في
+
+494
+00:49:31,640 --> 00:49:34,860
+ال mix، a stigmatism إن one of the principal
+
+495
+00:49:34,860 --> 00:49:38,880
+meridian focus behind the retina and another one
+
+496
+00:49:38,880 --> 00:49:44,340
+focus in front of the retina فكيف
+
+497
+00:49:44,340 --> 00:49:48,920
+يتقلب الهاد الظاهرة و لما يكون على نحوه مثل
+
+498
+00:49:48,920 --> 00:49:54,720
+الفاتحة يكون والد و النحو التالي يكون أجلس؟
+
+499
+00:49:59,780 --> 00:50:05,380
+عما يكون one meridian with the rule and another
+
+500
+00:50:05,380 --> 00:50:09,120
+meridian against the rule، هذه بيكون عند المريض
+
+501
+00:50:09,120 --> 00:50:13,340
+ايه؟ Astigmatism، لكن ممكن يكون .. ممكن يكون
+
+502
+00:50:13,340 --> 00:50:17,560
+regular astigmatism بمعنى ان two principal
+
+503
+00:50:17,560 --> 00:50:21,000
+meridian are perpendicular to each other، يعني
+
+504
+00:50:21,000 --> 00:50:27,460
+عموديين على بعض، okay؟هذا بيكون mixed astigmatism
+
+505
+00:50:27,460 --> 00:50:32,860
+يعني واحد جابلي الشبكية والتاني خالفي الشبكية okay
+
+506
+00:50:32,860 --> 00:50:36,220
+يعني one of the principal meridian focus behind
+
+507
+00:50:36,220 --> 00:50:39,660
+the retina and another one in front the retina لو
+
+508
+00:50:39,660 --> 00:50:43,720
+بتذكر ياخدنا ال types of astigmatism واحد منهم ال
+
+509
+00:50:43,720 --> 00:50:47,760
+mixed astigmatism اللي انت بتحكي عنه هو ال simple
+
+510
+00:50:47,760 --> 00:50:51,360
+سواء hypermetropic او myopic astigmatism
+
+511
+00:50:54,640 --> 00:50:58,460
+هتشوف أنه زي السماء اللي مدعس حرب السماء؟ هي ال ..
+
+512
+00:50:58,460 --> 00:51:02,160
+ال .. تسألوا السؤال مش عن ال scissor shadow الفرق
+
+513
+00:51:02,160 --> 00:51:05,740
+ما بين ال regular و ال irregular astigmatism بمعنى
+
+514
+00:51:05,740 --> 00:51:09,120
+شو الفرق ما بين ال regular و ال mixed astigmatism؟
+
+515
+00:51:09,120 --> 00:51:13,700
+صح؟
+
+516
+00:51:13,700 --> 00:51:17,740
+زي ما اتفقنا أنه ال scissor shadow present in
+
+517
+00:51:17,740 --> 00:51:22,100
+corneal scar, corneal scar بمعنى ندبة في القرنية
+
+518
+00:51:23,080 --> 00:51:27,200
+دايما بتعرفوا ان ال characteristics للقرانية ان هي
+
+519
+00:51:27,200 --> 00:51:31,600
+transparent طبيعتها شفافة فالان لو بتعرض المريض
+
+520
+00:51:31,600 --> 00:51:37,280
+لاقت روما ضربة بصير opaque او مثلا بصير ندبة في
+
+521
+00:51:37,280 --> 00:51:41,300
+القرانية هذه سببها ايش الندبة اللي في القرانية؟
+
+522
+00:51:41,300 --> 00:51:46,410
+نتيجة انهبتصبح ان ال connective tissue مابصيرلهاش
+
+523
+00:51:46,410 --> 00:51:50,770
+عملية ايش؟ regeneration فبصير اللي هو زي necrosis
+
+524
+00:51:50,770 --> 00:51:59,250
+انه بتموت الخلايا هذه فبتعمل زي ندبة ال regular
+
+525
+00:51:59,250 --> 00:52:03,930
+astigmatism like keratoconus طبعا هانتكلمنا فيها
+
+526
+00:52:03,930 --> 00:52:09,050
+ان القرانية المخروطية انه تغير في مين؟ في تحدب
+
+527
+00:52:09,050 --> 00:52:14,800
+القرانيةو برضه بديني shadow ال .. ال .. ال
+
+528
+00:52:14,800 --> 00:52:18,480
+squinting children or strabismus or deviation
+
+529
+00:52:18,480 --> 00:52:22,120
+children طبعا هذه في حالات اللي هو ال misalignment
+
+530
+00:52:22,120 --> 00:52:29,420
+of the eye و أخر حاجة ال nystagmus corneal scar
+
+531
+00:52:29,420 --> 00:52:35,980
+نبأ في القرنية انه بيكون بالنسبة للمنطقة المضيقة
+
+532
+00:52:35,980 --> 00:52:42,230
+زي كأنه نبأ في القرنيةفي داخل القرانية، يعني
+
+533
+00:52:42,230 --> 00:52:46,350
+مابسلط .. أكيد اذا شغلته على الستلام، يعني مابركز
+
+534
+00:52:46,350 --> 00:52:51,410
+عليها بيحس زي فيه انه كأنه activity، انه زي كأنه
+
+535
+00:52:51,410 --> 00:52:55,910
+ندبة في هالقرانية، okay؟ زي الندبة اللي مرة اتلوح
+
+536
+00:52:55,910 --> 00:53:02,110
+مثلابصير healing شفاء له فبصير ايه؟ زي بتعلم احنا
+
+537
+00:53:02,110 --> 00:53:06,350
+بنقول عنها فهذه عبارة عن ال corneal scar ليش بيصير
+
+538
+00:53:06,350 --> 00:53:09,230
+ال corneal scar؟ لأن ال cornea طبيعتها ايه؟
+
+539
+00:53:09,230 --> 00:53:15,070
+transparent شفافة keratoconus القرنية المخروطية
+
+540
+00:53:15,070 --> 00:53:21,570
+تان شايفين هان ال normal؟ لما تكون normal بيكون ال
+
+541
+00:53:21,570 --> 00:53:21,790
+..
+
+542
+00:53:26,430 --> 00:53:31,630
+matoconus بتكون protrusion يعني زي نتوق انه بارزة
+
+543
+00:53:31,630 --> 00:53:36,150
+okay misalignment
+
+544
+00:53:36,150 --> 00:53:42,030
+of the eye زي الطفل هذا انه عنده misalignment في
+
+545
+00:53:42,030 --> 00:53:51,170
+ال eye عبارة عن ال squint الحوالي طيب ال
+
+546
+00:53:51,170 --> 00:53:55,900
+subjective verification for refractionفي حالة ال
+
+547
+00:53:55,900 --> 00:53:59,900
+subjective verification for refraction بداية بدنا
+
+548
+00:53:59,900 --> 00:54:04,440
+نفهم الآن ال subjective يمكن احنا أخدنا ال
+
+549
+00:54:04,440 --> 00:54:08,400
+definition لل subjective refraction او ال
+
+550
+00:54:08,400 --> 00:54:14,260
+subjective method نعمل refinement او verification
+
+551
+00:54:14,260 --> 00:54:18,640
+ل ..
+
+552
+00:54:18,640 --> 00:54:23,560
+نعمل verification لمن؟ لل refractive error
+
+553
+00:54:26,590 --> 00:54:29,990
+باستمارة انه نحدد جديش ال objective method to
+
+554
+00:54:29,990 --> 00:54:34,150
+obtain the best vision okay with the response from
+
+555
+00:54:34,150 --> 00:54:38,750
+the patient الان لو اجانب مثلا مريض في ال written
+
+556
+00:54:38,750 --> 00:54:48,610
+scope plus مثلا تلاتة و plus اتنين دين ال final
+
+557
+00:54:48,610 --> 00:54:49,710
+objective refraction
+
+558
+00:54:59,350 --> 00:55:13,170
+عشان كده؟ كده؟ كده؟ كده؟ كده؟ كده؟ كده؟ كده؟
+
+559
+00:55:13,170 --> 00:55:20,330
+كده؟ كده؟
+
+560
+00:55:20,330 --> 00:55:20,330
+كده؟
+
+561
+00:55:40,080 --> 00:55:45,240
+طيب، الآن هذه عبارة عن مين؟ الـ Final Objective
+
+562
+00:55:45,240 --> 00:55:46,180
+Refraction
+
+563
+00:55:48,990 --> 00:55:53,870
+هذه عبارة عن ال final objective refraction طيب هل
+
+564
+00:55:53,870 --> 00:55:58,790
+هذه الوصفة هي ال final prescription أي بمعنى
+
+565
+00:55:58,790 --> 00:56:04,830
+الوصفة النهائية اللي تديها للمريض؟ فبدنا نعمل ايه؟
+
+566
+00:56:04,830 --> 00:56:08,950
+verification verification بمعنى refinement تأكيد
+
+567
+00:56:08,950 --> 00:56:14,790
+تأكيد لو refractive error الوصفة هذه إيش كانت؟
+
+568
+00:56:16,010 --> 00:56:22,490
+الوصفة هذي إيش؟ هذي عبارة عن plus ولا cylinder؟
+
+569
+00:56:22,490 --> 00:56:28,510
+plus زي ال cylinder صح؟ يعني .. يعني تعتبر سفيره
+
+570
+00:56:28,510 --> 00:56:35,030
+cylinder لكن لو أخدنا مثلا وصفة
+
+571
+00:56:35,030 --> 00:56:40,010
+بالشكل هذي plus 3 تعمليها
+
+572
+00:56:40,010 --> 00:56:43,410
+ال .. ال final objective refraction
+
+573
+00:56:56,260 --> 00:57:03,600
+هتطلع السفير يعني هي plus plus plus plus plus plus
+
+574
+00:57:03,600 --> 00:57:05,740
+plus plus plus plus plus plus plus plus plus plus
+
+575
+00:57:05,740 --> 00:57:05,740
+plus plus plus plus plus plus plus plus plus plus
+
+576
+00:57:05,740 --> 00:57:05,740
+plus plus plus plus plus plus plus plus plus plus
+
+577
+00:57:05,740 --> 00:57:05,740
+plus plus plus plus plus plus plus plus plus plus
+
+578
+00:57:05,740 --> 00:57:06,080
+plus plus plus plus plus plus plus plus plus plus
+
+579
+00:57:06,080 --> 00:57:08,060
+plus plus plus plus plus plus plus plus plus plus
+
+580
+00:57:08,060 --> 00:57:08,080
+plus plus plus plus plus plus plus plus plus plus
+
+581
+00:57:08,080 --> 00:57:08,080
+plus plus plus plus plus plus plus plus plus plus
+
+582
+00:57:08,080 --> 00:57:11,300
+plus plus plus plus plus plus plus plus plus plus
+
+583
+00:57:11,300 --> 00:57:11,340
+plus plus plus plus plus plus plus plus plus plus
+
+584
+00:57:11,340 --> 00:57:11,360
+plus plus plus plus plus plus plus plus plus plus
+
+585
+00:57:11,360 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+586
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+587
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+588
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+589
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+590
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+591
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+592
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+593
+00:57:11,900 --> 00:57:11,900
+plus plus plus plus plus plus plus plus plus plus
+
+594
+00:57:11,900 --> 00:57:15,820
+plus plus plus plus
+
+595
+00:57:15,820 --> 00:57:21,270
+plus plus plusهذه عبارة عن مين؟ الاسفير يعني هذه
+
+596
+00:57:21,270 --> 00:57:24,970
+وصفة ال final objective refraction بالنسبة للاسفير
+
+597
+00:57:24,970 --> 00:57:30,130
+الآن هذه انا مابقدرش اديها بشكل direct مباشر لمين؟
+
+598
+00:57:30,130 --> 00:57:35,390
+للمريض لازم اعمل عملية verification or refinement
+
+599
+00:57:35,390 --> 00:57:42,000
+تأكيد لمين؟ للوصفة التاعتى فأول فحص بعملهمن خلال
+
+600
+00:57:42,000 --> 00:57:46,920
+ال refinement or verification for spherical power
+
+601
+00:57:46,920 --> 00:57:54,040
+عندنا الديو كروم test ديو كروم test بمعنى انه
+
+602
+00:57:54,040 --> 00:58:00,600
+الألوان انه فحص مش ال color vision لأ في عندنا
+
+603
+00:58:00,600 --> 00:58:07,580
+slide slide بمعنى لوحة أو مثلا شريحة بشكل هذه فيها
+
+604
+00:58:07,580 --> 00:58:13,130
+red و greenبكون red color و green color بتعتمد ال
+
+605
+00:58:13,130 --> 00:58:16,810
+principle تاعة على مبدأ ايه؟ ال chromatic
+
+606
+00:58:16,810 --> 00:58:23,550
+aberration بمعنى الزيوغ اللوني طبعا ال chromatic
+
+607
+00:58:23,550 --> 00:58:30,230
+aberration بتكون من red, orange, yellow, green,
+
+608
+00:58:30,530 --> 00:58:34,770
+blue, indigo, violet صح؟
+
+609
+00:58:37,980 --> 00:58:46,740
+ايش يعتبر high wavelength؟ ال green color يعتبر
+
+610
+00:58:46,740 --> 00:58:51,960
+less than compared to less wavelength compared to
+
+611
+00:58:51,960 --> 00:58:57,580
+red color ال yellow ايش يعتبر مدرت مابين ال green
+
+612
+00:58:57,580 --> 00:59:04,280
+و مابين ال red color الان في عندنا مصطلح ال
+
+613
+00:59:04,280 --> 00:59:08,750
+refractive index معامل الانكسارالـ Refractive
+
+614
+00:59:08,750 --> 00:59:13,570
+Index الـ Speed of Light in Vacuum على الـ Speed
+
+615
+00:59:13,570 --> 00:59:20,790
+of Light in Material فالان المبدأ بتاع الديو-كروم
+
+616
+00:59:20,790 --> 00:59:25,110
+تيست Electronic Aberration Electronic Aberration
+
+617
+00:59:25,110 --> 00:59:28,930
+هذه من وين جاءت؟ من Electronic Dispersion
+
+618
+00:59:28,930 --> 00:59:35,860
+Electronic Dispersion بمعنى التشتت اللونيالان
+
+619
+00:59:35,860 --> 00:59:41,200
+عندما يكون الإنسان إمتراب عندنا رد، أورنج، يالو،
+
+620
+00:59:41,200 --> 00:59:50,520
+جرين، بلو، انديجو، فيولد، هاد يحفظوها رجيب رجيب
+
+621
+00:59:50,520 --> 00:59:56,980
+okay
+
+622
+00:59:56,980 --> 01:00:04,330
+الان عندما يكون عنده رجيبred orange you know عشان
+
+623
+01:00:04,330 --> 01:00:11,170
+ما تنسيها يعني انه لو انت مثلا نسيتيها المصطلح هذا
+
+624
+01:00:11,170 --> 01:00:18,430
+بيحفظك إياها الان يما يكون واحد in the group ال
+
+625
+01:00:18,430 --> 01:00:25,550
+red color وين هيتركز؟ focus on the retina or in
+
+626
+01:00:25,550 --> 01:00:29,390
+front of the retina or behind the retina behind
+
+627
+01:00:29,390 --> 01:00:30,610
+the retina why؟
+
+628
+01:00:36,170 --> 01:00:41,010
+الان في حالة ال red color، يما يكون اللون أحمر،
+
+629
+01:00:41,010 --> 01:00:45,990
+بدها تجاوب، هنخلص الفصل و نقول نفس الكلمة الان في
+
+630
+01:00:45,990 --> 01:00:49,970
+ال red color اللون الأحمر، يما يكون إمتراوب
+
+631
+01:00:49,970 --> 01:00:54,670
+patient أو إمتراوب condition ال red color وين
+
+632
+01:00:54,670 --> 01:01:00,410
+بتركز؟ in front or behind or in the retina؟ behind
+
+633
+01:01:00,410 --> 01:01:02,490
+the retina why؟
+
+634
+01:01:06,280 --> 01:01:11,340
+بالظبط لأنه في عنده long wavelength يعني هان ال
+
+635
+01:01:11,340 --> 01:01:17,860
+red color يعتبر ايه؟ أطول ال .. أطول ال .. أطول ال
+
+636
+01:01:17,860 --> 01:01:18,180
+.. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+637
+01:01:18,180 --> 01:01:18,200
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+638
+01:01:18,200 --> 01:01:18,200
+ال .. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+639
+01:01:18,200 --> 01:01:18,340
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+640
+01:01:18,340 --> 01:01:18,440
+ال .. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+641
+01:01:18,440 --> 01:01:18,680
+أطول ال .. أطول ال .. أطول ال .. أطول ال .. أطول
+
+642
+01:01:18,680 --> 01:01:18,680
+ال .. أطول ال .. أطول ال .. أطول ال .. أطول ال ..
+
+643
+01:01:18,680 --> 01:01:24,140
+أطول ال .. أطول ال .. أطول
+
+644
+01:01:24,140 --> 01:01:30,860
+ال .. أطول ال .. أطول ال .. أط
+
+645
+01:01:32,420 --> 01:01:38,020
+إذا ال red color وين هيتركز؟ خلف الشبكية إذا
+
+646
+01:01:38,020 --> 01:01:42,540
+behind the retina طيب بالنسبة لل yellow in front,
+
+647
+01:01:42,980 --> 01:01:48,900
+behind or on the retina؟ فضلين on the retina why؟
+
+648
+01:01:48,900 --> 01:01:54,780
+بالظبط إذا هو هيكون on the retina طيب لو أخدنا ال
+
+649
+01:01:54,780 --> 01:02:01,290
+green color وين؟ okay yeah sameإنه نفس ال yellow
+
+650
+01:02:01,290 --> 01:02:05,090
+هو يعتبر، إذا ال green color وين هيتركز؟ in front
+
+651
+01:02:05,090 --> 01:02:15,510
+the retina طيب، الآن ال green color in front the
+
+652
+01:02:15,510 --> 01:02:23,010
+retina، ال green color أو ال green color و ال blue
+
+653
+01:02:23,010 --> 01:02:25,950
+color نفس الطول الموجي بتاعهم
+
+654
+01:02:28,850 --> 01:02:34,010
+الان احنا من ناحية ال diagram test ال slide بتاعنا
+
+655
+01:02:34,010 --> 01:02:37,910
+اما بيكون red او green لكن انتوا أخدتوها في ال
+
+656
+01:02:37,910 --> 01:02:41,570
+geometrical optics أخدتوا ال blue لكن ال blue و ال
+
+657
+01:02:41,570 --> 01:02:46,090
+green هم يعتبروا مقاربين من ناحية ال wavelength
+
+658
+01:02:46,090 --> 01:02:50,810
+okay دايما you must to listen and then you can
+
+659
+01:02:50,810 --> 01:02:54,900
+give for commentالـ green و ال blue قريبين من بعض
+
+660
+01:02:54,900 --> 01:02:58,560
+من ناحية ال wavelength فالان ال blue color وين
+
+661
+01:02:58,560 --> 01:03:01,720
+بتجمع in front of the retina ال green color in
+
+662
+01:03:01,720 --> 01:03:04,480
+front of the retina انا عندى في ال diachrome test
+
+663
+01:03:04,480 --> 01:03:08,240
+مافيش blue color عندى green color red green slide
+
+664
+01:03:08,240 --> 01:03:14,480
+okay فهيتجمع وين in front of the retina okay الان
+
+665
+01:03:14,480 --> 01:03:18,540
+في حالة يما يكون عندى patient ميوب انه ميوب
+
+666
+01:03:18,540 --> 01:03:28,670
+patient whatDo you suspect for the patient يما
+
+667
+01:03:28,670 --> 01:03:34,490
+يكون مريض لحظة يما يكون مريض ميوب عنده قصر النظر
+
+668
+01:03:34,490 --> 01:03:40,150
+ايش بتتوقع يكون التوزيع للألوان ال red و ال green
+
+669
+01:03:40,150 --> 01:03:47,910
+و ال yellow ال red وين هيتركز في حالة الميوب اه
+
+670
+01:03:47,910 --> 01:03:48,290
+تفضلي
+
+671
+01:03:58,770 --> 01:04:07,710
+Okay another answer on the retina why؟ لأنه الآن
+
+672
+01:04:07,710 --> 01:04:12,390
+ال light rays وين هيتركز في حالة الميوب in front
+
+673
+01:04:12,390 --> 01:04:17,750
+the retina إذا ال red color وين هيتركز بها on the
+
+674
+01:04:17,750 --> 01:04:22,440
+retina في حالة الميوب في حالة ال hypermetropال
+
+675
+01:04:22,440 --> 01:04:26,160
+green color وين هيتركز or ال blue color؟ on the
+
+676
+01:04:26,160 --> 01:04:35,460
+retina صح؟ طيب لو انفرضنا عند patient ميوب نستخدم
+
+677
+01:04:35,460 --> 01:04:41,490
+معاه إيش؟ minus ولا plus؟minus length okay لو
+
+678
+01:04:41,490 --> 01:04:45,550
+فرضنا انه خلناه artificially hyper metroid شو
+
+679
+01:04:45,550 --> 01:04:49,250
+معناه artificially hyper metroid؟ اي بمعنى عنده
+
+680
+01:04:49,250 --> 01:04:54,390
+طول نظر لكن إصطناعي بمعنى خديجة عندها minus two
+
+681
+01:04:54,390 --> 01:05:00,150
+ميوب okay روحت خلتلها minus two point five صارت
+
+682
+01:05:00,150 --> 01:05:06,130
+ايش؟ hyper metroid صح؟ انه مصلحش عندهابالظبط، إذا
+
+683
+01:05:06,130 --> 01:05:15,930
+الـ Artificial Hyper Metrope هيشوف زي مين؟ زي
+
+684
+01:05:15,930 --> 01:05:20,350
+الميوب و ال Artificial Hyper Metrope هيشوف زي مين؟
+
+685
+01:05:20,350 --> 01:05:32,030
+زي الميوب مش فاهمين؟ حاضر، againالآن نفرض patient
+
+686
+01:05:32,030 --> 01:05:38,370
+عنده minus two ديوب تر، ما يوب، إذاً كده بالصلحة؟
+
+687
+01:05:38,370 --> 01:05:43,790
+minus two صح؟ لو حطينا minus two point five، إيش
+
+688
+01:05:43,790 --> 01:05:50,240
+هيصير؟هيصير Artificial Hyper Metrop بمعنى Hyper
+
+689
+01:05:50,240 --> 01:05:55,420
+Metrop الصناعي، واضح؟ اذا هذا المريض لما يصير
+
+690
+01:05:55,420 --> 01:06:01,340
+Artificial Hyper Metrop، هيشوف زي مين؟ Artificial
+
+691
+01:06:01,340 --> 01:06:08,480
+Hyper Metrop، ليش زي الميوب؟كما يكون Artificial
+
+692
+01:06:08,480 --> 01:06:11,960
+Hypermetroid، هيشوف زي الـ Hypermetroid، كأنه
+
+693
+01:06:11,960 --> 01:06:18,240
+صناعي، يعني انا .. انا حكيتك؟ Okay I'm so sorry،
+
+694
+01:06:18,240 --> 01:06:21,620
+اذا الـ Artificial Hypermetroid هيكون زي مين؟ الـ
+
+695
+01:06:21,620 --> 01:06:27,230
+Hypermetroid، لكن هو أصله إيش؟ ميوك، okay؟يما يكون
+
+696
+01:06:27,230 --> 01:06:32,610
+مثلا Artificial ميوب هيكون زي مين؟ زي الميوب،
+
+697
+01:06:32,610 --> 01:06:37,330
+okay؟ إذا بالنسبة لل light rays هيتركز إما in
+
+698
+01:06:37,330 --> 01:06:43,390
+front or behind the retina طيب ال .. ال diachrome
+
+699
+01:06:43,390 --> 01:06:47,790
+test وين التركيز بتاعه؟ إنه هل هنستخدمه
+
+700
+01:06:47,790 --> 01:06:54,060
+verification للسفير ولا للسلندر؟للسفير، إذا لو
+
+701
+01:06:54,060 --> 01:06:57,720
+حكينا مثلا ال diachrome test هل ممكن إنه يستخدم
+
+702
+01:06:57,720 --> 01:07:05,000
+للسلندر؟ لأ، إذا only for سفير، إذا ال diachrome
+
+703
+01:07:05,000 --> 01:07:11,120
+test verification for spherical power إذا only for
+
+704
+01:07:11,120 --> 01:07:15,920
+spherical power without a stigmatism لأن كل هيتا
+
+705
+01:07:15,920 --> 01:07:20,080
+بتكون المحاور have the same power in all meridian
+
+706
+01:07:23,150 --> 01:07:28,410
+لقيت فهمته؟ ال .. ال .. بالنسبة ل .. ال principle
+
+707
+01:07:28,410 --> 01:07:35,910
+لديوكروم test okay؟ هذا أهم verification لديوكروم
+
+708
+01:07:35,910 --> 01:07:42,210
+testانا متخيل انه قد تكون افهمتي 20% غير يما
+
+709
+01:07:42,210 --> 01:07:45,770
+التبقى في العملى واضح لان المعمل الجاى ان شاء الله
+
+710
+01:07:45,770 --> 01:07:50,190
+يعني السبوع القادم هنطبق اللى هو كعمل كيف الديو
+
+711
+01:07:50,190 --> 01:07:54,130
+كروم تست ممكن اشوفه بمعنى انه كان عندى مريض طلع
+
+712
+01:07:54,130 --> 01:07:58,990
+minus two okay بدأ اعمله verification للاسفير
+
+713
+01:07:58,990 --> 01:08:05,770
+فبستخدم مين الديو كروم تست okayخلّى أخصها لدي
+
+714
+01:08:05,770 --> 01:08:24,190
+Chrome Test لعام؟
+
+715
+01:08:24,190 --> 01:08:27,930
+لأ لسه أنا مااخدنهوش
+
+716
+01:08:35,900 --> 01:08:40,820
+ديو كروم test
+
+717
+01:08:40,820 --> 01:08:52,960
+او المسمى التاني red green test بمعنى
+
+718
+01:08:52,960 --> 01:08:56,860
+the same meaning يعني ممكن حد يقولك red green test
+
+719
+01:08:56,860 --> 01:09:02,580
+او ديو كروم test نفس الحاجة okay نعم
+
+720
+01:09:02,580 --> 01:09:14,240
+في سؤاللأ لأ ال D chrome test هيه هذا
+
+721
+01:09:14,240 --> 01:09:19,640
+هو عبارة عن slide بعرضه للمريض فيه عندنا ال red
+
+722
+01:09:19,640 --> 01:09:25,000
+color و ال green color يما يكون امتروب او بيوب او
+
+723
+01:09:25,000 --> 01:09:29,100
+hypermetrob بشوف مين اوضح انه ال red ولا ال green
+
+724
+01:09:29,100 --> 01:09:35,080
+color اه بشوف مين الاوضح فعلا صحيح يعني بشوف مين
+
+725
+01:09:35,080 --> 01:09:35,920
+الاوضح
+
+726
+01:09:39,510 --> 01:09:44,030
+طيب في سؤال قبل ما نكمل ايضا .. السلام .. لما اعمل
+
+727
+01:09:44,030 --> 01:09:48,390
+ال diachrome test او ال red green test هل بعمل
+
+728
+01:09:48,390 --> 01:09:54,470
+verification للسفير اول ولا للسلندر؟ للسفير ..
+
+729
+01:09:54,470 --> 01:10:01,030
+دايما ببدأ في مين؟ في السفيردائما ببدأ في الاسفير
+
+730
+01:10:01,030 --> 01:10:06,490
+طبعا كل حاجة .. فانا مش مستوعب .. دائما ببدأ في ال
+
+731
+01:10:06,490 --> 01:10:09,970
+verification يا ميسا في الاسفير ماببدأش في ال
+
+732
+01:10:09,970 --> 01:10:14,530
+cylinder okay؟ من ناحية ال verification، انه تأكيد
+
+733
+01:10:14,530 --> 01:10:22,450
+okay؟ of course
+
+734
+01:10:22,450 --> 01:10:33,030
+ال subjective reflectionsubjective refraction طيب
+
+735
+01:10:33,030 --> 01:10:39,010
+انا حاسس انه شوية الاستيعاب مش واضح كتير بلكة
+
+736
+01:10:39,010 --> 01:10:44,850
+اليوم منطبقها في المعمل و بعدين نكملها طيب
+
+737
+01:10:44,850 --> 01:10:48,590
+طبعا اليوم بنكون أخدنا هيك ال special difficulties
+
+738
+01:10:48,590 --> 01:10:51,970
+ال written scope ان شاء الله في المحاضرة القادمة
+
+739
+01:10:51,970 --> 01:10:56,630
+بنبدأ في ال verification for spherical power
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c1697136d3b6ecd278b27fdef972bf1e05e0b0ae
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE.srt
@@ -0,0 +1,1486 @@
+1
+00:00:21,400 --> 00:00:24,140
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,140 --> 00:00:29,200
+وبركاته اليوم هنبدأ في موضوع الـ difficulties الـ
+
+3
+00:00:29,200 --> 00:00:35,720
+written score صعوبات في جهاز الـ written score what
+
+4
+00:00:35,720 --> 00:00:39,260
+is the difficulties الـ written score ما هي
+
+5
+00:00:39,260 --> 00:00:45,000
+الصعوبات التي تواجه الـ examiner الفاحص خلال عملية
+
+6
+00:00:45,000 --> 00:00:46,700
+جهاز الـ written score
+
+7
+00:00:50,930 --> 00:00:54,870
+Some refractions are easy while others are
+
+8
+00:00:54,870 --> 00:01:00,570
+extremely difficult بمعنى بعض الحالات الانكسارية
+
+9
+00:01:00,570 --> 00:01:04,950
+مثل الـ imitrop أو الـ low myop أو الـ low
+
+10
+00:01:04,950 --> 00:01:10,010
+hypermitrop تعتبر سهلة لكن بعض الحالات الانكسارية
+
+11
+00:01:10,010 --> 00:01:14,910
+زي الـ high myop أو الـ high hypermitrop تعتبر ماذا؟
+
+12
+00:01:14,910 --> 00:01:18,510
+extremely difficult أنه صعب جدا okay
+
+13
+00:01:23,480 --> 00:01:30,020
+في تغيير شويه في الـ retinoscope كمفهوم الـ
+
+14
+00:01:30,020 --> 00:01:34,700
+retinoscope أو جهاز الـ retinoscope is an art هو
+
+15
+00:01:34,700 --> 00:01:40,740
+عبارة عن فن which requires  بيتطلب painstaking
+
+16
+00:01:40,740 --> 00:01:48,020
+practice يعني بتطلب جهداُ في عملية بشكل دقيق من الـ
+
+17
+00:01:48,020 --> 00:01:52,730
+examiner الفاحصين and cannot be learned in one day
+
+18
+00:01:52,730 --> 00:01:59,350
+لا يمكن تعلمه خلال يوم واحد okay it
+
+19
+00:01:59,350 --> 00:02:02,710
+is essentially practical and cannot be learned
+
+20
+00:02:02,710 --> 00:02:07,110
+from textbooks but only under careful supervision
+
+21
+00:02:07,110 --> 00:02:15,140
+أيضا هو أساس عملية لا يمكن تعلمه من خلال قراءة كتب
+
+22
+00:02:15,140 --> 00:02:21,240
+مثل ديوك إلدار أو بورش طبعا هذه الكتب الشائعة
+
+23
+00:02:21,240 --> 00:02:25,660
+في موضوع الـ reflection لكن يتم تعلمه من خلال
+
+24
+00:02:25,660 --> 00:02:29,650
+professional refractionist يعني إنسان يكون الـ guide
+
+25
+00:02:29,650 --> 00:02:33,530
+بتاعك المشرف الـ supervision أو الـ supervisor يكون
+
+26
+00:02:33,530 --> 00:02:38,970
+عنده دراية في كل حالات الـ retinoscope و عنده يعني
+
+27
+00:02:38,970 --> 00:02:42,670
+good trainer يعني مدرب جيد من ناحية الـ retinoscope
+
+28
+00:02:42,670 --> 00:02:48,330
+okay difficulties
+
+29
+00:02:48,330 --> 00:02:53,810
+due to inadequacy of technique يعني صعوبات بسبب
+
+30
+00:02:53,810 --> 00:03:00,650
+مشكلة في التقنيات يعني أن  inadequacy بمعنى مشكلة
+
+31
+00:03:00,650 --> 00:03:09,490
+أو خلل في تقنية الجهاز okay للجهاز
+
+32
+00:03:09,490 --> 00:03:17,370
+نفسه يعني الآن الفاحص ما يكونش عنده التقنية الكاملة
+
+33
+00:03:17,370 --> 00:03:22,490
+يعني بيكون عنده less experience خبرة قليلة في
+
+34
+00:03:22,490 --> 00:03:29,260
+كيفية استخدام الجهاز Okay زي ما يكون الـ examiner
+
+35
+00:03:29,260 --> 00:03:34,780
+في التعامل مع الجهاز okay يعني الآن نحن مثلا لما
+
+36
+00:03:34,780 --> 00:03:38,980
+بدأتوا أنتم كـ beginner لم يكن عندك deficiency من
+
+37
+00:03:38,980 --> 00:03:44,500
+ناحية نقص في استخدام الجهاز  أنه غير قادرة على التعامل مع
+
+38
+00:03:44,500 --> 00:03:50,000
+الجهاز بشكل صحيح لما تعلمتِ الـ parse للجهاز كيف أنا
+
+39
+00:03:50,000 --> 00:03:55,520
+ممكن أن أرشد الـ patient بدأت شيئا فشيئا أن أدخل في
+
+40
+00:03:55,520 --> 00:03:59,500
+ما تعلمت كيف how to use the instrument
+
+41
+00:03:59,500 --> 00:04:04,440
+كيف تستخدمين الجهاز الـ subjective refraction
+
+42
+00:04:04,440 --> 00:04:08,060
+الفحص الثانوي
+
+43
+00:04:10,320 --> 00:04:14,360
+after objective refraction will reveal أنه سوف
+
+44
+00:04:14,360 --> 00:04:18,800
+يكشف uncorrection of visual acuity يعني مقدار
+
+45
+00:04:18,800 --> 00:04:23,100
+..الآن أنا عملت objective refraction سواء كان في
+
+46
+00:04:23,100 --> 00:04:27,400
+الـ retinascope أو الـ auto refractometer لو كان
+
+47
+00:04:27,400 --> 00:04:32,360
+الإنسان فوق العشرين سنة لا أستطيع هذه الوصفة أن أعطيها له
+
+48
+00:04:32,360 --> 00:04:36,740
+يجب أن أفعل ماذا؟ الـ subjective refraction
+
+49
+00:04:36,740 --> 00:04:40,780
+Subjective Refraction من خلالها أستطيع أن أعطي المريض ماذا؟ النضارة
+
+50
+00:04:40,780 --> 00:04:45,200
+أو العدسة اللاصقة يعني الـ Subjective Refraction
+
+51
+00:04:45,200 --> 00:04:51,220
+will reveal أنه سوف يكشف uncorrection of visual
+
+52
+00:04:51,220 --> 00:04:55,660
+acuity مقدار ما المريض لم يصلح الخطأ الانكساري الذي
+
+53
+00:04:55,660 --> 00:04:57,960
+عنده في ماذا؟ في الـ Objective Refraction
+
+54
+00:05:03,040 --> 00:05:07,540
+of the lenses by the patient في بعض الحالات أن الـ
+
+55
+00:05:07,540 --> 00:05:11,980
+examiner يفحص الـ patient يكون عمله صحيحا سواء في الـ
+
+56
+00:05:11,980 --> 00:05:15,980
+retinoscope أو الـ auto refractometer لكن المريض
+
+57
+00:05:15,980 --> 00:05:20,540
+لا يتقبل هذه العدسات التي تكون مثلا قوتها الـ power
+
+58
+00:05:20,540 --> 00:05:25,220
+عنده أعلى أو أقل فالـ subjective refraction من
+
+59
+00:05:25,220 --> 00:05:29,460
+خلالها أكشف مقدار uncorrected of the refractive
+
+60
+00:05:29,460 --> 00:05:33,140
+error أو unaccepted of the lens by the patient
+
+61
+00:05:33,140 --> 00:05:39,700
+يعني مقدار العدسة التي لا يقبلها المريض يعني لا أنفع
+
+62
+00:05:39,700 --> 00:05:43,600
+لهذا السبب أنه لا ينفع أن المريض بمجرد أن أظهر له
+
+63
+00:05:43,600 --> 00:05:46,280
+النتائج أعطيه النضارة أقول له هذه نضارتك
+
+64
+00:05:46,280 --> 00:05:51,180
+يجب أن أفعل ماذا؟ الـ subjective refraction باستثناء في
+
+65
+00:05:51,180 --> 00:05:56,060
+حالة كما قلنا الأطفال such
+
+66
+00:05:56,060 --> 00:05:59,820
+a state of affairs commonly results from the
+
+67
+00:05:59,820 --> 00:06:03,100
+mistakes of an experienced and practiced
+
+68
+00:06:03,100 --> 00:06:08,080
+refractionist كل هذه الأخطاء تكون نتيجة تراكمية
+
+69
+00:06:08,080 --> 00:06:13,060
+لماذا؟ أن الـ examiner لا يكون لديه الخبرة الكافية
+
+70
+00:06:13,060 --> 00:06:18,280
+في أنه يعمل practice of retinoscopy بشكل صحيح
+
+71
+00:06:18,280 --> 00:06:23,260
+okay؟ يعني هذه النتيجة أنه لا يملك الخبرة الكافية
+
+72
+00:06:23,260 --> 00:06:26,580
+لهذا دائما نقول أن جهاز الـ retinoscope هو
+
+73
+00:06:26,580 --> 00:06:32,080
+عبارة عن practice practice and practice you cannot
+
+74
+00:06:32,080 --> 00:06:34,920
+learn retinoscope during one day or by the
+
+75
+00:06:34,920 --> 00:06:39,650
+textbooks  ليس ممكن إلا أن ترى الحالات مرة مرتين
+
+76
+00:06:39,650 --> 00:06:44,690
+ثلاثا وتعلم من خلال الـ red reflex بقدر ما ترى
+
+77
+00:06:44,690 --> 00:06:47,790
+حالات بقدر ما تستطيعين أن تحصلي على نتائج صحيحة
+
+78
+00:06:51,730 --> 00:06:54,430
+It is important to keep a suitable working
+
+79
+00:06:54,430 --> 00:06:57,830
+distance and to ensure that retinoscopic
+
+80
+00:06:57,830 --> 00:07:01,670
+examination is performed close to the visual axis
+
+81
+00:07:01,670 --> 00:07:06,190
+in order to refract the macula من المهم أن أحافظ
+
+82
+00:07:06,190 --> 00:07:09,950
+على مسافة العمل بين المريض والـ examiner هذه
+
+83
+00:07:09,950 --> 00:07:14,730
+مهمة جدا كما اتفقنا عليها النقطة الثانية أن
+
+84
+00:07:14,730 --> 00:07:21,080
+visual axis  هي عبارة عن Straight line passes through
+
+85
+00:07:21,080 --> 00:07:26,300
+the object to the fovea تعرفون أن كل عين يكون لها
+
+86
+00:07:26,300 --> 00:07:30,600
+visual access لهذا دائما عندما أفحص المريض أجعله
+
+87
+00:07:30,600 --> 00:07:34,360
+في الـ primary position أن الـ head و الـ eye دائما في
+
+88
+00:07:34,360 --> 00:07:37,180
+مستوى واحد وتتجه أين؟ إلى الأمام
+
+89
+00:07:43,610 --> 00:07:46,150
+in this respect not only the horizontal
+
+90
+00:07:46,150 --> 00:07:50,050
+orientation to be noted but also the vertical one
+
+91
+00:07:50,050 --> 00:07:55,290
+failure to observe this fact may falsely introduce
+
+92
+00:07:55,290 --> 00:07:58,790
+a cylindrical element during retinascope بمعنى
+
+93
+00:07:58,790 --> 00:08:03,150
+الآن أنا عملت الـ horizontal meridian بعد ذلك عملت
+
+94
+00:08:03,150 --> 00:08:07,800
+الـ vertical meridian نفترض أنه كان لديه في الـ
+
+95
+00:08:07,800 --> 00:08:10,860
+horizontal meridian minus one والـ vertical
+
+96
+00:08:10,860 --> 00:08:14,600
+meridian plus one الآن أنا أعطيت للمريض ماذا؟
+
+97
+00:08:14,600 --> 00:08:17,660
+cylinder lens هذا الـ cylinder ماذا؟
+
+98
+00:08:17,660 --> 00:08:21,940
+artificial غير حقيقي غير موجود أصلا فالنتائج
+
+99
+00:08:21,940 --> 00:08:25,880
+كانت مغايرة للحقيقة وبالتالي أنا أعطيت
+
+100
+00:08:25,880 --> 00:08:29,780
+للمريض عدسة يلبس نضارة cylinder lens دون أن
+
+101
+00:08:29,780 --> 00:08:31,700
+يحتاجها صحيح؟
+
+102
+00:08:37,030 --> 00:08:43,610
+أنه يجب أن أبحث بشكل صحيح أن النتائج تكون صحيحة يعني أنا
+
+103
+00:08:43,610 --> 00:08:49,030
+مثلا اشتغلت meridian صحيحا و meridian آخر خطأ تقولين لي
+
+104
+00:08:49,030 --> 00:08:52,610
+مثلا أنا اشتغلت واحدا صحيحا والآخر خطأ  أنت ممكن
+
+105
+00:08:52,610 --> 00:08:57,710
+أن تكوني قد أعطيت المريض artificial astigmatism  لديه
+
+106
+00:08:57,710 --> 00:09:02,150
+astigmatism ولكن ليس حقيقيا  أنه كان صفرا أو كان
+
+107
+00:09:02,150 --> 00:09:05,910
+مثلا لديه astigmatism وأظهرتِ له صفرا وبالتالي
+
+108
+00:09:05,910 --> 00:09:12,230
+النضارة التي ستكون للمريض خاطئة صحيح؟ difficulties
+
+109
+00:09:12,230 --> 00:09:16,350
+due to absence of relaxation of accommodation of
+
+110
+00:09:16,350 --> 00:09:20,690
+the examined eye يعني صعوبات بسبب غياب الـ
+
+111
+00:09:20,690 --> 00:09:25,290
+relaxation أهم شيء why the room should be dark
+
+112
+00:09:25,290 --> 00:09:28,330
+during the retinoscopy to relax accommodation
+
+113
+00:09:31,200 --> 00:09:34,860
+long to relax accommodation dark to reflect
+
+114
+00:09:34,860 --> 00:09:39,220
+the light okay الآن ماذا أفعل؟ أن الـ
+
+115
+00:09:39,220 --> 00:09:43,240
+absence  لـ accommodation مهم جدا لو في صعوبة  أقول للمريض ان ينظر بعيدا وينظر الي
+
+116
+00:09:43,240 --> 00:09:46,780
+صعوبة يعني أقول للمريض ان ينظر بعيداََ وينظر إليّ أنا
+
+117
+00:09:46,780 --> 00:09:53,460
+كل نتيجة خطأ  صحيح أم لا أنا كل شويه كـ
+
+118
+00:09:53,460 --> 00:09:56,780
+examiner أقول للمريض ان ينظر بعيدا ان ينظر بعيدا ان ينظر
+
+119
+00:09:56,780 --> 00:10:01,780
+بعيدا لو ألاحظ أن المريض uncooperative يجب أن
+
+120
+00:10:01,780 --> 00:10:05,880
+أعطيه instruction كل شويه ارشاد افهم كيف
+
+121
+00:10:05,880 --> 00:10:09,400
+كيف؟ يعني .. وبعدين ألاحظ أن معظمكم
+
+122
+00:10:09,400 --> 00:10:13,260
+لا يتحدث مع المريض وهذا
+
+123
+00:10:13,260 --> 00:10:16,580
+خطأ يجب أن يكون هناك connection بينك وبين
+
+124
+00:10:16,580 --> 00:10:20,660
+المريض أنا أشتغل لأن من الخطأ المريض يمل
+
+125
+00:10:20,660 --> 00:10:24,960
+لما انت مثلا طول نصف ساعة أو ربع ساعة  مدة
+
+126
+00:10:24,960 --> 00:10:28,620
+المريض يصبح لديه ملل من العمل يعني خلاص
+
+127
+00:10:28,620 --> 00:10:33,280
+أقول له انه ينظر  أرى طبيعته فضوله  أريد أن أرى
+
+128
+00:10:33,280 --> 00:10:37,240
+الجهاز تركيبه وهكذا وبالتالي ينظر إليك وأنت
+
+129
+00:10:37,240 --> 00:10:52,230
+لا تعرفين والنتائج ماذا تكون؟ خاطئة  طبيعة المريض
+
+130
+00:10:52,230 --> 00:10:56,990
+إذا كان المريض cooperative
+
+131
+00:10:56,990 --> 00:11:01,890
+فهذا جيد ولكن إذا كان uncooperative يجب أن يكون
+
+132
+00:11:01,890 --> 00:11:05,950
+الـ examiner ذكيا في التعامل يعني
+
+133
+00:11:05,950 --> 00:11:09,530
+ليس كل المرضى cooperative  هناك من يأتي
+
+134
+00:11:09,530 --> 00:11:15,510
+uncooperative أنا أريد أن أجد كيف التعامل معهم طبعا
+
+135
+00:11:15,510 --> 00:11:19,770
+هذا بالخبرة ليس يوما أو يومين أو ثلاثة
+
+136
+00:11:19,770 --> 00:11:23,090
+كلما اشتغل الإنسان أكثر تعلم أكثر وهكذا
+
+137
+00:11:27,250 --> 00:11:30,310
+If the accommodation is not being kept inactive
+
+138
+00:11:30,310 --> 00:11:33,730
+during retinoscopy, the retinoscopic results are
+
+139
+00:11:33,730 --> 00:11:37,730
+changing during the examination لو أنا مثلا
+
+140
+00:11:37,730 --> 00:11:42,390
+لم أفعل relaxation للـ accommodation بمعنى
+
+141
+00:11:42,390 --> 00:11:48,490
+لم أستخدم cycloplegia أي قطرة لتوسيع البؤبؤ أو
+
+142
+00:11:48,490 --> 00:11:52,370
+مثلا لم أقل للمريض ان ينظر بعيدا فلن يكون لديه
+
+143
+00:11:52,370 --> 00:11:55,890
+relaxation لماذا؟ للـ accommodation وبالتالي سيكون
+
+144
+00:11:55,890 --> 00:12:03,770
+لديه نتائج خاطئة أو تغير في الفحص  okay so
+
+145
+00:12:03,770 --> 00:12:06,050
+the accommodation must be inactive during
+
+146
+00:12:06,050 --> 00:12:09,550
+retinoscopy this is obtained by using two tricks
+
+147
+00:12:09,550 --> 00:12:14,330
+لدينا حيلتان نستخدمهما لعمل
+
+148
+00:12:14,330 --> 00:12:18,440
+relaxation للـ accommodation طبعا الحيلة الأولى
+
+149
+00:12:18,440 --> 00:12:21,600
+نعرفها  نقول للمريض ونحن نستخدمها
+
+150
+00:12:21,600 --> 00:12:25,760
+أن ينظر بعيدا هاتان الحيلتان الأخريان صعبتان
+
+151
+00:12:25,760 --> 00:12:31,380
+لدينا نستخدمهما لماذا؟ لأن الأولى نستخدم عدسة
+
+152
+00:12:31,380 --> 00:12:36,600
+قوتها عشرة ديوبتر بمعنى أضع trail frame وأضع
+
+153
+00:12:36,600 --> 00:12:40,440
+العدسة plus عشرة أمام العين فإما أستخدم
+
+154
+00:12:40,440 --> 00:12:46,060
+هذه الطريقة ماذا سيفعل المريض؟ الـ trial frame كله
+
+155
+00:12:46,060 --> 00:12:50,100
+الذي لدينا موجود ثقيله  للمريض سيكون لديه
+
+156
+00:12:50,100 --> 00:12:54,140
+boring انزعاج منه فلن يستطيع أن يكمل معك الفحص  لذلك
+
+157
+00:12:54,140 --> 00:12:57,840
+لا نقول لكم أضيفوا عشرة إلى الـ trial frame
+
+158
+00:12:57,840 --> 00:13:03,900
+okay الطريقة الأولى أستخدم plus عشرة أمام العين
+
+159
+00:13:03,900 --> 00:13:09,680
+وبعدها أستخدم العدسات التي أصلح بها  فهذه ماذا
+
+160
+00:13:09,680 --> 00:13:13,020
+تفعل؟ relaxation للـ accommodation إلا في حالة
+
+161
+00:13:13,020 --> 00:13:16,920
+واحدة لا أستخدمها  عارفينها  إذا كان المريض hyper
+
+162
+00:13:16,920 --> 00:13:21,240
+metro إذا كان hyper metro وأعطيتُه plus عشرة سيفعل
+
+163
+00:13:21,240 --> 00:13:27,360
+ماذا؟ improvement لـ vision  بتاعه الطريقة الثانية
+
+164
+00:13:27,360 --> 00:13:31,380
+أن أقول للمريض اغلق وافتح عينيك وأنا معظمكم
+
+165
+00:13:31,380 --> 00:13:36,200
+رأني أستخدمها واطلع بعيدا  يكون لديه مثلا
+
+166
+00:13:36,200 --> 00:13:39,080
+حركة مرة with ومرة against ومرة with ومرة
+
+167
+00:13:39,080 --> 00:13:42,680
+against  لم يحدث معكم معظمكم أقول للمريض اطلع بعيدا
+
+168
+00:13:42,680 --> 00:13:46,820
+واغلق مرة مرتين ثلاثا  يعني يعمل blinking ترميش
+
+169
+00:13:46,820 --> 00:13:54,180
+okay بعدها أستطيع أن أفحص المريض تثبت الحركة لدينا
+
+170
+00:13:54,180 --> 00:13:58,060
+الـ two tricks for relaxation of accommodation
+
+171
+00:13:59,360 --> 00:14:10,100
+fogging of retinoscope by inserting
+
+172
+00:14:10,100 --> 00:14:16,640
+a high convex lens قوتها plus عشرة  ممكن أن تجدوا بعض
+
+173
+00:14:16,640 --> 00:14:21,160
+الكتب تكتب plus خمسة plus خمس عشرة  أن يكون high
+
+174
+00:14:21,160 --> 00:14:26,550
+refractive error أو high plus lens in the trial
+
+175
+00:14:26,550 --> 00:14:30,670
+frame in the front of the examined eye and asking
+
+176
+00:14:30,670 --> 00:14:33,830
+the patient to look away at infinity يجب أن أقول
+
+177
+00:14:33,830 --> 00:14:38,710
+للمريض أن ينظر لمسافة بعيدة  حتى اللحظة
+
+178
+00:14:38,710 --> 00:14:43,510
+أنا وضعت عدسة plus عشرة ومع ذلك قلت للمريض أن
+
+179
+00:14:43,510 --> 00:14:48,550
+ينظر at infinity لمسافة بعيدة لكي يعمل ماذا؟
+
+180
+00:14:48,550 --> 00:14:52,780
+relaxation للـ accommodation then replacement
+
+181
+00:14:52,780 --> 00:14:56,920
+نستبدل of the lenses العدسات in the trial frame
+
+182
+00:14:56,920 --> 00:15:00,540
+التي موجودة في الـ trial frame as retinoscopy it
+
+183
+00:15:00,540 --> 00:15:04,620
+proceeds  نضيف العدسة التي عدلت بها في الـ
+
+184
+00:15:04,620 --> 00:15:09,260
+retinoscope is always done so that neither
+
+185
+00:15:09,260 --> 00:15:12,800
+examined eye is exposed to light without a lens
+
+186
+00:15:12,800 --> 00:15:18,680
+before والعدسة الموجودة في الـ replace lens تم
+
+187
+00:15:18,680 --> 
+
+223
+00:17:58,130 --> 00:18:02,930
+ventilate إنه بتعمل dilatation للـpupil قبلها
+
+224
+00:18:02,930 --> 00:18:06,850
+بتعمل إيش paralysis للـ ciliary muscle أي بمعنى
+
+225
+00:18:06,850 --> 00:18:09,250
+شلل للـ ciliary muscle
+
+226
+00:18:13,310 --> 00:18:17,950
+إذاً الآن بدنا نتفق في كل حالات الأطفال لازم نستخدم
+
+227
+00:18:17,950 --> 00:18:21,930
+الـcycloplegia أو الـcyclopentolate عشان نعمل
+
+228
+00:18:21,930 --> 00:18:27,330
+relaxation للـ accommodation إذا شوفنا الطفل cooperative
+
+229
+00:18:27,330 --> 00:18:32,430
+متعاون ممكن أن نعمل له reflection زي ما بنعمل للكبار
+
+230
+00:18:33,340 --> 00:18:37,260
+إذا ما شوفناه.. إذا كان الطفل uncooperative لازم
+
+231
+00:18:37,260 --> 00:18:40,600
+أن نعمل إيه؟ الـcycloplegia أو الـcyclopentolate
+
+232
+00:18:40,600 --> 00:18:47,240
+to paralysis of the ciliary muscle، okay، الآن
+
+233
+00:18:47,240 --> 00:18:52,540
+الـcycloplegia أو الـcyclopentolate لها advantages
+
+234
+00:18:52,540 --> 00:18:59,390
+أي بمعنى عيوب، و لها إيه؟ فوائد، شو هي الفوائد
+
+235
+00:18:59,390 --> 00:19:03,550
+بتاعتها أو المميزات، وإيش هي العيوب؟ what is the
+
+236
+00:19:03,550 --> 00:19:07,730
+advantages and disadvantages of cyclopentolate
+
+237
+00:19:07,730 --> 00:19:11,730
+advantages
+
+238
+00:19:11,730 --> 00:19:16,410
+number one: paralysis of accommodation to make easy
+
+239
+00:19:16,410 --> 00:19:20,690
+retinoscopy، إذا أول حاجة بنعمل شلل للـ
+
+240
+00:19:20,690 --> 00:19:26,950
+accommodation أو paralysis of the ciliary muscle، آه
+
+241
+00:19:26,950 --> 00:19:31,490
+شلل، paralysis طبعاً
+
+242
+00:19:31,490 --> 00:19:36,210
+بنعمل الشلل للـ retinoscopy عشان نقدر نعمل عملية
+
+243
+00:19:36,210 --> 00:19:43,290
+إيه؟ ال procedure of retinoscopy، number
+
+244
+00:19:43,290 --> 00:19:49,870
+two: pupillary dilatation، أي بمعنى توسيع للبؤبؤ، كيف
+
+245
+00:19:49,870 --> 00:19:55,490
+الـmidriasis، توسيع للبؤبؤ من خلال قطرة اسمها الـ
+
+246
+00:19:55,490 --> 00:20:00,840
+midriasis leads to good visualization of red reflex
+
+247
+00:20:00,840 --> 00:20:06,260
+الآن البؤبؤ لما بتتسع بقدر أنا أشوف ال red reflex
+
+248
+00:20:06,260 --> 00:20:12,180
+بشكل واضح، معظمكم شاف بؤبؤ بيكون myosis، صح؟ في الـ
+
+249
+00:20:12,180 --> 00:20:17,440
+young adult، مظبوط؟ الآن أنا لو بدي أعمل accurate
+
+250
+00:20:17,440 --> 00:20:21,980
+measurement of the refractive error، يعني فحص دقيق
+
+251
+00:20:21,980 --> 00:20:27,080
+للخطأ الانكساري لازم أستخدم إيش؟ الـCycloplegia
+
+252
+00:20:27,080 --> 00:20:31,720
+اللي هي dilatation للبؤبؤ، بالتالي أنا هقدر أشوف
+
+253
+00:20:31,720 --> 00:20:37,620
+ال red reflex بشكل واضح، يعني الآن لما يكون عنده
+
+254
+00:20:37,620 --> 00:20:42,700
+مريض عنده myosis في البؤبؤ، ومريض آخر عنده dilatation
+
+255
+00:20:42,700 --> 00:20:48,040
+في البؤبؤ، مين فيهم أسهل كشغل؟ ال dilatation للبؤبؤ
+
+256
+00:20:48,040 --> 00:20:52,670
+صح؟ الآن الـmiosis هي تعتبر إيه؟ من ضمن الـ
+
+257
+00:20:52,670 --> 00:20:55,310
+difficulties، لو واحد سألك شو الـ difficulties
+
+258
+00:20:55,310 --> 00:20:58,490
+بتاعة الـretinoscopy، من ضمنهم أن واحد يكون عنده
+
+259
+00:20:58,490 --> 00:21:00,410
+miosis في البؤبؤ، صح؟
+
+260
+00:21:03,850 --> 00:21:08,590
+طبعاً هذه بالنسبة للقطرة، في عندنا الـatropine، في فرق
+
+261
+00:21:08,590 --> 00:21:12,450
+بين الـatropine والـcyclopentolate، الـduration بتاعة
+
+262
+00:21:12,450 --> 00:21:17,170
+الـatropine بتكون أكثر، بمعنى إذا كان الطفل عنده الـ
+
+263
+00:21:17,170 --> 00:21:21,130
+accommodation كبير، يعني عنده excess accommodation
+
+264
+00:21:21,130 --> 00:21:25,490
+ما أقدرش أستخدم مع هذا الطفل الـcyclopentolate، إيش
+
+265
+00:21:25,490 --> 00:21:31,300
+بستخدم معه؟ الـatropine، بيستخدم لمدة أربعة عشر يوماً
+
+266
+00:21:31,300 --> 00:21:36,880
+يعني بمعنى أنا بدي المريض أن كل يوم يقطر لفترة
+
+267
+00:21:36,880 --> 00:21:43,320
+بعد أربعة عشر يوماً بقدر أن أعمل له الفحص، بالإضافة نعم
+
+268
+00:21:44,870 --> 00:21:48,970
+هذه الـatropine، الـduration، المدة بتاعته بتكون طويلة
+
+269
+00:21:48,970 --> 00:21:53,290
+يعني واحد إجا على المركز أو على المستشفى كان
+
+270
+00:21:53,290 --> 00:21:57,070
+عنده excess accommodation، قوة بمعنى أني أديتُه الـ
+
+271
+00:21:57,070 --> 00:22:00,390
+cyclopentolate لكن ما without benefit، بدون
+
+272
+00:22:00,390 --> 00:22:03,950
+فائدة، يعني ما فادش الـcyclopentolate معه، إيش
+
+273
+00:22:03,950 --> 00:22:11,470
+بيستخدم؟ الـatropine، الـatropine أن القوة بتاعته أكثر
+
+274
+00:22:11,470 --> 00:22:14,970
+من الـcyclopentolate، والـduration، المدة أنتوَ
+
+275
+00:22:14,970 --> 00:22:18,170
+عارفين أن كل دواء أو كل قطرة بيكون لها duration
+
+276
+00:22:18,170 --> 00:22:24,090
+مدة، فالمدة بتاعته بتكون أطول، okay، من ناحية أن
+
+277
+00:22:24,090 --> 00:22:27,170
+تأثيره بيروح، يعني الـcyclopentolate يوم، يومين، خلاص مفيش تأثير، عارفين أنتوَ
+
+278
+00:22:27,170 --> 00:22:30,930
+كل قطرة بيكون لها side effect، side effect بمعنى
+
+279
+00:22:30,930 --> 00:22:34,210
+تأثير أو complication، مضاعفات، يعني بتعمل fever،
+
+280
+00:22:34,210 --> 00:22:38,690
+حرارة، ممكن بتعمل سخونة، وهكذا، كل هذه بتروح خلال
+
+281
+00:22:38,690 --> 00:22:44,050
+يوم أو يومين، لما أستخدم مين؟ cyclopentolate، لكن
+
+282
+00:22:44,050 --> 00:22:49,830
+لما أستخدم الـatropine، بياخد تقريباً أربعة عشر يوماً، الـ
+
+283
+00:22:49,830 --> 00:22:54,740
+أربعة عشر يوماً عشان examiner يفحصها؟ لأ، ممكن أنا مثلاً تلات
+
+284
+00:22:54,740 --> 00:22:58,940
+أيام، أربعة أيام بعمل الفحص، لكن الـ..الـ..الجرعة
+
+285
+00:22:58,940 --> 00:23:02,680
+بتاعته بتروح بعد أربعة عشر يوماً، يعني ممكن بعد أربعة عشر يوماً
+
+286
+00:23:02,680 --> 00:23:06,700
+examiner ثاني يعمل فحص، okay، no problem، هذه بالنسبة
+
+287
+00:23:06,700 --> 00:23:10,460
+للـatropine، الـpilocarpine إيش بيعمل؟ miosis
+
+288
+00:23:10,460 --> 00:23:13,820
+للبؤبؤ، أنه بيصغر البؤبؤ، أكيد معظمكم من امبارح اللي
+
+289
+00:23:13,820 --> 00:23:18,820
+كانوا في المعمل بتاع الـrefraction شرحنا موضوع الـ
+
+290
+00:23:18,820 --> 00:23:21,860
+pilocarpine، أنه بيعمل miosis للبؤبؤ، آه، الآن كلـ..
+
+291
+00:23:21,860 --> 00:23:28,340
+أنا بدي شغلتين منكم، القطرة اللي بتوسع هي عبارة عن
+
+292
+00:23:28,340 --> 00:23:33,580
+الـcyclopentolate، الـcyclopentolate بتعمل
+
+293
+00:23:33,580 --> 00:23:37,240
+dilatation للبؤبؤ، أو الـatropine، شو الفرق بين
+
+294
+00:23:37,240 --> 00:23:41,200
+الاثنين من ناحية الـduration، المدة، okay، القطرة اللي
+
+295
+00:23:41,200 --> 00:23:47,470
+بتعمل miosis، تضييق للبؤبؤ، هي عبارة عن الـpilocarpine، هناخدها لقدام إن شاء الله في الـeye
+
+296
+00:23:47,470 --> 00:23:51,750
+disease، هتاخدوها زي في الـglaucoma، الناس اللي
+
+297
+00:23:51,750 --> 00:23:54,730
+عندهم مياه زرقاء بيستخدموا معهم مين؟ الـpilocarpine
+
+298
+00:23:54,730 --> 00:23:59,310
+طبعاً ممكن واحد يسألني طب شو فايدة اللي هو
+
+299
+00:23:59,310 --> 00:24:03,770
+الـoptometrist أن يعرف القطرات هذه، هذه هناخدها في
+
+300
+00:24:03,770 --> 00:24:09,430
+الـspecial difficulties of retinoscopy، يعني شو
+
+301
+00:24:09,430 --> 00:24:13,990
+الحالات الصعبة، يعني الـspecial الخاصة في الصعوبة
+
+302
+00:24:13,990 --> 00:24:17,570
+من ناحية الـretinoscopy، okay، فهي زي ما أنتم
+
+303
+00:24:17,570 --> 00:24:22,670
+شايفين أن البؤبؤ هنا عمل dilatation، وهنا myosis
+
+304
+00:24:22,670 --> 00:24:27,330
+فالصورة أعتقد أنها واضحة، هذه عاملة dilatation، midriasis
+
+305
+00:24:27,330 --> 00:24:31,230
+atropine، وهذه myosis للبؤبؤ
+
+306
+00:24:36,030 --> 00:24:38,630
+pilocarpine
+
+307
+00:24:45,490 --> 00:24:49,230
+برضه عندنا الـmacular refraction is more accurate
+
+308
+00:24:49,230 --> 00:24:54,790
+الآن أنا لما بنستخدم الـretinoscopy without
+
+309
+00:24:54,790 --> 00:25:00,390
+cyclopentolate، بدون قطرة، أنا بس بقدر أن أشوف الـ
+
+310
+00:25:00,390 --> 00:25:07,240
+red reflex اللي معكوس من الـretina، صح؟ الآن لما
+
+311
+00:25:07,240 --> 00:25:11,940
+يكون dilated للـpupil، بمعنى أن البؤبؤ موسع، في الـ
+
+312
+00:25:11,940 --> 00:25:15,580
+optical state of the eye، أكيد أخذتوهم اللي هي بتشمل
+
+313
+00:25:15,580 --> 00:25:19,640
+الـanterior والـposterior surface of the cornea، و
+
+314
+00:25:19,640 --> 00:25:22,870
+عندنا كمان الـlens، anterior والـposterior، كل واحدة
+
+315
+00:25:22,870 --> 00:25:26,410
+فيها لها refractive index مختلفة عن الأخرى
+
+316
+00:25:26,410 --> 00:25:29,470
+وكل واحدة فيها لها refractive error مختلفة عن
+
+317
+00:25:29,470 --> 00:25:34,310
+التانية، فالآن أنا لما بعمل dilatation للبؤبؤ بمعنى
+
+318
+00:25:34,310 --> 00:25:39,490
+أنِّي بعمل..بستخدم الـatropine أو بستخدم الـ
+
+319
+00:25:39,490 --> 00:25:43,650
+cyclopentolate، بعمل إيه؟ dilatation للبؤبؤ، فأنا
+
+320
+00:25:43,650 --> 00:25:47,710
+مباشرة بقدر أعمل إيش؟ الـmacular refraction، okay؟
+
+321
+00:25:47,990 --> 00:25:56,370
+إذا ما هي مفهوم الـmacular refraction؟ مقال
+
+322
+00:25:56,370 --> 00:26:04,410
+(Repeated word "مقال" removed)
+
+329
+00:26:16,140 --> 00:26:20,680
+الغرض من الـmacular refraction، عملية توسيع بواسطة
+
+330
+00:26:20,680 --> 00:26:26,060
+استخدام إما الـcyclopentolate أو الـatropine، ليه؟
+
+331
+00:26:26,060 --> 00:26:33,440
+عشان نقدر نشوف الـred reflex بشكل واضح، طيب
+
+332
+00:26:33,440 --> 00:26:37,580
+الـdisadvantages أو الـside effects، تأثيرات
+
+333
+00:26:37,580 --> 00:26:41,860
+الـcycloplegia، الآن
+
+334
+00:26:41,860 --> 00:26:46,590
+أنا لما بعمل dilatation للبؤبؤ، شو عملت؟ نربط البعض
+
+335
+00:26:46,590 --> 00:26:53,890
+الـdilatation البؤبؤ، شو عملت؟ بالضبط، إذا paralysis of
+
+336
+00:26:53,890 --> 00:26:58,730
+the ciliary muscle، صحيح؟ طيب الـdilatation البؤبؤ هذا
+
+337
+00:26:58,730 --> 00:27:04,630
+إيش عمل؟ altered، غير الـoptical properties، الخواص
+
+338
+00:27:04,630 --> 00:27:10,010
+البصرية للـoptical system، للنظام البصري للـ
+
+339
+00:27:10,010 --> 00:27:17,790
+eye، إذا توسيع البؤبؤ غير من الخواص البصرية للنظام
+
+340
+00:27:17,790 --> 00:27:23,050
+البصري، بمعنى أنِّي لما بستخدم الـcyclopentolate
+
+341
+00:27:23,050 --> 00:27:28,090
+أو الـatropine، عملت إيه؟ dilatation للبؤبؤ، بقولنا أن
+
+342
+00:27:28,090 --> 00:27:32,370
+كل عين فيها لها optical state of the eye، هم
+
+343
+00:27:32,370 --> 00:27:36,170
+عبارة عن الـanterior والـposterior surface
+
+344
+00:27:36,170 --> 00:27:40,730
+للـcornea، الـanterior والـposterior surface للـ
+
+345
+00:27:40,730 --> 00:27:45,510
+lens، الـiris، الـvitreous humor، والـretina، الآن
+
+346
+00:27:45,510 --> 00:27:48,990
+لما صارت عملية الـdilatation للـpupil، مباشرة أنا
+
+347
+00:27:48,990 --> 00:27:53,350
+اشتغلت إيه؟ macular refraction، فبالتالي أنا غيرت
+
+348
+00:27:53,350 --> 00:27:58,230
+من إيه؟ من الـoptical properties، الخواص البصرية
+
+349
+00:27:58,230 --> 00:28:00,790
+للـoptical system of the eye
+
+350
+00:28:06,490 --> 00:28:10,930
+النتائج الملاحظة are due to refraction، نتيجة الـ
+
+351
+00:28:10,930 --> 00:28:16,110
+refraction of the lens as the rays passes in
+
+352
+00:28:16,110 --> 00:28:19,590
+periphery and the central area of the lens lead to
+
+353
+00:28:19,590 --> 00:28:22,910
+some percentage of errors due to different
+
+354
+00:28:22,910 --> 00:28:28,330
+refractions، الآن قد إيش الـrefractive power للـcornea
+
+355
+00:28:30,350 --> 00:28:36,570
+40 to 42 ديوبتر، والـrefractive power للـlens 16
+
+356
+00:28:36,570 --> 00:28:42,490
+to 20 ديوبتر، بالنسبة للـlens، 16
+
+357
+00:28:42,490 --> 00:28:49,510
+to 20 ديوبتر بالنسبة للـlens، والـcornea من 40 لـ42
+
+358
+00:28:49,510 --> 00:28:54,890
+ديوبتر، الآن أنا لما بعمل dilatation للـpupil، مباشرة
+
+359
+00:28:54,890 --> 00:28:59,070
+بشتغل على مين؟ على الـmacular refraction، فالآن عملت
+
+360
+00:28:59,070 --> 00:29:03,890
+ignore لمين؟ للـlens وللـcornea، لكن في حالة
+
+361
+00:29:03,890 --> 00:29:08,990
+without cyclopentolate أو atropine، كان الـpower
+
+362
+00:29:08,990 --> 00:29:13,290
+بتاعة الـcornea والـlens من ضمن إيه؟ الـrefractive
+
+363
+00:29:13,290 --> 00:29:19,640
+error بتاعي، إذا هنا لو إجا سؤال مثلاً ليش أنا عملت
+
+364
+00:29:19,640 --> 00:29:23,360
+ليش اللي هو صار عندي لما بستخدم الـcyclopentolate
+
+365
+00:29:23,360 --> 00:29:26,920
+some percentage of error due to different
+
+366
+00:29:26,920 --> 00:29:30,500
+refractions، بسبب أنِّي عملت cyclopentolate
+
+367
+00:29:30,500 --> 00:29:33,620
+مباشرة، عملت macular refraction without the cornea
+
+368
+00:29:33,620 --> 00:29:37,910
+and the lens، okay، هنا لما بيصير الـdilatation للـ
+
+369
+00:29:37,910 --> 00:29:42,170
+pupil، الآن عمل لي paralysis للـciliary muscle
+
+370
+00:29:42,170 --> 00:29:45,750
+صار اللي هو، مش عارف واضح عندكم ولا لأ، أن dilatation
+
+371
+00:29:45,750 --> 00:29:50,350
+للبؤبؤ، أن توسع البؤبؤ، على طول أنا بقدر أشوف إيه؟ الـ
+
+372
+00:29:50,350 --> 00:29:52,650
+macular refraction، okay
+
+373
+00:29:56,000 --> 00:30:00,920
+during cycloplegia or cyclopentolate, the same
+
+374
+00:30:00,920 --> 00:30:04,500
+meaning، نفس المعنى، إما واحد يحكي cycloplegia، يعني
+
+375
+00:30:04,500 --> 00:30:08,540
+إما استخدم cyclopentolate أو atropine، in general
+
+376
+00:30:08,540 --> 00:30:13,560
+during cycloplegia, there is paralysis of the
+
+377
+00:30:13,560 --> 00:30:17,840
+parasympathetic nerve supply to the lens capsule، زي
+
+378
+00:30:17,840 --> 00:30:20,700
+ما أنتم عارفين في عندنا الـparasympathetic وفي
+
+379
+00:30:20,700 --> 00:30:24,760
+الـsympathetic nerve supply، الآن أنا لما بيصير
+
+380
+00:30:24,760 --> 00:30:29,220
+عملية relaxation للـaccommodation، أنا إيش بعمل؟ بعمل
+
+381
+00:30:29,220 --> 00:30:31,400
+paralysis للـparasympathetic
+
+382
+00:30:35,710 --> 00:30:41,210
+الـlens بتتكون من الـlens material، مادة العدسة، والـ
+
+383
+00:30:41,210 --> 00:30:45,990
+lens capsule، المحفظة، زائد الـlens nucleus، اللي
+
+384
+00:30:45,990 --> 00:30:49,830
+هي النواة بتاعتها، فأنا بشتغل على مين؟ على الـlens
+
+385
+00:30:49,830 --> 00:30:53,990
+capsule، إذاً الآن الـcyclopentolate لما بيعمل
+
+386
+00:30:53,990 --> 00:30:58,350
+relaxation للـaccommodation، وparalysis للـciliary
+
+387
+00:30:58,350 --> 00:31:01,530
+muscle، بيشتغل على الـlens capsule ولا الـlens
+
+388
+00:31:01,530 --> 00:31:02,090
+nucleus؟
+
+389
+00:31:07,090 --> 00:31:19,110
+طب ليش؟ ليش بيشتغل على الـlens capsule؟ بالضبط
+
+390
+00:31:19,110 --> 00:31:23,430
+لأن الزنيول بيعمل relaxation لمين؟ للزنيول، كده
+
+391
+00:31:23,430 --> 00:31:28,200
+أخذتوها في الـanatomy، with loss of its ability to..
+
+392
+00:31:28,200 --> 00:31:32,700
+فعندنا كمفهوم للـmuscle tone، أنه بيعمل أنه بعد
+
+393
+00:31:32,700 --> 00:31:37,920
+عملية استخدام الـcyclopentolate أو الـatropine، بيبقى
+
+394
+00:31:37,920 --> 00:31:43,040
+تقريباً +1 إلى +1.5 ديوبتر، هذه بنسميها الـ
+
+395
+00:31:43,040 --> 00:31:46,780
+muscle tone، يعني بيبقى refractive error متبقي، و
+
+396
+00:31:46,780 --> 00:31:51,440
+خاصة هذه وين؟ في حالات الأطفال، حالات الأطفال بيكون
+
+397
+00:31:51,440 --> 00:31:55,790
+عنده الـaccommodation كبير مقارنة بالكبار، فأنا جيداً
+
+398
+00:31:55,790 --> 00:31:59,070
+ما أديت الـcyclopentolate أو الـatropine اللي
+
+399
+00:31:59,070 --> 00:32:03,670
+استخدمته، بيظل عنده +1 إلى +1.5
+
+400
+00:32:03,670 --> 00:32:08,270
+ديوبتر، هذه عبارة عن إيه؟ refractive error، نتيجة الـ
+
+401
+00:32:08,270 --> 00:32:13,010
+muscle tone، ط
+
+445
+00:35:38,740 --> 00:35:42,820
+اتنين ونص لتلاتة، بعدها بدخل في الـ emetropic، لو
+
+446
+00:35:42,820 --> 00:35:48,330
+الطفل انولد وهو ميوب، أبكي عليها أبكي عليها لأنه
+
+447
+00:35:48,330 --> 00:35:52,770
+بعد عشرين سنة، يصل لعشرين سنة عمره يصير minus
+
+448
+00:35:52,770 --> 00:35:58,050
+twenty أو minus fifteen أو .. بزيد لأنه بدخل فيه
+
+449
+00:35:58,050 --> 00:36:01,270
+اللي هو retinal detachment انفصال للشبكية، وهكذا
+
+450
+00:36:01,270 --> 00:36:05,350
+إذاً الآن أنا قبل ما أبدأ أعمل الـ cycle of ventilation
+
+451
+00:36:05,350 --> 00:36:09,770
+أُؤكد على قياس الـ angle الزاوية، خاصة في الناس اللي
+
+452
+00:36:09,770 --> 00:36:12,150
+عندهم high hypermetro، okay
+
+453
+00:36:14,570 --> 00:36:21,510
+هتاخدوها في الـ instrument، أعتقد أخذتوها في
+
+454
+00:36:21,510 --> 00:36:25,190
+one ولا two؟ في one، طيب إن شاء الله في المحاضرة
+
+455
+00:36:25,190 --> 00:36:28,330
+القادمة، هنبدأ في الـ special difficulties، الـ
+
+456
+00:36:28,330 --> 00:36:29,730
+written scope، إن شاء الله
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d26e811d7c2d565789d5f0225f802910bdb8e622
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_postprocess.srt
@@ -0,0 +1,1824 @@
+1
+00:00:21,400 --> 00:00:24,140
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,140 --> 00:00:29,200
+وبركاته اليوم هنبدأ في موضوع ال difficulties ال
+
+3
+00:00:29,200 --> 00:00:35,720
+written score صعوبات في جهاز ال written score what
+
+4
+00:00:35,720 --> 00:00:39,260
+is the difficulties ال written score ما هي
+
+5
+00:00:39,260 --> 00:00:45,000
+الصعوبات اللى بتواجه ال examiner الفاحث خلال عملية
+
+6
+00:00:45,000 --> 00:00:46,700
+جهاز ال written score
+
+7
+00:00:50,930 --> 00:00:54,870
+Some refractions are easy while others are
+
+8
+00:00:54,870 --> 00:01:00,570
+extremely difficult بمعنى بعض الحالات الانكسارية
+
+9
+00:01:00,570 --> 00:01:04,950
+مثل ال imitrop أو ال low myop أو ال low
+
+10
+00:01:04,950 --> 00:01:10,010
+hypermitrop تعتبر سهلة لكن بعض الحالات الانكسارية
+
+11
+00:01:10,010 --> 00:01:14,910
+زي ال high myop أو ال high hypermitrop تعتبر ايه؟
+
+12
+00:01:14,910 --> 00:01:18,510
+extremely difficult انه صعب جدا okay
+
+13
+00:01:23,480 --> 00:01:30,020
+في تغيير شويه ال retinoscope كمفهوم ل ال
+
+14
+00:01:30,020 --> 00:01:34,700
+retinoscope او جهاز ال retinoscope is an art هو
+
+15
+00:01:34,700 --> 00:01:40,740
+عبارة عن فن which requires بيتطلب painstaking
+
+16
+00:01:40,740 --> 00:01:48,020
+practice يعني بتطلب جهد من عملية بشكل دقيق من ال
+
+17
+00:01:48,020 --> 00:01:52,730
+examiner الفاحصينand cannot be learned in one day
+
+18
+00:01:52,730 --> 00:01:59,350
+لا يمكن تعلمه خلال يوم واحد okay it
+
+19
+00:01:59,350 --> 00:02:02,710
+is essentially practical and cannot be learned
+
+20
+00:02:02,710 --> 00:02:07,110
+from textbooks but only under careful supervision
+
+21
+00:02:07,110 --> 00:02:15,140
+أيضا هو أساس عمليةلا يمكن تعلمه من خلال قراءة كتب
+
+22
+00:02:15,140 --> 00:02:21,240
+زي مثلا ديوك إلدار أو بورش طبعا هدول الكتب الشائعة
+
+23
+00:02:21,240 --> 00:02:25,660
+في موضوع ال reflection لكن بتتم تعلمه من خلال
+
+24
+00:02:25,660 --> 00:02:29,650
+professional refractionistيعني إنسان يكون ال guide
+
+25
+00:02:29,650 --> 00:02:33,530
+بتاعك المشرف ال supervision أو ال supervisor يكون
+
+26
+00:02:33,530 --> 00:02:38,970
+عنده دراية في كل حالات ال retina scope و عنده يعني
+
+27
+00:02:38,970 --> 00:02:42,670
+good trainer يعني مضارب جيد من ناحية ال retina
+
+28
+00:02:42,670 --> 00:02:48,330
+scope okay difficulties
+
+29
+00:02:48,330 --> 00:02:53,810
+due to inadequacy of technique يعني صعوبات بسبب
+
+30
+00:02:53,810 --> 00:03:00,650
+مشكلة في التقنياتيعني انه ان اديوكسي بمعنى مشكلة
+
+31
+00:03:00,650 --> 00:03:09,490
+او خلل في التقنية للجهاز okay للجهاز
+
+32
+00:03:09,490 --> 00:03:17,370
+نفسه يعني الآن الفاحس مايكونش عنده التقنية الكاملة
+
+33
+00:03:17,370 --> 00:03:22,490
+يعني بيكون عنده less experience انه خبرة قليلة في
+
+34
+00:03:22,490 --> 00:03:29,260
+كيفية استخدام الجهازOkay زي يما يكون ال examiner
+
+35
+00:03:29,260 --> 00:03:34,780
+في التعامل مع الجهاز okay يعني الآن احنا مثلا يما
+
+36
+00:03:34,780 --> 00:03:38,980
+بدأتوا انتوا ك beginner مش كان عندك deficiency من
+
+37
+00:03:38,980 --> 00:03:44,500
+ناحية نقص في استخدام الجهازانه مش قادرة تتعاملي مع
+
+38
+00:03:44,500 --> 00:03:50,000
+الجهاز بشكل صح لما اتعلمت ال parse للجهاز كيف انا
+
+39
+00:03:50,000 --> 00:03:55,520
+ممكن انه ارشد ال patient بديت شوي شوي انه ادخل في
+
+40
+00:03:55,520 --> 00:03:59,500
+ايه انه اتعلم كيف ممكن how to use the instrument
+
+41
+00:03:59,500 --> 00:04:04,440
+انه كيف تستخدمي الجهاز ال subjective refraction
+
+42
+00:04:04,440 --> 00:04:08,060
+الفحص الثانوي
+
+43
+00:04:10,320 --> 00:04:14,360
+after objective refraction will reveal انه سوف
+
+44
+00:04:14,360 --> 00:04:18,800
+يكشف uncorrection of visual acuity يعني قداش
+
+45
+00:04:18,800 --> 00:04:23,100
+..الان انا عملت objective refraction سواء كان في
+
+46
+00:04:23,100 --> 00:04:27,400
+ال retinascope او ال auto refractometer لو كان
+
+47
+00:04:27,400 --> 00:04:32,360
+الانسان فوق العشرين سنة بقدرش هذه الوصفة اديلهياها
+
+48
+00:04:32,360 --> 00:04:36,740
+لازم اعمله ايه subjective refractionالـ Subjective
+
+49
+00:04:36,740 --> 00:04:40,780
+Refraction من خلالها بقدر أدى المريض إيه؟ النضارة
+
+50
+00:04:40,780 --> 00:04:45,200
+أو العدسة اللاصقة يعني الـ Subjective Refraction
+
+51
+00:04:45,200 --> 00:04:51,220
+will reveal أنه سوف يكشف Uncorrection of visual
+
+52
+00:04:51,220 --> 00:04:55,660
+acuity جداش المريض مش مصلح الخطأ الإنكسار اللي
+
+53
+00:04:55,660 --> 00:04:57,960
+عنده في مين؟ في الـ Objective Refraction
+
+54
+00:05:03,040 --> 00:05:07,540
+of the lenses by the patient في بعض الحالات ان ال
+
+55
+00:05:07,540 --> 00:05:11,980
+examiner بيفحص ال patient بكون شغله صح سواء في ال
+
+56
+00:05:11,980 --> 00:05:15,980
+retinascope او ال auto refractometerلكن المريض
+
+57
+00:05:15,980 --> 00:05:20,540
+مايكونش متقبل لهذه العدسات انه بتكون مثلا ال power
+
+58
+00:05:20,540 --> 00:05:25,220
+عنده اعلى او اقل فال subjective refraction من
+
+59
+00:05:25,220 --> 00:05:29,460
+خلالها بكشف جديش ال uncorrected of the refractive
+
+60
+00:05:29,460 --> 00:05:33,140
+error او unaccepted of the lens by the patient
+
+61
+00:05:33,140 --> 00:05:39,700
+يعني جديش العدسة اللي هو مش قبلها المريضيعني بنفعش
+
+62
+00:05:39,700 --> 00:05:43,600
+عشان هذا السبب أنه بنفعش أن المريض أول ما أطلعله
+
+63
+00:05:43,600 --> 00:05:46,280
+النتائج أديه النضارة أقول له هذه النضارة بتاعتك
+
+64
+00:05:46,280 --> 00:05:51,180
+لازم أعمل إيه ال subjective refraction باستثناء في
+
+65
+00:05:51,180 --> 00:05:56,060
+حالة زي ما قلنا الأطفال such
+
+66
+00:05:56,060 --> 00:05:59,820
+a state of affairs commonly results from the
+
+67
+00:05:59,820 --> 00:06:03,100
+mistakes of an experienced and practiced
+
+68
+00:06:03,100 --> 00:06:08,080
+refractionist كل هذه الأخطاءبكون نتيجة تراكمية
+
+69
+00:06:08,080 --> 00:06:13,060
+لإيه؟ إنه ال examiner بيكونش عنده الخبرة الكافية
+
+70
+00:06:13,060 --> 00:06:18,280
+في إنه يعمل ال practice of retinoscopy بشكل صحيح
+
+71
+00:06:18,280 --> 00:06:23,260
+okay؟ يعني هذه النتيجة إنه ماعندهوش الخبرة الكافية
+
+72
+00:06:23,260 --> 00:06:26,580
+عشان هيك دايما بنقول إن جهاز ال retinoscope هو
+
+73
+00:06:26,580 --> 00:06:32,080
+عبارة عن practice practice and practice you cannot
+
+74
+00:06:32,080 --> 00:06:34,920
+learn retinoscope during one day or by the
+
+75
+00:06:34,920 --> 00:06:39,650
+textbooksمش ممكن إلا لازم تشوف الحلات مرة مرتين
+
+76
+00:06:39,650 --> 00:06:44,690
+تلاتة و اتعلم من خلال ال red reflex جد ما انت شوفت
+
+77
+00:06:44,690 --> 00:06:47,790
+حلات جد ما هتقدر تطلعي نتائج صح
+
+78
+00:06:51,730 --> 00:06:54,430
+It is important to keep a suitable working
+
+79
+00:06:54,430 --> 00:06:57,830
+distance and to ensure that retinoscopic
+
+80
+00:06:57,830 --> 00:07:01,670
+examination is performed close to the visual axis
+
+81
+00:07:01,670 --> 00:07:06,190
+in order to refract the macula من المهم أن أحافظ
+
+82
+00:07:06,190 --> 00:07:09,950
+على مسافة العمل ما بين المريض وال examiner، هذه
+
+83
+00:07:09,950 --> 00:07:14,730
+مهمة جدا زي ما اتفقنا عليها النقطة التانية أن
+
+84
+00:07:14,730 --> 00:07:21,080
+visual axis العبارة عنStraight line passes through
+
+85
+00:07:21,080 --> 00:07:26,300
+the object to the fovea تعرفوا أن كل عين بيكون لها
+
+86
+00:07:26,300 --> 00:07:30,600
+visual access عشان هيك دايما لما بفحص المريض بخليه
+
+87
+00:07:30,600 --> 00:07:34,360
+بال primary position أن ال head و ال eye دايما في
+
+88
+00:07:34,360 --> 00:07:37,180
+مستوى واحد و بتطلع وين إلى الأمام
+
+89
+00:07:43,610 --> 00:07:46,150
+in this respect not only the horizontal
+
+90
+00:07:46,150 --> 00:07:50,050
+orientation to be noted but also the vertical one
+
+91
+00:07:50,050 --> 00:07:55,290
+failure to observe this fact may falsely introduce
+
+92
+00:07:55,290 --> 00:07:58,790
+a cylindrical element during retinascope بمعنى
+
+93
+00:07:58,790 --> 00:08:03,150
+الآن أنا عملت ال horizontal meridian بعد هيك عملت
+
+94
+00:08:03,150 --> 00:08:07,800
+ال vertical meridianنفترض إنه كان عنده في الشغل ال
+
+95
+00:08:07,800 --> 00:08:10,860
+horizontal meridian minus one و ال vertical
+
+96
+00:08:10,860 --> 00:08:14,600
+meridian plus one، الآن أنا طلعت للمريض أيه؟
+
+97
+00:08:14,600 --> 00:08:17,660
+cylinder lens، هو يعتبر هذا ال cylinder أيه؟
+
+98
+00:08:17,660 --> 00:08:21,940
+artificial، يعني مش حقيقي، مش موجود أصلا، فالنتائج
+
+99
+00:08:21,940 --> 00:08:25,880
+بتاعته كانت مغايرة للحقيقة، فبالتالي أنا أديت
+
+100
+00:08:25,880 --> 00:08:29,780
+للمريض عدسة إنه يلبس نضارة cylinder lens دون ما
+
+101
+00:08:29,780 --> 00:08:31,700
+بحتاجها، صحيح؟
+
+102
+00:08:37,030 --> 00:08:43,610
+انه لازم ابحث صح ان النتائج تكون correct يعني انا
+
+103
+00:08:43,610 --> 00:08:49,030
+مثلا تشتغلي meridian صح و meridian تاني خطأ تحكيلي
+
+104
+00:08:49,030 --> 00:08:52,610
+مثلا انا اشتغلي الصح واحد و التاني غلط طب انت ممكن
+
+105
+00:08:52,610 --> 00:08:57,710
+عملت المريض artificial astigmatism يعني عنده
+
+106
+00:08:57,710 --> 00:09:02,150
+astigmatism لكن مش حقيقي انه كان هو سفير او كان
+
+107
+00:09:02,150 --> 00:09:05,910
+مثلا عنده astigmatism و طلعتيه سفيرفبالتالي
+
+108
+00:09:05,910 --> 00:09:12,230
+النضارة اللى هتكون للمريض خاطية صح؟ difficulties
+
+109
+00:09:12,230 --> 00:09:16,350
+due to absence of relaxation of accommodation of
+
+110
+00:09:16,350 --> 00:09:20,690
+the examined eye يعني صعوبات بسبب غياب من ال
+
+111
+00:09:20,690 --> 00:09:25,290
+relaxation أهم شغلة why the room should be dark
+
+112
+00:09:25,290 --> 00:09:28,330
+during the retinoscopy to relax of accommodation
+
+113
+00:09:31,200 --> 00:09:34,860
+long to relax of accommodation dark to reflect of
+
+114
+00:09:34,860 --> 00:09:39,220
+the light okay فالان ايش انا بعمل انه دايما ان ال
+
+115
+00:09:39,220 --> 00:09:43,240
+absence لل accommodation مهم جدا لو في انا عندي
+
+116
+00:09:43,240 --> 00:09:46,780
+صعوبة يعني اقول للمريض اتطلع بعيد و بتطلع عليا انا
+
+117
+00:09:46,780 --> 00:09:53,460
+كل نتاج ايه خطر صح ولا لأ انا كل شوية لازم ك
+
+118
+00:09:53,460 --> 00:09:56,780
+examiner اقول للمريض اتطلع بعيد اتطلع بعيد اتطلع
+
+119
+00:09:56,780 --> 00:10:01,780
+بعيد لو بلاحظ ان المريض uncooperativeأنا لازم كل
+
+120
+00:10:01,780 --> 00:10:05,880
+شوية أنه أعمله instruction كل شوية إرشاد، فاهم أيه
+
+121
+00:10:05,880 --> 00:10:09,400
+كيف؟ يعني .. و بعدين أنا بلاحظ يعني معظمكم اللي
+
+122
+00:10:09,400 --> 00:10:13,260
+مابتش تشتغلهيعني حتى انت مابتتكلم مع المريض و هذا
+
+123
+00:10:13,260 --> 00:10:16,580
+خطأ لازم يكون فيه اللي هو connection بينك و بين
+
+124
+00:10:16,580 --> 00:10:20,660
+المريض ان انا بشتغل لأنه من الخطأ المريض بزهج يعني
+
+125
+00:10:20,660 --> 00:10:24,960
+لما انت مثلا طول نص ساعة او ربع ساعة او او كمدة
+
+126
+00:10:24,960 --> 00:10:28,620
+المريض بصير عنده ملل من ناحية الشغل يعني خلاص
+
+127
+00:10:28,620 --> 00:10:33,280
+بقولك انه بتطلع عليه بشوف طبيعته فضولة بدي شوف ايش
+
+128
+00:10:33,280 --> 00:10:37,240
+الجهاز ايش تركيبته و هكذا و بالتالي بتطلع عليك و
+
+129
+00:10:37,240 --> 00:10:52,230
+انت مش عارفةو النتائج إيش بتكون؟ خطأ هو
+
+130
+00:10:52,230 --> 00:10:56,990
+طبيعة المريض إذا كانإذا كان المريض cooperative
+
+131
+00:10:56,990 --> 00:11:01,890
+فهذا كويس ولكن إذا كان uncooperative أنه لازم يكون
+
+132
+00:11:01,890 --> 00:11:05,950
+ال examiner clever لازم يكون ذكي في التعامل يعني
+
+133
+00:11:05,950 --> 00:11:09,530
+مش كل المرضى هيجيوا انه cooperative في ناس هتيجي
+
+134
+00:11:09,530 --> 00:11:15,510
+uncooperative فانا بدي أجيد كيف التعامل معهم طبعا
+
+135
+00:11:15,510 --> 00:11:19,770
+هي بال experience بالخبرة مش يوم أو يومين أو تلاتة
+
+136
+00:11:19,770 --> 00:11:23,090
+كل ما الإنسان يشتغل أكتر بتعلم أكتر و هكذا
+
+137
+00:11:27,250 --> 00:11:30,310
+If the accommodation is not being kept inactive
+
+138
+00:11:30,310 --> 00:11:33,730
+during retinoscopy, the retinoscopic results are
+
+139
+00:11:33,730 --> 00:11:37,730
+changing during the examination لو أنا مثلا
+
+140
+00:11:37,730 --> 00:11:42,390
+ماعملتش relaxation للـ accommodation بمعنى
+
+141
+00:11:42,390 --> 00:11:48,490
+ماستخدمتش cycloibligia أي قطرة لتوسيع البؤبء أو
+
+142
+00:11:48,490 --> 00:11:52,370
+مثلا ماحكتش للمريض اطلع بعيدماحيصرش عنده
+
+143
+00:11:52,370 --> 00:11:55,890
+relaxation لإيه لل accommodation وبالتالي هيكون
+
+144
+00:11:55,890 --> 00:12:03,770
+عنده نتائج خاطية أو تغيير في الفحص داعي okay so
+
+145
+00:12:03,770 --> 00:12:06,050
+the accommodation must be inactive during
+
+146
+00:12:06,050 --> 00:12:09,550
+retinoscopy this is obtained by using two tricks
+
+147
+00:12:09,550 --> 00:12:14,330
+في عندنا ال trickين ممكن بنستخدمهم عشان اعمل
+
+148
+00:12:14,330 --> 00:12:18,440
+relaxation لل accommodationطبعا ال trick الأولاني
+
+149
+00:12:18,440 --> 00:12:21,600
+كنا بنعرفه أنه بنقول للمريض و احنا اللي بنستخدمه
+
+150
+00:12:21,600 --> 00:12:25,760
+أنه تطلع بعيد هدول ال trickين التانين من الصعب
+
+151
+00:12:25,760 --> 00:12:31,380
+عندنا أنه بيستخدمه ليه؟ لأن الأول بستخدم عدسة
+
+152
+00:12:31,380 --> 00:12:36,600
+قوتها عشرة ديوبتر أي بمعنى بحط trail frame و بحط
+
+153
+00:12:36,600 --> 00:12:40,440
+العدسة ال plus عشرة أمام العين فإما أنا بستخدم
+
+154
+00:12:40,440 --> 00:12:46,060
+الطريقة هذه إيش هيعمل المريض؟الـ trial frame كله
+
+155
+00:12:46,060 --> 00:12:50,100
+اللي عندنا موجود وزنه تجيل فالمريض انه حيصير عنده
+
+156
+00:12:50,100 --> 00:12:54,140
+boring انزعاج منه فماهيقدرش يكمل معاك الفحص عشان
+
+157
+00:12:54,140 --> 00:12:57,840
+هيك احنا مابنقولكمش ضيفوا عشرة على ال trial frame
+
+158
+00:12:57,840 --> 00:13:03,900
+okay فالطريقة الأولى بستخدم plus عشرة قدام العين
+
+159
+00:13:03,900 --> 00:13:09,680
+وبعدها بستخدم العدسات اللي انا بصلح فيهم فهذه ايش
+
+160
+00:13:09,680 --> 00:13:13,020
+بتعمل relaxation لل accommodation الا في حالة
+
+161
+00:13:13,020 --> 00:13:16,920
+واحدة بستخدمهاشوأكيد عارفينه إذا كان المريض hyper
+
+162
+00:13:16,920 --> 00:13:21,240
+metro إذا كان hyper metro بديته plus عشرة هيعمل
+
+163
+00:13:21,240 --> 00:13:27,360
+ايش improvement ل ال vision بتاعه الطريقة التانية
+
+164
+00:13:27,360 --> 00:13:31,380
+أنه بقول للمريض سكر وافتى عينك وانا يمكن معظمكم
+
+165
+00:13:31,380 --> 00:13:36,200
+شافني بستخدمها واطلعي بعيديعني بيصير مثلا عنده
+
+166
+00:13:36,200 --> 00:13:39,080
+حركة مرة with و مرة against و مرة with و مرة
+
+167
+00:13:39,080 --> 00:13:42,680
+against مش صارت معاكم معظمكم بقول للمريض طلع بعيد
+
+168
+00:13:42,680 --> 00:13:46,820
+و غمض مرة مرتين تلاتة أي بمعنى يعمل blinking ترميش
+
+169
+00:13:46,820 --> 00:13:54,180
+okay بعدها بقدر انه افحص المريض تثبت الحركة فعنا
+
+170
+00:13:54,180 --> 00:13:58,060
+ال two tricks for relaxation of accommodation
+
+171
+00:13:59,360 --> 00:14:10,100
+fogging of retinascope by inserting
+
+172
+00:14:10,100 --> 00:14:16,640
+a high convex lens قوتها plus عشرة ممكن تلاقوا بعض
+
+173
+00:14:16,640 --> 00:14:21,160
+الكتب تكتب plus خمسة plus خمس عشرة انه يكون high
+
+174
+00:14:21,160 --> 00:14:26,550
+refractive error أو high plus lensin the trial
+
+175
+00:14:26,550 --> 00:14:30,670
+frame in the front of the examined eye and asking
+
+176
+00:14:30,670 --> 00:14:33,830
+the patient to look away at infinity لازم اقول
+
+177
+00:14:33,830 --> 00:14:38,710
+للمريض انه اتطلع عشان مسافة بعيدة يعني حتى لحظة
+
+178
+00:14:38,710 --> 00:14:43,510
+انا حطيت عدسة plus عشرة و مع ذلك قلت للمريض انه
+
+179
+00:14:43,510 --> 00:14:48,550
+اتطلع at infinity لمسافة بعيدة عشان يعمل ايه
+
+180
+00:14:48,550 --> 00:14:52,780
+relaxation لل accommodationthen replacement
+
+181
+00:14:52,780 --> 00:14:56,920
+بنستبدل of the lenses العدسات in the trial frame
+
+182
+00:14:56,920 --> 00:15:00,540
+اللي موجودة في ال trial frame as retinascopy it
+
+183
+00:15:00,540 --> 00:15:04,620
+proceeds انه بنضيف العدسة اللي عدلت فيها في ال
+
+184
+00:15:04,620 --> 00:15:09,260
+retinascope is always done so that neither
+
+185
+00:15:09,260 --> 00:15:12,800
+examined eye is exposed to light without a lens
+
+186
+00:15:12,800 --> 00:15:18,680
+beforeوالعدسة الموجودة في الـ replace lens تم
+
+187
+00:15:18,680 --> 00:15:22,940
+إزالتها الآن أنا بعد ما ضيفت العدسة ال plus عشرة
+
+188
+00:15:22,940 --> 00:15:27,000
+أو ال plus خمسة بضيف العدسة اللي أنا بعمل لها إيه
+
+189
+00:15:27,000 --> 00:15:31,520
+ال neutralization ال neutral point بصير أحط العدسة
+
+190
+00:15:31,520 --> 00:15:35,120
+حسب اللي هو إيه ال neutral point زي ما بتعملوا
+
+191
+00:15:35,120 --> 00:15:39,080
+plus واحد لأ لسه مافيش معادل بحط plus واحد و نصف
+
+192
+00:15:39,080 --> 00:15:42,040
+فبصير insertion و removal insertion و removal
+
+193
+00:15:44,210 --> 00:15:48,270
+العشرة والواحد و نص اللي بقصونا من المسافة؟ الان
+
+194
+00:15:48,270 --> 00:15:52,350
+انا العشرة عملت هي ال relaxation لل accommodation
+
+195
+00:15:52,350 --> 00:15:56,910
+احنا
+
+196
+00:15:56,910 --> 00:16:00,910
+هان ال plus واحد و نص لو بديش اقصم من مسافة العمل
+
+197
+00:16:00,910 --> 00:16:06,150
+لو بديش اقصم من مسافة العمل اه بتنحط الواحد و نص
+
+198
+00:16:06,750 --> 00:16:10,590
+يعني في طريقة هي صح كلامها الان احنا قلنا ان ليش
+
+199
+00:16:10,590 --> 00:16:15,110
+ممكن انا احط ال plus واحد و نص قدام العين ان عشان
+
+200
+00:16:15,110 --> 00:16:18,070
+بدل ما اخصم من ال working distance من مسافة العمل
+
+201
+00:16:18,070 --> 00:16:23,010
+فبحط plus واحد و نص و بخصمش ايه من ال two cross
+
+202
+00:16:23,010 --> 00:16:26,590
+بتاعي او بخصم من مسافة العمل اذا ماحطيتش اللي هو
+
+203
+00:16:26,590 --> 00:16:28,190
+ال واحد و نص okay
+
+204
+00:16:31,030 --> 00:16:34,370
+الطريقة التانية to get the patient to close then
+
+205
+00:16:34,370 --> 00:16:38,110
+to open his eyes inspecting his eye by retinascope
+
+206
+00:16:38,110 --> 00:16:41,810
+just he opens his eye inspecting بمعنى examine
+
+207
+00:16:41,810 --> 00:16:48,590
+يعني تفحص العين okay إذا بنقول للمريض بنرشده إنه
+
+208
+00:16:48,590 --> 00:16:52,610
+يفتح عينه غمض عينه يفتح عينه غمض عينه بعدين ببدأ
+
+209
+00:16:52,610 --> 00:16:56,850
+بعملية إيش ال procedure لretinascope okay
+
+210
+00:17:02,180 --> 00:17:05,800
+if the above two tricks fail to relax the
+
+211
+00:17:05,800 --> 00:17:09,880
+accommodation لو الطريقتين هدول فشله في عملية ال
+
+212
+00:17:09,880 --> 00:17:15,060
+retinascope okay what will happen especially in
+
+213
+00:17:15,060 --> 00:17:19,540
+young persons خاصة في الأطفال and children
+
+214
+00:17:19,540 --> 00:17:24,600
+cycloplegia okay paralysis of the ciliary muscle
+
+215
+00:17:24,600 --> 00:17:29,840
+is used عارفين احنا في تلت عضلات لل intraocular
+
+216
+00:17:29,840 --> 00:17:35,150
+muscleمن ضمنهم الـ ciliary muscle الآن ال function
+
+217
+00:17:35,150 --> 00:17:38,450
+بتاعة الـ cyclopentylate ايش بتاعنا؟ ال paralysis
+
+218
+00:17:38,450 --> 00:17:43,350
+شلل لل ciliary muscle وبالتالي بعد ما يصير ال
+
+219
+00:17:43,350 --> 00:17:46,190
+paralysis لل ciliary muscle بيصير dilate
+
+220
+00:17:46,190 --> 00:17:49,050
+dilatation لبيوبل
+
+221
+00:17:50,770 --> 00:17:54,450
+أه فبتصير عملية اللي هو ال dilatation يعني عندى
+
+222
+00:17:54,450 --> 00:17:58,130
+two function لال cycle oblige أو ال cycle
+
+223
+00:17:58,130 --> 00:18:02,930
+ventilate إنه بتعمل dilatation للي بيوبل قبلها
+
+224
+00:18:02,930 --> 00:18:06,850
+بتعمل إيش paralysis ل ال ciliary muscle أي بمعنى
+
+225
+00:18:06,850 --> 00:18:09,250
+شلل ل ال ciliary muscle
+
+226
+00:18:13,310 --> 00:18:17,950
+إذا الأن بدنا نتفق في كل حالات الأطفال لازم نستخدم
+
+227
+00:18:17,950 --> 00:18:21,930
+الـcycloplegia أو الـcyclopentilate عشان نعمل
+
+228
+00:18:21,930 --> 00:18:27,330
+relax لل accommodation إذا شوفنا الطفل cooperative
+
+229
+00:18:27,330 --> 00:18:32,430
+متعاون ممكن أنه أعمله reflection زي ما بعمل للكبار
+
+230
+00:18:33,340 --> 00:18:37,260
+إذا ما شوفناه .. إذا كان الطفل uncoperative لازم
+
+231
+00:18:37,260 --> 00:18:40,600
+أنه يعمل إيه؟ الـcycloplegia أو الـcyclopentilate
+
+232
+00:18:40,600 --> 00:18:47,240
+to paralysis of the ciliary muscle okay الآن
+
+233
+00:18:47,240 --> 00:18:52,540
+الـcycloplegia أو الـcyclopentilate إلها advantage
+
+234
+00:18:52,540 --> 00:18:59,390
+أي بمعنى عيوب و في إلها إيه؟فوائد شو هي الفوائد
+
+235
+00:18:59,390 --> 00:19:03,550
+بتاعتها او المميزات و ايش هي العيوب what is the
+
+236
+00:19:03,550 --> 00:19:07,730
+advantages and disadvantages of Cycle Elysium
+
+237
+00:19:07,730 --> 00:19:11,730
+advantages
+
+238
+00:19:11,730 --> 00:19:16,410
+number one paralysis of accommodation to make easy
+
+239
+00:19:16,410 --> 00:19:20,690
+retinoscopy اذا اول حاجة بنعمل شلل لال
+
+240
+00:19:20,690 --> 00:19:26,950
+accommodation او paralysis of the ciliary muscleأه
+
+241
+00:19:26,950 --> 00:19:31,490
+شلل paralysis طبعا
+
+242
+00:19:31,490 --> 00:19:36,210
+بنعمل الشلل ل ال retinoscopy عشان نقدر نعمل عملية
+
+243
+00:19:36,210 --> 00:19:43,290
+ايه ال procedure of retinoscopy number
+
+244
+00:19:43,290 --> 00:19:49,870
+two imbuable dilatation أي بمعنى توسيع للبقبق كيف
+
+245
+00:19:49,870 --> 00:19:55,490
+ال midriasis توسيع للبقبق من خلال قطرة اسمها ال
+
+246
+00:19:55,490 --> 00:20:00,840
+midriasisleads to good visualization of red reflex
+
+247
+00:20:00,840 --> 00:20:06,260
+الان البقبق يما بتتسع بقدر انا اشوف ال red reflex
+
+248
+00:20:06,260 --> 00:20:12,180
+بشكل واضح معظمكم شاف بقبق بيكون myosis صح؟ في ال
+
+249
+00:20:12,180 --> 00:20:17,440
+young adult مظبوط؟ الان انا لو بدى اعمل accurate
+
+250
+00:20:17,440 --> 00:20:21,980
+measurement of the refractive error يعني فحص دقيق
+
+251
+00:20:21,980 --> 00:20:27,080
+للخطأ الانكساري لازم استخدم ايش؟الـ Cycloplegia
+
+252
+00:20:27,080 --> 00:20:31,720
+اللي هي dilatation للبيوبل بالتالي انا هقدر اشوف
+
+253
+00:20:31,720 --> 00:20:37,620
+ال red reflex بشكل واضح يعني الآن يما يكون عنده
+
+254
+00:20:37,620 --> 00:20:42,700
+مريض عنده myosis في البقبق و مريض اخر عنده dilate
+
+255
+00:20:42,700 --> 00:20:48,040
+في البيوبل مين فيهم اسهل كشغل؟ ال dilate للبيوبل
+
+256
+00:20:48,040 --> 00:20:52,670
+صح؟الان الـ meiosis هي تعتبر ايه؟ من ضمن ال
+
+257
+00:20:52,670 --> 00:20:55,310
+difficulties، لو واحد سألك شو ال difficulties
+
+258
+00:20:55,310 --> 00:20:58,490
+بتاعة ال written scope، من ضمنهم ان واحد يكون عنده
+
+259
+00:20:58,490 --> 00:21:00,410
+meiosis ده البقبق، صح؟
+
+260
+00:21:03,850 --> 00:21:08,590
+طبعا هذه بالنسبة للقطرة في عندنا الأتروبيل في فرق
+
+261
+00:21:08,590 --> 00:21:12,450
+بين الأتروبيل والcyclobentrolate ال duration بتاعة
+
+262
+00:21:12,450 --> 00:21:17,170
+الأتروبيل بتكون أكتر بمعنى إيجان الطفل كان عنده ال
+
+263
+00:21:17,170 --> 00:21:21,130
+accommodation كبير يعني عنده excess accommodation
+
+264
+00:21:21,130 --> 00:21:25,490
+مقدرش أستخدم مع هذا الطفل الcyclobentrolate إيش
+
+265
+00:21:25,490 --> 00:21:31,300
+بستخدم معاه الأتروبيلبيستخدم لمدة اربعتاشر يوم
+
+266
+00:21:31,300 --> 00:21:36,880
+يعني بمعنى انا بدي المريض انه كل يوم يجطر لفترة
+
+267
+00:21:36,880 --> 00:21:43,320
+بعد اربعتاشر يوم بقدر انه يعمله الفحص بالاضافة نعم
+
+268
+00:21:44,870 --> 00:21:48,970
+هذه الأتروبين ال duration المدة بتاعته بتكون طويلة
+
+269
+00:21:48,970 --> 00:21:53,290
+يعني واحد إيجاني على المركز أو على المستشفى كان
+
+270
+00:21:53,290 --> 00:21:57,070
+عنده excess accommodation قوة بمعنى انه اديته ال
+
+271
+00:21:57,070 --> 00:22:00,390
+cycle been too late لكن ما without benefit بدون
+
+272
+00:22:00,390 --> 00:22:03,950
+فائدة يعني مافدش ال cycle been too late معاه إيش
+
+273
+00:22:03,950 --> 00:22:11,470
+بيستخدم؟ الأتروبينالاتروبين انه القوة بتاعته اكتر
+
+274
+00:22:11,470 --> 00:22:14,970
+من ال cycle of ventilate و ال duration المدة انتوا
+
+275
+00:22:14,970 --> 00:22:18,170
+عارفين ان كل دواء او كل قطرة بيكون لها ال duration
+
+276
+00:22:18,170 --> 00:22:24,090
+مدة فالمدة بتاعته بتكون اطول okay من ناحية انه
+
+277
+00:22:24,090 --> 00:22:27,170
+واجتاش ال effect بتاعه بيروح يعني ال cycle of
+
+278
+00:22:27,170 --> 00:22:30,930
+ventilate يوم يومين خلاص مافيش تأثيرعارفين انتوا
+
+279
+00:22:30,930 --> 00:22:34,210
+كل قطرة بيكون لها side effect، side effect بمعنى
+
+280
+00:22:34,210 --> 00:22:38,690
+تأثير او complication، مضاعفات، يعني بتعمل fever،
+
+281
+00:22:38,690 --> 00:22:44,050
+حرارة، ممكن بتعمل سخونة، و هكذا، كل هذه بتروح خلال
+
+282
+00:22:44,050 --> 00:22:49,830
+يوم او يومين، ياما بستخدم مين؟ Cyclobentolate، لكن
+
+283
+00:22:49,830 --> 00:22:54,740
+ياما بستخدم الأتروبين، بده تقريبا اربعتاشر يومال
+
+284
+00:22:54,740 --> 00:22:58,940
+14 يوم عشان examiner يفحصها؟ لأ ممكن انا مثلا تلت
+
+285
+00:22:58,940 --> 00:23:02,680
+ايام اربع ايام بعمل الفحص لكن ال .. ال .. الجرعة
+
+286
+00:23:02,680 --> 00:23:06,700
+بتاعته بتروح بعد 14 يوم يعني ممكن بعد 14 يوم
+
+287
+00:23:06,700 --> 00:23:10,460
+examiner تاني يعمل فحص okay no problem هذه بالنسبة
+
+288
+00:23:10,460 --> 00:23:13,820
+لل atropine ال bilocarbine ايش بيعمل؟ meiosis
+
+289
+00:23:13,820 --> 00:23:18,820
+للبقبق انه بيصغر البقبقأكيد معظمكم من بارح اللي
+
+290
+00:23:18,820 --> 00:23:21,860
+كانوا في المعمل بتاع ال refraction شرحنا موضوع ال
+
+291
+00:23:21,860 --> 00:23:28,340
+bilo carbine انه بيعمل ميوزف للبقبق اه الان كل ..
+
+292
+00:23:28,340 --> 00:23:33,580
+انا بدي شغلتين منكم القطرة اللي بتوسع هي عبارة عن
+
+293
+00:23:33,580 --> 00:23:37,240
+ال cyclopentylate ال cyclopentylate بتعمل
+
+294
+00:23:37,240 --> 00:23:41,200
+dilatation للبيوبل او الأتروبيل شو الفرق بين
+
+295
+00:23:41,200 --> 00:23:47,470
+التنتين من ناحية ال duration المدة okayالقطرة اللى
+
+296
+00:23:47,470 --> 00:23:51,750
+بتعمل meiosis تضييق للبقبق هي عبارة عن ال bilo
+
+297
+00:23:51,750 --> 00:23:54,730
+carbine هناخدها لقدام ان شاء الله في ال eye
+
+298
+00:23:54,730 --> 00:23:59,310
+disease هتاخدوها زى فى ال glaucoma الناس اللى
+
+299
+00:23:59,310 --> 00:24:03,770
+عندهم مياه زرقاء بيستخدموا معهم مين ال bilo
+
+300
+00:24:03,770 --> 00:24:09,430
+carbine طبعا ممكن واحد يسألنى طب شو فايدة اللى هو
+
+301
+00:24:09,430 --> 00:24:13,990
+ال optometrist انه اعرف القطرات هذههذه هناخدها في
+
+302
+00:24:13,990 --> 00:24:17,570
+ال special difficulties of retinascope يعني شو
+
+303
+00:24:17,570 --> 00:24:22,670
+الحالات الصعبة يعني ال special الخاصة في الصعوبة
+
+304
+00:24:22,670 --> 00:24:27,330
+من ناحية ال retinascope okay فهي زي ما انتوا
+
+305
+00:24:27,330 --> 00:24:31,230
+شايفين ان البقبق هان عمل dilate و هان مايوزز
+
+306
+00:24:31,230 --> 00:24:36,030
+فالصورة اعتقد انه واضحة هذه عاملة dilate مدرياسس
+
+307
+00:24:36,030 --> 00:24:38,630
+أتروبيل وهذه مايوزز البقبق
+
+308
+00:24:45,490 --> 00:24:49,230
+برضه عندنا ال macular refraction is more accurate
+
+309
+00:24:49,230 --> 00:24:54,790
+الان انا لما بنستخدم ال retinascope without
+
+310
+00:24:54,790 --> 00:25:00,390
+cyclopentolate بدون قطرة انا بس بقدر انه اشوف ال
+
+311
+00:25:00,390 --> 00:25:07,240
+red reflex اللي معكوس من ال retina صح؟الان لما
+
+312
+00:25:07,240 --> 00:25:11,940
+يكون dilated ل ال pupil بمعنى ان البقبق موسع في ال
+
+313
+00:25:11,940 --> 00:25:15,580
+optical state of the eye اكيد أخدتهم اللي هي بتشمل
+
+314
+00:25:15,580 --> 00:25:19,640
+ال anterior و ال posterior surface of the cornea و
+
+315
+00:25:19,640 --> 00:25:22,870
+عندنا كمان ال lens anterior و posteriorكل واحدة
+
+316
+00:25:22,870 --> 00:25:26,410
+فيه لها refractive index مختلفة عن الـ A الأخرى
+
+317
+00:25:26,410 --> 00:25:29,470
+وكل واحدة فيه لها refractive error مختلفة عن
+
+318
+00:25:29,470 --> 00:25:34,310
+التانية فالان انا لما بعمل dilate للبيوبل بمعنى
+
+319
+00:25:34,310 --> 00:25:39,490
+انه بعمل .. بستخدم ال atropine او بستخدم ال
+
+320
+00:25:39,490 --> 00:25:43,650
+cyclopentolate بعمل ايه؟ dilate للبيوبل فانا
+
+321
+00:25:43,650 --> 00:25:47,710
+مباشرة بقدر اعمل ايش؟ ال macular refraction okay؟
+
+322
+00:25:47,990 --> 00:25:56,370
+اذا ماهي مفهوم الـ macular refraction؟ مقال
+
+323
+00:25:56,370 --> 00:25:59,710
+مقال
+
+324
+00:25:59,710 --> 00:25:59,770
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+325
+00:25:59,770 --> 00:26:00,070
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+326
+00:26:00,070 --> 00:26:04,410
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+327
+00:26:04,410 --> 00:26:06,650
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+328
+00:26:06,650 --> 00:26:09,750
+مقال مقال مقال مقال مقال مقال مقال م
+
+329
+00:26:16,140 --> 00:26:20,680
+الغرض من الـ macular refraction عملية توسيع بواسطة
+
+330
+00:26:20,680 --> 00:26:26,060
+استخدام إما الـ cyclopentolate أو الأتروبيل ليه؟
+
+331
+00:26:26,060 --> 00:26:33,440
+عشان نقدر نشوف الـ red reflex بشكل واضح طيب
+
+332
+00:26:33,440 --> 00:26:37,580
+ال disadvantages أو ال side effect تأثيرات
+
+333
+00:26:37,580 --> 00:26:41,860
+الـcycloplegia الآن
+
+334
+00:26:41,860 --> 00:26:46,590
+أنا يما بعمل dialate للبيوبل، شو عملت؟نربط البعض
+
+335
+00:26:46,590 --> 00:26:53,890
+الديليت البيوبل شو عملت؟ بالظبط اذا paralysis of
+
+336
+00:26:53,890 --> 00:26:58,730
+the ciliary muscle صحيح؟ طيب الديليت البيوبل هذا
+
+337
+00:26:58,730 --> 00:27:04,630
+ايش عمل؟ altered غير the optical properties الخواص
+
+338
+00:27:04,630 --> 00:27:10,010
+البصرية of the optical system للنظام البصري of the
+
+339
+00:27:10,010 --> 00:27:17,790
+eyeإذا توصيع البقبق غير من الخواص البصرية للنظام
+
+340
+00:27:17,790 --> 00:27:23,050
+البصري بمعنى ان انا يما بستخدم ال Cyclopentylate
+
+341
+00:27:23,050 --> 00:27:28,090
+او الأتروبيل اعملت ايه؟ دايلات للي بيوبل بقولنا ان
+
+342
+00:27:28,090 --> 00:27:32,370
+كل عين فيه اللي لها optical state of the eye هم
+
+343
+00:27:32,370 --> 00:27:36,170
+عبارة عن ال anterior و ال posterior surface
+
+344
+00:27:36,170 --> 00:27:40,730
+للكورنيةالـ anterior و ال posterior surface للـ
+
+345
+00:27:40,730 --> 00:27:45,510
+lens، ال iris، ال vitreous humer و ال retina الآن
+
+346
+00:27:45,510 --> 00:27:48,990
+لما صار عملية ال dialate ل ال pupil مباشرة انا
+
+347
+00:27:48,990 --> 00:27:53,350
+اشتغلت ايه؟ macular refraction فبالتالي انا غيرت
+
+348
+00:27:53,350 --> 00:27:58,230
+من ايه؟ من ال optical probalities الخواص البصرية
+
+349
+00:27:58,230 --> 00:28:00,790
+لل optical system of the eye
+
+350
+00:28:06,490 --> 00:28:10,930
+النتائج الملاحظة are due to refraction نتيجة ال
+
+351
+00:28:10,930 --> 00:28:16,110
+refraction of the lens as the rays passes in
+
+352
+00:28:16,110 --> 00:28:19,590
+periphery and the central area of the lens lead to
+
+353
+00:28:19,590 --> 00:28:22,910
+some percentage of errors due to different
+
+354
+00:28:22,910 --> 00:28:28,330
+refractions الان قدش ال refractive power للكورنية
+
+355
+00:28:30,350 --> 00:28:36,570
+40 to 42 ديوبتر و ال refractive power للكورنية 16
+
+356
+00:28:36,570 --> 00:28:42,490
+to 20 ديوبتر بالنسبة لل lens 16
+
+357
+00:28:42,490 --> 00:28:49,510
+to 20 ديوبتر بالنسبة لل lens و الكورنية من 40 ل 42
+
+358
+00:28:49,510 --> 00:28:54,890
+ديوبترالان انا لما بعمل dilate لل pupil مباشرة
+
+359
+00:28:54,890 --> 00:28:59,070
+بشطل ع مين؟ ع ال macular refraction فالان اعملت
+
+360
+00:28:59,070 --> 00:29:03,890
+ignore لمين؟ لل lens و للكورنية لكن في حالة
+
+361
+00:29:03,890 --> 00:29:08,990
+without cyclopentolate او atropine كان ال power
+
+362
+00:29:08,990 --> 00:29:13,290
+بتاعة الكورنية و ال lens من ضمن ايه؟ ال refractive
+
+363
+00:29:13,290 --> 00:29:19,640
+air بتاعياذا هان لو ايجى سؤال مثلا ليش انا عملت
+
+364
+00:29:19,640 --> 00:29:23,360
+ليش اللي هو صار عندى لما بستخدم الـ cyclopentylate
+
+365
+00:29:23,360 --> 00:29:26,920
+some percentage of error due to different
+
+366
+00:29:26,920 --> 00:29:30,500
+refractions بسبب انه انا عملت cyclopentylate
+
+367
+00:29:30,500 --> 00:29:33,620
+مباشرة عملت macular refraction without the cornea
+
+368
+00:29:33,620 --> 00:29:37,910
+and the lensOkay هان يما بيصير ال dilate ل ال
+
+369
+00:29:37,910 --> 00:29:42,170
+pupil الآن عمللي paralysis ل ال ciliary muscle
+
+370
+00:29:42,170 --> 00:29:45,750
+فصار اللي هو مش عارف واضح عندكم ولا لأ انه dilate
+
+371
+00:29:45,750 --> 00:29:50,350
+للبؤبو انه توسع البؤبو ع طول انا بقدر اشوف ايه ال
+
+372
+00:29:50,350 --> 00:29:52,650
+macular refraction okay
+
+373
+00:29:56,000 --> 00:30:00,920
+during cycloplegia or cyclopentolate the same
+
+374
+00:30:00,920 --> 00:30:04,500
+meaning نفس المعنى إما واحد يحكي cycloplegia يعني
+
+375
+00:30:04,500 --> 00:30:08,540
+إما استخدم cyclopentolate أو أتروبين in general
+
+376
+00:30:08,540 --> 00:30:13,560
+during cycloplegia there is paralysis of the
+
+377
+00:30:13,560 --> 00:30:17,840
+parasympathetic nerve supply to the lens capsuleزي
+
+378
+00:30:17,840 --> 00:30:20,700
+ما انتوا عارفين في عندنا ال بارا sympathetic و في
+
+379
+00:30:20,700 --> 00:30:24,760
+ال sympathetic nerve supply، الآن انا يما بصير
+
+380
+00:30:24,760 --> 00:30:29,220
+عملية relax لل accommodation، انا ايش بعمل؟ بعمل
+
+381
+00:30:29,220 --> 00:30:31,400
+paralysis للبارا sympathetic
+
+382
+00:30:35,710 --> 00:30:41,210
+ال lens بتتكون من ال lens material مادة العدسة و
+
+383
+00:30:41,210 --> 00:30:45,990
+ال lens capsule المحفظة زائد ال lens nucleus اللى
+
+384
+00:30:45,990 --> 00:30:49,830
+هى النواة بتاعتها فانا بشتغل على مين على ال lens
+
+385
+00:30:49,830 --> 00:30:53,990
+capsule اذا الان ال cycle ventilate يما بيعمل
+
+386
+00:30:53,990 --> 00:30:58,350
+relaxation لل accommodation و paralysis لل celery
+
+387
+00:30:58,350 --> 00:31:01,530
+muscle بيشتغل على ال lens capsule ولا ال lens
+
+388
+00:31:01,530 --> 00:31:02,090
+nucleus
+
+389
+00:31:07,090 --> 00:31:19,110
+طب ليش؟ ليش بيشتغل ال lens capsule؟ بالظبط
+
+390
+00:31:19,110 --> 00:31:23,430
+لإن الزنيول بيعمل relaxation لمين؟ للزنيول، كده
+
+391
+00:31:23,430 --> 00:31:28,200
+خدتوها في ال Anatomywith loss of its ability to ..
+
+392
+00:31:28,200 --> 00:31:32,700
+فعنا كمفهوم ل ال muscle tone انه بيعمل انه بعد
+
+393
+00:31:32,700 --> 00:31:37,920
+عملية استخدام ال cyclopentolate او الأتروبين بيبقى
+
+394
+00:31:37,920 --> 00:31:43,040
+تقريبا plus واحد لواحد و نص ديوبتر هذي بنسميها ال
+
+395
+00:31:43,040 --> 00:31:46,780
+muscle tone يعني بيبقى refractive error متبقى و
+
+396
+00:31:46,780 --> 00:31:51,440
+خاصة هذي وين؟ في حالات الأطفال حالات الأطفال بيكون
+
+397
+00:31:51,440 --> 00:31:55,790
+عنده ال accommodation كبير مقارنة في الكبارفانا جد
+
+398
+00:31:55,790 --> 00:31:59,070
+ما ادى الـ cyclopentylate او الأتروبين اللى
+
+399
+00:31:59,070 --> 00:32:03,670
+استخدمه بيظل عنده plus one to plus one point five
+
+400
+00:32:03,670 --> 00:32:08,270
+ديوبتر هذى عبارة عن ايه refractive error نتيجة ال
+
+401
+00:32:08,270 --> 00:32:13,010
+muscle tone طبعا هناخدها في refraction two ب
+
+402
+00:32:13,010 --> 00:32:20,180
+explanation اكثربيوب الديليتيشن توسيع البؤبؤ may
+
+403
+00:32:20,180 --> 00:32:25,000
+result ممكن انه ينتج in acute angle closure
+
+404
+00:32:25,000 --> 00:32:29,840
+aglaocoma في ال aglaocoma المياه الزرقاء اللي هى
+
+405
+00:32:29,840 --> 00:32:36,000
+أنواع منها ال acute angle closure aglaocoma اعتقد
+
+406
+00:32:36,000 --> 00:32:41,380
+صورتها موجودة اه هان كلكم تعرفوا الاكي والسهيومر
+
+407
+00:32:42,190 --> 00:32:46,970
+وفي عندنا ال anterior chamber ال anterior chamber
+
+408
+00:32:46,970 --> 00:32:51,590
+هي عبارة عن ايه؟ ال fluid space between the cornea
+
+409
+00:32:51,590 --> 00:32:56,670
+and the iris okay الآن هذه بيصير لها ايه؟ عملية
+
+410
+00:32:56,670 --> 00:33:01,430
+اغلاق obstruction انه بيصير ايه؟ اغلاق لمين؟ لل
+
+411
+00:33:01,430 --> 00:33:06,360
+angle هذهفالان يما بيصير obstruction في حالة ال
+
+412
+00:33:06,360 --> 00:33:11,000
+acute closure angioglaucoma نتيجة من ال dilate
+
+413
+00:33:11,000 --> 00:33:15,660
+للبيوبل الان انا كoptometry يما واحد يكون عنده
+
+414
+00:33:15,660 --> 00:33:19,540
+high refractive error خاصة في الميوب بخاف ايش
+
+415
+00:33:19,540 --> 00:33:23,880
+استخدم اللي هو ال cycle of ventilate لازم اعرضه
+
+416
+00:33:23,880 --> 00:33:30,050
+على طبيب اقوله ممكن انه يعمل controlOkay يعمل
+
+417
+00:33:30,050 --> 00:33:34,630
+control أول حاجة لأ لأن ال glaucoma هي تعتبر a
+
+418
+00:33:34,630 --> 00:33:38,270
+chronic disease يعني زي ال diabetes مرض مزمن أو
+
+419
+00:33:38,270 --> 00:33:44,010
+الطريقة التانية أنه بفحص الزاوية بلرا في بلاد بلرا
+
+420
+00:33:44,010 --> 00:33:48,850
+مستحيل أد ال cycloventilate إلا لازم أفحص الزاوية
+
+421
+00:33:48,850 --> 00:33:54,010
+هذا جريمة يعني تعتبر this is a crime to give for
+
+422
+00:33:54,010 --> 00:33:56,770
+the cycloventilate without measure of the angle
+
+423
+00:33:57,350 --> 00:34:03,250
+فلازم اي examiner بده يعمل refraction بال
+
+424
+00:34:03,250 --> 00:34:06,810
+cyclopentolate لازم افحص قبلها مين ال angle
+
+425
+00:34:14,120 --> 00:34:17,580
+Ibuble dilatation may result in acute angle
+
+426
+00:34:17,580 --> 00:34:22,740
+closure glaucoma توسيع البقبق ممكن انه ينتج في
+
+427
+00:34:22,740 --> 00:34:26,980
+حالة ال acute angle closure glaucoma طبعا انتوا
+
+428
+00:34:26,980 --> 00:34:30,120
+عارفين ال glaucoma هي المياه الزرقاء نتيجة زيادة
+
+429
+00:34:30,120 --> 00:34:32,980
+مين ال intraocular pressure اللي هو ضغط العين
+
+430
+00:34:32,980 --> 00:34:38,180
+الأنواع هتاخدوها ال classification لقدامin some
+
+431
+00:34:38,180 --> 00:34:42,000
+persons who have a narrow angle of anterior
+
+432
+00:34:42,000 --> 00:34:46,460
+chamber especially in those 40 years old or more
+
+433
+00:34:46,460 --> 00:34:50,660
+دايما بتكون هي مع الناس الكبار مش مع الصغار يعني
+
+434
+00:34:50,660 --> 00:34:54,780
+الناس اللي بيكون الأطفال بيجي معهم ال congenital
+
+435
+00:34:54,780 --> 00:34:59,180
+glaucoma okay و دايما بتكون open angle glaucoma
+
+436
+00:34:59,180 --> 00:35:04,970
+this complicationmust be taken in consideration
+
+437
+00:35:04,970 --> 00:35:09,650
+before installation installation يعني تقطير of the
+
+438
+00:35:09,650 --> 00:35:13,430
+mediatic drops especially patients having high
+
+439
+00:35:13,430 --> 00:35:18,250
+degree of hypermetropia دايما يما بيكون واحد عنده
+
+440
+00:35:18,250 --> 00:35:21,670
+hypermetropia و الأطفال معظمهم بيكونوا
+
+441
+00:35:21,670 --> 00:35:25,850
+hypermetropia يعني الطفل اللي لازم ينولد يكون
+
+442
+00:35:25,850 --> 00:35:30,010
+hypermetropia من اتنين و نص لتلاتة و الا مابيكونش
+
+443
+00:35:30,010 --> 00:35:34,640
+بعد هيك طبيعييعني شوف حكمة الله عز وجل إن الطفل
+
+444
+00:35:34,640 --> 00:35:38,740
+يما بنولد لازم يكون hyper metropic، بعديها من
+
+445
+00:35:38,740 --> 00:35:42,820
+اتنين و نص لتلاتة، بعدها بدخل في ال emetropic، لو
+
+446
+00:35:42,820 --> 00:35:48,330
+الطفل انولد و هو ميوب، ابكي عليهابكى عليها لإنه
+
+447
+00:35:48,330 --> 00:35:52,770
+بعد عشرين سنة يصل لعشرين سنة عمره يصير minus
+
+448
+00:35:52,770 --> 00:35:58,050
+twenty أو minus fifteen او .. بزيد لإنه بدخل فيه
+
+449
+00:35:58,050 --> 00:36:01,270
+اللي هو retinal detachment انفصال للشبكية و هكذا
+
+450
+00:36:01,270 --> 00:36:05,350
+إذا الأن أنا قبل ما بدى أعمل ال cycle of ventilate
+
+451
+00:36:05,350 --> 00:36:09,770
+أأكد على قياس ال angle الزاوية خاصة في الناس اللي
+
+452
+00:36:09,770 --> 00:36:12,150
+عندهم high hyper metro okay
+
+453
+00:36:14,570 --> 00:36:21,510
+هتاخدوها في ال instrument أعتقد أخدتوها في
+
+454
+00:36:21,510 --> 00:36:25,190
+one ولا two؟ في one طيب ان شاء الله في المحاضرة
+
+455
+00:36:25,190 --> 00:36:28,330
+القادمة هنبدأ في ال special difficulties ال
+
+456
+00:36:28,330 --> 00:36:29,730
+written scope ان شاء الله
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..c883eba7b7400a9ae70505d9b2e1e40adddf5d92
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4670, "start": 21.4, "end": 46.7, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته اليوم هنبدأ في موضوع ال difficulties ال written score صعوبات في جهاز ال written score what is the difficulties ال written score ما هي الصعوبات اللى بتواجه ال examiner الفاحث خلال عملية جهاز ال written score", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 45595, 20498, 8032, 1863, 44510, 10721, 8978, 3714, 2407, 11242, 45367, 2423, 14399, 2423, 3720, 6175, 20328, 3615, 37746, 9307, 8978, 10874, 3224, 31377, 2423, 3720, 6175, 437, 307, 264, 14399, 2423, 3720, 6175, 19446, 39896, 31767, 3615, 37746, 9307, 13672, 7578, 39894, 2407, 26108, 3224, 2423, 1139, 4564, 27188, 39319, 12984, 16490, 1211, 6027, 6225, 42213, 10632, 10874, 3224, 31377, 2423, 3720, 6175], "avg_logprob": -0.10379464334838993, "compression_ratio": 1.8679245283018868, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 21.4, "end": 21.64, "word": "طيب", "probability": 0.9117838541666666}, {"start": 21.64, "end": 21.86, "word": " بسم", "probability": 0.909912109375}, {"start": 21.86, "end": 22.02, "word": " الله", "probability": 0.96923828125}, {"start": 22.02, "end": 22.34, "word": " الرحمن", "probability": 0.9482421875}, {"start": 22.34, "end": 22.8, "word": " الرحيم", "probability": 0.9930013020833334}, {"start": 22.8, "end": 23.18, "word": " السلام", "probability": 0.88720703125}, {"start": 23.18, "end": 23.54, "word": " عليكم", "probability": 0.948974609375}, {"start": 23.54, "end": 23.9, "word": " ورحمة", "probability": 0.8548583984375}, {"start": 23.9, "end": 24.14, "word": " الله", "probability": 0.97705078125}, {"start": 24.14, "end": 24.88, "word": " وبركاته", "probability": 0.989453125}, {"start": 24.88, "end": 26.32, "word": " اليوم", "probability": 0.8603515625}, {"start": 26.32, "end": 27.0, "word": " 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{"start": 41.96, "end": 42.16, "word": " ال", "probability": 0.92236328125}, {"start": 42.16, "end": 42.72, "word": " examiner", "probability": 0.967529296875}, {"start": 42.72, "end": 43.58, "word": " الفاحث", "probability": 0.7945963541666666}, {"start": 43.58, "end": 44.34, "word": " خلال", "probability": 0.9871419270833334}, {"start": 44.34, "end": 45.0, "word": " عملية", "probability": 0.9874674479166666}, {"start": 45.0, "end": 45.76, "word": " جهاز", "probability": 0.9918619791666666}, {"start": 45.76, "end": 46.04, "word": " ال", "probability": 0.9755859375}, {"start": 46.04, "end": 46.28, "word": " written", "probability": 0.93994140625}, {"start": 46.28, "end": 46.7, "word": " score", "probability": 0.9091796875}], "temperature": 1.0}, {"id": 2, "seek": 7851, "start": 50.93, "end": 78.51, "text": "Some refractions are easy while others are extremely difficult بمعنى بعض الحالات الانكسارية مثل ال imitrop أو ال low myop أو ال low hypermitrop تعتبر سهلة لكن بعض الحالات الانكسارية زي ال high myop أو ال high hypermitrop تعتبر ايه؟ extremely difficult انه صعب جدا okay", "tokens": [24882, 45353, 626, 366, 1858, 1339, 2357, 366, 4664, 2252, 4724, 2304, 3615, 1863, 7578, 45030, 11242, 21542, 6027, 9307, 2423, 7649, 4117, 3794, 9640, 10632, 50113, 1211, 2423, 566, 270, 1513, 34051, 2423, 2295, 452, 404, 34051, 2423, 2295, 9848, 3508, 1513, 6055, 34268, 26890, 8608, 3224, 37977, 44381, 45030, 11242, 21542, 6027, 9307, 2423, 7649, 4117, 3794, 9640, 10632, 30767, 1829, 2423, 1090, 452, 404, 34051, 2423, 1090, 9848, 3508, 1513, 6055, 34268, 26890, 1975, 1829, 3224, 22807, 4664, 2252, 16472, 3224, 20328, 3615, 3555, 10874, 28259, 1392], "avg_logprob": -0.18200549286800427, "compression_ratio": 1.7843137254901962, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 50.93, "end": 51.27, "word": "Some", "probability": 0.529296875}, {"start": 51.27, "end": 52.19, "word": " refractions", "probability": 0.928955078125}, {"start": 52.19, "end": 52.61, "word": " are", 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"word": " بعض", "probability": 0.983154296875}, {"start": 68.55, "end": 69.05, "word": " الحالات", "probability": 0.9765625}, {"start": 69.05, "end": 70.01, "word": " الانكسارية", "probability": 0.9873046875}, {"start": 70.01, "end": 70.83, "word": " زي", "probability": 0.940185546875}, {"start": 70.83, "end": 71.11, "word": " ال", "probability": 0.97900390625}, {"start": 71.11, "end": 71.43, "word": " high", "probability": 0.9365234375}, {"start": 71.43, "end": 72.05, "word": " myop", "probability": 0.953857421875}, {"start": 72.05, "end": 72.29, "word": " أو", "probability": 0.7666015625}, {"start": 72.29, "end": 72.43, "word": " ال", "probability": 0.947265625}, {"start": 72.43, "end": 72.67, "word": " high", "probability": 0.93310546875}, {"start": 72.67, "end": 73.59, "word": " hypermitrop", "probability": 0.9583333333333334}, {"start": 73.59, "end": 74.31, "word": " تعتبر", "probability": 0.9705403645833334}, {"start": 74.31, "end": 74.91, "word": " ايه؟", "probability": 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{"start": 95.96, "end": 97.34, "word": " which", "probability": 0.96923828125}, {"start": 97.34, "end": 98.34, "word": " requires", "probability": 0.8720703125}, {"start": 98.34, "end": 99.38, "word": " بيتطلب", "probability": 0.8621826171875}, {"start": 99.38, "end": 100.74, "word": " painstaking", "probability": 0.668060302734375}, {"start": 100.74, "end": 101.8, "word": " practice", "probability": 0.92724609375}, {"start": 101.8, "end": 102.4, "word": " يعني", "probability": 0.915771484375}, {"start": 102.4, "end": 103.1, "word": " بتطلب", "probability": 0.8693033854166666}, {"start": 103.1, "end": 104.34, "word": " جهد", "probability": 0.97509765625}, {"start": 104.34, "end": 104.76, "word": " من", "probability": 0.9921875}, {"start": 104.76, "end": 105.9, "word": " عملية", "probability": 0.86328125}, {"start": 105.9, "end": 106.66, "word": " بشكل", "probability": 0.9850260416666666}, {"start": 106.66, "end": 107.28, "word": " دقيق", "probability": 0.99267578125}, {"start": 107.28, 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" واحد", "probability": 0.984375}, {"start": 115.25, "end": 115.99, "word": " okay", "probability": 0.40576171875}, {"start": 115.99, "end": 119.35, "word": " it", "probability": 0.80810546875}, {"start": 119.35, "end": 119.57, "word": " is", "probability": 0.96337890625}, {"start": 119.57, "end": 120.19, "word": " essentially", "probability": 0.4951171875}, {"start": 120.19, "end": 121.21, "word": " practical", "probability": 0.76123046875}, {"start": 121.21, "end": 121.75, "word": " and", "probability": 0.96484375}, {"start": 121.75, "end": 122.09, "word": " cannot", "probability": 0.859375}, {"start": 122.09, "end": 122.39, "word": " be", "probability": 0.9638671875}, {"start": 122.39, "end": 122.71, "word": " learned", "probability": 0.8740234375}, {"start": 122.71, "end": 123.21, "word": " from", "probability": 0.91748046875}, {"start": 123.21, "end": 123.73, "word": " textbooks", "probability": 0.6103515625}, {"start": 123.73, "end": 124.59, "word": " but", "probability": 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{"start": 243.58, "end": 244.44, "word": " refraction", "probability": 0.748779296875}, {"start": 244.44, "end": 247.26, "word": " الفحص", "probability": 0.8771158854166666}, {"start": 247.26, "end": 248.06, "word": " الثانوي", "probability": 0.9722900390625}], "temperature": 1.0}, {"id": 10, "seek": 27524, "start": 250.32, "end": 275.24, "text": "after objective refraction will reveal انه سوف يكشف uncorrection of visual acuity يعني قداش ..الان انا عملت objective refraction سواء كان في ال retinascope او ال auto refractometer لو كان الانسان فوق العشرين سنة بقدرش هذه الوصفة اديلهياها لازم اعمله ايه subjective refraction", "tokens": [18837, 10024, 1895, 26766, 486, 10658, 16472, 3224, 8608, 38688, 7251, 4117, 8592, 5172, 6219, 284, 11417, 295, 5056, 696, 21757, 37495, 22653, 12174, 3215, 33599, 4386, 6027, 7649, 1975, 8315, 6225, 42213, 2655, 10024, 1895, 26766, 8608, 2407, 16606, 25961, 8978, 2423, 1533, 17094, 13960, 1975, 2407, 2423, 8399, 45353, 13606, 45164, 25961, 2423, 7649, 3794, 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0.9879150390625}, {"start": 254.96, "end": 256.24, "word": " uncorrection", "probability": 0.8359375}, {"start": 256.24, "end": 256.54, "word": " of", "probability": 0.978515625}, {"start": 256.54, "end": 256.88, "word": " visual", "probability": 0.95849609375}, {"start": 256.88, "end": 257.52, "word": " acuity", "probability": 0.786865234375}, {"start": 257.52, "end": 258.18, "word": " يعني", "probability": 0.888916015625}, {"start": 258.18, "end": 258.8, "word": " قداش", "probability": 0.8155924479166666}, {"start": 258.8, "end": 260.36, "word": " ..الان", "probability": 0.5699869791666666}, {"start": 260.36, "end": 260.5, "word": " انا", "probability": 0.78369140625}, {"start": 260.5, "end": 260.88, "word": " عملت", "probability": 0.9778645833333334}, {"start": 260.88, "end": 261.34, "word": " objective", "probability": 0.90625}, {"start": 261.34, "end": 262.04, "word": " refraction", "probability": 0.85400390625}, {"start": 262.04, "end": 262.7, "word": " سواء", "probability": 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{"start": 269.06, "end": 269.58, "word": " العشرين", "probability": 0.93017578125}, {"start": 269.58, "end": 269.98, "word": " سنة", "probability": 0.9847005208333334}, {"start": 269.98, "end": 270.82, "word": " بقدرش", "probability": 0.82415771484375}, {"start": 270.82, "end": 271.04, "word": " هذه", "probability": 0.5048828125}, {"start": 271.04, "end": 271.42, "word": " الوصفة", "probability": 0.9810546875}, {"start": 271.42, "end": 272.36, "word": " اديلهياها", "probability": 0.694384765625}, {"start": 272.36, "end": 273.12, "word": " لازم", "probability": 0.9671223958333334}, {"start": 273.12, "end": 273.54, "word": " اعمله", "probability": 0.96533203125}, {"start": 273.54, "end": 273.92, "word": " ايه", "probability": 0.9384765625}, {"start": 273.92, "end": 274.42, "word": " subjective", "probability": 0.313232421875}, {"start": 274.42, "end": 275.24, "word": " refraction", "probability": 0.81103515625}], "temperature": 1.0}, {"id": 11, "seek": 29795, "start": 275.94, "end": 297.96, "text": "الـ Subjective Refraction من خلالها بقدر أدى المريض إيه؟ النضارة أو العدسة اللاصقة يعني الـ Subjective Refraction will reveal أنه سوف يكشف Uncorrection of visual acuity جداش المريض مش مصلح الخطأ الإنكسار اللي عنده في مين؟ في الـ Objective Refraction", "tokens": [6027, 39184, 8511, 1020, 488, 16957, 26766, 9154, 16490, 1211, 6027, 11296, 4724, 28543, 2288, 5551, 3215, 7578, 9673, 16572, 11242, 11933, 1829, 3224, 22807, 28239, 11242, 9640, 3660, 34051, 18863, 3215, 3794, 3660, 13672, 33546, 28671, 37495, 22653, 2423, 39184, 8511, 1020, 488, 16957, 26766, 486, 10658, 14739, 3224, 8608, 38688, 7251, 4117, 8592, 5172, 1156, 19558, 11417, 295, 5056, 696, 21757, 10874, 3215, 33599, 9673, 16572, 11242, 37893, 3714, 36520, 5016, 33962, 9566, 10721, 33688, 1863, 4117, 3794, 9640, 13672, 1829, 43242, 3224, 8978, 3714, 9957, 22807, 8978, 2423, 39184, 24753, 488, 16957, 26766], "avg_logprob": -0.19780928326636246, "compression_ratio": 1.5757575757575757, "no_speech_prob": 0.0, 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1804, 6765], "avg_logprob": -0.24440103595455487, "compression_ratio": 1.3641975308641976, "no_speech_prob": 0.0, "words": [{"start": 839.36, "end": 840.28, "word": "fogging", "probability": 0.7103271484375}, {"start": 840.28, "end": 840.62, "word": " of", "probability": 0.9404296875}, {"start": 840.62, "end": 841.34, "word": " retinascope", "probability": 0.7543131510416666}, {"start": 841.34, "end": 842.16, "word": " by", "probability": 0.8994140625}, {"start": 842.16, "end": 850.1, "word": " inserting", "probability": 0.8642578125}, {"start": 850.1, "end": 850.78, "word": " a", "probability": 0.8583984375}, {"start": 850.78, "end": 853.14, "word": " high", "probability": 0.8447265625}, {"start": 853.14, "end": 853.7, "word": " convex", "probability": 0.9833984375}, {"start": 853.7, "end": 854.18, "word": " lens", "probability": 0.95068359375}, {"start": 854.18, "end": 854.8, "word": " قوتها", "probability": 0.919921875}, {"start": 854.8, "end": 855.02, "word": " plus", "probability": 0.6396484375}, {"start": 855.02, "end": 855.52, "word": " عشرة", "probability": 0.7957356770833334}, {"start": 855.52, "end": 855.98, "word": " ممكن", "probability": 0.538482666015625}, {"start": 855.98, "end": 856.4, "word": " تلاقوا", "probability": 0.8236083984375}, {"start": 856.4, "end": 856.64, "word": " بعض", "probability": 0.894775390625}, {"start": 856.64, "end": 857.0, "word": " الكتب", "probability": 0.9845377604166666}, {"start": 857.0, "end": 857.4, "word": " تكتب", "probability": 0.8819580078125}, {"start": 857.4, "end": 857.62, "word": " plus", "probability": 0.9072265625}, {"start": 857.62, "end": 858.08, "word": " خمسة", "probability": 0.8665771484375}, {"start": 858.08, "end": 858.4, "word": " plus", "probability": 0.4794921875}, {"start": 858.4, "end": 858.82, "word": " خمس", "probability": 0.9404296875}, {"start": 858.82, "end": 859.1, "word": " عشرة", "probability": 0.7550455729166666}, {"start": 859.1, "end": 860.14, "word": " انه", "probability": 0.43231201171875}, {"start": 860.14, "end": 860.5, "word": " يكون", "probability": 0.968017578125}, {"start": 860.5, "end": 861.16, "word": " high", "probability": 0.888671875}, {"start": 861.16, "end": 862.0, "word": " refractive", "probability": 0.964111328125}, {"start": 862.0, "end": 862.32, "word": " error", "probability": 0.90673828125}, {"start": 862.32, "end": 862.98, "word": " أو", "probability": 0.541015625}, {"start": 862.98, "end": 863.44, "word": " high", "probability": 0.9072265625}, {"start": 863.44, "end": 863.86, "word": " plus", "probability": 0.95166015625}, {"start": 863.86, "end": 864.26, "word": " lens", "probability": 0.86181640625}], "temperature": 1.0}, {"id": 35, "seek": 89005, "start": 865.89, "end": 890.05, "text": "in the trial frame in the front of the examined eye and asking the patient to look away at infinity لازم اقول للمريض انه اتطلع عشان مسافة بعيدة يعني حتى لحظة انا حطيت عدسة plus عشرة و مع ذلك قلت للمريض انه اتطلع at infinity لمسافة بعيدة عشان يعمل ايه relaxation لل accommodation", "tokens": [259, 264, 7308, 3920, 294, 264, 1868, 295, 264, 30972, 3313, 293, 3365, 264, 4537, 281, 574, 1314, 412, 13202, 5296, 31377, 2304, 1975, 39648, 5296, 19528, 16572, 11242, 16472, 3224, 1975, 2655, 9566, 1211, 3615, 6225, 8592, 7649, 47524, 31845, 3660, 45030, 25708, 3660, 37495, 22653, 11331, 49975, 5296, 5016, 19913, 3660, 1975, 8315, 11331, 9566, 36081, 6225, 3215, 3794, 3660, 1804, 6225, 8592, 25720, 4032, 20449, 29910, 23275, 12174, 1211, 2655, 5296, 19528, 16572, 11242, 16472, 3224, 1975, 2655, 9566, 1211, 3615, 412, 13202, 32767, 3794, 31845, 3660, 45030, 25708, 3660, 6225, 8592, 7649, 7251, 25957, 1211, 1975, 1829, 3224, 30315, 24976, 27363], "avg_logprob": -0.12757959652621792, "compression_ratio": 1.646808510638298, "no_speech_prob": 0.0, "words": [{"start": 865.89, "end": 866.15, "word": "in", "probability": 0.64599609375}, {"start": 866.15, "end": 866.27, "word": " the", "probability": 0.9169921875}, {"start": 866.27, "end": 866.55, "word": " trial", "probability": 0.66796875}, {"start": 866.55, "end": 867.03, "word": " frame", "probability": 0.87451171875}, {"start": 867.03, "end": 867.45, "word": " in", "probability": 0.86962890625}, {"start": 867.45, "end": 867.61, "word": " the", "probability": 0.6982421875}, {"start": 867.61, "end": 868.01, "word": " front", "probability": 0.955078125}, {"start": 868.01, "end": 868.37, "word": " of", "probability": 0.9814453125}, {"start": 868.37, "end": 868.53, "word": " the", "probability": 0.7841796875}, {"start": 868.53, "end": 868.95, "word": " examined", "probability": 0.9619140625}, {"start": 868.95, "end": 869.35, "word": " eye", "probability": 0.89794921875}, {"start": 869.35, "end": 870.19, "word": " and", "probability": 0.84814453125}, {"start": 870.19, "end": 870.67, "word": " asking", "probability": 0.8466796875}, {"start": 870.67, "end": 870.89, "word": " the", "probability": 0.9189453125}, {"start": 870.89, "end": 871.23, "word": " patient", "probability": 0.91064453125}, {"start": 871.23, "end": 871.47, "word": " to", "probability": 0.97119140625}, {"start": 871.47, "end": 871.63, "word": " look", "probability": 0.9736328125}, {"start": 871.63, "end": 871.97, "word": " away", "probability": 0.9169921875}, {"start": 871.97, "end": 872.25, "word": " at", "probability": 0.97607421875}, {"start": 872.25, "end": 872.81, "word": " infinity", "probability": 0.88916015625}, {"start": 872.81, "end": 873.51, "word": " لازم", "probability": 0.9583333333333334}, {"start": 873.51, "end": 873.83, "word": " اقول", "probability": 0.626220703125}, {"start": 873.83, "end": 874.31, "word": " للمريض", "probability": 0.9732666015625}, {"start": 874.31, "end": 874.61, "word": " انه", "probability": 0.8994140625}, {"start": 874.61, "end": 874.97, "word": " اتطلع", "probability": 0.793212890625}, {"start": 874.97, "end": 875.43, "word": " عشان", "probability": 0.7389322916666666}, {"start": 875.43, "end": 876.03, "word": " مسافة", "probability": 0.87109375}, {"start": 876.03, "end": 877.11, "word": " بعيدة", "probability": 0.9521484375}, {"start": 877.11, "end": 877.39, "word": " يعني", "probability": 0.906005859375}, {"start": 877.39, "end": 877.85, "word": " حتى", "probability": 0.867919921875}, {"start": 877.85, "end": 878.71, "word": " لحظة", "probability": 0.9281005859375}, {"start": 878.71, "end": 878.97, "word": " انا", "probability": 0.8427734375}, {"start": 878.97, "end": 879.37, "word": " حطيت", "probability": 0.9132486979166666}, {"start": 879.37, "end": 879.99, "word": " عدسة", "probability": 0.9771728515625}, {"start": 879.99, "end": 880.55, "word": " plus", "probability": 0.61474609375}, {"start": 880.55, "end": 881.31, "word": " عشرة", "probability": 0.8736979166666666}, {"start": 881.31, "end": 881.73, "word": " و", "probability": 0.974609375}, {"start": 881.73, "end": 881.89, "word": " مع", "probability": 0.72705078125}, {"start": 881.89, "end": 882.33, "word": " ذلك", "probability": 0.948486328125}, {"start": 882.33, "end": 882.81, "word": " قلت", "probability": 0.8388671875}, {"start": 882.81, "end": 883.25, "word": " للمريض", "probability": 0.9705810546875}, {"start": 883.25, "end": 883.51, "word": " انه", "probability": 0.947509765625}, {"start": 883.51, "end": 883.93, "word": " اتطلع", "probability": 0.9365234375}, {"start": 883.93, "end": 884.17, "word": " at", "probability": 0.9345703125}, {"start": 884.17, "end": 884.73, "word": " infinity", "probability": 0.88427734375}, {"start": 884.73, "end": 885.69, "word": " لمسافة", "probability": 0.9254150390625}, {"start": 885.69, "end": 886.63, "word": " بعيدة", "probability": 0.9869791666666666}, {"start": 886.63, "end": 887.89, "word": " عشان", "probability": 0.9871419270833334}, {"start": 887.89, "end": 888.25, "word": " يعمل", "probability": 0.9773763020833334}, {"start": 888.25, "end": 888.55, "word": " ايه", "probability": 0.8658854166666666}, {"start": 888.55, "end": 889.19, "word": " relaxation", "probability": 0.5244140625}, {"start": 889.19, "end": 889.59, "word": " لل", "probability": 0.85595703125}, {"start": 889.59, "end": 890.05, "word": " accommodation", "probability": 0.86767578125}], "temperature": 1.0}, {"id": 36, "seek": 91324, "start": 891.56, "end": 913.24, "text": "then replacement بنستبدل of the lenses العدسات in the trial frame اللي موجودة في ال trial frame as retinascopy it proceeds انه بنضيف العدسة اللي عدلت فيها في ال retinascope is always done so that neither examined eye is exposed to light without a lens before", "tokens": [19096, 14419, 44945, 14851, 44510, 1211, 295, 264, 18059, 18863, 3215, 3794, 9307, 294, 264, 7308, 3920, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 2423, 7308, 3920, 382, 1533, 17094, 13084, 88, 309, 32280, 16472, 3224, 44945, 11242, 33911, 18863, 3215, 3794, 3660, 13672, 1829, 6225, 3215, 1211, 2655, 8978, 11296, 8978, 2423, 1533, 17094, 13960, 307, 1009, 1096, 370, 300, 9662, 30972, 3313, 307, 9495, 281, 1442, 1553, 257, 6765, 949], "avg_logprob": -0.18482448303536192, "compression_ratio": 1.5265700483091786, "no_speech_prob": 0.0, "words": [{"start": 891.56, "end": 891.96, "word": "then", "probability": 0.141357421875}, {"start": 891.96, "end": 892.78, "word": " replacement", "probability": 0.6455078125}, {"start": 892.78, "end": 893.98, "word": " بنستبدل", "probability": 0.85406494140625}, {"start": 893.98, "end": 894.42, "word": " of", "probability": 0.93212890625}, {"start": 894.42, "end": 894.56, "word": " the", "probability": 0.87744140625}, {"start": 894.56, "end": 895.02, "word": " lenses", "probability": 0.92626953125}, {"start": 895.02, "end": 895.88, "word": " العدسات", "probability": 0.9093017578125}, {"start": 895.88, "end": 896.06, "word": " in", "probability": 0.66748046875}, {"start": 896.06, "end": 896.2, "word": " the", "probability": 0.9296875}, {"start": 896.2, "end": 896.46, "word": " trial", "probability": 0.58056640625}, {"start": 896.46, "end": 896.92, "word": " frame", "probability": 0.9052734375}, {"start": 896.92, "end": 897.32, "word": " اللي", "probability": 0.80712890625}, {"start": 897.32, "end": 897.74, "word": " موجودة", "probability": 0.9869384765625}, {"start": 897.74, "end": 897.84, "word": " في", "probability": 0.8583984375}, {"start": 897.84, "end": 898.0, "word": " ال", "probability": 0.8984375}, {"start": 898.0, "end": 898.28, "word": " trial", "probability": 0.88623046875}, {"start": 898.28, "end": 898.74, "word": " frame", "probability": 0.94384765625}, {"start": 898.74, "end": 899.12, "word": " as", "probability": 0.90234375}, {"start": 899.12, "end": 899.94, "word": " retinascopy", "probability": 0.68231201171875}, {"start": 899.94, "end": 900.54, "word": " it", "probability": 0.349365234375}, {"start": 900.54, "end": 901.2, "word": " proceeds", "probability": 0.94580078125}, {"start": 901.2, "end": 901.96, "word": " انه", "probability": 0.5350341796875}, {"start": 901.96, "end": 902.36, "word": " بنضيف", "probability": 0.9425455729166666}, {"start": 902.36, "end": 903.06, "word": " العدسة", "probability": 0.9908447265625}, {"start": 903.06, "end": 903.64, "word": " اللي", "probability": 0.878173828125}, {"start": 903.64, "end": 904.08, "word": " عدلت", "probability": 0.899169921875}, {"start": 904.08, "end": 904.38, "word": " فيها", "probability": 0.993408203125}, {"start": 904.38, "end": 904.54, "word": " في", "probability": 0.87548828125}, {"start": 904.54, "end": 904.62, "word": " ال", "probability": 0.85986328125}, {"start": 904.62, "end": 905.42, "word": " retinascope", "probability": 0.8518880208333334}, {"start": 905.42, "end": 906.1, "word": " is", "probability": 0.9169921875}, {"start": 906.1, "end": 906.56, "word": " always", "probability": 0.951171875}, {"start": 906.56, "end": 906.92, "word": " done", "probability": 0.9091796875}, {"start": 906.92, "end": 907.94, "word": " so", "probability": 0.84033203125}, {"start": 907.94, "end": 908.36, "word": " that", "probability": 0.953125}, {"start": 908.36, "end": 909.26, "word": " neither", "probability": 0.87841796875}, {"start": 909.26, "end": 909.9, "word": " examined", "probability": 0.95849609375}, {"start": 909.9, "end": 910.3, "word": " eye", "probability": 0.89111328125}, {"start": 910.3, "end": 910.68, "word": " is", "probability": 0.96728515625}, {"start": 910.68, "end": 911.3, "word": " exposed", "probability": 0.92333984375}, {"start": 911.3, "end": 911.58, "word": " to", "probability": 0.9814453125}, {"start": 911.58, "end": 911.88, "word": " light", "probability": 0.88671875}, {"start": 911.88, "end": 912.34, "word": " without", "probability": 0.9208984375}, {"start": 912.34, "end": 912.6, "word": " a", "probability": 0.98388671875}, {"start": 912.6, "end": 912.8, "word": " lens", "probability": 0.9267578125}, {"start": 912.8, "end": 913.24, "word": " before", "probability": 0.8994140625}], "temperature": 1.0}, {"id": 37, "seek": 94204, "start": 915.32, "end": 942.04, "text": "والعدسة الموجودة في الـ replace lens تم إزالتها الآن أنا بعد ما ضيفت العدسة ال plus عشرة أو ال plus خمسة بضيف العدسة اللي أنا بعمل لها إيه ال neutralization ال neutral point بصير أحط العدسة حسب اللي هو إيه ال neutral point زي ما بتعملوا plus واحد لأ لسه مافيش معادل بحط plus واحد و نصف فبصير insertion و removal insertion و removal", "tokens": [2407, 6027, 3615, 3215, 3794, 3660, 9673, 29245, 23328, 3660, 8978, 2423, 39184, 7406, 6765, 46811, 11933, 11622, 6027, 2655, 11296, 6024, 48506, 41850, 39182, 19446, 48812, 33911, 2655, 18863, 3215, 3794, 3660, 2423, 1804, 6225, 8592, 25720, 34051, 2423, 1804, 16490, 2304, 3794, 3660, 4724, 11242, 33911, 18863, 3215, 3794, 3660, 13672, 1829, 41850, 4724, 25957, 1211, 5296, 11296, 11933, 1829, 3224, 2423, 10598, 2144, 2423, 10598, 935, 4724, 9381, 13546, 5551, 5016, 9566, 18863, 3215, 3794, 3660, 11331, 35457, 13672, 1829, 31439, 11933, 1829, 3224, 2423, 10598, 935, 30767, 1829, 19446, 39894, 25957, 1211, 14407, 1804, 36764, 24401, 5296, 10721, 5296, 3794, 3224, 19446, 41185, 8592, 20449, 18513, 1211, 4724, 5016, 9566, 1804, 36764, 24401, 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التانية to get the patient to close then to open his eyes inspecting his eye by retinascope just he opens his eye inspecting بمعنى examine يعني تفحص العين okay إذا بنقول للمريض بنرشده إنه يفتح عينه غمض عينه يفتح عينه غمض عينه بعدين ببدأ بعملية إيش ال procedure لretinascope okay", "tokens": [6027, 9566, 16572, 28671, 16712, 7649, 10632, 281, 483, 264, 4537, 281, 1998, 550, 281, 1269, 702, 2575, 15018, 278, 702, 3313, 538, 1533, 17094, 13960, 445, 415, 9870, 702, 3313, 15018, 278, 4724, 2304, 3615, 1863, 7578, 17496, 37495, 22653, 6055, 5172, 5016, 9381, 18863, 9957, 1392, 11933, 15730, 44945, 39648, 5296, 19528, 16572, 11242, 44945, 2288, 8592, 3215, 3224, 36145, 3224, 7251, 5172, 2655, 5016, 6225, 9957, 3224, 32771, 2304, 11242, 6225, 9957, 3224, 7251, 5172, 2655, 5016, 6225, 9957, 3224, 32771, 2304, 11242, 6225, 9957, 3224, 39182, 9957, 4724, 44510, 10721, 4724, 25957, 1211, 10632, 11933, 1829, 8592, 2423, 10747, 5296, 1505, 17094, 13960, 1392], "avg_logprob": -0.1438503489581817, 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{"start": 1062.13, "end": 1062.85, "word": " يصير", "probability": 0.9747721354166666}, {"start": 1062.85, "end": 1063.35, "word": " ال", "probability": 0.9736328125}, {"start": 1063.35, "end": 1063.75, "word": " paralysis", "probability": 0.720703125}, {"start": 1063.75, "end": 1064.29, "word": " لل", "probability": 0.81689453125}, {"start": 1064.29, "end": 1064.59, "word": " ciliary", "probability": 0.7744140625}, {"start": 1064.59, "end": 1064.99, "word": " muscle", "probability": 0.986328125}, {"start": 1064.99, "end": 1065.63, "word": " بيصير", "probability": 0.77349853515625}, {"start": 1065.63, "end": 1066.19, "word": " dilate", "probability": 0.697509765625}, {"start": 1066.19, "end": 1067.49, "word": " dilatation", "probability": 0.6017252604166666}, {"start": 1067.49, "end": 1069.05, "word": " لبيوبل", "probability": 0.551727294921875}], "temperature": 1.0}, {"id": 43, "seek": 108925, "start": 1070.77, "end": 1089.25, "text": "أه فبتصير عملية اللي هو ال dilatation يعني عندى two function لال cycle oblige أو ال cycle ventilate إنه بتعمل dilatation للي بيوبل قبلها بتعمل إيش paralysis ل ال ciliary muscle أي بمعنى شلل ل ال ciliary muscle", "tokens": [10721, 3224, 6156, 3555, 2655, 9381, 13546, 6225, 42213, 10632, 13672, 1829, 31439, 2423, 11504, 267, 399, 37495, 22653, 43242, 7578, 732, 2445, 5296, 6027, 6586, 23740, 3969, 34051, 2423, 6586, 27498, 473, 36145, 3224, 39894, 25957, 1211, 11504, 267, 399, 5296, 20292, 4724, 1829, 2407, 36150, 12174, 36150, 11296, 39894, 25957, 1211, 11933, 1829, 8592, 49507, 5296, 2423, 269, 38550, 8679, 36632, 4724, 2304, 3615, 1863, 7578, 13412, 1211, 1211, 5296, 2423, 269, 38550, 8679], "avg_logprob": -0.2678571505980058, "compression_ratio": 1.6022099447513811, "no_speech_prob": 0.0, "words": [{"start": 1070.77, "end": 1071.13, "word": "أه", "probability": 0.6932373046875}, {"start": 1071.13, "end": 1071.65, "word": " فبتصير", "probability": 0.8591796875}, {"start": 1071.65, "end": 1072.09, "word": " عملية", "probability": 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retinoscopy", "probability": 0.8619384765625}, {"start": 1157.09, "end": 1157.61, "word": " اذا", "probability": 0.874267578125}, {"start": 1157.61, "end": 1157.97, "word": " اول", "probability": 0.82373046875}, {"start": 1157.97, "end": 1158.35, "word": " حاجة", "probability": 0.9759114583333334}, {"start": 1158.35, "end": 1158.91, "word": " بنعمل", "probability": 0.9763997395833334}, {"start": 1158.91, "end": 1159.61, "word": " شلل", "probability": 0.9523111979166666}, {"start": 1159.61, "end": 1160.69, "word": " لال", "probability": 0.38336181640625}, {"start": 1160.69, "end": 1161.31, "word": " accommodation", "probability": 0.6884765625}, {"start": 1161.31, "end": 1162.09, "word": " او", "probability": 0.771728515625}, {"start": 1162.09, "end": 1162.69, "word": " paralysis", "probability": 0.95458984375}, {"start": 1162.69, "end": 1163.37, "word": " of", "probability": 0.97802734375}, {"start": 1163.37, "end": 1163.55, "word": " the", "probability": 0.896484375}, {"start": 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{"start": 1788.43, "end": 1788.65, "word": " طول", "probability": 0.7296142578125}, {"start": 1788.65, "end": 1788.85, "word": " انا", "probability": 0.877197265625}, {"start": 1788.85, "end": 1789.51, "word": " بقدر", "probability": 0.9676106770833334}, {"start": 1789.51, "end": 1789.89, "word": " اشوف", "probability": 0.9430338541666666}, {"start": 1789.89, "end": 1790.17, "word": " ايه", "probability": 0.9451497395833334}, {"start": 1790.17, "end": 1790.35, "word": " ال", "probability": 0.9287109375}, {"start": 1790.35, "end": 1790.89, "word": " macular", "probability": 0.93505859375}, {"start": 1790.89, "end": 1791.77, "word": " refraction", "probability": 0.715087890625}, {"start": 1791.77, "end": 1792.65, "word": " okay", "probability": 0.79931640625}], "temperature": 1.0}, {"id": 73, "seek": 181670, "start": 1796.0, "end": 1816.7, "text": "during cycloplegia or cyclopentolate the same meaning نفس المعنى إما واحد يحكي cycloplegia يعني إما استخدم cyclopentolate أو أتروبين in general during cycloplegia there is paralysis of the parasympathetic nerve supply to the lens capsule", "tokens": [67, 1345, 19474, 404, 6363, 654, 420, 19474, 404, 317, 48278, 264, 912, 3620, 8717, 36178, 9673, 3615, 1863, 7578, 11933, 15042, 36764, 24401, 7251, 5016, 4117, 1829, 19474, 404, 6363, 654, 37495, 22653, 11933, 15042, 44713, 9778, 40448, 19474, 404, 317, 48278, 34051, 5551, 2655, 2288, 37746, 9957, 294, 2674, 1830, 19474, 404, 6363, 654, 456, 307, 49507, 295, 264, 971, 5871, 2455, 998, 3532, 16355, 5847, 281, 264, 6765, 29247], "avg_logprob": -0.2382277348270155, "compression_ratio": 1.5, "no_speech_prob": 0.0, "words": [{"start": 1796.0, "end": 1796.6, "word": "during", "probability": 0.5880126953125}, {"start": 1796.6, "end": 1797.68, "word": " cycloplegia", "probability": 0.71337890625}, {"start": 1797.68, "end": 1799.34, "word": " or", "probability": 0.18359375}, {"start": 1799.34, "end": 1800.44, "word": " cyclopentolate", "probability": 0.726165771484375}, {"start": 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بتتكون من ال lens material مادة العدسة و ال lens capsule المحفظة زائد ال lens nucleus اللى هى النواة بتاعتها فانا بشتغل على مين على ال lens capsule اذا الان ال cycle ventilate يما بيعمل relaxation لل accommodation و paralysis لل celery muscle بيشتغل على ال lens capsule ولا ال lens nucleus", "tokens": [6027, 6765, 39894, 2655, 30544, 9154, 2423, 6765, 2527, 3714, 18513, 3660, 18863, 3215, 3794, 3660, 4032, 2423, 6765, 29247, 9673, 5016, 5172, 19913, 3660, 30767, 16373, 3215, 2423, 6765, 28055, 13672, 7578, 8032, 7578, 28239, 14407, 3660, 39894, 995, 34268, 11296, 6156, 7649, 995, 4724, 8592, 2655, 17082, 1211, 15844, 3714, 9957, 15844, 2423, 6765, 29247, 1975, 15730, 2423, 7649, 2423, 6586, 27498, 473, 7251, 15042, 4724, 1829, 25957, 1211, 30315, 24976, 27363, 4032, 49507, 24976, 37643, 8679, 4724, 1829, 8592, 2655, 17082, 1211, 15844, 2423, 6765, 29247, 49429, 2423, 6765, 28055], "avg_logprob": -0.20628323960811534, "compression_ratio": 1.7835497835497836, "no_speech_prob": 0.0, 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2134.64, "end": 2134.94, "word": " يما", "probability": 0.6220703125}, {"start": 2134.94, "end": 2135.56, "word": " بنولد", "probability": 0.86572265625}, {"start": 2135.56, "end": 2136.06, "word": " لازم", "probability": 0.9778645833333334}, {"start": 2136.06, "end": 2136.32, "word": " يكون", "probability": 0.996826171875}, {"start": 2136.32, "end": 2136.62, "word": " hyper", "probability": 0.8037109375}, {"start": 2136.62, "end": 2137.84, "word": " metropic،", "probability": 0.4916178385416667}, {"start": 2137.84, "end": 2138.5, "word": " بعديها", "probability": 0.8611653645833334}, {"start": 2138.5, "end": 2138.74, "word": " من", "probability": 0.97412109375}, {"start": 2138.74, "end": 2139.06, "word": " اتنين", "probability": 0.9088134765625}, {"start": 2139.06, "end": 2139.12, "word": " و", "probability": 0.99462890625}, {"start": 2139.12, "end": 2139.32, "word": " نص", "probability": 0.97021484375}, {"start": 2139.32, "end": 2140.28, "word": " لتلاتة،", "probability": 0.9081217447916666}, {"start": 2140.28, "end": 2140.62, "word": " بعدها", "probability": 0.85546875}, {"start": 2140.62, "end": 2141.02, "word": " بدخل", "probability": 0.8658854166666666}, {"start": 2141.02, "end": 2141.14, "word": " في", "probability": 0.826171875}, {"start": 2141.14, "end": 2141.22, "word": " ال", "probability": 0.96826171875}, {"start": 2141.22, "end": 2142.66, "word": " emetropic،", "probability": 0.5935821533203125}, {"start": 2142.66, "end": 2142.82, "word": " لو", "probability": 0.984375}, {"start": 2142.82, "end": 2143.38, "word": " الطفل", "probability": 0.9861653645833334}, {"start": 2143.38, "end": 2144.24, "word": " انولد", "probability": 0.9736328125}, {"start": 2144.24, "end": 2144.7, "word": " و", "probability": 0.66357421875}, {"start": 2144.7, "end": 2144.92, "word": " هو", "probability": 0.99072265625}, {"start": 2144.92, "end": 2145.64, "word": " ميوب،", "probability": 0.70904541015625}, {"start": 2145.64, "end": 2145.94, "word": " ابكي", "probability": 0.9339192708333334}, {"start": 2145.94, "end": 2146.2, "word": " عليه", "probability": 0.9306640625}], "temperature": 1.0}, {"id": 88, "seek": 217215, "start": 2146.99, "end": 2172.15, "text": "ابكى عليها لإنه بعد عشرين سنة يصل لعشرين سنة عمره يصير minus twenty أو minus fifteen او .. بزيد لإنه بدخل فيه اللي هو retinal detachment انفصال للشبكية و هكذا إذا الأن أنا قبل ما بدى أعمل ال cycle of ventilate أأكد على قياس ال angle الزاوية خاصة في الناس اللي عندهم high hyper metro okay", "tokens": [16758, 4117, 7578, 25894, 11296, 5296, 28814, 1863, 3224, 39182, 6225, 46309, 9957, 8608, 1863, 3660, 7251, 36520, 5296, 3615, 46309, 9957, 8608, 1863, 3660, 6225, 29973, 3224, 7251, 9381, 13546, 3175, 7699, 34051, 3175, 18126, 1975, 2407, 4386, 4724, 11622, 25708, 5296, 28814, 1863, 3224, 47525, 9778, 1211, 8978, 3224, 13672, 1829, 31439, 1533, 2071, 1141, 23908, 16472, 5172, 9381, 6027, 24976, 8592, 3555, 4117, 10632, 4032, 8032, 4117, 15730, 11933, 15730, 16247, 1863, 41850, 12174, 36150, 19446, 47525, 7578, 5551, 25957, 1211, 2423, 6586, 295, 27498, 473, 5551, 10721, 4117, 3215, 15844, 12174, 25528, 3794, 2423, 5802, 6024, 110, 995, 2407, 10632, 16490, 33546, 3660, 8978, 2423, 8315, 3794, 13672, 1829, 43242, 16095, 1090, 9848, 27334, 1392], "avg_logprob": -0.24960937028129895, "compression_ratio": 1.6222222222222222, "no_speech_prob": 0.0, "words": [{"start": 2146.99, "end": 2147.43, "word": "ابكى", "probability": 0.6769205729166666}, {"start": 2147.43, "end": 2147.81, "word": " عليها", "probability": 0.6943359375}, {"start": 2147.81, "end": 2148.33, "word": " لإنه", "probability": 0.699371337890625}, {"start": 2148.33, "end": 2148.59, "word": " بعد", "probability": 0.880859375}, {"start": 2148.59, "end": 2149.21, "word": " عشرين", "probability": 0.8585611979166666}, {"start": 2149.21, "end": 2149.49, "word": " سنة", "probability": 0.953125}, {"start": 2149.49, "end": 2150.67, "word": " يصل", "probability": 0.69384765625}, {"start": 2150.67, "end": 2151.23, "word": " لعشرين", "probability": 0.9119873046875}, {"start": 2151.23, "end": 2151.55, "word": " سنة", "probability": 0.9734700520833334}, {"start": 2151.55, "end": 2152.01, "word": " عمره", "probability": 0.9895833333333334}, {"start": 2152.01, "end": 2152.51, "word": " يصير", "probability": 0.7799479166666666}, {"start": 2152.51, "end": 2152.77, "word": " minus", "probability": 0.55322265625}, {"start": 2152.77, "end": 2153.39, "word": " twenty", "probability": 0.63720703125}, {"start": 2153.39, "end": 2153.73, "word": " أو", "probability": 0.67333984375}, {"start": 2153.73, "end": 2154.11, "word": " minus", "probability": 0.9580078125}, {"start": 2154.11, "end": 2155.23, "word": " fifteen", "probability": 0.85888671875}, {"start": 2155.23, "end": 2155.49, "word": " او", "probability": 0.730712890625}, {"start": 2155.49, "end": 2155.73, "word": " ..", "probability": 0.2249755859375}, {"start": 2155.73, "end": 2156.57, "word": " بزيد", "probability": 0.7918294270833334}, {"start": 2156.57, "end": 2156.91, "word": " لإنه", "probability": 0.75897216796875}, {"start": 2156.91, "end": 2157.73, "word": " بدخل", "probability": 0.84130859375}, {"start": 2157.73, "end": 2158.05, "word": " فيه", "probability": 0.93115234375}, {"start": 2158.05, "end": 2158.23, "word": " اللي", "probability": 0.86474609375}, {"start": 2158.23, "end": 2158.41, "word": " هو", "probability": 0.9921875}, {"start": 2158.41, "end": 2158.87, "word": " retinal", "probability": 0.72607421875}, {"start": 2158.87, "end": 2159.47, "word": " detachment", "probability": 0.8310546875}, {"start": 2159.47, "end": 2160.15, "word": " انفصال", "probability": 0.9432373046875}, {"start": 2160.15, "end": 2160.73, "word": " للشبكية", "probability": 0.8369140625}, {"start": 2160.73, "end": 2160.85, "word": " و", "probability": 0.908203125}, {"start": 2160.85, "end": 2161.27, "word": " هكذا", "probability": 0.8790690104166666}, {"start": 2161.27, "end": 2162.43, "word": " إذا", "probability": 0.531982421875}, {"start": 2162.43, "end": 2162.89, "word": " الأن", "probability": 0.637451171875}, {"start": 2162.89, "end": 2163.19, "word": " أنا", "probability": 0.60986328125}, {"start": 2163.19, "end": 2163.49, "word": " قبل", "probability": 0.9951171875}, {"start": 2163.49, "end": 2163.61, "word": " ما", "probability": 0.96337890625}, {"start": 2163.61, "end": 2163.91, "word": " بدى", "probability": 0.62646484375}, {"start": 2163.91, "end": 2164.21, "word": " أعمل", "probability": 0.9267578125}, {"start": 2164.21, "end": 2164.37, "word": " ال", "probability": 0.7685546875}, {"start": 2164.37, "end": 2164.63, "word": " cycle", "probability": 0.48681640625}, {"start": 2164.63, "end": 2164.79, "word": " of", "probability": 0.458251953125}, {"start": 2164.79, "end": 2165.35, "word": " ventilate", "probability": 0.4761962890625}, {"start": 2165.35, "end": 2166.19, "word": " أأكد", "probability": 0.7901611328125}, {"start": 2166.19, "end": 2166.41, "word": " على", "probability": 0.90771484375}, {"start": 2166.41, "end": 2166.97, "word": " قياس", "probability": 0.9698893229166666}, {"start": 2166.97, "end": 2167.21, "word": " ال", "probability": 0.93310546875}, {"start": 2167.21, "end": 2167.57, "word": " angle", "probability": 0.86328125}, {"start": 2167.57, "end": 2168.33, "word": " الزاوية", "probability": 0.9173828125}, {"start": 2168.33, "end": 2169.27, "word": " خاصة", "probability": 0.97509765625}, {"start": 2169.27, "end": 2169.37, "word": " في", "probability": 0.62109375}, {"start": 2169.37, "end": 2169.65, "word": " الناس", "probability": 0.9889322916666666}, {"start": 2169.65, "end": 2169.77, "word": " اللي", "probability": 0.946533203125}, {"start": 2169.77, "end": 2170.19, "word": " عندهم", "probability": 0.99169921875}, {"start": 2170.19, "end": 2170.63, "word": " high", "probability": 0.94775390625}, {"start": 2170.63, "end": 2171.05, "word": " hyper", "probability": 0.62060546875}, {"start": 2171.05, "end": 2171.55, "word": " metro", "probability": 0.2119140625}, {"start": 2171.55, "end": 2172.15, "word": " okay", "probability": 0.75}], "temperature": 1.0}, {"id": 89, "seek": 218973, "start": 2174.57, "end": 2189.73, "text": "هتاخدوها في ال instrument أعتقد أخدتوها في one ولا two؟ في one طيب ان شاء الله في المحاضرة القادمة هنبدأ في ال special difficulties ال written scope ان شاء الله", "tokens": [3224, 2655, 47283, 3215, 2407, 11296, 8978, 2423, 7198, 5551, 34268, 28543, 5551, 9778, 3215, 2655, 2407, 11296, 8978, 472, 49429, 732, 22807, 8978, 472, 23032, 1829, 3555, 16472, 13412, 16606, 21984, 8978, 9673, 5016, 46958, 25720, 25062, 18513, 46007, 8032, 1863, 44510, 10721, 8978, 2423, 2121, 14399, 2423, 3720, 11923, 16472, 13412, 16606, 21984], "avg_logprob": -0.14481026147093093, "compression_ratio": 1.4968944099378882, "no_speech_prob": 0.0, "words": [{"start": 2174.57, "end": 2175.15, "word": "هتاخدوها", "probability": 0.9673665364583334}, {"start": 2175.15, "end": 2175.39, "word": " في", "probability": 0.95703125}, {"start": 2175.39, "end": 2175.63, "word": " ال", "probability": 0.958984375}, {"start": 2175.63, "end": 2176.15, "word": " instrument", "probability": 0.865234375}, {"start": 2176.15, "end": 2176.79, "word": " أعتقد", "probability": 0.7954915364583334}, {"start": 2176.79, "end": 2177.31, "word": " أخدتوها", "probability": 0.9346516927083334}, {"start": 2177.31, "end": 2181.51, "word": " في", "probability": 0.72705078125}, {"start": 2181.51, "end": 2181.73, "word": " one", "probability": 0.9384765625}, {"start": 2181.73, "end": 2181.91, "word": " ولا", "probability": 0.9404296875}, {"start": 2181.91, "end": 2182.61, "word": " two؟", "probability": 0.759033203125}, {"start": 2182.61, "end": 2182.73, "word": " في", "probability": 0.9599609375}, {"start": 2182.73, "end": 2182.99, "word": " one", "probability": 0.97216796875}, {"start": 2182.99, "end": 2183.99, "word": " طيب", "probability": 0.776611328125}, {"start": 2183.99, "end": 2184.15, "word": " ان", "probability": 0.615234375}, {"start": 2184.15, "end": 2184.33, "word": " شاء", "probability": 0.98388671875}, {"start": 2184.33, "end": 2184.43, "word": " الله", "probability": 0.97119140625}, {"start": 2184.43, "end": 2184.63, "word": " في", "probability": 0.9345703125}, {"start": 2184.63, "end": 2185.19, "word": " المحاضرة", "probability": 0.99169921875}, {"start": 2185.19, "end": 2185.77, "word": " القادمة", "probability": 0.9921875}, {"start": 2185.77, "end": 2186.33, "word": " هنبدأ", "probability": 0.9710693359375}, {"start": 2186.33, "end": 2186.59, "word": " في", "probability": 0.9814453125}, {"start": 2186.59, "end": 2186.77, "word": " ال", "probability": 0.67236328125}, {"start": 2186.77, "end": 2187.13, "word": " special", "probability": 0.9541015625}, {"start": 2187.13, "end": 2188.01, "word": " difficulties", "probability": 0.93310546875}, {"start": 2188.01, "end": 2188.33, "word": " ال", "probability": 0.33251953125}, {"start": 2188.33, "end": 2188.57, "word": " written", "probability": 0.57177734375}, {"start": 2188.57, "end": 2188.97, "word": " scope", "probability": 0.435302734375}, {"start": 2188.97, "end": 2189.35, "word": " ان", "probability": 0.7626953125}, {"start": 2189.35, "end": 2189.59, "word": " شاء", "probability": 0.994140625}, {"start": 2189.59, "end": 2189.73, "word": " الله", "probability": 0.97119140625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2190.199, "duration_after_vad": 2064.5643749999927}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fe3bf98655e71ddb036cf11b3918873109b85545
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/1Qp0Be-RAlE_raw.srt
@@ -0,0 +1,1832 @@
+1
+00:00:21,400 --> 00:00:24,140
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,140 --> 00:00:29,200
+وبركاته اليوم هنبدأ في موضوع ال difficulties ال
+
+3
+00:00:29,200 --> 00:00:35,720
+written score صعوبات في جهاز ال written score what
+
+4
+00:00:35,720 --> 00:00:39,260
+is the difficulties ال written score ما هي
+
+5
+00:00:39,260 --> 00:00:45,000
+الصعوبات اللى بتواجه ال examiner الفاحث خلال عملية
+
+6
+00:00:45,000 --> 00:00:46,700
+جهاز ال written score
+
+7
+00:00:50,930 --> 00:00:54,870
+Some refractions are easy while others are
+
+8
+00:00:54,870 --> 00:01:00,570
+extremely difficult بمعنى بعض الحالات الانكسارية
+
+9
+00:01:00,570 --> 00:01:04,950
+مثل ال imitrop أو ال low myop أو ال low
+
+10
+00:01:04,950 --> 00:01:10,010
+hypermitrop تعتبر سهلة لكن بعض الحالات الانكسارية
+
+11
+00:01:10,010 --> 00:01:14,910
+زي ال high myop أو ال high hypermitrop تعتبر ايه؟
+
+12
+00:01:14,910 --> 00:01:18,510
+extremely difficult انه صعب جدا okay
+
+13
+00:01:23,480 --> 00:01:30,020
+في تغيير شويه ال retinoscope كمفهوم ل ال
+
+14
+00:01:30,020 --> 00:01:34,700
+retinoscope او جهاز ال retinoscope is an art هو
+
+15
+00:01:34,700 --> 00:01:40,740
+عبارة عن فن which requires بيتطلب painstaking
+
+16
+00:01:40,740 --> 00:01:48,020
+practice يعني بتطلب جهد من عملية بشكل دقيق من ال
+
+17
+00:01:48,020 --> 00:01:52,730
+examiner الفاحصينand cannot be learned in one day
+
+18
+00:01:52,730 --> 00:01:59,350
+لا يمكن تعلمه خلال يوم واحد okay it
+
+19
+00:01:59,350 --> 00:02:02,710
+is essentially practical and cannot be learned
+
+20
+00:02:02,710 --> 00:02:07,110
+from textbooks but only under careful supervision
+
+21
+00:02:07,110 --> 00:02:15,140
+أيضا هو أساس عمليةلا يمكن تعلمه من خلال قراءة كتب
+
+22
+00:02:15,140 --> 00:02:21,240
+زي مثلا ديوك إلدار أو بورش طبعا هدول الكتب الشائعة
+
+23
+00:02:21,240 --> 00:02:25,660
+في موضوع ال reflection لكن بتتم تعلمه من خلال
+
+24
+00:02:25,660 --> 00:02:29,650
+professional refractionistيعني إنسان يكون ال guide
+
+25
+00:02:29,650 --> 00:02:33,530
+بتاعك المشرف ال supervision أو ال supervisor يكون
+
+26
+00:02:33,530 --> 00:02:38,970
+عنده دراية في كل حالات ال retina scope و عنده يعني
+
+27
+00:02:38,970 --> 00:02:42,670
+good trainer يعني مضارب جيد من ناحية ال retina
+
+28
+00:02:42,670 --> 00:02:48,330
+scope okay difficulties
+
+29
+00:02:48,330 --> 00:02:53,810
+due to inadequacy of technique يعني صعوبات بسبب
+
+30
+00:02:53,810 --> 00:03:00,650
+مشكلة في التقنياتيعني انه ان اديوكسي بمعنى مشكلة
+
+31
+00:03:00,650 --> 00:03:09,490
+او خلل في التقنية للجهاز okay للجهاز
+
+32
+00:03:09,490 --> 00:03:17,370
+نفسه يعني الآن الفاحس مايكونش عنده التقنية الكاملة
+
+33
+00:03:17,370 --> 00:03:22,490
+يعني بيكون عنده less experience انه خبرة قليلة في
+
+34
+00:03:22,490 --> 00:03:29,260
+كيفية استخدام الجهازOkay زي يما يكون ال examiner
+
+35
+00:03:29,260 --> 00:03:34,780
+في التعامل مع الجهاز okay يعني الآن احنا مثلا يما
+
+36
+00:03:34,780 --> 00:03:38,980
+بدأتوا انتوا ك beginner مش كان عندك deficiency من
+
+37
+00:03:38,980 --> 00:03:44,500
+ناحية نقص في استخدام الجهازانه مش قادرة تتعاملي مع
+
+38
+00:03:44,500 --> 00:03:50,000
+الجهاز بشكل صح لما اتعلمت ال parse للجهاز كيف انا
+
+39
+00:03:50,000 --> 00:03:55,520
+ممكن انه ارشد ال patient بديت شوي شوي انه ادخل في
+
+40
+00:03:55,520 --> 00:03:59,500
+ايه انه اتعلم كيف ممكن how to use the instrument
+
+41
+00:03:59,500 --> 00:04:04,440
+انه كيف تستخدمي الجهاز ال subjective refraction
+
+42
+00:04:04,440 --> 00:04:08,060
+الفحص الثانوي
+
+43
+00:04:10,320 --> 00:04:14,360
+after objective refraction will reveal انه سوف
+
+44
+00:04:14,360 --> 00:04:18,800
+يكشف uncorrection of visual acuity يعني قداش
+
+45
+00:04:18,800 --> 00:04:23,100
+..الان انا عملت objective refraction سواء كان في
+
+46
+00:04:23,100 --> 00:04:27,400
+ال retinascope او ال auto refractometer لو كان
+
+47
+00:04:27,400 --> 00:04:32,360
+الانسان فوق العشرين سنة بقدرش هذه الوصفة اديلهياها
+
+48
+00:04:32,360 --> 00:04:36,740
+لازم اعمله ايه subjective refractionالـ Subjective
+
+49
+00:04:36,740 --> 00:04:40,780
+Refraction من خلالها بقدر أدى المريض إيه؟ النضارة
+
+50
+00:04:40,780 --> 00:04:45,200
+أو العدسة اللاصقة يعني الـ Subjective Refraction
+
+51
+00:04:45,200 --> 00:04:51,220
+will reveal أنه سوف يكشف Uncorrection of visual
+
+52
+00:04:51,220 --> 00:04:55,660
+acuity جداش المريض مش مصلح الخطأ الإنكسار اللي
+
+53
+00:04:55,660 --> 00:04:57,960
+عنده في مين؟ في الـ Objective Refraction
+
+54
+00:05:03,040 --> 00:05:07,540
+of the lenses by the patient في بعض الحالات ان ال
+
+55
+00:05:07,540 --> 00:05:11,980
+examiner بيفحص ال patient بكون شغله صح سواء في ال
+
+56
+00:05:11,980 --> 00:05:15,980
+retinascope او ال auto refractometerلكن المريض
+
+57
+00:05:15,980 --> 00:05:20,540
+مايكونش متقبل لهذه العدسات انه بتكون مثلا ال power
+
+58
+00:05:20,540 --> 00:05:25,220
+عنده اعلى او اقل فال subjective refraction من
+
+59
+00:05:25,220 --> 00:05:29,460
+خلالها بكشف جديش ال uncorrected of the refractive
+
+60
+00:05:29,460 --> 00:05:33,140
+error او unaccepted of the lens by the patient
+
+61
+00:05:33,140 --> 00:05:39,700
+يعني جديش العدسة اللي هو مش قبلها المريضيعني بنفعش
+
+62
+00:05:39,700 --> 00:05:43,600
+عشان هذا السبب أنه بنفعش أن المريض أول ما أطلعله
+
+63
+00:05:43,600 --> 00:05:46,280
+النتائج أديه النضارة أقول له هذه النضارة بتاعتك
+
+64
+00:05:46,280 --> 00:05:51,180
+لازم أعمل إيه ال subjective refraction باستثناء في
+
+65
+00:05:51,180 --> 00:05:56,060
+حالة زي ما قلنا الأطفال such
+
+66
+00:05:56,060 --> 00:05:59,820
+a state of affairs commonly results from the
+
+67
+00:05:59,820 --> 00:06:03,100
+mistakes of an experienced and practiced
+
+68
+00:06:03,100 --> 00:06:08,080
+refractionist كل هذه الأخطاءبكون نتيجة تراكمية
+
+69
+00:06:08,080 --> 00:06:13,060
+لإيه؟ إنه ال examiner بيكونش عنده الخبرة الكافية
+
+70
+00:06:13,060 --> 00:06:18,280
+في إنه يعمل ال practice of retinoscopy بشكل صحيح
+
+71
+00:06:18,280 --> 00:06:23,260
+okay؟ يعني هذه النتيجة إنه ماعندهوش الخبرة الكافية
+
+72
+00:06:23,260 --> 00:06:26,580
+عشان هيك دايما بنقول إن جهاز ال retinoscope هو
+
+73
+00:06:26,580 --> 00:06:32,080
+عبارة عن practice practice and practice you cannot
+
+74
+00:06:32,080 --> 00:06:34,920
+learn retinoscope during one day or by the
+
+75
+00:06:34,920 --> 00:06:39,650
+textbooksمش ممكن إلا لازم تشوف الحلات مرة مرتين
+
+76
+00:06:39,650 --> 00:06:44,690
+تلاتة و اتعلم من خلال ال red reflex جد ما انت شوفت
+
+77
+00:06:44,690 --> 00:06:47,790
+حلات جد ما هتقدر تطلعي نتائج صح
+
+78
+00:06:51,730 --> 00:06:54,430
+It is important to keep a suitable working
+
+79
+00:06:54,430 --> 00:06:57,830
+distance and to ensure that retinoscopic
+
+80
+00:06:57,830 --> 00:07:01,670
+examination is performed close to the visual axis
+
+81
+00:07:01,670 --> 00:07:06,190
+in order to refract the macula من المهم أن أحافظ
+
+82
+00:07:06,190 --> 00:07:09,950
+على مسافة العمل ما بين المريض وال examiner، هذه
+
+83
+00:07:09,950 --> 00:07:14,730
+مهمة جدا زي ما اتفقنا عليها النقطة التانية أن
+
+84
+00:07:14,730 --> 00:07:21,080
+visual axis العبارة عنStraight line passes through
+
+85
+00:07:21,080 --> 00:07:26,300
+the object to the fovea تعرفوا أن كل عين بيكون لها
+
+86
+00:07:26,300 --> 00:07:30,600
+visual access عشان هيك دايما لما بفحص المريض بخليه
+
+87
+00:07:30,600 --> 00:07:34,360
+بال primary position أن ال head و ال eye دايما في
+
+88
+00:07:34,360 --> 00:07:37,180
+مستوى واحد و بتطلع وين إلى الأمام
+
+89
+00:07:43,610 --> 00:07:46,150
+in this respect not only the horizontal
+
+90
+00:07:46,150 --> 00:07:50,050
+orientation to be noted but also the vertical one
+
+91
+00:07:50,050 --> 00:07:55,290
+failure to observe this fact may falsely introduce
+
+92
+00:07:55,290 --> 00:07:58,790
+a cylindrical element during retinascope بمعنى
+
+93
+00:07:58,790 --> 00:08:03,150
+الآن أنا عملت ال horizontal meridian بعد هيك عملت
+
+94
+00:08:03,150 --> 00:08:07,800
+ال vertical meridianنفترض إنه كان عنده في الشغل ال
+
+95
+00:08:07,800 --> 00:08:10,860
+horizontal meridian minus one و ال vertical
+
+96
+00:08:10,860 --> 00:08:14,600
+meridian plus one، الآن أنا طلعت للمريض أيه؟
+
+97
+00:08:14,600 --> 00:08:17,660
+cylinder lens، هو يعتبر هذا ال cylinder أيه؟
+
+98
+00:08:17,660 --> 00:08:21,940
+artificial، يعني مش حقيقي، مش موجود أصلا، فالنتائج
+
+99
+00:08:21,940 --> 00:08:25,880
+بتاعته كانت مغايرة للحقيقة، فبالتالي أنا أديت
+
+100
+00:08:25,880 --> 00:08:29,780
+للمريض عدسة إنه يلبس نضارة cylinder lens دون ما
+
+101
+00:08:29,780 --> 00:08:31,700
+بحتاجها، صحيح؟
+
+102
+00:08:37,030 --> 00:08:43,610
+انه لازم ابحث صح ان النتائج تكون correct يعني انا
+
+103
+00:08:43,610 --> 00:08:49,030
+مثلا تشتغلي meridian صح و meridian تاني خطأ تحكيلي
+
+104
+00:08:49,030 --> 00:08:52,610
+مثلا انا اشتغلي الصح واحد و التاني غلط طب انت ممكن
+
+105
+00:08:52,610 --> 00:08:57,710
+عملت المريض artificial astigmatism يعني عنده
+
+106
+00:08:57,710 --> 00:09:02,150
+astigmatism لكن مش حقيقي انه كان هو سفير او كان
+
+107
+00:09:02,150 --> 00:09:05,910
+مثلا عنده astigmatism و طلعتيه سفيرفبالتالي
+
+108
+00:09:05,910 --> 00:09:12,230
+النضارة اللى هتكون للمريض خاطية صح؟ difficulties
+
+109
+00:09:12,230 --> 00:09:16,350
+due to absence of relaxation of accommodation of
+
+110
+00:09:16,350 --> 00:09:20,690
+the examined eye يعني صعوبات بسبب غياب من ال
+
+111
+00:09:20,690 --> 00:09:25,290
+relaxation أهم شغلة why the room should be dark
+
+112
+00:09:25,290 --> 00:09:28,330
+during the retinoscopy to relax of accommodation
+
+113
+00:09:31,200 --> 00:09:34,860
+long to relax of accommodation dark to reflect of
+
+114
+00:09:34,860 --> 00:09:39,220
+the light okay فالان ايش انا بعمل انه دايما ان ال
+
+115
+00:09:39,220 --> 00:09:43,240
+absence لل accommodation مهم جدا لو في انا عندي
+
+116
+00:09:43,240 --> 00:09:46,780
+صعوبة يعني اقول للمريض اتطلع بعيد و بتطلع عليا انا
+
+117
+00:09:46,780 --> 00:09:53,460
+كل نتاج ايه خطر صح ولا لأ انا كل شوية لازم ك
+
+118
+00:09:53,460 --> 00:09:56,780
+examiner اقول للمريض اتطلع بعيد اتطلع بعيد اتطلع
+
+119
+00:09:56,780 --> 00:10:01,780
+بعيد لو بلاحظ ان المريض uncooperativeأنا لازم كل
+
+120
+00:10:01,780 --> 00:10:05,880
+شوية أنه أعمله instruction كل شوية إرشاد، فاهم أيه
+
+121
+00:10:05,880 --> 00:10:09,400
+كيف؟ يعني .. و بعدين أنا بلاحظ يعني معظمكم اللي
+
+122
+00:10:09,400 --> 00:10:13,260
+مابتش تشتغلهيعني حتى انت مابتتكلم مع المريض و هذا
+
+123
+00:10:13,260 --> 00:10:16,580
+خطأ لازم يكون فيه اللي هو connection بينك و بين
+
+124
+00:10:16,580 --> 00:10:20,660
+المريض ان انا بشتغل لأنه من الخطأ المريض بزهج يعني
+
+125
+00:10:20,660 --> 00:10:24,960
+لما انت مثلا طول نص ساعة او ربع ساعة او او كمدة
+
+126
+00:10:24,960 --> 00:10:28,620
+المريض بصير عنده ملل من ناحية الشغل يعني خلاص
+
+127
+00:10:28,620 --> 00:10:33,280
+بقولك انه بتطلع عليه بشوف طبيعته فضولة بدي شوف ايش
+
+128
+00:10:33,280 --> 00:10:37,240
+الجهاز ايش تركيبته و هكذا و بالتالي بتطلع عليك و
+
+129
+00:10:37,240 --> 00:10:52,230
+انت مش عارفةو النتائج إيش بتكون؟ خطأ هو
+
+130
+00:10:52,230 --> 00:10:56,990
+طبيعة المريض إذا كانإذا كان المريض cooperative
+
+131
+00:10:56,990 --> 00:11:01,890
+فهذا كويس ولكن إذا كان uncooperative أنه لازم يكون
+
+132
+00:11:01,890 --> 00:11:05,950
+ال examiner clever لازم يكون ذكي في التعامل يعني
+
+133
+00:11:05,950 --> 00:11:09,530
+مش كل المرضى هيجيوا انه cooperative في ناس هتيجي
+
+134
+00:11:09,530 --> 00:11:15,510
+uncooperative فانا بدي أجيد كيف التعامل معهم طبعا
+
+135
+00:11:15,510 --> 00:11:19,770
+هي بال experience بالخبرة مش يوم أو يومين أو تلاتة
+
+136
+00:11:19,770 --> 00:11:23,090
+كل ما الإنسان يشتغل أكتر بتعلم أكتر و هكذا
+
+137
+00:11:27,250 --> 00:11:30,310
+If the accommodation is not being kept inactive
+
+138
+00:11:30,310 --> 00:11:33,730
+during retinoscopy, the retinoscopic results are
+
+139
+00:11:33,730 --> 00:11:37,730
+changing during the examination لو أنا مثلا
+
+140
+00:11:37,730 --> 00:11:42,390
+ماعملتش relaxation للـ accommodation بمعنى
+
+141
+00:11:42,390 --> 00:11:48,490
+ماستخدمتش cycloibligia أي قطرة لتوسيع البؤبء أو
+
+142
+00:11:48,490 --> 00:11:52,370
+مثلا ماحكتش للمريض اطلع بعيدماحيصرش عنده
+
+143
+00:11:52,370 --> 00:11:55,890
+relaxation لإيه لل accommodation وبالتالي هيكون
+
+144
+00:11:55,890 --> 00:12:03,770
+عنده نتائج خاطية أو تغيير في الفحص داعي okay so
+
+145
+00:12:03,770 --> 00:12:06,050
+the accommodation must be inactive during
+
+146
+00:12:06,050 --> 00:12:09,550
+retinoscopy this is obtained by using two tricks
+
+147
+00:12:09,550 --> 00:12:14,330
+في عندنا ال trickين ممكن بنستخدمهم عشان اعمل
+
+148
+00:12:14,330 --> 00:12:18,440
+relaxation لل accommodationطبعا ال trick الأولاني
+
+149
+00:12:18,440 --> 00:12:21,600
+كنا بنعرفه أنه بنقول للمريض و احنا اللي بنستخدمه
+
+150
+00:12:21,600 --> 00:12:25,760
+أنه تطلع بعيد هدول ال trickين التانين من الصعب
+
+151
+00:12:25,760 --> 00:12:31,380
+عندنا أنه بيستخدمه ليه؟ لأن الأول بستخدم عدسة
+
+152
+00:12:31,380 --> 00:12:36,600
+قوتها عشرة ديوبتر أي بمعنى بحط trail frame و بحط
+
+153
+00:12:36,600 --> 00:12:40,440
+العدسة ال plus عشرة أمام العين فإما أنا بستخدم
+
+154
+00:12:40,440 --> 00:12:46,060
+الطريقة هذه إيش هيعمل المريض؟الـ trial frame كله
+
+155
+00:12:46,060 --> 00:12:50,100
+اللي عندنا موجود وزنه تجيل فالمريض انه حيصير عنده
+
+156
+00:12:50,100 --> 00:12:54,140
+boring انزعاج منه فماهيقدرش يكمل معاك الفحص عشان
+
+157
+00:12:54,140 --> 00:12:57,840
+هيك احنا مابنقولكمش ضيفوا عشرة على ال trial frame
+
+158
+00:12:57,840 --> 00:13:03,900
+okay فالطريقة الأولى بستخدم plus عشرة قدام العين
+
+159
+00:13:03,900 --> 00:13:09,680
+وبعدها بستخدم العدسات اللي انا بصلح فيهم فهذه ايش
+
+160
+00:13:09,680 --> 00:13:13,020
+بتعمل relaxation لل accommodation الا في حالة
+
+161
+00:13:13,020 --> 00:13:16,920
+واحدة بستخدمهاشوأكيد عارفينه إذا كان المريض hyper
+
+162
+00:13:16,920 --> 00:13:21,240
+metro إذا كان hyper metro بديته plus عشرة هيعمل
+
+163
+00:13:21,240 --> 00:13:27,360
+ايش improvement ل ال vision بتاعه الطريقة التانية
+
+164
+00:13:27,360 --> 00:13:31,380
+أنه بقول للمريض سكر وافتى عينك وانا يمكن معظمكم
+
+165
+00:13:31,380 --> 00:13:36,200
+شافني بستخدمها واطلعي بعيديعني بيصير مثلا عنده
+
+166
+00:13:36,200 --> 00:13:39,080
+حركة مرة with و مرة against و مرة with و مرة
+
+167
+00:13:39,080 --> 00:13:42,680
+against مش صارت معاكم معظمكم بقول للمريض طلع بعيد
+
+168
+00:13:42,680 --> 00:13:46,820
+و غمض مرة مرتين تلاتة أي بمعنى يعمل blinking ترميش
+
+169
+00:13:46,820 --> 00:13:54,180
+okay بعدها بقدر انه افحص المريض تثبت الحركة فعنا
+
+170
+00:13:54,180 --> 00:13:58,060
+ال two tricks for relaxation of accommodation
+
+171
+00:13:59,360 --> 00:14:10,100
+fogging of retinascope by inserting
+
+172
+00:14:10,100 --> 00:14:16,640
+a high convex lens قوتها plus عشرة ممكن تلاقوا بعض
+
+173
+00:14:16,640 --> 00:14:21,160
+الكتب تكتب plus خمسة plus خمس عشرة انه يكون high
+
+174
+00:14:21,160 --> 00:14:26,550
+refractive error أو high plus lensin the trial
+
+175
+00:14:26,550 --> 00:14:30,670
+frame in the front of the examined eye and asking
+
+176
+00:14:30,670 --> 00:14:33,830
+the patient to look away at infinity لازم اقول
+
+177
+00:14:33,830 --> 00:14:38,710
+للمريض انه اتطلع عشان مسافة بعيدة يعني حتى لحظة
+
+178
+00:14:38,710 --> 00:14:43,510
+انا حطيت عدسة plus عشرة و مع ذلك قلت للمريض انه
+
+179
+00:14:43,510 --> 00:14:48,550
+اتطلع at infinity لمسافة بعيدة عشان يعمل ايه
+
+180
+00:14:48,550 --> 00:14:52,780
+relaxation لل accommodationthen replacement
+
+181
+00:14:52,780 --> 00:14:56,920
+بنستبدل of the lenses العدسات in the trial frame
+
+182
+00:14:56,920 --> 00:15:00,540
+اللي موجودة في ال trial frame as retinascopy it
+
+183
+00:15:00,540 --> 00:15:04,620
+proceeds انه بنضيف العدسة اللي عدلت فيها في ال
+
+184
+00:15:04,620 --> 00:15:09,260
+retinascope is always done so that neither
+
+185
+00:15:09,260 --> 00:15:12,800
+examined eye is exposed to light without a lens
+
+186
+00:15:12,800 --> 00:15:18,680
+beforeوالعدسة الموجودة في الـ replace lens تم
+
+187
+00:15:18,680 --> 00:15:22,940
+إزالتها الآن أنا بعد ما ضيفت العدسة ال plus عشرة
+
+188
+00:15:22,940 --> 00:15:27,000
+أو ال plus خمسة بضيف العدسة اللي أنا بعمل لها إيه
+
+189
+00:15:27,000 --> 00:15:31,520
+ال neutralization ال neutral point بصير أحط العدسة
+
+190
+00:15:31,520 --> 00:15:35,120
+حسب اللي هو إيه ال neutral point زي ما بتعملوا
+
+191
+00:15:35,120 --> 00:15:39,080
+plus واحد لأ لسه مافيش معادل بحط plus واحد و نصف
+
+192
+00:15:39,080 --> 00:15:42,040
+فبصير insertion و removal insertion و removal
+
+193
+00:15:44,210 --> 00:15:48,270
+العشرة والواحد و نص اللي بقصونا من المسافة؟ الان
+
+194
+00:15:48,270 --> 00:15:52,350
+انا العشرة عملت هي ال relaxation لل accommodation
+
+195
+00:15:52,350 --> 00:15:56,910
+احنا
+
+196
+00:15:56,910 --> 00:16:00,910
+هان ال plus واحد و نص لو بديش اقصم من مسافة العمل
+
+197
+00:16:00,910 --> 00:16:06,150
+لو بديش اقصم من مسافة العمل اه بتنحط الواحد و نص
+
+198
+00:16:06,750 --> 00:16:10,590
+يعني في طريقة هي صح كلامها الان احنا قلنا ان ليش
+
+199
+00:16:10,590 --> 00:16:15,110
+ممكن انا احط ال plus واحد و نص قدام العين ان عشان
+
+200
+00:16:15,110 --> 00:16:18,070
+بدل ما اخصم من ال working distance من مسافة العمل
+
+201
+00:16:18,070 --> 00:16:23,010
+فبحط plus واحد و نص و بخصمش ايه من ال two cross
+
+202
+00:16:23,010 --> 00:16:26,590
+بتاعي او بخصم من مسافة العمل اذا ماحطيتش اللي هو
+
+203
+00:16:26,590 --> 00:16:28,190
+ال واحد و نص okay
+
+204
+00:16:31,030 --> 00:16:34,370
+الطريقة التانية to get the patient to close then
+
+205
+00:16:34,370 --> 00:16:38,110
+to open his eyes inspecting his eye by retinascope
+
+206
+00:16:38,110 --> 00:16:41,810
+just he opens his eye inspecting بمعنى examine
+
+207
+00:16:41,810 --> 00:16:48,590
+يعني تفحص العين okay إذا بنقول للمريض بنرشده إنه
+
+208
+00:16:48,590 --> 00:16:52,610
+يفتح عينه غمض عينه يفتح عينه غمض عينه بعدين ببدأ
+
+209
+00:16:52,610 --> 00:16:56,850
+بعملية إيش ال procedure لretinascope okay
+
+210
+00:17:02,180 --> 00:17:05,800
+if the above two tricks fail to relax the
+
+211
+00:17:05,800 --> 00:17:09,880
+accommodation لو الطريقتين هدول فشله في عملية ال
+
+212
+00:17:09,880 --> 00:17:15,060
+retinascope okay what will happen especially in
+
+213
+00:17:15,060 --> 00:17:19,540
+young persons خاصة في الأطفال and children
+
+214
+00:17:19,540 --> 00:17:24,600
+cycloplegia okay paralysis of the ciliary muscle
+
+215
+00:17:24,600 --> 00:17:29,840
+is used عارفين احنا في تلت عضلات لل intraocular
+
+216
+00:17:29,840 --> 00:17:35,150
+muscleمن ضمنهم الـ ciliary muscle الآن ال function
+
+217
+00:17:35,150 --> 00:17:38,450
+بتاعة الـ cyclopentylate ايش بتاعنا؟ ال paralysis
+
+218
+00:17:38,450 --> 00:17:43,350
+شلل لل ciliary muscle وبالتالي بعد ما يصير ال
+
+219
+00:17:43,350 --> 00:17:46,190
+paralysis لل ciliary muscle بيصير dilate
+
+220
+00:17:46,190 --> 00:17:49,050
+dilatation لبيوبل
+
+221
+00:17:50,770 --> 00:17:54,450
+أه فبتصير عملية اللي هو ال dilatation يعني عندى
+
+222
+00:17:54,450 --> 00:17:58,130
+two function لال cycle oblige أو ال cycle
+
+223
+00:17:58,130 --> 00:18:02,930
+ventilate إنه بتعمل dilatation للي بيوبل قبلها
+
+224
+00:18:02,930 --> 00:18:06,850
+بتعمل إيش paralysis ل ال ciliary muscle أي بمعنى
+
+225
+00:18:06,850 --> 00:18:09,250
+شلل ل ال ciliary muscle
+
+226
+00:18:13,310 --> 00:18:17,950
+إذا الأن بدنا نتفق في كل حالات الأطفال لازم نستخدم
+
+227
+00:18:17,950 --> 00:18:21,930
+الـcycloplegia أو الـcyclopentilate عشان نعمل
+
+228
+00:18:21,930 --> 00:18:27,330
+relax لل accommodation إذا شوفنا الطفل cooperative
+
+229
+00:18:27,330 --> 00:18:32,430
+متعاون ممكن أنه أعمله reflection زي ما بعمل للكبار
+
+230
+00:18:33,340 --> 00:18:37,260
+إذا ما شوفناه .. إذا كان الطفل uncoperative لازم
+
+231
+00:18:37,260 --> 00:18:40,600
+أنه يعمل إيه؟ الـcycloplegia أو الـcyclopentilate
+
+232
+00:18:40,600 --> 00:18:47,240
+to paralysis of the ciliary muscle okay الآن
+
+233
+00:18:47,240 --> 00:18:52,540
+الـcycloplegia أو الـcyclopentilate إلها advantage
+
+234
+00:18:52,540 --> 00:18:59,390
+أي بمعنى عيوب و في إلها إيه؟فوائد شو هي الفوائد
+
+235
+00:18:59,390 --> 00:19:03,550
+بتاعتها او المميزات و ايش هي العيوب what is the
+
+236
+00:19:03,550 --> 00:19:07,730
+advantages and disadvantages of Cycle Elysium
+
+237
+00:19:07,730 --> 00:19:11,730
+advantages
+
+238
+00:19:11,730 --> 00:19:16,410
+number one paralysis of accommodation to make easy
+
+239
+00:19:16,410 --> 00:19:20,690
+retinoscopy اذا اول حاجة بنعمل شلل لال
+
+240
+00:19:20,690 --> 00:19:26,950
+accommodation او paralysis of the ciliary muscleأه
+
+241
+00:19:26,950 --> 00:19:31,490
+شلل paralysis طبعا
+
+242
+00:19:31,490 --> 00:19:36,210
+بنعمل الشلل ل ال retinoscopy عشان نقدر نعمل عملية
+
+243
+00:19:36,210 --> 00:19:43,290
+ايه ال procedure of retinoscopy number
+
+244
+00:19:43,290 --> 00:19:49,870
+two imbuable dilatation أي بمعنى توسيع للبقبق كيف
+
+245
+00:19:49,870 --> 00:19:55,490
+ال midriasis توسيع للبقبق من خلال قطرة اسمها ال
+
+246
+00:19:55,490 --> 00:20:00,840
+midriasisleads to good visualization of red reflex
+
+247
+00:20:00,840 --> 00:20:06,260
+الان البقبق يما بتتسع بقدر انا اشوف ال red reflex
+
+248
+00:20:06,260 --> 00:20:12,180
+بشكل واضح معظمكم شاف بقبق بيكون myosis صح؟ في ال
+
+249
+00:20:12,180 --> 00:20:17,440
+young adult مظبوط؟ الان انا لو بدى اعمل accurate
+
+250
+00:20:17,440 --> 00:20:21,980
+measurement of the refractive error يعني فحص دقيق
+
+251
+00:20:21,980 --> 00:20:27,080
+للخطأ الانكساري لازم استخدم ايش؟الـ Cycloplegia
+
+252
+00:20:27,080 --> 00:20:31,720
+اللي هي dilatation للبيوبل بالتالي انا هقدر اشوف
+
+253
+00:20:31,720 --> 00:20:37,620
+ال red reflex بشكل واضح يعني الآن يما يكون عنده
+
+254
+00:20:37,620 --> 00:20:42,700
+مريض عنده myosis في البقبق و مريض اخر عنده dilate
+
+255
+00:20:42,700 --> 00:20:48,040
+في البيوبل مين فيهم اسهل كشغل؟ ال dilate للبيوبل
+
+256
+00:20:48,040 --> 00:20:52,670
+صح؟الان الـ meiosis هي تعتبر ايه؟ من ضمن ال
+
+257
+00:20:52,670 --> 00:20:55,310
+difficulties، لو واحد سألك شو ال difficulties
+
+258
+00:20:55,310 --> 00:20:58,490
+بتاعة ال written scope، من ضمنهم ان واحد يكون عنده
+
+259
+00:20:58,490 --> 00:21:00,410
+meiosis ده البقبق، صح؟
+
+260
+00:21:03,850 --> 00:21:08,590
+طبعا هذه بالنسبة للقطرة في عندنا الأتروبيل في فرق
+
+261
+00:21:08,590 --> 00:21:12,450
+بين الأتروبيل والcyclobentrolate ال duration بتاعة
+
+262
+00:21:12,450 --> 00:21:17,170
+الأتروبيل بتكون أكتر بمعنى إيجان الطفل كان عنده ال
+
+263
+00:21:17,170 --> 00:21:21,130
+accommodation كبير يعني عنده excess accommodation
+
+264
+00:21:21,130 --> 00:21:25,490
+مقدرش أستخدم مع هذا الطفل الcyclobentrolate إيش
+
+265
+00:21:25,490 --> 00:21:31,300
+بستخدم معاه الأتروبيلبيستخدم لمدة اربعتاشر يوم
+
+266
+00:21:31,300 --> 00:21:36,880
+يعني بمعنى انا بدي المريض انه كل يوم يجطر لفترة
+
+267
+00:21:36,880 --> 00:21:43,320
+بعد اربعتاشر يوم بقدر انه يعمله الفحص بالاضافة نعم
+
+268
+00:21:44,870 --> 00:21:48,970
+هذه الأتروبين ال duration المدة بتاعته بتكون طويلة
+
+269
+00:21:48,970 --> 00:21:53,290
+يعني واحد إيجاني على المركز أو على المستشفى كان
+
+270
+00:21:53,290 --> 00:21:57,070
+عنده excess accommodation قوة بمعنى انه اديته ال
+
+271
+00:21:57,070 --> 00:22:00,390
+cycle been too late لكن ما without benefit بدون
+
+272
+00:22:00,390 --> 00:22:03,950
+فائدة يعني مافدش ال cycle been too late معاه إيش
+
+273
+00:22:03,950 --> 00:22:11,470
+بيستخدم؟ الأتروبينالاتروبين انه القوة بتاعته اكتر
+
+274
+00:22:11,470 --> 00:22:14,970
+من ال cycle of ventilate و ال duration المدة انتوا
+
+275
+00:22:14,970 --> 00:22:18,170
+عارفين ان كل دواء او كل قطرة بيكون لها ال duration
+
+276
+00:22:18,170 --> 00:22:24,090
+مدة فالمدة بتاعته بتكون اطول okay من ناحية انه
+
+277
+00:22:24,090 --> 00:22:27,170
+واجتاش ال effect بتاعه بيروح يعني ال cycle of
+
+278
+00:22:27,170 --> 00:22:30,930
+ventilate يوم يومين خلاص مافيش تأثيرعارفين انتوا
+
+279
+00:22:30,930 --> 00:22:34,210
+كل قطرة بيكون لها side effect، side effect بمعنى
+
+280
+00:22:34,210 --> 00:22:38,690
+تأثير او complication، مضاعفات، يعني بتعمل fever،
+
+281
+00:22:38,690 --> 00:22:44,050
+حرارة، ممكن بتعمل سخونة، و هكذا، كل هذه بتروح خلال
+
+282
+00:22:44,050 --> 00:22:49,830
+يوم او يومين، ياما بستخدم مين؟ Cyclobentolate، لكن
+
+283
+00:22:49,830 --> 00:22:54,740
+ياما بستخدم الأتروبين، بده تقريبا اربعتاشر يومال
+
+284
+00:22:54,740 --> 00:22:58,940
+14 يوم عشان examiner يفحصها؟ لأ ممكن انا مثلا تلت
+
+285
+00:22:58,940 --> 00:23:02,680
+ايام اربع ايام بعمل الفحص لكن ال .. ال .. الجرعة
+
+286
+00:23:02,680 --> 00:23:06,700
+بتاعته بتروح بعد 14 يوم يعني ممكن بعد 14 يوم
+
+287
+00:23:06,700 --> 00:23:10,460
+examiner تاني يعمل فحص okay no problem هذه بالنسبة
+
+288
+00:23:10,460 --> 00:23:13,820
+لل atropine ال bilocarbine ايش بيعمل؟ meiosis
+
+289
+00:23:13,820 --> 00:23:18,820
+للبقبق انه بيصغر البقبقأكيد معظمكم من بارح اللي
+
+290
+00:23:18,820 --> 00:23:21,860
+كانوا في المعمل بتاع ال refraction شرحنا موضوع ال
+
+291
+00:23:21,860 --> 00:23:28,340
+bilo carbine انه بيعمل ميوزف للبقبق اه الان كل ..
+
+292
+00:23:28,340 --> 00:23:33,580
+انا بدي شغلتين منكم القطرة اللي بتوسع هي عبارة عن
+
+293
+00:23:33,580 --> 00:23:37,240
+ال cyclopentylate ال cyclopentylate بتعمل
+
+294
+00:23:37,240 --> 00:23:41,200
+dilatation للبيوبل او الأتروبيل شو الفرق بين
+
+295
+00:23:41,200 --> 00:23:47,470
+التنتين من ناحية ال duration المدة okayالقطرة اللى
+
+296
+00:23:47,470 --> 00:23:51,750
+بتعمل meiosis تضييق للبقبق هي عبارة عن ال bilo
+
+297
+00:23:51,750 --> 00:23:54,730
+carbine هناخدها لقدام ان شاء الله في ال eye
+
+298
+00:23:54,730 --> 00:23:59,310
+disease هتاخدوها زى فى ال glaucoma الناس اللى
+
+299
+00:23:59,310 --> 00:24:03,770
+عندهم مياه زرقاء بيستخدموا معهم مين ال bilo
+
+300
+00:24:03,770 --> 00:24:09,430
+carbine طبعا ممكن واحد يسألنى طب شو فايدة اللى هو
+
+301
+00:24:09,430 --> 00:24:13,990
+ال optometrist انه اعرف القطرات هذههذه هناخدها في
+
+302
+00:24:13,990 --> 00:24:17,570
+ال special difficulties of retinascope يعني شو
+
+303
+00:24:17,570 --> 00:24:22,670
+الحالات الصعبة يعني ال special الخاصة في الصعوبة
+
+304
+00:24:22,670 --> 00:24:27,330
+من ناحية ال retinascope okay فهي زي ما انتوا
+
+305
+00:24:27,330 --> 00:24:31,230
+شايفين ان البقبق هان عمل dilate و هان مايوزز
+
+306
+00:24:31,230 --> 00:24:36,030
+فالصورة اعتقد انه واضحة هذه عاملة dilate مدرياسس
+
+307
+00:24:36,030 --> 00:24:38,630
+أتروبيل وهذه مايوزز البقبق
+
+308
+00:24:45,490 --> 00:24:49,230
+برضه عندنا ال macular refraction is more accurate
+
+309
+00:24:49,230 --> 00:24:54,790
+الان انا لما بنستخدم ال retinascope without
+
+310
+00:24:54,790 --> 00:25:00,390
+cyclopentolate بدون قطرة انا بس بقدر انه اشوف ال
+
+311
+00:25:00,390 --> 00:25:07,240
+red reflex اللي معكوس من ال retina صح؟الان لما
+
+312
+00:25:07,240 --> 00:25:11,940
+يكون dilated ل ال pupil بمعنى ان البقبق موسع في ال
+
+313
+00:25:11,940 --> 00:25:15,580
+optical state of the eye اكيد أخدتهم اللي هي بتشمل
+
+314
+00:25:15,580 --> 00:25:19,640
+ال anterior و ال posterior surface of the cornea و
+
+315
+00:25:19,640 --> 00:25:22,870
+عندنا كمان ال lens anterior و posteriorكل واحدة
+
+316
+00:25:22,870 --> 00:25:26,410
+فيه لها refractive index مختلفة عن الـ A الأخرى
+
+317
+00:25:26,410 --> 00:25:29,470
+وكل واحدة فيه لها refractive error مختلفة عن
+
+318
+00:25:29,470 --> 00:25:34,310
+التانية فالان انا لما بعمل dilate للبيوبل بمعنى
+
+319
+00:25:34,310 --> 00:25:39,490
+انه بعمل .. بستخدم ال atropine او بستخدم ال
+
+320
+00:25:39,490 --> 00:25:43,650
+cyclopentolate بعمل ايه؟ dilate للبيوبل فانا
+
+321
+00:25:43,650 --> 00:25:47,710
+مباشرة بقدر اعمل ايش؟ ال macular refraction okay؟
+
+322
+00:25:47,990 --> 00:25:56,370
+اذا ماهي مفهوم الـ macular refraction؟ مقال
+
+323
+00:25:56,370 --> 00:25:59,710
+مقال
+
+324
+00:25:59,710 --> 00:25:59,710
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+325
+00:25:59,710 --> 00:25:59,770
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+326
+00:25:59,770 --> 00:26:00,070
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+327
+00:26:00,070 --> 00:26:04,410
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+328
+00:26:04,410 --> 00:26:06,650
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+329
+00:26:06,650 --> 00:26:06,650
+مقال مقال مقال مقال مقال مقال مقال مقال مقال مقال
+
+330
+00:26:06,650 --> 00:26:09,750
+مقال مقال مقال مقال مقال مقال مقال م
+
+331
+00:26:16,140 --> 00:26:20,680
+الغرض من الـ macular refraction عملية توسيع بواسطة
+
+332
+00:26:20,680 --> 00:26:26,060
+استخدام إما الـ cyclopentolate أو الأتروبيل ليه؟
+
+333
+00:26:26,060 --> 00:26:33,440
+عشان نقدر نشوف الـ red reflex بشكل واضح طيب
+
+334
+00:26:33,440 --> 00:26:37,580
+ال disadvantages أو ال side effect تأثيرات
+
+335
+00:26:37,580 --> 00:26:41,860
+الـcycloplegia الآن
+
+336
+00:26:41,860 --> 00:26:46,590
+أنا يما بعمل dialate للبيوبل، شو عملت؟نربط البعض
+
+337
+00:26:46,590 --> 00:26:53,890
+الديليت البيوبل شو عملت؟ بالظبط اذا paralysis of
+
+338
+00:26:53,890 --> 00:26:58,730
+the ciliary muscle صحيح؟ طيب الديليت البيوبل هذا
+
+339
+00:26:58,730 --> 00:27:04,630
+ايش عمل؟ altered غير the optical properties الخواص
+
+340
+00:27:04,630 --> 00:27:10,010
+البصرية of the optical system للنظام البصري of the
+
+341
+00:27:10,010 --> 00:27:17,790
+eyeإذا توصيع البقبق غير من الخواص البصرية للنظام
+
+342
+00:27:17,790 --> 00:27:23,050
+البصري بمعنى ان انا يما بستخدم ال Cyclopentylate
+
+343
+00:27:23,050 --> 00:27:28,090
+او الأتروبيل اعملت ايه؟ دايلات للي بيوبل بقولنا ان
+
+344
+00:27:28,090 --> 00:27:32,370
+كل عين فيه اللي لها optical state of the eye هم
+
+345
+00:27:32,370 --> 00:27:36,170
+عبارة عن ال anterior و ال posterior surface
+
+346
+00:27:36,170 --> 00:27:40,730
+للكورنيةالـ anterior و ال posterior surface للـ
+
+347
+00:27:40,730 --> 00:27:45,510
+lens، ال iris، ال vitreous humer و ال retina الآن
+
+348
+00:27:45,510 --> 00:27:48,990
+لما صار عملية ال dialate ل ال pupil مباشرة انا
+
+349
+00:27:48,990 --> 00:27:53,350
+اشتغلت ايه؟ macular refraction فبالتالي انا غيرت
+
+350
+00:27:53,350 --> 00:27:58,230
+من ايه؟ من ال optical probalities الخواص البصرية
+
+351
+00:27:58,230 --> 00:28:00,790
+لل optical system of the eye
+
+352
+00:28:06,490 --> 00:28:10,930
+النتائج الملاحظة are due to refraction نتيجة ال
+
+353
+00:28:10,930 --> 00:28:16,110
+refraction of the lens as the rays passes in
+
+354
+00:28:16,110 --> 00:28:19,590
+periphery and the central area of the lens lead to
+
+355
+00:28:19,590 --> 00:28:22,910
+some percentage of errors due to different
+
+356
+00:28:22,910 --> 00:28:28,330
+refractions الان قدش ال refractive power للكورنية
+
+357
+00:28:30,350 --> 00:28:36,570
+40 to 42 ديوبتر و ال refractive power للكورنية 16
+
+358
+00:28:36,570 --> 00:28:42,490
+to 20 ديوبتر بالنسبة لل lens 16
+
+359
+00:28:42,490 --> 00:28:49,510
+to 20 ديوبتر بالنسبة لل lens و الكورنية من 40 ل 42
+
+360
+00:28:49,510 --> 00:28:54,890
+ديوبترالان انا لما بعمل dilate لل pupil مباشرة
+
+361
+00:28:54,890 --> 00:28:59,070
+بشطل ع مين؟ ع ال macular refraction فالان اعملت
+
+362
+00:28:59,070 --> 00:29:03,890
+ignore لمين؟ لل lens و للكورنية لكن في حالة
+
+363
+00:29:03,890 --> 00:29:08,990
+without cyclopentolate او atropine كان ال power
+
+364
+00:29:08,990 --> 00:29:13,290
+بتاعة الكورنية و ال lens من ضمن ايه؟ ال refractive
+
+365
+00:29:13,290 --> 00:29:19,640
+air بتاعياذا هان لو ايجى سؤال مثلا ليش انا عملت
+
+366
+00:29:19,640 --> 00:29:23,360
+ليش اللي هو صار عندى لما بستخدم الـ cyclopentylate
+
+367
+00:29:23,360 --> 00:29:26,920
+some percentage of error due to different
+
+368
+00:29:26,920 --> 00:29:30,500
+refractions بسبب انه انا عملت cyclopentylate
+
+369
+00:29:30,500 --> 00:29:33,620
+مباشرة عملت macular refraction without the cornea
+
+370
+00:29:33,620 --> 00:29:37,910
+and the lensOkay هان يما بيصير ال dilate ل ال
+
+371
+00:29:37,910 --> 00:29:42,170
+pupil الآن عمللي paralysis ل ال ciliary muscle
+
+372
+00:29:42,170 --> 00:29:45,750
+فصار اللي هو مش عارف واضح عندكم ولا لأ انه dilate
+
+373
+00:29:45,750 --> 00:29:50,350
+للبؤبو انه توسع البؤبو ع طول انا بقدر اشوف ايه ال
+
+374
+00:29:50,350 --> 00:29:52,650
+macular refraction okay
+
+375
+00:29:56,000 --> 00:30:00,920
+during cycloplegia or cyclopentolate the same
+
+376
+00:30:00,920 --> 00:30:04,500
+meaning نفس المعنى إما واحد يحكي cycloplegia يعني
+
+377
+00:30:04,500 --> 00:30:08,540
+إما استخدم cyclopentolate أو أتروبين in general
+
+378
+00:30:08,540 --> 00:30:13,560
+during cycloplegia there is paralysis of the
+
+379
+00:30:13,560 --> 00:30:17,840
+parasympathetic nerve supply to the lens capsuleزي
+
+380
+00:30:17,840 --> 00:30:20,700
+ما انتوا عارفين في عندنا ال بارا sympathetic و في
+
+381
+00:30:20,700 --> 00:30:24,760
+ال sympathetic nerve supply، الآن انا يما بصير
+
+382
+00:30:24,760 --> 00:30:29,220
+عملية relax لل accommodation، انا ايش بعمل؟ بعمل
+
+383
+00:30:29,220 --> 00:30:31,400
+paralysis للبارا sympathetic
+
+384
+00:30:35,710 --> 00:30:41,210
+ال lens بتتكون من ال lens material مادة العدسة و
+
+385
+00:30:41,210 --> 00:30:45,990
+ال lens capsule المحفظة زائد ال lens nucleus اللى
+
+386
+00:30:45,990 --> 00:30:49,830
+هى النواة بتاعتها فانا بشتغل على مين على ال lens
+
+387
+00:30:49,830 --> 00:30:53,990
+capsule اذا الان ال cycle ventilate يما بيعمل
+
+388
+00:30:53,990 --> 00:30:58,350
+relaxation لل accommodation و paralysis لل celery
+
+389
+00:30:58,350 --> 00:31:01,530
+muscle بيشتغل على ال lens capsule ولا ال lens
+
+390
+00:31:01,530 --> 00:31:02,090
+nucleus
+
+391
+00:31:07,090 --> 00:31:19,110
+طب ليش؟ ليش بيشتغل ال lens capsule؟ بالظبط
+
+392
+00:31:19,110 --> 00:31:23,430
+لإن الزنيول بيعمل relaxation لمين؟ للزنيول، كده
+
+393
+00:31:23,430 --> 00:31:28,200
+خدتوها في ال Anatomywith loss of its ability to ..
+
+394
+00:31:28,200 --> 00:31:32,700
+فعنا كمفهوم ل ال muscle tone انه بيعمل انه بعد
+
+395
+00:31:32,700 --> 00:31:37,920
+عملية استخدام ال cyclopentolate او الأتروبين بيبقى
+
+396
+00:31:37,920 --> 00:31:43,040
+تقريبا plus واحد لواحد و نص ديوبتر هذي بنسميها ال
+
+397
+00:31:43,040 --> 00:31:46,780
+muscle tone يعني بيبقى refractive error متبقى و
+
+398
+00:31:46,780 --> 00:31:51,440
+خاصة هذي وين؟ في حالات الأطفال حالات الأطفال بيكون
+
+399
+00:31:51,440 --> 00:31:55,790
+عنده ال accommodation كبير مقارنة في الكبارفانا جد
+
+400
+00:31:55,790 --> 00:31:59,070
+ما ادى الـ cyclopentylate او الأتروبين اللى
+
+401
+00:31:59,070 --> 00:32:03,670
+استخدمه بيظل عنده plus one to plus one point five
+
+402
+00:32:03,670 --> 00:32:08,270
+ديوبتر هذى عبارة عن ايه refractive error نتيجة ال
+
+403
+00:32:08,270 --> 00:32:13,010
+muscle tone طبعا هناخدها في refraction two ب
+
+404
+00:32:13,010 --> 00:32:20,180
+explanation اكثربيوب الديليتيشن توسيع البؤبؤ may
+
+405
+00:32:20,180 --> 00:32:25,000
+result ممكن انه ينتج in acute angle closure
+
+406
+00:32:25,000 --> 00:32:29,840
+aglaocoma في ال aglaocoma المياه الزرقاء اللي هى
+
+407
+00:32:29,840 --> 00:32:36,000
+أنواع منها ال acute angle closure aglaocoma اعتقد
+
+408
+00:32:36,000 --> 00:32:41,380
+صورتها موجودة اه هان كلكم تعرفوا الاكي والسهيومر
+
+409
+00:32:42,190 --> 00:32:46,970
+وفي عندنا ال anterior chamber ال anterior chamber
+
+410
+00:32:46,970 --> 00:32:51,590
+هي عبارة عن ايه؟ ال fluid space between the cornea
+
+411
+00:32:51,590 --> 00:32:56,670
+and the iris okay الآن هذه بيصير لها ايه؟ عملية
+
+412
+00:32:56,670 --> 00:33:01,430
+اغلاق obstruction انه بيصير ايه؟ اغلاق لمين؟ لل
+
+413
+00:33:01,430 --> 00:33:06,360
+angle هذهفالان يما بيصير obstruction في حالة ال
+
+414
+00:33:06,360 --> 00:33:11,000
+acute closure angioglaucoma نتيجة من ال dilate
+
+415
+00:33:11,000 --> 00:33:15,660
+للبيوبل الان انا كoptometry يما واحد يكون عنده
+
+416
+00:33:15,660 --> 00:33:19,540
+high refractive error خاصة في الميوب بخاف ايش
+
+417
+00:33:19,540 --> 00:33:23,880
+استخدم اللي هو ال cycle of ventilate لازم اعرضه
+
+418
+00:33:23,880 --> 00:33:30,050
+على طبيب اقوله ممكن انه يعمل controlOkay يعمل
+
+419
+00:33:30,050 --> 00:33:34,630
+control أول حاجة لأ لأن ال glaucoma هي تعتبر a
+
+420
+00:33:34,630 --> 00:33:38,270
+chronic disease يعني زي ال diabetes مرض مزمن أو
+
+421
+00:33:38,270 --> 00:33:44,010
+الطريقة التانية أنه بفحص الزاوية بلرا في بلاد بلرا
+
+422
+00:33:44,010 --> 00:33:48,850
+مستحيل أد ال cycloventilate إلا لازم أفحص الزاوية
+
+423
+00:33:48,850 --> 00:33:54,010
+هذا جريمة يعني تعتبر this is a crime to give for
+
+424
+00:33:54,010 --> 00:33:56,770
+the cycloventilate without measure of the angle
+
+425
+00:33:57,350 --> 00:34:03,250
+فلازم اي examiner بده يعمل refraction بال
+
+426
+00:34:03,250 --> 00:34:06,810
+cyclopentolate لازم افحص قبلها مين ال angle
+
+427
+00:34:14,120 --> 00:34:17,580
+Ibuble dilatation may result in acute angle
+
+428
+00:34:17,580 --> 00:34:22,740
+closure glaucoma توسيع البقبق ممكن انه ينتج في
+
+429
+00:34:22,740 --> 00:34:26,980
+حالة ال acute angle closure glaucoma طبعا انتوا
+
+430
+00:34:26,980 --> 00:34:30,120
+عارفين ال glaucoma هي المياه الزرقاء نتيجة زيادة
+
+431
+00:34:30,120 --> 00:34:32,980
+مين ال intraocular pressure اللي هو ضغط العين
+
+432
+00:34:32,980 --> 00:34:38,180
+الأنواع هتاخدوها ال classification لقدامin some
+
+433
+00:34:38,180 --> 00:34:42,000
+persons who have a narrow angle of anterior
+
+434
+00:34:42,000 --> 00:34:46,460
+chamber especially in those 40 years old or more
+
+435
+00:34:46,460 --> 00:34:50,660
+دايما بتكون هي مع الناس الكبار مش مع الصغار يعني
+
+436
+00:34:50,660 --> 00:34:54,780
+الناس اللي بيكون الأطفال بيجي معهم ال congenital
+
+437
+00:34:54,780 --> 00:34:59,180
+glaucoma okay و دايما بتكون open angle glaucoma
+
+438
+00:34:59,180 --> 00:35:04,970
+this complicationmust be taken in consideration
+
+439
+00:35:04,970 --> 00:35:09,650
+before installation installation يعني تقطير of the
+
+440
+00:35:09,650 --> 00:35:13,430
+mediatic drops especially patients having high
+
+441
+00:35:13,430 --> 00:35:18,250
+degree of hypermetropia دايما يما بيكون واحد عنده
+
+442
+00:35:18,250 --> 00:35:21,670
+hypermetropia و الأطفال معظمهم بيكونوا
+
+443
+00:35:21,670 --> 00:35:25,850
+hypermetropia يعني الطفل اللي لازم ينولد يكون
+
+444
+00:35:25,850 --> 00:35:30,010
+hypermetropia من اتنين و نص لتلاتة و الا مابيكونش
+
+445
+00:35:30,010 --> 00:35:34,640
+بعد هيك طبيعييعني شوف حكمة الله عز وجل إن الطفل
+
+446
+00:35:34,640 --> 00:35:38,740
+يما بنولد لازم يكون hyper metropic، بعديها من
+
+447
+00:35:38,740 --> 00:35:42,820
+اتنين و نص لتلاتة، بعدها بدخل في ال emetropic، لو
+
+448
+00:35:42,820 --> 00:35:48,330
+الطفل انولد و هو ميوب، ابكي عليهابكى عليها لإنه
+
+449
+00:35:48,330 --> 00:35:52,770
+بعد عشرين سنة يصل لعشرين سنة عمره يصير minus
+
+450
+00:35:52,770 --> 00:35:58,050
+twenty أو minus fifteen او .. بزيد لإنه بدخل فيه
+
+451
+00:35:58,050 --> 00:36:01,270
+اللي هو retinal detachment انفصال للشبكية و هكذا
+
+452
+00:36:01,270 --> 00:36:05,350
+إذا الأن أنا قبل ما بدى أعمل ال cycle of ventilate
+
+453
+00:36:05,350 --> 00:36:09,770
+أأكد على قياس ال angle الزاوية خاصة في الناس اللي
+
+454
+00:36:09,770 --> 00:36:12,150
+عندهم high hyper metro okay
+
+455
+00:36:14,570 --> 00:36:21,510
+هتاخدوها في ال instrument أعتقد أخدتوها في
+
+456
+00:36:21,510 --> 00:36:25,190
+one ولا two؟ في one طيب ان شاء الله في المحاضرة
+
+457
+00:36:25,190 --> 00:36:28,330
+القادمة هنبدأ في ال special difficulties ال
+
+458
+00:36:28,330 --> 00:36:29,730
+written scope ان شاء الله
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..32eba60a3238659bb0fdee5e2e7848189627018a
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE.srt
@@ -0,0 +1,2272 @@
+1
+00:00:21,600 --> 00:00:25,620
+طيب بسم الله الرحمن الرحيم السلام عليكم اليوم
+
+2
+00:00:25,620 --> 00:00:31,600
+هنبدأ في موضوع ال measurement notation، وحدة القياس
+
+3
+00:00:31,600 --> 00:00:38,530
+هنحاول أن نعيد وحدات القياس مع بعض مرة ثانية لأن
+
+4
+00:00:38,530 --> 00:00:42,330
+شعرت أن في بعض ال confusion، اللي هو التباين عند
+
+5
+00:00:42,330 --> 00:00:47,910
+بعض الطالبات، فهنحاول أن نعيد بالنسبة للستة متر
+
+6
+00:00:47,910 --> 00:00:54,510
+وإذا كانت متغيرة المسافة ما بين ال patient والـ
+
+7
+00:00:54,510 --> 00:01:03,590
+chart، لو فرضنا مثلاً الآن ستة على ثلاثين، هذه
+
+8
+00:01:03,590 --> 00:01:13,510
+إيش تعتبر؟ متر، صح؟ لو بدي أحولها لـ feet، إذا
+
+9
+00:01:13,510 --> 00:01:27,430
+الستة على ثلاثين = عشرين، إذا ستة × = عشرين ×
+
+10
+00:01:27,430 --> 00:01:31,730
+ثلاثين، إذا الـ X إيش =؟
+
+11
+00:01:35,290 --> 00:01:41,070
+إذا الـ X = عشرين
+
+12
+00:01:41,070 --> 00:01:47,490
+at six
+
+13
+00:01:47,490 --> 00:02:00,990
+meters، هذا ما حولناه من meters لمين؟ لـ feet، واضحة؟ طيب
+
+14
+00:02:00,990 --> 00:02:03,470
+لو الستة على ثلاثين نفسها
+
+15
+00:02:06,880 --> 00:02:14,480
+بدي أحولها، أيوة، اه، اللي هي ال visual، الـ 6 على 30
+
+16
+00:02:14,480 --> 00:02:19,000
+يعني
+
+17
+00:02:19,000 --> 00:02:24,500
+ال visual acuity هنا اللي هي الـ 6 على 30، okay، الـ X
+
+18
+00:02:24,500 --> 00:02:28,100
+ماية، هي كاتبة أنا اللي هي الـ 6 على 30 = 20 على
+
+19
+00:02:28,100 --> 00:02:32,440
+100، okay، طيب بالنسبة لل decimal
+
+20
+00:02:35,700 --> 00:02:42,700
+إذاً ستة على ثلاثين = واحد على خمسة، لو
+
+21
+00:02:42,700 --> 00:02:49,320
+بدي آخذ مثلاً الـ mark خمسة
+
+22
+00:02:49,320 --> 00:02:56,020
+طيب log الخمسة على الحاسبة، يعني بدي آخذ الـ log الـ
+
+23
+00:02:56,020 --> 00:03:02,100
+mark، log الخمسة، okay، إذا
+
+24
+00:03:02,100 --> 00:03:02,540
+الـ log
+
+25
+00:03:06,430 --> 00:03:11,150
+تسعة وستون من المئة، إذا هي أخذنا الـ meters، الـ
+
+26
+00:03:11,150 --> 00:03:15,970
+feet، الـ mar، اللوجاريتم، زائد الـ decimal notation،
+
+27
+00:03:15,970 --> 00:03:22,840
+هذه على مسافة كم؟ على مسافة ستة متر، واضح؟ يعني هي اللي
+
+28
+00:03:22,840 --> 00:03:27,980
+هو حولناها لـ meter، من meter لـ feet، بعدين حولنا من
+
+29
+00:03:27,980 --> 00:03:34,940
+meter لـ decimal، من ثم من decimal، أو sorry، من meter
+
+30
+00:03:34,940 --> 00:03:45,160
+لـ mar، وحولنا أيضاً من meter لـ log mar طبعاً
+
+31
+00:03:45,160 --> 00:03:47,720
+هذه كلها مسافة كم؟ ستة متر
+
+32
+00:03:53,130 --> 00:03:59,810
+اه، تفضلي، في الآن معظم الـ standard… معظم الـ
+
+33
+00:03:59,810 --> 00:04:04,190
+standard في العالم للـ visual acuity ما بيستخدموش
+
+34
+00:04:04,190 --> 00:04:08,470
+لا الـ meters ولا الـ feet ولا الـ mar ولا الـ decimal
+
+35
+00:04:08,470 --> 00:04:13,290
+كله بيستخدموا اللوجاريتم، يعني ممكن أنتِ يعني لو مثلاً إن
+
+36
+00:04:13,290 --> 00:04:17,670
+شاء الله كملتِ ماجستير أو مثلاً اشتغلتِ في عيادة، هتلاقي
+
+37
+00:04:17,670 --> 00:04:21,890
+معظم الناس في العيادة بيستخدموا اللوجاريتم، يعني ما بيستخدموا
+
+38
+00:04:21,890 --> 00:04:25,930
+الـ meter، وهي تعتبر more accurate compared to
+
+39
+00:04:25,930 --> 00:04:32,270
+snail أو feet أو decimal أو mark، يعني لو أنا
+
+40
+00:04:32,270 --> 00:04:37,130
+حكيت لكِ which one is more accurate، اللوجاريتم ولا feet
+
+41
+00:04:37,130 --> 00:04:45,150
+ولا decimal ولا snail، اللوجاريتم، okay، which
+
+42
+00:04:45,150 --> 00:04:49,770
+one is more accurate، يعني مين أكثر وحدة… الأدق
+
+43
+00:04:49,770 --> 00:04:57,850
+واحدة في وحدات القياس، هي تعتبر مين؟ اللوجاريتم طبعاً
+
+44
+00:04:57,850 --> 00:05:02,690
+هذه كلها مسافة كم؟ ستة متر، الستة متر هي تعتبر الـ
+
+45
+00:05:02,690 --> 00:05:09,470
+standard، طيب لو… لو غيرنا مثلاً المسافة، حطينا
+
+46
+00:05:09,470 --> 00:05:15,370
+مثلاً أربعة متر، يعني لو قلنا هنا مثلاً ستة على ثلاثين
+
+47
+00:05:27,880 --> 00:05:39,240
+at four meters، وهذه بتحولها لإيش؟ لـ feet في
+
+48
+00:05:39,240 --> 00:05:43,480
+البداية، الستة على الثلاثين هذه إيش؟ على مسافة أربعة
+
+49
+00:05:43,480 --> 00:05:49,100
+متر، واضح؟ إذا هذه الستة على الثلاثين طبعاً هي ما تنفعش
+
+50
+00:05:49,100 --> 00:05:53,960
+ستة أربعة متر، ما بدي أشوفكم صحين ولا لأ؟ أربعة على
+
+51
+00:05:53,960 --> 00:05:57,940
+ثلاثين، لأن المسافة جداش أربعة متر، إذا الأربعة
+
+52
+00:05:57,940 --> 00:06:02,660
+ثلاثين = ستة
+
+53
+00:06:02,660 --> 00:06:13,780
+على X، إذا أربعة X = ثلاثين × ستة، طبعاً
+
+54
+00:06:13,780 --> 00:06:18,360
+الـ X جداش؟ مضروبة، ثلاثين × ستة ÷ أربعة = خمسة
+
+55
+00:06:18,360 --> 00:06:18,960
+وأربعين
+
+56
+00:06:22,660 --> 00:06:32,280
+هذه اللي هي ال… ستة على خمسة وأربعين، أنتِ ملاحظة
+
+57
+00:06:32,280 --> 00:06:37,080
+في شغلة… مين ملاحظة؟ حولنا الأربعين متر، فلقت
+
+58
+00:06:37,080 --> 00:06:39,760
+إننا… لأ، في شغلة، ما طلعنا ستة على خمسة وأربعين
+
+59
+00:06:39,760 --> 00:06:44,780
+واحدة بس، ارفعي يدكِ، تفضلي، لو لما تكون على مسافة
+
+60
+00:06:44,780 --> 00:06:50,720
+أربعة متر، بيكون ستة لزي… بيقل، اللي بيطلع
+
+61
+00:07:02,570 --> 00:07:07,450
+لما كنا في مسافة أربعة متر، كان الخط بالنسبة… أو
+
+62
+00:07:07,450 --> 00:07:10,590
+الحجم اللي شارفة عليه، أضغر بالنسبة لما كان على
+
+63
+00:07:10,590 --> 00:07:15,980
+بعد ستة متر، لأنه كبر الخط، okay، هذا بالنسبة حسب اللي
+
+64
+00:07:15,980 --> 00:07:19,180
+هو، يعني according to the distance، إنه بناء على
+
+65
+00:07:19,180 --> 00:07:24,060
+المسافة، إنه أنا أُحدد، بس في شغلة بتثبت إنه كلامي
+
+66
+00:07:24,060 --> 00:07:26,920
+إنه هو الصح من ناحية إنه which one is more
+
+67
+00:07:26,920 --> 00:07:30,880
+accurate، بتلاحظين إنها بتطلع ستة على خمسة وأربعين
+
+68
+00:07:30,880 --> 00:07:35,960
+بدل ستة على ثلاثين، بمعنى إنه دائماً الـ snailing
+
+69
+00:07:35,960 --> 00:07:40,400
+visual acuity ما بتطلعش مثلاً زي عندنا في المعمل ستة
+
+70
+00:07:40,400 --> 00:07:44,640
+على ستين، ستة على ثلاثين، ستة أربعة وعشرين، لأن ما ما
+
+71
+00:07:44,640 --> 00:07:47,440
+بتجسمي مثلاً ستة على أربعة وعشرين، يعني أربعة و
+
+72
+00:07:47,440 --> 00:07:51,500
+عشرين على ستة، رقم صحيح، أقصد في المار أو ستين على
+
+73
+00:07:51,500 --> 00:07:55,920
+ستة، رقم صحيح، ستة وثلاثين على ستة، رقم صحيح، صح
+
+74
+00:07:55,920 --> 00:08:00,400
+ولا لا؟ فهنا جاية مثلاً تطلع ستة على خمسة وأربعين أو
+
+75
+00:08:00,400 --> 00:08:04,080
+مثلاً تطلع ستة على سبعة ونصف، أو ستة على تسعة ونصف
+
+76
+00:08:04,080 --> 00:08:09,040
+فهذه بتكون قريبة لمين؟ للوجاريتم، يعني بتكون إنه… هذا
+
+77
+00:08:09,040 --> 00:08:13,380
+بدل إنه اللوجاريتم more accurate compared to a snail
+
+78
+00:08:13,380 --> 00:08:24,090
+أو meter أو feet أو mar، okay؟ اه، تفضلي، الأربع متر لو
+
+79
+00:08:24,090 --> 00:08:27,710
+جبنا مثلاً للسنين الـ mark أي شيء، ثلاثين، أربعين،
+
+80
+00:08:27,710 --> 00:08:31,230
+ثلاثين، أي رقم هيطلع صح، يلا، أكمل رقم، اه، لأنه
+
+81
+00:08:31,230 --> 00:08:37,370
+مختلفة إيش؟ المسافة بس
+
+82
+00:08:37,370 --> 00:08:41,360
+مختلفة المسافة، يعني المسافة، لأن وأنا عندي كانت
+
+83
+00:08:41,360 --> 00:08:45,780
+أربعة متر، فأنا حولت لمسافة ستة متر، لكن هذه من خلال
+
+84
+00:08:45,780 --> 00:08:50,200
+الـ experience، أنا شعرت إنه دائماً لما أنتِ بتحولي من
+
+85
+00:08:50,200 --> 00:08:54,300
+وحدة لوحدة ثانية، بتشعري إنه دائماً الاثنين ما بيطلعش
+
+86
+00:08:54,300 --> 00:08:59,020
+رقم صحيح، وهذا بدل إن اللوجاريتم هي more accurate للـ
+
+87
+00:08:59,020 --> 00:09:01,820
+other chart، اه، تفضلي
+
+88
+00:09:05,770 --> 00:09:12,710
+مش visual، اه، على مسافة ستة متر، اه، يعني هنا أنا لسة
+
+89
+00:09:12,710 --> 00:09:20,390
+ما كملت الستة على خمسة وأربعين، هذه at six meters، واضح؟
+
+90
+00:09:20,390 --> 00:09:28,470
+صحّحيني؟ اه، واضح؟ شغلة هذه بسمع؟ اه، تفضلي، لما نكمل
+
+91
+00:09:28,470 --> 00:09:32,070
+نحولها لـ feet برضه، هنكتب على at six meters، لأن الـ
+
+92
+00:09:32,070 --> 00:09:36,970
+standard بتاعي في الستة متر، يعني ما ينفعش أنا أحول من
+
+93
+00:09:36,970 --> 00:09:43,370
+meter لـ feet دون الستة، الستة هي تعتبر الـ standard،
+
+94
+00:09:43,370 --> 00:09:47,330
+لأن ليه؟ عندنا الستة meters هي عبارة عن إيش؟ العشرين
+
+95
+00:09:47,330 --> 00:09:51,750
+feet، ما بقدرش أحول لأربعة meters، لأنه ما عنديش standard
+
+96
+00:09:51,750 --> 00:09:56,190
+للاربع، okay؟ يعني ليش أنا مثلاً هنا استخدمت اللي هي
+
+97
+00:09:56,190 --> 00:10:00,890
+الستة meters؟ ليش مثلاً ما استخدمتش الأربعة meters؟ لأنه هي
+
+98
+00:10:00,890 --> 00:10:04,490
+تعتبر الـ standard بالنسبة ليه؟ العشرين meters هي الـ
+
+99
+00:10:04,490 --> 00:10:10,930
+twenty feet، هي العشرين feet، واضح هيك؟ طبعاً هنا
+
+100
+00:10:10,930 --> 00:10:15,680
+الستة على خمسة وأربعين على مسافة كم؟ ستة متر،
+
+101
+00:10:15,680 --> 00:10:20,060
+بعدها بقدر أحول لأي وحدة قياس، يعني بقدر أن أحول
+
+102
+00:10:20,060 --> 00:10:25,460
+الـ feet للـ decimal، للـ mar، أو للـ log mar، واضح
+
+103
+00:10:25,460 --> 00:10:33,420
+ولا في confusion لسة؟ مين مش فاهم؟ طيب؟ صراحة يعني
+
+104
+00:10:33,420 --> 00:10:37,840
+أنا عادي بنظن أن نعيد من هلأ لبكرة اللي مش فاهمة
+
+105
+00:10:37,840 --> 00:10:41,240
+لازم أن تحكي لي، أنا مش فاهمة، أفضل
+
+106
+00:10:49,970 --> 00:10:58,510
+طيب، الحمد لله، يعني فاهمينها لما حليتوا هيك، طبعاً
+
+107
+00:10:58,510 --> 00:11:01,830
+أي واحدة مش فاهمة، ترجع تحكي لي، إن أنا مش فاهمة
+
+108
+00:11:01,830 --> 00:11:07,000
+عشان أن نعيد مرة ومرتين وثلاثة، okay، اه، تفضلي، هل
+
+109
+00:11:07,000 --> 00:11:10,400
+قلتِ okay، أعطينا في السؤال مثلاً، إذا كانت ثمان عشرة مش
+
+110
+00:11:10,400 --> 00:11:15,900
+عشرين مثلاً على ثلاثين، بنحولها بالـ feet؟ اه، وهم
+
+111
+00:11:15,900 --> 00:11:21,320
+بيقدروا يحولوها لعشرين بعدها لستة ولا كده؟ كيف؟
+
+112
+00:11:21,320 --> 00:11:25,080
+قالت اه، okay، أعطينا بدل عشرين على أربعماية feet مثلاً
+
+113
+00:11:25,080 --> 00:11:27,720
+هم بيقدروا يحولوها ثمان عشرة أو خمس عشرة على ثلاثين أو
+
+114
+00:11:27,720 --> 00:11:31,260
+على أي رقم؟ خمس عشرة على ثلاثين؟ كيف فعلت؟ اه، يعني
+
+115
+00:11:31,260 --> 00:11:38,480
+مثلاً أتـ خمس عشرة feet نحولها أول شيء بالـ الـ
+
+116
+00:11:38,480 --> 00:11:41,580
+feet، لأ، ما بيعطيكِ، دائماً الـ feet ثابت، إنه
+
+117
+00:11:41,580 --> 00:11:46,320
+بياخذوا رقم ثابت، إنه عشرين قدم، يعني دائماً الـ
+
+118
+00:11:46,320 --> 00:11:49,540
+standard بتاعه ثابت، ما بتغير، بس الـ meter هو اللي
+
+119
+00:11:49,540 --> 00:11:53,000
+بتغير، إنه أربعة meters، عمركِ شوفتِ مثلاً واحد visual
+
+120
+00:11:53,000 --> 00:11:57,600
+acuity عنده أربعين feet، أربعين على مثلاً مئة،
+
+121
+00:11:57,600 --> 00:12:01,840
+ما تنفعش، فدائماً هي الـ standard هي تعتبر الـ decimal،
+
+122
+00:12:01,840 --> 00:12:04,380
+الـ British
+
+123
+00:12:08,730 --> 00:12:14,350
+اللوجاريتم، أنا حولت هذه لستة meters، لو مثلاً أحكي لكِ حولي لـ feet
+
+124
+00:12:14,350 --> 00:12:20,130
+أنا ضايعة، feet، اه، ستة على خمسة وأربعين =
+
+125
+00:12:20,130 --> 00:12:26,990
+عشرين على X، بعدين بطلع قداش الـ X؟ مئة وخمسين، إذا
+
+126
+00:12:26,990 --> 00:12:37,790
+الستة على خمسة وأربعين = إيش قد؟ اللي هو six
+
+127
+00:12:37,790 --> 00:12:38,130
+meters
+
+128
+00:12:44,740 --> 00:12:49,400
+واضحة؟ يعني الآن لو شفتِ أي visual acuity في أي
+
+129
+00:12:49,400 --> 00:12:53,380
+ورقة مكتوب، تعرفي تقرئيها سواء كان في الـ decimal أو
+
+130
+00:12:53,380 --> 00:12:56,440
+كان في الـ mar أو كان في الـ log mar أو كان في الـ
+
+131
+00:12:56,440 --> 00:13:00,300
+snail أو كان في الـ feet، نقدر نقرأها، نقدر نحولها لأي
+
+132
+00:13:00,300 --> 00:13:05,780
+وحدة، حتى لو كانت المسافة بتاعتها متغيرة، واضح؟ طيب
+
+133
+00:13:05,780 --> 00:13:14,100
+حلّوا، قعدوا عينكم، عندنا خمسة على ثلاثين، at
+
+134
+00:13:14,100 --> 00:13:21,960
+five meters، بدي أحولها لوحدة
+
+135
+00:13:21,960 --> 00:13:25,260
+الـ
+
+136
+00:13:25,260 --> 00:13:25,600
+decimal
+
+137
+00:13:33,960 --> 00:13:38,840
+عندنا السؤال، خمسة على ثلاثين، at five meters، نحولها لـ
+
+138
+00:13:38,840 --> 00:13:44,500
+decimal، طبعاً
+
+139
+00:13:44,500 --> 00:13:51,620
+تقدر تستخدمي الآلات الحاسبة، بس الـ calculation
+
+140
+00:14:00,120 --> 00:14:09,620
+فكرتي أنا؟ ممتازة، صح صح، ممتازة، واحد
+
+141
+00:14:09,620 --> 00:14:22,180
+على ستة، صح، النتيجة، اه مظبوط، اللي هي ستة إيه
+
+142
+00:14:22,180 --> 00:14:23,100
+نور؟ حلو
+
+143
+00:15:15,560 --> 00:15:21,920
+هذه إيش؟ ديوبتر
+
+144
+00:15:21,920 --> 00:15:29,370
+هيك تكتبي، ديوبتر، تحطي بس دي، اه، ممتازة
+
+145
+00:15:29,370 --> 00:15:37,070
+إيه، are you agree with the result؟ ممكن أني بكتب بس
+
+146
+00:15:37,070 --> 00:15:41,830
+هي، حولت، هي مدام حولت هنا الستة meters، خلاص إنه
+
+147
+00:15:41,830 --> 00:15:45,410
+بعرف إنه على مسافة الستة، are you agree with the
+
+148
+00:15:45,410 --> 00:15:52,490
+result؟ طيب، الآن ورقة صغيرة، طبعاً صحيح، بالنسبة للـ
+
+149
+00:15:52,490 --> 00:15:56,610
+quiz بتاع الـ pre verbal، أنا لغيتَه، بس كان من ناحية
+
+150
+00:15:56,610 --> 00:15:59,210
+إنه يعني motivation هيك
+
+151
+00:16:44,840 --> 00:16:51,880
+طيب، طبعاً أربعة ونصف على ستين، على مسافة أربعة ونصف
+
+152
+00:16:51,880 --> 00:16:59,500
+متر، بدي أحولها لـ log
+
+153
+00:17:02,340 --> 00:17:10,940
+mar، لحظة، بقرأ لكِ السؤال، جوال
+
+154
+00:17:10,940 --> 00:17:19,900
+استخدمي الجوال، طيب
+
+155
+00:17:19,900 --> 00:17:25,540
+موجود
+
+156
+00:17:25,540 --> 00:17:26,200
+اللوجاريتم؟
+
+157
+00:17:32,510 --> 00:17:37,830
+كل واحدة في عينها الورقة بتاعتها، ما تعكيش
+
+158
+00:17:37,830 --> 00:17:55,050
+طيب، عشان نُوَحّد هيك، أن نعملها للوجاريتم كله
+
+159
+00:17:55,050 --> 00:17:56,110
+سَلِم، هيك خلصنا
+
+160
+00:18:36,800 --> 00:18:40,020
+تعرفي، ممكن لو ما جبناش في سلسلة، ممكن نجيب دغري
+
+161
+00:18:40,020 --> 00:18:40,960
+المعالجة
+
+162
+00:18:44,640 --> 00:18:51,260
+ثمانية وستة على
+
+163
+00:18:51,260 --> 00:18:55,000
+مسافة
+
+164
+00:18:55,000 --> 00:19:04,100
+أكمها دي؟ هي كتبتها خلاص، إذا
+
+165
+00:19:04,100 --> 00:19:06,840
+هي أكمَلَت، حولت أول حاجة
+
+166
+00:19:10,370 --> 00:19:14,770
+بعدين حولت لأربعة… اه، لستة meters، بعدين جابت اللي هو
+
+167
+00:19:14,770 --> 00:19:18,750
+الوجاريتم مباشرة، أو ممكن تجيب الـ decimal، و then المار،
+
+168
+00:19:18,750 --> 00:19:25,110
+يعني كل الطرق صحيحة، okay؟ اه
+
+169
+00:19:25,110 --> 00:19:30,650
+ستة على ثمانين، ستة على ثمانين، بجسم الـ bus على
+
+170
+00:19:30,650 --> 00:19:34,370
+المقام، خلي واحدة بس تتكلم
+
+171
+00:19:41,150 --> 00:19:45,190
+لأ، هي كاتبة decimal، ستة على ثمانين، هي المفروض يعني
+
+172
+00:19:45,190 --> 00:19:49,850
+أتجسم، اه، الـ bus على المقام، لأن الـ decimal معناها عشرة
+
+173
+00:19:49,850 --> 00:19:55,210
+بس أنا هذه الخطوة هي لازم تكون من الصحيح، اللي هي
+
+174
+00:19:55,210 --> 00:19:58,890
+خلاص، مباشرة الـ mar، ثمانين على ستة،
+
+223
+00:24:12,390 --> 00:24:17,810
+فمش معقولة مثلاً أدي power يتخلى يشوف إيش الأشياء
+
+224
+00:24:17,810 --> 00:24:22,810
+الصغيرة أو إنه يقرأ جريدة أو غيره، فحسب كل واحد ال
+
+225
+00:24:22,810 --> 00:24:26,790
+function بتاعه، الوظيفة بتاعته، okay؟ مثلاً طالب مش
+
+226
+00:24:26,790 --> 00:24:30,970
+معقولة مثلاً أدي نضارة بحيث إنه إيش ما يشوفش اللي هو
+
+227
+00:24:30,970 --> 00:24:33,310
+الخطوط الصغيرة، okay؟
+
+228
+00:24:37,050 --> 00:24:41,830
+they are sufficient أي بمعنى أن هذه الخطوط اللي هي
+
+229
+00:24:41,830 --> 00:24:46,950
+جي 1 وجي 2 وجي 3 هذه تعتبر كافية for
+
+230
+00:24:46,950 --> 00:24:53,690
+accurate practical purpose لهدف عملي دقيق يعني هذه
+
+231
+00:24:53,690 --> 00:24:58,630
+الخطوط المختلفة الأحجام بتكون كافية لأي مريض
+
+232
+00:24:58,630 --> 00:25:04,370
+بقدرته على القراءة أو الخياطة أو ال function بتاعه
+
+233
+00:25:04,370 --> 00:25:09,580
+أيًّا كان in testing near vision the patient
+
+234
+00:25:09,580 --> 00:25:14,160
+remains seated on the chair يعني في قياس حدة
+
+235
+00:25:14,160 --> 00:25:20,300
+القريب لازم أن المريض إيش ياخد اللي هو يقعد على
+
+236
+00:25:20,300 --> 00:25:24,640
+كرسي يعني أقوله أن take your seat أن خد كرسيك أو
+
+237
+00:25:24,640 --> 00:25:27,780
+have your seat بمعنى أنه لازم يرتاح على كرسي
+
+238
+00:25:27,780 --> 00:25:31,520
+المريض مش أخليه واقف وأقوله شوف الخطوط هدول واضحة
+
+239
+00:25:31,520 --> 00:25:35,480
+ولا لا لأ بنفعش لازم أن المريض إيش يكون comfortable
+
+240
+00:25:35,480 --> 00:25:36,500
+أنه مرتاح
+
+241
+00:25:40,670 --> 00:25:43,990
+seated on the chair يعني ماخذ اللي هو الكرسي بتاعه
+
+242
+00:25:43,990 --> 00:25:48,590
+بوضع مرتاح with a good light thrown over the left
+
+243
+00:25:48,590 --> 00:25:53,750
+shoulder and he is asked to read from up down at
+
+244
+00:25:53,750 --> 00:25:57,050
+the normal reading distance ولازم أن يكون في
+
+245
+00:25:57,050 --> 00:26:00,470
+الغرفة أو في المكان اللي بعمل فيه أو ال clinic اللي
+
+246
+00:26:00,470 --> 00:26:03,970
+فيه ال test لازم تكون الإضاءة أشملها كافية
+
+247
+00:26:03,970 --> 00:26:08,870
+بالنسبة للمريض وأن تكون هذه الإضاءة مثلاً مش عكس
+
+248
+00:26:08,870 --> 00:26:13,270
+على مين الخطوط اللي موجودة أمامه okay؟ يعني في
+
+249
+00:26:13,270 --> 00:26:17,610
+بالنسبة لل patient أول حاجة ياخد اللي هو كرسي
+
+250
+00:26:17,610 --> 00:26:22,070
+أقوله take your seat or have your seat number two
+
+251
+00:26:22,070 --> 00:26:26,770
+ال size أنه يكون واضح الإضاءة تكون إيه كافية
+
+252
+00:26:26,770 --> 00:26:32,330
+بالنسبة للغرفة okay؟ بالنسبة لل patient يعني
+
+253
+00:26:32,330 --> 00:26:35,330
+الفحص اللي هي ال vision بس دي مش رأيت شرط أتحسن
+
+254
+00:26:35,330 --> 00:26:40,710
+الدرجة ولا لأ للقريب إحنا بنستخدمه دايمًا القريب
+
+255
+00:26:40,710 --> 00:26:45,290
+بس نستخدم له اللي هو ال Jaeger خطوط مختلفة يعني J1,
+
+256
+00:26:45,610 --> 00:26:51,990
+J2, J3, J4, J10 واضح حسب المسافة اللي بيقرا عليها
+
+257
+00:26:51,990 --> 00:26:53,990
+المريض وحسب الخط
+
+258
+00:26:57,850 --> 00:27:02,590
+the near vision is recorded as J1 from the
+
+259
+00:27:02,590 --> 00:27:07,070
+smallest line زي ما إحنا مثلاً الستة على ستة هي عبارة
+
+260
+00:27:07,070 --> 00:27:11,290
+عن ال smallest إيش optotype أو ال smallest letter
+
+261
+00:27:11,290 --> 00:27:16,770
+okay فأصغر اللي هو خط يقرا عليه المريض هذا بنسميه
+
+262
+00:27:16,770 --> 00:27:24,220
+إيش J1 بالنسبة للمريض J2 follow لمين؟ ل J1 يعني
+
+263
+00:27:24,220 --> 00:27:31,320
+بتبع اللي هو J1 بعدين J3 بتبع اللي هو J2 okay each
+
+264
+00:27:31,320 --> 00:27:35,460
+eye is tested separately فهذه نقطة مهمة ودايمًا
+
+265
+00:27:35,460 --> 00:27:39,220
+يعني حتى في خريجين بيخربطوا فيها أن دايمًا ال near
+
+266
+00:27:39,220 --> 00:27:44,260
+vision لما بيعملوا ال test كل عين على حدة يعني لو
+
+267
+00:27:44,260 --> 00:27:47,340
+سألتي السؤال أن هل ال near vision بعمل ال both
+
+268
+00:27:47,340 --> 00:27:52,080
+eye together ولا each eye separated كل عين على حدة
+
+269
+00:27:52,080 --> 00:27:55,800
+زي ما بتعملي ال visual acuity بغطي اليمين بغطي
+
+270
+00:27:55,800 --> 00:28:02,800
+الشمال بعمل كل عين على حدة okay واضح؟ اه تفضلي ممكن
+
+271
+00:28:02,800 --> 00:28:05,640
+هو اللي قلت أن لو كان عنده near vision رح يكون في
+
+272
+00:28:05,640 --> 00:28:08,420
+العين الثانية عنده near vision ممكن يكون في عين واحدة
+
+273
+00:28:08,420 --> 00:28:13,170
+عندها far vision  واحدة under vision هو مش شرط أن
+
+274
+00:28:13,170 --> 00:28:17,410
+كل واحد عنده hypermetropia هو ال nerve region من
+
+275
+00:28:17,410 --> 00:28:20,770
+الصحيح المصطلح هذا هو ال test بتاعه ال nerve region
+
+276
+00:28:21,760 --> 00:28:25,580
+دايمًا اللي بعاني من القريب بيكون اللي هو
+
+277
+00:28:25,580 --> 00:28:29,660
+hypermetropia أو myopia لكن مش شرط أن ال both
+
+278
+00:28:29,660 --> 00:28:34,100
+eyes بتكون ال hypermetropia متساوية okay؟ يعني ممكن
+
+279
+00:28:34,100 --> 00:28:37,540
+أنه ألاقي عين أنا فيها hypermetropia لكن العين
+
+280
+00:28:37,540 --> 00:28:42,240
+الثانية فيها myopia أو فيها astigmatism okay؟ مش شرط
+
+281
+00:28:42,240 --> 00:28:45,960
+الاثنتين اللي هو typical أن متساويات يعني
+
+282
+00:28:45,960 --> 00:28:51,610
+متماثلات okay؟ فكل عين أنه بعمل على حدة بالنسبة لل
+
+283
+00:28:51,610 --> 00:28:55,670
+near vision في ملاحظة أخرى ذكرتيني فيها أن أنا
+
+284
+00:28:55,670 --> 00:28:58,710
+بعملش ال test بتاع ال near vision إلا لما أكون
+
+285
+00:28:58,710 --> 00:29:03,490
+مصلح البعيد بمعنى آخر لو كان المريض عنده مشكلة في
+
+286
+00:29:03,490 --> 00:29:07,110
+البعيد ما ينفعش أروح أبدأ معاه في إيه؟ في ال near
+
+287
+00:29:07,110 --> 00:29:12,070
+بصلح البعيد وبعدين باجي لل near واضح؟ يعني ممكن
+
+288
+00:29:12,070 --> 00:29:17,780
+هذا برضه سؤال أن مين قبل يعني الآن أنا ك
+
+289
+00:29:17,780 --> 00:29:23,120
+examiner أو ك optometrist يجيني مريض عنده blurred
+
+290
+00:29:23,120 --> 00:29:26,720
+vision for distance وعنده blurred vision for near
+
+291
+00:29:26,720 --> 00:29:31,800
+في مين أبدأ؟ في القريب ولا البعيد؟ في البعيد بصلح
+
+292
+00:29:31,800 --> 00:29:34,240
+البعيد لأنه قد يكون عنده astigmatism
+
+293
+00:29:34,240 --> 00:29:37,700
+فال astigmatism ممكن أنه ما يقدرش كمان يقرأ المريض
+
+294
+00:29:37,700 --> 00:29:41,600
+فببدأ أصلح البعيد باجي للقريب okay
+
+295
+00:29:46,710 --> 00:29:50,890
+هي مثلاً في عندنا الصورة هي ال optometrist أو ال
+
+296
+00:29:50,890 --> 00:29:58,060
+examiner هي المريض ماخذ اللي هو have seated  زائد
+
+297
+00:29:58,060 --> 00:30:05,140
+أن الـ الإضاءة كافية في الغرفة okay والمريض مثلاً
+
+298
+00:30:05,140 --> 00:30:08,740
+بيقرأ على مسافة لو فرضنا ثلاثين أو خمسة وثلاثين
+
+299
+00:30:08,740 --> 00:30:14,300
+سنتيمتر وال test chart for near vision جيجر 1،
+
+300
+00:30:14,680 --> 00:30:20,200
+جي 2، جي 3 وجي 4 okay لو إيه؟
+
+301
+00:30:24,020 --> 00:30:28,060
+لو أمي ممكن أستخدم له ال chart ال E chart أقول له
+
+302
+00:30:28,060 --> 00:30:34,320
+وين الفتحة هذه مثلاً أو وين الإشارة نعم؟ للقريب
+
+303
+00:30:34,320 --> 00:30:38,100
+فيه اللي هي بتكون chart نفس الهادي وفيها بيكون
+
+304
+00:30:38,100 --> 00:30:42,440
+مثلاً E الكبيرة ال largest وبمشي السؤال كويس كثير
+
+305
+00:30:43,040 --> 00:30:47,240
+أن تحكي لو كان مثلاً المريض أمي أنه ما بيعرف يقرأ
+
+306
+00:30:47,240 --> 00:30:50,960
+أنه كيف أو مثلاً كان طفل كيف أنا ممكن أعمله ال near
+
+307
+00:30:50,960 --> 00:30:55,180
+vision آه بجيب اللي هو الـ ال Snellen chart
+
+308
+00:30:55,180 --> 00:30:58,860
+اللي صغيرة وببدأ أن أقوله الفتحة هذه بس أعلمه
+
+309
+00:30:58,860 --> 00:31:03,360
+قبل يعني أقوله مثلاً هذه وين فتحة وبصير أن أشير له
+
+310
+00:31:03,360 --> 00:31:07,600
+okay بس هذه بتكون مصممة على الجيجر أن جيجر 1 مش
+
+311
+00:31:07,600 --> 00:31:10,500
+زي اللي عندنا ستة على ستين أو ستة على ستة وثلاثين
+
+312
+00:31:14,640 --> 00:31:19,160
+okay؟ في الغالب لما يكون الإنسان كبير في السن، أمي،
+
+313
+00:31:19,160 --> 00:31:23,800
+يعني مثلاً حجة كبيرة أو شيخ كبير، دايمًا هو ما بده
+
+314
+00:31:23,800 --> 00:31:28,160
+أن يقرأ دايمًا بده يشوف إيش الأشياء اللي أمامه
+
+315
+00:31:28,160 --> 00:31:31,740
+لكن بده يشوفها إيش كبيرة يعني ما يهمهوش الخط الصغير
+
+316
+00:31:31,740 --> 00:31:37,630
+هي اللي بده إياه أصلاً واضح؟ في عندنا ال objective
+
+317
+00:31:37,630 --> 00:31:41,690
+method of refraction ريتينوسكوبي what is the
+
+318
+00:31:41,690 --> 00:31:45,030
+difference between objective and subjective
+
+319
+00:31:45,030 --> 00:31:50,910
+refraction؟ تفضلي ال objective اللي ال examiner
+
+320
+00:31:50,910 --> 00:31:53,690
+بيعمل شغله  فيه ساعات المريضة أما ال
+
+321
+00:31:53,690 --> 00:31:58,030
+subjective بيعمل examiner مع ساعات المريض okay can
+
+322
+00:31:58,030 --> 00:32:01,050
+you define by English؟
+
+323
+00:32:06,650 --> 00:32:09,890
+objective refraction شو تعريفه؟ طيب ال objective
+
+324
+00:32:09,890 --> 00:32:14,230
+refraction it is a preliminary examination يعني
+
+325
+00:32:14,230 --> 00:32:20,890
+فحص أولي للعيون okay without a response from
+
+326
+00:32:20,890 --> 00:32:24,290
+the patient يعني دون تدخل المريض
+
+327
+00:32:40,010 --> 00:32:45,190
+الـ objective method to obtain لإحداث the best
+
+328
+00:32:45,190 --> 00:32:49,410
+vision أو الرؤية with the response from the
+
+329
+00:32:49,410 --> 00:32:55,550
+patient مع تدخل المريض هكتبه إذا عندنا ال
+
+330
+00:32:55,550 --> 00:33:05,090
+objective method
+
+331
+00:33:14,890 --> 00:33:21,830
+it is a preliminary a
+
+332
+00:33:21,830 --> 00:33:39,590
+preliminary إيش معناها أنه أولي estimation
+
+333
+00:33:39,590 --> 00:33:50,270
+of the refractive error without
+
+334
+00:33:50,270 --> 00:33:56,410
+a
+
+335
+00:33:56,410 --> 00:34:02,070
+response from
+
+336
+00:34:02,070 --> 00:34:02,630
+the patient
+
+337
+00:34:15,460 --> 00:34:32,440
+subjective method it is
+
+338
+00:34:32,440 --> 00:34:42,560
+a refinement of
+
+339
+00:34:42,560 --> 00:34:51,320
+the refractive error estimated
+
+340
+00:34:51,320 --> 00:34:56,660
+by
+
+341
+00:34:56,660 --> 00:34:59,680
+objective
+
+342
+00:34:59,680 --> 00:35:06,060
+method
+
+343
+00:35:06,060 --> 00:35:12,540
+to
+
+344
+00:35:14,620 --> 00:35:30,060
+obtain the best vision with
+
+345
+00:35:30,060 --> 00:35:34,920
+the response
+
+346
+00:35:34,920 --> 00:35:38,980
+from
+
+347
+00:35:38,980 --> 00:35:39,460
+the patient
+
+348
+00:35:49,960 --> 00:35:52,740
+إذا ما عندنا ال objective method it is a
+
+349
+00:35:52,740 --> 00:35:55,600
+preliminary estimation of the refractive error
+
+350
+00:35:55,600 --> 00:36:01,700
+بمعنى تقدير أولي للخطأ الانكساري للعين without a
+
+351
+00:36:01,700 --> 00:36:05,000
+response from the patient دون تدخل المريض
+
+352
+00:36:37,710 --> 00:36:42,370
+مين أهم هذا what is the difference between
+
+353
+00:36:42,370 --> 00:36:49,510
+objective and subjective method okay طيب
+
+354
+00:36:49,510 --> 00:36:52,990
+which one is more important objective or
+
+355
+00:36:52,990 --> 00:37:01,410
+subjective method؟ مين أهم؟ subjective تفضلي
+
+356
+00:37:01,410 --> 00:37:04,930
+ال objective يعني الأول هو اللي بيساعدني أولاً إيه
+
+357
+00:37:04,930 --> 00:37:06,890
+أحدد كل شيء وبعدين ال subjective يعني
+
+358
+00:37:09,540 --> 00:37:13,760
+يعني أنتِ حكيتي ال objective أهم؟ لأ ال subjective
+
+359
+00:37:13,760 --> 00:37:16,780
+لأنه هو بتدخل بمساعدة المريض اللي هو أصلاً وجاية
+
+360
+00:37:16,780 --> 00:37:20,800
+عشان نتعامل معاه أكثر من إيه another question
+
+361
+00:37:20,800 --> 00:37:32,740
+answer تفضلي تفضلي
+
+362
+00:37:35,180 --> 00:37:38,300
+objective أو ال subjective الاثنين مهمين لأن ال
+
+363
+00:37:38,300 --> 00:37:41,660
+objective من خلاله راح نقدر نحدد كيف راح نتحصل ال
+
+364
+00:37:41,660 --> 00:37:44,520
+subjective لأن objective لو مثلاً في  written scope
+
+365
+00:37:44,520 --> 00:37:47,060
+راح نعرف مثلاً عنده إذا يعني من ال written scope
+
+366
+00:37:47,060 --> 00:37:50,140
+راح نعرف مثلاً من  السكل الأولى إذا عنده  hazy من
+
+367
+00:37:50,140 --> 00:37:52,560
+القرنية أو ميوبيا فبالتالي راح أعرف أنا إيش هي الطريقة
+
+368
+00:37:52,560 --> 00:37:56,160
+أنا راح أبحث عنها فبالتالي الاثنين مهمين هو صح
+
+369
+00:37:56,160 --> 00:38:00,980
+آخر إجابتين آخر إجابتين كان الصحيح بدي أقنع أنا
+
+370
+00:38:00,980 --> 00:38:04,320
+كيف أن ال objective وال subjective هما يعتبرا
+
+371
+00:38:07,540 --> 00:38:13,640
+الآن لو أنا جبت طفل okay؟ يعني زي مثلاً طفل
+
+372
+00:38:13,640 --> 00:38:18,200
+بعض البنات اللي فحصته okay؟ من الصعب مثلاً أعمله
+
+373
+00:38:18,200 --> 00:38:22,060
+visual acuity أي بمعنى أنه من الصعب أن يكون
+
+374
+00:38:22,060 --> 00:38:26,440
+للطفل فيه إيه response استجابة فهنستخدم أنا
+
+375
+00:38:26,440 --> 00:38:31,520
+بعمل له objective method صح؟ إذا بعمل للطفل إيش
+
+376
+00:38:31,520 --> 00:38:34,860
+objective method في ال written scope فهذه بتكون
+
+377
+00:38:34,860 --> 00:38:38,420
+كافية له بعد ما أعمل ال objective method لهذا
+
+378
+00:38:38,420 --> 00:38:42,660
+الطفل بدي له الوصفة إذا الوصفة هذه بتكون إيش هي
+
+379
+00:38:42,660 --> 00:38:47,740
+عبارة عن الوصفة اللي هيلبسها للنضارة بتاعته إذا
+
+380
+00:38:47,740 --> 00:38:51,860
+أنا قيمتها من خلال مين؟ من خلال ال objective method
+
+381
+00:38:51,860 --> 00:38:57,640
+لكن في حالة ثانية لو مثلاً واحد عمره عشرين سنة ما بقدرش
+
+382
+00:38:57,640 --> 00:39:03,020
+أعطيه النضارة من ناحية الراحة ال comfort وهو زي ما
+
+383
+00:39:03,020 --> 00:39:07,060
+حكت أسماء أن هو المهم عنده المريض أن راحة المريض
+
+384
+00:39:07,060 --> 00:39:11,840
+هي المهمة okay لما أنا مثلاً راحة المريض قدّمت له ال
+
+385
+00:39:11,840 --> 00:39:15,240
+objective method لكن بعدها إيش شفت أن هل هذه
+
+386
+00:39:15,240 --> 00:39:19,240
+الوصفة صحيحة له ولا لأ فعملنا إيش ال subjective
+
+387
+00:39:19,240 --> 00:39:24,500
+method واضحة؟ إذا which one is more important
+
+388
+00:39:24,500 --> 00:39:28,460
+objective ولا subjective method؟  تكتشف لي ال
+
+389
+00:39:28,460 --> 00:39:33,700
+answer اللي أنا حكيتها طوي okay أن كمثال أنت تجيب
+
+390
+00:39:33,700 --> 00:39:38,620
+طفل الطفل من الصعب أنا أعمله visual acuity لحاله
+
+391
+00:39:38,620 --> 00:39:42,580
+فبعمله ال objective method في ال written scope بعد
+
+392
+00:39:42,580 --> 00:39:46,660
+ما أنا بعمله written scope إيش بدي الوصفة؟ هي هذه
+
+393
+00:39:46,660 --> 00:39:51,130
+بتكون ال full correction بتاعته لكن في شخص عمره
+
+394
+00:39:51,130 --> 00:39:55,930
+مثلاً عشرين سنة بعمل visual acuity هذه واحد زائد أن
+
+395
+00:39:55,930 --> 00:40:02,230
+بعمل إيه ال subjective method طبعاً
+
+396
+00:40:02,230 --> 00:40:05,830
+أهم جهاز في ال objective method هو يعتبر مين ال
+
+397
+00:40:05,830 --> 00:40:10,450
+retinoscope ال retinoscope حكينا أنه بيعمل
+
+398
+00:40:10,450 --> 00:40:15,910
+determine أن تحديد لل refractive error
+
+399
+00:40:26,220 --> 00:40:31,220
+أول طريقة اللي هي طريقة ال retinoscopy طبعاً ال
+
+400
+00:40:31,220 --> 00:40:35,180
+retinoscopy تعتبر إيش هي ال method أو ال procedure
+
+401
+00:40:35,180 --> 00:40:38,880
+يعني شو الفرق ما بين ال retinoscopy وال
+
+402
+00:40:38,880 --> 00:40:42,400
+retinoscope ال retinoscope هو عبارة عن ال
+
+403
+00:40:42,400 --> 00:40:46,540
+instrument لكن ال retinoscopy هي عبارة عن ال
+
+404
+00:40:46,540 --> 00:40:48,780
+method ال procedure العملية
+
+405
+00:40:56,220 --> 00:41:00,280
+الريتينوسكوب هو عبارة عن ال instrument الريتينوسكوبي هي
+
+406
+00:41:00,280 --> 00:41:07,020
+ال procedure العملية أو
+
+445
+00:44:26,310 --> 00:44:29,890
+to determine the nature of the patient's
+
+446
+00:44:29,890 --> 00:44:33,770
+refractive error، إذا أول حاجة بيحدد الحالة
+
+447
+00:44:33,770 --> 00:44:39,810
+الانكسارية للعين أو بيحدد الخطأ الانكساري، يعني الآن
+
+448
+00:44:39,810 --> 00:44:43,130
+لما بتعملي في ال written scope تعرفي إنه هل هذا
+
+449
+00:44:43,130 --> 00:44:47,570
+ميوب، hypermetropic، أستجماتزم، بعد ما اطلع مين ال
+
+450
+00:44:47,570 --> 00:44:53,290
+final objective refraction. إذن الهدف من ال
+
+451
+00:44:53,290 --> 00:44:58,030
+written scope إنه بيحدد طبيعة الخطأ الانكساري في
+
+452
+00:44:58,030 --> 00:45:03,890
+العين، واضحة؟ okay Maysa؟ number two is to
+
+453
+00:45:03,890 --> 00:45:09,710
+approximate، إذا بقدر the lens power قوة العدسة that
+
+454
+00:45:09,710 --> 00:45:13,890
+will neutralize the error and improve vision. إذا
+
+455
+00:45:13,890 --> 00:45:20,430
+بيقدر قداش قوة العدسة اللي بتعمل ايش؟ تعديل للخطأ
+
+456
+00:45:20,430 --> 00:45:26,090
+الانكساري وبتعمل ايه؟ تحسين للنظر. هاي النقطة
+
+457
+00:45:26,090 --> 00:45:29,870
+التانية. number three is to assess
+
+458
+00:45:34,830 --> 00:45:40,610
+in infants في الأطفال الرضّع، okay، small children
+
+459
+00:45:40,610 --> 00:45:46,350
+في الأطفال الصغار، illiterate persons الأشخاص
+
+460
+00:45:46,350 --> 00:45:51,970
+الأميين، mentally retarded الأشخاص المعاقين بصريا،
+
+461
+00:45:51,970 --> 00:45:57,360
+uncooperative individualsاللي بيكونوا غير متعاونين،
+
+462
+00:45:57,360 --> 00:46:02,580
+and patients with speech loss الأشخاص اللي بيكونوا
+
+463
+00:46:02,580 --> 00:46:07,340
+إيه يعني silent، مش متكلمين، اللي ما بعرف يتكلموا.
+
+464
+00:46:07,340 --> 00:46:13,120
+فالآن ال goal of written scope تلاتة: determine،
+
+465
+00:46:13,120 --> 00:46:16,320
+approximate، and assess.
+
+466
+00:46:25,670 --> 00:46:29,050
+مثلا، أعمل اللي هو determine لل refractive error،
+
+467
+00:46:29,050 --> 00:46:32,930
+صح؟ و ممكن كمان أعمل approximate، أَحدد ال lens
+
+468
+00:46:32,930 --> 00:46:36,230
+power. يعني برضه في ال subjective ممكن أعملها، أنتو
+
+469
+00:46:36,230 --> 00:46:39,570
+لسه، عشان ما عملتوش لسه subjective، ف لسه الأمور مش
+
+470
+00:46:39,570 --> 00:46:40,290
+واضحة، عينكم.
+
+471
+00:46:56,910 --> 00:47:04,590
+لأ، أنت مش أنت… كلمة ايه؟ لسه…
+
+472
+00:47:12,500 --> 00:47:17,140
+الغير متعاونين، ال patients with speech loss يعني
+
+473
+00:47:17,140 --> 00:47:23,280
+المرضى اللي ما بيتكلموش، الغير ناطقين، okay؟ إذا ال
+
+474
+00:47:23,280 --> 00:47:27,380
+goal of written scope تلاتة: number one to determine،
+
+475
+00:47:27,380 --> 00:47:33,840
+number two to approximate، number three to assess، okay؟
+
+476
+00:47:33,840 --> 00:47:37,460
+طيب، عندنا types of written scope، أنواع من؟
+
+477
+00:47:41,050 --> 00:47:45,470
+بنسميه نوعين مهمين من ال retinascope. أول نوع ال
+
+478
+00:47:45,470 --> 00:47:49,630
+classical retinascope. ال classical بمعنى تقليدي،
+
+479
+00:47:49,630 --> 00:47:54,370
+النوع التقليدي، أو بنسميه ال reflecting retinascope،
+
+480
+00:47:54,370 --> 00:48:01,790
+اللي هو العاكس. reflecting إيش معناها؟ انعكاس، okay، it
+
+481
+00:48:01,790 --> 00:48:03,810
+consists of a separate
+
+482
+00:48:10,350 --> 00:48:15,730
+the shoulder of the patient. إذا بتكون من مصدر ضوء
+
+483
+00:48:15,730 --> 00:48:21,130
+منفصل، شو طبيعة الضوء هذا؟ أو شو طبيعة ال light
+
+484
+00:48:21,130 --> 00:48:25,550
+بتاع ال classical written scope؟ number one: إنه
+
+485
+00:48:25,550 --> 00:48:29,230
+narrow، okay. number two: bright.
+
+486
+00:48:40,370 --> 00:48:44,910
+فوق the shoulder of the patient، يعني بالظبط هنا،
+
+487
+00:48:44,910 --> 00:48:53,510
+خلف و أمام ال patient. إذا تركيز الضوء يعني زي
+
+488
+00:48:53,510 --> 00:48:59,770
+اللي هو ال fixated light، okay. إذا بالنسبة ل ال
+
+489
+00:48:59,770 --> 00:49:03,450
+classical retinascope، شو طبيعة الضوء؟ إذا ال
+
+490
+00:49:03,450 --> 00:49:06,750
+characteristics للضوء إنه narrow، bright.
+
+491
+00:49:17,780 --> 00:49:22,320
+و فوق the shoulder of the patient، كتف المريض.
+
+492
+00:49:22,320 --> 00:49:27,580
+طيب، the observer، احنا أو ال examiner، إيش بنعمل؟
+
+493
+00:49:27,580 --> 00:49:33,520
+catch، بنمسك a peripheral mirror، مرآة peripheral،
+
+494
+00:49:33,520 --> 00:49:39,100
+يعني بمعنى أن فيها hole، أي بمعنى فيها ثقوب، with a
+
+495
+00:49:39,100 --> 00:49:43,200
+central opening. إذا بتكون فيها ثقوب من وين؟ من
+
+496
+00:49:43,200 --> 00:49:48,940
+المركز، not less than four millimeters in diameter. إذا
+
+497
+00:49:48,940 --> 00:49:53,720
+بيكون هذا
+
+498
+00:49:53,720 --> 00:49:59,300
+المرآة، لو فرضنا بيكون ايه؟ فيها ثقوب في المنتصف،
+
+499
+00:49:59,300 --> 00:50:06,940
+واضح؟ قد ايش القطر بتاعها؟ أقل من أربعة ملي متر، أربعة ملي
+
+500
+00:50:06,940 --> 00:50:11,200
+متر، okay. this
+
+501
+00:50:11,200 --> 00:50:11,700
+plan
+
+502
+00:50:14,800 --> 00:50:20,240
+ليست أقل من أربعة ملي متر، نعم. This plan
+
+503
+00:50:20,240 --> 00:50:25,000
+peripheral mirror، أن هذه المرآة المسطحة، okay.
+
+504
+00:50:25,000 --> 00:50:30,960
+طبعا، هل هي convex ولا plan ولا concave mirror؟ هي
+
+505
+00:50:30,960 --> 00:50:35,720
+تعتبر plan mirror، يعني بمعنى عدسة، آآآ، سطحها مسطح.
+
+506
+00:50:35,720 --> 00:50:40,840
+This plan peripheral mirror، أن هذه العدسة
+
+507
+00:50:40,840 --> 00:50:43,100
+المسطحة، reflects
+
+508
+00:50:53,260 --> 00:50:57,880
+into the patient's eye، في عين المريض، which senses
+
+509
+00:50:57,880 --> 00:51:03,000
+the image that can be seen by the observer's eye as a red
+
+510
+00:51:03,000 --> 00:51:07,360
+reflex through the central opening. بمعنى الآن،
+
+511
+00:51:07,360 --> 00:51:14,840
+المريض، بيكون الضوء، أو ال light source، بنعكس وين؟ في
+
+512
+00:51:14,840 --> 00:51:17,560
+عين المريض، زي فكرة ال retinascope اللي أنتو
+
+513
+00:51:17,560 --> 00:51:21,380
+شغالين عليها الآن. بنعكس في عين المريض، فإيش بيبين
+
+514
+00:51:21,380 --> 00:51:26,250
+معاه؟ ال pupil، قبل ال reflex، ال pupil إيش ماله؟ بيكون
+
+515
+00:51:26,250 --> 00:51:30,770
+bright، مضيق، وأنت من خلال ال pupil أني بشوف اللي
+
+516
+00:51:30,770 --> 00:51:34,790
+هو مين؟ ال red reflex، صح؟ يعني ال pupil بيكون
+
+517
+00:51:34,790 --> 00:51:39,070
+dilated، واسع، فأنا من خلاله بشوف مين؟ اللي هو ال
+
+518
+00:51:39,070 --> 00:51:43,490
+reflex. بيكون نفس الفكرة بتاعته. إذا مصدر الضوء
+
+519
+00:51:43,490 --> 00:51:46,290
+بالعكس في مين؟ في عين المريض.
+
+520
+00:51:50,040 --> 00:51:54,920
+طبيعة المرآة هذه بتكون plan mirror، أي بمعنى
+
+521
+00:51:54,920 --> 00:51:59,660
+مسطحة، لازم ما تكونش هذه المرآة لا concave ولا
+
+522
+00:51:59,660 --> 00:52:04,160
+convex، ليش؟ لأن الأشعة لازم تكون parallel. ممكن
+
+523
+00:52:04,160 --> 00:52:09,960
+سؤال، ليش في ال reflecting retinascope، ليش
+
+524
+00:52:09,960 --> 00:52:10,820
+plan mirror؟
+
+525
+00:52:17,620 --> 00:52:25,380
+لازم تكون rays اللي هي متوازية، نعم.
+
+526
+00:52:25,380 --> 00:52:29,340
+صحيح، اه، يعني مرآة هتعكس مصدر الضوء في عين المريض.
+
+527
+00:52:29,340 --> 00:52:34,000
+طبعا، هو هذا يعتبر ال retinoscope الأولي، بداية يعني،
+
+528
+00:52:34,000 --> 00:52:38,620
+أول ال classical، تقليدي، فاهم عليّك، يعني مش الحديث،
+
+529
+00:52:38,620 --> 00:52:42,280
+اللي موجود الآن، يعني أول ما جابوا اللي هو فكرة ال
+
+530
+00:52:42,280 --> 00:52:44,500
+retinoscope، من خلال ال classical أو ال
+
+531
+00:52:44,500 --> 00:52:45,660
+reflecting retinoscope.
+
+532
+00:52:48,360 --> 00:52:53,640
+طبعا، إيش هنعمل؟ نفس العملية، مين؟ ال retinoscope ال
+
+533
+00:52:53,640 --> 00:52:57,620
+procedure العادية.  أن movements of the illuminated
+
+534
+00:52:57,620 --> 00:53:02,320
+area، هحرك أنا المساحة المضيئة، of the patient's
+
+535
+00:53:02,320 --> 00:53:06,720
+retina are produced by tilting the mirror. الآن أنا
+
+536
+00:53:06,720 --> 00:53:09,120
+كيف بدي أشوف ال red reflex؟
+
+537
+00:53:19,470 --> 00:53:24,870
+يعني عشان أقدر أشوف مين ال red reflex، هو الآن ال
+
+538
+00:53:24,870 --> 00:53:29,370
+examiner من وين بيشوف؟ من ال aperture of the mirror،
+
+539
+00:53:29,370 --> 00:53:35,050
+بالظبط، يعني من الفتحة الموجودة في المرآة. الضوء
+
+540
+00:53:35,050 --> 00:53:37,970
+هينعكس في عين المريض.
+
+541
+00:53:44,020 --> 00:53:47,400
+خلاص، ال… ال… ال… باقي إنه بعمل اللي هو ال
+
+542
+00:53:47,400 --> 00:53:53,000
+movements، الحركة لمين؟ لل reflex، بشوفها هل هي with
+
+543
+00:53:53,000 --> 00:53:57,300
+ولا against the
+
+544
+00:53:57,300 --> 00:54:01,400
+movement of the used mirror. May be plan or concave but the plan
+
+545
+00:54:01,400 --> 00:54:04,920
+one gives a better result. دائما ال plan mirror
+
+546
+00:54:04,920 --> 00:54:08,760
+بتعطي نتيجة أفضل. ممكن أن تكون هي concave mirror،
+
+547
+00:54:09,650 --> 00:54:13,470
+حكينا أن ال plan mirror بتعمل الأشعة parallel،
+
+548
+00:54:13,470 --> 00:54:17,610
+متوازية، okay؟
+
+549
+00:54:17,610 --> 00:54:22,410
+لأ، هذا classical. جديد، يعني هذه هي فكرة ال
+
+550
+00:54:22,410 --> 00:54:26,170
+retinoscope. يعني لو واحد حكالك، لو الآن أنت
+
+551
+00:54:26,170 --> 00:54:30,410
+عملت في المعمل retinoscopy لطالبة
+
+552
+00:54:43,660 --> 00:54:47,380
+مصدر الضوء يتعكس في عين المريض.
+
+553
+00:55:10,150 --> 00:55:16,810
+يعني بمعنى أنه بتكون المرآة ومصدر الضوء متحدين
+
+554
+00:55:16,810 --> 00:55:20,830
+مع بعض، صح ولا لا؟ بيكونوا combined together، أنه
+
+555
+00:55:20,830 --> 00:55:26,490
+مع بعض، يعني ال… ال head بتاعه زائد ال battery،
+
+556
+00:55:26,490 --> 00:55:30,010
+ال light source، مصدر الضوء بتاع ال retino
+
+557
+00:55:30,010 --> 00:55:34,290
+scope، وال mirror، المرآة، بيكونوا متحدين مع بعض،
+
+558
+00:55:34,290 --> 00:55:40,870
+okay؟ It is a standard modern instrument. إذا هو
+
+559
+00:55:40,870 --> 00:55:47,430
+يعتبر جهاز حديث، easily manipulated، القدرة بتاعته
+
+560
+00:55:47,430 --> 00:55:50,430
+عالية، الاستخدام سهل.
+
+561
+00:55:58,380 --> 00:56:03,440
+زائد أنه شدة الإضاءة من السهل أنه ايه؟ أتحكم فيها.
+
+562
+00:56:03,440 --> 00:56:07,520
+زي ما أنتو بتعملوا، ممكن أنه مثلا أعمل ال sleeve up،
+
+563
+00:56:07,520 --> 00:56:10,920
+أو ال sleeve down، ممكن أنه مثلا أغير ال rotation،
+
+564
+00:56:10,920 --> 00:56:15,840
+الدوران بتاعه، okay. فالآن إيش ال characteristics أو
+
+565
+00:56:15,840 --> 00:56:20,200
+ال advantages بتاعة اللي هو الجهاز، ال luminous
+
+566
+00:56:20,200 --> 00:56:23,920
+retinoscope؟ number one: أنه يعتبر هو modern
+
+567
+00:56:23,920 --> 00:56:29,840
+instrument، جهاز حديث. number two: يعتبر easily
+
+568
+00:56:29,840 --> 00:56:35,160
+manipulated، إذا سهولة استخدامه. زائد أن ال
+
+569
+00:56:35,160 --> 00:56:40,260
+intensity of light، الإضاءة بتاعته، من السهل أنه إيش؟
+
+570
+00:56:40,260 --> 00:56:47,060
+أتحكم فيها. It is portable، أنه يعتبر محمول، يعني
+
+571
+00:56:47,060 --> 00:56:51,980
+بقدر أحمله في جيبي، أو بقدر أحمله في شنطة. إذا
+
+572
+00:56:51,980 --> 00:56:58,100
+portable، بمعنى محمول الجهاز. The most popular
+
+573
+00:56:58,100 --> 00:57:01,120
+luminous retinoscope today is the streak
+
+574
+00:57:01,120 --> 00:57:05,940
+retinoscope، as it produces a more easily recognized
+
+575
+00:57:05,940 --> 00:57:10,660
+red reflex. يعني معظم ال retinoscopes اللي موجود
+
+576
+00:57:10,660 --> 00:57:15,060
+عندنا في المعامل أو في المستشفيات، هو يعتبر ال
+
+577
+00:57:15,060 --> 00:57:20,040
+streak retinoscope. يعني الآن، الجهاز ال retinoscope
+
+578
+00:57:20,040 --> 00:57:23,180
+اللي موجود عندنا في المعمل، إيش اسمه؟ streak
+
+579
+00:57:23,180 --> 00:57:24,000
+retinoscope.
+
+580
+00:57:27,900 --> 00:57:32,980
+as it produces a more easily recognized red reflex.
+
+581
+00:57:32,980 --> 00:57:38,060
+يعني بتعرف… عنده القدرة على التعرف على ال red
+
+582
+00:57:38,060 --> 00:57:41,800
+reflex بتاع ال patient، أو المريض، بشكل ايه؟ سهل.
+
+583
+00:57:44,570 --> 00:57:48,010
+It also allows the axis of the meridian of
+
+584
+00:57:48,010 --> 00:57:51,430
+astigmatism to be more readily identified
+
+585
+00:57:51,430 --> 00:57:54,730
+separately. إذا أنا الآن، لو كان المريض عنده
+
+586
+00:57:54,730 --> 00:57:58,570
+astigmatism، من السهل أتعرف عليه. ليش؟ لأنه دائما ال
+
+587
+00:57:58,570 --> 00:58:03,310
+astigmatism بيكون oblique، صح؟ فأنا بحط ال streak
+
+588
+00:58:03,310 --> 00:58:08,190
+بتاع ال retinoscope إش ماله؟ oblique، اللي هو بمعنى
+
+589
+00:58:08,190 --> 00:58:08,850
+أنه بيكون
+
+590
+00:58:12,920 --> 00:58:19,740
+فبتلاقي أنه دائما إيش بيكون شكله؟ بالشكل هذا، أنه
+
+591
+00:58:19,740 --> 00:58:23,680
+بيكون oblique. فأنا بحط الضوء، أو ال streak تاع ال
+
+592
+00:58:23,680 --> 00:58:28,680
+retinoscope، بيكون موازي لمين؟ ل ال red reflex، okay.
+
+593
+00:58:28,680 --> 00:58:32,660
+يعني دائما ال streak تاع ال retinoscope بيكون
+
+594
+00:58:32,660 --> 00:58:39,280
+موازي لمين؟ ل ال red reflex، ل ال facial، فيش vertical،
+
+595
+00:58:39,280 --> 00:58:43,480
+الشكل هذا، زي ما أنا راسمه. يعني مثلا ال hand plus
+
+596
+00:58:43,480 --> 00:58:52,820
+خمسة، و plus اتنين، okay، plus تلاتة، مثلا، hand ال
+
+597
+00:58:52,820 --> 00:58:58,920
+axis ممكن يكون قد ايش؟ سبعين، أو ستين، أو خمسة وستون،
+
+598
+00:58:58,920 --> 00:59:01,940
+يعني هو تقدير. فال retinoscopy تقدير، يعتبر
+
+599
+00:59:13,600 --> 00:59:22,120
+هو احنا كيف نفحص
+
+600
+00:59:22,120 --> 00:59:28,040
+يعني؟
+
+601
+00:59:28,040 --> 00:59:31,880
+خليه على ال horizontal، ولا راح نميل اللقطة اللي
+
+602
+00:59:31,880 --> 00:59:37,090
+عليها؟ دائما أنا ال streak ده ال retinoscope لازم
+
+603
+00:59:37,090 --> 00:59:41,590
+يكون موازي ل ال red reflex بتاع ال patient، يعني
+
+604
+00:59:41,590 --> 00:59:45,710
+بمعنى آخر، لو كان ال streak ده ال retinoscope على
+
+605
+00:59:45,710 --> 00:59:50,170
+التسعين، ال red reflex على التسعين، بحطه موازي له،
+
+606
+00:59:50,170 --> 00:59:54,730
+يعني parallel، okay. لو كان مثلا على المية و ثمانين،
+
+607
+00:59:54,730 --> 00:59:58,250
+يعني ما بعمل side to side، بعمل ايه؟ على المية و
+
+608
+00:59:58,250 --> 00:59:58,610
+ثمانين.
+
+609
+01:00:13,500 --> 01:00:19,000
+موازي ل ال red reflex، الجهاز
+
+610
+01:00:19,000 --> 01:00:23,380
+هذا أيضا إيش فيه؟ it contains a strong convex lens
+
+611
+01:00:23,380 --> 01:00:28,200
+for condensation of light in the patient's eye. إذا
+
+612
+01:00:28,200 --> 01:00:32,520
+بيكون في عدسة إيش مالها؟ مجمعة، اللي هي convex lens،
+
+613
+01:00:32,520 --> 01:00:40,480
+شو بتعمل هذه؟ بتجمع الضوء في عين المريض. even a
+
+614
+01:00:40,480 --> 01:00:44,260
+greater efficiency is obtained from the modern
+
+615
+01:00:44,260 --> 01:00:48,620
+retinoscopy by the use of halogen bulbs and
+
+616
+01:00:48,620 --> 01:00:50,620
+rechargeable batteries.
+
+617
+01:01:00,520 --> 01:01:05,120
+أنه بيكون في ال rechargeable batteries، أنه لها
+
+618
+01:01:05,120 --> 01:01:10,160
+شحن، اللي هي بطارية للشحن، okay. إذا الآن لو حكيت لك
+
+619
+01:01:10,160 --> 01:01:17,460
+mention، شو هي أجزاء ال retinoscope؟ number one،
+
+620
+01:01:17,460 --> 01:01:25,680
+number one، عندنا أول حاجة، في عندنا ال convex lens،
+
+621
+01:01:25,680 --> 01:01:33,340
+العدسة المجمعة. عندنا كمان ال halogen bulb. في عندنا ال
+
+622
+01:01:33,340 --> 01:01:39,540
+rechargeable batteries، اللي هي البطارية، okay. في عندنا
+
+623
+01:01:39,540 --> 01:01:45,960
+كمان ال mirror، المرآة، ال plan mirror. شو كمان أجزاء
+
+624
+01:01:45,960 --> 01:01:49,880
+ال retinoscope؟ ال sleeve، مش في ال sleeve، ال
+
+
+667
+01:06:38,420 --> 01:06:44,460
+النظام الرؤية بتكون من مصدر الضوء اللي حكينا
+
+668
+01:06:44,460 --> 01:06:48,560
+عنها، مثل اللمبة الهالوجين اللي بتعمل ايه؟ بتجمع
+
+669
+01:06:48,560 --> 01:06:55,900
+الضوء، which is a straight line، خط مستقيم.
+
+670
+01:06:55,900 --> 01:06:59,480
+Straight line filament، هي الـ filament بمعنى خيوط، يعني
+
+671
+01:06:59,480 --> 01:07:03,260
+الضوء اللي بيخرج من الـ retinascope بيكون ايش؟
+
+672
+01:07:03,260 --> 01:07:08,240
+متوازياً، okay. فبيكون زي الخيوط المتوازية.
+
+673
+01:07:08,240 --> 01:07:14,020
+يعني زي خطوط متوازية of the bulb in a straight
+
+674
+01:07:14,020 --> 01:07:14,940
+retinascope.
+
+675
+01:07:20,670 --> 01:07:28,070
+ووضعتها الـ plan mirror، العدسة المسطحة،  إن الأشعة
+
+676
+01:07:28,070 --> 01:07:34,590
+بتكون متوازية، صح؟ and a condensing lens، العدسة
+
+677
+01:07:34,590 --> 01:07:37,670
+المجمعة، between the mirror and the bulb، اللي هي
+
+678
+01:07:37,670 --> 01:07:41,550
+حكينا عنها، الـ convex lens، أو بنسميها الـ
+
+679
+01:07:41,550 --> 01:07:46,070
+condensing lens، أو convergence of the light source.
+
+680
+01:07:46,070 --> 01:07:52,730
+أيضاً في عندنا a movable sleeve، الـ movable sleeve،
+
+681
+01:07:52,730 --> 01:07:59,990
+حركة السليف، السليف بمعنى أنبوب اسطواني، okay، is a
+
+682
+01:07:59,990 --> 01:08:03,470
+part that involves the whole retinascope. إذا
+
+683
+01:08:03,470 --> 01:08:07,490
+موجود بيكون في الـ retinascope، أتكلم عن مين؟
+
+684
+01:08:07,490 --> 01:08:13,350
+الاستريك ريتيناسكوب، the bulb. إذا هذه اللمبة may
+
+685
+01:08:13,350 --> 01:08:18,090
+be rotated. ممكن أنه تدور على الـ 360 درجة، صح ولا
+
+686
+01:08:18,090 --> 01:08:24,600
+لأ؟ عندما تحرك السليف يمكن أن تتحرك على التسعين،
+
+687
+01:08:24,600 --> 01:08:28,520
+المئة والثمانين، الثلاثين، المئة وخمسة وثلاثين، حسب
+
+688
+01:08:28,520 --> 01:08:33,580
+موقع الـ red reflex بالنسبة للـ streak يعني
+
+689
+01:08:33,580 --> 01:08:34,780
+الـ written score.
+
+690
+01:08:42,090 --> 01:08:47,270
+to adjust it; it is focused طبعاً up, down, or side to side.
+
+691
+01:08:47,270 --> 01:08:51,970
+يعني إنه بيكون up, down، اللي هو أو side to side
+
+692
+01:08:51,970 --> 01:08:57,270
+right to left، طبعاً.
+
+693
+01:08:57,270 --> 01:09:00,690
+اليوم بنكون هيك اكتفينا من محاضرة اليوم.
+
+694
+01:09:03,200 --> 01:09:06,900
+في المحاضرة القادمة إن شاء الله هنبدأ، what happens
+
+695
+01:09:06,900 --> 01:09:11,360
+during retinoscopy، إن شو اللي بيحدث أثناء عملية
+
+696
+01:09:11,360 --> 01:09:13,320
+الـ retinoscopy.
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..081615950c657857aa3e5633045c8f390a648a99
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE_postprocess.srt
@@ -0,0 +1,2784 @@
+1
+00:00:21,600 --> 00:00:25,620
+طيب بسم الله الرحمن الرحيم السلام عليكم اليوم
+
+2
+00:00:25,620 --> 00:00:31,600
+هنبدأ في موضوع ال measurement notation وحدة القياس
+
+3
+00:00:31,600 --> 00:00:38,530
+هنحاول أنه نعيد وحدات القياس مع بعض مرة تانيةلأنه
+
+4
+00:00:38,530 --> 00:00:42,330
+شعرت أنه في بعض ال confusion اللي هو التباك عند
+
+5
+00:00:42,330 --> 00:00:47,910
+بعض الطالبات فهنحاول أنه نعيد بالنسبة للست متر
+
+6
+00:00:47,910 --> 00:00:54,510
+وإذا كانت متغيرة المسافة ما بين ال patient اي
+
+7
+00:00:54,510 --> 00:01:03,590
+و ال chart لو فرضنا مثلا الان ستة على تلاتين هذه
+
+8
+00:01:03,590 --> 00:01:13,510
+ايش تعتبر؟متر صح؟ لو بدى احولها لفيت اذا
+
+9
+00:01:13,510 --> 00:01:27,430
+الستة على تلاتين عشرين اذا ستة X بالساوية عشرين في
+
+10
+00:01:27,430 --> 00:01:31,730
+تلاتين اذا ال X ايش بالساوية؟
+
+11
+00:01:35,290 --> 00:01:41,070
+إذا ال X عشرين
+
+12
+00:01:41,070 --> 00:01:47,490
+at six
+
+13
+00:01:47,490 --> 00:02:00,990
+meters هذا ما حولنا من meters لمين لفيت واضحة؟ طيب
+
+14
+00:02:00,990 --> 00:02:03,470
+لو الست ع تلاتين نفسها
+
+15
+00:02:06,880 --> 00:02:14,480
+بدي احولها ايوة اه اللي هي ال visual ال 6 على 30
+
+16
+00:02:14,480 --> 00:02:19,000
+يعني
+
+17
+00:02:19,000 --> 00:02:24,500
+ال visual acuity هان اللي هي ال 6 على 30 okay ال x
+
+18
+00:02:24,500 --> 00:02:28,100
+مية هي كاتب انا اللي هي ال 6 على 30 بساوة 20 على
+
+19
+00:02:28,100 --> 00:02:32,440
+100 okay طيب بالنسبة لل decimal
+
+20
+00:02:35,700 --> 00:02:42,700
+إذاً ستة ع تلاتين واحد ع خمسة لو
+
+21
+00:02:42,700 --> 00:02:49,320
+بدي أخد مثلا ال mark خمسة
+
+22
+00:02:49,320 --> 00:02:56,020
+طيب log الخمسة على الحاسفة يعني بدي أخد ال log ال
+
+23
+00:02:56,020 --> 00:03:02,100
+mark log الخمسة okay إذا
+
+24
+00:03:02,100 --> 00:03:02,540
+ال log
+
+25
+00:03:06,430 --> 00:03:11,150
+تسعة و ستين من المية، اذا هي أخدنا ال meters، ال
+
+26
+00:03:11,150 --> 00:03:15,970
+feet، ال mar، اللجمار زائد ال decimal notation،
+
+27
+00:03:15,970 --> 00:03:22,840
+هذه ع مسافة كام؟ ع مسافة ست مترواضح؟ يعني هي اللي
+
+28
+00:03:22,840 --> 00:03:27,980
+هو حولناها ل meter من meter ل feet بعدين حولنا من
+
+29
+00:03:27,980 --> 00:03:34,940
+meter ل decimal من ثم من decimal او sorry من meter
+
+30
+00:03:34,940 --> 00:03:45,160
+ل mar و حولنا أيضا من meter ل log mar طبعا
+
+31
+00:03:45,160 --> 00:03:47,720
+هذه كلها مسافة كده؟ ست متر
+
+32
+00:03:53,130 --> 00:03:59,810
+أه تفضل في الآن معظم ال standard .. معظم ال
+
+33
+00:03:59,810 --> 00:04:04,190
+standard في العالم ل ال visual acuity ما بيستخدموش
+
+34
+00:04:04,190 --> 00:04:08,470
+لا ال meters ولا ال feet ولا ال mar ولا ال decimal
+
+35
+00:04:08,470 --> 00:04:13,290
+كله بيستخدموا اللجمع يعني ممكن انت يعني لو مثلا ان
+
+36
+00:04:13,290 --> 00:04:17,670
+شاء الله كملت ماجستير او مثلا اشتغلت بلرة هتلاقي
+
+37
+00:04:17,670 --> 00:04:21,890
+معظم الناس بلرة بيستخدموا اللجمعيعني ما بيستخدم
+
+38
+00:04:21,890 --> 00:04:25,930
+الميتر أوي و هي تعتبر more accurate compared to
+
+39
+00:04:25,930 --> 00:04:32,270
+snail or feet or decimal or mark يعني لو انا
+
+40
+00:04:32,270 --> 00:04:37,130
+حكيتلك which one is more accurate لغمار ولا feet
+
+41
+00:04:37,130 --> 00:04:45,150
+ولا decimal ولا snail لغمار okay which
+
+42
+00:04:45,150 --> 00:04:49,770
+one is more accurateيعني مين أكثر وحدة .. الأدق
+
+43
+00:04:49,770 --> 00:04:57,850
+واحدة في وحدات القياس هي تعتبر مين اللجمر طبعا
+
+44
+00:04:57,850 --> 00:05:02,690
+هذه كلها مسافة كده؟ ستة متر الستة متر هي تعتبر ال
+
+45
+00:05:02,690 --> 00:05:09,470
+standard طيب لو .. لو غيرنا مثلا المسافة حطينا
+
+46
+00:05:09,470 --> 00:05:15,370
+مثلا أربع متر يعني لو قلنا هنا مثلا ستة ع تلاتين
+
+47
+00:05:27,880 --> 00:05:39,240
+مت ايش؟ at four meter وهذه بتحولها لإيش؟ ل feet في
+
+48
+00:05:39,240 --> 00:05:43,480
+البداية الستة ع التلاتين هذه أيش؟ على مسافة أربعة
+
+49
+00:05:43,480 --> 00:05:49,100
+متر واضح؟ إذا هذه الستة ع التلاتين طبعا هي مانفعش
+
+50
+00:05:49,100 --> 00:05:53,960
+ستة أربعة متر مابود أشوفكم صحين ولا لأ؟أربعة على
+
+51
+00:05:53,960 --> 00:05:57,940
+تلاتين لأن المسافة جداش اربعة متر اذا الاربعة
+
+52
+00:05:57,940 --> 00:06:02,660
+تلاتين ستة
+
+53
+00:06:02,660 --> 00:06:13,780
+على اكس اذا اربعة اكس بالساوية تلاتين في ستة طبعا
+
+54
+00:06:13,780 --> 00:06:18,360
+ال X جداش مضرو بالتلاتين في ستة على اربعة خمسة
+
+55
+00:06:18,360 --> 00:06:18,960
+واربعين
+
+56
+00:06:22,660 --> 00:06:32,280
+هذه اللي هي ال .. ستة على خمسة واربعين انت ملاحظة
+
+57
+00:06:32,280 --> 00:06:37,080
+في شغلة .. مين ملاحظة؟ حولنا ال أربعين متر فلقط
+
+58
+00:06:37,080 --> 00:06:39,760
+اننا .. لأ في شغلة ما طلعنا ستة على خمسة واربعين
+
+59
+00:06:39,760 --> 00:06:44,780
+واحدة بس ارفع يدك اتفضلي لو لما تكون على مسافة
+
+60
+00:06:44,780 --> 00:06:50,720
+أربع متر بيكون ستة لزي .. بقل اللي بيطلع
+
+61
+00:07:02,570 --> 00:07:07,450
+لما كنا في مسافة أربعة متر كان الخط بالنسبة .. أو
+
+62
+00:07:07,450 --> 00:07:10,590
+الحجم اللي شارفه الهادأ أصغر بالنسبة لما كان على
+
+63
+00:07:10,590 --> 00:07:15,980
+بعد ست متر، لأنه كبر الخطOkay هدى بالنسبة حسب اللى
+
+64
+00:07:15,980 --> 00:07:19,180
+هو يعني according to the distance انه بناء على
+
+65
+00:07:19,180 --> 00:07:24,060
+المسافة انه انا احدد بس في شغلها بتثبت انه كلامي
+
+66
+00:07:24,060 --> 00:07:26,920
+انه هو الصح من ناحية انه which one is more
+
+67
+00:07:26,920 --> 00:07:30,880
+accurate بتلاحظ انها بتطلع ستة ع خمسة واربعين
+
+68
+00:07:30,880 --> 00:07:35,960
+الجابلة ستة ع تلاتين بمعنى انه دايما ال snailing
+
+69
+00:07:35,960 --> 00:07:40,400
+visual acuity مابتطلعش مثلا زى عندنا في المعمل ستة
+
+70
+00:07:40,400 --> 00:07:44,640
+ع ستينستة و تلاتين، ستة أربع و عشرين، لإن ماما
+
+71
+00:07:44,640 --> 00:07:47,440
+بتجسمي مثلا ستة على أربع و عشرين، يعني أربع و
+
+72
+00:07:47,440 --> 00:07:51,500
+عشرين على ستة رقم صحيح، أقصد في المار أو ستين على
+
+73
+00:07:51,500 --> 00:07:55,920
+ستة رقم صحيح، ستة و تلاتين على ستة رقم صحيح، صح
+
+74
+00:07:55,920 --> 00:08:00,400
+ولا لا؟فهان جالة مثلا تطلع ستة ع خمسة و ربين أو
+
+75
+00:08:00,400 --> 00:08:04,080
+مثلا تطلع ستة على سبعة و نص أو ستة ع تسعة و نص
+
+76
+00:08:04,080 --> 00:08:09,040
+فهذه بتكون قريبة لمين؟ للجمر يعني بتكون انه .. هذا
+
+77
+00:08:09,040 --> 00:08:13,380
+بدل انه اللجمر more accurate compared to a snail
+
+78
+00:08:13,380 --> 00:08:24,090
+أو meter او feet او مر okay؟ اه تفضليالاربع متر لو
+
+79
+00:08:24,090 --> 00:08:27,710
+جبنا مثلا لسنين ال mark أي شيء، ثلاثين، سنتون،
+
+80
+00:08:27,710 --> 00:08:31,230
+تلاتين، ولا رقم هيطلع صح، يلا أكمل رقم اه لأنه
+
+81
+00:08:31,230 --> 00:08:37,370
+مختلفة إيش؟ المسافة بس
+
+82
+00:08:37,370 --> 00:08:41,360
+مختلفة المسافةيعني المسافة لان و أنا عندى كانت
+
+83
+00:08:41,360 --> 00:08:45,780
+اربع متر فانا حولت لمسافة ستة متر لكن هذه من خلال
+
+84
+00:08:45,780 --> 00:08:50,200
+ال experience انا شعرت انه دايما يما انت بتحولي من
+
+85
+00:08:50,200 --> 00:08:54,300
+وحدة لوحدك تانية بتشعر انه دايما ال اثنين مابطلعش
+
+86
+00:08:54,300 --> 00:08:59,020
+رقم صحيح و هذا بدل ان اللجمر هي more accurate ل ال
+
+87
+00:08:59,020 --> 00:09:01,820
+other chart اه تفضلى
+
+88
+00:09:05,770 --> 00:09:12,710
+مش visual اه على مسافة ستة متر اه يعني هان انا لسه
+
+89
+00:09:12,710 --> 00:09:20,390
+ماكملت الستة ع خمسة واربعين هذه at six meter واضح؟
+
+90
+00:09:20,390 --> 00:09:28,470
+صحيك؟ اه واضح؟ شجه هذه بسمع؟ اه تفضلي لما نكمل
+
+91
+00:09:28,470 --> 00:09:32,070
+حولها لفيت برضه هنكتب على at six meterلأن ال
+
+92
+00:09:32,070 --> 00:09:36,970
+standard بتاعي في ال 6 متر، يعني بنفعش انا احول من
+
+93
+00:09:36,970 --> 00:09:43,370
+meter ل feet دون ال 6، ال 6 هي تعتبر ال standard،
+
+94
+00:09:43,370 --> 00:09:47,330
+لأن ليه؟ عندنا ال 6 meter هي عبارة عن ايش؟ ال 20
+
+95
+00:09:47,330 --> 00:09:51,750
+feet، بقدرش احول ل 4 meter لأنه ماعنديش standard
+
+96
+00:09:51,750 --> 00:09:56,190
+لل 4Okay؟ يعني ليش أنا مثلا هان استخدمت اللي هي
+
+97
+00:09:56,190 --> 00:10:00,890
+الست متر؟ ليش مثلا ما استخدمتش الأربع متر؟ لأنه هي
+
+98
+00:10:00,890 --> 00:10:04,490
+تعتبر ال standard بالنسبة ليه العشرين متر هي ال
+
+99
+00:10:04,490 --> 00:10:10,930
+twenty feet هي العشرين feet واضح هيك؟ طبعا هان
+
+100
+00:10:10,930 --> 00:10:15,680
+الست على خمسة واربعين على مسافة كده؟ ستة مترو
+
+101
+00:10:15,680 --> 00:10:20,060
+بعدها بقدر أحول لأي وحدة قياسة يعني بقدر أنه أحول
+
+102
+00:10:20,060 --> 00:10:25,460
+ال feed ل ال decimal ل ال mar أو ال log mar واضح
+
+103
+00:10:25,460 --> 00:10:33,420
+ولا في confusion لسه؟ مين مش فاهم طيب؟ صراحة يعني
+
+104
+00:10:33,420 --> 00:10:37,840
+أنا عادي بنظن أنه نعيد من هلأ بكرا اللي مش فاهمة
+
+105
+00:10:37,840 --> 00:10:41,240
+لازم أنه تحكيلي أنا مش فاهمة أفضل
+
+106
+00:10:49,970 --> 00:10:58,510
+طب الحمد لله يعني فاهمها لما حليتي هيك طبعا
+
+107
+00:10:58,510 --> 00:11:01,830
+اي واحدة مش فاهمة راجعا تحكيلي انه انا مش فاهمه
+
+108
+00:11:01,830 --> 00:11:07,000
+عشان انه نعيد مرة و مرتين و تلاتة okay اه تفضليهل
+
+109
+00:11:07,000 --> 00:11:10,400
+قلت okay ادينا في السؤال مثلا اذا كانت تمانتاش مش
+
+110
+00:11:10,400 --> 00:11:15,900
+عشرين مثلا على تلاتين بنحقق بال feet؟ اه و هم
+
+111
+00:11:15,900 --> 00:11:21,320
+بيقدروا نحويلها لعشرين بعدها لستة ولا كده؟ كيف؟
+
+112
+00:11:21,320 --> 00:11:25,080
+قالت اه okay ادينا بدل عشرين على اربعمية feet مثلا
+
+113
+00:11:25,080 --> 00:11:27,720
+هم بيقدروا نحويلها تمانتاش او خمستاش على تلاتين او
+
+114
+00:11:27,720 --> 00:11:31,260
+على اي رقم؟ خمستاش على تلاتين؟ كيف فعلت؟ اه يعني
+
+115
+00:11:31,260 --> 00:11:38,480
+مثلا ات خمستاشر feet نحويلها اول اشهر باللأ ال
+
+116
+00:11:38,480 --> 00:11:41,580
+feet لأ ما بيعطيكي، دايما ال feet ثابت، انه
+
+117
+00:11:41,580 --> 00:11:46,320
+بياخدوا رقم ثابت، انه عشرين قدم، يعني دايما ال
+
+118
+00:11:46,320 --> 00:11:49,540
+standard بتاعه ثابت، ما بتغير، بس ال meter هو اللي
+
+119
+00:11:49,540 --> 00:11:53,000
+بتغير، انه أربعة meter عمرك شوفت مثلا واحد visual
+
+120
+00:11:53,000 --> 00:11:57,600
+acuity عنده اربعين feet، اربعين على مثلا متين،
+
+121
+00:11:57,600 --> 00:12:01,840
+متنفعش، فدايما هي ال standard هي تعتبر ال decimal،
+
+122
+00:12:01,840 --> 00:12:04,380
+ال British
+
+123
+00:12:08,730 --> 00:12:14,350
+هلجيت انا حولت هذه لست متر لو مثلا احكيلك حول لفيت
+
+124
+00:12:14,350 --> 00:12:20,130
+انا ضايق لفيت اه ستة ع خمسة واربعين بالساوي
+
+125
+00:12:20,130 --> 00:12:26,990
+عشرين على X بعدين بطلع قداش ال X مية و خمسين اذا
+
+126
+00:12:26,990 --> 00:12:37,790
+الستة على خمسة واربعين بالساوي ايش قد اللي هو six
+
+127
+00:12:37,790 --> 00:12:38,130
+meter
+
+128
+00:12:44,740 --> 00:12:49,400
+واضحة؟ يعني الآن لو شفت أية visual acuity في أي
+
+129
+00:12:49,400 --> 00:12:53,380
+ورقة مكتوب تعرفي تقريه سواء كان في ال decimal أو
+
+130
+00:12:53,380 --> 00:12:56,440
+كان في ال mar أو كان في ال log mar أو كان في ال
+
+131
+00:12:56,440 --> 00:13:00,300
+snail أو كان في ال feed نقدر نقرأ إنه نحاوله لأي
+
+132
+00:13:00,300 --> 00:13:05,780
+توحية حتى لو كانت المسافة أشمالها متغيرة واضح؟ طيب
+
+133
+00:13:05,780 --> 00:13:14,100
+حلوا قعدوا عينكم عندنا خمسةعلى تلاتين at
+
+134
+00:13:14,100 --> 00:13:21,960
+five meter بدي احولها لوحدة
+
+135
+00:13:21,960 --> 00:13:25,260
+ال
+
+136
+00:13:25,260 --> 00:13:25,600
+decimal
+
+137
+00:13:33,960 --> 00:13:38,840
+عنا السؤال خمسة على تلاتين at five meter تحولها ل
+
+138
+00:13:38,840 --> 00:13:44,500
+decimal طبعا
+
+139
+00:13:44,500 --> 00:13:51,620
+تقدر تستخدم الجوالات بس ال calculation
+
+140
+00:14:00,120 --> 00:14:09,620
+فكرتي انا؟ امتازة صح صح امتازة واحد
+
+141
+00:14:09,620 --> 00:14:22,180
+ع ستة صح النتيجة اه مظبوط اللي هي ستة ايه
+
+142
+00:14:22,180 --> 00:14:23,100
+نور؟ حلو
+
+143
+00:15:15,560 --> 00:15:21,920
+هذه ايش؟ ديوبترا
+
+144
+00:15:21,920 --> 00:15:29,370
+هيك تكتب ديسمنتحط بس دي ايه ممتازة
+
+145
+00:15:29,370 --> 00:15:37,070
+ايه are you agree with the result ممكن اني بكتب بس
+
+146
+00:15:37,070 --> 00:15:41,830
+هي حولت هي مدام حولت هان ال six meter خلاص انه
+
+147
+00:15:41,830 --> 00:15:45,410
+بعرف انه على مسافة الستة are you agree with the
+
+148
+00:15:45,410 --> 00:15:52,490
+result طيب الان ورقة صغيرةطبعا صحيح بالنسبة لل
+
+149
+00:15:52,490 --> 00:15:56,610
+quiz بتاع ال pre verbal أنا لغيته بس كان من ناحية
+
+150
+00:15:56,610 --> 00:15:59,210
+انه يعني motivation هيك
+
+151
+00:16:44,840 --> 00:16:51,880
+طيب طبعا اربعة و نص على ستين على مسافة اربعة و نص
+
+152
+00:16:51,880 --> 00:16:59,500
+متر بدي اتحوليها ل log
+
+153
+00:17:02,340 --> 00:17:10,940
+مار لحظة بقرالك السؤال جوال
+
+154
+00:17:10,940 --> 00:17:19,900
+استخدم الجوال طيب
+
+155
+00:17:19,900 --> 00:17:25,540
+موجود
+
+156
+00:17:25,540 --> 00:17:26,200
+اللغمار؟
+
+157
+00:17:32,510 --> 00:17:37,830
+كل واحدة في عين الورقة بتاعتها ماعكيش
+
+158
+00:17:37,830 --> 00:17:55,050
+طيب عشان نتحد هيك انه نعملها للمار كله
+
+159
+00:17:55,050 --> 00:17:56,110
+سلم هيك خلصنا
+
+160
+00:18:36,800 --> 00:18:40,020
+تعرف ممكن لو ماجيبناش في سلسلة ممكن نجيب دغري
+
+161
+00:18:40,020 --> 00:18:40,960
+المعالجة
+
+162
+00:18:44,640 --> 00:18:51,260
+تمانية و ستة ع
+
+163
+00:18:51,260 --> 00:18:55,000
+مسافة
+
+164
+00:18:55,000 --> 00:19:04,100
+أكمها دي هي كتبها خالص إذا
+
+165
+00:19:04,100 --> 00:19:06,840
+هي أزملتكم حولت أول حاجة
+
+166
+00:19:10,370 --> 00:19:14,770
+بعدين حولت لاربع .. اه لست متر، بعدين جابت اللي هو
+
+167
+00:19:14,770 --> 00:19:18,750
+المار مباشرة أو ممكن تجيب ال decimal و ثم المار،
+
+168
+00:19:18,750 --> 00:19:25,110
+يعني كل الطرق صحيحة، okay؟ اه
+
+169
+00:19:25,110 --> 00:19:30,650
+ستة ع تمانين، ستة ع تمانين، بجسم ال bus على
+
+170
+00:19:30,650 --> 00:19:34,370
+المقام، خلي بس واحدة تتكلم
+
+171
+00:19:41,150 --> 00:19:45,190
+لأ هي كاتبة decimal ستة ع تمانين هي المفروض يعني
+
+172
+00:19:45,190 --> 00:19:49,850
+اتجسم اه ال bus ع مقام لإن ال decimal معناها عشرة
+
+173
+00:19:49,850 --> 00:19:55,210
+بس انا هذه الخطوة هي لازم تكون من الصحي اللي هي
+
+174
+00:19:55,210 --> 00:19:58,890
+خلاص مباشرة ال mar تمانين على ستة مقام على bus و
+
+175
+00:19:58,890 --> 00:20:08,870
+بطلع جديش لإن ال decimal معناها عشرة okay طيب
+
+176
+00:20:10,480 --> 00:20:15,420
+واضح الموضوع هذا اليوم؟ ال testing of near vision
+
+177
+00:20:15,420 --> 00:20:21,760
+الان كيف انا ممكن اقيس حدة الإبصار لكن لمين؟ لقريب
+
+178
+00:20:21,760 --> 00:20:25,240
+طبعا انا لما بقيس حدة الإبصار بالنسبة للقريب
+
+179
+00:20:25,240 --> 00:20:28,880
+بستخدمه للhyper metrope الناس اللي عندهم طول نظر
+
+180
+00:20:28,880 --> 00:20:35,960
+او presbyope القصور النظر okay؟this occurs at a
+
+181
+00:20:35,960 --> 00:20:39,680
+distance of thirty to forty centimeters that
+
+182
+00:20:39,680 --> 00:20:43,500
+called the reading distance or working distance
+
+183
+00:20:43,500 --> 00:20:48,840
+اذا هذه بتحدث للمسافة من تلاتين لاربعين سانتي
+
+184
+00:20:48,840 --> 00:20:53,860
+وبسميها ايش ال working distance مسافة العمل او ال
+
+185
+00:20:53,860 --> 00:20:57,560
+reading distance او ال writing distance يعني كلها
+
+186
+00:20:57,560 --> 00:21:03,350
+مسمة واحدإذا المسافة اللي بيعمل عليها مين الخياط
+
+187
+00:21:03,350 --> 00:21:07,010
+أو المسافة اللي بيقرا عليها الطالب طبعا تلاتين
+
+188
+00:21:07,010 --> 00:21:11,390
+لاربعين صنطة هذي تعتبر إيش range يعني ممكن واحد
+
+189
+00:21:11,390 --> 00:21:14,670
+بيجيني بقول أنا مثلا بقرا على مسافة خمسة و عشرين
+
+190
+00:21:14,670 --> 00:21:19,270
+صنطة أو بقرا على مسافة مثلا تلاتين صنطة أو اربعين
+
+191
+00:21:19,270 --> 00:21:23,030
+صنطة أو خمسة واربعين صنطة حسب اللي هو كل واحد
+
+192
+00:21:23,030 --> 00:21:30,860
+العمل أو الدراسة أو الكتاب بتاعته okay؟the first
+
+193
+00:21:30,860 --> 00:21:35,680
+test of this kind was constructed by Geiger in
+
+194
+00:21:35,680 --> 00:21:40,660
+eighteen sixty seven اذا اول نوع من هذا الاختبار
+
+195
+00:21:40,660 --> 00:21:46,240
+تم إنشاءه في سنة ال الف و تمانية و ستة و سبعين
+
+196
+00:21:46,240 --> 00:21:51,360
+سبعة و ستين بواسطة اللي هو عالم اسمه Geiger هو
+
+197
+00:21:51,360 --> 00:21:58,140
+عالم من المانيا و بتقرأ Geigerit consists of the
+
+198
+00:21:58,140 --> 00:22:03,620
+ordinary print fonts، إذا هذه بتتكون من خطوط طباعة
+
+199
+00:22:03,620 --> 00:22:06,880
+طبيعية، يعني الخطوط الطباعة اللي موجودة عندنا ال
+
+200
+00:22:06,880 --> 00:22:12,330
+normal طبيعيةcomplete set of type printing of
+
+201
+00:22:12,330 --> 00:22:16,990
+varying size as used at that time، إذا بكون إلها
+
+202
+00:22:16,990 --> 00:22:21,570
+إيش؟ أحجام مختلفة، يعني بتكون مثلا حجم أربعة عاشر،
+
+203
+00:22:21,570 --> 00:22:26,870
+تلت عاشر، اتن عاشر، إذا بكون حجمها مختلف من test
+
+204
+00:22:26,870 --> 00:22:35,400
+لآخر حسب المسافة الليحسب المسافة المريض اللي بدرس
+
+205
+00:22:35,400 --> 00:22:39,780
+عليها أو بيعمل عليها زائد اللي هو حسب إيش هو
+
+206
+00:22:39,780 --> 00:22:44,060
+مابرتاح، يعني في مريض مثلا بقولك ع مسافة أربعين
+
+207
+00:22:44,060 --> 00:22:48,580
+سانتي أنا مابرتاح، يعني أقرأ أو مثلا ع مسافة خمسة
+
+208
+00:22:48,580 --> 00:22:53,320
+و تلاتين سانتي، دايما المسافة مهمة و الحجم مهم،
+
+209
+00:22:53,320 --> 00:22:55,820
+التنتين هدول في ال near vision
+
+210
+00:22:59,770 --> 00:23:04,570
+recently حديثا a new task card which approximate
+
+211
+00:23:04,570 --> 00:23:09,990
+Geiger original choice are used إذا حديثا استخدموا
+
+212
+00:23:09,990 --> 00:23:15,480
+منهج اللي اتبعوا ال method اللي اتبعوا من Geigerفي
+
+213
+00:23:15,480 --> 00:23:20,420
+كيف أنه أقيس حدة الإبصار للقريب بالنسبة لمين
+
+214
+00:23:20,420 --> 00:23:27,680
+للأشخاص okay؟ إذا الجيجر متبع هو النظام المتبع
+
+215
+00:23:27,680 --> 00:23:35,600
+لقياس حدة الإبصار بالنسبة لمين للقريب واضح؟
+
+216
+00:23:35,600 --> 00:23:40,400
+these are traditionally called حديثا بسموها جيجر
+
+217
+00:23:40,400 --> 00:23:47,760
+one جي one جيجر two جي twoجيجر fifteen إذا حسب
+
+218
+00:23:47,760 --> 00:23:51,560
+اللي هو إيش زي ما اتفقنا إنه بعتمد على شغلتين
+
+219
+00:23:51,560 --> 00:23:56,540
+بعتمد على ال size الحجم و المسافة اللي بقرا عليها
+
+220
+00:23:56,540 --> 00:24:01,760
+مين المريض واضح؟ يعني في ناس مثلا بقرأش اللي هو
+
+221
+00:24:01,760 --> 00:24:07,900
+جريدة أو بحبش مثلا يعني أطالع كتب دايما بفضله أنا
+
+222
+00:24:07,900 --> 00:24:11,880
+إيش الأجسام الكبيرة يعني هو بحب يشوف أجسام كبيرة
+
+223
+00:24:12,390 --> 00:24:17,810
+فمش معقولة مثلا أدي power يتخلي يشوف إيش الأشياء
+
+224
+00:24:17,810 --> 00:24:22,810
+الصغيرة أو إنه يقرأ جريدة أو غيره، فحسب كل واحد ال
+
+225
+00:24:22,810 --> 00:24:26,790
+function بتاعه، الوظيفة بتاعته، okay؟ مثلا طالب مش
+
+226
+00:24:26,790 --> 00:24:30,970
+معقولة مثلا أدي نضارة بحيث إنه إيش مايشوفش اللي هو
+
+227
+00:24:30,970 --> 00:24:33,310
+الخطوط الصغيرة، okay؟
+
+228
+00:24:37,050 --> 00:24:41,830
+they are sufficient أي بمعنى إن هذه الخطوط اللي هي
+
+229
+00:24:41,830 --> 00:24:46,950
+جي جار جي وان و جي تو و تري هذي تعتبر كافية for
+
+230
+00:24:46,950 --> 00:24:53,690
+accurate practical purpose لهدف عملي دقيق يعني هذه
+
+231
+00:24:53,690 --> 00:24:58,630
+الخطوط المختلفة الأحجام بتكون كافية لأي مريض
+
+232
+00:24:58,630 --> 00:25:04,370
+بقدرته على القراءة أو الخياطة أو ال function بتاعه
+
+233
+00:25:04,370 --> 00:25:09,580
+أي أن كانin testing near vision the patient
+
+234
+00:25:09,580 --> 00:25:14,160
+remains seated on the chair يعني في قياس حدة
+
+235
+00:25:14,160 --> 00:25:20,300
+القريب لازم انه المريض ايش ياخد اللي هو يقعد على
+
+236
+00:25:20,300 --> 00:25:24,640
+كرسي يعني اقوله انه take your seat انه خد كرسيك او
+
+237
+00:25:24,640 --> 00:25:27,780
+have your seat بمعنى انه لازم يرتاح على كرسي
+
+238
+00:25:27,780 --> 00:25:31,520
+المريض مش اخليه واقف و اقوله شوف الخطوط هدول واضحة
+
+239
+00:25:31,520 --> 00:25:35,480
+ولا لا لأ بنفعش لازم انه المريض ايش يكونcomfort
+
+240
+00:25:35,480 --> 00:25:36,500
+انه مرتاح
+
+241
+00:25:40,670 --> 00:25:43,990
+seated on the chair يعني ماخد اللي هو الكرسي بتاعه
+
+242
+00:25:43,990 --> 00:25:48,590
+بوضع مرتاح with a good light thrown over the left
+
+243
+00:25:48,590 --> 00:25:53,750
+shoulder and he is asked to read from up down at
+
+244
+00:25:53,750 --> 00:25:57,050
+the noun reading distance و لازم انه يكون في
+
+245
+00:25:57,050 --> 00:26:00,470
+الغرفة او في المكان اللي بعمل او ال clinic اللي
+
+246
+00:26:00,470 --> 00:26:03,970
+فيه ال test لازم تكون الإضاءة أشمالها كافية
+
+247
+00:26:03,970 --> 00:26:08,870
+بالنسبة للمريض و انه تكون هذه الإضاءة مثلامش عكس
+
+248
+00:26:08,870 --> 00:26:13,270
+على مين الخطوط اللي موجودة أمامه okay؟ يعني في
+
+249
+00:26:13,270 --> 00:26:17,610
+بالنسبة لل patient أول حاجة ياخد اللي هو كرسي
+
+250
+00:26:17,610 --> 00:26:22,070
+أقوله take your seat or have your seat number two
+
+251
+00:26:22,070 --> 00:26:26,770
+ال size أنه يكون واضح الإضاءة تكون إيه كافية
+
+252
+00:26:26,770 --> 00:26:32,330
+بالنسبة للغرفة okay؟ بالنسبة لل patient يعني
+
+253
+00:26:32,330 --> 00:26:35,330
+التعامل اللي هي ال vision بس دي مش رأيت شرط أتحسن
+
+254
+00:26:35,330 --> 00:26:40,710
+الدرج و لا اللأ للقريب احنا بنستخدمه دايما القريب
+
+255
+00:26:40,710 --> 00:26:45,290
+بس نستخدمله اللي هو ال Geiger خطوط مختلفة يعني J1,
+
+256
+00:26:45,610 --> 00:26:51,990
+J2, J3, J4, J10 واضح حسب المسافة اللي بيقرا عليها
+
+257
+00:26:51,990 --> 00:26:53,990
+المريض وحسب الخط
+
+258
+00:26:57,850 --> 00:27:02,590
+the near vision is recorded as J1 from the
+
+259
+00:27:02,590 --> 00:27:07,070
+smallest line زي ما احنا مثلا الستة ع ستة هي عبارة
+
+260
+00:27:07,070 --> 00:27:11,290
+عن ال smallest ايش optotype او ال smallest letter
+
+261
+00:27:11,290 --> 00:27:16,770
+okay فأصغر اللي هو خط بقرا عليه المريض هذا بنسميه
+
+262
+00:27:16,770 --> 00:27:24,220
+ايش J1 بالنسبة للمريضJ2 follow لمين؟ ل J1 يعني
+
+263
+00:27:24,220 --> 00:27:31,320
+بتبع اللي هو J1 بعدين J3 بتبع اللي هو J2 okay each
+
+264
+00:27:31,320 --> 00:27:35,460
+eye is tested separately فهذه نقطة مهمة و دايما
+
+265
+00:27:35,460 --> 00:27:39,220
+يعني حتى في خريجين بيخربطوا فيها انه دايما ال near
+
+266
+00:27:39,220 --> 00:27:44,260
+vision يما بيعملوا ال test كل عين على حدهيعني لو
+
+267
+00:27:44,260 --> 00:27:47,340
+سألتي السؤال انه هل ال near vision بعمل ال both
+
+268
+00:27:47,340 --> 00:27:52,080
+eye together ولا each eye separated كل عين على حده
+
+269
+00:27:52,080 --> 00:27:55,800
+زي ما بتعملي ال visual acuity بغطي اليمين بغطي
+
+270
+00:27:55,800 --> 00:28:02,800
+الشمال بعمل كل عين على حده okay واضح؟ اه تفضل ممكن
+
+271
+00:28:02,800 --> 00:28:05,640
+هو اللي قلت انه لو كان عنده near vision رح يكون في
+
+272
+00:28:05,640 --> 00:28:08,420
+العين تاني عنده near vision ممكن يكون في عين واحدة
+
+273
+00:28:08,420 --> 00:28:13,170
+عندها far vision واحدة under visionهو مش شرط انه
+
+274
+00:28:13,170 --> 00:28:17,410
+كل واحد عنده hypermetroid هو ال nerve region من
+
+275
+00:28:17,410 --> 00:28:20,770
+الصح المصطلح هذا هو ال test بتاعه ال nerve region
+
+276
+00:28:21,760 --> 00:28:25,580
+دايمًا اللي بعاني من القريب بيكون اللي هو
+
+277
+00:28:25,580 --> 00:28:29,660
+hypermetrop أو breast biop لكن مش شرط أن ال both
+
+278
+00:28:29,660 --> 00:28:34,100
+eyes بتكون ال hypermetrop متساوية okay؟ يعني ممكن
+
+279
+00:28:34,100 --> 00:28:37,540
+أنه ألاقي عين أنا فيها hypermetrop، لكن العين
+
+280
+00:28:37,540 --> 00:28:42,240
+التانية فيها biop أو فيها astigmatism okay؟ مش شرط
+
+281
+00:28:42,240 --> 00:28:45,960
+التنتين اللي هو typical، أنه متساويات، يعني
+
+282
+00:28:45,960 --> 00:28:51,610
+متماثلات okay؟فكل عين أنه بعمل على حدى بالنسبة لل
+
+283
+00:28:51,610 --> 00:28:55,670
+near vision في ملاحظة أخرى ذكرتيني فيها أنه أنا
+
+284
+00:28:55,670 --> 00:28:58,710
+بعملش ال test بتاع ال near vision إلا لما أكون
+
+285
+00:28:58,710 --> 00:29:03,490
+مصلح البعيد بمعنى أخر لو كان المريض عنده مشكلة في
+
+286
+00:29:03,490 --> 00:29:07,110
+البعيد مانفعش أروح أبدأ معاه في إيه؟ في الجريد
+
+287
+00:29:07,110 --> 00:29:12,070
+بصلح البعيد و بعدين باجي للجريد واضح؟ يعني ممكن
+
+288
+00:29:12,070 --> 00:29:17,780
+هذا برضه السؤال أنه مين قبل يعني الآن أناك
+
+289
+00:29:17,780 --> 00:29:23,120
+examiner أو ك optometrist يجاني مريض عنده blurred
+
+290
+00:29:23,120 --> 00:29:26,720
+vision for distance و عنده blurred vision for near
+
+291
+00:29:26,720 --> 00:29:31,800
+في مين أبدأ؟ في القريب ولا البعيد؟ في البعيد بصلح
+
+292
+00:29:31,800 --> 00:29:34,240
+البعيد لأنه قد يكون عنده astigmatism
+
+293
+00:29:34,240 --> 00:29:37,700
+فالastigmatism ممكن أنه مايقدرش كمان يقرأ المريض
+
+294
+00:29:37,700 --> 00:29:41,600
+فببدأ صلحت البعيد باجي للقريب okay
+
+295
+00:29:46,710 --> 00:29:50,890
+هي مثلا في عنهان الصورة، هى ال optometrist أو ال
+
+296
+00:29:50,890 --> 00:29:58,060
+examiner، هى المريض ماخد اللي هو have seatedزائد
+
+297
+00:29:58,060 --> 00:30:05,140
+أنه ال .. الإضاءة كافية لغرفة okay و المريض مثلا
+
+298
+00:30:05,140 --> 00:30:08,740
+بيقرأ على مسافة لو فرضنا تلاتين أو خمسة و تلاتين
+
+299
+00:30:08,740 --> 00:30:14,300
+سنتة و هاي ال test chart for near vision جيجر one,
+
+300
+00:30:14,680 --> 00:30:20,200
+جي two, جي three and جي four okay لو إيه؟
+
+301
+00:30:24,020 --> 00:30:28,060
+لو أم ممكن أستخدمله ال chart، ال E chart، أقول له
+
+302
+00:30:28,060 --> 00:30:34,320
+وين الفتحة هذه مثلا أو وين الإشارة، نعم؟ للقريب،
+
+303
+00:30:34,320 --> 00:30:38,100
+فيه اللي هي بتكون chart نفس الهادي وفيها بيكون
+
+304
+00:30:38,100 --> 00:30:42,440
+مثلا E الكبيرة ال largest و بمشي، السؤال كويس كثير
+
+305
+00:30:43,040 --> 00:30:47,240
+انه تحكي لو كان مثلا المريض أمه انه مابيعرف يقرا
+
+306
+00:30:47,240 --> 00:30:50,960
+انه كيف او مثلا كان طفل كيف انا ممكن اعمله ال near
+
+307
+00:30:50,960 --> 00:30:55,180
+vision اه بجيب اللي هو ال .. ال snelling chart
+
+308
+00:30:55,180 --> 00:30:58,860
+اللي صغيرة و ببدأ انه اقوله الفتحة هذه بس اعلمه
+
+309
+00:30:58,860 --> 00:31:03,360
+قبل يعني اقوله مثلا هذه وين فتحة و بصير انه اشرله
+
+310
+00:31:03,360 --> 00:31:07,600
+okay بس هذه بتكون مصممة على الجيجر انه جيجر one مش
+
+311
+00:31:07,600 --> 00:31:10,500
+زي اللي عندنا ستة على ستين او ستة على ستة و تلاتين
+
+312
+00:31:14,640 --> 00:31:19,160
+Okay؟ في الغالب لما يكون الإنسان الأمامي، أمي،
+
+313
+00:31:19,160 --> 00:31:23,800
+يعني مثلا حجة كبيرة أو حج ختيار، دايما هو ما بده
+
+314
+00:31:23,800 --> 00:31:28,160
+أنه يقرأ، دايما بده يشوف إيش الأشياء اللي أمامه،
+
+315
+00:31:28,160 --> 00:31:31,740
+لكن بده يشوفها إيش كبيرة، يعني مهمهوش الخط الصغير،
+
+316
+00:31:31,740 --> 00:31:37,630
+هي اللي بده أصله، واضح؟فى عندنا ال objective
+
+317
+00:31:37,630 --> 00:31:41,690
+method of refraction ريتنوسكوبي what is the
+
+318
+00:31:41,690 --> 00:31:45,030
+difference between objective and subjective
+
+319
+00:31:45,030 --> 00:31:50,910
+refraction؟ فضلى ال objective اللى .. ال examiner
+
+320
+00:31:50,910 --> 00:31:53,690
+بيعمل شغل الحال فيه ساعات المريضة، اما ال
+
+321
+00:31:53,690 --> 00:31:58,030
+subjective بيعمل examiner مع ساعات الفشل okay can
+
+322
+00:31:58,030 --> 00:32:01,050
+you define by English؟
+
+323
+00:32:06,650 --> 00:32:09,890
+objective refraction شو تعريفه؟ طيب ال objective
+
+324
+00:32:09,890 --> 00:32:14,230
+refraction it is a preliminary examination يعني
+
+325
+00:32:14,230 --> 00:32:20,890
+فحص أولي of the eye okay without a response from
+
+326
+00:32:20,890 --> 00:32:24,290
+the patient يعني دون تدخل المريض
+
+327
+00:32:40,010 --> 00:32:45,190
+الـ objective method to obtain لإحداث the best
+
+328
+00:32:45,190 --> 00:32:49,410
+vision أو الرؤية with the response from the
+
+329
+00:32:49,410 --> 00:32:55,550
+patient مع تدخل المريض هكتبه، إذا عندنا ال
+
+330
+00:32:55,550 --> 00:33:05,090
+objective method
+
+331
+00:33:14,890 --> 00:33:21,830
+it is a preliminary a
+
+332
+00:33:21,830 --> 00:33:39,590
+preliminary ايش معناها انه اولا estimation
+
+333
+00:33:39,590 --> 00:33:50,270
+of therefractive error without
+
+334
+00:33:50,270 --> 00:33:56,410
+a
+
+335
+00:33:56,410 --> 00:34:02,070
+response from
+
+336
+00:34:02,070 --> 00:34:02,630
+the patient
+
+337
+00:34:15,460 --> 00:34:32,440
+subjective method it is
+
+338
+00:34:32,440 --> 00:34:42,560
+a refinement of
+
+339
+00:34:42,560 --> 00:34:51,320
+therefractive error estimated
+
+340
+00:34:51,320 --> 00:34:56,660
+by
+
+341
+00:34:56,660 --> 00:34:59,680
+objective
+
+342
+00:34:59,680 --> 00:35:06,060
+method
+
+343
+00:35:06,060 --> 00:35:12,540
+to
+
+344
+00:35:14,620 --> 00:35:30,060
+obtain the best vision with
+
+345
+00:35:30,060 --> 00:35:34,920
+the response
+
+346
+00:35:34,920 --> 00:35:38,980
+from
+
+347
+00:35:38,980 --> 00:35:39,460
+the patient
+
+348
+00:35:49,960 --> 00:35:52,740
+إذا ما عندنا ال objective method it is a
+
+349
+00:35:52,740 --> 00:35:55,600
+preliminary estimation of the refractive error
+
+350
+00:35:55,600 --> 00:36:01,700
+بمعنى تقدير أولي للخطأ الانكساري للعين without a
+
+351
+00:36:01,700 --> 00:36:05,000
+response from the patient دون تدخل المريض
+
+352
+00:36:37,710 --> 00:36:42,370
+مين ال marine هذا what is the difference between
+
+353
+00:36:42,370 --> 00:36:49,510
+objective and subjective method okay طيب
+
+354
+00:36:49,510 --> 00:36:52,990
+which one is more important objective or
+
+355
+00:36:52,990 --> 00:37:01,410
+subjective method؟ مين الأهم؟ subjective فضليه
+
+356
+00:37:01,410 --> 00:37:04,930
+ال objective يعني الأول هو اللي بيساعدني أول إيه
+
+357
+00:37:04,930 --> 00:37:06,890
+شاجد كل شي و بعدين ال subjective يعني
+
+358
+00:37:09,540 --> 00:37:13,760
+يعني انت حكيت ال objective أهم؟ لأ ال subjective
+
+359
+00:37:13,760 --> 00:37:16,780
+لإن هو بتدخل بمساعدة المالية اللي هو أصلا و جاية
+
+360
+00:37:16,780 --> 00:37:20,800
+عشان نتعامل معاه أكتر من إيه another question
+
+361
+00:37:20,800 --> 00:37:32,740
+answer تفضلي تفضلي
+
+362
+00:37:35,180 --> 00:37:38,300
+objective أو ال subjective التاني المهمين لإن ال
+
+363
+00:37:38,300 --> 00:37:41,660
+objective من خلاله راح نقدر نمرح كيف راح نتحصل ال
+
+364
+00:37:41,660 --> 00:37:44,520
+subjective لإنه objective لو مثلا في written scope
+
+365
+00:37:44,520 --> 00:37:47,060
+راح نعرف مثلا عنده إذا يعني من ال written scope
+
+366
+00:37:47,060 --> 00:37:50,140
+راح نعرف مثلا من السكل الأولى إذا عنده heaven من
+
+367
+00:37:50,140 --> 00:37:52,560
+ربق أو ميوم فبالتالي راح أعرف أنا إيش أنهي طريقة
+
+368
+00:37:52,560 --> 00:37:56,160
+أنا راح أبحث عنها فبالتالي التاني المهمين هو صح
+
+369
+00:37:56,160 --> 00:38:00,980
+آخر إيجابتين آخر إيجابتين كان الصحيح بدي أقنع أنا
+
+370
+00:38:00,980 --> 00:38:04,320
+كيف إن ال objective و ال subjective هم يعتبروا
+
+371
+00:38:07,540 --> 00:38:13,640
+الآن لو أنا جيب الطفل، okay؟ يعني زي مثلا الطفل
+
+372
+00:38:13,640 --> 00:38:18,200
+بعض البنات اللي فحصوه، okay؟ من الصعب مثلا أعمله
+
+373
+00:38:18,200 --> 00:38:22,060
+visual acuity، أي بمعنى أنه من الصعب أنه يكون
+
+374
+00:38:22,060 --> 00:38:26,440
+للطفل فيه إيه response، انه استجابة، فهنقش أنا
+
+375
+00:38:26,440 --> 00:38:31,520
+بعمله objective method، صح؟اذا بعمل للطفل ايش
+
+376
+00:38:31,520 --> 00:38:34,860
+objective method في ال written score فهذه بتكون
+
+377
+00:38:34,860 --> 00:38:38,420
+كافية له بعد ما اعمل ال objective method لهذا
+
+378
+00:38:38,420 --> 00:38:42,660
+الطفل بديه الوصفة اذا الوصفة هذه بتكون ايش هي
+
+379
+00:38:42,660 --> 00:38:47,740
+عبارة عن الوصفة اللي هيلبسها للنضارة بتاعته اذا
+
+380
+00:38:47,740 --> 00:38:51,860
+انا قيمته من خلال مين من خلال ال objective method
+
+381
+00:38:51,860 --> 00:38:57,640
+لكن في حالة تانية لو مثلاواحد عمره عشرين سنة بقدرش
+
+382
+00:38:57,640 --> 00:39:03,020
+اديه النضارة من ناحية الراحة ال comfort و هو زي ما
+
+383
+00:39:03,020 --> 00:39:07,060
+حكت اسلام ان هو المهم عنده المريض ان راحة المريض
+
+384
+00:39:07,060 --> 00:39:11,840
+هي المهمة okay لما انا مثلا ريحت المريض قديته ال
+
+385
+00:39:11,840 --> 00:39:15,240
+objective method لكن بعدها ايش شفت ان هل هذه
+
+386
+00:39:15,240 --> 00:39:19,240
+الوصفة صحيحة له ولا لأ فعملنا ايش ال subjective
+
+387
+00:39:19,240 --> 00:39:24,500
+method واضحة؟ اذا which oneis more important
+
+388
+00:39:24,500 --> 00:39:28,460
+objective ولا subjective method؟ تكتشفحيلي ال
+
+389
+00:39:28,460 --> 00:39:33,700
+answer اللي أنا حكيتها طوي okay انه كمثال انت تجيب
+
+390
+00:39:33,700 --> 00:39:38,620
+طفل الطفل من الصعب انا اعمله visual acuity لحاله
+
+391
+00:39:38,620 --> 00:39:42,580
+فبعمله ال objective method في ال written score بعد
+
+392
+00:39:42,580 --> 00:39:46,660
+ما انا بعمله written score ايش بدي الوصفة؟ هي هذي
+
+393
+00:39:46,660 --> 00:39:51,130
+بتكون ال full correction بتاعتهلكن في شخص عمره
+
+394
+00:39:51,130 --> 00:39:55,930
+مثلا عشرين سنة بعمل visual acuity هذه واحد زاد انه
+
+395
+00:39:55,930 --> 00:40:02,230
+بعمل ايه ال subjective method طبعا
+
+396
+00:40:02,230 --> 00:40:05,830
+اهم جهاز في ال objective method هو يعتبر مين ال
+
+397
+00:40:05,830 --> 00:40:10,450
+written scope ال written scope حكينا انه بيعمل
+
+398
+00:40:10,450 --> 00:40:15,910
+determine انه تحديد لل refractive error
+
+399
+00:40:26,220 --> 00:40:31,220
+أول طريقة اللي هي طريقة ال retinoscopy طبعا ال
+
+400
+00:40:31,220 --> 00:40:35,180
+retinoscopy تعتبر إيش هي ال method أو ال procedure
+
+401
+00:40:35,180 --> 00:40:38,880
+يعني شو الفرق ما بين ال retinoscopy و ال
+
+402
+00:40:38,880 --> 00:40:42,400
+retinoscope ال retinoscope هو عبارة عن ال
+
+403
+00:40:42,400 --> 00:40:46,540
+instrument لكن ال retinoscope هي عبارة عن ال
+
+404
+00:40:46,540 --> 00:40:48,780
+method ال procedure العملية
+
+405
+00:40:56,220 --> 00:41:00,280
+الريتنسكوب هو عبارة عن ال instrument الريتنسكوب هي
+
+406
+00:41:00,280 --> 00:41:07,020
+ال procedure العملية أو ال method الطريقة it is
+
+407
+00:41:07,020 --> 00:41:10,360
+the most valuable method of estimating the optical
+
+408
+00:41:10,360 --> 00:41:11,520
+state of the eye
+
+409
+00:41:24,590 --> 00:41:28,950
+hypermetropia and astigmatism إذن it is the most
+
+410
+00:41:28,950 --> 00:41:34,790
+valuable يعني هي أكتر نفعا يعني أكتر اللي هو
+
+411
+00:41:34,790 --> 00:41:40,350
+method أو أكتر طريقة مستخدمة لتحديد جديش الحالة
+
+412
+00:41:40,350 --> 00:41:44,350
+الإنكسارية اللي موجودة للعين of estimating the
+
+413
+00:41:44,350 --> 00:41:49,310
+optical state of the eye it is useful إذن بيستخدم
+
+414
+00:41:49,310 --> 00:41:51,190
+and accurate
+
+415
+00:41:56,160 --> 00:42:00,460
+و ماريه سالك which instrument is more accurate؟
+
+416
+00:42:00,460 --> 00:42:03,120
+مين الأداء؟ ال retinascope ولا ال auto
+
+417
+00:42:03,120 --> 00:42:07,720
+refractometer؟ ال retinascope ليش؟ it is useful
+
+418
+00:42:07,720 --> 00:42:14,060
+and accurate up to a plus or minus 0.25 diopter
+
+419
+00:42:14,060 --> 00:42:18,140
+correction يعني بيحدد الخطأ الانكساري ل
+
+420
+00:42:23,080 --> 00:42:26,500
+مش شايف، يعني ممكن تلاتة و خمسة و سبعين، أربعة و
+
+421
+00:42:26,500 --> 00:42:29,880
+خمسة و سبعين، يعني بيجيبها إيش بالضبط اللي يكترك
+
+422
+00:42:29,880 --> 00:42:35,020
+مهارة، okay؟
+
+423
+00:42:35,020 --> 00:42:44,240
+واضح؟ طيب، تفضلي بحد طوبة يعني موجة بقى سنة و خمسة
+
+424
+00:42:44,240 --> 00:42:47,680
+و عشرين، هذي أخوانها إيه، للنظارة ولا للمقعد اللي
+
+425
+00:42:47,680 --> 00:42:50,540
+لها بعد؟ لعب في عدسات مبحث منهم؟
+
+426
+00:42:59,680 --> 00:43:03,940
+في الكرسات أو كان مثلا عنده اللي هو minus تلاتة و
+
+427
+00:43:03,940 --> 00:43:07,840
+خمسة و سبعين minus أربع و خمسة و سبعين يعني
+
+428
+00:43:07,840 --> 00:43:12,580
+بيجيبها إنه بالربع درجة يعني بمعنى الآن أنا لما
+
+429
+00:43:12,580 --> 00:43:16,300
+باجيب عادل في ال written score تلاتة و نص في بنات
+
+430
+00:43:16,300 --> 00:43:19,660
+مثلا بتجيب مرات واحد و نص بقولها لأ واحد و خمسة و
+
+431
+00:43:19,660 --> 00:43:22,020
+سبعين فهو جاب ليها إيش بالدقة
+
+432
+00:43:25,450 --> 00:43:28,170
+جهاز ال auto refractometer بكرا ماتتعلموا عليه ان
+
+433
+00:43:28,170 --> 00:43:31,870
+شاء الله انه بيجيب تلاتة و نص قراءة تلاتة وربع
+
+434
+00:43:31,870 --> 00:43:35,670
+قراءة تلاتة و خمس و سبعين فانت ك examiner مش عارف
+
+435
+00:43:35,670 --> 00:43:40,270
+اي واحدة تختاري صحية مثلا ممكن في بعض الحلات انه
+
+436
+00:43:40,270 --> 00:43:45,270
+ربع درجمة يعني بتأثرش على المريض لكن في حلات بتأثر
+
+437
+00:43:45,270 --> 00:43:50,070
+و احنا حكينا انه اللي دايما في العيون كل حالة عن
+
+438
+00:43:50,070 --> 00:43:55,680
+حالة تختلف صح ولا لا؟فبدى اعرف ان ال written scope
+
+439
+00:43:55,680 --> 00:44:01,880
+انه جهاز بيستخدم لتحديد الحالة الانكسارية للعين
+
+440
+00:44:01,880 --> 00:44:07,580
+واضح وهو يعتبر more accurate compared to hot
+
+441
+00:44:07,580 --> 00:44:11,640
+refractometer سألت؟
+
+442
+00:44:11,640 --> 00:44:17,250
+فضليعشان أعمل أصفر، بقول of retinoscope إيه؟
+
+443
+00:44:17,250 --> 00:44:21,130
+الهدف، شو الهدف أنا من ال retinoscope؟ يعني هذا
+
+444
+00:44:21,130 --> 00:44:26,310
+الجهاز اللي بنستخدمه، شو الهدف منه؟ number one is
+
+445
+00:44:26,310 --> 00:44:29,890
+to determine the nature of the patient's
+
+446
+00:44:29,890 --> 00:44:33,770
+refractive error، إذا أول حاجة بيحدد الحالة
+
+447
+00:44:33,770 --> 00:44:39,810
+الانكسارية للعين أو بيحدد الخطأ الانكسارييعني الآن
+
+448
+00:44:39,810 --> 00:44:43,130
+لما بتعملي في ال written scope تعرفي إنه هل هذا
+
+449
+00:44:43,130 --> 00:44:47,570
+ميوب، hypermetroid، أستيمتزم، بعد ما اطلع مين ال
+
+450
+00:44:47,570 --> 00:44:53,290
+final objective reflection. إذن الهدف من ال
+
+451
+00:44:53,290 --> 00:44:58,030
+written scope إنه بيحدد طبيعة الخطأ الانكساري في
+
+452
+00:44:58,030 --> 00:45:03,890
+العين، واضحة؟ okay Maysa؟ number two is to
+
+453
+00:45:03,890 --> 00:45:09,710
+approximate إذا بقدرThe lens power قوة العدسة that
+
+454
+00:45:09,710 --> 00:45:13,890
+will neutralize the error and improve vision.إذا
+
+455
+00:45:13,890 --> 00:45:20,430
+بيقدر قداش قوة العدسة اللي بتعمل ايش؟ تعديل للخطأ
+
+456
+00:45:20,430 --> 00:45:26,090
+الانكساري وبتعمل ايه؟ تحسين للنظر هاي النقطة
+
+457
+00:45:26,090 --> 00:45:29,870
+التانية number three is to assess
+
+458
+00:45:34,830 --> 00:45:40,610
+in infants في الأطفال الرضّع okay small children
+
+459
+00:45:40,610 --> 00:45:46,350
+في الأطفال الصغار illiterate persons الأشخاص
+
+460
+00:45:46,350 --> 00:45:51,970
+الأميين mentally retarded الأشخاص المعاقين بصريا
+
+461
+00:45:51,970 --> 00:45:57,360
+uncooperative individualاللي بيكونوا غير متعاونين
+
+462
+00:45:57,360 --> 00:46:02,580
+and patients with speech loss الأشخاص اللي بيكونوا
+
+463
+00:46:02,580 --> 00:46:07,340
+إيه يعني silent مش متكلمين اللي ما بعرف يتكلم
+
+464
+00:46:07,340 --> 00:46:13,120
+فالآن ال goal of written scope تلاتة determine
+
+465
+00:46:13,120 --> 00:46:16,320
+approximate and assess
+
+466
+00:46:25,670 --> 00:46:29,050
+مثلا اعمل اللي هو determine لل refractive error
+
+467
+00:46:29,050 --> 00:46:32,930
+صح؟ و ممكن كمان اعمل approximate احدد ال lens
+
+468
+00:46:32,930 --> 00:46:36,230
+power يعني برضه في ال subjective ممكن اعملها انتوا
+
+469
+00:46:36,230 --> 00:46:39,570
+لسه عشان ماعملتوش لسه subjective فلسه الأمور مش
+
+470
+00:46:39,570 --> 00:46:40,290
+واضحة عينكم
+
+471
+00:46:56,910 --> 00:47:04,590
+لأ انت مش انت .. كلمة ايه؟ لسة
+
+472
+00:47:12,500 --> 00:47:17,140
+الغير متعاونين ال patients with speech loss يعني
+
+473
+00:47:17,140 --> 00:47:23,280
+المرضى اللي بتكلموش، الغير ناطقين، okay؟ إذا ال
+
+474
+00:47:23,280 --> 00:47:27,380
+goal of written scope تلاتة، two determine، number
+
+475
+00:47:27,380 --> 00:47:33,840
+two to approximate، number three to assess، okay؟
+
+476
+00:47:33,840 --> 00:47:37,460
+طيب، عندنا types of written scope، أنواع من؟
+
+477
+00:47:41,050 --> 00:47:45,470
+بنسميه نوعين مهمين من ال retinascope أول نوع ال
+
+478
+00:47:45,470 --> 00:47:49,630
+classical retinascope ال classical بمعنى تقليدي
+
+479
+00:47:49,630 --> 00:47:54,370
+النوع التقليدي أو بنسميه ال reflecting retinascope
+
+480
+00:47:54,370 --> 00:48:01,790
+اللي هو العكس reflecting إيش معناها؟ انعكس okay it
+
+481
+00:48:01,790 --> 00:48:03,810
+consists of a separate
+
+482
+00:48:10,350 --> 00:48:15,730
+the shoulder of the patient، إذا بتكون من مصدر ضوء
+
+483
+00:48:15,730 --> 00:48:21,130
+منفصل، شو طبيعة الضوء هذا؟ أو شو طبيعة ال street
+
+484
+00:48:21,130 --> 00:48:25,550
+بتاع ال classical written scope؟ number one إنه
+
+485
+00:48:25,550 --> 00:48:29,230
+narrow okay number two bright
+
+486
+00:48:40,370 --> 00:48:44,910
+فوق the shoulder of the patient يعني بالظبط هنا
+
+487
+00:48:44,910 --> 00:48:53,510
+خلف و أمامين ال patient إذا تركيز الضوء يعني زي
+
+488
+00:48:53,510 --> 00:48:59,770
+اللي هو ال fixate light okay إذا بالنسبة ل ال
+
+489
+00:48:59,770 --> 00:49:03,450
+classical retinascope شو طبيعة الضوء إذا ال
+
+490
+00:49:03,450 --> 00:49:06,750
+characteristics للضوء إنه narrow bright
+
+491
+00:49:17,780 --> 00:49:22,320
+و فوق the shoulder of the patient كتف من المريض
+
+492
+00:49:22,320 --> 00:49:27,580
+طيب the observer احنا او ال examiner ايش بنعمل؟
+
+493
+00:49:27,580 --> 00:49:33,520
+catch بنمسك a peripheral mirror مرقه peripheral
+
+494
+00:49:33,520 --> 00:49:39,100
+يعني بمعنى ان فيها hole اي بمعنى فيها ثقوب with a
+
+495
+00:49:39,100 --> 00:49:43,200
+central opening اذا بتكون فيها ثقوب من وين؟ من
+
+496
+00:49:43,200 --> 00:49:48,940
+المركزnot less than four meters in diameter اذا
+
+497
+00:49:48,940 --> 00:49:53,720
+بيكون هذه
+
+498
+00:49:53,720 --> 00:49:59,300
+المرقعة لو فرضنا بيكون ايه؟ فيها ثقوب في المنتصف
+
+499
+00:49:59,300 --> 00:50:06,940
+واضح؟ جديش القطر بتاعها اقل من اربعة متر اربعة ملي
+
+500
+00:50:06,940 --> 00:50:11,200
+متر okay this
+
+501
+00:50:11,200 --> 00:50:11,700
+plan
+
+502
+00:50:14,800 --> 00:50:20,240
+ليست اقل من اربع ملي ميتر، نعم This plan
+
+503
+00:50:20,240 --> 00:50:25,000
+peripherated mirror ان هذه المرأة المسطحة okay
+
+504
+00:50:25,000 --> 00:50:30,960
+طبعا هل هي convex ولا plan ولا concave mirror؟ هي
+
+505
+00:50:30,960 --> 00:50:35,720
+تعتبر plan mirror يعني بمعنى عدسة اي شمالها مسطحة
+
+506
+00:50:35,720 --> 00:50:40,840
+This plan peripherated mirror ان هذه العدسة
+
+507
+00:50:40,840 --> 00:50:43,100
+المسطحة reflects
+
+508
+00:50:53,260 --> 00:50:57,880
+into the patient's eye في عين المريض which senses
+
+509
+00:50:57,880 --> 00:51:03,000
+the image that can be seen by observer eye as red
+
+510
+00:51:03,000 --> 00:51:07,360
+reflex through the central opening بمعنى الآن
+
+511
+00:51:07,360 --> 00:51:14,840
+المريض بيكون الضوء أو ال light source بنعكس وين في
+
+512
+00:51:14,840 --> 00:51:17,560
+عين المريض زي فكرة ال retinascope اللي أنتوا
+
+513
+00:51:17,560 --> 00:51:21,380
+شغالين عليها الآن بنعكس في عين المريض فإيش بيبين
+
+514
+00:51:21,380 --> 00:51:26,250
+معاه؟ال بيوبل قبل ال reflex ال بيوبل إش ماله بيكون
+
+515
+00:51:26,250 --> 00:51:30,770
+bright مضيق و أنت من خلال ال بيوبل أني بشوف اللي
+
+516
+00:51:30,770 --> 00:51:34,790
+هو مين ال red reflex صح؟ يعني ال بيوبل بيكون
+
+517
+00:51:34,790 --> 00:51:39,070
+dilated واسع فأنا من خلاله بشوف مين اللي هو ال
+
+518
+00:51:39,070 --> 00:51:43,490
+reflex، بيكون نفس الفكرة بتاعته، إذا المصدر الضوء
+
+519
+00:51:43,490 --> 00:51:46,290
+بالعكس في مين؟ في عين المريم
+
+520
+00:51:50,040 --> 00:51:54,920
+طبيعة المرقة هذه بتكون plan mirror، أي بمعنى
+
+521
+00:51:54,920 --> 00:51:59,660
+مسطحة، لازم ما تكونش هذه المرقة لا concave ولا
+
+522
+00:51:59,660 --> 00:52:04,160
+convex، ليش؟ لأن الأشعة لازم تكون parallel، ممكن
+
+523
+00:52:04,160 --> 00:52:09,960
+سؤال، ليش في ال reflecting، ال retinascope، ليش
+
+524
+00:52:09,960 --> 00:52:10,820
+plan mirror؟
+
+525
+00:52:17,620 --> 00:52:25,380
+ما عايش تكون برقل اللي هي متوازية نعم
+
+526
+00:52:25,380 --> 00:52:29,340
+صحيح اه يعني مرقة هتعكس المصدر الضوء في عين المريض
+
+527
+00:52:29,340 --> 00:52:34,000
+طبعا هو هذا يعتبر ال written scope أولي بداية يعني
+
+528
+00:52:34,000 --> 00:52:38,620
+أول ال classical تقليدي فاهم عليك يعني مش الحديث
+
+529
+00:52:38,620 --> 00:52:42,280
+اللي موجود الآن يعني أول ما جابوا اللي هو فكرة ال
+
+530
+00:52:42,280 --> 00:52:44,500
+written scope من خلال ال classical أو ال
+
+531
+00:52:44,500 --> 00:52:45,660
+reflecting written scope
+
+532
+00:52:48,360 --> 00:52:53,640
+طبعا ايش هنعمل نفس العملية مين ال written scope ال
+
+533
+00:52:53,640 --> 00:52:57,620
+procedure العادية ان movements of the illuminated
+
+534
+00:52:57,620 --> 00:53:02,320
+area هحرك أنا المساحة المضيقة of the patient's
+
+535
+00:53:02,320 --> 00:53:06,720
+retina are produced by tilting the mirror.الان انا
+
+536
+00:53:06,720 --> 00:53:09,120
+كيف بده اشوف ال red reflex؟
+
+537
+00:53:19,470 --> 00:53:24,870
+يعني عشان أقدر أشوف مين ال red reflex هو الآن ال
+
+538
+00:53:24,870 --> 00:53:29,370
+examiner من وين بيشوف؟ من ال aperture mirror
+
+539
+00:53:29,370 --> 00:53:35,050
+بالظبط يعني من الفتحة الموجودة فيها المرقاة الضوء
+
+540
+00:53:35,050 --> 00:53:37,970
+هينعكس في عين المريض
+
+541
+00:53:44,020 --> 00:53:47,400
+خلاص ال .. ال .. ال .. باجي انه بعمل اللي هو ال
+
+542
+00:53:47,400 --> 00:53:53,000
+movements الحركة لمين لل reflex بشوفها هل هي with
+
+543
+00:53:53,000 --> 00:53:57,300
+ولا against the
+
+544
+00:53:57,300 --> 00:54:01,400
+used mirror may be plan or concave but the plan
+
+545
+00:54:01,400 --> 00:54:04,920
+one gives a better result دايما ال plan mirror
+
+546
+00:54:04,920 --> 00:54:08,760
+بتعطي نتيجة افضل ممكن انه تكون هي concave mirror
+
+547
+00:54:09,650 --> 00:54:13,470
+حكينا ان ال plan mirror بتعمل الأشعة parallel،
+
+548
+00:54:13,470 --> 00:54:17,610
+متوازية، okay؟
+
+549
+00:54:17,610 --> 00:54:22,410
+لأ، هذا classical، جديد، يعني هذه هي فكرة ال
+
+550
+00:54:22,410 --> 00:54:26,170
+written scope، يعني لو واحد حكالك، لو الآن انت
+
+551
+00:54:26,170 --> 00:54:30,410
+عملت في المعمل written scope لطالبة
+
+552
+00:54:43,660 --> 00:54:47,380
+المصدر الضوء يتعكس في عين المريض
+
+553
+00:55:10,150 --> 00:55:16,810
+يعني بمعنى انه بتكون المرقة و المصدر الضوء متحدين
+
+554
+00:55:16,810 --> 00:55:20,830
+مع بعض، صح ولا لا؟ بيكونوا combined together، انه
+
+555
+00:55:20,830 --> 00:55:26,490
+مع بعض، يعني ال .. ال head بتاعه زائد ال battery،
+
+556
+00:55:26,490 --> 00:55:30,010
+ال light source، المصدر الضوء بتاع ال written
+
+557
+00:55:30,010 --> 00:55:34,290
+score و ال mirror، المرقة، بيكونوا متحدين مع بعض،
+
+558
+00:55:34,290 --> 00:55:40,870
+okay؟It is a standard modern instrument، إذا هو
+
+559
+00:55:40,870 --> 00:55:47,430
+يعتبر جهاز حديث، easily manipulated، القدرة بتاعته
+
+560
+00:55:47,430 --> 00:55:50,430
+عالية، الاستخدام سهل
+
+561
+00:55:58,380 --> 00:56:03,440
+زائد انه الشدة الإضاءة من السهل انه ايه اتحكم فيها
+
+562
+00:56:03,440 --> 00:56:07,520
+زي ما انتوا بتعمله ممكن انه مثلا اعمل ال sleeve up
+
+563
+00:56:07,520 --> 00:56:10,920
+او ال sleeve down ممكن انه مثلا اغير ال rotation
+
+564
+00:56:10,920 --> 00:56:15,840
+الدوران بتاعه okay فالان ايش ال characteristics او
+
+565
+00:56:15,840 --> 00:56:20,200
+ال advantage بتاعة اللي هو الجهاز ال luminous
+
+566
+00:56:20,200 --> 00:56:23,920
+retinascope number one انه يعتبر هو modern
+
+567
+00:56:23,920 --> 00:56:29,840
+instrument جهاز حديثnumber two يعتبر easily
+
+568
+00:56:29,840 --> 00:56:35,160
+manipulated إذا سهولة استخدامه زائد أن ال
+
+569
+00:56:35,160 --> 00:56:40,260
+intensity of light الإضاءة بتاعته من السهل أنه إيش
+
+570
+00:56:40,260 --> 00:56:47,060
+أتحكم فيها it is portable أنه يعتبر محمول يعني
+
+571
+00:56:47,060 --> 00:56:51,980
+بقدر أحمله في جيبتي أو بقدر أحمله في شنطة إذا
+
+572
+00:56:51,980 --> 00:56:58,100
+portable بمعنى محمول الجهازThe most popular
+
+573
+00:56:58,100 --> 00:57:01,120
+luminous retinascope today is the streak
+
+574
+00:57:01,120 --> 00:57:05,940
+retinascope as it produces more easily recognized
+
+575
+00:57:05,940 --> 00:57:10,660
+red reflex يعني معظم ال retinascope اللي موجود
+
+576
+00:57:10,660 --> 00:57:15,060
+عندنا في المعامل أو في المستشفيات هو يعتبر ال
+
+577
+00:57:15,060 --> 00:57:20,040
+streak retinascope يعني الآن الجهاز ال retinascope
+
+578
+00:57:20,040 --> 00:57:23,180
+اللي موجود عندنا في المعمل إيش اسمه؟ streak
+
+579
+00:57:23,180 --> 00:57:24,000
+retinascope
+
+580
+00:57:27,900 --> 00:57:32,980
+as it produces more easily recognized red reflex
+
+581
+00:57:32,980 --> 00:57:38,060
+يعني بتعرف .. عنده القدرة على التعرف على ال red
+
+582
+00:57:38,060 --> 00:57:41,800
+reflex بتاع ال patient أو المريض بشكل ايه سهل
+
+583
+00:57:44,570 --> 00:57:48,010
+it also allows the axis of the meridian of
+
+584
+00:57:48,010 --> 00:57:51,430
+astigmatism to be more readily identified
+
+585
+00:57:51,430 --> 00:57:54,730
+separately إذا أنا الآن لو كان المريض عنده
+
+586
+00:57:54,730 --> 00:57:58,570
+astigmatism من السهل أتعرف عليه ليش؟ لأنه دايما ال
+
+587
+00:57:58,570 --> 00:58:03,310
+astigmatism بيكون oblique صح؟ فانا بحط ال streak
+
+588
+00:58:03,310 --> 00:58:08,190
+بتاع ال written score اشماله oblique اللي هو بمعنى
+
+589
+00:58:08,190 --> 00:58:08,850
+أنه بيكون
+
+590
+00:58:12,920 --> 00:58:19,740
+فبتلاقي انه دايما ايش بيكون شكله بالشكل هذا انه
+
+591
+00:58:19,740 --> 00:58:23,680
+بيكون oblique فانا بحالك الضوء او ال streak تاع ال
+
+592
+00:58:23,680 --> 00:58:28,680
+retinascope بيكون موازي لمين ل ال red reflex okay
+
+593
+00:58:28,680 --> 00:58:32,660
+يعني دايما ال streak تاع ال retinascope بيكون
+
+594
+00:58:32,660 --> 00:58:39,280
+موازي لمين ل ال red reflex ل ال facialفيش vertical
+
+595
+00:58:39,280 --> 00:58:43,480
+الشكل هذا زي ما أنا راسه يعني مثلا ال hand plus
+
+596
+00:58:43,480 --> 00:58:52,820
+خمسة و plus اتنين okay plus تلاتة مثلا hand ال
+
+597
+00:58:52,820 --> 00:58:58,920
+axis ممكن يكون قداش سبعين او ستين او خمسة و ستين
+
+598
+00:58:58,920 --> 00:59:01,940
+يعني هو تقدير فالwritten scope تقدير يعتبر
+
+599
+00:59:13,600 --> 00:59:22,120
+هو إحنا كيف نفحص
+
+600
+00:59:22,120 --> 00:59:28,040
+يعني؟
+
+601
+00:59:28,040 --> 00:59:31,880
+خلّيه على ال horizontal ولا راح نميل اللقطة اللي
+
+602
+00:59:31,880 --> 00:59:37,090
+علّه؟دايما انا ال streak ده ال retinascope لازم
+
+603
+00:59:37,090 --> 00:59:41,590
+يكون موازي ل ال red reflex باعي ال patient يعني
+
+604
+00:59:41,590 --> 00:59:45,710
+بمعنى اخر لو كان ال streak ده ال retinascope على
+
+605
+00:59:45,710 --> 00:59:50,170
+التسعين ال red reflex على التسعين بحطه موازي له
+
+606
+00:59:50,170 --> 00:59:54,730
+يعني parallel okay لو كان مثلا على المية و تمانين
+
+607
+00:59:54,730 --> 00:59:58,250
+يعني ما بعمل side to side بعمل ايه؟ على المية و
+
+608
+00:59:58,250 --> 00:59:58,610
+تمانين
+
+609
+01:00:13,500 --> 01:00:19,000
+موازن او red reflex الجهاز
+
+610
+01:00:19,000 --> 01:00:23,380
+هذا ايضا ايش فيه it contains a strong convex lens
+
+611
+01:00:23,380 --> 01:00:28,200
+for condensation of light in the patient's eye اذا
+
+612
+01:00:28,200 --> 01:00:32,520
+بيكون في عدسة ايش مالها مجمعة اللي هي convex lens
+
+613
+01:00:32,520 --> 01:00:40,480
+شو بتعمل هذه بتجمع الضوء في عين المرينةeven a
+
+614
+01:00:40,480 --> 01:00:44,260
+creator efficiency is obtained from the modern
+
+615
+01:00:44,260 --> 01:00:48,620
+retinoscopy by the use of halogen bulbs and
+
+616
+01:00:48,620 --> 01:00:50,620
+rechargeable batteries
+
+617
+01:01:00,520 --> 01:01:05,120
+انه بيكون في ال rechargeable batteries انه لها
+
+618
+01:01:05,120 --> 01:01:10,160
+الشحن اللي هي بطارية للشحن okay اذا الان لو حكيتلك
+
+619
+01:01:10,160 --> 01:01:17,460
+mention شو هي ازاي ال written scope number one
+
+620
+01:01:17,460 --> 01:01:25,680
+number one عندنا اول حاجة في عندنا ال convex lens
+
+621
+01:01:25,680 --> 01:01:33,340
+العدسة المجمعةعنا كمان ال halogen bulb فى عنا ال
+
+622
+01:01:33,340 --> 01:01:39,540
+chargeable batteries اللى هى البطارية okay فى عنا
+
+623
+01:01:39,540 --> 01:01:45,960
+كمان ال mirror المرأة ال plan mirror شو كمان أزاى
+
+624
+01:01:45,960 --> 01:01:49,880
+ال retinascope؟ ال sleeve مش فى ال sleeve، ال
+
+625
+01:01:49,880 --> 01:01:52,860
+sleeve up و down، ال movable sleeve
+
+626
+01:02:14,830 --> 01:02:19,510
+هدول انه بتكون من نظامين ال viewing لقدام هناخدهم
+
+627
+01:02:19,510 --> 01:02:23,110
+ال viewing system زاد ال illuminating system نظام
+
+628
+01:02:23,110 --> 01:02:31,530
+الرؤية و نظام الإضاءة لكن هنا عندنا ال parts أزاق
+
+629
+01:02:31,530 --> 01:02:37,130
+of رتينوم
+
+630
+01:02:42,320 --> 01:02:51,820
+scope number one convex الان
+
+631
+01:02:51,820 --> 01:02:56,840
+اللي احنا بنستخدمه ال reflecting retinascope هو
+
+632
+01:02:56,840 --> 01:03:00,780
+بتكون بس من mirror اللي هو مرقار زائد انه بيكون ال
+
+633
+01:03:00,780 --> 01:03:04,960
+light source المصدر الضوء واضح؟ اذا ال parts of
+
+634
+01:03:04,960 --> 01:03:07,860
+retinascope اللي انا بقصد فيه ال streak
+
+635
+01:03:07,860 --> 01:03:15,990
+retinascope الان المستخدم الانال convex lens تعمل
+
+636
+01:03:15,990 --> 01:03:21,890
+convergence لل
+
+637
+01:03:21,890 --> 01:03:27,030
+light source
+
+638
+01:03:27,030 --> 01:03:31,070
+في
+
+639
+01:03:31,070 --> 01:03:37,430
+عندنا number two a plan mirror
+
+640
+01:03:41,220 --> 01:03:52,800
+طبعا بتكون bearable لل light rays
+
+641
+01:03:52,800 --> 01:03:57,380
+number
+
+642
+01:03:57,380 --> 01:04:04,720
+three في عندنا ال batteries البطارية
+
+643
+01:04:04,720 --> 01:04:07,660
+number four
+
+644
+01:04:14,660 --> 01:04:21,520
+halogen light source
+
+645
+01:04:21,520 --> 01:04:26,040
+number
+
+646
+01:04:26,040 --> 01:04:33,440
+five الموفable sleeve
+
+647
+01:04:33,440 --> 01:04:38,820
+سواكان up down or
+
+648
+01:04:43,570 --> 01:04:50,010
+side to side okay
+
+649
+01:04:50,010 --> 01:05:00,510
+هاي أزاق ال retinascope إذا
+
+650
+01:05:00,510 --> 01:05:04,710
+خمس أزاق بتكون منه جهاز ال street retinascope
+
+651
+01:05:04,710 --> 01:05:08,890
+بمعنى ال light retinascope أو ال luminous
+
+652
+01:05:08,890 --> 01:05:10,350
+retinascope okay
+
+653
+01:05:29,040 --> 01:05:33,760
+طيب بالنسبة لل written scope بتكون كمان من نظامين
+
+654
+01:05:33,760 --> 01:05:39,240
+في عندنا ال viewing system اللي هو نظام الإضاءة او
+
+655
+01:05:39,240 --> 01:05:44,360
+نظام الرؤية و ال illuminating system نظام الإضاءة
+
+656
+01:05:45,190 --> 01:05:49,170
+الان لو انا جبتلك written scope has viewing system
+
+657
+01:05:49,170 --> 01:05:54,290
+only true or false؟ false اذا two system viewing
+
+658
+01:05:54,290 --> 01:05:58,850
+system and illuminating system okay بقصد مين هان
+
+659
+01:05:58,850 --> 01:06:04,870
+ال street written scope okay the viewing system
+
+660
+01:06:04,870 --> 01:06:08,650
+نظام الرؤية اللي هي الفتحة اللي بيشوف منها ال
+
+661
+01:06:08,650 --> 01:06:13,870
+aberration okay اللي قطرها ال diameter اربع مليمتر
+
+662
+01:06:13,870 --> 01:06:19,770
+او اكثرthe viewing system نظام الرؤية consists of
+
+663
+01:06:19,770 --> 01:06:24,170
+a small aperture اذا تتكون من فتحة صغيرة at the
+
+664
+01:06:24,170 --> 01:06:27,470
+head of the retinascope في رأس الرتيناسكوب that
+
+665
+01:06:27,470 --> 01:06:31,670
+enables انه بيسمح the examiner to see اللي بتسمح
+
+666
+01:06:31,670 --> 01:06:35,410
+لمين؟ للمريض، لال examiner بالرؤية
+
+667
+01:06:38,420 --> 01:06:44,460
+النظام الرؤية بتكون من ال light source اللي حكينا
+
+668
+01:06:44,460 --> 01:06:48,560
+عنها مين ال bulb هالوجين اللي بتعمل ايه بتجمع
+
+669
+01:06:48,560 --> 01:06:55,900
+الضوء which is a straight line خط مستقيمStraight
+
+670
+01:06:55,900 --> 01:06:59,480
+line filament هي الـ filament بمعنى خيوط يعني
+
+671
+01:06:59,480 --> 01:07:03,260
+الضوء اللي بيخرج من ال retinascope بيكون ايش
+
+672
+01:07:03,260 --> 01:07:08,240
+parallel متوازق okay فبيكون زي الخيوط المتوازية
+
+673
+01:07:08,240 --> 01:07:14,020
+يعني زي خطوط متوازية of the bulb in a straight
+
+674
+01:07:14,020 --> 01:07:14,940
+retinascope
+
+675
+01:07:20,670 --> 01:07:28,070
+ووضفتها ال plan mirror العدسة المسطحة انه الأشعة
+
+676
+01:07:28,070 --> 01:07:34,590
+انه بتكون متوازية صح and a condensing lens العدسة
+
+677
+01:07:34,590 --> 01:07:37,670
+المجمعة between the mirror and the bulb اللي هي
+
+678
+01:07:37,670 --> 01:07:41,550
+حاكينا عنها ال convex lens او بنسميها ال
+
+679
+01:07:41,550 --> 01:07:46,070
+condensing lens او convergence of the light source
+
+680
+01:07:46,070 --> 01:07:52,730
+ايضا في عندنا a movable sleeveالـ movable sleeve،
+
+681
+01:07:52,730 --> 01:07:59,990
+حركة السليف، السليف بمعنى أنبوب استواني okay is a
+
+682
+01:07:59,990 --> 01:08:03,470
+present that involves the whole retinascope، إذا
+
+683
+01:08:03,470 --> 01:08:07,490
+موجود بيكون في ال retinoscope، أتكلم عن مين؟
+
+684
+01:08:07,490 --> 01:08:13,350
+الاستريك ريتيناسكوب، the bulb، إذا هذه اللمبة may
+
+685
+01:08:13,350 --> 01:08:18,090
+be rotated، ممكن أنه تدور على ال 360 درجة، صح ولا
+
+686
+01:08:18,090 --> 01:08:24,600
+لأ؟عندما تحرك السليف يمكن أن تتحرك على التسعين،
+
+687
+01:08:24,600 --> 01:08:28,520
+المية و تمانين، تلاتين، مية و خمسة و ثلاثين، حسب
+
+688
+01:08:28,520 --> 01:08:33,580
+موقع الـ red reflex بالنسبة للـ streak يعني
+
+689
+01:08:33,580 --> 01:08:34,780
+الـwritten score
+
+690
+01:08:42,090 --> 01:08:47,270
+to just it is focused طبعا up down or side to side
+
+691
+01:08:47,270 --> 01:08:51,970
+يعني انه بيكون up down اللي هو او side to side
+
+692
+01:08:51,970 --> 01:08:57,270
+right to left طبعا
+
+693
+01:08:57,270 --> 01:09:00,690
+اليوم بنكون هيك اكتفنا من محاضرة اليوم
+
+694
+01:09:03,200 --> 01:09:06,900
+في المحاضرة القادمة ان شاء الله هنبدأ what happens
+
+695
+01:09:06,900 --> 01:09:11,360
+during retinoscopy ان شو اللي بيحدث اثناء عملية
+
+696
+01:09:11,360 --> 01:09:13,320
+مين ال retinoscopy
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..081615950c657857aa3e5633045c8f390a648a99
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/2G_muh64saE_raw.srt
@@ -0,0 +1,2784 @@
+1
+00:00:21,600 --> 00:00:25,620
+طيب بسم الله الرحمن الرحيم السلام عليكم اليوم
+
+2
+00:00:25,620 --> 00:00:31,600
+هنبدأ في موضوع ال measurement notation وحدة القياس
+
+3
+00:00:31,600 --> 00:00:38,530
+هنحاول أنه نعيد وحدات القياس مع بعض مرة تانيةلأنه
+
+4
+00:00:38,530 --> 00:00:42,330
+شعرت أنه في بعض ال confusion اللي هو التباك عند
+
+5
+00:00:42,330 --> 00:00:47,910
+بعض الطالبات فهنحاول أنه نعيد بالنسبة للست متر
+
+6
+00:00:47,910 --> 00:00:54,510
+وإذا كانت متغيرة المسافة ما بين ال patient اي
+
+7
+00:00:54,510 --> 00:01:03,590
+و ال chart لو فرضنا مثلا الان ستة على تلاتين هذه
+
+8
+00:01:03,590 --> 00:01:13,510
+ايش تعتبر؟متر صح؟ لو بدى احولها لفيت اذا
+
+9
+00:01:13,510 --> 00:01:27,430
+الستة على تلاتين عشرين اذا ستة X بالساوية عشرين في
+
+10
+00:01:27,430 --> 00:01:31,730
+تلاتين اذا ال X ايش بالساوية؟
+
+11
+00:01:35,290 --> 00:01:41,070
+إذا ال X عشرين
+
+12
+00:01:41,070 --> 00:01:47,490
+at six
+
+13
+00:01:47,490 --> 00:02:00,990
+meters هذا ما حولنا من meters لمين لفيت واضحة؟ طيب
+
+14
+00:02:00,990 --> 00:02:03,470
+لو الست ع تلاتين نفسها
+
+15
+00:02:06,880 --> 00:02:14,480
+بدي احولها ايوة اه اللي هي ال visual ال 6 على 30
+
+16
+00:02:14,480 --> 00:02:19,000
+يعني
+
+17
+00:02:19,000 --> 00:02:24,500
+ال visual acuity هان اللي هي ال 6 على 30 okay ال x
+
+18
+00:02:24,500 --> 00:02:28,100
+مية هي كاتب انا اللي هي ال 6 على 30 بساوة 20 على
+
+19
+00:02:28,100 --> 00:02:32,440
+100 okay طيب بالنسبة لل decimal
+
+20
+00:02:35,700 --> 00:02:42,700
+إذاً ستة ع تلاتين واحد ع خمسة لو
+
+21
+00:02:42,700 --> 00:02:49,320
+بدي أخد مثلا ال mark خمسة
+
+22
+00:02:49,320 --> 00:02:56,020
+طيب log الخمسة على الحاسفة يعني بدي أخد ال log ال
+
+23
+00:02:56,020 --> 00:03:02,100
+mark log الخمسة okay إذا
+
+24
+00:03:02,100 --> 00:03:02,540
+ال log
+
+25
+00:03:06,430 --> 00:03:11,150
+تسعة و ستين من المية، اذا هي أخدنا ال meters، ال
+
+26
+00:03:11,150 --> 00:03:15,970
+feet، ال mar، اللجمار زائد ال decimal notation،
+
+27
+00:03:15,970 --> 00:03:22,840
+هذه ع مسافة كام؟ ع مسافة ست مترواضح؟ يعني هي اللي
+
+28
+00:03:22,840 --> 00:03:27,980
+هو حولناها ل meter من meter ل feet بعدين حولنا من
+
+29
+00:03:27,980 --> 00:03:34,940
+meter ل decimal من ثم من decimal او sorry من meter
+
+30
+00:03:34,940 --> 00:03:45,160
+ل mar و حولنا أيضا من meter ل log mar طبعا
+
+31
+00:03:45,160 --> 00:03:47,720
+هذه كلها مسافة كده؟ ست متر
+
+32
+00:03:53,130 --> 00:03:59,810
+أه تفضل في الآن معظم ال standard .. معظم ال
+
+33
+00:03:59,810 --> 00:04:04,190
+standard في العالم ل ال visual acuity ما بيستخدموش
+
+34
+00:04:04,190 --> 00:04:08,470
+لا ال meters ولا ال feet ولا ال mar ولا ال decimal
+
+35
+00:04:08,470 --> 00:04:13,290
+كله بيستخدموا اللجمع يعني ممكن انت يعني لو مثلا ان
+
+36
+00:04:13,290 --> 00:04:17,670
+شاء الله كملت ماجستير او مثلا اشتغلت بلرة هتلاقي
+
+37
+00:04:17,670 --> 00:04:21,890
+معظم الناس بلرة بيستخدموا اللجمعيعني ما بيستخدم
+
+38
+00:04:21,890 --> 00:04:25,930
+الميتر أوي و هي تعتبر more accurate compared to
+
+39
+00:04:25,930 --> 00:04:32,270
+snail or feet or decimal or mark يعني لو انا
+
+40
+00:04:32,270 --> 00:04:37,130
+حكيتلك which one is more accurate لغمار ولا feet
+
+41
+00:04:37,130 --> 00:04:45,150
+ولا decimal ولا snail لغمار okay which
+
+42
+00:04:45,150 --> 00:04:49,770
+one is more accurateيعني مين أكثر وحدة .. الأدق
+
+43
+00:04:49,770 --> 00:04:57,850
+واحدة في وحدات القياس هي تعتبر مين اللجمر طبعا
+
+44
+00:04:57,850 --> 00:05:02,690
+هذه كلها مسافة كده؟ ستة متر الستة متر هي تعتبر ال
+
+45
+00:05:02,690 --> 00:05:09,470
+standard طيب لو .. لو غيرنا مثلا المسافة حطينا
+
+46
+00:05:09,470 --> 00:05:15,370
+مثلا أربع متر يعني لو قلنا هنا مثلا ستة ع تلاتين
+
+47
+00:05:27,880 --> 00:05:39,240
+مت ايش؟ at four meter وهذه بتحولها لإيش؟ ل feet في
+
+48
+00:05:39,240 --> 00:05:43,480
+البداية الستة ع التلاتين هذه أيش؟ على مسافة أربعة
+
+49
+00:05:43,480 --> 00:05:49,100
+متر واضح؟ إذا هذه الستة ع التلاتين طبعا هي مانفعش
+
+50
+00:05:49,100 --> 00:05:53,960
+ستة أربعة متر مابود أشوفكم صحين ولا لأ؟أربعة على
+
+51
+00:05:53,960 --> 00:05:57,940
+تلاتين لأن المسافة جداش اربعة متر اذا الاربعة
+
+52
+00:05:57,940 --> 00:06:02,660
+تلاتين ستة
+
+53
+00:06:02,660 --> 00:06:13,780
+على اكس اذا اربعة اكس بالساوية تلاتين في ستة طبعا
+
+54
+00:06:13,780 --> 00:06:18,360
+ال X جداش مضرو بالتلاتين في ستة على اربعة خمسة
+
+55
+00:06:18,360 --> 00:06:18,960
+واربعين
+
+56
+00:06:22,660 --> 00:06:32,280
+هذه اللي هي ال .. ستة على خمسة واربعين انت ملاحظة
+
+57
+00:06:32,280 --> 00:06:37,080
+في شغلة .. مين ملاحظة؟ حولنا ال أربعين متر فلقط
+
+58
+00:06:37,080 --> 00:06:39,760
+اننا .. لأ في شغلة ما طلعنا ستة على خمسة واربعين
+
+59
+00:06:39,760 --> 00:06:44,780
+واحدة بس ارفع يدك اتفضلي لو لما تكون على مسافة
+
+60
+00:06:44,780 --> 00:06:50,720
+أربع متر بيكون ستة لزي .. بقل اللي بيطلع
+
+61
+00:07:02,570 --> 00:07:07,450
+لما كنا في مسافة أربعة متر كان الخط بالنسبة .. أو
+
+62
+00:07:07,450 --> 00:07:10,590
+الحجم اللي شارفه الهادأ أصغر بالنسبة لما كان على
+
+63
+00:07:10,590 --> 00:07:15,980
+بعد ست متر، لأنه كبر الخطOkay هدى بالنسبة حسب اللى
+
+64
+00:07:15,980 --> 00:07:19,180
+هو يعني according to the distance انه بناء على
+
+65
+00:07:19,180 --> 00:07:24,060
+المسافة انه انا احدد بس في شغلها بتثبت انه كلامي
+
+66
+00:07:24,060 --> 00:07:26,920
+انه هو الصح من ناحية انه which one is more
+
+67
+00:07:26,920 --> 00:07:30,880
+accurate بتلاحظ انها بتطلع ستة ع خمسة واربعين
+
+68
+00:07:30,880 --> 00:07:35,960
+الجابلة ستة ع تلاتين بمعنى انه دايما ال snailing
+
+69
+00:07:35,960 --> 00:07:40,400
+visual acuity مابتطلعش مثلا زى عندنا في المعمل ستة
+
+70
+00:07:40,400 --> 00:07:44,640
+ع ستينستة و تلاتين، ستة أربع و عشرين، لإن ماما
+
+71
+00:07:44,640 --> 00:07:47,440
+بتجسمي مثلا ستة على أربع و عشرين، يعني أربع و
+
+72
+00:07:47,440 --> 00:07:51,500
+عشرين على ستة رقم صحيح، أقصد في المار أو ستين على
+
+73
+00:07:51,500 --> 00:07:55,920
+ستة رقم صحيح، ستة و تلاتين على ستة رقم صحيح، صح
+
+74
+00:07:55,920 --> 00:08:00,400
+ولا لا؟فهان جالة مثلا تطلع ستة ع خمسة و ربين أو
+
+75
+00:08:00,400 --> 00:08:04,080
+مثلا تطلع ستة على سبعة و نص أو ستة ع تسعة و نص
+
+76
+00:08:04,080 --> 00:08:09,040
+فهذه بتكون قريبة لمين؟ للجمر يعني بتكون انه .. هذا
+
+77
+00:08:09,040 --> 00:08:13,380
+بدل انه اللجمر more accurate compared to a snail
+
+78
+00:08:13,380 --> 00:08:24,090
+أو meter او feet او مر okay؟ اه تفضليالاربع متر لو
+
+79
+00:08:24,090 --> 00:08:27,710
+جبنا مثلا لسنين ال mark أي شيء، ثلاثين، سنتون،
+
+80
+00:08:27,710 --> 00:08:31,230
+تلاتين، ولا رقم هيطلع صح، يلا أكمل رقم اه لأنه
+
+81
+00:08:31,230 --> 00:08:37,370
+مختلفة إيش؟ المسافة بس
+
+82
+00:08:37,370 --> 00:08:41,360
+مختلفة المسافةيعني المسافة لان و أنا عندى كانت
+
+83
+00:08:41,360 --> 00:08:45,780
+اربع متر فانا حولت لمسافة ستة متر لكن هذه من خلال
+
+84
+00:08:45,780 --> 00:08:50,200
+ال experience انا شعرت انه دايما يما انت بتحولي من
+
+85
+00:08:50,200 --> 00:08:54,300
+وحدة لوحدك تانية بتشعر انه دايما ال اثنين مابطلعش
+
+86
+00:08:54,300 --> 00:08:59,020
+رقم صحيح و هذا بدل ان اللجمر هي more accurate ل ال
+
+87
+00:08:59,020 --> 00:09:01,820
+other chart اه تفضلى
+
+88
+00:09:05,770 --> 00:09:12,710
+مش visual اه على مسافة ستة متر اه يعني هان انا لسه
+
+89
+00:09:12,710 --> 00:09:20,390
+ماكملت الستة ع خمسة واربعين هذه at six meter واضح؟
+
+90
+00:09:20,390 --> 00:09:28,470
+صحيك؟ اه واضح؟ شجه هذه بسمع؟ اه تفضلي لما نكمل
+
+91
+00:09:28,470 --> 00:09:32,070
+حولها لفيت برضه هنكتب على at six meterلأن ال
+
+92
+00:09:32,070 --> 00:09:36,970
+standard بتاعي في ال 6 متر، يعني بنفعش انا احول من
+
+93
+00:09:36,970 --> 00:09:43,370
+meter ل feet دون ال 6، ال 6 هي تعتبر ال standard،
+
+94
+00:09:43,370 --> 00:09:47,330
+لأن ليه؟ عندنا ال 6 meter هي عبارة عن ايش؟ ال 20
+
+95
+00:09:47,330 --> 00:09:51,750
+feet، بقدرش احول ل 4 meter لأنه ماعنديش standard
+
+96
+00:09:51,750 --> 00:09:56,190
+لل 4Okay؟ يعني ليش أنا مثلا هان استخدمت اللي هي
+
+97
+00:09:56,190 --> 00:10:00,890
+الست متر؟ ليش مثلا ما استخدمتش الأربع متر؟ لأنه هي
+
+98
+00:10:00,890 --> 00:10:04,490
+تعتبر ال standard بالنسبة ليه العشرين متر هي ال
+
+99
+00:10:04,490 --> 00:10:10,930
+twenty feet هي العشرين feet واضح هيك؟ طبعا هان
+
+100
+00:10:10,930 --> 00:10:15,680
+الست على خمسة واربعين على مسافة كده؟ ستة مترو
+
+101
+00:10:15,680 --> 00:10:20,060
+بعدها بقدر أحول لأي وحدة قياسة يعني بقدر أنه أحول
+
+102
+00:10:20,060 --> 00:10:25,460
+ال feed ل ال decimal ل ال mar أو ال log mar واضح
+
+103
+00:10:25,460 --> 00:10:33,420
+ولا في confusion لسه؟ مين مش فاهم طيب؟ صراحة يعني
+
+104
+00:10:33,420 --> 00:10:37,840
+أنا عادي بنظن أنه نعيد من هلأ بكرا اللي مش فاهمة
+
+105
+00:10:37,840 --> 00:10:41,240
+لازم أنه تحكيلي أنا مش فاهمة أفضل
+
+106
+00:10:49,970 --> 00:10:58,510
+طب الحمد لله يعني فاهمها لما حليتي هيك طبعا
+
+107
+00:10:58,510 --> 00:11:01,830
+اي واحدة مش فاهمة راجعا تحكيلي انه انا مش فاهمه
+
+108
+00:11:01,830 --> 00:11:07,000
+عشان انه نعيد مرة و مرتين و تلاتة okay اه تفضليهل
+
+109
+00:11:07,000 --> 00:11:10,400
+قلت okay ادينا في السؤال مثلا اذا كانت تمانتاش مش
+
+110
+00:11:10,400 --> 00:11:15,900
+عشرين مثلا على تلاتين بنحقق بال feet؟ اه و هم
+
+111
+00:11:15,900 --> 00:11:21,320
+بيقدروا نحويلها لعشرين بعدها لستة ولا كده؟ كيف؟
+
+112
+00:11:21,320 --> 00:11:25,080
+قالت اه okay ادينا بدل عشرين على اربعمية feet مثلا
+
+113
+00:11:25,080 --> 00:11:27,720
+هم بيقدروا نحويلها تمانتاش او خمستاش على تلاتين او
+
+114
+00:11:27,720 --> 00:11:31,260
+على اي رقم؟ خمستاش على تلاتين؟ كيف فعلت؟ اه يعني
+
+115
+00:11:31,260 --> 00:11:38,480
+مثلا ات خمستاشر feet نحويلها اول اشهر باللأ ال
+
+116
+00:11:38,480 --> 00:11:41,580
+feet لأ ما بيعطيكي، دايما ال feet ثابت، انه
+
+117
+00:11:41,580 --> 00:11:46,320
+بياخدوا رقم ثابت، انه عشرين قدم، يعني دايما ال
+
+118
+00:11:46,320 --> 00:11:49,540
+standard بتاعه ثابت، ما بتغير، بس ال meter هو اللي
+
+119
+00:11:49,540 --> 00:11:53,000
+بتغير، انه أربعة meter عمرك شوفت مثلا واحد visual
+
+120
+00:11:53,000 --> 00:11:57,600
+acuity عنده اربعين feet، اربعين على مثلا متين،
+
+121
+00:11:57,600 --> 00:12:01,840
+متنفعش، فدايما هي ال standard هي تعتبر ال decimal،
+
+122
+00:12:01,840 --> 00:12:04,380
+ال British
+
+123
+00:12:08,730 --> 00:12:14,350
+هلجيت انا حولت هذه لست متر لو مثلا احكيلك حول لفيت
+
+124
+00:12:14,350 --> 00:12:20,130
+انا ضايق لفيت اه ستة ع خمسة واربعين بالساوي
+
+125
+00:12:20,130 --> 00:12:26,990
+عشرين على X بعدين بطلع قداش ال X مية و خمسين اذا
+
+126
+00:12:26,990 --> 00:12:37,790
+الستة على خمسة واربعين بالساوي ايش قد اللي هو six
+
+127
+00:12:37,790 --> 00:12:38,130
+meter
+
+128
+00:12:44,740 --> 00:12:49,400
+واضحة؟ يعني الآن لو شفت أية visual acuity في أي
+
+129
+00:12:49,400 --> 00:12:53,380
+ورقة مكتوب تعرفي تقريه سواء كان في ال decimal أو
+
+130
+00:12:53,380 --> 00:12:56,440
+كان في ال mar أو كان في ال log mar أو كان في ال
+
+131
+00:12:56,440 --> 00:13:00,300
+snail أو كان في ال feed نقدر نقرأ إنه نحاوله لأي
+
+132
+00:13:00,300 --> 00:13:05,780
+توحية حتى لو كانت المسافة أشمالها متغيرة واضح؟ طيب
+
+133
+00:13:05,780 --> 00:13:14,100
+حلوا قعدوا عينكم عندنا خمسةعلى تلاتين at
+
+134
+00:13:14,100 --> 00:13:21,960
+five meter بدي احولها لوحدة
+
+135
+00:13:21,960 --> 00:13:25,260
+ال
+
+136
+00:13:25,260 --> 00:13:25,600
+decimal
+
+137
+00:13:33,960 --> 00:13:38,840
+عنا السؤال خمسة على تلاتين at five meter تحولها ل
+
+138
+00:13:38,840 --> 00:13:44,500
+decimal طبعا
+
+139
+00:13:44,500 --> 00:13:51,620
+تقدر تستخدم الجوالات بس ال calculation
+
+140
+00:14:00,120 --> 00:14:09,620
+فكرتي انا؟ امتازة صح صح امتازة واحد
+
+141
+00:14:09,620 --> 00:14:22,180
+ع ستة صح النتيجة اه مظبوط اللي هي ستة ايه
+
+142
+00:14:22,180 --> 00:14:23,100
+نور؟ حلو
+
+143
+00:15:15,560 --> 00:15:21,920
+هذه ايش؟ ديوبترا
+
+144
+00:15:21,920 --> 00:15:29,370
+هيك تكتب ديسمنتحط بس دي ايه ممتازة
+
+145
+00:15:29,370 --> 00:15:37,070
+ايه are you agree with the result ممكن اني بكتب بس
+
+146
+00:15:37,070 --> 00:15:41,830
+هي حولت هي مدام حولت هان ال six meter خلاص انه
+
+147
+00:15:41,830 --> 00:15:45,410
+بعرف انه على مسافة الستة are you agree with the
+
+148
+00:15:45,410 --> 00:15:52,490
+result طيب الان ورقة صغيرةطبعا صحيح بالنسبة لل
+
+149
+00:15:52,490 --> 00:15:56,610
+quiz بتاع ال pre verbal أنا لغيته بس كان من ناحية
+
+150
+00:15:56,610 --> 00:15:59,210
+انه يعني motivation هيك
+
+151
+00:16:44,840 --> 00:16:51,880
+طيب طبعا اربعة و نص على ستين على مسافة اربعة و نص
+
+152
+00:16:51,880 --> 00:16:59,500
+متر بدي اتحوليها ل log
+
+153
+00:17:02,340 --> 00:17:10,940
+مار لحظة بقرالك السؤال جوال
+
+154
+00:17:10,940 --> 00:17:19,900
+استخدم الجوال طيب
+
+155
+00:17:19,900 --> 00:17:25,540
+موجود
+
+156
+00:17:25,540 --> 00:17:26,200
+اللغمار؟
+
+157
+00:17:32,510 --> 00:17:37,830
+كل واحدة في عين الورقة بتاعتها ماعكيش
+
+158
+00:17:37,830 --> 00:17:55,050
+طيب عشان نتحد هيك انه نعملها للمار كله
+
+159
+00:17:55,050 --> 00:17:56,110
+سلم هيك خلصنا
+
+160
+00:18:36,800 --> 00:18:40,020
+تعرف ممكن لو ماجيبناش في سلسلة ممكن نجيب دغري
+
+161
+00:18:40,020 --> 00:18:40,960
+المعالجة
+
+162
+00:18:44,640 --> 00:18:51,260
+تمانية و ستة ع
+
+163
+00:18:51,260 --> 00:18:55,000
+مسافة
+
+164
+00:18:55,000 --> 00:19:04,100
+أكمها دي هي كتبها خالص إذا
+
+165
+00:19:04,100 --> 00:19:06,840
+هي أزملتكم حولت أول حاجة
+
+166
+00:19:10,370 --> 00:19:14,770
+بعدين حولت لاربع .. اه لست متر، بعدين جابت اللي هو
+
+167
+00:19:14,770 --> 00:19:18,750
+المار مباشرة أو ممكن تجيب ال decimal و ثم المار،
+
+168
+00:19:18,750 --> 00:19:25,110
+يعني كل الطرق صحيحة، okay؟ اه
+
+169
+00:19:25,110 --> 00:19:30,650
+ستة ع تمانين، ستة ع تمانين، بجسم ال bus على
+
+170
+00:19:30,650 --> 00:19:34,370
+المقام، خلي بس واحدة تتكلم
+
+171
+00:19:41,150 --> 00:19:45,190
+لأ هي كاتبة decimal ستة ع تمانين هي المفروض يعني
+
+172
+00:19:45,190 --> 00:19:49,850
+اتجسم اه ال bus ع مقام لإن ال decimal معناها عشرة
+
+173
+00:19:49,850 --> 00:19:55,210
+بس انا هذه الخطوة هي لازم تكون من الصحي اللي هي
+
+174
+00:19:55,210 --> 00:19:58,890
+خلاص مباشرة ال mar تمانين على ستة مقام على bus و
+
+175
+00:19:58,890 --> 00:20:08,870
+بطلع جديش لإن ال decimal معناها عشرة okay طيب
+
+176
+00:20:10,480 --> 00:20:15,420
+واضح الموضوع هذا اليوم؟ ال testing of near vision
+
+177
+00:20:15,420 --> 00:20:21,760
+الان كيف انا ممكن اقيس حدة الإبصار لكن لمين؟ لقريب
+
+178
+00:20:21,760 --> 00:20:25,240
+طبعا انا لما بقيس حدة الإبصار بالنسبة للقريب
+
+179
+00:20:25,240 --> 00:20:28,880
+بستخدمه للhyper metrope الناس اللي عندهم طول نظر
+
+180
+00:20:28,880 --> 00:20:35,960
+او presbyope القصور النظر okay؟this occurs at a
+
+181
+00:20:35,960 --> 00:20:39,680
+distance of thirty to forty centimeters that
+
+182
+00:20:39,680 --> 00:20:43,500
+called the reading distance or working distance
+
+183
+00:20:43,500 --> 00:20:48,840
+اذا هذه بتحدث للمسافة من تلاتين لاربعين سانتي
+
+184
+00:20:48,840 --> 00:20:53,860
+وبسميها ايش ال working distance مسافة العمل او ال
+
+185
+00:20:53,860 --> 00:20:57,560
+reading distance او ال writing distance يعني كلها
+
+186
+00:20:57,560 --> 00:21:03,350
+مسمة واحدإذا المسافة اللي بيعمل عليها مين الخياط
+
+187
+00:21:03,350 --> 00:21:07,010
+أو المسافة اللي بيقرا عليها الطالب طبعا تلاتين
+
+188
+00:21:07,010 --> 00:21:11,390
+لاربعين صنطة هذي تعتبر إيش range يعني ممكن واحد
+
+189
+00:21:11,390 --> 00:21:14,670
+بيجيني بقول أنا مثلا بقرا على مسافة خمسة و عشرين
+
+190
+00:21:14,670 --> 00:21:19,270
+صنطة أو بقرا على مسافة مثلا تلاتين صنطة أو اربعين
+
+191
+00:21:19,270 --> 00:21:23,030
+صنطة أو خمسة واربعين صنطة حسب اللي هو كل واحد
+
+192
+00:21:23,030 --> 00:21:30,860
+العمل أو الدراسة أو الكتاب بتاعته okay؟the first
+
+193
+00:21:30,860 --> 00:21:35,680
+test of this kind was constructed by Geiger in
+
+194
+00:21:35,680 --> 00:21:40,660
+eighteen sixty seven اذا اول نوع من هذا الاختبار
+
+195
+00:21:40,660 --> 00:21:46,240
+تم إنشاءه في سنة ال الف و تمانية و ستة و سبعين
+
+196
+00:21:46,240 --> 00:21:51,360
+سبعة و ستين بواسطة اللي هو عالم اسمه Geiger هو
+
+197
+00:21:51,360 --> 00:21:58,140
+عالم من المانيا و بتقرأ Geigerit consists of the
+
+198
+00:21:58,140 --> 00:22:03,620
+ordinary print fonts، إذا هذه بتتكون من خطوط طباعة
+
+199
+00:22:03,620 --> 00:22:06,880
+طبيعية، يعني الخطوط الطباعة اللي موجودة عندنا ال
+
+200
+00:22:06,880 --> 00:22:12,330
+normal طبيعيةcomplete set of type printing of
+
+201
+00:22:12,330 --> 00:22:16,990
+varying size as used at that time، إذا بكون إلها
+
+202
+00:22:16,990 --> 00:22:21,570
+إيش؟ أحجام مختلفة، يعني بتكون مثلا حجم أربعة عاشر،
+
+203
+00:22:21,570 --> 00:22:26,870
+تلت عاشر، اتن عاشر، إذا بكون حجمها مختلف من test
+
+204
+00:22:26,870 --> 00:22:35,400
+لآخر حسب المسافة الليحسب المسافة المريض اللي بدرس
+
+205
+00:22:35,400 --> 00:22:39,780
+عليها أو بيعمل عليها زائد اللي هو حسب إيش هو
+
+206
+00:22:39,780 --> 00:22:44,060
+مابرتاح، يعني في مريض مثلا بقولك ع مسافة أربعين
+
+207
+00:22:44,060 --> 00:22:48,580
+سانتي أنا مابرتاح، يعني أقرأ أو مثلا ع مسافة خمسة
+
+208
+00:22:48,580 --> 00:22:53,320
+و تلاتين سانتي، دايما المسافة مهمة و الحجم مهم،
+
+209
+00:22:53,320 --> 00:22:55,820
+التنتين هدول في ال near vision
+
+210
+00:22:59,770 --> 00:23:04,570
+recently حديثا a new task card which approximate
+
+211
+00:23:04,570 --> 00:23:09,990
+Geiger original choice are used إذا حديثا استخدموا
+
+212
+00:23:09,990 --> 00:23:15,480
+منهج اللي اتبعوا ال method اللي اتبعوا من Geigerفي
+
+213
+00:23:15,480 --> 00:23:20,420
+كيف أنه أقيس حدة الإبصار للقريب بالنسبة لمين
+
+214
+00:23:20,420 --> 00:23:27,680
+للأشخاص okay؟ إذا الجيجر متبع هو النظام المتبع
+
+215
+00:23:27,680 --> 00:23:35,600
+لقياس حدة الإبصار بالنسبة لمين للقريب واضح؟
+
+216
+00:23:35,600 --> 00:23:40,400
+these are traditionally called حديثا بسموها جيجر
+
+217
+00:23:40,400 --> 00:23:47,760
+one جي one جيجر two جي twoجيجر fifteen إذا حسب
+
+218
+00:23:47,760 --> 00:23:51,560
+اللي هو إيش زي ما اتفقنا إنه بعتمد على شغلتين
+
+219
+00:23:51,560 --> 00:23:56,540
+بعتمد على ال size الحجم و المسافة اللي بقرا عليها
+
+220
+00:23:56,540 --> 00:24:01,760
+مين المريض واضح؟ يعني في ناس مثلا بقرأش اللي هو
+
+221
+00:24:01,760 --> 00:24:07,900
+جريدة أو بحبش مثلا يعني أطالع كتب دايما بفضله أنا
+
+222
+00:24:07,900 --> 00:24:11,880
+إيش الأجسام الكبيرة يعني هو بحب يشوف أجسام كبيرة
+
+223
+00:24:12,390 --> 00:24:17,810
+فمش معقولة مثلا أدي power يتخلي يشوف إيش الأشياء
+
+224
+00:24:17,810 --> 00:24:22,810
+الصغيرة أو إنه يقرأ جريدة أو غيره، فحسب كل واحد ال
+
+225
+00:24:22,810 --> 00:24:26,790
+function بتاعه، الوظيفة بتاعته، okay؟ مثلا طالب مش
+
+226
+00:24:26,790 --> 00:24:30,970
+معقولة مثلا أدي نضارة بحيث إنه إيش مايشوفش اللي هو
+
+227
+00:24:30,970 --> 00:24:33,310
+الخطوط الصغيرة، okay؟
+
+228
+00:24:37,050 --> 00:24:41,830
+they are sufficient أي بمعنى إن هذه الخطوط اللي هي
+
+229
+00:24:41,830 --> 00:24:46,950
+جي جار جي وان و جي تو و تري هذي تعتبر كافية for
+
+230
+00:24:46,950 --> 00:24:53,690
+accurate practical purpose لهدف عملي دقيق يعني هذه
+
+231
+00:24:53,690 --> 00:24:58,630
+الخطوط المختلفة الأحجام بتكون كافية لأي مريض
+
+232
+00:24:58,630 --> 00:25:04,370
+بقدرته على القراءة أو الخياطة أو ال function بتاعه
+
+233
+00:25:04,370 --> 00:25:09,580
+أي أن كانin testing near vision the patient
+
+234
+00:25:09,580 --> 00:25:14,160
+remains seated on the chair يعني في قياس حدة
+
+235
+00:25:14,160 --> 00:25:20,300
+القريب لازم انه المريض ايش ياخد اللي هو يقعد على
+
+236
+00:25:20,300 --> 00:25:24,640
+كرسي يعني اقوله انه take your seat انه خد كرسيك او
+
+237
+00:25:24,640 --> 00:25:27,780
+have your seat بمعنى انه لازم يرتاح على كرسي
+
+238
+00:25:27,780 --> 00:25:31,520
+المريض مش اخليه واقف و اقوله شوف الخطوط هدول واضحة
+
+239
+00:25:31,520 --> 00:25:35,480
+ولا لا لأ بنفعش لازم انه المريض ايش يكونcomfort
+
+240
+00:25:35,480 --> 00:25:36,500
+انه مرتاح
+
+241
+00:25:40,670 --> 00:25:43,990
+seated on the chair يعني ماخد اللي هو الكرسي بتاعه
+
+242
+00:25:43,990 --> 00:25:48,590
+بوضع مرتاح with a good light thrown over the left
+
+243
+00:25:48,590 --> 00:25:53,750
+shoulder and he is asked to read from up down at
+
+244
+00:25:53,750 --> 00:25:57,050
+the noun reading distance و لازم انه يكون في
+
+245
+00:25:57,050 --> 00:26:00,470
+الغرفة او في المكان اللي بعمل او ال clinic اللي
+
+246
+00:26:00,470 --> 00:26:03,970
+فيه ال test لازم تكون الإضاءة أشمالها كافية
+
+247
+00:26:03,970 --> 00:26:08,870
+بالنسبة للمريض و انه تكون هذه الإضاءة مثلامش عكس
+
+248
+00:26:08,870 --> 00:26:13,270
+على مين الخطوط اللي موجودة أمامه okay؟ يعني في
+
+249
+00:26:13,270 --> 00:26:17,610
+بالنسبة لل patient أول حاجة ياخد اللي هو كرسي
+
+250
+00:26:17,610 --> 00:26:22,070
+أقوله take your seat or have your seat number two
+
+251
+00:26:22,070 --> 00:26:26,770
+ال size أنه يكون واضح الإضاءة تكون إيه كافية
+
+252
+00:26:26,770 --> 00:26:32,330
+بالنسبة للغرفة okay؟ بالنسبة لل patient يعني
+
+253
+00:26:32,330 --> 00:26:35,330
+التعامل اللي هي ال vision بس دي مش رأيت شرط أتحسن
+
+254
+00:26:35,330 --> 00:26:40,710
+الدرج و لا اللأ للقريب احنا بنستخدمه دايما القريب
+
+255
+00:26:40,710 --> 00:26:45,290
+بس نستخدمله اللي هو ال Geiger خطوط مختلفة يعني J1,
+
+256
+00:26:45,610 --> 00:26:51,990
+J2, J3, J4, J10 واضح حسب المسافة اللي بيقرا عليها
+
+257
+00:26:51,990 --> 00:26:53,990
+المريض وحسب الخط
+
+258
+00:26:57,850 --> 00:27:02,590
+the near vision is recorded as J1 from the
+
+259
+00:27:02,590 --> 00:27:07,070
+smallest line زي ما احنا مثلا الستة ع ستة هي عبارة
+
+260
+00:27:07,070 --> 00:27:11,290
+عن ال smallest ايش optotype او ال smallest letter
+
+261
+00:27:11,290 --> 00:27:16,770
+okay فأصغر اللي هو خط بقرا عليه المريض هذا بنسميه
+
+262
+00:27:16,770 --> 00:27:24,220
+ايش J1 بالنسبة للمريضJ2 follow لمين؟ ل J1 يعني
+
+263
+00:27:24,220 --> 00:27:31,320
+بتبع اللي هو J1 بعدين J3 بتبع اللي هو J2 okay each
+
+264
+00:27:31,320 --> 00:27:35,460
+eye is tested separately فهذه نقطة مهمة و دايما
+
+265
+00:27:35,460 --> 00:27:39,220
+يعني حتى في خريجين بيخربطوا فيها انه دايما ال near
+
+266
+00:27:39,220 --> 00:27:44,260
+vision يما بيعملوا ال test كل عين على حدهيعني لو
+
+267
+00:27:44,260 --> 00:27:47,340
+سألتي السؤال انه هل ال near vision بعمل ال both
+
+268
+00:27:47,340 --> 00:27:52,080
+eye together ولا each eye separated كل عين على حده
+
+269
+00:27:52,080 --> 00:27:55,800
+زي ما بتعملي ال visual acuity بغطي اليمين بغطي
+
+270
+00:27:55,800 --> 00:28:02,800
+الشمال بعمل كل عين على حده okay واضح؟ اه تفضل ممكن
+
+271
+00:28:02,800 --> 00:28:05,640
+هو اللي قلت انه لو كان عنده near vision رح يكون في
+
+272
+00:28:05,640 --> 00:28:08,420
+العين تاني عنده near vision ممكن يكون في عين واحدة
+
+273
+00:28:08,420 --> 00:28:13,170
+عندها far vision واحدة under visionهو مش شرط انه
+
+274
+00:28:13,170 --> 00:28:17,410
+كل واحد عنده hypermetroid هو ال nerve region من
+
+275
+00:28:17,410 --> 00:28:20,770
+الصح المصطلح هذا هو ال test بتاعه ال nerve region
+
+276
+00:28:21,760 --> 00:28:25,580
+دايمًا اللي بعاني من القريب بيكون اللي هو
+
+277
+00:28:25,580 --> 00:28:29,660
+hypermetrop أو breast biop لكن مش شرط أن ال both
+
+278
+00:28:29,660 --> 00:28:34,100
+eyes بتكون ال hypermetrop متساوية okay؟ يعني ممكن
+
+279
+00:28:34,100 --> 00:28:37,540
+أنه ألاقي عين أنا فيها hypermetrop، لكن العين
+
+280
+00:28:37,540 --> 00:28:42,240
+التانية فيها biop أو فيها astigmatism okay؟ مش شرط
+
+281
+00:28:42,240 --> 00:28:45,960
+التنتين اللي هو typical، أنه متساويات، يعني
+
+282
+00:28:45,960 --> 00:28:51,610
+متماثلات okay؟فكل عين أنه بعمل على حدى بالنسبة لل
+
+283
+00:28:51,610 --> 00:28:55,670
+near vision في ملاحظة أخرى ذكرتيني فيها أنه أنا
+
+284
+00:28:55,670 --> 00:28:58,710
+بعملش ال test بتاع ال near vision إلا لما أكون
+
+285
+00:28:58,710 --> 00:29:03,490
+مصلح البعيد بمعنى أخر لو كان المريض عنده مشكلة في
+
+286
+00:29:03,490 --> 00:29:07,110
+البعيد مانفعش أروح أبدأ معاه في إيه؟ في الجريد
+
+287
+00:29:07,110 --> 00:29:12,070
+بصلح البعيد و بعدين باجي للجريد واضح؟ يعني ممكن
+
+288
+00:29:12,070 --> 00:29:17,780
+هذا برضه السؤال أنه مين قبل يعني الآن أناك
+
+289
+00:29:17,780 --> 00:29:23,120
+examiner أو ك optometrist يجاني مريض عنده blurred
+
+290
+00:29:23,120 --> 00:29:26,720
+vision for distance و عنده blurred vision for near
+
+291
+00:29:26,720 --> 00:29:31,800
+في مين أبدأ؟ في القريب ولا البعيد؟ في البعيد بصلح
+
+292
+00:29:31,800 --> 00:29:34,240
+البعيد لأنه قد يكون عنده astigmatism
+
+293
+00:29:34,240 --> 00:29:37,700
+فالastigmatism ممكن أنه مايقدرش كمان يقرأ المريض
+
+294
+00:29:37,700 --> 00:29:41,600
+فببدأ صلحت البعيد باجي للقريب okay
+
+295
+00:29:46,710 --> 00:29:50,890
+هي مثلا في عنهان الصورة، هى ال optometrist أو ال
+
+296
+00:29:50,890 --> 00:29:58,060
+examiner، هى المريض ماخد اللي هو have seatedزائد
+
+297
+00:29:58,060 --> 00:30:05,140
+أنه ال .. الإضاءة كافية لغرفة okay و المريض مثلا
+
+298
+00:30:05,140 --> 00:30:08,740
+بيقرأ على مسافة لو فرضنا تلاتين أو خمسة و تلاتين
+
+299
+00:30:08,740 --> 00:30:14,300
+سنتة و هاي ال test chart for near vision جيجر one,
+
+300
+00:30:14,680 --> 00:30:20,200
+جي two, جي three and جي four okay لو إيه؟
+
+301
+00:30:24,020 --> 00:30:28,060
+لو أم ممكن أستخدمله ال chart، ال E chart، أقول له
+
+302
+00:30:28,060 --> 00:30:34,320
+وين الفتحة هذه مثلا أو وين الإشارة، نعم؟ للقريب،
+
+303
+00:30:34,320 --> 00:30:38,100
+فيه اللي هي بتكون chart نفس الهادي وفيها بيكون
+
+304
+00:30:38,100 --> 00:30:42,440
+مثلا E الكبيرة ال largest و بمشي، السؤال كويس كثير
+
+305
+00:30:43,040 --> 00:30:47,240
+انه تحكي لو كان مثلا المريض أمه انه مابيعرف يقرا
+
+306
+00:30:47,240 --> 00:30:50,960
+انه كيف او مثلا كان طفل كيف انا ممكن اعمله ال near
+
+307
+00:30:50,960 --> 00:30:55,180
+vision اه بجيب اللي هو ال .. ال snelling chart
+
+308
+00:30:55,180 --> 00:30:58,860
+اللي صغيرة و ببدأ انه اقوله الفتحة هذه بس اعلمه
+
+309
+00:30:58,860 --> 00:31:03,360
+قبل يعني اقوله مثلا هذه وين فتحة و بصير انه اشرله
+
+310
+00:31:03,360 --> 00:31:07,600
+okay بس هذه بتكون مصممة على الجيجر انه جيجر one مش
+
+311
+00:31:07,600 --> 00:31:10,500
+زي اللي عندنا ستة على ستين او ستة على ستة و تلاتين
+
+312
+00:31:14,640 --> 00:31:19,160
+Okay؟ في الغالب لما يكون الإنسان الأمامي، أمي،
+
+313
+00:31:19,160 --> 00:31:23,800
+يعني مثلا حجة كبيرة أو حج ختيار، دايما هو ما بده
+
+314
+00:31:23,800 --> 00:31:28,160
+أنه يقرأ، دايما بده يشوف إيش الأشياء اللي أمامه،
+
+315
+00:31:28,160 --> 00:31:31,740
+لكن بده يشوفها إيش كبيرة، يعني مهمهوش الخط الصغير،
+
+316
+00:31:31,740 --> 00:31:37,630
+هي اللي بده أصله، واضح؟فى عندنا ال objective
+
+317
+00:31:37,630 --> 00:31:41,690
+method of refraction ريتنوسكوبي what is the
+
+318
+00:31:41,690 --> 00:31:45,030
+difference between objective and subjective
+
+319
+00:31:45,030 --> 00:31:50,910
+refraction؟ فضلى ال objective اللى .. ال examiner
+
+320
+00:31:50,910 --> 00:31:53,690
+بيعمل شغل الحال فيه ساعات المريضة، اما ال
+
+321
+00:31:53,690 --> 00:31:58,030
+subjective بيعمل examiner مع ساعات الفشل okay can
+
+322
+00:31:58,030 --> 00:32:01,050
+you define by English؟
+
+323
+00:32:06,650 --> 00:32:09,890
+objective refraction شو تعريفه؟ طيب ال objective
+
+324
+00:32:09,890 --> 00:32:14,230
+refraction it is a preliminary examination يعني
+
+325
+00:32:14,230 --> 00:32:20,890
+فحص أولي of the eye okay without a response from
+
+326
+00:32:20,890 --> 00:32:24,290
+the patient يعني دون تدخل المريض
+
+327
+00:32:40,010 --> 00:32:45,190
+الـ objective method to obtain لإحداث the best
+
+328
+00:32:45,190 --> 00:32:49,410
+vision أو الرؤية with the response from the
+
+329
+00:32:49,410 --> 00:32:55,550
+patient مع تدخل المريض هكتبه، إذا عندنا ال
+
+330
+00:32:55,550 --> 00:33:05,090
+objective method
+
+331
+00:33:14,890 --> 00:33:21,830
+it is a preliminary a
+
+332
+00:33:21,830 --> 00:33:39,590
+preliminary ايش معناها انه اولا estimation
+
+333
+00:33:39,590 --> 00:33:50,270
+of therefractive error without
+
+334
+00:33:50,270 --> 00:33:56,410
+a
+
+335
+00:33:56,410 --> 00:34:02,070
+response from
+
+336
+00:34:02,070 --> 00:34:02,630
+the patient
+
+337
+00:34:15,460 --> 00:34:32,440
+subjective method it is
+
+338
+00:34:32,440 --> 00:34:42,560
+a refinement of
+
+339
+00:34:42,560 --> 00:34:51,320
+therefractive error estimated
+
+340
+00:34:51,320 --> 00:34:56,660
+by
+
+341
+00:34:56,660 --> 00:34:59,680
+objective
+
+342
+00:34:59,680 --> 00:35:06,060
+method
+
+343
+00:35:06,060 --> 00:35:12,540
+to
+
+344
+00:35:14,620 --> 00:35:30,060
+obtain the best vision with
+
+345
+00:35:30,060 --> 00:35:34,920
+the response
+
+346
+00:35:34,920 --> 00:35:38,980
+from
+
+347
+00:35:38,980 --> 00:35:39,460
+the patient
+
+348
+00:35:49,960 --> 00:35:52,740
+إذا ما عندنا ال objective method it is a
+
+349
+00:35:52,740 --> 00:35:55,600
+preliminary estimation of the refractive error
+
+350
+00:35:55,600 --> 00:36:01,700
+بمعنى تقدير أولي للخطأ الانكساري للعين without a
+
+351
+00:36:01,700 --> 00:36:05,000
+response from the patient دون تدخل المريض
+
+352
+00:36:37,710 --> 00:36:42,370
+مين ال marine هذا what is the difference between
+
+353
+00:36:42,370 --> 00:36:49,510
+objective and subjective method okay طيب
+
+354
+00:36:49,510 --> 00:36:52,990
+which one is more important objective or
+
+355
+00:36:52,990 --> 00:37:01,410
+subjective method؟ مين الأهم؟ subjective فضليه
+
+356
+00:37:01,410 --> 00:37:04,930
+ال objective يعني الأول هو اللي بيساعدني أول إيه
+
+357
+00:37:04,930 --> 00:37:06,890
+شاجد كل شي و بعدين ال subjective يعني
+
+358
+00:37:09,540 --> 00:37:13,760
+يعني انت حكيت ال objective أهم؟ لأ ال subjective
+
+359
+00:37:13,760 --> 00:37:16,780
+لإن هو بتدخل بمساعدة المالية اللي هو أصلا و جاية
+
+360
+00:37:16,780 --> 00:37:20,800
+عشان نتعامل معاه أكتر من إيه another question
+
+361
+00:37:20,800 --> 00:37:32,740
+answer تفضلي تفضلي
+
+362
+00:37:35,180 --> 00:37:38,300
+objective أو ال subjective التاني المهمين لإن ال
+
+363
+00:37:38,300 --> 00:37:41,660
+objective من خلاله راح نقدر نمرح كيف راح نتحصل ال
+
+364
+00:37:41,660 --> 00:37:44,520
+subjective لإنه objective لو مثلا في written scope
+
+365
+00:37:44,520 --> 00:37:47,060
+راح نعرف مثلا عنده إذا يعني من ال written scope
+
+366
+00:37:47,060 --> 00:37:50,140
+راح نعرف مثلا من السكل الأولى إذا عنده heaven من
+
+367
+00:37:50,140 --> 00:37:52,560
+ربق أو ميوم فبالتالي راح أعرف أنا إيش أنهي طريقة
+
+368
+00:37:52,560 --> 00:37:56,160
+أنا راح أبحث عنها فبالتالي التاني المهمين هو صح
+
+369
+00:37:56,160 --> 00:38:00,980
+آخر إيجابتين آخر إيجابتين كان الصحيح بدي أقنع أنا
+
+370
+00:38:00,980 --> 00:38:04,320
+كيف إن ال objective و ال subjective هم يعتبروا
+
+371
+00:38:07,540 --> 00:38:13,640
+الآن لو أنا جيب الطفل، okay؟ يعني زي مثلا الطفل
+
+372
+00:38:13,640 --> 00:38:18,200
+بعض البنات اللي فحصوه، okay؟ من الصعب مثلا أعمله
+
+373
+00:38:18,200 --> 00:38:22,060
+visual acuity، أي بمعنى أنه من الصعب أنه يكون
+
+374
+00:38:22,060 --> 00:38:26,440
+للطفل فيه إيه response، انه استجابة، فهنقش أنا
+
+375
+00:38:26,440 --> 00:38:31,520
+بعمله objective method، صح؟اذا بعمل للطفل ايش
+
+376
+00:38:31,520 --> 00:38:34,860
+objective method في ال written score فهذه بتكون
+
+377
+00:38:34,860 --> 00:38:38,420
+كافية له بعد ما اعمل ال objective method لهذا
+
+378
+00:38:38,420 --> 00:38:42,660
+الطفل بديه الوصفة اذا الوصفة هذه بتكون ايش هي
+
+379
+00:38:42,660 --> 00:38:47,740
+عبارة عن الوصفة اللي هيلبسها للنضارة بتاعته اذا
+
+380
+00:38:47,740 --> 00:38:51,860
+انا قيمته من خلال مين من خلال ال objective method
+
+381
+00:38:51,860 --> 00:38:57,640
+لكن في حالة تانية لو مثلاواحد عمره عشرين سنة بقدرش
+
+382
+00:38:57,640 --> 00:39:03,020
+اديه النضارة من ناحية الراحة ال comfort و هو زي ما
+
+383
+00:39:03,020 --> 00:39:07,060
+حكت اسلام ان هو المهم عنده المريض ان راحة المريض
+
+384
+00:39:07,060 --> 00:39:11,840
+هي المهمة okay لما انا مثلا ريحت المريض قديته ال
+
+385
+00:39:11,840 --> 00:39:15,240
+objective method لكن بعدها ايش شفت ان هل هذه
+
+386
+00:39:15,240 --> 00:39:19,240
+الوصفة صحيحة له ولا لأ فعملنا ايش ال subjective
+
+387
+00:39:19,240 --> 00:39:24,500
+method واضحة؟ اذا which oneis more important
+
+388
+00:39:24,500 --> 00:39:28,460
+objective ولا subjective method؟ تكتشفحيلي ال
+
+389
+00:39:28,460 --> 00:39:33,700
+answer اللي أنا حكيتها طوي okay انه كمثال انت تجيب
+
+390
+00:39:33,700 --> 00:39:38,620
+طفل الطفل من الصعب انا اعمله visual acuity لحاله
+
+391
+00:39:38,620 --> 00:39:42,580
+فبعمله ال objective method في ال written score بعد
+
+392
+00:39:42,580 --> 00:39:46,660
+ما انا بعمله written score ايش بدي الوصفة؟ هي هذي
+
+393
+00:39:46,660 --> 00:39:51,130
+بتكون ال full correction بتاعتهلكن في شخص عمره
+
+394
+00:39:51,130 --> 00:39:55,930
+مثلا عشرين سنة بعمل visual acuity هذه واحد زاد انه
+
+395
+00:39:55,930 --> 00:40:02,230
+بعمل ايه ال subjective method طبعا
+
+396
+00:40:02,230 --> 00:40:05,830
+اهم جهاز في ال objective method هو يعتبر مين ال
+
+397
+00:40:05,830 --> 00:40:10,450
+written scope ال written scope حكينا انه بيعمل
+
+398
+00:40:10,450 --> 00:40:15,910
+determine انه تحديد لل refractive error
+
+399
+00:40:26,220 --> 00:40:31,220
+أول طريقة اللي هي طريقة ال retinoscopy طبعا ال
+
+400
+00:40:31,220 --> 00:40:35,180
+retinoscopy تعتبر إيش هي ال method أو ال procedure
+
+401
+00:40:35,180 --> 00:40:38,880
+يعني شو الفرق ما بين ال retinoscopy و ال
+
+402
+00:40:38,880 --> 00:40:42,400
+retinoscope ال retinoscope هو عبارة عن ال
+
+403
+00:40:42,400 --> 00:40:46,540
+instrument لكن ال retinoscope هي عبارة عن ال
+
+404
+00:40:46,540 --> 00:40:48,780
+method ال procedure العملية
+
+405
+00:40:56,220 --> 00:41:00,280
+الريتنسكوب هو عبارة عن ال instrument الريتنسكوب هي
+
+406
+00:41:00,280 --> 00:41:07,020
+ال procedure العملية أو ال method الطريقة it is
+
+407
+00:41:07,020 --> 00:41:10,360
+the most valuable method of estimating the optical
+
+408
+00:41:10,360 --> 00:41:11,520
+state of the eye
+
+409
+00:41:24,590 --> 00:41:28,950
+hypermetropia and astigmatism إذن it is the most
+
+410
+00:41:28,950 --> 00:41:34,790
+valuable يعني هي أكتر نفعا يعني أكتر اللي هو
+
+411
+00:41:34,790 --> 00:41:40,350
+method أو أكتر طريقة مستخدمة لتحديد جديش الحالة
+
+412
+00:41:40,350 --> 00:41:44,350
+الإنكسارية اللي موجودة للعين of estimating the
+
+413
+00:41:44,350 --> 00:41:49,310
+optical state of the eye it is useful إذن بيستخدم
+
+414
+00:41:49,310 --> 00:41:51,190
+and accurate
+
+415
+00:41:56,160 --> 00:42:00,460
+و ماريه سالك which instrument is more accurate؟
+
+416
+00:42:00,460 --> 00:42:03,120
+مين الأداء؟ ال retinascope ولا ال auto
+
+417
+00:42:03,120 --> 00:42:07,720
+refractometer؟ ال retinascope ليش؟ it is useful
+
+418
+00:42:07,720 --> 00:42:14,060
+and accurate up to a plus or minus 0.25 diopter
+
+419
+00:42:14,060 --> 00:42:18,140
+correction يعني بيحدد الخطأ الانكساري ل
+
+420
+00:42:23,080 --> 00:42:26,500
+مش شايف، يعني ممكن تلاتة و خمسة و سبعين، أربعة و
+
+421
+00:42:26,500 --> 00:42:29,880
+خمسة و سبعين، يعني بيجيبها إيش بالضبط اللي يكترك
+
+422
+00:42:29,880 --> 00:42:35,020
+مهارة، okay؟
+
+423
+00:42:35,020 --> 00:42:44,240
+واضح؟ طيب، تفضلي بحد طوبة يعني موجة بقى سنة و خمسة
+
+424
+00:42:44,240 --> 00:42:47,680
+و عشرين، هذي أخوانها إيه، للنظارة ولا للمقعد اللي
+
+425
+00:42:47,680 --> 00:42:50,540
+لها بعد؟ لعب في عدسات مبحث منهم؟
+
+426
+00:42:59,680 --> 00:43:03,940
+في الكرسات أو كان مثلا عنده اللي هو minus تلاتة و
+
+427
+00:43:03,940 --> 00:43:07,840
+خمسة و سبعين minus أربع و خمسة و سبعين يعني
+
+428
+00:43:07,840 --> 00:43:12,580
+بيجيبها إنه بالربع درجة يعني بمعنى الآن أنا لما
+
+429
+00:43:12,580 --> 00:43:16,300
+باجيب عادل في ال written score تلاتة و نص في بنات
+
+430
+00:43:16,300 --> 00:43:19,660
+مثلا بتجيب مرات واحد و نص بقولها لأ واحد و خمسة و
+
+431
+00:43:19,660 --> 00:43:22,020
+سبعين فهو جاب ليها إيش بالدقة
+
+432
+00:43:25,450 --> 00:43:28,170
+جهاز ال auto refractometer بكرا ماتتعلموا عليه ان
+
+433
+00:43:28,170 --> 00:43:31,870
+شاء الله انه بيجيب تلاتة و نص قراءة تلاتة وربع
+
+434
+00:43:31,870 --> 00:43:35,670
+قراءة تلاتة و خمس و سبعين فانت ك examiner مش عارف
+
+435
+00:43:35,670 --> 00:43:40,270
+اي واحدة تختاري صحية مثلا ممكن في بعض الحلات انه
+
+436
+00:43:40,270 --> 00:43:45,270
+ربع درجمة يعني بتأثرش على المريض لكن في حلات بتأثر
+
+437
+00:43:45,270 --> 00:43:50,070
+و احنا حكينا انه اللي دايما في العيون كل حالة عن
+
+438
+00:43:50,070 --> 00:43:55,680
+حالة تختلف صح ولا لا؟فبدى اعرف ان ال written scope
+
+439
+00:43:55,680 --> 00:44:01,880
+انه جهاز بيستخدم لتحديد الحالة الانكسارية للعين
+
+440
+00:44:01,880 --> 00:44:07,580
+واضح وهو يعتبر more accurate compared to hot
+
+441
+00:44:07,580 --> 00:44:11,640
+refractometer سألت؟
+
+442
+00:44:11,640 --> 00:44:17,250
+فضليعشان أعمل أصفر، بقول of retinoscope إيه؟
+
+443
+00:44:17,250 --> 00:44:21,130
+الهدف، شو الهدف أنا من ال retinoscope؟ يعني هذا
+
+444
+00:44:21,130 --> 00:44:26,310
+الجهاز اللي بنستخدمه، شو الهدف منه؟ number one is
+
+445
+00:44:26,310 --> 00:44:29,890
+to determine the nature of the patient's
+
+446
+00:44:29,890 --> 00:44:33,770
+refractive error، إذا أول حاجة بيحدد الحالة
+
+447
+00:44:33,770 --> 00:44:39,810
+الانكسارية للعين أو بيحدد الخطأ الانكسارييعني الآن
+
+448
+00:44:39,810 --> 00:44:43,130
+لما بتعملي في ال written scope تعرفي إنه هل هذا
+
+449
+00:44:43,130 --> 00:44:47,570
+ميوب، hypermetroid، أستيمتزم، بعد ما اطلع مين ال
+
+450
+00:44:47,570 --> 00:44:53,290
+final objective reflection. إذن الهدف من ال
+
+451
+00:44:53,290 --> 00:44:58,030
+written scope إنه بيحدد طبيعة الخطأ الانكساري في
+
+452
+00:44:58,030 --> 00:45:03,890
+العين، واضحة؟ okay Maysa؟ number two is to
+
+453
+00:45:03,890 --> 00:45:09,710
+approximate إذا بقدرThe lens power قوة العدسة that
+
+454
+00:45:09,710 --> 00:45:13,890
+will neutralize the error and improve vision.إذا
+
+455
+00:45:13,890 --> 00:45:20,430
+بيقدر قداش قوة العدسة اللي بتعمل ايش؟ تعديل للخطأ
+
+456
+00:45:20,430 --> 00:45:26,090
+الانكساري وبتعمل ايه؟ تحسين للنظر هاي النقطة
+
+457
+00:45:26,090 --> 00:45:29,870
+التانية number three is to assess
+
+458
+00:45:34,830 --> 00:45:40,610
+in infants في الأطفال الرضّع okay small children
+
+459
+00:45:40,610 --> 00:45:46,350
+في الأطفال الصغار illiterate persons الأشخاص
+
+460
+00:45:46,350 --> 00:45:51,970
+الأميين mentally retarded الأشخاص المعاقين بصريا
+
+461
+00:45:51,970 --> 00:45:57,360
+uncooperative individualاللي بيكونوا غير متعاونين
+
+462
+00:45:57,360 --> 00:46:02,580
+and patients with speech loss الأشخاص اللي بيكونوا
+
+463
+00:46:02,580 --> 00:46:07,340
+إيه يعني silent مش متكلمين اللي ما بعرف يتكلم
+
+464
+00:46:07,340 --> 00:46:13,120
+فالآن ال goal of written scope تلاتة determine
+
+465
+00:46:13,120 --> 00:46:16,320
+approximate and assess
+
+466
+00:46:25,670 --> 00:46:29,050
+مثلا اعمل اللي هو determine لل refractive error
+
+467
+00:46:29,050 --> 00:46:32,930
+صح؟ و ممكن كمان اعمل approximate احدد ال lens
+
+468
+00:46:32,930 --> 00:46:36,230
+power يعني برضه في ال subjective ممكن اعملها انتوا
+
+469
+00:46:36,230 --> 00:46:39,570
+لسه عشان ماعملتوش لسه subjective فلسه الأمور مش
+
+470
+00:46:39,570 --> 00:46:40,290
+واضحة عينكم
+
+471
+00:46:56,910 --> 00:47:04,590
+لأ انت مش انت .. كلمة ايه؟ لسة
+
+472
+00:47:12,500 --> 00:47:17,140
+الغير متعاونين ال patients with speech loss يعني
+
+473
+00:47:17,140 --> 00:47:23,280
+المرضى اللي بتكلموش، الغير ناطقين، okay؟ إذا ال
+
+474
+00:47:23,280 --> 00:47:27,380
+goal of written scope تلاتة، two determine، number
+
+475
+00:47:27,380 --> 00:47:33,840
+two to approximate، number three to assess، okay؟
+
+476
+00:47:33,840 --> 00:47:37,460
+طيب، عندنا types of written scope، أنواع من؟
+
+477
+00:47:41,050 --> 00:47:45,470
+بنسميه نوعين مهمين من ال retinascope أول نوع ال
+
+478
+00:47:45,470 --> 00:47:49,630
+classical retinascope ال classical بمعنى تقليدي
+
+479
+00:47:49,630 --> 00:47:54,370
+النوع التقليدي أو بنسميه ال reflecting retinascope
+
+480
+00:47:54,370 --> 00:48:01,790
+اللي هو العكس reflecting إيش معناها؟ انعكس okay it
+
+481
+00:48:01,790 --> 00:48:03,810
+consists of a separate
+
+482
+00:48:10,350 --> 00:48:15,730
+the shoulder of the patient، إذا بتكون من مصدر ضوء
+
+483
+00:48:15,730 --> 00:48:21,130
+منفصل، شو طبيعة الضوء هذا؟ أو شو طبيعة ال street
+
+484
+00:48:21,130 --> 00:48:25,550
+بتاع ال classical written scope؟ number one إنه
+
+485
+00:48:25,550 --> 00:48:29,230
+narrow okay number two bright
+
+486
+00:48:40,370 --> 00:48:44,910
+فوق the shoulder of the patient يعني بالظبط هنا
+
+487
+00:48:44,910 --> 00:48:53,510
+خلف و أمامين ال patient إذا تركيز الضوء يعني زي
+
+488
+00:48:53,510 --> 00:48:59,770
+اللي هو ال fixate light okay إذا بالنسبة ل ال
+
+489
+00:48:59,770 --> 00:49:03,450
+classical retinascope شو طبيعة الضوء إذا ال
+
+490
+00:49:03,450 --> 00:49:06,750
+characteristics للضوء إنه narrow bright
+
+491
+00:49:17,780 --> 00:49:22,320
+و فوق the shoulder of the patient كتف من المريض
+
+492
+00:49:22,320 --> 00:49:27,580
+طيب the observer احنا او ال examiner ايش بنعمل؟
+
+493
+00:49:27,580 --> 00:49:33,520
+catch بنمسك a peripheral mirror مرقه peripheral
+
+494
+00:49:33,520 --> 00:49:39,100
+يعني بمعنى ان فيها hole اي بمعنى فيها ثقوب with a
+
+495
+00:49:39,100 --> 00:49:43,200
+central opening اذا بتكون فيها ثقوب من وين؟ من
+
+496
+00:49:43,200 --> 00:49:48,940
+المركزnot less than four meters in diameter اذا
+
+497
+00:49:48,940 --> 00:49:53,720
+بيكون هذه
+
+498
+00:49:53,720 --> 00:49:59,300
+المرقعة لو فرضنا بيكون ايه؟ فيها ثقوب في المنتصف
+
+499
+00:49:59,300 --> 00:50:06,940
+واضح؟ جديش القطر بتاعها اقل من اربعة متر اربعة ملي
+
+500
+00:50:06,940 --> 00:50:11,200
+متر okay this
+
+501
+00:50:11,200 --> 00:50:11,700
+plan
+
+502
+00:50:14,800 --> 00:50:20,240
+ليست اقل من اربع ملي ميتر، نعم This plan
+
+503
+00:50:20,240 --> 00:50:25,000
+peripherated mirror ان هذه المرأة المسطحة okay
+
+504
+00:50:25,000 --> 00:50:30,960
+طبعا هل هي convex ولا plan ولا concave mirror؟ هي
+
+505
+00:50:30,960 --> 00:50:35,720
+تعتبر plan mirror يعني بمعنى عدسة اي شمالها مسطحة
+
+506
+00:50:35,720 --> 00:50:40,840
+This plan peripherated mirror ان هذه العدسة
+
+507
+00:50:40,840 --> 00:50:43,100
+المسطحة reflects
+
+508
+00:50:53,260 --> 00:50:57,880
+into the patient's eye في عين المريض which senses
+
+509
+00:50:57,880 --> 00:51:03,000
+the image that can be seen by observer eye as red
+
+510
+00:51:03,000 --> 00:51:07,360
+reflex through the central opening بمعنى الآن
+
+511
+00:51:07,360 --> 00:51:14,840
+المريض بيكون الضوء أو ال light source بنعكس وين في
+
+512
+00:51:14,840 --> 00:51:17,560
+عين المريض زي فكرة ال retinascope اللي أنتوا
+
+513
+00:51:17,560 --> 00:51:21,380
+شغالين عليها الآن بنعكس في عين المريض فإيش بيبين
+
+514
+00:51:21,380 --> 00:51:26,250
+معاه؟ال بيوبل قبل ال reflex ال بيوبل إش ماله بيكون
+
+515
+00:51:26,250 --> 00:51:30,770
+bright مضيق و أنت من خلال ال بيوبل أني بشوف اللي
+
+516
+00:51:30,770 --> 00:51:34,790
+هو مين ال red reflex صح؟ يعني ال بيوبل بيكون
+
+517
+00:51:34,790 --> 00:51:39,070
+dilated واسع فأنا من خلاله بشوف مين اللي هو ال
+
+518
+00:51:39,070 --> 00:51:43,490
+reflex، بيكون نفس الفكرة بتاعته، إذا المصدر الضوء
+
+519
+00:51:43,490 --> 00:51:46,290
+بالعكس في مين؟ في عين المريم
+
+520
+00:51:50,040 --> 00:51:54,920
+طبيعة المرقة هذه بتكون plan mirror، أي بمعنى
+
+521
+00:51:54,920 --> 00:51:59,660
+مسطحة، لازم ما تكونش هذه المرقة لا concave ولا
+
+522
+00:51:59,660 --> 00:52:04,160
+convex، ليش؟ لأن الأشعة لازم تكون parallel، ممكن
+
+523
+00:52:04,160 --> 00:52:09,960
+سؤال، ليش في ال reflecting، ال retinascope، ليش
+
+524
+00:52:09,960 --> 00:52:10,820
+plan mirror؟
+
+525
+00:52:17,620 --> 00:52:25,380
+ما عايش تكون برقل اللي هي متوازية نعم
+
+526
+00:52:25,380 --> 00:52:29,340
+صحيح اه يعني مرقة هتعكس المصدر الضوء في عين المريض
+
+527
+00:52:29,340 --> 00:52:34,000
+طبعا هو هذا يعتبر ال written scope أولي بداية يعني
+
+528
+00:52:34,000 --> 00:52:38,620
+أول ال classical تقليدي فاهم عليك يعني مش الحديث
+
+529
+00:52:38,620 --> 00:52:42,280
+اللي موجود الآن يعني أول ما جابوا اللي هو فكرة ال
+
+530
+00:52:42,280 --> 00:52:44,500
+written scope من خلال ال classical أو ال
+
+531
+00:52:44,500 --> 00:52:45,660
+reflecting written scope
+
+532
+00:52:48,360 --> 00:52:53,640
+طبعا ايش هنعمل نفس العملية مين ال written scope ال
+
+533
+00:52:53,640 --> 00:52:57,620
+procedure العادية ان movements of the illuminated
+
+534
+00:52:57,620 --> 00:53:02,320
+area هحرك أنا المساحة المضيقة of the patient's
+
+535
+00:53:02,320 --> 00:53:06,720
+retina are produced by tilting the mirror.الان انا
+
+536
+00:53:06,720 --> 00:53:09,120
+كيف بده اشوف ال red reflex؟
+
+537
+00:53:19,470 --> 00:53:24,870
+يعني عشان أقدر أشوف مين ال red reflex هو الآن ال
+
+538
+00:53:24,870 --> 00:53:29,370
+examiner من وين بيشوف؟ من ال aperture mirror
+
+539
+00:53:29,370 --> 00:53:35,050
+بالظبط يعني من الفتحة الموجودة فيها المرقاة الضوء
+
+540
+00:53:35,050 --> 00:53:37,970
+هينعكس في عين المريض
+
+541
+00:53:44,020 --> 00:53:47,400
+خلاص ال .. ال .. ال .. باجي انه بعمل اللي هو ال
+
+542
+00:53:47,400 --> 00:53:53,000
+movements الحركة لمين لل reflex بشوفها هل هي with
+
+543
+00:53:53,000 --> 00:53:57,300
+ولا against the
+
+544
+00:53:57,300 --> 00:54:01,400
+used mirror may be plan or concave but the plan
+
+545
+00:54:01,400 --> 00:54:04,920
+one gives a better result دايما ال plan mirror
+
+546
+00:54:04,920 --> 00:54:08,760
+بتعطي نتيجة افضل ممكن انه تكون هي concave mirror
+
+547
+00:54:09,650 --> 00:54:13,470
+حكينا ان ال plan mirror بتعمل الأشعة parallel،
+
+548
+00:54:13,470 --> 00:54:17,610
+متوازية، okay؟
+
+549
+00:54:17,610 --> 00:54:22,410
+لأ، هذا classical، جديد، يعني هذه هي فكرة ال
+
+550
+00:54:22,410 --> 00:54:26,170
+written scope، يعني لو واحد حكالك، لو الآن انت
+
+551
+00:54:26,170 --> 00:54:30,410
+عملت في المعمل written scope لطالبة
+
+552
+00:54:43,660 --> 00:54:47,380
+المصدر الضوء يتعكس في عين المريض
+
+553
+00:55:10,150 --> 00:55:16,810
+يعني بمعنى انه بتكون المرقة و المصدر الضوء متحدين
+
+554
+00:55:16,810 --> 00:55:20,830
+مع بعض، صح ولا لا؟ بيكونوا combined together، انه
+
+555
+00:55:20,830 --> 00:55:26,490
+مع بعض، يعني ال .. ال head بتاعه زائد ال battery،
+
+556
+00:55:26,490 --> 00:55:30,010
+ال light source، المصدر الضوء بتاع ال written
+
+557
+00:55:30,010 --> 00:55:34,290
+score و ال mirror، المرقة، بيكونوا متحدين مع بعض،
+
+558
+00:55:34,290 --> 00:55:40,870
+okay؟It is a standard modern instrument، إذا هو
+
+559
+00:55:40,870 --> 00:55:47,430
+يعتبر جهاز حديث، easily manipulated، القدرة بتاعته
+
+560
+00:55:47,430 --> 00:55:50,430
+عالية، الاستخدام سهل
+
+561
+00:55:58,380 --> 00:56:03,440
+زائد انه الشدة الإضاءة من السهل انه ايه اتحكم فيها
+
+562
+00:56:03,440 --> 00:56:07,520
+زي ما انتوا بتعمله ممكن انه مثلا اعمل ال sleeve up
+
+563
+00:56:07,520 --> 00:56:10,920
+او ال sleeve down ممكن انه مثلا اغير ال rotation
+
+564
+00:56:10,920 --> 00:56:15,840
+الدوران بتاعه okay فالان ايش ال characteristics او
+
+565
+00:56:15,840 --> 00:56:20,200
+ال advantage بتاعة اللي هو الجهاز ال luminous
+
+566
+00:56:20,200 --> 00:56:23,920
+retinascope number one انه يعتبر هو modern
+
+567
+00:56:23,920 --> 00:56:29,840
+instrument جهاز حديثnumber two يعتبر easily
+
+568
+00:56:29,840 --> 00:56:35,160
+manipulated إذا سهولة استخدامه زائد أن ال
+
+569
+00:56:35,160 --> 00:56:40,260
+intensity of light الإضاءة بتاعته من السهل أنه إيش
+
+570
+00:56:40,260 --> 00:56:47,060
+أتحكم فيها it is portable أنه يعتبر محمول يعني
+
+571
+00:56:47,060 --> 00:56:51,980
+بقدر أحمله في جيبتي أو بقدر أحمله في شنطة إذا
+
+572
+00:56:51,980 --> 00:56:58,100
+portable بمعنى محمول الجهازThe most popular
+
+573
+00:56:58,100 --> 00:57:01,120
+luminous retinascope today is the streak
+
+574
+00:57:01,120 --> 00:57:05,940
+retinascope as it produces more easily recognized
+
+575
+00:57:05,940 --> 00:57:10,660
+red reflex يعني معظم ال retinascope اللي موجود
+
+576
+00:57:10,660 --> 00:57:15,060
+عندنا في المعامل أو في المستشفيات هو يعتبر ال
+
+577
+00:57:15,060 --> 00:57:20,040
+streak retinascope يعني الآن الجهاز ال retinascope
+
+578
+00:57:20,040 --> 00:57:23,180
+اللي موجود عندنا في المعمل إيش اسمه؟ streak
+
+579
+00:57:23,180 --> 00:57:24,000
+retinascope
+
+580
+00:57:27,900 --> 00:57:32,980
+as it produces more easily recognized red reflex
+
+581
+00:57:32,980 --> 00:57:38,060
+يعني بتعرف .. عنده القدرة على التعرف على ال red
+
+582
+00:57:38,060 --> 00:57:41,800
+reflex بتاع ال patient أو المريض بشكل ايه سهل
+
+583
+00:57:44,570 --> 00:57:48,010
+it also allows the axis of the meridian of
+
+584
+00:57:48,010 --> 00:57:51,430
+astigmatism to be more readily identified
+
+585
+00:57:51,430 --> 00:57:54,730
+separately إذا أنا الآن لو كان المريض عنده
+
+586
+00:57:54,730 --> 00:57:58,570
+astigmatism من السهل أتعرف عليه ليش؟ لأنه دايما ال
+
+587
+00:57:58,570 --> 00:58:03,310
+astigmatism بيكون oblique صح؟ فانا بحط ال streak
+
+588
+00:58:03,310 --> 00:58:08,190
+بتاع ال written score اشماله oblique اللي هو بمعنى
+
+589
+00:58:08,190 --> 00:58:08,850
+أنه بيكون
+
+590
+00:58:12,920 --> 00:58:19,740
+فبتلاقي انه دايما ايش بيكون شكله بالشكل هذا انه
+
+591
+00:58:19,740 --> 00:58:23,680
+بيكون oblique فانا بحالك الضوء او ال streak تاع ال
+
+592
+00:58:23,680 --> 00:58:28,680
+retinascope بيكون موازي لمين ل ال red reflex okay
+
+593
+00:58:28,680 --> 00:58:32,660
+يعني دايما ال streak تاع ال retinascope بيكون
+
+594
+00:58:32,660 --> 00:58:39,280
+موازي لمين ل ال red reflex ل ال facialفيش vertical
+
+595
+00:58:39,280 --> 00:58:43,480
+الشكل هذا زي ما أنا راسه يعني مثلا ال hand plus
+
+596
+00:58:43,480 --> 00:58:52,820
+خمسة و plus اتنين okay plus تلاتة مثلا hand ال
+
+597
+00:58:52,820 --> 00:58:58,920
+axis ممكن يكون قداش سبعين او ستين او خمسة و ستين
+
+598
+00:58:58,920 --> 00:59:01,940
+يعني هو تقدير فالwritten scope تقدير يعتبر
+
+599
+00:59:13,600 --> 00:59:22,120
+هو إحنا كيف نفحص
+
+600
+00:59:22,120 --> 00:59:28,040
+يعني؟
+
+601
+00:59:28,040 --> 00:59:31,880
+خلّيه على ال horizontal ولا راح نميل اللقطة اللي
+
+602
+00:59:31,880 --> 00:59:37,090
+علّه؟دايما انا ال streak ده ال retinascope لازم
+
+603
+00:59:37,090 --> 00:59:41,590
+يكون موازي ل ال red reflex باعي ال patient يعني
+
+604
+00:59:41,590 --> 00:59:45,710
+بمعنى اخر لو كان ال streak ده ال retinascope على
+
+605
+00:59:45,710 --> 00:59:50,170
+التسعين ال red reflex على التسعين بحطه موازي له
+
+606
+00:59:50,170 --> 00:59:54,730
+يعني parallel okay لو كان مثلا على المية و تمانين
+
+607
+00:59:54,730 --> 00:59:58,250
+يعني ما بعمل side to side بعمل ايه؟ على المية و
+
+608
+00:59:58,250 --> 00:59:58,610
+تمانين
+
+609
+01:00:13,500 --> 01:00:19,000
+موازن او red reflex الجهاز
+
+610
+01:00:19,000 --> 01:00:23,380
+هذا ايضا ايش فيه it contains a strong convex lens
+
+611
+01:00:23,380 --> 01:00:28,200
+for condensation of light in the patient's eye اذا
+
+612
+01:00:28,200 --> 01:00:32,520
+بيكون في عدسة ايش مالها مجمعة اللي هي convex lens
+
+613
+01:00:32,520 --> 01:00:40,480
+شو بتعمل هذه بتجمع الضوء في عين المرينةeven a
+
+614
+01:00:40,480 --> 01:00:44,260
+creator efficiency is obtained from the modern
+
+615
+01:00:44,260 --> 01:00:48,620
+retinoscopy by the use of halogen bulbs and
+
+616
+01:00:48,620 --> 01:00:50,620
+rechargeable batteries
+
+617
+01:01:00,520 --> 01:01:05,120
+انه بيكون في ال rechargeable batteries انه لها
+
+618
+01:01:05,120 --> 01:01:10,160
+الشحن اللي هي بطارية للشحن okay اذا الان لو حكيتلك
+
+619
+01:01:10,160 --> 01:01:17,460
+mention شو هي ازاي ال written scope number one
+
+620
+01:01:17,460 --> 01:01:25,680
+number one عندنا اول حاجة في عندنا ال convex lens
+
+621
+01:01:25,680 --> 01:01:33,340
+العدسة المجمعةعنا كمان ال halogen bulb فى عنا ال
+
+622
+01:01:33,340 --> 01:01:39,540
+chargeable batteries اللى هى البطارية okay فى عنا
+
+623
+01:01:39,540 --> 01:01:45,960
+كمان ال mirror المرأة ال plan mirror شو كمان أزاى
+
+624
+01:01:45,960 --> 01:01:49,880
+ال retinascope؟ ال sleeve مش فى ال sleeve، ال
+
+625
+01:01:49,880 --> 01:01:52,860
+sleeve up و down، ال movable sleeve
+
+626
+01:02:14,830 --> 01:02:19,510
+هدول انه بتكون من نظامين ال viewing لقدام هناخدهم
+
+627
+01:02:19,510 --> 01:02:23,110
+ال viewing system زاد ال illuminating system نظام
+
+628
+01:02:23,110 --> 01:02:31,530
+الرؤية و نظام الإضاءة لكن هنا عندنا ال parts أزاق
+
+629
+01:02:31,530 --> 01:02:37,130
+of رتينوم
+
+630
+01:02:42,320 --> 01:02:51,820
+scope number one convex الان
+
+631
+01:02:51,820 --> 01:02:56,840
+اللي احنا بنستخدمه ال reflecting retinascope هو
+
+632
+01:02:56,840 --> 01:03:00,780
+بتكون بس من mirror اللي هو مرقار زائد انه بيكون ال
+
+633
+01:03:00,780 --> 01:03:04,960
+light source المصدر الضوء واضح؟ اذا ال parts of
+
+634
+01:03:04,960 --> 01:03:07,860
+retinascope اللي انا بقصد فيه ال streak
+
+635
+01:03:07,860 --> 01:03:15,990
+retinascope الان المستخدم الانال convex lens تعمل
+
+636
+01:03:15,990 --> 01:03:21,890
+convergence لل
+
+637
+01:03:21,890 --> 01:03:27,030
+light source
+
+638
+01:03:27,030 --> 01:03:31,070
+في
+
+639
+01:03:31,070 --> 01:03:37,430
+عندنا number two a plan mirror
+
+640
+01:03:41,220 --> 01:03:52,800
+طبعا بتكون bearable لل light rays
+
+641
+01:03:52,800 --> 01:03:57,380
+number
+
+642
+01:03:57,380 --> 01:04:04,720
+three في عندنا ال batteries البطارية
+
+643
+01:04:04,720 --> 01:04:07,660
+number four
+
+644
+01:04:14,660 --> 01:04:21,520
+halogen light source
+
+645
+01:04:21,520 --> 01:04:26,040
+number
+
+646
+01:04:26,040 --> 01:04:33,440
+five الموفable sleeve
+
+647
+01:04:33,440 --> 01:04:38,820
+سواكان up down or
+
+648
+01:04:43,570 --> 01:04:50,010
+side to side okay
+
+649
+01:04:50,010 --> 01:05:00,510
+هاي أزاق ال retinascope إذا
+
+650
+01:05:00,510 --> 01:05:04,710
+خمس أزاق بتكون منه جهاز ال street retinascope
+
+651
+01:05:04,710 --> 01:05:08,890
+بمعنى ال light retinascope أو ال luminous
+
+652
+01:05:08,890 --> 01:05:10,350
+retinascope okay
+
+653
+01:05:29,040 --> 01:05:33,760
+طيب بالنسبة لل written scope بتكون كمان من نظامين
+
+654
+01:05:33,760 --> 01:05:39,240
+في عندنا ال viewing system اللي هو نظام الإضاءة او
+
+655
+01:05:39,240 --> 01:05:44,360
+نظام الرؤية و ال illuminating system نظام الإضاءة
+
+656
+01:05:45,190 --> 01:05:49,170
+الان لو انا جبتلك written scope has viewing system
+
+657
+01:05:49,170 --> 01:05:54,290
+only true or false؟ false اذا two system viewing
+
+658
+01:05:54,290 --> 01:05:58,850
+system and illuminating system okay بقصد مين هان
+
+659
+01:05:58,850 --> 01:06:04,870
+ال street written scope okay the viewing system
+
+660
+01:06:04,870 --> 01:06:08,650
+نظام الرؤية اللي هي الفتحة اللي بيشوف منها ال
+
+661
+01:06:08,650 --> 01:06:13,870
+aberration okay اللي قطرها ال diameter اربع مليمتر
+
+662
+01:06:13,870 --> 01:06:19,770
+او اكثرthe viewing system نظام الرؤية consists of
+
+663
+01:06:19,770 --> 01:06:24,170
+a small aperture اذا تتكون من فتحة صغيرة at the
+
+664
+01:06:24,170 --> 01:06:27,470
+head of the retinascope في رأس الرتيناسكوب that
+
+665
+01:06:27,470 --> 01:06:31,670
+enables انه بيسمح the examiner to see اللي بتسمح
+
+666
+01:06:31,670 --> 01:06:35,410
+لمين؟ للمريض، لال examiner بالرؤية
+
+667
+01:06:38,420 --> 01:06:44,460
+النظام الرؤية بتكون من ال light source اللي حكينا
+
+668
+01:06:44,460 --> 01:06:48,560
+عنها مين ال bulb هالوجين اللي بتعمل ايه بتجمع
+
+669
+01:06:48,560 --> 01:06:55,900
+الضوء which is a straight line خط مستقيمStraight
+
+670
+01:06:55,900 --> 01:06:59,480
+line filament هي الـ filament بمعنى خيوط يعني
+
+671
+01:06:59,480 --> 01:07:03,260
+الضوء اللي بيخرج من ال retinascope بيكون ايش
+
+672
+01:07:03,260 --> 01:07:08,240
+parallel متوازق okay فبيكون زي الخيوط المتوازية
+
+673
+01:07:08,240 --> 01:07:14,020
+يعني زي خطوط متوازية of the bulb in a straight
+
+674
+01:07:14,020 --> 01:07:14,940
+retinascope
+
+675
+01:07:20,670 --> 01:07:28,070
+ووضفتها ال plan mirror العدسة المسطحة انه الأشعة
+
+676
+01:07:28,070 --> 01:07:34,590
+انه بتكون متوازية صح and a condensing lens العدسة
+
+677
+01:07:34,590 --> 01:07:37,670
+المجمعة between the mirror and the bulb اللي هي
+
+678
+01:07:37,670 --> 01:07:41,550
+حاكينا عنها ال convex lens او بنسميها ال
+
+679
+01:07:41,550 --> 01:07:46,070
+condensing lens او convergence of the light source
+
+680
+01:07:46,070 --> 01:07:52,730
+ايضا في عندنا a movable sleeveالـ movable sleeve،
+
+681
+01:07:52,730 --> 01:07:59,990
+حركة السليف، السليف بمعنى أنبوب استواني okay is a
+
+682
+01:07:59,990 --> 01:08:03,470
+present that involves the whole retinascope، إذا
+
+683
+01:08:03,470 --> 01:08:07,490
+موجود بيكون في ال retinoscope، أتكلم عن مين؟
+
+684
+01:08:07,490 --> 01:08:13,350
+الاستريك ريتيناسكوب، the bulb، إذا هذه اللمبة may
+
+685
+01:08:13,350 --> 01:08:18,090
+be rotated، ممكن أنه تدور على ال 360 درجة، صح ولا
+
+686
+01:08:18,090 --> 01:08:24,600
+لأ؟عندما تحرك السليف يمكن أن تتحرك على التسعين،
+
+687
+01:08:24,600 --> 01:08:28,520
+المية و تمانين، تلاتين، مية و خمسة و ثلاثين، حسب
+
+688
+01:08:28,520 --> 01:08:33,580
+موقع الـ red reflex بالنسبة للـ streak يعني
+
+689
+01:08:33,580 --> 01:08:34,780
+الـwritten score
+
+690
+01:08:42,090 --> 01:08:47,270
+to just it is focused طبعا up down or side to side
+
+691
+01:08:47,270 --> 01:08:51,970
+يعني انه بيكون up down اللي هو او side to side
+
+692
+01:08:51,970 --> 01:08:57,270
+right to left طبعا
+
+693
+01:08:57,270 --> 01:09:00,690
+اليوم بنكون هيك اكتفنا من محاضرة اليوم
+
+694
+01:09:03,200 --> 01:09:06,900
+في المحاضرة القادمة ان شاء الله هنبدأ what happens
+
+695
+01:09:06,900 --> 01:09:11,360
+during retinoscopy ان شو اللي بيحدث اثناء عملية
+
+696
+01:09:11,360 --> 01:09:13,320
+مين ال retinoscopy
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8c6363efb96c2db15be5f89a18a4e46a94f3d7a0
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134.srt
@@ -0,0 +1,2122 @@
+
+1
+00:00:20,790 --> 00:00:25,770
+بسم الله الرحمن الرحيم. في المحاضرة السابقة، تكلمنا
+
+2
+00:00:25,770 --> 00:00:31,250
+عن مفهوم الـ visual acuity، حدة الإبصار. طبعًا، اليوم
+
+3
+00:00:31,250 --> 00:00:39,550
+سنبدأ بتعريف حدة الإبصار من مفهوم آخر، لتبسيط
+
+4
+00:00:39,550 --> 00:00:46,140
+المادة العلمية أكثر. visual acuity كتعريف له: it is a
+
+5
+00:00:46,140 --> 00:00:50,160
+measurement of the spatial resolving capacity of the
+
+6
+00:00:50,160 --> 00:00:55,300
+eye and is applied to central vision. يعني بيستخدم
+
+7
+00:00:55,300 --> 00:01:04,000
+في قياس مقدار الصورة التي تتكون على العين، ومقدار
+
+8
+00:01:04,000 --> 00:01:08,960
+الرؤية المركزية للعين. okay. طيب، الـ special
+
+9
+00:01:08,960 --> 00:01:14,340
+resolving. حدنا سمع في تعريف الـ special resolving، شو
+
+10
+00:01:14,340 --> 00:01:22,800
+هو؟ نعم، قوة التباين، بس
+
+11
+00:01:22,800 --> 00:01:27,900
+هنا عندنا في الـ visual acuity، كتعريف لها، أنه: جداش
+
+12
+00:01:27,900 --> 00:01:32,840
+القدرة على تكوين الصورة، سواء بواسطة كاميرا الجوال،
+
+13
+00:01:32,840 --> 00:01:38,900
+بواسطة العين، أو بواسطة الـ microscope. يعني القدرة
+
+14
+00:01:38,900 --> 00:01:45,680
+على تكوين الصورة بواسطة العين، أو بواسطة الـ
+
+15
+00:01:45,680 --> 00:02:02,480
+microscope، أو بواسطة الكاميرا. الـ special resolving
+
+16
+00:02:11,200 --> 00:02:23,420
+it is an ability to form an image
+
+17
+00:02:23,420 --> 00:02:27,600
+using a
+
+18
+00:02:27,600 --> 00:02:33,680
+device
+
+19
+00:02:33,680 --> 00:02:39,300
+such
+
+20
+00:02:39,300 --> 00:02:51,550
+as. على سبيل المثال، عندنا مثلًا camera، eye،
+
+21
+00:02:51,550 --> 00:02:55,410
+microscope.
+
+22
+00:03:02,000 --> 00:03:06,940
+إذًا، القدرة على تكوين الصورة بشكلها، ممكن
+
+23
+00:03:06,940 --> 00:03:12,620
+كاميرا، ممكن عين، ممكن microscope. okay. هذا
+
+24
+00:03:12,620 --> 00:03:18,440
+تعريف الـ special resolving. فالـ
+
+25
+00:03:18,440 --> 00:03:23,780
+visual acuity يقيس مقدار الـ special resolving  للعين.
+
+26
+00:03:23,780 --> 00:03:28,280
+مقدار، يعني كمية هذا الـ special resolving بتاعة العين.
+
+27
+00:03:28,830 --> 00:03:32,270
+وزائد أنه يقيس أيش؟ الـ central vision، الرؤية
+
+28
+00:03:32,270 --> 00:03:40,310
+المركزية، لمن؟ للعين. okay. Importance of testing
+
+29
+00:03:40,310 --> 00:03:47,450
+visual acuity. شو أهمية قياس حدة الإبصار؟ Testing
+
+30
+00:03:47,450 --> 00:03:51,550
+visual acuity is very important in all of the
+
+31
+00:03:51,550 --> 00:03:57,950
+cases. ليش حدة الإبصار تعتبر يعني لها أهمية
+
+32
+00:03:57,950 --> 00:04:03,350
+كبيرة؟ أول حاجة، it gives us an accurate diagnosis
+
+33
+00:04:03,350 --> 00:04:08,170
+for the patient. diagnosis بمعنى تشخيص. يعني بتعطي
+
+34
+00:04:08,170 --> 00:04:14,490
+تشخيص دقيق للمريض، لحالة المريض، and indicate the
+
+35
+00:04:14,490 --> 00:04:18,970
+severity of the problem. وبيشير إلى حدة اللي هو كده
+
+36
+00:04:18,970 --> 00:04:21,990
+عنده مشكلة. طبعًا، كلمة severe
+
+37
+00:04:24,940 --> 00:04:34,540
+بمعنى حاد، وعكسه mild، بمعنى اللي هو يعني قليل. يعني
+
+38
+00:04:34,540 --> 00:04:44,580
+زي مثلًا واحد بيقول عنده severe headache، وواحد آخر
+
+39
+00:04:44,580 --> 00:04:49,980
+ايش بيقول؟ مثلًا mild headache.
+
+40
+00:04:54,860 --> 00:05:01,520
+عندنا moderate، متوسط،
+
+41
+00:05:01,520 --> 00:05:06,400
+headache. يعني لما أنتم أخذتم الـ history من
+
+42
+00:05:06,400 --> 00:05:10,520
+المريض، ممكن أنه المريض يقول: أنا عندي mild اللي هو
+
+43
+00:05:10,520 --> 00:05:14,900
+headache، أنه صداع، لكن إيش ماله؟ خفيف، أو moderate
+
+44
+00:05:14,900 --> 00:05:19,200
+headache، أنه صداع، لكن إيش ماله؟ متوسط، أو severe headache،
+
+45
+00:05:19,200 --> 00:05:22,100
+أنه بيكون صداع، لكن إيش ماله؟ حاد.
+
+46
+00:05:26,120 --> 00:05:29,800
+Number two, it may help us to discover a new
+
+47
+00:05:29,800 --> 00:05:32,820
+problem in the patient which is not the main
+
+48
+00:05:32,820 --> 00:05:37,900
+problem that the patient complained of. مثال عليها:
+
+49
+00:05:37,900 --> 00:05:42,680
+مثلًا، يأتي مريض، حكى في الـ history بتاعه: أنا مثلًا
+
+50
+00:05:42,680 --> 00:05:47,220
+عندي headache، severe headache. الآن، هذه تعتبر
+
+51
+00:05:47,220 --> 00:05:51,630
+إيش؟ الـ history بتاعة المريض.  الـ examiner أو الـ
+
+52
+00:05:51,630 --> 00:05:56,310
+optometrist، لما نحن جسنا الـ visual acuity بتاعته،
+
+53
+00:05:56,310 --> 00:06:00,770
+لجأنا عنده blurred vision for distance. يعني عنده
+
+54
+00:06:00,770 --> 00:06:06,230
+مشكلة في البعيد. okay. فهذه المشكلة، من كشفها؟ الـ
+
+55
+00:06:06,230 --> 00:06:11,490
+visual acuity. okay. يعني الآن، لو أنا مثلًا أجيب لك
+
+56
+00:06:11,490 --> 00:06:15,430
+case study. الـ case study هذه مثلًا عندها headache،
+
+57
+00:06:15,430 --> 00:06:18,550
+severe headache، أو mild headache، أو moderate
+
+58
+00:06:18,550 --> 00:06:22,970
+headache، لكن عندها في الـ visual acuity blurred
+
+59
+00:06:22,970 --> 00:06:27,110
+for vision. إذًا، الـ visual acuity بتاعة المريض،
+
+60
+00:06:27,110 --> 00:06:33,750
+تتوقع يكون impaired، ضعيف، ولا good، ولا جيد؟ ضعيف،
+
+61
+00:06:33,750 --> 00:06:40,270
+صح؟ واضح الأمور؟ الآن، يأتي أنا عندي طفل، أو مثلًا
+
+62
+00:06:40,270 --> 00:06:46,810
+female or male، عمرها تسع عشرة سنة، وشكى أنه عنده
+
+63
+00:06:46,810 --> 00:06:51,070
+headache. طبعًا، هذه سواء severe، أو mild، أو moderate،
+
+64
+00:06:51,070 --> 00:06:56,360
+headache، هذه تعتبر إيش؟ الـ history... الـ history of
+
+65
+00:06:56,360 --> 00:07:01,060
+the patient. صح؟ الآن، أنا عملت visual acuity، جسنا جدّ
+
+66
+00:07:01,060 --> 00:07:05,280
+... جداش حدة الإبصار للمريض، فطلع عنده blurred للـ
+
+67
+00:07:05,280 --> 00:07:08,480
+vision. يعني الـ vision عنده مثلًا ستة على ستين، أو
+
+68
+00:07:08,480 --> 00:07:12,240
+ستة على أربعة وعشرين. ف أنا هذا بيديني indicate للـ
+
+69
+00:07:12,240 --> 00:07:18,020
+visual acuity impaired، bad or good؟ bad. صح؟
+
+70
+00:07:18,020 --> 00:07:18,380
+impaired.
+
+71
+00:07:21,280 --> 00:07:24,020
+It is also help us in the following up the
+
+72
+00:07:24,020 --> 00:07:27,660
+patient's case to compare between pre and post the
+
+73
+00:07:27,660 --> 00:07:33,260
+treatment. اليوم، أربعة عشر، جسنا لسين من الناس، الـ
+
+74
+00:07:33,260 --> 00:07:37,940
+visual acuity بتاعته كانت مثلًا أربعة على ستين. okay.
+
+75
+00:07:37,940 --> 00:07:43,820
+لكن هذا المريض كان عنده مشكلة eye disease. يعني
+
+76
+00:07:43,820 --> 00:07:50,690
+مرض في العين. أربعة واحد ٢٠١٧، جسنا الـ visual acuity،
+
+77
+00:07:50,690 --> 00:07:55,790
+حدة الإبصار، لجأنا باختلف عن المرة الفاتة. ليش؟ لأن
+
+78
+00:07:55,790 --> 00:08:00,550
+السبب راح، اللي هو اللي... أنه ليش هو كان عنده
+
+79
+00:08:00,550 --> 00:08:04,670
+visual acuity impaired. السبب اللي هو الـ eye
+
+80
+00:08:04,670 --> 00:08:08,150
+disease. فالـ eye disease، علاجناه. يعني نحن علاجنا
+
+81
+00:08:08,150 --> 00:08:11,650
+اللي هو الـ causes. فمدام أنتَ علاجت الـ causes، فالـ
+
+82
+00:08:11,650 --> 00:08:14,630
+visual acuity إيش ماله؟ هيتحسن. صح؟
+
+83
+00:08:17,570 --> 00:08:21,810
+For all of these reasons, visual acuity must be
+
+84
+00:08:21,810 --> 00:08:25,490
+tested for all of the patients before visiting the
+
+85
+00:08:25,490 --> 00:08:31,610
+ophthalmologist. طبعًا، أي كتاب في العيون تفتحيه، في ٤
+
+86
+00:08:31,610 --> 00:08:37,720
+Os، دائمًا مكتوبة ٤ Os. شو معناها الـ ٤ Os؟ الـ ٤ Os معناها
+
+87
+00:08:37,720 --> 00:08:43,540
+أنه ophthalmologist، طبيب طب العيون، ophthalmologist،
+
+88
+00:08:43,540 --> 00:08:48,760
+اللي هي طبيب العيون، في الـ optometrist، علم البصريات،
+
+89
+00:08:48,760 --> 00:08:54,660
+أخصائي البصريات، في الـ orthoptist، اللي هو علم
+
+90
+00:08:54,660 --> 00:08:59,820
+الحَوَل، وفي
+
+91
+00:08:59,820 --> 00:09:05,140
+الـ optician، اللي... اللي بيقيس النظارات، وفيه الـ
+
+92
+00:09:05,140 --> 00:09:16,500
+optician، اللي هو فن البصريات. فعندنا ٤ Os، هنا دائمًا
+
+93
+00:09:16,500 --> 00:09:24,100
+أي كتاب في العيون بيكون كاتب ٤ Os. شو معنى الـ ٤ Os؟
+
+94
+00:09:24,100 --> 00:09:28,500
+زي هيك بيكون كاتب ٤ Os.
+
+95
+00:09:30,340 --> 00:09:52,940
+عندنا الـ ophthalmologist، بمعنى
+
+96
+00:09:52,940 --> 00:09:55,880
+طب العيون، طبيب العيون. okay.
+
+97
+00:10:08,960 --> 00:10:19,200
+optometrist. وفي عندنا الـ orthoptics، المختص
+
+98
+00:10:19,200 --> 00:10:24,540
+في الحَوَل. orthoptist.
+
+99
+00:10:24,540 --> 00:10:30,780
+وفي
+
+100
+00:10:30,780 --> 00:10:32,080
+عندنا الـ optics
+
+101
+00:10:39,510 --> 00:10:46,170
+optician، اللي بيكون مختص في علم النظارات، يعني
+
+102
+00:10:46,170 --> 00:10:50,550
+اللي بيقيس النظارات، اللي هو فن بصريات. okay. فالآن،
+
+103
+00:10:50,550 --> 00:10:56,240
+أي مريض بيروح لطبيب العيون، لازم يقاس له حدة
+
+104
+00:10:56,240 --> 00:11:00,480
+الإبصار، مقدار حدة الإبصار لهذا المريض. طبعًا، الـ
+
+105
+00:11:00,480 --> 00:11:03,920
+function هذا، أو الـ task هذا، الوظيفة، من اللي بيقوم
+
+106
+00:11:03,920 --> 00:11:07,640
+فيها؟ اللي هو الـ optometrist. optometry، علم
+
+107
+00:11:07,640 --> 00:11:10,760
+البصريات. الـ optometrist، اللي هو الـ examiner،
+
+108
+00:11:10,760 --> 00:11:16,210
+أخصائي البصريات. And this is the mission of the
+
+109
+00:11:16,210 --> 00:11:20,290
+optometrist, who is the specialist examiner in this
+
+110
+00:11:20,290 --> 00:11:23,690
+examination. يعني هذه الـ mission، الوظيفة، أو الـ
+
+111
+00:11:23,690 --> 00:11:28,170
+occupation، اللي بيقوم فيها من؟ طبيب، أو أخصائي
+
+112
+00:11:28,170 --> 00:11:33,930
+البصريات. okay. طيب.
+
+113
+00:11:33,930 --> 00:11:38,890
+Testing visual acuity in preverbal children. قياس
+
+114
+00:11:38,890 --> 00:11:45,800
+حدة الإبصار للأطفال غير الناطقين. أول حاجة عندنا is
+
+115
+00:11:45,800 --> 00:11:54,480
+occlusion of one eye. أنه أغطي عين واحدة. It is
+
+116
+00:11:54,480 --> 00:11:57,960
+a simple method for testing the visual acuity in
+
+117
+00:11:57,960 --> 00:12:03,550
+preverbal children and infants. طبعًا، هي طريقة بسيطة
+
+118
+00:12:03,550 --> 00:12:07,670
+جدًا، لقياس حدة الإبصار للعين في الأطفال غير
+
+119
+00:12:07,670 --> 00:12:12,030
+الناطقين والرضع. okay. We cover one eye, and if
+
+120
+00:12:12,030 --> 00:12:15,890
+strongly objected by the child, indicates poorer
+
+121
+00:12:15,890 --> 00:12:20,430
+acuity in the other eye. الآن، بنغطي عين، يعني مثلًا
+
+122
+00:12:20,430 --> 00:12:25,270
+الآن بدي أفحص العين اليمنى، بغطي من؟ العين اليسرى.
+
+123
+00:12:26,180 --> 00:12:31,640
+بشوف مقدار اللي هو، إذا مثلًا الطفل قاوم هذه التغطية،
+
+124
+00:12:31,640 --> 00:12:35,940
+أنه رفع الغطاء عن العين، فبيكون poor للـ visual
+
+125
+00:12:35,940 --> 00:12:41,740
+acuity in the right eye. okay. okay.
+
+126
+00:12:41,740 --> 00:12:46,620
+الآن، أنا مثلًا بدي أجيس الـ visual acuity للعين
+
+127
+00:12:46,620 --> 00:12:53,500
+اليمين، بغطي من؟ العين اليسرى. لو الطفل قاوم اللي هو
+
+128
+00:12:53,500 --> 00:12:57,180
+التغطية بتاعته، يعني رفع الغطاء اللي أنا غطيته فيه
+
+129
+00:12:57,180 --> 00:13:01,520
+العين اليسرى، حيكون شو معناه؟ أنه الطفل مش شايف في
+
+130
+00:13:01,520 --> 00:13:05,400
+العين اليمنى. صح؟ فهو بيعطيني أن الـ visual acuity in
+
+131
+00:13:05,400 --> 00:13:09,800
+the right eye is poor or impaired. بس هذا الفحص مش
+
+132
+00:13:09,800 --> 00:13:13,700
+دقيق، لأن الأطفال ما بيحملوش أي شيء مثل هذا. بالظبط.
+
+133
+00:13:19,220 --> 00:13:23,420
+هو هذا اللي قلنا الفحص هو عبارة عن إيه؟ أنه قلنا
+
+134
+00:13:23,420 --> 00:13:29,640
+roughly... roughly test. أنه مجرد يعني فحص يعني
+
+135
+00:13:29,640 --> 00:13:33,820
+أولى، أنه بس مجرد أنه أعرف هل هذا الطفل اللي عنده
+
+136
+00:13:33,820 --> 00:13:38,160
+good visual acuity ولا bad visual acuity. لكن
+
+137
+00:13:38,160 --> 00:13:42,400
+السؤال، هي طرح السؤال، بس أنا بدي أصيغه بشكل آخر، أنه
+
+138
+00:13:42,400 --> 00:13:46,120
+هل هذا الفحص يعتبر quantitative ولا qualitative
+
+139
+00:13:46,120 --> 00:13:51,520
+test؟ يعني اللي هو... qualitative اللي هو إيش؟ يعتبر
+
+140
+00:13:51,520 --> 00:13:55,860
+... اللي هو وصفي. ليش؟ لأنه ما يدينيش اللي هو إيه؟
+
+141
+00:13:55,860 --> 00:13:59,700
+رقم. يعني هذا ممكن أنا مثلًا أسأل السؤال، ليش أنا
+
+142
+00:13:59,700 --> 00:14:02,360
+مثلًا، الـ occlusion of one eye is a qualitative
+
+143
+00:14:02,360 --> 00:14:09,000
+test؟ why؟ بالظبط، مش مدانيش، أنا يا إما بقولي الـ
+
+144
+00:14:09,000 --> 00:14:13,510
+visual acuity good or bad. okay؟ ما بيحكيليش مثلًا
+
+145
+00:14:13,510 --> 00:14:18,210
+الـ visual acuity ستة على ستين، أو واحد على ستين. لأ، مجرد
+
+146
+00:14:18,210 --> 00:14:26,350
+أنه بيقول لي الـ visual acuity good أو bad. okay. This
+
+147
+00:14:26,350 --> 00:14:29,530
+method just indicates if the visual acuity is good
+
+148
+00:14:29,530 --> 00:14:32,070
+or poor and doesn't give us an accurate
+
+149
+00:14:32,070 --> 00:14:35,730
+measurement. هو ما بيعطيني اللي هو تشخيص دقيق. طبعًا،
+
+150
+00:14:35,730 --> 00:14:37,450
+نحن هنطبق الفحص هذا.
+
+151
+00:14:41,550 --> 00:14:48,190
+بدنا طالبة. طبعًا، الآن هي أول حاجة نفترض أنه عندنا
+
+152
+00:14:48,190 --> 00:15:01,670
+طفل. okay. البسي هذه في العين اليسرى، شجّعي
+
+153
+00:15:01,670 --> 00:15:08,770
+هذه. شايفين؟ تعالي تَحَمّي الآن.
+
+154
+00:15:08,770 --> 00:15:15,760
+أنا غطيت عين. okay. اللي هو المريض، الطفل. الأم طبعًا،
+
+155
+00:15:15,760 --> 00:15:20,080
+دائمًا، الطفل لما بعمله الـ visual acuity، لازم يكون
+
+156
+00:15:20,080 --> 00:15:24,020
+here، or his parents، معه. okay. أنه دائمًا اللي هو
+
+157
+00:15:24,020 --> 00:15:28,580
+والده يكونوا معه. بغطي عين، أول حاجة، طبعًا أنا بدي
+
+158
+00:15:28,580 --> 00:15:32,140
+أفحص اللي هو الـ right eye. الآن، لو الـ visual acuity
+
+159
+00:15:32,140 --> 00:15:36,340
+بتاعة المريض بيكون ضعيف، إيش هيعمل؟ حيُحاول يرفع الـ
+
+160
+00:15:36,340 --> 00:15:40,400
+cover. فهي المقصود في أنه strongly objected of the
+
+161
+00:15:40,400 --> 00:15:44,500
+cover. okay؟ لكن لو كان الـ visual acuity بتاعته
+
+162
+00:15:44,500 --> 00:15:48,540
+جيدة، إيش ماله؟ هيحافظ عليه، هيخليه. بس بعض
+
+163
+00:15:48,540 --> 00:15:51,440
+الأطفال مثلًا، بتلاقي حتى لو كان عنده الـ visual
+
+164
+00:15:51,440 --> 00:15:56,020
+acuity كويسة بتاعته، و good visual acuity، بيحاول أنه
+
+165
+00:15:56,020 --> 00:16:01,720
+يرفعله هذا. بس يعني هو مجرد أنه رفلي، رفلي بمعنى
+
+166
+00:16:01,720 --> 00:16:05,020
+إيش؟ يعني سطحي، أنه هل بتعطيني الـ visual acuity good
+
+167
+00:16:05,020 --> 00:16:09,980
+or bad. okay؟ طبعًا هي مثلًا الـ test هنا مطبقة الـ
+
+168
+00:16:09,980 --> 00:16:14,180
+examiner، اللي هو الطبيب. أول حاجة هي ملاحظة أنتِ
+
+169
+00:16:14,180 --> 00:16:21,860
+الطفل مع أمه. okay. الدكتور غطى العين اليمنى والعين
+
+170
+00:16:21,860 --> 00:16:25,660
+اليسرى. بتلاحظي أنه الطفل إيش؟ بيحاول أنه يرفع العين
+
+171
+00:16:25,660 --> 00:16:30,700
+صح؟ اليد، عفوًا، من عينه. هنا بيكون إيش ماله؟ bad
+
+172
+00:16:30,700 --> 00:16:34,440
+visual acuity. ممكن أجيب لكم صورة، شو التشخيص بتاعك
+
+173
+00:16:34,440 --> 00:16:40,220
+هنا، إذا هنا إيش؟ bad visual acuity. هنا الطفل إيش
+
+174
+00:16:40,220 --> 00:16:43,900
+ماله؟ يبتسم. صح؟ فهنا يعتبر اللي هو good visual
+
+175
+00:16:43,900 --> 00:16:50,220
+acuity. طيب.
+
+176
+00:16:50,220 --> 00:16:57,820
+الـ test الآخر، الـ fixation test. كلمة fixation، شو
+
+177
+00:16:57,820 --> 00:17:04,690
+معناها؟ أنه تثبيت. هذه طريقة جيدة جدًا لتجربة الـ
+
+178
+00:17:04,690 --> 00:17:11,130
+visual acuity، وبتت
+
+223
+00:21:00,500 --> 00:21:09,100
+إنه مش ثابت، مفهومة تانية؟ خلال خمس ثواني، طيب الآن
+
+224
+00:21:09,100 --> 00:21:13,600
+برضه غطى العين الآن
+
+225
+00:21:13,600 --> 00:21:17,460
+حطيت اللي هو ستة عشر prism، واطفِءَ عامل fixation
+
+226
+00:21:17,460 --> 00:21:23,300
+رفعت الغطاء عن العين خلال عشر ثواني، عمل fixation
+
+227
+00:21:23,300 --> 00:21:26,880
+يعني عمل fixation بس خلال عشر ثواني، حول ال
+
+228
+00:21:26,880 --> 00:21:31,920
+fixation للعين التانية، يعني هذه فضلت التانية على
+
+229
+00:21:31,920 --> 00:21:37,210
+الأولى، يعني بتلاحظ أن العين الـ .. بس خليني أسمع،
+
+230
+00:21:37,210 --> 00:21:40,990
+بتلاحظ العين اليمين انحرفت، وعمل fixation في العين
+
+231
+00:21:40,990 --> 00:21:44,470
+إيش؟ الشمال، يعني العين الشمال هي اللي صار فيها
+
+232
+00:21:44,470 --> 00:21:47,910
+fixation، آه، صارت اللي هو ثابتة، إنه فيها
+
+233
+00:21:47,910 --> 00:21:52,070
+fixation، يعني central، okay؟ آه، فإنما بيعمل
+
+234
+00:21:52,070 --> 00:21:55,330
+fixation في العين الشمال، اللي هو معناه إنه خلال
+
+235
+00:21:55,330 --> 00:21:59,070
+عشر ثواني، إنه هانَ الـ visual acuity بتاعته، اللي
+
+236
+00:21:59,070 --> 00:22:02,450
+هو حوالي قداش؟ ستة على أربعة وعشرين لستة على
+
+237
+00:22:02,450 --> 00:22:08,590
+ثمانية عشر، okay؟ طيب لو الآن أنا مثلاً عملت للمريض برضه
+
+238
+00:22:08,590 --> 00:22:13,290
+غطى عينه، عمل fixation في العين الـ right، لكن أما
+
+239
+00:22:13,290 --> 00:22:16,770
+رفعت الغطاء عن العين الشمال، حافظ على الـ fixation في
+
+240
+00:22:16,770 --> 00:22:21,290
+الـ right، لكن بعد عشرين ثانية غير الـ fixation للعين
+
+241
+00:22:21,290 --> 00:22:25,150
+الشمال، إذا هنا إيش معناه؟ إنه الـ visual acuity
+
+242
+00:22:25,150 --> 00:22:33,450
+بتاعه 6 ع 12 لـ 6 ع 9، آخر حاجة، واضحة؟ آخر حاجة لو هو
+
+243
+00:22:33,450 --> 00:22:38,250
+مثلاً حطيت الـ prism، لكن عمل fixation وين؟ ما رهان
+
+244
+00:22:38,250 --> 00:22:41,450
+وَما رهان بعد ثلاثين ثانية، معناه إن الـ visual
+
+245
+00:22:41,450 --> 00:22:48,800
+acuity ستة ع ستة in both eyes، واضحة ولا كيف؟ ببساطة
+
+246
+00:22:48,800 --> 00:22:54,740
+الـ fixation test هو أهم يعني أهم وأفضل test من
+
+247
+00:22:54,740 --> 00:23:00,200
+ناحية الأطفال، سهل جداً، أنا بستخدم .. بس ركزوا شوية
+
+248
+00:23:00,200 --> 00:23:05,100
+معايا، بستخدم الـ prism، okay، الـ prism دائماً الـ apex
+
+249
+00:23:05,100 --> 00:23:09,500
+بتاعته بتكون up، والـ base بتكون down، إذاً السُّرَّة
+
+250
+00:23:09,500 --> 00:23:13,700
+تاعته وين؟ هتكون على الـ apex، okay، الآن العين
+
+251
+00:23:13,700 --> 00:23:18,960
+التانية مغطاة، بدام العين التانية مغطاة ما بعرف أنا
+
+252
+00:23:18,960 --> 00:23:24,680
+عاملة fixation ولا لأ، الآن أنا إيش عملت؟ العين الـ
+
+253
+00:23:24,680 --> 00:23:28,560
+right، نفرض اللي حاطط عليها الـ prism، عاملة fixation
+
+254
+00:23:28,560 --> 00:23:34,000
+روحت رفعت الغطاء عن العين الشمال، على طول الـ fixation
+
+255
+00:23:34,000 --> 00:23:38,000
+راح للعين التانية، للـ left eye، إذا شو معناه؟ إنه
+
+256
+00:23:38,000 --> 00:23:42,180
+poor، اللي هو الـ visual acuity impaired، ما بديش تحفظ
+
+257
+00:23:42,180 --> 00:23:46,910
+تحفظياً، افهمه كفهم، إنه معناه إن الـ visual acuity
+
+258
+00:23:46,910 --> 00:23:50,890
+impaired، لأنه ممكن ألعب فيها الصورة، okay، معناها
+
+259
+00:23:50,890 --> 00:23:54,310
+إنه في a fixation، إنه صار ما فيش شيء اللي هو
+
+260
+00:23:54,310 --> 00:24:01,090
+fixation في العين، okay، الشغل
+
+261
+00:24:01,090 --> 00:24:06,350
+التاني، لو مثلاً أنا أغطي العين الشمال، والعين
+
+262
+00:24:06,350 --> 00:24:09,890
+اليمين صار لها، حطيت الـ prism على العين اللي هو
+
+263
+00:24:09,890 --> 00:24:16,860
+الشمال، العين اليمين رفعت الغطاء عنها، okay، الآن
+
+264
+00:24:16,860 --> 00:24:22,440
+صار لها حافظت على الـ fixation، لكن بعد خمس ثواني راح
+
+265
+00:24:22,440 --> 00:24:25,640
+الـ fixation بتاعها، شو معناه؟ إن الـ visual acuity
+
+266
+00:24:25,640 --> 00:24:32,080
+بتاعه يعني أربعة على ستين، ستة على ستين، شوف أنا
+
+267
+00:24:32,080 --> 00:24:35,900
+لحظة، إنه هانَ الـ visual acuity يعتبر estimation
+
+268
+00:24:35,900 --> 00:24:41,260
+تقديري وليس accurate، يعني مش بالضبط، يعني صح هو
+
+269
+00:24:41,260 --> 00:24:45,260
+يعتبر الـ fixation test يعتبر quantitative، صح ولا
+
+270
+00:24:45,260 --> 00:24:48,880
+لا؟ إنه رقمي، الداني رقم، لكن يعتبر accurate ولا
+
+271
+00:24:48,880 --> 00:24:56,780
+estimation؟ estimation يعتبر، صح؟ النقطة التالتة،
+
+272
+00:24:56,780 --> 00:25:01,270
+الطفل عمل fixation، لكن الـ fixation هذا إيه صار فيه
+
+273
+00:25:01,270 --> 00:25:06,170
+إنه بعد عشر ثواني حول على العين التانية، إذا بمعنى
+
+274
+00:25:06,170 --> 00:25:11,250
+إنه صار عنده الطفل fixation، لكن اتغير للعين الأخرى
+
+275
+00:25:11,250 --> 00:25:16,050
+فهذا معناه إن الـ visual acuity للطفل ممكن يكون ستة
+
+276
+00:25:16,050 --> 00:25:21,750
+على ستين، يعني لست على اللي هو ستة وثلاثين، أو ستة
+
+277
+00:25:21,750 --> 00:25:23,470
+على أربعة وعشرين، okay
+
+278
+00:25:26,610 --> 00:25:32,090
+النقطة الرابعة، الطفل عمل fixation، لكن بعد حوالي
+
+279
+00:25:32,090 --> 00:25:36,030
+عشرين ثانية فضل الـ fixation على العين التانية، okay
+
+280
+00:25:36,030 --> 00:25:39,730
+الـ visual acuity ستة ع اثنا عشر لستة ع تسعة، ستة ع
+
+281
+00:25:39,730 --> 00:25:44,370
+سبعة ونصف، ممكن الأخيرة عمل fixation، لكن إيش؟ متبادل
+
+282
+00:25:44,370 --> 00:25:48,610
+مرة في الـ right، مرة في الـ left، يعني إذا ستة ع ستة
+
+283
+00:25:48,610 --> 00:25:53,310
+طيب ليش أنا استخدمت الـ الستة عشر prism ديوبتر، أو
+
+284
+00:25:53,310 --> 00:25:58,950
+عشرين prism ديوبتر؟ عشان إنه إيش؟ يعمل اللي هو الـ
+
+285
+00:25:58,950 --> 00:26:02,970
+elevation up، إنه يعمل للطفل اللي هو elevation up
+
+286
+00:26:02,970 --> 00:26:06,930
+to take fixation up، إنه دائماً إنه يكون وين؟ الـ
+
+287
+00:26:06,930 --> 00:26:11,190
+fixation بتاعه للأعلى، لكن لو حطيت مثلاً اثنين prism
+
+288
+00:26:11,190 --> 00:26:15,370
+ديوبتر، أو ثلاثة prism ديوبتر، ما بيقدرش إنه يعمل
+
+289
+00:26:15,370 --> 00:26:18,070
+اللي هو fixation up، okay؟
+
+290
+00:26:20,240 --> 00:26:30,120
+يعني نعمل fixation
+
+291
+00:26:30,120 --> 00:26:33,580
+مرة في العين، ومرة في الـ left، خلال ثلاثين ثانية
+
+292
+00:26:33,580 --> 00:26:38,120
+تقريباً إنه بيعمل اللي هو مرة هيك ومرة هيك، إنه
+
+293
+00:26:38,120 --> 00:26:46,320
+بيكون ستة على ستة، alternate fixation، الـ fixation
+
+294
+00:26:46,320 --> 00:26:50,280
+معناها ثابتة، يعني أنا حاطط أصبعي زي ما كنت حاطط
+
+295
+00:26:50,280 --> 00:26:54,680
+أصبعي، مجرد ما رفعت الغطاء عن العين اتحول هذه العين
+
+296
+00:26:54,680 --> 00:26:59,060
+أخدت اللي هو يا لليمين انحرفت، يا لليمين يا للشمال
+
+297
+00:26:59,060 --> 00:27:04,920
+والعين التانية هي اللي عملت fixation، واضح؟ يعني
+
+298
+00:27:04,920 --> 00:27:07,260
+هيك أنا حاولت أن أبسطه أكثر ما يمكن
+
+299
+00:27:10,920 --> 00:27:16,480
+طيب بالنسبة لـ الـ sweet test، طبعاً هذا الفحص يعتبر
+
+300
+00:27:16,480 --> 00:27:21,140
+شائع عندنا كتير، طبعاً الـ sweet test هيو يكون زي ما
+
+301
+00:27:21,140 --> 00:27:25,620
+أنا ماسك بـ .. بإيدي بالظبط زي هيك، لازم أنا أوزع
+
+302
+00:27:25,620 --> 00:27:30,040
+اللي هو الحبات بتاعتي في مختلف إيدي، مش مثلاً أحطها
+
+303
+00:27:30,040 --> 00:27:35,870
+في الـ center، شايفين أنتو ولا كيف؟ يعني دائماً في الـ
+
+304
+00:27:35,870 --> 00:27:39,910
+sweet test ما بحطش اللي هو الـ .. الإيد في نص الـ ..
+
+305
+00:27:39,910 --> 00:27:43,050
+الـ .. يعني الحبات هدول الـ sweet في الـ .. في الـ
+
+306
+00:27:43,050 --> 00:27:52,530
+center، دائماً لازم مثلاً على الأطراف زي هيك، وبالظبط
+
+307
+00:27:52,530 --> 00:27:56,950
+الـ color لازم يكون مختلف بتاعة الـ sweet، ليش طيب؟
+
+308
+00:27:56,950 --> 00:27:58,910
+واحدة بس، واحدة
+
+309
+00:28:03,790 --> 00:28:09,370
+ارفع يدك، وجاوبي، الآن أنا لما بستخدم الـ sweet test
+
+310
+00:28:09,370 --> 00:28:12,790
+لازم يكون الألوان مختلفة فيه، يعني الحبات بتاعتها
+
+311
+00:28:12,790 --> 00:28:23,910
+لازم تكون مختلفة الـ color بتاعها، ليش؟ نعم، طيب
+
+312
+00:28:23,910 --> 00:28:27,670
+ليش مثلاً ما حطيته أحمر كله، أو كله أبيض، أو كله أصفر؟
+
+313
+00:28:31,210 --> 00:28:36,310
+لأ، الآن لو أنا مثلاً .. لو أنا مثلاً حطيت الأحمر
+
+314
+00:28:36,310 --> 00:28:40,430
+اللون الأحمر، الطفل ممكن ينتبه عليهم، إن كل الموجود
+
+315
+00:28:40,430 --> 00:28:44,590
+إيش؟ أحمر، فـ الـ .. الـ .. الـ wavelength، الطول الموجي
+
+316
+00:28:44,590 --> 00:28:48,450
+بتاعته، هيركز عليه، إن كل الموجود أحمر، فهيقدر إيش؟
+
+317
+00:28:48,450 --> 00:28:52,710
+إنه يلتقطه، واضح؟ لو مثلاً حطيته أبيض برضه نفس
+
+318
+00:28:52,710 --> 00:28:59,190
+الحاجة، طيب ممكن أعمل هيك أنا، صح هيك؟ عامل؟ لازم
+
+319
+00:28:59,190 --> 00:29:05,190
+اللي هو التوزيع، طيب كيف أنا يعني الآن كيف
+
+320
+00:29:05,190 --> 00:29:11,750
+بده أقيم الـ visual acuity في الـ suite test بالظبط
+
+321
+00:29:11,750 --> 00:29:17,040
+خدي من هنا، الآن بالظبط إنه إيش عمل الطفل اللي هو
+
+322
+00:29:17,040 --> 00:29:21,780
+pick up، إنه بالظبط إنه إيش؟ لجّ، لكن لو حسيت إنه
+
+323
+00:29:21,780 --> 00:29:26,280
+الطفل أجا مدّ إيده لكن عمل هيك، شو معناها؟ إنه عنده
+
+324
+00:29:26,280 --> 00:29:30,720
+impaired visual acuity، لو أنا مثلاً شعرت إن هو
+
+325
+00:29:30,720 --> 00:29:34,940
+الطفل مركز على الـ center، يعني الكف الإيد في الـ
+
+326
+00:29:34,940 --> 00:29:39,560
+center، بروح أحط اللي هو الـ sweet هيك في إيدي، واضح؟
+
+327
+00:29:39,560 --> 00:29:46,410
+زي هيك، واضح ولا كيف؟ شايفين؟ بحطه بين أصابعي، ليش؟
+
+328
+00:29:46,410 --> 00:29:49,850
+لأنه لو حطيته في المركز، الطفل خلاص حفظ المكان
+
+329
+00:29:49,850 --> 00:29:54,410
+تاعته وين؟ فهيروح إيش؟ يدور في المركز، طيب إيش؟
+
+330
+00:29:54,410 --> 00:29:58,750
+ممكن أكتب الـ visual acuity للطفل هذا؟ عندنا الـ
+
+331
+00:29:58,750 --> 00:29:59,570
+sweet test
+
+332
+00:30:05,720 --> 00:30:10,600
+بكتب الـ visual acuity زي هيك مثلاً، الـ right eye هذا
+
+333
+00:30:10,600 --> 00:30:16,080
+لو الطفل اللي هو لقط more than or equal 6 على 24
+
+334
+00:30:16,080 --> 00:30:25,120
+more detail picked up by
+
+335
+00:30:25,120 --> 00:30:29,120
+child
+
+336
+00:30:31,930 --> 00:30:38,810
+left eye more than or equal 6 على 24 picked up by
+
+337
+00:30:38,810 --> 00:30:43,210
+child، طيب لو كان هذا، لو كان إيش؟ الـ visual acuity
+
+338
+00:30:43,210 --> 00:30:51,710
+عنده good، لو كان الـ visual acuity impaired or poor
+
+339
+00:30:51,710 --> 00:30:57,610
+هيكون
+
+340
+00:30:57,610 --> 00:30:58,210
+الـ right
+
+341
+00:31:03,250 --> 00:31:23,150
+visual acuity less than
+
+342
+00:31:23,150 --> 00:31:30,530
+child not pick up
+
+343
+00:31:37,690 --> 00:31:42,790
+sweet test، هذه الـ evaluation لطفل لو كان عنده الـ
+
+344
+00:31:42,790 --> 00:31:48,450
+visual acuity أقل أو أكثر من 6 على 24، من ناحية
+
+345
+00:31:48,450 --> 00:31:52,690
+اللي هو الـ sweet test، طيب في عندنا الـ rotation
+
+346
+00:31:52,690 --> 00:31:56,510
+test، الآن
+
+347
+00:31:56,510 --> 00:32:01,470
+أخذنا occlusion of one eye، إذا غطينا عين، أخذنا الـ
+
+348
+00:32:01,470 --> 00:32:06,190
+fixation test، وأخذنا كمان اللي هو الـ sweet test، الـ
+
+349
+00:32:06,190 --> 00:32:12,350
+rotation test هو بيعتبر qualitative test، إنه
+
+350
+00:32:12,350 --> 00:32:16,170
+اختبار إيش؟ ماله كم، يعني ما بتديني قد إيش الـ visual
+
+351
+00:32:16,170 --> 00:32:21,470
+acuity للمريض، for the infant to fixate with both
+
+352
+00:32:21,470 --> 00:32:26,510
+eyes open، إن العينين بتكون مفتوحة، يعني ملاحظين في
+
+353
+00:32:26,510 --> 00:32:31,110
+الـ occlusion of one eye، في الـ fixation test، في الـ
+
+354
+00:32:31,110 --> 00:32:34,810
+sweet test، التلاتة كانوا إنه عملنا occlusion of
+
+355
+00:32:34,810 --> 00:32:38,850
+one eye، لكن في الـ rotation test open both eyes
+
+356
+00:32:38,850 --> 00:32:45,430
+واضح؟ آه، تأخذ الـ right والـ left، هاين الكتاب، تيكي
+
+357
+00:32:45,430 --> 00:32:52,230
+the examiner holds the infant facing him and
+
+358
+00:32:52,230 --> 00:33:00,130
+rotates a bicycle 360 degrees، الآن احنا عندنا هان
+
+359
+00:33:00,130 --> 00:33:08,370
+عروسة، لو فرضنا هي الطفل، okay، بمسك الطفل يا إما من
+
+360
+00:33:08,370 --> 00:33:14,110
+رأسه، أو بمسكه مثلاً من إيديه زي هيك، بثبته بالشكل هذا
+
+361
+00:33:14,110 --> 00:33:20,610
+والآن كيف بعمل؟ أنا الآن examiner، okay، و مثلاً الـ
+
+362
+00:33:20,610 --> 00:33:25,390
+parents، الوالدين أمامي، فبعمل rotation، شو بعمل؟ بدور
+
+363
+00:33:25,390 --> 00:33:30,490
+زي هيك فيه، بالشكل هذا، الآن الأهل بدهم ينتبهوا
+
+364
+00:33:30,490 --> 00:33:34,580
+على مين؟ على حركة العين، إذا صار عنده eye movement
+
+365
+00:33:34,580 --> 00:33:39,360
+حركة للعين، فبيكون عنده الـ visual acuity good، لكن
+
+366
+00:33:39,360 --> 00:33:42,260
+لو ما فيش حركة في العين، العين ثابتة، بيكون الـ
+
+367
+00:33:42,260 --> 00:33:45,800
+visual acuity بتاعته إيش؟ impaired، okay؟ هي
+
+368
+00:33:45,800 --> 00:33:49,400
+ببساطة، يعني بتعتمد على الـ eye movement، الـ
+
+369
+00:33:49,400 --> 00:33:53,900
+nystagmus، اللي هي رقرة العين، مش بتعرفوا الرقرة
+
+370
+00:33:53,900 --> 00:33:57,680
+تاعت العين؟ okay؟ يعني هذا الـ test، الـ rotation
+
+371
+00:33:57,680 --> 00:34:02,260
+test هو يعتبر qualitative test، number one، number
+
+372
+00:34:02,260 --> 00:34:08,240
+two، إنه بيعتمد على الـ eye movement، وبيعتمد على الـ
+
+373
+00:34:08,240 --> 00:34:13,120
+neck movement، number three، إنه بيعتمد على الـ
+
+374
+00:34:13,120 --> 00:34:17,000
+parents، الوالدين، إن هم بيشوفوا حركة العين بتاعة
+
+375
+00:34:17,000 --> 00:34:21,500
+الطفل، إذا عمل الطفل eye movement، أو نستاجموس،
+
+376
+00:34:21,500 --> 00:34:25,800
+بيكون الـ visual acuity عنده good، إذا العين بقت
+
+377
+00:34:25,800 --> 00:34:29,580
+اللي هو fixed، ثابتة، بمعنى indicate to the visual
+
+378
+00:34:29,580 --> 00:34:32,080
+acuity is bad or impaired
+
+379
+00:34:35,900 --> 00:34:40,740
+الطفل قام بإصلاح مواجهات تتحرك خلف الاختبار، إذا
+
+380
+00:34:40,740 --> 00:34:44,580
+كانت الحركة عامة، فالعين ستتحرك، تتحرك بمعنى شو؟
+
+381
+00:34:44,580 --> 00:34:50,000
+إنه هيوضح لي إنه optokinetic nystagmus، الآن الـ
+
+382
+00:34:50,000 --> 00:34:54,720
+optokinetic nystagmus هي هذه الآلة، هناخذها شوية
+
+383
+00:34:54,720 --> 00:34:55,660
+بعد الـ test هذا
+
+384
+00:35:00,380 --> 00:35:04,040
+when rotation stops، يما أنا بوقف اللي هو دوران
+
+385
+00:35:04,040 --> 00:35:10,260
+الطفل، okay، nystagmus stop three to five seconds due
+
+386
+00:35:10,260 --> 00:35:14,240
+to suppression of both rotatory nystagmus by
+
+387
+00:35:14,240 --> 00:35:19,480
+fixation، الآن أنا وقفت الدوران بتاع الطفل، إيش هي؟
+
+388
+00:35:19,480 --> 00:35:24,060
+بعد تلت لخمس ثواني، الـ fixation بتاعه إيش ماله؟
+
+389
+00:35:24,060 --> 00:35:28,230
+هيثبت، هيصير ما فيش نيستاجموس، يعني ما فيش أي movement
+
+390
+00:35:28,230 --> 00:35:35,110
+لمين؟ لعين الطفل، واضح؟ يعني الآن الفكرة بتاعته إنه
+
+391
+00:35:35,110 --> 00:35:40,030
+الـ examiner أو الـ optometrist بمسك مين؟ الطفل، و
+
+392
+00:35:40,030 --> 00:35:45,530
+بعمل rotation له، okay، الـ parents لازم يلاحظوا مين؟
+
+393
+00:35:45,530 --> 00:35:50,750
+حركة عين الطفل، إنه لازم الـ eye movement، or nystagmus
+
+394
+00:35:50,750 --> 00:35:55,210
+nystagmus، بمعنى رقرة العين، فالآن هم بيعملوا
+
+395
+00
+
+445
+00:40:15,100 --> 00:40:16,840
+هذا
+
+446
+00:40:26,300 --> 00:40:30,340
+شايفة كيف الحركة بتاعة العين بتعمل زي نستاجمس eye movement
+
+447
+00:40:30,340 --> 00:40:36,360
+هي مش شايفة العين  بتحلق طبعا
+
+448
+00:40:36,360 --> 00:40:42,740
+بالنسبة لنستاجمس الـ drum هو
+
+449
+00:40:42,740 --> 00:40:49,760
+بيكون كيف جهاز automatic بتحط فيه عدة أرقام يعني
+
+450
+00:40:49,760 --> 00:40:54,060
+ستة على ستين، ستة على ستة وثلاثين، ستة على أربعة وعشرين،
+
+451
+00:40:54,060 --> 00:40:57,620
+ستة على تسعة زي ما قالت زميلتكم أنه يعتبر هو إيه؟
+
+452
+00:40:57,620 --> 00:41:04,040
+quantitative test فبحط والـ جهاز إيش ماله؟ بيلف و
+
+453
+00:41:04,040 --> 00:41:07,920
+بعتمد على اللي هو حركة مين؟ حركة الـ عين
+
+454
+00:41:07,920 --> 00:41:14,280
+المريض، فإذا كان فيه eye movement مع الـ .. مع الـ ..
+
+455
+00:41:14,280 --> 00:41:17,660
+الـ nystagmus هذا بيشير أن الـ visual acuity بتاعته
+
+456
+00:41:17,660 --> 00:41:19,200
+للمريض إيش مالها؟ good
+
+457
+00:41:23,020 --> 00:41:26,780
+ما هو هذا مثلا أنا بقول لك ستة على تسعين أو ستة على
+
+458
+00:41:26,780 --> 00:41:32,040
+ستين، في كيف مثلا؟ اه سؤال محترم أنه كيف الـ .. الـ ..
+
+459
+00:41:32,040 --> 00:41:35,480
+كل مقل اللي هو الـ strip ما بين الخطين الأبيض والـ
+
+460
+00:41:35,480 --> 00:41:39,620
+أسود هذه بمعنى أن الـ visual acuity  واضح يعني
+
+461
+00:41:39,620 --> 00:41:45,920
+التمييز ما بين الخطين واضح، okay؟ واضح ولا كيف؟ الـ
+
+462
+00:41:45,920 --> 00:41:51,170
+judge شايفين هذه المسافة كبيرة بالظبط، الآن لما بيقل
+
+463
+00:41:51,170 --> 00:41:54,610
+الـ visual acuity، يعني بيصير مثلا ستة على تسعة أو ستة
+
+464
+00:41:54,610 --> 00:41:58,990
+على اثنا عشر، المسافة بينهم بتقل، بتصير thinner، نحيفة،
+
+465
+00:41:58,990 --> 00:42:10,470
+واضح؟ واضح ولا كيف؟ يعني الآن بالنسبة لـ .. أنا
+
+466
+00:42:10,470 --> 00:42:14,870
+بكون دائما عندك اللي هو جهاز automatic، okay، بتحط
+
+467
+00:42:14,870 --> 00:42:19,440
+اللي هو الـ drum بتاعتك standardized okay
+
+468
+00:42:19,440 --> 00:42:23,560
+drum بتحطي مثلا هذه الستة على ستين زي ما عملنا
+
+469
+00:42:23,560 --> 00:42:27,300
+لزميلتك، لجينا مثلا، فين الـ nystagmus، إذا معناته أن الـ
+
+470
+00:42:27,300 --> 00:42:31,120
+visual acuity ستة على ستين بنحط اللي هي ستة على ستة و
+
+471
+00:42:31,120 --> 00:42:36,160
+ثلاثين، بنرفع واحدة وبنحط الثانية، okay؟ يعني مش كلهم
+
+472
+00:42:36,160 --> 00:42:40,520
+مع بعض، يعني كأنه فيه أكثر من واحدة، بيكون أكثر من
+
+473
+00:42:40,520 --> 00:42:44,560
+شريحة، فيه ستة على ستين، ستة على ستة وثلاثين، أربعة
+
+474
+00:42:44,560 --> 00:42:48,520
+وعشرين، ثمانية وعشرين، تسعة، زي كأنك بتفحص الـ visual
+
+475
+00:42:48,520 --> 00:42:58,140
+acuity عادي، فعندنا
+
+476
+00:42:58,140 --> 00:43:04,650
+الـ nystagmus اللي هو الـ drum، Standardized drum هو
+
+477
+00:43:04,650 --> 00:43:09,830
+عبارة عن اسطوانة، أنبوب اسطواني، drum بمعنى أنبوب
+
+478
+00:43:09,830 --> 00:43:16,430
+اسطواني that contain scripts بيحتوي على خطوط which
+
+479
+00:43:16,430 --> 00:43:20,510
+subtend small fractions of the infant's visual
+
+480
+00:43:20,510 --> 00:43:25,890
+field are available. كمان من فائدة الـ nystagmus
+
+481
+00:43:25,890 --> 00:43:30,350
+drum مش فقط بقياس الـ visual acuity، في حاجة بيسموها
+
+482
+00:43:30,350 --> 00:43:34,530
+الـ visual field، الـ visual field هي عبارة عن الساحة
+
+483
+00:43:34,530 --> 00:43:40,450
+البصرية للعين، تعريف الساحة البصرية أو مجال الرؤية
+
+484
+00:43:40,450 --> 00:43:45,430
+الـ visual field هو عبارة عن island يعني جزيرة من
+
+485
+00:43:45,430 --> 00:43:50,410
+الرؤية اللي أنت بتشوفها محاطة بإيش؟ a sea of
+
+486
+00:43:50,410 --> 00:43:56,550
+darkness محاطة بعتامة، واضح؟ إذا مجال الرؤية اللي
+
+487
+00:43:56,550 --> 00:44:00,880
+هي عبارة عن الـ island، الجزيرة بتاعة الرؤية اللي أنت
+
+488
+00:44:00,880 --> 00:44:07,660
+بتشوفها حواليك محاطة بإيش؟ بعتامة، صح ولا لأ؟ واضح؟
+
+489
+00:44:07,660 --> 00:44:12,200
+يعني محاطة بأشياء معتمة، أنه حواليك بتكون، هلأ تعريف
+
+490
+00:44:12,200 --> 00:44:13,040
+الـ visual field
+
+491
+00:44:26,210 --> 00:44:31,630
+طبعا هنطبق اللي هو الـ test بتاع الـ visual field
+
+492
+00:44:31,630 --> 00:44:42,830
+this
+
+493
+00:44:42,830 --> 00:44:48,230
+island of
+
+494
+00:44:48,230 --> 00:44:48,610
+vision
+
+495
+00:44:57,920 --> 00:45:06,040
+surrounded by a
+
+496
+00:45:06,040 --> 00:45:11,320
+darkness of
+
+497
+00:45:11,320 --> 00:45:19,220
+sea عبارة عن جزيرة من الرؤية محاطة ببحر من الظلام
+
+498
+00:45:20,570 --> 00:45:23,570
+طيب بدنا نطبق الـ .. فيه test للـ visual field هو
+
+499
+00:45:23,570 --> 00:45:27,710
+عبارة عن الـ confrontation test، الـ test يعتبر بسيط
+
+500
+00:45:27,710 --> 00:45:30,770
+هذا بعد ما نخلص المحاضرة، ممكن الكل يعملوا لـ ..
+
+501
+00:45:30,770 --> 00:45:36,290
+يعني لزميله، تفضلي، أول حاجة بتطلبي من الـ .. من الـ ..
+
+502
+00:45:36,290 --> 00:45:40,030
+المريض أنه يعمل fixation، يعمل fixation هنا على
+
+503
+00:45:40,030 --> 00:45:48,090
+وصفتي شايفة هيك؟ هيك؟ وصفتي شايفة؟ وصفتي ثاني؟
+
+504
+00:45:48,090 --> 00:45:58,350
+هيك؟ لأ لأ، بس طلعي هون، هيك شايفة، هيك، هيك،
+
+505
+00:45:58,350 --> 00:46:01,890
+لما ما تشوفيه، قوليلي، بس ما تعملي الـ fixation
+
+506
+00:46:01,890 --> 00:46:07,530
+عليه، hand fixation، okay؟ هيك، هي مجال الرؤية،
+
+507
+00:46:07,530 --> 00:46:11,270
+يعني هذه تعتبر إيش؟ هذه الـ blind spot، النقطة اللي
+
+508
+00:46:11,270 --> 00:46:16,460
+ما شفتهاش، هذه تعتبر أمر طبيعي، شكرا، يعني هذا يعتبر
+
+509
+00:46:16,460 --> 00:46:21,920
+اللي هو إيه؟ في physiology أنه نقطة، دائما بتكون في
+
+510
+00:46:21,920 --> 00:46:26,520
+الـ temporal، أنه temporary بتكون حوالي مية، يعني شوف
+
+511
+00:46:26,520 --> 00:46:31,600
+صنع الله، الإنسان، دائما العين من ناحية اللي هو
+
+512
+00:46:31,600 --> 00:46:36,540
+الطرف بتكون يعني أخطر مكان لضرب العين، ليش؟ لأنه
+
+513
+00:46:36,540 --> 00:46:40,140
+هنا ما فيش حماية لها، واضح؟ فدائما الـ temporal
+
+514
+00:46:40,140 --> 00:46:43,640
+بيكون لو واحد أكل ضربة من الـ temporal ما فيش له
+
+515
+00:46:43,640 --> 00:46:48,220
+حماية هنا، فهنا الرؤية قد إيش؟ مية في المية، الـ visual
+
+516
+00:46:48,220 --> 00:46:52,140
+field بتاعته، الساحة البصرية، لكن في الـ nasal في
+
+517
+00:46:52,140 --> 00:46:55,920
+حماية الـ nose صح ولا لأ؟ فالـ .. قد إيش بتكون الرؤية
+
+518
+00:46:55,920 --> 00:47:02,080
+الـ visual field؟ ستين .. ستين degree، في فرق بين الـ
+
+519
+00:47:02,080 --> 00:47:08,320
+up والـ down، أكيد هنا فيه إيش؟ في زي اللي هو bone في
+
+520
+00:47:08,320 --> 00:47:12,520
+المحجر، يعني في اللي هو عضمة موجودة في المحجر بتاعة
+
+521
+00:47:12,520 --> 00:47:17,060
+العين، مش هذا المحجر يعتبر، لكن هذا ما فيش، فدائما في
+
+522
+00:47:17,060 --> 00:47:23,120
+الـ down يعتبر الـ visual field أعلى من وين؟ من الـ up
+
+523
+00:47:23,120 --> 00:47:28,920
+يعني ممكن الـ temporal يكون من سبعين لثمانين، الـ up
+
+524
+00:47:28,920 --> 00:47:31,560
+يعتبر من خمسين لستين degree
+
+525
+00:47:36,600 --> 00:47:46,760
+اه، الـ inferior أو الـ down لأ
+
+526
+00:47:46,760 --> 00:47:51,400
+دائما المنطقة الـ temporal اللي هي هذه ما فيش حماية
+
+527
+00:47:51,400 --> 00:47:55,380
+يعني أنت لو شفت عينك هنا ما فيش لها حماية، صح؟ لكن في
+
+528
+00:47:55,380 --> 00:48:02,000
+الـ nasal في اللي هو الـ nose بيصد، ممكن
+
+529
+00:48:02,000 --> 00:48:05,560
+يكون blunt trauma، ممكن ضربة يعني حسب اللي هو قوة
+
+530
+00:48:05,560 --> 00:48:10,850
+الضربة، يعني ما بتقدر تحدديها إلا تعرف إيش هي مثلا،
+
+531
+00:48:10,850 --> 00:48:15,130
+هل هي مثلا blunt trauma مثلا، box أو هل مثلا كرة،
+
+532
+00:48:15,130 --> 00:48:21,910
+football أو .. يعني حسب الضربة اللي هو اتعرض إليها
+
+533
+00:48:21,910 --> 00:48:23,230
+Okay
+
+534
+00:48:25,570 --> 00:48:29,510
+فالـ .. الـ .. المريض أو الطفل إيش بيعمل؟
+
+535
+00:48:29,510 --> 00:48:34,170
+alternating، بيعمل تبادل للـ black and white strips
+
+536
+00:48:34,170 --> 00:48:40,500
+with sharp distant interfaces، لجينا زي ما لاحظنا في
+
+537
+00:48:40,500 --> 00:48:44,260
+نفس  الـ diagram سيد رام، أنه أنا لما حركت الـ .. الـ ..
+
+538
+00:48:44,260 --> 00:48:48,440
+الـ drum، المريض إيش عمل؟ رقرة في العين، eye movement
+
+539
+00:48:48,440 --> 00:48:52,940
+فهذه الرقرة شو عملت؟ أنه مرة بيعمل .. يعني بيعمل
+
+540
+00:48:52,940 --> 00:48:56,540
+تداخل للخطين، للأبيض والأسود، يعني مرة بحاول يشوف
+
+541
+00:48:56,540 --> 00:48:59,500
+الأبيض ومرة الأسود، مرة بحاول الأبيض والأسود،
+
+542
+00:48:59,500 --> 00:49:02,500
+فبتلاقي بيصير إيش؟ تداخل في العين، okay؟
+
+543
+00:49:05,950 --> 00:49:11,730
+They are spun بمعنى بيسرع at varying unspecified
+
+544
+00:49:11,730 --> 00:49:15,490
+rates and are bathed in variable illumination
+
+545
+00:49:16,390 --> 00:49:20,090
+الـ illumination بتاعتي بتكون مختلفة و
+
+546
+00:49:20,090 --> 00:49:24,310
+دائما هو المريض بعتمد على سرعة اللي هو إيش؟ الجهاز
+
+547
+00:49:24,310 --> 00:49:29,390
+قد إيش الجهاز فيه إله؟ مثلا لو جينا automated بختلف
+
+548
+00:49:29,390 --> 00:49:33,330
+عن الـ manual، لو مثلا كانت الـ .. الـ .. الـ .. الـ
+
+549
+00:49:33,330 --> 00:49:37,970
+drum هذه ستة على ستين بتختلف لو كانت مثلا ستة على
+
+550
+00:49:37,970 --> 00:49:41,450
+أربعة وعشرين، ليش؟ لأن الخطوط بتكون متداخلة مع بعض
+
+551
+00:49:41,450 --> 00:49:46,550
+أكثر، كل هذه العوامل يعني بتحدد لي قد إيش الـ visual
+
+552
+00:49:46,550 --> 00:49:51,070
+acuity للطفل، يعني هلأ السرعة اللي لما أنت تعمل
+
+553
+00:49:51,070 --> 00:49:55,910
+micropsia بتاع ستين هتكون سرعة أكثر من micropsia ستة
+
+554
+00:49:55,910 --> 00:49:59,390
+وستة وثلاثين؟ لو كان automated اه بتلاقي السرعة
+
+555
+00:49:59,390 --> 00:50:03,790
+أعلى، ليش؟ لأنه التمييز بيكون سهل
+
+556
+00:50:06,600 --> 00:50:10,140
+this method measures acuity by means of a motor
+
+557
+00:50:10,140 --> 00:50:14,120
+response، في عندنا دائما two responses هدول مهمات
+
+558
+00:50:14,120 --> 00:50:18,400
+كثير، في عندنا الـ motor response وفي عندنا الـ
+
+559
+00:50:18,400 --> 00:50:22,860
+sensory response، الـ motor response إيش معناه؟ بدنا
+
+560
+00:50:22,860 --> 00:50:26,300
+نفهم فهمه أنه بعتمد على الـ eye movement، أنه على
+
+561
+00:50:26,300 --> 00:50:32,170
+حركة العين، okay؟ الـ sensory response دائما بعتمد
+
+562
+00:50:32,170 --> 00:50:37,490
+على مين؟ على الـ nerves، الأعصاب، أنه شيء إحساسي، okay؟
+
+563
+00:50:37,490 --> 00:50:43,230
+طيب من الـ tests اللي أخذناهم، مين يعتبر motor؟ أول
+
+564
+00:50:43,230 --> 00:50:49,510
+حاجة الـ rotation test، عندنا الـ nystagmus drum، الـ
+
+565
+00:50:49,510 --> 00:50:55,480
+fixation test، occlusion of one eye، هدول الأربعة
+
+566
+00:50:55,480 --> 00:51:02,500
+يعتبروا motor response، يعني اعتمدوا على حركة العين
+
+567
+00:51:02,500 --> 00:51:09,660
+بس
+
+568
+00:51:09,660 --> 00:51:16,320
+فيه بتعتبر sensory لأنه الطفل ما حركش عينه الطفل
+
+569
+00:51:16,320 --> 00:51:17,220
+أثناءها
+
+570
+00:51:20,920 --> 00:51:25,220
+في عندنا الـ fourth choice، preferential looking،
+
+571
+00:51:25,220 --> 00:51:30,840
+بمعنى إجبار الطفل على الرؤية، يعني كيف أنا بدي أجبر
+
+572
+00:51:30,840 --> 00:51:38,060
+الطفل على مين؟ على أنه يشوف خلال الفحص بتاعي، this
+
+573
+00:51:38,060 --> 00:51:40,920
+behavioral technique is based on the observation
+
+574
+00:51:40,920 --> 00:51:44,640
+that infants prefer to view a better stimulus than
+
+575
+00:51:44,640 --> 00:51:50,390
+homogeneous field، دائما طبيعة الطفل ما بيحب يشوف صور
+
+576
+00:51:50,390 --> 00:51:55,150
+متعددة، دائما بيحب يشوف صورة واحدة، يعني دائما
+
+577
+00:51:55,150 --> 00:51:59,050
+الطفل لو أنت مثلا مسكتيه، دائما الطفل بحاول أنه
+
+578
+00:51:59,050 --> 00:52:02,910
+يشوف صورة مميزة عنده، يعني وين الصورة المميزة،
+
+579
+00:52:02,910 --> 00:52:05,930
+دائما بحاول أنه ينظر إليها، حتى لو كان في غرفة
+
+580
+00:52:05,930 --> 00:52:10,210
+معزولة هيك، دائما بحاول أنه .. اه، الـ discrimination
+
+581
+00:52:10,210 --> 00:52:14,480
+image، يعني اللي هي الصورة المميزة في المكان، فأنا
+
+582
+00:52:14,480 --> 00:52:18,940
+دائما إيش؟ في الـ test هذا ببحث صورة واحدة ما بحاولش
+
+583
+00:52:18,940 --> 00:52:23,360
+اللي هو أعمل homogeneous، تجانس لأكثر من إيش؟ من شكل
+
+584
+00:52:23,360 --> 00:52:29,400
+The child must be alert and able to generate neck
+
+585
+00:52:29,400 --> 00:52:32,800
+and eye movements like optokinetic nystagmus
+
+586
+00:52:32,800 --> 00:52:36,400
+technique. Vision is evaluated by means of a motor
+
+587
+00:52:36,400 --> 00:52:42,380
+response، الآن هذا الفحص بيعتمد على حركة عين الطفل
+
+588
+00:52:42,380 --> 00:52:48,880
+زائد بيعتمد على حركة رقبة الطفل، واضح؟ ليش؟ لأنه
+
+589
+00:52:48,880 --> 00:52:53,680
+أنا بدي أحاول أنه أغير موضع الصورة في الـ test
+
+590
+00:52:53,680 --> 00:52:58,200
+هذا، بمعنى أن مرة بدي أحط الصورة في الـ up، مرة بدي
+
+591
+00:52:58,200 --> 00:53:02,260
+أحطها في الـ down، مرة بدي أحطها nasal، مرة temporal،
+
+592
+00:53:02,260 --> 00:53:05,140
+يعني الصورة بدها تكون إيه؟ شمالها؟
+
+593
+00:53:07,640 --> 00:53:12,560
+متغيرة، طبعا هو مش هذا الـ task اللي احنا  قصدناه بس
+
+594
+00:53:12,560 --> 00:53:15,760
+أنا بدي يعني تعرفوا اللي هو التنبيه بتاعه أو
+
+595
+00:53:15,760 --> 00:53:21,040
+التقريب، يعني بالنسبة للشكل، الآن هالي اللي هو تفاحة،
+
+596
+00:53:21,040 --> 00:53:25,440
+okay، الآن المريض على مسافة ثلاثين سنتيمتر، مرة بيعمل زي
+
+597
+00:53:25,440 --> 00:53:30,600
+هيك، مرة بحاول أغير زي هيك، الآن في شغل مهمة الـ
+
+598
+00:53:30,600 --> 00:53:34,340
+examiner لازم ما يعرفش وين اتجاه الصورة، لأن لو أنا
+
+599
+00:53:34,340 --> 00:53:39,090
+جيت أعرض الصورة للطفل هذه، وطلع في الصورة مثلا
+
+600
+00:53:39,090 --> 00:53:43,730
+الصورة كانت up، أول ما يطلع الطفل وين هينظر؟ على
+
+601
+00:53:43,730 --> 00:53:47,770
+عينك، فحيعرف وين اتجاه العين بتاعته، يعني طلعت
+
+602
+00:53:47,770 --> 00:53:51,730
+أنا up، هو هيطلع up معاك، فدائما لازم الـ test إيش
+
+603
+00:53:51,730 --> 00:53:56,940
+يكون كاتب، مثلا هذه الصورة up، واضح خلف الصورة، يعني
+
+604
+00:53:56,940 --> 00:54:01,340
+الآن هي الـ .. هي الشكل، okay، الآن لازم أنا يكون
+
+605
+00:54:01,340 --> 00:54:05,500
+في tip لي، hand up، أنه لفوق، فأنا بفهم الصورة وين
+
+606
+00:54:05,500 --> 00:54:11,700
+هتكون up، فالطفل وين هيتطلع؟ فوق، ياما بدي .. حتى
+
+607
+00:54:11,700 --> 00:54:13,860
+ياما بدي أحاول .. يعني الآن بدي أعرض
+
+608
+00:54:20,520 --> 00:54:24,120
+ممكن أنا آجي أغير هيك بالشكل هذا، لإني أغطي وجهي وأحاول
+
+609
+00:54:24,120 --> 00:54:30,360
+أغير زي هيك، okay؟ هذا بالنسبة للـ Teller card
+
+610
+00:54:30,360 --> 00:54:36,580
+فعندك Teller acuity cards، black strips of varying
+
+611
+00:54:36,580 --> 00:54:42,840
+thickness، لو هذه بتشوفوها، في عندنا خطوط عمودية، ممكن
+
+612
+00:54:42,840 --> 00:54:48,240
+تكون أفقية، okay؟ ومختلفة إيش؟ السماكة، okay؟ يعني
+
+613
+00:54:48,240 --> 00:54:49,820
+سماكتها بتكون مختلفة
+
+614
+00:54:52,280 --> 00:54:57,180
+الـ Cardiff acuity cards، shapes of variable outline,
+
+615
+00:54:57,540 --> 00:55:02,500
+bold lines, thin lines, it used for early infancy
+
+616
+00:55:02,500 --> 00:55:07,900
+دائما بالنسبة لـ Cardiff card، هذا مهم، test يعتبر
+
+617
+00:55:07,900 --> 00:55:13,520
+كتير مهم للأطفال اللي بيكونوا preverbal، الآن
+
+618
+00:55:13,520 --> 00:55:17,9
+
+667
+00:59:58,120 --> 01:00:01,780
+اليوم كلها هذه أمانة ما تكتبيش ولا حاجة
+
+668
+01:00:31,990 --> 01:00:37,230
+هيك سلمته؟ هيك إن شاء الله بنكون في المحاضرة هذه
+
+669
+01:00:37,230 --> 01:00:43,310
+خلصنا الـ visual acuity حدة الإبصار مع قياسات حدة
+
+670
+01:00:43,310 --> 01:00:47,170
+الإبصار للأطفال غير الناطقين في المحاضرة القادمة
+
+671
+01:00:47,170 --> 01:00:51,130
+إن شاء الله هنبدأ how to measure visual acuity in
+
+672
+01:00:51,130 --> 01:00:53,510
+verbal children يعطيكم العافية
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..7c10316d1e59868c66649d9f73a366fe5bf6c4a1
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4109, "start": 20.79, "end": 41.09, "text": "بسم الله الرحمن الرحيم في المحاضرة السابقة اتكلمنا عن مفهوم ال visual acuity حدة الإبصار طبعا اليوم هنبدأ بتعريف حدة الإبصار من مفهوم آخر لتبسيط المادة العلمية أكثر", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 1975, 2655, 4117, 19528, 8315, 18871, 3714, 5172, 3224, 20498, 2423, 5056, 696, 21757, 11331, 41891, 33688, 3555, 9381, 9640, 23032, 3555, 3615, 995, 45595, 20498, 8032, 1863, 44510, 10721, 39894, 3615, 16572, 5172, 11331, 41891, 33688, 3555, 9381, 9640, 9154, 3714, 5172, 3224, 20498, 19753, 34740, 5296, 2655, 3555, 3794, 1829, 9566, 9673, 18513, 3660, 18863, 19528, 10632, 5551, 4117, 49115], "avg_logprob": -0.05136718805879355, "compression_ratio": 1.6900584795321638, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 20.79, "end": 21.13, "word": "بسم", "probability": 0.7548828125}, {"start": 21.13, "end": 21.31, 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"probability": 0.9519856770833334}, {"start": 56.9, "end": 58.6, "word": " قداش", "probability": 0.7530924479166666}, {"start": 58.6, "end": 60.94, "word": " الصورة", "probability": 0.984375}, {"start": 60.94, "end": 61.16, "word": " اللى", "probability": 0.79296875}, {"start": 61.16, "end": 61.8, "word": " بتتكون", "probability": 0.9508463541666666}, {"start": 61.8, "end": 62.3, "word": " من", "probability": 0.9931640625}, {"start": 62.3, "end": 62.74, "word": " العين", "probability": 0.988525390625}, {"start": 62.74, "end": 64.0, "word": " وقداش", "probability": 0.83984375}, {"start": 64.0, "end": 64.42, "word": " الرؤية", "probability": 0.95849609375}, {"start": 64.42, "end": 65.28, "word": " المركزية", "probability": 0.9871826171875}, {"start": 65.28, "end": 66.02, "word": " للعين", "probability": 0.9759114583333334}, {"start": 66.02, "end": 66.82, "word": " okay", "probability": 0.380126953125}, {"start": 66.82, "end": 68.06, "word": " طيب", "probability": 0.9352213541666666}, {"start": 68.06, "end": 68.48, "word": " ال", "probability": 0.97900390625}, {"start": 68.48, "end": 68.96, "word": " special", "probability": 0.79052734375}, {"start": 68.96, "end": 70.02, "word": " resolving", "probability": 0.8681640625}], "temperature": 1.0}, {"id": 3, "seek": 9686, "start": 71.26, "end": 96.86, "text": "حدنا سمع في تعريف ال special resolving شو هو؟ نعم قوة التباين بس هان عندنا في ال visual acuity كتعريف لها انه جديش القدرة على تكوين الصورة سواء بواسطة كاميرا الجوال بواسطة العين او بواسطة ال microscope", "tokens": [24401, 8315, 8608, 2304, 3615, 8978, 37279, 16572, 5172, 2423, 2121, 49940, 13412, 2407, 31439, 22807, 8717, 25957, 12174, 2407, 3660, 16712, 3555, 995, 9957, 4724, 3794, 8032, 7649, 43242, 8315, 8978, 2423, 5056, 696, 21757, 9122, 2655, 3615, 16572, 5172, 5296, 11296, 16472, 3224, 10874, 16254, 8592, 25062, 3215, 25720, 15844, 6055, 4117, 2407, 9957, 31767, 13063, 3660, 8608, 2407, 16606, 4724, 14407, 3794, 9566, 3660, 9122, 10943, 13546, 995, 25724, 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0.705322265625}, {"start": 77.54, "end": 78.12, "word": " قوة", "probability": 0.8458658854166666}, {"start": 78.12, "end": 78.74, "word": " التباين", "probability": 0.971923828125}, {"start": 78.74, "end": 82.8, "word": " بس", "probability": 0.5679931640625}, {"start": 82.8, "end": 83.32, "word": " هان", "probability": 0.6348876953125}, {"start": 83.32, "end": 83.86, "word": " عندنا", "probability": 0.83203125}, {"start": 83.86, "end": 84.06, "word": " في", "probability": 0.96533203125}, {"start": 84.06, "end": 84.3, "word": " ال", "probability": 0.93408203125}, {"start": 84.3, "end": 84.58, "word": " visual", "probability": 0.92333984375}, {"start": 84.58, "end": 85.3, "word": " acuity", "probability": 0.86376953125}, {"start": 85.3, "end": 85.94, "word": " كتعريف", "probability": 0.95390625}, {"start": 85.94, "end": 86.5, "word": " لها", "probability": 0.843017578125}, {"start": 86.5, "end": 87.36, "word": " انه", "probability": 0.72265625}, {"start": 87.36, "end": 87.9, "word": " جديش", "probability": 0.7815755208333334}, {"start": 87.9, "end": 88.52, "word": " القدرة", "probability": 0.9305013020833334}, {"start": 88.52, "end": 88.9, "word": " على", "probability": 0.85498046875}, {"start": 88.9, "end": 89.38, "word": " تكوين", "probability": 0.9727783203125}, {"start": 89.38, "end": 90.2, "word": " الصورة", "probability": 0.9827473958333334}, {"start": 90.2, "end": 90.76, "word": " سواء", "probability": 0.9365234375}, {"start": 90.76, "end": 91.54, "word": " بواسطة", "probability": 0.98564453125}, {"start": 91.54, "end": 92.2, "word": " كاميرا", "probability": 0.9449462890625}, {"start": 92.2, "end": 92.84, "word": " الجوال", "probability": 0.9619140625}, {"start": 92.84, "end": 94.04, "word": " بواسطة", "probability": 0.882275390625}, {"start": 94.04, "end": 94.54, "word": " العين", "probability": 0.989013671875}, {"start": 94.54, "end": 95.18, "word": " او", "probability": 0.793701171875}, {"start": 95.18, "end": 95.92, "word": " بواسطة", "probability": 0.994140625}, {"start": 95.92, "end": 96.1, "word": " ال", "probability": 0.8076171875}, {"start": 96.1, "end": 96.86, "word": " microscope", "probability": 0.7327473958333334}], "temperature": 1.0}, {"id": 4, "seek": 12248, "start": 97.76, "end": 122.48, "text": "يعني القدرة على تكوين الصورة بواسطة العين أو بواسطة ال microscope أو بواسطة الكاميرا ال special resolving", "tokens": [40228, 22653, 25062, 3215, 25720, 15844, 6055, 4117, 2407, 9957, 31767, 13063, 3660, 4724, 14407, 3794, 9566, 3660, 18863, 9957, 34051, 4724, 14407, 3794, 9566, 3660, 2423, 4532, 4417, 1114, 34051, 4724, 14407, 3794, 9566, 3660, 33251, 10943, 13546, 995, 2423, 2121, 49940], "avg_logprob": -0.10751065188510851, "compression_ratio": 1.411764705882353, "no_speech_prob": 0.0, "words": [{"start": 97.76, "end": 98.12, "word": "يعني", "probability": 0.944580078125}, {"start": 98.12, "end": 98.9, "word": " القدرة", "probability": 0.9801432291666666}, {"start": 98.9, "end": 99.42, "word": " على", "probability": 0.7978515625}, {"start": 99.42, "end": 100.06, "word": " تكوين", "probability": 0.9478759765625}, {"start": 100.06, "end": 101.76, "word": " الصورة", "probability": 0.9908854166666666}, {"start": 101.76, "end": 103.44, "word": " بواسطة", "probability": 0.9876953125}, {"start": 103.44, "end": 104.3, "word": " العين", "probability": 0.978515625}, {"start": 104.3, "end": 104.66, "word": " أو", "probability": 0.6552734375}, {"start": 104.66, "end": 105.48, "word": " بواسطة", "probability": 0.98134765625}, {"start": 105.48, "end": 105.68, "word": " ال", "probability": 0.7529296875}, {"start": 105.68, "end": 106.56, "word": " microscope", "probability": 0.7145182291666666}, {"start": 106.56, "end": 107.02, "word": " أو", "probability": 0.787109375}, {"start": 107.02, "end": 107.88, "word": " بواسطة", "probability": 0.99150390625}, {"start": 107.88, "end": 109.56, "word": " الكاميرا", "probability": 0.9012451171875}, {"start": 109.56, "end": 110.82, "word": " ال", "probability": 0.89892578125}, {"start": 110.82, "end": 111.42, "word": " special", "probability": 0.72216796875}, {"start": 111.42, "end": 122.48, "word": " resolving", "probability": 0.41650390625}], "temperature": 1.0}, {"id": 5, "seek": 15972, "start": 131.2, "end": 159.72, "text": "it is an ability image forming device such as", "tokens": [270, 307, 364, 3485, 3256, 15745, 4302, 1270, 382], "avg_logprob": -0.23671875894069672, "compression_ratio": 0.9, "no_speech_prob": 0.0, "words": [{"start": 131.2, "end": 131.44, "word": "it", "probability": 0.23779296875}, {"start": 131.44, "end": 131.7, "word": " is", "probability": 0.91455078125}, {"start": 131.7, "end": 132.34, "word": " an", "probability": 0.8896484375}, {"start": 132.34, "end": 134.94, "word": " ability", "probability": 0.9365234375}, {"start": 134.94, "end": 143.42, "word": " image", "probability": 0.89501953125}, {"start": 143.42, "end": 147.6, "word": " forming", "probability": 0.80615234375}, {"start": 147.6, "end": 153.68, "word": " device", "probability": 0.98291015625}, {"start": 153.68, "end": 159.3, "word": " such", "probability": 0.7822265625}, {"start": 159.3, "end": 159.72, "word": " as", "probability": 0.9873046875}], "temperature": 1.0}, {"id": 6, "seek": 17541, "start": 161.17, "end": 175.41, "text": "على سبيل المثال عندنا مثلا camera eye microscope", "tokens": [3615, 23942, 8608, 21292, 1211, 9673, 12984, 6027, 43242, 8315, 50113, 15040, 2799, 3313, 29753], "avg_logprob": -0.17309570219367743, "compression_ratio": 0.9722222222222222, "no_speech_prob": 0.0, "words": [{"start": 161.17, "end": 161.47, "word": "على", "probability": 0.955078125}, {"start": 161.47, "end": 161.85, "word": " سبيل", "probability": 0.99267578125}, {"start": 161.85, "end": 162.51, "word": " المثال", "probability": 0.9930013020833334}, {"start": 162.51, "end": 164.29, "word": " عندنا", "probability": 0.729248046875}, {"start": 164.29, "end": 164.71, "word": " مثلا", "probability": 0.980224609375}, {"start": 164.71, "end": 166.95, "word": " camera", "probability": 0.80810546875}, {"start": 166.95, "end": 171.55, "word": " eye", "probability": 0.20458984375}, {"start": 171.55, "end": 175.41, "word": " microscope", "probability": 0.9736328125}], "temperature": 1.0}, {"id": 7, "seek": 20828, "start": 182.0, "end": 208.28, "text": "إذا القدرة على تكوين الصورة اللى بشكلها ممكن كاميرا ممكن العين ممكن ال microscope okay هذا تعريف ال special resolving فال visual acuity بقيس جداش ال special resolving للآي جداش يعني كمية هذا ال special resolving بتاعة الآي", "tokens": [28814, 15730, 25062, 3215, 25720, 15844, 6055, 4117, 2407, 9957, 31767, 13063, 3660, 13672, 7578, 4724, 8592, 28820, 11296, 3714, 43020, 9122, 10943, 13546, 995, 3714, 43020, 18863, 9957, 3714, 43020, 2423, 4532, 4417, 1114, 1392, 23758, 37279, 16572, 5172, 2423, 2121, 49940, 6156, 6027, 5056, 696, 21757, 4724, 38436, 3794, 10874, 3215, 33599, 2423, 2121, 49940, 24976, 148, 95, 1829, 10874, 3215, 33599, 37495, 22653, 9122, 2304, 10632, 23758, 2423, 2121, 49940, 39894, 995, 27884, 6024, 95, 1829], "avg_logprob": -0.16132812350988388, "compression_ratio": 1.7253886010362693, "no_speech_prob": 0.0, "words": [{"start": 182.0, "end": 182.34, "word": "إذا", "probability": 0.772216796875}, {"start": 182.34, "end": 182.98, "word": " القدرة", "probability": 0.9716796875}, {"start": 182.98, "end": 183.28, "word": " على", "probability": 0.85791015625}, {"start": 183.28, "end": 183.86, "word": " تكوين", "probability": 0.95556640625}, {"start": 183.86, "end": 185.58, "word": " الصورة", "probability": 0.99267578125}, {"start": 185.58, "end": 185.92, "word": " اللى", "probability": 0.7225341796875}, {"start": 185.92, "end": 186.52, "word": " بشكلها", "probability": 0.922607421875}, {"start": 186.52, "end": 186.94, "word": " ممكن", "probability": 0.9853515625}, {"start": 186.94, "end": 187.98, "word": " كاميرا", "probability": 0.95947265625}, {"start": 187.98, "end": 188.6, "word": " ممكن", "probability": 0.78076171875}, {"start": 188.6, "end": 189.06, "word": " العين", "probability": 0.975830078125}, {"start": 189.06, "end": 189.8, "word": " ممكن", "probability": 0.9873046875}, {"start": 189.8, "end": 189.96, "word": " ال", "probability": 0.869140625}, {"start": 189.96, "end": 190.74, "word": " microscope", "probability": 0.7744140625}, {"start": 190.74, "end": 191.3, "word": " okay", "probability": 0.341064453125}, {"start": 191.3, "end": 192.62, "word": " هذا", "probability": 0.70556640625}, {"start": 192.62, "end": 193.12, "word": " تعريف", "probability": 0.99072265625}, {"start": 193.12, "end": 193.34, "word": " ال", "probability": 0.966796875}, {"start": 193.34, "end": 193.78, "word": " special", "probability": 0.88232421875}, {"start": 193.78, "end": 194.88, "word": " resolving", "probability": 0.87255859375}, {"start": 194.88, "end": 198.44, "word": " فال", "probability": 0.74951171875}, {"start": 198.44, "end": 198.76, "word": " visual", "probability": 0.95703125}, {"start": 198.76, "end": 199.46, "word": " acuity", "probability": 0.845947265625}, {"start": 199.46, "end": 200.42, "word": " بقيس", "probability": 0.84619140625}, {"start": 200.42, "end": 201.18, "word": " جداش", "probability": 0.6526692708333334}, {"start": 201.18, "end": 201.7, "word": " ال", "probability": 0.92919921875}, {"start": 201.7, "end": 202.32, "word": " special", "probability": 0.98291015625}, {"start": 202.32, "end": 203.24, "word": " resolving", "probability": 0.921875}, {"start": 203.24, "end": 203.78, "word": " للآي", "probability": 0.70062255859375}, {"start": 203.78, "end": 204.54, "word": " جداش", "probability": 0.8483072916666666}, {"start": 204.54, "end": 205.06, "word": " يعني", "probability": 0.793701171875}, {"start": 205.06, "end": 205.56, "word": " كمية", "probability": 0.9957682291666666}, {"start": 205.56, "end": 205.88, "word": " هذا", "probability": 0.8759765625}, {"start": 205.88, "end": 206.02, "word": " ال", "probability": 0.89697265625}, {"start": 206.02, "end": 206.52, "word": " special", "probability": 0.9755859375}, {"start": 206.52, "end": 207.44, "word": " resolving", "probability": 0.9072265625}, {"start": 207.44, "end": 207.88, "word": " بتاعة", "probability": 0.8056640625}, {"start": 207.88, "end": 208.28, "word": " الآي", "probability": 0.8938802083333334}], "temperature": 1.0}, {"id": 8, "seek": 23273, "start": 208.83, "end": 232.73, "text": "وزائد انه بقيس ايش ال central vision الرؤية المركزية لمن؟ للعين okay importance of testing visual acuity شو أهمية قياس حدة الأبصار testing visual acuity is very important in all of the cases because", "tokens": [2407, 11622, 16373, 3215, 16472, 3224, 4724, 38436, 3794, 1975, 1829, 8592, 2423, 5777, 5201, 34892, 33604, 10632, 9673, 31747, 11622, 10632, 5296, 27842, 22807, 24976, 3615, 9957, 1392, 7379, 295, 4997, 5056, 696, 21757, 13412, 2407, 5551, 16095, 10632, 12174, 25528, 3794, 11331, 41891, 16247, 3555, 9381, 9640, 4997, 5056, 696, 21757, 307, 588, 1021, 294, 439, 295, 264, 3331, 570], "avg_logprob": 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0.9013671875}, {"start": 215.17, "end": 218.17, "word": " okay", "probability": 0.28125}, {"start": 218.17, "end": 219.01, "word": " importance", "probability": 0.94091796875}, {"start": 219.01, "end": 219.73, "word": " of", "probability": 0.9814453125}, {"start": 219.73, "end": 220.31, "word": " testing", "probability": 0.6787109375}, {"start": 220.31, "end": 220.87, "word": " visual", "probability": 0.96484375}, {"start": 220.87, "end": 221.53, "word": " acuity", "probability": 0.840576171875}, {"start": 221.53, "end": 222.15, "word": " شو", "probability": 0.91650390625}, {"start": 222.15, "end": 222.77, "word": " أهمية", "probability": 0.8802083333333334}, {"start": 222.77, "end": 223.25, "word": " قياس", "probability": 0.9778645833333334}, {"start": 223.25, "end": 223.55, "word": " حدة", "probability": 0.756103515625}, {"start": 223.55, "end": 224.25, "word": " الأبصار", "probability": 0.932373046875}, {"start": 224.25, "end": 227.45, "word": " testing", "probability": 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الإبصار تعتبر يعني إلها أهمية كبيرة؟ أول حاجة it gives us an accurate diagnosis for the patient diagnosis بمعنى تشخيص يعني بتعطي تشخيص دقيق للمريض لحالة المريض and indicate the severity of the problem وبيشير إلى حدة اللي هو كده عنده مشكلة طبعا كلمة severe", "tokens": [20292, 8592, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 6055, 34268, 26890, 37495, 22653, 11933, 1211, 11296, 5551, 16095, 10632, 9122, 3555, 48923, 22807, 5551, 12610, 11331, 26108, 3660, 309, 2709, 505, 364, 8559, 15217, 337, 264, 4537, 15217, 4724, 2304, 3615, 1863, 7578, 6055, 8592, 9778, 1829, 9381, 37495, 22653, 39894, 3615, 9566, 1829, 6055, 8592, 9778, 1829, 9381, 11778, 38436, 4587, 5296, 19528, 16572, 11242, 5296, 5016, 6027, 3660, 9673, 16572, 11242, 293, 13330, 264, 35179, 295, 264, 1154, 4032, 21292, 8592, 13546, 30731, 11331, 3215, 3660, 13672, 1829, 31439, 9122, 3215, 3224, 43242, 3224, 37893, 28820, 3660, 23032, 3555, 3615, 995, 9122, 19528, 3660, 8922], "avg_logprob": -0.1157540151285469, 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264.94, "end": 289.98, "text": "بمعنى حاد وعكسه mild بمعنى اللي هو يعني قليل يعني زي مثلا واحد بيقول عنده severe headache و واحد اخر ايش بيقول مثلا mild headache", "tokens": [3555, 2304, 3615, 1863, 7578, 11331, 18513, 4032, 3615, 4117, 3794, 3224, 15154, 4724, 2304, 3615, 1863, 7578, 13672, 1829, 31439, 37495, 22653, 12174, 20292, 1211, 37495, 22653, 30767, 1829, 50113, 15040, 36764, 24401, 4724, 1829, 39648, 43242, 3224, 8922, 23520, 4032, 36764, 24401, 1975, 34740, 1975, 1829, 8592, 4724, 1829, 39648, 50113, 15040, 15154, 23520], "avg_logprob": -0.18050986423827053, "compression_ratio": 1.5454545454545454, "no_speech_prob": 0.0, "words": [{"start": 264.94, "end": 265.44, "word": "بمعنى", "probability": 0.96904296875}, {"start": 265.44, "end": 265.92, "word": " حاد", "probability": 0.91748046875}, {"start": 265.92, "end": 267.64, "word": " وعكسه", "probability": 0.92138671875}, {"start": 267.64, "end": 268.42, "word": " mild", "probability": 0.77490234375}, {"start": 268.42, "end": 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0.7666015625}, {"start": 345.74, "end": 346.68, "word": " هذه", "probability": 0.5341796875}, {"start": 346.68, "end": 347.22, "word": " تعتبر", "probability": 0.9381510416666666}, {"start": 347.22, "end": 347.82, "word": " إيش؟", "probability": 0.796142578125}, {"start": 347.82, "end": 347.96, "word": " ال", "probability": 0.94921875}, {"start": 347.96, "end": 348.32, "word": " history", "probability": 0.8037109375}, {"start": 348.32, "end": 348.64, "word": " بتاعة", "probability": 0.8069661458333334}, {"start": 348.64, "end": 349.12, "word": " المريض", "probability": 0.9947916666666666}], "temperature": 1.0}, {"id": 13, "seek": 37213, "start": 350.15, "end": 372.13, "text": "ك examiner او ك optometrist يما احنا جسنا ال visual acuity بتاعته لجينا عنده blurred vision for distance يعني عنده مشكلة في اللي بعيد okay فهذه المشكلة مين كشفها ال visual acuity okay يعني الآن لو انا مثلا اجيب لك case study", "tokens": [4117, 1139, 4564, 1975, 2407, 9122, 2427, 649, 12940, 7251, 15042, 1975, 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353.01, "word": " يما", "probability": 0.6109619140625}, {"start": 353.01, "end": 353.29, "word": " احنا", "probability": 0.97216796875}, {"start": 353.29, "end": 353.75, "word": " جسنا", "probability": 0.8445638020833334}, {"start": 353.75, "end": 354.53, "word": " ال", "probability": 0.96923828125}, {"start": 354.53, "end": 355.15, "word": " visual", "probability": 0.9755859375}, {"start": 355.15, "end": 355.73, "word": " acuity", "probability": 0.887939453125}, {"start": 355.73, "end": 356.31, "word": " بتاعته", "probability": 0.87646484375}, {"start": 356.31, "end": 357.05, "word": " لجينا", "probability": 0.8421630859375}, {"start": 357.05, "end": 357.55, "word": " عنده", "probability": 0.984619140625}, {"start": 357.55, "end": 357.97, "word": " blurred", "probability": 0.78369140625}, {"start": 357.97, "end": 359.09, "word": " vision", "probability": 0.95751953125}, {"start": 359.09, "end": 359.41, "word": " for", "probability": 0.9267578125}, {"start": 359.41, "end": 359.99, "word": " distance", "probability": 0.95361328125}, {"start": 359.99, "end": 360.45, "word": " يعني", "probability": 0.915283203125}, {"start": 360.45, "end": 360.77, "word": " عنده", "probability": 0.981201171875}, {"start": 360.77, "end": 361.19, "word": " مشكلة", "probability": 0.9786783854166666}, {"start": 361.19, "end": 361.39, "word": " في", "probability": 0.81298828125}, {"start": 361.39, "end": 361.71, "word": " اللي", "probability": 0.6793212890625}, {"start": 361.71, "end": 362.05, "word": " بعيد", "probability": 0.9951171875}, {"start": 362.05, "end": 362.83, "word": " okay", "probability": 0.5546875}, {"start": 362.83, "end": 364.13, "word": " فهذه", "probability": 0.85791015625}, {"start": 364.13, "end": 364.65, "word": " المشكلة", "probability": 0.9931640625}, {"start": 364.65, "end": 364.79, "word": " مين", "probability": 0.971435546875}, {"start": 364.79, "end": 365.41, "word": " كشفها", "probability": 0.9879150390625}, {"start": 365.41, "end": 366.23, "word": " ال", "probability": 0.7353515625}, {"start": 366.23, "end": 366.57, "word": " visual", "probability": 0.986328125}, {"start": 366.57, "end": 367.17, "word": " acuity", "probability": 0.958251953125}, {"start": 367.17, "end": 368.15, "word": " okay", "probability": 0.76513671875}, {"start": 368.15, "end": 369.15, "word": " يعني", "probability": 0.94677734375}, {"start": 369.15, "end": 369.53, "word": " الآن", "probability": 0.735595703125}, {"start": 369.53, "end": 370.03, "word": " لو", "probability": 0.9541015625}, {"start": 370.03, "end": 370.19, "word": " انا", "probability": 0.929443359375}, {"start": 370.19, "end": 370.57, "word": " مثلا", "probability": 0.990966796875}, {"start": 370.57, "end": 371.29, "word": " اجيب", "probability": 0.9503173828125}, {"start": 371.29, "end": 371.49, "word": " لك", "probability": 0.6253662109375}, {"start": 371.49, "end": 371.71, "word": " case", "probability": 0.96533203125}, {"start": 371.71, "end": 372.13, "word": " study", "probability": 0.97412109375}], "temperature": 1.0}, {"id": 14, "seek": 39427, "start": 372.95, "end": 394.27, "text": "ال case study هذه مثلا عندها headache، severe headache أو mild headache أو moderate headache، لكن عندها في ال visual acuity blurred fore vision، إذا ال visual acuity بتاعة المريض بتتوقع يكون impaired، ضعيف ولا good ولا جيد؟ ضعيف، صح؟", "tokens": [6027, 1389, 2979, 29538, 50113, 15040, 43242, 11296, 23520, 12399, 8922, 23520, 34051, 15154, 23520, 34051, 18174, 23520, 12399, 44381, 43242, 11296, 8978, 2423, 5056, 696, 21757, 43525, 2091, 5201, 12399, 11933, 15730, 2423, 5056, 696, 21757, 39894, 995, 27884, 9673, 16572, 11242, 39894, 2655, 30543, 3615, 7251, 30544, 36762, 12399, 48812, 3615, 33911, 49429, 665, 49429, 10874, 25708, 22807, 48812, 3615, 33911, 12399, 20328, 5016, 22807], "avg_logprob": -0.13717831364449332, "compression_ratio": 1.5517241379310345, "no_speech_prob": 0.0, "words": [{"start": 372.95, "end": 373.19, "word": "ال", "probability": 0.97802734375}, {"start": 373.19, "end": 373.41, "word": " case", "probability": 0.91259765625}, {"start": 373.41, "end": 373.81, "word": " study", "probability": 0.9736328125}, {"start": 373.81, "end": 374.13, "word": " هذه", "probability": 0.859375}, {"start": 374.13, "end": 374.51, "word": " مثلا", "probability": 0.912353515625}, {"start": 374.51, "end": 374.91, "word": " عندها", "probability": 0.97216796875}, {"start": 374.91, "end": 375.43, "word": " headache،", "probability": 0.7138671875}, {"start": 375.43, "end": 375.75, "word": " severe", "probability": 0.8447265625}, {"start": 375.75, "end": 376.17, "word": " headache", "probability": 0.9365234375}, {"start": 376.17, "end": 376.65, "word": " أو", "probability": 0.29541015625}, {"start": 376.65, "end": 377.05, "word": " mild", "probability": 0.92333984375}, {"start": 377.05, "end": 377.43, "word": " headache", "probability": 0.9443359375}, {"start": 377.43, "end": 377.79, "word": " أو", "probability": 0.837890625}, {"start": 377.79, "end": 378.55, "word": " moderate", "probability": 0.97216796875}, {"start": 378.55, "end": 379.39, "word": " headache،", "probability": 0.6881103515625}, {"start": 379.39, "end": 379.95, "word": " لكن", "probability": 0.98583984375}, {"start": 379.95, "end": 380.87, "word": " عندها", "probability": 0.99462890625}, {"start": 380.87, "end": 381.07, "word": " في", "probability": 0.98779296875}, {"start": 381.07, "end": 381.17, "word": " ال", "probability": 0.9677734375}, {"start": 381.17, "end": 381.43, "word": " visual", "probability": 0.92041015625}, {"start": 381.43, "end": 382.15, "word": " acuity", "probability": 0.95849609375}, {"start": 382.15, "end": 382.97, "word": " blurred", "probability": 0.751953125}, {"start": 382.97, "end": 383.47, "word": " fore", "probability": 0.7001953125}, {"start": 383.47, "end": 384.77, "word": " vision،", "probability": 0.70166015625}, {"start": 384.77, "end": 384.99, "word": " إذا", "probability": 0.79931640625}, {"start": 384.99, "end": 385.41, "word": " ال", "probability": 0.94140625}, {"start": 385.41, "end": 385.73, "word": " visual", "probability": 0.9814453125}, {"start": 385.73, "end": 386.25, "word": " acuity", "probability": 0.967529296875}, {"start": 386.25, "end": 386.51, "word": " بتاعة", "probability": 0.7337239583333334}, {"start": 386.51, "end": 387.11, "word": " المريض", "probability": 0.98876953125}, {"start": 387.11, "end": 388.59, "word": " بتتوقع", "probability": 0.9617919921875}, {"start": 388.59, "end": 389.01, "word": " يكون", "probability": 0.9951171875}, {"start": 389.01, "end": 390.17, "word": " impaired،", "probability": 0.878173828125}, {"start": 390.17, "end": 390.67, "word": " ضعيف", "probability": 0.9928385416666666}, {"start": 390.67, "end": 391.01, "word": " ولا", "probability": 0.56787109375}, {"start": 391.01, "end": 391.37, "word": " good", "probability": 0.8330078125}, {"start": 391.37, "end": 391.71, "word": " ولا", "probability": 0.93505859375}, {"start": 391.71, "end": 393.01, "word": " جيد؟", "probability": 0.87353515625}, {"start": 393.01, "end": 393.75, "word": " ضعيف،", "probability": 0.93798828125}, {"start": 393.75, "end": 394.27, "word": " صح؟", "probability": 0.98779296875}], "temperature": 1.0}, {"id": 15, "seek": 41305, "start": 395.19, "end": 413.05, "text": "واضح الأمور؟ الآن ايجي انا عندى طفل او مثلا female or male عمرها تسعتاشر سنة وشكى انه عنده headache طبعا هذه سواء severe او mild او moderate headache هذه تعتبر ايش؟", "tokens": [2407, 46958, 5016, 16247, 2304, 13063, 22807, 6024, 48506, 1975, 1829, 7435, 1829, 1975, 8315, 43242, 7578, 23032, 5172, 1211, 1975, 2407, 50113, 15040, 6556, 420, 7133, 6225, 29973, 11296, 6055, 3794, 34268, 33599, 2288, 8608, 1863, 3660, 4032, 8592, 4117, 7578, 16472, 3224, 43242, 3224, 23520, 23032, 3555, 3615, 995, 29538, 8608, 2407, 16606, 8922, 1975, 2407, 15154, 1975, 2407, 18174, 23520, 29538, 6055, 34268, 26890, 1975, 1829, 8592, 22807], "avg_logprob": -0.1847873313559426, "compression_ratio": 1.44, "no_speech_prob": 0.0, "words": [{"start": 395.19, "end": 395.57, "word": "واضح", "probability": 0.9962565104166666}, {"start": 395.57, "end": 396.85, "word": " الأمور؟", "probability": 0.827880859375}, {"start": 396.85, "end": 397.21, "word": " الآن", "probability": 0.74560546875}, {"start": 397.21, "end": 397.47, "word": " ايجي", "probability": 0.68426513671875}, {"start": 397.47, "end": 397.85, "word": " انا", "probability": 0.7822265625}, {"start": 397.85, "end": 398.35, "word": " عندى", "probability": 0.877685546875}, {"start": 398.35, "end": 398.75, "word": " طفل", "probability": 0.9930013020833334}, {"start": 398.75, "end": 399.47, "word": " او", "probability": 0.823486328125}, {"start": 399.47, "end": 400.27, "word": " مثلا", "probability": 0.984130859375}, {"start": 400.27, "end": 401.63, "word": " female", "probability": 0.86865234375}, {"start": 401.63, "end": 401.89, "word": " or", "probability": 0.85986328125}, {"start": 401.89, "end": 402.21, "word": " male", "probability": 0.9287109375}, {"start": 402.21, "end": 403.15, "word": " عمرها", "probability": 0.9796549479166666}, {"start": 403.15, "end": 403.81, "word": " تسعتاشر", "probability": 0.81904296875}, {"start": 403.81, "end": 404.43, "word": " سنة", "probability": 0.9890950520833334}, {"start": 404.43, "end": 406.15, "word": " وشكى", "probability": 0.60162353515625}, {"start": 406.15, "end": 406.41, "word": " انه", "probability": 0.81982421875}, {"start": 406.41, "end": 406.81, "word": " عنده", "probability": 0.9912109375}, {"start": 406.81, "end": 407.19, "word": " headache", "probability": 0.93701171875}, {"start": 407.19, "end": 408.35, "word": " طبعا", "probability": 0.9249267578125}, {"start": 408.35, "end": 408.73, "word": " هذه", "probability": 0.55810546875}, {"start": 408.73, "end": 409.43, "word": " سواء", "probability": 0.9373372395833334}, {"start": 409.43, "end": 409.89, "word": " severe", "probability": 0.8544921875}, {"start": 409.89, "end": 410.15, "word": " او", "probability": 0.6644287109375}, {"start": 410.15, "end": 410.49, "word": " mild", "probability": 0.923828125}, {"start": 410.49, "end": 410.73, "word": " او", "probability": 0.95703125}, {"start": 410.73, "end": 411.07, "word": " moderate", "probability": 0.95703125}, {"start": 411.07, "end": 411.47, "word": " headache", "probability": 0.97119140625}, {"start": 411.47, "end": 412.07, "word": " هذه", "probability": 0.296142578125}, {"start": 412.07, "end": 412.57, "word": " تعتبر", "probability": 0.9617513020833334}, {"start": 412.57, "end": 413.05, "word": " ايش؟", "probability": 0.931396484375}], "temperature": 1.0}, {"id": 16, "seek": 43838, "start": 414.4, "end": 438.38, "text": "ال history .. ال history of the patient صح؟ الآن أنا عملت visual acuity جسد جد .. جديش حدة الإبصار للمريض فطلع عنده blurred لل vision يعني ال vision عنده مثلا ستة على ستين أو ستة على أربع و عشرين فانا هذا بديني indicate ل ال visual acuity impaired, bad or good؟ bad صح؟ impaired", "tokens": [6027, 2503, 4386, 2423, 2503, 295, 264, 4537, 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جسنا", "probability": 0.7156575520833334}, {"start": 451.56, "end": 452.22, "word": " لسين", "probability": 0.8751627604166666}, {"start": 452.22, "end": 452.4, "word": " من", "probability": 0.9873046875}, {"start": 452.4, "end": 452.9, "word": " الناس", "probability": 0.98876953125}, {"start": 452.9, "end": 453.26, "word": " ال", "probability": 0.91748046875}, {"start": 453.26, "end": 453.58, "word": " visual", "probability": 0.9404296875}, {"start": 453.58, "end": 454.12, "word": " acuity", "probability": 0.894775390625}, {"start": 454.12, "end": 454.72, "word": " بتاعته", "probability": 0.8681640625}, {"start": 454.72, "end": 455.7, "word": " كانت", "probability": 0.97607421875}, {"start": 455.7, "end": 456.06, "word": " مثلا", "probability": 0.968994140625}, {"start": 456.06, "end": 456.52, "word": " أربع", "probability": 0.7965494791666666}, {"start": 456.52, "end": 456.68, "word": " على", "probability": 0.54443359375}, {"start": 456.68, "end": 457.2, "word": " ستين", "probability": 0.9793294270833334}, {"start": 457.2, "end": 457.94, "word": " okay", "probability": 0.671875}, {"start": 457.94, "end": 459.16, "word": " لكن", "probability": 0.77294921875}, {"start": 459.16, "end": 459.52, "word": " هذا", "probability": 0.95068359375}, {"start": 459.52, "end": 460.0, "word": " المريض", "probability": 0.99462890625}, {"start": 460.0, "end": 460.36, "word": " كان", "probability": 0.99462890625}, {"start": 460.36, "end": 461.34, "word": " عنده", "probability": 0.990234375}, {"start": 461.34, "end": 462.28, "word": " مشكلة", "probability": 0.9833984375}, {"start": 462.28, "end": 462.56, "word": " ال", "probability": 0.60986328125}, {"start": 462.56, "end": 462.9, "word": " eye", "probability": 0.90673828125}, {"start": 462.9, "end": 463.4, "word": " disease", "probability": 0.9208984375}, {"start": 463.4, "end": 463.82, "word": " يعني", "probability": 0.965087890625}, {"start": 463.82, "end": 464.14, "word": " مرض", "probability": 0.98583984375}, {"start": 464.14, "end": 464.3, "word": " في", "probability": 0.97900390625}, {"start": 464.3, "end": 464.6, "word": " العين", "probability": 0.9892578125}], "temperature": 1.0}, {"id": 18, "seek": 49463, "start": 466.39, "end": 494.63, "text": "أربعة واحد 2017 جسنا ال visual acuity حدث الإبصار لجينا باختلف عن المرة الفاتة ليش؟ لأن السبب راح اللي هو اللي .. انه ليش هو كان عنده visual acuity impaired السبب اللي هو ال eye disease فال eye disease علجناه يعني احنا علجنا اللي هو ال causes فمدام انت علجت ال causes فال visual acuity إيش ماله هيتحسن صح؟", "tokens": [10721, 25513, 27884, 36764, 24401, 6591, 10874, 3794, 8315, 2423, 5056, 696, 21757, 11331, 3215, 12984, 33688, 3555, 9381, 9640, 5296, 7435, 1829, 8315, 4724, 47283, 2655, 46538, 18871, 9673, 25720, 27188, 9307, 3660, 32239, 8592, 22807, 5296, 33456, 21136, 3555, 3555, 12602, 39319, 13672, 1829, 31439, 13672, 1829, 4386, 16472, 3224, 32239, 8592, 31439, 25961, 43242, 3224, 5056, 696, 21757, 36762, 21136, 3555, 3555, 13672, 1829, 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0.9060872395833334}, {"start": 484.01, "end": 484.23, "word": " اللي", "probability": 0.988525390625}, {"start": 484.23, "end": 484.41, "word": " هو", "probability": 0.9921875}, {"start": 484.41, "end": 484.53, "word": " ال", "probability": 0.7890625}, {"start": 484.53, "end": 484.67, "word": " eye", "probability": 0.89013671875}, {"start": 484.67, "end": 485.11, "word": " disease", "probability": 0.91650390625}, {"start": 485.11, "end": 485.53, "word": " فال", "probability": 0.92626953125}, {"start": 485.53, "end": 485.71, "word": " eye", "probability": 0.908203125}, {"start": 485.71, "end": 486.19, "word": " disease", "probability": 0.9404296875}, {"start": 486.19, "end": 487.09, "word": " علجناه", "probability": 0.93408203125}, {"start": 487.09, "end": 487.45, "word": " يعني", "probability": 0.938720703125}, {"start": 487.45, "end": 487.67, "word": " احنا", "probability": 0.916015625}, {"start": 487.67, "end": 488.15, "word": " علجنا", "probability": 0.9845377604166666}, {"start": 488.15, "end": 488.45, "word": " اللي", "probability": 0.972900390625}, {"start": 488.45, "end": 488.67, "word": " هو", "probability": 0.990234375}, {"start": 488.67, "end": 488.81, "word": " ال", "probability": 0.97802734375}, {"start": 488.81, "end": 489.17, "word": " causes", "probability": 0.95703125}, {"start": 489.17, "end": 490.03, "word": " فمدام", "probability": 0.9217529296875}, {"start": 490.03, "end": 490.23, "word": " انت", "probability": 0.75537109375}, {"start": 490.23, "end": 490.61, "word": " علجت", "probability": 0.9466145833333334}, {"start": 490.61, "end": 490.73, "word": " ال", "probability": 0.99169921875}, {"start": 490.73, "end": 491.17, "word": " causes", "probability": 0.9501953125}, {"start": 491.17, "end": 491.65, "word": " فال", "probability": 0.959716796875}, {"start": 491.65, "end": 491.89, "word": " visual", "probability": 0.98193359375}, {"start": 491.89, "end": 492.37, "word": " acuity", "probability": 0.9794921875}, {"start": 492.37, "end": 492.57, "word": " إيش", "probability": 0.7156575520833334}, {"start": 492.57, "end": 492.99, "word": " ماله", "probability": 0.8505859375}, {"start": 492.99, "end": 493.87, "word": " هيتحسن", "probability": 0.831005859375}, {"start": 493.87, "end": 494.63, "word": " صح؟", "probability": 0.90576171875}], "temperature": 1.0}, {"id": 19, "seek": 51537, "start": 497.57, "end": 515.37, "text": "for all of these reasons visual acuity must be tested for all of the patients before visiting the ophthalmologist طبعا أي كتاب في العيون تفتحي في 4 O دايما مكتوبة 4 O شو معناها ال 4 O؟", "tokens": [2994, 439, 295, 613, 4112, 5056, 696, 21757, 1633, 312, 8246, 337, 439, 295, 264, 4209, 949, 11700, 264, 999, 49123, 76, 9201, 23032, 3555, 3615, 995, 36632, 9122, 2655, 16758, 8978, 18863, 1829, 11536, 6055, 5172, 2655, 5016, 1829, 8978, 1017, 422, 11778, 47302, 15042, 3714, 4117, 2655, 37746, 3660, 1017, 422, 13412, 2407, 20449, 8315, 11296, 2423, 1017, 422, 22807], "avg_logprob": -0.14496528250830515, 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676.03, "word": " of", "probability": 0.98388671875}, {"start": 676.03, "end": 676.21, "word": " the", "probability": 0.84521484375}, {"start": 676.21, "end": 676.97, "word": " optometrist", "probability": 0.9228515625}, {"start": 676.97, "end": 677.55, "word": " who", "probability": 0.8681640625}, {"start": 677.55, "end": 677.83, "word": " is", "probability": 0.6298828125}, {"start": 677.83, "end": 678.33, "word": " the", "probability": 0.83251953125}, {"start": 678.33, "end": 679.09, "word": " specialist", "probability": 0.94091796875}, {"start": 679.09, "end": 679.77, "word": " examiner", "probability": 0.9814453125}, {"start": 679.77, "end": 679.99, "word": " in", "probability": 0.94873046875}, {"start": 679.99, "end": 680.29, "word": " this", "probability": 0.6767578125}, {"start": 680.29, "end": 681.11, "word": " examination", "probability": 0.935546875}, {"start": 681.11, "end": 681.69, "word": " يعني", "probability": 0.78125}, {"start": 681.69, "end": 681.97, "word": " هذه", "probability": 0.7333984375}, {"start": 681.97, "end": 682.11, "word": " ال", "probability": 0.78515625}, {"start": 682.11, "end": 682.41, "word": " mission", "probability": 0.60546875}, {"start": 682.41, "end": 683.37, "word": " الوظيفة", "probability": 0.96845703125}, {"start": 683.37, "end": 683.59, "word": " أو", "probability": 0.70654296875}, {"start": 683.59, "end": 683.69, "word": " ال", "probability": 0.90478515625}, {"start": 683.69, "end": 684.15, "word": " occupation", "probability": 0.93115234375}, {"start": 684.15, "end": 684.61, "word": " اللي", "probability": 0.92822265625}, {"start": 684.61, "end": 684.97, "word": " بيقوم", "probability": 0.955322265625}, {"start": 684.97, "end": 685.35, "word": " فيها", "probability": 0.97509765625}, {"start": 685.35, "end": 685.59, "word": " مين", "probability": 0.676513671875}, {"start": 685.59, "end": 686.35, "word": " طبيب", "probability": 0.9807942708333334}, {"start": 686.35, "end": 687.37, "word": " أو", "probability": 0.59765625}, {"start": 687.37, "end": 688.17, "word": " أخصائي", "probability": 0.95166015625}, {"start": 688.17, "end": 688.99, "word": " البصرية", "probability": 0.931396484375}, {"start": 688.99, "end": 690.07, "word": " okay", "probability": 0.45947265625}, {"start": 690.07, "end": 693.93, "word": " طيب", "probability": 0.727294921875}, {"start": 693.93, "end": 694.91, "word": " testing", "probability": 0.72216796875}, {"start": 694.91, "end": 695.53, "word": " visual", "probability": 0.97021484375}, {"start": 695.53, "end": 696.21, "word": " acuity", "probability": 0.92529296875}, {"start": 696.21, "end": 696.59, "word": " in", "probability": 0.9658203125}, {"start": 696.59, "end": 697.35, "word": " preverbal", "probability": 0.7161458333333334}, {"start": 697.35, "end": 698.05, "word": " children", "probability": 0.8759765625}, {"start": 698.05, "end": 698.89, "word": " قياس", "probability": 0.9488932291666666}, {"start": 698.89, "end": 699.33, "word": " حدث", "probability": 0.7537434895833334}, {"start": 699.33, "end": 700.37, "word": " الإبصار", "probability": 0.97998046875}, {"start": 700.37, "end": 702.15, "word": " للأطفال", "probability": 0.87490234375}, {"start": 702.15, "end": 702.65, "word": " الغير", "probability": 0.9597981770833334}, {"start": 702.65, "end": 703.25, "word": " ناطقين", "probability": 0.948974609375}], "temperature": 1.0}, {"id": 27, "seek": 72040, "start": 704.36, "end": 720.4, "text": "أول حاجة عندنا is occlusion of one eye انه اغطي عين واحدة it is a simple method for testing the visual acuity in preverbal children and infants", "tokens": [10721, 12610, 11331, 26108, 3660, 43242, 8315, 307, 2678, 6485, 295, 472, 3313, 16472, 3224, 1975, 17082, 9566, 1829, 6225, 9957, 36764, 24401, 3660, 309, 307, 257, 2199, 3170, 337, 4997, 264, 5056, 696, 21757, 294, 659, 331, 2645, 2227, 293, 38829], "avg_logprob": -0.2160247148469437, "compression_ratio": 1.1724137931034482, "no_speech_prob": 0.0, "words": [{"start": 704.36, "end": 704.72, "word": "أول", "probability": 0.9541015625}, {"start": 704.72, "end": 705.04, "word": " حاجة", "probability": 0.9840494791666666}, {"start": 705.04, "end": 705.52, "word": " عندنا", "probability": 0.78369140625}, {"start": 705.52, "end": 705.8, "word": " is", "probability": 0.201171875}, {"start": 705.8, "end": 706.38, "word": " occlusion", "probability": 0.781982421875}, {"start": 706.38, "end": 706.9, "word": " of", "probability": 0.97314453125}, {"start": 706.9, "end": 707.14, "word": " one", "probability": 0.94287109375}, {"start": 707.14, "end": 707.5, "word": " eye", "probability": 0.9326171875}, {"start": 707.5, "end": 708.32, "word": " انه", "probability": 0.57330322265625}, {"start": 708.32, "end": 708.8, "word": " اغطي", "probability": 0.8670654296875}, {"start": 708.8, "end": 709.52, "word": " عين", "probability": 0.922119140625}, {"start": 709.52, "end": 710.26, "word": " واحدة", "probability": 0.9622395833333334}, {"start": 710.26, "end": 710.6, "word": " it", "probability": 0.25537109375}, {"start": 710.6, "end": 714.48, "word": " is", "probability": 0.93310546875}, {"start": 714.48, "end": 714.68, "word": " a", "probability": 0.9638671875}, {"start": 714.68, "end": 715.04, "word": " simple", "probability": 0.94140625}, {"start": 715.04, "end": 715.48, "word": " method", "probability": 0.94140625}, {"start": 715.48, "end": 715.96, "word": " for", "probability": 0.9326171875}, {"start": 715.96, "end": 716.52, "word": " testing", "probability": 0.83984375}, {"start": 716.52, "end": 716.74, "word": " the", "probability": 0.79541015625}, {"start": 716.74, "end": 717.02, "word": " visual", "probability": 0.9736328125}, {"start": 717.02, "end": 717.66, "word": " acuity", "probability": 0.92333984375}, {"start": 717.66, "end": 717.96, "word": " in", "probability": 0.935546875}, {"start": 717.96, "end": 718.7, "word": " preverbal", "probability": 0.6949869791666666}, {"start": 718.7, "end": 719.34, "word": " children", "probability": 0.85888671875}, {"start": 719.34, "end": 719.8, "word": " and", "probability": 0.95458984375}, {"start": 719.8, "end": 720.4, "word": " infants", "probability": 0.9697265625}], "temperature": 1.0}, {"id": 28, "seek": 74527, "start": 721.19, "end": 745.27, "text": "طبعا هو طريقة بسيطة جدا لقياس حدة الإبصار للعين في الأطفال الغير ناطقين والردع okay we cover one eye and if strongly objected by the child indicates poorer acuity in the other eye الآن بنغطي عين يعني مثلا الآن بدي أفحص العين اليمين بغطي مين العين الشمال", "tokens": [9566, 3555, 3615, 995, 31439, 23032, 16572, 28671, 4724, 3794, 1829, 9566, 3660, 10874, 28259, 5296, 38436, 32277, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 24976, 3615, 9957, 8978, 16247, 9566, 5172, 6027, 6024, 118, 13546, 8717, 41193, 4587, 9957, 16070, 2288, 3215, 3615, 1392, 321, 2060, 472, 3313, 293, 498, 10613, 2657, 292, 538, 264, 1440, 16203, 49740, 696, 21757, 294, 264, 661, 3313, 6024, 48506, 44945, 17082, 9566, 1829, 6225, 9957, 37495, 22653, 50113, 15040, 6024, 48506, 4724, 16254, 5551, 5172, 5016, 9381, 18863, 9957, 2423, 32640, 9957, 4724, 17082, 9566, 1829, 3714, 9957, 18863, 9957, 25124, 2304, 6027], "avg_logprob": -0.15004595865805945, "compression_ratio": 1.575, "no_speech_prob": 0.0, "words": [{"start": 721.19, "end": 721.57, "word": "طبعا", "probability": 0.987548828125}, {"start": 721.57, "end": 721.83, "word": " هو", "probability": 0.96484375}, {"start": 721.83, "end": 722.97, "word": " طريقة", "probability": 0.9933268229166666}, {"start": 722.97, "end": 723.55, "word": " بسيطة", "probability": 0.98056640625}, {"start": 723.55, "end": 723.91, "word": " جدا", "probability": 0.986328125}, {"start": 723.91, "end": 724.73, "word": " لقياس", "probability": 0.8391927083333334}, {"start": 724.73, "end": 725.29, "word": " حدة", "probability": 0.709716796875}, {"start": 725.29, "end": 725.85, "word": " الإبصار", "probability": 0.9727783203125}, {"start": 725.85, "end": 726.31, "word": " للعين", "probability": 0.9806315104166666}, {"start": 726.31, "end": 726.77, "word": " في", "probability": 0.92529296875}, {"start": 726.77, "end": 727.29, "word": " الأطفال", "probability": 0.9970703125}, {"start": 727.29, "end": 727.67, "word": " الغير", "probability": 0.9568684895833334}, {"start": 727.67, "end": 728.29, "word": " ناطقين", "probability": 0.8890380859375}, {"start": 728.29, "end": 729.01, "word": " والردع", "probability": 0.74127197265625}, {"start": 729.01, "end": 729.59, "word": " okay", "probability": 0.43408203125}, {"start": 729.59, "end": 730.35, "word": " we", "probability": 0.2783203125}, {"start": 730.35, "end": 730.71, "word": " cover", "probability": 0.96533203125}, {"start": 730.71, "end": 730.97, "word": " one", "probability": 0.9423828125}, {"start": 730.97, "end": 731.27, "word": " eye", "probability": 0.93017578125}, {"start": 731.27, "end": 731.77, "word": " and", "probability": 0.91552734375}, {"start": 731.77, "end": 732.03, "word": " if", "probability": 0.97509765625}, {"start": 732.03, "end": 732.57, "word": " strongly", "probability": 0.59814453125}, {"start": 732.57, "end": 733.25, "word": " objected", "probability": 0.94677734375}, {"start": 733.25, "end": 733.43, "word": " by", "probability": 0.97998046875}, {"start": 733.43, "end": 733.59, "word": " the", "probability": 0.8095703125}, {"start": 733.59, "end": 734.03, "word": " child", "probability": 0.89697265625}, {"start": 734.03, "end": 734.93, "word": " indicates", "probability": 0.93017578125}, {"start": 734.93, "end": 735.89, "word": " poorer", "probability": 0.91455078125}, {"start": 735.89, "end": 736.61, "word": " acuity", "probability": 0.7357177734375}, {"start": 736.61, "end": 736.89, "word": " in", "probability": 0.95458984375}, {"start": 736.89, "end": 736.99, "word": " the", "probability": 0.8984375}, {"start": 736.99, "end": 737.27, "word": " other", "probability": 0.89697265625}, {"start": 737.27, "end": 737.99, "word": " eye", "probability": 0.9404296875}, {"start": 737.99, "end": 738.65, "word": " الآن", "probability": 0.641357421875}, {"start": 738.65, "end": 739.19, "word": " بنغطي", "probability": 0.8475341796875}, {"start": 739.19, "end": 739.43, "word": " عين", "probability": 0.99072265625}, {"start": 739.43, "end": 740.05, "word": " يعني", "probability": 0.887451171875}, {"start": 740.05, "end": 740.43, "word": " مثلا", "probability": 0.990234375}, {"start": 740.43, "end": 740.87, "word": " الآن", "probability": 0.684814453125}, {"start": 740.87, "end": 741.11, "word": " بدي", "probability": 0.812255859375}, {"start": 741.11, "end": 741.63, "word": " أفحص", "probability": 0.9222412109375}, {"start": 741.63, "end": 742.05, "word": " العين", "probability": 0.989013671875}, {"start": 742.05, "end": 742.53, "word": " اليمين", "probability": 0.8722330729166666}, {"start": 742.53, "end": 744.09, "word": " بغطي", "probability": 0.90625}, {"start": 744.09, "end": 744.29, "word": " مين", "probability": 0.811279296875}, {"start": 744.29, "end": 744.81, "word": " العين", "probability": 0.7587890625}, {"start": 744.81, "end": 745.27, "word": " الشمال", "probability": 0.8289388020833334}], "temperature": 1.0}, {"id": 29, "seek": 77062, "start": 746.18, "end": 770.62, "text": "بشوف قداش اللي هو إذا مثلا الطفل قاوم هذه التغطاية إنه رفع الغطاء عن العين فبيكون poor لل visual acuity in the right eye okay okay الآن أنا مثلا بدي أجيس ال visual acuity للعين اليمين بغطي مين؟ العين الشمال", "tokens": [3555, 8592, 38688, 12174, 3215, 33599, 13672, 1829, 31439, 11933, 15730, 50113, 15040, 41950, 5172, 1211, 12174, 995, 20498, 29538, 16712, 17082, 9566, 995, 10632, 36145, 3224, 12602, 5172, 3615, 6024, 118, 9566, 16606, 18871, 18863, 9957, 6156, 21292, 30544, 4716, 24976, 5056, 696, 21757, 294, 264, 558, 3313, 1392, 1392, 6024, 48506, 41850, 50113, 15040, 4724, 16254, 5551, 7435, 1829, 3794, 2423, 5056, 696, 21757, 24976, 3615, 9957, 2423, 32640, 9957, 4724, 17082, 9566, 1829, 3714, 9957, 22807, 18863, 9957, 25124, 2304, 6027], "avg_logprob": -0.15744484873378978, "compression_ratio": 1.5960591133004927, "no_speech_prob": 0.0, "words": [{"start": 746.18, "end": 746.7, "word": "بشوف", "probability": 0.9881184895833334}, {"start": 746.7, "end": 747.3, "word": " قداش", "probability": 0.6468912760416666}, {"start": 747.3, "end": 747.56, "word": " اللي", "probability": 0.8798828125}, {"start": 747.56, "end": 748.02, "word": " هو", "probability": 0.990234375}, {"start": 748.02, "end": 748.58, "word": " إذا", "probability": 0.7423095703125}, {"start": 748.58, "end": 749.04, "word": " مثلا", "probability": 0.978759765625}, {"start": 749.04, "end": 749.6, "word": " الطفل", "probability": 0.98876953125}, {"start": 749.6, "end": 750.62, "word": " قاوم", "probability": 0.9890950520833334}, {"start": 750.62, "end": 750.92, "word": " هذه", "probability": 0.90478515625}, {"start": 750.92, "end": 751.64, "word": " التغطاية", "probability": 0.844677734375}, {"start": 751.64, "end": 752.06, "word": " إنه", "probability": 0.66796875}, {"start": 752.06, "end": 752.32, "word": " رفع", "probability": 0.9900716145833334}, {"start": 752.32, "end": 752.8, "word": " الغطاء", "probability": 0.876953125}, {"start": 752.8, "end": 753.14, "word": " عن", "probability": 0.9873046875}, {"start": 753.14, "end": 753.52, "word": " العين", "probability": 0.9833984375}, {"start": 753.52, "end": 754.68, "word": " فبيكون", "probability": 0.83935546875}, {"start": 754.68, "end": 755.32, "word": " poor", "probability": 0.69970703125}, {"start": 755.32, "end": 755.66, "word": " لل", "probability": 0.70556640625}, {"start": 755.66, "end": 755.94, "word": " visual", "probability": 0.92138671875}, {"start": 755.94, "end": 756.5, "word": " acuity", "probability": 0.925537109375}, {"start": 756.5, "end": 756.78, "word": " in", "probability": 0.94677734375}, {"start": 756.78, "end": 757.04, "word": " the", "probability": 0.93701171875}, {"start": 757.04, "end": 757.58, "word": " right", "probability": 0.94189453125}, {"start": 757.58, "end": 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اليمين", "probability": 0.8896484375}, {"start": 768.46, "end": 769.62, "word": " بغطي", "probability": 0.8994140625}, {"start": 769.62, "end": 769.98, "word": " مين؟", "probability": 0.8209635416666666}, {"start": 769.98, "end": 770.2, "word": " العين", "probability": 0.99169921875}, {"start": 770.2, "end": 770.62, "word": " الشمال", "probability": 0.8924153645833334}], "temperature": 1.0}, {"id": 30, "seek": 79370, "start": 771.34, "end": 793.7, "text": "لو الطفل قاوم اللي هو التغطية بتاعته، يعني رفع الغطاء اللي أنا غطيت فيه العين الشمال، حيكون شو معناه؟ انه الطفل مش شايف في العين اليمين صح؟ فهو بعنيلي ان ال visual acuity in the right eye is poor or impaired بس هذا الفحص مش دقيق لإن الأطفال مابتحملوش أي شيء مثل هذا؟ بالظبط", "tokens": [1211, 2407, 41950, 5172, 1211, 12174, 995, 20498, 13672, 1829, 31439, 16712, 17082, 9566, 10632, 39894, 995, 34268, 3224, 12399, 37495, 22653, 12602, 5172, 3615, 6024, 118, 9566, 16606, 13672, 1829, 41850, 32771, 9566, 36081, 8978, 3224, 18863, 9957, 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"probability": 0.955322265625}, {"start": 848.34, "end": 848.8, "word": " بقولي", "probability": 0.7443033854166666}, {"start": 848.8, "end": 849.0, "word": " ال", "probability": 0.896484375}, {"start": 849.0, "end": 849.28, "word": " visual", "probability": 0.966796875}, {"start": 849.28, "end": 849.88, "word": " acuity", "probability": 0.780029296875}, {"start": 849.88, "end": 850.22, "word": " good", "probability": 0.88134765625}, {"start": 850.22, "end": 850.5, "word": " or", "probability": 0.91357421875}, {"start": 850.5, "end": 851.26, "word": " bad،", "probability": 0.78515625}, {"start": 851.26, "end": 852.12, "word": " okay؟", "probability": 0.914306640625}], "temperature": 1.0}, {"id": 33, "seek": 87745, "start": 852.39, "end": 877.45, "text": "ما بيحكيليش مثلا ال visual acuity ستة ع ستين أو واحد ع ستين لأ مجرد انه بيقوللي ال visual acuity good او bad okay this method just indicate if the visual acuity is good or poor and doesn't give us an accurate measurement هو ما بيعطيه اللي هو تشخيص دقيق طبعا احنا هنطبق الفحص هذا", "tokens": [15042, 4724, 1829, 5016, 4117, 1829, 20292, 8592, 50113, 15040, 2423, 5056, 696, 21757, 8608, 2655, 3660, 6225, 8608, 2655, 9957, 34051, 36764, 24401, 6225, 8608, 2655, 9957, 5296, 10721, 3714, 7435, 2288, 3215, 16472, 3224, 4724, 1829, 39648, 20292, 2423, 5056, 696, 21757, 665, 1975, 2407, 1578, 1392, 341, 3170, 445, 13330, 498, 264, 5056, 696, 21757, 307, 665, 420, 4716, 293, 1177, 380, 976, 505, 364, 8559, 13160, 31439, 19446, 4724, 40228, 9566, 1829, 3224, 13672, 1829, 31439, 6055, 8592, 9778, 1829, 9381, 11778, 38436, 4587, 23032, 3555, 3615, 995, 1975, 5016, 8315, 8032, 1863, 9566, 3555, 4587, 27188, 5016, 9381, 23758], "avg_logprob": -0.1556547653107416, "compression_ratio": 1.5406504065040652, "no_speech_prob": 0.0, "words": [{"start": 852.39, "end": 852.59, "word": "ما", "probability": 0.421142578125}, {"start": 852.59, "end": 853.13, "word": " بيحكيليش", "probability": 0.849853515625}, {"start": 853.13, "end": 853.51, "word": " مثلا", "probability": 0.898681640625}, {"start": 853.51, "end": 853.77, "word": " ال", "probability": 0.9169921875}, {"start": 853.77, "end": 854.03, "word": " visual", "probability": 0.78955078125}, {"start": 854.03, "end": 854.59, "word": " acuity", "probability": 0.798095703125}, {"start": 854.59, "end": 854.97, "word": " ستة", "probability": 0.7179768880208334}, {"start": 854.97, "end": 855.03, "word": " ع", "probability": 0.79052734375}, {"start": 855.03, "end": 855.53, "word": " ستين", "probability": 0.96044921875}, {"start": 855.53, "end": 855.89, "word": " أو", "probability": 0.63232421875}, {"start": 855.89, "end": 856.21, "word": " واحد", "probability": 0.986572265625}, {"start": 856.21, "end": 856.33, "word": " ع", "probability": 0.9541015625}, {"start": 856.33, "end": 856.85, "word": " ستين", "probability": 0.96484375}, {"start": 856.85, "end": 857.53, "word": " لأ", "probability": 0.82080078125}, {"start": 857.53, "end": 858.21, "word": " مجرد", "probability": 0.9613037109375}, {"start": 858.21, "end": 858.41, "word": " انه", "probability": 0.779541015625}, {"start": 858.41, "end": 858.85, "word": " بيقوللي", "probability": 0.7606201171875}, {"start": 858.85, "end": 859.05, "word": " ال", "probability": 0.89892578125}, {"start": 859.05, "end": 859.37, "word": " visual", "probability": 0.98193359375}, {"start": 859.37, "end": 859.95, "word": " acuity", "probability": 0.94873046875}, {"start": 859.95, "end": 860.55, "word": " good", "probability": 0.82958984375}, {"start": 860.55, "end": 860.97, "word": " او", "probability": 0.773681640625}, {"start": 860.97, "end": 861.31, "word": " bad", "probability": 0.943359375}, {"start": 861.31, "end": 862.29, "word": " okay", "probability": 0.478759765625}, {"start": 862.29, "end": 866.35, "word": " this", "probability": 0.572265625}, {"start": 866.35, "end": 866.83, "word": " method", "probability": 0.95361328125}, {"start": 866.83, "end": 867.27, "word": " just", "probability": 0.91455078125}, {"start": 867.27, "end": 867.89, "word": " indicate", "probability": 0.744140625}, {"start": 867.89, "end": 868.13, "word": " if", "probability": 0.96337890625}, {"start": 868.13, "end": 868.27, "word": " the", "probability": 0.884765625}, {"start": 868.27, "end": 868.55, "word": " visual", "probability": 0.9765625}, {"start": 868.55, "end": 869.05, "word": " acuity", "probability": 0.939208984375}, {"start": 869.05, "end": 869.31, "word": " is", "probability": 0.96142578125}, {"start": 869.31, "end": 869.53, "word": " good", "probability": 0.9384765625}, {"start": 869.53, "end": 869.79, "word": " or", "probability": 0.9443359375}, {"start": 869.79, "end": 870.09, "word": " poor", "probability": 0.91259765625}, {"start": 870.09, "end": 870.35, "word": " and", "probability": 0.93310546875}, {"start": 870.35, "end": 870.75, "word": " doesn't", "probability": 0.8681640625}, {"start": 870.75, "end": 870.97, "word": " give", "probability": 0.90673828125}, {"start": 870.97, "end": 871.33, "word": " us", "probability": 0.93408203125}, {"start": 871.33, "end": 871.65, "word": " an", "probability": 0.916015625}, {"start": 871.65, "end": 872.07, "word": " accurate", "probability": 0.8994140625}, {"start": 872.07, "end": 872.65, "word": " measurement", "probability": 0.82958984375}, {"start": 872.65, "end": 873.19, "word": " هو", "probability": 0.9287109375}, {"start": 873.19, "end": 873.35, "word": " ما", "probability": 0.89990234375}, {"start": 873.35, "end": 873.97, "word": " بيعطيه", "probability": 0.7912109375}, {"start": 873.97, "end": 874.11, "word": " اللي", "probability": 0.942138671875}, {"start": 874.11, "end": 874.29, "word": " هو", "probability": 0.97705078125}, {"start": 874.29, "end": 874.79, "word": " تشخيص", "probability": 0.91611328125}, {"start": 874.79, "end": 875.19, "word": " دقيق", "probability": 0.8380533854166666}, {"start": 875.19, "end": 875.73, "word": " طبعا", "probability": 0.9766845703125}, {"start": 875.73, "end": 875.91, "word": " احنا", "probability": 0.96240234375}, {"start": 875.91, "end": 876.53, "word": " هنطبق", "probability": 0.940625}, {"start": 876.53, "end": 877.09, "word": " الفحص", "probability": 0.9415690104166666}, {"start": 877.09, "end": 877.45, "word": " هذا", "probability": 0.8955078125}], "temperature": 1.0}, {"id": 34, "seek": 91037, "start": 881.55, "end": 910.37, "text": "بدنا طالبة طبعا الان هي اول حاجة نفترض انه عندنا طفل okay ألبسي هذه في العين الشمال شجة هذه شايفين تعالي تتهمي الان انا غطيت عين okay", "tokens": [44510, 8315, 23032, 6027, 49401, 23032, 3555, 3615, 995, 2423, 7649, 39896, 1975, 12610, 11331, 26108, 3660, 8717, 5172, 2655, 43042, 16472, 3224, 43242, 8315, 23032, 5172, 1211, 1392, 5551, 46152, 3794, 1829, 29538, 8978, 18863, 9957, 25124, 2304, 6027, 13412, 7435, 3660, 29538, 13412, 995, 33911, 9957, 37279, 6027, 1829, 6055, 2655, 16095, 1829, 2423, 7649, 1975, 8315, 32771, 9566, 36081, 6225, 9957, 1392], "avg_logprob": -0.2263257550922307, "compression_ratio": 1.6, "no_speech_prob": 0.0, "words": [{"start": 881.55, "end": 882.15, "word": "بدنا", "probability": 0.73291015625}, {"start": 882.15, "end": 882.65, "word": " طالبة", "probability": 0.84619140625}, {"start": 882.65, "end": 883.93, "word": " طبعا", "probability": 0.954345703125}, {"start": 883.93, "end": 884.25, "word": " الان", "probability": 0.60040283203125}, {"start": 884.25, "end": 884.71, "word": " هي", "probability": 0.318603515625}, {"start": 884.71, "end": 885.15, "word": " اول", "probability": 0.828369140625}, {"start": 885.15, "end": 885.57, "word": " حاجة", "probability": 0.9571940104166666}, {"start": 885.57, "end": 886.11, "word": " نفترض", "probability": 0.9539794921875}, {"start": 886.11, "end": 887.87, "word": " انه", "probability": 0.89208984375}, {"start": 887.87, "end": 888.19, "word": " عندنا", "probability": 0.95068359375}, {"start": 888.19, "end": 888.59, "word": " طفل", "probability": 0.9944661458333334}, {"start": 888.59, "end": 888.97, "word": " okay", 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" cover", "probability": 0.97607421875}], "temperature": 1.0}, {"id": 36, "seek": 96636, "start": 941.62, "end": 966.36, "text": "Okay؟ لكن لو كان ال visual acuity بتاعته جيدة، إيش ماله؟ هيحافظ عليه، هيخليه، بس بعض الأطفال مثلا بتلاقي حتى لو كان عنده ال visual acuity كويس بتاعته و good visual acuity، بحاول أنه يرفعله هذا، بس يعني هو مجرد أنه رفلي، رفلي بمعنى إيش؟ يعني سطحي، أنه هل بتدين ال visual acuity good or bad، okay؟", "tokens": [8297, 22807, 44381, 45164, 25961, 2423, 5056, 696, 21757, 39894, 995, 34268, 3224, 10874, 25708, 3660, 12399, 11933, 1829, 8592, 3714, 6027, 3224, 22807, 39896, 5016, 31845, 19913, 47356, 12399, 39896, 9778, 20292, 3224, 12399, 4724, 3794, 45030, 11242, 16247, 9566, 5172, 6027, 50113, 15040, 39894, 15040, 38436, 11331, 49975, 45164, 25961, 43242, 3224, 2423, 5056, 696, 21757, 9122, 45865, 3794, 39894, 995, 34268, 3224, 4032, 665, 5056, 696, 21757, 12399, 4724, 5016, 995, 12610, 14739, 3224, 7251, 28480, 3615, 43761, 23758, 12399, 4724, 3794, 37495, 22653, 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0.8095703125}, {"start": 955.16, "end": 955.8, "word": " بحاول", "probability": 0.939453125}, {"start": 955.8, "end": 956.02, "word": " أنه", "probability": 0.744140625}, {"start": 956.02, "end": 956.54, "word": " يرفعله", "probability": 0.78033447265625}, {"start": 956.54, "end": 957.96, "word": " هذا،", "probability": 0.724609375}, {"start": 957.96, "end": 958.64, "word": " بس", "probability": 0.8466796875}, {"start": 958.64, "end": 959.0, "word": " يعني", "probability": 0.96923828125}, {"start": 959.0, "end": 959.32, "word": " هو", "probability": 0.98583984375}, {"start": 959.32, "end": 960.04, "word": " مجرد", "probability": 0.9959716796875}, {"start": 960.04, "end": 960.32, "word": " أنه", "probability": 0.767578125}, {"start": 960.32, "end": 960.86, "word": " رفلي،", "probability": 0.8128662109375}, {"start": 960.86, "end": 961.26, "word": " رفلي", "probability": 0.98681640625}, {"start": 961.26, "end": 961.72, "word": " بمعنى", "probability": 0.9890625}, {"start": 961.72, "end": 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{"start": 990.7, "end": 991.22, "word": " visual", "probability": 0.94580078125}, {"start": 991.22, "end": 991.8, "word": " acuity", "probability": 0.7218017578125}], "temperature": 1.0}, {"id": 38, "seek": 102006, "start": 991.94, "end": 1020.06, "text": "ممكن اجيبلكم صورة شو التشخيص بتاعك هان اذا هان ايش bad visual acuity هان الطفل ايش ماله smile صح فهان يعتبر اللي هو good visual acuity طيب ال test الآخر ال fixation test كلمة fixation شو معناها انه تثبيت", "tokens": [2304, 43020, 1975, 7435, 1829, 3555, 23275, 2304, 20328, 13063, 3660, 13412, 2407, 16712, 8592, 9778, 1829, 9381, 39894, 45761, 4117, 8032, 7649, 1975, 15730, 8032, 7649, 1975, 1829, 8592, 1578, 5056, 696, 21757, 8032, 7649, 41950, 5172, 1211, 1975, 1829, 8592, 3714, 6027, 3224, 7563, 20328, 5016, 6156, 3224, 7649, 7251, 34268, 26890, 13672, 1829, 31439, 665, 5056, 696, 21757, 23032, 1829, 3555, 2423, 1500, 6024, 95, 34740, 2423, 3191, 399, 1500, 9122, 19528, 3660, 3191, 399, 13412, 2407, 20449, 8315, 11296, 16472, 3224, 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bad", "probability": 0.62451171875}, {"start": 996.6, "end": 996.98, "word": " visual", "probability": 0.97705078125}, {"start": 996.98, "end": 997.56, "word": " acuity", "probability": 0.697021484375}, {"start": 997.56, "end": 998.38, "word": " هان", "probability": 0.928466796875}, {"start": 998.38, "end": 1000.02, "word": " الطفل", "probability": 0.8372395833333334}, {"start": 1000.02, "end": 1000.22, "word": " ايش", "probability": 0.8614908854166666}, {"start": 1000.22, "end": 1000.6, "word": " ماله", "probability": 0.8483072916666666}, {"start": 1000.6, "end": 1001.14, "word": " smile", "probability": 0.60546875}, {"start": 1001.14, "end": 1001.68, "word": " صح", "probability": 0.930419921875}, {"start": 1001.68, "end": 1002.24, "word": " فهان", "probability": 0.8870442708333334}, {"start": 1002.24, "end": 1002.68, "word": " يعتبر", "probability": 0.9617513020833334}, {"start": 1002.68, "end": 1002.92, "word": " اللي", "probability": 0.857177734375}, {"start": 1002.92, "end": 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0.6990966796875}, {"start": 1472.08, "end": 1472.92, "word": " لحظة", "probability": 0.759033203125}, {"start": 1472.92, "end": 1473.26, "word": " انه", "probability": 0.5543212890625}, {"start": 1473.26, "end": 1473.5, "word": " هان", "probability": 0.688720703125}, {"start": 1473.5, "end": 1473.62, "word": " ال", "probability": 0.98388671875}, {"start": 1473.62, "end": 1473.94, "word": " visual", "probability": 0.98388671875}, {"start": 1473.94, "end": 1474.5, "word": " acuity", "probability": 0.961669921875}, {"start": 1474.5, "end": 1475.04, "word": " يعتبر", "probability": 0.9501953125}, {"start": 1475.04, "end": 1475.9, "word": " estimation", "probability": 0.9775390625}, {"start": 1475.9, "end": 1476.76, "word": " تقديري", "probability": 0.8746337890625}, {"start": 1476.76, "end": 1477.44, "word": " و", "probability": 0.9638671875}, {"start": 1477.44, "end": 1477.92, "word": " ليس", "probability": 0.776123046875}, {"start": 1477.92, "end": 1478.6, "word": " accurate", "probability": 0.919921875}, {"start": 1478.6, "end": 1479.0, "word": " يعني", "probability": 0.94091796875}, {"start": 1479.0, "end": 1479.24, "word": " مش", "probability": 0.99169921875}, {"start": 1479.24, "end": 1480.06, "word": " بالضبط", "probability": 0.9666748046875}], "temperature": 1.0}, {"id": 58, "seek": 149818, "start": 1480.46, "end": 1498.18, "text": "يعني صح هو يعتبر ال fixation test يعتبر quantitative صح ولا لا؟ انه رقمي، الداني رقم، لكن يعتبر accurate ولا estimation؟ estimation يعتبر، صح؟ النقطة التالتة، الطفل عمل fixation", "tokens": [40228, 22653, 20328, 5016, 31439, 7251, 34268, 26890, 2423, 3191, 399, 1500, 7251, 34268, 26890, 27778, 20328, 5016, 49429, 20193, 22807, 16472, 3224, 12602, 4587, 2304, 1829, 12399, 32748, 7649, 1829, 12602, 4587, 2304, 12399, 44381, 7251, 34268, 26890, 8559, 49429, 35701, 22807, 35701, 7251, 34268, 26890, 12399, 20328, 5016, 22807, 28239, 47432, 3660, 16712, 6027, 2655, 3660, 12399, 41950, 5172, 1211, 6225, 42213, 3191, 399], "avg_logprob": -0.1332789192448801, "compression_ratio": 1.6521739130434783, "no_speech_prob": 0.0, "words": [{"start": 1480.46, "end": 1480.78, "word": "يعني", "probability": 0.9296875}, {"start": 1480.78, "end": 1481.1, "word": " صح", "probability": 0.986328125}, {"start": 1481.1, "end": 1481.26, "word": " هو", "probability": 0.9091796875}, {"start": 1481.26, "end": 1481.82, "word": " يعتبر", "probability": 0.93359375}, {"start": 1481.82, "end": 1482.14, "word": " ال", "probability": 0.9345703125}, {"start": 1482.14, "end": 1482.8, "word": " fixation", "probability": 0.7056884765625}, {"start": 1482.8, "end": 1483.28, "word": " test", "probability": 0.94970703125}, {"start": 1483.28, "end": 1484.04, "word": " يعتبر", "probability": 0.91015625}, {"start": 1484.04, "end": 1484.66, "word": " quantitative", "probability": 0.9326171875}, {"start": 1484.66, "end": 1485.1, "word": " صح", "probability": 0.950439453125}, {"start": 1485.1, "end": 1485.26, "word": " ولا", "probability": 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"end": 1890.53, "text": "visual acuity less the child not pick up", "tokens": [4938, 901, 696, 21757, 1570, 264, 1440, 406, 1888, 493], "avg_logprob": -0.21981534632769498, "compression_ratio": 0.8333333333333334, "no_speech_prob": 0.0, "words": [{"start": 1863.25, "end": 1863.77, "word": "visual", "probability": 0.8203125}, {"start": 1863.77, "end": 1864.43, "word": " acuity", "probability": 0.822265625}, {"start": 1864.43, "end": 1866.35, "word": " less", "probability": 0.84375}, {"start": 1866.35, "end": 1883.15, "word": " the", "probability": 0.6796875}, {"start": 1883.15, "end": 1885.45, "word": " child", "probability": 0.91357421875}, {"start": 1885.45, "end": 1888.21, "word": " not", "probability": 0.9111328125}, {"start": 1888.21, "end": 1890.15, "word": " pick", "probability": 0.498046875}, {"start": 1890.15, "end": 1890.53, "word": " up", "probability": 0.97412109375}], "temperature": 1.0}, {"id": 74, "seek": 192027, "start": 1897.69, "end": 1920.27, "text": "Sweet Test هذي ال evaluation لطفل لو كان عنده ال visual acuity اقل او اكثر من 6 على 24 من ناحية اللي هو ال sweet test طيب في عندنا ال rotation test الان اخدنا occlusion of one eye اذا غطينا عين", "tokens": [50, 10354, 9279, 8032, 8848, 1829, 2423, 13344, 5296, 9566, 5172, 1211, 45164, 25961, 43242, 3224, 2423, 5056, 696, 21757, 1975, 4587, 1211, 1975, 2407, 1975, 4117, 49115, 9154, 1386, 15844, 4022, 9154, 8717, 39319, 10632, 13672, 1829, 31439, 2423, 3844, 1500, 23032, 1829, 3555, 8978, 43242, 8315, 2423, 12447, 1500, 2423, 7649, 1975, 9778, 3215, 8315, 2678, 6485, 295, 472, 3313, 1975, 15730, 32771, 9566, 1829, 8315, 6225, 9957], "avg_logprob": -0.26166372735735394, "compression_ratio": 1.46524064171123, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1897.69, "end": 1898.45, "word": "Sweet", "probability": 0.5753173828125}, {"start": 1898.45, "end": 1899.21, "word": " Test", "probability": 0.63916015625}, {"start": 1899.21, "end": 1900.13, "word": " هذي", "probability": 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0.8912760416666666}, {"start": 1905.79, "end": 1906.09, "word": " من", "probability": 0.98876953125}, {"start": 1906.09, "end": 1906.47, "word": " 6", "probability": 0.87890625}, {"start": 1906.47, "end": 1906.71, "word": " على", "probability": 0.310546875}, {"start": 1906.71, "end": 1907.35, "word": " 24", "probability": 0.98828125}, {"start": 1907.35, "end": 1908.03, "word": " من", "probability": 0.841796875}, {"start": 1908.03, "end": 1908.45, "word": " ناحية", "probability": 0.9772135416666666}, {"start": 1908.45, "end": 1908.71, "word": " اللي", "probability": 0.639404296875}, {"start": 1908.71, "end": 1908.91, "word": " هو", "probability": 0.97216796875}, {"start": 1908.91, "end": 1909.05, "word": " ال", "probability": 0.904296875}, {"start": 1909.05, "end": 1909.29, "word": " sweet", "probability": 0.5146484375}, {"start": 1909.29, "end": 1909.77, "word": " test", "probability": 0.9306640625}, {"start": 1909.77, "end": 1911.45, "word": " طيب", "probability": 0.9246419270833334}, 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1939.95, "word": " infant", "probability": 0.943359375}, {"start": 1939.95, "end": 1940.29, "word": " to", "probability": 0.9755859375}, {"start": 1940.29, "end": 1940.93, "word": " fixate", "probability": 0.9794921875}, {"start": 1940.93, "end": 1941.15, "word": " with", "probability": 0.92919921875}, {"start": 1941.15, "end": 1941.47, "word": " both", "probability": 0.91455078125}, {"start": 1941.47, "end": 1941.91, "word": " eyes", "probability": 0.8974609375}, {"start": 1941.91, "end": 1942.39, "word": " open", "probability": 0.87939453125}, {"start": 1942.39, "end": 1943.11, "word": " ان", "probability": 0.74609375}, {"start": 1943.11, "end": 1943.67, "word": " العنتين", "probability": 0.7608235677083334}, {"start": 1943.67, "end": 1944.11, "word": " بتكون", "probability": 0.922119140625}, {"start": 1944.11, "end": 1944.89, "word": " مفتحة", "probability": 0.8390625}, {"start": 1944.89, "end": 1945.61, "word": " يعني", "probability": 0.90576171875}, {"start": 1945.61, "end": 1946.15, "word": " ملاحظين", "probability": 0.960546875}, {"start": 1946.15, "end": 1946.51, "word": " في", "probability": 0.908203125}, {"start": 1946.51, "end": 1946.63, "word": " ال", "probability": 0.7333984375}, {"start": 1946.63, "end": 1947.15, "word": " occlusion", "probability": 0.84765625}, {"start": 1947.15, "end": 1947.45, "word": " of", "probability": 0.9765625}, {"start": 1947.45, "end": 1947.69, "word": " one", "probability": 0.94873046875}, {"start": 1947.69, "end": 1948.05, "word": " eye", "probability": 0.91845703125}, {"start": 1948.05, "end": 1948.99, "word": " في", "probability": 0.84814453125}, {"start": 1948.99, "end": 1949.09, "word": " ال", "probability": 0.71142578125}, {"start": 1949.09, "end": 1949.69, "word": " fixation", "probability": 0.973876953125}, {"start": 1949.69, "end": 1950.23, "word": " test", "probability": 0.92529296875}], "temperature": 1.0}, {"id": 76, "seek": 197647, "start": 1950.87, "end": 1976.47, "text": "في ال sweet test التلاتة كانوا انه عملنا occlusion of one eye لكن في ال rotation test open both eye واضح؟ اه تاخد ال right و ال left هاين الكتاب تيكي the examiner holds the infant facing him and rotates a bicycle 360 degree", "tokens": [41185, 2423, 3844, 1500, 16712, 1211, 9307, 3660, 25961, 14407, 16472, 3224, 6225, 42213, 8315, 2678, 6485, 295, 472, 3313, 44381, 8978, 2423, 12447, 1500, 1269, 1293, 3313, 4032, 46958, 5016, 22807, 1975, 3224, 6055, 47283, 3215, 2423, 558, 4032, 2423, 1411, 8032, 995, 9957, 33251, 2655, 16758, 6055, 1829, 4117, 1829, 264, 1139, 4564, 9190, 264, 16757, 7170, 796, 293, 42133, 257, 16703, 3474, 68, 13898, 4314], "avg_logprob": -0.30072463077047595, "compression_ratio": 1.3786407766990292, "no_speech_prob": 0.0, "words": [{"start": 1950.87, "end": 1950.99, "word": "في", "probability": 0.599609375}, {"start": 1950.99, "end": 1951.11, "word": " ال", "probability": 0.90087890625}, {"start": 1951.11, "end": 1951.43, "word": " sweet", "probability": 0.259033203125}, {"start": 1951.43, 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بتاعته", "probability": 0.916015625}, {"start": 2134.41, "end": 2135.11, "word": " أنه", "probability": 0.558837890625}, {"start": 2135.11, "end": 2135.45, "word": " ال", "probability": 0.92822265625}, {"start": 2135.45, "end": 2136.03, "word": " examiner", "probability": 0.95556640625}, {"start": 2136.03, "end": 2136.57, "word": " أو", "probability": 0.8115234375}, {"start": 2136.57, "end": 2136.71, "word": " ال", "probability": 0.92626953125}, {"start": 2136.71, "end": 2137.41, "word": " optometrist", "probability": 0.8916015625}, {"start": 2137.41, "end": 2138.31, "word": " بمسك", "probability": 0.859375}, {"start": 2138.31, "end": 2138.79, "word": " مين؟", "probability": 0.830078125}, {"start": 2138.79, "end": 2139.37, "word": " الطفل", "probability": 0.9847005208333334}, {"start": 2139.37, "end": 2140.03, "word": " و", "probability": 0.66162109375}, {"start": 2140.03, "end": 2140.39, "word": " بعمل", "probability": 0.9827473958333334}, {"start": 2140.39, "end": 2140.97, "word": " rotation", "probability": 0.970703125}, {"start": 2140.97, "end": 2141.27, "word": " له", "probability": 0.4482421875}, {"start": 2141.27, "end": 2141.99, "word": " okay", "probability": 0.4951171875}, {"start": 2141.99, "end": 2143.55, "word": " ال", "probability": 0.89501953125}, {"start": 2143.55, "end": 2144.11, "word": " parents", "probability": 0.84814453125}, {"start": 2144.11, "end": 2144.75, "word": " لازم", "probability": 0.9931640625}, {"start": 2144.75, "end": 2145.17, "word": " يلاحظوا", "probability": 0.94970703125}, {"start": 2145.17, "end": 2145.53, "word": " مين؟", "probability": 0.9205729166666666}, {"start": 2145.53, "end": 2146.03, "word": " حركة", "probability": 0.9938151041666666}, {"start": 2146.03, "end": 2146.25, "word": " عين", "probability": 0.988525390625}, {"start": 2146.25, "end": 2146.71, "word": " الطفل", "probability": 0.9939778645833334}], "temperature": 1.0}, {"id": 85, "seek": 217255, "start": 2147.11, "end": 2172.55, "text": "إنه لازم ال eye movement or نستجمس نستجمس بمعنى رأرة العين فالآن هم بيعملوا observation ملاحظة لمين لعين الطفل إذا الطفل إثناء الدوران اتحركت العين يعني صار فيها اللي هو movement إذا معنى إنه ال visual acuity تعته إشمالها good لكن إذا مثلا الطفل عمل fixation", "tokens": [28814, 1863, 3224, 5296, 31377, 2304, 2423, 3313, 3963, 420, 8717, 14851, 7435, 2304, 3794, 8717, 14851, 7435, 2304, 3794, 4724, 2304, 3615, 1863, 7578, 12602, 10721, 25720, 18863, 9957, 6156, 6027, 148, 48506, 8032, 2304, 4724, 1829, 25957, 1211, 14407, 14816, 3714, 15040, 5016, 19913, 3660, 32767, 9957, 5296, 3615, 9957, 41950, 5172, 1211, 11933, 15730, 41950, 5172, 1211, 11933, 12984, 1863, 16606, 32748, 13063, 7649, 1975, 2655, 5016, 31747, 2655, 18863, 9957, 37495, 22653, 20328, 9640, 8978, 11296, 13672, 1829, 31439, 3963, 11933, 15730, 20449, 1863, 7578, 36145, 3224, 2423, 5056, 696, 21757, 6055, 34268, 3224, 11933, 8592, 2304, 6027, 11296, 665, 44381, 11933, 15730, 50113, 15040, 41950, 5172, 1211, 6225, 42213, 3191, 399], 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"probability": 0.7344970703125}, {"start": 2998.11, "end": 2998.95, "word": " بتلاقي", "probability": 0.8626302083333334}, {"start": 2998.95, "end": 2999.39, "word": " السرعة", "probability": 0.9728190104166666}, {"start": 2999.39, "end": 3000.61, "word": " أعلى،", "probability": 0.78411865234375}, {"start": 3000.61, "end": 3001.15, "word": " ليش؟", "probability": 0.9278971354166666}, {"start": 3001.15, "end": 3001.57, "word": " لأنه", "probability": 0.8028971354166666}, {"start": 3001.57, "end": 3002.19, "word": " التمييز", "probability": 0.9822265625}, {"start": 3002.19, "end": 3002.65, "word": " بيكون", "probability": 0.8819986979166666}, {"start": 3002.65, "end": 3003.79, "word": " سهل", "probability": 0.9248046875}], "temperature": 1.0}, {"id": 119, "seek": 302876, "start": 3006.6, "end": 3028.76, "text": "this method measures acuity by means of a motor response في عندنا دائما two response هدول مهمات كثير في عندنا ال motor response وفي عندنا ال sensory response ال motor response إيش معناه؟ بدنا نفهم فهم إنه بعتمد على ال eye movement إنه على حركة العين okay؟", "tokens": [11176, 3170, 8000, 696, 21757, 538, 1355, 295, 257, 5932, 4134, 8978, 43242, 8315, 11778, 16373, 15042, 732, 4134, 8032, 3215, 12610, 3714, 16095, 9307, 9122, 12984, 13546, 8978, 43242, 8315, 2423, 5932, 4134, 4032, 41185, 43242, 8315, 2423, 27233, 4134, 2423, 5932, 4134, 11933, 1829, 8592, 20449, 8315, 3224, 22807, 47525, 8315, 8717, 5172, 16095, 6156, 16095, 36145, 3224, 4724, 34268, 2304, 3215, 15844, 2423, 3313, 3963, 36145, 3224, 15844, 11331, 31747, 3660, 18863, 9957, 1392, 22807], "avg_logprob": -0.17780855071695545, "compression_ratio": 1.7587939698492463, "no_speech_prob": 0.0, "words": [{"start": 3006.6, "end": 3006.94, "word": "this", "probability": 0.289306640625}, {"start": 3006.94, "end": 3007.42, "word": " method", "probability": 0.9599609375}, {"start": 3007.42, "end": 3008.06, "word": " measures", "probability": 0.8076171875}, {"start": 3008.06, "end": 3008.76, "word": " 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3024.78, "word": " ال", "probability": 0.8349609375}, {"start": 3024.78, "end": 3024.96, "word": " eye", "probability": 0.83984375}, {"start": 3024.96, "end": 3025.46, "word": " movement", "probability": 0.94970703125}, {"start": 3025.46, "end": 3026.14, "word": " إنه", "probability": 0.8037109375}, {"start": 3026.14, "end": 3026.3, "word": " على", "probability": 0.86328125}, {"start": 3026.3, "end": 3026.76, "word": " حركة", "probability": 0.9962565104166666}, {"start": 3026.76, "end": 3027.14, "word": " العين", "probability": 0.988037109375}, {"start": 3027.14, "end": 3028.76, "word": " okay؟", "probability": 0.79931640625}], "temperature": 1.0}, {"id": 120, "seek": 305057, "start": 3028.91, "end": 3050.57, "text": "ال sensory response دايما باعتمد على مين؟ على ال nerves العصاب انه شيء إحساسي okay طيب من ال testات اللي أخدناهم مين يعتبر motor؟ أول حاجة ال rotation test عندنا ال nystagmus drum ال fixation test", "tokens": [6027, 27233, 4134, 11778, 47302, 15042, 4724, 995, 34268, 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"probability": 0.87841796875}, {"start": 3214.74, "end": 3215.16, "word": " اعرض", "probability": 0.90673828125}, {"start": 3215.16, "end": 3215.56, "word": " الصورة", "probability": 0.9886067708333334}, {"start": 3215.56, "end": 3216.04, "word": " للطفل", "probability": 0.938232421875}, {"start": 3216.04, "end": 3216.38, "word": " هذه", "probability": 0.437255859375}], "temperature": 1.0}, {"id": 127, "seek": 323369, "start": 3217.45, "end": 3233.69, "text": "و اطلعت في الصورة مثلا الصورة كانت up اول ما اطلع الطفل وين هينظر؟ على عينك، فهيعرف وين اتجاه العين بتاعته، يعني اطلعت انا up، هو هيطلع up معاك، فدايما لازم ال test ايش يكون كاتب، مثلا هذه الصورة up", "tokens": [2407, 1975, 9566, 1211, 34268, 8978, 31767, 13063, 3660, 50113, 15040, 31767, 13063, 3660, 25961, 2655, 493, 1975, 12610, 19446, 1975, 9566, 1211, 3615, 41950, 5172, 1211, 4032, 9957, 39896, 1863, 19913, 2288, 22807, 15844, 6225, 9957, 4117, 12399, 6156, 3224, 40228, 28480, 4032, 9957, 1975, 2655, 7435, 40294, 18863, 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0.978759765625}, {"start": 3220.03, "end": 3220.25, "word": " up", "probability": 0.93896484375}, {"start": 3220.25, "end": 3221.79, "word": " اول", "probability": 0.57861328125}, {"start": 3221.79, "end": 3221.91, "word": " ما", "probability": 0.87548828125}, {"start": 3221.91, "end": 3222.33, "word": " اطلع", "probability": 0.80517578125}, {"start": 3222.33, "end": 3222.69, "word": " الطفل", "probability": 0.9825846354166666}, {"start": 3222.69, "end": 3222.87, "word": " وين", "probability": 0.802490234375}, {"start": 3222.87, "end": 3223.57, "word": " هينظر؟", "probability": 0.84599609375}, {"start": 3223.57, "end": 3223.73, "word": " على", "probability": 0.65771484375}, {"start": 3223.73, "end": 3224.41, "word": " عينك،", "probability": 0.821533203125}, {"start": 3224.41, "end": 3224.95, "word": " فهيعرف", "probability": 0.87158203125}, {"start": 3224.95, "end": 3225.13, "word": " وين", "probability": 0.954833984375}, {"start": 3225.13, "end": 3225.65, "word": " اتجاه", "probability": 0.9830322265625}, {"start": 3225.65, "end": 3226.19, "word": " العين", "probability": 0.988525390625}, {"start": 3226.19, "end": 3227.25, "word": " بتاعته،", "probability": 0.75810546875}, {"start": 3227.25, "end": 3227.37, "word": " يعني", "probability": 0.953125}, {"start": 3227.37, "end": 3227.77, "word": " اطلعت", "probability": 0.911376953125}, {"start": 3227.77, "end": 3227.99, "word": " انا", "probability": 0.876220703125}, {"start": 3227.99, "end": 3228.55, "word": " up،", "probability": 0.7374267578125}, {"start": 3228.55, "end": 3228.67, "word": " هو", "probability": 0.93115234375}, {"start": 3228.67, "end": 3229.21, "word": " هيطلع", "probability": 0.78388671875}, {"start": 3229.21, "end": 3229.49, "word": " up", "probability": 0.96240234375}, {"start": 3229.49, "end": 3230.27, "word": " معاك،", "probability": 0.8265380859375}, {"start": 3230.27, "end": 3230.71, "word": " فدايما", "probability": 0.74285888671875}, {"start": 3230.71, "end": 3231.09, "word": " لازم", "probability": 0.9689127604166666}, {"start": 3231.09, "end": 3231.21, "word": " ال", "probability": 0.39404296875}, {"start": 3231.21, "end": 3231.45, "word": " test", "probability": 0.97265625}, {"start": 3231.45, "end": 3231.73, "word": " ايش", "probability": 0.795166015625}, {"start": 3231.73, "end": 3232.03, "word": " يكون", "probability": 0.96826171875}, {"start": 3232.03, "end": 3232.53, "word": " كاتب،", "probability": 0.86572265625}, {"start": 3232.53, "end": 3232.75, "word": " مثلا", "probability": 0.97607421875}, {"start": 3232.75, "end": 3233.05, "word": " هذه", "probability": 0.438232421875}, {"start": 3233.05, "end": 3233.47, "word": " الصورة", "probability": 0.9892578125}, {"start": 3233.47, "end": 3233.69, "word": " up", "probability": 0.95068359375}], "temperature": 1.0}, {"id": 128, "seek": 325386, "start": 3234.78, "end": 3253.86, "text": "واضح خلف الصورة، يعني الآن هي ال .. هي الشكل، okay، الآن لازم انا يكون كtip لي hand up، انه لفوق، فانا بفهم الصورة وين هتكون up، فالطفل وين هيتطلع؟ فوق، ياما بدي .. حتى ياما بدي أحاول .. يعني الآن بدي أعرض", "tokens": [2407, 46958, 5016, 16490, 46538, 31767, 13063, 3660, 12399, 37495, 22653, 6024, 48506, 39896, 2423, 4386, 39896, 25124, 28820, 12399, 1392, 12399, 6024, 48506, 5296, 31377, 2304, 1975, 8315, 7251, 30544, 9122, 83, 647, 32239, 1011, 493, 12399, 16472, 3224, 5296, 5172, 30543, 12399, 6156, 7649, 995, 4724, 5172, 16095, 31767, 13063, 3660, 4032, 9957, 8032, 2655, 30544, 493, 12399, 6156, 6027, 9566, 5172, 1211, 4032, 9957, 8032, 36081, 9566, 1211, 3615, 22807, 6156, 30543, 12399, 7251, 10943, 995, 4724, 16254, 4386, 11331, 49975, 7251, 10943, 995, 4724, 16254, 5551, 5016, 995, 12610, 4386, 37495, 22653, 6024, 48506, 4724, 16254, 5551, 3615, 43042], "avg_logprob": -0.1962139354302333, "compression_ratio": 1.8072916666666667, "no_speech_prob": 3.2782554626464844e-06, "words": [{"start": 3234.78, "end": 3235.24, "word": "واضح", "probability": 0.97021484375}, {"start": 3235.24, "end": 3235.58, "word": " خلف", "probability": 0.95361328125}, {"start": 3235.58, "end": 3236.6, "word": " الصورة،", "probability": 0.9180908203125}, {"start": 3236.6, "end": 3236.94, "word": " يعني", "probability": 0.979248046875}, {"start": 3236.94, "end": 3237.2, "word": " الآن", "probability": 0.80322265625}, {"start": 3237.2, "end": 3237.44, "word": " هي", "probability": 0.72216796875}, {"start": 3237.44, "end": 3237.66, "word": " ال", "probability": 0.5888671875}, {"start": 3237.66, "end": 3237.72, "word": " ..", "probability": 0.79052734375}, {"start": 3237.72, "end": 3237.94, "word": " هي", "probability": 0.93212890625}, {"start": 3237.94, "end": 3238.84, "word": " الشكل،", "probability": 0.8626302083333334}, {"start": 3238.84, "end": 3239.68, "word": " okay،", "probability": 0.6512451171875}, {"start": 3239.68, "end": 3240.16, "word": " الآن", "probability": 0.7607421875}, {"start": 3240.16, "end": 3240.84, "word": " لازم", "probability": 0.9918619791666666}, {"start": 3240.84, "end": 3241.06, "word": " انا", "probability": 0.784912109375}, {"start": 3241.06, "end": 3241.34, "word": " يكون", "probability": 0.99365234375}, {"start": 3241.34, "end": 3241.72, "word": " كtip", "probability": 0.747802734375}, {"start": 3241.72, "end": 3241.88, "word": " لي", "probability": 0.25146484375}, {"start": 3241.88, "end": 3242.16, "word": " hand", "probability": 0.41796875}, {"start": 3242.16, "end": 3243.06, "word": " up،", "probability": 0.88525390625}, {"start": 3243.06, "end": 3243.34, "word": " انه", "probability": 0.82666015625}, {"start": 3243.34, "end": 3244.24, "word": " لفوق،", "probability": 0.8154296875}, {"start": 3244.24, "end": 3244.56, "word": " فانا", "probability": 0.916015625}, {"start": 3244.56, "end": 3244.88, "word": " بفهم", "probability": 0.9651692708333334}, {"start": 3244.88, "end": 3245.32, "word": " الصورة", "probability": 0.98046875}, {"start": 3245.32, "end": 3245.5, "word": " وين", "probability": 0.95703125}, {"start": 3245.5, "end": 3246.04, "word": " هتكون", "probability": 0.8818359375}, {"start": 3246.04, "end": 3247.18, "word": " up،", "probability": 0.8837890625}, {"start": 3247.18, "end": 3247.66, "word": " فالطفل", "probability": 0.9935546875}, {"start": 3247.66, "end": 3247.86, "word": " وين", "probability": 0.983154296875}, {"start": 3247.86, "end": 3248.9, "word": " هيتطلع؟", "probability": 0.82666015625}, {"start": 3248.9, "end": 3249.98, "word": " فوق،", "probability": 0.9173177083333334}, {"start": 3249.98, "end": 3250.38, "word": " ياما", "probability": 0.6129557291666666}, {"start": 3250.38, "end": 3250.78, "word": " بدي", "probability": 0.707763671875}, {"start": 3250.78, "end": 3251.1, "word": " ..", "probability": 0.7314453125}, {"start": 3251.1, "end": 3251.7, "word": " حتى", "probability": 0.911865234375}, {"start": 3251.7, "end": 3251.84, "word": " ياما", "probability": 0.9601236979166666}, {"start": 3251.84, "end": 3252.08, "word": " بدي", "probability": 0.952880859375}, {"start": 3252.08, "end": 3252.46, "word": " أحاول", "probability": 0.814208984375}, {"start": 3252.46, "end": 3252.78, "word": " ..", "probability": 0.5732421875}, {"start": 3252.78, "end": 3252.98, "word": " يعني", "probability": 0.986572265625}, {"start": 3252.98, "end": 3253.34, "word": " الآن", "probability": 0.677001953125}, {"start": 3253.34, "end": 3253.58, "word": " بدي", "probability": 0.953125}, {"start": 3253.58, "end": 3253.86, "word": " أعرض", "probability": 0.9178059895833334}], "temperature": 1.0}, {"id": 129, "seek": 328982, "start": 3260.52, "end": 3289.82, "text": "ممكن انا اجي اغير هيك بالشكل هذا لإنه غطي وجهي و حاول اغير زي هيك okay هذا بالنسبة لل tiller card فعندك tiller acuity cards black strips of varying thickness لو هاي بتشوفيها في عندنا خطوط وفقية ممكن تكون عبودية okay ومختلفة ايش السماكة okay يعني سماكتها بتكون مختلفة", "tokens": [2304, 43020, 1975, 8315, 1975, 7435, 1829, 1975, 17082, 13546, 39896, 4117, 20666, 8592, 28820, 23758, 5296, 28814, 1863, 3224, 32771, 9566, 1829, 49610, 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"probability": 0.83447265625}, {"start": 3261.22, "end": 3261.9, "word": " هيك", "probability": 0.7744140625}, {"start": 3261.9, "end": 3262.48, "word": " بالشكل", "probability": 0.8624674479166666}, {"start": 3262.48, "end": 3262.68, "word": " هذا", "probability": 0.92333984375}, {"start": 3262.68, "end": 3262.94, "word": " لإنه", "probability": 0.772216796875}, {"start": 3262.94, "end": 3263.26, "word": " غطي", "probability": 0.79052734375}, {"start": 3263.26, "end": 3263.78, "word": " وجهي", "probability": 0.9637044270833334}, {"start": 3263.78, "end": 3264.12, "word": " و", "probability": 0.95703125}, {"start": 3264.12, "end": 3264.38, "word": " حاول", "probability": 0.8458658854166666}, {"start": 3264.38, "end": 3264.68, "word": " اغير", "probability": 0.8995768229166666}, {"start": 3264.68, "end": 3264.98, "word": " زي", "probability": 0.956298828125}, {"start": 3264.98, "end": 3266.1, "word": " هيك", "probability": 0.839599609375}, {"start": 3266.1, "end": 3266.44, "word": " okay", "probability": 0.43603515625}, {"start": 3266.44, "end": 3268.1, "word": " هذا", "probability": 0.33203125}, {"start": 3268.1, "end": 3268.56, "word": " بالنسبة", "probability": 0.9290771484375}, {"start": 3268.56, "end": 3269.1, "word": " لل", "probability": 0.373291015625}, {"start": 3269.1, "end": 3269.8, "word": " tiller", "probability": 0.576904296875}, {"start": 3269.8, "end": 3270.36, "word": " card", "probability": 0.69970703125}, {"start": 3270.36, "end": 3272.76, "word": " فعندك", "probability": 0.8861083984375}, {"start": 3272.76, "end": 3273.06, "word": " tiller", "probability": 0.928955078125}, {"start": 3273.06, "end": 3273.62, "word": " acuity", "probability": 0.836181640625}, {"start": 3273.62, "end": 3274.26, "word": " cards", "probability": 0.83544921875}, {"start": 3274.26, "end": 3274.88, "word": " black", "probability": 0.33837890625}, {"start": 3274.88, "end": 3275.64, "word": " strips", "probability": 0.74658203125}, {"start": 3275.64, "end": 3276.1, "word": " of", "probability": 0.95068359375}, {"start": 3276.1, "end": 3276.58, "word": " varying", "probability": 0.9462890625}, {"start": 3276.58, "end": 3277.24, "word": " thickness", "probability": 0.9677734375}, {"start": 3277.24, "end": 3277.88, "word": " لو", "probability": 0.56005859375}, {"start": 3277.88, "end": 3278.06, "word": " هاي", "probability": 0.69287109375}, {"start": 3278.06, "end": 3278.84, "word": " بتشوفيها", "probability": 0.8779296875}, {"start": 3278.84, "end": 3279.46, "word": " في", "probability": 0.513671875}, {"start": 3279.46, "end": 3280.34, "word": " عندنا", "probability": 0.8984375}, {"start": 3280.34, "end": 3281.42, "word": " خطوط", "probability": 0.9892578125}, {"start": 3281.42, "end": 3282.14, "word": " وفقية", "probability": 0.74835205078125}, {"start": 3282.14, "end": 3282.84, "word": " ممكن", "probability": 0.97998046875}, {"start": 3282.84, "end": 3283.18, "word": " تكون", "probability": 0.986328125}, {"start": 3283.18, "end": 3283.92, "word": " عبودية", "probability": 0.76640625}, {"start": 3283.92, "end": 3284.4, "word": " okay", "probability": 0.70703125}, {"start": 3284.4, "end": 3285.62, "word": " ومختلفة", "probability": 0.9224609375}, {"start": 3285.62, "end": 3285.98, "word": " ايش", "probability": 0.7950032552083334}, {"start": 3285.98, "end": 3286.84, "word": " السماكة", "probability": 0.72509765625}, {"start": 3286.84, "end": 3287.66, "word": " okay", "probability": 0.8828125}, {"start": 3287.66, "end": 3288.24, "word": " يعني", "probability": 0.94189453125}, {"start": 3288.24, "end": 3288.76, "word": " سماكتها", "probability": 0.970703125}, {"start": 3288.76, "end": 3289.14, "word": " بتكون", "probability": 0.9501953125}, {"start": 3289.14, "end": 3289.82, "word": " مختلفة", "probability": 0.9957275390625}], "temperature": 1.0}, {"id": 130, "seek": 332032, "start": 3292.28, "end": 3320.32, "text": "الcardiff acuity cards shapes of variable outline, bold lines, thin lines, it used for early infancy دايما بالنسبة لcardiff card، هذا مهم، test يعتبر كتير مهم للأطفال اللي بيكونوا preverbal الآن الصورة مثلا بحطها مرة في النص، مرة بحطها up, down, temporal, nasal", "tokens": [6027, 22259, 3661, 696, 21757, 5632, 10854, 295, 7006, 16387, 11, 11928, 3876, 11, 5862, 3876, 11, 309, 1143, 337, 2440, 1536, 6717, 11778, 47302, 15042, 20666, 1863, 35457, 3660, 5296, 22259, 3661, 2920, 12399, 23758, 3714, 16095, 12399, 1500, 7251, 34268, 26890, 9122, 2655, 13546, 3714, 16095, 24976, 10721, 9566, 5172, 6027, 13672, 1829, 4724, 1829, 30544, 14407, 659, 331, 2645, 6024, 48506, 31767, 13063, 3660, 50113, 15040, 4724, 5016, 9566, 11296, 3714, 25720, 8978, 28239, 9381, 12399, 3714, 25720, 4724, 5016, 9566, 11296, 493, 11, 760, 11, 30881, 11, 41575], "avg_logprob": -0.18918010111778014, "compression_ratio": 1.4564315352697095, "no_speech_prob": 0.0, "words": [{"start": 3292.28, "end": 3293.04, "word": "الcardiff", "probability": 0.5967610677083334}, {"start": 3293.04, "end": 3293.6, "word": " acuity", "probability": 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" تقرأ", "probability": 0.9237060546875}, {"start": 3527.19, "end": 3527.31, "word": " او", "probability": 0.6998291015625}, {"start": 3527.31, "end": 3527.69, "word": " هكتب", "probability": 0.6256103515625}, {"start": 3527.69, "end": 3528.41, "word": " حق", "probability": 0.28900146484375}, {"start": 3528.41, "end": 3529.07, "word": " بس", "probability": 0.964599609375}, {"start": 3529.07, "end": 3529.45, "word": " هكتب", "probability": 0.9840087890625}, {"start": 3529.45, "end": 3529.61, "word": " انا", "probability": 0.90576171875}, {"start": 3529.61, "end": 3529.95, "word": " بكتب", "probability": 0.8729248046875}], "temperature": 1.0}, {"id": 139, "seek": 357069, "start": 3544.25, "end": 3570.69, "text": "visual acuity testing in pre verbal children شو هم ال visual acuity testing in pre verbal children امنع الكلام ارفع يدك علي القلم", "tokens": [4938, 901, 696, 21757, 4997, 294, 659, 24781, 2227, 13412, 2407, 8032, 2304, 2423, 5056, 696, 21757, 4997, 294, 659, 24781, 2227, 1975, 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"probability": 0.90380859375}, {"start": 3558.67, "end": 3558.89, "word": " visual", "probability": 0.93359375}, {"start": 3558.89, "end": 3559.31, "word": " acuity", "probability": 0.93115234375}, {"start": 3559.31, "end": 3559.85, "word": " testing", "probability": 0.8740234375}, {"start": 3559.85, "end": 3560.21, "word": " in", "probability": 0.9541015625}, {"start": 3560.21, "end": 3560.51, "word": " pre", "probability": 0.94482421875}, {"start": 3560.51, "end": 3560.79, "word": " verbal", "probability": 0.83203125}, {"start": 3560.79, "end": 3561.83, "word": " children", "probability": 0.8955078125}, {"start": 3561.83, "end": 3567.99, "word": " امنع", "probability": 0.7560221354166666}, {"start": 3567.99, "end": 3568.51, "word": " الكلام", "probability": 0.89111328125}, {"start": 3568.51, "end": 3569.97, "word": " ارفع", "probability": 0.94775390625}, {"start": 3569.97, "end": 3570.19, "word": " يدك", "probability": 0.665771484375}, {"start": 3570.19, "end": 3570.31, "word": " علي", "probability": 0.47509765625}, {"start": 3570.31, "end": 3570.69, "word": " القلم", "probability": 0.984130859375}], "temperature": 1.0}, {"id": 140, "seek": 360178, "start": 3572.22, "end": 3601.78, "text": "ارفع يديك عن القلم امنع الكلام خلاص حط القلم لو سمحت حط القلم دي اليوم كلها هذه امانة ما تكتبيش ولا حاجة", "tokens": [9640, 5172, 3615, 7251, 16254, 4117, 18871, 25062, 19528, 1975, 27842, 3615, 2423, 28820, 10943, 16490, 1211, 33546, 11331, 9566, 25062, 19528, 45164, 8608, 2304, 33753, 11331, 9566, 25062, 19528, 11778, 1829, 45595, 20498, 28242, 11296, 29538, 1975, 2304, 7649, 3660, 19446, 6055, 4117, 2655, 21292, 8592, 49429, 11331, 26108, 3660], "avg_logprob": -0.20252403187064025, "compression_ratio": 1.5982905982905984, "no_speech_prob": 0.0, "words": [{"start": 3572.22, "end": 3572.58, "word": "ارفع", "probability": 0.9510091145833334}, {"start": 3572.58, "end": 3572.84, "word": " يديك", "probability": 0.7197265625}, {"start": 3572.84, "end": 3572.94, "word": " عن", "probability": 0.97509765625}, {"start": 3572.94, "end": 3573.36, "word": " القلم", "probability": 0.935791015625}, {"start": 3573.36, "end": 3574.68, "word": " امنع", "probability": 0.80078125}, {"start": 3574.68, "end": 3575.18, "word": " الكلام", "probability": 0.9342447916666666}, {"start": 3575.18, "end": 3576.58, "word": " خلاص", "probability": 0.9375}, {"start": 3576.58, "end": 3577.16, "word": " حط", "probability": 0.861083984375}, {"start": 3577.16, "end": 3577.56, "word": " القلم", "probability": 0.98828125}, {"start": 3577.56, "end": 3580.56, "word": " لو", "probability": 0.9140625}, {"start": 3580.56, "end": 3580.92, "word": " سمحت", "probability": 0.8717447916666666}, {"start": 3580.92, "end": 3581.2, "word": " حط", "probability": 0.96044921875}, {"start": 3581.2, "end": 3582.08, "word": " القلم", "probability": 0.992431640625}, {"start": 3582.08, "end": 3598.12, "word": " دي", "probability": 0.559814453125}, {"start": 3598.12, "end": 3598.32, "word": " اليوم", "probability": 0.705322265625}, {"start": 3598.32, "end": 3598.66, "word": " كلها", "probability": 0.842041015625}, {"start": 3598.66, "end": 3600.02, "word": " هذه", "probability": 0.135009765625}, {"start": 3600.02, "end": 3600.46, "word": " امانة", "probability": 0.844482421875}, {"start": 3600.46, "end": 3600.62, "word": " ما", "probability": 0.55859375}, {"start": 3600.62, "end": 3601.24, "word": " تكتبيش", "probability": 0.86669921875}, {"start": 3601.24, "end": 3601.4, "word": " ولا", "probability": 0.68896484375}, {"start": 3601.4, "end": 3601.78, "word": " حاجة", "probability": 0.9933268229166666}], "temperature": 1.0}, {"id": 141, "seek": 365351, "start": 3631.99, "end": 3653.51, "text": "هيك سلمته؟ هيك ان شاء الله بنكون في المحاضرة هذه خلصنا ال visual acuity حدة الإبصار مع قياسات حدة الإبصار للأطفال الغير ناطقيين في المحاضرة القادمة ان شاء الله هنبدأ how to measure visual acuity in verbal children يعطيكم العافية", "tokens": [3224, 1829, 4117, 8608, 19528, 47395, 22807, 39896, 4117, 16472, 13412, 16606, 21984, 44945, 30544, 8978, 9673, 5016, 46958, 25720, 29538, 16490, 1211, 9381, 8315, 2423, 5056, 696, 21757, 11331, 41891, 33688, 3555, 9381, 9640, 20449, 12174, 25528, 3794, 9307, 11331, 41891, 33688, 3555, 9381, 9640, 24976, 10721, 9566, 5172, 6027, 6024, 118, 13546, 8717, 41193, 38436, 9957, 8978, 9673, 5016, 46958, 25720, 25062, 18513, 46007, 16472, 13412, 16606, 21984, 8032, 1863, 44510, 10721, 577, 281, 3481, 5056, 696, 21757, 294, 24781, 2227, 37495, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.09074519541892377, "compression_ratio": 1.721698113207547, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 3631.99, "end": 3632.21, "word": "هيك", "probability": 0.8064778645833334}, {"start": 3632.21, "end": 3633.01, "word": " سلمته؟", "probability": 0.8624267578125}, {"start": 3633.01, "end": 3635.41, "word": " هيك", "probability": 0.947509765625}, {"start": 3635.41, "end": 3635.51, "word": " ان", "probability": 0.7734375}, {"start": 3635.51, "end": 3635.69, "word": " شاء", "probability": 0.981689453125}, {"start": 3635.69, "end": 3635.73, "word": " الله", "probability": 0.95849609375}, {"start": 3635.73, "end": 3636.15, "word": " بنكون", "probability": 0.9521484375}, {"start": 3636.15, "end": 3636.31, "word": " في", "probability": 0.89501953125}, {"start": 3636.31, "end": 3636.79, "word": " المحاضرة", "probability": 0.9906005859375}, {"start": 3636.79, "end": 3637.23, "word": " هذه", "probability": 0.71826171875}, {"start": 3637.23, "end": 3639.45, "word": " خلصنا", "probability": 0.9677734375}, {"start": 3639.45, "end": 3639.89, "word": " ال", "probability": 0.96142578125}, {"start": 3639.89, "end": 3640.17, "word": " visual", "probability": 0.95458984375}, {"start": 3640.17, "end": 3640.79, "word": " acuity", "probability": 0.924072265625}, {"start": 3640.79, "end": 3641.13, "word": " حدة", "probability": 0.666748046875}, {"start": 3641.13, "end": 3641.79, "word": " الإبصار", "probability": 0.963623046875}, {"start": 3641.79, "end": 3642.43, "word": " مع", "probability": 0.9580078125}, {"start": 3642.43, "end": 3643.03, "word": " قياسات", "probability": 0.9571533203125}, {"start": 3643.03, "end": 3643.31, "word": " حدة", "probability": 0.94091796875}, {"start": 3643.31, "end": 3643.91, "word": " الإبصار", "probability": 0.9912109375}, {"start": 3643.91, "end": 3644.69, "word": " للأطفال", "probability": 0.861767578125}, {"start": 3644.69, "end": 3644.99, "word": " الغير", "probability": 0.9454752604166666}, {"start": 3644.99, "end": 3645.71, "word": " ناطقيين", "probability": 0.8843994140625}, {"start": 3645.71, "end": 3646.19, "word": " في", "probability": 0.6142578125}, {"start": 3646.19, "end": 3646.69, "word": " المحاضرة", "probability": 0.99658203125}, {"start": 3646.69, "end": 3647.17, "word": " القادمة", "probability": 0.9930013020833334}, {"start": 3647.17, "end": 3647.35, "word": " ان", "probability": 0.7412109375}, {"start": 3647.35, "end": 3647.53, "word": " شاء", "probability": 0.99609375}, {"start": 3647.53, "end": 3647.71, "word": " الله", "probability": 0.9658203125}, {"start": 3647.71, "end": 3648.53, "word": " هنبدأ", "probability": 0.9620361328125}, {"start": 3648.53, "end": 3649.05, "word": " how", "probability": 0.8642578125}, {"start": 3649.05, "end": 3649.31, "word": " to", "probability": 0.986328125}, {"start": 3649.31, "end": 3649.57, "word": " measure", "probability": 0.91162109375}, {"start": 3649.57, "end": 3650.01, "word": " visual", "probability": 0.9755859375}, {"start": 3650.01, "end": 3650.65, "word": " acuity", "probability": 0.953857421875}, {"start": 3650.65, "end": 3651.13, "word": " in", "probability": 0.97119140625}, {"start": 3651.13, "end": 3651.73, "word": " verbal", "probability": 0.85791015625}, {"start": 3651.73, "end": 3652.35, "word": " children", "probability": 0.86767578125}, {"start": 3652.35, "end": 3653.05, "word": " يعطيكم", "probability": 0.8896484375}, {"start": 3653.05, "end": 3653.51, "word": " العافية", "probability": 0.9694010416666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3653.96175, "duration_after_vad": 3364.7556249999843}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ff2f870f83c41da7be8f61d3d53af8bc05a9900d
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/38tMh_s_134_raw.srt
@@ -0,0 +1,2692 @@
+1
+00:00:20,790 --> 00:00:25,770
+بسم الله الرحمن الرحيم في المحاضرة السابقة اتكلمنا
+
+2
+00:00:25,770 --> 00:00:31,250
+عن مفهوم ال visual acuity حدة الإبصار طبعا اليوم
+
+3
+00:00:31,250 --> 00:00:39,550
+هنبدأ بتعريف حدة الإبصار من مفهوم آخر لتبسيط
+
+4
+00:00:39,550 --> 00:00:46,140
+المادة العلمية أكثرvisual acuity كتعريف له it is a
+
+5
+00:00:46,140 --> 00:00:50,160
+measurement of spatial resolving capacity of the
+
+6
+00:00:50,160 --> 00:00:55,300
+eye and is applied to central vision يعني بيستخدم
+
+7
+00:00:55,300 --> 00:01:04,000
+في قياس قداش الصورة اللى بتتكون من العين وقداش
+
+8
+00:01:04,000 --> 00:01:08,960
+الرؤية المركزية للعين okay طيب ال special
+
+9
+00:01:08,960 --> 00:01:14,340
+resolvingحدنا سمع في تعريف ال special resolving شو
+
+10
+00:01:14,340 --> 00:01:22,800
+هو؟ نعم قوة التباين بس
+
+11
+00:01:22,800 --> 00:01:27,900
+هان عندنا في ال visual acuity كتعريف لها انه جديش
+
+12
+00:01:27,900 --> 00:01:32,840
+القدرة على تكوين الصورة سواء بواسطة كاميرا الجوال
+
+13
+00:01:32,840 --> 00:01:38,900
+بواسطة العين او بواسطة ال microscopeيعني القدرة
+
+14
+00:01:38,900 --> 00:01:45,680
+على تكوين الصورة بواسطة العين أو بواسطة ال
+
+15
+00:01:45,680 --> 00:02:02,480
+microscope أو بواسطة الكاميرا ال special resolving
+
+16
+00:02:11,200 --> 00:02:23,420
+it is an ability image
+
+17
+00:02:23,420 --> 00:02:27,600
+forming
+
+18
+00:02:27,600 --> 00:02:33,680
+device
+
+19
+00:02:33,680 --> 00:02:39,300
+such
+
+20
+00:02:39,300 --> 00:02:51,550
+asعلى سبيل المثال عندنا مثلا camera eye
+
+21
+00:02:51,550 --> 00:02:55,410
+microscope
+
+22
+00:03:02,000 --> 00:03:06,940
+إذا القدرة على تكوين الصورة اللى بشكلها ممكن
+
+23
+00:03:06,940 --> 00:03:12,620
+كاميرا ممكن العين ممكن ال microscope okay هذا
+
+24
+00:03:12,620 --> 00:03:18,440
+تعريف ال special resolving فال
+
+25
+00:03:18,440 --> 00:03:23,780
+visual acuity بقيس جداش ال special resolving للآي
+
+26
+00:03:23,780 --> 00:03:28,280
+جداش يعني كمية هذا ال special resolving بتاعة الآي
+
+27
+00:03:28,830 --> 00:03:32,270
+وزائد انه بقيس ايش ال central vision الرؤية
+
+28
+00:03:32,270 --> 00:03:40,310
+المركزية لمن؟ للعين okay importance of testing
+
+29
+00:03:40,310 --> 00:03:47,450
+visual acuity شو أهمية قياس حدة الأبصار testing
+
+30
+00:03:47,450 --> 00:03:51,550
+visual acuity is very important in all of the
+
+31
+00:03:51,550 --> 00:03:57,950
+cases becauseليش حدة الإبصار تعتبر يعني إلها أهمية
+
+32
+00:03:57,950 --> 00:04:03,350
+كبيرة؟ أول حاجة it gives us an accurate diagnosis
+
+33
+00:04:03,350 --> 00:04:08,170
+for the patient diagnosis بمعنى تشخيص يعني بتعطي
+
+34
+00:04:08,170 --> 00:04:14,490
+تشخيص دقيق للمريض لحالة المريض and indicate the
+
+35
+00:04:14,490 --> 00:04:18,970
+severity of the problem وبيشير إلى حدة اللي هو كده
+
+36
+00:04:18,970 --> 00:04:21,990
+عنده مشكلة طبعا كلمة severe
+
+37
+00:04:24,940 --> 00:04:34,540
+بمعنى حاد وعكسه mild بمعنى اللي هو يعني قليل يعني
+
+38
+00:04:34,540 --> 00:04:44,580
+زي مثلا واحد بيقول عنده severe headache و واحد اخر
+
+39
+00:04:44,580 --> 00:04:49,980
+ايش بيقول مثلا mild headache
+
+40
+00:04:54,860 --> 00:05:01,520
+عنا moderate، متوسط،
+
+41
+00:05:01,520 --> 00:05:06,400
+headache يعني لما انتوا أخدتوا ال history من
+
+42
+00:05:06,400 --> 00:05:10,520
+المريض ممكن أنه المريض يقول أنا عندي mild اللي هو
+
+43
+00:05:10,520 --> 00:05:14,900
+headache أنه صداع لكن إش ما له خفيف أو moderate
+
+44
+00:05:14,900 --> 00:05:19,200
+headache أنه صداع لكن إش متوسط أو severe headache
+
+45
+00:05:19,200 --> 00:05:22,100
+أنه بيكون صداع لكن إش ما له حاد
+
+46
+00:05:26,120 --> 00:05:29,800
+number two it may helps us to discover a new
+
+47
+00:05:29,800 --> 00:05:32,820
+problem at the patient which is not the main
+
+48
+00:05:32,820 --> 00:05:37,900
+problem that the patient complained for مثال عليها
+
+49
+00:05:37,900 --> 00:05:42,680
+مثلا إيجا مريض حكى في ال history بتاعه أنا مثلا
+
+50
+00:05:42,680 --> 00:05:47,220
+عندي headache، severe headache، الآن هذه تعتبر
+
+51
+00:05:47,220 --> 00:05:51,630
+إيش؟ ال history بتاعة المريضك examiner او ك
+
+52
+00:05:51,630 --> 00:05:56,310
+optometrist يما احنا جسنا ال visual acuity بتاعته
+
+53
+00:05:56,310 --> 00:06:00,770
+لجينا عنده blurred vision for distance يعني عنده
+
+54
+00:06:00,770 --> 00:06:06,230
+مشكلة في اللي بعيد okay فهذه المشكلة مين كشفها ال
+
+55
+00:06:06,230 --> 00:06:11,490
+visual acuity okay يعني الآن لو انا مثلا اجيب لك
+
+56
+00:06:11,490 --> 00:06:15,430
+case studyال case study هذه مثلا عندها headache،
+
+57
+00:06:15,430 --> 00:06:18,550
+severe headache أو mild headache أو moderate
+
+58
+00:06:18,550 --> 00:06:22,970
+headache، لكن عندها في ال visual acuity blurred
+
+59
+00:06:22,970 --> 00:06:27,110
+fore vision، إذا ال visual acuity بتاعة المريض
+
+60
+00:06:27,110 --> 00:06:33,750
+بتتوقع يكون impaired، ضعيف ولا good ولا جيد؟ ضعيف،
+
+61
+00:06:33,750 --> 00:06:40,270
+صح؟واضح الأمور؟ الآن ايجي انا عندى طفل او مثلا
+
+62
+00:06:40,270 --> 00:06:46,810
+female or male عمرها تسعتاشر سنة وشكى انه عنده
+
+63
+00:06:46,810 --> 00:06:51,070
+headache طبعا هذه سواء severe او mild او moderate
+
+64
+00:06:51,070 --> 00:06:56,360
+headache هذه تعتبر ايش؟ال history .. ال history of
+
+65
+00:06:56,360 --> 00:07:01,060
+the patient صح؟ الآن أنا عملت visual acuity جسد جد
+
+66
+00:07:01,060 --> 00:07:05,280
+.. جديش حدة الإبصار للمريض فطلع عنده blurred لل
+
+67
+00:07:05,280 --> 00:07:08,480
+vision يعني ال vision عنده مثلا ستة على ستين أو
+
+68
+00:07:08,480 --> 00:07:12,240
+ستة على أربع و عشرين فانا هذا بديني indicate ل ال
+
+69
+00:07:12,240 --> 00:07:18,020
+visual acuity impaired, bad or good؟ bad صح؟
+
+70
+00:07:18,020 --> 00:07:18,380
+impaired
+
+71
+00:07:21,280 --> 00:07:24,020
+it is also help us in the following up the
+
+72
+00:07:24,020 --> 00:07:27,660
+patients case to compare between pre and post the
+
+73
+00:07:27,660 --> 00:07:33,260
+treatment اليوم أربع عشرة جسنا لسين من الناس ال
+
+74
+00:07:33,260 --> 00:07:37,940
+visual acuity بتاعته كانت مثلا أربع على ستين okay
+
+75
+00:07:37,940 --> 00:07:43,820
+لكن هذا المريض كان عنده مشكلة ال eye disease يعني
+
+76
+00:07:43,820 --> 00:07:50,690
+مرض في العينأربعة واحد 2017 جسنا ال visual acuity
+
+77
+00:07:50,690 --> 00:07:55,790
+حدث الإبصار لجينا باختلف عن المرة الفاتة ليش؟ لأن
+
+78
+00:07:55,790 --> 00:08:00,550
+السبب راح اللي هو اللي .. انه ليش هو كان عنده
+
+79
+00:08:00,550 --> 00:08:04,670
+visual acuity impaired السبب اللي هو ال eye
+
+80
+00:08:04,670 --> 00:08:08,150
+disease فال eye disease علجناه يعني احنا علجنا
+
+81
+00:08:08,150 --> 00:08:11,650
+اللي هو ال causes فمدام انت علجت ال causes فال
+
+82
+00:08:11,650 --> 00:08:14,630
+visual acuity إيش ماله هيتحسن صح؟
+
+83
+00:08:17,570 --> 00:08:21,810
+for all of these reasons visual acuity must be
+
+84
+00:08:21,810 --> 00:08:25,490
+tested for all of the patients before visiting the
+
+85
+00:08:25,490 --> 00:08:31,610
+ophthalmologist طبعا أي كتاب في العيون تفتحي في 4
+
+86
+00:08:31,610 --> 00:08:37,720
+O دايما مكتوبة 4 O شو معناها ال 4 O؟الـ 4O معناها
+
+87
+00:08:37,720 --> 00:08:43,540
+أنه أفثالمولوجي طبيب الطب العيون أفثالمولوجيست
+
+88
+00:08:43,540 --> 00:08:48,760
+اللي هي طبيب العيون في الoptometrist علم البصريات
+
+89
+00:08:48,760 --> 00:08:54,660
+أخصاء البصريات في ال orthoptist اللي هو علم
+
+90
+00:08:54,660 --> 00:08:59,820
+الحوالي و في
+
+91
+00:08:59,820 --> 00:09:05,140
+التعون اللي .. اللي بيقص النضارات و فيه ال
+
+92
+00:09:05,140 --> 00:09:16,500
+optician اللي هو فن البصريات فعنا 4O هان دايما
+
+93
+00:09:16,500 --> 00:09:24,100
+أي كتاب في العيون بيكون كاتب 4O شو معناه ال 4O؟
+
+94
+00:09:24,100 --> 00:09:28,500
+زي هيك بيكون كاتب 4 O
+
+95
+00:09:30,340 --> 00:09:52,940
+عنا الـ ophthalmologist بمعنى
+
+96
+00:09:52,940 --> 00:09:55,880
+طب العيون طبيب العيون okay
+
+97
+00:10:08,960 --> 00:10:19,200
+optometrist وفي عندنا ال orthoptics المختص
+
+98
+00:10:19,200 --> 00:10:24,540
+في الحوالي orthoptist
+
+99
+00:10:24,540 --> 00:10:30,780
+وفي
+
+100
+00:10:30,780 --> 00:10:32,080
+عندنا ال optics
+
+101
+00:10:39,510 --> 00:10:46,170
+optician اللي بيكون مختص في علم النضارات، يعني
+
+102
+00:10:46,170 --> 00:10:50,550
+اللي بيقص النضارات، اللي هو فن بصريات، okay فالآن
+
+103
+00:10:50,550 --> 00:10:56,240
+أية مريضبروح لطبيب العيون لازم يقاس له حدة
+
+104
+00:10:56,240 --> 00:11:00,480
+الإبصار، قداش حدة الإبصار لهذا المريض، طبعا ال
+
+105
+00:11:00,480 --> 00:11:03,920
+function هذا أو ال task هذا الوظيفة مين اللي بيقوم
+
+106
+00:11:03,920 --> 00:11:07,640
+فيها؟ اللي هو ال optometrist، optometry علم
+
+107
+00:11:07,640 --> 00:11:10,760
+البصريات، ال optometrist اللي هو ال examiner،
+
+108
+00:11:10,760 --> 00:11:16,210
+أخصائه البصرياتand this is the mission of the
+
+109
+00:11:16,210 --> 00:11:20,290
+optometrist who is the specialist examiner in this
+
+110
+00:11:20,290 --> 00:11:23,690
+examination يعني هذه ال mission الوظيفة أو ال
+
+111
+00:11:23,690 --> 00:11:28,170
+occupation اللي بيقوم فيها مين طبيب أو أخصائي
+
+112
+00:11:28,170 --> 00:11:33,930
+البصرية okay طيب
+
+113
+00:11:33,930 --> 00:11:38,890
+testing visual acuity in preverbal children قياس
+
+114
+00:11:38,890 --> 00:11:45,800
+حدث الإبصار للأطفال الغير ناطقينأول حاجة عندنا is
+
+115
+00:11:45,800 --> 00:11:54,480
+occlusion of one eye انه اغطي عين واحدة it is
+
+116
+00:11:54,480 --> 00:11:57,960
+a simple method for testing the visual acuity in
+
+117
+00:11:57,960 --> 00:12:03,550
+preverbal children and infantsطبعا هو طريقة بسيطة
+
+118
+00:12:03,550 --> 00:12:07,670
+جدا لقياس حدة الإبصار للعين في الأطفال الغير
+
+119
+00:12:07,670 --> 00:12:12,030
+ناطقين والردع okay we cover one eye and if
+
+120
+00:12:12,030 --> 00:12:15,890
+strongly objected by the child indicates poorer
+
+121
+00:12:15,890 --> 00:12:20,430
+acuity in the other eye الآن بنغطي عين يعني مثلا
+
+122
+00:12:20,430 --> 00:12:25,270
+الآن بدي أفحص العين اليمين بغطي مين العين الشمال
+
+123
+00:12:26,180 --> 00:12:31,640
+بشوف قداش اللي هو إذا مثلا الطفل قاوم هذه التغطاية
+
+124
+00:12:31,640 --> 00:12:35,940
+إنه رفع الغطاء عن العين فبيكون poor لل visual
+
+125
+00:12:35,940 --> 00:12:41,740
+acuity in the right eye okay okay
+
+126
+00:12:41,740 --> 00:12:46,620
+الآن أنا مثلا بدي أجيس ال visual acuity للعين
+
+127
+00:12:46,620 --> 00:12:53,500
+اليمين بغطي مين؟ العين الشماللو الطفل قاوم اللي هو
+
+128
+00:12:53,500 --> 00:12:57,180
+التغطية بتاعته، يعني رفع الغطاء اللي أنا غطيت فيه
+
+129
+00:12:57,180 --> 00:13:01,520
+العين الشمال، حيكون شو معناه؟ انه الطفل مش شايف في
+
+130
+00:13:01,520 --> 00:13:05,400
+العين اليمين صح؟ فهو بعنيلي ان ال visual acuity in
+
+131
+00:13:05,400 --> 00:13:09,800
+the right eye is poor or impaired بس هذا الفحص مش
+
+132
+00:13:09,800 --> 00:13:13,700
+دقيق لإن الأطفال مابتحملوش أي شيء مثل هذا؟ بالظبط
+
+133
+00:13:19,220 --> 00:13:23,420
+هو هذا اللي قولنا الفحص هو عبارة عن ايه؟ انه قولنا
+
+134
+00:13:23,420 --> 00:13:29,640
+roughly .. roughly test انه مجرد يعني فحص يعني
+
+135
+00:13:29,640 --> 00:13:33,820
+أولى انه بس مجرد انه اعرف هل هذا الطفل اللي عنده
+
+136
+00:13:33,820 --> 00:13:38,160
+good visual acuity ولا bad visual acuity لكن
+
+137
+00:13:38,160 --> 00:13:42,400
+السؤال هي طرح السؤال بس انا بدي أصيغه بشكل اخر انه
+
+138
+00:13:42,400 --> 00:13:46,120
+هل هذا الفحص يعتبر quantitative ولا qualitative
+
+139
+00:13:46,120 --> 00:13:51,520
+test يعني اللي هو ..equalitative اللي هو إيش يعتبر
+
+140
+00:13:51,520 --> 00:13:55,860
+.. اللي هو وصفه، ليش؟ لأنه ماتدانيش اللي هو إيه
+
+141
+00:13:55,860 --> 00:13:59,700
+رقم، يعني هذا ممكن أنا مثلا أسأل السؤال، ليش أنا
+
+142
+00:13:59,700 --> 00:14:02,360
+مثلا ال inclusion of one eye is a qualitative
+
+143
+00:14:02,360 --> 00:14:09,000
+test؟ why؟ بالظبط، مش مادانيش، أنا يا إما بقولي ال
+
+144
+00:14:09,000 --> 00:14:13,510
+visual acuity good or bad، okay؟ما بيحكيليش مثلا
+
+145
+00:14:13,510 --> 00:14:18,210
+ال visual acuity ستة ع ستين أو واحد ع ستين لأ مجرد
+
+146
+00:14:18,210 --> 00:14:26,350
+انه بيقوللي ال visual acuity good او bad okay this
+
+147
+00:14:26,350 --> 00:14:29,530
+method just indicate if the visual acuity is good
+
+148
+00:14:29,530 --> 00:14:32,070
+or poor and doesn't give us an accurate
+
+149
+00:14:32,070 --> 00:14:35,730
+measurement هو ما بيعطيه اللي هو تشخيص دقيق طبعا
+
+150
+00:14:35,730 --> 00:14:37,450
+احنا هنطبق الفحص هذا
+
+151
+00:14:41,550 --> 00:14:48,190
+بدنا طالبة طبعا الان هي اول حاجة نفترض انه عندنا
+
+152
+00:14:48,190 --> 00:15:01,670
+طفل okay ألبسي هذه في العين الشمال شجة
+
+153
+00:15:01,670 --> 00:15:08,770
+هذه شايفين تعالي تتهمي الان
+
+154
+00:15:08,770 --> 00:15:15,760
+انا غطيت عين okayللي هو المريض الطفل الأمامي طبعا
+
+155
+00:15:15,760 --> 00:15:20,080
+دايما الطفل يما بعمله ال visual acuity لازم يكون
+
+156
+00:15:20,080 --> 00:15:24,020
+here or his parents معاه okay انه دايما اللي هو
+
+157
+00:15:24,020 --> 00:15:28,580
+والده بيكونوا معاه بغطي عين أول حاجة طبعا أنا بده
+
+158
+00:15:28,580 --> 00:15:32,140
+أفحص اللي هو ال right eye الآن لو ال visual acuity
+
+159
+00:15:32,140 --> 00:15:36,340
+بتاعة المريض بيكون ضعيف إيش هيعمل؟ حطول هيرفع ال
+
+160
+00:15:36,340 --> 00:15:40,400
+cover فهي المقصود في انه strongly objected of the
+
+161
+00:15:40,400 --> 00:15:44,500
+coverOkay؟ لكن لو كان ال visual acuity بتاعته
+
+162
+00:15:44,500 --> 00:15:48,540
+جيدة، إيش ماله؟ هيحافظ عليه، هيخليه، بس بعض
+
+163
+00:15:48,540 --> 00:15:51,440
+الأطفال مثلا بتلاقي حتى لو كان عنده ال visual
+
+164
+00:15:51,440 --> 00:15:56,020
+acuity كويس بتاعته و good visual acuity، بحاول أنه
+
+165
+00:15:56,020 --> 00:16:01,720
+يرفعله هذا، بس يعني هو مجرد أنه رفلي، رفلي بمعنى
+
+166
+00:16:01,720 --> 00:16:05,020
+إيش؟ يعني سطحي، أنه هل بتدين ال visual acuity good
+
+167
+00:16:05,020 --> 00:16:09,980
+or bad، okay؟طبعا هي مثلا ال test هان مطبقه ال
+
+168
+00:16:09,980 --> 00:16:14,180
+examiner اللي هو الطبيب أول حاجة هي املاحظة أنت
+
+169
+00:16:14,180 --> 00:16:21,860
+الطفل مع أمه okay الدكتور غطى العين اليمين و العين
+
+170
+00:16:21,860 --> 00:16:25,660
+الشمال بتلاحظي أنه الطفل إيش بيحاول أنه يرفع العين
+
+171
+00:16:25,660 --> 00:16:30,700
+صح؟ اليد عفوا من عينه هان بيكون إيش ماله bad
+
+172
+00:16:30,700 --> 00:16:34,440
+visual acuityممكن اجيبلكم صورة شو التشخيص بتاعك
+
+173
+00:16:34,440 --> 00:16:40,220
+هان اذا هان ايش bad visual acuity هان الطفل ايش
+
+174
+00:16:40,220 --> 00:16:43,900
+ماله smile صح فهان يعتبر اللي هو good visual
+
+175
+00:16:43,900 --> 00:16:50,220
+acuity طيب
+
+176
+00:16:50,220 --> 00:16:57,820
+ال test الآخر ال fixation test كلمة fixation شو
+
+177
+00:16:57,820 --> 00:17:04,690
+معناها انه تثبيتهذه طريقة جيدة جدا لتجربة الـ
+
+178
+00:17:04,690 --> 00:17:11,130
+visual acuity و تتصرف كتابة أول حاجة بنستخدم
+
+179
+00:17:14,270 --> 00:17:18,710
+طبعا في حالة الأطفال هذا عبارة عن ال prism bar شو
+
+180
+00:17:18,710 --> 00:17:25,490
+بيسموه ال prism bar هي مدرج من واحد اتنين اربعة
+
+181
+00:17:25,490 --> 00:17:30,670
+ستة تمانية عشرة اتناشر اربعتاشر ستاشر لحدية forty
+
+182
+00:17:30,670 --> 00:17:34,770
+هذه عبارة عن ال prism قولنا دايما ال prism فيه إلو
+
+183
+00:17:34,770 --> 00:17:41,590
+إيش apex وفيه base ال apex دايما بيكون الصورة هي
+
+184
+00:17:41,590 --> 00:17:42,370
+رسمة ال
+
+185
+00:17:47,650 --> 00:17:52,690
+هي عندنا ال apex و
+
+186
+00:17:52,690 --> 00:17:59,990
+عندنا ال base دايما الصورة باتجاه مين ال apex و
+
+187
+00:17:59,990 --> 00:18:03,770
+الشعاع دايما بكون باتجاه ال base لو رسمنا الرسم
+
+188
+00:18:03,770 --> 00:18:10,390
+بالشكل هذه okayالان الطفل ياما بدي اعمل لطفل واحد
+
+189
+00:18:10,390 --> 00:18:15,390
+لازم انه استخدم ايش one prism زي هيك زي ما هم
+
+190
+00:18:15,390 --> 00:18:19,810
+استخدموا لكن احنا بدنا نحاول انه نعمل ك actor انه
+
+191
+00:18:19,810 --> 00:18:27,090
+طفل عندنا وكيف نعمل ال test هذا okay دايما
+
+192
+00:18:27,090 --> 00:18:30,850
+الصورة باتجاه ال apex اه و الشعاع باتجاه ال base
+
+193
+00:18:30,850 --> 00:18:32,670
+يعني طبعا اول حاجة
+
+194
+00:18:40,860 --> 00:18:48,060
+16 بحط اللي هو ال 16 بريزم عمل fixation هان لأ لأ
+
+195
+00:18:48,060 --> 00:18:53,600
+على ايدي ايدي ايدي ايوة هان الان المريض عمل
+
+196
+00:18:53,600 --> 00:18:57,980
+fixation okay الان اذا كان بس بيلاحظ اللي هو ال
+
+197
+00:18:57,980 --> 00:19:01,700
+fixation ايه شماله في elevation up يعني شوية العين
+
+198
+00:19:01,700 --> 00:19:06,460
+انحرفت لفوق شايفين هيك ولا كده طب تعالي شوية هيك
+
+199
+00:19:09,610 --> 00:19:14,870
+طيب هى احنا حطينا اول حاجة الست عشر بريزم ديوبتر
+
+200
+00:19:14,870 --> 00:19:17,890
+okay طبعا
+
+201
+00:19:20,190 --> 00:19:24,830
+هو 16 ل 20 يا ما بتاخد 16 يا 20 ال prism عشان تعمل
+
+202
+00:19:24,830 --> 00:19:28,650
+العين elevation انه ترتفع شوية لفوق فالان انا بحط
+
+203
+00:19:28,650 --> 00:19:32,890
+ال 16 prism قدام العين صارت فيها شوية elevation
+
+204
+00:19:32,890 --> 00:19:38,310
+لفوق الان الطفل بيكون عامل ايش fixation okay الان
+
+205
+00:19:38,310 --> 00:19:44,840
+لو انا رفعت الغطاOkay إذا ال fixation راح على
+
+206
+00:19:44,840 --> 00:19:48,340
+العين التانية إيش هيصير؟ إنه ال visual acuity
+
+207
+00:19:48,340 --> 00:19:54,200
+هيكون poor Okay هلجيت
+
+208
+00:19:54,200 --> 00:19:59,520
+الطفل هو .. أغطي العين .. أه هلجيت العين ال .. ال
+
+209
+00:19:59,520 --> 00:20:04,020
+.. ال left مغطية Okay الآن الطفل عامل إيش؟
+
+210
+00:20:04,020 --> 00:20:08,480
+Fixation الآن هو محافظ على ال fixation في العين
+
+211
+00:20:08,480 --> 00:20:13,260
+مين؟الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+212
+00:20:13,260 --> 00:20:18,020
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+213
+00:20:18,020 --> 00:20:21,920
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+214
+00:20:21,920 --> 00:20:25,760
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+215
+00:20:25,760 --> 00:20:28,820
+الصحيحة
+
+216
+00:20:28,820 --> 00:20:38,100
+الصحيحة
+
+217
+00:20:38,100 --> 00:20:39,600
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+218
+00:20:39,600 --> 00:20:39,600
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+219
+00:20:39,600 --> 00:20:40,980
+الصحيحة الصحيحة الصحيحة الصحيحةيعني ايه؟ فيه
+
+220
+00:20:40,980 --> 00:20:46,580
+fixation في العين ال right رفعت الغطاء خلال خمس
+
+221
+00:20:46,580 --> 00:20:51,300
+ثوانة اتغير ال fixation للعين التانية شو معناها؟
+
+222
+00:20:51,300 --> 00:20:56,880
+انه في اللي هو عنده fixation في ال right eye لكن
+
+223
+00:20:56,880 --> 00:21:00,500
+ايه اشمله ال visual acuity unsteady او un central
+
+224
+00:21:00,500 --> 00:21:09,100
+انه مش ثابت مفهومة تانية؟ خلال خمس ثوانة طيبالان
+
+225
+00:21:09,100 --> 00:21:13,600
+برضه غطى العين الان
+
+226
+00:21:13,600 --> 00:21:17,460
+حطيت اللى هو ستة عشر prism واطف العامل fixation
+
+227
+00:21:17,460 --> 00:21:23,300
+رفعت الغطه عن العين خلال عشر ثوانة عمل fixation
+
+228
+00:21:23,300 --> 00:21:26,880
+يعني عمل fixation بس خلال عشر ثوانة حول ال
+
+229
+00:21:26,880 --> 00:21:31,920
+fixation للعين التانية يعني هذه فضلت التانية على
+
+230
+00:21:31,920 --> 00:21:37,210
+الأولىيعني بتلاحظ أن العين ال .. بس خليني أسمع،
+
+231
+00:21:37,210 --> 00:21:40,990
+بتلاحظ العين اليمين انحرفت وعمل fixation في العين
+
+232
+00:21:40,990 --> 00:21:44,470
+إيش؟ الشماليعني العين الشمال هي اللي صار فيها
+
+233
+00:21:44,470 --> 00:21:47,910
+fixation، اه صارت اللي هو ثابتة، انه فيها
+
+234
+00:21:47,910 --> 00:21:52,070
+fixation، يعني central، okay؟ اه فإنما بيعمل
+
+235
+00:21:52,070 --> 00:21:55,330
+fixation في العين الشمال، اللي هو معناه انه خلال
+
+236
+00:21:55,330 --> 00:21:59,070
+عشر ثواني، انه هان ال visual acuity بتاعته، اللي
+
+237
+00:21:59,070 --> 00:22:02,450
+هو حوالي قداش؟ ستة على أربع وعشرين لستة على
+
+238
+00:22:02,450 --> 00:22:08,590
+تمانتاش، okay؟طيب لو الآن انا مثلا عمل المريض برضه
+
+239
+00:22:08,590 --> 00:22:13,290
+غطى عينه عمل fixation في العين ال right لكن اما
+
+240
+00:22:13,290 --> 00:22:16,770
+رفعت الغطى عن العين الشمال حافظ على ال fixation في
+
+241
+00:22:16,770 --> 00:22:21,290
+ال right لكن بعد عشرين ثانية غير ال fixation للعين
+
+242
+00:22:21,290 --> 00:22:25,150
+الشمال اذا هنا ايش معناه انه ال visual acuity
+
+243
+00:22:25,150 --> 00:22:33,450
+بتاعه 6 ع 12 ل 6 ع 9 اخر حاجةواضحة؟ اخر حاجة لو هو
+
+244
+00:22:33,450 --> 00:22:38,250
+مثلا حطيت ال prism لكن عمل fixation وين؟ مال رهان
+
+245
+00:22:38,250 --> 00:22:41,450
+و مال رهان بعد تلاتين ثانية معناه ان ال visual
+
+246
+00:22:41,450 --> 00:22:48,800
+acuity ستة ع ستة in both eyes واضحة ولا كيف؟ببساطة
+
+247
+00:22:48,800 --> 00:22:54,740
+ال fixation test هو أهم يعني أهم و أفضل test من
+
+248
+00:22:54,740 --> 00:23:00,200
+ناحية الأطفال سهل جدا أنا بستخدم .. بس ركزوا شوية
+
+249
+00:23:00,200 --> 00:23:05,100
+معايا بستخدم ال prism okay ال prism دايما ال apex
+
+250
+00:23:05,100 --> 00:23:09,500
+بتاعته بتكون up و ال base بتكون down إذا السورة
+
+251
+00:23:09,500 --> 00:23:13,700
+تاعته وين هتكون على ال apex okay الآن العين
+
+252
+00:23:13,700 --> 00:23:18,960
+التانية مغطيةبدام العين التانية مغطية ما بعرف أنا
+
+253
+00:23:18,960 --> 00:23:24,680
+عاملة fixation ولا لأ الان انا ايش عملت العين ال
+
+254
+00:23:24,680 --> 00:23:28,560
+right نفرض اللي حاطط عليها ال prism عاملة fixation
+
+255
+00:23:28,560 --> 00:23:34,000
+روحت رفعت الغطا عن العين الشمال ع طول ال fixation
+
+256
+00:23:34,000 --> 00:23:38,000
+راح للعين التانية لل left eye اذا شو معناه انه
+
+257
+00:23:38,000 --> 00:23:42,180
+poor اللي هو ال visual acuity embedded مابديش تحفظ
+
+258
+00:23:42,180 --> 00:23:46,910
+تحفظيافهمه كفهم انه معناه ان ال visual acuity
+
+259
+00:23:46,910 --> 00:23:50,890
+impaired لانه ممكن ألعب فيها الصورة okay معناها
+
+260
+00:23:50,890 --> 00:23:54,310
+انه في a fixation انه صار مافيش شيء اللي هو
+
+261
+00:23:54,310 --> 00:24:01,090
+fixation في العين okay الشغل
+
+262
+00:24:01,090 --> 00:24:06,350
+التاني لو مثلا انا امغط العين الشمال و العين
+
+263
+00:24:06,350 --> 00:24:09,890
+اليمين صار لها حطيت ال prism على العين اللي هو
+
+264
+00:24:09,890 --> 00:24:16,860
+الشمالالعين اليمين رفعت الغطاء عنها okay الآن
+
+265
+00:24:16,860 --> 00:24:22,440
+صارلها حافظت على ال fixation لكن بعد خمس ثوانة راح
+
+266
+00:24:22,440 --> 00:24:25,640
+ال fixation بتاعها شو معناه؟ ان ال visual acuity
+
+267
+00:24:25,640 --> 00:24:32,080
+بتاعه يعني أربع على ستين، ستة على ستين شوف انا
+
+268
+00:24:32,080 --> 00:24:35,900
+لحظة انه هان ال visual acuity يعتبر estimation
+
+269
+00:24:35,900 --> 00:24:41,260
+تقديري و ليس accurate يعني مش بالضبطيعني صح هو
+
+270
+00:24:41,260 --> 00:24:45,260
+يعتبر ال fixation test يعتبر quantitative صح ولا
+
+271
+00:24:45,260 --> 00:24:48,880
+لا؟ انه رقمي، الداني رقم، لكن يعتبر accurate ولا
+
+272
+00:24:48,880 --> 00:24:56,780
+estimation؟ estimation يعتبر، صح؟ النقطة التالتة،
+
+273
+00:24:56,780 --> 00:25:01,270
+الطفل عمل fixationلكن ال fixation هذا ايه صار فيه
+
+274
+00:25:01,270 --> 00:25:06,170
+انه بعد عشر ثوانة حول على العين التانية اذا بمعنى
+
+275
+00:25:06,170 --> 00:25:11,250
+انه صار عنده الطفل fixation لكن اتغير للعين الأخرى
+
+276
+00:25:11,250 --> 00:25:16,050
+فهذا معناه ان ال visual acuity للطفل ممكن يكون ستة
+
+277
+00:25:16,050 --> 00:25:21,750
+على ستين يعني لست على اللي هو ستة و تلاتين او ستة
+
+278
+00:25:21,750 --> 00:25:23,470
+على اربع و عشرين okay
+
+279
+00:25:26,610 --> 00:25:32,090
+النقطة الرابعة الطفل عمل fixation لكن بعد حوالي
+
+280
+00:25:32,090 --> 00:25:36,030
+عشرين ثانية فضل ال fixation على العين التانية okay
+
+281
+00:25:36,030 --> 00:25:39,730
+ال visual acuity ستة ع اتناش لستة ع تسعة ستة ع
+
+282
+00:25:39,730 --> 00:25:44,370
+سبعة و نص ممكن الأخيرة عمل fixation لكن إيش متبادل
+
+283
+00:25:44,370 --> 00:25:48,610
+مرة في ال right مرة في ال left يعني إذا ستة ع ستة
+
+284
+00:25:48,610 --> 00:25:53,310
+طيب ليش أنا استخدمت ال ال ست عشرين prism ديوبتر أو
+
+285
+00:25:53,310 --> 00:25:58,950
+عشرين prism ديوبترعشان انه ايش يعمل اللي هو ال
+
+286
+00:25:58,950 --> 00:26:02,970
+elevation up انه يعمل الطفل اللي هو elevation up
+
+287
+00:26:02,970 --> 00:26:06,930
+to take fixation up انه دايما انه يكون وين ال
+
+288
+00:26:06,930 --> 00:26:11,190
+fixation بتاعه للأعلى لكن لو حطيت مثلا اتنين بريسم
+
+289
+00:26:11,190 --> 00:26:15,370
+ديوبتر او تلاتة بريسم ديوبتر مابيقدرش انه يعمل
+
+290
+00:26:15,370 --> 00:26:18,070
+اللي هو fixation up okay؟
+
+291
+00:26:20,240 --> 00:26:30,120
+يعني نعمل fixation
+
+292
+00:26:30,120 --> 00:26:33,580
+مرة في العين و مرة في الـ left خلال تلاتين ثانية
+
+293
+00:26:33,580 --> 00:26:38,120
+تقريبا انه بيعمل اللي هو مرة هيك و مرة هيك انه
+
+294
+00:26:38,120 --> 00:26:46,320
+بيكون ستة على ستة alternate fixation ال fixation
+
+295
+00:26:46,320 --> 00:26:50,280
+معناها ثابتةيعني أنا حاطط أصبعي زي ما كنت حاطط
+
+296
+00:26:50,280 --> 00:26:54,680
+أصبعي مجرد ما رفعت الغطا عن العين اتحول هذه العين
+
+297
+00:26:54,680 --> 00:26:59,060
+أخدت اللي هو يا لليمين انحرفت يا لليمين يا للشمال
+
+298
+00:26:59,060 --> 00:27:04,920
+والعين التانية هي اللي عملت fixation واضح؟ يعني
+
+299
+00:27:04,920 --> 00:27:07,260
+هيك أنا حاولت أن أبسطه أكثر ما يمكن
+
+300
+00:27:10,920 --> 00:27:16,480
+طيب بالنسبة ل ال sweet test طبعا هذا الفحص يعتبر
+
+301
+00:27:16,480 --> 00:27:21,140
+شائع عندنا كتير طبعا ال sweet test هيو حيكون زي ما
+
+302
+00:27:21,140 --> 00:27:25,620
+أنا ماسك ب .. بإيدي بالظبط زي هيك لازم انا اوزع
+
+303
+00:27:25,620 --> 00:27:30,040
+اللي هو الحبات بتاعتي في مختلف إيدي مش مثلا أحطها
+
+304
+00:27:30,040 --> 00:27:35,870
+في ال center شايفين انتوا ولا كيف؟يعني دايما في ال
+
+305
+00:27:35,870 --> 00:27:39,910
+sweet test مابحطش اللي هو ال .. الإيدة في نص ال ..
+
+306
+00:27:39,910 --> 00:27:43,050
+ال .. يعني الحبات هدول ال sweet في ال .. في ال
+
+307
+00:27:43,050 --> 00:27:52,530
+center دايما لازم مثلا على الأطراف زي هيك و بالظبط
+
+308
+00:27:52,530 --> 00:27:56,950
+ال color لازم يكون مختلف بتاعة ال sweet ليش طيب؟
+
+309
+00:27:56,950 --> 00:27:58,910
+واحدة بس واحدة
+
+310
+00:28:03,790 --> 00:28:09,370
+ارفع يدك و جاوبي الان انا لما بستخدم ال sweet test
+
+311
+00:28:09,370 --> 00:28:12,790
+لازم يكون الألوان مختلفة فيه يعني الحبات بتاعتها
+
+312
+00:28:12,790 --> 00:28:23,910
+لازم تكون مختلفة ال color بتاعها ليش؟ نعم طيب
+
+313
+00:28:23,910 --> 00:28:27,670
+ليش مثلا ماحطيته أحمر كله أو كله أبيض أو كله أصفر؟
+
+314
+00:28:31,210 --> 00:28:36,310
+لأ الان لو انا مثلا .. لو انا مثلا حطيت الأحمر
+
+315
+00:28:36,310 --> 00:28:40,430
+اللون الأحمر الطفل ممكن ينتبه عليهم ان كل الموجود
+
+316
+00:28:40,430 --> 00:28:44,590
+ايش أحمر ف ال .. ال .. ال wavelength الطول الموجي
+
+317
+00:28:44,590 --> 00:28:48,450
+بتاعته هيركز عليه ان كل الموجود أحمر فهيقدر ايش
+
+318
+00:28:48,450 --> 00:28:52,710
+انه يلتقطه واضح؟ لو مثلا حطيته أبيض برضه نفس
+
+319
+00:28:52,710 --> 00:28:59,190
+الحاجة طيب ممكن اعمل هيك انا صح هيك؟ عامل؟لازم
+
+320
+00:28:59,190 --> 00:29:05,190
+اللي هو التوزيع طيب كيف انا يعني الان كيف
+
+321
+00:29:05,190 --> 00:29:11,750
+بده اقيم ال visual acuity في ال suite test بالظبط
+
+322
+00:29:11,750 --> 00:29:17,040
+خدي من هناالان بالظبط انه ايش عمل الطفل اللي هو
+
+323
+00:29:17,040 --> 00:29:21,780
+pick up انه بالظبط انه ايش لجت لكن لو حسيت انه
+
+324
+00:29:21,780 --> 00:29:26,280
+الطفل اجا مد ايده لكن عمل هيك شو معناها انه عنده
+
+325
+00:29:26,280 --> 00:29:30,720
+impaired visual acuity لو انا مثلا شعرت ان هو
+
+326
+00:29:30,720 --> 00:29:34,940
+الطفل مركز على ال center يعني الكف الإيد في ال
+
+327
+00:29:34,940 --> 00:29:39,560
+center بروح احط اللي هو ال sweet هيك في إيدي واضح؟
+
+328
+00:29:39,560 --> 00:29:46,410
+زي هيك واضح ولا كيف؟ شايفين؟بحطه بين أصابعي ليش
+
+329
+00:29:46,410 --> 00:29:49,850
+لأنه لو حطيته في المركز الطفل خلاص حفظ المكان
+
+330
+00:29:49,850 --> 00:29:54,410
+تاعتهم وين فهيروح اطول ايش يدور في المركز طيب ايش
+
+331
+00:29:54,410 --> 00:29:58,750
+ممكن اكتب ال visual acuity للطفل هذا عندنا ال
+
+332
+00:29:58,750 --> 00:29:59,570
+sweet taste
+
+333
+00:30:05,720 --> 00:30:10,600
+بكتب ال visual acuity زي هيك مثلا ال right eye هذا
+
+334
+00:30:10,600 --> 00:30:16,080
+لو الطفل اللي هو لقط more than or equal 6 على 24
+
+335
+00:30:16,080 --> 00:30:25,120
+more detail picked up by
+
+336
+00:30:25,120 --> 00:30:29,120
+child
+
+337
+00:30:31,930 --> 00:30:38,810
+left eye more than or equal 6 على 24 picked up by
+
+338
+00:30:38,810 --> 00:30:43,210
+child طيب لو كان هذا لو كان ايش ال visual acuity
+
+339
+00:30:43,210 --> 00:30:51,710
+عنده good لو كان ال visual acuity impaired or poor
+
+340
+00:30:51,710 --> 00:30:57,610
+هيكون
+
+341
+00:30:57,610 --> 00:30:58,210
+ال right
+
+342
+00:31:03,250 --> 00:31:23,150
+visual acuity less the
+
+343
+00:31:23,150 --> 00:31:30,530
+child not pick up
+
+344
+00:31:37,690 --> 00:31:42,790
+Sweet Test هذي ال evaluation لطفل لو كان عنده ال
+
+345
+00:31:42,790 --> 00:31:48,450
+visual acuity اقل او اكثر من 6 على 24 من ناحية
+
+346
+00:31:48,450 --> 00:31:52,690
+اللي هو ال sweet test طيب في عندنا ال rotation
+
+347
+00:31:52,690 --> 00:31:56,510
+test الان
+
+348
+00:31:56,510 --> 00:32:01,470
+اخدنا occlusion of one eye اذا غطينا عينخدنا ال
+
+349
+00:32:01,470 --> 00:32:06,190
+fixation test وخدنا كمان اللي هو ال sweet test ال
+
+350
+00:32:06,190 --> 00:32:12,350
+rotation test هو بيعتبر qualitative test انه
+
+351
+00:32:12,350 --> 00:32:16,170
+اختبار ايش ماله كم يعني مابتديني جديش ال visual
+
+352
+00:32:16,170 --> 00:32:21,470
+acuity للمريض for the infant to fixate with both
+
+353
+00:32:21,470 --> 00:32:26,510
+eyes open ان العنتين بتكون مفتحة يعني ملاحظين في
+
+354
+00:32:26,510 --> 00:32:31,110
+ال occlusion of one eye في ال fixation testفي ال
+
+355
+00:32:31,110 --> 00:32:34,810
+sweet test التلاتة كانوا انه عملنا occlusion of
+
+356
+00:32:34,810 --> 00:32:38,850
+one eye لكن في ال rotation test open both eye
+
+357
+00:32:38,850 --> 00:32:45,430
+واضح؟ اه تاخد ال right و ال left هاين الكتاب تيكي
+
+358
+00:32:45,430 --> 00:32:52,230
+the examiner holds the infant facing him and
+
+359
+00:32:52,230 --> 00:33:00,130
+rotates a bicycle 360 degreeالان احنا عندنا هان
+
+360
+00:33:00,130 --> 00:33:08,370
+عروسة لو فرضنا هي الطفل okay بمسك الطفل يا اما من
+
+361
+00:33:08,370 --> 00:33:14,110
+رأسه او بمسكه مثلا من اديه زي هيك بثبته بالشكل هذا
+
+362
+00:33:14,110 --> 00:33:20,610
+والان كيف بعمل؟ انا الان examiner okayو مثلا ال
+
+363
+00:33:20,610 --> 00:33:25,390
+parents والدي أمامي فبعمل rotation، شو بعمل؟ بدور
+
+364
+00:33:25,390 --> 00:33:30,490
+زي هيك فيه، بالشكل هذا، الآن الأهل بدهم ينتبهوا
+
+365
+00:33:30,490 --> 00:33:34,580
+على مين؟ على حركة العينإذا صار عنده eye movement
+
+366
+00:33:34,580 --> 00:33:39,360
+حركة للعين فبيكون عنده ال visual acuity good لكن
+
+367
+00:33:39,360 --> 00:33:42,260
+لو مافيش رقرة في العين، العين ثابتة، بيكون ال
+
+368
+00:33:42,260 --> 00:33:45,800
+visual acuity بتاعته إيش، impaired، okay؟ هي
+
+369
+00:33:45,800 --> 00:33:49,400
+ببساطة يعني بتعتمد على ال eye movement، ال
+
+370
+00:33:49,400 --> 00:33:53,900
+nystagmus، اللي هي رقرة العين مش بتعرفوا الرقرة
+
+371
+00:33:53,900 --> 00:33:57,680
+تاعت العين؟ okay؟ يعني هذا ال test ال rotation
+
+372
+00:33:57,680 --> 00:34:02,260
+test هو يعتبر qualitative testnumber one number
+
+373
+00:34:02,260 --> 00:34:08,240
+two انه بيعتمد على ال eye movement وبيعتمد على ال
+
+374
+00:34:08,240 --> 00:34:13,120
+neck movement number three انه بيعتمد على ال
+
+375
+00:34:13,120 --> 00:34:17,000
+parents الوالدين ان هم بيشوفوا حركة العين بتاعة
+
+376
+00:34:17,000 --> 00:34:21,500
+الطفلإذا عمل الطفل eye movement أو نستاج مصر،
+
+377
+00:34:21,500 --> 00:34:25,800
+بيكون ال visual acuity عنده good، إذا العين بجت
+
+378
+00:34:25,800 --> 00:34:29,580
+اللي هو fixed ثابتة، بمعنى indicate to the visual
+
+379
+00:34:29,580 --> 00:34:32,080
+acuity is bad or in pair
+
+380
+00:34:35,900 --> 00:34:40,740
+الطفل قام بإصلاح مواجهات تتحرك خلف الاختبار، إذا
+
+381
+00:34:40,740 --> 00:34:44,580
+كانت النظرية عامة، فالعين ستتحرك، تتحرك بمعنى شو؟
+
+382
+00:34:44,580 --> 00:34:50,000
+انه هيوضحلي انه optokinetic nystagmus الآن ال
+
+383
+00:34:50,000 --> 00:34:54,720
+optokinetic nystagmus هي هذه الآلة، هناخدها شوية
+
+384
+00:34:54,720 --> 00:34:55,660
+بعد ال test هذا
+
+385
+00:35:00,380 --> 00:35:04,040
+when rotation stops يما انا بوقف اللي هو دوران
+
+386
+00:35:04,040 --> 00:35:10,260
+الطفل okay نستاجموس stop three to five seconds due
+
+387
+00:35:10,260 --> 00:35:14,240
+to suppression of both rotatory nystagmus by
+
+388
+00:35:14,240 --> 00:35:19,480
+fixation الان انا وقفت الدوران بتاع الطفل ايش هي
+
+389
+00:35:19,480 --> 00:35:24,060
+بعد تلت لخمس ثواني ال fixation بتاعه ايش ماله
+
+390
+00:35:24,060 --> 00:35:28,230
+هيثبتو هيصير فيش نيستاجموس يعني فيش أي movement
+
+391
+00:35:28,230 --> 00:35:35,110
+لمين؟ لعين الطفل واضح؟ يعني الآن الفكرة بتاعته أنه
+
+392
+00:35:35,110 --> 00:35:40,030
+ال examiner أو ال optometrist بمسك مين؟ الطفل و
+
+393
+00:35:40,030 --> 00:35:45,530
+بعمل rotation له okay ال parents لازم يلاحظوا مين؟
+
+394
+00:35:45,530 --> 00:35:50,750
+حركة عين الطفلإنه لازم ال eye movement or نستجمس
+
+395
+00:35:50,750 --> 00:35:55,210
+نستجمس بمعنى رأرة العين فالآن هم بيعملوا
+
+396
+00:35:55,210 --> 00:35:59,910
+observation ملاحظة لمين لعين الطفل إذا الطفل إثناء
+
+397
+00:35:59,910 --> 00:36:04,290
+الدوران اتحركت العين يعني صار فيها اللي هو
+
+398
+00:36:04,290 --> 00:36:08,030
+movement إذا معنى إنه ال visual acuity تعته
+
+399
+00:36:08,030 --> 00:36:14,370
+إشمالها good لكن إذا مثلا الطفل عمل fixationبكون
+
+400
+00:36:14,370 --> 00:36:19,710
+ال visual acuity بتاعته إيش impaired if
+
+401
+00:36:19,710 --> 00:36:23,390
+vision is severely impaired non-stigmatized but
+
+402
+00:36:23,390 --> 00:36:26,970
+eye deviated to one side لو كانت اللي هو فيه
+
+403
+00:36:26,970 --> 00:36:31,030
+severe ال vision عندهإيش معناه؟ إنه ال visual
+
+404
+00:36:31,030 --> 00:36:35,830
+acuity impaired، إنه ضعيف، خلاص يعني هو مركز على
+
+405
+00:36:35,830 --> 00:36:41,550
+شغلة معينة أو عامل deviation في one side ومش مركز
+
+406
+00:36:41,550 --> 00:36:44,230
+أيش أصلا في ال test بتاعنا، فمعناه إنه ال visual
+
+407
+00:36:44,230 --> 00:36:45,690
+acuity impaired، تفضل ...
+
+408
+00:37:00,430 --> 00:37:05,030
+لأ بس انا بعمل قاعد rotation على تلاتمية و ستين
+
+409
+00:37:05,030 --> 00:37:09,190
+درجة بمعنى انه انا قاعد برجع نفس النقطة اللي انا
+
+410
+00:37:09,190 --> 00:37:15,510
+انطلقت منها okay الان هم اهله للطفل هم ثابتين صح
+
+411
+00:37:15,510 --> 00:37:19,490
+ولا لأ فهو انا بدي اشوف هل الطفل يما انا بعمل ال
+
+412
+00:37:19,490 --> 00:37:23,670
+rotation العين هل بيصير لها حركة انه هل مثلا تتحرك
+
+413
+00:37:23,670 --> 00:37:29,030
+بصير لنستاجمص ولا لأ اه نستاجمص اللي هي حركة رقرقة
+
+414
+00:37:29,030 --> 00:37:33,730
+للعينانت اللي بتحكي قاعدة لو انا مثلا قاعد بحرك
+
+415
+00:37:33,730 --> 00:37:39,010
+الطفل مثلا على 180 أو 90 درجة صح ممكن تاخد العين
+
+416
+00:37:39,010 --> 00:37:42,230
+على طول deviation انحراف يا لليمين يا للشمال
+
+417
+00:37:42,230 --> 00:37:45,610
+وماتتحركش اصلا معاه بس انا قاعد برجع نفس النقطة
+
+418
+00:37:45,610 --> 00:37:49,890
+اللي انطلقت منها يعني كأنه يعني مثلا انا عندي نقطة
+
+419
+00:37:49,890 --> 00:37:54,690
+صفر انطلقت منها ورجعت عندها بالظبط فهيكون اللي هو
+
+420
+00:37:54,690 --> 00:37:56,490
+ايش rotation دوران
+
+421
+00:38:01,770 --> 00:38:07,530
+ال optokinetic nystagmus drum هو نفس فكرة مين؟ نفس
+
+422
+00:38:07,530 --> 00:38:15,670
+فكرة ال rotation test لكن شو الخلاف بينهم؟ اه
+
+423
+00:38:15,670 --> 00:38:21,910
+بس شو الفرق الجوهري بينهم؟ امتازة واحدة
+
+424
+00:38:21,910 --> 00:38:26,590
+quantitative واحدة qualitative ال rotation test اي
+
+425
+00:38:26,590 --> 00:38:30,550
+نص درجالك ال rotation test يعتبر اللي هو ايش؟
+
+426
+00:38:31,220 --> 00:38:35,500
+equalitative لكن الـ nystagmus drum ايش يعتبر
+
+427
+00:38:35,500 --> 00:38:40,860
+quantitative عددي احنا طبيعي في الجامعة يعتبر اللي
+
+428
+00:38:40,860 --> 00:38:44,680
+هو توضيح هان يعني dimension عندنا ماعناهش اللي هو
+
+429
+00:38:44,680 --> 00:38:51,180
+كل ال testات فهي هذا مثلا تقريبا يعتبر 6 على 90 او
+
+430
+00:38:51,180 --> 00:38:57,860
+6 على 60 بنعتبرهبيعتمد النستاجمس ال drum لو انتوا
+
+431
+00:38:57,860 --> 00:39:02,960
+شايفين فيه اللي هو خطين عندنا الأبيض و الأسود okay
+
+432
+00:39:02,960 --> 00:39:08,380
+بيعتمد على اللي هو الحركة الان كل هيتكم تعالوا
+
+433
+00:39:08,380 --> 00:39:12,660
+ورايا خليك انت بس قاعدة الان ال test هذا بيكون على
+
+434
+00:39:12,660 --> 00:39:17,460
+مسافة جديش اللي هو تلاتين لخمسين صنتي الان تطلعوا
+
+435
+00:39:17,460 --> 00:39:21,240
+على عين زملتكم هتلاقوا فيها حصير نستاجمس يعني ان
+
+436
+00:39:21,240 --> 00:39:26,970
+انا بدي احرك اللي هذاشايف كيف؟ انه صار .. لأ طلعي
+
+437
+00:39:26,970 --> 00:39:31,010
+هان، اعملي fixation هون،
+
+438
+00:39:31,010 --> 00:39:35,170
+شايف العين؟ قاعدة بتمشي، تعملي اللي هي رقرا، واضح
+
+439
+00:39:35,170 --> 00:39:42,750
+ولا كيف؟ تعالي هان، تعالي تفضلي هان مين
+
+440
+00:39:42,750 --> 00:39:46,630
+شافها طيب اللي رقرا؟ شفتواها؟ طب خلي زميلتك تيجي
+
+441
+00:39:46,630 --> 00:39:47,870
+مكانك، مدام شفتيها
+
+442
+00:39:52,420 --> 00:39:58,200
+شوفت انتي ولا كيف؟ تعالى هاي
+
+443
+00:39:58,200 --> 00:40:02,500
+الان ال stigma syndrome بدي اعتمد على حركة اللي هو
+
+444
+00:40:02,500 --> 00:40:08,200
+ايه هي الواضحة تتحرك جاعدة يمين و شمال حسب اللي هو
+
+445
+00:40:08,200 --> 00:40:15,100
+حركة من ال strip الخطوط تعالى شوفي اكيد؟
+
+446
+00:40:15,100 --> 00:40:16,840
+هذا
+
+447
+00:40:26,300 --> 00:40:30,340
+شايفة كيف الحركة بتاعة العين بتعمل زي نستاجمس eye
+
+448
+00:40:30,340 --> 00:40:36,360
+movement هي مش شايفة العين البقب بتحلق طبعا
+
+449
+00:40:36,360 --> 00:40:42,740
+بالنسبة لنستاجمس ال drum هو
+
+450
+00:40:42,740 --> 00:40:49,760
+بيكون كيف جهاز automatic بتحط فيه عدة أرقام يعني
+
+451
+00:40:49,760 --> 00:40:54,060
+ستة ع ستينستة ع ستة و تلاتين، ستة على اربع عشرين،
+
+452
+00:40:54,060 --> 00:40:57,620
+ستة ع تسعة زي ما جالت زملتكم انه يعتبر هو ايه؟
+
+453
+00:40:57,620 --> 00:41:04,040
+quantitative test فبحط و الجهاز ايش ماله؟ بلوف و
+
+454
+00:41:04,040 --> 00:41:07,920
+بعتمد على اللي هو حركة مين؟ حركة اللي هو عين
+
+455
+00:41:07,920 --> 00:41:14,280
+المريض فإذا كان فيه eye movement مع ال .. مع ال ..
+
+456
+00:41:14,280 --> 00:41:17,660
+ال nostagmus هذا بشير ان ال visual acuity بتاعته
+
+457
+00:41:17,660 --> 00:41:19,200
+للمريض ايش مالها؟ good
+
+458
+00:41:23,020 --> 00:41:26,780
+ما هي هذا مثلا انا بقولك ستة على تسعين او ستة على
+
+459
+00:41:26,780 --> 00:41:32,040
+ستين في كيف مثلا اه سؤال محترم انه كيف ال .. ال ..
+
+460
+00:41:32,040 --> 00:41:35,480
+كل مقل اللي هو ال strip ما بين الخطين الأبيض و
+
+461
+00:41:35,480 --> 00:41:39,620
+الأسود هذي بمعنى ان ال visual acuity جل يعني
+
+462
+00:41:39,620 --> 00:41:45,920
+التمييز ما بين الخطين بجل okay واضح ولا كيف ال
+
+463
+00:41:45,920 --> 00:41:51,170
+judge شايفين هذهالمسافة كبيرة بالظبط، الآن لما بقل
+
+464
+00:41:51,170 --> 00:41:54,610
+ال visual acuity، يعني بصير مثلا ستة ع تسعة أو ستة
+
+465
+00:41:54,610 --> 00:41:58,990
+ع اتناش، المسافة بينهم بتقل، بتصير thinner، نحيفة،
+
+466
+00:41:58,990 --> 00:42:10,470
+واضح؟ واضح ولا كيف؟ يعني الآن بالنسبة ل .. انا
+
+467
+00:42:10,470 --> 00:42:14,870
+بكون دايما عندك اللي هو جهاز automatic، okay، بتحط
+
+468
+00:42:14,870 --> 00:42:19,440
+اللي .. اللي هو ال drum بتاعتكال standardized okay
+
+469
+00:42:19,440 --> 00:42:23,560
+drum بتحطي مثلا هذه الستة ع ستين زي ما عملنا
+
+470
+00:42:23,560 --> 00:42:27,300
+لزميلتك لجينا مثلا فين ال stagmas إذا معنات أنه ال
+
+471
+00:42:27,300 --> 00:42:31,120
+visual acuity ستة ع ستين بنحط اللي هي ستة ع ستة و
+
+472
+00:42:31,120 --> 00:42:36,160
+تلاتين بنرفع واحدة و بنحط التاني okay يعني مش كلهم
+
+473
+00:42:36,160 --> 00:42:40,520
+مع بعضيعني كأنه فيه أكتر من واحدة، بيكون أكتر من
+
+474
+00:42:40,520 --> 00:42:44,560
+شريحة، فيه ستة ع ستين، ستة ع ستة و تلاتين، أربع
+
+475
+00:42:44,560 --> 00:42:48,520
+عشرين، تمانتعش، تسعة، زي كأنك بتفحص ال visual
+
+476
+00:42:48,520 --> 00:42:58,140
+acuity عادي فعنا
+
+477
+00:42:58,140 --> 00:43:04,650
+ال nystagmus اللي هو ال drumStandardized drum هو
+
+478
+00:43:04,650 --> 00:43:09,830
+عبارة عن استوانة، انبوب استواني، drum بمعنى انبوب
+
+479
+00:43:09,830 --> 00:43:16,430
+استواني that contain scripts بيحتوي على خطوط which
+
+480
+00:43:16,430 --> 00:43:20,510
+subtend small fractions of the infant's visual
+
+481
+00:43:20,510 --> 00:43:25,890
+field are available كمان من فائدة ال nostagmus
+
+482
+00:43:25,890 --> 00:43:30,350
+drum مش فقط بجيس ال visual acuity، في حاجة بيسموها
+
+483
+00:43:30,350 --> 00:43:34,530
+ال visual fieldال visual field هي عبارة عن الساحة
+
+484
+00:43:34,530 --> 00:43:40,450
+البصرية للعين تعريف الساحة البصرية أو مجال الرؤية
+
+485
+00:43:40,450 --> 00:43:45,430
+ال visual field هو عبارة عن island يعني جزيرة من
+
+486
+00:43:45,430 --> 00:43:50,410
+الرؤية اللي انت بتشوفيها محاطة بإيش a sea of
+
+487
+00:43:50,410 --> 00:43:56,550
+darkness محاطة بعتامة واضح؟ إذا مجال الرؤية اللي
+
+488
+00:43:56,550 --> 00:44:00,880
+هي عبارة عنال island الجزيرة بتاعة الرؤية اللي انت
+
+489
+00:44:00,880 --> 00:44:07,660
+بتشوفيها حواليك محاطة بإيش بعتامة صح ولا لأ واضح؟
+
+490
+00:44:07,660 --> 00:44:12,200
+يعني محاطة بأشياء معتمة انه حواليك بتكون هلأ تعريف
+
+491
+00:44:12,200 --> 00:44:13,040
+ال visual field
+
+492
+00:44:26,210 --> 00:44:31,630
+طبعا هنطبق اللي هو ال test داعي ال visual field
+
+493
+00:44:31,630 --> 00:44:42,830
+this
+
+494
+00:44:42,830 --> 00:44:48,230
+island of
+
+495
+00:44:48,230 --> 00:44:48,610
+vision
+
+496
+00:44:57,920 --> 00:45:06,040
+surrounded by a
+
+497
+00:45:06,040 --> 00:45:11,320
+darkness of
+
+498
+00:45:11,320 --> 00:45:19,220
+sea عبارة عن جزيرة من الرؤية محاطة ببحر من الظلام
+
+499
+00:45:20,570 --> 00:45:23,570
+طيب بدنا نطبق ال .. فيه test لل visual field هو
+
+500
+00:45:23,570 --> 00:45:27,710
+عبارة عن ال confrontation test ال test يعتبر بسيط
+
+501
+00:45:27,710 --> 00:45:30,770
+هذا بعد ما نخلص المحاضرة ممكن الكل يعملوا لل ..
+
+502
+00:45:30,770 --> 00:45:36,290
+يعني لزميله تفضلي أول حاجة بتطلب من ال .. من ال ..
+
+503
+00:45:36,290 --> 00:45:40,030
+المريض أنه يعمل fixation يعمل fixation هنا على
+
+504
+00:45:40,030 --> 00:45:48,090
+وصفتي شايفة هيك؟ هيك؟ وصفتي شايفة؟ وصفتي تاني؟
+
+505
+00:45:48,090 --> 00:45:58,350
+هيك؟لأ لأ، بس طلعي هون، هيك شايفة، هيك، هيك،
+
+506
+00:45:58,350 --> 00:46:01,890
+لما ماقلش شوفيه، قوليلي، بس ما تعملي ال fixation
+
+507
+00:46:01,890 --> 00:46:07,530
+عليه، hand fixation، okay؟ هيك، هي مجال الرؤية،
+
+508
+00:46:07,530 --> 00:46:11,270
+يعني هذه تعتبر إيش؟ هذه ال blind spot، النقطة اللي
+
+509
+00:46:11,270 --> 00:46:16,460
+ما شفتهاش، هذه تعتبر أمر طبيعي، شكرايعني هذا يعتبر
+
+510
+00:46:16,460 --> 00:46:21,920
+اللي هو ايه في theology انه نقطة فدايما بتكون في
+
+511
+00:46:21,920 --> 00:46:26,520
+ال temporal انه temporary بتكون حوالي مية يعني شوف
+
+512
+00:46:26,520 --> 00:46:31,600
+صنع اللهان الإنسان دايما العين من ناحية اللي هو
+
+513
+00:46:31,600 --> 00:46:36,540
+الطرف بتكون يعني أخطر مكان لضرب العين، ليش؟ لأنه
+
+514
+00:46:36,540 --> 00:46:40,140
+هان مافيش حماية إلها، واضح؟ فدايما ال temporal
+
+515
+00:46:40,140 --> 00:46:43,640
+بيكون لو واحد أكل ضربة من ال temporal مافيش له
+
+516
+00:46:43,640 --> 00:46:48,220
+حماية هان، فهان الرؤية قداش مية في المية ال visual
+
+517
+00:46:48,220 --> 00:46:52,140
+field بتاعته، الساحة البصريةلكن في ال nasal في
+
+518
+00:46:52,140 --> 00:46:55,920
+حماية ال nose صح ولا لا فال .. قداش بتكون الرؤية
+
+519
+00:46:55,920 --> 00:47:02,080
+ال visual field ستين .. ستين degree في فرق بين ال
+
+520
+00:47:02,080 --> 00:47:08,320
+up و ال down أكيد هان فيه إيشفي زي اللي هو bone في
+
+521
+00:47:08,320 --> 00:47:12,520
+المحجر يعني في اللي هو عضمة موجودة في المحجر بتاعة
+
+522
+00:47:12,520 --> 00:47:17,060
+العين مش هذا المحجر يعتبر لكن هذا مافيش فدايما في
+
+523
+00:47:17,060 --> 00:47:23,120
+ال down يعتبر ال visual field أعلى من وين من ال up
+
+524
+00:47:23,120 --> 00:47:28,920
+يعني ممكن ال temporal يكون من سبعين ل تمانين ال up
+
+525
+00:47:28,920 --> 00:47:31,560
+يعتبر من خمسين ل ستين degree
+
+526
+00:47:36,600 --> 00:47:46,760
+أه ال inferior أو ال down لأ
+
+527
+00:47:46,760 --> 00:47:51,400
+دايما المنطقة ال temporal اللي هي هذه مافيش حماية
+
+528
+00:47:51,400 --> 00:47:55,380
+يعني انت لو شوف عينك هان مافيش لها حماية صح لكن في
+
+529
+00:47:55,380 --> 00:48:02,000
+ال nasal في اللي هو ال nose بصد ممكن
+
+530
+00:48:02,000 --> 00:48:05,560
+يكون planted trauma ممكن ضربة يعني حسب اللي هو قوة
+
+531
+00:48:05,560 --> 00:48:10,850
+الضربةيعني ما بتقدر تحدديها إلا تعرف إيش هي مثلا،
+
+532
+00:48:10,850 --> 00:48:15,130
+هل هي مثلا plant trauma مثلا، box أو هل مثلا كورة،
+
+533
+00:48:15,130 --> 00:48:21,910
+football أو .. يعني حسب الدربة اللي هو اتعرض إليها
+
+534
+00:48:21,910 --> 00:48:23,230
+Okay
+
+535
+00:48:25,570 --> 00:48:29,510
+فال .. ال .. المريض أو الطفل ايش بيعمل
+
+536
+00:48:29,510 --> 00:48:34,170
+alternating، بيعمل تبادل لل black and white strips
+
+537
+00:48:34,170 --> 00:48:40,500
+with sharp distant interfacesهلجيت زي ما لاحظنا في
+
+538
+00:48:40,500 --> 00:48:44,260
+نفس داجما سيد رام انه انا يما حركت ال .. ال ..
+
+539
+00:48:44,260 --> 00:48:48,440
+الأداء المريض ايش عمل؟ رقرة في العين، eye movement
+
+540
+00:48:48,440 --> 00:48:52,940
+فهذه الرقرة شو عملت؟ انه مرة بعمل .. يعني بعمل
+
+541
+00:48:52,940 --> 00:48:56,540
+تداخل للخطين، للأبيض والأسود، يعني مرة بحاول يشوف
+
+542
+00:48:56,540 --> 00:48:59,500
+الأبيض ومرة الأسود، مرة بحاول الأبيض والأسود،
+
+543
+00:48:59,500 --> 00:49:02,500
+فبتلاقي بيصير ايش؟ تداخل في العين، okay؟
+
+544
+00:49:05,950 --> 00:49:11,730
+They are spun بمعنى بيسرع at varying uncelebrated
+
+545
+00:49:11,730 --> 00:49:15,490
+rates and are bathed in variable illumination
+
+546
+00:49:16,390 --> 00:49:20,090
+الإضاءة ال illumination بتاعتي بتكون مختلفة و
+
+547
+00:49:20,090 --> 00:49:24,310
+دايما هو المريض باعتمد على سرعة اللي هو إيش الجهاز
+
+548
+00:49:24,310 --> 00:49:29,390
+جداش الجهاز فيه إله مثلا لو جونا automated بختلف
+
+549
+00:49:29,390 --> 00:49:33,330
+عن ال manual لو مثلا كانت ال .. ال .. ال .. ال
+
+550
+00:49:33,330 --> 00:49:37,970
+drum هادي ستة ع ستين بتختلف لو كانت مثلا ستة على
+
+551
+00:49:37,970 --> 00:49:41,450
+أربع عشرين ليش؟ لأن الخطوط بتكون متداخلة مع بعض
+
+552
+00:49:41,450 --> 00:49:46,550
+أكثرفكل هذه العوامل يعني بتحددلي قداش ال visual
+
+553
+00:49:46,550 --> 00:49:51,070
+acuity لالطفل يعني هلأ السرعة اللي لما انت تعمل
+
+554
+00:49:51,070 --> 00:49:55,910
+ميكروفيت بتاع ستين هتكون سرعة أكتر من ميكروفيت ستة
+
+555
+00:49:55,910 --> 00:49:59,390
+و ستة عامة؟ لو كان automated أه بتلاقي السرعة
+
+556
+00:49:59,390 --> 00:50:03,790
+أعلى، ليش؟ لأنه التمييز بيكون سهل
+
+557
+00:50:06,600 --> 00:50:10,140
+this method measures acuity by means of a motor
+
+558
+00:50:10,140 --> 00:50:14,120
+response في عندنا دائما two response هدول مهمات
+
+559
+00:50:14,120 --> 00:50:18,400
+كثير في عندنا ال motor response وفي عندنا ال
+
+560
+00:50:18,400 --> 00:50:22,860
+sensory response ال motor response إيش معناه؟ بدنا
+
+561
+00:50:22,860 --> 00:50:26,300
+نفهم فهم إنه بعتمد على ال eye movement إنه على
+
+562
+00:50:26,300 --> 00:50:32,170
+حركة العين okay؟ال sensory response دايما باعتمد
+
+563
+00:50:32,170 --> 00:50:37,490
+على مين؟ على ال nerves العصاب انه شيء إحساسي okay
+
+564
+00:50:37,490 --> 00:50:43,230
+طيب من ال testات اللي أخدناهم مين يعتبر motor؟ أول
+
+565
+00:50:43,230 --> 00:50:49,510
+حاجة ال rotation test عندنا ال nystagmus drum ال
+
+566
+00:50:49,510 --> 00:50:55,480
+fixation testOcclusion of one eye هذول الأربع
+
+567
+00:50:55,480 --> 00:51:02,500
+يعتبروا motor response يعني اعتمدوا على حركة العين
+
+568
+00:51:02,500 --> 00:51:09,660
+بس
+
+569
+00:51:09,660 --> 00:51:16,320
+فيه تعتبر sensor لأنه التقطها ماحركش عينه الطفل
+
+570
+00:51:16,320 --> 00:51:17,220
+أثناءها
+
+571
+00:51:20,920 --> 00:51:25,220
+في عندنا ال fourth choice preferational looking
+
+572
+00:51:25,220 --> 00:51:30,840
+بمعنى إجبار الطفل على الرؤية يعني كيف أنا بدي أجبر
+
+573
+00:51:30,840 --> 00:51:38,060
+الطفل على مين على أنه يشوف خلال الفحص بتاعي this
+
+574
+00:51:38,060 --> 00:51:40,920
+behavioral technique is based on the observation
+
+575
+00:51:40,920 --> 00:51:44,640
+that infants prefer to view a better stimulus than
+
+576
+00:51:44,640 --> 00:51:50,390
+homogeneous fieldدايما طبيعة الطفل مابحبش يشوف صور
+
+577
+00:51:50,390 --> 00:51:55,150
+متعددة، دايما بحب يشوف صورة واحدة، يعني دايما
+
+578
+00:51:55,150 --> 00:51:59,050
+الطفل لو انت مثلا مسكتي، دايما الطفل بحاول انه
+
+579
+00:51:59,050 --> 00:52:02,910
+يشوف صورة مميزة عنده، يعني وين الصورة المميزة،
+
+580
+00:52:02,910 --> 00:52:05,930
+دايما بحاول انه ينظر اليها، حتى لو كان في غرفة
+
+581
+00:52:05,930 --> 00:52:10,210
+معزول هيك، دايما بحاول انه .. اه ال discrimination
+
+582
+00:52:10,210 --> 00:52:14,480
+image، يعني اللي هي الصورة المميزة في المكانفانا
+
+583
+00:52:14,480 --> 00:52:18,940
+دايما إيش في ال test هذا بحث صورة واحدة مابحاولش
+
+584
+00:52:18,940 --> 00:52:23,360
+اللي هو أعمل homogeneous تجانس لأكتر من إيش من شكل
+
+585
+00:52:23,360 --> 00:52:29,400
+The child must be alert and able to generate neck
+
+586
+00:52:29,400 --> 00:52:32,800
+and eye movements like optokinetic nystagmus
+
+587
+00:52:32,800 --> 00:52:36,400
+technique. Vision is evaluated by means of a motor
+
+588
+00:52:36,400 --> 00:52:42,380
+responseالان هذا الفحص بيعتمد على حركة عين الطفل
+
+589
+00:52:42,380 --> 00:52:48,880
+زائد بيعتمد على حركة رقبة الطفل واضح؟ ليش؟ لأنه
+
+590
+00:52:48,880 --> 00:52:53,680
+انا بدي احاول انه اغير الموضع الصورة في ال test
+
+591
+00:52:53,680 --> 00:52:58,200
+هذا بمعنى ان مرة بدي احط الصورة في ال up مرة بدي
+
+592
+00:52:58,200 --> 00:53:02,260
+احطها في ال down مرة بدي احطها nasal مرة temporal
+
+593
+00:53:02,260 --> 00:53:05,140
+يعني الصورة بدها تكون ايه شمالها؟
+
+594
+00:53:07,640 --> 00:53:12,560
+متغيرة طبعا هو مش هذا ال task احنا اللي قصدله بس
+
+595
+00:53:12,560 --> 00:53:15,760
+انا بدي يعني تعرفوا اللي هو التنبيه بتاعه او
+
+596
+00:53:15,760 --> 00:53:21,040
+التقريب يعني بالنسبة للشكل الان هالي اللي هو تفاحة
+
+597
+00:53:21,040 --> 00:53:25,440
+okay الان المريض ع مسافة تلاتين سانت مرة بعمل زي
+
+598
+00:53:25,440 --> 00:53:30,600
+هيك مرة بحاول اغير زي هيك الان في شغل مهمة ال
+
+599
+00:53:30,600 --> 00:53:34,340
+examiner لازم مايعرفش وين اتجاه الصورة لان لو انا
+
+600
+00:53:34,340 --> 00:53:39,090
+جيت اعرض الصورة للطفل هذهو اطلعت في الصورة مثلا
+
+601
+00:53:39,090 --> 00:53:43,730
+الصورة كانت up اول ما اطلع الطفل وين هينظر؟ على
+
+602
+00:53:43,730 --> 00:53:47,770
+عينك، فهيعرف وين اتجاه العين بتاعته، يعني اطلعت
+
+603
+00:53:47,770 --> 00:53:51,730
+انا up، هو هيطلع up معاك، فدايما لازم ال test ايش
+
+604
+00:53:51,730 --> 00:53:56,940
+يكون كاتب، مثلا هذه الصورة upواضح خلف الصورة، يعني
+
+605
+00:53:56,940 --> 00:54:01,340
+الآن هي ال .. هي الشكل، okay، الآن لازم انا يكون
+
+606
+00:54:01,340 --> 00:54:05,500
+كtip لي hand up، انه لفوق، فانا بفهم الصورة وين
+
+607
+00:54:05,500 --> 00:54:11,700
+هتكون up، فالطفل وين هيتطلع؟ فوق، ياما بدي .. حتى
+
+608
+00:54:11,700 --> 00:54:13,860
+ياما بدي أحاول .. يعني الآن بدي أعرض
+
+609
+00:54:20,520 --> 00:54:24,120
+ممكن انا اجي اغير هيك بالشكل هذا لإنه غطي وجهي و
+
+610
+00:54:24,120 --> 00:54:30,360
+حاول اغير زي هيك okay هذا بالنسبة لل tiller card
+
+611
+00:54:30,360 --> 00:54:36,580
+فعندك tiller acuity cards black strips of varying
+
+612
+00:54:36,580 --> 00:54:42,840
+thickness لو هاي بتشوفيها في عندنا خطوط وفقية ممكن
+
+613
+00:54:42,840 --> 00:54:48,240
+تكون عبودية okay ومختلفة ايش السماكة okay يعني
+
+614
+00:54:48,240 --> 00:54:49,820
+سماكتها بتكون مختلفة
+
+615
+00:54:52,280 --> 00:54:57,180
+الcardiff acuity cards shapes of variable outline,
+
+616
+00:54:57,540 --> 00:55:02,500
+bold lines, thin lines, it used for early infancy
+
+617
+00:55:02,500 --> 00:55:07,900
+دايما بالنسبة لcardiff card، هذا مهم، test يعتبر
+
+618
+00:55:07,900 --> 00:55:13,520
+كتير مهم للأطفال اللي بيكونوا preverbal الآن
+
+619
+00:55:13,520 --> 00:55:17,940
+الصورة مثلا بحطها مرة في النص، مرة بحطها up, down,
+
+620
+00:55:19,160 --> 00:55:24,390
+temporal, nasalفي الو يعتبر ال card if card يعتبر
+
+621
+00:55:24,390 --> 00:55:29,330
+quantitative مش qualitative، رقمي، كل ما أنا بمشي
+
+622
+00:55:29,330 --> 00:55:34,910
+مثلا، الآن ستة ع ستين، الطفل شافها up، واضحة، الآن
+
+623
+00:55:34,910 --> 00:55:39,530
+ستة ع اربع عشرين هتكون أفتح من مين؟ من ستة ع ستين
+
+624
+00:55:39,530 --> 00:55:44,680
+واتجاهها وين هيكون مختلف عن الستة ع اربع عشرينمثلا
+
+625
+00:55:44,680 --> 00:55:48,420
+لو أنا عملت الان ستة ع ستين لجيتها اب، روحت نجلت
+
+626
+00:55:48,420 --> 00:55:51,540
+على ستة عارفه عشرين لجيتها اب، أنا بصير إيش؟ أغير
+
+627
+00:55:51,540 --> 00:55:55,720
+الاتجاه، واضح؟ أحاول أغير الاتجاه، لأن الطفل ممكن
+
+628
+00:55:55,720 --> 00:55:59,680
+هو يحفظ، وانا حتى حكيتلكم إياها في الناس الأكبر،
+
+629
+00:55:59,680 --> 00:56:02,760
+دايما ما تبدو ال visual acute من الكبيرة، لأن هو
+
+630
+00:56:02,760 --> 00:56:06,380
+لما بقعد عندك فترة بتاخد ال history هو already
+
+631
+00:56:06,380 --> 00:56:15,080
+إيش؟ حفظفهو حافظها وين حتى ال 36 بكون برضه حافظها
+
+632
+00:56:15,080 --> 00:56:25,840
+فدايما حاول ايش اعمل ايه تمويه ل ال مريض okay فيه
+
+633
+00:56:25,840 --> 00:56:29,140
+له ال drawbacks فيه له عيوب اللي هو ال card of
+
+634
+00:56:29,140 --> 00:56:36,090
+card او ما يسمى فيه ال teller card اول حاجةthe
+
+635
+00:56:36,090 --> 00:56:40,350
+strips in one orientation vertical يعني دايما
+
+636
+00:56:40,350 --> 00:56:44,730
+بيكون الاتجاه بتاعه في محور واحد يا اما vertical
+
+637
+00:56:44,730 --> 00:56:48,990
+يا horizontal فدايما بيكون في اتجاه واحد هذا معناه
+
+638
+00:56:48,990 --> 00:56:53,250
+اذا كان عند الطفل astigmatism ماهيقدرش يكتشفه ليش؟
+
+639
+00:56:53,250 --> 00:56:56,370
+لان قلنا احنا دايما ال astigmatism بيكون two
+
+640
+00:56:56,370 --> 00:57:00,650
+meridian و بيكون له two power لو كان السفير عادي
+
+641
+00:57:00,650 --> 00:57:06,380
+انه بيقدر انه يكتشفهبرضه لو كان children who have
+
+642
+00:57:06,380 --> 00:57:09,840
+nystagmus unable to fixate on the targets
+
+643
+00:57:09,840 --> 00:57:17,520
+accurately الان في ناس ال albino البيض الشجر دايما
+
+644
+00:57:17,520 --> 00:57:20,400
+بيكون عندهم nystagmus اللي حطوا عليهم رقرة في
+
+645
+00:57:20,400 --> 00:57:24,900
+العين اليوم لو في حد عندكم عنده اللي هو albino
+
+646
+00:57:24,900 --> 00:57:30,540
+البيض الشجر لازم يكون عنده albinismلحظة عليه بيكون
+
+647
+00:57:30,540 --> 00:57:35,280
+عنده هقرأة في العين، العين بتتحرك دايما، واضح؟
+
+648
+00:57:35,280 --> 00:57:39,080
+فهذا بيكون من الصعب انه يعمل fixation على مين؟ على
+
+649
+00:57:39,080 --> 00:57:42,220
+ال card if او على ال tiller انه من الصعب انه يعمل
+
+650
+00:57:42,220 --> 00:57:47,060
+fixation على الصورة، okay؟ هذا من عيوب مين؟ ال
+
+651
+00:57:47,060 --> 00:57:51,910
+tiller card او ال card if cardchildren who have
+
+652
+00:57:51,910 --> 00:57:55,970
+visual field defects may have difficulty finding
+
+653
+00:57:55,970 --> 00:57:59,910
+the targets لو الآن مثلا زملتكم عملناها ال visual
+
+654
+00:57:59,910 --> 00:58:04,810
+field كان normal لو عندنا طفل عنده ال visual field
+
+655
+00:58:04,810 --> 00:58:08,470
+مش normal يعني abnormal هيكون من الصعب انه يشوف
+
+656
+00:58:08,470 --> 00:58:12,550
+الصورة لما اعملها temporal او nasal او up or down
+
+657
+00:58:12,550 --> 00:58:18,750
+okay فدايما انا هذه تعتبر العيوب بالنسبة لcardiff
+
+658
+00:58:18,750 --> 00:58:27,530
+cardطب هيك بس ورقة صغيرة طلعوا يلا ساكر كل حاجة لو
+
+659
+00:58:27,530 --> 00:58:33,270
+سمحتوا ال quiz عبارة عن دقيقتين okay انا هلمه منكم
+
+660
+00:58:33,270 --> 00:58:38,050
+اللي مش هتسلمني همشي ومش ه .. مش هطلع فيها بعد هيك
+
+661
+00:58:38,050 --> 00:58:46,310
+okay تفاجنا هكتب
+
+662
+00:58:46,310 --> 00:58:49,950
+عشان اسمك تقرأ او هكتب حق بس هكتب انا بكتب
+
+663
+00:59:04,250 --> 00:59:18,390
+visual acuity testing in pre verbal children شو
+
+664
+00:59:18,390 --> 00:59:21,830
+هم ال visual acuity testing in pre verbal children
+
+665
+00:59:21,830 --> 00:59:27,990
+امنع
+
+666
+00:59:27,990 --> 00:59:34,680
+الكلام ارفع يدك علي القلمارفع يديك عن القلم امنع
+
+667
+00:59:34,680 --> 00:59:58,120
+الكلام خلاص حط القلم لو سمحت حط القلم دي
+
+668
+00:59:58,120 --> 01:00:01,780
+اليوم كلها هذه امانة ما تكتبيش ولا حاجة
+
+669
+01:00:31,990 --> 01:00:37,230
+هيك سلمته؟ هيك ان شاء الله بنكون في المحاضرة هذه
+
+670
+01:00:37,230 --> 01:00:43,310
+خلصنا ال visual acuity حدة الإبصار مع قياسات حدة
+
+671
+01:00:43,310 --> 01:00:47,170
+الإبصار للأطفال الغير ناطقيين في المحاضرة القادمة
+
+672
+01:00:47,170 --> 01:00:51,130
+ان شاء الله هنبدأ how to measure visual acuity in
+
+673
+01:00:51,130 --> 01:00:53,510
+verbal children يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ.srt
new file mode 100644
index 0000000000000000000000000000000000000000..88af58e74a51ad27b27acb90769a6437c196f64f
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ.srt
@@ -0,0 +1,1910 @@
+1
+00:00:21,090 --> 00:00:23,870
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة
+
+2
+00:00:23,870 --> 00:00:28,690
+الله وبركاته. في المحاضرة الأخيرة انتهينا من
+
+3
+00:00:28,690 --> 00:00:33,870
+الموضوع. إنه جهاز الـretinascope بتكون من نظامين
+
+4
+00:00:33,870 --> 00:00:40,250
+النظام الأول هو عبارة عن الـviewing system نظام
+
+5
+00:00:40,250 --> 00:00:47,290
+الرؤية. عبارة عن small aperture فتحة صغيرة بتسمح
+
+6
+00:00:47,290 --> 00:00:54,990
+للفاحص بالرؤية من خلالها للـpatient eye بمعنى أنه
+
+7
+00:00:54,990 --> 00:01:00,370
+بيشوف من خلالها مين الـred reflex أخذنا
+
+8
+00:01:00,370 --> 00:01:04,590
+النظام الثاني اللي هو عبارة عن الـilluminating
+
+9
+00:01:04,590 --> 00:01:14,040
+system نظام الإضاءة. بتكون من bulb أو الـ
+
+10
+00:01:14,040 --> 00:01:20,020
+halogen bulb عبارة عن اللمبة زائد الـconvex mirror
+
+11
+00:01:20,020 --> 00:01:24,820
+اللي بتعمل عملية الـconcentration تجميع الضوء اللي
+
+12
+00:01:24,820 --> 00:01:30,440
+بيكون مكانها ما بين الـmirror وما بين الـbulb زائد
+
+13
+00:01:30,440 --> 00:01:34,660
+أنه عندنا concave وplan mirror وفي عندنا الـ
+
+14
+00:01:34,660 --> 00:01:39,380
+battery الـchargeable battery هذه هي عبارة عن الـ
+
+15
+00:01:39,380 --> 00:01:45,030
+parts of a streak retinoscope زائد أنه الـmovable
+
+16
+00:01:45,030 --> 00:01:50,790
+sleeve up to down أو side to side. اليوم هنبدأ شو
+
+17
+00:01:50,790 --> 00:01:54,910
+بيحدث خلال عملية العمل what happens during
+
+18
+00:01:54,910 --> 00:01:59,170
+retinoscopy يعني شو اللي بيحدث مع الـexaminer
+
+19
+00:01:59,170 --> 00:02:06,970
+الفاحص خلال عملية الـretinoscope. أول حاجة الـ
+
+20
+00:02:06,970 --> 00:02:11,790
+retinoscope الستريك بتاع الـretinoscope بيخرج منه
+
+21
+00:02:11,790 --> 00:02:15,990
+شعاع طوقي light rays بيكون الشعاع الطوقي هذا إيش
+
+22
+00:02:15,990 --> 00:02:22,750
+ماله؟ متشتت متشتت okay بروح لوين؟ لـpatient eye
+
+23
+00:02:22,750 --> 00:02:29,630
+طبعاً الغرفة بتكون معتمة. طيب زائد أنه بتكون long
+
+24
+00:02:29,630 --> 00:02:36,550
+طويلة والـpatient بنظر لوين؟ لـlargest optotype
+
+25
+00:02:37,310 --> 00:02:42,250
+أي بمعنى لمسافة بعيدة. طيب ليش أنه بتكون الغرفة
+
+26
+00:02:42,250 --> 00:02:54,370
+معتمة؟ تفضلي تفضلي. بداية
+
+27
+00:02:54,370 --> 00:02:59,850
+يُما يكون عند المريض بتطلع بعيد بعمل relax للـ
+
+28
+00:02:59,850 --> 00:03:04,610
+accommodation okay يُما بنظر بعيد إذا أنا بعمل إيش؟
+
+29
+00:03:04,610 --> 00:03:08,450
+relax للـaccommodation لكن لما تكون الغرفة معتمة
+
+30
+00:03:08,450 --> 00:03:15,790
+عشان يعمل reflex انعكاس للضوء على عين المريض،
+
+31
+00:03:15,790 --> 00:03:20,890
+واضح؟ يعني زيادة اللي هو انعكاس الضوء في الـpatient
+
+32
+00:03:20,890 --> 00:03:27,200
+eye طيب، الآن في عندي.. في جهاز الـretinoscope، نوعين
+
+33
+00:03:27,200 --> 00:03:32,220
+من الـsleeve، في عندنا sleeve up وsleeve down،
+
+34
+00:03:32,220 --> 00:03:35,720
+احنا قلنا في الـWelsh Allen، بنشتغل وين؟ على
+
+35
+00:03:35,720 --> 00:03:41,140
+sleeve down طيب، ليش بيكون sleeve down؟ لأن الأشعة
+
+36
+00:03:41,140 --> 00:03:48,060
+اللي بتكون خارجة من الجهاز slightly divergent أي
+
+37
+00:03:48,060 --> 00:03:54,160
+بمعنى تقريباً أشعةها متشتتة nearly parallel يعني
+
+38
+00:03:54,160 --> 00:03:59,680
+أنه بمعنى nearly parallel أنه قريبة لمن؟ للتوازي
+
+39
+00:03:59,680 --> 00:04:07,440
+هذه تحت تأثير من؟ الـplan mirror تحت تأثير المرأة
+
+40
+00:04:07,440 --> 00:04:14,710
+المسطحة. لكن أنا لما بعمل sleeve up بتكون تحت تأثير
+
+41
+00:04:14,710 --> 00:04:19,890
+من الـconvex mirror يعني الآن أنا غيرت لـsleeve up
+
+42
+00:04:19,890 --> 00:04:25,350
+فهي بتكون تحت تأثير من الـconcave mirror سوري الـ
+
+43
+00:04:25,350 --> 00:04:28,950
+concave mirror هي عبارة عن المرأة المقعرة اللي
+
+44
+00:04:28,950 --> 00:04:34,150
+بتعمل على تشتيت إيش؟ الأشعة الضوئية. إذا الآن لو
+
+45
+00:04:34,150 --> 00:04:39,800
+أنا why you apply the sleeve down during
+
+46
+00:04:39,800 --> 00:04:44,500
+retinoscopy procedure يعني ليش بتستخدمي الـsleeve
+
+47
+00:04:44,500 --> 00:04:48,240
+down خلال عملية اللي هو استخدام جهاز الـ
+
+48
+00:04:48,240 --> 00:04:56,360
+retinoscope الآن أنا في عندي بحكي أن الـsleeve up
+
+49
+00:04:56,360 --> 00:04:59,900
+وعندنا
+
+50
+00:04:59,900 --> 00:05:05,620
+sleeve down
+
+51
+00:05:12,590 --> 00:05:19,130
+فعندنا في موضوع الـsleeve up بتكون
+
+52
+00:05:19,130 --> 00:05:26,330
+under concave
+
+53
+00:05:26,330 --> 00:05:29,950
+mirror
+
+54
+00:05:29,950 --> 00:05:33,190
+أي
+
+55
+00:05:33,190 --> 00:05:34,250
+بما effect
+
+56
+00:05:37,600 --> 00:05:43,240
+إذا بمعنى أنه بتكون تحت تأثير من المرأة المقعرة
+
+57
+00:05:43,240 --> 00:05:54,900
+okay إذا الأشعة إيش هتكون عندها؟ divergent light
+
+58
+00:05:54,900 --> 00:05:59,940
+..divergent
+
+59
+00:05:59,940 --> 00:06:07,940
+light rays okay يُما يكون عندها sleeve down under
+
+60
+00:06:07,940 --> 00:06:11,400
+plano
+
+61
+00:06:11,400 --> 00:06:15,300
+mirror
+
+62
+00:06:15,300 --> 00:06:22,160
+أنه تحت تأثير المرأة المسطحة والأشعة هتكون
+
+63
+00:06:22,160 --> 00:06:25,800
+slightly
+
+64
+00:06:25,800 --> 00:06:29,980
+divergent
+
+65
+00:06:29,980 --> 00:06:36,780
+nearly
+
+66
+00:06:46,230 --> 00:06:52,710
+هذا مهم. الرسمة بتاعة الـmention يعني أحكيلك why
+
+67
+00:06:52,710 --> 00:06:56,830
+you apply sleeve down during the
+
+68
+00:07:03,850 --> 00:07:07,770
+why you apply sleeve down during retinoscopy
+
+69
+00:07:07,770 --> 00:07:11,710
+procedure يعني ليش بستخدم الـsleeve بيكون down
+
+70
+00:07:11,710 --> 00:07:14,810
+طبعاً وين؟ في جهاز الـWelsh Allen اللي هو موجود
+
+71
+00:07:14,810 --> 00:07:18,970
+عندنا في المعمل. خلال عملية الـretinoscope
+
+72
+00:07:18,970 --> 00:07:24,550
+ببساطة مرة ثانية عشان الكل يفهم. أنا الآن يُما بيكون
+
+73
+00:07:24,550 --> 00:07:30,180
+sleeve down إذا تحت تأثير مين؟ الـplan mirror
+
+74
+00:07:30,180 --> 00:07:35,280
+sleeve down يعني plan mirror إذا أشعة المرآة بده
+
+75
+00:07:35,280 --> 00:07:39,420
+تكون مستوية الأشعة الخارجة بده تكون slightly
+
+76
+00:07:39,420 --> 00:07:42,820
+divergent أو nearly parallel يُما حط sleeve up
+
+77
+00:07:42,820 --> 00:07:47,220
+بتكون الأشعة أشعةها divergent المرآة concave
+
+78
+00:07:47,220 --> 00:07:53,740
+mirror واضح هيك؟ كتبتوا؟ واضح صبرين؟
+
+79
+00:08:00,160 --> 00:08:03,100
+كل واحدة لها function استخدام بس احنا بنستخدم..
+
+80
+00:08:03,100 --> 00:08:07,480
+بنستخدم مين؟ الـsleeve down عشان تكون الأشعة عبرها
+
+81
+00:08:07,480 --> 00:08:12,420
+متوازية okay
+
+82
+00:08:12,420 --> 00:08:19,060
+طيب بالنسبة للـdegree درجة الـdivergence أي بمعنى
+
+83
+00:08:19,060 --> 00:08:24,320
+درجة اللي هو تشتت الإشعاع الضوء بتعتمد على مين؟
+
+84
+00:08:24,320 --> 00:08:30,870
+بتعتمد على المسافة ما بين الـpatient eye والـ
+
+85
+00:08:30,870 --> 00:08:34,690
+examiner eye أو ما بين الـpatient eye والـ
+
+86
+00:08:34,690 --> 00:08:39,330
+instrument المسافة هذه عشان هيك احنا بنقول أن الـ
+
+87
+00:08:39,330 --> 00:08:43,490
+working distance مسافة العمل هي عبارة عن المسافة
+
+88
+00:08:43,490 --> 00:08:46,790
+ما بين الـpatient eye والـexaminer eye أو الـ
+
+89
+00:08:46,790 --> 00:08:52,110
+patient eye والـinstrument وبتقدر هذه المسافة
+
+90
+00:08:52,110 --> 00:08:56,170
+حسب إيش؟ الـlength arm اللي هو طول الذراع. ممكن أنه
+
+91
+00:08:56,170 --> 00:09:02,370
+تكون المسافة هذه 67 سم فبكون مقلوب السبعة والستين
+
+92
+00:09:02,370 --> 00:09:08,570
+اللي هي قديش؟ واحد ونصف ديوبتر أو مقلوب الخمسين
+
+93
+00:09:08,570 --> 00:09:13,770
+سم اللي هي عبارة عن اتنين ديوبتر. إذا أنا بحسب الـ
+
+94
+00:09:13,770 --> 00:09:18,090
+working distance هل بحسبها في الـfocal length أي
+
+95
+00:09:18,090 --> 00:09:22,950
+بمعنى في الـmeter ولا بحسبها بالديوبتر؟ بالديوبتر
+
+96
+00:09:22,950 --> 00:09:29,850
+اللي هي مقلوب من الـfocal length إذا الآن درجة تشتت
+
+97
+00:09:29,850 --> 00:09:35,140
+الأشعة الضوئية بيعتمد على مين؟ على المسافة ما بين
+
+98
+00:09:35,140 --> 00:09:39,600
+الـpatient eye وما بين الـexaminer eye أي المسافة
+
+99
+00:09:39,600 --> 00:09:43,860
+ما بين الـinstrument والـpatient eye واللي
+
+100
+00:09:43,860 --> 00:09:47,120
+بتنحسب من خلال الـfocal length وهي مقلوب الـfocal
+
+101
+00:09:47,120 --> 00:09:50,280
+length فلو فرضنا مثلاً المسافة ما بين الـpatient
+
+102
+00:09:50,280 --> 00:09:54,660
+eye والـexaminer 67 سم 1/67 تطلع واحد ونصف لو
+
+103
+00:09:54,660 --> 00:09:58,500
+فرضناها خمسين 1/50 سم تطلع اتنين ديوبتر هذه هي
+
+104
+00:09:58,500 --> 00:10:05,630
+عبارة عن مين؟ الـworking distance okay طيب بالنسبة
+
+105
+00:10:05,630 --> 00:10:10,970
+لـالـvergence الميل الإشعاعي الميل الإشعاعي هو
+
+106
+00:10:10,970 --> 00:10:18,670
+دايماً أي vergence أو ميل إشعاعي هي مقلوب من الـfocal
+
+107
+00:10:18,670 --> 00:10:25,410
+length okay اتفقنا؟ إذا دائماً مقلوب الـvergence أو
+
+108
+00:10:25,410 --> 00:10:29,090
+الـpower هي عبارة عن الـfocal length أو مقلوب الـ
+
+109
+00:10:29,090 --> 00:10:32,810
+focal length هي عبارة عن الميل الإشعاعي أو هي
+
+110
+00:10:32,810 --> 00:10:37,330
+عبارة عن الـdiopteric power اللي بتقاس بوحدة الـ
+
+111
+00:10:37,330 --> 00:10:42,270
+diopter الـunit of the refractive error أو الـunit
+
+112
+00:10:42,270 --> 00:10:46,750
+of the lens power يعني قوة العدسة أو قديش قوة
+
+113
+00:10:46,750 --> 00:10:53,990
+الخطأ الانكساري للعين. واضحة؟ طيب، الآن الأشعة حكينا
+
+114
+00:10:53,990 --> 00:11:00,230
+أنه هتنتقل متوازية، هتدخل وين؟ في عين المريض، الآن
+
+115
+00:11:00,230 --> 00:11:04,830
+الـexaminer إيش هيشوف؟ الـred reflex، لما أنا بشوف
+
+116
+00:11:04,830 --> 00:11:09,530
+الـred reflex، هبدأ اللي هو بإيه؟ بالحركة، الحركة
+
+117
+00:11:09,530 --> 00:11:14,810
+هذه إما أن تكون with أو تكون against، لو كان
+
+118
+00:11:14,810 --> 00:11:16,430
+المريض عنده
+
+119
+00:11:20,700 --> 00:11:25,420
+لو كان المريض عنده low myopia أو كان عنده hyper
+
+120
+00:11:25,420 --> 00:11:29,880
+metropia حلو، هتكون الحركة أشعةها with the rule
+
+121
+00:11:33,090 --> 00:11:36,730
+إذا المريض كان عنده low myopia احنا حكينا في أول
+
+122
+00:11:36,730 --> 00:11:41,750
+محاضرة إن في classification تصنيف للخطأ الانكساري
+
+123
+00:11:41,750 --> 00:11:45,850
+للعين. أول حاجة الـlow myopia الـlow myopia بيكون
+
+124
+00:11:45,850 --> 00:11:50,750
+من zero لقديش؟ لـminus ثلاثة. واضح. فما يكون عنده
+
+125
+00:11:50,750 --> 00:11:57,110
+المريض low myopia أو عنده مثلاً عنده hypermetropia
+
+126
+00:11:57,110 --> 00:12:02,070
+هتكون with the rule يعني الحركة with. طب لو كان
+
+127
+00:12:02,070 --> 00:12:02,530
+emetropia
+
+128
+00:12:05,420 --> 00:12:10,080
+بالظبط. ممكن تكون with وممكن تكون against يعني زي
+
+129
+00:12:10,080 --> 00:12:12,920
+ما أنتم بشوفوا الآن الـnormal patient ممكن تكون
+
+130
+00:12:12,920 --> 00:12:18,380
+الحركة عنده with وممكن تكون عنده against. طيب الآن
+
+131
+00:12:18,380 --> 00:12:25,500
+السؤال ليش أنا بشوف الحركة with في الـlow myopia وفي
+
+132
+00:12:25,500 --> 00:12:30,320
+الـhypermetropia واضح
+
+133
+00:12:30,320 --> 00:12:36,000
+السؤال؟ ليش أنا بشوف الحركة with؟ يعني بتكون الحركة
+
+134
+00:12:36,000 --> 00:12:41,220
+with في الـlow myopia أو في الـhypermetropia؟ لأن
+
+135
+00:12:41,220 --> 00:12:47,110
+الـimage الصورة هتتجمع ما بين مين؟ هتتجمع اللي هو
+
+136
+00:12:47,110 --> 00:12:52,170
+behind of the patient eye أنه خلف من عين المريض أو
+
+137
+00:12:52,170 --> 00:12:58,350
+خلف اللي هو عين الـexaminer الفاحص. واضح. يعني دائماً
+
+138
+00:12:58,350 --> 00:13:02,790
+الصورة بتتكون خلف عين الـexaminer أو الـobserver
+
+139
+00:13:02,790 --> 00:13:11,270
+الفاحص. لكن لما يكون عنده moderate myopia، يعني متوسط،
+
+140
+00:13:11,270 --> 00:13:15,330
+يعني عنده myopia لكن إيش أشعةها؟ متوسط أو مثلاً عنده
+
+141
+00:13:15,330 --> 00:13:20,350
+high myopia، يعني مثلاً فوق الـminus عشرة هتكون الحركة
+
+142
+00:13:20,350 --> 00:13:24,950
+تاعت إيش؟ against the rule. إذا وين هتتكون الصورة؟
+
+143
+00:13:24,950 --> 00:13:29,410
+ما بين الـpatient eye والـexaminer eye عشان هيك
+
+144
+00:13:29,410 --> 00:13:33,250
+إيش بنستخدم؟ الـminus lenses. why you apply minus
+
+145
+00:13:33,250 --> 00:13:42,330
+lenses in moderate and severe or in high myopia لأن الـ
+
+146
+00:13:42,330 --> 00:13:48,930
+image وين بتتكون؟ ما بين الـpatient eye والـexaminer eye
+
+147
+00:13:48,930 --> 00:13:54,170
+فعشان هيك الحركة بتكون against. إذا مدام الحركة
+
+148
+00:13:54,170 --> 00:14:01,590
+against إيش بستخدم؟ minus lenses. واضحة الصورة ولا
+
+149
+00:14:01,590 --> 00:14:07,990
+كيف؟ ببساطة، الآن أنا في عندي with the rule وفي
+
+150
+00:14:07,990 --> 00:14:12,070
+عندي against the rule. الآن السؤال ليش أنا بستخدم
+
+151
+00:14:12,070 --> 00:14:18,780
+مع الـwith the rule plus lenses؟ حكينا أن الحالات
+
+152
+00:14:18,780 --> 00:14:23,920
+اللي بتكون مع الـwith the rule إما بيكون low myopia أو
+
+153
+00:14:23,920 --> 00:14:30,620
+بيكون hypermetropia okay فالـlow myopia أو الـhypermetropia
+
+154
+00:14:30,620 --> 00:14:36,580
+الصورة هتتكون خلف الفاحص ف أنا بستخدم إيش؟ عدسة plus
+
+155
+00:14:36,580 --> 00:14:41,120
+عشان أعمل الـneutral point أو أعمل الـend point
+
+156
+00:14:41,120 --> 00:14:45,180
+اللي هي نقطة التعادل بتاعتي. يعني الآن الـwith the
+
+157
+00:14:45,180 --> 00:14:45,360
+rule
+
+158
+00:14:55,840 --> 00:15:05,360
+عندنا بتكون لـlow myopia و
+
+159
+00:15:05,360 --> 00:15:11,060
+الـhypermetropia
+
+160
+00:15:11,060 --> 00:15:17,880
+إذا
+
+161
+00:15:17,880 --> 00:15:20,500
+الـimage
+
+162
+00:15:26,540 --> 00:15:32,820
+form إذا الصورة هتشكل behind
+
+163
+00:15:32,820 --> 00:15:36,940
+the
+
+164
+00:15:36,940 --> 00:15:47,300
+examiner so
+
+165
+00:15:47,300 --> 00:15:55,300
+لذلك we apply a
+
+166
+00:15:58,440 --> 00:16:10,420
+plus lenses إذا بنستخدم إيش؟ عدسات موجبة okay آه
+
+167
+00:16:10,420 --> 00:16:13,360
+واحدة منهم يعني إما الـpatient بيكون عنده low myopia
+
+168
+00:16:13,360 --> 00:16:19,120
+أو بيكون عنده hypermetropia okay طيب إما تكون
+
+169
+00:16:19,120 --> 00:16:20,580
+الحركة against
+
+170
+00:16:33,400 --> 00:16:39,220
+the rule؟ إذا عندنا معناه أن المريض عنده moderate
+
+171
+00:16:39,220 --> 00:16:46,040
+moderate يعني متوسط متوسط يعني الـrefractive error
+
+172
+00:16:46,040 --> 00:16:52,360
+بتاعه بيكون من خمسة لمثلاً سبعة أو لثمانية من minus
+
+173
+00:16:52,360 --> 00:16:56,020
+خمسة لـminus ثمانية أو high
+
+174
+00:17:01,260 --> 00:17:10,320
+Okay الـimage when هتكون بالضبط the image forms
+
+175
+00:17:10,320 --> 00:17:15,220
+between
+
+176
+00:17:15,220 --> 00:17:19,820
+the
+
+177
+00:17:19,820 --> 00:17:25,940
+examiner eye
+
+178
+00:17:25,940 --> 00:17:28,620
+and
+
+179
+00:17:30,280 --> 00:17:36,520
+patient eye و
+
+180
+00:17:36,520 --> 00:17:44,920
+العدسة اللي هتستخدم إيه؟ So we apply minus lenses
+
+181
+00:17:56,350 --> 00:17:59,950
+هي أنا بشوف الـred reflex لـpatient eye يعني
+
+182
+00:17:59,950 --> 00:18:03,810
+أنا بحرك الـretinoscope الـstreak أو الـbeam بتاع
+
+183
+00:18:03,810 --> 00:18:08,990
+الـretinoscope الشعاع بتاعه من خلاله أنه هو بيعكس
+
+184
+00:18:08,990 --> 00:18:13,970
+الضوء في عين مين؟ المريض فأنا هشوف عبارة عن
+
+185
+00:18:13,970 --> 00:18:19,410
+illuminated أنه البقعة مضاءة فأنا هشوف إيش؟ الـred
+
+186
+00:18:19,410 --> 
+
+223
+00:21:58,500 --> 00:22:03,100
+the patient
+
+224
+00:22:07,220 --> 00:22:18,080
+correspond بمعنى يتلاقى corresponding
+
+225
+00:22:18,080 --> 00:22:23,160
+to
+
+226
+00:22:23,160 --> 00:22:31,860
+the nodal point
+
+227
+00:22:31,860 --> 00:22:35,500
+of
+
+228
+00:22:35,500 --> 00:22:35,840
+the
+
+229
+00:22:42,320 --> 00:22:54,060
+Examiner أو  الـ observer أوضح طيب
+
+230
+00:22:54,060 --> 00:22:58,780
+الـ near point النقطة هي عبارة عن الـ nearest point
+
+231
+00:22:58,780 --> 00:23:04,580
+أنه أقرب نقطة تعمل على تركيز الصورة على الشبكية بوضوح
+
+232
+00:23:04,580 --> 00:23:06,480
+الـ near point
+
+233
+00:23:14,030 --> 00:23:20,910
+يعني نفس التعريف بس هنا the nearest point the
+
+234
+00:23:20,910 --> 00:23:30,250
+nearest point to focus the image on the retina إذًا هي
+
+235
+00:23:30,250 --> 00:23:35,010
+عبارة عن أقرب نقطة تركز الصورة على الشبكية هذا الـ
+
+236
+00:23:35,010 --> 00:23:37,630
+near point what is the difference between far
+
+237
+00:23:37,630 --> 00:23:41,970
+point and near point? You can give an answer for this
+
+238
+00:23:41,970 --> 00:23:48,690
+question.أجل okay يعني الـ near point هي أقرب نقطة
+
+239
+00:23:48,690 --> 00:23:52,190
+لتركيز الصورة على الشبكية، far point أبعد نقطة
+
+240
+00:23:52,190 --> 00:23:57,670
+لتركيز الصورة على الشبكية. okay واضح واضح يا نديم
+
+241
+00:23:57,670 --> 00:24:02,850
+طيب
+
+242
+00:24:02,850 --> 00:24:06,510
+الآن أنا وصلت لمرحلة الـ neutral point أو الـ end
+
+243
+00:24:06,510 --> 00:24:10,570
+point، اللي هي نقطة النهاية بتاعتي، بعد هيك إيش بطلع؟
+
+244
+00:24:11,180 --> 00:24:14,720
+الـ two cross، أي بمعنى الـ vertical و الـ horizontal
+
+245
+00:24:14,720 --> 00:24:19,300
+طيب، يعني أنا بطلع الـ vertical و الـ horizontal بعد
+
+246
+00:24:19,300 --> 00:24:22,320
+المرحلة هذه، بوصل لمين؟ للـ final objective
+
+247
+00:24:22,320 --> 00:24:26,920
+refraction، اللي هي الوصفة اللي حكينا أنه بناخد
+
+248
+00:24:26,920 --> 00:24:31,240
+الكبير نخصمه من مسافة العمل سواء كانت واحد و نص أو
+
+249
+00:24:31,240 --> 00:24:35,100
+اثنين ديوبتر. okay بعدين الصغير من الكبير و الـ
+
+250
+00:24:35,100 --> 00:24:39,680
+access، تعالى الكبير، هذه هي مرحلة الـ neutral point
+
+251
+00:24:39,680 --> 00:24:45,540
+بعدها بطلع الـ final objective refraction، واضحة
+
+252
+00:24:45,540 --> 00:24:51,720
+الأمور؟ طيب بس عشان أترجم لكم المكتوب، what happens
+
+253
+00:24:51,720 --> 00:24:55,720
+during retinoscopy؟ شو بيحدث خلال عملية الـ
+
+254
+00:24:55,720 --> 00:25:00,690
+retinoscopy؟ the illuminating system نظام الإضاءة
+
+255
+00:25:00,690 --> 00:25:05,470
+اللي حكينا بتكون من عدة أجزاء، الـ halogen bulb،
+
+256
+00:25:05,470 --> 00:25:10,270
+حكينا الـ sleeve up و down، زائد الـ convex lens، الـ
+
+257
+00:25:10,270 --> 00:25:11,030
+plano mirror
+
+258
+00:25:21,210 --> 00:25:25,530
+نظام الإضاءة اللي موجود في جهاز الريتينوسكوب
+
+259
+00:25:25,530 --> 00:25:30,150
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+260
+00:25:30,150 --> 00:25:34,710
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+261
+00:25:34,710 --> 00:25:35,290
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+262
+00:25:35,290 --> 00:25:36,150
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+263
+00:25:36,150 --> 00:25:37,250
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+264
+00:25:37,250 --> 00:25:41,590
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+265
+00:25:41,590 --> 00:25:41,790
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+266
+00:25:41,790 --> 00:25:44,150
+بيعمل على تشتيت هذه الأشعة اللي بتنعكس في عين
+
+267
+00:25:44,150 --> 00:25:49,650
+المريض. okay لازم تكون الغرفة إيه مالها؟ معتمة. طيب
+
+268
+00:25:49,650 --> 00:25:54,430
+شو السبب إنه هذه الغرفة لازم أنها تعكس الـ reflect the
+
+269
+00:25:54,430 --> 00:25:59,750
+light rays into the patient's eye؟ لأنعكاس الضوء في
+
+270
+00:25:59,750 --> 00:26:06,310
+عين المريض. واضح؟ why the room must be long, dark
+
+271
+00:26:06,830 --> 00:26:10,750
+during retinoscopy procedure؟ ليش الغرفة لازم تكون
+
+272
+00:26:10,750 --> 00:26:16,710
+معتمة، و لازم أنها تكون طويلة، و المريض يطلع بعيد؟
+
+273
+00:26:16,710 --> 00:26:22,230
+عبارة عن ليش؟ ليش
+
+274
+00:26:22,230 --> 00:26:23,970
+لازم الغرفة تكون معتمة؟
+
+275
+00:26:26,400 --> 00:26:30,420
+أجل، لأنعكاس الضوء هذا، عشان تكون dark room، إن الغرفة
+
+276
+00:26:30,420 --> 00:26:35,120
+تكون dark room، لأنعكاس الضوء وين؟ في عين المريض. طيب
+
+277
+00:26:35,120 --> 00:26:40,080
+ليش الغرفة لازم تكون طويلة، و يطلع بعيد؟ أنتَ الجواب
+
+278
+00:26:40,080 --> 00:26:45,220
+ليش؟ to relax accommodation، عشان يعمل ارتخاء
+
+279
+00:26:45,220 --> 00:26:48,240
+لمين؟ للـ accommodation. واضح؟
+
+280
+00:26:51,170 --> 00:26:53,930
+When the operating sleeve is in the lowest
+
+281
+00:26:53,930 --> 00:26:57,370
+position، يعني أنا عملية الـ sleeve، الـ sleeve اللي
+
+282
+00:26:57,370 --> 00:27:01,790
+هو بمعنى الأنبوب الأسطواني هذا، يعني يكون إيش
+
+283
+00:27:01,790 --> 00:27:06,190
+ماله؟ الـ sleeve down، الـ position بتاعه. The light
+
+284
+00:27:06,190 --> 00:27:11,150
+rays، الأشعة الضوئية، emitted، المنبعثة، from the
+
+285
+00:27:11,150 --> 00:27:14,830
+retinoscope، من جهاز الـ retinoscope، are slightly
+
+286
+00:27:14,830 --> 00:27:19,680
+divergent، يعني تقريبًا هتكون إيش مالها؟ متشتتة، nearly
+
+287
+00:27:19,680 --> 00:27:25,740
+parallel، يعني تقريبًا متوازية أو قريبة للتوازي. here
+
+288
+00:27:25,740 --> 00:27:29,460
+the instrument acts with a plano mirror effect، فهي
+
+289
+00:27:29,460 --> 00:27:34,320
+هتكون تحت تأثير من المرآة المسطحة، وأعتقد الـ
+
+290
+00:27:34,320 --> 00:27:38,500
+diagram اللي رسمته، واضح الشكل إنه كيف أما يكون
+
+291
+00:27:38,500 --> 00:27:42,380
+الأشعة divergent، وكيف أما تكون plano mirror، وكيف
+
+292
+00:27:42,380 --> 00:27:46,000
+إنها تكون تحت تأثير الـ plano mirror و الـ concave
+
+293
+00:27:46,000 --> 00:27:51,390
+mirror. Where the light rays are cross and divergent
+
+294
+00:27:51,390 --> 00:27:56,630
+لكن الأشعة الضوئية يعني تكون متشتتة، because the
+
+295
+00:27:56,630 --> 00:28:00,170
+rays across the reflex moves in opposite direction
+
+296
+00:28:00,170 --> 00:28:02,370
+with the concave mirror as compared to the
+
+297
+00:28:02,370 --> 00:28:06,430
+plano mirror. إذًا يعني تكون الأشعة، يمّا بحط الـ sleeve
+
+298
+00:28:06,430 --> 00:28:10,570
+up، بتكون تحت تأثير من الـ concave mirror، فالأشعة
+
+299
+00:28:10,570 --> 00:28:14,510
+بتكون إيش مالها؟ متشتتة. واضح؟
+
+300
+00:28:19,030 --> 00:28:24,410
+Okay، the degree of divergence of light rays، إنه
+
+301
+00:28:24,410 --> 00:28:28,750
+درجة تشتت الأشعة الضوئية، entering the eye، اللي
+
+302
+00:28:28,750 --> 00:28:32,790
+بتدخل العين، from the illuminating system of the
+
+303
+00:28:32,790 --> 00:28:37,470
+retinoscope، من نظام الإضاءة الموجود في جهاز الـ
+
+304
+00:28:37,470 --> 00:28:42,260
+retinoscope، بيعتمد على مين؟ هو بيعتمد على المسافة
+
+305
+00:28:42,260 --> 00:28:49,560
+بين الريتينوسكوب وعين المستخدم. ما هي  مسافة
+
+306
+00:28:49,560 --> 00:28:52,880
+العمل؟
+
+307
+00:29:02,290 --> 00:29:05,930
+for example، على سبيل المثال، if the retinoscope
+
+308
+00:29:05,930 --> 00:29:11,010
+held at a distance of sixty-seven centimeters from the
+
+309
+00:29:11,010 --> 00:29:15,130
+patient's eye، إذا أنا مسكت جهاز الـ retinoscope على
+
+310
+00:29:15,130 --> 00:29:21,240
+مسافة كده؟ سبعة وستون سنتيمتر، the rays produced are
+
+311
+00:29:21,240 --> 00:29:25,880
+divergent، إذا الأشعة إيش مالها؟ هتكون متشتتة،
+
+312
+00:29:25,880 --> 00:29:30,600
+therefore، لهذا، أو لذلك، أو لهذا السبب، a plus one
+
+313
+00:29:30,600 --> 00:29:34,040
+point fifty diopter lens is put in the trial frame
+
+314
+00:29:34,040 --> 00:29:38,780
+في بعض الأحيان بيحطوا عدسة plus واحد و نص، يعني
+
+315
+00:29:38,780 --> 00:29:43,540
+بيحطوا الـ trial frame و بيحطوا عدسة إيش مالها؟ قدام العين
+
+316
+00:29:43,540 --> 00:29:48,660
+لكن ما بيخصموا الواحد و النص. هذه العملية صعبة، ليش؟ لأن
+
+317
+00:29:48,660 --> 00:29:53,940
+الـ frame اللي موجود عندنا إيش ماله؟ ثقيل،
+
+318
+00:29:53,940 --> 00:29:58,360
+والمريض ما بيحملهوش، وأنتوا لسة شوية big nerds لما
+
+319
+00:29:58,360 --> 00:30:01,640
+بتقولوا مثلا ربع ساعة في الـ retinoscope، المريض
+
+320
+00:30:01,640 --> 00:30:05,820
+إيش يصير؟  يمل، إنه هينزعج، فمن الصعب إنه أستخدم
+
+321
+00:30:05,820 --> 00:30:11,260
+الـ trial frame، لكن هذه تعتبر طريقة إنه بدل ما أخصم
+
+322
+00:30:11,260 --> 00:30:17,610
+من مسافة العمل أحط عدسة plus واحد و نص، واضح؟ يعني
+
+323
+00:30:17,610 --> 00:30:20,390
+الآن بحط الـ trial frame، بدي أفحص مثلا العين
+
+324
+00:30:20,390 --> 00:30:24,990
+اليمين، okay؟ بحط الـ trial frame للمريض، بحط عدسة
+
+325
+00:30:24,990 --> 00:30:28,970
+قوتها plus واحد و نص، ما بخصموش من مسافة العمل
+
+326
+00:30:28,970 --> 00:30:36,130
+أو مثلا  بنخصم اثنين، بحط عدسة plus اثنين،
+
+327
+00:30:36,130 --> 00:30:41,970
+واضح؟ نفس
+
+328
+00:30:41,970 --> 00:30:46,790
+الـ working distance، أكيد، و بيطلع بعيد برضه المريض
+
+329
+00:30:47,730 --> 00:30:51,070
+يعني نفس الإجراء بس إنه بحط عدسة plus واحد و
+
+330
+00:30:51,070 --> 00:30:57,250
+نص بدل ما أعمل عملية الطرح لما تقسم الوصفة، يعني مش
+
+331
+00:30:57,250 --> 00:31:00,950
+هتقسم مسافة العمل؟ أجل لما تقسم مسافة العمل
+
+332
+00:31:00,950 --> 00:31:05,170
+بتحط عدسة واحد و نص اللي بتحسب مسافة  اللي هو
+
+333
+00:31:05,170 --> 00:31:10,300
+بيحطها it's really frame نعم صحيح is put in the
+
+334
+00:31:10,300 --> 00:31:13,640
+trial frame so that the divergent rays when
+
+335
+00:31:13,640 --> 00:31:16,180
+entering the patient's pupil are in fact parallel
+
+336
+00:31:16,180 --> 00:31:22,120
+فهذه العدسة اللي plus واحد و نص بنحطها قدام عين
+
+337
+00:31:22,120 --> 00:31:26,480
+المريض عشان الأشعة إيش مالها؟ تصير parallel، يعني ممكن
+
+338
+00:31:26,480 --> 00:31:30,780
+واحد يسأل سؤال الآن، إحنا حكينا في الـ retinoscope
+
+339
+00:31:30,780 --> 00:31:35,300
+الأشعة بتخرج إيش مالها؟ divergent، فكيف أنتَ بتقول إنه
+
+340
+00:31:35,300 --> 00:31:36,960
+parallel، متوازية؟
+
+341
+00:31:38,760 --> 00:31:42,780
+بسبب وجود الـ plus واحد و نص. Why you put plus one
+
+342
+00:31:42,780 --> 00:31:46,420
+point fifty diopter in front of the patient's eye?
+
+343
+00:31:46,420 --> 00:31:51,340
+ليش بتحطها؟ عشان أن الأشعة أول حاجة بتخرج divergent
+
+344
+00:31:51,340 --> 00:31:58,800
+بتكون متشتتة، فهي بتدخل وين؟ في عين المريض، العدسة
+
+345
+00:31:58,800 --> 00:32:02,960
+أمامها، فالأشعة إيش هتكون؟ divergent، يعني الـ plus
+
+346
+00:32:02,960 --> 00:32:06,880
+واحد و نص diopter هي اللي هتعمل أن الأشعة إيش
+
+347
+00:32:06,880 --> 00:32:14,570
+تكون؟ divergent،  sorry parallel، متوازية. إحنا بنخصم
+
+348
+00:32:14,570 --> 00:32:20,310
+من مسافة العمل، يعني هي نفس الشيء بس هو two
+
+349
+00:32:20,310 --> 00:32:25,830
+methods، أجل
+
+350
+00:32:25,830 --> 00:32:30,640
+بس هي الأشعة بتكون divergent، متشتتة. okay لكن أنا
+
+351
+00:32:30,640 --> 00:32:35,020
+أما أحط العدسة بتصير parallel، لكن أنتَ إيش بتعمله؟
+
+352
+00:32:35,020 --> 00:32:38,640
+بتخصم مين؟ يعني هذه الـ power هي عبارة عن degree of
+
+353
+00:32:38,640 --> 00:32:43,200
+divergence، هي قوة تشتت الضوء، فأنا بعوضها بمين؟ في الـ minus واحد و نص، واضح السؤال؟
+
+354
+00:32:43,200 --> 00:32:48,780
+الآن السؤال، ليش أنا بحط عدسة plus واحد و نص قدام
+
+355
+00:32:48,780 --> 00:32:53,400
+عين المريض، أو plus اثنين؟ يعني مقلوب، مقلوب
+
+356
+00:32:53,400 --> 00:32:58,740
+المسافة بتاعتي، يعني إذا مثلا كان طول الذراع 
+
+357
+00:32:58,740 --> 00:33:02,980
+سبعة و ستون سنتيمتر، بحط عدسة plus واحد و نص، أو لو
+
+358
+00:33:02,980 --> 00:33:08,320
+كان طول الذراع خمسين سنتيمتر بحط اثنين ديوبتر، ليه؟
+
+359
+00:33:08,320 --> 00:33:13,240
+لأن الأشعة لما بتخرج من الـ retinoscope بتكون مش
+
+360
+00:33:13,240 --> 00:33:16,980
+divergent، slightly divergent، اسمعوا الإجابة
+
+361
+00:33:20,730 --> 00:33:25,190
+بتكون slightly divergent، nearly parallel، صح؟ لأنه
+
+362
+00:33:25,190 --> 00:33:29,530
+بتكون تحت تأثير مين؟ الأشعة بتكون تحت تأثير الـ
+
+363
+00:33:29,530 --> 00:33:33,710
+plano mirror، فهي ما بتدخل عين المريض، بخصم أنا من
+
+364
+00:33:33,710 --> 00:33:37,270
+مسافة العمل، أو بحط العدسة plus واحد و نصف، فبتكون
+
+365
+00:33:37,270 --> 00:33:43,350
+النتيجة إيش؟ الـ light rays parallel، متوازية. واضح يا
+
+366
+00:33:43,350 --> 00:33:48,890
+... مش واضح؟ لأ، بجد واضح؟ أجل
+
+367
+00:33:52,800 --> 00:33:57,160
+واضح؟ حاضر، لحظة، هو أكمل مع البرنامج لأن أنا أول
+
+368
+00:33:57,160 --> 00:34:01,480
+محاضرة مش فاهم، هجيب لحالك... لحالي أفهم، ليش طيب؟
+
+369
+00:34:01,480 --> 00:34:05,160
+مش عارفة، هنسي حالي، أول محاضرة مش فاهم شيء، طيب...
+
+370
+00:34:05,160 --> 00:34:10,280
+أكمل مع البرنامج. الآن أنا بحط العدسة قدام العين
+
+371
+00:34:10,280 --> 00:34:15,340
+بتكون قوتها plus واحد و نص، okay، الواحد و نص هذا
+
+372
+00:34:15,340 --> 00:34:21,120
+إيش هيعمل؟ إنه بدل ما الأشعة هتكون divergent، هتجمع
+
+373
+00:34:21,120 --> 00:34:25,300
+الأشعة، بتكون parallel، واضح؟ يعني إحنا في المعمل
+
+374
+00:34:25,300 --> 00:34:30,860
+إيش بنعمل؟ ما بنحط عدسة، لأن العدسة يمّا بتنحط أمام
+
+375
+00:34:30,860 --> 00:34:35,900
+العين، بيصير إيش مالها؟ إن الـ trial frame بطبيعته
+
+376
+00:34:35,900 --> 00:34:40,260
+إنه ثقيل، والمريض ما بيحملش الـ trial frame، فأنا
+
+377
+00:34:40,260 --> 00:34:43,180
+برفع الـ trial frame وبخصم من مسافة العمل
+
+378
+00:34:48,520 --> 00:34:52,800
+the direction of the rays، إن ميل الإشعاعي، that
+
+379
+00:34:52,800 --> 00:34:56,440
+leave the patient's eye is dependent on the
+
+380
+00:34:56,440 --> 00:35:00,300
+refractive error، إذا ميل الإشعاعي المغادر لعين
+
+381
+00:35:00,300 --> 00:35:04,260
+المريض بيعتمد على مين؟ على الخطأ الانكساري للعين
+
+382
+00:35:04,260 --> 00:35:08,740
+dependent on the refractive error of the patient's
+
+383
+00:35:08,740 --> 00:35:13,660
+eye، إذا الميل الإشعاعي اللي خارج، أي بمعنى الخطأ
+
+384
+00:35:13,660 --> 00:35:18,460
+الانكساري، اللي بيكون خارج من وين؟ من عين المريض،
+
+385
+00:35:18,460 --> 00:35:22,080
+بيعتمد على مين؟ على الـ refractive error، إذا مثلا
+
+386
+00:35:22,080 --> 00:35:27,520
+كانت عين من الناس كانت إيمتروب، بتكون الأشعة
+
+387
+00:35:27,520 --> 00:35:31,180
+إيش مالها؟ parallel، متوازية، لكن لو كان مثلا
+
+388
+00:35:31,180 --> 00:35:36,490
+convergent، بتكون ميوب، ليش؟ عشان هيك بنستخدم الأشعة
+
+389
+00:35:36,490 --> 00:35:41,090
+الـ... العدسة minus، صح؟ لو كانت hypermetrop بتكون
+
+390
+00:35:41,090 --> 00:35:47,230
+الأشعة divergent، عشان هيك بحط plus lens، okay؟ the
+
+391
+00:35:47,230 --> 00:35:51,030
+examiner sees these light rays against the
+
+392
+00:35:51,030 --> 00:35:55,090
+background of the pupil and observes their motion
+
+393
+00:35:55,660 --> 00:35:59,560
+as the retinoscope beam sweeps from side to side
+
+394
+00:35:59,560 --> 00:36:06,380
+or from up to down. الآن أنا لما بحط مثلا حركة الـ
+
+395
+00:36:06,380 --> 00:36:12,780
+beam، الشعاع، بحطه متوازي مثلا، okay، الآن دائمًا بيكون
+
+396
+00:36:12,780 --> 00:36:16,380
+الـ streak أو الـ beam of the retinoscope، يعني شعاع
+
+397
+00:36:16,380 --> 00:36:21,290
+الـ retinoscope إيش ماله؟ بيكون موازي لمين؟ لو في
+
+398
+00:36:21,290 --> 00:36:25,690
+difference، صح؟ الآن لو أنا مثلا حطيته الـ streak of
+
+399
+00:3
+
+445
+00:40:18,630 --> 00:40:22,490
+patient eye .. sorry للexaminer eye أنا أُصل في
+
+446
+00:40:22,490 --> 00:40:25,850
+هذه المرحلة من؟ لل neutral point فعندها بيصير
+
+447
+00:40:25,850 --> 00:40:29,670
+عملية الـ neutralization عشان أنا بأُحكيلكم دائماً في
+
+448
+00:40:29,670 --> 00:40:34,330
+المعمل أوصلت لل neutral point تعرف إيش معناها؟ أنه
+
+449
+00:40:34,330 --> 00:40:38,230
+no movement of the red reflex أن ما فيش حركة للـ
+
+450
+00:40:38,230 --> 00:40:39,570
+red reflex
+
+451
+00:40:53,480 --> 00:40:56,260
+كيف؟ مش فاهم؟ أيه السؤال واضح؟
+
+452
+00:41:05,590 --> 00:41:09,650
+حاضر، هلقيت أنا لما بأُصل لنقطة الـ neutralization لو
+
+453
+00:41:09,650 --> 00:41:13,090
+بتتذكر إيه في جهاز الـ retinascope؟ حكينا هو عبارة عن
+
+454
+00:41:13,090 --> 00:41:17,840
+جهاز دقيق، بيُعمل على تصحيح الخطأ الانكساري ولو كان
+
+455
+00:41:17,840 --> 00:41:21,760
+plus أو minus ربع، صح؟ ما جبناش plus أو minus zero
+
+456
+00:41:21,760 --> 00:41:26,400
+point twelve هو بيعمل بس تصحيح لربع درجة، يعني مثلاً
+
+457
+00:41:26,400 --> 00:41:30,500
+ثلاثة وربع، ثلاثة وخمسة وسبعين، ثلاثة ونصف، واضح؟
+
+458
+00:41:30,500 --> 00:41:34,360
+لكن أنا مثلاً، يمّا يكون الفرق بينهم أقل من ربع
+
+459
+00:41:34,360 --> 00:41:37,260
+ما بعتبرهاش حتى، أنتو الآن يمّا بتعملوا
+
+460
+00:41:37,260 --> 00:41:40,300
+retinoscope، يمّا يكون الفرق بينه وبينكم ربع درجة
+
+461
+00:41:40,300 --> 00:41:44,170
+إيش بأقول لك؟ you are correct، أنه صح كلامي، ليش؟ لأنه في
+
+462
+00:41:44,170 --> 00:41:47,650
+اختلاف في من؟ في الـ working distance، المسافة ما
+
+463
+00:41:47,650 --> 00:41:51,370
+بين الـ patient I والـ examiner I، مثلاً أنا بأخصم 2
+
+464
+00:41:51,370 --> 00:41:55,690
+ديوبتر، أنت واحد ونصف، أو العكس، okay؟ دائماً بيكون فيه
+
+465
+00:41:55,690 --> 00:42:00,250
+فرق ربع درجة، سواء زيادة أو نقصان، لكن الآن أنا لما
+
+466
+00:42:00,250 --> 00:42:03,650
+بطلع الـ final objective refraction، الوصفة النهائية
+
+467
+00:42:03,650 --> 00:42:08,470
+أنا هأخصم قد إيش؟ واحد ونصف، أنت هتخصم مثلاً 2 ديوبتر
+
+468
+00:42:08,720 --> 00:42:12,200
+فهيكون الفرق إيش؟ تعادُل الأمور، يعني الـ final
+
+469
+00:42:12,200 --> 00:42:15,640
+objective refraction ممكن تكون متساوية بينه وبينك
+
+470
+00:42:15,640 --> 00:42:27,440
+أو فرق قد إيش؟ ربع درجة، حليناها
+
+471
+00:42:27,440 --> 00:42:27,800
+أسمع
+
+472
+00:42:36,010 --> 00:42:43,650
+plus اتنين، حطينا، صارت حسب الحركة against، آه فهمت
+
+473
+00:42:43,650 --> 00:42:48,670
+عليك الـ gate، هو فيه الآن، أنا هذه القاعدة هي مش
+
+474
+00:42:48,670 --> 00:42:53,670
+عارف، مش متفق فيها كثير، أنه الآن أنا أحط عدسة لحد ما
+
+475
+00:42:53,670 --> 00:42:58,480
+تصير الحركة against، هذا مش صح، لأنه أنا مثلاً الحركة
+
+476
+00:42:58,480 --> 00:43:04,280
+عندي with، okay؟ إذن المتفقين إيش بنستخدم؟ plus، صح؟
+
+477
+00:43:04,280 --> 00:43:08,100
+إذا أنا بأُحط الـ plus لحد ما أصل لمرحلة
+
+478
+00:43:08,100 --> 00:43:12,740
+neutralization، لكن في ناس بيعملوا عملية
+
+479
+00:43:12,740 --> 00:43:17,060
+verification، يعني تأكيد أو refinement، okay؟ إيش
+
+480
+00:43:17,060 --> 00:43:21,020
+بتعمل؟ بتحط مثلاً الآن، سبرين الـ neutralization
+
+481
+00:43:21,020 --> 00:43:24,520
+بتاعتها plus واحد وخمسة وسبعين، بتروح بتحط plus
+
+482
+00:43:24,520 --> 00:43:29,020
+اتنين، بتصير الحركة إيش؟ again، إذن العدسة إيش بتكون؟
+
+483
+00:43:29,020 --> 00:43:33,500
+الـ Legibility، لكن هذه يعني .. هذه ممكن تيجي في الـ
+
+484
+00:43:33,500 --> 00:43:36,880
+experience، في الخبرة، لكن حتى في الكتب مش موجودة
+
+485
+00:43:36,880 --> 00:43:40,840
+لكن اللي في الكتب موجودة، يمكن شرحت لبعضكم، الآن أنا
+
+486
+00:43:40,840 --> 00:43:45,860
+أُصل لل neutral point، بأرفع السليف، إذا كان برضه
+
+487
+00:43:45,860 --> 00:43:48,940
+neutral point، يعني التنتين الـ neutral point، إذا
+
+488
+00:43:48,940 --> 00:43:54,620
+أنا بكون إيش؟ جوابي صح، حكيتها للمعظم، هلأ أنتِ
+
+489
+00:43:54,620 --> 00:43:59,910
+شغالة؟ مش بتكون الـ sleeve down، كل هيتنا بنشتغل على
+
+490
+00:43:59,910 --> 00:44:03,890
+sleeve down، حكينا ليش، الآن أنا وصلت للـ neutral
+
+491
+00:44:03,890 --> 00:44:08,570
+point أو الـ end point، نقطة النهاية، لكن مش متأكد، زي
+
+492
+00:44:08,570 --> 00:44:11,450
+مثلاً سبرين، مش واضح عندي، مش واصل للـ neutral
+
+493
+00:44:11,450 --> 00:44:17,310
+point، بروح أرفع الـ sleeve up، إذا والله وصلت للـ
+
+494
+00:44:17,310 --> 00:44:20,270
+neutral point، هيكون يمّا أعمل الـ sleeve up برضه
+
+495
+00:44:20,270 --> 00:44:25,110
+متعادل، إذا المعنى أن جوابي إيه؟ صحيح، يعني أنا شغال
+
+496
+00:44:25,110 --> 00:44:28,690
+في السليف، لما نوصل للـ neutral، يعني ما يكونش أي
+
+497
+00:44:28,690 --> 00:44:32,790
+حركة؟ آه، لازم ما يكونش أي حركة، يعني لازم أن يكون الـ
+
+498
+00:44:32,790 --> 00:44:36,470
+reflex no movement of the red reflex، هاي معناها
+
+499
+00:44:36,470 --> 00:44:40,550
+يعني واحد عمل neutralization، لما أقول لك وصلت للـ
+
+500
+00:44:40,550 --> 00:44:44,450
+neutral point، يعني بمعنى that indicates to no
+
+501
+00:44:44,450 --> 00:44:47,710
+movement of the red reflex، يعني ما فيش حركة للـ red
+
+502
+00:44:47,710 --> 00:44:50,470
+reflex، يعني الدرجة الصحية أن أضلنا نزيد في عدسات
+
+503
+00:44:50,470 --> 00:44:52,850
+الموجبة، بأول سلة من الحد ما نوصل للـ neutralization
+
+504
+00:44:52,850 --> 00:44:57,960
+عشان تبقى موجهة؟ أنا حكيت لك verification، أنه تأكيد
+
+505
+00:44:57,960 --> 00:45:01,860
+مش هلقيت، احنا حكينا في نوعين من الـ refraction، في
+
+506
+00:45:01,860 --> 00:45:04,720
+objective و subjective refraction، قلنا الـ
+
+507
+00:45:04,720 --> 00:45:08,700
+subjective بيعتمد على من؟ على الـ objective، صح؟ يعني
+
+508
+00:45:08,700 --> 00:45:12,100
+النتائج بتاعت من؟ الـ objective، بس بعمل عملية
+
+509
+00:45:12,100 --> 00:45:16,840
+التأكيد بواسطة من؟ المريض، و هي نفس العملية، أنه أنا
+
+510
+00:45:16,840 --> 00:45:21,140
+بأزيد أو بأنقص، عشان بس أشوف هل بتحرك الحركة ولا لأ
+
+511
+00:45:21,140 --> 00:45:25,260
+إذا تحركت، بعرف أنه اللي جبها، okay؟
+
+512
+00:45:27,480 --> 00:45:32,220
+طيب، الآن أنا وصلت للـ neutralization، that is
+
+513
+00:45:32,220 --> 00:45:36,320
+there is neither with nor against movement and the
+
+514
+00:45:36,320 --> 00:45:40,500
+patient's pupil seems to be filled with light، إذن
+
+515
+00:45:40,500 --> 00:45:44,760
+لما أنا بأُصل لمرحلة الـ neutral point، نقطة التعادل،
+
+516
+00:45:44,760 --> 00:45:50,500
+هتكون كل المنطقة بتاعة الـ pupil patient مضاءة،
+
+517
+00:45:50,500 --> 00:45:54,800
+هيكون يعني brightness شديد، يعني الآن مثلاً في كتير
+
+518
+00:45:54,800 --> 00:45:58,660
+بنات سألوني: كيف أنت بتعرف مثلاً الـ power plus واحد
+
+519
+00:45:58,660 --> 00:46:02,360
+أو plus اتنين؟ أو دائماً بكون قريب من الـ neutral
+
+520
+00:46:02,360 --> 00:46:08,260
+point، الآن الخبرة، أنتِ لقدام شوية، بصير تعرفه، بس شوف
+
+521
+00:46:08,260 --> 00:46:12,860
+الـ الـ الـ bright للـ red reflex أو هو فين، بصير تعرف
+
+522
+00:46:12,860 --> 00:46:16,500
+يعني مثلاً plus واحد، تطلع واحد وربع أو واحد ونصف
+
+523
+00:46:16,500 --> 00:46:20,000
+الصحيح، يعني من خلال إيش؟ الرؤية بتاعتك، يعني بدون
+
+524
+00:46:20,000 --> 00:46:25,150
+عدسات، واضح كيف؟ إذا بتصير أنه .. تعرفي فمثلاً إيجي
+
+525
+00:46:25,150 --> 00:46:29,350
+واحد مريض عنده كان faint، باهت، الـ red reflex كان
+
+526
+00:46:29,350 --> 00:46:33,790
+باهت، إيش هذا بيشير؟ high refractive error، على طول،
+
+527
+00:46:33,790 --> 00:46:37,850
+إذا عنده الـ refractive error عالي، أو مثلاً .. نعم؟
+
+528
+00:46:39,430 --> 00:46:43,570
+آه، دائماً بأبدأ بالزيادة، يعني ما بأبدأش مثلاً من plus
+
+529
+00:46:43,570 --> 00:46:48,030
+نصف أو plus واحد أو .. بعرف أنه هو سواء against أو
+
+530
+00:46:48,030 --> 00:46:53,110
+with، لو مثلاً واحد إيجي عنده بشوف الـ red reflex طلع
+
+531
+00:46:53,110 --> 00:46:56,890
+اللي هو الحركة إيه؟ شبه إيش؟ أنه slow، بطيء، إيش
+
+532
+00:46:56,890 --> 00:47:02,390
+معناها؟ أنه عنده اللي هو high، واضح؟ كل .. هذه هي
+
+533
+00:47:02,390 --> 00:47:05,450
+عبارة عن الـ characteristics، خواص لمن؟ للـ red
+
+534
+00:47:05,450 --> 00:47:10,370
+reflex، صح؟ اللي هم الثلاثة اللي أخذناهم، الـ bright و
+
+535
+00:47:10,370 --> 00:47:15,590
+الـ wide، العرض، أو الـ .. سواء كان wide أو narrow، و
+
+536
+00:47:15,590 --> 00:47:19,410
+الأمر الثالث اللي هي الـ speed movement، إذا كان
+
+537
+00:47:19,410 --> 00:47:25,200
+سريع أو كان بطيء، يعني الآن يمّا يكون واحد عنده small
+
+538
+00:47:25,200 --> 00:47:28,240
+refractive error، أنت بتلاحَقيش تشوف الـ red reflex
+
+539
+00:47:28,240 --> 00:47:30,780
+لأنه سريع كثير، حتى كثير بنات قالولي: أنا مش
+
+540
+00:47:30,780 --> 00:47:36,620
+شايفينه، صح؟ يمّا يكون عنده low refractive
+
+541
+00:47:36,620 --> 00:47:40,500
+error، بيكون سريع جداً، إيش معناها؟ أن أنتِ واصلة للـ
+
+542
+00:47:40,500 --> 00:47:44,160
+neutral point، يعني بس عدسة بسيطة عشان تعمل الـ
+
+543
+00:47:44,160 --> 00:47:44,800
+neutral point
+
+544
+00:47:48,630 --> 00:47:52,270
+The working distance، مسافة العمل، between the eye
+
+545
+00:47:52,270 --> 00:47:56,590
+of the examiner، ما بين عين الفاحص، and the eye of
+
+546
+00:47:56,590 --> 00:48:00,990
+the patient، وعين المريض، and is the reciprocal of
+
+547
+00:48:00,990 --> 00:48:05,070
+the power in diopters، وهي عبارة عن مقلوب من القوة
+
+548
+00:48:05,070 --> 00:48:10,720
+في وحدة الديوبتر، which should be deduced from the
+
+549
+00:48:10,720 --> 00:48:15,400
+power of the lenses، أنه هذه يجب أن تُطرح من من؟ من
+
+550
+00:48:15,400 --> 00:48:20,260
+مسافة العمل، الـ working distance، okay؟ that were
+
+551
+00:48:20,260 --> 00:48:23,780
+added during retinoscopy to reach the neutral
+
+552
+00:48:23,780 --> 00:48:27,640
+point،  إذن ما اتفقنا، إذا كانت مسافة العمل ما بين الـ
+
+553
+00:48:27,640 --> 00:48:30,880
+patient eye والـ examiner eye خمسين سنتيمتر، مية على
+
+554
+00:48:30,880 --> 00:48:34,520
+خمسين، سبعة وستين سنتيمتر، مية على سبعة وستين، وبهذا
+
+555
+00:48:34,520 --> 00:48:38,940
+بأقدر أحسب من؟ مسافة العمل، الـ working distance، okay؟
+
+556
+00:48:38,940 --> 00:48:45,540
+فبدنا نجي لهون، طبعاً الـ الـ .. بالنسبة للامتحان
+
+557
+00:48:45,540 --> 00:48:49,140
+هيكون لحدية الـ cycloplegia، الموضوع أعتقد يعني
+
+558
+00:48:49,140 --> 00:48:52,960
+هيكون داخل معنى difficulties of written score، شو
+
+559
+00:48:52,960 --> 00:48:54,940
+هي؟ صعوبات الـ written score، okay؟
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..edb9f356f7d3c2e1e1eadb42c713129ac6960e71
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_postprocess.srt
@@ -0,0 +1,2236 @@
+1
+00:00:21,090 --> 00:00:23,870
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:23,870 --> 00:00:28,690
+الله و بركاته في المحاضرة الأخيرة انتهينا من
+
+3
+00:00:28,690 --> 00:00:33,870
+الموضوع أنه جهاز ال retinascope بتكون من نظامين
+
+4
+00:00:33,870 --> 00:00:40,250
+النظام الأول هو عبارة عن ال viewing system نظام
+
+5
+00:00:40,250 --> 00:00:47,290
+الرؤية عبارة عنsmall aperture فتحة صغيرة بتسمح
+
+6
+00:00:47,290 --> 00:00:54,990
+للفاحص بالرؤية من خلالها لل patient eye بمعنى انه
+
+7
+00:00:54,990 --> 00:01:00,370
+بيشوف من خلالها مين ال read reflex اخدنا
+
+8
+00:01:00,370 --> 00:01:04,590
+النظام التاني اللي هو عبارة عن ال illuminating
+
+9
+00:01:04,590 --> 00:01:14,040
+system نظام الرؤيةنظام الإضاءة بتكون من bulb أو ال
+
+10
+00:01:14,040 --> 00:01:20,020
+halogen bulb عبارة عن اللمبة زائد ال convex mirror
+
+11
+00:01:20,020 --> 00:01:24,820
+اللى بتعمل عملية ال concentration تجميع الضوء اللى
+
+12
+00:01:24,820 --> 00:01:30,440
+بيكون مكانها ما بينال mirror و مابين ال bulb زاد
+
+13
+00:01:30,440 --> 00:01:34,660
+انه عندنا concave و plan mirror و في عندنا ال
+
+14
+00:01:34,660 --> 00:01:39,380
+battery ال chargeable battery هذه هي عبارة عن ال
+
+15
+00:01:39,380 --> 00:01:45,030
+parts of a streak written scopeزاد انه ال movable
+
+16
+00:01:45,030 --> 00:01:50,790
+sleeve up to down او side to side اليوم هنبدأ شو
+
+17
+00:01:50,790 --> 00:01:54,910
+بيحدث خلال قلية العمل what happens during
+
+18
+00:01:54,910 --> 00:01:59,170
+retinoscopy يعني شو اللي بيحدث مع ال examiner
+
+19
+00:01:59,170 --> 00:02:06,970
+الفاحص خلال عملية مين ال retinoscope اول حاجة ال
+
+20
+00:02:06,970 --> 00:02:11,790
+retinoscopeالستريك بتاع ال retinascope بيخرج منه
+
+21
+00:02:11,790 --> 00:02:15,990
+شعاع طوقي light rays بيكون الشعاع الطوقي هذا إيش
+
+22
+00:02:15,990 --> 00:02:22,750
+ماله متشتت متشتت okay بروح لوين ل ال patient I
+
+23
+00:02:22,750 --> 00:02:29,630
+طبعا الغرفة بتكون معتمة طيب زاد انه بتكون long
+
+24
+00:02:29,630 --> 00:02:36,550
+طويلة و ال patient بنظر لوين ل ال largest optotype
+
+25
+00:02:37,310 --> 00:02:42,250
+أي بمعنى لمسافة بعيدة طيب ليش أنه بتكون الغرفة
+
+26
+00:02:42,250 --> 00:02:54,370
+معتمة؟ تفضلي تفضلي بداية
+
+27
+00:02:54,370 --> 00:02:59,850
+يما يكون عند المريض بتطلع بعيد بعمل relax لل
+
+28
+00:02:59,850 --> 00:03:04,610
+accommodation okay يما بنظر بعيد إذا أنا بعمل إيش؟
+
+29
+00:03:04,610 --> 00:03:08,450
+relax لل accommodationلكن لما تكون الغرفة معتمدة
+
+30
+00:03:08,450 --> 00:03:15,790
+عشان يعمل reflex انعكاس للضوء على عين المريض،
+
+31
+00:03:15,790 --> 00:03:20,890
+واضح؟ يعني ازيد اللي هو انعكاس الضوء في ال patient
+
+32
+00:03:20,890 --> 00:03:27,200
+eyeطيب، الآن في عندى .. في جهاز الورتنسكوب، نوعين
+
+33
+00:03:27,200 --> 00:03:32,220
+من ال sleeve، في عندنا sleeve up و sleeve down،
+
+34
+00:03:32,220 --> 00:03:35,720
+احنا قلنا في ال Welsh Ellen، بنشتغل وين؟ على
+
+35
+00:03:35,720 --> 00:03:41,140
+sleeve down طيب، ليش بيكون sleeve down؟لأن الأشعة
+
+36
+00:03:41,140 --> 00:03:48,060
+اللي بتكون خارجا من الجهاز slightly divergent أي
+
+37
+00:03:48,060 --> 00:03:54,160
+بمعنى تقريبا إشمالها متشتتة nearly parallel يعني
+
+38
+00:03:54,160 --> 00:03:59,680
+أنه بمعنى nearly parallel أنه قريبة لمن؟ للتوازن
+
+39
+00:03:59,680 --> 00:04:07,440
+هذه تحت تأثير من؟ ال plan mirror تحت تأثير المرأة
+
+40
+00:04:07,440 --> 00:04:14,710
+المسطحةلكن انا لما بعمل sleeve up بتكون تحت تأثير
+
+41
+00:04:14,710 --> 00:04:19,890
+من ال convex mirror يعني الآن انا غيرت ل sleeve up
+
+42
+00:04:19,890 --> 00:04:25,350
+فهي بتكون تحت تأثير من ال concave mirror sorry ال
+
+43
+00:04:25,350 --> 00:04:28,950
+concave mirror هي عبارة عن المرأة المقعرة اللي
+
+44
+00:04:28,950 --> 00:04:34,150
+بتعمل على تشتيت ايش؟ الأشعة الضوئية اذا الان لو
+
+45
+00:04:34,150 --> 00:04:39,800
+اناwhy you apply the sleeve down during
+
+46
+00:04:39,800 --> 00:04:44,500
+retinoscopy procedure يعني ليش بتستخدمي ال sleeve
+
+47
+00:04:44,500 --> 00:04:48,240
+down خلال عملية اللي هو استخدام جهاز ال
+
+48
+00:04:48,240 --> 00:04:56,360
+retinoscope الان انا في عنده بحكي ان ال sleeve up
+
+49
+00:04:56,360 --> 00:04:59,900
+وعنا
+
+50
+00:04:59,900 --> 00:05:05,620
+sleeve down
+
+51
+00:05:12,590 --> 00:05:19,130
+فعنا في موضوع ال sleeve up بتكون
+
+52
+00:05:19,130 --> 00:05:26,330
+under concave
+
+53
+00:05:26,330 --> 00:05:29,950
+mirror
+
+54
+00:05:29,950 --> 00:05:33,190
+أي
+
+55
+00:05:33,190 --> 00:05:34,250
+بما effect
+
+56
+00:05:37,600 --> 00:05:43,240
+إذا بمعنى أنه بتكون تحت تأثير من المرقة المقعرة
+
+57
+00:05:43,240 --> 00:05:54,900
+okay إذا الأشياء إيش هتكون عنده؟ divergent light
+
+58
+00:05:54,900 --> 00:05:59,940
+.. divergent
+
+59
+00:05:59,940 --> 00:06:07,940
+light rays okay يما يكون عنده sleeve downunder
+
+60
+00:06:07,940 --> 00:06:11,400
+plano
+
+61
+00:06:11,400 --> 00:06:15,300
+mirror
+
+62
+00:06:15,300 --> 00:06:22,160
+انه تحت تأثير المرقاة المسطحة والاشياء هتكون
+
+63
+00:06:22,160 --> 00:06:25,800
+slightly
+
+64
+00:06:25,800 --> 00:06:29,980
+divergent
+
+65
+00:06:29,980 --> 00:06:36,780
+nearly
+
+66
+00:06:46,230 --> 00:06:52,710
+هذا مهم الرسمة بتاعة ال mention يعني احكيلك why
+
+67
+00:06:52,710 --> 00:06:56,830
+you apply sleeve down during the
+
+68
+00:07:03,850 --> 00:07:07,770
+why you apply sleeve down during retinoscopy
+
+69
+00:07:07,770 --> 00:07:11,710
+procedure يعني ليش بستخدم ال sleeve بيكون down
+
+70
+00:07:11,710 --> 00:07:14,810
+طبعا وين في جهاز ال wilsh ellen اللي هو موجود
+
+71
+00:07:14,810 --> 00:07:18,970
+عندنا في المعمل خلال قلية عمل ايه ال retinoscope
+
+72
+00:07:18,970 --> 00:07:24,550
+ببساطة مرة تانية عشان الكل يفهم انا الان يما بيكون
+
+73
+00:07:24,550 --> 00:07:30,180
+sleeve downإذا تحت تأثير مين؟ ال planomirror
+
+74
+00:07:30,180 --> 00:07:35,280
+sleeve down يعني planomirror إذا أشعة المرقاش بده
+
+75
+00:07:35,280 --> 00:07:39,420
+تكون مستوية الأشعة الطالعاش بده تكون slightly
+
+76
+00:07:39,420 --> 00:07:42,820
+divergent or nearly parallel يما حط sleeve up
+
+77
+00:07:42,820 --> 00:07:47,220
+بتكون الأشعة أشمالها divergent المرقاش concave
+
+78
+00:07:47,220 --> 00:07:53,740
+mirror واضح هيك؟ كتبته؟ واضح صبرين؟
+
+79
+00:08:00,160 --> 00:08:03,100
+كل واحدة لها function استخدام بس احنا بنستخدم ..
+
+80
+00:08:03,100 --> 00:08:07,480
+بنستخدم مين ال sleep down عشان تكون الأشياء عبرها
+
+81
+00:08:07,480 --> 00:08:12,420
+متوازية okay
+
+82
+00:08:12,420 --> 00:08:19,060
+طيب بالنسبة لل degree درجة ال divergence أي بمعنى
+
+83
+00:08:19,060 --> 00:08:24,320
+درجة اللي هو تشتت الإشعاع الضوء بتعتمد على مين؟
+
+84
+00:08:24,320 --> 00:08:30,870
+بتعتمد على المسافة ما بين ال patient Iو ال
+
+85
+00:08:30,870 --> 00:08:34,690
+examiner eye او ما بين ال patient eye و ال
+
+86
+00:08:34,690 --> 00:08:39,330
+instrument المسافة هذه عشان هيك احنا بنقول ان ال
+
+87
+00:08:39,330 --> 00:08:43,490
+working distance مسافة العمل هي عبارة عن المسافة
+
+88
+00:08:43,490 --> 00:08:46,790
+ما بين ال patient eye و ال examiner eye او ال
+
+89
+00:08:46,790 --> 00:08:52,110
+patient eye و ال instrument و بتقدر هذه المسافة
+
+90
+00:08:52,110 --> 00:08:56,170
+حسب ايش ال length arm اللي هو طول الذراع ممكن انه
+
+91
+00:08:56,170 --> 00:09:02,370
+تكون المسافة هذه 67 cmفبكون مقلوب السبعة والستين
+
+92
+00:09:02,370 --> 00:09:08,570
+اللي هي جداش واحد و نص ديوبتر او مقلوب الخمسين
+
+93
+00:09:08,570 --> 00:09:13,770
+صنطة اللي هي عبارة عن اتنين ديوبتر اذا انا بحسب ال
+
+94
+00:09:13,770 --> 00:09:18,090
+working distance هل بحسبها في ال focal length اي
+
+95
+00:09:18,090 --> 00:09:22,950
+بمعنى في ال meter ولا بحسبها بالديوبتر بالديوبتر
+
+96
+00:09:22,950 --> 00:09:29,850
+اللي هي مقلوب من ال focal length اذا الان درجةتشتت
+
+97
+00:09:29,850 --> 00:09:35,140
+الأشعة الضوئية بيعتمد على مين؟على المسافة ما بين
+
+98
+00:09:35,140 --> 00:09:39,600
+ال patient eye و ما بين ال examiner eye اي المسافة
+
+99
+00:09:39,600 --> 00:09:43,860
+ما بين ال instrument و ال patient eye و اللي
+
+100
+00:09:43,860 --> 00:09:47,120
+بتنحسب من خلال ال focal length و هي مقلوب ال focal
+
+101
+00:09:47,120 --> 00:09:50,280
+length فلو فرضنا مثلا المسافة ما بين ال patient
+
+102
+00:09:50,280 --> 00:09:54,660
+eye و ال examiner 67 مية ع 67 تطلع واحد و نص لو
+
+103
+00:09:54,660 --> 00:09:58,500
+فرضناها خمسين سنة مية ع خمسين اتنين ديوبتر هذه هي
+
+104
+00:09:58,500 --> 00:10:05,630
+عبارة عن مين؟ال working distance okay طيب بالنسبة
+
+105
+00:10:05,630 --> 00:10:10,970
+ل ال virgins الميل الإشعاعي الميل الإشعاعي هو
+
+106
+00:10:10,970 --> 00:10:18,670
+دايما أي تبور أو ميل إشعاعي هي مقلوب من ال focal
+
+107
+00:10:18,670 --> 00:10:25,410
+length okay اتفقنا؟إذا دايما مقلوب ال virgins أو
+
+108
+00:10:25,410 --> 00:10:29,090
+ال power هي عبارة عن ال focal length أو مقلوب ال
+
+109
+00:10:29,090 --> 00:10:32,810
+focal length هي عبارة عن الميلي الإشعاعي أو هي
+
+110
+00:10:32,810 --> 00:10:37,330
+عبارة عن ال diopteric power اللي بتقاس بوحدة ال
+
+111
+00:10:37,330 --> 00:10:42,270
+diopter ال unit of the refractive error أو ال unit
+
+112
+00:10:42,270 --> 00:10:46,750
+of the lens power يعني قوة العدسة أو جديش قوة
+
+113
+00:10:46,750 --> 00:10:53,990
+الخطأ الانكساري للعين واضحة؟طيب، الآن الأشعة حكينا
+
+114
+00:10:53,990 --> 00:11:00,230
+إنه هتنتقل متوازية، هتدخل وين؟ في عين المريض، الآن
+
+115
+00:11:00,230 --> 00:11:04,830
+ال examiner إيش هيشوف؟ ال red reflex، لما أنا بشوف
+
+116
+00:11:04,830 --> 00:11:09,530
+ال red reflex، هبدأ اللي هو بإيه؟ بالحركة، الحركة
+
+117
+00:11:09,530 --> 00:11:14,810
+هذه إما أن تكون with أو تكون against، لو كان
+
+118
+00:11:14,810 --> 00:11:16,430
+المريض عنده
+
+119
+00:11:20,700 --> 00:11:25,420
+لو كان المريض عنده low myop أو كان عنده hyper
+
+120
+00:11:25,420 --> 00:11:29,880
+metrop حلو، هتكون الحركة أشمالها with a rule
+
+121
+00:11:33,090 --> 00:11:36,730
+إذا المريض كان عنده low myopia احنا حكينا في أول
+
+122
+00:11:36,730 --> 00:11:41,750
+محاضرة إن في classification تصنيف للخطأ الانكساري
+
+123
+00:11:41,750 --> 00:11:45,850
+للعين أول حاجة ال low myopia ال low myopia بيكون
+
+124
+00:11:45,850 --> 00:11:50,750
+من zero لقداش ل minus ثلاثة واضح فما يكون عنده
+
+125
+00:11:50,750 --> 00:11:57,110
+المريض low myopia أو عنده مثلا عنده hypermetropia
+
+126
+00:11:57,110 --> 00:12:02,070
+هتكون with the rule يعني الحركة with طب لو كان
+
+127
+00:12:02,070 --> 00:12:02,530
+emetropia
+
+128
+00:12:05,420 --> 00:12:10,080
+بالظبط ممكن تكون with وممكن تكون against يعني زي
+
+129
+00:12:10,080 --> 00:12:12,920
+ما انتوا بشوفوا الآن ال normal patient ممكن تكون
+
+130
+00:12:12,920 --> 00:12:18,380
+الحركة عنده with وممكن تكون عنده against طيب الآن
+
+131
+00:12:18,380 --> 00:12:25,500
+السؤال ليش انا بشوف الحركة with في ال low myop وفي
+
+132
+00:12:25,500 --> 00:12:30,320
+ال hyper metrop واضح
+
+133
+00:12:30,320 --> 00:12:36,000
+السؤال؟ليش أنا بشوف الحركة with؟ يعني بتكون الحركة
+
+134
+00:12:36,000 --> 00:12:41,220
+with في ال low-myope أو في ال hyper-metrope؟ لأن
+
+135
+00:12:41,220 --> 00:12:47,110
+ال image الصورة هتتجمع ما بين مين؟هتتجمع اللي هو
+
+136
+00:12:47,110 --> 00:12:52,170
+behind of the patient eye انه خلف من عين المريض او
+
+137
+00:12:52,170 --> 00:12:58,350
+خلف اللي هو عين ال examiner الفاحس واضح يعني دايما
+
+138
+00:12:58,350 --> 00:13:02,790
+الصورة بتتكون خلف عين ال examiner او ال observer
+
+139
+00:13:02,790 --> 00:13:11,270
+الفاحسلكن لما يكون عنده moderate ميوب، يعني متوسط،
+
+140
+00:13:11,270 --> 00:13:15,330
+يعني عنده ميوب لكن إيه شماله؟ متوسط أو مثلا عنده
+
+141
+00:13:15,330 --> 00:13:20,350
+high ميوب، يعني مثلا فوق ال minus عشرةهتكون الحركة
+
+142
+00:13:20,350 --> 00:13:24,950
+تاعت ايش against the rule اذا وين هتتكون الصورة
+
+143
+00:13:24,950 --> 00:13:29,410
+مابين ال patient eye و ال examiner eye عشان هيك
+
+144
+00:13:29,410 --> 00:13:33,250
+ايش بنستخدم ال minus lenses why you apply minus
+
+145
+00:13:33,250 --> 00:13:42,330
+lens in moderate and severe or in high ميوب لان ال
+
+146
+00:13:42,330 --> 00:13:48,930
+image وين بتتكون مابينال patient I و ال examiner I
+
+147
+00:13:48,930 --> 00:13:54,170
+فعشان هيك الحركة بتكون against إذا مدام الحركة
+
+148
+00:13:54,170 --> 00:14:01,590
+against إيش بستخدم؟ minus lenses واضحة الصورة ولا
+
+149
+00:14:01,590 --> 00:14:07,990
+كيف؟ بساطة، الآن أنا في عندي with the rule وفي
+
+150
+00:14:07,990 --> 00:14:12,070
+عندي against the rule الآن السؤال ليش أنا بستخدم
+
+151
+00:14:12,070 --> 00:14:18,780
+مع ال with the rule plus lenses؟حكينا ان الحالات
+
+152
+00:14:18,780 --> 00:14:23,920
+اللى بتكون مع ال with the rule اما بيكون لوميوب او
+
+153
+00:14:23,920 --> 00:14:30,620
+بيكون هايبرمتروم okay فاللوميوب او الهايبرمتروم
+
+154
+00:14:30,620 --> 00:14:36,580
+الصورة هتتكون خلف الفاحص فانا بستخدم ايش عدسة plus
+
+155
+00:14:36,580 --> 00:14:41,120
+عشان اعمل ال neutral point او اعمل ال end point
+
+156
+00:14:41,120 --> 00:14:45,180
+اللى هي نقطة التعادل بتاعتي يعني الآن ال with the
+
+157
+00:14:45,180 --> 00:14:45,360
+rule
+
+158
+00:14:55,840 --> 00:15:05,360
+عنا بتكون لال low ميوب و
+
+159
+00:15:05,360 --> 00:15:11,060
+ال hyper مترو
+
+160
+00:15:11,060 --> 00:15:17,880
+اذا
+
+161
+00:15:17,880 --> 00:15:20,500
+ال image
+
+162
+00:15:26,540 --> 00:15:32,820
+form إذا الصورة هتشكل behind
+
+163
+00:15:32,820 --> 00:15:36,940
+the
+
+164
+00:15:36,940 --> 00:15:47,300
+examiner so
+
+165
+00:15:47,300 --> 00:15:55,300
+لذلك we apply a
+
+166
+00:15:58,440 --> 00:16:10,420
+plus lenses إذا بنستخدم إيش؟ عدسات موجبة okay اه
+
+167
+00:16:10,420 --> 00:16:13,360
+واحدة منهم يعني إما ال patient بيكون عنده لوميوب
+
+168
+00:16:13,360 --> 00:16:19,120
+أو بيكون عنده hyper metroid okay طيب إما تكون
+
+169
+00:16:19,120 --> 00:16:20,580
+الحركة against
+
+170
+00:16:33,400 --> 00:16:39,220
+the role؟ اذا عندنا معناه ان المريض عنده moderate
+
+171
+00:16:39,220 --> 00:16:46,040
+moderate يعني متوسط متوسط يعني ال refractive error
+
+172
+00:16:46,040 --> 00:16:52,360
+بتاعه بيكون من خمسة لمثلا سبعة او لتمانية من minus
+
+173
+00:16:52,360 --> 00:16:56,020
+خمسة ل minus تمانية او high
+
+174
+00:17:01,260 --> 00:17:10,320
+Okay ال image when هتكون the بالظبط the image form
+
+175
+00:17:10,320 --> 00:17:15,220
+between
+
+176
+00:17:15,220 --> 00:17:19,820
+the
+
+177
+00:17:19,820 --> 00:17:25,940
+examiner I
+
+178
+00:17:25,940 --> 00:17:28,620
+and
+
+179
+00:17:30,280 --> 00:17:36,520
+Patient eye و
+
+180
+00:17:36,520 --> 00:17:44,920
+العدسة اللى هتستخدم إيه So we apply minus lenses
+
+181
+00:17:56,350 --> 00:17:59,950
+هي انا بشوف ال red reflex ل ال patient eye يعني
+
+182
+00:17:59,950 --> 00:18:03,810
+انا بحرك ال retinoscope ال streak او ال beam بتاع
+
+183
+00:18:03,810 --> 00:18:08,990
+ال retinoscope الشعاع بتاعه من خلاله انه هو بيعكس
+
+184
+00:18:08,990 --> 00:18:13,970
+الضوء في عين مين المريض فانا هشوف عبارة عن
+
+185
+00:18:13,970 --> 00:18:19,410
+illuminated انه البقبق مضاء فانا هشوف ايش ال red
+
+186
+00:18:19,410 --> 00:18:23,830
+reflex لمين لل patient eye فهي ال red reflex انا
+
+187
+00:18:23,830 --> 00:18:29,100
+هشوفه هل with ولا againstOkay حسب انه لو كان low
+
+188
+00:18:29,100 --> 00:18:33,640
+-myope او كان مثلا hyper-metropod moderate or high
+
+189
+00:18:33,640 --> 00:18:39,460
+-myope Okay طيب الآن انا وصلت للحركة عرفت مثلا ..
+
+190
+00:18:39,460 --> 00:18:46,020
+اه تفضلالان انا مثلا حددت الحركة هال with ولا
+
+191
+00:18:46,020 --> 00:18:50,300
+against هستخدم علاسات plus او minus لحد ما اصل
+
+192
+00:18:50,300 --> 00:18:54,460
+لمين لل neutral point او ال end point اللي هي نقطة
+
+193
+00:18:54,460 --> 00:19:00,160
+النهاية او نقطة التعادل نقطة التعادل ايش هي ان ال
+
+194
+00:19:00,160 --> 00:19:05,820
+far pointال far point هي عبارة عن أبعث نقطة بتركز
+
+195
+00:19:05,820 --> 00:19:09,680
+الصورة على الشبكية the farthest point to focus the
+
+196
+00:19:09,680 --> 00:19:13,160
+object on the retina يعني أبعث صورة بتعمل على
+
+197
+00:19:13,160 --> 00:19:17,900
+تركيز الصورة وين؟ على الشبكية فال far point بتاعة
+
+198
+00:19:17,900 --> 00:19:25,020
+ال patient I وين هتتركز؟مع ال nodal point ل ال
+
+199
+00:19:25,020 --> 00:19:29,780
+examiner I فانا بهذه الحالة بصلمين ل ال end point
+
+200
+00:19:29,780 --> 00:19:34,260
+اللي هي نقطة النهاية او ال neutral point يعني لما
+
+201
+00:19:34,260 --> 00:19:39,240
+اقولك اعملت neutralization شو معناها؟ان انا وصلت ل
+
+202
+00:19:39,240 --> 00:19:43,040
+ال neutral point يعني الآن انا بعمل ال horizontal
+
+203
+00:19:43,040 --> 00:19:48,420
+plus واحد و نص ال vertical plus اتنين شو معناها؟
+
+204
+00:19:48,420 --> 00:19:52,620
+يعني انا وصلت ل no movement of the red reflex يعني
+
+205
+00:19:52,620 --> 00:19:57,870
+مافيش حركة في ال red reflex بمعنى ان وصلت لمين؟للـ
+
+206
+00:19:57,870 --> 00:20:01,670
+neutral point لنحفظ هدول المصطلحات ال neutral
+
+207
+00:20:01,670 --> 00:20:06,230
+point هي عبارة عن نقطة التقاء ما بين ال far point
+
+208
+00:20:06,230 --> 00:20:10,430
+ل ال patient I و ال nodal point لمن لال examiner I
+
+209
+00:20:10,430 --> 00:20:16,290
+عند هذه النقطة بيصير ايه؟ no movement of the red
+
+210
+00:20:16,290 --> 00:20:21,330
+reflex طيب شو تعريف ال far point؟ كتبتوا هذه
+
+211
+00:20:21,330 --> 00:20:21,850
+خلصتوا؟
+
+212
+00:20:36,280 --> 00:20:42,600
+إذا عنها تعريف ال far point
+
+213
+00:20:42,600 --> 00:20:46,900
+the
+
+214
+00:20:46,900 --> 00:20:54,040
+farthest
+
+215
+00:20:54,040 --> 00:20:59,380
+point
+
+216
+00:20:59,380 --> 00:21:03,860
+to
+
+217
+00:21:08,960 --> 00:21:15,480
+focus image on
+
+218
+00:21:15,480 --> 00:21:24,460
+the retina إذن هي عبارة عن أبعد نقطة بتركز الصورة
+
+219
+00:21:24,460 --> 00:21:31,260
+على الشبكية في ال neutral point
+
+220
+00:21:37,600 --> 00:21:45,760
+او تسمى ال in point
+
+221
+00:21:45,760 --> 00:21:50,820
+when the
+
+222
+00:21:50,820 --> 00:21:58,500
+far point of
+
+223
+00:21:58,500 --> 00:22:03,100
+the patient
+
+224
+00:22:07,220 --> 00:22:18,080
+correspond بمعنى التلتقي corresponding
+
+225
+00:22:18,080 --> 00:22:23,160
+to
+
+226
+00:22:23,160 --> 00:22:31,860
+the nodal point
+
+227
+00:22:31,860 --> 00:22:35,500
+of
+
+228
+00:22:35,500 --> 00:22:35,840
+the
+
+229
+00:22:42,320 --> 00:22:54,060
+Examiner او خينا ال observer أوضح طيب
+
+230
+00:22:54,060 --> 00:22:58,780
+ال near point النقطة هي عبارة عن ال nearest point
+
+231
+00:22:58,780 --> 00:23:04,580
+انه اقرب نقطة بتعمل على تركيز الصورة الشبكية واضح
+
+232
+00:23:04,580 --> 00:23:06,480
+ال near point
+
+233
+00:23:14,030 --> 00:23:20,910
+يعني نفس تعريف بس هان the nearest point the
+
+234
+00:23:20,910 --> 00:23:30,250
+nearest point to focus image on the retina إذا هي
+
+235
+00:23:30,250 --> 00:23:35,010
+عبارة عن أقرب صورة بتركز الصورة على الشبكية هذا ال
+
+236
+00:23:35,010 --> 00:23:37,630
+near point what is the difference between far
+
+237
+00:23:37,630 --> 00:23:41,970
+point and near point you can give answer for this
+
+238
+00:23:41,970 --> 00:23:48,690
+questionأه okay يعني ال near point هي أقرب نقطة
+
+239
+00:23:48,690 --> 00:23:52,190
+لتركيز الصورة على الشبكية far point أبعد نقطة
+
+240
+00:23:52,190 --> 00:23:57,670
+لتركيز الصورة على الشبكية okay واضح واضح يا نديم
+
+241
+00:23:57,670 --> 00:24:02,850
+طيب
+
+242
+00:24:02,850 --> 00:24:06,510
+الآن أنا وصلت لمرحلة ال neutral point أو ال end
+
+243
+00:24:06,510 --> 00:24:10,570
+point اللي هي نقطة النهاية بتاعتي بعد هيك إيش بطلع
+
+244
+00:24:11,180 --> 00:24:14,720
+ال two cross أي بمعنى ال vertical و ال horizontal
+
+245
+00:24:14,720 --> 00:24:19,300
+طيب يما أنا بطلع ال vertical و ال horizontal بعد
+
+246
+00:24:19,300 --> 00:24:22,320
+المرحلة هذه بصل لمين؟ لل final objective
+
+247
+00:24:22,320 --> 00:24:26,920
+refraction اللي هي الوصفة اللي حكينا أنه بناخد
+
+248
+00:24:26,920 --> 00:24:31,240
+الكبير نخصمه من مسافة العمل سواء كانت واحد و نص أو
+
+249
+00:24:31,240 --> 00:24:35,100
+اتنين ديوبتر okayبعدين الصغير من الكبير و ال
+
+250
+00:24:35,100 --> 00:24:39,680
+access تعالى الكبير هذه هي مرحلة ال neutral point
+
+251
+00:24:39,680 --> 00:24:45,540
+بعدها بطلع ال final objective refraction واضحة
+
+252
+00:24:45,540 --> 00:24:51,720
+الأمور؟ طيب بس عشان اترجم لكم المكتوب what happens
+
+253
+00:24:51,720 --> 00:24:55,720
+during retinascope شو بيحدث خلال قلية عمل ال
+
+254
+00:24:55,720 --> 00:25:00,690
+retinascopethe illuminating system نظام الإضاءة
+
+255
+00:25:00,690 --> 00:25:05,470
+اللي حكينا بتكون من عدة الأزاق ال halogen bulb
+
+256
+00:25:05,470 --> 00:25:10,270
+حكينا ال sleeve up و down زائد ال convex lens ال
+
+257
+00:25:10,270 --> 00:25:11,030
+plano mirror
+
+258
+00:25:21,210 --> 00:25:25,530
+النظام الإضاءة اللي موجود في جهاز الريتينوسكوب
+
+259
+00:25:25,530 --> 00:25:30,150
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+260
+00:25:30,150 --> 00:25:34,710
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+261
+00:25:34,710 --> 00:25:35,290
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+262
+00:25:35,290 --> 00:25:36,150
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+263
+00:25:36,150 --> 00:25:37,250
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+264
+00:25:37,250 --> 00:25:41,590
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+265
+00:25:41,590 --> 00:25:41,790
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+266
+00:25:41,790 --> 00:25:44,150
+بيعمل على تشتيإذا هذه الأشعة اللي بتنعكس في عين
+
+267
+00:25:44,150 --> 00:25:49,650
+المريض okay لازم تكون الغرفة إيه شمالها؟ معتنة طيب
+
+268
+00:25:49,650 --> 00:25:54,430
+شو السبب إنه هذه الغرفة لازم أنها ت reflect the
+
+269
+00:25:54,430 --> 00:25:59,750
+light rays into the patient eye لإنعكاس الضوء في
+
+270
+00:25:59,750 --> 00:26:06,310
+عين المريض واضح؟ why the room must be long, dark
+
+271
+00:26:06,830 --> 00:26:10,750
+during retinoscopy procedure؟ ليش الغرفة لازم تكون
+
+272
+00:26:10,750 --> 00:26:16,710
+معتمة و لازم انه تكون طويلة و المريض يطلع بعيد؟
+
+273
+00:26:16,710 --> 00:26:22,230
+عبارة عن ليش؟ ليش
+
+274
+00:26:22,230 --> 00:26:23,970
+لازم الغرفة تكون معتمة؟
+
+275
+00:26:26,400 --> 00:26:30,420
+اه لإنعكاس الضوء هذا عشان تكون dark room إن الغرفة
+
+276
+00:26:30,420 --> 00:26:35,120
+تكون dark room لإنعكاس الضوء وين في عين المريض طيب
+
+277
+00:26:35,120 --> 00:26:40,080
+ليش الغرفة لازم تكون طويلة و يطلع بعيد انت الجاوبة
+
+278
+00:26:40,080 --> 00:26:45,220
+ليش؟ to relax of accommodation عشان يعمل ارتخاء
+
+279
+00:26:45,220 --> 00:26:48,240
+لمين لل accommodation واضح؟
+
+280
+00:26:51,170 --> 00:26:53,930
+When the operating sleeve is in the lowest
+
+281
+00:26:53,930 --> 00:26:57,370
+position يمّا أنا عملية ال sleeve، ال sleeve اللي
+
+282
+00:26:57,370 --> 00:27:01,790
+هو بمعنى الأنبوب الأستواني هذا، يمّا يكون إيش
+
+283
+00:27:01,790 --> 00:27:06,190
+ماله؟ ال sleeve down، ال position بتاعه The light
+
+284
+00:27:06,190 --> 00:27:11,150
+rays الأشعة الضوئية emitted المنبعثة from the
+
+285
+00:27:11,150 --> 00:27:14,830
+retinascope من جهاز ال retinascope are slightly
+
+286
+00:27:14,830 --> 00:27:19,680
+divergent يعني تقريبا هتكون إيش مالها متشتتةnearly
+
+287
+00:27:19,680 --> 00:27:25,740
+parallel يعني تقريبا متوازية أو قريبة للتوازي here
+
+288
+00:27:25,740 --> 00:27:29,460
+the instrument acts with planomirror effect فهي
+
+289
+00:27:29,460 --> 00:27:34,320
+هتكون تحت تأثير من المرأة المسطحة واعتقد ال
+
+290
+00:27:34,320 --> 00:27:38,500
+diagram اللي رسمته واضح الشكل انه كيف اما يكون
+
+291
+00:27:38,500 --> 00:27:42,380
+الأشعة divergence وكيف اما تكون planomirror وكيف
+
+292
+00:27:42,380 --> 00:27:46,000
+انه تكون تحت تأثير ال planomirror و ال concave
+
+293
+00:27:46,000 --> 00:27:51,390
+mirrorWhere the light rays across and divergent
+
+294
+00:27:51,390 --> 00:27:56,630
+لكن الأشعة الضوئية يما تكون متشتتة because the
+
+295
+00:27:56,630 --> 00:28:00,170
+rays across the reflex moves in opposite direction
+
+296
+00:28:00,170 --> 00:28:02,370
+with the concave mirror as compared to the
+
+297
+00:28:02,370 --> 00:28:06,430
+planomirror إذا يما تكون الأشعة يما بحط ال sleeve
+
+298
+00:28:06,430 --> 00:28:10,570
+up بتكون تحت تأثير من ال concave mirror فالأشعة
+
+299
+00:28:10,570 --> 00:28:14,510
+بتكون إيش مالها؟ مشتتة واضح؟
+
+300
+00:28:19,030 --> 00:28:24,410
+Okay the degree of divergence of light rays انه
+
+301
+00:28:24,410 --> 00:28:28,750
+درجة تشتت الأشعة الطوائية entering the eye اللي
+
+302
+00:28:28,750 --> 00:28:32,790
+بتدخل العين from the illuminating system of the
+
+303
+00:28:32,790 --> 00:28:37,470
+retinascope من نظام الإضاءة الموجود في جهاز ال
+
+304
+00:28:37,470 --> 00:28:42,260
+retinascope بيعتمد على مين؟هو يعتمد على المسافة
+
+305
+00:28:42,260 --> 00:28:49,560
+بين رتنسكوب وعين المستخدم. ما هي دفعية المسافة
+
+306
+00:28:49,560 --> 00:28:52,880
+العمل؟
+
+307
+00:29:02,290 --> 00:29:05,930
+for example على سبيل المثال if the retinascope
+
+308
+00:29:05,930 --> 00:29:11,010
+held at distance sixty seven centimeter from the
+
+309
+00:29:11,010 --> 00:29:15,130
+patient eye اذا انا امسكت جهاز ال retinascope على
+
+310
+00:29:15,130 --> 00:29:21,240
+مسافة كده؟ سبعة و ستين سنتةthe rays produced are
+
+311
+00:29:21,240 --> 00:29:25,880
+divergent، إذا الأشعة إشمالها هتكون متشتتة،
+
+312
+00:29:25,880 --> 00:29:30,600
+therefore لهذا أو لذلك أو لهذا السبب a plus one
+
+313
+00:29:30,600 --> 00:29:34,040
+point fifty diopter lens is put in the trial frame
+
+314
+00:29:34,040 --> 00:29:38,780
+في بعض الأحيان بيحطوا عدسة plus واحد و نص، يعني
+
+315
+00:29:38,780 --> 00:29:43,540
+بيحط ال trial frame و بيحط عدسة إشمالها قدام العين
+
+316
+00:29:43,540 --> 00:29:48,660
+لكن ما بيخصم الواحد و نصوهذه العملية صعبة ليش؟ لأن
+
+317
+00:29:48,660 --> 00:29:53,940
+ال frame اللي موجود عندنا إيش ماله heavy، تقيل،
+
+318
+00:29:53,940 --> 00:29:58,360
+والمريض بتحملهوش وانتوا لسه شوية big nerd لما
+
+319
+00:29:58,360 --> 00:30:01,640
+بتقولي مثلا ربع الساعة في ال retinascope المريض
+
+320
+00:30:01,640 --> 00:30:05,820
+إيش هيصير؟ boring إنه هينزعج، فمن الصعب إنه أستخدم
+
+321
+00:30:05,820 --> 00:30:11,260
+ال trial frame لكن هذه تعتبر طريقة إنه بدل ما أخصم
+
+322
+00:30:11,260 --> 00:30:17,610
+من مسافة العمل أحط عدسة plus واحد و نص، واضح؟يعني
+
+323
+00:30:17,610 --> 00:30:20,390
+الآن بحط ال trial frame، بدي أفحص مثلا العين
+
+324
+00:30:20,390 --> 00:30:24,990
+اليمين، okay؟ بحط ال trial frame للمريض، بحط عدسة
+
+325
+00:30:24,990 --> 00:30:28,970
+جداش قوتها plus واحد و نص، بخصومش من مسافة العمل
+
+326
+00:30:28,970 --> 00:30:36,130
+أو مثلا السامة بتخصم اتنين، بحط عدسة plus اتنين،
+
+327
+00:30:36,130 --> 00:30:41,970
+واضح؟ نفس
+
+328
+00:30:41,970 --> 00:30:46,790
+ال working distance أكيد، و بتطلع بعيد برضه المريض
+
+329
+00:30:47,730 --> 00:30:51,070
+يعني نفس ال procedure بس إنه بحط عدسة plus واحد و
+
+330
+00:30:51,070 --> 00:30:57,250
+نص بدل ما أعمل عملية الخسن لما تقسم الوصف يعني مش
+
+331
+00:30:57,250 --> 00:31:00,950
+هتقسم المسافة العمل؟ اه لما تقسم المسافة العمل
+
+332
+00:31:00,950 --> 00:31:05,170
+بتخطو عدسة واحد و نص اللي بيتحسب مسافة في اللي هو
+
+333
+00:31:05,170 --> 00:31:10,300
+بيخطو it's really frame نعم صحيحis put in the
+
+334
+00:31:10,300 --> 00:31:13,640
+trial frame so that the divergent rays when
+
+335
+00:31:13,640 --> 00:31:16,180
+entering the patient's pupil are in fact parallel
+
+336
+00:31:16,180 --> 00:31:22,120
+فهذه العدسة اللي plus واحد و نص بنحطها قدام عين
+
+337
+00:31:22,120 --> 00:31:26,480
+المريض عشان الأشعة أشمالها تصير parallel يعني ممكن
+
+338
+00:31:26,480 --> 00:31:30,780
+واحد يسأل سؤال الآن احنا حكينا في ال retinascope
+
+339
+00:31:30,780 --> 00:31:35,300
+الأشعة بتخرج ايه؟ divergent فكيف أنت بتقول أنه
+
+340
+00:31:35,300 --> 00:31:36,960
+parallel متوازية؟
+
+341
+00:31:38,760 --> 00:31:42,780
+بسبب وجود ال plus واحد و نص Why you put plus one
+
+342
+00:31:42,780 --> 00:31:46,420
+point fifty diopter in front of the patient eye؟
+
+343
+00:31:46,420 --> 00:31:51,340
+ليش بتحطي؟ عشان أن الأشعة أول حاجة بتخرج divergent
+
+344
+00:31:51,340 --> 00:31:58,800
+بتكون مشتتة فهي بتدخل وين؟ في عين المريض العدسة
+
+345
+00:31:58,800 --> 00:32:02,960
+أمامه فالأشعة إيش هتكون؟ Divergent يعني ال plus
+
+346
+00:32:02,960 --> 00:32:06,880
+واحد و نص diopter هي اللي هتعمل أن الأشعة إيش
+
+347
+00:32:06,880 --> 00:32:14,570
+تكون؟ Divergentsorry parallel متوازية احنا بنخصم
+
+348
+00:32:14,570 --> 00:32:20,310
+من مسافة العمل يعني هي نفس الحاجة بس ان هو two
+
+349
+00:32:20,310 --> 00:32:25,830
+method اه
+
+350
+00:32:25,830 --> 00:32:30,640
+بس هي الأشعة بتكون divergent متشتتةOkay لكن انا
+
+351
+00:32:30,640 --> 00:32:35,020
+اما احط العدسة بصير parallel لكن انت ايش بتعمليه؟
+
+352
+00:32:35,020 --> 00:32:38,640
+بتخص مين؟ يعني هذه ال power هي عبارة عن degree of
+
+353
+00:32:38,640 --> 00:32:43,200
+divergence هي قوة جديش تشتيت الضوء فانا جاعل
+
+354
+00:32:43,200 --> 00:32:48,780
+بضيحها بمين؟ في ال minus واحد و نص واضح السؤال؟
+
+355
+00:32:48,780 --> 00:32:53,400
+الآن السؤال ليش انا بحط عدسة plus واحد و نص قدام
+
+356
+00:32:53,400 --> 00:32:58,740
+عين المريض او plus اتنينيعني مقلوب .. مقلوب
+
+357
+00:32:58,740 --> 00:33:02,980
+المسافة تعتي، يعني إذا مثلا كان طول الذراع إليه
+
+358
+00:33:02,980 --> 00:33:08,320
+سبعة و ستين سانتي بحط عدسة plus واحد و نص أو لو
+
+359
+00:33:08,320 --> 00:33:13,240
+كان طول الذراع خمسين سانتي بحط اتنين ديوبتر، ليه؟
+
+360
+00:33:13,240 --> 00:33:16,980
+لأن الأشعة لما بتخرج من ال retinascope بتكون مش
+
+361
+00:33:16,980 --> 00:33:20,140
+divergence، slightly divergence، اسمعوا الإجابة
+
+362
+00:33:20,730 --> 00:33:25,190
+بتكون slightly divergent nearly parallel صح؟ لأنه
+
+363
+00:33:25,190 --> 00:33:29,530
+بتكون تحت تأثير مين؟ الأشعة بتكون تحت تأثير ال
+
+364
+00:33:29,530 --> 00:33:33,710
+plano mirror فهي ما بتدخل عين المريض بخصم أنا من
+
+365
+00:33:33,710 --> 00:33:37,270
+مسافة العمل أو بحط العدسة ل plus واحد و نصف فبتكون
+
+366
+00:33:37,270 --> 00:33:43,350
+النتيجة ايش ال light rays parallel متوازية واضح يا
+
+367
+00:33:43,350 --> 00:33:48,890
+.. مش واضح لأ بقعدك واضح؟ اه
+
+368
+00:33:52,800 --> 00:33:57,160
+واضح؟ حاضر لحظة هو أكمل مع البرنامج لإن أنا الأول
+
+369
+00:33:57,160 --> 00:34:01,480
+محاضرة مش فاهم، هجيب لحالك .. لحالي أفهم ليش طيب؟
+
+370
+00:34:01,480 --> 00:34:05,160
+مش عارفة، هنسي حالي أول محاضرة مش فاهم اشي طيب ..
+
+371
+00:34:05,160 --> 00:34:10,280
+أكمل مع البرنامجالان انا بحط العدسة قدام العين
+
+372
+00:34:10,280 --> 00:34:15,340
+بتكون قوتها plus واحد و نص okay الواحد و نص هاد
+
+373
+00:34:15,340 --> 00:34:21,120
+ايش هتعمل انه بدل ما الأشعة هتكون divergence هتجمع
+
+374
+00:34:21,120 --> 00:34:25,300
+الأشعة بتكون parallel واضح؟ يعني احنا في المعمل
+
+375
+00:34:25,300 --> 00:34:30,860
+ايش بنعمل؟ ما بنحط عدسة لانه العدسة يما بتنحط أمام
+
+376
+00:34:30,860 --> 00:34:35,900
+العين هصير ايش مالها؟انه ال trial frame بطبيعته
+
+377
+00:34:35,900 --> 00:34:40,260
+انه تجيل و المريض مابتحملش ال trial frame فانا
+
+378
+00:34:40,260 --> 00:34:43,180
+برفع ال trial frame و بخسم من مسافة العمل
+
+379
+00:34:48,520 --> 00:34:52,800
+the virgins of the rays ان الميل الإشعاعي that
+
+380
+00:34:52,800 --> 00:34:56,440
+leave the patient's eye is dependent on the
+
+381
+00:34:56,440 --> 00:35:00,300
+refractive error إذا الميل الإشعاعي المغادر لعين
+
+382
+00:35:00,300 --> 00:35:04,260
+المريض بيعتمد على مين؟ على الخطأ الانكساري للعين
+
+383
+00:35:04,260 --> 00:35:08,740
+dependent on the refractive error of the patient's
+
+384
+00:35:08,740 --> 00:35:13,660
+eye إذا الميل الإشعاعي اللي خارج أي بمعنى الخطأ
+
+385
+00:35:13,660 --> 00:35:18,460
+الانكسارياللي بيكون خارج من وين؟ من عين المريض،
+
+386
+00:35:18,460 --> 00:35:22,080
+بيعتمد على مين؟ على ال refractive error، إذا مثلا
+
+387
+00:35:22,080 --> 00:35:27,520
+كانت صين من الناس كانت امتروب، بتكون الأشعاع
+
+388
+00:35:27,520 --> 00:35:31,180
+أشمالها parallel، متوازية، لكن لو كان مثلا
+
+389
+00:35:31,180 --> 00:35:36,490
+convergentبتكون ميوب، ليش؟ عشان هيك بستخدم الأشعة
+
+390
+00:35:36,490 --> 00:35:41,090
+ال .. العدسة minus صح؟ لو كانت hyper metrop بتكون
+
+391
+00:35:41,090 --> 00:35:47,230
+الأشعة divergent عشان هيك بحط plus lens okay؟ the
+
+392
+00:35:47,230 --> 00:35:51,030
+examiner sees these light rays against the
+
+393
+00:35:51,030 --> 00:35:55,090
+background of the pupil and observer their motion
+
+394
+00:35:55,660 --> 00:35:59,560
+as the retinascope beam sweeps from side to side
+
+395
+00:35:59,560 --> 00:36:06,380
+or from up to down الآن أنا لما بحط مثلا حركة ال
+
+396
+00:36:06,380 --> 00:36:12,780
+beam الشعاع بحطه متوازي مثلا okay الآن دايما بيكون
+
+397
+00:36:12,780 --> 00:36:16,380
+ال streak or ال beam of the retinascope يعني شعاع
+
+398
+00:36:16,380 --> 00:36:21,290
+ال retinascope اشماله بيكون موازي لمينلو بت
+
+399
+00:36:21,290 --> 00:36:25,690
+difference صح فالان لو انا مثلا حطيته ال streak of
+
+400
+00:36:25,690 --> 00:36:30,610
+retinascope vertical هحرك ايش side to side او
+
+401
+00:36:30,610 --> 00:36:34,950
+right to left لو حطيت ال streak light rays
+
+402
+00:36:34,950 --> 00:36:40,570
+horizontal هحرك up to down هاي المقصود فيها النقطة
+
+403
+00:36:43,690 --> 00:36:46,850
+If the image formed between the eyes of patient
+
+404
+00:36:46,850 --> 00:36:50,510
+and the observer, the red reflex moves opposite to
+
+405
+00:36:50,510 --> 00:36:52,950
+the movement of the retinascope high to moderate
+
+406
+00:36:52,950 --> 00:36:57,330
+myopic حكينا المثال يعني إذا كانت الصورة إذا
+
+407
+00:36:57,330 --> 00:37:02,750
+الصورة تكونت خلف عين المريضOkay sorry إذا الصورة
+
+408
+00:37:02,750 --> 00:37:07,570
+تكونت ما بين المريض و ما بين ال examiner إذا
+
+409
+00:37:07,570 --> 00:37:12,470
+الحركة هتكون إيش مالها against إذا هذا بيشير إنه
+
+410
+00:37:12,470 --> 00:37:17,150
+الحالة الانكسرية عند المريض إيش moderate or high
+
+411
+00:37:17,150 --> 00:37:22,490
+major moderate إيش معناها متوسط و high بمعنى إنه
+
+412
+00:37:22,490 --> 00:37:32,680
+عالي okay فراء واضح are you sureطيب، يما تكون
+
+413
+00:37:32,680 --> 00:37:35,700
+الصورة متكونة ما بين عين المريض و ما بين ال
+
+414
+00:37:35,700 --> 00:37:40,060
+examiner، شو بتكون الحركة؟ امتازة، إذا إيش ال
+
+415
+00:37:40,060 --> 00:37:42,620
+indication، الإشارة، إيش بتديك إنه؟ إيش المريض
+
+416
+00:37:42,620 --> 00:37:49,600
+ممكن يكون عنده؟ moderate or هايميو، إذا الآن يما
+
+417
+00:37:49,600 --> 00:37:54,220
+تيجي مثلا patient تقولك أنا عندي صداع لكن متوسط،
+
+418
+00:37:54,220 --> 00:37:59,430
+إيش بكتب؟مدرة headache واضح او عندها مثلا إجهاد في
+
+419
+00:37:59,430 --> 00:38:05,490
+العين لكن متوسط ايش بكتب مدرة ice cream واضح او لو
+
+420
+00:38:05,490 --> 00:38:11,890
+كان حد بكتب severe لو كان مثلا لأ acute بمعنى اللي
+
+421
+00:38:11,890 --> 00:38:16,410
+هو يعني كيف مثلا الآن انت جالك ثجأة يعني honest
+
+422
+00:38:16,410 --> 00:38:21,350
+انه فجأة اجا واحد عنده صداع يعني ماكنش في حاجة و
+
+423
+00:38:21,350 --> 00:38:30,340
+فجأة لكن mile اللي هو بسيطيعني قليل أو خفيف if the
+
+424
+00:38:30,340 --> 00:38:33,940
+image formed behind the eye of the observer لو
+
+425
+00:38:33,940 --> 00:38:39,140
+الصورة الشكلت خلف عين من الفاحص في حالة اللوميوب
+
+426
+00:38:39,140 --> 00:38:43,940
+or the eye of the patient hypermetroid the red
+
+427
+00:38:43,940 --> 00:38:46,680
+reflex moves with the movement of the retinascope
+
+428
+00:38:51,200 --> 00:38:58,140
+اه سواء ال high أو ال low .. high parameter okay
+
+429
+00:38:58,140 --> 00:39:02,640
+when the far point .. حكينا ال far point شو
+
+430
+00:39:02,640 --> 00:39:07,120
+تعريفها .. Noor ال far point شو تعريفها؟
+
+431
+00:39:11,680 --> 00:39:16,580
+بالظبط هي عبارة عن أبعث صورة ممكن تتكون الصورة على
+
+432
+00:39:16,580 --> 00:39:20,280
+الشبكية the farthest point to focus image on the
+
+433
+00:39:20,280 --> 00:39:25,740
+retina طيب يما ال far point بالنسبة ل ال patient I
+
+434
+00:39:25,740 --> 00:39:33,360
+correspond إقابل mean to the nodal point نقطة اللي
+
+435
+00:39:33,360 --> 00:39:37,750
+عندها بيصير mean التعادلof the observer eye the
+
+436
+00:39:37,750 --> 00:39:40,770
+neutral point or in point is reached where no
+
+437
+00:39:40,770 --> 00:39:44,450
+movement of the reflex is noticed يعني مافيش حركة
+
+438
+00:39:44,450 --> 00:39:49,990
+سوف تلاحظ في حالة مين ال neutral point أو ال in
+
+439
+00:39:49,990 --> 00:39:53,350
+point اللي هي نقطة التعادل أو نقطة النهاية
+
+440
+00:39:55,950 --> 00:39:59,150
+النقطة النهائية لـ Retroscopy هي أن تجد اللنزة
+
+441
+00:39:59,150 --> 00:40:04,210
+التي توضع نقطة بعيدة في بلان عيني المستشعر، في هذه
+
+442
+00:40:04,210 --> 00:40:07,570
+النقطة، رفليكس الـ Retroscopy يجب أن يكون
+
+443
+00:40:07,570 --> 00:40:08,350
+نيوتراليزيا
+
+444
+00:40:14,470 --> 00:40:18,630
+بعادل correspond انه بيقابل ال nodal point لل
+
+445
+00:40:18,630 --> 00:40:22,490
+patient eye .. sorry لل examiner eye أنا بصل في
+
+446
+00:40:22,490 --> 00:40:25,850
+هذه المرحلة مين؟ ل neutral point فعندها بيصير
+
+447
+00:40:25,850 --> 00:40:29,670
+عملية ال neutralization عشان انا بحكيلكم دايما في
+
+448
+00:40:29,670 --> 00:40:34,330
+المعمل أوصلت ل neutral point تعرف ايش معناها؟ انه
+
+449
+00:40:34,330 --> 00:40:38,230
+no movement of the red reflex ان مافيش حركة لمين
+
+450
+00:40:38,230 --> 00:40:39,570
+لل red reflex
+
+451
+00:40:53,480 --> 00:40:56,260
+كيف مش فاهم؟ إيه السؤال واضح؟
+
+452
+00:41:05,590 --> 00:41:09,650
+حاضر هلقيت انا لما بصلى نقطة ال neutralization لو
+
+453
+00:41:09,650 --> 00:41:13,090
+بتذكر ايه في جهاز ال retinascope حكينا هو عبارة عن
+
+454
+00:41:13,090 --> 00:41:17,840
+جهاز دقيقبيعمل على تصحيح الخطأ الانكساري و لو كان
+
+455
+00:41:17,840 --> 00:41:21,760
+plus أو minus ربع صح ماجيبناش plus أو minus zero
+
+456
+00:41:21,760 --> 00:41:26,400
+point twelve هو بيعمل بس تصحيح لربع درجة يعني مثلا
+
+457
+00:41:26,400 --> 00:41:30,500
+تلاتة و ربع تلاتة و خمسة و سبعين تلاتة و نص واضح
+
+458
+00:41:30,500 --> 00:41:34,360
+لكن انا مثلا يما يكون الفرق بينهم اقل من ربع
+
+459
+00:41:34,360 --> 00:41:37,260
+مابعتبرهاش حتى انا انتوا الآن يما بتعملوا
+
+460
+00:41:37,260 --> 00:41:40,300
+retinoscope يما يكون الفرق بينه وبينكم ربع درجة
+
+461
+00:41:40,300 --> 00:41:44,170
+ايش بقولك you are correct انه صح كلاميليش؟ لأنه في
+
+462
+00:41:44,170 --> 00:41:47,650
+اختلاف في مين؟ في ال working distance المسافة ما
+
+463
+00:41:47,650 --> 00:41:51,370
+بين ال patient I و ال examiner I مثلا انا بخصم 2
+
+464
+00:41:51,370 --> 00:41:55,690
+ديوبتر انت واحد و نص أو العكس okay دايما بيكون فيه
+
+465
+00:41:55,690 --> 00:42:00,250
+فرق ربع درجة سواء زيادة او نقصان لكن الان انا لما
+
+466
+00:42:00,250 --> 00:42:03,650
+بطلع ال final objective refraction الوصفة النهائية
+
+467
+00:42:03,650 --> 00:42:08,470
+انا هخصم قداش واحد و نص انت هتخصم مثلا 2 ديوبتر
+
+468
+00:42:08,720 --> 00:42:12,200
+فهيكون الفرق إيش تعادلة الأمور، يعني ال final
+
+469
+00:42:12,200 --> 00:42:15,640
+objective refraction ممكن تكون متساوية بينه وبينك
+
+470
+00:42:15,640 --> 00:42:27,440
+أو فرق جديش ربع درجة حليني
+
+471
+00:42:27,440 --> 00:42:27,800
+أسمع
+
+472
+00:42:36,010 --> 00:42:43,650
+plus اتنين حطينا صارت حسب الحركة against اه فهمت
+
+473
+00:42:43,650 --> 00:42:48,670
+عليك ال gate هو فيه الان انا هذه القاعدة هي مش
+
+474
+00:42:48,670 --> 00:42:53,670
+عارف مش متفق فيها كثير انه الان انا حط عدسة لحد ما
+
+475
+00:42:53,670 --> 00:42:58,480
+صير الحركة against هذا مش صحلأنه انا مثلا الحركة
+
+476
+00:42:58,480 --> 00:43:04,280
+عندى with okay إذا المتفقين إيش بنستخدم plus صح
+
+477
+00:43:04,280 --> 00:43:08,100
+إذا أنا بحط ال plus لحد ما أصل لمرحلة
+
+478
+00:43:08,100 --> 00:43:12,740
+neutralization لكن في ناس بيعملوا عملية
+
+479
+00:43:12,740 --> 00:43:17,060
+verification يعني تأكيد أو refinement okay إيش
+
+480
+00:43:17,060 --> 00:43:21,020
+بتعمل؟ بتحط مثلا الآن صبرين ال neutralization
+
+481
+00:43:21,020 --> 00:43:24,520
+بتاعتها plus واحد وخمس وسبعين بتروح بتحط plus
+
+482
+00:43:24,520 --> 00:43:29,020
+اتنين بتصير الحركة إيش؟again إذاً العدسة إيش بتكون
+
+483
+00:43:29,020 --> 00:43:33,500
+الـLegibility لكن هذه يعني .. هذه ممكن تيجي في ال
+
+484
+00:43:33,500 --> 00:43:36,880
+experience في الخبرة لكن حتى في الكتب مش موجودة
+
+485
+00:43:36,880 --> 00:43:40,840
+لكن اللي في الكتب موجودة يمكن شرحت لبعضكم الآن أنا
+
+486
+00:43:40,840 --> 00:43:45,860
+أصل لل neutral point برفع السريف إذا كان برضه
+
+487
+00:43:45,860 --> 00:43:48,940
+neutral point يعني التنتين ال neutral point إذا
+
+488
+00:43:48,940 --> 00:43:54,620
+أنا بكون إيش جوابي صح حكيتها للمعظم هلجد أنت
+
+489
+00:43:54,620 --> 00:43:59,910
+شغالة؟مش بتكون ال sleeve down كل هيتنا بنشتغل على
+
+490
+00:43:59,910 --> 00:44:03,890
+sleeve down حكينا ليش الان انا وصلت ل ال neutral
+
+491
+00:44:03,890 --> 00:44:08,570
+point او ال end point نقطة النهاية لكن مش متأكد زي
+
+492
+00:44:08,570 --> 00:44:11,450
+مثلا ال Sabrin مش واضح عندي مش واصل ال neutral
+
+493
+00:44:11,450 --> 00:44:17,310
+point بروح ارفع ال sleeve up اذا والله وصلت ل ال
+
+494
+00:44:17,310 --> 00:44:20,270
+neutral point هيكون يما اعمل ال sleeve up برضه
+
+495
+00:44:20,270 --> 00:44:25,110
+متعادل اذا المعنى ان جوابي ايه صحيح يعني انا شغال
+
+496
+00:44:25,110 --> 00:44:28,690
+في السلينةلما نرمى ال neutral يعني مايكونش اي
+
+497
+00:44:28,690 --> 00:44:32,790
+حركة؟ اه لازم مايكونش اي حركة يعني لازم ان يكون ال
+
+498
+00:44:32,790 --> 00:44:36,470
+reflex no movement of the red reflex هاي معناه
+
+499
+00:44:36,470 --> 00:44:40,550
+يعني واحد عمل neutralization لما اقولك وصلت لل
+
+500
+00:44:40,550 --> 00:44:44,450
+neutral point يعني بمعنى that indicate to no
+
+501
+00:44:44,450 --> 00:44:47,710
+movement of the red reflex يعني مافيش حركة لل red
+
+502
+00:44:47,710 --> 00:44:50,470
+reflex يعني الدرجة الصحيه ان اضلنا زود في عدسات
+
+503
+00:44:50,470 --> 00:44:52,850
+الموجة بأول سلة من الحد ماأثر لل neutralization
+
+504
+00:44:52,850 --> 00:44:57,960
+عشان تبقى موجة؟ انا حكيتلك verificationانه تأكيد
+
+505
+00:44:57,960 --> 00:45:01,860
+مش هلجيت احنا حكينا في نوعين من ال refraction في
+
+506
+00:45:01,860 --> 00:45:04,720
+objective و subjective refraction قولنا ال
+
+507
+00:45:04,720 --> 00:45:08,700
+subjective بيعتمد ع مين؟ ع ال objective صح؟ يعني
+
+508
+00:45:08,700 --> 00:45:12,100
+النتائج بتاعت مين؟ ال objective بس بعمل العملية
+
+509
+00:45:12,100 --> 00:45:16,840
+التأكيد بواسطة مين المرمى وهد نفس العملية انه انا
+
+510
+00:45:16,840 --> 00:45:21,140
+بزود او بنجس عشان بس اشوف هل بتجلب الحركة ولا لأ
+
+511
+00:45:21,140 --> 00:45:25,260
+اذا جلبت معرف انه اللي جابلها okay
+
+512
+00:45:27,480 --> 00:45:32,220
+طيب، الآن أنا وصلت ل ال neutralization، that is
+
+513
+00:45:32,220 --> 00:45:36,320
+there is neither with nor against movement and the
+
+514
+00:45:36,320 --> 00:45:40,500
+patient's pupil seems to be filled with light إذاً
+
+515
+00:45:40,500 --> 00:45:44,760
+لما أنا بصل لمرحلة ال neutral point، نقطة التعادل،
+
+516
+00:45:44,760 --> 00:45:50,500
+هتكون كل المنطقة بتاعة ال pupil patient مضاءة،
+
+517
+00:45:50,500 --> 00:45:54,800
+هيكون يعني brightness شديديعني الآن مثلا في كتير
+
+518
+00:45:54,800 --> 00:45:58,660
+بنات سألونى كيف أنت بتعرف مثلا ال power plus واحد
+
+519
+00:45:58,660 --> 00:46:02,360
+أو plus اتنين أو دايما بكون جريب من ال neutral
+
+520
+00:46:02,360 --> 00:46:08,260
+point الآن الخبرة أنت لقدام شوية بصير تعرفه بس شوف
+
+521
+00:46:08,260 --> 00:46:12,860
+ال ال ال bright لل red reflex أو هو فين بصير تعرف
+
+522
+00:46:12,860 --> 00:46:16,500
+يعني مثلا plus واحد تطلع واحد وربع او واحد و نص
+
+523
+00:46:16,500 --> 00:46:20,000
+الصح يعني من خلال ايش الرؤية بتاعتك يعني بدون
+
+524
+00:46:20,000 --> 00:46:25,150
+عدسات واضح كيف؟اذا بتصير انه .. تعرفي فمثلا ايجا
+
+525
+00:46:25,150 --> 00:46:29,350
+واحد مريض عنده كان faint باهط ال red reflex كان
+
+526
+00:46:29,350 --> 00:46:33,790
+باهط، ايش هذا بيشير؟ high refractive error ع طول،
+
+527
+00:46:33,790 --> 00:46:37,850
+اذا عنده ال refractive error عالي او مثلا .. نعم؟
+
+528
+00:46:39,430 --> 00:46:43,570
+أه دايما ببدأ بالزيادة، يعني ماببدأش مثلا من plus
+
+529
+00:46:43,570 --> 00:46:48,030
+نص أو plus واحد أو .. بعرف أنه هو سواء against أو
+
+530
+00:46:48,030 --> 00:46:53,110
+with لو مثلا واحد إيجي عنده بشوف ال red reflex طلع
+
+531
+00:46:53,110 --> 00:46:56,890
+اللي هو الحركة إيه شبهله؟ إنه slow بطيء، إيش
+
+532
+00:46:56,890 --> 00:47:02,390
+معناه؟ إنه عنده اللي هو high، واضح؟ كل .. هذه هي
+
+533
+00:47:02,390 --> 00:47:05,450
+عبارة عن ال characteristics خواص لمين؟ لل red
+
+534
+00:47:05,450 --> 00:47:10,370
+reflexصح؟ اللي هم التلاتة اللي أخدناه ال bright و
+
+535
+00:47:10,370 --> 00:47:15,590
+ال wide العرض أو ال .. السواء كان wide أو narrow و
+
+536
+00:47:15,590 --> 00:47:19,410
+الأمر التالت اللي هي ال speed movement إذا كان
+
+537
+00:47:19,410 --> 00:47:25,200
+سريع أو كان بطيءيعني الآن يما يكون واحد عنده small
+
+538
+00:47:25,200 --> 00:47:28,240
+refractive error انت بتلاحقيش يشوف ال red reflect
+
+539
+00:47:28,240 --> 00:47:30,780
+لأنه سريع كتير، حتى كثير بنات قالولي أنا مش
+
+540
+00:47:30,780 --> 00:47:36,620
+شايفين، صح؟ يما يكون عنده low refractive
+
+541
+00:47:36,620 --> 00:47:40,500
+error بيكون سريع جدا، إيش معناه؟ أن انت واصل لل
+
+542
+00:47:40,500 --> 00:47:44,160
+neutral point، يعني بس عدسة بسيطة عشان تعمل ال
+
+543
+00:47:44,160 --> 00:47:44,800
+neutral point
+
+544
+00:47:48,630 --> 00:47:52,270
+The working distance مسافة العمل between the eye
+
+545
+00:47:52,270 --> 00:47:56,590
+of the examiner مابين عين الفاحص and the eye of
+
+546
+00:47:56,590 --> 00:48:00,990
+the patient وعين المريض and is the reciprocal of
+
+547
+00:48:00,990 --> 00:48:05,070
+the power in diopters وهي عبارة عن مقلوب من القوة
+
+548
+00:48:05,070 --> 00:48:10,720
+في وحدة الديوبترwhich should be deduced from the
+
+549
+00:48:10,720 --> 00:48:15,400
+power of the lenses أنه هذه يجب أن تُطرح من مين من
+
+550
+00:48:15,400 --> 00:48:20,260
+مسافة العمل ال working distance okay that were
+
+551
+00:48:20,260 --> 00:48:23,780
+added during retinoscopy to reach the neutral
+
+552
+00:48:23,780 --> 00:48:27,640
+point سي ما اتفقنا إذا كانت مسافة العمل ما بين ال
+
+553
+00:48:27,640 --> 00:48:30,880
+patient eye و ال examiner eye خمسين سنتة مية ع
+
+554
+00:48:30,880 --> 00:48:34,520
+خمسين سبعة و ستين سنتة مية ع سبعة و ستين و بهذا
+
+555
+00:48:34,520 --> 00:48:38,940
+بقدر أحسب مين مسافة العملال working distance okay
+
+556
+00:48:38,940 --> 00:48:45,540
+فبدنا نجف لهان طبعا ال .. ال .. بالنسبة للامتحان
+
+557
+00:48:45,540 --> 00:48:49,140
+هيكون لحدية ال cycloplegia الموضوع اعتقد يعني
+
+558
+00:48:49,140 --> 00:48:52,960
+هيكون داخل معنى difficulties of written score شو
+
+559
+00:48:52,960 --> 00:48:54,940
+هي صعوبات ال written score okay
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..6b3a0a524711efbe111775018aa5dc02e1f2242d
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4215, "start": 21.09, "end": 42.15, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و بركاته في المحاضرة الأخيرة انتهينا من الموضوع أنه جهاز ال retinascope بتكون من نظامين النظام الأول هو عبارة عن ال viewing system نظام الرؤية عبارة عن", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 8978, 9673, 5016, 46958, 25720, 16247, 9778, 48923, 16472, 47395, 1829, 8315, 9154, 9673, 2407, 11242, 45367, 14739, 3224, 10874, 3224, 31377, 2423, 1533, 17094, 13960, 39894, 30544, 9154, 8717, 19913, 10943, 9957, 28239, 19913, 10943, 16247, 12610, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 17480, 1185, 8717, 19913, 10943, 34892, 33604, 10632, 6225, 3555, 9640, 3660, 18871], "avg_logprob": -0.08874080531737384, "compression_ratio": 1.7743589743589743, "no_speech_prob": 2.562999725341797e-06, "words": [{"start": 21.09, "end": 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2, "seek": 6663, "start": 42.93, "end": 66.63, "text": "small aperture فتحة صغيرة بتسمح للفاحص بالرؤية من خلالها لل patient eye بمعنى انه بيشوف من خلالها مين ال read reflex اخدنا النظام التاني اللي هو عبارة عن ال illuminating system نظام الرؤية", "tokens": [10817, 336, 29848, 6156, 2655, 5016, 3660, 20328, 17082, 48923, 39894, 38251, 5016, 24976, 5172, 39319, 9381, 20666, 2288, 33604, 10632, 9154, 16490, 1211, 6027, 11296, 24976, 4537, 3313, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 4724, 1829, 8592, 38688, 9154, 16490, 1211, 6027, 11296, 3714, 9957, 2423, 1401, 23802, 1975, 9778, 3215, 8315, 28239, 19913, 10943, 16712, 7649, 1829, 13672, 1829, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 28593, 990, 1185, 8717, 19913, 10943, 34892, 33604, 10632], "avg_logprob": -0.1467563249642336, "compression_ratio": 1.5340314136125655, "no_speech_prob": 0.0, "words": [{"start": 42.93, "end": 43.65, "word": "small", "probability": 0.682373046875}, {"start": 43.65, "end": 44.29, "word": " aperture", 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تحت تأثير المرأة المسطحة", "tokens": [1211, 33456, 16247, 8592, 27884, 13672, 1829, 39894, 30544, 16490, 9640, 7435, 995, 9154, 25724, 3224, 31377, 4748, 18558, 6930, 36632, 4724, 2304, 3615, 1863, 7578, 6055, 4587, 16572, 3555, 995, 11933, 8592, 2304, 6027, 11296, 44650, 8592, 2655, 2655, 3660, 6217, 8952, 37495, 22653, 14739, 3224, 4724, 2304, 3615, 1863, 7578, 6217, 8952, 14739, 3224, 12174, 16572, 49401, 5296, 27842, 22807, 24976, 2655, 2407, 31377, 1863, 29538, 6055, 33753, 6055, 10721, 12984, 13546, 9154, 22807, 2423, 1393, 8013, 6055, 33753, 6055, 10721, 12984, 13546, 9673, 2288, 10721, 3660, 9673, 3794, 9566, 5016, 3660], "avg_logprob": -0.18207237344039115, "compression_ratio": 1.6113744075829384, "no_speech_prob": 0.0, "words": [{"start": 219.76, "end": 220.2, "word": "لأن", "probability": 0.939208984375}, {"start": 220.2, "end": 221.14, "word": " الأشعة", "probability": 0.8201497395833334}, {"start": 221.14, "end": 221.66, "word": " اللي", "probability": 0.764404296875}, 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اللي بتعمل على تشتيت ايش؟ الأشعة الضوئية اذا الان لو انا", "tokens": [1211, 19452, 1975, 8315, 5296, 15042, 4724, 25957, 1211, 21138, 493, 39894, 30544, 6055, 33753, 6055, 10721, 12984, 13546, 9154, 2423, 42432, 8013, 37495, 22653, 6024, 48506, 1975, 8315, 32771, 13546, 2655, 5296, 21138, 493, 6156, 3224, 1829, 39894, 30544, 6055, 33753, 6055, 10721, 12984, 13546, 9154, 2423, 416, 50126, 8013, 2597, 2423, 416, 50126, 8013, 39896, 6225, 3555, 9640, 3660, 18871, 9673, 2288, 10721, 3660, 9673, 4587, 3615, 25720, 13672, 1829, 39894, 25957, 1211, 15844, 6055, 8592, 31371, 2655, 1975, 1829, 8592, 22807, 16247, 8592, 27884, 6024, 114, 2407, 19986, 10632, 1975, 15730, 2423, 7649, 45164, 1975, 8315], "avg_logprob": -0.15625000342726708, "compression_ratio": 1.8805970149253732, "no_speech_prob": 0.0, "words": [{"start": 248.87, "end": 249.39, "word": "لكن", "probability": 0.86572265625}, {"start": 249.39, "end": 249.65, "word": " انا", "probability": 0.7303466796875}, {"start": 249.65, "end": 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بحكي ان ال sleeve up وعنا sleeve down", "tokens": [22628, 291, 3079, 264, 21138, 760, 1830, 1533, 259, 10466, 19680, 10747, 37495, 22653, 32239, 8592, 39894, 14851, 9778, 40448, 1829, 2423, 21138, 760, 16490, 1211, 6027, 6225, 42213, 10632, 13672, 1829, 31439, 44713, 9778, 3215, 10943, 10874, 3224, 31377, 2423, 1533, 259, 10466, 1114, 2423, 7649, 1975, 8315, 8978, 43242, 3224, 4724, 5016, 4117, 1829, 16472, 2423, 21138, 493, 4032, 3615, 8315, 21138, 760], "avg_logprob": -0.19910037517547607, "compression_ratio": 1.5654761904761905, "no_speech_prob": 0.0, "words": [{"start": 276.06, "end": 276.46, "word": "why", "probability": 0.1812744140625}, {"start": 276.46, "end": 276.7, "word": " you", "probability": 0.94189453125}, {"start": 276.7, "end": 277.26, "word": " apply", "probability": 0.91015625}, {"start": 277.26, "end": 277.96, "word": " the", "probability": 0.8984375}, {"start": 277.96, "end": 278.48, "word": " sleeve", "probability": 0.95751953125}, {"start": 278.48, "end": 278.92, 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المرقة المقعرة okay إذا الأشياء إيش هتكون عنده؟ divergent light .. divergent light rays okay يما يكون عنده sleeve down", "tokens": [28814, 15730, 4724, 2304, 3615, 1863, 7578, 14739, 3224, 39894, 30544, 6055, 33753, 6055, 10721, 12984, 13546, 9154, 9673, 2288, 28671, 9673, 4587, 3615, 25720, 1392, 11933, 15730, 16247, 8592, 1829, 16606, 11933, 1829, 8592, 8032, 2655, 30544, 43242, 3224, 22807, 18558, 6930, 1442, 4386, 18558, 6930, 1442, 24417, 1392, 7251, 15042, 7251, 30544, 43242, 3224, 21138, 760], "avg_logprob": -0.2555614528009447, "compression_ratio": 1.4545454545454546, "no_speech_prob": 0.0, "words": [{"start": 337.6, "end": 337.92, "word": "إذا", "probability": 0.6455078125}, {"start": 337.92, "end": 338.5, "word": " بمعنى", "probability": 0.96044921875}, {"start": 338.5, "end": 338.76, "word": " أنه", "probability": 0.5926513671875}, {"start": 338.76, "end": 339.22, "word": " بتكون", "probability": 0.92041015625}, {"start": 339.22, "end": 339.94, "word": " تحت", "probability": 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divergent nearly", "tokens": [6617, 40259, 8013, 16472, 3224, 6055, 33753, 6055, 10721, 12984, 13546, 9673, 2288, 4587, 995, 3660, 9673, 3794, 9566, 5016, 3660, 16070, 33599, 1829, 16606, 8032, 2655, 30544, 4748, 18558, 6930, 6217], "avg_logprob": -0.20703125, "compression_ratio": 1.076271186440678, "no_speech_prob": 0.0, "words": [{"start": 367.38, "end": 367.94, "word": "under", "probability": 0.822265625}, {"start": 367.94, "end": 371.4, "word": " plano", "probability": 0.464111328125}, {"start": 371.4, "end": 375.3, "word": " mirror", "probability": 0.83203125}, {"start": 375.3, "end": 376.48, "word": " انه", "probability": 0.72314453125}, {"start": 376.48, "end": 376.76, "word": " تحت", "probability": 0.991455078125}, {"start": 376.76, "end": 377.38, "word": " تأثير", "probability": 0.9913330078125}, {"start": 377.38, "end": 378.78, "word": " المرقاة", "probability": 0.74931640625}, {"start": 378.78, "end": 380.02, "word": " المسطحة", "probability": 0.97734375}, {"start": 380.02, 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"temperature": 1.0}, {"id": 18, "seek": 47374, "start": 445.9, "end": 473.74, "text": "إذا تحت تأثير مين؟ ال planomirror sleeve down يعني planomirror إذا أشعة المرقاش بده تكون مستوية الأشعة الطالعاش بده تكون slightly divergent or nearly parallel يما حط sleeve up بتكون الأشعة أشمالها divergent المرقاش concave mirror واضح هيك؟ كتبته؟ واضح صبرين؟", "tokens": [28814, 15730, 6055, 33753, 6055, 10721, 12984, 13546, 3714, 9957, 22807, 2423, 1393, 298, 347, 2874, 21138, 760, 37495, 22653, 1393, 298, 347, 2874, 11933, 15730, 5551, 8592, 27884, 9673, 2288, 4587, 33599, 47525, 3224, 6055, 30544, 3714, 14851, 2407, 10632, 16247, 8592, 27884, 41950, 6027, 3615, 33599, 47525, 3224, 6055, 30544, 4748, 18558, 6930, 420, 6217, 8952, 7251, 15042, 11331, 9566, 21138, 493, 39894, 30544, 16247, 8592, 27884, 5551, 8592, 2304, 6027, 11296, 18558, 6930, 9673, 2288, 4587, 33599, 416, 50126, 8013, 4032, 46958, 5016, 39896, 4117, 22807, 9122, 2655, 3555, 47395, 22807, 4032, 46958, 5016, 20328, 3555, 16572, 1863, 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722.53, "word": " emetropia", "probability": 0.670166015625}], "temperature": 1.0}, {"id": 29, "seek": 75098, "start": 725.42, "end": 750.98, "text": "بالظبط ممكن تكون with وممكن تكون against يعني زي ما انتوا بشوفوا الآن ال normal patient ممكن تكون الحركة عنده with وممكن تكون عنده against طيب الآن السؤال ليش انا بشوف الحركة with في ال low myop وفي ال hyper metrop واضح السؤال؟", "tokens": [3555, 6027, 19913, 3555, 9566, 3714, 43020, 6055, 30544, 365, 4032, 2304, 43020, 6055, 30544, 1970, 37495, 22653, 30767, 1829, 19446, 16472, 2655, 14407, 4724, 8592, 38688, 14407, 6024, 48506, 2423, 2710, 4537, 3714, 43020, 6055, 30544, 21542, 31747, 3660, 43242, 3224, 365, 4032, 2304, 43020, 6055, 30544, 43242, 3224, 1970, 23032, 1829, 3555, 6024, 48506, 21136, 33604, 6027, 32239, 8592, 1975, 8315, 4724, 8592, 38688, 21542, 31747, 3660, 365, 8978, 2423, 2295, 452, 404, 4032, 41185, 2423, 9848, 1131, 1513, 4032, 46958, 5016, 21136, 33604, 6027, 22807], "avg_logprob": -0.16002458534883648, "compression_ratio": 1.8783068783068784, "no_speech_prob": 0.0, "words": [{"start": 725.42, "end": 725.9, "word": "بالظبط", "probability": 0.955859375}, {"start": 725.9, "end": 726.22, "word": " ممكن", "probability": 0.9794921875}, {"start": 726.22, "end": 726.5, "word": " تكون", "probability": 0.995361328125}, {"start": 726.5, "end": 726.8, "word": " with", "probability": 0.91162109375}, {"start": 726.8, "end": 727.16, "word": " وممكن", "probability": 0.8251953125}, {"start": 727.16, "end": 727.52, "word": " تكون", "probability": 0.99365234375}, {"start": 727.52, "end": 728.2, "word": " against", "probability": 0.97265625}, {"start": 728.2, "end": 729.82, "word": " يعني", "probability": 0.6719970703125}, {"start": 729.82, "end": 730.08, "word": " زي", "probability": 0.95654296875}, {"start": 730.08, "end": 730.16, "word": " ما", "probability": 0.94970703125}, {"start": 730.16, "end": 730.34, "word": " انتوا", "probability": 0.8307291666666666}, {"start": 730.34, "end": 730.76, "word": " بشوفوا", "probability": 0.8402099609375}, {"start": 730.76, "end": 731.06, "word": " الآن", "probability": 0.7017822265625}, {"start": 731.06, "end": 731.2, "word": " ال", "probability": 0.95068359375}, {"start": 731.2, "end": 731.56, "word": " normal", "probability": 0.6943359375}, {"start": 731.56, "end": 732.06, "word": " patient", "probability": 0.8759765625}, {"start": 732.06, "end": 732.64, "word": " ممكن", "probability": 0.973388671875}, {"start": 732.64, "end": 732.92, "word": " تكون", "probability": 0.989013671875}, {"start": 732.92, "end": 733.38, "word": " الحركة", "probability": 0.97900390625}, {"start": 733.38, "end": 733.7, "word": " عنده", "probability": 0.9912109375}, {"start": 733.7, "end": 733.9, "word": " with", "probability": 0.94873046875}, {"start": 733.9, "end": 734.44, "word": " وممكن", "probability": 0.9358723958333334}, {"start": 734.44, "end": 734.76, "word": " تكون", "probability": 0.98681640625}, {"start": 734.76, "end": 735.2, "word": " عنده", "probability": 0.990478515625}, {"start": 735.2, "end": 735.94, "word": " against", "probability": 0.982421875}, {"start": 735.94, "end": 737.66, "word": " طيب", "probability": 0.9650065104166666}, {"start": 737.66, "end": 738.38, "word": " الآن", "probability": 0.6348876953125}, {"start": 738.38, "end": 738.94, "word": " السؤال", "probability": 0.99462890625}, {"start": 738.94, "end": 739.92, "word": " ليش", "probability": 0.960693359375}, {"start": 739.92, "end": 740.24, "word": " انا", "probability": 0.7269287109375}, {"start": 740.24, "end": 740.86, "word": " بشوف", "probability": 0.99462890625}, {"start": 740.86, "end": 741.64, "word": " الحركة", "probability": 0.9947916666666666}, {"start": 741.64, "end": 742.06, "word": " with", "probability": 0.94970703125}, {"start": 742.06, "end": 743.44, "word": " في", "probability": 0.57421875}, {"start": 743.44, "end": 743.58, "word": " ال", "probability": 0.8369140625}, {"start": 743.58, "end": 743.74, "word": " low", "probability": 0.471923828125}, {"start": 743.74, "end": 744.26, "word": " myop", "probability": 0.42529296875}, {"start": 744.26, "end": 745.5, "word": " وفي", "probability": 0.686279296875}, {"start": 745.5, "end": 745.78, "word": " ال", "probability": 0.96337890625}, {"start": 745.78, "end": 746.08, "word": " hyper", "probability": 0.88330078125}, {"start": 746.08, "end": 746.66, "word": " metrop", "probability": 0.580078125}, {"start": 746.66, "end": 750.32, "word": " واضح", "probability": 0.9357096354166666}, {"start": 750.32, "end": 750.98, "word": " السؤال؟", "probability": 0.9381103515625}], "temperature": 1.0}, {"id": 30, "seek": 76460, "start": 752.2, "end": 764.6, "text": "ليش أنا بشوف الحركة with؟ يعني بتكون الحركة with في ال low-myope أو في ال hyper-metrope؟ لأن ال image الصورة هتتجمع ما بين مين؟", "tokens": [20292, 8592, 41850, 4724, 8592, 38688, 21542, 31747, 3660, 365, 22807, 37495, 22653, 39894, 30544, 21542, 31747, 3660, 365, 8978, 2423, 2295, 12, 2226, 1114, 34051, 8978, 2423, 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{"start": 756.24, "end": 756.82, "word": " في", "probability": 0.93994140625}, {"start": 756.82, "end": 756.94, "word": " ال", "probability": 0.92919921875}, {"start": 756.94, "end": 757.22, "word": " low", "probability": 0.8662109375}, {"start": 757.22, "end": 757.92, "word": "-myope", "probability": 0.4258626302083333}, {"start": 757.92, "end": 758.2, "word": " أو", "probability": 0.5703125}, {"start": 758.2, "end": 758.3, "word": " في", "probability": 0.7197265625}, {"start": 758.3, "end": 758.38, "word": " ال", "probability": 0.97265625}, {"start": 758.38, "end": 758.68, "word": " hyper", "probability": 0.7294921875}, {"start": 758.68, "end": 760.88, "word": "-metrope؟", "probability": 0.489111328125}, {"start": 760.88, "end": 761.22, "word": " لأن", "probability": 0.9091796875}, {"start": 761.22, "end": 761.62, "word": " ال", "probability": 0.68408203125}, {"start": 761.62, "end": 762.02, "word": " image", "probability": 0.9052734375}, {"start": 762.02, "end": 762.86, "word": " الصورة", "probability": 0.9449869791666666}, {"start": 762.86, "end": 763.72, "word": " هتتجمع", "probability": 0.9637044270833334}, {"start": 763.72, "end": 763.9, "word": " ما", "probability": 0.833984375}, {"start": 763.9, "end": 764.12, "word": " بين", "probability": 0.9921875}, {"start": 764.12, "end": 764.6, "word": " مين؟", "probability": 0.9803059895833334}], "temperature": 1.0}, {"id": 31, "seek": 78369, "start": 765.71, "end": 783.69, "text": "هتتجمع اللي هو behind of the patient eye انه خلف من عين المريض او خلف اللي هو عين ال examiner الفاحس واضح يعني دايما الصورة بتتكون خلف عين ال examiner او ال observer الفاحس", "tokens": [3224, 2655, 2655, 7435, 2304, 3615, 13672, 1829, 31439, 2261, 295, 264, 4537, 3313, 16472, 3224, 16490, 46538, 9154, 6225, 9957, 9673, 16572, 11242, 1975, 2407, 16490, 46538, 13672, 1829, 31439, 6225, 9957, 2423, 1139, 4564, 27188, 39319, 3794, 4032, 46958, 5016, 37495, 22653, 11778, 47302, 15042, 31767, 13063, 3660, 39894, 2655, 30544, 16490, 46538, 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"probability": 0.97607421875}, {"start": 769.75, "end": 770.05, "word": " من", "probability": 0.91748046875}, {"start": 770.05, "end": 770.71, "word": " عين", "probability": 0.972412109375}, {"start": 770.71, "end": 771.77, "word": " المريض", "probability": 0.99267578125}, {"start": 771.77, "end": 772.17, "word": " او", "probability": 0.80322265625}, {"start": 772.17, "end": 773.17, "word": " خلف", "probability": 0.786376953125}, {"start": 773.17, "end": 773.39, "word": " اللي", "probability": 0.98583984375}, {"start": 773.39, "end": 773.59, "word": " هو", "probability": 0.97265625}, {"start": 773.59, "end": 773.89, "word": " عين", "probability": 0.991943359375}, {"start": 773.89, "end": 774.65, "word": " ال", "probability": 0.93701171875}, {"start": 774.65, "end": 775.61, "word": " examiner", "probability": 0.929931640625}, {"start": 775.61, "end": 776.43, "word": " الفاحس", "probability": 0.8082682291666666}, {"start": 776.43, "end": 777.07, "word": " واضح", "probability": 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0.98583984375}], "temperature": 1.0}, {"id": 32, "seek": 79851, "start": 784.31, "end": 798.51, "text": "لكن لما يكون عنده moderate ميوب، يعني متوسط، يعني عنده ميوب لكن إيه شماله؟ متوسط أو مثلا عنده high ميوب، يعني مثلا فوق ال minus عشرة", "tokens": [1211, 19452, 5296, 15042, 7251, 30544, 43242, 3224, 18174, 3714, 1829, 37746, 12399, 37495, 22653, 44650, 41779, 9566, 12399, 37495, 22653, 43242, 3224, 3714, 1829, 37746, 44381, 11933, 1829, 3224, 13412, 2304, 6027, 3224, 22807, 44650, 41779, 9566, 34051, 50113, 15040, 43242, 3224, 1090, 3714, 1829, 37746, 12399, 37495, 22653, 50113, 15040, 6156, 30543, 2423, 3175, 6225, 8592, 25720], "avg_logprob": -0.14244792262713116, "compression_ratio": 1.6204379562043796, "no_speech_prob": 0.0, "words": [{"start": 784.31, "end": 784.77, "word": "لكن", "probability": 0.89501953125}, {"start": 784.77, "end": 784.95, "word": " لما", "probability": 0.58111572265625}, {"start": 784.95, "end": 785.41, "word": " يكون", "probability": 0.99072265625}, {"start": 785.41, "end": 787.55, "word": " عنده", "probability": 0.92529296875}, {"start": 787.55, "end": 788.13, "word": " moderate", "probability": 0.94091796875}, {"start": 788.13, "end": 789.89, "word": " ميوب،", "probability": 0.7772216796875}, {"start": 789.89, "end": 790.07, "word": " يعني", "probability": 0.90771484375}, {"start": 790.07, "end": 791.27, "word": " متوسط،", "probability": 0.9447021484375}, {"start": 791.27, "end": 791.65, "word": " يعني", "probability": 0.968505859375}, {"start": 791.65, "end": 791.97, "word": " عنده", "probability": 0.986572265625}, {"start": 791.97, "end": 792.31, "word": " ميوب", "probability": 0.9900716145833334}, {"start": 792.31, "end": 792.61, "word": " لكن", "probability": 0.70703125}, {"start": 792.61, "end": 792.79, "word": " إيه", "probability": 0.7921549479166666}, {"start": 792.79, "end": 793.37, "word": " شماله؟", "probability": 0.843701171875}, {"start": 793.37, "end": 794.07, "word": " متوسط", "probability": 0.9739583333333334}, {"start": 794.07, "end": 794.63, "word": " أو", "probability": 0.7724609375}, {"start": 794.63, "end": 794.91, "word": " مثلا", "probability": 0.9794921875}, {"start": 794.91, "end": 795.33, "word": " عنده", "probability": 0.978515625}, {"start": 795.33, "end": 795.67, "word": " high", "probability": 0.96435546875}, {"start": 795.67, "end": 796.67, "word": " ميوب،", "probability": 0.931396484375}, {"start": 796.67, "end": 796.79, "word": " يعني", "probability": 0.97021484375}, {"start": 796.79, "end": 797.17, "word": " مثلا", "probability": 0.99267578125}, {"start": 797.17, "end": 797.53, "word": " فوق", "probability": 0.979248046875}, {"start": 797.53, "end": 797.67, "word": " ال", "probability": 0.91943359375}, {"start": 797.67, "end": 797.97, "word": " minus", "probability": 0.271484375}, {"start": 797.97, "end": 798.51, "word": " عشرة", "probability": 0.8933919270833334}], "temperature": 1.0}, {"id": 33, "seek": 82497, "start": 798.93, "end": 824.97, "text": "هتكون الحركة تاعت ايش against the rule اذا وين هتتكون الصورة مابين ال patient eye و ال examiner eye عشان هيك ايش بنستخدم ال minus lenses why you apply minus lens in moderate and severe or in high ميوب لان ال image وين بتتكون مابين", "tokens": [3224, 2655, 30544, 21542, 31747, 3660, 6055, 995, 34268, 1975, 1829, 8592, 1970, 264, 4978, 1975, 15730, 4032, 9957, 8032, 2655, 2655, 30544, 31767, 13063, 3660, 3714, 16758, 9957, 2423, 4537, 3313, 4032, 2423, 1139, 4564, 3313, 6225, 8592, 7649, 39896, 4117, 1975, 1829, 8592, 44945, 14851, 9778, 40448, 2423, 3175, 18059, 983, 291, 3079, 3175, 6765, 294, 18174, 293, 8922, 420, 294, 1090, 3714, 1829, 37746, 5296, 7649, 2423, 3256, 4032, 9957, 39894, 2655, 30544, 3714, 16758, 9957], "avg_logprob": -0.1784179750829935, "compression_ratio": 1.5665024630541873, "no_speech_prob": 0.0, "words": [{"start": 798.93, "end": 799.49, "word": "هتكون", "probability": 0.8430989583333334}, {"start": 799.49, "end": 800.35, "word": " الحركة", "probability": 0.9671223958333334}, 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{"start": 847.07, "end": 847.29, "word": " the", "probability": 0.82177734375}, {"start": 847.29, "end": 847.49, "word": " rule", "probability": 0.95751953125}, {"start": 847.49, "end": 847.99, "word": " وفي", "probability": 0.74365234375}, {"start": 847.99, "end": 848.33, "word": " عندي", "probability": 0.673828125}, {"start": 848.33, "end": 848.73, "word": " against", "probability": 0.97119140625}, {"start": 848.73, "end": 848.95, "word": " the", "probability": 0.92138671875}, {"start": 848.95, "end": 849.17, "word": " rule", "probability": 0.93896484375}, {"start": 849.17, "end": 850.31, "word": " الآن", "probability": 0.870361328125}, {"start": 850.31, "end": 850.83, "word": " السؤال", "probability": 0.9969075520833334}, {"start": 850.83, "end": 851.25, "word": " ليش", "probability": 0.7958984375}, {"start": 851.25, "end": 851.41, "word": " أنا", "probability": 0.888671875}, {"start": 851.41, "end": 852.07, "word": " بستخدم", "probability": 0.9901123046875}, {"start": 852.07, "end": 852.49, "word": " مع", "probability": 0.98876953125}, {"start": 852.49, "end": 852.63, "word": " ال", "probability": 0.984375}, {"start": 852.63, "end": 852.83, "word": " with", "probability": 0.8515625}, {"start": 852.83, "end": 853.03, "word": " the", "probability": 0.8662109375}, {"start": 853.03, "end": 853.27, "word": " rule", "probability": 0.93212890625}, {"start": 853.27, "end": 854.85, "word": " plus", "probability": 0.8623046875}, {"start": 854.85, "end": 855.67, "word": " lenses؟", "probability": 0.916259765625}], "temperature": 1.0}, {"id": 35, "seek": 88536, "start": 857.16, "end": 885.36, "text": "حكينا ان الحالات اللى بتكون مع ال with the rule اما بيكون لوميوب او بيكون هايبرمتروم okay فاللوميوب او الهايبرمتروم الصورة هتتكون خلف الفاحص فانا بستخدم ايش عدسة plus عشان اعمل ال neutral point او اعمل ال end point اللى هي نقطة التعادل بتاعتي يعني الآن ال with the rule", "tokens": [5016, 4117, 1829, 8315, 16472, 21542, 6027, 9307, 13672, 7578, 39894, 30544, 20449, 2423, 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881.12, "end": 881.34, "word": " اللى", "probability": 0.963134765625}, {"start": 881.34, "end": 881.54, "word": " هي", "probability": 0.63525390625}, {"start": 881.54, "end": 881.92, "word": " نقطة", "probability": 0.9928385416666666}, {"start": 881.92, "end": 882.48, "word": " التعادل", "probability": 0.864990234375}, {"start": 882.48, "end": 883.18, "word": " بتاعتي", "probability": 0.6351725260416666}, {"start": 883.18, "end": 884.12, "word": " يعني", "probability": 0.910888671875}, {"start": 884.12, "end": 884.48, "word": " الآن", "probability": 0.6654052734375}, {"start": 884.48, "end": 884.78, "word": " ال", "probability": 0.93603515625}, {"start": 884.78, "end": 885.0, "word": " with", "probability": 0.9267578125}, {"start": 885.0, "end": 885.18, "word": " the", "probability": 0.896484375}, {"start": 885.18, "end": 885.36, "word": " rule", "probability": 0.94482421875}], "temperature": 1.0}, {"id": 36, "seek": 92050, "start": 895.84, "end": 920.5, "text": "عنا بتكون لال low ميوب و ال hyper مترو اذا ال image", "tokens": [3615, 8315, 39894, 30544, 5296, 6027, 2295, 3714, 1829, 37746, 4032, 2423, 9848, 44650, 32887, 1975, 15730, 2423, 3256], "avg_logprob": -0.39765626192092896, "compression_ratio": 1.0, "no_speech_prob": 0.0, "words": [{"start": 895.84, "end": 896.14, "word": "عنا", "probability": 0.888671875}, {"start": 896.14, "end": 896.72, "word": " بتكون", "probability": 0.9619140625}, {"start": 896.72, "end": 898.5, "word": " لال", "probability": 0.487060546875}, {"start": 898.5, "end": 898.84, "word": " low", "probability": 0.83251953125}, {"start": 898.84, "end": 901.2, "word": " ميوب", "probability": 0.6800944010416666}, {"start": 901.2, "end": 905.36, "word": " و", "probability": 0.48193359375}, {"start": 905.36, "end": 905.48, "word": " ال", "probability": 0.560546875}, {"start": 905.48, "end": 905.92, "word": " hyper", "probability": 0.244384765625}, {"start": 905.92, "end": 911.06, "word": " مترو", "probability": 0.718505859375}, {"start": 911.06, "end": 917.88, "word": " اذا", "probability": 0.7071533203125}, {"start": 917.88, "end": 919.86, "word": " ال", "probability": 0.98681640625}, {"start": 919.86, "end": 920.5, "word": " image", "probability": 0.9423828125}], "temperature": 1.0}, {"id": 37, "seek": 95530, "start": 926.54, "end": 955.3, "text": "form إذا الصورة هتشكل behind the examiner so لذلك we apply a", "tokens": [837, 11933, 15730, 31767, 13063, 3660, 8032, 2655, 8592, 28820, 2261, 264, 1139, 4564, 370, 5296, 8848, 23275, 321, 3079, 257], "avg_logprob": -0.17160867154598236, "compression_ratio": 0.9176470588235294, "no_speech_prob": 0.0, "words": [{"start": 926.54, "end": 927.12, "word": "form", "probability": 0.4892578125}, {"start": 927.12, "end": 927.9, "word": " إذا", "probability": 0.72998046875}, {"start": 927.9, "end": 928.38, "word": " الصورة", "probability": 0.9666341145833334}, {"start": 928.38, "end": 929.18, "word": " هتشكل", "probability": 0.875732421875}, {"start": 929.18, "end": 932.82, "word": " behind", "probability": 0.92138671875}, {"start": 932.82, "end": 936.94, "word": " the", "probability": 0.86474609375}, {"start": 936.94, "end": 937.7, "word": " examiner", "probability": 0.98095703125}, {"start": 937.7, "end": 947.3, "word": " so", "probability": 0.5712890625}, {"start": 947.3, "end": 948.18, "word": " لذلك", "probability": 0.9791666666666666}, {"start": 948.18, "end": 950.46, "word": " we", "probability": 0.93408203125}, {"start": 950.46, "end": 952.9, "word": " apply", "probability": 0.9462890625}, {"start": 952.9, "end": 955.3, "word": " a", "probability": 0.7568359375}], "temperature": 1.0}, {"id": 38, "seek": 98058, "start": 958.44, "end": 980.58, "text": "plus lenses إذا بنستخدم إيش؟ عدسات موجبة okay اه واحدة منهم يعني إما ال patient بيكون عنده لوميوب أو بيكون عنده hyper metroid okay طيب إما تكون الحركة against", "tokens": [18954, 18059, 11933, 15730, 44945, 14851, 9778, 40448, 11933, 1829, 8592, 22807, 6225, 3215, 3794, 9307, 3714, 29245, 49401, 1392, 1975, 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"word": " okay", "probability": 0.1903076171875}, {"start": 964.92, "end": 970.42, "word": " اه", "probability": 0.51361083984375}, {"start": 970.42, "end": 970.74, "word": " واحدة", "probability": 0.8640950520833334}, {"start": 970.74, "end": 971.02, "word": " منهم", "probability": 0.995361328125}, {"start": 971.02, "end": 971.42, "word": " يعني", "probability": 0.866943359375}, {"start": 971.42, "end": 971.66, "word": " إما", "probability": 0.884033203125}, {"start": 971.66, "end": 971.8, "word": " ال", "probability": 0.9609375}, {"start": 971.8, "end": 972.08, "word": " patient", "probability": 0.95703125}, {"start": 972.08, "end": 972.5, "word": " بيكون", "probability": 0.9296875}, {"start": 972.5, "end": 972.8, "word": " عنده", "probability": 0.984130859375}, {"start": 972.8, "end": 973.36, "word": " لوميوب", "probability": 0.6278076171875}, {"start": 973.36, "end": 973.66, "word": " أو", "probability": 0.93505859375}, {"start": 973.66, "end": 973.98, "word": " بيكون", "probability": 0.9609375}, {"start": 973.98, "end": 974.3, "word": " عنده", "probability": 0.982421875}, {"start": 974.3, "end": 974.58, "word": " hyper", "probability": 0.79443359375}, {"start": 974.58, "end": 975.62, "word": " metroid", "probability": 0.5498046875}, {"start": 975.62, "end": 976.48, "word": " okay", "probability": 0.81298828125}, {"start": 976.48, "end": 978.5, "word": " طيب", "probability": 0.9611002604166666}, {"start": 978.5, "end": 978.82, "word": " إما", "probability": 0.8662109375}, {"start": 978.82, "end": 979.12, "word": " تكون", "probability": 0.9951171875}, {"start": 979.12, "end": 979.86, "word": " الحركة", "probability": 0.9900716145833334}, {"start": 979.86, "end": 980.58, "word": " against", "probability": 0.970703125}], "temperature": 1.0}, {"id": 39, "seek": 101602, "start": 993.4, "end": 1016.02, "text": "the role؟ اذا عندنا معناه ان المريض عنده moderate moderate يعني متوسط متوسط يعني ال refractive error بتاعه بيكون من خمسة لمثلا سبعة او لتمانية من minus خمسة ل minus تمانية او high", "tokens": [3322, 3090, 22807, 1975, 15730, 43242, 8315, 20449, 8315, 3224, 16472, 9673, 16572, 11242, 43242, 3224, 18174, 18174, 37495, 22653, 44650, 41779, 9566, 44650, 41779, 9566, 37495, 22653, 2423, 45353, 488, 6713, 39894, 45761, 3224, 4724, 1829, 30544, 9154, 16490, 2304, 3794, 3660, 5296, 2304, 12984, 15040, 8608, 3555, 27884, 1975, 2407, 5296, 39237, 7649, 10632, 9154, 3175, 16490, 2304, 3794, 3660, 5296, 3175, 46811, 7649, 10632, 1975, 2407, 1090], "avg_logprob": -0.1455765815687851, "compression_ratio": 1.611764705882353, "no_speech_prob": 0.0, "words": [{"start": 993.4, "end": 994.4, "word": "the", "probability": 0.58251953125}, {"start": 994.4, "end": 995.4, "word": " role؟", "probability": 0.5556640625}, {"start": 995.4, "end": 995.56, "word": " اذا", "probability": 0.7037353515625}, {"start": 995.56, "end": 996.1, "word": " عندنا", "probability": 0.804443359375}, {"start": 996.1, "end": 997.22, "word": " معناه", "probability": 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"probability": 0.95654296875}, {"start": 1006.04, "end": 1006.4, "word": " بتاعه", "probability": 0.9886067708333334}, {"start": 1006.4, "end": 1006.86, "word": " بيكون", "probability": 0.9326171875}, {"start": 1006.86, "end": 1007.36, "word": " من", "probability": 0.9931640625}, {"start": 1007.36, "end": 1008.04, "word": " خمسة", "probability": 0.9378662109375}, {"start": 1008.04, "end": 1009.26, "word": " لمثلا", "probability": 0.75244140625}, {"start": 1009.26, "end": 1010.66, "word": " سبعة", "probability": 0.9635416666666666}, {"start": 1010.66, "end": 1011.0, "word": " او", "probability": 0.895263671875}, {"start": 1011.0, "end": 1011.62, "word": " لتمانية", "probability": 0.8480224609375}, {"start": 1011.62, "end": 1012.02, "word": " من", "probability": 0.92626953125}, {"start": 1012.02, "end": 1012.36, "word": " minus", "probability": 0.378662109375}, {"start": 1012.36, "end": 1012.82, "word": " خمسة", "probability": 0.970947265625}, {"start": 1012.82, "end": 1012.9, "word": " ل", "probability": 0.94677734375}, {"start": 1012.9, "end": 1013.22, "word": " minus", "probability": 0.87353515625}, {"start": 1013.22, "end": 1014.04, "word": " تمانية", "probability": 0.9873046875}, {"start": 1014.04, "end": 1015.42, "word": " او", "probability": 0.896484375}, {"start": 1015.42, "end": 1016.02, "word": " high", "probability": 0.9482421875}], "temperature": 1.0}, {"id": 40, "seek": 104861, "start": 1021.26, "end": 1048.62, "text": "Okay ال image when هتكون the بالظبط the image form between the examiner I and", "tokens": [8297, 2423, 3256, 562, 8032, 2655, 30544, 264, 20666, 19913, 3555, 9566, 264, 3256, 1254, 1296, 264, 1139, 4564, 286, 293], "avg_logprob": -0.2437855059450323, "compression_ratio": 1.0465116279069768, "no_speech_prob": 0.0, "words": [{"start": 1021.26, "end": 1021.68, "word": "Okay", "probability": 0.7001953125}, {"start": 1021.68, "end": 1022.38, "word": " ال", "probability": 0.9521484375}, {"start": 1022.38, "end": 1022.62, "word": " image", "probability": 0.92822265625}, {"start": 1022.62, "end": 1022.82, "word": " when", "probability": 0.362060546875}, {"start": 1022.82, "end": 1023.34, "word": " هتكون", "probability": 0.9524739583333334}, {"start": 1023.34, "end": 1025.04, "word": " the", "probability": 0.366943359375}, {"start": 1025.04, "end": 1027.3, "word": " بالظبط", "probability": 0.871337890625}, {"start": 1027.3, "end": 1027.62, "word": " the", "probability": 0.515625}, {"start": 1027.62, "end": 1028.1, "word": " image", "probability": 0.96044921875}, {"start": 1028.1, "end": 1030.32, "word": " form", "probability": 0.51025390625}, {"start": 1030.32, "end": 1035.22, "word": " between", "probability": 0.94970703125}, {"start": 1035.22, "end": 1039.82, "word": " the", "probability": 0.9296875}, {"start": 1039.82, "end": 1042.48, "word": " examiner", "probability": 0.986572265625}, {"start": 1042.48, "end": 1045.94, "word": " I", "probability": 0.76171875}, {"start": 1045.94, "end": 1048.62, "word": " and", "probability": 0.96435546875}], "temperature": 1.0}, {"id": 41, "seek": 106492, "start": 1050.28, "end": 1064.92, "text": "Patient eye و العدسة اللى هتستخدم إيه So we apply minus lenses", "tokens": [29331, 1196, 3313, 4032, 18863, 3215, 3794, 3660, 13672, 7578, 8032, 2655, 14851, 9778, 40448, 11933, 1829, 3224, 407, 321, 3079, 3175, 18059], "avg_logprob": -0.4248046986758709, "compression_ratio": 0.9431818181818182, "no_speech_prob": 0.0, "words": [{"start": 1050.28, "end": 1050.9, "word": "Patient", "probability": 0.6639404296875}, {"start": 1050.9, "end": 1051.34, "word": " eye", "probability": 0.28076171875}, {"start": 1051.34, "end": 1056.52, "word": " و", "probability": 0.406982421875}, {"start": 1056.52, "end": 1056.98, "word": " العدسة", "probability": 0.9490966796875}, {"start": 1056.98, "end": 1057.1, "word": " اللى", "probability": 0.725341796875}, {"start": 1057.1, "end": 1057.76, "word": " هتستخدم", "probability": 0.97783203125}, {"start": 1057.76, "end": 1058.02, "word": " إيه", "probability": 0.6525472005208334}, {"start": 1058.02, "end": 1058.6, "word": " So", "probability": 0.145263671875}, {"start": 1058.6, "end": 1059.9, "word": " we", "probability": 0.8037109375}, {"start": 1059.9, "end": 1060.46, "word": " apply", "probability": 0.92138671875}, {"start": 1060.46, "end": 1061.48, "word": " minus", "probability": 0.87939453125}, {"start": 1061.48, "end": 1064.92, "word": " lenses", "probability": 0.6513671875}], "temperature": 1.0}, {"id": 42, "seek": 110579, "start": 1076.35, "end": 1105.79, "text": "هي انا بشوف ال red reflex ل ال patient eye يعني انا بحرك ال retinoscope ال streak او ال beam بتاع ال retinoscope الشعاع بتاعه من خلاله انه هو بيعكس الضوء في عين مين المريض فانا هشوف عبارة عن illuminated انه البقبق مضاء فانا هشوف ايش ال red reflex لمين لل patient eye فهي ال red reflex انا هشوفه هل with ولا against", "tokens": [3224, 1829, 1975, 8315, 4724, 8592, 38688, 2423, 2182, 23802, 5296, 2423, 4537, 3313, 37495, 22653, 1975, 8315, 4724, 5016, 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"seek": 119700, "start": 1178.16, "end": 1197.0, "text": "ان انا وصلت ل ال neutral point يعني الآن انا بعمل ال horizontal plus واحد و نص ال vertical plus اتنين شو معناها؟ يعني انا وصلت ل no movement of the red reflex يعني مافيش حركة في ال red reflex بمعنى ان وصلت لمين؟", "tokens": [7649, 1975, 8315, 4032, 36520, 2655, 5296, 2423, 10598, 935, 37495, 22653, 6024, 48506, 1975, 8315, 4724, 25957, 1211, 2423, 12750, 1804, 36764, 24401, 4032, 8717, 9381, 2423, 9429, 1804, 1975, 2655, 1863, 9957, 13412, 2407, 20449, 8315, 11296, 22807, 37495, 22653, 1975, 8315, 4032, 36520, 2655, 5296, 572, 3963, 295, 264, 2182, 23802, 37495, 22653, 19446, 41185, 8592, 11331, 31747, 3660, 8978, 2423, 2182, 23802, 4724, 2304, 3615, 1863, 7578, 16472, 4032, 36520, 2655, 32767, 9957, 22807], "avg_logprob": -0.14398733686797227, "compression_ratio": 1.6830601092896176, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1178.16, "end": 1178.4, "word": "ان", "probability": 0.4833984375}, {"start": 1178.4, 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"word": " ال", "probability": 0.94873046875}, {"start": 1194.1, "end": 1194.32, "word": " red", "probability": 0.92919921875}, {"start": 1194.32, "end": 1194.78, "word": " reflex", "probability": 0.943359375}, {"start": 1194.78, "end": 1195.62, "word": " بمعنى", "probability": 0.92783203125}, {"start": 1195.62, "end": 1195.8, "word": " ان", "probability": 0.83349609375}, {"start": 1195.8, "end": 1196.22, "word": " وصلت", "probability": 0.9013671875}, {"start": 1196.22, "end": 1197.0, "word": " لمين؟", "probability": 0.9532877604166666}], "temperature": 1.0}, {"id": 48, "seek": 122184, "start": 1197.41, "end": 1221.85, "text": "للـ neutral point لنحفظ هدول المصطلحات ال neutral point هي عبارة عن نقطة التقاء ما بين ال far point ل ال patient I و ال nodal point لمن لال examiner I عند هذه النقطة بيصير ايه؟ no movement of the red reflex طيب شو تعريف ال far point؟ كتبتوا هذه خلصتوا؟", "tokens": [1211, 1211, 39184, 10598, 935, 5296, 1863, 5016, 5172, 19913, 8032, 3215, 12610, 9673, 9381, 9566, 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to", "tokens": [28814, 15730, 18871, 11296, 37279, 16572, 5172, 2423, 1400, 935, 264, 1400, 36356, 935, 281], "avg_logprob": -0.21337890531867743, "compression_ratio": 1.0327868852459017, "no_speech_prob": 0.0, "words": [{"start": 1236.28, "end": 1236.56, "word": "إذا", "probability": 0.70556640625}, {"start": 1236.56, "end": 1237.02, "word": " عنها", "probability": 0.674560546875}, {"start": 1237.02, "end": 1237.8, "word": " تعريف", "probability": 0.9811197916666666}, {"start": 1237.8, "end": 1238.12, "word": " ال", "probability": 0.716796875}, {"start": 1238.12, "end": 1238.5, "word": " far", "probability": 0.93701171875}, {"start": 1238.5, "end": 1242.6, "word": " point", "probability": 0.9619140625}, {"start": 1242.6, "end": 1246.9, "word": " the", "probability": 0.70556640625}, {"start": 1246.9, "end": 1254.04, "word": " farthest", "probability": 0.8125}, {"start": 1254.04, "end": 1259.38, "word": " point", "probability": 0.9814453125}, {"start": 1259.38, "end": 1263.86, "word": " to", "probability": 0.9677734375}], "temperature": 1.0}, {"id": 50, "seek": 129126, "start": 1268.96, "end": 1291.26, "text": "focus image on the retina إذن هي عبارة عن أبعد نقطة بتركز الصورة على الشبكية في ال neutral point", "tokens": [69, 15206, 3256, 322, 264, 1533, 1426, 11933, 8848, 1863, 39896, 6225, 3555, 9640, 3660, 18871, 5551, 3555, 22488, 8717, 47432, 3660, 39894, 31747, 11622, 31767, 13063, 3660, 15844, 25124, 3555, 4117, 10632, 8978, 2423, 10598, 935], "avg_logprob": -0.09606290765498814, "compression_ratio": 1.1557377049180328, "no_speech_prob": 0.0, "words": [{"start": 1268.96, "end": 1270.28, "word": "focus", "probability": 0.802734375}, {"start": 1270.28, "end": 1271.6, "word": " image", "probability": 0.88623046875}, {"start": 1271.6, "end": 1275.48, "word": " on", "probability": 0.93994140625}, {"start": 1275.48, "end": 1277.46, "word": " the", "probability": 0.8876953125}, {"start": 1277.46, "end": 1278.84, "word": " retina", "probability": 0.989990234375}, 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"word": " اقرب", "probability": 0.9488932291666666}, {"start": 1379.68, "end": 1380.62, "word": " نقطة", "probability": 0.9853515625}, {"start": 1380.62, "end": 1381.42, "word": " بتعمل", "probability": 0.9698893229166666}, {"start": 1381.42, "end": 1381.62, "word": " على", "probability": 0.80517578125}, {"start": 1381.62, "end": 1382.26, "word": " تركيز", "probability": 0.9927978515625}, {"start": 1382.26, "end": 1382.88, "word": " الصورة", "probability": 0.98095703125}, {"start": 1382.88, "end": 1383.64, "word": " الشبكية", "probability": 0.86212158203125}, {"start": 1383.64, "end": 1384.58, "word": " واضح", "probability": 0.9456380208333334}, {"start": 1384.58, "end": 1385.76, "word": " ال", "probability": 0.748046875}, {"start": 1385.76, "end": 1386.02, "word": " near", "probability": 0.93017578125}, {"start": 1386.02, "end": 1386.48, "word": " point", "probability": 0.98876953125}], "temperature": 1.0}, {"id": 54, "seek": 142245, "start": 1394.03, "end": 1422.45, "text": "يعني نفس تعريف بس هان the nearest point the nearest point to focus image on the retina إذا هي عبارة عن أقرب صورة بتركز الصورة على الشبكية هذا ال near point what is the difference between far point and near point you can give answer for this question", "tokens": [40228, 22653, 8717, 36178, 37279, 16572, 5172, 4724, 3794, 8032, 7649, 264, 23831, 935, 264, 23831, 935, 281, 1879, 3256, 322, 264, 1533, 1426, 11933, 15730, 39896, 6225, 3555, 9640, 3660, 18871, 5551, 4587, 25513, 20328, 13063, 3660, 39894, 31747, 11622, 31767, 13063, 3660, 15844, 25124, 3555, 4117, 10632, 23758, 2423, 2651, 935, 437, 307, 264, 2649, 1296, 1400, 935, 293, 2651, 935, 291, 393, 976, 1867, 337, 341, 1168], "avg_logprob": -0.13303257420029438, "compression_ratio": 1.5, "no_speech_prob": 0.0, "words": [{"start": 1394.03, "end": 1394.31, "word": "يعني", "probability": 0.905517578125}, {"start": 1394.31, "end": 1394.53, "word": " نفس", "probability": 0.994384765625}, {"start": 1394.53, "end": 1395.05, "word": " تعريف", 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الشبكية", "probability": 0.936767578125}, {"start": 1414.25, "end": 1414.89, "word": " هذا", "probability": 0.319091796875}, {"start": 1414.89, "end": 1415.01, "word": " ال", "probability": 0.8955078125}, {"start": 1415.01, "end": 1415.17, "word": " near", "probability": 0.8388671875}, {"start": 1415.17, "end": 1415.55, "word": " point", "probability": 0.9794921875}, {"start": 1415.55, "end": 1416.07, "word": " what", "probability": 0.8779296875}, {"start": 1416.07, "end": 1416.27, "word": " is", "probability": 0.95556640625}, {"start": 1416.27, "end": 1416.43, "word": " the", "probability": 0.8818359375}, {"start": 1416.43, "end": 1416.81, "word": " difference", "probability": 0.86083984375}, {"start": 1416.81, "end": 1417.31, "word": " between", "probability": 0.93212890625}, {"start": 1417.31, "end": 1417.63, "word": " far", "probability": 0.91796875}, {"start": 1417.63, "end": 1417.97, "word": " point", "probability": 0.97021484375}, {"start": 1417.97, "end": 1418.21, "word": " and", "probability": 0.806640625}, {"start": 1418.21, "end": 1418.43, "word": " near", "probability": 0.88916015625}, {"start": 1418.43, "end": 1418.77, "word": " point", "probability": 0.982421875}, {"start": 1418.77, "end": 1420.19, "word": " you", "probability": 0.76025390625}, {"start": 1420.19, "end": 1420.43, "word": " can", "probability": 0.95263671875}, {"start": 1420.43, "end": 1420.65, "word": " give", "probability": 0.87158203125}, {"start": 1420.65, "end": 1421.13, "word": " answer", "probability": 0.95947265625}, {"start": 1421.13, "end": 1421.73, "word": " for", "probability": 0.93798828125}, {"start": 1421.73, "end": 1421.97, "word": " this", "probability": 0.96826171875}, {"start": 1421.97, "end": 1422.45, "word": " question", "probability": 0.9208984375}], "temperature": 1.0}, {"id": 55, "seek": 145057, "start": 1423.61, "end": 1450.57, "text": "أه okay يعني ال near point هي أقرب نقطة لتركيز الصورة على الشبكية far point أبعد نقطة لتركيز الصورة على الشبكية okay واضح واضح يا نديم طيب الآن أنا وصلت لمرحلة ال neutral point أو ال end point اللي هي نقطة النهاية بتاعتي بعد هيك إيش بطلع", "tokens": [10721, 3224, 1392, 37495, 22653, 2423, 2651, 935, 39896, 5551, 4587, 25513, 8717, 47432, 3660, 5296, 2655, 31747, 1829, 11622, 31767, 13063, 3660, 15844, 25124, 3555, 4117, 10632, 1400, 935, 5551, 3555, 22488, 8717, 47432, 3660, 5296, 2655, 31747, 1829, 11622, 31767, 13063, 3660, 15844, 25124, 3555, 4117, 10632, 1392, 4032, 46958, 5016, 4032, 46958, 5016, 35186, 8717, 16254, 2304, 23032, 1829, 3555, 6024, 48506, 41850, 4032, 36520, 2655, 32767, 2288, 5016, 37977, 2423, 10598, 935, 34051, 2423, 917, 935, 13672, 1829, 39896, 8717, 47432, 3660, 28239, 11296, 10632, 39894, 995, 34268, 1829, 39182, 39896, 4117, 11933, 1829, 8592, 4724, 9566, 1211, 3615], "avg_logprob": -0.1496394213575583, "compression_ratio": 1.8774509803921569, "no_speech_prob": 0.0, "words": [{"start": 1423.61, "end": 1424.01, "word": "أه", "probability": 0.451171875}, {"start": 1424.01, "end": 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horizontal بعد المرحلة هذه بصل لمين؟ لل final objective refraction اللي هي الوصفة اللي حكينا أنه بناخد الكبير نخصمه من مسافة العمل سواء كانت واحد و نص أو اتنين ديوبتر okay", "tokens": [6027, 732, 3278, 36632, 4724, 2304, 3615, 1863, 7578, 2423, 9429, 4032, 2423, 12750, 23032, 1829, 3555, 7251, 15042, 41850, 4724, 9566, 1211, 3615, 2423, 9429, 4032, 2423, 12750, 39182, 9673, 2288, 5016, 37977, 29538, 4724, 36520, 32767, 9957, 22807, 24976, 2572, 10024, 1895, 26766, 13672, 1829, 39896, 2423, 2407, 9381, 5172, 3660, 13672, 1829, 11331, 4117, 1829, 8315, 14739, 3224, 44945, 47283, 3215, 33251, 3555, 13546, 8717, 9778, 9381, 2304, 3224, 9154, 47524, 31845, 3660, 18863, 42213, 8608, 2407, 16606, 25961, 2655, 36764, 24401, 4032, 8717, 9381, 34051, 1975, 2655, 1863, 9957, 11778, 1829, 37746, 2655, 2288, 1392], "avg_logprob": -0.14976562231779098, "compression_ratio": 1.6666666666666667, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1451.18, "end": 1451.42, "word": "ال", 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"end": 1719.97, "word": " مين؟", "probability": 0.9762369791666666}], "temperature": 1.0}, {"id": 67, "seek": 173288, "start": 1720.34, "end": 1732.88, "text": "هو يعتمد على المسافة بين رتنسكوب وعين المستخدم. ما هي دفعية المسافة العمل؟", "tokens": [3224, 2407, 7251, 34268, 2304, 3215, 15844, 9673, 3794, 31845, 3660, 49374, 12602, 2655, 1863, 3794, 4117, 37746, 4032, 3615, 9957, 9673, 14851, 9778, 40448, 13, 19446, 39896, 11778, 5172, 3615, 10632, 9673, 3794, 31845, 3660, 18863, 42213, 22807], "avg_logprob": -0.8281250014901161, "compression_ratio": 1.40625, "no_speech_prob": 0.0, "words": [{"start": 1720.34, "end": 1720.56, "word": "هو", "probability": 0.355987548828125}, {"start": 1720.56, "end": 1721.02, "word": " يعتمد", "probability": 0.6925048828125}, {"start": 1721.02, "end": 1721.44, "word": " على", "probability": 0.77734375}, {"start": 1721.44, "end": 1722.26, "word": " المسافة", "probability": 0.526031494140625}, {"start": 1722.26, "end": 1722.86, "word": " بين", 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{"start": 2299.83, "end": 2300.29, "word": " ماكنش", "probability": 0.86865234375}, {"start": 2300.29, "end": 2300.43, "word": " في", "probability": 0.95751953125}, {"start": 2300.43, "end": 2300.99, "word": " حاجة", "probability": 0.8819986979166666}, {"start": 2300.99, "end": 2301.35, "word": " و", "probability": 0.875}, {"start": 2301.35, "end": 2301.75, "word": " فجأة", "probability": 0.8907470703125}, {"start": 2301.75, "end": 2302.73, "word": " لكن", "probability": 0.85693359375}, {"start": 2302.73, "end": 2303.21, "word": " mile", "probability": 0.459716796875}, {"start": 2303.21, "end": 2303.53, "word": " اللي", "probability": 0.987548828125}, {"start": 2303.53, "end": 2303.71, "word": " هو", "probability": 0.9794921875}, {"start": 2303.71, "end": 2304.19, "word": " بسيط", "probability": 0.9962158203125}], "temperature": 1.0}, {"id": 91, "seek": 232667, "start": 2304.94, "end": 2326.68, "text": "يعني قليل أو خفيف if the image formed behind the eye of the observer لو الصورة الشكلت خلف عين من الفاحص في حالة اللوميوب or the eye of the patient hypermetroid the red reflex moves with the movement of the retinascope", "tokens": [40228, 22653, 12174, 20292, 1211, 34051, 16490, 5172, 33911, 498, 264, 3256, 8693, 2261, 264, 3313, 295, 264, 27878, 45164, 31767, 13063, 3660, 25124, 28820, 2655, 16490, 46538, 6225, 9957, 9154, 27188, 39319, 9381, 8978, 11331, 6027, 3660, 13672, 20498, 1829, 37746, 420, 264, 3313, 295, 264, 4537, 9848, 5537, 6490, 264, 2182, 23802, 6067, 365, 264, 3963, 295, 264, 1533, 17094, 13960], "avg_logprob": -0.270019527990371, "compression_ratio": 1.4444444444444444, "no_speech_prob": 0.0, "words": [{"start": 2304.94, "end": 2305.22, "word": "يعني", "probability": 0.925048828125}, {"start": 2305.22, "end": 2305.72, "word": " قليل", "probability": 0.5395914713541666}, {"start": 2305.72, "end": 2306.74, "word": " أو", "probability": 0.80859375}, {"start": 2306.74, "end": 2307.52, "word": " خفيف", "probability": 0.9708658854166666}, {"start": 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"end": 2322.3, "word": " the", "probability": 0.875}, {"start": 2322.3, "end": 2322.62, "word": " patient", "probability": 0.92529296875}, {"start": 2322.62, "end": 2323.42, "word": " hypermetroid", "probability": 0.4361165364583333}, {"start": 2323.42, "end": 2323.72, "word": " the", "probability": 0.53173828125}, {"start": 2323.72, "end": 2323.94, "word": " red", "probability": 0.89794921875}, {"start": 2323.94, "end": 2324.24, "word": " reflex", "probability": 0.9111328125}, {"start": 2324.24, "end": 2324.8, "word": " moves", "probability": 0.8818359375}, {"start": 2324.8, "end": 2325.18, "word": " with", "probability": 0.927734375}, {"start": 2325.18, "end": 2325.34, "word": " the", "probability": 0.86669921875}, {"start": 2325.34, "end": 2325.64, "word": " movement", "probability": 0.93896484375}, {"start": 2325.64, "end": 2325.9, "word": " of", "probability": 0.97265625}, {"start": 2325.9, "end": 2326.02, "word": " the", "probability": 0.708984375}, {"start": 2326.02, "end": 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Noor ال far point شو تعريفها؟", "tokens": [40294, 8608, 2407, 16606, 2423, 1090, 34051, 2423, 2295, 4386, 1090, 13075, 1392, 562, 264, 1400, 935, 4386, 11331, 4117, 1829, 8315, 2423, 1400, 935, 13412, 2407, 37279, 16572, 5172, 11296, 4386, 883, 284, 2423, 1400, 935, 13412, 2407, 37279, 16572, 5172, 11296, 22807], "avg_logprob": -0.28628471692403157, "compression_ratio": 1.384, "no_speech_prob": 0.0, "words": [{"start": 2331.2, "end": 2331.5, "word": "اه", "probability": 0.293701171875}, {"start": 2331.5, "end": 2332.1, "word": " سواء", "probability": 0.9685872395833334}, {"start": 2332.1, "end": 2332.4, "word": " ال", "probability": 0.9697265625}, {"start": 2332.4, "end": 2332.96, "word": " high", "probability": 0.76904296875}, {"start": 2332.96, "end": 2333.3, "word": " أو", "probability": 0.638671875}, {"start": 2333.3, "end": 2333.64, "word": " ال", "probability": 0.9384765625}, {"start": 2333.64, "end": 2333.8, "word": " low", "probability": 0.85595703125}, {"start": 2333.8, "end": 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"word": " point", "probability": 0.98486328125}, {"start": 2342.3, "end": 2342.64, "word": " شو", "probability": 0.94287109375}, {"start": 2342.64, "end": 2343.36, "word": " تعريفها", "probability": 0.9498291015625}, {"start": 2343.36, "end": 2344.08, "word": " ..", "probability": 0.2198486328125}, {"start": 2344.08, "end": 2344.4, "word": " Noor", "probability": 0.617431640625}, {"start": 2344.4, "end": 2345.5, "word": " ال", "probability": 0.315185546875}, {"start": 2345.5, "end": 2345.76, "word": " far", "probability": 0.970703125}, {"start": 2345.76, "end": 2346.08, "word": " point", "probability": 0.9873046875}, {"start": 2346.08, "end": 2346.46, "word": " شو", "probability": 0.989990234375}, {"start": 2346.46, "end": 2347.12, "word": " تعريفها؟", "probability": 0.95791015625}], "temperature": 1.0}, {"id": 93, "seek": 237556, "start": 2351.68, "end": 2375.56, "text": "بالظبط هي عبارة عن أبعث صورة ممكن تتكون الصورة على الشبكية the farthest point to focus image on the retina طيب يما ال far point بالنسبة ل ال patient I correspond إقابل mean to the nodal point نقطة اللي عندها بيصير mean التعادل", "tokens": [3555, 6027, 19913, 3555, 9566, 39896, 6225, 3555, 9640, 3660, 18871, 5551, 3555, 3615, 12984, 20328, 13063, 3660, 3714, 43020, 6055, 2655, 30544, 31767, 13063, 3660, 15844, 25124, 3555, 4117, 10632, 264, 1400, 36356, 935, 281, 1879, 3256, 322, 264, 1533, 1426, 23032, 1829, 3555, 7251, 15042, 2423, 1400, 935, 20666, 1863, 35457, 3660, 5296, 2423, 4537, 286, 6805, 11933, 4587, 16758, 1211, 914, 281, 264, 15224, 304, 935, 8717, 47432, 3660, 13672, 1829, 43242, 11296, 4724, 1829, 9381, 13546, 914, 16712, 3615, 18513, 1211], "avg_logprob": -0.18177688468334285, "compression_ratio": 1.4838709677419355, "no_speech_prob": 0.0, "words": [{"start": 2351.68, "end": 2352.48, "word": "بالظبط", "probability": 0.90947265625}, {"start": 2352.48, "end": 2352.74, "word": " هي", "probability": 0.7197265625}, {"start": 2352.74, "end": 2353.36, "word": " عبارة", "probability": 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المرحلة مين؟ ل neutral point فعندها بيصير عملية ال neutralization عشان انا بحكيلكم دايما في المعمل أوصلت ل neutral point تعرف ايش معناها؟ انه no movement of the red reflex ان مافيش حركة لمين لل red reflex", "tokens": [3555, 3615, 18513, 1211, 6805, 16472, 3224, 4724, 1829, 4587, 16758, 1211, 2423, 15224, 304, 935, 24976, 4537, 3313, 4386, 2597, 24976, 1139, 4564, 3313, 41850, 4724, 36520, 8978, 29538, 9673, 2288, 5016, 37977, 3714, 9957, 22807, 5296, 10598, 935, 6156, 3615, 41260, 11296, 4724, 1829, 9381, 13546, 6225, 42213, 10632, 2423, 10598, 2144, 6225, 8592, 7649, 1975, 8315, 4724, 5016, 4117, 1829, 23275, 2304, 11778, 47302, 15042, 8978, 9673, 25957, 1211, 34051, 36520, 2655, 5296, 10598, 935, 37279, 28480, 1975, 1829, 8592, 20449, 8315, 11296, 22807, 16472, 3224, 572, 3963, 295, 264, 2182, 23802, 16472, 19446, 41185, 8592, 11331, 31747, 3660, 32767, 9957, 24976, 2182, 23802], "avg_logprob": -0.2171585599857348, "compression_ratio": 1.6226415094339623, "no_speech_prob": 0.0, 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"end": 2435.69, "word": " red", "probability": 0.90234375}, {"start": 2435.69, "end": 2436.21, "word": " reflex", "probability": 0.91943359375}, {"start": 2436.21, "end": 2437.01, "word": " ان", "probability": 0.73193359375}, {"start": 2437.01, "end": 2437.37, "word": " مافيش", "probability": 0.8408203125}, {"start": 2437.37, "end": 2437.83, "word": " حركة", "probability": 0.99169921875}, {"start": 2437.83, "end": 2438.23, "word": " لمين", "probability": 0.749267578125}, {"start": 2438.23, "end": 2438.97, "word": " لل", "probability": 0.51904296875}, {"start": 2438.97, "end": 2439.17, "word": " red", "probability": 0.7607421875}, {"start": 2439.17, "end": 2439.57, "word": " reflex", "probability": 0.931640625}], "temperature": 1.0}, {"id": 97, "seek": 245626, "start": 2453.48, "end": 2456.26, "text": "كيف مش فاهم؟ إيه السؤال واضح؟", "tokens": [4117, 33911, 37893, 6156, 995, 16095, 22807, 11933, 1829, 3224, 21136, 33604, 6027, 4032, 46958, 5016, 22807], "avg_logprob": 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0.9930013020833334}], "temperature": 1.0}, {"id": 99, "seek": 250321, "start": 2474.26, "end": 2503.22, "text": "بيعمل على تصحيح الخطأ الانكساري و لو كان plus أو minus ربع صح ماجيبناش plus أو minus zero point twelve هو بيعمل بس تصحيح لربع درجة يعني مثلا تلاتة و ربع تلاتة و خمسة و سبعين تلاتة و نص واضح لكن انا مثلا يما يكون الفرق بينهم اقل من ربع مابعتبرهاش حتى انا انتوا الآن يما بتعملوا retinoscope يما يكون الفرق بينه وبينكم ربع درجة ايش بقولك you are correct انه صح كلامي", "tokens": [21292, 25957, 1211, 15844, 6055, 9381, 5016, 1829, 5016, 33962, 9566, 10721, 2423, 7649, 4117, 3794, 9640, 1829, 4032, 45164, 25961, 1804, 34051, 3175, 12602, 3555, 3615, 20328, 5016, 19446, 7435, 1829, 3555, 1863, 33599, 1804, 34051, 3175, 4018, 935, 14390, 31439, 4724, 1829, 25957, 1211, 4724, 3794, 6055, 9381, 5016, 1829, 5016, 5296, 25513, 3615, 11778, 47341, 3660, 37495, 22653, 50113, 15040, 6055, 1211, 9307, 3660, 4032, 12602, 3555, 3615, 6055, 1211, 9307, 3660, 4032, 16490, 2304, 3794, 3660, 4032, 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أحسب", "probability": 0.9415690104166666}, {"start": 2915.22, "end": 2915.56, "word": " مين", "probability": 0.8603515625}, {"start": 2915.56, "end": 2916.36, "word": " مسافة", "probability": 0.982421875}, {"start": 2916.36, "end": 2916.84, "word": " العمل", "probability": 0.993896484375}], "temperature": 1.0}, {"id": 116, "seek": 293494, "start": 2917.08, "end": 2934.94, "text": "ال working distance okay فبدنا نجف لهان طبعا ال .. ال .. بالنسبة للامتحان هيكون لحدية ال cycloplegia الموضوع اعتقد يعني هيكون داخل معنى difficulties of written score شو هي صعوبات ال written score okay", "tokens": [6027, 1364, 4560, 1392, 6156, 44510, 8315, 8717, 7435, 5172, 46740, 7649, 23032, 3555, 3615, 995, 2423, 4386, 2423, 4386, 20666, 1863, 35457, 3660, 24976, 10943, 2655, 5016, 7649, 39896, 30544, 5296, 24401, 10632, 2423, 19474, 404, 6363, 654, 9673, 2407, 11242, 45367, 1975, 34268, 28543, 37495, 22653, 39896, 30544, 11778, 47283, 1211, 20449, 1863, 7578, 14399, 295, 3720, 6175, 13412, 2407, 39896, 20328, 3615, 37746, 9307, 2423, 3720, 6175, 1392], "avg_logprob": -0.2261284655994839, "compression_ratio": 1.45, "no_speech_prob": 4.172325134277344e-07, "words": [{"start": 2917.08, "end": 2917.32, "word": "ال", "probability": 0.86865234375}, {"start": 2917.32, "end": 2917.62, "word": " working", "probability": 0.65283203125}, {"start": 2917.62, "end": 2918.22, "word": " distance", "probability": 0.681640625}, {"start": 2918.22, "end": 2918.94, "word": " okay", "probability": 0.33203125}, {"start": 2918.94, "end": 2920.02, "word": " فبدنا", "probability": 0.8209635416666666}, {"start": 2920.02, "end": 2920.28, "word": " نجف", "probability": 0.802734375}, {"start": 2920.28, "end": 2920.78, "word": " لهان", "probability": 0.49371337890625}, {"start": 2920.78, "end": 2922.5, "word": " طبعا", "probability": 0.9642333984375}, {"start": 2922.5, "end": 2923.02, "word": " ال", "probability": 0.87744140625}, {"start": 2923.02, "end": 2923.74, "word": " ..", "probability": 0.7646484375}, {"start": 2923.74, "end": 2924.06, "word": " ال", "probability": 0.96923828125}, {"start": 2924.06, "end": 2924.2, "word": " ..", "probability": 0.91796875}, {"start": 2924.2, "end": 2924.74, "word": " بالنسبة", "probability": 0.8905029296875}, {"start": 2924.74, "end": 2925.54, "word": " للامتحان", "probability": 0.857763671875}, {"start": 2925.54, "end": 2926.04, "word": " هيكون", "probability": 0.947265625}, {"start": 2926.04, "end": 2926.62, "word": " لحدية", "probability": 0.8922526041666666}, {"start": 2926.62, "end": 2926.8, "word": " ال", "probability": 0.480712890625}, {"start": 2926.8, "end": 2927.64, "word": " cycloplegia", "probability": 0.51434326171875}, {"start": 2927.64, "end": 2928.2, "word": " الموضوع", "probability": 0.8748779296875}, {"start": 2928.2, "end": 2928.92, "word": " اعتقد", "probability": 0.87255859375}, {"start": 2928.92, "end": 2929.14, "word": " يعني", "probability": 0.83935546875}, {"start": 2929.14, "end": 2930.04, "word": " هيكون", "probability": 0.84912109375}, {"start": 2930.04, "end": 2930.36, "word": " داخل", "probability": 0.9833984375}, {"start": 2930.36, "end": 2930.72, "word": " معنى", "probability": 0.9573567708333334}, {"start": 2930.72, "end": 2931.44, "word": " difficulties", "probability": 0.67578125}, {"start": 2931.44, "end": 2931.64, "word": " of", "probability": 0.97802734375}, {"start": 2931.64, "end": 2931.92, "word": " written", "probability": 0.86376953125}, {"start": 2931.92, "end": 2932.34, "word": " score", "probability": 0.5361328125}, {"start": 2932.34, "end": 2932.96, "word": " شو", "probability": 0.87353515625}, {"start": 2932.96, "end": 2933.12, "word": " هي", "probability": 0.9365234375}, {"start": 2933.12, "end": 2933.66, "word": " صعوبات", "probability": 0.9827880859375}, {"start": 2933.66, "end": 2933.76, "word": " ال", "probability": 0.951171875}, {"start": 2933.76, "end": 2933.98, "word": " written", "probability": 0.88525390625}, {"start": 2933.98, "end": 2934.44, "word": " score", "probability": 0.89453125}, {"start": 2934.44, "end": 2934.94, "word": " okay", "probability": 0.900390625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2935.884625, "duration_after_vad": 2732.867499999989}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..491a6b254a5bfcec088d665b959c2434a0753f5c
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3Dnp8Pp2_wQ_raw.srt
@@ -0,0 +1,2240 @@
+1
+00:00:21,090 --> 00:00:23,870
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:23,870 --> 00:00:28,690
+الله و بركاته في المحاضرة الأخيرة انتهينا من
+
+3
+00:00:28,690 --> 00:00:33,870
+الموضوع أنه جهاز ال retinascope بتكون من نظامين
+
+4
+00:00:33,870 --> 00:00:40,250
+النظام الأول هو عبارة عن ال viewing system نظام
+
+5
+00:00:40,250 --> 00:00:47,290
+الرؤية عبارة عنsmall aperture فتحة صغيرة بتسمح
+
+6
+00:00:47,290 --> 00:00:54,990
+للفاحص بالرؤية من خلالها لل patient eye بمعنى انه
+
+7
+00:00:54,990 --> 00:01:00,370
+بيشوف من خلالها مين ال read reflex اخدنا
+
+8
+00:01:00,370 --> 00:01:04,590
+النظام التاني اللي هو عبارة عن ال illuminating
+
+9
+00:01:04,590 --> 00:01:14,040
+system نظام الرؤيةنظام الإضاءة بتكون من bulb أو ال
+
+10
+00:01:14,040 --> 00:01:20,020
+halogen bulb عبارة عن اللمبة زائد ال convex mirror
+
+11
+00:01:20,020 --> 00:01:24,820
+اللى بتعمل عملية ال concentration تجميع الضوء اللى
+
+12
+00:01:24,820 --> 00:01:30,440
+بيكون مكانها ما بينال mirror و مابين ال bulb زاد
+
+13
+00:01:30,440 --> 00:01:34,660
+انه عندنا concave و plan mirror و في عندنا ال
+
+14
+00:01:34,660 --> 00:01:39,380
+battery ال chargeable battery هذه هي عبارة عن ال
+
+15
+00:01:39,380 --> 00:01:45,030
+parts of a streak written scopeزاد انه ال movable
+
+16
+00:01:45,030 --> 00:01:50,790
+sleeve up to down او side to side اليوم هنبدأ شو
+
+17
+00:01:50,790 --> 00:01:54,910
+بيحدث خلال قلية العمل what happens during
+
+18
+00:01:54,910 --> 00:01:59,170
+retinoscopy يعني شو اللي بيحدث مع ال examiner
+
+19
+00:01:59,170 --> 00:02:06,970
+الفاحص خلال عملية مين ال retinoscope اول حاجة ال
+
+20
+00:02:06,970 --> 00:02:11,790
+retinoscopeالستريك بتاع ال retinascope بيخرج منه
+
+21
+00:02:11,790 --> 00:02:15,990
+شعاع طوقي light rays بيكون الشعاع الطوقي هذا إيش
+
+22
+00:02:15,990 --> 00:02:22,750
+ماله متشتت متشتت okay بروح لوين ل ال patient I
+
+23
+00:02:22,750 --> 00:02:29,630
+طبعا الغرفة بتكون معتمة طيب زاد انه بتكون long
+
+24
+00:02:29,630 --> 00:02:36,550
+طويلة و ال patient بنظر لوين ل ال largest optotype
+
+25
+00:02:37,310 --> 00:02:42,250
+أي بمعنى لمسافة بعيدة طيب ليش أنه بتكون الغرفة
+
+26
+00:02:42,250 --> 00:02:54,370
+معتمة؟ تفضلي تفضلي بداية
+
+27
+00:02:54,370 --> 00:02:59,850
+يما يكون عند المريض بتطلع بعيد بعمل relax لل
+
+28
+00:02:59,850 --> 00:03:04,610
+accommodation okay يما بنظر بعيد إذا أنا بعمل إيش؟
+
+29
+00:03:04,610 --> 00:03:08,450
+relax لل accommodationلكن لما تكون الغرفة معتمدة
+
+30
+00:03:08,450 --> 00:03:15,790
+عشان يعمل reflex انعكاس للضوء على عين المريض،
+
+31
+00:03:15,790 --> 00:03:20,890
+واضح؟ يعني ازيد اللي هو انعكاس الضوء في ال patient
+
+32
+00:03:20,890 --> 00:03:27,200
+eyeطيب، الآن في عندى .. في جهاز الورتنسكوب، نوعين
+
+33
+00:03:27,200 --> 00:03:32,220
+من ال sleeve، في عندنا sleeve up و sleeve down،
+
+34
+00:03:32,220 --> 00:03:35,720
+احنا قلنا في ال Welsh Ellen، بنشتغل وين؟ على
+
+35
+00:03:35,720 --> 00:03:41,140
+sleeve down طيب، ليش بيكون sleeve down؟لأن الأشعة
+
+36
+00:03:41,140 --> 00:03:48,060
+اللي بتكون خارجا من الجهاز slightly divergent أي
+
+37
+00:03:48,060 --> 00:03:54,160
+بمعنى تقريبا إشمالها متشتتة nearly parallel يعني
+
+38
+00:03:54,160 --> 00:03:59,680
+أنه بمعنى nearly parallel أنه قريبة لمن؟ للتوازن
+
+39
+00:03:59,680 --> 00:04:07,440
+هذه تحت تأثير من؟ ال plan mirror تحت تأثير المرأة
+
+40
+00:04:07,440 --> 00:04:14,710
+المسطحةلكن انا لما بعمل sleeve up بتكون تحت تأثير
+
+41
+00:04:14,710 --> 00:04:19,890
+من ال convex mirror يعني الآن انا غيرت ل sleeve up
+
+42
+00:04:19,890 --> 00:04:25,350
+فهي بتكون تحت تأثير من ال concave mirror sorry ال
+
+43
+00:04:25,350 --> 00:04:28,950
+concave mirror هي عبارة عن المرأة المقعرة اللي
+
+44
+00:04:28,950 --> 00:04:34,150
+بتعمل على تشتيت ايش؟ الأشعة الضوئية اذا الان لو
+
+45
+00:04:34,150 --> 00:04:39,800
+اناwhy you apply the sleeve down during
+
+46
+00:04:39,800 --> 00:04:44,500
+retinoscopy procedure يعني ليش بتستخدمي ال sleeve
+
+47
+00:04:44,500 --> 00:04:48,240
+down خلال عملية اللي هو استخدام جهاز ال
+
+48
+00:04:48,240 --> 00:04:56,360
+retinoscope الان انا في عنده بحكي ان ال sleeve up
+
+49
+00:04:56,360 --> 00:04:59,900
+وعنا
+
+50
+00:04:59,900 --> 00:05:05,620
+sleeve down
+
+51
+00:05:12,590 --> 00:05:19,130
+فعنا في موضوع ال sleeve up بتكون
+
+52
+00:05:19,130 --> 00:05:26,330
+under concave
+
+53
+00:05:26,330 --> 00:05:29,950
+mirror
+
+54
+00:05:29,950 --> 00:05:33,190
+أي
+
+55
+00:05:33,190 --> 00:05:34,250
+بما effect
+
+56
+00:05:37,600 --> 00:05:43,240
+إذا بمعنى أنه بتكون تحت تأثير من المرقة المقعرة
+
+57
+00:05:43,240 --> 00:05:54,900
+okay إذا الأشياء إيش هتكون عنده؟ divergent light
+
+58
+00:05:54,900 --> 00:05:59,940
+.. divergent
+
+59
+00:05:59,940 --> 00:06:07,940
+light rays okay يما يكون عنده sleeve downunder
+
+60
+00:06:07,940 --> 00:06:11,400
+plano
+
+61
+00:06:11,400 --> 00:06:15,300
+mirror
+
+62
+00:06:15,300 --> 00:06:22,160
+انه تحت تأثير المرقاة المسطحة والاشياء هتكون
+
+63
+00:06:22,160 --> 00:06:25,800
+slightly
+
+64
+00:06:25,800 --> 00:06:29,980
+divergent
+
+65
+00:06:29,980 --> 00:06:36,780
+nearly
+
+66
+00:06:46,230 --> 00:06:52,710
+هذا مهم الرسمة بتاعة ال mention يعني احكيلك why
+
+67
+00:06:52,710 --> 00:06:56,830
+you apply sleeve down during the
+
+68
+00:07:03,850 --> 00:07:07,770
+why you apply sleeve down during retinoscopy
+
+69
+00:07:07,770 --> 00:07:11,710
+procedure يعني ليش بستخدم ال sleeve بيكون down
+
+70
+00:07:11,710 --> 00:07:14,810
+طبعا وين في جهاز ال wilsh ellen اللي هو موجود
+
+71
+00:07:14,810 --> 00:07:18,970
+عندنا في المعمل خلال قلية عمل ايه ال retinoscope
+
+72
+00:07:18,970 --> 00:07:24,550
+ببساطة مرة تانية عشان الكل يفهم انا الان يما بيكون
+
+73
+00:07:24,550 --> 00:07:30,180
+sleeve downإذا تحت تأثير مين؟ ال planomirror
+
+74
+00:07:30,180 --> 00:07:35,280
+sleeve down يعني planomirror إذا أشعة المرقاش بده
+
+75
+00:07:35,280 --> 00:07:39,420
+تكون مستوية الأشعة الطالعاش بده تكون slightly
+
+76
+00:07:39,420 --> 00:07:42,820
+divergent or nearly parallel يما حط sleeve up
+
+77
+00:07:42,820 --> 00:07:47,220
+بتكون الأشعة أشمالها divergent المرقاش concave
+
+78
+00:07:47,220 --> 00:07:53,740
+mirror واضح هيك؟ كتبته؟ واضح صبرين؟
+
+79
+00:08:00,160 --> 00:08:03,100
+كل واحدة لها function استخدام بس احنا بنستخدم ..
+
+80
+00:08:03,100 --> 00:08:07,480
+بنستخدم مين ال sleep down عشان تكون الأشياء عبرها
+
+81
+00:08:07,480 --> 00:08:12,420
+متوازية okay
+
+82
+00:08:12,420 --> 00:08:19,060
+طيب بالنسبة لل degree درجة ال divergence أي بمعنى
+
+83
+00:08:19,060 --> 00:08:24,320
+درجة اللي هو تشتت الإشعاع الضوء بتعتمد على مين؟
+
+84
+00:08:24,320 --> 00:08:30,870
+بتعتمد على المسافة ما بين ال patient Iو ال
+
+85
+00:08:30,870 --> 00:08:34,690
+examiner eye او ما بين ال patient eye و ال
+
+86
+00:08:34,690 --> 00:08:39,330
+instrument المسافة هذه عشان هيك احنا بنقول ان ال
+
+87
+00:08:39,330 --> 00:08:43,490
+working distance مسافة العمل هي عبارة عن المسافة
+
+88
+00:08:43,490 --> 00:08:46,790
+ما بين ال patient eye و ال examiner eye او ال
+
+89
+00:08:46,790 --> 00:08:52,110
+patient eye و ال instrument و بتقدر هذه المسافة
+
+90
+00:08:52,110 --> 00:08:56,170
+حسب ايش ال length arm اللي هو طول الذراع ممكن انه
+
+91
+00:08:56,170 --> 00:09:02,370
+تكون المسافة هذه 67 cmفبكون مقلوب السبعة والستين
+
+92
+00:09:02,370 --> 00:09:08,570
+اللي هي جداش واحد و نص ديوبتر او مقلوب الخمسين
+
+93
+00:09:08,570 --> 00:09:13,770
+صنطة اللي هي عبارة عن اتنين ديوبتر اذا انا بحسب ال
+
+94
+00:09:13,770 --> 00:09:18,090
+working distance هل بحسبها في ال focal length اي
+
+95
+00:09:18,090 --> 00:09:22,950
+بمعنى في ال meter ولا بحسبها بالديوبتر بالديوبتر
+
+96
+00:09:22,950 --> 00:09:29,850
+اللي هي مقلوب من ال focal length اذا الان درجةتشتت
+
+97
+00:09:29,850 --> 00:09:35,140
+الأشعة الضوئية بيعتمد على مين؟على المسافة ما بين
+
+98
+00:09:35,140 --> 00:09:39,600
+ال patient eye و ما بين ال examiner eye اي المسافة
+
+99
+00:09:39,600 --> 00:09:43,860
+ما بين ال instrument و ال patient eye و اللي
+
+100
+00:09:43,860 --> 00:09:47,120
+بتنحسب من خلال ال focal length و هي مقلوب ال focal
+
+101
+00:09:47,120 --> 00:09:50,280
+length فلو فرضنا مثلا المسافة ما بين ال patient
+
+102
+00:09:50,280 --> 00:09:54,660
+eye و ال examiner 67 مية ع 67 تطلع واحد و نص لو
+
+103
+00:09:54,660 --> 00:09:58,500
+فرضناها خمسين سنة مية ع خمسين اتنين ديوبتر هذه هي
+
+104
+00:09:58,500 --> 00:10:05,630
+عبارة عن مين؟ال working distance okay طيب بالنسبة
+
+105
+00:10:05,630 --> 00:10:10,970
+ل ال virgins الميل الإشعاعي الميل الإشعاعي هو
+
+106
+00:10:10,970 --> 00:10:18,670
+دايما أي تبور أو ميل إشعاعي هي مقلوب من ال focal
+
+107
+00:10:18,670 --> 00:10:25,410
+length okay اتفقنا؟إذا دايما مقلوب ال virgins أو
+
+108
+00:10:25,410 --> 00:10:29,090
+ال power هي عبارة عن ال focal length أو مقلوب ال
+
+109
+00:10:29,090 --> 00:10:32,810
+focal length هي عبارة عن الميلي الإشعاعي أو هي
+
+110
+00:10:32,810 --> 00:10:37,330
+عبارة عن ال diopteric power اللي بتقاس بوحدة ال
+
+111
+00:10:37,330 --> 00:10:42,270
+diopter ال unit of the refractive error أو ال unit
+
+112
+00:10:42,270 --> 00:10:46,750
+of the lens power يعني قوة العدسة أو جديش قوة
+
+113
+00:10:46,750 --> 00:10:53,990
+الخطأ الانكساري للعين واضحة؟طيب، الآن الأشعة حكينا
+
+114
+00:10:53,990 --> 00:11:00,230
+إنه هتنتقل متوازية، هتدخل وين؟ في عين المريض، الآن
+
+115
+00:11:00,230 --> 00:11:04,830
+ال examiner إيش هيشوف؟ ال red reflex، لما أنا بشوف
+
+116
+00:11:04,830 --> 00:11:09,530
+ال red reflex، هبدأ اللي هو بإيه؟ بالحركة، الحركة
+
+117
+00:11:09,530 --> 00:11:14,810
+هذه إما أن تكون with أو تكون against، لو كان
+
+118
+00:11:14,810 --> 00:11:16,430
+المريض عنده
+
+119
+00:11:20,700 --> 00:11:25,420
+لو كان المريض عنده low myop أو كان عنده hyper
+
+120
+00:11:25,420 --> 00:11:29,880
+metrop حلو، هتكون الحركة أشمالها with a rule
+
+121
+00:11:33,090 --> 00:11:36,730
+إذا المريض كان عنده low myopia احنا حكينا في أول
+
+122
+00:11:36,730 --> 00:11:41,750
+محاضرة إن في classification تصنيف للخطأ الانكساري
+
+123
+00:11:41,750 --> 00:11:45,850
+للعين أول حاجة ال low myopia ال low myopia بيكون
+
+124
+00:11:45,850 --> 00:11:50,750
+من zero لقداش ل minus ثلاثة واضح فما يكون عنده
+
+125
+00:11:50,750 --> 00:11:57,110
+المريض low myopia أو عنده مثلا عنده hypermetropia
+
+126
+00:11:57,110 --> 00:12:02,070
+هتكون with the rule يعني الحركة with طب لو كان
+
+127
+00:12:02,070 --> 00:12:02,530
+emetropia
+
+128
+00:12:05,420 --> 00:12:10,080
+بالظبط ممكن تكون with وممكن تكون against يعني زي
+
+129
+00:12:10,080 --> 00:12:12,920
+ما انتوا بشوفوا الآن ال normal patient ممكن تكون
+
+130
+00:12:12,920 --> 00:12:18,380
+الحركة عنده with وممكن تكون عنده against طيب الآن
+
+131
+00:12:18,380 --> 00:12:25,500
+السؤال ليش انا بشوف الحركة with في ال low myop وفي
+
+132
+00:12:25,500 --> 00:12:30,320
+ال hyper metrop واضح
+
+133
+00:12:30,320 --> 00:12:36,000
+السؤال؟ليش أنا بشوف الحركة with؟ يعني بتكون الحركة
+
+134
+00:12:36,000 --> 00:12:41,220
+with في ال low-myope أو في ال hyper-metrope؟ لأن
+
+135
+00:12:41,220 --> 00:12:47,110
+ال image الصورة هتتجمع ما بين مين؟هتتجمع اللي هو
+
+136
+00:12:47,110 --> 00:12:52,170
+behind of the patient eye انه خلف من عين المريض او
+
+137
+00:12:52,170 --> 00:12:58,350
+خلف اللي هو عين ال examiner الفاحس واضح يعني دايما
+
+138
+00:12:58,350 --> 00:13:02,790
+الصورة بتتكون خلف عين ال examiner او ال observer
+
+139
+00:13:02,790 --> 00:13:11,270
+الفاحسلكن لما يكون عنده moderate ميوب، يعني متوسط،
+
+140
+00:13:11,270 --> 00:13:15,330
+يعني عنده ميوب لكن إيه شماله؟ متوسط أو مثلا عنده
+
+141
+00:13:15,330 --> 00:13:20,350
+high ميوب، يعني مثلا فوق ال minus عشرةهتكون الحركة
+
+142
+00:13:20,350 --> 00:13:24,950
+تاعت ايش against the rule اذا وين هتتكون الصورة
+
+143
+00:13:24,950 --> 00:13:29,410
+مابين ال patient eye و ال examiner eye عشان هيك
+
+144
+00:13:29,410 --> 00:13:33,250
+ايش بنستخدم ال minus lenses why you apply minus
+
+145
+00:13:33,250 --> 00:13:42,330
+lens in moderate and severe or in high ميوب لان ال
+
+146
+00:13:42,330 --> 00:13:48,930
+image وين بتتكون مابينال patient I و ال examiner I
+
+147
+00:13:48,930 --> 00:13:54,170
+فعشان هيك الحركة بتكون against إذا مدام الحركة
+
+148
+00:13:54,170 --> 00:14:01,590
+against إيش بستخدم؟ minus lenses واضحة الصورة ولا
+
+149
+00:14:01,590 --> 00:14:07,990
+كيف؟ بساطة، الآن أنا في عندي with the rule وفي
+
+150
+00:14:07,990 --> 00:14:12,070
+عندي against the rule الآن السؤال ليش أنا بستخدم
+
+151
+00:14:12,070 --> 00:14:18,780
+مع ال with the rule plus lenses؟حكينا ان الحالات
+
+152
+00:14:18,780 --> 00:14:23,920
+اللى بتكون مع ال with the rule اما بيكون لوميوب او
+
+153
+00:14:23,920 --> 00:14:30,620
+بيكون هايبرمتروم okay فاللوميوب او الهايبرمتروم
+
+154
+00:14:30,620 --> 00:14:36,580
+الصورة هتتكون خلف الفاحص فانا بستخدم ايش عدسة plus
+
+155
+00:14:36,580 --> 00:14:41,120
+عشان اعمل ال neutral point او اعمل ال end point
+
+156
+00:14:41,120 --> 00:14:45,180
+اللى هي نقطة التعادل بتاعتي يعني الآن ال with the
+
+157
+00:14:45,180 --> 00:14:45,360
+rule
+
+158
+00:14:55,840 --> 00:15:05,360
+عنا بتكون لال low ميوب و
+
+159
+00:15:05,360 --> 00:15:11,060
+ال hyper مترو
+
+160
+00:15:11,060 --> 00:15:17,880
+اذا
+
+161
+00:15:17,880 --> 00:15:20,500
+ال image
+
+162
+00:15:26,540 --> 00:15:32,820
+form إذا الصورة هتشكل behind
+
+163
+00:15:32,820 --> 00:15:36,940
+the
+
+164
+00:15:36,940 --> 00:15:47,300
+examiner so
+
+165
+00:15:47,300 --> 00:15:55,300
+لذلك we apply a
+
+166
+00:15:58,440 --> 00:16:10,420
+plus lenses إذا بنستخدم إيش؟ عدسات موجبة okay اه
+
+167
+00:16:10,420 --> 00:16:13,360
+واحدة منهم يعني إما ال patient بيكون عنده لوميوب
+
+168
+00:16:13,360 --> 00:16:19,120
+أو بيكون عنده hyper metroid okay طيب إما تكون
+
+169
+00:16:19,120 --> 00:16:20,580
+الحركة against
+
+170
+00:16:33,400 --> 00:16:39,220
+the role؟ اذا عندنا معناه ان المريض عنده moderate
+
+171
+00:16:39,220 --> 00:16:46,040
+moderate يعني متوسط متوسط يعني ال refractive error
+
+172
+00:16:46,040 --> 00:16:52,360
+بتاعه بيكون من خمسة لمثلا سبعة او لتمانية من minus
+
+173
+00:16:52,360 --> 00:16:56,020
+خمسة ل minus تمانية او high
+
+174
+00:17:01,260 --> 00:17:10,320
+Okay ال image when هتكون the بالظبط the image form
+
+175
+00:17:10,320 --> 00:17:15,220
+between
+
+176
+00:17:15,220 --> 00:17:19,820
+the
+
+177
+00:17:19,820 --> 00:17:25,940
+examiner I
+
+178
+00:17:25,940 --> 00:17:28,620
+and
+
+179
+00:17:30,280 --> 00:17:36,520
+Patient eye و
+
+180
+00:17:36,520 --> 00:17:44,920
+العدسة اللى هتستخدم إيه So we apply minus lenses
+
+181
+00:17:56,350 --> 00:17:59,950
+هي انا بشوف ال red reflex ل ال patient eye يعني
+
+182
+00:17:59,950 --> 00:18:03,810
+انا بحرك ال retinoscope ال streak او ال beam بتاع
+
+183
+00:18:03,810 --> 00:18:08,990
+ال retinoscope الشعاع بتاعه من خلاله انه هو بيعكس
+
+184
+00:18:08,990 --> 00:18:13,970
+الضوء في عين مين المريض فانا هشوف عبارة عن
+
+185
+00:18:13,970 --> 00:18:19,410
+illuminated انه البقبق مضاء فانا هشوف ايش ال red
+
+186
+00:18:19,410 --> 00:18:23,830
+reflex لمين لل patient eye فهي ال red reflex انا
+
+187
+00:18:23,830 --> 00:18:29,100
+هشوفه هل with ولا againstOkay حسب انه لو كان low
+
+188
+00:18:29,100 --> 00:18:33,640
+-myope او كان مثلا hyper-metropod moderate or high
+
+189
+00:18:33,640 --> 00:18:39,460
+-myope Okay طيب الآن انا وصلت للحركة عرفت مثلا ..
+
+190
+00:18:39,460 --> 00:18:46,020
+اه تفضلالان انا مثلا حددت الحركة هال with ولا
+
+191
+00:18:46,020 --> 00:18:50,300
+against هستخدم علاسات plus او minus لحد ما اصل
+
+192
+00:18:50,300 --> 00:18:54,460
+لمين لل neutral point او ال end point اللي هي نقطة
+
+193
+00:18:54,460 --> 00:19:00,160
+النهاية او نقطة التعادل نقطة التعادل ايش هي ان ال
+
+194
+00:19:00,160 --> 00:19:05,820
+far pointال far point هي عبارة عن أبعث نقطة بتركز
+
+195
+00:19:05,820 --> 00:19:09,680
+الصورة على الشبكية the farthest point to focus the
+
+196
+00:19:09,680 --> 00:19:13,160
+object on the retina يعني أبعث صورة بتعمل على
+
+197
+00:19:13,160 --> 00:19:17,900
+تركيز الصورة وين؟ على الشبكية فال far point بتاعة
+
+198
+00:19:17,900 --> 00:19:25,020
+ال patient I وين هتتركز؟مع ال nodal point ل ال
+
+199
+00:19:25,020 --> 00:19:29,780
+examiner I فانا بهذه الحالة بصلمين ل ال end point
+
+200
+00:19:29,780 --> 00:19:34,260
+اللي هي نقطة النهاية او ال neutral point يعني لما
+
+201
+00:19:34,260 --> 00:19:39,240
+اقولك اعملت neutralization شو معناها؟ان انا وصلت ل
+
+202
+00:19:39,240 --> 00:19:43,040
+ال neutral point يعني الآن انا بعمل ال horizontal
+
+203
+00:19:43,040 --> 00:19:48,420
+plus واحد و نص ال vertical plus اتنين شو معناها؟
+
+204
+00:19:48,420 --> 00:19:52,620
+يعني انا وصلت ل no movement of the red reflex يعني
+
+205
+00:19:52,620 --> 00:19:57,870
+مافيش حركة في ال red reflex بمعنى ان وصلت لمين؟للـ
+
+206
+00:19:57,870 --> 00:20:01,670
+neutral point لنحفظ هدول المصطلحات ال neutral
+
+207
+00:20:01,670 --> 00:20:06,230
+point هي عبارة عن نقطة التقاء ما بين ال far point
+
+208
+00:20:06,230 --> 00:20:10,430
+ل ال patient I و ال nodal point لمن لال examiner I
+
+209
+00:20:10,430 --> 00:20:16,290
+عند هذه النقطة بيصير ايه؟ no movement of the red
+
+210
+00:20:16,290 --> 00:20:21,330
+reflex طيب شو تعريف ال far point؟ كتبتوا هذه
+
+211
+00:20:21,330 --> 00:20:21,850
+خلصتوا؟
+
+212
+00:20:36,280 --> 00:20:42,600
+إذا عنها تعريف ال far point
+
+213
+00:20:42,600 --> 00:20:46,900
+the
+
+214
+00:20:46,900 --> 00:20:54,040
+farthest
+
+215
+00:20:54,040 --> 00:20:59,380
+point
+
+216
+00:20:59,380 --> 00:21:03,860
+to
+
+217
+00:21:08,960 --> 00:21:15,480
+focus image on
+
+218
+00:21:15,480 --> 00:21:24,460
+the retina إذن هي عبارة عن أبعد نقطة بتركز الصورة
+
+219
+00:21:24,460 --> 00:21:31,260
+على الشبكية في ال neutral point
+
+220
+00:21:37,600 --> 00:21:45,760
+او تسمى ال in point
+
+221
+00:21:45,760 --> 00:21:50,820
+when the
+
+222
+00:21:50,820 --> 00:21:58,500
+far point of
+
+223
+00:21:58,500 --> 00:22:03,100
+the patient
+
+224
+00:22:07,220 --> 00:22:18,080
+correspond بمعنى التلتقي corresponding
+
+225
+00:22:18,080 --> 00:22:23,160
+to
+
+226
+00:22:23,160 --> 00:22:31,860
+the nodal point
+
+227
+00:22:31,860 --> 00:22:35,500
+of
+
+228
+00:22:35,500 --> 00:22:35,840
+the
+
+229
+00:22:42,320 --> 00:22:54,060
+Examiner او خينا ال observer أوضح طيب
+
+230
+00:22:54,060 --> 00:22:58,780
+ال near point النقطة هي عبارة عن ال nearest point
+
+231
+00:22:58,780 --> 00:23:04,580
+انه اقرب نقطة بتعمل على تركيز الصورة الشبكية واضح
+
+232
+00:23:04,580 --> 00:23:06,480
+ال near point
+
+233
+00:23:14,030 --> 00:23:20,910
+يعني نفس تعريف بس هان the nearest point the
+
+234
+00:23:20,910 --> 00:23:30,250
+nearest point to focus image on the retina إذا هي
+
+235
+00:23:30,250 --> 00:23:35,010
+عبارة عن أقرب صورة بتركز الصورة على الشبكية هذا ال
+
+236
+00:23:35,010 --> 00:23:37,630
+near point what is the difference between far
+
+237
+00:23:37,630 --> 00:23:41,970
+point and near point you can give answer for this
+
+238
+00:23:41,970 --> 00:23:48,690
+questionأه okay يعني ال near point هي أقرب نقطة
+
+239
+00:23:48,690 --> 00:23:52,190
+لتركيز الصورة على الشبكية far point أبعد نقطة
+
+240
+00:23:52,190 --> 00:23:57,670
+لتركيز الصورة على الشبكية okay واضح واضح يا نديم
+
+241
+00:23:57,670 --> 00:24:02,850
+طيب
+
+242
+00:24:02,850 --> 00:24:06,510
+الآن أنا وصلت لمرحلة ال neutral point أو ال end
+
+243
+00:24:06,510 --> 00:24:10,570
+point اللي هي نقطة النهاية بتاعتي بعد هيك إيش بطلع
+
+244
+00:24:11,180 --> 00:24:14,720
+ال two cross أي بمعنى ال vertical و ال horizontal
+
+245
+00:24:14,720 --> 00:24:19,300
+طيب يما أنا بطلع ال vertical و ال horizontal بعد
+
+246
+00:24:19,300 --> 00:24:22,320
+المرحلة هذه بصل لمين؟ لل final objective
+
+247
+00:24:22,320 --> 00:24:26,920
+refraction اللي هي الوصفة اللي حكينا أنه بناخد
+
+248
+00:24:26,920 --> 00:24:31,240
+الكبير نخصمه من مسافة العمل سواء كانت واحد و نص أو
+
+249
+00:24:31,240 --> 00:24:35,100
+اتنين ديوبتر okayبعدين الصغير من الكبير و ال
+
+250
+00:24:35,100 --> 00:24:39,680
+access تعالى الكبير هذه هي مرحلة ال neutral point
+
+251
+00:24:39,680 --> 00:24:45,540
+بعدها بطلع ال final objective refraction واضحة
+
+252
+00:24:45,540 --> 00:24:51,720
+الأمور؟ طيب بس عشان اترجم لكم المكتوب what happens
+
+253
+00:24:51,720 --> 00:24:55,720
+during retinascope شو بيحدث خلال قلية عمل ال
+
+254
+00:24:55,720 --> 00:25:00,690
+retinascopethe illuminating system نظام الإضاءة
+
+255
+00:25:00,690 --> 00:25:05,470
+اللي حكينا بتكون من عدة الأزاق ال halogen bulb
+
+256
+00:25:05,470 --> 00:25:10,270
+حكينا ال sleeve up و down زائد ال convex lens ال
+
+257
+00:25:10,270 --> 00:25:11,030
+plano mirror
+
+258
+00:25:21,210 --> 00:25:25,530
+النظام الإضاءة اللي موجود في جهاز الريتينوسكوب
+
+259
+00:25:25,530 --> 00:25:30,150
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+260
+00:25:30,150 --> 00:25:34,710
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+261
+00:25:34,710 --> 00:25:35,290
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+262
+00:25:35,290 --> 00:25:35,290
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+263
+00:25:35,290 --> 00:25:36,150
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+264
+00:25:36,150 --> 00:25:37,250
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+265
+00:25:37,250 --> 00:25:41,590
+بيعمل على تشتيت الأشعة الضوئية في عين المريض
+
+266
+00:25:41,590 --> 00:25:41,790
+المنطقة الإضاءة اللي موجودة في جهاز الريتينوسكوب
+
+267
+00:25:41,790 --> 00:25:44,150
+بيعمل على تشتيإذا هذه الأشعة اللي بتنعكس في عين
+
+268
+00:25:44,150 --> 00:25:49,650
+المريض okay لازم تكون الغرفة إيه شمالها؟ معتنة طيب
+
+269
+00:25:49,650 --> 00:25:54,430
+شو السبب إنه هذه الغرفة لازم أنها ت reflect the
+
+270
+00:25:54,430 --> 00:25:59,750
+light rays into the patient eye لإنعكاس الضوء في
+
+271
+00:25:59,750 --> 00:26:06,310
+عين المريض واضح؟ why the room must be long, dark
+
+272
+00:26:06,830 --> 00:26:10,750
+during retinoscopy procedure؟ ليش الغرفة لازم تكون
+
+273
+00:26:10,750 --> 00:26:16,710
+معتمة و لازم انه تكون طويلة و المريض يطلع بعيد؟
+
+274
+00:26:16,710 --> 00:26:22,230
+عبارة عن ليش؟ ليش
+
+275
+00:26:22,230 --> 00:26:23,970
+لازم الغرفة تكون معتمة؟
+
+276
+00:26:26,400 --> 00:26:30,420
+اه لإنعكاس الضوء هذا عشان تكون dark room إن الغرفة
+
+277
+00:26:30,420 --> 00:26:35,120
+تكون dark room لإنعكاس الضوء وين في عين المريض طيب
+
+278
+00:26:35,120 --> 00:26:40,080
+ليش الغرفة لازم تكون طويلة و يطلع بعيد انت الجاوبة
+
+279
+00:26:40,080 --> 00:26:45,220
+ليش؟ to relax of accommodation عشان يعمل ارتخاء
+
+280
+00:26:45,220 --> 00:26:48,240
+لمين لل accommodation واضح؟
+
+281
+00:26:51,170 --> 00:26:53,930
+When the operating sleeve is in the lowest
+
+282
+00:26:53,930 --> 00:26:57,370
+position يمّا أنا عملية ال sleeve، ال sleeve اللي
+
+283
+00:26:57,370 --> 00:27:01,790
+هو بمعنى الأنبوب الأستواني هذا، يمّا يكون إيش
+
+284
+00:27:01,790 --> 00:27:06,190
+ماله؟ ال sleeve down، ال position بتاعه The light
+
+285
+00:27:06,190 --> 00:27:11,150
+rays الأشعة الضوئية emitted المنبعثة from the
+
+286
+00:27:11,150 --> 00:27:14,830
+retinascope من جهاز ال retinascope are slightly
+
+287
+00:27:14,830 --> 00:27:19,680
+divergent يعني تقريبا هتكون إيش مالها متشتتةnearly
+
+288
+00:27:19,680 --> 00:27:25,740
+parallel يعني تقريبا متوازية أو قريبة للتوازي here
+
+289
+00:27:25,740 --> 00:27:29,460
+the instrument acts with planomirror effect فهي
+
+290
+00:27:29,460 --> 00:27:34,320
+هتكون تحت تأثير من المرأة المسطحة واعتقد ال
+
+291
+00:27:34,320 --> 00:27:38,500
+diagram اللي رسمته واضح الشكل انه كيف اما يكون
+
+292
+00:27:38,500 --> 00:27:42,380
+الأشعة divergence وكيف اما تكون planomirror وكيف
+
+293
+00:27:42,380 --> 00:27:46,000
+انه تكون تحت تأثير ال planomirror و ال concave
+
+294
+00:27:46,000 --> 00:27:51,390
+mirrorWhere the light rays across and divergent
+
+295
+00:27:51,390 --> 00:27:56,630
+لكن الأشعة الضوئية يما تكون متشتتة because the
+
+296
+00:27:56,630 --> 00:28:00,170
+rays across the reflex moves in opposite direction
+
+297
+00:28:00,170 --> 00:28:02,370
+with the concave mirror as compared to the
+
+298
+00:28:02,370 --> 00:28:06,430
+planomirror إذا يما تكون الأشعة يما بحط ال sleeve
+
+299
+00:28:06,430 --> 00:28:10,570
+up بتكون تحت تأثير من ال concave mirror فالأشعة
+
+300
+00:28:10,570 --> 00:28:14,510
+بتكون إيش مالها؟ مشتتة واضح؟
+
+301
+00:28:19,030 --> 00:28:24,410
+Okay the degree of divergence of light rays انه
+
+302
+00:28:24,410 --> 00:28:28,750
+درجة تشتت الأشعة الطوائية entering the eye اللي
+
+303
+00:28:28,750 --> 00:28:32,790
+بتدخل العين from the illuminating system of the
+
+304
+00:28:32,790 --> 00:28:37,470
+retinascope من نظام الإضاءة الموجود في جهاز ال
+
+305
+00:28:37,470 --> 00:28:42,260
+retinascope بيعتمد على مين؟هو يعتمد على المسافة
+
+306
+00:28:42,260 --> 00:28:49,560
+بين رتنسكوب وعين المستخدم. ما هي دفعية المسافة
+
+307
+00:28:49,560 --> 00:28:52,880
+العمل؟
+
+308
+00:29:02,290 --> 00:29:05,930
+for example على سبيل المثال if the retinascope
+
+309
+00:29:05,930 --> 00:29:11,010
+held at distance sixty seven centimeter from the
+
+310
+00:29:11,010 --> 00:29:15,130
+patient eye اذا انا امسكت جهاز ال retinascope على
+
+311
+00:29:15,130 --> 00:29:21,240
+مسافة كده؟ سبعة و ستين سنتةthe rays produced are
+
+312
+00:29:21,240 --> 00:29:25,880
+divergent، إذا الأشعة إشمالها هتكون متشتتة،
+
+313
+00:29:25,880 --> 00:29:30,600
+therefore لهذا أو لذلك أو لهذا السبب a plus one
+
+314
+00:29:30,600 --> 00:29:34,040
+point fifty diopter lens is put in the trial frame
+
+315
+00:29:34,040 --> 00:29:38,780
+في بعض الأحيان بيحطوا عدسة plus واحد و نص، يعني
+
+316
+00:29:38,780 --> 00:29:43,540
+بيحط ال trial frame و بيحط عدسة إشمالها قدام العين
+
+317
+00:29:43,540 --> 00:29:48,660
+لكن ما بيخصم الواحد و نصوهذه العملية صعبة ليش؟ لأن
+
+318
+00:29:48,660 --> 00:29:53,940
+ال frame اللي موجود عندنا إيش ماله heavy، تقيل،
+
+319
+00:29:53,940 --> 00:29:58,360
+والمريض بتحملهوش وانتوا لسه شوية big nerd لما
+
+320
+00:29:58,360 --> 00:30:01,640
+بتقولي مثلا ربع الساعة في ال retinascope المريض
+
+321
+00:30:01,640 --> 00:30:05,820
+إيش هيصير؟ boring إنه هينزعج، فمن الصعب إنه أستخدم
+
+322
+00:30:05,820 --> 00:30:11,260
+ال trial frame لكن هذه تعتبر طريقة إنه بدل ما أخصم
+
+323
+00:30:11,260 --> 00:30:17,610
+من مسافة العمل أحط عدسة plus واحد و نص، واضح؟يعني
+
+324
+00:30:17,610 --> 00:30:20,390
+الآن بحط ال trial frame، بدي أفحص مثلا العين
+
+325
+00:30:20,390 --> 00:30:24,990
+اليمين، okay؟ بحط ال trial frame للمريض، بحط عدسة
+
+326
+00:30:24,990 --> 00:30:28,970
+جداش قوتها plus واحد و نص، بخصومش من مسافة العمل
+
+327
+00:30:28,970 --> 00:30:36,130
+أو مثلا السامة بتخصم اتنين، بحط عدسة plus اتنين،
+
+328
+00:30:36,130 --> 00:30:41,970
+واضح؟ نفس
+
+329
+00:30:41,970 --> 00:30:46,790
+ال working distance أكيد، و بتطلع بعيد برضه المريض
+
+330
+00:30:47,730 --> 00:30:51,070
+يعني نفس ال procedure بس إنه بحط عدسة plus واحد و
+
+331
+00:30:51,070 --> 00:30:57,250
+نص بدل ما أعمل عملية الخسن لما تقسم الوصف يعني مش
+
+332
+00:30:57,250 --> 00:31:00,950
+هتقسم المسافة العمل؟ اه لما تقسم المسافة العمل
+
+333
+00:31:00,950 --> 00:31:05,170
+بتخطو عدسة واحد و نص اللي بيتحسب مسافة في اللي هو
+
+334
+00:31:05,170 --> 00:31:10,300
+بيخطو it's really frame نعم صحيحis put in the
+
+335
+00:31:10,300 --> 00:31:13,640
+trial frame so that the divergent rays when
+
+336
+00:31:13,640 --> 00:31:16,180
+entering the patient's pupil are in fact parallel
+
+337
+00:31:16,180 --> 00:31:22,120
+فهذه العدسة اللي plus واحد و نص بنحطها قدام عين
+
+338
+00:31:22,120 --> 00:31:26,480
+المريض عشان الأشعة أشمالها تصير parallel يعني ممكن
+
+339
+00:31:26,480 --> 00:31:30,780
+واحد يسأل سؤال الآن احنا حكينا في ال retinascope
+
+340
+00:31:30,780 --> 00:31:35,300
+الأشعة بتخرج ايه؟ divergent فكيف أنت بتقول أنه
+
+341
+00:31:35,300 --> 00:31:36,960
+parallel متوازية؟
+
+342
+00:31:38,760 --> 00:31:42,780
+بسبب وجود ال plus واحد و نص Why you put plus one
+
+343
+00:31:42,780 --> 00:31:46,420
+point fifty diopter in front of the patient eye؟
+
+344
+00:31:46,420 --> 00:31:51,340
+ليش بتحطي؟ عشان أن الأشعة أول حاجة بتخرج divergent
+
+345
+00:31:51,340 --> 00:31:58,800
+بتكون مشتتة فهي بتدخل وين؟ في عين المريض العدسة
+
+346
+00:31:58,800 --> 00:32:02,960
+أمامه فالأشعة إيش هتكون؟ Divergent يعني ال plus
+
+347
+00:32:02,960 --> 00:32:06,880
+واحد و نص diopter هي اللي هتعمل أن الأشعة إيش
+
+348
+00:32:06,880 --> 00:32:14,570
+تكون؟ Divergentsorry parallel متوازية احنا بنخصم
+
+349
+00:32:14,570 --> 00:32:20,310
+من مسافة العمل يعني هي نفس الحاجة بس ان هو two
+
+350
+00:32:20,310 --> 00:32:25,830
+method اه
+
+351
+00:32:25,830 --> 00:32:30,640
+بس هي الأشعة بتكون divergent متشتتةOkay لكن انا
+
+352
+00:32:30,640 --> 00:32:35,020
+اما احط العدسة بصير parallel لكن انت ايش بتعمليه؟
+
+353
+00:32:35,020 --> 00:32:38,640
+بتخص مين؟ يعني هذه ال power هي عبارة عن degree of
+
+354
+00:32:38,640 --> 00:32:43,200
+divergence هي قوة جديش تشتيت الضوء فانا جاعل
+
+355
+00:32:43,200 --> 00:32:48,780
+بضيحها بمين؟ في ال minus واحد و نص واضح السؤال؟
+
+356
+00:32:48,780 --> 00:32:53,400
+الآن السؤال ليش انا بحط عدسة plus واحد و نص قدام
+
+357
+00:32:53,400 --> 00:32:58,740
+عين المريض او plus اتنينيعني مقلوب .. مقلوب
+
+358
+00:32:58,740 --> 00:33:02,980
+المسافة تعتي، يعني إذا مثلا كان طول الذراع إليه
+
+359
+00:33:02,980 --> 00:33:08,320
+سبعة و ستين سانتي بحط عدسة plus واحد و نص أو لو
+
+360
+00:33:08,320 --> 00:33:13,240
+كان طول الذراع خمسين سانتي بحط اتنين ديوبتر، ليه؟
+
+361
+00:33:13,240 --> 00:33:16,980
+لأن الأشعة لما بتخرج من ال retinascope بتكون مش
+
+362
+00:33:16,980 --> 00:33:20,140
+divergence، slightly divergence، اسمعوا الإجابة
+
+363
+00:33:20,730 --> 00:33:25,190
+بتكون slightly divergent nearly parallel صح؟ لأنه
+
+364
+00:33:25,190 --> 00:33:29,530
+بتكون تحت تأثير مين؟ الأشعة بتكون تحت تأثير ال
+
+365
+00:33:29,530 --> 00:33:33,710
+plano mirror فهي ما بتدخل عين المريض بخصم أنا من
+
+366
+00:33:33,710 --> 00:33:37,270
+مسافة العمل أو بحط العدسة ل plus واحد و نصف فبتكون
+
+367
+00:33:37,270 --> 00:33:43,350
+النتيجة ايش ال light rays parallel متوازية واضح يا
+
+368
+00:33:43,350 --> 00:33:48,890
+.. مش واضح لأ بقعدك واضح؟ اه
+
+369
+00:33:52,800 --> 00:33:57,160
+واضح؟ حاضر لحظة هو أكمل مع البرنامج لإن أنا الأول
+
+370
+00:33:57,160 --> 00:34:01,480
+محاضرة مش فاهم، هجيب لحالك .. لحالي أفهم ليش طيب؟
+
+371
+00:34:01,480 --> 00:34:05,160
+مش عارفة، هنسي حالي أول محاضرة مش فاهم اشي طيب ..
+
+372
+00:34:05,160 --> 00:34:10,280
+أكمل مع البرنامجالان انا بحط العدسة قدام العين
+
+373
+00:34:10,280 --> 00:34:15,340
+بتكون قوتها plus واحد و نص okay الواحد و نص هاد
+
+374
+00:34:15,340 --> 00:34:21,120
+ايش هتعمل انه بدل ما الأشعة هتكون divergence هتجمع
+
+375
+00:34:21,120 --> 00:34:25,300
+الأشعة بتكون parallel واضح؟ يعني احنا في المعمل
+
+376
+00:34:25,300 --> 00:34:30,860
+ايش بنعمل؟ ما بنحط عدسة لانه العدسة يما بتنحط أمام
+
+377
+00:34:30,860 --> 00:34:35,900
+العين هصير ايش مالها؟انه ال trial frame بطبيعته
+
+378
+00:34:35,900 --> 00:34:40,260
+انه تجيل و المريض مابتحملش ال trial frame فانا
+
+379
+00:34:40,260 --> 00:34:43,180
+برفع ال trial frame و بخسم من مسافة العمل
+
+380
+00:34:48,520 --> 00:34:52,800
+the virgins of the rays ان الميل الإشعاعي that
+
+381
+00:34:52,800 --> 00:34:56,440
+leave the patient's eye is dependent on the
+
+382
+00:34:56,440 --> 00:35:00,300
+refractive error إذا الميل الإشعاعي المغادر لعين
+
+383
+00:35:00,300 --> 00:35:04,260
+المريض بيعتمد على مين؟ على الخطأ الانكساري للعين
+
+384
+00:35:04,260 --> 00:35:08,740
+dependent on the refractive error of the patient's
+
+385
+00:35:08,740 --> 00:35:13,660
+eye إذا الميل الإشعاعي اللي خارج أي بمعنى الخطأ
+
+386
+00:35:13,660 --> 00:35:18,460
+الانكسارياللي بيكون خارج من وين؟ من عين المريض،
+
+387
+00:35:18,460 --> 00:35:22,080
+بيعتمد على مين؟ على ال refractive error، إذا مثلا
+
+388
+00:35:22,080 --> 00:35:27,520
+كانت صين من الناس كانت امتروب، بتكون الأشعاع
+
+389
+00:35:27,520 --> 00:35:31,180
+أشمالها parallel، متوازية، لكن لو كان مثلا
+
+390
+00:35:31,180 --> 00:35:36,490
+convergentبتكون ميوب، ليش؟ عشان هيك بستخدم الأشعة
+
+391
+00:35:36,490 --> 00:35:41,090
+ال .. العدسة minus صح؟ لو كانت hyper metrop بتكون
+
+392
+00:35:41,090 --> 00:35:47,230
+الأشعة divergent عشان هيك بحط plus lens okay؟ the
+
+393
+00:35:47,230 --> 00:35:51,030
+examiner sees these light rays against the
+
+394
+00:35:51,030 --> 00:35:55,090
+background of the pupil and observer their motion
+
+395
+00:35:55,660 --> 00:35:59,560
+as the retinascope beam sweeps from side to side
+
+396
+00:35:59,560 --> 00:36:06,380
+or from up to down الآن أنا لما بحط مثلا حركة ال
+
+397
+00:36:06,380 --> 00:36:12,780
+beam الشعاع بحطه متوازي مثلا okay الآن دايما بيكون
+
+398
+00:36:12,780 --> 00:36:16,380
+ال streak or ال beam of the retinascope يعني شعاع
+
+399
+00:36:16,380 --> 00:36:21,290
+ال retinascope اشماله بيكون موازي لمينلو بت
+
+400
+00:36:21,290 --> 00:36:25,690
+difference صح فالان لو انا مثلا حطيته ال streak of
+
+401
+00:36:25,690 --> 00:36:30,610
+retinascope vertical هحرك ايش side to side او
+
+402
+00:36:30,610 --> 00:36:34,950
+right to left لو حطيت ال streak light rays
+
+403
+00:36:34,950 --> 00:36:40,570
+horizontal هحرك up to down هاي المقصود فيها النقطة
+
+404
+00:36:43,690 --> 00:36:46,850
+If the image formed between the eyes of patient
+
+405
+00:36:46,850 --> 00:36:50,510
+and the observer, the red reflex moves opposite to
+
+406
+00:36:50,510 --> 00:36:52,950
+the movement of the retinascope high to moderate
+
+407
+00:36:52,950 --> 00:36:57,330
+myopic حكينا المثال يعني إذا كانت الصورة إذا
+
+408
+00:36:57,330 --> 00:37:02,750
+الصورة تكونت خلف عين المريضOkay sorry إذا الصورة
+
+409
+00:37:02,750 --> 00:37:07,570
+تكونت ما بين المريض و ما بين ال examiner إذا
+
+410
+00:37:07,570 --> 00:37:12,470
+الحركة هتكون إيش مالها against إذا هذا بيشير إنه
+
+411
+00:37:12,470 --> 00:37:17,150
+الحالة الانكسرية عند المريض إيش moderate or high
+
+412
+00:37:17,150 --> 00:37:22,490
+major moderate إيش معناها متوسط و high بمعنى إنه
+
+413
+00:37:22,490 --> 00:37:32,680
+عالي okay فراء واضح are you sureطيب، يما تكون
+
+414
+00:37:32,680 --> 00:37:35,700
+الصورة متكونة ما بين عين المريض و ما بين ال
+
+415
+00:37:35,700 --> 00:37:40,060
+examiner، شو بتكون الحركة؟ امتازة، إذا إيش ال
+
+416
+00:37:40,060 --> 00:37:42,620
+indication، الإشارة، إيش بتديك إنه؟ إيش المريض
+
+417
+00:37:42,620 --> 00:37:49,600
+ممكن يكون عنده؟ moderate or هايميو، إذا الآن يما
+
+418
+00:37:49,600 --> 00:37:54,220
+تيجي مثلا patient تقولك أنا عندي صداع لكن متوسط،
+
+419
+00:37:54,220 --> 00:37:59,430
+إيش بكتب؟مدرة headache واضح او عندها مثلا إجهاد في
+
+420
+00:37:59,430 --> 00:38:05,490
+العين لكن متوسط ايش بكتب مدرة ice cream واضح او لو
+
+421
+00:38:05,490 --> 00:38:11,890
+كان حد بكتب severe لو كان مثلا لأ acute بمعنى اللي
+
+422
+00:38:11,890 --> 00:38:16,410
+هو يعني كيف مثلا الآن انت جالك ثجأة يعني honest
+
+423
+00:38:16,410 --> 00:38:21,350
+انه فجأة اجا واحد عنده صداع يعني ماكنش في حاجة و
+
+424
+00:38:21,350 --> 00:38:30,340
+فجأة لكن mile اللي هو بسيطيعني قليل أو خفيف if the
+
+425
+00:38:30,340 --> 00:38:33,940
+image formed behind the eye of the observer لو
+
+426
+00:38:33,940 --> 00:38:39,140
+الصورة الشكلت خلف عين من الفاحص في حالة اللوميوب
+
+427
+00:38:39,140 --> 00:38:43,940
+or the eye of the patient hypermetroid the red
+
+428
+00:38:43,940 --> 00:38:46,680
+reflex moves with the movement of the retinascope
+
+429
+00:38:51,200 --> 00:38:58,140
+اه سواء ال high أو ال low .. high parameter okay
+
+430
+00:38:58,140 --> 00:39:02,640
+when the far point .. حكينا ال far point شو
+
+431
+00:39:02,640 --> 00:39:07,120
+تعريفها .. Noor ال far point شو تعريفها؟
+
+432
+00:39:11,680 --> 00:39:16,580
+بالظبط هي عبارة عن أبعث صورة ممكن تتكون الصورة على
+
+433
+00:39:16,580 --> 00:39:20,280
+الشبكية the farthest point to focus image on the
+
+434
+00:39:20,280 --> 00:39:25,740
+retina طيب يما ال far point بالنسبة ل ال patient I
+
+435
+00:39:25,740 --> 00:39:33,360
+correspond إقابل mean to the nodal point نقطة اللي
+
+436
+00:39:33,360 --> 00:39:37,750
+عندها بيصير mean التعادلof the observer eye the
+
+437
+00:39:37,750 --> 00:39:40,770
+neutral point or in point is reached where no
+
+438
+00:39:40,770 --> 00:39:44,450
+movement of the reflex is noticed يعني مافيش حركة
+
+439
+00:39:44,450 --> 00:39:49,990
+سوف تلاحظ في حالة مين ال neutral point أو ال in
+
+440
+00:39:49,990 --> 00:39:53,350
+point اللي هي نقطة التعادل أو نقطة النهاية
+
+441
+00:39:55,950 --> 00:39:59,150
+النقطة النهائية لـ Retroscopy هي أن تجد اللنزة
+
+442
+00:39:59,150 --> 00:40:04,210
+التي توضع نقطة بعيدة في بلان عيني المستشعر، في هذه
+
+443
+00:40:04,210 --> 00:40:07,570
+النقطة، رفليكس الـ Retroscopy يجب أن يكون
+
+444
+00:40:07,570 --> 00:40:08,350
+نيوتراليزيا
+
+445
+00:40:14,470 --> 00:40:18,630
+بعادل correspond انه بيقابل ال nodal point لل
+
+446
+00:40:18,630 --> 00:40:22,490
+patient eye .. sorry لل examiner eye أنا بصل في
+
+447
+00:40:22,490 --> 00:40:25,850
+هذه المرحلة مين؟ ل neutral point فعندها بيصير
+
+448
+00:40:25,850 --> 00:40:29,670
+عملية ال neutralization عشان انا بحكيلكم دايما في
+
+449
+00:40:29,670 --> 00:40:34,330
+المعمل أوصلت ل neutral point تعرف ايش معناها؟ انه
+
+450
+00:40:34,330 --> 00:40:38,230
+no movement of the red reflex ان مافيش حركة لمين
+
+451
+00:40:38,230 --> 00:40:39,570
+لل red reflex
+
+452
+00:40:53,480 --> 00:40:56,260
+كيف مش فاهم؟ إيه السؤال واضح؟
+
+453
+00:41:05,590 --> 00:41:09,650
+حاضر هلقيت انا لما بصلى نقطة ال neutralization لو
+
+454
+00:41:09,650 --> 00:41:13,090
+بتذكر ايه في جهاز ال retinascope حكينا هو عبارة عن
+
+455
+00:41:13,090 --> 00:41:17,840
+جهاز دقيقبيعمل على تصحيح الخطأ الانكساري و لو كان
+
+456
+00:41:17,840 --> 00:41:21,760
+plus أو minus ربع صح ماجيبناش plus أو minus zero
+
+457
+00:41:21,760 --> 00:41:26,400
+point twelve هو بيعمل بس تصحيح لربع درجة يعني مثلا
+
+458
+00:41:26,400 --> 00:41:30,500
+تلاتة و ربع تلاتة و خمسة و سبعين تلاتة و نص واضح
+
+459
+00:41:30,500 --> 00:41:34,360
+لكن انا مثلا يما يكون الفرق بينهم اقل من ربع
+
+460
+00:41:34,360 --> 00:41:37,260
+مابعتبرهاش حتى انا انتوا الآن يما بتعملوا
+
+461
+00:41:37,260 --> 00:41:40,300
+retinoscope يما يكون الفرق بينه وبينكم ربع درجة
+
+462
+00:41:40,300 --> 00:41:44,170
+ايش بقولك you are correct انه صح كلاميليش؟ لأنه في
+
+463
+00:41:44,170 --> 00:41:47,650
+اختلاف في مين؟ في ال working distance المسافة ما
+
+464
+00:41:47,650 --> 00:41:51,370
+بين ال patient I و ال examiner I مثلا انا بخصم 2
+
+465
+00:41:51,370 --> 00:41:55,690
+ديوبتر انت واحد و نص أو العكس okay دايما بيكون فيه
+
+466
+00:41:55,690 --> 00:42:00,250
+فرق ربع درجة سواء زيادة او نقصان لكن الان انا لما
+
+467
+00:42:00,250 --> 00:42:03,650
+بطلع ال final objective refraction الوصفة النهائية
+
+468
+00:42:03,650 --> 00:42:08,470
+انا هخصم قداش واحد و نص انت هتخصم مثلا 2 ديوبتر
+
+469
+00:42:08,720 --> 00:42:12,200
+فهيكون الفرق إيش تعادلة الأمور، يعني ال final
+
+470
+00:42:12,200 --> 00:42:15,640
+objective refraction ممكن تكون متساوية بينه وبينك
+
+471
+00:42:15,640 --> 00:42:27,440
+أو فرق جديش ربع درجة حليني
+
+472
+00:42:27,440 --> 00:42:27,800
+أسمع
+
+473
+00:42:36,010 --> 00:42:43,650
+plus اتنين حطينا صارت حسب الحركة against اه فهمت
+
+474
+00:42:43,650 --> 00:42:48,670
+عليك ال gate هو فيه الان انا هذه القاعدة هي مش
+
+475
+00:42:48,670 --> 00:42:53,670
+عارف مش متفق فيها كثير انه الان انا حط عدسة لحد ما
+
+476
+00:42:53,670 --> 00:42:58,480
+صير الحركة against هذا مش صحلأنه انا مثلا الحركة
+
+477
+00:42:58,480 --> 00:43:04,280
+عندى with okay إذا المتفقين إيش بنستخدم plus صح
+
+478
+00:43:04,280 --> 00:43:08,100
+إذا أنا بحط ال plus لحد ما أصل لمرحلة
+
+479
+00:43:08,100 --> 00:43:12,740
+neutralization لكن في ناس بيعملوا عملية
+
+480
+00:43:12,740 --> 00:43:17,060
+verification يعني تأكيد أو refinement okay إيش
+
+481
+00:43:17,060 --> 00:43:21,020
+بتعمل؟ بتحط مثلا الآن صبرين ال neutralization
+
+482
+00:43:21,020 --> 00:43:24,520
+بتاعتها plus واحد وخمس وسبعين بتروح بتحط plus
+
+483
+00:43:24,520 --> 00:43:29,020
+اتنين بتصير الحركة إيش؟again إذاً العدسة إيش بتكون
+
+484
+00:43:29,020 --> 00:43:33,500
+الـLegibility لكن هذه يعني .. هذه ممكن تيجي في ال
+
+485
+00:43:33,500 --> 00:43:36,880
+experience في الخبرة لكن حتى في الكتب مش موجودة
+
+486
+00:43:36,880 --> 00:43:40,840
+لكن اللي في الكتب موجودة يمكن شرحت لبعضكم الآن أنا
+
+487
+00:43:40,840 --> 00:43:45,860
+أصل لل neutral point برفع السريف إذا كان برضه
+
+488
+00:43:45,860 --> 00:43:48,940
+neutral point يعني التنتين ال neutral point إذا
+
+489
+00:43:48,940 --> 00:43:54,620
+أنا بكون إيش جوابي صح حكيتها للمعظم هلجد أنت
+
+490
+00:43:54,620 --> 00:43:59,910
+شغالة؟مش بتكون ال sleeve down كل هيتنا بنشتغل على
+
+491
+00:43:59,910 --> 00:44:03,890
+sleeve down حكينا ليش الان انا وصلت ل ال neutral
+
+492
+00:44:03,890 --> 00:44:08,570
+point او ال end point نقطة النهاية لكن مش متأكد زي
+
+493
+00:44:08,570 --> 00:44:11,450
+مثلا ال Sabrin مش واضح عندي مش واصل ال neutral
+
+494
+00:44:11,450 --> 00:44:17,310
+point بروح ارفع ال sleeve up اذا والله وصلت ل ال
+
+495
+00:44:17,310 --> 00:44:20,270
+neutral point هيكون يما اعمل ال sleeve up برضه
+
+496
+00:44:20,270 --> 00:44:25,110
+متعادل اذا المعنى ان جوابي ايه صحيح يعني انا شغال
+
+497
+00:44:25,110 --> 00:44:28,690
+في السلينةلما نرمى ال neutral يعني مايكونش اي
+
+498
+00:44:28,690 --> 00:44:32,790
+حركة؟ اه لازم مايكونش اي حركة يعني لازم ان يكون ال
+
+499
+00:44:32,790 --> 00:44:36,470
+reflex no movement of the red reflex هاي معناه
+
+500
+00:44:36,470 --> 00:44:40,550
+يعني واحد عمل neutralization لما اقولك وصلت لل
+
+501
+00:44:40,550 --> 00:44:44,450
+neutral point يعني بمعنى that indicate to no
+
+502
+00:44:44,450 --> 00:44:47,710
+movement of the red reflex يعني مافيش حركة لل red
+
+503
+00:44:47,710 --> 00:44:50,470
+reflex يعني الدرجة الصحيه ان اضلنا زود في عدسات
+
+504
+00:44:50,470 --> 00:44:52,850
+الموجة بأول سلة من الحد ماأثر لل neutralization
+
+505
+00:44:52,850 --> 00:44:57,960
+عشان تبقى موجة؟ انا حكيتلك verificationانه تأكيد
+
+506
+00:44:57,960 --> 00:45:01,860
+مش هلجيت احنا حكينا في نوعين من ال refraction في
+
+507
+00:45:01,860 --> 00:45:04,720
+objective و subjective refraction قولنا ال
+
+508
+00:45:04,720 --> 00:45:08,700
+subjective بيعتمد ع مين؟ ع ال objective صح؟ يعني
+
+509
+00:45:08,700 --> 00:45:12,100
+النتائج بتاعت مين؟ ال objective بس بعمل العملية
+
+510
+00:45:12,100 --> 00:45:16,840
+التأكيد بواسطة مين المرمى وهد نفس العملية انه انا
+
+511
+00:45:16,840 --> 00:45:21,140
+بزود او بنجس عشان بس اشوف هل بتجلب الحركة ولا لأ
+
+512
+00:45:21,140 --> 00:45:25,260
+اذا جلبت معرف انه اللي جابلها okay
+
+513
+00:45:27,480 --> 00:45:32,220
+طيب، الآن أنا وصلت ل ال neutralization، that is
+
+514
+00:45:32,220 --> 00:45:36,320
+there is neither with nor against movement and the
+
+515
+00:45:36,320 --> 00:45:40,500
+patient's pupil seems to be filled with light إذاً
+
+516
+00:45:40,500 --> 00:45:44,760
+لما أنا بصل لمرحلة ال neutral point، نقطة التعادل،
+
+517
+00:45:44,760 --> 00:45:50,500
+هتكون كل المنطقة بتاعة ال pupil patient مضاءة،
+
+518
+00:45:50,500 --> 00:45:54,800
+هيكون يعني brightness شديديعني الآن مثلا في كتير
+
+519
+00:45:54,800 --> 00:45:58,660
+بنات سألونى كيف أنت بتعرف مثلا ال power plus واحد
+
+520
+00:45:58,660 --> 00:46:02,360
+أو plus اتنين أو دايما بكون جريب من ال neutral
+
+521
+00:46:02,360 --> 00:46:08,260
+point الآن الخبرة أنت لقدام شوية بصير تعرفه بس شوف
+
+522
+00:46:08,260 --> 00:46:12,860
+ال ال ال bright لل red reflex أو هو فين بصير تعرف
+
+523
+00:46:12,860 --> 00:46:16,500
+يعني مثلا plus واحد تطلع واحد وربع او واحد و نص
+
+524
+00:46:16,500 --> 00:46:20,000
+الصح يعني من خلال ايش الرؤية بتاعتك يعني بدون
+
+525
+00:46:20,000 --> 00:46:25,150
+عدسات واضح كيف؟اذا بتصير انه .. تعرفي فمثلا ايجا
+
+526
+00:46:25,150 --> 00:46:29,350
+واحد مريض عنده كان faint باهط ال red reflex كان
+
+527
+00:46:29,350 --> 00:46:33,790
+باهط، ايش هذا بيشير؟ high refractive error ع طول،
+
+528
+00:46:33,790 --> 00:46:37,850
+اذا عنده ال refractive error عالي او مثلا .. نعم؟
+
+529
+00:46:39,430 --> 00:46:43,570
+أه دايما ببدأ بالزيادة، يعني ماببدأش مثلا من plus
+
+530
+00:46:43,570 --> 00:46:48,030
+نص أو plus واحد أو .. بعرف أنه هو سواء against أو
+
+531
+00:46:48,030 --> 00:46:53,110
+with لو مثلا واحد إيجي عنده بشوف ال red reflex طلع
+
+532
+00:46:53,110 --> 00:46:56,890
+اللي هو الحركة إيه شبهله؟ إنه slow بطيء، إيش
+
+533
+00:46:56,890 --> 00:47:02,390
+معناه؟ إنه عنده اللي هو high، واضح؟ كل .. هذه هي
+
+534
+00:47:02,390 --> 00:47:05,450
+عبارة عن ال characteristics خواص لمين؟ لل red
+
+535
+00:47:05,450 --> 00:47:10,370
+reflexصح؟ اللي هم التلاتة اللي أخدناه ال bright و
+
+536
+00:47:10,370 --> 00:47:15,590
+ال wide العرض أو ال .. السواء كان wide أو narrow و
+
+537
+00:47:15,590 --> 00:47:19,410
+الأمر التالت اللي هي ال speed movement إذا كان
+
+538
+00:47:19,410 --> 00:47:25,200
+سريع أو كان بطيءيعني الآن يما يكون واحد عنده small
+
+539
+00:47:25,200 --> 00:47:28,240
+refractive error انت بتلاحقيش يشوف ال red reflect
+
+540
+00:47:28,240 --> 00:47:30,780
+لأنه سريع كتير، حتى كثير بنات قالولي أنا مش
+
+541
+00:47:30,780 --> 00:47:36,620
+شايفين، صح؟ يما يكون عنده low refractive
+
+542
+00:47:36,620 --> 00:47:40,500
+error بيكون سريع جدا، إيش معناه؟ أن انت واصل لل
+
+543
+00:47:40,500 --> 00:47:44,160
+neutral point، يعني بس عدسة بسيطة عشان تعمل ال
+
+544
+00:47:44,160 --> 00:47:44,800
+neutral point
+
+545
+00:47:48,630 --> 00:47:52,270
+The working distance مسافة العمل between the eye
+
+546
+00:47:52,270 --> 00:47:56,590
+of the examiner مابين عين الفاحص and the eye of
+
+547
+00:47:56,590 --> 00:48:00,990
+the patient وعين المريض and is the reciprocal of
+
+548
+00:48:00,990 --> 00:48:05,070
+the power in diopters وهي عبارة عن مقلوب من القوة
+
+549
+00:48:05,070 --> 00:48:10,720
+في وحدة الديوبترwhich should be deduced from the
+
+550
+00:48:10,720 --> 00:48:15,400
+power of the lenses أنه هذه يجب أن تُطرح من مين من
+
+551
+00:48:15,400 --> 00:48:20,260
+مسافة العمل ال working distance okay that were
+
+552
+00:48:20,260 --> 00:48:23,780
+added during retinoscopy to reach the neutral
+
+553
+00:48:23,780 --> 00:48:27,640
+point سي ما اتفقنا إذا كانت مسافة العمل ما بين ال
+
+554
+00:48:27,640 --> 00:48:30,880
+patient eye و ال examiner eye خمسين سنتة مية ع
+
+555
+00:48:30,880 --> 00:48:34,520
+خمسين سبعة و ستين سنتة مية ع سبعة و ستين و بهذا
+
+556
+00:48:34,520 --> 00:48:38,940
+بقدر أحسب مين مسافة العملال working distance okay
+
+557
+00:48:38,940 --> 00:48:45,540
+فبدنا نجف لهان طبعا ال .. ال .. بالنسبة للامتحان
+
+558
+00:48:45,540 --> 00:48:49,140
+هيكون لحدية ال cycloplegia الموضوع اعتقد يعني
+
+559
+00:48:49,140 --> 00:48:52,960
+هيكون داخل معنى difficulties of written score شو
+
+560
+00:48:52,960 --> 00:48:54,940
+هي صعوبات ال written score okay
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0bf881ccfc20f81174e54cddd014e9852cb840e4
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q.srt
@@ -0,0 +1,2007 @@
+1
+00:00:20,770 --> 00:00:23,850
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة
+
+2
+00:00:23,850 --> 00:00:29,910
+الله وبركاته. في المحاضرة السابقة تناولنا موضوع
+
+3
+00:00:29,910 --> 00:00:37,690
+أنواع العدسات. أنهينا من موضوع العدسات الـ spherical
+
+4
+00:00:37,690 --> 00:00:40,850
+lenses، العدسات الكروية
+
+5
+00:00:45,140 --> 00:00:51,120
+in general. بالنسبة للعدسات، وبعدين هنتطرق لموضوع الـ
+
+6
+00:00:51,120 --> 00:00:55,380
+cylindrical lenses، العدسات الأسطوانية والـ sphero-
+
+7
+00:00:55,380 --> 00:01:01,100
+cylindrical lenses، اللي هي الـ toric lenses. بداية الـ
+
+8
+00:01:01,100 --> 00:01:06,580
+type of lenses، أنواع العدسات. lenses may be كروية زي
+
+9
+00:01:06,580 --> 00:01:11,160
+ما اتفقنا أن العدسة أو العدسات ممكن أن تكون كروية
+
+10
+00:01:12,370 --> 00:01:17,730
+cylinders، أسطوانية أو sphero-cylinders، sphero-
+
+11
+00:01:17,730 --> 00:01:22,450
+cylinders. شو معناها؟ إنه toric lenses، الـ toric
+
+12
+00:01:22,450 --> 00:01:27,670
+lenses، combination of the sphere and cylinder lens.
+
+13
+00:01:27,670 --> 00:01:32,490
+بالظبط. لو مثلاً أنا عندي أسطوانة وأخذت من الأسطوانة
+
+14
+00:01:32,490 --> 00:01:36,910
+قطعة، هذه القطعة هي بنسميها الـ sphero-cylinder.
+
+15
+00:01:36,910 --> 00:01:38,250
+واضح؟
+
+16
+00:01:48,620 --> 00:01:54,160
+العدسة الكروية بتكون قوتها في جميع اتجاهاتها
+
+17
+00:01:54,160 --> 00:02:00,260
+متساوية. يعني كل الاتجاهات ما بيكونش لها access، يعني
+
+18
+00:02:00,260 --> 00:02:09,230
+بالشكل هذا. إن لو فرضنا قوة العدسة plus two، هذه بيفهم
+
+19
+00:02:09,230 --> 00:02:12,910
+أن العدسة كلها، تجميع المحاور هي plus two، أو
+
+20
+00:02:12,910 --> 00:02:17,750
+minus three. واضح؟
+
+21
+00:02:17,750 --> 00:02:21,950
+Convex spherical lenses converge light rays and
+
+22
+00:02:21,950 --> 00:02:27,050
+are called plus lenses. العدسات الموجبة تعمل على
+
+23
+00:02:27,050 --> 00:02:28,430
+تجميع الأشعة.
+
+24
+00:02:35,300 --> 00:02:40,620
+العدسات السالبة تعمل على تفريق الأشعة، وبنديها
+
+25
+00:02:40,620 --> 00:02:42,080
+الإشارة الـ minus.
+
+26
+00:02:54,890 --> 00:03:01,130
+دايماً النقطة البؤرية للعدسة الموجبة بتكون أمام
+
+27
+00:03:01,130 --> 00:03:06,390
+العدسة. طبعاً الأشعة هتكون إيش؟ Convergent، متجهة
+
+28
+00:03:06,390 --> 00:03:13,310
+من العدسة، وهتعمل على تشكيل الصورة. يعني لو فرضنا
+
+29
+00:03:13,310 --> 00:03:18,550
+هي مثلاً عدسة plus، واضح؟ الصورة اللي هتكون
+
+30
+00:03:23,040 --> 00:03:31,920
+إلى شمالها، اللي هي Convergent، هتكون
+
+31
+00:03:31,920 --> 00:03:39,120
+الـ rays متجمعة. The focal point of a minus lens is
+
+32
+00:03:39,120 --> 00:03:41,200
+the point where parallel rays
+
+33
+00:03:45,280 --> 00:03:50,000
+إن الأشعة اللي بتكون خارجة من العدسة السالبة هتكون
+
+34
+00:03:50,000 --> 00:03:55,520
+متفرقة، و بنديها الإشارة السالبة. In the case of
+
+35
+00:03:55,520 --> 00:04:01,700
+convex or concave, plus or minus lenses, using the
+
+36
+00:04:01,700 --> 00:04:06,780
+mathematical formula D = 1/F. طبعاً الـ D
+
+37
+00:04:06,780 --> 00:04:10,100
+يكون الديوبتر (power) أو الـ dioptric power، الـ F
+
+38
+00:04:10,100 --> 00:04:14,520
+الـ focal length in millimeter. يعني أنا لو مثلاً جبت
+
+39
+00:04:14,520 --> 00:04:19,200
+السؤال. In the case of convex or concave lenses,
+
+40
+00:04:19,200 --> 00:04:22,880
+using the mathematical formula D = 1/F,
+
+41
+00:04:22,880 --> 00:04:26,100
+true or false؟ true، لأن اللي هو الـ lenses هي الـ
+
+42
+00:04:26,100 --> 00:04:35,840
+concave.  إن الـ In the case of plus or minus, okay, okay.
+
+43
+00:04:35,840 --> 00:04:44,310
+cylindrical lenses، العدسات الأسطوانية، have dioptric
+
+44
+00:04:44,310 --> 00:04:49,970
+power in only one meridian. دايماً بتحتوي على قوة فقط في
+
+45
+00:04:49,970 --> 00:04:55,730
+محور واحد. واضح؟ دايماً العدسات الأسطوانية القوة
+
+46
+00:04:55,730 --> 00:04:58,950
+بتاعتها بتكون على محور واحد. That is perpendicular
+
+47
+00:04:58,950 --> 00:05:02,830
+to the axis of the cylinder. وهذا بيكون عمودي على
+
+48
+00:05:02,830 --> 00:05:07,110
+مين؟ على الـ axis. يعني دايماً القوة في العدسة
+
+49
+00:05:07,110 --> 00:05:10,090
+الأسطوانية بتكون عمودية على مين؟
+
+50
+00:05:14,130 --> 00:05:19,250
+هي عدسة سلندر. في عندنا الـ plano، وفي عندنا الـ
+
+51
+00:05:19,250 --> 00:05:23,390
+minus three. دايماً القوة بتكون عمودية على مين؟ على الـ
+
+52
+00:05:23,390 --> 00:05:31,670
+axis. They
+
+53
+00:05:31,670 --> 00:05:35,210
+have no power in the meridian parallel to the axis.
+
+54
+00:05:36,300 --> 00:05:40,980
+These lenses focus light rays to a line. دايماً هذه
+
+55
+00:05:40,980 --> 00:05:47,320
+العدسات بتجمع الضوء إيش؟ في خط واحد، لكن في الـ
+
+56
+00:05:47,320 --> 00:05:51,100
+spherical lens، الضوء بيتجمع في إيش؟ في نقطة، في
+
+57
+00:05:51,100 --> 00:05:55,500
+point، لكن في الـ cylindrical lenses، الأشعة بتتجمع
+
+58
+00:05:55,500 --> 00:06:01,830
+إيش؟ في خط واحد، في line. واضح؟ Spherical and
+
+59
+00:06:01,830 --> 00:06:05,890
+cylindrical lenses can be combined in one lens to
+
+60
+00:06:05,890 --> 00:06:10,450
+form a spherocylindrical lens, also known as
+
+61
+00:06:10,450 --> 00:06:15,070
+a compound lens or toric lens. دايماً الـ toric lens
+
+62
+00:06:15,070 --> 00:06:23,790
+بتتكون من combination لـ sphere plus two مثلاً، زائد
+
+63
+00:06:23,790 --> 00:06:25,350
+السلندر
+
+64
+00:06:30,760 --> 00:06:35,800
+و minus مثلاً three، فبتكون الـ spherical cylinder
+
+65
+00:06:35,800 --> 00:06:40,280
+minus one plus
+
+66
+00:06:40,280 --> 00:06:42,120
+two. واضح؟
+
+67
+00:06:44,270 --> 00:06:50,150
+هذه العدسات تركز الضوء في خط بؤري دائماً.
+
+68
+00:06:50,150 --> 00:06:54,190
+العدسة الاسفيرو-سلندر أو الـ toric lens بيكون لها
+
+69
+00:06:54,190 --> 00:06:59,830
+بؤر خطي، لكن العدسة الكروية بيكون لها
+
+70
+00:06:59,830 --> 00:07:09,250
+نقطة بؤرية واحدة. حسناً، شكل الأشعة التي تركز على
+
+71
+00:07:09,250 --> 00:07:10,590
+عدسة الوضع في خط بؤري sphero-cylinder
+
+72
+00:07:17,120 --> 00:07:22,820
+اللي بتتركز بواسطة العدسة الـ spherocylindrical أو
+
+73
+00:07:22,820 --> 00:07:26,200
+الـ toric lens، بنسميها الـ strum of conoid أو
+
+74
+00:07:26,200 --> 00:07:32,360
+conoid of strum. شو تعريف الـ conoid of strum؟ بدنا
+
+75
+00:07:32,360 --> 00:07:41,100
+نفهم أول حاجة، الـ conoid of strum كيف بتشكل. بداية
+
+76
+00:07:41,100 --> 00:07:42,120
+هذه عندي مثلاً
+
+77
+00:07:47,640 --> 00:07:52,980
+Horizontal وعندي Vertical، الأشعة دايماً بتكون إيش؟
+
+78
+00:07:52,980 --> 00:07:59,480
+Divergent، واضح؟
+
+79
+00:07:59,480 --> 00:08:02,860
+الـ
+
+80
+00:08:02,860 --> 00:08:07,580
+strum of conoid، إن الأشعة بتاعة الـ horizontal rays
+
+81
+00:08:07,580 --> 00:08:12,300
+والـ vertical rays بتكون إيه؟ Divergent، وبتكون
+
+82
+00:08:12,300 --> 00:08:19,100
+متساوية. هذا كمفهوم لـ strum of conoid، لأن بتكون
+
+83
+00:08:19,100 --> 00:08:25,200
+الـ divergence، يعني قيمة التشتت بتاعتها متساوية. Okay.
+
+84
+00:08:25,200 --> 00:08:33,140
+الـ strum of
+
+85
+00:08:33,140 --> 00:08:37,940
+conoid أو conoid of strum.
+
+86
+00:08:55,000 --> 00:09:01,000
+Rays of the
+
+87
+00:09:01,000 --> 00:09:07,700
+horizontal and
+
+88
+00:09:07,700 --> 00:09:11,440
+vertical
+
+89
+00:09:11,440 --> 00:09:15,080
+as
+
+90
+00:09:15,080 --> 00:09:22,880
+well. إنه بتكون الأشعة سواء العمودية أو الأشعة
+
+91
+00:09:22,880 --> 00:09:28,560
+الأفقية متفرقة، وبيكونوا متساويين في اللي هي
+
+92
+00:09:28,560 --> 00:09:33,720
+التشتت بتاعهم. واضح؟ هذا كمفهوم الـ strum of conoid.
+
+93
+00:09:33,720 --> 00:09:37,760
+طبعاً هذا وين بتكون الـ strum of conoid؟ في العدسة
+
+94
+00:09:37,760 --> 00:09:40,860
+اللي بتكون toric lens، الـ sphere والـ cylinder lens،
+
+95
+00:09:40,860 --> 00:09:44,340
+اللي هي combination of the sphere and cylindrical
+
+96
+00:09:44,340 --> 00:09:49,130
+lens. إن اتحاد ما بين العدسة الكروية والعدسة
+
+97
+00:09:49,130 --> 00:09:55,690
+الأسطوانية. Okay.
+
+98
+00:09:55,690 --> 00:10:00,730
+The shape of the light rays as they are focused by
+
+99
+00:10:00,730 --> 00:10:04,650
+the spherocylindrical lens is called the conoid of
+
+100
+00:10:04,650 --> 00:10:05,290
+strum or
+
+101
+00:10:16,140 --> 00:10:20,540
+الآن الأشعة المتفرقة من الـ vertical والـ
+
+102
+00:10:20,540 --> 00:10:26,120
+horizontal ray، هذا بيكون لي حاجة هنا بنسميها الـ
+
+103
+00:10:26,120 --> 00:10:32,860
+circle of least
+
+104
+00:10:32,860 --> 00:10:36,020
+confusion.
+
+105
+00:10:41,280 --> 00:10:45,720
+طبعاً أكيد سمعتوا في العدسة الـ cross-cylinder، الـ
+
+106
+00:10:45,720 --> 00:10:50,620
+cross-cylinder، الـ basic بتاعها بتعتمد على الـ
+
+107
+00:10:50,620 --> 00:10:56,120
+circle of least confusion. طبعاً العدسة الـ cross-
+
+108
+00:10:56,120 --> 00:11:00,880
+cylinder هي combination ما بين الـ sphere والـ
+
+109
+00:11:00,880 --> 00:11:05,470
+cylinder lens. الـ principle بتاعها، المبدأ بتاعها إنه
+
+110
+00:11:05,470 --> 00:11:08,970
+بيعتمد على مين؟ على الـ circle of least confusion.
+
+111
+00:11:08,970 --> 00:11:13,730
+الـ circle of least confusion، إنه بيكون الـ
+
+112
+00:11:13,730 --> 00:11:19,990
+divergent ray للـ horizontal مساوي للـ
+
+113
+00:11:19,990 --> 00:11:24,670
+convergent ray للـ vertical. فحتى بتلاحظ أن أفضل
+
+114
+00:11:24,670 --> 00:11:29,730
+صورة، يعني بيكون the best image، إنه أفضل صورة من
+
+115
+00:11:29,730 --> 00:11:36,430
+خلال الـ circle of least confusion. واضح؟ يعني الآن
+
+116
+00:11:36,430 --> 00:11:41,870
+الأشعة كلها متفرقة، هذه بنسميها إيش؟ الـ strum of
+
+117
+00:11:41,870 --> 00:11:47,850
+conoid. الآن بينتج عندي حاجة بنسميها الـ circle of
+
+118
+00:11:47,850 --> 00:11:51,800
+least confusion. الـ circle of least confusion إيش
+
+119
+00:11:51,800 --> 00:11:56,820
+بصير؟ إنه الأشعة هذه، الـ divergent trait بتاعة الـ
+
+120
+00:11:56,820 --> 00:12:00,040
+vertical والـ convergent trait بتاعة الـ horizontal
+
+121
+00:12:00,040 --> 00:12:03,080
+بيكونوا exactly equal، متساويين.
+
+122
+00:12:06,210 --> 00:12:10,250
+ما هي عبارة عن combination، إنه اتحاد ما بين عدستين،
+
+123
+00:12:10,250 --> 00:12:15,950
+واحدة sphere، واحدة cylinder. واضح؟ والـ cross-cylinder
+
+124
+00:12:15,950 --> 00:12:20,250
+الآن في حاجة بنسميها الـ spherical equivalent، الـ
+
+125
+00:12:20,250 --> 00:12:26,130
+sphere plus half cylinder، اللي هو القانون بتاعها، الـ
+
+126
+00:12:26,130 --> 00:12:34,050
+spherical equivalent عندنا.
+
+127
+00:12:34,050 --> 00:12:43,270
+sphere plus half cylinder، من خلالها بينتج عندي
+
+128
+00:12:43,270 --> 00:12:51,030
+مفهوم الـ circle of least confusion. واضح؟ يعني الآن
+
+129
+00:12:51,030 --> 00:12:58,590
+العدسة الـ toric lens، فيها لها two foci line أو two
+
+130
+00:12:58,590 --> 00:13:02,910
+foci point. متفاجئين من هيك؟ شو معناته؟ يعني الآن
+
+131
+00:13:02,910 --> 00:13:05,330
+العدسة اللي بتكون sphere
+
+132
+00:13:12,820 --> 00:13:17,960
+أو بتكون اللي هو نقطتين زي هيك. واضح؟ الآن هذه
+
+133
+00:13:17,960 --> 00:13:21,520
+الأشعة كلها إيش مالها؟ Divergence، يعني كلها
+
+134
+00:13:21,520 --> 00:13:26,220
+متفرقة، سواء للـ vertical أو الـ horizontal ray. فهذا
+
+135
+00:13:26,220 --> 00:13:31,060
+بينتج مفهوم إيش؟ الـ strum of conoid. الـ strum of
+
+136
+00:13:31,060 --> 00:13:35,100
+conoid بينتج دي حاجة بنسميها الـ circle of least
+
+137
+00:13:35,100 --> 00:13:37,860
+confusion. شو هو تعريف الـ circle of least
+
+138
+00:13:37,860 --> 00:13:44,780
+confusion؟ إنه الأشعة المتشتتة من المحور الأفقي
+
+139
+00:13:44,780 --> 00:13:50,420
+والأشعة المتجمعة من المحور العمودي كلها هتكون
+
+140
+00:13:50,420 --> 00:13:56,780
+متساوية. واضح؟ إن كلها بتكون are exactly equal، يعني
+
+141
+00:13:56,780 --> 00:14:06,620
+كلها بتكون هذه الأشعة متساوية. واضح ولا كذا؟
+
+142
+00:14:16,950 --> 00:14:24,110
+الـ circle of least
+
+143
+00:14:24,110 --> 00:14:33,750
+confusion.
+
+144
+00:14:47,200 --> 00:14:53,320
+Divergent of the
+
+145
+00:14:53,320 --> 00:14:59,780
+vertical and
+
+146
+00:14:59,780 --> 00:15:03,620
+horizontal
+
+147
+00:15:03,620 --> 00:15:10,080
+rays
+
+148
+00:15:10,080 --> 00:15:12,520
+are
+
+149
+00:15:17,900 --> 00:15:26,900
+exactly equal. مفهوم؟ بصير جداً الآن، الـ focal point
+
+150
+00:15:26,900 --> 00:15:32,920
+في أي عدسة، الـ spherical بيكون عبارة عن نقطة، لكن في
+
+151
+00:15:32,920 --> 00:15:38,360
+العدسة الـ cylinder بيكون عبارة عن two foci point أو
+
+152
+00:15:38,360 --> 00:15:42,020
+في العدسة الـ toric lens برضه بيكون two foci point،
+
+153
+00:15:42,020 --> 00:15:46,800
+إنه نقطتين ببساطة. ليش؟ لأن في نقطة واحدة للـ sphere
+
+154
+00:15:46,800 --> 00:15:53,180
+والأخرى بتكون لمين؟ للـ cylinder. واضح؟ الآن في مفهوم
+
+155
+00:15:53,180 --> 00:15:57,920
+عندنا الـ strum of conoid، إن كل الأشعة إيش بتكون؟
+
+156
+00:15:57,920 --> 00:16:01,200
+Divergence، سواء من الـ vertical أو الـ horizontal
+
+157
+00:16:01,200 --> 00:16:05,520
+rate. طيب هذه فيه لها إيش؟ application، يعني فيه لها
+
+158
+00:16:05,520 --> 00:16:10,380
+استعمالات. الاستعمال بتاعها زي في اللي هو عدسة مين؟
+
+159
+00:16:10,380 --> 00:16:14,860
+الـ cross-cylinder. الـ cross-cylinder هي عبارة عن
+
+160
+00:16:14,860 --> 00:16:20,860
+عدسة متحدة ما بين الـ sphere والـ cylinder. يعني it
+
+161
+00:16:20,860 --> 00:16:23,780
+is a combination of the cylinder and the sphere
+
+162
+00:16:23,780 --> 00:16:30,180
+lens. واضح؟ الآن الـ principle بتاع العدسة الـ cross-
+
+163
+00:16:30,180 --> 00:16:33,940
+cylinder بعتمد على مين؟ على الـ circle of least
+
+164
+00:16:33,940 --> 00:16:39,620
+confusion، اللي هو حكينا تعريفه، إن الـ divergent
+
+165
+00:16:39,620 --> 00:16:44,360
+rays من الـ vertical أو الـ convergent ray من الـ
+
+166
+00:16:44,360 --> 00:16:48,320
+horizontal، كله بيكون إيش؟ are exactly equal، إنه
+
+167
+00:16:48,320 --> 00:16:49,240
+بيكون متساوي.
+
+168
+00:16:55,840 --> 00:16:59,980
+Which represents the point of the best overall
+
+169
+00:16:59,980 --> 00:17:04,360
+focus for the lens. وهذا بتديني الـ best image، يعني
+
+170
+00:17:04,360 --> 00:17:09,520
+أفضل صورة ممكن. إنه لو مريض يعاني من الـ astigmatism، هذا
+
+171
+00:17:09,520 --> 00:17:21,380
+بتديني أفضل صورة ممكن إن المريض يشوفها. Visual
+
+172
+00:17:21,380 --> 00:17:27,400
+acuity، حدة الإبصار. ماذا تعني في الـ visual acuity؟
+
+173
+00:17:27,400 --> 00:17:37,740
+حدة الإبصار كمفهوم، له أنه بيقيس الـ resolving
+
+174
+00:17:37,740 --> 00:17:43,260
+capacity of the eye، والقدرة على استخدام الـ
+
+175
+00:17:43,260 --> 00:17:47,300
+central vision. It is a measurement of the spatial
+
+176
+00:17:47,300 --> 00:17:51,800
+resolving capacity of the eye and is applied to
+
+177
+00:17:51,800 --> 00:18:02,330
+the والقدرة على استخدام من الرؤية المركزية. واضح؟
+
+178
+00:18:02,330 --> 00:18:04,550
+كتابته هذا صح؟
+
+179
+00:18:20,050 --> 00:18:28,790
+طبعاً الـ visual acuity، اختصاره VA. It
+
+180
+00:18:28,790 --> 00:18:39,470
+is a measurement of
+
+181
+00:18:39,470 --> 00:18:42,590
+spatial
+
+182
+00:18:54,610 --> 00:19:01,350
+resolving capacity of
+
+183
+00:19:01,350 --> 00:19:08,950
+the eye and
+
+184
+00:19:08,950 --> 00:19:14,150
+is
+
+185
+00:19:14,150 --> 00:19:14,750
+applied
+
+186
+00:19:27,740 --> 00:19:32,980
+to central vision.
+
+187
+00:19:32,980 --> 00:19:39,520
+إنه بيقيس ال
+
+223
+00:23:08,540 --> 00:23:16,300
+optic radiation number
+
+224
+00:23:16,300 --> 00:23:23,000
+five lateral geniculate
+
+225
+00:23:23,000 --> 00:23:23,360
+body
+
+226
+00:23:41,750 --> 00:23:49,150
+number six  الvisual cortex
+
+227
+00:23:49,150 --> 00:23:52,550
+هذه
+
+228
+00:23:52,550 --> 00:23:55,870
+عبارة عن الvisual  باثوية للعين okay
+
+229
+00:24:25,730 --> 00:24:29,290
+طبعا optic nerve, optic chiasma, optic tract,
+
+230
+00:24:29,430 --> 00:24:31,790
+optic radiation, lateral geniculate body and
+
+231
+00:24:31,790 --> 00:24:40,090
+visual cortex خلصته؟
+
+232
+00:24:40,090 --> 00:24:45,110
+visual acuity is determined by the smallest
+
+233
+00:24:45,110 --> 00:24:52,190
+retinal image حدة الإبصار بتحدد بواسطة الصورة اللي
+
+234
+00:24:52,190 --> 00:24:56,250
+واقع على الشبكية the form of which can be
+
+235
+00:24:56,250 --> 00:25:00,710
+appreciated يعني قداش هذه الصورة اللي هتشكل على
+
+236
+00:25:00,710 --> 00:25:05,530
+الشبكية كم هي بتقدر زي ما حكينا في الrefractive
+
+237
+00:25:05,530 --> 00:25:09,750
+error الأخطاء الانكسارية أن الصورة في حالة ال
+
+238
+00:25:09,750 --> 00:25:13,910
+immature يما تكون الnormal patient بتقع على
+
+239
+00:25:13,910 --> 00:25:18,730
+الشبكية في حالة الmyope بتقع أمام الشبكية و
+
+240
+00:25:18,730 --> 00:25:20,850
+الhypermetrope خلف الشبكية
+
+241
+00:25:23,710 --> 00:25:27,870
+it is determined by the smallest retinal image the
+
+242
+00:25:27,870 --> 00:25:31,570
+form of which can be appreciated and it is
+
+243
+00:25:31,570 --> 00:25:34,970
+measured the smallest object which can be clearly
+
+244
+00:25:34,970 --> 00:25:42,250
+seen at a certain distance كمان بتقيس جديش الجسم
+
+245
+00:25:42,250 --> 00:25:47,690
+يعني حجم الجسم اللي بيقع على الشبكية و ممكن جديش
+
+246
+00:25:47,690 --> 00:25:52,470
+الصورة أنه بتوضح هذا الجسم يعني الآن لو فرضنا أنا
+
+247
+00:25:52,470 --> 00:26:01,470
+كنت ميوب قداش أنا الشبكية هتقدر توضحلي الصورة على
+
+248
+00:26:01,470 --> 00:26:06,270
+الشبكية فانا بعرف قداش الvisual acuity بتاعي أو
+
+249
+00:26:06,270 --> 00:26:09,770
+مثلا لو كنت hypermetrope عندي طول نظر فالشبكية
+
+250
+00:26:09,770 --> 00:26:14,190
+بتديني قداش الvisual acuity المحتمل بتاعي من خلال
+
+251
+00:26:14,190 --> 00:26:20,800
+فحص من الvisual acuity واضحة الصورة؟يعني الآن لو
+
+252
+00:26:20,800 --> 00:26:25,000
+أنا normal patient الصورة وين بتقع؟ على
+
+253
+00:26:25,000 --> 00:26:26,300
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+254
+00:26:26,300 --> 00:26:27,580
+على الشبكية، على الشبكية، على الشبكية، على
+
+255
+00:26:27,580 --> 00:26:30,780
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+256
+00:26:30,780 --> 00:26:34,640
+على الشبكية، على الشبكية، على الشبكية، على
+
+257
+00:26:34,640 --> 00:26:35,460
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+258
+00:26:35,460 --> 00:26:35,700
+على الشبكية، على الشبكية، على الشبكية، على
+
+259
+00:26:35,700 --> 00:26:37,060
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+260
+00:26:37,060 --> 00:26:40,560
+على الشبكية، على الشبكية،
+
+261
+00:26:41,280 --> 00:26:47,340
+طيب لو كنت أنا مثلا ميوب، إذن الصورة هتقع وين؟
+
+262
+00:26:47,340 --> 00:26:51,340
+أمام الشبكية، فهتوقع أن المريض عنده a blurred
+
+263
+00:26:51,340 --> 00:26:55,740
+vision for far distance، إذن الصورة ما هتكونش واضحة، صح
+
+264
+00:26:55,740 --> 00:26:58,360
+ولا لأ؟ يجب أن أنا أعمل اللي هو الtest بتاع ال
+
+265
+00:26:58,360 --> 00:27:01,720
+visual acuity وهكذا بالنسبة لل hypermetrope
+
+266
+00:27:08,450 --> 00:27:13,550
+Importance of testing visual acuity شو أهمية قياس
+
+267
+00:27:13,550 --> 00:27:19,410
+حدة الإبصار Testing visual acuity is very
+
+268
+00:27:19,410 --> 00:27:24,670
+important in all of the cases because يعني قياس
+
+269
+00:27:24,670 --> 00:27:29,850
+حدة الإبصار مهم جدا لكل الحالات اللي إحنا ذكرناها
+
+270
+00:27:31,260 --> 00:27:36,580
+طبعا شو السبب أن حدة الإبصار مهمة أو قياس حدة
+
+271
+00:27:36,580 --> 00:27:41,660
+الإبصار أنه مهم بالنسبة للpatient؟ number one it
+
+272
+00:27:41,660 --> 00:27:45,100
+gives us an accurate diagnosis for the patient
+
+273
+00:27:45,100 --> 00:27:45,640
+case
+
+274
+00:27:50,890 --> 00:27:57,830
+اللي هو تشخيص دقيق للمريض لحالة المريض وبيشير إلى
+
+275
+00:27:57,830 --> 00:28:03,650
+إيه؟ إلى الseverity حدة المشكلة يعني number one
+
+276
+00:28:03,650 --> 00:28:08,910
+بتديني تشخيص دقيق accurate diagnosis عبارة عن
+
+277
+00:28:08,910 --> 00:28:15,390
+تشخيص دقيق للمريض أو حالة المريض وبيشير إلى قداش ال
+
+278
+00:28:15,390 --> 00:28:20,100
+severity حدة المرض يعني من خلاله أنا بعرف ال
+
+279
+00:28:20,100 --> 00:28:23,600
+visual acuity أول حاجة بتديني accurate diagnosis
+
+280
+00:28:23,600 --> 00:28:28,860
+أن والله هذا الpatient إمتراب، هذا hypermetrope،
+
+281
+00:28:29,040 --> 00:28:32,520
+هذا ميوب، هذا astigmatism فبتحدد accurate
+
+282
+00:28:32,520 --> 00:28:39,890
+diagnosis تشخيص دقيق number two it may help .. it
+
+283
+00:28:39,890 --> 00:28:43,050
+may helps us to discover a new problem at the
+
+284
+00:28:43,050 --> 00:28:46,490
+patient which is .. which is not the main problem
+
+285
+00:28:46,490 --> 00:28:50,370
+that the patient complained for ممكن الآن في ال
+
+286
+00:28:50,370 --> 00:28:53,970
+clinic بتاعي ييجي المريض يقول أنا عنده blurred
+
+287
+00:28:53,970 --> 00:28:59,130
+vision for distance لكن أنا لما أجي أعمل الvisual
+
+288
+00:28:59,130 --> 00:29:04,090
+acuity هو يكون يعني المشكلة اللي جاي إلها المريض
+
+289
+00:29:04,090 --> 00:29:08,370
+والتشخيص داعي مختلف عن بعض، صح ولا لأ؟ يعني ممكن
+
+290
+00:29:08,370 --> 00:29:12,470
+أنه يكون هو عنده مشكلة في البعيد لكن السبب في هذه
+
+291
+00:29:12,470 --> 00:29:16,510
+المشكلة مش هو والله النظر ممكن يكون سببه اللي هو
+
+292
+00:29:16,510 --> 00:29:20,910
+headache صداع سواء كان frontal أو occipital فمن
+
+293
+00:29:20,910 --> 00:29:25,170
+خلال الvisual acuity أنا بقدر أنه أكتشف إيش أمور
+
+294
+00:29:25,170 --> 00:29:31,490
+يعني جديدة غير اللي شكاها المريض ممكن مثلا المريض
+
+295
+00:29:31,490 --> 00:29:36,030
+يحكي أنا عنده blurred vision for near لما أفحص
+
+296
+00:29:36,030 --> 00:29:39,390
+المريض يطلع عنده blurred vision for near اللي هي ال
+
+297
+00:29:39,390 --> 00:29:42,810
+hypermetrope طول النظر زائد أنه يكون عنده
+
+298
+00:29:42,810 --> 00:29:48,450
+astigmatism لا بؤرية فمن خلالها إيش؟ بقدر أنه من
+
+299
+00:29:48,450 --> 00:29:52,410
+خلال قياس الvisual acuity يعني من خلال قياس حدة
+
+300
+00:29:52,410 --> 00:29:57,790
+الإبصار بأكتشف أشياء جديدة المريض ما شكا منها،
+
+301
+00:29:57,790 --> 00:30:03,030
+واضح؟ Number three it is also help us in the
+
+302
+00:30:03,030 --> 00:30:07,010
+following up the patients case to compare between
+
+303
+00:30:07,010 --> 00:30:11,290
+pre and post the treatment من خلال قياس حدة
+
+304
+00:30:11,290 --> 00:30:17,150
+الإبصار بقدر أنه أعمل follow-up مراجعة للمريض زي
+
+305
+00:30:17,150 --> 00:30:21,570
+مثلا الآن ييجي مريض عنده زي ما أنتم كلكم عندكم
+
+306
+00:30:21,570 --> 00:30:26,590
+الآن الdata file فحصته مثلا في شهر أربعة كان ال
+
+307
+00:30:26,590 --> 00:30:31,850
+visual acuity عنده ستة على ستين استخدمت له نضارة صار
+
+308
+00:30:31,850 --> 00:30:37,210
+النظر عنده ستة على ستة، الآن شو بتوقع؟ لما ييجي مثلا
+
+309
+00:30:37,210 --> 00:30:42,990
+في شهر ثمانية okay يكون الvisual acuity ستة على ستة
+
+310
+00:30:43,810 --> 00:30:47,830
+لكن طلع مثلا الvisual acuity ستة على تسعة فهذا سهّل
+
+311
+00:30:47,830 --> 00:30:51,730
+عليّ بإيش؟ بعملية المراجعة على المريض وأنا قارنت ما
+
+312
+00:30:51,730 --> 00:30:55,390
+بين النتائج ما بين شهر أربعة لما أنا لبسته النضارة
+
+313
+00:30:55,390 --> 00:30:59,650
+كان ستة على ستة وما بين شهر مثلا تسعة أو ثمانية كان
+
+314
+00:30:59,650 --> 00:31:04,850
+النظر ستة على اثنين عشرة أو ستة على تسعة فإنا إيش عملت؟
+
+315
+00:31:04,850 --> 00:31:08,190
+اللي هو follow up للمريض وعملت compare between
+
+316
+00:31:08,190 --> 00:31:09,910
+the pre and post treatment
+
+317
+00:31:13,600 --> 00:31:17,640
+for all of these reasons visual acuity must be
+
+318
+00:31:17,640 --> 00:31:22,460
+tested for all of the patients before visiting the
+
+319
+00:31:22,460 --> 00:31:26,480
+ophthalmologist يعني أي مريض قبل ما يزور طبيب
+
+320
+00:31:26,480 --> 00:31:31,660
+العيون لازم أنه يقيس حدة الإبصار طيب مين بيقوم
+
+321
+00:31:31,660 --> 00:31:37,520
+بقياس حدة الإبصار اللي هو optometrist الأخصائي
+
+322
+00:31:37,520 --> 00:31:38,780
+البصريات؟
+
+323
+00:31:40,600 --> 00:31:44,140
+and this is the mission or the occupation of the
+
+324
+00:31:44,140 --> 00:31:49,180
+optometrist who is the specialist examiner in this
+
+325
+00:31:49,180 --> 00:31:53,700
+examination يعني هو بيكون مختص في قياس حدة الإبصار
+
+326
+00:31:53,700 --> 00:31:59,760
+للمريض واضح؟
+
+327
+00:31:59,760 --> 00:32:02,860
+في
+
+328
+00:32:02,860 --> 00:32:07,160
+عندنا الtesting visual acuity in preverbal
+
+329
+00:32:07,160 --> 00:32:14,180
+children قياس حدة الإبصار للأطفال غير الناطقين يعني
+
+330
+00:32:14,180 --> 00:32:18,600
+الآن أنا عندي طفل غير ناطق ما بيتكلم كيف أنا ممكن
+
+331
+00:32:18,600 --> 00:32:25,200
+أقيس له حدة الإبصار okay أول
+
+332
+00:32:25,200 --> 00:32:30,540
+test occlusion of one eye أنه بنغطي عين واحدة أنه
+
+333
+00:32:30,540 --> 00:32:34,260
+تغطية العين بنشوف الocclusion of one eye
+
+334
+00:32:38,330 --> 00:32:44,250
+occlusion of one eye it is a simple method for
+
+335
+00:32:44,250 --> 00:32:47,990
+testing the visual acuity in preverbal children
+
+336
+00:32:47,990 --> 00:32:57,110
+and infants هو يعني فحص بسيط جدا بقيس حدة الإبصار
+
+337
+00:32:57,110 --> 00:33:03,610
+للأطفال غير الناطقين أو للرضّع okay شو أنا بعمل
+
+338
+00:33:03,610 --> 00:33:10,250
+we cover one eye بنغطي عين و إذا strongly objected
+
+339
+00:33:10,250 --> 00:33:14,610
+by the child indicates poorer acuity in the other
+
+340
+00:33:14,610 --> 00:33:19,730
+eye الآن المريض .. الطفل .. أنا غطيت له عينه إذا
+
+341
+00:33:19,730 --> 00:33:23,530
+لاحظت أن الطفل بيسحب مثلا يد أمه أو يد ال
+
+342
+00:33:23,530 --> 00:33:30,090
+examiner بشكل اللي هو يعني عنيف هذا بتديني دلالة
+
+343
+00:33:30,090 --> 00:33:34,510
+أو إشارة أن الvisual acuity في العين الثانية
+
+344
+00:33:34,510 --> 00:33:41,530
+ضعيفة واضح؟ يعني الآن هي الطفل أمامي بأجي بغطي عينه
+
+345
+00:33:41,530 --> 00:33:45,610
+اليمين، لاحظت أن الطفل إيش بيسوي؟ على طول أول ما
+
+346
+00:33:45,610 --> 00:33:49,950
+غطيت العين رفع يده، فإنا إيش بدل هذا؟ أن ال
+
+347
+00:33:49,950 --> 00:33:54,530
+visual acuity للمريض عنده إيه؟ فيه ضعف، ممكن طريقة
+
+348
+00:33:54,530 --> 00:33:58,250
+أخرى، ما أستخدمش اليد، لو أنا بدي أستخدم اللي هو ال
+
+349
+00:33:58,250 --> 00:33:59,590
+cover، cover للعين
+
+350
+00:34:02,460 --> 00:34:07,800
+وفي الcover تلاقي الطفل يرفع الcover أو الغطاء
+
+351
+00:34:11,120 --> 00:34:15,900
+this method just indicate if the visual acuity is
+
+352
+00:34:15,900 --> 00:34:19,100
+good or poor and doesn't give us an accurate
+
+353
+00:34:19,100 --> 00:34:23,700
+measurements يعني هذا بس بيدينا إن هل حدة الإبصار
+
+354
+00:34:23,700 --> 00:34:28,940
+للمريض جيدة أو ضعيفة لكن ما بيعطينا accurate
+
+355
+00:34:28,940 --> 00:34:34,240
+measurement يعني قياس دقيق لحدة الإبصار إذا
+
+356
+00:34:34,240 --> 00:34:37,880
+number one testing visual acuity in a preverbal
+
+357
+00:34:37,880 --> 00:34:42,850
+children occlusion of one eye Occlusion of one eye
+
+358
+00:34:42,850 --> 00:34:47,910
+indicate only visual acuity is good or poor لو أنا
+
+359
+00:34:47,910 --> 00:34:55,550
+مثلا جيت سألت السؤال Occlusion of one eye measures
+
+360
+00:34:55,550 --> 00:35:02,930
+the visual acuity in accurate .. sorry Occlusion
+
+361
+00:35:02,930 --> 00:35:08,690
+of one eye is an accurate measurement correct إذا
+
+362
+00:35:08,690 --> 00:35:14,770
+فالسؤال  simple method to measure visual acuity and
+
+363
+00:35:14,770 --> 00:35:18,130
+indicate to if the visual acuity is good or poor
+
+364
+00:35:18,130 --> 00:35:23,590
+okay number
+
+365
+00:35:23,590 --> 00:35:30,990
+two fixation test this is very important test This
+
+366
+00:35:30,990 --> 00:35:36,770
+is a very good method يعني منهج جيد جدا in testing
+
+367
+00:35:36,770 --> 00:35:42,310
+visual acuity في فحص حدة الإبصار and it is
+
+368
+00:35:42,310 --> 00:35:46,450
+performed as following الخطوات المتبعة في هذا
+
+369
+00:35:46,450 --> 00:35:53,030
+الفحص طبعا الfixation test هو يعتبر أفضل test من
+
+370
+00:35:53,030 --> 00:35:58,730
+ناحية فحص  للpreverbal children واضح؟
+
+371
+00:36:02,120 --> 00:36:05,600
+أما أنتم عارفين fixation معناها أنه تثبيت العين اللي
+
+372
+00:36:05,600 --> 00:36:14,320
+هي ثابتة a 16 prism diopter based on طبعا الprism ديوبتر
+
+373
+00:36:14,320 --> 00:36:22,760
+هذه عبارة عن وحدة قياس زاوية
+
+374
+00:36:22,760 --> 00:36:23,400
+الحول
+
+375
+00:36:34,390 --> 00:36:42,430
+لما أشير مثلا D indicate to a diopter صح؟ اللي هي
+
+376
+00:36:42,430 --> 00:36:53,130
+الpower لما أشير للمثلث زي هذا بمعنى a prism
+
+377
+00:36:53,130 --> 00:37:00,450
+diopter فهذه
+
+378
+00:37:00,450 --> 00:37:01,950
+بتقيس الangle
+
+379
+00:37:05,490 --> 00:37:14,870
+of deviation أنه
+
+380
+00:37:14,870 --> 00:37:25,390
+زاوية الحول واضح number
+
+381
+00:37:25,390 --> 00:37:29,790
+one a sixteen prism diopter based down
+
+382
+00:37:36,690 --> 00:37:44,150
+الابريزم بتكون من شغلتين في عندنا الapex عفوا
+
+383
+00:37:44,150 --> 00:37:51,070
+إن هذا الbase وعندنا
+
+384
+00:37:51,070 --> 00:37:55,710
+الapex الصورة
+
+385
+00:37:55,710 --> 00:38:01,150
+وين بتتجمع دائما؟ باتجاه الapex okay يعني دائما
+
+386
+00:38:01,150 --> 00:38:03,190
+الصورة تكون الصورة هنا
+
+387
+00:38:08,300 --> 00:38:16,560
+خانة بالنسبة له الimage ف a 16 prism diopter base
+
+388
+00:38:16,560 --> 00:38:21,920
+down أنه الbase down أنا حطيته عشان الصورة وين
+
+389
+00:38:21,920 --> 00:38:26,440
+تتجمع في الapex ممكن هذا السؤال أنا أسأله ليش أنا
+
+390
+00:38:26,440 --> 00:38:30,960
+حطيت مثلا a 16 prism diopter base down ليش مش base
+
+391
+00:38:30,960 --> 00:38:42,190
+up عشان الصورة وين تتجمع باتجاه الابيكس 16 بريزم
+
+392
+00:38:42,190 --> 00:38:48,830
+ديوبتر بيس داون بيس على إحدى العينين والآخر مُخفّف
+
+393
+00:38:48,830 --> 00:38:50,190
+باستخدام مصادر ضوء
+
+394
+00:38:53,030 --> 00:38:59,390
+العين مثلا افترضنا اليمين حطينا الprism 16 فوق
+
+395
+00:38:59,390 --> 00:39:03,450
+العين اليمين العين الثانية يا إما نستخدم الlight
+
+396
+00:39:03,450 --> 00:39:07,870
+source يا أنا إيش بعمل occlusion اللي هو غطّي لكن
+
+397
+00:39:07,870 --> 00:39:12,190
+يكون الغطاء هذا إيش شفاف للعين الشمال لكن المستخدم
+
+398
+00:39:12,190 --> 00:39:15,570
+عمليا اللي هو الlight torch اللي هو الضوء أو
+
+399
+00:39:15,570 --> 00:39:20,630
+المصدر الضوء طيب، في سؤال ثاني، ليش هنا أنا استخدمت
+
+400
+00:39:20,630 --> 00:39:25,470
+16 بريزم ديوبتر، based on؟ ليش أنا الرقم 16
+
+401
+00:39:25,470 --> 00:39:29,470
+استخدمته؟ مثلا، أنا ممكن أسأل ليش مثلا أنا استخدمت
+
+402
+00:39:29,470 --> 00:39:37,810
+اثنين أو أربعة ديوبتر؟ ليش الرقم 16؟
+
+403
+00:39:40,350 --> 00:39:45,310
+واضح السؤال؟ الآن السؤال أنا استخدمت ال 16 بريزم
+
+404
+00:39:45,310 --> 00:39:50,130
+ديوبتر based on طيب ممكن واحد من الجمهور يسأل ليش
+
+405
+00:39:50,130 --> 00:39:54,350
+أنا مثلا ما أستخدمش اثنين بريزم ديوبتر؟ أو ليش مثلا
+
+406
+00:39:54,350 --> 00:40:00,330
+ما أستخدمش أربعة بريزم ديوبتر؟ ليش الرقم 16
+
+445
+00:43:11,220 --> 00:43:16,460
+الهدف من قياس حدة الإبصار في حالة الـ fixation
+
+446
+00:43:16,460 --> 00:43:21,000
+أختبر هل العين فيها مركز، يعني هل هي
+
+447
+00:43:26,560 --> 00:43:31,120
+ثابتة، أم مثلاً العين غير ثابتة. هذا هو الهدف من قياسي لـ
+
+448
+00:43:31,120 --> 00:43:36,620
+الـ visual acuity في حالة اختبار الـ fixation، واضح؟
+
+449
+00:43:36,620 --> 00:43:41,260
+أريد أن أرى إن كان المركز ثابتًا أو غير ثابت
+
+450
+00:43:41,260 --> 00:43:43,180
+بالنسبة للعين
+
+451
+00:43:53,520 --> 00:43:59,540
+العين الثانية (اليسرى) غير مغطاة، واضح؟ لأحافظ
+
+452
+00:43:59,540 --> 00:44:03,600
+على ثبات الـ fixation، يعني ليس مثلاً أني الآن أقوم بـ
+
+453
+00:44:03,600 --> 00:44:10,020
+اختبار العين الأخرى فأجدها مثلاً منحرفة، كما يحدث في
+
+454
+00:44:10,020 --> 00:44:13,740
+بعض حالات فحص حدة الإبصار، كان المريض مثلاً مُدار
+
+455
+00:44:13,740 --> 00:44:18,320
+أو مائل. يجب أن تكون العين الأخرى ثابتة
+
+456
+00:44:18,320 --> 00:44:24,000
+في حالة الـ fixation، ثابتة، واضح؟
+
+457
+00:44:24,000 --> 00:44:27,860
+إذا عاد الـ fixation مباشرة إلى العين المكشوفة،
+
+458
+00:44:27,860 --> 00:44:30,460
+فإن حدة الإبصار ضعيفة
+
+459
+00:44:34,690 --> 00:44:38,510
+وضعف الـ fixation يعني ضعيف، يعني الـ
+
+460
+00:44:38,510 --> 00:44:43,710
+visual acuity للطفل ستكون ضعيفة إذا لم يُحدث
+
+461
+00:44:43,710 --> 00:44:47,810
+fixation. ستجد دائماً حتى الكبار، إذا
+
+462
+00:44:47,810 --> 00:44:51,170
+اعتاد ألا يُحدث fixation، ستجده دائماً يُدار رأسه
+
+463
+00:44:51,170 --> 00:44:56,310
+إلى اليمين أو اليسار.  لذلك
+
+464
+00:44:56,310 --> 00:44:59,730
+أقول لكم دائماً هذه النقطة المهمة: أن الرأس دائماً في
+
+465
+00:44:59,730 --> 00:45:02,430
+وضعية الانطلاق الأساسية. أركز دائماً على موضوع
+
+466
+00:45:02,430 --> 00:45:05,690
+وضعية الانطلاق الأساسية: أن الرأس والعين
+
+467
+00:45:05,690 --> 00:45:09,590
+مستقيمتان، واضح؟
+
+468
+00:45:09,590 --> 00:45:13,950
+بينما إذا تم الحفاظ على الـ fixation خلال غمضة عين
+
+469
+00:45:13,950 --> 00:45:18,910
+عشر ثوان، فإن حدة الإبصار جيدة. إذا استطاع الطفل
+
+470
+00:45:18,910 --> 00:45:24,070
+الحفاظ على الـ fixation خلال عشر ثوان، يكون
+
+471
+00:45:24,070 --> 00:45:28,350
+لديه visual acuity جيدة، يعني خلال العشر
+
+472
+00:45:28,350 --> 00:45:32,070
+ثوانٍ، استطاع الحفاظ على الـ fixation للعين، فهذا
+
+473
+00:45:32,070 --> 00:45:35,010
+يعني لي أن حدة الإبصار للمريض جيدة
+
+474
+00:45:38,440 --> 00:45:42,920
+حسنًا، إذا قام المريض بتبادل الـ fixation، مرة
+
+475
+00:45:42,920 --> 00:45:46,060
+يُحدث fixation في العين اليمنى ومرة في اليسرى، ماذا
+
+476
+00:45:46,060 --> 00:45:49,560
+يعني هذا؟  أن حدة الإبصار متساوية في
+
+477
+00:45:49,560 --> 00:45:53,700
+العينين، مرة يستخدم اليمنى ومرة يستخدم
+
+478
+00:45:53,700 --> 00:45:57,660
+اليسرى، يكون الـ fixation مرة في اليمين ومرة في
+
+479
+00:45:57,660 --> 00:46:02,140
+اليسار، then the two eyes have equal vision
+
+480
+00:46:03,640 --> 00:46:06,820
+التجارب مرتبطة بالبريزم على الجهة الأخرى،
+
+481
+00:46:06,820 --> 00:46:14,860
+مونوكلر
+
+482
+00:46:14,860 --> 00:46:19,580
+يجب أن يكون مركزياً مستقلاً و محافظاً في كل عين
+
+483
+00:46:26,140 --> 00:46:30,960
+حسنًا، يجب أن تكون العين مركزية بالإضافة إلى أنها
+
+484
+00:46:30,960 --> 00:46:35,500
+ثابتة. أعلم أنه قد يكون فهم الموضوع صعباً نوعاً ما
+
+485
+00:46:35,500 --> 00:46:40,360
+أكثر مما هو...نظرياً، لكن إن شاء الله
+
+486
+00:46:40,360 --> 00:46:44,200
+سأطبقه لكم عملياً في المختبر. من ناحية المختبر، سنحاول
+
+487
+00:46:44,200 --> 00:46:47,740
+أن نجلب أطفالاً ونطبق هذا الاختبار، لأن هذا الاختبار
+
+488
+00:46:47,740 --> 00:46:52,850
+مهم جداً، اختبار الـ fixation.  لو ذهبت
+
+489
+00:46:52,850 --> 00:46:56,210
+إلى أي مكان في العالم، ستجد
+
+490
+00:46:56,210 --> 00:47:01,490
+ارتباطاً
+
+491
+00:47:01,490 --> 00:47:05,370
+بين حدة الإبصار وأنماط الـ fixation
+
+492
+00:47:05,370 --> 00:47:11,170
+العلاقة بين حدة الإبصار وبين العين
+
+493
+00:47:11,170 --> 00:47:17,020
+التي لا تكون ثابتة، تثبيت خارج المركزي أو
+
+494
+00:47:17,020 --> 00:47:21,060
+التثبيت، يكون الطفل ليس لديه fixation يعني
+
+495
+00:47:21,060 --> 00:47:24,920
+العين زائغة، أي إلى اليمين أو اليسار
+
+496
+00:47:24,920 --> 00:47:28,680
+ليس لها fixation، هذا يدل على أن حدة الإبصار
+
+497
+00:47:28,680 --> 00:47:36,100
+ضعيفة أو سيئة، واحد على ستين، واضح؟
+
+498
+00:47:36,100 --> 00:47:42,900
+ثانياً: تثبيت مركزي غير ثابت لأقل من خمس
+
+499
+00:47:42,900 --> 00:47:48,400
+ثوان، الطفل قام بالتثبيت لكنه قام به
+
+500
+00:47:48,400 --> 00:47:53,520
+أقل من خمس ثوان، هذا يدل على أن حدة الإبصار تساوي
+
+501
+00:47:53,520 --> 00:47:59,710
+أربعة على ستين، واضح؟ إذا الحالة الأولى، الطفل لم يُحدث
+
+502
+00:47:59,710 --> 00:48:04,430
+fixation، حدة الإبصار كم؟ واحد على ستين، الحالة
+
+503
+00:48:04,430 --> 00:48:08,530
+الثانية، حدث fixation لكن أقل من خمس ثوان، نحن
+
+504
+00:48:08,530 --> 00:48:12,870
+قلنا الطبيعي كم؟ عشر ثوان، قام بعمل fixation
+
+505
+00:48:12,870 --> 00:48:17,190
+أقل من خمس ثوان، تكون حدة الإبصار أربعة على ستين
+
+506
+00:48:17,190 --> 00:48:24,060
+الحالة الثالثة: تثبيت مركزي ثابت، لكن
+
+507
+00:48:24,060 --> 00:48:28,160
+لا يحافظ على التثبيت عند إزالة الغطاء من
+
+508
+00:48:28,160 --> 00:48:32,920
+العين الأخرى، الآن هو قام بعمل fixation، وممكن عمل
+
+509
+00:48:32,920 --> 00:48:37,100
+fixation عشر ثوان، لكن أول ما تُرفع الغطاء من العين الثانية
+
+510
+00:48:37,100 --> 00:48:42,060
+نجد أن الـ fixation ينتقل إلى العين الأخرى، فيكون
+
+511
+00:48:42,060 --> 00:48:46,140
+حدة الإبصار للمريض من ستة على ستين إلى ستة على أربعة
+
+512
+00:48:46,140 --> 00:48:50,180
+وعشرين. يعني دائماً في هذا الاختبار، أركز على
+
+513
+00:48:50,180 --> 00:48:51,140
+كلتا العينين
+
+514
+00:48:57,800 --> 00:49:00,520
+الـ Fixation ينتقل إلى العين الأخرى، إذا الـ Visual
+
+515
+00:49:00,520 --> 00:49:05,120
+Acuity تكون من ستة على ستين إلى ستة على أربعة وعشرين
+
+516
+00:49:05,120 --> 00:49:08,780
+مركزي،
+
+517
+00:49:08,780 --> 00:49:12,980
+تثبيت ثابت، لكن سيبقى التثبيت مع
+
+518
+00:49:12,980 --> 00:49:16,140
+العين الشاذة عند إزالة الغطاء لكن
+
+519
+00:49:16,140 --> 00:49:21,040
+يُفضل التثبيت مع العين الأخرى،  أيضاً الطفل قام بـ
+
+520
+00:49:21,040 --> 00:49:27,360
+fixation،  وعندما أزلت الغطاء عن العين الثانية
+
+521
+00:49:27,360 --> 00:49:32,540
+استمر المريض في وجود الـ Fixation، لكنه فضل
+
+522
+00:49:32,540 --> 00:49:37,480
+الـ fixation بالعين الثانية، يكون هذا يدل على أن حدة الإبصار
+
+523
+00:49:37,480 --> 00:49:44,040
+من ستة على ثمانية عشر إلى ستة على تسعة مرة أخرى
+
+524
+00:49:44,040 --> 00:49:48,620
+الآن المريض قام بعمل fixation جيد، وقام بعمل fixation ممكن
+
+525
+00:49:48,620 --> 00:49:52,820
+أكثر من خمس ثوان أو عشر ثوان، رفعنا الغطاء عن
+
+526
+00:49:52,820 --> 00:49:58,560
+العين، وجدنا أنه قام بعمل fixation، لكن الطفل بعد فترة
+
+527
+00:49:58,560 --> 00:50:02,920
+قام بعمل fixation بالعين الثانية، يعني بعد مثلاً
+
+528
+00:50:02,920 --> 00:50:07,820
+خمس ثوان، فضل الـ fixation بالعين الثانية، واضح؟
+
+529
+00:50:07,820 --> 00:50:12,300
+فهنا حدة الإبصار للمريض تكون من ستة على...
+
+530
+00:50:12,300 --> 00:50:19,060
+من ستة على اثني عشر إلى ستة على تسعة أو ثمانية عشر إلى اثني عشر،  طيب لو قام بـ
+
+531
+00:50:19,060 --> 00:50:25,200
+تبادل تلقائي، أي متبادل، مرة في العين
+
+532
+00:50:25,200 --> 00:50:29,080
+اليمين ومرة في اليسار، هنا تكون حدة الإبصار
+
+533
+00:50:29,080 --> 00:50:33,980
+متساوية،  وتدل على حدة إبصار جيدة في
+
+534
+00:50:33,980 --> 00:50:40,060
+كلتا العينين، ستة على ستة طبعاً
+
+535
+00:50:40,060 --> 00:50:45,340
+هنا سنطبق الاختبار على المريض، يعني... هل هناك سؤال؟
+
+536
+00:50:50,510 --> 00:50:53,650
+الأخيرة، إذا قام المريض مثلاً مرة بـ fixation في
+
+537
+00:50:53,650 --> 00:50:58,430
+العين اليمنى ومرة في اليسرى، حسنًا؟ مرة
+
+538
+00:50:58,430 --> 00:51:02,590
+قام بها في اليمنى، بعد عشر ثوان قام بها في اليسرى، بعد
+
+539
+00:51:02,590 --> 00:51:06,670
+العشر ثوان قام بها في اليمنى، أي متبادل، متبادل،
+
+540
+00:51:06,670 --> 00:51:09,810
+تكون حدة الإبصار جيدة، وستكون ستة على ستة
+
+541
+00:51:15,770 --> 00:51:21,950
+اختبار المئات والآلاف من الحلويات، طبعاً هذا اختبار بسيط جداً
+
+542
+00:51:21,950 --> 00:51:26,130
+ومعظم العيادات لدينا تستخدمه، لكن يجب
+
+543
+00:51:26,130 --> 00:51:31,170
+أن تعرفوا أن هذا الاختبار فقط يشير إلى أن حدة الإبصار
+
+544
+00:51:31,170 --> 00:51:34,030
+للمريض ستة على أربعة وعشرين أو أقل
+
+545
+00:51:39,510 --> 00:51:44,370
+شيء مهم: أن هذه الحلويات، كما هي موجودة في
+
+546
+00:51:44,370 --> 00:51:49,650
+الصورة، يجب أن تكون بألوان مختلفة، أي أبيض، أحمر،
+
+547
+00:51:49,650 --> 00:51:53,710
+أزرق، ألا تكون متشابهة في اللون، مختلفة
+
+548
+00:51:53,710 --> 00:52:01,530
+الألوان، وأرى أنني مثلاً أغطي عين المريض اليسرى،
+
+549
+00:52:01,530 --> 00:52:07,410
+وأجعل المريض أو الطفل يلتقط هذه الـ...
+
+550
+00:52:07,410 --> 00:52:13,230
+هذه الحلويات، اختبار الحلويات. طيب لو
+
+551
+00:52:13,230 --> 00:52:18,290
+وجدت مثلاً أن الطفل يبحث عن هذه الحلوى، هو يعلم أنها
+
+552
+00:52:18,290 --> 00:52:24,000
+في مكان ما، لكن لو وجدته يبحث عنها، واضح؟
+
+553
+00:52:24,000 --> 00:52:28,120
+أعلم أن لديه ضعفاً في حدة الإبصار، أو مثلاً
+
+554
+00:52:28,120 --> 00:52:33,120
+لا يستطيع التقاطها، نفس الشيء، هي عملية
+
+555
+00:52:33,120 --> 00:52:39,440
+تقييم مدى انتباه الطفل، واضح؟ طبعاً، هو
+
+556
+00:52:39,440 --> 00:52:44,400
+اختبار تقريبي نادر الاستخدام
+
+557
+00:52:44,400 --> 00:52:48,640
+يعني نادراً ما يُستخدم، لكن سبحان الله، لدينا
+
+558
+00:52:48,640 --> 00:52:53,770
+شيء أكثر شيوعاً.  مبدأياً، إذا استطاع الطفل
+
+559
+00:52:53,770 --> 00:52:59,110
+رؤية والتقاط حلوى صغيرة على مسافة 33 سم، فإن حدة الإبصار
+
+560
+00:52:59,110 --> 00:53:05,770
+ستكون على الأقل ستة على أربعة وعشرين. إذا استطاع الطفل
+
+561
+00:53:05,770 --> 00:53:09,570
+القبض على هذه الحلويات، سيكون لديه حدة إبصار
+
+562
+00:53:09,570 --> 00:53:12,050
+أكثر من أو تساوي
+
+563
+00:53:25,080 --> 00:53:30,400
+هذا إذا استطاع المريض أو الطفل التقاط هذه
+
+564
+00:53:30,400 --> 00:53:36,220
+الحلويات، لكن الأهم في اختبار الحلويات، أولاً، أن تكون
+
+565
+00:53:36,220 --> 00:53:41,100
+الحلويات بألوان مختلفة، من ناحية التباين، من
+
+566
+00:53:41,100 --> 00:53:45,900
+ناحية أيضاً أن الطفل مثلاً قد يستطيع رؤية
+
+567
+00:53:45,900 --> 00:53:50,460
+اللون الأبيض، لكن لا يستطيع تمييز اللون الأحمر أو
+
+568
+00:53:50,460 --> 00:53:55,000
+اللون الأزرق، فيجب أن تكون مختلفة الألوان، وأن
+
+569
+00:53:55,000 --> 00:53:57,300
+اختبار الحلويات ألا يكون في منطقة واحدة
+
+570
+00:54:18,080 --> 00:54:25,380
+بالنسبة لاختبار المئات والآلاف من الحلويات، طبعاً، هكذا
+
+571
+00:54:25,380 --> 00:54:30,800
+نكون قد اكتفينا اليوم باختبارات حدة الإبصار في
+
+572
+00:54:30,800 --> 00:54:34,460
+الأطفال قبل سن الكلام، في المحاضرة القادمة إن شاء
+
+573
+00:54:34,460 --> 00:54:39,820
+الله سنكمل اختبارات حدة الإبصار في الأطفال قبل
+
+574
+00:54:39,820 --> 00:54:45,440
+سن الكلام.  هل هناك أي سؤال؟ أي استفسار؟ شكراً، يعطيكم
+
+575
+00:54:45,440 --> 00:54:45,880
+العافية
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..564f79484c2257c0cd3df3846137ee64ced65c97
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4085, "start": 20.77, "end": 40.85, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و بركاته في المحاضرة السابقة تناولنا موضوع أنواع العدسات أنهينا من موضوع العدسات ال spherical lenses العدسات الكراوية", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 6055, 8315, 12610, 8315, 3714, 2407, 11242, 45367, 14739, 14407, 3615, 18863, 3215, 3794, 9307, 14739, 3224, 1829, 8315, 9154, 3714, 2407, 11242, 45367, 18863, 3215, 3794, 9307, 2423, 37300, 18059, 18863, 3215, 3794, 9307, 33251, 23557, 2407, 10632], "avg_logprob": -0.07828336420494157, "compression_ratio": 1.8048780487804879, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 20.77, "end": 21.05, "word": "طيب", "probability": 0.9611002604166666}, {"start": 21.05, "end": 21.29, "word": " بسم", 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يعني", "probability": 0.93115234375}, {"start": 120.26, "end": 120.8, "word": " بالشكل", "probability": 0.95947265625}, {"start": 120.8, "end": 121.24, "word": " هذا", "probability": 0.9658203125}, {"start": 121.24, "end": 122.42, "word": " ان", "probability": 0.5390625}, {"start": 122.42, "end": 122.62, "word": " لو", "probability": 0.6318359375}, {"start": 122.62, "end": 123.12, "word": " فرضنا", "probability": 0.9938151041666666}, {"start": 123.12, "end": 123.64, "word": " قوة", "probability": 0.9752604166666666}, {"start": 123.64, "end": 124.46, "word": " العدسة", "probability": 0.9962158203125}, {"start": 124.46, "end": 126.64, "word": " plus", "probability": 0.73583984375}, {"start": 126.64, "end": 127.24, "word": " two", "probability": 0.6982421875}], "temperature": 1.0}, {"id": 5, "seek": 14843, "start": 128.45, "end": 148.43, "text": "هذه بفهم أن العدسة كلها تمنجميع المحاور هي plus two أو minus three واضح؟ convex spherical lenses converge light rays and are called plus lenses العدسات الموجبة بتعمل على تجميع الأشعة", "tokens": [3224, 24192, 4724, 5172, 16095, 14739, 18863, 3215, 3794, 3660, 28242, 11296, 6055, 27842, 7435, 2304, 40228, 9673, 5016, 995, 13063, 39896, 1804, 732, 34051, 3175, 1045, 4032, 46958, 5016, 22807, 42432, 37300, 18059, 41881, 1442, 24417, 293, 366, 1219, 1804, 18059, 18863, 3215, 3794, 9307, 9673, 29245, 49401, 39894, 25957, 1211, 15844, 6055, 7435, 2304, 40228, 16247, 8592, 27884], "avg_logprob": -0.1655993793831497, "compression_ratio": 1.3967391304347827, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 128.45, "end": 128.85, "word": "هذه", "probability": 0.716796875}, {"start": 128.85, "end": 129.23, "word": " بفهم", "probability": 0.822265625}, {"start": 129.23, "end": 129.47, "word": " أن", "probability": 0.4130859375}, {"start": 129.47, "end": 129.97, "word": " العدسة", "probability": 0.9720458984375}, {"start": 129.97, "end": 130.33, "word": " كلها", "probability": 0.787353515625}, {"start": 130.33, "end": 131.01, 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سلندر في عندنا ال plano و في عندنا ال minus three دايما القوة بتكون عمودية عمين على ال axis they have no power in the meridian parallel to the axis", "tokens": [3224, 1829, 6225, 3215, 3794, 3660, 8608, 1211, 41260, 2288, 8978, 43242, 8315, 2423, 40259, 4032, 8978, 43242, 8315, 2423, 3175, 1045, 11778, 47302, 15042, 25062, 2407, 3660, 39894, 30544, 6225, 2304, 2407, 16254, 3660, 6225, 2304, 9957, 15844, 2423, 10298, 436, 362, 572, 1347, 294, 264, 3551, 34681, 8952, 281, 264, 10298], "avg_logprob": -0.25245950398621736, "compression_ratio": 1.4527027027027026, "no_speech_prob": 0.0, "words": [{"start": 314.13, "end": 314.37, "word": "هي", "probability": 0.58251953125}, {"start": 314.37, "end": 314.79, "word": " عدسة", "probability": 0.77581787109375}, {"start": 314.79, "end": 315.45, "word": " سلندر", "probability": 0.8277587890625}, {"start": 315.45, "end": 315.87, "word": " في", "probability": 0.44287109375}, {"start": 315.87, "end": 316.33, "word": " عندنا", "probability": 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lens or toric lens دايما ال toric lens بتتكون من combination لالسفير plus two مثلا زائد السلندر", "tokens": [50, 950, 260, 804, 293, 28044, 15888, 18059, 393, 312, 9354, 294, 472, 6765, 281, 1254, 257, 637, 511, 905, 5088, 471, 15888, 6765, 611, 2570, 382, 14154, 6765, 420, 3930, 299, 6765, 11778, 47302, 15042, 2423, 3930, 299, 6765, 39894, 2655, 30544, 9154, 6562, 5296, 6027, 3794, 5172, 13546, 1804, 732, 50113, 15040, 30767, 16373, 3215, 21136, 1211, 41260, 2288], "avg_logprob": -0.2983870929287326, "compression_ratio": 1.4733727810650887, "no_speech_prob": 0.0, "words": [{"start": 360.63, "end": 361.41, "word": "Spherical", "probability": 0.63763427734375}, {"start": 361.41, "end": 361.83, "word": " and", "probability": 0.89453125}, {"start": 361.83, "end": 362.45, "word": " cylindrical", "probability": 0.93359375}, {"start": 362.45, "end": 362.97, "word": " lenses", "probability": 0.91357421875}, {"start": 362.97, "end": 363.51, "word": " can", "probability": 0.95166015625}, 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295, 264, 12750, 293, 9429, 382, 731], "avg_logprob": -0.3357204861111111, "compression_ratio": 0.8958333333333334, "no_speech_prob": 0.0, "words": [{"start": 535.0, "end": 535.58, "word": "rays", "probability": 0.2464599609375}, {"start": 535.58, "end": 537.68, "word": " of", "probability": 0.96240234375}, {"start": 537.68, "end": 541.0, "word": " the", "probability": 0.86181640625}, {"start": 541.0, "end": 542.08, "word": " horizontal", "probability": 0.82421875}, {"start": 542.08, "end": 547.7, "word": " and", "probability": 0.481201171875}, {"start": 547.7, "end": 551.44, "word": " vertical", "probability": 0.86376953125}, {"start": 551.44, "end": 555.08, "word": " as", "probability": 0.84619140625}, {"start": 555.08, "end": 555.42, "word": " well", "probability": 0.93212890625}], "temperature": 1.0}, {"id": 21, "seek": 58500, "start": 557.06, "end": 585.0, "text": "إنه بتكون الأشعة السواق العمودية أو الأشعة الأفقية متفارقة و بيكونوا متساويين في اللي هي التشتتت بتاعهم واضح؟ هذا 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ال spherical equivalent عندنا السفير", "tokens": [15042, 39896, 6225, 3555, 9640, 3660, 18871, 6562, 16472, 3224, 1975, 2655, 5016, 18513, 19446, 49374, 6225, 3215, 14851, 9957, 36764, 24401, 3660, 8608, 5172, 13546, 36764, 24401, 3660, 8608, 1211, 41260, 2288, 4032, 46958, 5016, 22807, 4032, 2423, 3278, 17884, 6024, 48506, 8978, 11331, 26108, 3660, 39894, 38251, 1829, 11296, 2423, 37300, 10344, 2423, 8608, 5172, 13546, 1804, 1922, 21136, 1211, 41260, 2288, 13672, 1829, 31439, 25062, 7649, 11536, 39894, 45761, 11296, 2423, 37300, 10344, 43242, 8315, 21136, 5172, 13546], "avg_logprob": -0.1664443626636412, "compression_ratio": 1.6714285714285715, "no_speech_prob": 0.0, "words": [{"start": 726.21, "end": 726.43, "word": "ما", "probability": 0.9375}, {"start": 726.43, "end": 726.59, "word": " هي", "probability": 0.89111328125}, {"start": 726.59, "end": 727.05, "word": " عبارة", "probability": 0.9957275390625}, {"start": 727.05, "end": 727.31, "word": " عن", "probability": 0.9951171875}, 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768.45, "word": " واضح؟", "probability": 0.794677734375}, {"start": 768.45, "end": 769.67, "word": " يعني", "probability": 0.910888671875}, {"start": 769.67, "end": 771.03, "word": " الآن", "probability": 0.768798828125}, {"start": 771.03, "end": 773.13, "word": " العدسة", "probability": 0.984619140625}, {"start": 773.13, "end": 774.49, "word": " التوريك", "probability": 0.6004791259765625}, {"start": 774.49, "end": 774.93, "word": " لينز", "probability": 0.8551432291666666}, {"start": 774.93, "end": 775.43, "word": " فيه", "probability": 0.726318359375}, {"start": 775.43, "end": 775.85, "word": " لها", "probability": 0.6275634765625}, {"start": 775.85, "end": 776.21, "word": " two", "probability": 0.82861328125}, {"start": 776.21, "end": 776.67, "word": " foci", "probability": 0.529296875}, {"start": 776.67, "end": 777.49, "word": " line", "probability": 0.814453125}, {"start": 777.49, "end": 778.39, "word": " او", "probability": 0.82666015625}, {"start": 778.39, "end": 778.59, 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"end": 815.1, "word": " least", "probability": 0.9482421875}, {"start": 815.1, "end": 815.72, "word": " confusion", "probability": 0.982421875}, {"start": 815.72, "end": 816.36, "word": " شو", "probability": 0.906005859375}, {"start": 816.36, "end": 816.52, "word": " هو", "probability": 0.986328125}, {"start": 816.52, "end": 816.94, "word": " تعريف", "probability": 0.9806315104166666}, {"start": 816.94, "end": 817.1, "word": " ال", "probability": 0.953125}, {"start": 817.1, "end": 817.38, "word": " circle", "probability": 0.8994140625}, {"start": 817.38, "end": 817.64, "word": " of", "probability": 0.9853515625}, {"start": 817.64, "end": 817.86, "word": " least", "probability": 0.9501953125}, {"start": 817.86, "end": 818.92, "word": " confusion؟", "probability": 0.93408203125}, {"start": 818.92, "end": 819.2, "word": " إنه", "probability": 0.559326171875}, {"start": 819.2, "end": 819.74, "word": " الأشعة", "probability": 0.99267578125}], "temperature": 1.0}, {"id": 31, "seek": 84662, "start": 821.06, "end": 846.62, "text": "المتشتتة من المحور الأفقي والأشعة المتجمعة من المحور العمودي كلها هتكون متساوية واضح ان كلها بتكون are exactly equal يعني كلها بتكون هذه الأشعة متساوية واضح ولا كذا؟", "tokens": [45340, 2655, 8592, 2655, 2655, 3660, 9154, 9673, 5016, 13063, 16247, 5172, 38436, 16070, 10721, 8592, 27884, 9673, 2655, 7435, 2304, 27884, 9154, 9673, 5016, 13063, 18863, 2304, 2407, 16254, 28242, 11296, 8032, 2655, 30544, 44650, 3794, 995, 2407, 10632, 4032, 46958, 5016, 16472, 28242, 11296, 39894, 30544, 366, 2293, 2681, 37495, 22653, 28242, 11296, 39894, 30544, 29538, 16247, 8592, 27884, 44650, 3794, 995, 2407, 10632, 4032, 46958, 5016, 49429, 9122, 15730, 22807], "avg_logprob": -0.15223818292488922, "compression_ratio": 1.8461538461538463, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 821.06, "end": 822.16, "word": "المتشتتة", "probability": 0.8709309895833334}, {"start": 822.16, "end": 822.68, "word": " من", "probability": 0.982421875}, {"start": 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"compression_ratio": 0.9245283018867925, "no_speech_prob": 0.0, "words": [{"start": 887.2, "end": 888.6, "word": "divergent", "probability": 0.7672526041666666}, {"start": 888.6, "end": 890.0, "word": " of", "probability": 0.95458984375}, {"start": 890.0, "end": 893.32, "word": " the", "probability": 0.939453125}, {"start": 893.32, "end": 895.58, "word": " vertical", "probability": 0.91748046875}, {"start": 895.58, "end": 899.78, "word": " and", "probability": 0.94091796875}, {"start": 899.78, "end": 903.62, "word": " horizontal", "probability": 0.86083984375}, {"start": 903.62, "end": 910.08, "word": " rays", "probability": 0.92919921875}, {"start": 910.08, "end": 912.52, "word": " are", "probability": 0.8837890625}], "temperature": 1.0}, {"id": 34, "seek": 93100, "start": 917.9, "end": 931.0, "text": "exactly equal مفهوم بصير جدا الان ال focal point في أي عدسة ال spherical بيكون عبارة عن نقطة", "tokens": [3121, 46831, 2681, 3714, 5172, 3224, 20498, 4724, 9381, 13546, 10874, 28259, 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0.9599609375}, {"start": 1021.66, "end": 1022.16, "word": " وهذا", "probability": 0.60107421875}, {"start": 1022.16, "end": 1022.76, "word": " بتديني", "probability": 0.714630126953125}, {"start": 1022.76, "end": 1023.0, "word": " ال", "probability": 0.8369140625}, {"start": 1023.0, "end": 1023.36, "word": " best", "probability": 0.7998046875}, {"start": 1023.36, "end": 1023.92, "word": " image", "probability": 0.9501953125}, {"start": 1023.92, "end": 1024.36, "word": " يعني", "probability": 0.81396484375}, {"start": 1024.36, "end": 1024.84, "word": " أفضل", "probability": 0.9071044921875}, {"start": 1024.84, "end": 1025.24, "word": " صورة", "probability": 0.9845377604166666}, {"start": 1025.24, "end": 1025.58, "word": " ممكن", "probability": 0.9638671875}, {"start": 1025.58, "end": 1026.1, "word": " انه", "probability": 0.694091796875}, {"start": 1026.1, "end": 1026.54, "word": " لو", "probability": 0.95654296875}, {"start": 1026.54, "end": 1027.04, "word": " مريض", "probability": 0.9778645833333334}, {"start": 1027.04, "end": 1027.78, "word": " يعاني", "probability": 0.759765625}, {"start": 1027.78, "end": 1028.12, "word": " من", "probability": 0.99365234375}, {"start": 1028.12, "end": 1028.36, "word": " ال", "probability": 0.68505859375}, {"start": 1028.36, "end": 1028.64, "word": " stigma", "probability": 0.447265625}, {"start": 1028.64, "end": 1029.52, "word": " هذا", "probability": 0.431396484375}, {"start": 1029.52, "end": 1030.14, "word": " بتديني", "probability": 0.894287109375}, {"start": 1030.14, "end": 1030.56, "word": " أفضل", "probability": 0.9468994140625}, {"start": 1030.56, "end": 1030.92, "word": " صورة", "probability": 0.98583984375}, {"start": 1030.92, "end": 1031.26, "word": " ممكن", "probability": 0.906494140625}, {"start": 1031.26, "end": 1031.5, "word": " ان", "probability": 0.751953125}, {"start": 1031.5, "end": 1032.02, "word": " المريض", "probability": 0.9210611979166666}, {"start": 1032.02, "end": 1033.56, "word": " يشوفها", "probability": 0.9932861328125}, {"start": 1033.56, "end": 1041.38, "word": " visual", "probability": 0.458984375}, {"start": 1041.38, "end": 1042.26, "word": " acuity", "probability": 0.912353515625}, {"start": 1042.26, "end": 1042.82, "word": " حدة", "probability": 0.773681640625}, {"start": 1042.82, "end": 1043.54, "word": " الإبصار", "probability": 0.9559326171875}], "temperature": 1.0}, {"id": 39, "seek": 107194, "start": 1044.24, "end": 1071.94, "text": "ماذا تعني في ال visual acuity؟ حدة الإبصار كمفهوم له أنه بيقيس ال resolving capacity of the eye و القدرة على استخدام ال central vision it is a measurement of the spatial resolving capacity of the eye and is applied to the", "tokens": [2304, 45636, 995, 37279, 22653, 8978, 2423, 5056, 696, 21757, 22807, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 9122, 2304, 5172, 3224, 20498, 46740, 14739, 3224, 4724, 1829, 4587, 1829, 3794, 2423, 49940, 6042, 295, 264, 3313, 4032, 25062, 3215, 25720, 15844, 44713, 9778, 3215, 10943, 2423, 5777, 5201, 309, 307, 257, 13160, 295, 264, 23598, 49940, 6042, 295, 264, 3313, 293, 307, 6456, 281, 264], "avg_logprob": -0.2735541151530707, "compression_ratio": 1.4484536082474226, "no_speech_prob": 0.0, "words": [{"start": 1044.24, "end": 1044.5, "word": "ماذا", "probability": 0.6399739583333334}, {"start": 1044.5, "end": 1044.84, "word": " تعني", "probability": 0.708984375}, {"start": 1044.84, "end": 1044.98, "word": " في", "probability": 0.72119140625}, {"start": 1044.98, "end": 1045.04, "word": " ال", "probability": 0.8076171875}, {"start": 1045.04, "end": 1045.24, "word": " visual", "probability": 0.51025390625}, {"start": 1045.24, "end": 1047.4, "word": " acuity؟", "probability": 0.748046875}, {"start": 1047.4, "end": 1050.3, "word": " حدة", "probability": 0.622802734375}, {"start": 1050.3, "end": 1050.92, "word": " الإبصار", "probability": 0.9730224609375}, {"start": 1050.92, "end": 1053.08, "word": " كمفهوم", "probability": 0.91279296875}, {"start": 1053.08, "end": 1053.36, "word": " له", "probability": 0.71337890625}, {"start": 1053.36, "end": 1053.92, "word": " أنه", "probability": 0.666748046875}, {"start": 1053.92, "end": 1054.76, "word": " بيقيس", "probability": 0.710693359375}, {"start": 1054.76, "end": 1055.44, "word": " ال", "probability": 0.64013671875}, {"start": 1055.44, "end": 1057.74, "word": " resolving", "probability": 0.4833984375}, {"start": 1057.74, "end": 1058.38, "word": " capacity", "probability": 0.92822265625}, {"start": 1058.38, "end": 1059.06, "word": " of", "probability": 0.9619140625}, {"start": 1059.06, "end": 1059.26, "word": " the", "probability": 0.8955078125}, {"start": 1059.26, "end": 1059.52, "word": " eye", "probability": 0.931640625}, {"start": 1059.52, "end": 1060.64, "word": " و", "probability": 0.70263671875}, {"start": 1060.64, "end": 1061.96, "word": " القدرة", "probability": 0.7819010416666666}, {"start": 1061.96, "end": 1062.2, "word": " على", "probability": 0.908203125}, {"start": 1062.2, "end": 1062.92, "word": " استخدام", "probability": 0.9688720703125}, {"start": 1062.92, "end": 1063.26, "word": " ال", "probability": 0.3388671875}, {"start": 1063.26, "end": 1063.84, "word": " central", "probability": 0.261474609375}, {"start": 1063.84, "end": 1064.3, "word": " vision", "probability": 0.9443359375}, {"start": 1064.3, "end": 1065.18, "word": " it", "probability": 0.46435546875}, {"start": 1065.18, "end": 1065.38, "word": " is", "probability": 0.92724609375}, {"start": 1065.38, "end": 1065.58, "word": " a", "probability": 0.96630859375}, {"start": 1065.58, "end": 1066.08, "word": " measurement", "probability": 0.7744140625}, {"start": 1066.08, "end": 1066.56, "word": " of", "probability": 0.9609375}, {"start": 1066.56, "end": 1066.74, "word": " the", "probability": 0.85009765625}, {"start": 1066.74, "end": 1067.3, "word": " spatial", "probability": 0.88427734375}, {"start": 1067.3, "end": 1068.32, "word": " resolving", "probability": 0.857421875}, {"start": 1068.32, "end": 1068.9, "word": " capacity", "probability": 0.80908203125}, {"start": 1068.9, "end": 1069.7, "word": " of", "probability": 0.9716796875}, {"start": 1069.7, "end": 1069.88, "word": " the", "probability": 0.9287109375}, {"start": 1069.88, "end": 1070.12, "word": " eye", "probability": 0.93798828125}, {"start": 1070.12, "end": 1070.88, "word": " and", "probability": 0.9228515625}, {"start": 1070.88, "end": 1071.14, "word": " is", "probability": 0.77294921875}, {"start": 1071.14, "end": 1071.54, "word": " applied", "probability": 0.79541015625}, {"start": 1071.54, "end": 1071.8, "word": " to", "probability": 0.970703125}, {"start": 1071.8, "end": 1071.94, "word": " the", "probability": 0.92333984375}], "temperature": 1.0}, {"id": 40, "seek": 108455, "start": 1073.89, "end": 1084.55, "text": "والقدرة على استخدام من الرؤية المركزية واضح؟ كتابته هذا صح؟", "tokens": [2407, 6027, 28543, 25720, 15844, 44713, 9778, 3215, 10943, 9154, 34892, 33604, 10632, 9673, 31747, 11622, 10632, 4032, 46958, 5016, 22807, 9122, 2655, 16758, 47395, 23758, 20328, 5016, 22807], "avg_logprob": -0.13658853818972905, "compression_ratio": 1.2528735632183907, "no_speech_prob": 0.0, "words": [{"start": 1073.89, "end": 1074.41, "word": "والقدرة", "probability": 0.84320068359375}, {"start": 1074.41, "end": 1074.75, "word": " على", "probability": 0.888671875}, {"start": 1074.75, "end": 1075.59, "word": " استخدام", "probability": 0.9312744140625}, {"start": 1075.59, "end": 1075.87, "word": " من", "probability": 0.625}, {"start": 1075.87, "end": 1076.99, "word": " الرؤية", "probability": 0.9244791666666666}, {"start": 1076.99, "end": 1078.07, "word": " المركزية", "probability": 0.990234375}, {"start": 1078.07, "end": 1082.33, "word": " واضح؟", "probability": 0.8421630859375}, {"start": 1082.33, "end": 1083.81, "word": " كتابته", "probability": 0.9412841796875}, {"start": 1083.81, "end": 1083.99, "word": " هذا", "probability": 0.463623046875}, {"start": 1083.99, "end": 1084.55, "word": " صح؟", "probability": 0.9777018229166666}], "temperature": 1.0}, {"id": 41, "seek": 112258, "start": 1100.05, "end": 1122.59, "text": "طبعا ال visual acuity اختصاره VA it is a measurement of spatial", "tokens": [9566, 3555, 3615, 995, 2423, 5056, 696, 21757, 1975, 46456, 9381, 9640, 3224, 18527, 309, 307, 257, 13160, 295, 23598], "avg_logprob": -0.13039434239977882, "compression_ratio": 0.9047619047619048, "no_speech_prob": 0.0, "words": [{"start": 1100.05, "end": 1100.39, "word": "طبعا", "probability": 0.9215087890625}, {"start": 1100.39, "end": 1100.51, "word": " ال", "probability": 0.87646484375}, {"start": 1100.51, "end": 1100.83, "word": " visual", "probability": 0.927734375}, {"start": 1100.83, "end": 1101.61, "word": " acuity", "probability": 0.94140625}, {"start": 1101.61, "end": 1102.77, "word": " اختصاره", "probability": 0.95068359375}, {"start": 1102.77, "end": 1103.61, "word": " VA", "probability": 0.54345703125}, {"start": 1103.61, "end": 1108.79, "word": " it", "probability": 0.708984375}, {"start": 1108.79, "end": 1109.23, "word": " is", "probability": 0.9609375}, {"start": 1109.23, "end": 1111.73, "word": " a", "probability": 0.982421875}, {"start": 1111.73, "end": 1112.39, "word": " measurement", "probability": 0.7939453125}, {"start": 1112.39, "end": 1119.47, "word": " of", "probability": 0.9814453125}, {"start": 1119.47, "end": 1122.59, "word": " spatial", "probability": 0.73193359375}], "temperature": 1.0}, {"id": 42, "seek": 115475, "start": 1134.61, "end": 1154.75, "text": "resolving كبسة of the I and is applied", "tokens": [495, 401, 798, 9122, 3555, 3794, 3660, 295, 264, 286, 293, 307, 6456], "avg_logprob": -0.37248883502823965, "compression_ratio": 0.8235294117647058, "no_speech_prob": 0.0, "words": [{"start": 1134.61, "end": 1136.01, "word": "resolving", "probability": 0.776611328125}, {"start": 1136.01, "end": 1137.41, "word": " كبسة", "probability": 0.6351318359375}, {"start": 1137.41, "end": 1141.35, "word": " of", "probability": 0.736328125}, {"start": 1141.35, "end": 1143.65, "word": " the", "probability": 0.7978515625}, {"start": 1143.65, "end": 1145.93, "word": " I", "probability": 0.65283203125}, {"start": 1145.93, "end": 1148.95, "word": " and", "probability": 0.61474609375}, {"start": 1148.95, "end": 1154.15, "word": " is", "probability": 0.77587890625}, {"start": 1154.15, "end": 1154.75, "word": " applied", "probability": 0.79248046875}], "temperature": 1.0}, {"id": 43, "seek": 119094, "start": 1167.74, "end": 1190.94, "text": "to central vision انه بيقيص ال special resolving capacity انه capacity بمعنى سعة التمييز ما بين يعني او احنا بنعرف كنا ال optotype او الحرف واضح فهو بيشوف يعني وين", "tokens": [1353, 5777, 5201, 16472, 3224, 4724, 1829, 4587, 1829, 9381, 2423, 2121, 49940, 6042, 16472, 3224, 6042, 4724, 2304, 3615, 1863, 7578, 8608, 27884, 16712, 2304, 1829, 1829, 11622, 19446, 49374, 37495, 22653, 1975, 2407, 1975, 5016, 8315, 44945, 3615, 28480, 9122, 8315, 2423, 2427, 13108, 1975, 2407, 21542, 28480, 4032, 46958, 5016, 6156, 3224, 2407, 4724, 1829, 8592, 38688, 37495, 22653, 4032, 9957], "avg_logprob": -0.12584134615384615, "compression_ratio": 1.4666666666666666, "no_speech_prob": 0.0, "words": [{"start": 1167.74, "end": 1168.74, "word": "to", "probability": 0.58544921875}, {"start": 1168.74, "end": 1169.74, "word": " central", "probability": 0.81298828125}, {"start": 1169.74, "end": 1172.98, "word": " vision", "probability": 0.7578125}, {"start": 1172.98, "end": 1175.14, "word": " انه", "probability": 0.749755859375}, {"start": 1175.14, "end": 1175.7, "word": " بيقيص", "probability": 0.7740234375}, {"start": 1175.7, "end": 1176.02, "word": " ال", "probability": 0.9775390625}, {"start": 1176.02, "end": 1176.52, "word": " special", "probability": 0.7978515625}, {"start": 1176.52, "end": 1177.62, "word": " resolving", "probability": 0.77587890625}, {"start": 1177.62, "end": 1178.22, "word": " capacity", "probability": 0.9208984375}, {"start": 1178.22, "end": 1179.52, "word": " انه", "probability": 0.85205078125}, {"start": 1179.52, "end": 1180.46, "word": " capacity", "probability": 0.494140625}, {"start": 1180.46, "end": 1180.96, "word": " بمعنى", "probability": 0.98876953125}, {"start": 1180.96, "end": 1181.4, "word": " سعة", "probability": 0.99267578125}, {"start": 1181.4, "end": 1183.32, "word": " التمييز", "probability": 0.98857421875}, {"start": 1183.32, "end": 1183.68, "word": " ما", "probability": 0.75634765625}, {"start": 1183.68, "end": 1183.96, "word": " بين", "probability": 0.9892578125}, {"start": 1183.96, "end": 1184.78, "word": " يعني", "probability": 0.6925048828125}, {"start": 1184.78, "end": 1185.18, "word": " او", "probability": 0.932373046875}, {"start": 1185.18, "end": 1185.78, "word": " احنا", "probability": 0.9547526041666666}, {"start": 1185.78, "end": 1186.1, "word": " بنعرف", "probability": 0.90380859375}, {"start": 1186.1, "end": 1186.4, "word": " كنا", "probability": 0.955810546875}, {"start": 1186.4, "end": 1186.68, "word": " ال", "probability": 0.9814453125}, {"start": 1186.68, "end": 1187.28, "word": " optotype", "probability": 0.728759765625}, {"start": 1187.28, "end": 1187.56, "word": " او", "probability": 0.9267578125}, {"start": 1187.56, "end": 1188.02, "word": " الحرف", "probability": 0.993896484375}, {"start": 1188.02, "end": 1189.02, "word": " واضح", "probability": 0.9755859375}, {"start": 1189.02, "end": 1189.78, "word": " فهو", "probability": 0.9832356770833334}, {"start": 1189.78, "end": 1190.28, "word": " بيشوف", "probability": 0.9871826171875}, {"start": 1190.28, "end": 1190.64, "word": " يعني", "probability": 0.97802734375}, {"start": 1190.64, "end": 1190.94, "word": " وين", "probability": 0.95458984375}], "temperature": 1.0}, {"id": 44, "seek": 122347, "start": 1197.95, "end": 1223.47, "text": "فهو بجيس ليه التشقق هذا يعني الموجود في داخل الحرف أو ال broken الإنكسار الموجود it is a measurement of spatial resolving capacity of the eye and is applied طبعا إحنا لما نجيس ال visual acuity ما بجيس ال peripheral vision بجيس أنا مين ال central vision واضح؟", "tokens": [5172, 3224, 2407, 4724, 7435, 1829, 3794, 32239, 3224, 16712, 8592, 4587, 4587, 23758, 37495, 22653, 9673, 29245, 23328, 8978, 11778, 47283, 1211, 21542, 28480, 34051, 2423, 5463, 33688, 1863, 4117, 3794, 9640, 9673, 29245, 23328, 309, 307, 257, 13160, 295, 23598, 49940, 6042, 295, 264, 3313, 293, 307, 6456, 23032, 3555, 3615, 995, 11933, 5016, 8315, 5296, 15042, 8717, 7435, 1829, 3794, 2423, 5056, 696, 21757, 19446, 4724, 7435, 1829, 3794, 2423, 40235, 5201, 4724, 7435, 1829, 3794, 41850, 3714, 9957, 2423, 5777, 5201, 4032, 46958, 5016, 22807], "avg_logprob": -0.15225694129864376, "compression_ratio": 1.506276150627615, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1197.95, "end": 1198.81, "word": "فهو", "probability": 0.8943684895833334}, {"start": 1198.81, "end": 1199.23, "word": " بجيس", "probability": 0.74542236328125}, {"start": 1199.23, "end": 1199.81, "word": " ليه", "probability": 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وين الصورة بتنجلب؟ في ال optic tract صح؟ فالآن بعد الشبكية بعد ما الصورة تصل للشبكية بتروح وين؟ على ال optic nerve اللي هو العصب البصري", "tokens": [3555, 39648, 2423, 5056, 18590, 4724, 2304, 3615, 1863, 7578, 9673, 29973, 3555, 29739, 9381, 16572, 24976, 3615, 9957, 37495, 22653, 6024, 48506, 25124, 3555, 4117, 10632, 39894, 36520, 24976, 3615, 9957, 11933, 1829, 3224, 13412, 2304, 6027, 11296, 22807, 3714, 7435, 1211, 37746, 3660, 20328, 5016, 22807, 4032, 9957, 4386, 4032, 9957, 31767, 13063, 3660, 39894, 1863, 7435, 46152, 22807, 8978, 2423, 48269, 24207, 20328, 5016, 22807, 6156, 6027, 148, 48506, 39182, 25124, 3555, 4117, 10632, 39182, 19446, 31767, 13063, 3660, 6055, 36520, 24976, 8592, 3555, 4117, 10632, 39894, 32887, 5016, 4032, 9957, 22807, 15844, 2423, 48269, 16355, 13672, 1829, 31439, 18863, 9381, 3555, 29739, 9381, 16572], "avg_logprob": -0.1393348623853211, "compression_ratio": 1.8669724770642202, "no_speech_prob": 5.7220458984375e-06, "words": [{"start": 1293.43, "end": 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السبب أن حدة الإبصار مهمة أو قياس حدة الإبصار أنه مهمة بالنسبة لل patient؟ number one it gives us an accurate diagnosis for the patient case", "tokens": [9566, 3555, 3615, 995, 13412, 2407, 21136, 3555, 3555, 14739, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 3714, 16095, 3660, 34051, 12174, 25528, 3794, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 14739, 3224, 3714, 16095, 3660, 20666, 1863, 35457, 3660, 24976, 4537, 22807, 1230, 472, 309, 2709, 505, 364, 8559, 15217, 337, 264, 4537, 1389], "avg_logprob": -0.13525391263621195, "compression_ratio": 1.3866666666666667, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1651.26, "end": 1652.24, "word": "طبعا", "probability": 0.9798583984375}, {"start": 1652.24, "end": 1652.76, "word": " شو", "probability": 0.880126953125}, {"start": 1652.76, "end": 1653.2, "word": " السبب", "probability": 0.9793294270833334}, {"start": 1653.2, "end": 1653.5, "word": " أن", "probability": 0.3447265625}, {"start": 1653.5, "end": 1654.24, "word": " 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may help .. it may helps us to discover a new problem at the patient which is .. which is not the main problem that the patient complained for ممكن الآن في ال clinic بتاعي ييجي المريض يقول أنا عنده blurred vision for distance", "tokens": [270, 815, 854, 4386, 309, 815, 3665, 505, 281, 4411, 257, 777, 1154, 412, 264, 4537, 597, 307, 4386, 597, 307, 406, 264, 2135, 1154, 300, 264, 4537, 33951, 337, 3714, 43020, 6024, 48506, 8978, 2423, 14947, 39894, 45761, 1829, 7251, 1829, 7435, 1829, 9673, 16572, 11242, 7251, 39648, 41850, 43242, 3224, 43525, 5201, 337, 4560], "avg_logprob": -0.12726150897511265, "compression_ratio": 1.4074074074074074, "no_speech_prob": 0.0, "words": [{"start": 1718.43, "end": 1718.69, "word": "it", "probability": 0.4375}, {"start": 1718.69, "end": 1718.95, "word": " may", "probability": 0.95654296875}, {"start": 1718.95, "end": 1719.29, "word": " help", "probability": 0.73388671875}, {"start": 1719.29, "end": 1719.43, "word": " ..", "probability": 0.443115234375}, 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1820.43, "word": " زي", "probability": 0.956298828125}, {"start": 1820.43, "end": 1820.49, "word": " ما", "probability": 0.92236328125}, {"start": 1820.49, "end": 1820.73, "word": " انتوا", "probability": 0.73876953125}, {"start": 1820.73, "end": 1821.23, "word": " كلهيتكم", "probability": 0.70623779296875}, {"start": 1821.23, "end": 1821.57, "word": " عندكم", "probability": 0.9091796875}, {"start": 1821.57, "end": 1821.87, "word": " الآن", "probability": 0.6622314453125}, {"start": 1821.87, "end": 1822.01, "word": " ال", "probability": 0.947265625}, {"start": 1822.01, "end": 1822.21, "word": " data", "probability": 0.97314453125}, {"start": 1822.21, "end": 1822.63, "word": " file", "probability": 0.89697265625}, {"start": 1822.63, "end": 1823.69, "word": " فحصته", "probability": 0.8958740234375}, {"start": 1823.69, "end": 1824.35, "word": " مثلا", "probability": 0.982666015625}, {"start": 1824.35, "end": 1824.67, "word": " في", "probability": 0.955078125}, {"start": 1824.67, "end": 1825.01, "word": " شهر", "probability": 0.9957682291666666}, {"start": 1825.01, "end": 1825.57, "word": " أربعة", "probability": 0.8470052083333334}, {"start": 1825.57, "end": 1826.45, "word": " كان", "probability": 0.97900390625}, {"start": 1826.45, "end": 1826.59, "word": " ال", "probability": 0.95751953125}, {"start": 1826.59, "end": 1826.87, "word": " visual", "probability": 0.9765625}, {"start": 1826.87, "end": 1827.43, "word": " acuity", "probability": 0.80126953125}, {"start": 1827.43, "end": 1827.87, "word": " عنده", "probability": 0.98828125}, {"start": 1827.87, "end": 1828.53, "word": " ستة", "probability": 0.9124348958333334}, {"start": 1828.53, "end": 1828.63, "word": " ع", "probability": 0.74365234375}, {"start": 1828.63, "end": 1829.11, "word": " ستين", "probability": 0.9353841145833334}], "temperature": 1.0}, {"id": 67, "seek": 184299, "start": 1829.87, "end": 1842.99, "text": "استخدمت له نضارة صار النظر عنده ستة ع ستة، الآن شو بتوقع؟ يما ييجي مثلا في شهر تمانية okay يكون ال visual acuity ستة ع ستة", "tokens": [995, 14851, 9778, 40448, 2655, 46740, 8717, 11242, 9640, 3660, 20328, 9640, 28239, 19913, 2288, 43242, 3224, 8608, 2655, 3660, 6225, 8608, 2655, 3660, 12399, 6024, 48506, 13412, 2407, 39894, 30543, 3615, 22807, 7251, 15042, 7251, 1829, 7435, 1829, 50113, 15040, 8978, 13412, 3224, 2288, 46811, 7649, 10632, 1392, 7251, 30544, 2423, 5056, 696, 21757, 8608, 2655, 3660, 6225, 8608, 2655, 3660], "avg_logprob": -0.15600198933056422, "compression_ratio": 1.3904109589041096, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1829.87, "end": 1830.61, "word": "استخدمت", "probability": 0.791748046875}, {"start": 1830.61, "end": 1830.77, "word": " له", "probability": 0.365478515625}, {"start": 1830.77, "end": 1831.41, "word": " نضارة", "probability": 0.9752197265625}, {"start": 1831.41, "end": 1831.85, "word": " صار", "probability": 0.856689453125}, {"start": 1831.85, "end": 1832.23, "word": " النظر", "probability": 0.9285481770833334}, {"start": 1832.23, "end": 1832.51, "word": " عنده", "probability": 0.989501953125}, {"start": 1832.51, "end": 1832.85, "word": " ستة", "probability": 0.89013671875}, {"start": 1832.85, "end": 1832.93, "word": " ع", "probability": 0.73486328125}, {"start": 1832.93, "end": 1833.87, "word": " ستة،", "probability": 0.830810546875}, {"start": 1833.87, "end": 1834.35, "word": " الآن", "probability": 0.7578125}, {"start": 1834.35, "end": 1834.71, "word": " شو", "probability": 0.948486328125}, {"start": 1834.71, "end": 1836.29, "word": " بتوقع؟", "probability": 0.88671875}, {"start": 1836.29, "end": 1836.49, "word": " يما", "probability": 0.5780029296875}, {"start": 1836.49, "end": 1836.87, "word": " ييجي", "probability": 0.9793701171875}, {"start": 1836.87, "end": 1837.21, "word": " مثلا", "probability": 0.96044921875}, {"start": 1837.21, "end": 1837.39, "word": " في", "probability": 0.951171875}, {"start": 1837.39, "end": 1838.21, "word": " شهر", "probability": 0.9986979166666666}, {"start": 1838.21, "end": 1839.39, "word": " تمانية", "probability": 0.9767252604166666}, {"start": 1839.39, "end": 1840.35, "word": " okay", "probability": 0.24072265625}, {"start": 1840.35, "end": 1841.13, "word": " يكون", "probability": 0.871826171875}, {"start": 1841.13, "end": 1841.25, "word": " ال", "probability": 0.98486328125}, {"start": 1841.25, "end": 1841.51, "word": " visual", "probability": 0.89892578125}, {"start": 1841.51, "end": 1842.09, "word": " acuity", "probability": 0.860595703125}, {"start": 1842.09, "end": 1842.49, "word": " ستة", "probability": 0.9817708333333334}, {"start": 1842.49, "end": 1842.57, "word": " ع", "probability": 0.97412109375}, {"start": 1842.57, "end": 1842.99, "word": " ستة", "probability": 0.98193359375}], "temperature": 1.0}, {"id": 68, "seek": 186991, "start": 1843.81, "end": 1869.91, "text": "لكن طلع مثلا ال visual acute ستة ع تسعة فهذا سهل علي بإيش؟ بعملية المراجعة على المريض و أنا قرنت ما بين النتائج ما بين شهر أربعة يما أنا لبسته النضارة كان ستة ع ستة و ما بين شهر مثلا تسعة أو ثمانية كان النظر ستة على أتناش أو ستة على تسعة فانا إيش عملت؟ اللي هو follow up للمريض و عملت compare between the pre and post treatment", "tokens": [1211, 19452, 23032, 1211, 3615, 50113, 15040, 2423, 5056, 24390, 8608, 2655, 3660, 6225, 6055, 3794, 27884, 6156, 3224, 15730, 8608, 3224, 1211, 25894, 4724, 28814, 1829, 8592, 22807, 4724, 25957, 1211, 10632, 9673, 2288, 26108, 27884, 15844, 9673, 16572, 11242, 4032, 41850, 12174, 2288, 1863, 2655, 19446, 49374, 28239, 2655, 16373, 7435, 19446, 49374, 13412, 3224, 2288, 5551, 25513, 27884, 7251, 15042, 41850, 5296, 3555, 14851, 3224, 28239, 11242, 9640, 3660, 25961, 8608, 2655, 3660, 6225, 8608, 2655, 3660, 4032, 19446, 49374, 13412, 3224, 2288, 50113, 15040, 6055, 3794, 27884, 34051, 38637, 2304, 7649, 10632, 25961, 28239, 19913, 2288, 8608, 2655, 3660, 15844, 5551, 2655, 1863, 33599, 34051, 8608, 2655, 3660, 15844, 6055, 3794, 27884, 6156, 7649, 995, 11933, 1829, 8592, 6225, 42213, 2655, 22807, 13672, 1829, 31439, 1524, 493, 5296, 19528, 16572, 11242, 4032, 6225, 42213, 2655, 6794, 1296, 264, 659, 293, 2183, 5032], "avg_logprob": -0.14105016479686816, "compression_ratio": 1.8763250883392226, "no_speech_prob": 0.0, "words": [{"start": 1843.81, "end": 1844.25, "word": "لكن", "probability": 0.85302734375}, {"start": 1844.25, "end": 1844.57, "word": " طلع", "probability": 0.9640299479166666}, {"start": 1844.57, "end": 1844.91, "word": " مثلا", "probability": 0.878173828125}, {"start": 1844.91, "end": 1845.07, "word": " ال", "probability": 0.9541015625}, {"start": 1845.07, "end": 1845.29, "word": " visual", "probability": 0.8798828125}, {"start": 1845.29, "end": 1845.75, "word": " acute", "probability": 0.76220703125}, {"start": 1845.75, "end": 1846.13, "word": " ستة", "probability": 0.7688802083333334}, {"start": 1846.13, "end": 1846.21, "word": " ع", "probability": 0.366455078125}, {"start": 1846.21, "end": 1846.61, "word": " تسعة", "probability": 0.8854166666666666}, {"start": 1846.61, "end": 1847.45, "word": " فهذا", "probability": 0.8561197916666666}, {"start": 1847.45, "end": 1847.83, "word": " سهل", "probability": 0.9674479166666666}, {"start": 1847.83, "end": 1848.05, "word": " علي", "probability": 0.7138671875}, {"start": 1848.05, "end": 1848.85, "word": " بإيش؟", "probability": 0.775}, {"start": 1848.85, "end": 1849.45, "word": " بعملية", "probability": 0.929443359375}, {"start": 1849.45, "end": 1850.07, "word": " المراجعة", "probability": 0.9332275390625}, {"start": 1850.07, "end": 1850.21, "word": " على", "probability": 0.5224609375}, {"start": 1850.21, "end": 1850.61, "word": " المريض", "probability": 0.9889322916666666}, {"start": 1850.61, "end": 1850.95, "word": " و", "probability": 0.70703125}, {"start": 1850.95, "end": 1851.09, "word": " أنا", "probability": 0.5849609375}, {"start": 1851.09, "end": 1851.61, "word": " قرنت", "probability": 0.7474365234375}, {"start": 1851.61, "end": 1851.73, "word": " ما", "probability": 0.92578125}, {"start": 1851.73, "end": 1851.91, "word": " بين", "probability": 0.9931640625}, {"start": 1851.91, "end": 1852.57, "word": " النتائج", "probability": 0.964111328125}, {"start": 1852.57, "end": 1852.91, "word": " ما", "probability": 0.494873046875}, {"start": 1852.91, "end": 1853.09, "word": " بين", "probability": 0.98974609375}, {"start": 1853.09, "end": 1853.39, "word": " شهر", "probability": 0.9954427083333334}, {"start": 1853.39, "end": 1853.89, "word": " أربعة", "probability": 0.896484375}, {"start": 1853.89, "end": 1854.21, "word": " يما", "probability": 0.69873046875}, {"start": 1854.21, "end": 1854.39, "word": " أنا", "probability": 0.767578125}, {"start": 1854.39, "end": 1854.89, "word": " لبسته", "probability": 0.9287109375}, {"start": 1854.89, "end": 1855.39, "word": " النضارة", "probability": 0.95703125}, {"start": 1855.39, "end": 1855.61, "word": " كان", "probability": 0.990234375}, {"start": 1855.61, "end": 1855.95, "word": " ستة", "probability": 0.9798177083333334}, {"start": 1855.95, "end": 1856.03, "word": " ع", "probability": 0.9501953125}, {"start": 1856.03, "end": 1856.51, "word": " ستة", "probability": 0.9768880208333334}, {"start": 1856.51, "end": 1856.87, "word": " و", "probability": 0.94775390625}, {"start": 1856.87, "end": 1856.97, "word": " ما", "probability": 0.6591796875}, {"start": 1856.97, "end": 1857.15, "word": " بين", "probability": 0.99072265625}, {"start": 1857.15, "end": 1857.49, "word": " شهر", "probability": 0.9954427083333334}, {"start": 1857.49, "end": 1857.93, "word": " مثلا", "probability": 0.8603515625}, {"start": 1857.93, "end": 1858.71, "word": " تسعة", "probability": 0.9920247395833334}, {"start": 1858.71, "end": 1858.93, "word": " أو", "probability": 0.7216796875}, {"start": 1858.93, "end": 1859.37, "word": " ثمانية", "probability": 0.9896240234375}, {"start": 1859.37, "end": 1859.65, "word": " كان", "probability": 0.98291015625}, {"start": 1859.65, "end": 1860.11, "word": " النظر", "probability": 0.9090169270833334}, {"start": 1860.11, "end": 1860.69, "word": " ستة", "probability": 0.9708658854166666}, {"start": 1860.69, "end": 1860.87, "word": " على", "probability": 0.341064453125}, {"start": 1860.87, "end": 1861.81, "word": " أتناش", "probability": 0.816650390625}, {"start": 1861.81, "end": 1862.09, "word": " أو", "probability": 0.623046875}, {"start": 1862.09, "end": 1862.51, "word": " ستة", "probability": 0.9845377604166666}, {"start": 1862.51, "end": 1862.71, "word": " على", "probability": 0.61279296875}, {"start": 1862.71, "end": 1863.35, "word": " تسعة", "probability": 0.9866536458333334}, {"start": 1863.35, "end": 1864.17, "word": " فانا", "probability": 0.8655598958333334}, {"start": 1864.17, "end": 1864.33, "word": " إيش", "probability": 0.8653971354166666}, {"start": 1864.33, "end": 1864.85, "word": " عملت؟", "probability": 0.9561767578125}, {"start": 1864.85, "end": 1865.01, "word": " اللي", "probability": 0.9609375}, {"start": 1865.01, "end": 1865.31, "word": " هو", "probability": 0.99365234375}, {"start": 1865.31, "end": 1865.93, "word": " follow", "probability": 0.91552734375}, {"start": 1865.93, "end": 1866.15, "word": " up", "probability": 0.62939453125}, {"start": 1866.15, "end": 1866.83, "word": " للمريض", "probability": 0.942138671875}, {"start": 1866.83, "end": 1867.03, "word": " و", "probability": 0.96728515625}, {"start": 1867.03, "end": 1867.35, "word": " عملت", "probability": 0.91357421875}, {"start": 1867.35, "end": 1867.77, "word": " compare", "probability": 0.95166015625}, {"start": 1867.77, "end": 1868.19, "word": " between", "probability": 0.9345703125}, {"start": 1868.19, "end": 1868.37, "word": " the", "probability": 0.85400390625}, {"start": 1868.37, "end": 1868.57, "word": " pre", "probability": 0.96240234375}, {"start": 1868.57, "end": 1868.83, "word": " and", "probability": 0.8251953125}, {"start": 1868.83, "end": 1869.23, "word": " post", "probability": 0.9091796875}, {"start": 1869.23, "end": 1869.91, "word": " treatment", "probability": 0.82763671875}], "temperature": 1.0}, {"id": 69, "seek": 189878, "start": 1873.6, "end": 1898.78, "text": "for all of these reasons visual acuity must be tested for all of the patients before visiting the ophthalmologist يعني أي تمريض قبل ما يزور طبيب العيون لازم انه يقيس حدة الإبصار طيب مين بيقوم بقياس حدة الإبصار اللي هو كoptometrist الأخصائي البصريات؟", "tokens": [2994, 439, 295, 613, 4112, 5056, 696, 21757, 1633, 312, 8246, 337, 439, 295, 264, 4209, 949, 11700, 264, 999, 49123, 76, 9201, 37495, 22653, 36632, 46811, 16572, 11242, 12174, 36150, 19446, 7251, 11622, 13063, 23032, 21292, 3555, 18863, 1829, 11536, 5296, 31377, 2304, 16472, 3224, 7251, 38436, 3794, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 23032, 1829, 3555, 3714, 9957, 4724, 1829, 4587, 20498, 4724, 4587, 25528, 3794, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 13672, 1829, 31439, 9122, 5747, 649, 12940, 16247, 9778, 9381, 16373, 1829, 29739, 9381, 16572, 9307, 22807], "avg_logprob": -0.11793550341687303, "compression_ratio": 1.5418502202643172, "no_speech_prob": 0.0, "words": [{"start": 1873.6, "end": 1873.92, "word": "for", "probability": 0.533203125}, {"start": 1873.92, "end": 1874.32, "word": " all", "probability": 0.95166015625}, {"start": 1874.32, "end": 1874.66, "word": " of", "probability": 0.96875}, {"start": 1874.66, "end": 1875.02, "word": " these", "probability": 0.79833984375}, {"start": 1875.02, "end": 1875.8, "word": " reasons", "probability": 0.9052734375}, {"start": 1875.8, "end": 1876.3, "word": " visual", "probability": 0.763671875}, {"start": 1876.3, "end": 1877.02, "word": " acuity", "probability": 0.85986328125}, {"start": 1877.02, "end": 1877.3, "word": " must", "probability": 0.88037109375}, {"start": 1877.3, "end": 1877.64, "word": " be", "probability": 0.95947265625}, {"start": 1877.64, "end": 1878.38, "word": " tested", "probability": 0.7880859375}, {"start": 1878.38, "end": 1879.34, "word": " for", "probability": 0.9423828125}, {"start": 1879.34, "end": 1879.72, "word": " all", "probability": 0.95263671875}, {"start": 1879.72, "end": 1879.94, "word": " of", "probability": 0.94775390625}, {"start": 1879.94, "end": 1880.08, "word": " the", "probability": 0.8984375}, {"start": 1880.08, "end": 1880.54, "word": " patients", "probability": 0.88818359375}, {"start": 1880.54, "end": 1881.28, "word": " before", "probability": 0.89501953125}, {"start": 1881.28, "end": 1881.84, "word": " visiting", "probability": 0.96533203125}, {"start": 1881.84, "end": 1882.46, "word": " the", "probability": 0.93359375}, {"start": 1882.46, "end": 1883.32, "word": " ophthalmologist", "probability": 0.9725341796875}, {"start": 1883.32, "end": 1884.12, "word": " يعني", "probability": 0.81298828125}, {"start": 1884.12, "end": 1884.36, "word": " أي", "probability": 0.70458984375}, {"start": 1884.36, "end": 1885.0, "word": " تمريض", "probability": 0.8173828125}, {"start": 1885.0, "end": 1885.6, "word": " قبل", "probability": 0.994140625}, {"start": 1885.6, "end": 1885.76, "word": " ما", "probability": 0.94677734375}, {"start": 1885.76, "end": 1886.06, "word": " يزور", "probability": 0.9930013020833334}, {"start": 1886.06, "end": 1886.48, "word": " طبيب", "probability": 0.9915364583333334}, {"start": 1886.48, "end": 1886.94, "word": " العيون", "probability": 0.9388020833333334}, {"start": 1886.94, "end": 1887.74, "word": " لازم", "probability": 0.97021484375}, {"start": 1887.74, "end": 1888.02, "word": " انه", "probability": 0.7352294921875}, {"start": 1888.02, "end": 1888.46, "word": " يقيس", "probability": 0.8582356770833334}, {"start": 1888.46, "end": 1888.92, "word": " حدة", "probability": 0.8361002604166666}, {"start": 1888.92, "end": 1889.9, "word": " الإبصار", "probability": 0.95947265625}, {"start": 1889.9, "end": 1891.02, "word": " طيب", "probability": 0.94287109375}, {"start": 1891.02, "end": 1891.26, "word": " مين", "probability": 0.94091796875}, {"start": 1891.26, "end": 1891.66, "word": " بيقوم", "probability": 0.9681396484375}, {"start": 1891.66, "end": 1892.22, "word": " بقياس", "probability": 0.85211181640625}, {"start": 1892.22, "end": 1892.58, "word": " حدة", "probability": 0.8865559895833334}, {"start": 1892.58, "end": 1893.18, "word": " الإبصار", "probability": 0.9945068359375}, {"start": 1893.18, "end": 1893.8, "word": " اللي", "probability": 0.788330078125}, {"start": 1893.8, "end": 1894.14, "word": " هو", "probability": 0.97119140625}, {"start": 1894.14, "end": 1895.72, "word": " كoptometrist", "probability": 0.78240966796875}, {"start": 1895.72, "end": 1897.52, "word": " الأخصائي", "probability": 0.887744140625}, {"start": 1897.52, "end": 1898.78, "word": " البصريات؟", "probability": 0.97802734375}], "temperature": 1.0}, {"id": 70, "seek": 192780, "start": 1900.6, "end": 1927.8, "text": "and this is the mission or the occupation of the optometrist who is the specialist examiner in this examination يعني هو بيكون مختص في قياس حدة الإبصار للمريض واضح؟ في عندنا ال testing visual acuity in preverbal 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{"start": 1902.52, "end": 1902.8, "word": " the", "probability": 0.7041015625}, {"start": 1902.8, "end": 1903.56, "word": " occupation", "probability": 0.94287109375}, {"start": 1903.56, "end": 1903.92, "word": " of", "probability": 0.9833984375}, {"start": 1903.92, "end": 1904.14, "word": " the", "probability": 0.90576171875}, {"start": 1904.14, "end": 1904.94, "word": " optometrist", "probability": 0.9230143229166666}, {"start": 1904.94, "end": 1905.9, "word": " who", "probability": 0.80517578125}, {"start": 1905.9, "end": 1906.16, "word": " is", "probability": 0.68505859375}, {"start": 1906.16, "end": 1906.56, "word": " the", "probability": 0.8251953125}, {"start": 1906.56, "end": 1907.84, "word": " specialist", "probability": 0.9208984375}, {"start": 1907.84, "end": 1908.66, "word": " examiner", "probability": 0.96337890625}, {"start": 1908.66, "end": 1908.86, "word": " in", "probability": 0.953125}, {"start": 1908.86, "end": 1909.18, "word": " this", "probability": 0.7333984375}, {"start": 1909.18, "end": 1910.02, "word": " examination", "probability": 0.93994140625}, {"start": 1910.02, "end": 1910.5, "word": " يعني", "probability": 0.80322265625}, {"start": 1910.5, "end": 1910.68, "word": " هو", "probability": 0.9765625}, {"start": 1910.68, "end": 1911.08, "word": " بيكون", "probability": 0.97021484375}, {"start": 1911.08, "end": 1911.66, "word": " مختص", "probability": 0.9832356770833334}, {"start": 1911.66, "end": 1911.88, "word": " في", "probability": 0.974609375}, {"start": 1911.88, "end": 1912.44, "word": " قياس", "probability": 0.9680989583333334}, {"start": 1912.44, "end": 1912.98, "word": " حدة", "probability": 0.7403971354166666}, {"start": 1912.98, "end": 1913.7, "word": " الإبصار", "probability": 0.9822998046875}, {"start": 1913.7, "end": 1914.52, "word": " للمريض", "probability": 0.9549560546875}, {"start": 1914.52, "end": 1919.76, "word": " واضح؟", "probability": 0.8143310546875}, {"start": 1919.76, "end": 1922.86, "word": " في", "probability": 0.82958984375}, {"start": 1922.86, "end": 1923.52, "word": " عندنا", "probability": 0.6002197265625}, {"start": 1923.52, "end": 1923.74, "word": " ال", "probability": 0.8115234375}, {"start": 1923.74, "end": 1924.26, "word": " testing", "probability": 0.8466796875}, {"start": 1924.26, "end": 1925.1, "word": " visual", "probability": 0.87744140625}, {"start": 1925.1, "end": 1925.84, "word": " acuity", "probability": 0.88916015625}, {"start": 1925.84, "end": 1926.3, "word": " in", "probability": 0.96240234375}, {"start": 1926.3, "end": 1927.16, "word": " preverbal", "probability": 0.63330078125}, {"start": 1927.16, "end": 1927.8, "word": " children", "probability": 0.87939453125}], "temperature": 1.0}, {"id": 71, "seek": 195426, "start": 1928.46, "end": 1954.26, "text": "قياس حدة الإبصار للأطفال الغير ناطقين يعني الآن أنا عند طفل غير ناطق ما بتكلم كيف أنا ممكن أقيسله حدة الإبصار okay أول test occlusion of one eye أنه بنغطي عين واحدة أنه تغطية العين بنشوف ال occlusion of one eye", "tokens": [4587, 25528, 3794, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 24976, 10721, 9566, 5172, 6027, 6024, 118, 13546, 8717, 41193, 4587, 9957, 37495, 22653, 6024, 48506, 41850, 43242, 23032, 5172, 1211, 32771, 13546, 8717, 41193, 4587, 19446, 39894, 4117, 19528, 9122, 33911, 41850, 3714, 43020, 5551, 4587, 1829, 3794, 43761, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 1392, 5551, 12610, 1500, 2678, 6485, 295, 472, 3313, 14739, 3224, 44945, 17082, 9566, 1829, 6225, 9957, 36764, 24401, 3660, 14739, 3224, 6055, 17082, 9566, 10632, 18863, 9957, 44945, 8592, 38688, 2423, 2678, 6485, 295, 472, 3313], "avg_logprob": -0.1573190855352502, "compression_ratio": 1.797872340425532, "no_speech_prob": 0.0, "words": [{"start": 1928.46, "end": 1929.18, "word": "قياس", "probability": 0.7880859375}, {"start": 1929.18, "end": 1929.88, "word": " حدة", "probability": 0.6908365885416666}, {"start": 1929.88, "end": 1930.94, "word": " الإبصار", "probability": 0.9813232421875}, {"start": 1930.94, "end": 1932.04, "word": " للأطفال", "probability": 0.95859375}, {"start": 1932.04, "end": 1932.56, "word": " الغير", "probability": 0.9793294270833334}, {"start": 1932.56, "end": 1933.2, "word": " ناطقين", "probability": 0.9176025390625}, {"start": 1933.2, "end": 1934.18, "word": " يعني", "probability": 0.858642578125}, {"start": 1934.18, "end": 1934.5, "word": " الآن", "probability": 0.6417236328125}, {"start": 1934.5, "end": 1934.72, "word": " أنا", "probability": 0.81103515625}, {"start": 1934.72, "end": 1934.98, "word": " عند", "probability": 0.96826171875}, {"start": 1934.98, "end": 1935.44, "word": " طفل", "probability": 0.990234375}, {"start": 1935.44, "end": 1935.86, "word": " غير", "probability": 0.996337890625}, {"start": 1935.86, "end": 1936.28, "word": " ناطق", "probability": 0.9886067708333334}, {"start": 1936.28, "end": 1936.5, "word": " ما", "probability": 0.52880859375}, {"start": 1936.5, "end": 1937.08, "word": " بتكلم", "probability": 0.80078125}, {"start": 1937.08, "end": 1938.04, "word": " كيف", "probability": 0.863525390625}, {"start": 1938.04, "end": 1938.22, "word": " أنا", "probability": 0.626953125}, {"start": 1938.22, "end": 1938.6, "word": " ممكن", "probability": 0.9921875}, {"start": 1938.6, "end": 1939.44, "word": " أقيسله", "probability": 0.7625}, {"start": 1939.44, "end": 1940.02, "word": " حدة", "probability": 0.9026692708333334}, {"start": 1940.02, "end": 1940.6, "word": " الإبصار", "probability": 0.9951171875}, {"start": 1940.6, "end": 1941.88, "word": " okay", "probability": 0.2059326171875}, {"start": 1941.88, "end": 1945.2, "word": " أول", "probability": 0.7210693359375}, {"start": 1945.2, "end": 1945.64, "word": " test", "probability": 0.95654296875}, {"start": 1945.64, "end": 1946.46, "word": " occlusion", "probability": 0.726318359375}, {"start": 1946.46, "end": 1946.88, "word": " of", "probability": 0.978515625}, {"start": 1946.88, "end": 1947.1, "word": " one", "probability": 0.94384765625}, {"start": 1947.1, "end": 1947.42, "word": " eye", "probability": 0.93603515625}, {"start": 1947.42, "end": 1947.94, "word": " أنه", "probability": 0.70263671875}, {"start": 1947.94, "end": 1948.58, "word": " بنغطي", "probability": 0.96435546875}, {"start": 1948.58, "end": 1948.96, "word": " عين", "probability": 0.984375}, {"start": 1948.96, "end": 1949.72, "word": " واحدة", "probability": 0.9597981770833334}, {"start": 1949.72, "end": 1950.54, "word": " أنه", "probability": 0.8359375}, {"start": 1950.54, "end": 1951.36, "word": " تغطية", "probability": 0.9439697265625}, {"start": 1951.36, "end": 1951.96, "word": " العين", "probability": 0.99365234375}, {"start": 1951.96, "end": 1953.0, "word": " بنشوف", "probability": 0.8701171875}, {"start": 1953.0, "end": 1953.14, "word": " ال", "probability": 0.9296875}, {"start": 1953.14, "end": 1953.58, "word": " occlusion", "probability": 0.830322265625}, {"start": 1953.58, "end": 1953.84, "word": " of", "probability": 0.984375}, {"start": 1953.84, "end": 1954.04, "word": " one", "probability": 0.95068359375}, {"start": 1954.04, "end": 1954.26, "word": " eye", "probability": 0.94921875}], "temperature": 1.0}, {"id": 72, "seek": 198667, "start": 1958.33, "end": 1986.67, "text": "occlusion of one eye it is a simple method for testing the visual acuity in preverbal children and infants هو يعني فحص بسيط جدا بقيس حدة الإبصار للأطفال الغير ناطقين ولا الرضّع okay شو أنا بعمل we cover one eye بنغطى عين", "tokens": [43280, 6485, 295, 472, 3313, 309, 307, 257, 2199, 3170, 337, 4997, 264, 5056, 696, 21757, 294, 659, 331, 2645, 2227, 293, 38829, 31439, 37495, 22653, 6156, 5016, 9381, 4724, 3794, 1829, 9566, 10874, 28259, 4724, 38436, 3794, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 5296, 1211, 10721, 9566, 5172, 6027, 6024, 118, 13546, 8717, 41193, 4587, 9957, 35525, 995, 34892, 11242, 11703, 3615, 1392, 13412, 2407, 41850, 4724, 25957, 1211, 321, 2060, 472, 3313, 44945, 17082, 9566, 7578, 6225, 9957], "avg_logprob": -0.1851181357008655, "compression_ratio": 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1965.13, "word": " the", "probability": 0.88623046875}, {"start": 1965.13, "end": 1965.45, "word": " visual", "probability": 0.97509765625}, {"start": 1965.45, "end": 1966.15, "word": " acuity", "probability": 0.93115234375}, {"start": 1966.15, "end": 1966.51, "word": " in", "probability": 0.958984375}, {"start": 1966.51, "end": 1967.33, "word": " preverbal", "probability": 0.6290690104166666}, {"start": 1967.33, "end": 1967.99, "word": " children", "probability": 0.85595703125}, {"start": 1967.99, "end": 1968.47, "word": " and", "probability": 0.958984375}, {"start": 1968.47, "end": 1969.21, "word": " infants", "probability": 0.96484375}, {"start": 1969.21, "end": 1970.29, "word": " هو", "probability": 0.61474609375}, {"start": 1970.29, "end": 1971.79, "word": " يعني", "probability": 0.935302734375}, {"start": 1971.79, "end": 1972.97, "word": " فحص", "probability": 0.9607747395833334}, {"start": 1972.97, "end": 1974.05, "word": " بسيط", "probability": 0.99560546875}, {"start": 1974.05, "end": 1974.61, "word": " جدا", "probability": 0.9921875}, {"start": 1974.61, "end": 1975.61, "word": " بقيس", "probability": 0.8792317708333334}, {"start": 1975.61, "end": 1976.07, "word": " حدة", "probability": 0.8678385416666666}, {"start": 1976.07, "end": 1977.11, "word": " الإبصار", "probability": 0.9805908203125}, {"start": 1977.11, "end": 1978.15, "word": " للأطفال", "probability": 0.8228759765625}, {"start": 1978.15, "end": 1978.63, "word": " الغير", "probability": 0.9547526041666666}, {"start": 1978.63, "end": 1979.25, "word": " ناطقين", "probability": 0.93603515625}, {"start": 1979.25, "end": 1980.01, "word": " ولا", "probability": 0.48583984375}, {"start": 1980.01, "end": 1980.65, "word": " الرضّع", "probability": 0.7508544921875}, {"start": 1980.65, "end": 1981.49, "word": " okay", "probability": 0.311767578125}, {"start": 1981.49, "end": 1982.99, "word": " شو", "probability": 0.936279296875}, {"start": 1982.99, "end": 1983.11, "word": " أنا", "probability": 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"probability": 0.913671875}, {"start": 2001.51, "end": 2001.99, "word": " مثلا", "probability": 0.7568359375}, {"start": 2001.99, "end": 2002.37, "word": " إيد", "probability": 0.845458984375}, {"start": 2002.37, "end": 2002.93, "word": " أمه", "probability": 0.8671875}, {"start": 2002.93, "end": 2003.17, "word": " أو", "probability": 0.9501953125}, {"start": 2003.17, "end": 2003.41, "word": " إيد", "probability": 0.976806640625}, {"start": 2003.41, "end": 2003.53, "word": " ال", "probability": 0.91162109375}, {"start": 2003.53, "end": 2004.11, "word": " examiner", "probability": 0.92431640625}, {"start": 2004.11, "end": 2005.03, "word": " بشكل", "probability": 0.9822591145833334}, {"start": 2005.03, "end": 2005.29, "word": " اللي", "probability": 0.921875}, {"start": 2005.29, "end": 2005.63, "word": " هو", "probability": 0.970703125}, {"start": 2005.63, "end": 2006.03, "word": " يعني", "probability": 0.933349609375}, {"start": 2006.03, "end": 2006.83, "word": " عنيف", "probability": 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"temperature": 1.0}, {"id": 76, "seek": 208040, "start": 2051.12, "end": 2080.4, "text": "this method just indicate if the visual acuity is good or poor and doesn't give us an accurate measurements يعني هذا بس بيدينا إن هل حدة الإبصار للمريض جيدة أو ضعيفة لكن ما بيعطينا accurate measurement يعني قياس دقيق لمين لحدة الإبصار إذا number one testing visual acuity in a preverbal children occlusion of one eye", "tokens": [11176, 3170, 445, 13330, 498, 264, 5056, 696, 21757, 307, 665, 420, 4716, 293, 1177, 380, 976, 505, 364, 8559, 15383, 37495, 22653, 23758, 4724, 3794, 4724, 1829, 16254, 8315, 36145, 8032, 1211, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 5296, 19528, 16572, 11242, 10874, 25708, 3660, 34051, 48812, 3615, 33911, 3660, 44381, 19446, 4724, 1829, 3615, 9566, 1829, 8315, 8559, 13160, 37495, 22653, 12174, 25528, 3794, 11778, 38436, 4587, 32767, 9957, 5296, 24401, 3660, 33688, 3555, 9381, 9640, 11933, 15730, 1230, 472, 4997, 5056, 696, 21757, 294, 257, 659, 331, 2645, 2227, 2678, 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"word": " visual", "probability": 0.97900390625}, {"start": 2076.28, "end": 2076.9, "word": " acuity", "probability": 0.9423828125}, {"start": 2076.9, "end": 2077.14, "word": " in", "probability": 0.9599609375}, {"start": 2077.14, "end": 2077.24, "word": " a", "probability": 0.5673828125}, {"start": 2077.24, "end": 2077.88, "word": " preverbal", "probability": 0.779296875}, {"start": 2077.88, "end": 2078.56, "word": " children", "probability": 0.7998046875}, {"start": 2078.56, "end": 2079.62, "word": " occlusion", "probability": 0.892578125}, {"start": 2079.62, "end": 2079.9, "word": " of", "probability": 0.97607421875}, {"start": 2079.9, "end": 2080.12, "word": " one", "probability": 0.92333984375}, {"start": 2080.12, "end": 2080.4, "word": " eye", "probability": 0.9267578125}], "temperature": 1.0}, {"id": 77, "seek": 210923, "start": 2081.51, "end": 2109.23, "text": "Occlusion of one eye indicate only visual acuity is good or poor لو انا مثلا اجيت سأل السؤال Occlusion of one eye measure the visual acuity in accurate .. sorry Occlusion of one eye is an accurate measurement correct اذا فالس", "tokens": [46, 1914, 6485, 295, 472, 3313, 13330, 787, 5056, 696, 21757, 307, 665, 420, 4716, 45164, 1975, 8315, 50113, 15040, 1975, 7435, 36081, 8608, 10721, 1211, 21136, 33604, 6027, 26191, 6485, 295, 472, 3313, 3481, 264, 5056, 696, 21757, 294, 8559, 4386, 2597, 26191, 6485, 295, 472, 3313, 307, 364, 8559, 13160, 3006, 1975, 15730, 6156, 6027, 3794], "avg_logprob": -0.30905719934883763, "compression_ratio": 1.5582822085889572, "no_speech_prob": 0.0, "words": [{"start": 2081.51, "end": 2082.05, "word": "Occlusion", "probability": 0.6334635416666666}, {"start": 2082.05, "end": 2082.33, "word": " of", "probability": 0.9638671875}, {"start": 2082.33, "end": 2082.55, "word": " one", "probability": 0.923828125}, {"start": 2082.55, "end": 2082.85, "word": " eye", "probability": 0.92822265625}, {"start": 2082.85, "end": 2083.75, "word": " indicate", "probability": 0.4287109375}, 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"temperature": 1.0}, {"id": 78, "seek": 212751, "start": 2110.79, "end": 2127.51, "text": "إذا سمبل method to measure visual acuity and indicate to if the visual acuity is good or poor okay number two fixation test this is very important test", "tokens": [28814, 15730, 8608, 2304, 3555, 1211, 3170, 281, 3481, 5056, 696, 21757, 293, 13330, 281, 498, 264, 5056, 696, 21757, 307, 665, 420, 4716, 1392, 1230, 732, 3191, 399, 1500, 341, 307, 588, 1021, 1500], "avg_logprob": -0.3802083432674408, "compression_ratio": 1.2741935483870968, "no_speech_prob": 0.0, "words": [{"start": 2110.79, "end": 2111.11, "word": "إذا", "probability": 0.6033935546875}, {"start": 2111.11, "end": 2111.57, "word": " سمبل", "probability": 0.489044189453125}, {"start": 2111.57, "end": 2111.93, "word": " method", "probability": 0.58740234375}, {"start": 2111.93, "end": 2112.45, "word": " to", "probability": 0.59228515625}, {"start": 2112.45, "end": 2112.79, "word": " measure", "probability": 0.8955078125}, {"start": 2112.79, "end": 2113.43, "word": " visual", "probability": 0.96533203125}, {"start": 2113.43, "end": 2114.05, "word": " acuity", "probability": 0.8759765625}, {"start": 2114.05, "end": 2114.77, "word": " and", "probability": 0.86376953125}, {"start": 2114.77, "end": 2115.33, "word": " indicate", "probability": 0.84130859375}, {"start": 2115.33, "end": 2115.63, "word": " to", "probability": 0.34765625}, {"start": 2115.63, "end": 2115.95, "word": " if", "probability": 0.95068359375}, {"start": 2115.95, "end": 2116.07, "word": " the", "probability": 0.86181640625}, {"start": 2116.07, "end": 2116.33, "word": " visual", "probability": 0.982421875}, {"start": 2116.33, "end": 2116.83, "word": " acuity", "probability": 0.953857421875}, {"start": 2116.83, "end": 2117.09, "word": " is", "probability": 0.95703125}, {"start": 2117.09, "end": 2117.35, "word": " good", "probability": 0.923828125}, {"start": 2117.35, "end": 2117.61, "word": " or", "probability": 0.95751953125}, {"start": 2117.61, "end": 2118.13, "word": " poor", "probability": 0.8076171875}, {"start": 2118.13, "end": 2118.67, "word": " okay", "probability": 0.10516357421875}, {"start": 2118.67, "end": 2123.59, "word": " number", "probability": 0.5234375}, {"start": 2123.59, "end": 2123.99, "word": " two", "probability": 0.8935546875}, {"start": 2123.99, "end": 2124.81, "word": " fixation", "probability": 0.788330078125}, {"start": 2124.81, "end": 2125.29, "word": " test", "probability": 0.91796875}, {"start": 2125.29, "end": 2125.89, "word": " this", "probability": 0.689453125}, {"start": 2125.89, "end": 2126.13, "word": " is", "probability": 0.96826171875}, {"start": 2126.13, "end": 2126.37, "word": " very", "probability": 0.8251953125}, {"start": 2126.37, "end": 2126.99, "word": " important", "probability": 0.92822265625}, {"start": 2126.99, "end": 2127.51, "word": " test", "probability": 0.9208984375}], "temperature": 1.0}, {"id": 79, "seek": 215873, "start": 2129.85, "end": 2158.73, "text": "This is a very good method يعني منهج جيد جدا in testing visual acuity في فحص حدة الإبصار and it is performed as following الخطوات المتبعة في هذا الفحص طبعا ال fixation test هو يعتبر أفضل test من ناحية فحص ل ال pre verbal children واضح؟", "tokens": [5723, 307, 257, 588, 665, 3170, 37495, 22653, 9154, 3224, 7435, 10874, 25708, 10874, 28259, 294, 4997, 5056, 696, 21757, 8978, 6156, 5016, 9381, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 293, 309, 307, 10332, 382, 3480, 33962, 9566, 2407, 9307, 9673, 2655, 3555, 27884, 8978, 23758, 27188, 5016, 9381, 23032, 3555, 3615, 995, 2423, 3191, 399, 1500, 31439, 7251, 34268, 26890, 5551, 5172, 11242, 1211, 1500, 9154, 8717, 39319, 10632, 6156, 5016, 9381, 5296, 2423, 659, 24781, 2227, 4032, 46958, 5016, 22807], "avg_logprob": -0.11969866275432564, "compression_ratio": 1.422907488986784, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 2129.85, "end": 2130.99, "word": "This", "probability": 0.50439453125}, {"start": 2130.99, "end": 2131.33, "word": " is", "probability": 0.96533203125}, {"start": 2131.33, "end": 2131.61, "word": " a", "probability": 0.958984375}, {"start": 2131.61, "end": 2131.79, "word": " very", "probability": 0.87890625}, {"start": 2131.79, "end": 2132.17, "word": " good", "probability": 0.9345703125}, {"start": 2132.17, "end": 2132.93, "word": " method", "probability": 0.9833984375}, {"start": 2132.93, "end": 2133.59, "word": " يعني", "probability": 0.777099609375}, {"start": 2133.59, "end": 2134.17, "word": " منهج", "probability": 0.9806315104166666}, {"start": 2134.17, "end": 2134.87, "word": " جيد", "probability": 0.991455078125}, {"start": 2134.87, "end": 2135.29, "word": " جدا", "probability": 0.984375}, {"start": 2135.29, "end": 2136.03, "word": " in", "probability": 0.76025390625}, {"start": 2136.03, "end": 2136.77, "word": " testing", "probability": 0.85986328125}, {"start": 2136.77, "end": 2137.21, "word": " visual", "probability": 0.9765625}, {"start": 2137.21, "end": 2137.91, "word": " acuity", "probability": 0.73388671875}, {"start": 2137.91, "end": 2138.33, "word": " في", "probability": 0.90087890625}, {"start": 2138.33, "end": 2138.89, "word": " فحص", "probability": 0.98291015625}, {"start": 2138.89, "end": 2139.91, "word": " حدة", "probability": 0.73828125}, {"start": 2139.91, "end": 2140.61, "word": " الإبصار", "probability": 0.9840087890625}, {"start": 2140.61, "end": 2141.81, "word": " and", "probability": 0.87890625}, {"start": 2141.81, "end": 2142.05, "word": " it", "probability": 0.97314453125}, {"start": 2142.05, "end": 2142.31, "word": " is", "probability": 0.92041015625}, {"start": 2142.31, "end": 2142.83, "word": " performed", "probability": 0.377197265625}, {"start": 2142.83, "end": 2143.33, "word": " as", "probability": 0.98095703125}, {"start": 2143.33, "end": 2143.81, "word": " following", "probability": 0.87353515625}, {"start": 2143.81, "end": 2145.23, "word": " الخطوات", "probability": 0.957275390625}, {"start": 2145.23, "end": 2145.93, "word": " المتبعة", "probability": 0.9371337890625}, {"start": 2145.93, "end": 2146.11, "word": " في", "probability": 0.97412109375}, {"start": 2146.11, "end": 2146.45, "word": " هذا", "probability": 0.97509765625}, {"start": 2146.45, "end": 2147.99, "word": " الفحص", "probability": 0.9817708333333334}, {"start": 2147.99, "end": 2149.41, "word": " طبعا", "probability": 0.971435546875}, {"start": 2149.41, "end": 2149.53, "word": " ال", "probability": 0.8896484375}, {"start": 2149.53, "end": 2150.17, "word": " fixation", "probability": 0.8955078125}, {"start": 2150.17, "end": 2150.59, "word": " test", "probability": 0.92333984375}, {"start": 2150.59, "end": 2150.91, "word": " هو", "probability": 0.978515625}, {"start": 2150.91, "end": 2151.45, "word": " يعتبر", "probability": 0.9646809895833334}, {"start": 2151.45, "end": 2152.21, "word": " أفضل", "probability": 0.9678955078125}, {"start": 2152.21, "end": 2152.79, "word": " test", "probability": 0.96484375}, {"start": 2152.79, "end": 2153.03, "word": " من", "probability": 0.99560546875}, {"start": 2153.03, "end": 2153.47, "word": " ناحية", "probability": 0.9853515625}, {"start": 2153.47, "end": 2154.07, "word": " فحص", "probability": 0.9879557291666666}, {"start": 2154.07, "end": 2154.71, "word": " ل", "probability": 0.68701171875}, {"start": 2154.71, "end": 2155.27, "word": " ال", "probability": 0.568359375}, {"start": 2155.27, "end": 2156.09, "word": " pre", "probability": 0.7080078125}, {"start": 2156.09, "end": 2156.51, "word": " verbal", "probability": 0.410400390625}, {"start": 2156.51, "end": 2157.31, "word": " children", "probability": 0.91943359375}, {"start": 2157.31, "end": 2158.73, "word": " واضح؟", "probability": 0.86376953125}], "temperature": 1.0}, {"id": 80, "seek": 218340, "start": 2162.12, "end": 2183.4, "text": "أما انتوا عارفين فكساشن معناها أنه ثبت العين اللي هي ثابت a 16 prism based on طبعا الprism ديوبتر هذه عبارة عن وحدة قياس زاوية الحوالب", "tokens": [10721, 15042, 16472, 2655, 14407, 6225, 9640, 5172, 9957, 6156, 4117, 3794, 33599, 1863, 20449, 8315, 11296, 14739, 3224, 38637, 3555, 2655, 18863, 9957, 13672, 1829, 39896, 38637, 16758, 2655, 257, 3165, 582, 1434, 2361, 322, 23032, 3555, 3615, 995, 2423, 1424, 1434, 11778, 1829, 37746, 2655, 2288, 29538, 6225, 3555, 9640, 3660, 18871, 4032, 5016, 41891, 12174, 25528, 3794, 30767, 995, 2407, 10632, 21542, 2407, 6027, 3555], "avg_logprob": -0.3038949309915736, "compression_ratio": 1.39375, "no_speech_prob": 0.0, "words": [{"start": 2162.12, "end": 2162.34, "word": "أما", "probability": 0.2384033203125}, {"start": 2162.34, "end": 2162.54, "word": " انتوا", "probability": 0.7530924479166666}, {"start": 2162.54, "end": 2162.8, "word": " عارفين", "probability": 0.9827880859375}, {"start": 2162.8, "end": 2163.38, "word": " فكساشن", "probability": 0.617333984375}, {"start": 2163.38, "end": 2163.82, "word": " معناها", "probability": 0.92529296875}, {"start": 2163.82, "end": 2164.14, "word": " أنه", "probability": 0.7010498046875}, {"start": 2164.14, "end": 2164.58, "word": " ثبت", "probability": 0.786376953125}, {"start": 2164.58, "end": 2164.96, "word": " العين", "probability": 0.979248046875}, {"start": 2164.96, "end": 2165.6, "word": " اللي", "probability": 0.712158203125}, {"start": 2165.6, "end": 2165.8, "word": " هي", "probability": 0.95068359375}, {"start": 2165.8, "end": 2166.88, "word": " ثابت", "probability": 0.8230794270833334}, {"start": 2166.88, "end": 2168.84, "word": " a", "probability": 0.449951171875}, {"start": 2168.84, "end": 2170.68, "word": " 16", "probability": 0.56591796875}, {"start": 2170.68, "end": 2171.44, "word": " prism", "probability": 0.6319580078125}, {"start": 2171.44, "end": 2172.08, "word": " based", "probability": 0.453369140625}, {"start": 2172.08, "end": 2172.5, "word": " on", "probability": 0.469482421875}, {"start": 2172.5, "end": 2173.28, "word": " طبعا", "probability": 0.921875}, {"start": 2173.28, "end": 2173.66, "word": " الprism", "probability": 0.6227213541666666}, {"start": 2173.66, "end": 2174.32, "word": " ديوبتر", "probability": 0.8271484375}, {"start": 2174.32, "end": 2175.64, "word": " هذه", "probability": 0.51123046875}, {"start": 2175.64, "end": 2176.06, "word": " عبارة", "probability": 0.9957275390625}, {"start": 2176.06, "end": 2176.36, "word": " عن", "probability": 0.998046875}, {"start": 2176.36, "end": 2176.88, "word": " وحدة", "probability": 0.7177734375}, {"start": 2176.88, "end": 2178.3, "word": " قياس", "probability": 0.95361328125}, {"start": 2178.3, "end": 2182.76, "word": " زاوية", "probability": 0.950439453125}, {"start": 2182.76, "end": 2183.4, "word": " الحوالب", "probability": 0.85992431640625}], "temperature": 1.0}, {"id": 81, "seek": 222194, "start": 2194.39, "end": 2221.95, "text": "يما أشير مثلا D indicate to a diopter صح؟ اللي هي ال power يما أشير ل المثلث زي هذا بمعنى a prism diopter فهذه بتجيس ال angle", "tokens": [1829, 15042, 5551, 8592, 13546, 50113, 15040, 413, 13330, 281, 257, 1026, 404, 391, 20328, 5016, 22807, 13672, 1829, 39896, 2423, 1347, 7251, 15042, 5551, 8592, 13546, 5296, 9673, 12984, 1211, 12984, 30767, 1829, 23758, 4724, 2304, 3615, 1863, 7578, 257, 582, 1434, 1026, 404, 391, 6156, 3224, 24192, 39894, 7435, 1829, 3794, 2423, 5802], "avg_logprob": -0.25195313351494925, "compression_ratio": 1.3093525179856116, "no_speech_prob": 0.0, "words": [{"start": 2194.39, "end": 2194.69, "word": "يما", "probability": 0.328857421875}, {"start": 2194.69, "end": 2194.99, "word": " أشير", "probability": 0.7998046875}, {"start": 2194.99, "end": 2195.39, "word": " مثلا", "probability": 0.87841796875}, {"start": 2195.39, "end": 2195.71, "word": " D", "probability": 0.666015625}, {"start": 2195.71, "end": 2197.69, "word": " indicate", "probability": 0.191162109375}, {"start": 2197.69, "end": 2198.13, "word": " to", "probability": 0.86181640625}, {"start": 2198.13, "end": 2198.51, "word": " a", "probability": 0.7353515625}, {"start": 2198.51, "end": 2200.23, "word": " diopter", "probability": 0.75634765625}, {"start": 2200.23, "end": 2201.05, "word": " صح؟", "probability": 0.7666015625}, {"start": 2201.05, "end": 2202.23, "word": " اللي", "probability": 0.897216796875}, {"start": 2202.23, "end": 2202.43, "word": " هي", "probability": 0.90185546875}, {"start": 2202.43, "end": 2202.57, "word": " ال", "probability": 0.9267578125}, {"start": 2202.57, "end": 2202.89, "word": " power", "probability": 0.7783203125}, {"start": 2202.89, "end": 2205.41, "word": " يما", "probability": 0.79150390625}, {"start": 2205.41, "end": 2205.89, "word": " أشير", "probability": 0.94677734375}, {"start": 2205.89, "end": 2206.29, "word": " ل", "probability": 0.927734375}, {"start": 2206.29, "end": 2207.05, "word": " المثلث", "probability": 0.8685302734375}, {"start": 2207.05, "end": 2207.31, "word": " زي", "probability": 0.9482421875}, {"start": 2207.31, "end": 2207.69, "word": " هذا", "probability": 0.94140625}, {"start": 2207.69, "end": 2209.53, "word": " بمعنى", "probability": 0.96943359375}, {"start": 2209.53, "end": 2209.87, "word": " a", "probability": 0.379638671875}, {"start": 2209.87, "end": 2213.13, "word": " prism", "probability": 0.787353515625}, {"start": 2213.13, "end": 2215.35, "word": " diopter", "probability": 0.91162109375}, {"start": 2215.35, "end": 2220.45, "word": " فهذه", "probability": 0.7957356770833334}, {"start": 2220.45, "end": 2221.01, "word": " بتجيس", "probability": 0.8336181640625}, {"start": 2221.01, "end": 2221.49, "word": " ال", "probability": 0.95361328125}, {"start": 2221.49, "end": 2221.95, "word": " angle", "probability": 0.88134765625}], "temperature": 1.0}, {"id": 82, "seek": 224979, "start": 2225.49, "end": 2249.79, "text": "of deviation انه زاوية الحول واضح number one a sixteen a prism diopter based down", "tokens": [2670, 25163, 16472, 3224, 30767, 995, 2407, 10632, 21542, 12610, 4032, 46958, 5016, 1230, 472, 257, 27847, 257, 582, 1434, 1026, 404, 391, 2361, 760], "avg_logprob": -0.43990385647003466, "compression_ratio": 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مبرح في بنات فحص ال visual acute كان المريض مثلا عامل turn ولا عامل مثلا tilt", "tokens": [6027, 3615, 9957, 16712, 7649, 1829, 1975, 8592, 2304, 6027, 11296, 37893, 3714, 17082, 9566, 995, 3660, 4032, 46958, 5016, 6225, 8592, 7649, 1975, 8315, 1975, 5016, 31845, 19913, 15844, 2423, 3191, 399, 6024, 104, 3555, 9307, 37495, 22653, 37893, 50113, 15040, 1975, 8315, 6024, 48506, 4724, 25957, 1211, 2423, 1500, 18863, 9957, 16247, 34740, 7578, 4724, 15040, 38436, 11296, 50113, 15040, 3714, 9778, 41891, 30767, 1829, 3714, 26890, 5016, 8978, 4724, 8315, 2655, 6156, 5016, 9381, 2423, 5056, 24390, 25961, 9673, 16572, 11242, 50113, 15040, 6225, 10943, 1211, 1261, 49429, 6225, 10943, 1211, 50113, 15040, 18446], "avg_logprob": -0.14477040573042266, "compression_ratio": 1.721698113207547, "no_speech_prob": 0.0, "words": [{"start": 2633.52, "end": 2634.36, "word": "العين", "probability": 0.8444010416666666}, {"start": 2634.36, "end": 2634.76, "word": " التاني", "probability": 0.7158203125}, {"start": 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0.59814453125}, {"start": 2800.24, "end": 2800.36, "word": " شاء", "probability": 0.969970703125}, {"start": 2800.36, "end": 2800.42, "word": " الله", "probability": 0.9638671875}, {"start": 2800.42, "end": 2801.2, "word": " هطبقلكم", "probability": 0.9042154947916666}, {"start": 2801.2, "end": 2801.44, "word": " إياه", "probability": 0.86669921875}, {"start": 2801.44, "end": 2801.54, "word": " في", "probability": 0.98779296875}, {"start": 2801.54, "end": 2802.02, "word": " المعمل", "probability": 0.9918619791666666}, {"start": 2802.02, "end": 2802.52, "word": " من", "probability": 0.685546875}, {"start": 2802.52, "end": 2802.84, "word": " ناحية", "probability": 0.9925130208333334}, {"start": 2802.84, "end": 2803.36, "word": " المعمل", "probability": 0.9972330729166666}, {"start": 2803.36, "end": 2804.2, "word": " هنحاول", "probability": 0.93779296875}, {"start": 2804.2, "end": 2804.46, "word": " أنه", "probability": 0.889892578125}, {"start": 2804.46, "end": 2804.7, "word": " نجيب", "probability": 0.997314453125}, {"start": 2804.7, "end": 2805.24, "word": " أطفال", "probability": 0.9906005859375}, {"start": 2805.24, "end": 2805.64, "word": " و", "probability": 0.99609375}, {"start": 2805.64, "end": 2806.02, "word": " نطبق", "probability": 0.9232177734375}, {"start": 2806.02, "end": 2806.26, "word": " هذا", "probability": 0.9833984375}, {"start": 2806.26, "end": 2806.4, "word": " ال", "probability": 0.9443359375}, {"start": 2806.4, "end": 2806.66, "word": " test", "probability": 0.96533203125}, {"start": 2806.66, "end": 2807.12, "word": " لأن", "probability": 0.89208984375}, {"start": 2807.12, "end": 2807.38, "word": " هذا", "probability": 0.63720703125}, {"start": 2807.38, "end": 2807.52, "word": " ال", "probability": 0.97265625}, {"start": 2807.52, "end": 2807.74, "word": " test", "probability": 0.9677734375}, {"start": 2807.74, "end": 2808.12, "word": " مهم", "probability": 0.990966796875}, {"start": 2808.12, "end": 2808.56, "word": " جدا", "probability": 0.987060546875}, {"start": 2808.56, "end": 2808.9, "word": " ال", "probability": 0.77099609375}, {"start": 2808.9, "end": 2809.58, "word": " fixation", "probability": 0.9384765625}, {"start": 2809.58, "end": 2810.24, "word": " test", "probability": 0.94677734375}], "temperature": 1.0}, {"id": 106, "seek": 283257, "start": 2811.15, "end": 2832.57, "text": "لو رحت يعني في العالم كله بيستخدم هذا الفحص اللي هو ال fixation test correlation between visual acuity and fixation patterns العلاقة ما بين حدة الإبصار و ما بين اللي هو العين اللي ماتكون ثابتة", "tokens": [1211, 2407, 12602, 33753, 37495, 22653, 8978, 18863, 45340, 28242, 3224, 4724, 1829, 14851, 9778, 40448, 23758, 27188, 5016, 9381, 13672, 1829, 31439, 2423, 3191, 399, 1500, 20009, 1296, 5056, 696, 21757, 293, 3191, 399, 8294, 18863, 15040, 28671, 19446, 49374, 11331, 3215, 3660, 33688, 3555, 9381, 9640, 4032, 19446, 49374, 13672, 1829, 31439, 18863, 9957, 13672, 1829, 3714, 9307, 30544, 38637, 16758, 2655, 3660], "avg_logprob": 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{"start": 2814.45, "end": 2814.77, "word": " ال", "probability": 0.87841796875}, {"start": 2814.77, "end": 2815.43, "word": " fixation", "probability": 0.706298828125}, {"start": 2815.43, "end": 2816.21, "word": " test", "probability": 0.93798828125}, {"start": 2816.21, "end": 2821.49, "word": " correlation", "probability": 0.51953125}, {"start": 2821.49, "end": 2822.29, "word": " between", "probability": 0.9541015625}, {"start": 2822.29, "end": 2822.85, "word": " visual", "probability": 0.951171875}, {"start": 2822.85, "end": 2823.47, "word": " acuity", "probability": 0.849365234375}, {"start": 2823.47, "end": 2823.79, "word": " and", "probability": 0.9521484375}, {"start": 2823.79, "end": 2824.53, "word": " fixation", "probability": 0.96044921875}, {"start": 2824.53, "end": 2825.37, "word": " patterns", "probability": 0.896484375}, {"start": 2825.37, "end": 2826.75, "word": " العلاقة", "probability": 0.9080403645833334}, {"start": 2826.75, "end": 2827.31, "word": " ما", "probability": 0.9326171875}, {"start": 2827.31, "end": 2827.63, "word": " بين", "probability": 0.9951171875}, {"start": 2827.63, "end": 2828.35, "word": " حدة", "probability": 0.7986653645833334}, {"start": 2828.35, "end": 2828.99, "word": " الإبصار", "probability": 0.954833984375}, {"start": 2828.99, "end": 2829.47, "word": " و", "probability": 0.9873046875}, {"start": 2829.47, "end": 2829.63, "word": " ما", "probability": 0.56787109375}, {"start": 2829.63, "end": 2829.91, "word": " بين", "probability": 0.9951171875}, {"start": 2829.91, "end": 2830.21, "word": " اللي", "probability": 0.96630859375}, {"start": 2830.21, "end": 2830.55, "word": " هو", "probability": 0.9482421875}, {"start": 2830.55, "end": 2831.17, "word": " العين", "probability": 0.987548828125}, {"start": 2831.17, "end": 2831.29, "word": " اللي", "probability": 0.75927734375}, {"start": 2831.29, "end": 2831.77, "word": " ماتكون", "probability": 0.7119954427083334}, {"start": 2831.77, "end": 2832.57, "word": " ثابتة", "probability": 0.9407958984375}], "temperature": 1.0}, {"id": 107, "seek": 285868, "start": 2833.72, "end": 2858.68, "text": "A gross eccentric fixation or affixation يمّا يكون الطفل ما عندهوش fixation يعني العين بمعنى إنه زائغة يعني يا على اليمين أو الشمال إنه مافيش لها fixation هذا بيدل إنه إيش ال visual acuity impaired or poor واحد ع ستين واضح؟ number two", "tokens": [32, 11367, 42629, 3191, 399, 420, 2096, 970, 399, 7251, 2304, 11703, 995, 7251, 30544, 41950, 5172, 1211, 19446, 43242, 3224, 2407, 8592, 3191, 399, 37495, 22653, 18863, 9957, 4724, 2304, 3615, 1863, 7578, 36145, 3224, 30767, 16373, 17082, 3660, 37495, 22653, 35186, 15844, 2423, 32640, 9957, 34051, 25124, 2304, 6027, 36145, 3224, 19446, 41185, 8592, 5296, 11296, 3191, 399, 23758, 4724, 25708, 1211, 36145, 3224, 11933, 1829, 8592, 2423, 5056, 696, 21757, 36762, 420, 4716, 36764, 24401, 6225, 8608, 2655, 9957, 4032, 46958, 5016, 22807, 1230, 732], "avg_logprob": -0.24209972579827468, "compression_ratio": 1.5178571428571428, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 2833.72, "end": 2834.22, "word": "A", "probability": 0.1292724609375}, {"start": 2834.22, "end": 2835.06, "word": " gross", "probability": 0.489990234375}, {"start": 2835.06, "end": 2835.88, "word": " eccentric", "probability": 0.5537109375}, {"start": 2835.88, "end": 2836.74, "word": " fixation", "probability": 0.94287109375}, {"start": 2836.74, "end": 2837.02, "word": " or", "probability": 0.7841796875}, {"start": 2837.02, "end": 2837.78, "word": " affixation", "probability": 0.9026692708333334}, {"start": 2837.78, "end": 2838.18, "word": " يمّا", "probability": 0.526763916015625}, {"start": 2838.18, "end": 2838.5, "word": " يكون", "probability": 0.990234375}, {"start": 2838.5, "end": 2838.9, "word": " الطفل", "probability": 0.9884440104166666}, {"start": 2838.9, "end": 2839.04, "word": " ما", "probability": 0.9453125}, {"start": 2839.04, "end": 2839.58, "word": " عندهوش", "probability": 0.8602294921875}, {"start": 2839.58, "end": 2840.64, "word": " fixation", "probability": 0.862060546875}, {"start": 2840.64, "end": 2841.06, "word": " يعني", "probability": 0.904296875}, {"start": 2841.06, "end": 2841.48, "word": " العين", "probability": 0.97998046875}, {"start": 2841.48, "end": 2842.18, "word": " بمعنى", "probability": 0.971484375}, {"start": 2842.18, "end": 2842.46, "word": " إنه", "probability": 0.642578125}, {"start": 2842.46, "end": 2842.96, "word": " زائغة", "probability": 0.7330322265625}, {"start": 2842.96, "end": 2843.26, "word": " يعني", "probability": 0.919677734375}, {"start": 2843.26, "end": 2843.48, "word": " يا", "probability": 0.70556640625}, {"start": 2843.48, "end": 2843.8, "word": " على", "probability": 0.291748046875}, {"start": 2843.8, "end": 2844.2, "word": " اليمين", "probability": 0.8855794270833334}, {"start": 2844.2, "end": 2844.44, "word": " أو", "probability": 0.796875}, {"start": 2844.44, "end": 2844.92, "word": " الشمال", "probability": 0.91943359375}, {"start": 2844.92, "end": 2845.5, "word": " إنه", "probability": 0.6707763671875}, {"start": 2845.5, "end": 2845.82, "word": " مافيش", "probability": 0.9391276041666666}, {"start": 2845.82, "end": 2846.06, "word": " لها", "probability": 0.7132568359375}, {"start": 2846.06, "end": 2846.64, "word": " fixation", "probability": 0.96728515625}, {"start": 2846.64, "end": 2847.2, "word": " هذا", "probability": 0.88232421875}, {"start": 2847.2, "end": 2847.56, "word": " بيدل", "probability": 0.8059895833333334}, {"start": 2847.56, "end": 2847.86, "word": " إنه", "probability": 0.933837890625}, {"start": 2847.86, "end": 2848.1, "word": " إيش", "probability": 0.89990234375}, {"start": 2848.1, "end": 2848.4, "word": " ال", "probability": 0.87158203125}, {"start": 2848.4, "end": 2848.68, "word": " visual", "probability": 0.9423828125}, {"start": 2848.68, "end": 2849.32, "word": " acuity", "probability": 0.8544921875}, {"start": 2849.32, "end": 2849.96, "word": " impaired", "probability": 0.93603515625}, {"start": 2849.96, "end": 2850.34, "word": " or", "probability": 0.87646484375}, {"start": 2850.34, "end": 2850.64, "word": " poor", "probability": 0.97607421875}, {"start": 2850.64, "end": 2851.26, "word": " واحد", "probability": 0.8525390625}, {"start": 2851.26, "end": 2851.36, "word": " ع", "probability": 0.441650390625}, {"start": 2851.36, "end": 2851.86, "word": " ستين", "probability": 0.8553059895833334}, {"start": 2851.86, "end": 2856.1, "word": " واضح؟", "probability": 0.8387451171875}, {"start": 2856.1, "end": 2858.3, "word": " number", "probability": 0.68310546875}, {"start": 2858.3, "end": 2858.68, "word": " two", "probability": 0.873046875}], "temperature": 1.0}, {"id": 108, "seek": 287650, "start": 2859.6, "end": 2876.5, "text": "unsteady central fixation less than five seconds الطفل عمل fixation لكن يما عمل fixation أقل من خمس ثواني هذا بيدل أن ال visual acuity تقع أربع على ستين واضح؟", "tokens": [409, 2941, 880, 5777, 3191, 399, 1570, 813, 1732, 3949, 41950, 5172, 1211, 6225, 42213, 3191, 399, 44381, 7251, 15042, 6225, 42213, 3191, 399, 5551, 4587, 1211, 9154, 16490, 2304, 3794, 38637, 2407, 7649, 1829, 23758, 4724, 25708, 1211, 14739, 2423, 5056, 696, 21757, 6055, 4587, 3615, 5551, 25513, 3615, 15844, 8608, 2655, 9957, 4032, 46958, 5016, 22807], "avg_logprob": -0.2273569960715407, "compression_ratio": 1.329268292682927, "no_speech_prob": 0.0, "words": [{"start": 2859.6, "end": 2860.26, "word": "unsteady", "probability": 0.7334798177083334}, {"start": 2860.26, "end": 2860.74, "word": " central", "probability": 0.84765625}, {"start": 2860.74, "end": 2861.52, "word": " fixation", "probability": 0.96044921875}, {"start": 2861.52, "end": 2862.06, "word": " less", "probability": 0.92529296875}, {"start": 2862.06, "end": 2862.42, "word": " than", "probability": 0.94677734375}, {"start": 2862.42, "end": 2862.9, "word": " five", "probability": 0.67529296875}, {"start": 2862.9, "end": 2863.48, "word": " seconds", "probability": 0.8115234375}, {"start": 2863.48, "end": 2864.6, "word": " الطفل", "probability": 0.754638671875}, {"start": 2864.6, "end": 2864.98, "word": " عمل", "probability": 0.98095703125}, {"start": 2864.98, "end": 2865.96, "word": " fixation", "probability": 0.928466796875}, {"start": 2865.96, "end": 2867.14, "word": " لكن", "probability": 0.81982421875}, {"start": 2867.14, "end": 2867.42, "word": " يما", "probability": 0.4345703125}, {"start": 2867.42, "end": 2867.72, "word": " عمل", "probability": 0.992919921875}, {"start": 2867.72, "end": 2868.4, "word": " fixation", "probability": 0.934326171875}, {"start": 2868.4, "end": 2868.84, "word": " أقل", "probability": 0.8875325520833334}, {"start": 2868.84, "end": 2869.02, "word": " من", "probability": 0.99560546875}, {"start": 2869.02, "end": 2869.52, "word": " خمس", "probability": 0.9881184895833334}, {"start": 2869.52, "end": 2870.78, "word": " ثواني", "probability": 0.939453125}, {"start": 2870.78, "end": 2871.1, "word": " هذا", "probability": 0.83349609375}, {"start": 2871.1, "end": 2871.46, "word": " بيدل", "probability": 0.7372233072916666}, {"start": 2871.46, "end": 2871.68, "word": " أن", "probability": 0.40283203125}, {"start": 2871.68, "end": 2871.8, "word": " ال", "probability": 0.81396484375}, {"start": 2871.8, "end": 2872.08, "word": " visual", "probability": 0.9140625}, {"start": 2872.08, "end": 2872.72, "word": " acuity", "probability": 0.656005859375}, {"start": 2872.72, "end": 2873.52, "word": " تقع", "probability": 0.8097330729166666}, {"start": 2873.52, "end": 2873.9, "word": " أربع", "probability": 0.73828125}, {"start": 2873.9, "end": 2874.04, "word": " على", "probability": 0.60693359375}, {"start": 2874.04, "end": 2874.56, "word": " ستين", "probability": 0.9793294270833334}, {"start": 2874.56, "end": 2876.5, "word": " واضح؟", "probability": 0.8934326171875}], "temperature": 1.0}, {"id": 109, "seek": 290277, "start": 2877.15, "end": 2902.77, "text": "إذا الحالة الأولى الطفل ماعملش fixation ال visual acuity قداش واحدة ستين الحالة التانية عمل fixation لكن أقل من خمس ثواني احنا قلنا ال normal قداش عشر ثواني يما بيعمل fixation أقل من خمس ثواني بيكون ال visual acuity اربعة ستين الحالة التالتة central steady fixation", "tokens": [28814, 15730, 21542, 6027, 3660, 16247, 12610, 7578, 41950, 5172, 1211, 19446, 25957, 1211, 8592, 3191, 399, 2423, 5056, 696, 21757, 12174, 3215, 33599, 36764, 24401, 3660, 8608, 2655, 9957, 21542, 6027, 3660, 16712, 7649, 10632, 6225, 42213, 3191, 399, 44381, 5551, 4587, 1211, 9154, 16490, 2304, 3794, 38637, 2407, 7649, 1829, 1975, 5016, 8315, 12174, 1211, 8315, 2423, 2710, 12174, 3215, 33599, 6225, 46309, 38637, 2407, 7649, 1829, 7251, 15042, 4724, 1829, 25957, 1211, 3191, 399, 5551, 4587, 1211, 9154, 16490, 2304, 3794, 38637, 2407, 7649, 1829, 4724, 1829, 30544, 2423, 5056, 696, 21757, 1975, 25513, 27884, 8608, 2655, 9957, 21542, 6027, 3660, 16712, 6027, 2655, 3660, 5777, 13211, 3191, 399], "avg_logprob": -0.13841261061946902, "compression_ratio": 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{"id": 110, "seek": 293114, "start": 2903.26, "end": 2931.14, "text": "but will not hold fixation when the cover removed from the other eye الان هو عمل fixation وممكن عمل fixation عشر ثواني لكن أول ما بترفع ال cover من عين التانية بتلاقي ايش ال fixation بيمتقل للعين الأخرى فبيكون ال visual acuity للمريض من ستة ع ستين لست على أربع عشرين يعني دايما انا في ال test هذا بدي اركز على ال both eyes", "tokens": [5955, 486, 406, 1797, 3191, 399, 562, 264, 2060, 7261, 490, 264, 661, 3313, 2423, 7649, 31439, 6225, 42213, 3191, 399, 4032, 2304, 43020, 6225, 42213, 3191, 399, 6225, 46309, 38637, 2407, 7649, 1829, 44381, 5551, 12610, 19446, 39894, 28480, 3615, 2423, 2060, 9154, 6225, 9957, 16712, 7649, 10632, 39894, 15040, 38436, 1975, 1829, 8592, 2423, 3191, 399, 4724, 32640, 2655, 4587, 1211, 24976, 3615, 9957, 16247, 34740, 7578, 6156, 21292, 30544, 2423, 5056, 696, 21757, 5296, 19528, 16572, 11242, 9154, 8608, 2655, 3660, 6225, 8608, 2655, 9957, 5296, 14851, 15844, 5551, 25513, 3615, 6225, 46309, 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fixation بالعين التانية يعني بعد مثلا خمس ثواني فضل ال fixation بالعين الثانية واضح؟ فهنا ال visual acuity بتاع المريض يكون من 6 على .. هو من 6 ع 12 ل 6 ع 9 او 18 ل 12 طيب لو عمل alternative", "tokens": [28480, 3615, 8315, 6024, 118, 9566, 16606, 18871, 18863, 9957, 49610, 3215, 16472, 3224, 6225, 42213, 3191, 399, 44381, 31439, 41950, 5172, 1211, 39182, 6156, 2655, 25720, 6225, 42213, 13672, 1829, 31439, 3191, 399, 20666, 3615, 9957, 16712, 7649, 10632, 37495, 22653, 39182, 50113, 15040, 16490, 2304, 3794, 38637, 2407, 7649, 1829, 6156, 11242, 1211, 2423, 3191, 399, 20666, 3615, 9957, 6024, 104, 7649, 10632, 4032, 46958, 5016, 22807, 6156, 3224, 8315, 2423, 5056, 696, 21757, 39894, 45761, 9673, 16572, 11242, 7251, 30544, 9154, 1386, 15844, 4386, 31439, 9154, 1386, 6225, 2272, 5296, 1386, 6225, 1722, 1975, 2407, 2443, 5296, 2272, 23032, 1829, 3555, 45164, 6225, 42213, 8535], "avg_logprob": -0.15811353429741815, "compression_ratio": 1.7416666666666667, "no_speech_prob": 0.0, "words": 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المريض", "probability": 0.9925130208333334}, {"start": 3010.02, "end": 3010.64, "word": " يكون", "probability": 0.9482421875}, {"start": 3010.64, "end": 3010.8, "word": " من", "probability": 0.982421875}, {"start": 3010.8, "end": 3011.1, "word": " 6", "probability": 0.5869140625}, {"start": 3011.1, "end": 3011.36, "word": " على", "probability": 0.257568359375}, {"start": 3011.36, "end": 3012.3, "word": " ..", "probability": 0.4375}, {"start": 3012.3, "end": 3012.56, "word": " هو", "probability": 0.54931640625}, {"start": 3012.56, "end": 3012.8, "word": " من", "probability": 0.9580078125}, {"start": 3012.8, "end": 3013.04, "word": " 6", "probability": 0.9775390625}, {"start": 3013.04, "end": 3013.14, "word": " ع", "probability": 0.52880859375}, {"start": 3013.14, "end": 3013.48, "word": " 12", "probability": 0.9248046875}, {"start": 3013.48, "end": 3013.64, "word": " ل", "probability": 0.74560546875}, {"start": 3013.64, "end": 3013.9, "word": " 6", "probability": 0.78125}, {"start": 3013.9, "end": 3014.08, "word": " ع", "probability": 0.966796875}, {"start": 3014.08, "end": 3014.38, "word": " 9", "probability": 0.96484375}, {"start": 3014.38, "end": 3014.7, "word": " او", "probability": 0.8193359375}, {"start": 3014.7, "end": 3015.08, "word": " 18", "probability": 0.9462890625}, {"start": 3015.08, "end": 3015.56, "word": " ل", "probability": 0.830078125}, {"start": 3015.56, "end": 3016.3, "word": " 12", "probability": 0.7509765625}, {"start": 3016.3, "end": 3018.56, "word": " طيب", "probability": 0.9778645833333334}, {"start": 3018.56, "end": 3018.76, "word": " لو", "probability": 0.94091796875}, {"start": 3018.76, "end": 3019.06, "word": " عمل", "probability": 0.986328125}, {"start": 3019.06, "end": 3019.88, "word": " alternative", "probability": 0.37158203125}], "temperature": 1.0}, {"id": 114, "seek": 304534, "start": 3021.34, "end": 3045.34, "text": "Spontaneous يعني متبادل مرة في العين اليمين و مرة في الشمال هان بيكون ال visual acuity متساوي و بيكون indicate to good visual acuity ال both eye 6 على 6 طبعا هان هنطبقوا ال test للمريض يعني .. في حاجة؟", "tokens": [14014, 896, 15447, 37495, 22653, 44650, 3555, 18513, 1211, 3714, 25720, 8978, 18863, 9957, 45595, 2304, 9957, 4032, 3714, 25720, 8978, 25124, 2304, 6027, 8032, 7649, 4724, 1829, 30544, 2423, 5056, 696, 21757, 44650, 3794, 995, 45865, 4032, 4724, 1829, 30544, 13330, 281, 665, 5056, 696, 21757, 2423, 1293, 3313, 1386, 15844, 1386, 23032, 3555, 3615, 995, 8032, 7649, 8032, 1863, 9566, 3555, 4587, 14407, 2423, 1500, 5296, 19528, 16572, 11242, 37495, 22653, 4386, 8978, 11331, 26108, 3660, 22807], "avg_logprob": -0.2335937462747097, "compression_ratio": 1.541237113402062, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 3021.34, "end": 3022.4, "word": "Spontaneous", "probability": 0.6840616861979166}, {"start": 3022.4, "end": 3023.16, "word": " يعني", "probability": 0.786376953125}, {"start": 3023.16, "end": 3023.9, "word": " متبادل", "probability": 0.9114990234375}, {"start": 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"word": " 6", "probability": 0.638671875}, {"start": 3035.34, "end": 3035.8, "word": " على", "probability": 0.55615234375}, {"start": 3035.8, "end": 3036.46, "word": " 6", "probability": 0.98828125}, {"start": 3036.46, "end": 3040.06, "word": " طبعا", "probability": 0.9498291015625}, {"start": 3040.06, "end": 3040.22, "word": " هان", "probability": 0.804443359375}, {"start": 3040.22, "end": 3040.82, "word": " هنطبقوا", "probability": 0.796875}, {"start": 3040.82, "end": 3040.9, "word": " ال", "probability": 0.70703125}, {"start": 3040.9, "end": 3041.18, "word": " test", "probability": 0.9697265625}, {"start": 3041.18, "end": 3041.94, "word": " للمريض", "probability": 0.841552734375}, {"start": 3041.94, "end": 3042.5, "word": " يعني", "probability": 0.841552734375}, {"start": 3042.5, "end": 3043.66, "word": " ..", "probability": 0.396728515625}, {"start": 3043.66, "end": 3044.78, "word": " في", "probability": 0.57666015625}, {"start": 3044.78, "end": 3045.34, "word": " حاجة؟", "probability": 0.9564208984375}], "temperature": 1.0}, {"id": 115, "seek": 306981, "start": 3050.51, "end": 3069.81, "text": "الاخر واحدة، لو المريض مثلا عمل مرة fixation في العين اليمين و مرة في العين الشمال، okay؟ يعني مرة عملها في اليمين، بعد عشر ثوان عمل في الشمال، بعد العشر ثوان عمل في اليمين، يعني متبادل، alternate، بيكون ال visual acuity good أو و بيكون ستة ع ستة", "tokens": [6027, 47283, 2288, 36764, 24401, 3660, 12399, 45164, 9673, 16572, 11242, 50113, 15040, 6225, 42213, 3714, 25720, 3191, 399, 8978, 18863, 9957, 2423, 32640, 9957, 4032, 3714, 25720, 8978, 18863, 9957, 25124, 2304, 6027, 12399, 1392, 22807, 37495, 22653, 3714, 25720, 6225, 42213, 11296, 8978, 2423, 32640, 9957, 12399, 39182, 6225, 46309, 38637, 2407, 7649, 6225, 42213, 8978, 25124, 2304, 6027, 12399, 39182, 18863, 46309, 38637, 2407, 7649, 6225, 42213, 8978, 2423, 32640, 9957, 12399, 37495, 22653, 44650, 3555, 18513, 1211, 12399, 18873, 12399, 4724, 1829, 30544, 2423, 5056, 696, 21757, 665, 34051, 4032, 4724, 1829, 30544, 8608, 2655, 3660, 6225, 8608, 2655, 3660], "avg_logprob": -0.14523808842613584, "compression_ratio": 1.9428571428571428, "no_speech_prob": 3.039836883544922e-06, "words": [{"start": 3050.51, "end": 3050.75, "word": "الاخر", "probability": 0.6422526041666666}, {"start": 3050.75, "end": 3051.09, "word": " واحدة،", "probability": 0.800537109375}, {"start": 3051.09, "end": 3051.19, "word": " لو", "probability": 0.91162109375}, {"start": 3051.19, "end": 3051.63, "word": " المريض", "probability": 0.9861653645833334}, {"start": 3051.63, "end": 3052.05, "word": " مثلا", "probability": 0.945556640625}, {"start": 3052.05, "end": 3052.63, "word": " عمل", "probability": 0.92236328125}, {"start": 3052.63, "end": 3052.89, "word": " مرة", "probability": 0.98095703125}, {"start": 3052.89, "end": 3053.49, "word": " fixation", "probability": 0.824951171875}, {"start": 3053.49, "end": 3053.65, "word": " في", "probability": 0.97021484375}, {"start": 3053.65, "end": 3053.87, "word": " العين", "probability": 0.973388671875}, {"start": 3053.87, "end": 3054.31, "word": " اليمين", "probability": 0.816650390625}, {"start": 3054.31, "end": 3054.69, "word": " و", "probability": 0.939453125}, {"start": 3054.69, "end": 3054.91, "word": " مرة", "probability": 0.92138671875}, {"start": 3054.91, "end": 3055.07, "word": " في", "probability": 0.96875}, {"start": 3055.07, "end": 3055.27, "word": " العين", "probability": 0.990234375}, {"start": 3055.27, "end": 3056.77, "word": " الشمال،", "probability": 0.79278564453125}, {"start": 3056.77, "end": 3057.95, "word": " okay؟", "probability": 0.779541015625}, {"start": 3057.95, "end": 3058.15, "word": " يعني", "probability": 0.972412109375}, {"start": 3058.15, "end": 3058.43, "word": " مرة", "probability": 0.99462890625}, {"start": 3058.43, "end": 3058.95, "word": " عملها", "probability": 0.9964192708333334}, {"start": 3058.95, "end": 3059.31, "word": " في", "probability": 0.99462890625}, {"start": 3059.31, "end": 3059.95, "word": " اليمين،", "probability": 0.865478515625}, {"start": 3059.95, "end": 3060.17, "word": " بعد", "probability": 0.94384765625}, {"start": 3060.17, "end": 3060.51, "word": " عشر", "probability": 0.9541015625}, {"start": 3060.51, "end": 3060.85, "word": " ثوان", "probability": 0.9830729166666666}, {"start": 3060.85, "end": 3061.15, "word": " عمل", "probability": 0.904541015625}, {"start": 3061.15, "end": 3061.29, "word": " في", "probability": 0.9892578125}, {"start": 3061.29, "end": 3062.35, "word": " الشمال،", "probability": 0.9552001953125}, {"start": 3062.35, "end": 3062.59, "word": " بعد", "probability": 0.94287109375}, {"start": 3062.59, "end": 3062.91, "word": " العشر", "probability": 0.843017578125}, {"start": 3062.91, "end": 3063.27, "word": " ثوان", "probability": 0.9905598958333334}, {"start": 3063.27, "end": 3063.55, "word": " عمل", "probability": 0.989990234375}, {"start": 3063.55, "end": 3063.73, "word": " في", "probability": 0.9970703125}, {"start": 3063.73, "end": 3064.41, "word": " اليمين،", "probability": 0.924560546875}, {"start": 3064.41, "end": 3064.61, "word": " يعني", "probability": 0.94287109375}, {"start": 3064.61, "end": 3065.77, "word": " متبادل،", "probability": 0.90625}, {"start": 3065.77, "end": 3066.67, "word": " alternate،", "probability": 0.77587890625}, {"start": 3066.67, "end": 3066.95, "word": " بيكون", "probability": 0.93798828125}, {"start": 3066.95, "end": 3067.07, "word": " ال", "probability": 0.97216796875}, {"start": 3067.07, "end": 3067.31, "word": " visual", "probability": 0.9443359375}, {"start": 3067.31, "end": 3067.89, "word": " acuity", "probability": 0.86181640625}, {"start": 3067.89, "end": 3068.13, "word": " good", "probability": 0.75}, {"start": 3068.13, "end": 3068.43, "word": " أو", "probability": 0.28076171875}, {"start": 3068.43, "end": 3068.69, "word": " و", "probability": 0.1934814453125}, {"start": 3068.69, "end": 3069.01, "word": " بيكون", "probability": 0.8990885416666666}, {"start": 3069.01, "end": 3069.35, "word": " ستة", "probability": 0.8352864583333334}, {"start": 3069.35, "end": 3069.39, "word": " ع", "probability": 0.64111328125}, {"start": 3069.39, "end": 3069.81, "word": " ستة", "probability": 0.9563802083333334}], "temperature": 1.0}, {"id": 116, "seek": 309403, "start": 3075.77, "end": 3094.03, "text": "100 and 1000 suite test طبعا هذا فحص بسيط جدا و معظم العيادات عندنا هان بيستخدموه لكن ده انه بدك تعرفيه ان هذا الفحص فقط بيشير ان ال visual acuity للمريض 6 على 24 او اقل", "tokens": [6879, 293, 9714, 14205, 1500, 23032, 3555, 3615, 995, 23758, 6156, 5016, 9381, 4724, 3794, 1829, 9566, 10874, 28259, 4032, 20449, 19913, 2304, 18863, 1829, 18513, 9307, 43242, 8315, 8032, 7649, 4724, 1829, 14851, 9778, 40448, 2407, 3224, 44381, 11778, 3224, 16472, 3224, 47525, 4117, 37279, 28480, 1829, 3224, 16472, 23758, 27188, 5016, 9381, 6156, 47432, 4724, 1829, 8592, 13546, 16472, 2423, 5056, 696, 21757, 5296, 19528, 16572, 11242, 1386, 15844, 4022, 1975, 2407, 1975, 4587, 1211], "avg_logprob": -0.16877003816457894, "compression_ratio": 1.446236559139785, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 3075.77, "end": 3076.69, "word": "100", "probability": 0.373291015625}, {"start": 3076.69, "end": 3077.37, "word": " and", "probability": 0.79248046875}, {"start": 3077.37, "end": 3078.11, "word": " 1000", "probability": 0.626953125}, {"start": 3078.11, "end": 3078.73, "word": " suite", "probability": 0.341552734375}, {"start": 3078.73, "end": 3079.17, "word": " test", "probability": 0.6103515625}, {"start": 3079.17, "end": 3079.63, "word": " طبعا", "probability": 0.9429931640625}, {"start": 3079.63, "end": 3079.87, "word": " هذا", "probability": 0.90771484375}, {"start": 3079.87, "end": 3080.35, "word": " فحص", "probability": 0.9664713541666666}, {"start": 3080.35, "end": 3080.85, "word": " بسيط", "probability": 0.9935302734375}, {"start": 3080.85, "end": 3081.23, "word": " جدا", "probability": 0.994140625}, {"start": 3081.23, "end": 3081.95, "word": " و", "probability": 0.931640625}, {"start": 3081.95, "end": 3082.33, "word": " معظم", "probability": 0.9866536458333334}, {"start": 3082.33, "end": 3082.87, "word": " العيادات", "probability": 0.949462890625}, {"start": 3082.87, "end": 3083.25, "word": " عندنا", "probability": 0.689208984375}, {"start": 3083.25, "end": 3083.37, "word": " هان", "probability": 0.4515380859375}, {"start": 3083.37, "end": 3084.59, "word": " بيستخدموه", "probability": 0.8927873883928571}, {"start": 3084.59, "end": 3085.03, "word": " لكن", "probability": 0.67919921875}, {"start": 3085.03, "end": 3085.53, "word": " ده", "probability": 0.782958984375}, {"start": 3085.53, "end": 3085.85, "word": " انه", "probability": 0.70361328125}, {"start": 3085.85, "end": 3086.13, "word": " بدك", "probability": 0.895263671875}, {"start": 3086.13, "end": 3086.83, "word": " تعرفيه", "probability": 0.8255615234375}, {"start": 3086.83, "end": 3086.97, "word": " ان", "probability": 0.6884765625}, {"start": 3086.97, "end": 3087.31, "word": " هذا", "probability": 0.87060546875}, {"start": 3087.31, "end": 3088.23, "word": " الفحص", "probability": 0.9694010416666666}, {"start": 3088.23, "end": 3088.79, "word": " فقط", "probability": 0.99365234375}, {"start": 3088.79, "end": 3089.73, "word": " بيشير", "probability": 0.9844970703125}, {"start": 3089.73, "end": 3090.15, "word": " ان", "probability": 0.85009765625}, {"start": 3090.15, "end": 3090.31, "word": " ال", "probability": 0.81298828125}, {"start": 3090.31, "end": 3090.59, "word": " visual", "probability": 0.92529296875}, {"start": 3090.59, "end": 3091.17, "word": " acuity", "probability": 0.81103515625}, {"start": 3091.17, "end": 3091.83, "word": " للمريض", "probability": 0.9222412109375}, {"start": 3091.83, "end": 3092.63, "word": " 6", "probability": 0.90625}, {"start": 3092.63, "end": 3092.83, "word": " على", "probability": 0.45654296875}, {"start": 3092.83, "end": 3093.29, "word": " 24", "probability": 0.986328125}, {"start": 3093.29, "end": 3093.67, "word": " او", "probability": 0.918212890625}, {"start": 3093.67, "end": 3094.03, "word": " اقل", "probability": 0.9593098958333334}], "temperature": 1.0}, {"id": 117, "seek": 312043, "start": 3099.51, "end": 3120.43, "text": "وشيء لازم هدول الحبات الحلو زي ما هي موجودة في الصورة أنه يكونوا مختلفة الألوان، يعني أبيض، أحمر، أزرق، أنه مايكونوش متساوين في اللون، مختلفين الألوان و أشوف أنه مثلا أغطي العين الشمال للمريض", "tokens": [2407, 8592, 1829, 38207, 5296, 31377, 2304, 8032, 3215, 12610, 21542, 3555, 9307, 21542, 1211, 2407, 30767, 1829, 19446, 39896, 3714, 29245, 23328, 3660, 8978, 31767, 13063, 3660, 14739, 3224, 7251, 30544, 14407, 3714, 46456, 46538, 3660, 16247, 1211, 2407, 7649, 12399, 37495, 22653, 5551, 21292, 11242, 12399, 5551, 5016, 29973, 12399, 5551, 11622, 2288, 4587, 12399, 14739, 3224, 19446, 1829, 30544, 2407, 8592, 44650, 3794, 995, 2407, 9957, 8978, 13672, 11536, 12399, 3714, 46456, 46538, 9957, 16247, 1211, 2407, 7649, 4032, 5551, 8592, 38688, 14739, 3224, 50113, 15040, 5551, 17082, 9566, 1829, 18863, 9957, 25124, 2304, 6027, 5296, 19528, 16572, 11242], "avg_logprob": -0.1226486676526301, "compression_ratio": 1.8763440860215055, "no_speech_prob": 2.1457672119140625e-06, "words": [{"start": 3099.51, "end": 3099.99, "word": "وشيء", "probability": 0.57769775390625}, {"start": 3099.99, "end": 3100.37, "word": " لازم", "probability": 0.9573567708333334}, {"start": 3100.37, "end": 3100.85, "word": " هدول", "probability": 0.9358723958333334}, {"start": 3100.85, "end": 3101.93, "word": " الحبات", "probability": 0.8850911458333334}, {"start": 3101.93, "end": 3102.79, "word": " الحلو", "probability": 0.97216796875}, {"start": 3102.79, "end": 3103.37, "word": " زي", "probability": 0.812744140625}, {"start": 3103.37, "end": 3103.45, "word": " ما", "probability": 0.9521484375}, {"start": 3103.45, "end": 3103.67, "word": " هي", "probability": 0.83544921875}, {"start": 3103.67, "end": 3104.25, "word": " موجودة", "probability": 0.9892578125}, {"start": 3104.25, "end": 3104.37, "word": " في", "probability": 0.93994140625}, {"start": 3104.37, "end": 3105.19, "word": " الصورة", "probability": 0.9873046875}, {"start": 3105.19, "end": 3105.49, "word": " أنه", "probability": 0.53662109375}, {"start": 3105.49, "end": 3105.85, "word": " يكونوا", "probability": 0.9811197916666666}, {"start": 3105.85, "end": 3106.61, "word": " مختلفة", "probability": 0.99267578125}, {"start": 3106.61, "end": 3107.55, "word": " الألوان،", "probability": 0.8912109375}, {"start": 3107.55, "end": 3107.81, "word": " يعني", "probability": 0.9375}, {"start": 3107.81, "end": 3108.59, "word": " أبيض،", "probability": 0.8896484375}, {"start": 3108.59, "end": 3109.65, "word": " أحمر،", "probability": 0.953857421875}, {"start": 3109.65, "end": 3110.29, "word": " أزرق،", "probability": 0.946484375}, {"start": 3110.29, "end": 3110.47, "word": " أنه", "probability": 0.85107421875}, {"start": 3110.47, "end": 3111.05, "word": " مايكونوش", "probability": 0.949609375}, {"start": 3111.05, "end": 3111.91, "word": " متساوين", "probability": 0.90283203125}, {"start": 3111.91, "end": 3112.17, "word": " في", "probability": 0.97998046875}, {"start": 3112.17, "end": 3113.01, "word": " اللون،", "probability": 0.9319661458333334}, {"start": 3113.01, "end": 3113.71, "word": " مختلفين", "probability": 0.9876708984375}, {"start": 3113.71, "end": 3114.53, "word": " الألوان", "probability": 0.986328125}, {"start": 3114.53, "end": 3116.63, "word": " و", "probability": 0.29052734375}, {"start": 3116.63, "end": 3117.33, "word": " أشوف", "probability": 0.8968098958333334}, {"start": 3117.33, "end": 3117.71, "word": " أنه", "probability": 0.846435546875}, {"start": 3117.71, "end": 3118.31, "word": " مثلا", "probability": 0.938720703125}, {"start": 3118.31, "end": 3118.81, "word": " أغطي", "probability": 0.9312744140625}, {"start": 3118.81, "end": 3119.11, "word": " العين", "probability": 0.978515625}, {"start": 3119.11, "end": 3119.81, "word": " الشمال", "probability": 0.8468424479166666}, {"start": 3119.81, "end": 3120.43, "word": " للمريض", "probability": 0.9293212890625}], "temperature": 1.0}, {"id": 118, "seek": 314243, "start": 3121.23, "end": 3142.43, "text": "و اخلى المريض ايش انه .. او الطفل انه يلقط هذه ال .. هذه ال sweet test او ال sweet هذه الحلوية طيب لو لجيت مثلا الطفل بدور على هذه الحلوة، هو عارف انه في كفة، لكن لو لجيته مثلا اجى و بدور عليها", "tokens": [2407, 1975, 9778, 23942, 9673, 16572, 11242, 1975, 1829, 8592, 16472, 3224, 4386, 1975, 2407, 41950, 5172, 1211, 16472, 3224, 7251, 1211, 47432, 29538, 2423, 4386, 29538, 2423, 3844, 1500, 1975, 2407, 2423, 3844, 29538, 21542, 1211, 2407, 10632, 23032, 1829, 3555, 45164, 5296, 7435, 36081, 50113, 15040, 41950, 5172, 1211, 47525, 13063, 15844, 29538, 21542, 1211, 2407, 3660, 12399, 31439, 6225, 9640, 5172, 16472, 3224, 8978, 9122, 5172, 3660, 12399, 44381, 45164, 5296, 7435, 36081, 3224, 50113, 15040, 1975, 7435, 7578, 4032, 47525, 13063, 25894, 11296], "avg_logprob": -0.152965200048956, "compression_ratio": 1.9345238095238095, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 3121.23, "end": 3121.53, "word": "و", "probability": 0.9814453125}, {"start": 3121.53, "end": 3122.23, "word": " اخلى", "probability": 0.6053059895833334}, {"start": 3122.23, "end": 3122.91, "word": " المريض", "probability": 0.97998046875}, {"start": 3122.91, "end": 3123.27, "word": " ايش", "probability": 0.8684895833333334}, {"start": 3123.27, "end": 3124.09, "word": " انه", "probability": 0.6361083984375}, {"start": 3124.09, "end": 3124.19, "word": " ..", "probability": 0.64794921875}, {"start": 3124.19, "end": 3124.33, "word": " او", "probability": 0.930419921875}, {"start": 3124.33, "end": 3124.83, "word": " الطفل", "probability": 0.9894205729166666}, {"start": 3124.83, "end": 3125.29, "word": " انه", "probability": 0.923583984375}, {"start": 3125.29, "end": 3125.69, "word": " يلقط", "probability": 0.9606119791666666}, {"start": 3125.69, "end": 3126.07, "word": " هذه", "probability": 0.357666015625}, {"start": 3126.07, "end": 3126.75, "word": " ال", "probability": 0.9736328125}, {"start": 3126.75, "end": 3127.41, "word": " ..", "probability": 0.96875}, {"start": 3127.41, "end": 3128.27, "word": " هذه", "probability": 0.6474609375}, {"start": 3128.27, "end": 3128.59, "word": " ال", "probability": 0.96728515625}, {"start": 3128.59, "end": 3128.93, "word": " sweet", "probability": 0.76416015625}, {"start": 3128.93, "end": 3129.33, "word": " test", "probability": 0.916015625}, {"start": 3129.33, "end": 3130.03, "word": " او", "probability": 0.802001953125}, {"start": 3130.03, "end": 3130.15, "word": " ال", "probability": 0.953125}, {"start": 3130.15, "end": 3130.45, "word": " sweet", "probability": 0.802734375}, {"start": 3130.45, "end": 3130.71, "word": " هذه", "probability": 0.5}, {"start": 3130.71, "end": 3131.31, "word": " الحلوية", "probability": 0.9814453125}, {"start": 3131.31, "end": 3132.83, "word": " طيب", "probability": 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3232.08, "end": 3232.38, "word": " يكونوا", "probability": 0.9890950520833334}, {"start": 3232.38, "end": 3233.14, "word": " مختلفين", "probability": 0.9937744140625}, {"start": 3233.14, "end": 3234.58, "word": " أيضا", "probability": 0.8212890625}, {"start": 3234.58, "end": 3234.9, "word": " أنه", "probability": 0.734619140625}, {"start": 3234.9, "end": 3235.0, "word": " ال", "probability": 0.98046875}, {"start": 3235.0, "end": 3235.3, "word": " sweet", "probability": 0.87841796875}, {"start": 3235.3, "end": 3235.72, "word": " test", "probability": 0.94287109375}, {"start": 3235.72, "end": 3236.3, "word": " مايكونش", "probability": 0.83837890625}, {"start": 3236.3, "end": 3236.42, "word": " في", "probability": 0.93994140625}, {"start": 3236.42, "end": 3236.84, "word": " منطقة", "probability": 0.9638671875}, {"start": 3236.84, "end": 3237.3, "word": " واحدة", "probability": 0.9034830729166666}], "temperature": 1.0}, {"id": 123, "seek": 326378, "start": 3258.08, "end": 3263.78, "text": "بالنسبة لـ hundred and thousand sweet test", "tokens": [3555, 6027, 1863, 35457, 3660, 5296, 39184, 3262, 293, 4714, 3844, 1500], "avg_logprob": -0.5667067491091214, "compression_ratio": 0.8947368421052632, "no_speech_prob": 3.3974647521972656e-06, "words": [{"start": 3258.08, "end": 3259.16, "word": "بالنسبة", "probability": 0.67142333984375}, {"start": 3259.16, "end": 3259.86, "word": " لـ", "probability": 0.490966796875}, {"start": 3259.86, "end": 3261.86, "word": " hundred", "probability": 0.49560546875}, {"start": 3261.86, "end": 3262.3, "word": " and", "probability": 0.91796875}, {"start": 3262.3, "end": 3262.74, "word": " thousand", "probability": 0.88525390625}, {"start": 3262.74, "end": 3263.28, "word": " sweet", "probability": 0.619140625}, {"start": 3263.28, "end": 3263.78, "word": " test", "probability": 0.67041015625}], "temperature": 1.0}, {"id": 124, "seek": 328588, "start": 3264.72, "end": 3285.88, "text": "طبعا هيك بنكون اليوم اكتفينا في ال visual acuity test in pre verbal children في المحاضرة القادمة ان شاء الله هنكمل ال test بتاعون ال visual acuity in pre verbal children اي سؤال اي استفسار شكرا يعطيكم العافية", "tokens": [9566, 3555, 3615, 995, 39896, 4117, 44945, 30544, 45595, 20498, 1975, 4117, 2655, 5172, 9957, 995, 8978, 2423, 5056, 696, 21757, 1500, 294, 659, 24781, 2227, 8978, 9673, 5016, 46958, 25720, 25062, 18513, 46007, 16472, 13412, 16606, 21984, 8032, 1863, 24793, 1211, 2423, 1500, 39894, 45761, 11536, 2423, 5056, 696, 21757, 294, 659, 24781, 2227, 1975, 1829, 8608, 33604, 6027, 1975, 1829, 44713, 36178, 9640, 13412, 4117, 23557, 37495, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.15049342458185397, "compression_ratio": 1.6524064171122994, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 3264.72, "end": 3265.08, "word": "طبعا", "probability": 0.97216796875}, {"start": 3265.08, "end": 3265.38, "word": " هيك", "probability": 0.95556640625}, {"start": 3265.38, "end": 3265.88, "word": " بنكون", "probability": 0.93212890625}, {"start": 3265.88, "end": 3266.5, "word": " اليوم", "probability": 0.779296875}, {"start": 3266.5, "end": 3267.5, "word": " اكتفينا", "probability": 0.786376953125}, {"start": 3267.5, "end": 3267.88, "word": " في", "probability": 0.8427734375}, {"start": 3267.88, "end": 3268.92, "word": " ال", "probability": 0.97265625}, {"start": 3268.92, "end": 3269.42, "word": " visual", "probability": 0.93701171875}, {"start": 3269.42, "end": 3270.04, "word": " acuity", "probability": 0.908935546875}, {"start": 3270.04, "end": 3270.54, "word": " test", "probability": 0.9072265625}, {"start": 3270.54, "end": 3270.8, "word": " in", "probability": 0.96484375}, {"start": 3270.8, "end": 3271.1, "word": " pre", "probability": 0.7314453125}, {"start": 3271.1, "end": 3271.44, "word": " verbal", "probability": 0.6328125}, {"start": 3271.44, "end": 3272.24, "word": " children", "probability": 0.9150390625}, {"start": 3272.24, "end": 3273.18, "word": " في", "probability": 0.6640625}, {"start": 3273.18, "end": 3273.68, "word": " المحاضرة", "probability": 0.9932861328125}, {"start": 3273.68, "end": 3274.12, "word": " القادمة", "probability": 0.9905598958333334}, {"start": 3274.12, "end": 3274.26, "word": " ان", "probability": 0.80615234375}, {"start": 3274.26, "end": 3274.46, "word": " شاء", "probability": 0.978759765625}, {"start": 3274.46, "end": 3274.68, "word": " الله", "probability": 0.96240234375}, {"start": 3274.68, "end": 3275.8, "word": " هنكمل", "probability": 0.9454345703125}, {"start": 3275.8, "end": 3277.12, "word": " ال", "probability": 0.498046875}, {"start": 3277.12, "end": 3277.32, "word": " test", "probability": 0.927734375}, {"start": 3277.32, "end": 3277.98, "word": " بتاعون", "probability": 0.7637532552083334}, {"start": 3277.98, "end": 3278.5, "word": " ال", "probability": 0.8671875}, {"start": 3278.5, "end": 3278.76, "word": " visual", "probability": 0.99267578125}, {"start": 3278.76, "end": 3279.32, "word": " acuity", "probability": 0.96630859375}, {"start": 3279.32, "end": 3279.54, "word": " in", "probability": 0.96923828125}, {"start": 3279.54, "end": 3279.82, "word": " pre", "probability": 0.96337890625}, {"start": 3279.82, "end": 3280.1, "word": " verbal", "probability": 0.7685546875}, {"start": 3280.1, "end": 3280.86, "word": " children", "probability": 0.87353515625}, {"start": 3280.86, "end": 3281.52, "word": " اي", "probability": 0.57415771484375}, {"start": 3281.52, "end": 3281.9, "word": " سؤال", "probability": 0.99560546875}, {"start": 3281.9, "end": 3282.12, "word": " اي", "probability": 0.92041015625}, {"start": 3282.12, "end": 3282.76, "word": " استفسار", "probability": 0.97265625}, {"start": 3282.76, "end": 3285.06, "word": " شكرا", "probability": 0.6886393229166666}, {"start": 3285.06, "end": 3285.44, "word": " يعطيكم", "probability": 0.9088134765625}, {"start": 3285.44, "end": 3285.88, "word": " العافية", "probability": 0.8968098958333334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3286.157625, "duration_after_vad": 2899.6156249999854}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..91804a7ff566ebe0d4e693578de3e5415674d551
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/3nXmI7_Zb7Q_raw.srt
@@ -0,0 +1,2312 @@
+1
+00:00:20,770 --> 00:00:23,850
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:23,850 --> 00:00:29,910
+الله و بركاته في المحاضرة السابقة تناولنا موضوع
+
+3
+00:00:29,910 --> 00:00:37,690
+أنواع العدسات أنهينا من موضوع العدسات ال spherical
+
+4
+00:00:37,690 --> 00:00:40,850
+lenses العدسات الكراوية
+
+5
+00:00:45,140 --> 00:00:51,120
+in general بالنسبة للعدسات وبعدين هنتطلق لموضوع ال
+
+6
+00:00:51,120 --> 00:00:55,380
+cylindrical lenses العدسات الأسطوانية و ال sphero
+
+7
+00:00:55,380 --> 00:01:01,100
+cylindrical lenses اللي هي التوريك لينزز بداية ال
+
+8
+00:01:01,100 --> 00:01:06,580
+type of lenses أنواع العدسات lenses may be سفير زي
+
+9
+00:01:06,580 --> 00:01:11,160
+ما اتفقنا أن العدسة أو العدسات ممكن أن تكون كراوية
+
+10
+00:01:12,370 --> 00:01:17,730
+cylinders استوانية أو sphero cylinders sphero
+
+11
+00:01:17,730 --> 00:01:22,450
+cylinders شو معناها؟ انه turret lenses ال turret
+
+12
+00:01:22,450 --> 00:01:27,670
+lenses combination of the sphere and cylinder lens
+
+13
+00:01:27,670 --> 00:01:32,490
+بالظبط لو مثلا انا عند استوانة واخدت من الاستوانة
+
+14
+00:01:32,490 --> 00:01:36,910
+انه قطعة هذه القطعة هي بنسميها ال sphero cylinder
+
+15
+00:01:36,910 --> 00:01:38,250
+واضح؟
+
+16
+00:01:48,620 --> 00:01:54,160
+العدسة الكراوية بتكون القوة في جميع اتجاهاتها
+
+17
+00:01:54,160 --> 00:02:00,260
+متساوية يعني كل الاتجاهات مابكونش لها access يعني
+
+18
+00:02:00,260 --> 00:02:09,230
+بالشكل هذا ان لو فرضنا قوة العدسة plus twoهذه بفهم
+
+19
+00:02:09,230 --> 00:02:12,910
+أن العدسة كلها تمنجميع المحاور هي plus two أو
+
+20
+00:02:12,910 --> 00:02:17,750
+minus three واضح؟
+
+21
+00:02:17,750 --> 00:02:21,950
+convex spherical lenses converge light rays and
+
+22
+00:02:21,950 --> 00:02:27,050
+are called plus lenses العدسات الموجبة بتعمل على
+
+23
+00:02:27,050 --> 00:02:28,430
+تجميع الأشعة
+
+24
+00:02:35,300 --> 00:02:40,620
+العدسات السالبة بتعمل على تفريق الأشعة و بنديها
+
+25
+00:02:40,620 --> 00:02:42,080
+الإشارة A الـ minus
+
+26
+00:02:54,890 --> 00:03:01,130
+دايما النقطة البقارية للعدسة الموجبة بتكون أمام
+
+27
+00:03:01,130 --> 00:03:06,390
+العدسة طبعا الأشعة هتكون إيش؟ convergence اتطالعة
+
+28
+00:03:06,390 --> 00:03:13,310
+من العدسة و هتعمل على تشكيل الصورة يعني لو فرضنا
+
+29
+00:03:13,310 --> 00:03:18,550
+هي مثلا عدسة plus واضح الصورة اللي هتكون
+
+30
+00:03:23,040 --> 00:03:31,920
+أي شمالها اللى هى Convergent هتكون
+
+31
+00:03:31,920 --> 00:03:39,120
+ال rails متجمعة The focal point of a minus lens is
+
+32
+00:03:39,120 --> 00:03:41,200
+the point which parallel lies
+
+33
+00:03:45,280 --> 00:03:50,000
+إن الأشعة اللي بتكون خارجا من العدسة السالبة هتكون
+
+34
+00:03:50,000 --> 00:03:55,520
+متفرقة وبعطيها الإشارة السالبة In the case of
+
+35
+00:03:55,520 --> 00:04:01,700
+convex or concave plus or minus lenses using the
+
+36
+00:04:01,700 --> 00:04:06,780
+mathematical formula D equal one over F طبعا ال D
+
+37
+00:04:06,780 --> 00:04:10,100
+يكون الديوبتريك power أو ال virgins power ال F
+
+38
+00:04:10,100 --> 00:04:14,520
+الفوكر length in millimeterيعني انا لو مثلا جيب
+
+39
+00:04:14,520 --> 00:04:19,200
+السؤال in the case of convicts or concave lenses
+
+40
+00:04:19,200 --> 00:04:22,880
+using the mathematical formula D equal one over F
+
+41
+00:04:22,880 --> 00:04:26,100
+true or false؟ true لإن اللي هو ال lenses هي ال
+
+42
+00:04:26,100 --> 00:04:35,840
+concave انه in the case of plus or minus okay okay
+
+43
+00:04:35,840 --> 00:04:44,310
+cylindrical lenses العدسات الإسبانيةhave virgin's
+
+44
+00:04:44,310 --> 00:04:49,970
+power in only one meridian دايما بتحتوي قوة فقط في
+
+45
+00:04:49,970 --> 00:04:55,730
+محور واحد واضح؟ دايما العدسات الاستوانية القوة
+
+46
+00:04:55,730 --> 00:04:58,950
+بتاعتها بتكون على محور واحد that is perpendicular
+
+47
+00:04:58,950 --> 00:05:02,830
+to the axis of the cylinder وهذا بيكون عمودي على
+
+48
+00:05:02,830 --> 00:05:07,110
+مين؟ على ال axis يعني دايما قوة في العدسة
+
+49
+00:05:07,110 --> 00:05:10,090
+الاستوانية بتكون عمودي على مين؟
+
+50
+00:05:14,130 --> 00:05:19,250
+هي عدسة سلندر في عندنا ال plano و في عندنا ال
+
+51
+00:05:19,250 --> 00:05:23,390
+minus three دايما القوة بتكون عمودية عمين على ال
+
+52
+00:05:23,390 --> 00:05:31,670
+axis they
+
+53
+00:05:31,670 --> 00:05:35,210
+have no power in the meridian parallel to the axis
+
+54
+00:05:36,300 --> 00:05:40,980
+these lenses focus light rays to a line، دايما هذه
+
+55
+00:05:40,980 --> 00:05:47,320
+العدسات بتجمع الضوء إيه؟ في خط واحد، لكن في ال
+
+56
+00:05:47,320 --> 00:05:51,100
+spherical lens، الضوء بتجمع في إيش؟ في نقطة، في
+
+57
+00:05:51,100 --> 00:05:55,500
+point، لكن في ال cylindrical lenses، الأشعة بتتجمع
+
+58
+00:05:55,500 --> 00:06:01,830
+إيش؟ في خط واحد، في line، واضح؟Spherical and
+
+59
+00:06:01,830 --> 00:06:05,890
+cylindrical lenses can be combined in one lens to
+
+60
+00:06:05,890 --> 00:06:10,450
+form a spherocylindrical lens also known as
+
+61
+00:06:10,450 --> 00:06:15,070
+compound lens or toric lens دايما ال toric lens
+
+62
+00:06:15,070 --> 00:06:23,790
+بتتكون من combination لالسفير plus two مثلا زائد
+
+63
+00:06:23,790 --> 00:06:25,350
+السلندر
+
+64
+00:06:30,760 --> 00:06:35,800
+و minus مثلا ال three فبتكون ال spherical cylinder
+
+65
+00:06:35,800 --> 00:06:40,280
+minus one plus
+
+66
+00:06:40,280 --> 00:06:42,120
+two واضح؟
+
+67
+00:06:44,270 --> 00:06:50,150
+هذه اللصوص تركز على عدسة الوضع في خطة فكاية دائما
+
+68
+00:06:50,150 --> 00:06:54,190
+العدسة الاسفيرو سيلندر او التورك لينز بيكون لها
+
+69
+00:06:54,190 --> 00:06:59,830
+اتو فكاية خطة لكن العدسة الاسفيريكال بيكون لها
+
+70
+00:06:59,830 --> 00:07:09,250
+واحد نقطة فوكالة حسنا شكل العضلات التي تركز على
+
+71
+00:07:09,250 --> 00:07:10,590
+عدسة الوضع في خطة سفيرو سيلندر
+
+72
+00:07:17,120 --> 00:07:22,820
+اللي بتتركز بواسطة العدسة الـ Spherocylindrical أو
+
+73
+00:07:22,820 --> 00:07:26,200
+الـ Torque Lens بنسميها الـ Strum of Cunoid أو
+
+74
+00:07:26,200 --> 00:07:32,360
+Cunoid of Strum شو تعريف الـ Cunoid of Strum؟ بدنا
+
+75
+00:07:32,360 --> 00:07:41,100
+نفهم أول حاجة الـ Cunoid of Strum كيف بتشكل بداية
+
+76
+00:07:41,100 --> 00:07:42,120
+هذه عندى مثلا
+
+77
+00:07:47,640 --> 00:07:52,980
+Horizontal وعنا Vertical الأشعة دايما بتكون ايش؟
+
+78
+00:07:52,980 --> 00:07:59,480
+Divergent واضح؟
+
+79
+00:07:59,480 --> 00:08:02,860
+ال
+
+80
+00:08:02,860 --> 00:08:07,580
+strum of conoid ان الأشعة بتاعة ال horizontal rays
+
+81
+00:08:07,580 --> 00:08:12,300
+و ال vertical rays بتكون ايه؟ Divergent و بتكون
+
+82
+00:08:12,300 --> 00:08:19,100
+متساوية هذا كمفهوم ل strum of conoidلأ انه بتكون
+
+83
+00:08:19,100 --> 00:08:25,200
+ال divergence يعني قيمة التشتت بتاعها متساوية okay
+
+84
+00:08:25,200 --> 00:08:33,140
+ال strum of
+
+85
+00:08:33,140 --> 00:08:37,940
+conoid او conoid of strum
+
+86
+00:08:55,000 --> 00:09:01,000
+rays of the
+
+87
+00:09:01,000 --> 00:09:07,700
+horizontal and
+
+88
+00:09:07,700 --> 00:09:11,440
+vertical
+
+89
+00:09:11,440 --> 00:09:15,080
+as
+
+90
+00:09:15,080 --> 00:09:22,880
+wellإنه بتكون الأشعة السواق العمودية أو الأشعة
+
+91
+00:09:22,880 --> 00:09:28,560
+الأفقية متفارقة و بيكونوا متساويين في اللي هي
+
+92
+00:09:28,560 --> 00:09:33,720
+التشتتت بتاعهم واضح؟ هذا كمفهوم ال strum of conoid
+
+93
+00:09:33,720 --> 00:09:37,760
+طبعا هذا وين بتكون ال strum of conoid؟ في العدسة
+
+94
+00:09:37,760 --> 00:09:40,860
+اللي بتكون toric lens ال سفير و ال cylinder lens
+
+95
+00:09:40,860 --> 00:09:44,340
+اللي هي combination of the sphere and cylindrical
+
+96
+00:09:44,340 --> 00:09:49,130
+lensإن اتحاد ما بين العدسة الكراوية و العدسة
+
+97
+00:09:49,130 --> 00:09:55,690
+الاسطوانية okay
+
+98
+00:09:55,690 --> 00:10:00,730
+the shape of the light rays as they are focused by
+
+99
+00:10:00,730 --> 00:10:04,650
+the spherocylindrical lens is called the conoid of
+
+100
+00:10:04,650 --> 00:10:05,290
+strum or
+
+101
+00:10:16,140 --> 00:10:20,540
+الان الأشعة المتفرقة من ال vertical و ال
+
+102
+00:10:20,540 --> 00:10:26,120
+horizontal ray هذا بيكوّللي حاجة هان بنسميها ال
+
+103
+00:10:26,120 --> 00:10:32,860
+circle of least
+
+104
+00:10:32,860 --> 00:10:36,020
+confusion
+
+105
+00:10:41,280 --> 00:10:45,720
+طبعا أكيد سمعتوا في العدسة ال cross-cylinder ال
+
+106
+00:10:45,720 --> 00:10:50,620
+cross-cylinder ال basic بتاعها بتعتمد على ال
+
+107
+00:10:50,620 --> 00:10:56,120
+circle of least confusion طبعا العدسة ال cross
+
+108
+00:10:56,120 --> 00:11:00,880
+-cylinder هي combination ما بين ال sphere و ال
+
+109
+00:11:00,880 --> 00:11:05,470
+cylinder lensال principle تاعها المبدأ تاعها انه
+
+110
+00:11:05,470 --> 00:11:08,970
+بيعتمد على مين؟ على ال circle of least confusion
+
+111
+00:11:08,970 --> 00:11:13,730
+ال circle of least confusion انه بيكون ال
+
+112
+00:11:13,730 --> 00:11:19,990
+divergent ray ل ال horizontal مساوي ل ال
+
+113
+00:11:19,990 --> 00:11:24,670
+convergent ray ل ال verticalفحتى بتلاحظ أن أفضل
+
+114
+00:11:24,670 --> 00:11:29,730
+صورة يعني بيكون the best image أنه أفضل صورة من
+
+115
+00:11:29,730 --> 00:11:36,430
+خلال ال circle of least confusion واضح؟ يعني الآن
+
+116
+00:11:36,430 --> 00:11:41,870
+الأشعة كلها متفارقة هذه بنسميها إيش ال scrum of
+
+117
+00:11:41,870 --> 00:11:47,850
+conoid الآن بينتج عندي حاجة بنسميها ال circle of
+
+118
+00:11:47,850 --> 00:11:51,800
+least confusionالcircle of least confusion إيش
+
+119
+00:11:51,800 --> 00:11:56,820
+بصير إنه الأشعة هذه ال divergence trait بتاعة ال
+
+120
+00:11:56,820 --> 00:12:00,040
+vertical و ال convergent trait بتاعة ال horizontal
+
+121
+00:12:00,040 --> 00:12:03,080
+بكونوا exactly equal متساويين
+
+122
+00:12:06,210 --> 00:12:10,250
+ما هي عبارة عن combination انه اتحاد ما بين عدستين
+
+123
+00:12:10,250 --> 00:12:15,950
+واحدة سفير واحدة سلندر واضح؟ و ال cross cylinder
+
+124
+00:12:15,950 --> 00:12:20,250
+الآن في حاجة بتسميها ال spherical equivalent ال
+
+125
+00:12:20,250 --> 00:12:26,130
+سفير plus half السلندر اللي هو القانون بتاعها ال
+
+126
+00:12:26,130 --> 00:12:34,050
+spherical equivalent عندنا
+
+127
+00:12:34,050 --> 00:12:43,270
+السفيرplus half السليندر من خلالها بينتج عندي
+
+128
+00:12:43,270 --> 00:12:51,030
+مفهوم لcircle of least confusion واضح؟ يعني الآن
+
+129
+00:12:51,030 --> 00:12:58,590
+العدسة التوريك لينز فيه لها two foci line او two
+
+130
+00:12:58,590 --> 00:13:02,910
+foci point متفاجئين ع هيك؟ شو معناته؟ يعني الآن
+
+131
+00:13:02,910 --> 00:13:05,330
+العدسة اللي بتكون السفير
+
+132
+00:13:12,820 --> 00:13:17,960
+أو بتكون اللي هو نقطتين زي هيك واضح؟ الآن هذه
+
+133
+00:13:17,960 --> 00:13:21,520
+الأشعة كلها إيه شمالها؟ divergence يعني كلها
+
+134
+00:13:21,520 --> 00:13:26,220
+متفارقة سواء لل vertical أو ال horizontal ray فهذا
+
+135
+00:13:26,220 --> 00:13:31,060
+بنتج مفهوم إيش؟ ال strum of conoid ال strum of
+
+136
+00:13:31,060 --> 00:13:35,100
+conoid بينتج دي حاجة بنسميها ال circle of least
+
+137
+00:13:35,100 --> 00:13:37,860
+confusion شو هو تعريف ال circle of least
+
+138
+00:13:37,860 --> 00:13:44,780
+confusion؟ إنه الأشعةالمتشتتة من المحور الأفقي
+
+139
+00:13:44,780 --> 00:13:50,420
+والأشعة المتجمعة من المحور العمودي كلها هتكون
+
+140
+00:13:50,420 --> 00:13:56,780
+متساوية واضح ان كلها بتكون are exactly equal يعني
+
+141
+00:13:56,780 --> 00:14:06,620
+كلها بتكون هذه الأشعة متساوية واضح ولا كذا؟
+
+142
+00:14:16,950 --> 00:14:24,110
+الcircle of least
+
+143
+00:14:24,110 --> 00:14:33,750
+confusion
+
+144
+00:14:47,200 --> 00:14:53,320
+divergent of the
+
+145
+00:14:53,320 --> 00:14:59,780
+vertical and
+
+146
+00:14:59,780 --> 00:15:03,620
+horizontal
+
+147
+00:15:03,620 --> 00:15:10,080
+rays
+
+148
+00:15:10,080 --> 00:15:12,520
+are
+
+149
+00:15:17,900 --> 00:15:26,900
+exactly equal مفهوم بصير جدا الان ال focal point
+
+150
+00:15:26,900 --> 00:15:32,920
+في أي عدسة ال spherical بيكون عبارة عن نقطةلكن في
+
+151
+00:15:32,920 --> 00:15:38,360
+العدسة السيلندر بيكون عبارة عن two foci point او
+
+152
+00:15:38,360 --> 00:15:42,020
+في العدسة التوريك لينز برضه بيكون two foci point
+
+153
+00:15:42,020 --> 00:15:46,800
+انه نقطتين ببساطة ليش؟ لأن في نقطة واحدة للاسفير
+
+154
+00:15:46,800 --> 00:15:53,180
+والاخرى بتكون لمين للسيلندر واضح؟ الآن في مفهوم
+
+155
+00:15:53,180 --> 00:15:57,920
+عنده ال strum of conoid ان كل الأشعة ايش بتكون
+
+156
+00:15:57,920 --> 00:16:01,200
+divergence سواء من ال vertical او ال horizontal
+
+157
+00:16:01,200 --> 00:16:05,520
+rateطيب هذه فيه لها ايه؟ application يعني فيه لها
+
+158
+00:16:05,520 --> 00:16:10,380
+استعمالات الاستعمال بتاعها زي في اللي هو عدسة مين
+
+159
+00:16:10,380 --> 00:16:14,860
+ال cross cylinder ال cross cylinder هي عبارة عن
+
+160
+00:16:14,860 --> 00:16:20,860
+عدسة متحدة ما بين ال sphere وال cylinder يعني it
+
+161
+00:16:20,860 --> 00:16:23,780
+is a combination of the cylinder and the sphere
+
+162
+00:16:23,780 --> 00:16:30,180
+lens واضح؟الان ال principle بتاع العدسة ال cross
+
+163
+00:16:30,180 --> 00:16:33,940
+cylinder بعتمد على مين؟ على ال circle of least
+
+164
+00:16:33,940 --> 00:16:39,620
+confusion اللي هو حكينا تعريفه ان ال divergent
+
+165
+00:16:39,620 --> 00:16:44,360
+rays من ال vertical او ال convergent ray من ال
+
+166
+00:16:44,360 --> 00:16:48,320
+horizontal كله بيكون ايش؟ are exactly equal انه
+
+167
+00:16:48,320 --> 00:16:49,240
+بيكون متساوي
+
+168
+00:16:55,840 --> 00:16:59,980
+which represent the point of the best overall
+
+169
+00:16:59,980 --> 00:17:04,360
+focus for the lens وهذا بتديني ال best image يعني
+
+170
+00:17:04,360 --> 00:17:09,520
+أفضل صورة ممكن انه لو مريض يعاني من ال stigma هذا
+
+171
+00:17:09,520 --> 00:17:21,380
+بتديني أفضل صورة ممكن ان المريض يشوفها visual
+
+172
+00:17:21,380 --> 00:17:27,400
+acuity حدة الإبصارماذا تعني في ال visual acuity؟
+
+173
+00:17:27,400 --> 00:17:37,740
+حدة الإبصار كمفهوم له أنه بيقيس ال resolving
+
+174
+00:17:37,740 --> 00:17:43,260
+capacity of the eye و القدرة على استخدام ال
+
+175
+00:17:43,260 --> 00:17:47,300
+central vision it is a measurement of the spatial
+
+176
+00:17:47,300 --> 00:17:51,800
+resolving capacity of the eye and is applied to
+
+177
+00:17:51,800 --> 00:18:02,330
+theوالقدرة على استخدام من الرؤية المركزية واضح؟
+
+178
+00:18:02,330 --> 00:18:04,550
+كتابته هذا صح؟
+
+179
+00:18:20,050 --> 00:18:28,790
+طبعا ال visual acuity اختصاره VA it
+
+180
+00:18:28,790 --> 00:18:39,470
+is a measurement of
+
+181
+00:18:39,470 --> 00:18:42,590
+spatial
+
+182
+00:18:54,610 --> 00:19:01,350
+resolving كبسة of
+
+183
+00:19:01,350 --> 00:19:08,950
+the I and
+
+184
+00:19:08,950 --> 00:19:14,150
+is
+
+185
+00:19:14,150 --> 00:19:14,750
+applied
+
+186
+00:19:27,740 --> 00:19:32,980
+to central vision
+
+187
+00:19:32,980 --> 00:19:39,520
+انه بيقيص ال special resolving capacity انه
+
+188
+00:19:39,520 --> 00:19:45,780
+capacity بمعنى سعة التمييز ما بين يعني او احنا
+
+189
+00:19:45,780 --> 00:19:50,640
+بنعرف كنا ال optotype او الحرف واضح فهو بيشوف يعني
+
+190
+00:19:50,640 --> 00:19:50,940
+وين
+
+191
+00:19:57,950 --> 00:20:04,190
+فهو بجيس ليه التشقق هذا يعني الموجود في داخل الحرف
+
+192
+00:20:04,190 --> 00:20:09,150
+أو ال broken الإنكسار الموجود it is a measurement
+
+193
+00:20:09,150 --> 00:20:13,610
+of spatial resolving capacity of the eye and is
+
+194
+00:20:13,610 --> 00:20:17,370
+applied طبعا إحنا لما نجيس ال visual acuity ما
+
+195
+00:20:17,370 --> 00:20:21,330
+بجيس ال peripheral vision بجيس أنا مين ال central
+
+196
+00:20:21,330 --> 00:20:23,470
+vision واضح؟
+
+197
+00:20:27,210 --> 00:20:32,030
+visual acuity it is the function not only of the
+
+198
+00:20:32,030 --> 00:20:36,890
+diopteric apparatus of the eye but also of the
+
+199
+00:20:36,890 --> 00:20:40,810
+retina, visual pathway and central nervous
+
+200
+00:20:40,810 --> 00:20:48,450
+mechanisms الحدة الإبصار هي ليست وظيفة أنه بس أحدد
+
+201
+00:20:48,450 --> 00:20:53,370
+من خلالها القوة البصرية للعين يعني مش مثلا أقول
+
+202
+00:20:53,370 --> 00:20:59,840
+أنه ال visual acuityللعين اليمين 6 على 9، للعين
+
+203
+00:20:59,840 --> 00:21:05,420
+الشمال 6 على 12، لأ الهدف منها كمان ايش برضه؟ انه
+
+204
+00:21:05,420 --> 00:21:12,320
+اشوف قداش قوة الشبكية يعني او صلاح اللي هو الشبكية
+
+205
+00:21:12,320 --> 00:21:16,600
+فيها من خلال مثلا ال sensitivity اللي هي حساسية
+
+206
+00:21:16,600 --> 00:21:21,600
+الشبكية او ال visual pathway، بنعرف احنا فيه ال
+
+207
+00:21:21,600 --> 00:21:21,860
+visual path
+
+208
+00:21:33,430 --> 00:21:37,270
+بقول ال visual pathway بمعنى الممرب البصري للعين
+
+209
+00:21:37,270 --> 00:21:41,990
+يعني الآن الشبكية بتصل للعين إيه شمالها؟ مجلوبة
+
+210
+00:21:41,990 --> 00:21:47,170
+صح؟ وين .. وين الصورة بتنجلب؟ في ال optic tract
+
+211
+00:21:47,170 --> 00:21:52,110
+صح؟ فالآن بعد الشبكية بعد ما الصورة تصل للشبكية
+
+212
+00:21:52,110 --> 00:21:56,050
+بتروح وين؟ على ال optic nerve اللي هو العصب البصري
+
+213
+00:22:03,420 --> 00:22:07,560
+واخر واحدة اللي هي ال visual cortex واضح؟ هذه
+
+214
+00:22:07,560 --> 00:22:12,340
+عبارة عن ال visual pathway للعين and the central
+
+215
+00:22:12,340 --> 00:22:16,980
+nervous mechanism اللي هي مركز الأعصاب بتاعت العين
+
+216
+00:22:16,980 --> 00:22:21,860
+فعنا هنا ال
+
+217
+00:22:21,860 --> 00:22:30,340
+visual pathway
+
+218
+00:22:35,420 --> 00:22:42,040
+optic nerve اللي هو العصب الثاني number
+
+219
+00:22:42,040 --> 00:22:48,880
+two عندنا ال optic كيازما
+
+220
+00:22:48,880 --> 00:22:53,540
+number
+
+221
+00:22:53,540 --> 00:23:04,180
+three optic tract number
+
+222
+00:23:04,180 --> 00:23:04,680
+four
+
+223
+00:23:08,540 --> 00:23:16,300
+optic radiation number
+
+224
+00:23:16,300 --> 00:23:23,000
+five lateral geniculate
+
+225
+00:23:23,000 --> 00:23:23,360
+body
+
+226
+00:23:41,750 --> 00:23:49,150
+number six ال visual cortex
+
+227
+00:23:49,150 --> 00:23:52,550
+هذه
+
+228
+00:23:52,550 --> 00:23:55,870
+عبارة عن ال visual با ثوية للعين okay
+
+229
+00:24:25,730 --> 00:24:29,290
+طبعا optic nerve, optic chiasma, optic tract,
+
+230
+00:24:29,430 --> 00:24:31,790
+optic radiation, lateral geniculate body and
+
+231
+00:24:31,790 --> 00:24:40,090
+visual cortex خلصته؟
+
+232
+00:24:40,090 --> 00:24:45,110
+visual acuity is determined by the smallest
+
+233
+00:24:45,110 --> 00:24:52,190
+retinal image حدة الإبصار بتحدد بواسطة الصورة اللي
+
+234
+00:24:52,190 --> 00:24:56,250
+واقع على الشبكيةthe form of which can be
+
+235
+00:24:56,250 --> 00:25:00,710
+appreciated يعني قداش هذه الصورة اللي هتشكل على
+
+236
+00:25:00,710 --> 00:25:05,530
+الشبكية كم هي بتقدر زي ما حكينا في ال refractive
+
+237
+00:25:05,530 --> 00:25:09,750
+error الأخطاء الانكسارية أن الصورة في حالة ال
+
+238
+00:25:09,750 --> 00:25:13,910
+immature يما تكون ال normal patient بتقع على
+
+239
+00:25:13,910 --> 00:25:18,730
+الشبكية في حالة الmyope بتقع أمام الشبكية و
+
+240
+00:25:18,730 --> 00:25:20,850
+الhyper mature خلف الشبكية
+
+241
+00:25:23,710 --> 00:25:27,870
+it is determined by the smallest retinal image the
+
+242
+00:25:27,870 --> 00:25:31,570
+form of which can be appreciated and it is
+
+243
+00:25:31,570 --> 00:25:34,970
+measured the smallest object which can be clearly
+
+244
+00:25:34,970 --> 00:25:42,250
+seen at a certain distance كمان بتقيس جديش الجسم
+
+245
+00:25:42,250 --> 00:25:47,690
+يعني حجم الجسم اللي بيقع على الشبكية و ممكن جديش
+
+246
+00:25:47,690 --> 00:25:52,470
+الصورة أنه بتوضح هذا الجسم يعني الآن لو فرضنا أنا
+
+247
+00:25:52,470 --> 00:26:01,470
+كنت ميوبقداش انا الشبكية هتقدر اتوضحلي الصورة على
+
+248
+00:26:01,470 --> 00:26:06,270
+الشبكية فانا بعرف قداش ال visual acuity بتاعي او
+
+249
+00:26:06,270 --> 00:26:09,770
+مثلا لو كنت hyper metroid عندي طول نظر فالشبكية
+
+250
+00:26:09,770 --> 00:26:14,190
+بتديني قداش ال visual acuity المحتمل بتاعي من خلال
+
+251
+00:26:14,190 --> 00:26:20,800
+فحص من ال visual acuity واضح الصورة؟يعني الآن لو
+
+252
+00:26:20,800 --> 00:26:25,000
+أنا normal patient in a metro الصورة وين بتقع؟ على
+
+253
+00:26:25,000 --> 00:26:26,300
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+254
+00:26:26,300 --> 00:26:26,300
+على الشبكية، على الشبكية، على الشبكية، على
+
+255
+00:26:26,300 --> 00:26:26,300
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+256
+00:26:26,300 --> 00:26:27,580
+على الشبكية، على الشبكية، على الشبكية، على
+
+257
+00:26:27,580 --> 00:26:30,780
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+258
+00:26:30,780 --> 00:26:34,640
+على الشبكية، على الشبكية، على الشبكية، على
+
+259
+00:26:34,640 --> 00:26:35,460
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+260
+00:26:35,460 --> 00:26:35,700
+على الشبكية، على الشبكية، على الشبكية، على
+
+261
+00:26:35,700 --> 00:26:37,060
+الشبكية، على الشبكية، على الشبكية، على الشبكية،
+
+262
+00:26:37,060 --> 00:26:40,560
+على الشبكية، على الشبكية،
+
+263
+00:26:41,280 --> 00:26:47,340
+طيب لو كنت انا مثلا مايوب، اذا الصورة هتقع وين؟
+
+264
+00:26:47,340 --> 00:26:51,340
+امام الشبكية، فهتوقع ان المريض عنده a blurred
+
+265
+00:26:51,340 --> 00:26:55,740
+vision far distance، اذا الصورة ماهتكونش واضحة، صح
+
+266
+00:26:55,740 --> 00:26:58,360
+ولا لأ؟ يجب ان انا اعمل اللي هو ال test بتاع ال
+
+267
+00:26:58,360 --> 00:27:01,720
+visual acuity و هكذا بالنسبة لل hyper micro
+
+268
+00:27:08,450 --> 00:27:13,550
+Importance of testing visual acuity شو أهمية قياس
+
+269
+00:27:13,550 --> 00:27:19,410
+حدة الإبصار Testing visual acuity is very
+
+270
+00:27:19,410 --> 00:27:24,670
+important in all of the cases because يعني قياس
+
+271
+00:27:24,670 --> 00:27:29,850
+حدة الإبصار مهم جدا لكل الحالات اللي احنا نذكرها
+
+272
+00:27:31,260 --> 00:27:36,580
+طبعا شو السبب أن حدة الإبصار مهمة أو قياس حدة
+
+273
+00:27:36,580 --> 00:27:41,660
+الإبصار أنه مهمة بالنسبة لل patient؟ number one it
+
+274
+00:27:41,660 --> 00:27:45,100
+gives us an accurate diagnosis for the patient
+
+275
+00:27:45,100 --> 00:27:45,640
+case
+
+276
+00:27:50,890 --> 00:27:57,830
+اللي هو تشخيص دقيق للمريض لحالة المريض وبشير إلى
+
+277
+00:27:57,830 --> 00:28:03,650
+ايه؟ إلى ال severity حدة المشكلة يعني number one
+
+278
+00:28:03,650 --> 00:28:08,910
+بتديني تشخيص دقيق accurate diagnosis عبارة عن
+
+279
+00:28:08,910 --> 00:28:15,390
+تشخيص دقيق للمريض أو حالة المريض وبشير إلى قداش ال
+
+280
+00:28:15,390 --> 00:28:20,100
+severity حدة المرضيعني من خلال يما انا اعرف ال
+
+281
+00:28:20,100 --> 00:28:23,600
+visual acuity اول حاجة بتديني accurate diagnosis
+
+282
+00:28:23,600 --> 00:28:28,860
+ان والله هذا ال patient إمتراب، هذا hypermetrop,
+
+283
+00:28:29,040 --> 00:28:32,520
+هذا ميوب، هذا astigmatism فبتحدد accurate
+
+284
+00:28:32,520 --> 00:28:39,890
+diagnosis تشخيص دقيق number twoit may help .. it
+
+285
+00:28:39,890 --> 00:28:43,050
+may helps us to discover a new problem at the
+
+286
+00:28:43,050 --> 00:28:46,490
+patient which is .. which is not the main problem
+
+287
+00:28:46,490 --> 00:28:50,370
+that the patient complained for ممكن الآن في ال
+
+288
+00:28:50,370 --> 00:28:53,970
+clinic بتاعي ييجي المريض يقول أنا عنده blurred
+
+289
+00:28:53,970 --> 00:28:59,130
+vision for distanceلكن أنا لما أجي أعمل ال visual
+
+290
+00:28:59,130 --> 00:29:04,090
+acuity هو يكون يعني المشكلة اللي جاي إلها المريض
+
+291
+00:29:04,090 --> 00:29:08,370
+والتشخيص داعي مختلف عن بعض، صح ولا لا؟ يعني ممكن
+
+292
+00:29:08,370 --> 00:29:12,470
+أنه يكون هو عنده مشكلة في البعيدلكن السبب في هذه
+
+293
+00:29:12,470 --> 00:29:16,510
+المشكلة مش هو والله النظر ممكن يكون سببه اللي هو
+
+294
+00:29:16,510 --> 00:29:20,910
+headache صداع سواء كان frontal أو occipital فمن
+
+295
+00:29:20,910 --> 00:29:25,170
+خلال ال visual acuity انا بقدر انه اكتشف ايش امور
+
+296
+00:29:25,170 --> 00:29:31,490
+يعني جديدة غير اللي شكاها المريض ممكن مثلا المريض
+
+297
+00:29:31,490 --> 00:29:36,030
+يحكي انا عنده blurred vision for nearيما افحص
+
+298
+00:29:36,030 --> 00:29:39,390
+المريض يطلع عنده إبلارة vision fournier اللي هي ال
+
+299
+00:29:39,390 --> 00:29:42,810
+hyper metroid طول النظر زائد انه يكون عنده
+
+300
+00:29:42,810 --> 00:29:48,450
+astigmatism لا بقرية فمن خلالها ايش؟ بقدر انه من
+
+301
+00:29:48,450 --> 00:29:52,410
+خلال قياس ال visual acuity يعني من خلال قياس حتة
+
+302
+00:29:52,410 --> 00:29:57,790
+الإبصار باكتشف أشياء جديدة المريض ماشكاش منها،
+
+303
+00:29:57,790 --> 00:30:03,030
+واضح؟Number three it is also help us in the
+
+304
+00:30:03,030 --> 00:30:07,010
+following up the patients case to compare between
+
+305
+00:30:07,010 --> 00:30:11,290
+pre and post the treatment من خلال قياس حدة
+
+306
+00:30:11,290 --> 00:30:17,150
+الإبصار بقدر أنه أعمل follow-up مراجعة للمريض زي
+
+307
+00:30:17,150 --> 00:30:21,570
+مثلا الآن إيجي مريض عنده زي ما انتوا كلهيتكم عندكم
+
+308
+00:30:21,570 --> 00:30:26,590
+الآن ال data file فحصته مثلا في شهر أربعة كان ال
+
+309
+00:30:26,590 --> 00:30:31,850
+visual acuity عنده ستة ع ستيناستخدمت له نضارة صار
+
+310
+00:30:31,850 --> 00:30:37,210
+النظر عنده ستة ع ستة، الآن شو بتوقع؟ يما ييجي مثلا
+
+311
+00:30:37,210 --> 00:30:42,990
+في شهر تمانية okay يكون ال visual acuity ستة ع ستة
+
+312
+00:30:43,810 --> 00:30:47,830
+لكن طلع مثلا ال visual acute ستة ع تسعة فهذا سهل
+
+313
+00:30:47,830 --> 00:30:51,730
+علي بإيش؟ بعملية المراجعة على المريض و أنا قرنت ما
+
+314
+00:30:51,730 --> 00:30:55,390
+بين النتائج ما بين شهر أربعة يما أنا لبسته النضارة
+
+315
+00:30:55,390 --> 00:30:59,650
+كان ستة ع ستة و ما بين شهر مثلا تسعة أو ثمانية كان
+
+316
+00:30:59,650 --> 00:31:04,850
+النظر ستة على أتناش أو ستة على تسعة فانا إيش عملت؟
+
+317
+00:31:04,850 --> 00:31:08,190
+اللي هو follow up للمريض و عملت compare between
+
+318
+00:31:08,190 --> 00:31:09,910
+the pre and post treatment
+
+319
+00:31:13,600 --> 00:31:17,640
+for all of these reasons visual acuity must be
+
+320
+00:31:17,640 --> 00:31:22,460
+tested for all of the patients before visiting the
+
+321
+00:31:22,460 --> 00:31:26,480
+ophthalmologist يعني أي تمريض قبل ما يزور طبيب
+
+322
+00:31:26,480 --> 00:31:31,660
+العيون لازم انه يقيس حدة الإبصار طيب مين بيقوم
+
+323
+00:31:31,660 --> 00:31:37,520
+بقياس حدة الإبصار اللي هو كoptometrist الأخصائي
+
+324
+00:31:37,520 --> 00:31:38,780
+البصريات؟
+
+325
+00:31:40,600 --> 00:31:44,140
+and this is the mission or the occupation of the
+
+326
+00:31:44,140 --> 00:31:49,180
+optometrist who is the specialist examiner in this
+
+327
+00:31:49,180 --> 00:31:53,700
+examination يعني هو بيكون مختص في قياس حدة الإبصار
+
+328
+00:31:53,700 --> 00:31:59,760
+للمريض واضح؟
+
+329
+00:31:59,760 --> 00:32:02,860
+في
+
+330
+00:32:02,860 --> 00:32:07,160
+عندنا ال testing visual acuity in preverbal
+
+331
+00:32:07,160 --> 00:32:14,180
+childrenقياس حدة الإبصار للأطفال الغير ناطقين يعني
+
+332
+00:32:14,180 --> 00:32:18,600
+الآن أنا عند طفل غير ناطق ما بتكلم كيف أنا ممكن
+
+333
+00:32:18,600 --> 00:32:25,200
+أقيسله حدة الإبصار okay أول
+
+334
+00:32:25,200 --> 00:32:30,540
+test occlusion of one eye أنه بنغطي عين واحدة أنه
+
+335
+00:32:30,540 --> 00:32:34,260
+تغطية العين بنشوف ال occlusion of one eye
+
+336
+00:32:38,330 --> 00:32:44,250
+occlusion of one eye it is a simple method for
+
+337
+00:32:44,250 --> 00:32:47,990
+testing the visual acuity in preverbal children
+
+338
+00:32:47,990 --> 00:32:57,110
+and infants هو يعني فحص بسيط جدا بقيس حدة الإبصار
+
+339
+00:32:57,110 --> 00:33:03,610
+للأطفال الغير ناطقين ولا الرضّع okay شو أنا بعمل
+
+340
+00:33:03,610 --> 00:33:10,250
+we cover one eye بنغطى عينand if strongly objected
+
+341
+00:33:10,250 --> 00:33:14,610
+by the child indicates poorer acuity in the other
+
+342
+00:33:14,610 --> 00:33:19,730
+eye الآن المريض .. الطفل .. أنا غطيتله عينه إذا
+
+343
+00:33:19,730 --> 00:33:23,530
+لاحظت أن الطفل بيسحب مثلا إيد أمه أو إيد ال
+
+344
+00:33:23,530 --> 00:33:30,090
+examiner بشكل اللي هو يعني عنيف هذا بتديني دلالة
+
+345
+00:33:30,090 --> 00:33:34,510
+أو إشارة أن ال visual acuity في العين التانية
+
+346
+00:33:34,510 --> 00:33:41,530
+ضعيفة واضح؟يعني الآن هي الطفل أمامي باجي بغطي عينه
+
+347
+00:33:41,530 --> 00:33:45,610
+اليمين، لاحظت أن الطفل إيه شماله؟ على طول أول ما
+
+348
+00:33:45,610 --> 00:33:49,950
+غطيت العين رفع إيدي، فانا إيش بدل هذا؟ إن ال
+
+349
+00:33:49,950 --> 00:33:54,530
+visual acute للمريض عنده إيه؟ فيه ضعف، ممكن طريقة
+
+350
+00:33:54,530 --> 00:33:58,250
+أخرى، ماستخدمش الإيد، لو أنا بدي أستخدم اللي هو ال
+
+351
+00:33:58,250 --> 00:33:59,590
+cover، cover للعين
+
+352
+00:34:02,460 --> 00:34:07,800
+و في ال cover تلاقي الطفل يرفع ال cover أو الغطاء
+
+353
+00:34:11,120 --> 00:34:15,900
+this method just indicate if the visual acuity is
+
+354
+00:34:15,900 --> 00:34:19,100
+good or poor and doesn't give us an accurate
+
+355
+00:34:19,100 --> 00:34:23,700
+measurements يعني هذا بس بيدينا إن هل حدة الإبصار
+
+356
+00:34:23,700 --> 00:34:28,940
+للمريض جيدة أو ضعيفة لكن ما بيعطينا accurate
+
+357
+00:34:28,940 --> 00:34:34,240
+measurement يعني قياس دقيق لمين لحدة الإبصار إذا
+
+358
+00:34:34,240 --> 00:34:37,880
+number one testing visual acuity in a preverbal
+
+359
+00:34:37,880 --> 00:34:42,850
+children occlusion of one eyeOcclusion of one eye
+
+360
+00:34:42,850 --> 00:34:47,910
+indicate only visual acuity is good or poor لو انا
+
+361
+00:34:47,910 --> 00:34:55,550
+مثلا اجيت سأل السؤال Occlusion of one eye measure
+
+362
+00:34:55,550 --> 00:35:02,930
+the visual acuity in accurate .. sorry Occlusion
+
+363
+00:35:02,930 --> 00:35:08,690
+of one eye is an accurate measurement correct اذا
+
+364
+00:35:08,690 --> 00:35:14,770
+فالسإذا سمبل method to measure visual acuity and
+
+365
+00:35:14,770 --> 00:35:18,130
+indicate to if the visual acuity is good or poor
+
+366
+00:35:18,130 --> 00:35:23,590
+okay number
+
+367
+00:35:23,590 --> 00:35:30,990
+two fixation test this is very important testThis
+
+368
+00:35:30,990 --> 00:35:36,770
+is a very good method يعني منهج جيد جدا in testing
+
+369
+00:35:36,770 --> 00:35:42,310
+visual acuity في فحص حدة الإبصار and it is
+
+370
+00:35:42,310 --> 00:35:46,450
+performed as following الخطوات المتبعة في هذا
+
+371
+00:35:46,450 --> 00:35:53,030
+الفحص طبعا ال fixation test هو يعتبر أفضل test من
+
+372
+00:35:53,030 --> 00:35:58,730
+ناحية فحص ل ال pre verbal children واضح؟
+
+373
+00:36:02,120 --> 00:36:05,600
+أما انتوا عارفين فكساشن معناها أنه ثبت العين اللي
+
+374
+00:36:05,600 --> 00:36:14,320
+هي ثابت a 16 prism based on طبعا الprism ديوبتر
+
+375
+00:36:14,320 --> 00:36:22,760
+هذه عبارة عن وحدة قياس زاوية
+
+376
+00:36:22,760 --> 00:36:23,400
+الحوالب
+
+377
+00:36:34,390 --> 00:36:42,430
+يما أشير مثلا D indicate to a diopter صح؟ اللي هي
+
+378
+00:36:42,430 --> 00:36:53,130
+ال power يما أشير ل المثلث زي هذا بمعنى a prism
+
+379
+00:36:53,130 --> 00:37:00,450
+diopter فهذه
+
+380
+00:37:00,450 --> 00:37:01,950
+بتجيس ال angle
+
+381
+00:37:05,490 --> 00:37:14,870
+of deviation انه
+
+382
+00:37:14,870 --> 00:37:25,390
+زاوية الحول واضح number
+
+383
+00:37:25,390 --> 00:37:29,790
+one a sixteen a prism diopter based down
+
+384
+00:37:36,690 --> 00:37:44,150
+الأبريزم بتكون من شغلتين في عندنا ال apex عفوا
+
+385
+00:37:44,150 --> 00:37:51,070
+ان هاد ال base وعندنا
+
+386
+00:37:51,070 --> 00:37:55,710
+ال apex الصورة
+
+387
+00:37:55,710 --> 00:38:01,150
+وين بتتجمع دايما؟ باتجاه ال apex okay يعني دايما
+
+388
+00:38:01,150 --> 00:38:03,190
+الصورة تكون الصورة هنا
+
+389
+00:38:08,300 --> 00:38:16,560
+خانة بالنسبة له ال image ف a 16 prism diopter base
+
+390
+00:38:16,560 --> 00:38:21,920
+down انه ال base down انا حطيته عشان الصورة وين
+
+391
+00:38:21,920 --> 00:38:26,440
+تتجمع في ال apex ممكن هذا السؤال انا اسأله ليش انا
+
+392
+00:38:26,440 --> 00:38:30,960
+حطيت مثلا a 16 prism diopter base down ليش مش base
+
+393
+00:38:30,960 --> 00:38:42,190
+up عشان الصورة وين تتجمعبالتجاه الابيكس 16 بريزم
+
+394
+00:38:42,190 --> 00:38:48,830
+ديوبتر بيس داون بيس على واحد العين والاخر مخفف
+
+395
+00:38:48,830 --> 00:38:50,190
+باستخدام مصادر ضوء
+
+396
+00:38:53,030 --> 00:38:59,390
+العين مثلا افترضنا اليمين حطينا ال prism 16 فوق
+
+397
+00:38:59,390 --> 00:39:03,450
+العين اليمين العين التانية يا بستخدم ال light
+
+398
+00:39:03,450 --> 00:39:07,870
+source يا انا ايش بعمل occlusion اللي هو غطى لكن
+
+399
+00:39:07,870 --> 00:39:12,190
+يكون الغطى هذا ايه شفاف للعين الشمال لكن المستخدم
+
+400
+00:39:12,190 --> 00:39:15,570
+عمليا اللي هو ال light torch اللي هو الضوء او
+
+401
+00:39:15,570 --> 00:39:20,630
+المصدر الضوءطيب، في سؤال تاني، ليش هنا أنا استخدمت
+
+402
+00:39:20,630 --> 00:39:25,470
+16 بريسم ديوبتر، based on؟ ليش أنا الرقم 16
+
+403
+00:39:25,470 --> 00:39:29,470
+استخدمت؟ مثلا، أنا ممكن أسأل ليش مثلا أنا استخدمت
+
+404
+00:39:29,470 --> 00:39:37,810
+اتنين أو أربع ديوبتر؟ ليش رقم 16؟
+
+405
+00:39:40,350 --> 00:39:45,310
+واضح السؤال؟ الان السؤال انا استخدمت ال 16 بريزم
+
+406
+00:39:45,310 --> 00:39:50,130
+ديوبتر based on طيب ممكن واحد من الجمهور يسأل ليش
+
+407
+00:39:50,130 --> 00:39:54,350
+انا مثلا مابستخدم اتنين بريزم ديوبتر؟ او ليش مثلا
+
+408
+00:39:54,350 --> 00:40:00,330
+مابستخدم اربع بريزم ديوبتر؟ ليش الرقم 16؟ okay
+
+409
+00:40:00,330 --> 00:40:06,230
+تفضلي ممكن تكون هذا هو هي اللي قادرة على ان تكوين
+
+410
+00:40:06,230 --> 00:40:12,270
+الصورة بشكل اوب او أكترطيب ليش؟ إيش السبب؟ لأن
+
+411
+00:40:12,270 --> 00:40:16,410
+العين هي خمستاشر تقريبا، لأ، خمستاشر تقريبا
+
+412
+00:40:16,410 --> 00:40:28,190
+another answer؟ طيب،
+
+413
+00:40:28,190 --> 00:40:33,090
+الآن العين، طبيعة العين، كما أنا بتطلع في ال
+
+414
+00:40:33,090 --> 00:40:39,680
+elevation عندك اتنين prison dioptersفانا لو روحت
+
+415
+00:40:39,680 --> 00:40:44,580
+حطيت برزم ديوبتر اتنين هتكون ايش متساوية equal
+
+416
+00:40:44,580 --> 00:40:51,780
+فانا بحط اللي هو برزم ديوبتر سكستين عشان تكون خمس
+
+417
+00:40:51,780 --> 00:40:56,580
+عشر مرة جد الاتنين عشان تقدر انه ايش ترفع العين
+
+418
+00:40:56,580 --> 00:40:58,740
+انه تعمل elevation لل up
+
+419
+00:41:02,550 --> 00:41:07,250
+طبعا هو ال sixteen based on the .. يعني بناء على
+
+420
+00:41:07,250 --> 00:41:11,050
+المكتشف في هذا الفحص بس هو مثلا ليش مستخدمش رقم
+
+421
+00:41:11,050 --> 00:41:15,010
+صغير؟ يعني اتنين أو اربع أو تلاتة أو خمسة؟ ليش
+
+422
+00:41:15,010 --> 00:41:19,730
+مثلا عشرين أو مثلا ستاشر؟ هو المهم أنه رقم أكبر من
+
+423
+00:41:19,730 --> 00:41:24,810
+يعني العشرةيعني الآن اما انا بستخدم بكرا بتاخدوه
+
+424
+00:41:24,810 --> 00:41:28,510
+في الحوال ال Prismات ياما تكون من عشرة فما فوق
+
+425
+00:41:28,510 --> 00:41:34,490
+بيكون رقم كبير يعني مش تظهر انه رقم 16 واضح؟ فهذه
+
+426
+00:41:34,490 --> 00:41:37,450
+المعلومة انه تظل انه انا ليش استخدمت ان ال 16
+
+427
+00:41:37,450 --> 00:41:45,550
+Prism ديوبتر مش اتنين ولا اربع حاضر هلجيت انا
+
+428
+00:41:45,550 --> 00:41:51,510
+استخدمت ال Prism 16ممكن يعني واحد يقول ليش مثلا
+
+429
+00:41:51,510 --> 00:41:57,010
+أنا استخدمت ال prism اتنين او تلاتر، الآن العين
+
+430
+00:41:57,010 --> 00:42:02,850
+فيها اتنين ديوبتر في ال vertical، واضح؟ هذا يعني
+
+431
+00:42:02,850 --> 00:42:07,170
+constant، ثابت، لو انا استخدمت ال prism اتنين
+
+432
+00:42:07,170 --> 00:42:11,230
+ديوبتر، هيكون متساوي مع مين؟ مع العين، مع العين،
+
+433
+00:42:11,230 --> 00:42:11,390
+مع العين، مع العين، مع العين، مع العين، مع العين،
+
+434
+00:42:11,390 --> 00:42:11,750
+مع العين، مع العين، مع العين، مع العين، مع العين،
+
+435
+00:42:11,750 --> 00:42:13,590
+مع العين، مع العين، مع العين، مع العين، مع العين،
+
+436
+00:42:13,590 --> 00:42:16,450
+مع العين، مع العين، مع العين، مع العين، مع العين،
+
+437
+00:42:16,450 --> 00:42:16,450
+مع العين، مع العين، مع العين، مع العين، مع العين،
+
+438
+00:42:16,450 --> 00:42:16,510
+مع العين، مع العين، مع العين، مع العين، مع العين،
+
+439
+00:42:16,510 --> 00:42:26,590
+مع العينإن ارتفاع للصورة واضح؟
+
+440
+00:42:26,590 --> 00:42:30,850
+okay the eye behind the prism is therefore forced
+
+441
+00:42:30,850 --> 00:42:36,430
+to alleviate to take up fixationيعني نفس الكلام
+
+442
+00:42:36,430 --> 00:42:42,170
+اللي انا حكيته انه العين اللي خلف ال prism بقوة
+
+443
+00:42:42,170 --> 00:42:46,670
+هتعمل إيش elevation لأنه ال 16 بريسم ده يبتدر
+
+444
+00:42:46,670 --> 00:42:52,850
+تعتبر قوة كبيرة okay
+
+445
+00:42:52,850 --> 00:42:56,850
+the eye behind the prism is then observed يعني
+
+446
+00:42:56,850 --> 00:43:01,510
+العين اللي بتكون خلف الصورة هيصير لعملية observed
+
+447
+00:43:01,510 --> 00:43:02,490
+اللي هو فحص
+
+448
+00:43:11,220 --> 00:43:16,460
+الهدف انا من قياس حدة الإبصار في حالة ال fixation
+
+449
+00:43:16,460 --> 00:43:21,000
+test انه اشوف هل العين فيها center يعني هل هي
+
+450
+00:43:26,560 --> 00:43:31,120
+أو مثلا العيل مش ثابتة، هي الهدف من أنا ليش بقيس
+
+451
+00:43:31,120 --> 00:43:36,620
+ال visual acuity في حالة ال fixation test واضح؟
+
+452
+00:43:36,620 --> 00:43:41,260
+انه بدي اشوف ال central or uncentral steady or
+
+453
+00:43:41,260 --> 00:43:43,180
+unsteady بالنسبة للعيل
+
+454
+00:43:53,520 --> 00:43:59,540
+العين التاني اشمالها مش مغطاة واضح عشان انا احافظ
+
+455
+00:43:59,540 --> 00:44:03,600
+على ال fixation الثبات يعني مش مثلا انا الآن بعمل
+
+456
+00:44:03,600 --> 00:44:10,020
+ال test العين الأخرى بلاقيها مثلا مخدة زي مبرح في
+
+457
+00:44:10,020 --> 00:44:13,740
+بنات فحص ال visual acute كان المريض مثلا عامل turn
+
+458
+00:44:13,740 --> 00:44:18,320
+ولا عامل مثلا tiltبرضه لازم تكون العين الأخرى عايش
+
+459
+00:44:18,320 --> 00:44:24,000
+في ال fixation انه ثابتة واضح؟
+
+460
+00:44:24,000 --> 00:44:27,860
+if fixation immediately returns to the uncovered
+
+461
+00:44:27,860 --> 00:44:30,460
+eye, the visual acuity is impaired
+
+462
+00:44:34,690 --> 00:44:38,510
+ووضع ال fixation impaired بمعنى poor يعني ال
+
+463
+00:44:38,510 --> 00:44:43,710
+visual acuity هيكون لطفل انه ضعيف اذا ما عمل
+
+464
+00:44:43,710 --> 00:44:47,810
+fixation فبتلاقي دايما حتى الناس الاكبار اذا هو
+
+465
+00:44:47,810 --> 00:44:51,170
+اتعود انه مايعملش fixation دايما تلاقي يعمل ال
+
+466
+00:44:51,170 --> 00:44:56,310
+visual acuity راسه ايا على اليمين او الشمسفانا
+
+467
+00:44:56,310 --> 00:44:59,730
+دايما بقولكم هذه النقطة المهمة ان الراس دايما في
+
+468
+00:44:59,730 --> 00:45:02,430
+ال primary position دايما اركز على موضوع ال
+
+469
+00:45:02,430 --> 00:45:05,690
+primary position ان ال head and the eye is
+
+470
+00:45:05,690 --> 00:45:09,590
+straight واضح؟
+
+471
+00:45:09,590 --> 00:45:13,950
+while if fixation is maintained through a blink
+
+472
+00:45:13,950 --> 00:45:18,910
+ten seconds then visual acuity is goodإذا الطفل
+
+473
+00:45:18,910 --> 00:45:24,070
+جدر يحافظ على ال fixation خلال عشر ثوانة، بيكون
+
+474
+00:45:24,070 --> 00:45:28,350
+عنده ال visual acuity ماله جيد، يعني خلال العشر
+
+475
+00:45:28,350 --> 00:45:32,070
+ثوانة جدر يحافظ على ال fixation للعين، فانا
+
+476
+00:45:32,070 --> 00:45:35,010
+بيعنيلي ان ال visual acuity بتاع المريض جيد
+
+477
+00:45:38,440 --> 00:45:42,920
+Okay if the patient alternate fixation لو مرة
+
+478
+00:45:42,920 --> 00:45:46,060
+بيعمل fixation في ال right و مرة في ال left، إيش
+
+479
+00:45:46,060 --> 00:45:49,560
+بيعني لهذا؟ إنه ال visual acuity متساوي في
+
+480
+00:45:49,560 --> 00:45:53,700
+العينتين، يعني مرة بيستخدم ال right و مرة بيستخدم
+
+481
+00:45:53,700 --> 00:45:57,660
+ال left، بيكون ال fixation مرة في اليمين و مرة في
+
+482
+00:45:57,660 --> 00:46:02,140
+الإشمال، then the two eyes have equal vision
+
+483
+00:46:03,640 --> 00:46:06,820
+التجارب مرتبطة مع البرزم على الجهة الأخرى
+
+484
+00:46:06,820 --> 00:46:14,860
+مونوكولار
+
+485
+00:46:14,860 --> 00:46:19,580
+يجب أن يكون مركزيا مستقل ومحافظ في كل عين
+
+486
+00:46:26,140 --> 00:46:30,960
+Okay لازم أنه تكون العين central زائد أنه تكون
+
+487
+00:46:30,960 --> 00:46:35,500
+steady أنا عارف قد يكون شوية الفهم في الموضوع يعني
+
+488
+00:46:35,500 --> 00:46:40,360
+أنه تخيلي أكثر ما هو .. لأنه نظره لكن أنا ان شاء
+
+489
+00:46:40,360 --> 00:46:44,200
+الله هطبقلكم إياه في المعمل من ناحية المعمل هنحاول
+
+490
+00:46:44,200 --> 00:46:47,740
+أنه نجيب أطفال و نطبق هذا ال test لأن هذا ال test
+
+491
+00:46:47,740 --> 00:46:52,850
+مهم جدا ال fixation testلو رحت يعني في العالم كله
+
+492
+00:46:52,850 --> 00:46:56,210
+بيستخدم هذا الفحص اللي هو ال fixation test
+
+493
+00:46:56,210 --> 00:47:01,490
+correlation
+
+494
+00:47:01,490 --> 00:47:05,370
+between visual acuity and fixation patterns
+
+495
+00:47:05,370 --> 00:47:11,170
+العلاقة ما بين حدة الإبصار و ما بين اللي هو العين
+
+496
+00:47:11,170 --> 00:47:17,020
+اللي ماتكون ثابتةA gross eccentric fixation or
+
+497
+00:47:17,020 --> 00:47:21,060
+affixation يمّا يكون الطفل ما عندهوش fixation يعني
+
+498
+00:47:21,060 --> 00:47:24,920
+العين بمعنى إنه زائغة يعني يا على اليمين أو الشمال
+
+499
+00:47:24,920 --> 00:47:28,680
+إنه مافيش لها fixation هذا بيدل إنه إيش ال visual
+
+500
+00:47:28,680 --> 00:47:36,100
+acuity impaired or poor واحد ع ستين واضح؟
+
+501
+00:47:36,100 --> 00:47:42,900
+number twounsteady central fixation less than five
+
+502
+00:47:42,900 --> 00:47:48,400
+seconds الطفل عمل fixation لكن يما عمل fixation
+
+503
+00:47:48,400 --> 00:47:53,520
+أقل من خمس ثواني هذا بيدل أن ال visual acuity تقع
+
+504
+00:47:53,520 --> 00:47:59,710
+أربع على ستين واضح؟إذا الحالة الأولى الطفل ماعملش
+
+505
+00:47:59,710 --> 00:48:04,430
+fixation ال visual acuity قداش واحدة ستين الحالة
+
+506
+00:48:04,430 --> 00:48:08,530
+التانية عمل fixation لكن أقل من خمس ثواني احنا
+
+507
+00:48:08,530 --> 00:48:12,870
+قلنا ال normal قداش عشر ثواني يما بيعمل fixation
+
+508
+00:48:12,870 --> 00:48:17,190
+أقل من خمس ثواني بيكون ال visual acuity اربعة ستين
+
+509
+00:48:17,190 --> 00:48:24,060
+الحالة التالتة central steady fixationbut will not
+
+510
+00:48:24,060 --> 00:48:28,160
+hold fixation when the cover removed from the
+
+511
+00:48:28,160 --> 00:48:32,920
+other eye الان هو عمل fixation وممكن عمل fixation
+
+512
+00:48:32,920 --> 00:48:37,100
+عشر ثواني لكن أول ما بترفع ال cover من عين التانية
+
+513
+00:48:37,100 --> 00:48:42,060
+بتلاقي ايش ال fixation بيمتقل للعين الأخرى فبيكون
+
+514
+00:48:42,060 --> 00:48:46,140
+ال visual acuity للمريض من ستة ع ستين لست على أربع
+
+515
+00:48:46,140 --> 00:48:50,180
+عشرين يعني دايما انا في ال test هذا بدي اركز على
+
+516
+00:48:50,180 --> 00:48:51,140
+ال both eyes
+
+517
+00:48:57,800 --> 00:49:00,520
+الـ Fixation تغير للعين الأخرى، إذا الـ Visual
+
+518
+00:49:00,520 --> 00:49:05,120
+Acuity قداش من ستة ع ستين لستة على أربع و عشرين
+
+519
+00:49:05,120 --> 00:49:08,780
+Central
+
+520
+00:49:08,780 --> 00:49:12,980
+is steady fixation but will hold fixation with
+
+521
+00:49:12,980 --> 00:49:16,140
+deviating eye when the cover is removed but
+
+522
+00:49:16,140 --> 00:49:21,040
+prefers fixation with other eye برضه الطفل عمل
+
+523
+00:49:21,040 --> 00:49:27,360
+fixationوانا يما أزلت ال cover عن العين التانية
+
+524
+00:49:27,360 --> 00:49:32,540
+استمر ان المريض عنده ايه؟ Fixation لكن هو فضل ال
+
+525
+00:49:32,540 --> 00:49:37,480
+fixation بالعين التانية بكون هذا بيدل ان ال visual
+
+526
+00:49:37,480 --> 00:49:44,040
+acuity من 6 ع 18 ل 6 ع 9 again،
+
+527
+00:49:44,040 --> 00:49:48,620
+الآن المريض عمل fixation حلو؟ وعمل fixation ممكن
+
+528
+00:49:48,620 --> 00:49:52,820
+اكتر من خمس ثواني او عشر ثوانيرفعنا الغطاء عن
+
+529
+00:49:52,820 --> 00:49:58,560
+العين وجد انه عمل fixation لكن هو الطفل بعد فترة
+
+530
+00:49:58,560 --> 00:50:02,920
+عمل اللي هو fixation بالعين التانية يعني بعد مثلا
+
+531
+00:50:02,920 --> 00:50:07,820
+خمس ثواني فضل ال fixation بالعين الثانية واضح؟
+
+532
+00:50:07,820 --> 00:50:12,300
+فهنا ال visual acuity بتاع المريض يكون من 6 على ..
+
+533
+00:50:12,300 --> 00:50:19,060
+هو من 6 ع 12 ل 6 ع 9 او 18 ل 12 طيب لو عمل
+
+534
+00:50:19,060 --> 00:50:25,200
+alternativeSpontaneous يعني متبادل مرة في العين
+
+535
+00:50:25,200 --> 00:50:29,080
+اليمين و مرة في الشمال هان بيكون ال visual acuity
+
+536
+00:50:29,080 --> 00:50:33,980
+متساوي و بيكون indicate to good visual acuity ال
+
+537
+00:50:33,980 --> 00:50:40,060
+both eye 6 على 6 طبعا
+
+538
+00:50:40,060 --> 00:50:45,340
+هان هنطبقوا ال test للمريض يعني .. في حاجة؟
+
+539
+00:50:50,510 --> 00:50:53,650
+الاخر واحدة، لو المريض مثلا عمل مرة fixation في
+
+540
+00:50:53,650 --> 00:50:58,430
+العين اليمين و مرة في العين الشمال، okay؟ يعني مرة
+
+541
+00:50:58,430 --> 00:51:02,590
+عملها في اليمين، بعد عشر ثوان عمل في الشمال، بعد
+
+542
+00:51:02,590 --> 00:51:06,670
+العشر ثوان عمل في اليمين، يعني متبادل، alternate،
+
+543
+00:51:06,670 --> 00:51:09,810
+بيكون ال visual acuity good أو و بيكون ستة ع ستة
+
+544
+00:51:15,770 --> 00:51:21,950
+100 and 1000 suite test طبعا هذا فحص بسيط جدا و
+
+545
+00:51:21,950 --> 00:51:26,130
+معظم العيادات عندنا هان بيستخدموه لكن ده انه بدك
+
+546
+00:51:26,130 --> 00:51:31,170
+تعرفيه ان هذا الفحص فقط بيشير ان ال visual acuity
+
+547
+00:51:31,170 --> 00:51:34,030
+للمريض 6 على 24 او اقل
+
+548
+00:51:39,510 --> 00:51:44,370
+وشيء لازم هدول الحبات الحلو زي ما هي موجودة في
+
+549
+00:51:44,370 --> 00:51:49,650
+الصورة أنه يكونوا مختلفة الألوان، يعني أبيض، أحمر،
+
+550
+00:51:49,650 --> 00:51:53,710
+أزرق، أنه مايكونوش متساوين في اللون، مختلفين
+
+551
+00:51:53,710 --> 00:52:01,530
+الألوان و أشوف أنه مثلا أغطي العين الشمال للمريضو
+
+552
+00:52:01,530 --> 00:52:07,410
+اخلى المريض ايش انه .. او الطفل انه يلقط هذه ال ..
+
+553
+00:52:07,410 --> 00:52:13,230
+هذه ال sweet test او ال sweet هذه الحلوية طيب لو
+
+554
+00:52:13,230 --> 00:52:18,290
+لجيت مثلا الطفل بدور على هذه الحلوة، هو عارف انه
+
+555
+00:52:18,290 --> 00:52:24,000
+في كفة، لكن لو لجيته مثلا اجى و بدور عليهاواضح؟
+
+556
+00:52:24,000 --> 00:52:28,120
+انا بعرف انه ال poor عنده ال visual acuity او مثلا
+
+557
+00:52:28,120 --> 00:52:33,120
+ماعرفش يلجطها برضه نفس الحاجة هي عملية اللي هو ايش
+
+558
+00:52:33,120 --> 00:52:39,440
+ده شوف ال attention بتاع الطفل كده واضح؟ طبعا is a
+
+559
+00:52:39,440 --> 00:52:44,400
+gross taste which is seldom or rarely performed
+
+560
+00:52:44,400 --> 00:52:48,640
+يعني هو نادرا مابيستخدم لكن سبحان الله عندنا ايش
+
+561
+00:52:48,640 --> 00:52:53,770
+more commonin a principle if the child is able to
+
+562
+00:52:53,770 --> 00:52:59,110
+see and pick up a small sweet at 33 cm, visual
+
+563
+00:52:59,110 --> 00:53:05,770
+acuity is at least 6 over 24 إذا الطفل استطاع أنه
+
+564
+00:53:05,770 --> 00:53:09,570
+يلقط هذه الحلويات، بيكون عنده ال visual acuity
+
+565
+00:53:09,570 --> 00:53:12,050
+more than or equal
+
+566
+00:53:25,080 --> 00:53:30,400
+هذا إذا المريض او الطفل استطاع انه إيش يلقط هذه ال
+
+567
+00:53:30,400 --> 00:53:36,220
+sweetبس أهم شيء في ال sweet test أول شغلة أنه تكون
+
+568
+00:53:36,220 --> 00:53:41,100
+ال sweet مختلفة الألوان من ناحية ال contrast من
+
+569
+00:53:41,100 --> 00:53:45,900
+ناحية كمان أن الطفل مثلا ممكن هو بيستطيع أنه يشوف
+
+570
+00:53:45,900 --> 00:53:50,460
+اللون الأبيض لكن ما بيقدر يميز اللون الأحمر أو
+
+571
+00:53:50,460 --> 00:53:55,000
+اللون الأزرق فلازم أنه يكونوا مختلفين أيضا أنه ال
+
+572
+00:53:55,000 --> 00:53:57,300
+sweet test مايكونش في منطقة واحدة
+
+573
+00:54:18,080 --> 00:54:25,380
+بالنسبة لـ hundred and thousand sweet testطبعا هيك
+
+574
+00:54:25,380 --> 00:54:30,800
+بنكون اليوم اكتفينا في ال visual acuity test in
+
+575
+00:54:30,800 --> 00:54:34,460
+pre verbal children في المحاضرة القادمة ان شاء
+
+576
+00:54:34,460 --> 00:54:39,820
+الله هنكمل ال test بتاعون ال visual acuity in pre
+
+577
+00:54:39,820 --> 00:54:45,440
+verbal children اي سؤال اي استفسار شكرا يعطيكم
+
+578
+00:54:45,440 --> 00:54:45,880
+العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..24dd25a301617c704bb6904f1d64ad1464219b05
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU.srt
@@ -0,0 +1,1752 @@
+
+1
+00:00:21,090 --> 00:00:25,310
+طيب بسم الله الرحمن الرحيم، في المحاضرة السابقة
+
+2
+00:00:25,310 --> 00:00:31,170
+تكلّمنا عن الـ visual symptoms of the eye strain
+
+3
+00:00:31,170 --> 00:00:37,750
+أخذنا الـ visual symptoms، أعراض بصرية، الـ ocular
+
+4
+00:00:37,750 --> 00:00:42,990
+symptoms، أعراض عينية. اليوم، هنبدأ بالـ referred
+
+5
+00:00:42,990 --> 00:00:51,700
+symptoms، أعراض متعلقة بخارج العين. واضح؟ طبعاً أهم
+
+6
+00:00:51,700 --> 00:00:56,740
+symptom في الـ referred يعتبر الـ headache، اللي هو
+
+7
+00:00:56,740 --> 00:01:01,600
+الصداع. The most common one of these symptoms is
+
+8
+00:01:01,600 --> 00:01:05,020
+headache، الـ headache، أو بنسميه احنا الـ eye pain
+
+9
+00:01:05,020 --> 00:01:10,180
+لما بناخد الـ history أو strain of the eye أو eye
+
+10
+00:01:10,180 --> 00:01:15,520
+fatigue. كله هذا نفس المسمى. This headache is
+
+11
+00:01:15,520 --> 00:01:20,060
+localized around the eyes, frontal and sometimes
+
+12
+00:01:20,060 --> 00:01:24,480
+maybe temporal, vertical or occipital.
+
+13
+00:01:43,890 --> 00:01:48,250
+يعني في المعمل القادم، إن شاء الله، يما تأخذ الـ
+
+14
+00:01:48,250 --> 00:01:52,730
+history للمريض، بدك تسألي أول حاجة إنه من ناحية
+
+15
+00:01:52,730 --> 00:01:56,950
+إذا كان عنده headache، صداع، هل هو vertical ولا
+
+16
+00:01:56,950 --> 00:02:01,670
+occipital، frontal ولا temporal؟ واضحة؟
+
+17
+00:02:04,000 --> 00:02:08,320
+The nature of the headache is aching, يعني painful
+
+18
+00:02:08,320 --> 00:02:14,640
+ألم شديد، boring، أنه بيكون عنده نوع من الملل and
+
+19
+00:02:14,640 --> 00:02:20,700
+deep seated، يعني بيكون هذا الصداع يعني بشكل عميق
+
+20
+00:02:20,700 --> 00:02:26,260
+يعني فترات طويلة، يعني بيجي عند المريض. It may be
+
+21
+00:02:26,260 --> 00:02:30,540
+intermittent or constant. ممكن أن يكون هذا الصداع
+
+22
+00:02:30,540 --> 00:02:36,620
+كمان متقطع أو مستمر، related to the amount of use of
+
+23
+00:02:36,620 --> 00:02:40,760
+the eyes. طبعاً إله علاقة في إيش؟ في استخدام العين،
+
+24
+00:02:40,760 --> 00:02:45,480
+يعني بمعنى آخر إنه يما يكون المريض في حالة الـ
+
+25
+00:02:45,480 --> 00:02:50,900
+relax، بيروح هذا الصداع، يما يرجع الـ activity
+
+26
+00:02:50,900 --> 00:02:54,600
+بتاعته، سواء إنه بيستخدم الـ mobile بتاعه أو الـ ..
+
+27
+00:02:54,600 --> 00:02:58,740
+أو الـ .. بيشاهد التلفاز لفترات طويلة، بيرجع هذا
+
+28
+00:02:58,740 --> 00:02:59,880
+إيش؟ الصداع.
+
+29
+00:03:02,770 --> 00:03:07,250
+The aggravating factors like eye fatigue and poor
+
+30
+00:03:07,250 --> 00:03:11,410
+illumination are said to be common من هذه الأعراض
+
+31
+00:03:11,410 --> 00:03:15,530
+للـ headache. ممكن أيضاً إجهاد العين أن يكون فيه
+
+32
+00:03:15,530 --> 00:03:20,690
+للمريض. إجهاد كمان الإضاءة، إذا كانت سيئة، بيزيد هذا
+
+33
+00:03:20,690 --> 00:03:26,610
+الصداع. واضح؟ أو بيزيد اللي هو شكوى المريض من العين.
+
+34
+00:03:26,610 --> 00:03:31,370
+ليش؟ لأنه دائماً في الإضاءة، لما تكون قليلة، بكون الـ
+
+35
+00:03:31,370 --> 00:03:36,430
+pupil إيش ماله؟ dilate ولا constrict؟ dilate، صح؟
+
+36
+00:03:36,430 --> 00:03:40,030
+يما بتجيء الإضاءة قوية، بصير constrict. فحتى الواحد
+
+37
+00:03:40,030 --> 00:03:44,210
+إيش؟ بتلاقي دائماً بيغطي عينه، بخاف أنه من الضوء الشديد،
+
+38
+00:03:44,210 --> 00:03:49,600
+الإضاءة بتجيء إيش؟ شديدة على العين. طبعاً في الـ
+
+39
+00:03:49,600 --> 00:03:55,440
+digestive upset disorders like dyspepsia and nausea.
+
+40
+00:03:55,440 --> 00:04:00,040
+أنه أمراض متعلقة في الجهاز الهضمي، زي مثلاً الـ
+
+41
+00:04:00,040 --> 00:04:04,040
+dyspepsia، اللي هي سوء في الهضم، أو الـ nausea
+
+42
+00:04:04,040 --> 00:04:11,170
+الغثيان. النقطة الثالثة مهمة: الـ vague nervous
+
+43
+00:04:11,170 --> 00:04:16,590
+symptoms، أعراض متعلقة في العصب العاشر، الـ vagus هو
+
+44
+00:04:16,590 --> 00:04:22,230
+العصب العاشر. طبعاً الجسم الإنسان بيحتوي كام عصب؟
+
+45
+00:04:22,230 --> 00:04:30,610
+اثنا عشر. ممتازة. الأعصاب العين، هكتبهم: أول عصب اللي هو
+
+46
+00:04:30,610 --> 00:04:37,610
+الـ optic nerve، العصب البصري، الـ
+
+47
+00:04:37,610 --> 00:04:51,660
+optic nerve، العصب البصري. العصب الثاني، الـ oculomotor
+
+48
+00:04:51,660 --> 00:05:05,000
+nerve، العصب
+
+49
+00:05:05,000 --> 00:05:07,620
+الرابع، trochlear
+
+50
+00:05:11,550 --> 00:05:22,490
+nerve. العصب الخامس، الـ trigeminal nerve،
+
+51
+00:05:22,490 --> 00:05:27,790
+الـ
+
+52
+00:05:27,790 --> 00:05:38,890
+facial nerve، اللي هو عصب الوجه، و
+
+53
+00:05:38,890 --> 00:05:40,130
+الـ vagus.
+
+54
+00:05:44,700 --> 00:05:51,540
+من قدرة الله عز وجل، أن الإنسان بيحتوي على 12 عصب،
+
+55
+00:05:51,540 --> 00:05:56,520
+العين لحالها فيها 6 أعصاب، اللي هو العصب البصري، الـ
+
+56
+00:05:56,520 --> 00:06:01,860
+optic nerve، الـ oculomotor nerve، الـ trochlear
+
+57
+00:06:01,860 --> 00:06:07,480
+nerve، الـ trigeminal nerve، الـ facial nerve، و الـ
+
+58
+00:06:07,480 --> 00:06:12,990
+vagus nerve. Vague nervous symptoms، هذه بتكون أعراض
+
+59
+00:06:12,990 --> 00:06:17,850
+... الأعراض بتكون عصبية، متعلقة في الـ heart، في القلب،
+
+60
+00:06:17,850 --> 00:06:23,250
+like أنه بتسبب dizziness، اللي هي الدوخة، and
+
+61
+00:06:23,250 --> 00:06:26,450
+depression، الإحباط. واضح؟
+
+62
+00:06:31,880 --> 00:06:39,080
+Review of geometrical optics. هنعمل عملية update أو
+
+63
+00:06:39,080 --> 00:06:45,940
+عملية revision للبصريات الهندسية. Light travels
+
+64
+00:06:45,940 --> 00:06:51,240
+through space in straight lines. الآن الضوء، أول
+
+65
+00:06:51,240 --> 00:06:57,420
+حاجة بيسير في اللي هو خطوط إيه؟ مستقيمة. If a
+
+66
+00:06:57,420 --> 00:07:01,660
+ray of light meets a body in its passage through
+
+67
+00:07:01,660 --> 00:07:05,600
+space, one of three things may happen. الآن هذا
+
+68
+00:07:05,600 --> 00:07:10,560
+الضوء إذا بيقابل أي تجسّم، بيحصل له واحدة من الثلاث
+
+69
+00:07:10,560 --> 00:07:15,800
+أمور هذه، يا إما absorbed، يا إما refracted، يا
+
+70
+00:07:15,800 --> 00:07:19,340
+إما reflected أو transmitted، اللي هي عملية
+
+71
+00:07:19,340 --> 00:07:27,200
+امتصاص. يعني الآن أي ضوء، باصطدم في أي تجسّم، بيحدث
+
+72
+00:07:27,200 --> 00:07:31,280
+إليه واحدة من الثلاث أمور، يا إما refracted، إنكسار،
+
+73
+00:07:31,280 --> 00:07:36,240
+أو reflected، إنعكاس، أو transmitted، اللي هو أو
+
+74
+00:07:36,240 --> 00:07:39,240
+absorbed، امتصاص. واضحة النقطة الأولى؟
+
+75
+00:07:42,710 --> 00:07:47,130
+When the light transmits or is absorbed from one medium
+
+76
+00:07:47,130 --> 00:07:50,810
+into another medium of different density, it is
+
+77
+00:07:50,810 --> 00:07:55,210
+called to be refracted. طبعاً احنا عرفنا تعريف الـ
+
+78
+00:07:55,210 --> 00:08:00,190
+refracted من ناحية. In clinical ophthalmology، شو
+
+79
+00:08:00,190 --> 00:08:03,270
+تعريف الـ refraction من ناحية clinical
+
+80
+00:08:03,270 --> 00:08:07,070
+ophthalmology؟
+
+81
+00:08:07,070 --> 00:08:09,010
+علي صوتك، فضلي.
+
+82
+00:08:14,100 --> 00:08:17,560
+ممتازة. The determining of the refractive condition
+
+83
+00:08:17,560 --> 00:08:21,660
+of the eye may be myopic, hypermetropic, or
+
+84
+00:08:21,660 --> 00:08:26,040
+astigmatism. الآن من ناحية physics، من ناحية
+
+85
+00:08:26,040 --> 00:08:31,680
+فيزيائية، أنه يما بينتقل الضوء من وسط إلى وسط آخر،
+
+86
+00:08:31,680 --> 00:08:37,540
+الوسط الآخر بيكون مختلف الكثافة، بيسمى هذا إيش؟ الـ
+
+87
+00:08:37,540 --> 00:08:44,920
+refraction. هو انتقال الضوء من وسط إلى وسط آخر، هذا
+
+88
+00:08:44,920 --> 00:08:50,300
+الوسط الآخر بيكون مختلف الكثافة، فبيعمل .. فهذا ما
+
+89
+00:08:50,300 --> 00:08:54,060
+يسمى بتعريف الـ refraction. واضح؟
+
+90
+00:08:59,740 --> 00:09:06,140
+Principles of vergence، مبادئ الميل الإشعاعي، الـ
+
+91
+00:09:06,140 --> 00:09:12,600
+vergence، المسمى الميل الإشعاعي، as applied to light
+
+92
+00:09:12,600 --> 00:09:18,180
+rays. يما أنا بستخدم أو بستعمل الإشعاع الضوئي. The
+
+93
+00:09:18,180 --> 00:09:23,240
+term vergence describes the direction of a ray as
+
+94
+00:09:23,240 --> 00:09:27,420
+it passes between some luminous point to a lens.
+
+95
+00:09:28,150 --> 00:09:34,530
+الآن أنا يما بستخدم الإشعاع الضوئي كمفهوم للميل
+
+96
+00:09:34,530 --> 00:09:40,910
+الإشعاعي، بيصف اتجاه الشعاع مابين نقاط إيه؟ مضيئة. هذه النقاط
+
+97
+00:09:40,910 --> 00:09:46,410
+المضيئة وين بتكون؟ في العدسة. يعني الآن لو فرضت أنا
+
+98
+00:09:46,410 --> 00:09:50,630
+مثلاً هذه العدسة بتاعتي. الآن العدسة إيش بتتكون من
+
+99
+00:09:50,630 --> 00:09:57,220
+نقاط مضيئة. الـ vergence إيش بيعمل للعدسة؟ يا إما
+
+100
+00:09:57,220 --> 00:10:02,240
+بيشتد، يا إما إيش بيعمل؟ اللي هو بجمع الأشعة. هذا
+
+101
+00:10:02,240 --> 00:10:07,860
+المفهوم البسيط لمين؟ للـ vergence. يعني في .. اللي هو
+
+102
+00:10:07,860 --> 00:10:13,120
+في عند نقاط مضيئة في العدسة. النقاط المضيئة يا إما
+
+103
+00:10:13,120 --> 00:10:18,040
+بتجمع أو بتفرّق الأشعة. واضح؟
+
+105
+00:10:26,250 --> 00:10:33,490
+طبعاً الـ divergence power، قوة الميل الإشعاعي، is the
+
+106
+00:10:33,490 --> 00:10:36,910
+reciprocal of the distance from the lens to the
+
+107
+00:10:36,910 --> 00:10:43,530
+point of convergence of the light. طبعاً أخذنا الـ
+
+108
+00:10:43,530 --> 00:10:49,910
+power لأي عدسة إيش بيساوي؟ واحد على الـ focal
+
+109
+00:10:49,910 --> 00:10:56,310
+length، أو ممكن في بعض الكتب بيكتبوها 1/F.
+
+110
+00:10:56,310 --> 00:11:03,430
+طبعاً القوة هذه هي عبارة عن القوة
+
+111
+00:11:03,430 --> 00:11:11,930
+بالديوبتر، power
+
+112
+00:11:11,930 --> 00:11:16,690
+of the vergence.
+
+113
+00:11:16,690 --> 00:11:20,470
+والـ
+
+114
+00:11:20,470 --> 00:11:23,710
+F عبارة عن الـ focal
+
+115
+00:11:29,520 --> 00:11:33,660
+length بالمليمتر. طب لو قلت شو تعريف الـ focal
+
+116
+00:11:33,660 --> 00:11:38,900
+length؟
+
+117
+00:11:38,900 --> 00:11:46,780
+تعرف ترفع يدها، شو تعريف الـ focal length؟ أه،
+
+118
+00:11:46,780 --> 00:11:47,740
+تعريف، definition.
+
+119
+00:11:52,880 --> 00:11:55,880
+طيب، من التعريف هذا ممكن .. من العلاقة هذه ممكن
+
+120
+00:11:55,880 --> 00:12:04,000
+تعرفيه؟ اه، فجاءت
+
+121
+00:12:04,000 --> 00:12:09,160
+منطقياً، قلنا الـ vergence أو الـ power، reciprocal of
+
+122
+00:12:09,160 --> 00:12:12,580
+the focal length and is measured in diopters. يعني
+
+123
+00:12:12,580 --> 00:12:18,320
+هو مقلوب الـ focal length، okay، وبيقاس بوحدة إيش؟
+
+124
+00:12:18,320 --> 00:12:23,220
+الـ diopter. الـ focal length إيش بيكون؟ مقلوب الباور،
+
+125
+00:12:23,220 --> 00:12:39,620
+وبيقاس بوحدة المليمتر. واضح؟ خلّيني أكتب، أمحي
+
+126
+00:12:39,620 --> 00:12:40,040
+هذا؟
+
+127
+00:12:59,960 --> 00:13:06,640
+طبعاً هي عندنا أول حاجة هي الـ lens. طبعاً
+
+128
+00:13:06,640 --> 00:13:13,400
+أي lens بيكون فيها إيش؟ الـ luminous، الـ
+
+129
+00:13:13,400 --> 00:13:17,280
+luminous point.
+
+130
+00:13:17,280 --> 00:13:26,020
+اللي هي نقاط مضيئة، مضيئة، okay. هذه إيش بتعمل؟ إما
+
+131
+00:13:26,020 --> 00:13:27,280
+بتعمل convergence
+
+132
+00:13:30,640 --> 00:13:40,600
+أو divergence. الآن الـ power إيش بيساوي؟ 1/F.
+
+133
+00:13:40,600 --> 00:13:49,260
+طبعاً هذا بالديوبتر، و
+
+134
+00:13:49,260 --> 00:13:55,380
+الـ focal length بالمليمتر. الديوبتر عبارة عن
+
+135
+00:13:55,380 --> 00:13:58,980
+power. هذا الـ focal
+
+136
+00:14:13,630 --> 00:14:21,270
+واضح؟ طيب، مين عرف الديوبتر؟
+
+137
+00:14:21,270 --> 00:14:25,970
+طيب، الديوبتر
+
+138
+00:14:25,970 --> 00:14:31,590
+اللي هي عبارة عن إيش؟ الديوبتر، اللي هي وحدة القياس
+
+139
+00:14:31,590 --> 00:14:36,450
+اللي بتقيس من الـ power. الـ power، إذا هي عبارة، الـ
+
+140
+00:14:36,450 --> 00:14:40,570
+unit is measurement of the power. الوحدة اللي بتقيس
+
+141
+00:14:40,570 --> 00:14:45,290
+من الـ power، unit
+
+142
+00:14:45,290 --> 00:14:53,070
+measurement
+
+143
+00:14:53,070 --> 00:14:57,290
+of
+
+144
+00:14:57,290 --> 00:15:10,140
+the power and abbreviated بتختصر بالـ
+
+145
+00:15:10,140 --> 00:15:14,900
+D. واضح؟ الـ unit measurement of the power and
+
+146
+00:15:14,900 --> 00:15:18,620
+abbreviated D. هذه عبارة عن مين؟ الديوبتر.
+
+147
+00:15:23,580 --> 00:15:28,660
+بالنسبة للـ focal length، it is the reciprocal of
+
+148
+00:15:28,660 --> 00:15:33,140
+the diopter and is measured in millimeters.
+
+149
+00:16:09,740 --> 00:16:18,840
+بالنسبة ل الـ focal length هذا
+
+150
+00:16:18,840 --> 00:16:30,120
+تعريف الـ focal length. واضح؟
+
+151
+00:16:30,120 --> 00:16:33,900
+يعني
+
+152
+00:16:33,900 --> 00:16:43,140
+بمعنى آخر، focal length. It is a reciprocal. عندنا
+
+153
+00:16:43,140 --> 00:16:48,420
+اللي هو تعريف الديوبتر، وحدة قياس من الـ power، اللي
+
+154
+00:16:48,420 --> 00:16:54,060
+هي قوة العدسة، وبيرمز لها برمز الـ D. هذا بالنسبة
+
+155
+00:16:54,060 --> 00:16:59,600
+للدوبتر. طيب، الـ focal length هي مقلوب من الـ power،
+
+156
+00:16:59,600 --> 00:17:05,360
+القوة، وبتقاس بالمليمتر. واضح؟ طيب، بالنسبة للـ
+
+157
+00:17:05,360 --> 00:17:11,220
+power، الـ power اللي مقلوب فوق الـ lens، وبتقاس بوحدة
+
+158
+00:17:11,220 --> 00:17:23,500
+مين؟ الـ diopter. واضح؟
+
+159
+00:17:23,500 --> 00:17:36,800
+خلصته؟
+
+160
+00:17:39,800 --> 00:17:49,680
+طيب، سجلي عندك أو على الدفتر: Patient has
+
+161
+00:17:49,680 --> 00:17:59,340
+refractive error. Patient has refractive error plus
+
+162
+00:17:59,340 --> 00:18:03,080
+three diopters, spherical.
+
+163
+00:18:06,600 --> 00:18:09,940
+What is the focal length?
+
+164
+00:18:15,660 --> 00:18:22,460
+Patient has refractive error plus
+
+165
+00:18:22,460 --> 00:18:34,960
+three. What is the focal length of the lens?
+
+166
+00:18:34,960 --> 00:18:53,730
+شوية شوية. كتبت السؤال؟ الكل كتب السؤال؟ طبعاً
+
+167
+00:18:53,730 --> 00:18:58,770
+إذا جبت في الامتحان سؤال زي هذا، لو واحد كتب ثلاثة
+
+168
+00:18:58,770 --> 00:18:59,550
+مباشرة
+
+169
+00:19:04,880 --> 00:19:11,360
+بداية، أول حاجة لسؤال زي هيك، باجي برسم العدسة. طبعاً
+
+170
+00:19:11,360 --> 00:19:19,680
+العدسة إيه؟ موجبة، صح؟
+
+171
+00:19:19,680 --> 00:19:30,740
+إذا +3 ديوبتر، صح؟ الآن القانون: F = 1/P، focal length. طبعاً أنا بدي إيش؟ إذا أنا بدي مين؟
+
+172
+00:19:30,740 --> 00:19:41,040
+الـ focal length. طبعاً
+
+173
+00:19:41,040 --> 00:19:51,060
+1/3 مليمتر. طيب، another patient. Patient
+
+174
+00:19:51,060 --> 00:20:02,600
+has
+
+175
+00:20:02,600 --> 00:20:03,220
+a
+
+176
+00:20:28,460 --> 00:20:36,560
+الشخص لديه خطأ انكساري. مفهوم؟ مفهوم؟ مفهوم؟ مفهوم؟
+
+177
+00:20:36,560 --> 00:20:36,820
+مفهوم؟ مفهوم؟
+
+178
+00:20:45,060 --> 00:20:55,160
+حلو على الورقة. حلو على الورقة. لقيته؟
+
+179
+00:21:18,630 --> 00:21:34,610
+مين حلت السؤال؟ تهلي. طب
+
+180
+00:21:34,610 --> 00:21:40,770
+على الـ minus فوق أو الـ plus فوق العدسة، واضح؟
+
+181
+00:21:40,770 --> 00:21:44,510
+كلهم؟
+
+182
+00:22:00,400 --> 00:22:04,620
+اللي هو عشان .. اللي ما فوتش ثالث، عشان هي مسافة
+
+183
+00:22:04,620 --> 00:22:08,140
+بُعد، عشان أول، وبحطّها ثالث، من إيه؟ ما يعني في
+
+184
+00:22:08,140 --> 00:22:11,620
+الآخر، أطلع النتيجة في الآخر، إيه؟ إيش بدك تكتب؟
+
+223
+00:26:34,500 --> 00:26:39,340
+the lens in
+
+224
+00:26:39,340 --> 00:26:40,220
+centimeter?
+
+225
+00:26:53,120 --> 00:27:08,340
+minus twenty point fifty, please.
+
+226
+00:27:08,340 --> 00:27:10,280
+Complete your answer.
+
+227
+00:27:26,260 --> 00:27:42,680
+You can use your calculator without your
+
+228
+00:27:42,680 --> 00:27:43,180
+eyes.
+
+229
+00:28:15,360 --> 00:28:23,600
+اللي بتخلص أجيب الورقة بس واحدة واحدة، اسم اسم اسم
+
+230
+00:28:23,600 --> 00:28:24,260
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+231
+00:28:24,260 --> 00:28:28,040
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+232
+00:28:28,040 --> 00:28:28,400
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+233
+00:28:28,400 --> 00:28:30,160
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+234
+00:28:30,160 --> 00:28:30,760
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+235
+00:28:30,760 --> 00:28:33,960
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+236
+00:28:33,960 --> 00:28:37,080
+اسم اسم
+
+237
+00:28:37,080 --> 00:28:43,600
+اس
+
+238
+00:28:53,770 --> 00:28:58,150
+طيب، هعيد على التلاتة، خلاص، هعيد على التلاتة لكل  واحد.
+
+239
+00:28:58,150 --> 00:29:07,110
+الورقة one two three
+
+240
+00:29:07,110 --> 00:29:13,550
+للدين، الورقة بعد هيك مش هاخدها.
+
+241
+00:29:13,550 --> 00:29:22,310
+مين اتكلم؟ خلاص، دينيا بس.
+
+242
+00:29:25,280 --> 00:29:32,780
+مين ما أَدَّانى الورقة؟ آخر سطر، شايفكم اه بدون ورقة؟
+
+243
+00:29:32,780 --> 00:29:36,960
+الحمد لله.
+
+244
+00:29:36,960 --> 00:29:42,320
+خلص، الدنيا صافية.
+
+245
+00:29:42,320 --> 00:29:46,640
+طيب.
+
+246
+00:29:46,640 --> 00:29:49,540
+مين يحل السؤال؟ بدون كلام البنات، بدون كلام.
+
+247
+00:29:54,820 --> 00:30:00,780
+بنات، بدون كلام، بدون
+
+248
+00:30:00,780 --> 00:30:06,520
+كلام، هاي.
+
+249
+00:30:06,520 --> 00:30:14,060
+اللي بتكلم سطرهان، أنتو، واحدة، اتنين، اتنين، هاي.
+
+250
+00:30:14,060 --> 00:30:18,340
+أول group حاضر،
+
+251
+00:30:18,340 --> 00:30:19,160
+خليكوا تريحوا.
+
+252
+00:30:23,610 --> 00:30:29,210
+طيب، مين حل السؤال؟ اتفضل، I told you, complete your
+
+253
+00:30:29,210 --> 00:30:45,930
+answer from a to z، جوال.
+
+254
+00:30:55,390 --> 00:31:02,830
+في الشنطة الجوال، خلاص، ارجع الجوال في الشنطة.
+
+255
+00:31:02,830 --> 00:31:12,390
+okay.
+
+256
+00:31:49,880 --> 00:31:52,880
+طيب، another question بس عن الدفتر هذا.
+
+257
+00:31:59,680 --> 00:32:04,860
+هال minus وينِه؟
+
+258
+00:32:04,860 --> 00:32:13,280
+مين حطّ ال sign؟ يرفع يده، مين حطّ ال sign؟ الإشارة،
+
+259
+00:32:13,280 --> 00:32:19,980
+الإشارة، مين حطّها؟ طبعا هان إيش بكتب كمان إن ذا
+
+260
+00:32:19,980 --> 00:32:31,310
+image، طبعا لقدام، لقدام هذه is virtual، و لو كانت
+
+261
+00:32:31,310 --> 00:32:38,730
+اللي هي موجبة، the image is erect، هل بتكتبوها لقدام؟
+
+262
+00:32:38,730 --> 00:32:44,930
+ما احسبش عليها الآن، طيب.
+
+263
+00:32:44,930 --> 00:32:56,030
+آخر سؤال، patient has refractive
+
+264
+00:32:56,030 --> 00:32:56,330
+error.
+
+265
+00:33:00,030 --> 00:33:10,110
+minus thirteen، what is the focal length of the
+
+266
+00:33:10,110 --> 00:33:18,110
+lens in
+
+267
+00:33:18,110 --> 00:33:27,950
+meter؟ حلّلي
+
+268
+00:33:27,950 --> 00:33:28,690
+على الدفتر.
+
+269
+00:33:51,170 --> 00:33:57,190
+من خلصت؟ Please complete your answer.
+
+270
+00:34:33,030 --> 00:34:45,910
+Okay, done؟ فضل الكلام؟
+
+271
+00:35:16,670 --> 00:35:28,070
+لو سمحت، أمنع الكلام أنا.
+
+272
+00:35:28,070 --> 00:35:37,120
+قلت thirteen، أنا قلت two
+
+273
+00:35:37,120 --> 00:35:45,560
+meter.
+
+274
+00:35:45,560 --> 00:35:46,480
+No, centimeter.
+
+275
+00:36:09,040 --> 00:36:16,920
+فيرجوال، okay، okay.
+
+276
+00:36:27,020 --> 00:36:32,140
+طيب، لو كان عندي عدستين، يعني مثلاً مريض كان بلبس
+
+277
+00:36:32,140 --> 00:36:39,840
+right eye كانت minus ten، لو قلنا اكتبوا عندك
+
+278
+00:36:39,840 --> 00:36:45,380
+patient has refractive
+
+279
+00:36:45,380 --> 00:36:51,480
+error minus
+
+280
+00:36:51,480 --> 00:36:53,300
+ten in the right eye.
+
+281
+00:37:01,740 --> 00:37:07,380
+الطبيعي لديه... آسف... الطبيعي لديه خطأ انكساري.
+
+282
+00:37:07,380 --> 00:37:18,200
+-10 في العين اليسرى و -5 في العين اليسرى، ماذا
+
+283
+00:37:18,200 --> 00:37:24,000
+هي طول البؤرة في
+
+284
+00:37:24,000 --> 00:37:28,980
+كلا العيون؟ الطبيعي
+
+285
+00:37:28,980 --> 00:37:35,360
+لديه خطأ انكساري -10 في عيني اليسرى و +
+
+286
+00:37:35,360 --> 00:37:39,880
+5 في عيني اليسرى، ماهو طول البؤرة في كلا
+
+287
+00:37:39,880 --> 00:37:48,180
+عيونها؟ أرجوك
+
+288
+00:37:48,180 --> 00:37:49,420
+أعطوني إجابة كاملة.
+
+289
+00:38:12,310 --> 00:38:30,730
+مين خلصت؟ خلصتي؟
+
+290
+00:38:48,150 --> 00:38:56,470
+Please, attention here, okay.
+
+291
+00:38:56,470 --> 00:38:56,790
+okay.
+
+292
+00:39:19,430 --> 00:39:22,770
+هذه الهاتف، مش عارفين إيه إذا هي على نسبة المحصلة
+
+293
+00:39:22,770 --> 00:39:23,390
+بنائتها.
+
+294
+00:40:08,740 --> 00:40:15,340
+مين موافق مع الإجابة؟ ارفع أيديك... ارفع أيديك، مين
+
+295
+00:40:15,340 --> 00:40:22,180
+حلّ السؤال؟ مين حلّ السؤال؟ تفضّل.
+
+296
+00:40:38,520 --> 00:40:38,840
+أوه.
+
+297
+00:41:16,830 --> 00:41:23,710
+و هذا ال right ولا ال
+
+298
+00:41:23,710 --> 00:41:33,090
+left؟ هذا المفصلة، و هذا ال right، و هذا ال left، و
+
+299
+00:41:33,090 --> 00:41:33,670
+أنا الرسمة.
+
+300
+00:41:53,410 --> 00:42:00,410
+إذا ال right و ال left، okay، و ال focal length are
+
+301
+00:42:00,410 --> 00:42:13,590
+you agree with the answer؟ طبعاً.
+
+302
+00:42:13,590 --> 00:42:15,330
+أول حاجة، خلينا نحل السؤال.
+
+303
+00:42:26,240 --> 00:42:30,240
+ممكن الطريقة هذه صحيحة، و ممكن الطريقة الثانية أنه تفصل
+
+304
+00:42:30,240 --> 00:42:35,780
+نعم.
+
+305
+00:42:35,780 --> 00:42:38,940
+طيب.
+
+306
+00:42:38,940 --> 00:42:43,440
+خلّيني واحدة واحدة، في الحل اللي حليته بيه، اعتبره
+
+307
+00:42:43,440 --> 00:42:47,220
+مادة واحدة، هو بالفعل لازم يخلّيه على ال
+
+308
+00:42:52,090 --> 00:42:55,150
+أنا ما آخذش ال هو ال summation للعدسات الثانية، لإني
+
+309
+00:42:55,150 --> 00:42:58,950
+قلت لك، أنا حكيت أنه لازم ال answer بتاعتك تكون
+
+310
+00:42:58,950 --> 00:43:02,770
+separate، اللي هي منفصلة، فأنا باخذ العين اليمين على
+
+311
+00:43:02,770 --> 00:43:06,570
+حدا، و باخذ العين الشمال على حدا، إن كأنه في right
+
+312
+00:43:06,570 --> 00:43:10,450
+eye و left eye، فبحسب ال right eye ال focal length
+
+313
+00:43:10,450 --> 00:43:14,570
+بتاعتها، و بحسب لل left eye زي ما اتعلمنا ال focal
+
+314
+00:43:14,570 --> 00:43:19,210
+length لها، واضح؟ يعني زي كأنه ما تاخديش ال هو ال
+
+315
+00:43:19,210 --> 00:43:25,080
+summation ليش للمجموعة بتاعته؟ بس إيش برسم؟ ال right
+
+316
+00:43:25,080 --> 00:43:29,500
+eye، باخد مثلاً عدسة كانت موجبة ولا minus؟ minus...
+
+317
+00:43:29,500 --> 00:43:31,380
+minus... minus... minus... minus... minus... minus
+
+318
+00:43:31,380 --> 00:43:33,140
+... minus... minus... minus... minus... minus...
+
+319
+00:43:33,140 --> 00:43:33,400
+... minus... minus... minus... minus... minus...
+
+320
+00:43:33,400 --> 00:43:34,180
+... minus... minus... minus... minus... minus...
+
+321
+00:43:34,180 --> 00:43:34,200
+minus... minus... minus... minus... minus... minus
+
+322
+00:43:34,200 --> 00:43:34,240
+minus... minus... minus... minus... minus... minus
+
+323
+00:43:34,240 --> 00:43:34,860
+... minus... minus... minus... minus... minus...
+
+324
+00:43:34,860 --> 00:43:40,540
+minus... minus... minus... minus... minus... minus
+
+325
+00:43:40,540 --> 00:43:42,120
+... minus... minus... minus.
+
+326
+00:43:50,020 --> 00:43:53,980
+لو سمحت، اللي بدها تسأل سؤال ترفع أيديها، تفضلي.
+
+327
+00:44:14,810 --> 00:44:19,330
+لأنه أنا في عندي عدستين، عدسة plus و عدسة minus، أو
+
+328
+00:44:19,330 --> 00:44:23,850
+مثلاً في عدستين، عدسة plus plus أو عدسة minus minus.
+
+329
+00:44:23,850 --> 00:44:28,960
+فباخذ كل واحدة على حدة، يعني كأنه أنا ما آخذ عند بيشان
+
+330
+00:44:28,960 --> 00:44:33,620
+بلبس اللي هو عدسة ال refractive error ب minus عشرة
+
+331
+00:44:33,620 --> 00:44:37,600
+و الثاني refractive error plus خمسة، و بحسبه ال
+
+332
+00:44:37,600 --> 00:44:40,460
+focal length، هل بعمل summation ولا كل واحد على
+
+333
+00:44:40,460 --> 00:44:44,120
+حدة؟ كل واحد بحسبه ال focal length للعدسة بتاعته
+
+334
+00:44:44,120 --> 00:44:48,220
+لل right و لل left، لكن في نقطة مهمة، بكتب ال right
+
+335
+00:44:48,220 --> 00:44:52,620
+و ال left، إنه ال OD أو ال OS في اللي هو السؤال.
+
+336
+00:44:52,620 --> 00:45:06,500
+واضح؟ طيب، طلعوا برضه ورقة صغيرة بس.
+
+337
+00:45:06,500 --> 00:45:12,880
+أمنع الكلام... دي بالله كلام... في عندك واحد ثاني؟
+
+338
+00:45:34,740 --> 00:45:47,000
+اكتب اسمك على الورقة، your name، okay.
+
+339
+00:45:47,000 --> 00:45:52,440
+Are you ready? Okay.
+
+340
+00:45:52,440 --> 00:46:00,440
+Patient has convergent
+
+341
+00:46:00,440 --> 00:46:01,140
+lens.
+
+342
+00:46:19,870 --> 00:46:25,170
+Patient has convergent
+
+343
+00:46:25,170 --> 00:46:29,670
+lens in the right eye.
+
+344
+00:46:43,090 --> 00:46:55,790
+الشخص لديه عيون مرتبطة في عيون +10 ديوبتر و عيون
+
+345
+00:46:55,790 --> 00:47:03,510
+مرتبطة في عيون
+
+346
+00:47:03,510 --> 00:47:03,770
+اليسار
+
+347
+00:47:11,390 --> 00:47:18,530
+minus 10 ديوبتر in
+
+348
+00:47:18,530 --> 00:47:21,550
+the
+
+349
+00:47:21,550 --> 00:47:27,930
+left eye, what is the focal length in both eyes?
+
+350
+00:47:31,720 --> 00:47:38,240
+الطبيعي لديه عيون مرتبطة في عيون +10 ديوبتر و
+
+351
+00:47:38,240 --> 00:47:44,240
+-10 عيون مرتبطة في عيون اليسار، ماهي طول البؤرة في
+
+352
+00:47:44,240 --> 00:47:54,160
+كلا العيون؟ لديك
+
+353
+00:47:54,160 --> 00:47:58,260
+فقط 3 دقائق، أرجوك أعطني إجابة كاملة.
+
+354
+00:48:05,470 --> 00:48:09,490
+one one one
+
+355
+00:48:09,490 --> 00:48:10,570
+one
+
+356
+00:48:45,040 --> 00:48:53,440
+لأ، إذا في ال answer لأ دي... اه، why
+
+357
+00:48:53,440 --> 00:49:02,300
+you rotate yourself? Okay.
+
+358
+00:49:19,000 --> 00:49:23,620
+لمّ الاوراق الباقية، خلاص، أقل يوجد بمكانك هي بتلمّه.
+
+359
+00:49:23,620 --> 00:49:33,480
+okay.
+
+360
+00:49:33,480 --> 00:49:39,320
+مين
+
+361
+00:49:39,320 --> 00:49:46,280
+يحل السؤال؟ تفضلي، لأ لأ، الاوراق، أنت أنت، اه، بقول
+
+362
+00:49:46,280 --> 00:49:46,660
+الاوراق.
+
+363
+00:50:38,020 --> 00:50:50,900
+مع الكلام، شكراً.
+
+364
+00:50:50,900 --> 00:50:56,480
+the image
+
+365
+00:50:56,480 --> 00:51:05,480
+is reflected, quite virtual، virtual معناها يعني
+
+366
+00:51:05,480 --> 00:51:06,040
+خيالية.
+
+367
+00:51:13,320 --> 00:51:17,760
+شكراً، لأ، لازم تكتب ال image إيش بتكون، و هان ال
+
+368
+00:51:17,760 --> 00:51:33,660
+virtual إيش بتكون، ال erect and، طبعاً
+
+369
+00:51:33,660 --> 00:51:38,360
+هدول معظم الأسئلة، ممكن يعني أي سؤال أو أي trick
+
+370
+00:51:38,360 --> 00:51:41,320
+ما بخلّوش من هذه الأسئلة.
+
+371
+00:51:42,600 --> 00:51:47,220
+Okay, divergence power، زي ما حكينا اللي هو الديوبتر
+
+372
+00:51:47,220 --> 00:51:51,660
+power is the reciprocal of the distance from the
+
+373
+00:51:51,660 --> 00:51:55,700
+lens to the point of convergence of the light، هو
+
+374
+00:51:55,700 --> 00:51:58,780
+عبارة عن مقلوب ال focal length، يعني ال divergence
+
+375
+00:51:58,780 --> 00:52:02,760
+power اللي هو بيقاس بوحدة الديوبتر، هو مقلوب ال
+
+376
+00:52:02,760 --> 00:52:08,240
+focal length اللي بيقاس بوحدة المليمتر، light
+
+377
+00:52:08,240 --> 00:52:12,040
+rays that moving away from each other are termed
+
+378
+00:52:12,040 --> 00:52:16,160
+divergent، الآن العدسة السالبة إيش بتعمل؟ بتفرّق
+
+379
+00:52:16,160 --> 00:52:20,420
+الأشعة، فال divergent إنه بيعمل عملية إنه light
+
+380
+00:52:20,420 --> 00:52:24,960
+rays that moving away from each other are termed
+
+381
+00:52:24,960 --> 00:52:29,540
+divergent، يعني كل الأشعة اللي طالعة بتكون عبارة عن
+
+382
+00:52:29,540 --> 00:52:35,120
+إيش؟ إنه divergent، مُشتّتة، ال light rays that moving
+
+383
+00:52:35,120 --> 00:52:38,620
+toward each other are termed convergent، الأشعة
+
+384
+00:52:38,620 --> 00:52:43,960
+اللي بتكون خارجة من ال plus lens بتكون إيش؟ مُتجمعة.
+
+385
+00:52:43,960 --> 00:52:49,960
+اللي هي plus lens، parallel light rays have zero
+
+386
+00:52:49,960 --> 00:52:56,000
+convergence، دائماً ال parallel، الأشعة المتوازية
+
+387
+00:52:56,000 --> 00:53:02,570
+القوة بتكون فيها قد إيش؟ zero، واضح؟ طبعاً، هاي التلات
+
+388
+00:53:02,570 --> 00:53:07,870
+أنواع من الأشعة، إما أن تكون divergent، ال divergent
+
+389
+00:53:07,870 --> 00:53:13,830
+rays بتكون جاية من عدسة سالبة، ال convergent rays
+
+390
+00:53:13,830 --> 00:53:18,550
+من عدسة موجبة، ال parallel rays بتكون من عدسة صفر
+
+391
+00:53:18,550 --> 00:53:25,310
+أو plane، واضح؟ يعني الآن، لو مثلاً أنا حكيت السؤال
+
+392
+00:53:25,310 --> 00:53:32,410
+إنه عندي كان أشعة سالبة، واضح؟ شو ممكن الأشعة...
+
+393
+00:53:32,410 --> 00:53:36,590
+الأشعة اللي خارجة كانت divergence، شو بتتوقع تكون
+
+394
+00:53:36,590 --> 00:53:41,410
+العدسة؟ concave ولا... concave... concave ولا
+
+395
+00:53:41,410 --> 00:53:46,390
+convex؟ ارفع يدك... concave lens، طيب في ال mirror؟
+
+396
+00:53:46,390 --> 00:53:49,810
+هتكون convex mirror، واضح؟ okay.
+
+397
+00:53:52,930 --> 00:53:56,890
+Light rays emanating from a point source of light
+
+398
+00:53:56,890 --> 00:54:02,330
+are divergent، إن الأشعة الضوئية اللي بتكون منبعثة
+
+399
+00:54:02,330 --> 00:54:11,890
+من مصدر ضوئي، إيش بتكون؟ divergent، مُشتّتة، الأشعة
+
+400
+00:54:11,890 --> 00:54:18,050
+اللي بتكون خارجة من أي جسم أو من أي عدسة، إيش بتكون؟
+
+401
+00:54:18,050 --> 00:54:20,990
+divergent، مُتفرّقة، واضح؟
+
+402
+00:54:24,310 --> 00:54:28,310
+Convergent light rays doesn't usually occur in
+
+403
+00:54:28,310 --> 00:54:31,790
+nature, but the result of the action of an optical
+
+404
+00:54:31,790 --> 00:54:37,790
+system, for example a lens، الأشعة اللي بتكون خارجة
+
+405
+00:54:37,790 --> 00:54:41,830
+من العدسة أو مثلاً من ال prism أو من ال mirror
+
+406
+00:54:41,830 --> 00:54:46,970
+دائماً بتكون هذه الأشعة إيش مالها؟ مُتجمعة، لأن طبيعة
+
+407
+00:54:46,970 --> 00:54:53,770
+العدسة بتخرج أشعة مُتجمعة، و من الصعب في الطبيعة أن
+
+408
+00:54:53,770 --> 00:54:57,410
+تلاقي أشعة مُتجمعة، يعني دائماً الأشعة إيش مالها؟
+
+409
+00:54:57,410 --> 00:55:01,290
+مُتفرقة، واضح؟ الله يجمع صفنا.
+
+410
+00:55:12,740 --> 00:55:18,660
+لأ، الآن في الطبيعة في هناك عدسة بتكون... يعني في
+
+411
+00:55:18,660 --> 00:55:
+
+445
+00:58:21,410 --> 00:58:25,670
+Measurement of refractive error and refractive
+
+446
+00:58:25,670 --> 00:58:31,150
+power of the lens. واضح؟
+
+447
+00:58:31,150 --> 00:58:35,730
+okay
+
+448
+00:58:37,260 --> 00:58:44,920
+Types of lenses، أنواع العدسات، lenses maybe يعني
+
+449
+00:58:44,920 --> 00:58:52,740
+العدسات ممكن أن تكون كروية، أسطوانية أو كروية وأسطوانية،
+
+450
+00:58:52,740 --> 00:58:57,240
+A spherical lens has the same curvature over its
+
+451
+00:58:57,240 --> 00:59:00,300
+entire surface. يعني دائماً العدسة الكروية بيكون
+
+452
+00:59:00,300 --> 00:59:06,060
+شكلها زي هيك، أنه equal in all directions، أن كل
+
+453
+00:59:06,060 --> 00:59:13,400
+اتجاهاته ايش بتكون متساوية القوة، and thus لذلك the
+
+454
+00:59:13,400 --> 00:59:17,140
+same refractive power in all meridians. يعني لو
+
+455
+00:59:17,140 --> 00:59:20,860
+أجينا على الـ vertical أو الـ horizontal كله بيكون
+
+456
+00:59:20,860 --> 00:59:26,000
+متساوي القوة. يعني ممكن أنا ايش أقول مثلاً هنا لو
+
+457
+00:59:26,000 --> 00:59:32,510
+كانت عدسة كروية ممتازة +2 خلاص وأعمل اللي هو
+
+458
+00:59:32,510 --> 00:59:41,710
+الدائرة. واضح؟ بعرف أن هذه العدسة ايش؟ كروية محدبة.
+
+459
+00:59:41,710 --> 00:59:48,050
+Spherical lenses, العدسات التي تكون موجبة، converge
+
+460
+00:59:48,050 --> 00:59:53,690
+light rays and are called plus lenses. العدسات
+
+461
+00:59:53,690 --> 00:59:57,430
+المجمعة اللي كنا نقول عنها الـ conversion اللي
+
+462
+00:59:57,430 --> 01:00:02,070
+بتعمل عملية التجميع هي الـ plus بتجمع كل ايش؟ الأشعة
+
+463
+01:00:02,070 --> 01:00:07,990
+while concave spherical lenses diverge light rays
+
+464
+01:00:07,990 --> 01:00:12,310
+and are called minus lenses. أن العدسات التي بتفرق، أنه
+
+465
+01:00:12,310 --> 01:00:15,630
+بتكون divergence وبتكون إشارتها minus
+
+466
+01:00:15,630 --> 01:00:21,680
+sign. The focal point of a plus lens is the position
+
+467
+01:00:21,680 --> 01:00:25,240
+where parallel light rays that have passed through
+
+468
+01:00:25,240 --> 01:00:30,120
+the lens converge to form an image. الـ focal
+
+469
+01:00:30,120 --> 01:00:34,220
+point أو احنا قلنا الـ focal length في البداية هو
+
+470
+01:00:34,220 --> 01:00:39,080
+مقلوب من الـ diopter. ممكن أن الـ focal point زي ما
+
+471
+01:00:39,080 --> 01:00:45,810
+قلنا أنه يكون plus لو كانت العدسة موجبة. الأشعة هتكون
+
+472
+01:00:45,810 --> 01:00:51,050
+ايش؟ أمام العدسة، وهتكون الأشعة ايش؟ erect اللي هي
+
+473
+01:00:51,050 --> 01:00:57,470
+منتظمة، حقيقية. لكن لو كانت العدسة minus هتكون
+
+474
+01:00:57,470 --> 01:01:02,870
+الـ .. الأشعة أشمالها virtual اللي هي مقلوبة. واضح؟
+
+475
+01:01:02,870 --> 01:01:07,170
+طيب في العدسة الموجبة زي ما احنا حكينا أنها هتجمع
+
+476
+01:01:07,170 --> 01:01:13,240
+الأشعة، في السالبة ايش هتعمل؟ هتفرق الأشعة. The focal
+
+477
+01:01:13,240 --> 01:01:17,500
+point of a minus lens is that point which parallel
+
+478
+01:01:17,500 --> 01:01:21,900
+light rays entering the lens appear to diverge. الآن
+
+479
+01:01:21,900 --> 01:01:26,120
+العدسة السالبة، يما تحطها قدام العين شو هتعمل؟ هتفرق
+
+480
+01:01:26,120 --> 01:01:30,660
+الأشعة، فهتلاحظ أن الأشعة أشمالها متفرقة يما بتدخل
+
+481
+01:01:30,660 --> 01:01:31,460
+العين.
+
+482
+01:01:39,380 --> 01:01:43,060
+طيب مثلاً العدسات التي ننظر بها، تكون مثلاً ميوب أو
+
+483
+01:01:43,060 --> 01:01:48,040
+هجنب، بتكون minus. فكيف يعني بتكون الصورة؟ أنتَ حكيتَ
+
+484
+01:01:48,040 --> 01:01:51,280
+الأشعة ممكن تظهر، لكن ممكن الصورة ما تظهر؟ هي
+
+485
+01:01:51,280 --> 01:01:55,340
+الآن أنا مثلاً لو كان عندي مريض ميوب، فبختار معه
+
+486
+01:01:55,340 --> 01:02:01,580
+عدسة ايش؟ minus. okay. الآن الميُوب شو بيعمل؟ الأشعة
+
+487
+01:02:01,580 --> 01:02:06,720
+.. عفواً .. الأشعة بتتجمع وين؟ أمام الشبكية. فأنا
+
+488
+01:02:06,720 --> 01:02:10,720
+بستخدم اللي هو العدسة الـ minus
+
+489
+01:02:10,720 --> 01:02:16,600
+عشان شو تعمل؟ تجمع الأشعة على الشبكية، يعني بتفرق
+
+490
+01:02:16,600 --> 01:02:21,020
+الأشعة اللي هي أمام الشبكية، فبتلاقي الصورة
+
+491
+01:02:21,020 --> 01:02:24,700
+بتتجمع وين؟ اللي هو على الشبكية. لكن الـ focal
+
+492
+01:02:24,700 --> 01:02:29,340
+length بتاعي بيكون بدون العدسة، الـ focal length
+
+493
+01:02:29,340 --> 01:02:33,800
+بدون العدسة ايش ماله؟ بيكون virtual، خيالي، زي
+
+494
+01:02:33,800 --> 01:02:36,740
+الظبط. يعني الآن لو حسبت الـ focal length بتاع
+
+495
+01:02:36,740 --> 01:02:40,990
+العدسة، أشماله بيكون اللي هو خيالي لأنه هي ايش بتكون
+
+496
+01:02:40,990 --> 01:02:46,050
+خلف العدسة. أنا ما بحكي عن عدسة العين، العدسة العادية
+
+497
+01:02:46,050 --> 01:02:50,110
+يعني لو أنا جبت عدسة، أنا لابس عدسة -2 نفرض
+
+498
+01:02:50,110 --> 01:02:54,130
+الآن الـ focal length اللي هو تاعي في العدسة هذه
+
+499
+01:02:54,130 --> 01:03:04,420
+هيكون أشماله virtual، مش حقيقي. واضح؟ okay. لكن لما
+
+500
+01:03:04,420 --> 01:03:08,460
+بتتجمع الأشعة على الشبكية بتكون الصورة حقيقية طبعاً.
+
+501
+01:03:08,460 --> 01:03:12,000
+أنتم أكيد أخذتم الـ anatomy of the retina أن
+
+502
+01:03:12,000 --> 01:03:16,720
+الصورة بتصل للشبكية أشمالها مقلوبة، لحد ما تصل
+
+503
+01:03:16,720 --> 01:03:22,830
+الـ optic track، وبعدين تبدأ تنقلب الصورة. طبعاً آخر
+
+504
+01:03:22,830 --> 01:03:27,410
+حاجة، in the case of convex or plus lenses, using
+
+505
+01:03:27,410 --> 01:03:31,390
+the mathematical formula، اللي هي D، الديوبتر،
+
+506
+01:03:31,390 --> 01:03:34,410
+power equal one over focal length in millimeter.
+
+507
+01:03:34,410 --> 01:03:42,710
+Okay, thank you so much. We finish chapter one. We
+
+508
+01:03:42,710 --> 01:03:46,890
+will start chapter two in the next lecture، إن شاء
+
+509
+01:03:46,890 --> 01:03:49,250
+الله. Any question?
+
+510
+01:03:53,730 --> 01:03:57,570
+أي سؤال؟ كله واضح إن شاء الله.
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e85a088be88737d8de4aa72fe5b0caa6b646833c
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_postprocess.srt
@@ -0,0 +1,2040 @@
+1
+00:00:21,090 --> 00:00:25,310
+طيب بسم الله الرحمن الرحيم في المحاضرة السابقة
+
+2
+00:00:25,310 --> 00:00:31,170
+اتكلمنا عن ال visual symptoms of the eye strain
+
+3
+00:00:31,170 --> 00:00:37,750
+أخدنا ال visual symptoms أعراض بصرية ال ocular
+
+4
+00:00:37,750 --> 00:00:42,990
+symptoms أعراض عينية اليوم هنبدأ بال refer
+
+5
+00:00:42,990 --> 00:00:51,700
+symptoms أعراض متعلقة بخارج العين واضح؟طبعا أهم
+
+6
+00:00:51,700 --> 00:00:56,740
+symptom في ال referred يعتبر ال headache اللي هو
+
+7
+00:00:56,740 --> 00:01:01,600
+الصداع the commands one of these symptoms is
+
+8
+00:01:01,600 --> 00:01:05,020
+headache ال headache او بنسميه احنا ال eye pain
+
+9
+00:01:05,020 --> 00:01:10,180
+لما بناخد ال history او strain of the eye او eye
+
+10
+00:01:10,180 --> 00:01:15,520
+fatigue كله هاد نفس المسمةthis headache is
+
+11
+00:01:15,520 --> 00:01:20,060
+localized around the eyes, frontal and sometimes
+
+12
+00:01:20,060 --> 00:01:24,480
+maybe temporal, vertical or occipital
+
+13
+00:01:43,890 --> 00:01:48,250
+يعني في المعمل القادم ان شاء الله يما تاخد ال
+
+14
+00:01:48,250 --> 00:01:52,730
+history للمريض، بدك تسألي أول حاجة إنه من ناحية
+
+15
+00:01:52,730 --> 00:01:56,950
+إذا كان عنده headache، صداع، هل هو vertical ولا
+
+16
+00:01:56,950 --> 00:02:01,670
+occipital، frontal ولا temporal؟ واضحة؟
+
+17
+00:02:04,000 --> 00:02:08,320
+the nature of the headache is aching يعني painful
+
+18
+00:02:08,320 --> 00:02:14,640
+ألم شديد boring أنه بيكون عنده نوع من الملل and
+
+19
+00:02:14,640 --> 00:02:20,700
+deep seated يعني بيكون هذا الصداع يعني بشكل عميق
+
+20
+00:02:20,700 --> 00:02:26,260
+يعني فترات طويلة يعني بييجي عند المريض it may be
+
+21
+00:02:26,260 --> 00:02:30,540
+intermittent or constant ممكن أنه يكون هذا الصداع
+
+22
+00:02:30,540 --> 00:02:36,620
+كمان متقطع أو مستمرrelated to the amount of use of
+
+23
+00:02:36,620 --> 00:02:40,760
+the eyes طبعا إله علاقة في إيش؟ في استخدام العين،
+
+24
+00:02:40,760 --> 00:02:45,480
+يعني بمعنى آخر إنه يما يكون المريض في حالة ال
+
+25
+00:02:45,480 --> 00:02:50,900
+relax بيروح هذا الصداع، يما يرجع ال activity
+
+26
+00:02:50,900 --> 00:02:54,600
+بتاعته سواء إنه بيستخدم ال mobile بتاعه أو ال ..
+
+27
+00:02:54,600 --> 00:02:58,740
+أو ال .. بيشاهد التلفاز لفترات طويلة، بيرجع هذا
+
+28
+00:02:58,740 --> 00:02:59,880
+إيش الصداع
+
+29
+00:03:02,770 --> 00:03:07,250
+the aggravating factors like eye fatigue and poor
+
+30
+00:03:07,250 --> 00:03:11,410
+illumination are said to be common من هذه الأعراض
+
+31
+00:03:11,410 --> 00:03:15,530
+لل headache ممكن أيضا إجهاد العين أن يكون فيه
+
+32
+00:03:15,530 --> 00:03:20,690
+للمريض إجهاد كمان الإضاءة إذا كانت سيئة بزود هذا
+
+33
+00:03:20,690 --> 00:03:26,610
+الصداع واضح؟ أو بزود اللي هو شكوة المريض من العين
+
+34
+00:03:26,610 --> 00:03:31,370
+ليش؟ لأنه دايما في الإضاءة لما تكون قليلةبكون ال
+
+35
+00:03:31,370 --> 00:03:36,430
+بيو بالإش ماله dilate ولا construct؟ dilate صح؟
+
+36
+00:03:36,430 --> 00:03:40,030
+يما بتيجي الإضاءة قوية بصير construct فحتى الواحد
+
+37
+00:03:40,030 --> 00:03:44,210
+إيش بتلاقي دايما بغط عينه بخاف أنه من الضوء للنضب،
+
+38
+00:03:44,210 --> 00:03:49,600
+الإضاءة بتيجي إيش شديدة على العينطبعا في ال
+
+39
+00:03:49,600 --> 00:03:55,440
+digestive upset disorder like dyspepsia and nausea
+
+40
+00:03:55,440 --> 00:04:00,040
+أنه أمراض متعلقة في الجهاز الهضمي زي مثلا ال
+
+41
+00:04:00,040 --> 00:04:04,040
+dyspepsia اللي هي سوء في الهضم أو ال nausea
+
+42
+00:04:04,040 --> 00:04:11,170
+الغثيان النقطة الثالثة مهمةال vague nervous
+
+43
+00:04:11,170 --> 00:04:16,590
+symptoms أعراض متعلقة في العصب العاشر ال vague هو
+
+44
+00:04:16,590 --> 00:04:22,230
+العصب العاشر طبعا الجسم الإنسان بيحتوي كام عصب؟
+
+45
+00:04:22,230 --> 00:04:30,610
+اتناشر ممتازة الأعصاب العين هكتبهم أول عصب اللي هو
+
+46
+00:04:30,610 --> 00:04:37,610
+ال optic nerve العصب البصري ال
+
+47
+00:04:37,610 --> 00:04:51,660
+opticNerve العصب البصري العصب الثاني ال Okolomotor
+
+48
+00:04:51,660 --> 00:05:05,000
+nerve العصب
+
+49
+00:05:05,000 --> 00:05:07,620
+الرابع Trochlear
+
+50
+00:05:11,550 --> 00:05:22,490
+nerve العصب الخامس الـ trigeminal nerve
+
+51
+00:05:22,490 --> 00:05:27,790
+ال
+
+52
+00:05:27,790 --> 00:05:38,890
+facial nerve اللي هو عصب الوجه و
+
+53
+00:05:38,890 --> 00:05:40,130
+ال vague
+
+54
+00:05:44,700 --> 00:05:51,540
+من قدرة الله عز وجل انه الإنسان بيحتوي ع 12 عصب،
+
+55
+00:05:51,540 --> 00:05:56,520
+العين لحالها فيها 6 عصب، اللي هو العصب البصري، ال
+
+56
+00:05:56,520 --> 00:06:01,860
+optic nerve، ال oculomotor nerve، ال trochlear
+
+57
+00:06:01,860 --> 00:06:07,480
+nerve، ال trigeminal nerve، ال facial nerve و ال
+
+58
+00:06:07,480 --> 00:06:12,990
+vagal nervevalue nervous symptoms هذه بتكون أعراض
+
+59
+00:06:12,990 --> 00:06:17,850
+.. الأعراض بتكون عصبية متعلقة في ال heart في القلب
+
+60
+00:06:17,850 --> 00:06:23,250
+like أنه بتسبب dizziness اللي هي الدوخة and
+
+61
+00:06:23,250 --> 00:06:26,450
+depression الإحباط واضح؟
+
+62
+00:06:31,880 --> 00:06:39,080
+review of geometrical optics هنعمل عملية update أو
+
+63
+00:06:39,080 --> 00:06:45,940
+عملية revision للبصريات الهندسية light travels
+
+64
+00:06:45,940 --> 00:06:51,240
+through space in straight lines الآن الضوء أول
+
+65
+00:06:51,240 --> 00:06:57,420
+حاجة بيسره في اللي هو خطوط إيه شمالها مستقيمةIf a
+
+66
+00:06:57,420 --> 00:07:01,660
+ray of light meet a body in its passage through
+
+67
+00:07:01,660 --> 00:07:05,600
+space, one of three things may happen.الان هذا
+
+68
+00:07:05,600 --> 00:07:10,560
+الضوء إذا بيقابل أي تجسم بيحصل له واحدة من التلت
+
+69
+00:07:10,560 --> 00:07:15,800
+أمور هذه، يا إما absorbed، يا إما refracted، يا
+
+70
+00:07:15,800 --> 00:07:19,340
+إما reflected أو transmitted، اللي هي عملية
+
+71
+00:07:19,340 --> 00:07:27,200
+امتصاص، يعني الآن أي تضوءباصطدم في أي تجسم بيحدث
+
+72
+00:07:27,200 --> 00:07:31,280
+إليه واحدة من التلات أمور، يا إما refracted إنكسار
+
+73
+00:07:31,280 --> 00:07:36,240
+أو reflected إنعكاس أو transmitted اللي هو أو
+
+74
+00:07:36,240 --> 00:07:39,240
+absorb امتصاص، واضحة النقطة الأولى؟
+
+75
+00:07:42,710 --> 00:07:47,130
+when the light transmit or absorb from one medium
+
+76
+00:07:47,130 --> 00:07:50,810
+into another medium of different density it is
+
+77
+00:07:50,810 --> 00:07:55,210
+called to be refracted طبعا احنا عرفنا تعريف ال
+
+78
+00:07:55,210 --> 00:08:00,190
+refracted من ناحية in a clinical ophthalmology شو
+
+79
+00:08:00,190 --> 00:08:03,270
+تعريف ال refraction من ناحية clinical
+
+80
+00:08:03,270 --> 00:08:07,070
+ophthalmology؟
+
+81
+00:08:07,070 --> 00:08:09,010
+علي صوتك، فضلي
+
+82
+00:08:14,100 --> 00:08:17,560
+ممتازة The determining of the refractive condition
+
+83
+00:08:17,560 --> 00:08:21,660
+of the eye may be myopic, hypermetropic or
+
+84
+00:08:21,660 --> 00:08:26,040
+astigmatism الان من ناحية physics من ناحية
+
+85
+00:08:26,040 --> 00:08:31,680
+فيزيائية انه يما بنتقل الضوء من وسط الى وسط اخر
+
+86
+00:08:31,680 --> 00:08:37,540
+الوسط الاخر بيكون مختلف الكثافة بيسمى هذا ايش ال
+
+87
+00:08:37,540 --> 00:08:44,920
+refractiveهو انتقال الضوء من وسط إلى وسط آخر، هذا
+
+88
+00:08:44,920 --> 00:08:50,300
+الوسط الآخر بيكون مختلف الكثافة، فبيعمل .. فهذا ما
+
+89
+00:08:50,300 --> 00:08:54,060
+يسمى بتعريف ال refracted، واضح؟
+
+90
+00:08:59,740 --> 00:09:06,140
+principles of virgins مبادئ الميل الإشعاعي ال
+
+91
+00:09:06,140 --> 00:09:12,600
+virgins المسمته الميل الإشعاعي as applied to light
+
+92
+00:09:12,600 --> 00:09:18,180
+rays يما أنا بستخدم أو بستعمل الإشعاع الضوءي the
+
+93
+00:09:18,180 --> 00:09:23,240
+term virgins describes the direction of a ray as
+
+94
+00:09:23,240 --> 00:09:27,420
+it passes between some luminous point to a lens
+
+95
+00:09:28,150 --> 00:09:34,530
+الان انا يما بستخدم الإشعاع الضوء كمفهوم للميل
+
+96
+00:09:34,530 --> 00:09:40,910
+الإشعاعي بيصف اتجاه الشعاع مابين نقاط ايه شمالها
+
+97
+00:09:40,910 --> 00:09:46,410
+ال luminous point انه نقاط بتكون مضيقة هذه النقاط
+
+98
+00:09:46,410 --> 00:09:50,630
+المضيقة وين بتكون؟ في العدسة يعني الان لو فرضت انا
+
+99
+00:09:50,630 --> 00:09:57,220
+مثلا هذه العدسة بتاعتيالان العدسة إيش بتتكون من
+
+100
+00:09:57,220 --> 00:10:02,240
+نقاط مضيقة ال virgins إيش بيعمل للعدسة يا إما
+
+101
+00:10:02,240 --> 00:10:07,860
+بيشتد يا إما إيش بيعمل اللي هو بيجمع الأشعة هذا
+
+102
+00:10:07,860 --> 00:10:13,120
+المفهوم البسيط لمين لل virgins يعني في .. اللي هو
+
+103
+00:10:13,120 --> 00:10:18,040
+في عند نقاط مضيقة في العدسة النقاط المضيقة يا إما
+
+104
+00:10:18,040 --> 00:10:21,200
+بتجمع أو بتفرق الأشعة واضح؟
+
+105
+00:10:26,250 --> 00:10:33,490
+طبعا ال divergence power قوة الميل الإشعاعي is the
+
+106
+00:10:33,490 --> 00:10:36,910
+reciprocal of the distance from the lens to the
+
+107
+00:10:36,910 --> 00:10:43,530
+point of convergence of the light طبعا أخدنا ال
+
+108
+00:10:43,530 --> 00:10:49,910
+power لأي تعدسة إيش بالساوية؟ واحد على ال focal
+
+109
+00:10:49,910 --> 00:10:56,310
+length أو ممكن في بعض الكتب بيكتبوها Done over F
+
+110
+00:10:56,310 --> 00:11:03,430
+طبعا القوة هذه هي عبارة عن القوة
+
+111
+00:11:03,430 --> 00:11:11,930
+بالديوبتر power
+
+112
+00:11:11,930 --> 00:11:16,690
+of the virgins
+
+113
+00:11:16,690 --> 00:11:20,470
+وال
+
+114
+00:11:20,470 --> 00:11:23,710
+F عبارة عن ال focal
+
+115
+00:11:29,520 --> 00:11:33,660
+length بالmillimeter طب لو قولت شو تعريف ال focal
+
+116
+00:11:33,660 --> 00:11:38,900
+length؟
+
+117
+00:11:38,900 --> 00:11:46,780
+تعرف ترفع أيديها، شو تعريف ال focal length؟ أه
+
+118
+00:11:46,780 --> 00:11:47,740
+تعريف، definition
+
+119
+00:11:52,880 --> 00:11:55,880
+طيب من التعريف هذا ممكن .. من العلاقة هذه ممكن
+
+120
+00:11:55,880 --> 00:12:04,000
+تعرفيه؟ اه فجدت
+
+121
+00:12:04,000 --> 00:12:09,160
+منطقيا قولنا ال virgins او ال power reciprocal of
+
+122
+00:12:09,160 --> 00:12:12,580
+the focal length and is measured in diopter يعني
+
+123
+00:12:12,580 --> 00:12:18,320
+هو مقلوب ال focal length okay و بيقاس بوحدة ايش؟
+
+124
+00:12:18,320 --> 00:12:23,220
+ال diopterالـ focal length إيش هيكون؟ مقلود البور
+
+125
+00:12:23,220 --> 00:12:39,620
+وبيقاس بوحدة ال millimeter واضح؟ خلّيني أكتبه أمحي
+
+126
+00:12:39,620 --> 00:12:40,040
+هذا؟
+
+127
+00:12:59,960 --> 00:13:06,640
+طبعا هي عندنا اول حاجة هي ال lens طبعا
+
+128
+00:13:06,640 --> 00:13:13,400
+اية lens بيكون فيها ايش؟ ال luminous ال
+
+129
+00:13:13,400 --> 00:13:17,280
+luminous point
+
+130
+00:13:17,280 --> 00:13:26,020
+اللي هي نقاط مضيقة مضيقة okay هذه ايش بتعمل؟ اما
+
+131
+00:13:26,020 --> 00:13:27,280
+بتعمل convergence
+
+132
+00:13:30,640 --> 00:13:40,600
+او divergence الان ال power ايش بيساوي one over F
+
+133
+00:13:40,600 --> 00:13:49,260
+طبعا هذا في الديوبتر و
+
+134
+00:13:49,260 --> 00:13:55,380
+ال focal length بال millimeter الديوبتر عبارة عن
+
+135
+00:13:55,380 --> 00:13:58,980
+power هذا ال focal
+
+136
+00:14:13,630 --> 00:14:21,270
+واضح؟ طيب مين عرف الديوبتر؟
+
+137
+00:14:21,270 --> 00:14:25,970
+طيب الديوبتر
+
+138
+00:14:25,970 --> 00:14:31,590
+اللي هي عبارة عن إيش؟الديوبتر اللي هي وحدة القياس
+
+139
+00:14:31,590 --> 00:14:36,450
+اللي بتقيس من ال power ال power اذا هي عبارة ال
+
+140
+00:14:36,450 --> 00:14:40,570
+unit is measurement of the power الوحدة اللي بتقيس
+
+141
+00:14:40,570 --> 00:14:45,290
+من ال power unit
+
+142
+00:14:45,290 --> 00:14:53,070
+measurement
+
+143
+00:14:53,070 --> 00:14:57,290
+of
+
+144
+00:14:57,290 --> 00:15:10,140
+thepower and abbreviated بتختصر بال
+
+145
+00:15:10,140 --> 00:15:14,900
+D واضح ال unit measurement of the power and
+
+146
+00:15:14,900 --> 00:15:18,620
+abbreviate D هذه عبارة عن مين الديوبتر
+
+147
+00:15:23,580 --> 00:15:28,660
+بالنسبة للـ focal length it is the reciprocal of
+
+148
+00:15:28,660 --> 00:15:33,140
+the diopter and is measured in millimeter
+
+149
+00:16:09,740 --> 00:16:18,840
+بالنسبة ل ال focal length هذا
+
+150
+00:16:18,840 --> 00:16:30,120
+تعريف ال focal length واضح؟
+
+151
+00:16:30,120 --> 00:16:33,900
+يعني
+
+152
+00:16:33,900 --> 00:16:43,140
+بمعنى آخر focal lengthIt is a reciprocal عندنا
+
+153
+00:16:43,140 --> 00:16:48,420
+اللي هو تعريف الديوبتر وحدة قياس من ال power اللي
+
+154
+00:16:48,420 --> 00:16:54,060
+هي قوة العدسة وبيرمزلها برمز ال D هذا بالنسبة
+
+155
+00:16:54,060 --> 00:16:59,600
+للديوبتر طيب ال focal length هي مقلوب من ال power
+
+156
+00:16:59,600 --> 00:17:05,360
+القوة و بتقاس بال millimeter واضح؟ طيب بالنسبة لل
+
+157
+00:17:05,360 --> 00:17:11,220
+powerال power اللى مقلوب فوق ال link وبتقاس بوحدة
+
+158
+00:17:11,220 --> 00:17:23,500
+مين ال diopter واضح؟
+
+159
+00:17:23,500 --> 00:17:36,800
+خلصته؟
+
+160
+00:17:39,800 --> 00:17:49,680
+طيب سجلي عندك أو على الدفتر patient has
+
+161
+00:17:49,680 --> 00:17:59,340
+refractive error patient has refractive error plus
+
+162
+00:17:59,340 --> 00:18:03,080
+three ديوبتر سفير
+
+163
+00:18:06,600 --> 00:18:09,940
+what is the focal length?
+
+164
+00:18:15,660 --> 00:18:22,460
+patient has refractive error plus
+
+165
+00:18:22,460 --> 00:18:34,960
+three what is the focal length of the lens؟
+
+166
+00:18:34,960 --> 00:18:53,730
+شوية شويةكتبت السؤال؟ الكل كتب السؤال؟ طبعا
+
+167
+00:18:53,730 --> 00:18:58,770
+إذا جيبت في الامتحان سؤال زي هذا لو واحد كتب لتلت
+
+168
+00:18:58,770 --> 00:18:59,550
+مباشر
+
+169
+00:19:04,880 --> 00:19:11,360
+بداية أول حاجة لسؤال زي هيك باجي برسم العدسة طبعا
+
+170
+00:19:11,360 --> 00:19:19,680
+العدسة إيه شمالها؟ موجبة صح؟
+
+171
+00:19:19,680 --> 00:19:30,740
+إذا plus three ده يبتر صح؟ الآن القانون F equal
+
+172
+00:19:30,740 --> 00:19:41,040
+one focal lengthطبعا انا بدت ايش؟ اذا انا بد مين؟
+
+173
+00:19:41,040 --> 00:19:51,060
+ال focal length طبعا
+
+174
+00:19:51,060 --> 00:20:02,600
+واحد على تلاتة مليمتر طيب another patient patient
+
+175
+00:20:02,600 --> 00:20:03,220
+has
+
+176
+00:20:28,460 --> 00:20:36,560
+الشخص لديه خطأ عضوى مفهوم مفهوم مفهوم مفهوم مفهوم
+
+177
+00:20:36,560 --> 00:20:36,820
+مفهوم مفهوم
+
+178
+00:20:45,060 --> 00:20:55,160
+حلو على الورقة حلو على الورقة لقيته؟
+
+179
+00:21:18,630 --> 00:21:34,610
+مين حلت السؤال؟ تهلي طب
+
+180
+00:21:34,610 --> 00:21:40,770
+على ال minus فوق أو ال plus فوق العدسة، واضح؟
+
+181
+00:21:40,770 --> 00:21:44,510
+كلهم؟
+
+182
+00:22:00,400 --> 00:22:04,620
+اللي هو عشان .. اللي مافوتش ثالث عشان هي مسافة
+
+183
+00:22:04,620 --> 00:22:08,140
+فانتصرت عشان اول و بحطينا ثالث من ايه ما يعني في
+
+184
+00:22:08,140 --> 00:22:11,620
+الآخر اتقلعي النتيجة في الآخر، إيه إيش بدك تكتب؟
+
+185
+00:22:11,620 --> 00:22:14,840
+بقى ده و بقى خلاص من اللي نبدأ؟ اه من اللي نبدأ
+
+186
+00:22:14,840 --> 00:22:19,460
+okay
+
+187
+00:22:22,250 --> 00:22:29,070
+صح الجواب ولا خطأ؟
+
+188
+00:22:29,070 --> 00:22:33,690
+في
+
+189
+00:22:33,690 --> 00:22:37,070
+حاجة في ال image أخدتوها أن العدسة السالبة بتكون
+
+190
+00:22:37,070 --> 00:22:41,030
+ال image فيها إيش؟ virtual، مقلوبة، صح؟ إذن إذا
+
+191
+00:22:41,030 --> 00:22:45,610
+بتكون مقلوبة بتكون إيش؟ minus إذن هم تحط minus
+
+192
+00:22:45,610 --> 00:22:47,190
+millimeter
+
+193
+00:22:49,760 --> 00:22:54,200
+طبعا ال sign مهمة تطبيق القانون سهل جدا لكن ممكن
+
+194
+00:22:54,200 --> 00:22:58,520
+ألعب في وين في ال sign فيه في الامتحان يعني كسؤال
+
+195
+00:22:58,520 --> 00:23:06,800
+طيب اكتب
+
+196
+00:23:06,800 --> 00:23:12,460
+على الدفتر lens
+
+197
+00:23:12,460 --> 00:23:13,160
+has
+
+198
+00:23:24,590 --> 00:23:32,770
+معنى ديوبتريك باور اللينز هو 1
+
+199
+00:23:32,770 --> 00:23:38,690
+over 10 ميلي متر
+
+200
+00:23:52,920 --> 00:23:57,300
+or what is the power of the lens ال focal length
+
+201
+00:23:57,300 --> 00:24:02,780
+بتاع العدسة واحد
+
+202
+00:24:02,780 --> 00:24:07,560
+على عشرة millimeter جديش قوة العدسة حللي على
+
+203
+00:24:07,560 --> 00:24:19,240
+الدفتر مين
+
+204
+00:24:19,240 --> 00:24:19,720
+حلله؟
+
+205
+00:24:22,550 --> 00:24:38,670
+تعالى تفضلي اول
+
+206
+00:24:38,670 --> 00:24:41,170
+شي هو انا مش مواضحنى ان العدسة موجة او اسا ممكن
+
+207
+00:24:41,170 --> 00:24:43,930
+اشوف حاسوب العدسة هلأ اولش اشتغل اكتب القانين
+
+208
+00:24:43,930 --> 00:24:47,830
+اخدنا اهو اول اكتب المعطيات ماعطينا ال focus link
+
+209
+00:24:47,830 --> 00:24:55,900
+يساوي واحد علىهلا احنا لدينا قانون F يساوي واحد
+
+210
+00:24:55,900 --> 00:24:59,980
+على ال focus زي ما قلت لك واحد على واحد على عشرة
+
+211
+00:24:59,980 --> 00:25:05,060
+يساوي عشرة طيب
+
+212
+00:25:05,060 --> 00:25:11,560
+الآن برسم العدسة صح؟ صم العدسة
+
+213
+00:25:11,560 --> 00:25:17,220
+تقعد
+
+214
+00:25:17,220 --> 00:25:18,320
+و تبعدها؟
+
+215
+00:25:33,520 --> 00:25:38,760
+طيب طلع ورقة صغيرة اكتب اسمك على الورقة ساكر
+
+216
+00:25:38,760 --> 00:25:42,860
+الدفتر طبعا الحل تلت دقائق بعد تلت دقائق مش هاخد
+
+217
+00:25:42,860 --> 00:25:44,820
+الورقة okay السؤال
+
+218
+00:25:52,820 --> 00:25:57,720
+طبعا هو سهل كثير patient
+
+219
+00:25:57,720 --> 00:26:01,740
+has
+
+220
+00:26:01,740 --> 00:26:11,660
+refractive error minus
+
+221
+00:26:11,660 --> 00:26:27,980
+twenty point five ده يبترWhat is the focal
+
+222
+00:26:27,980 --> 00:26:34,500
+length of
+
+223
+00:26:34,500 --> 00:26:39,340
+the lens in
+
+224
+00:26:39,340 --> 00:26:40,220
+centimeter؟
+
+225
+00:26:53,120 --> 00:27:08,340
+minus twenty point fifty please
+
+226
+00:27:08,340 --> 00:27:10,280
+complete your answer
+
+227
+00:27:26,260 --> 00:27:42,680
+you can apply your calculator without your
+
+228
+00:27:42,680 --> 00:27:43,180
+eyes
+
+229
+00:28:15,360 --> 00:28:23,600
+اللي بتخلص اجيب الورقة بس واحدة واحدة اسم اسم اسم
+
+230
+00:28:23,600 --> 00:28:24,260
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+231
+00:28:24,260 --> 00:28:28,040
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+232
+00:28:28,040 --> 00:28:28,400
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+233
+00:28:28,400 --> 00:28:30,160
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+234
+00:28:30,160 --> 00:28:30,760
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+235
+00:28:30,760 --> 00:28:33,960
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+236
+00:28:33,960 --> 00:28:37,080
+اسم اسم
+
+237
+00:28:37,080 --> 00:28:43,600
+اس
+
+238
+00:28:53,770 --> 00:28:58,150
+طيب هعيد على التلاتة خلاص هعيد على التلاتة لكل دين
+
+239
+00:28:58,150 --> 00:29:07,110
+الورقة one two three
+
+240
+00:29:07,110 --> 00:29:13,550
+دين الورقة بعد هيك مش هاخدها
+
+241
+00:29:13,550 --> 00:29:22,310
+مين اتكلم؟ خلاص دينيا بس
+
+242
+00:29:25,280 --> 00:29:32,780
+مين ماتدنيش الورقة؟ اخر سطر شايفكم اه بدون ورقة؟
+
+243
+00:29:32,780 --> 00:29:36,960
+الحمد لله
+
+244
+00:29:36,960 --> 00:29:42,320
+خلص الدنيا صبيه
+
+245
+00:29:42,320 --> 00:29:46,640
+طيب
+
+246
+00:29:46,640 --> 00:29:49,540
+مين يحل السؤال؟ بدون كلام البنات بدون كلام
+
+247
+00:29:54,820 --> 00:30:00,780
+بنات بدون كلام بدون
+
+248
+00:30:00,780 --> 00:30:06,520
+كلام هاي
+
+249
+00:30:06,520 --> 00:30:14,060
+اللي بتكلم سطرهان، انتوا، واحدة، اتين، تين، هاي
+
+250
+00:30:14,060 --> 00:30:18,340
+اول group حاضر،
+
+251
+00:30:18,340 --> 00:30:19,160
+خليكوا تريحوا
+
+252
+00:30:23,610 --> 00:30:29,210
+طيب مين حل السؤال؟ اتفضل I told you complete your
+
+253
+00:30:29,210 --> 00:30:45,930
+answer من a ل z جوال
+
+254
+00:30:55,390 --> 00:31:02,830
+في الشنطة الجوال خلاص ارجع الجوال في الشنطة
+
+255
+00:31:02,830 --> 00:31:12,390
+okay
+
+256
+00:31:49,880 --> 00:31:52,880
+طيب another question بس عن الدفتر هذا
+
+257
+00:31:59,680 --> 00:32:04,860
+هال minus وينه؟
+
+258
+00:32:04,860 --> 00:32:13,280
+مين حط ال sign؟ يرفع يده، مين حط ال sign؟ الإشارة،
+
+259
+00:32:13,280 --> 00:32:19,980
+الإشارة، مين حطها؟ طبعا هان إيش بكتب كمان إن ذا
+
+260
+00:32:19,980 --> 00:32:31,310
+image طبعا لقدام، لقدام هذه is virtualو لو كانت
+
+261
+00:32:31,310 --> 00:32:38,730
+اللي هي موجبة the image erect هل بتكتبوها لقدام
+
+262
+00:32:38,730 --> 00:32:44,930
+ماححسبش عليها الأن طيب
+
+263
+00:32:44,930 --> 00:32:56,030
+أخر سؤال patient has refractive
+
+264
+00:32:56,030 --> 00:32:56,330
+error
+
+265
+00:33:00,030 --> 00:33:10,110
+minus thirteen what is the focal length of the
+
+266
+00:33:10,110 --> 00:33:18,110
+lens in
+
+267
+00:33:18,110 --> 00:33:27,950
+meter حللي
+
+268
+00:33:27,950 --> 00:33:28,690
+على الدفتر
+
+269
+00:33:51,170 --> 00:33:57,190
+من خلصت؟ please complete your answer
+
+270
+00:34:33,030 --> 00:34:45,910
+Okay done؟فضل الكلام؟
+
+271
+00:35:16,670 --> 00:35:28,070
+لو سمحت امنع الكلام انا
+
+272
+00:35:28,070 --> 00:35:37,120
+قولت thirteenthirteen انا قولت two
+
+273
+00:35:37,120 --> 00:35:45,560
+meter
+
+274
+00:35:45,560 --> 00:35:46,480
+no centimeter
+
+275
+00:36:09,040 --> 00:36:16,920
+فيرجوال okay okay
+
+276
+00:36:27,020 --> 00:36:32,140
+طيب لو كان عندى عدساتين يعني مثلا مريض كان بلبس
+
+277
+00:36:32,140 --> 00:36:39,840
+right eye كانت minus ten لو قولنا اكتبوا عندك
+
+278
+00:36:39,840 --> 00:36:45,380
+patient has refractive
+
+279
+00:36:45,380 --> 00:36:51,480
+error minus
+
+280
+00:36:51,480 --> 00:36:53,300
+ten in the right eye
+
+281
+00:37:01,740 --> 00:37:07,380
+الطبيعي لديه .. آسف .. الطبيعي لديه خطأ رفعية نقل
+
+282
+00:37:07,380 --> 00:37:18,200
+10 في العين اليسرى و 5 في العين اليسرى ماذا
+
+283
+00:37:18,200 --> 00:37:24,000
+هي طول التصوير في
+
+284
+00:37:24,000 --> 00:37:28,980
+كلا العيون؟ الطبيعي
+
+285
+00:37:28,980 --> 00:37:35,360
+لديهرفراكتف خطأ مايناس تن في عيني اليسرى و بلاس
+
+286
+00:37:35,360 --> 00:37:39,880
+فايف في عيني اليسرى، ماهو مدرسة الفوكال في كلا
+
+287
+00:37:39,880 --> 00:37:48,180
+عيونها؟ أرجوك
+
+288
+00:37:48,180 --> 00:37:49,420
+أعطوني إجابة كاملة
+
+289
+00:38:12,310 --> 00:38:30,730
+مين خلصت؟ خلصتي؟
+
+290
+00:38:48,150 --> 00:38:56,470
+please attention here okay
+
+291
+00:38:56,470 --> 00:38:56,790
+okay
+
+292
+00:39:19,430 --> 00:39:22,770
+هذه الهاتف مش عارفين إيه إذا هي على نسبة المحاصلة
+
+293
+00:39:22,770 --> 00:39:23,390
+بنائتها
+
+294
+00:40:08,740 --> 00:40:15,340
+مين موافق مع الإجابة؟ ارفع أيديك .. ارفع أيديك مين
+
+295
+00:40:15,340 --> 00:40:22,180
+حل السؤال؟ مين حل السؤال؟ تفضل
+
+296
+00:40:38,520 --> 00:40:38,840
+أوه
+
+297
+00:41:16,830 --> 00:41:23,710
+و هذا ال right ولا ال
+
+298
+00:41:23,710 --> 00:41:33,090
+left؟ هذا المفصلة و هذا ال right و هذا ال left و
+
+299
+00:41:33,090 --> 00:41:33,670
+أنا الرسمة
+
+300
+00:41:53,410 --> 00:42:00,410
+إذا ال right و ال left okay و الفوك ال length are
+
+301
+00:42:00,410 --> 00:42:13,590
+you agree with the answer طبعا
+
+302
+00:42:13,590 --> 00:42:15,330
+أول حاجة خلينا نحل السؤال
+
+303
+00:42:26,240 --> 00:42:30,240
+ممكن الطريقة هذه صح وممكن الطريقة الثانية أنه تفصل
+
+304
+00:42:30,240 --> 00:42:35,780
+نعم
+
+305
+00:42:35,780 --> 00:42:38,940
+طيب
+
+306
+00:42:38,940 --> 00:42:43,440
+خلّيني واحدة واحدة في الحل اللي حلته بيه اعتبره
+
+307
+00:42:43,440 --> 00:42:47,220
+مادة واحدة هو بالفعل لازم يخلّيه على ال
+
+308
+00:42:52,090 --> 00:42:55,150
+أنا باخدش ال هو ال summation للعدسات تانية لإني
+
+309
+00:42:55,150 --> 00:42:58,950
+قلتلك أنا حكيت أنه لازم ال answer بتاعتك تكون
+
+310
+00:42:58,950 --> 00:43:02,770
+separate اللي هي منفصلة فانا باخد العين اليمين على
+
+311
+00:43:02,770 --> 00:43:06,570
+حدا و باخد العين الشمال على حدا ان كأنه في right
+
+312
+00:43:06,570 --> 00:43:10,450
+eye و left eye فبحسب ال right eye ال focal length
+
+313
+00:43:10,450 --> 00:43:14,570
+بتاعتها و بحسب لل left eye زي ما اتعلمنا ال focal
+
+314
+00:43:14,570 --> 00:43:19,210
+length لها واضح؟ يعني زي كأنه ماتاخديش ال هو ال
+
+315
+00:43:19,210 --> 00:43:25,080
+summation ليش المجموعة بتاعه؟بس ايش برسم؟ ال right
+
+316
+00:43:25,080 --> 00:43:29,500
+eye باخد مثلا عدسة كانت موجبة ولا minus؟ minus ..
+
+317
+00:43:29,500 --> 00:43:31,380
+minus .. minus .. minus .. minus .. minus .. minus
+
+318
+00:43:31,380 --> 00:43:33,140
+.. minus .. minus .. minus .. minus .. minus ..
+
+319
+00:43:33,140 --> 00:43:33,400
+minus .. minus .. minus .. minus .. minus .. minus
+
+320
+00:43:33,400 --> 00:43:34,180
+.. minus .. minus .. minus .. minus .. minus ..
+
+321
+00:43:34,180 --> 00:43:34,200
+minus .. minus .. minus .. minus .. minus .. minus
+
+322
+00:43:34,200 --> 00:43:34,240
+minus .. minus .. minus .. minus .. minus .. minus
+
+323
+00:43:34,240 --> 00:43:34,860
+.. minus .. minus .. minus .. minus .. minus ..
+
+324
+00:43:34,860 --> 00:43:40,540
+minus .. minus .. minus .. minus .. minus .. minus
+
+325
+00:43:40,540 --> 00:43:42,120
+.. minus .. minus .. minus
+
+326
+00:43:50,020 --> 00:43:53,980
+لو سمحت اللي بدها تسأل سؤال ترفع أيديها، تفضلي
+
+327
+00:44:14,810 --> 00:44:19,330
+لأنه أنا في عندى عدستين عدسة plus وعدسة minus أو
+
+328
+00:44:19,330 --> 00:44:23,850
+مثلا في عدستين عدسة plus plus او عدسة minus minus
+
+329
+00:44:23,850 --> 00:44:28,960
+فباخد كل واحدة على حدةيعني كأنه انا ماخد عند بيشان
+
+330
+00:44:28,960 --> 00:44:33,620
+بلبس اللي هو عدسة ال refractive error ب minus عشرة
+
+331
+00:44:33,620 --> 00:44:37,600
+والتاني refractive error plus خمسة وبحسبله ال
+
+332
+00:44:37,600 --> 00:44:40,460
+focal length هل بعمل summation ولا كل واحد على
+
+333
+00:44:40,460 --> 00:44:44,120
+حده؟ كل واحد بحسبله ال focal length للعدسة بتاعته
+
+334
+00:44:44,120 --> 00:44:48,220
+لل right و لل left لكن في نقطة مهمة بكتب ال right
+
+335
+00:44:48,220 --> 00:44:52,620
+و ال left انه ال OD او ال OS في اللي هو السؤال
+
+336
+00:44:52,620 --> 00:45:06,500
+واضح؟طيب طلعوا برضه ورقة صغيرة بس
+
+337
+00:45:06,500 --> 00:45:12,880
+امنع الكلام .. دي بالله كلام .. في عندك واحد تاني؟
+
+338
+00:45:34,740 --> 00:45:47,000
+اكتب اسمك ع الورقة your name okay
+
+339
+00:45:47,000 --> 00:45:52,440
+are you ready okay
+
+340
+00:45:52,440 --> 00:46:00,440
+patient has convergent
+
+341
+00:46:00,440 --> 00:46:01,140
+lens
+
+342
+00:46:19,870 --> 00:46:25,170
+Patient has convergent
+
+343
+00:46:25,170 --> 00:46:29,670
+lens in the right eye
+
+344
+00:46:43,090 --> 00:46:55,790
+الشخص لديه عيون مرتبطة في عيون تن ديوبتر وعيون
+
+345
+00:46:55,790 --> 00:47:03,510
+مرتبطة في عيون
+
+346
+00:47:03,510 --> 00:47:03,770
+اليسار
+
+347
+00:47:11,390 --> 00:47:18,530
+minus 10 ديوبتر in
+
+348
+00:47:18,530 --> 00:47:21,550
+the
+
+349
+00:47:21,550 --> 00:47:27,930
+left eye what is the focal length in both eyes؟
+
+350
+00:47:31,720 --> 00:47:38,240
+الطبيعي لديه عيون مرتبطة في عيون صحيحة 10 ديوبتر و
+
+351
+00:47:38,240 --> 00:47:44,240
+-10 عيون مرتبطة في عيون اليسار ماهي عيون الوصفة في
+
+352
+00:47:44,240 --> 00:47:54,160
+كلا العيون؟ لديك
+
+353
+00:47:54,160 --> 00:47:58,260
+فقط 3 دقيقة، أرجوك أعطني إجابة تمامة
+
+354
+00:48:05,470 --> 00:48:09,490
+one one one
+
+355
+00:48:09,490 --> 00:48:10,570
+one
+
+356
+00:48:45,040 --> 00:48:53,440
+لأ إذا في ال answer لأ دي .. اه why
+
+357
+00:48:53,440 --> 00:49:02,300
+you rotate yourself okay
+
+358
+00:49:19,000 --> 00:49:23,620
+لم الوراق الباقية خلاص اقل يوجد بمكانك هي بتلمه
+
+359
+00:49:23,620 --> 00:49:33,480
+okay
+
+360
+00:49:33,480 --> 00:49:39,320
+مين
+
+361
+00:49:39,320 --> 00:49:46,280
+يحل السؤال؟ تفضلي لأ لأ الوراق انت انت اه بقول
+
+362
+00:49:46,280 --> 00:49:46,660
+الوراق
+
+363
+00:50:38,020 --> 00:50:50,900
+مع الكلام شكرا
+
+364
+00:50:50,900 --> 00:50:56,480
+the image
+
+365
+00:50:56,480 --> 00:51:05,480
+is reflected quite virtual virtual معناها يعني
+
+366
+00:51:05,480 --> 00:51:06,040
+خيالية
+
+367
+00:51:13,320 --> 00:51:17,760
+شكرا لأ لازم تكتب ال image إيش بتكون و هان ال
+
+368
+00:51:17,760 --> 00:51:33,660
+virtual إيش بتكون ال erect and طبعا
+
+369
+00:51:33,660 --> 00:51:38,360
+هدول معظم الأسئلة ممكن يعني أي سؤال أو أي trick
+
+370
+00:51:38,360 --> 00:51:41,320
+مابخلوش من هذه الأسئلة
+
+371
+00:51:42,600 --> 00:51:47,220
+Okay divergence power زي ما حكينا اللي هو الديوبتر
+
+372
+00:51:47,220 --> 00:51:51,660
+power is the reciprocal of the distance from the
+
+373
+00:51:51,660 --> 00:51:55,700
+lens to the point of convergence of the light هو
+
+374
+00:51:55,700 --> 00:51:58,780
+عبارة عن مقلوب ال focal length يعني ال divergence
+
+375
+00:51:58,780 --> 00:52:02,760
+power اللي هو بيقاس بوحدة الديوبتر هو مقلوب ال
+
+376
+00:52:02,760 --> 00:52:08,240
+focal length اللي بيقاس بوحدة ال millimeterlight
+
+377
+00:52:08,240 --> 00:52:12,040
+rays that moving away from each other are termed
+
+378
+00:52:12,040 --> 00:52:16,160
+divergent الآن العدسة السالب إيش بتعمل؟ بتفرق
+
+379
+00:52:16,160 --> 00:52:20,420
+الأشعة فال divergent إنه بيعمل عملية إنه light
+
+380
+00:52:20,420 --> 00:52:24,960
+rays that moving away from each other are termed
+
+381
+00:52:24,960 --> 00:52:29,540
+divergent يعني كل الأشعة اللي طالعة بتكون عبارة عن
+
+382
+00:52:29,540 --> 00:52:35,120
+إيش؟ إنه divergent مشتتةال light rays that moving
+
+383
+00:52:35,120 --> 00:52:38,620
+toward each other are termed convergence الأشعة
+
+384
+00:52:38,620 --> 00:52:43,960
+اللي بتكون خارجها من ال plus lens بتكون أيش متجمعة
+
+385
+00:52:43,960 --> 00:52:49,960
+اللي هي plus lens parallel light rays have zero
+
+386
+00:52:49,960 --> 00:52:56,000
+convergence دايما ال parallel الأشعة المتوازية
+
+387
+00:52:56,000 --> 00:53:02,570
+القوة بتكون فيها قداش zero واضح؟طبعا هاي التلت
+
+388
+00:53:02,570 --> 00:53:07,870
+أنواع من الأشعة إما أن تكون divergent ال divergent
+
+389
+00:53:07,870 --> 00:53:13,830
+rays بتكون جاية من عدسة minus ال convergent rays
+
+390
+00:53:13,830 --> 00:53:18,550
+من عدسة plus ال parallel rays بتكون من عدسة zero
+
+391
+00:53:18,550 --> 00:53:25,310
+أو plano واضح؟ يعني الآن لو مثلا أنا حكيت السؤال
+
+392
+00:53:25,310 --> 00:53:32,410
+إنه عندي كان أشعة minusواضح؟ شو ممكن الأشعة ..
+
+393
+00:53:32,410 --> 00:53:36,590
+الأشعة اللي خارجها كانت divergence، شو بتتوقع تكون
+
+394
+00:53:36,590 --> 00:53:41,410
+العدسة؟ concave ولا .. concave .. concave ولا
+
+395
+00:53:41,410 --> 00:53:46,390
+convex؟ ارفع يدك .. concave lens طيب في ال mirror؟
+
+396
+00:53:46,390 --> 00:53:49,810
+هتكون convex mirror، واضح؟ okay
+
+397
+00:53:52,930 --> 00:53:56,890
+light rays emanating from a point source of light
+
+398
+00:53:56,890 --> 00:54:02,330
+are divergent ان الأشعة الضوئية اللي بتكون منبعثة
+
+399
+00:54:02,330 --> 00:54:11,890
+من مصدر ضوئي اش بتكون divergent متشتتة الاشعة
+
+400
+00:54:11,890 --> 00:54:18,050
+اللي بتكون خارج من أي جسم أو من أي عدسة اش بتكون
+
+401
+00:54:18,050 --> 00:54:20,990
+divergent متفرقة واضح؟
+
+402
+00:54:24,310 --> 00:54:28,310
+Convergent light rays doesn't usually occur in
+
+403
+00:54:28,310 --> 00:54:31,790
+nature, but the result of the action of an optical
+
+404
+00:54:31,790 --> 00:54:37,790
+system, for example a lensالأشعة اللي بتكون خارجة
+
+405
+00:54:37,790 --> 00:54:41,830
+من العدسة أو مثلا من ال prism أو من ال mirror
+
+406
+00:54:41,830 --> 00:54:46,970
+دايما بتكون هذه الأشعة أشمالها متجمعة لأن طبيعة
+
+407
+00:54:46,970 --> 00:54:53,770
+العدسة بتخرج أشعة متجمعة و من الصعب في الطبيعة أن
+
+408
+00:54:53,770 --> 00:54:57,410
+تلاقي أشعة متجمعة يعني دايما الأشعة أشمالها
+
+409
+00:54:57,410 --> 00:55:01,290
+متفارقة واضح؟ الله يجمع الصفنا
+
+410
+00:55:12,740 --> 00:55:18,660
+لأ، الآن في الطبيعة في هناك عدسة بتكون .. يعني في
+
+411
+00:55:18,660 --> 00:55:22,960
+الطبيعة فيه اللي هو ما يجمع و ما بيشتت، اللي هو
+
+412
+00:55:22,960 --> 00:55:27,060
+الأشعة، الآن في الوضع الطبيعي الأشعة بتكون إيه
+
+413
+00:55:27,060 --> 00:55:32,080
+شمالها؟ متفرقة أو برل، لكن في العدسة متى بتكون
+
+414
+00:55:32,080 --> 00:55:36,640
+الأشعة متجمعة؟يعني دايما في الطبيعي ما بتكون
+
+415
+00:55:36,640 --> 00:55:40,300
+الأشعة متجمعة إلا لو .. إلا لو أستخدم مثلا lens أو
+
+416
+00:55:40,300 --> 00:55:45,180
+أستخدم mirror واضح؟ أو prism .. أو prism يعني
+
+417
+00:55:45,180 --> 00:55:50,000
+دايما في الطبيعي مابناجيش أشعة متجمعة إلا باستخدام
+
+418
+00:55:50,000 --> 00:55:54,660
+ال lens أو باستخدام مثلا يعني optical aid يعني
+
+419
+00:55:54,660 --> 00:55:57,320
+اللي هو استخدام بصري واضح؟
+
+420
+00:56:01,360 --> 00:56:04,780
+Light rays emanating from the sun are essentially
+
+421
+00:56:04,780 --> 00:56:06,900
+parallel and have zero divergence.
+
+422
+00:56:35,950 --> 00:56:41,190
+power or divergence power describe the ability of
+
+423
+00:56:41,190 --> 00:56:45,710
+a curved lens to converge or diverge light rays
+
+424
+00:56:45,710 --> 00:56:53,730
+أنه دايما القوة ابتصف قدرة العدسة سواء كانت موجبة
+
+425
+00:56:53,730 --> 00:56:58,340
+أو سالبة على التجميع أو تشتيت الأشعةيعني دايما
+
+426
+00:56:58,340 --> 00:57:02,580
+اللي بيحدد ال divergence او ال conversion trace
+
+427
+00:57:02,580 --> 00:57:06,960
+اللي هي قوة العدسة مش البورة، اه اللي هي قوة
+
+428
+00:57:06,960 --> 00:57:10,500
+العدسة، اما اذا كانت .. ليش انا بقول انه دايما ال
+
+429
+00:57:10,500 --> 00:57:14,760
+sign مهمة؟ لأن ال sign هي بتحددلي ان العدسة اذا
+
+430
+00:57:14,760 --> 00:57:18,060
+كانت موجبة او سالبة، اذا كانت ال image عنده
+
+431
+00:57:18,060 --> 00:57:20,500
+virtual او erect، واضح؟
+
+432
+00:57:23,170 --> 00:57:27,730
+by convention divergence is expressed in minus
+
+433
+00:57:27,730 --> 00:57:31,030
+power and convergence is expressed in plus power
+
+434
+00:57:31,030 --> 00:57:35,170
+دايما العدسة الموجبة بتاخد ال sign إيش؟ ال plus
+
+435
+00:57:35,170 --> 00:57:39,260
+والعدسة السالية بتاخد ال sign ال minusالديوبتر
+
+436
+00:57:39,260 --> 00:57:42,100
+حكينا فيها انه هي ال unit measurement of the
+
+437
+00:57:42,100 --> 00:57:46,580
+refractive error او refractive power of a lens
+
+438
+00:57:46,580 --> 00:57:49,720
+يعني لو واحدة كتبت مثلا measurement of the
+
+439
+00:57:49,720 --> 00:57:52,580
+refractive error of the eye it's correct او
+
+440
+00:57:52,580 --> 00:57:58,400
+incorrect؟ ديوبتر is a measurement of the
+
+441
+00:57:58,400 --> 00:58:04,500
+refractive error of the eye why؟ دايما اي تبور
+
+442
+00:58:04,500 --> 00:58:12,490
+اربط معه الديوبترواضح؟ اذا correct دايما اي تبور
+
+443
+00:58:12,490 --> 00:58:16,330
+..الان انت ال refractive error مش تقولي minus 3
+
+444
+00:58:16,330 --> 00:58:21,410
+ديوبتر minus 4 ديوبتر صح ولا لا؟ فهي عبارة عن ال
+
+445
+00:58:21,410 --> 00:58:25,670
+measurement of refractive error and refractive
+
+446
+00:58:25,670 --> 00:58:31,150
+power of the lens واضح؟
+
+447
+00:58:31,150 --> 00:58:35,730
+okay
+
+448
+00:58:37,260 --> 00:58:44,920
+type of lenses، أنواع العدسات، lenses maybe يعني
+
+449
+00:58:44,920 --> 00:58:52,740
+العدسات ممكن ان تكون سفير، سلندر أو سفير و سلندر،
+
+450
+00:58:52,740 --> 00:58:57,240
+spherical lens has the same curvature over its
+
+451
+00:58:57,240 --> 00:59:00,300
+entire surface يعني دايما العدسة السفير بيكون
+
+452
+00:59:00,300 --> 00:59:06,060
+شكلها زي هيك، انه equal in all directionان كل
+
+453
+00:59:06,060 --> 00:59:13,400
+اتجاهته ايش بتكون متساوية القوة and thus لذلك the
+
+454
+00:59:13,400 --> 00:59:17,140
+same refractive power in all meridians يعني لو
+
+455
+00:59:17,140 --> 00:59:20,860
+اجينا ال vertical او ال horizontal كله بيكون
+
+456
+00:59:20,860 --> 00:59:26,000
+متساوي القوة يعني ممكن انا ايش اقول مثلا هان لو
+
+457
+00:59:26,000 --> 00:59:32,510
+كانت عدسة سفيرممتاز plus اتنين خلاص و اعمل اللي هو
+
+458
+00:59:32,510 --> 00:59:41,710
+الدائرة واضح بعرف ان هذه العدسة ايش سفير convex
+
+459
+00:59:41,710 --> 00:59:48,050
+spherical lenses العدسات اللي بتكون موجبة converge
+
+460
+00:59:48,050 --> 00:59:53,690
+light rays and are called plus lensesالعدسات
+
+461
+00:59:53,690 --> 00:59:57,430
+المجمعة اللى كنا نقول عنها ال conversion اللى
+
+462
+00:59:57,430 --> 01:00:02,070
+بتعمل عملية التجميع هي ال plus بتجمع كل إيش الأشعة
+
+463
+01:00:02,070 --> 01:00:07,990
+while concave spherical lenses diverge light rays
+
+464
+01:00:07,990 --> 01:00:12,310
+and cold minus lenses ان العدسات اللى بتفرق انه
+
+465
+01:00:12,310 --> 01:00:15,630
+بتكون divergence و بتكون الإشارة بتاعتها minus
+
+466
+01:00:15,630 --> 01:00:21,680
+signthe focal point of a plus lens is the position
+
+467
+01:00:21,680 --> 01:00:25,240
+where parallel light rays that have passed through
+
+468
+01:00:25,240 --> 01:00:30,120
+the lens and converge to form an image ال focal
+
+469
+01:00:30,120 --> 01:00:34,220
+point او احنا قلنا ال focal length في البداية هو
+
+470
+01:00:34,220 --> 01:00:39,080
+مقلوب من ال diopter ممكن ان ال focal point زي ما
+
+471
+01:00:39,080 --> 01:00:45,810
+قلنا انه يكون plus لو كانت لعدسة موجبةالاشعة هتكون
+
+472
+01:00:45,810 --> 01:00:51,050
+ايش؟ امام العدسة و هتكون الاشعة ايش؟ erect اللي هي
+
+473
+01:00:51,050 --> 01:00:57,470
+منتظمة حقيقية لكن لو كانت ال .. العدسة minus هتكون
+
+474
+01:00:57,470 --> 01:01:02,870
+ال .. الاشعة اشمالها virtual اللي هي مقلوبة واضح؟
+
+475
+01:01:02,870 --> 01:01:07,170
+طيب في العدسة الموجبة زي ما احنا حكينا انه هتجمع
+
+476
+01:01:07,170 --> 01:01:13,240
+الأشعة في السالبة ايش هتعمل؟ هتفرق الأشعةthe focal
+
+477
+01:01:13,240 --> 01:01:17,500
+point of a minus lens is that point which parallel
+
+478
+01:01:17,500 --> 01:01:21,900
+light rays entering the lens appear to divert الان
+
+479
+01:01:21,900 --> 01:01:26,120
+العدسة السالبة يما حطها قدام العين شو هتعمل؟ هتفرق
+
+480
+01:01:26,120 --> 01:01:30,660
+الأشعة فهتلاحظ إن الأشعة أشمالها متفرقة يما بتدخل
+
+481
+01:01:30,660 --> 01:01:31,460
+العين
+
+482
+01:01:39,380 --> 01:01:43,060
+طيب مثلا العدسات اللى بنظرها تكون مثلا ميوب او
+
+483
+01:01:43,060 --> 01:01:48,040
+هجنب بتكون minus فكيف يعني بتكون الصورة انت حكي
+
+484
+01:01:48,040 --> 01:01:51,280
+الأشعة ممكن تظهر لكن ممكنش الصورة ممكن تظهر؟ هي
+
+485
+01:01:51,280 --> 01:01:55,340
+الآن انا مثلا لو كان عندى مريض ميوب بس تختم معه
+
+486
+01:01:55,340 --> 01:02:01,580
+عدسة إيش minus okay الآن الميوب شو بتعمل؟ الأشعة
+
+487
+01:02:01,580 --> 01:02:06,720
+.. عفوا .. الأشعة بتتجمع وين؟أمام الشبكية فانا
+
+488
+01:02:06,720 --> 01:02:10,720
+بستخدم اللي هو الأشعة اللي عفوًا العدسة ال minus
+
+489
+01:02:10,720 --> 01:02:16,600
+عشان شو تعمل؟ اتجمع الأشعة على الشبكية يعني بتفرق
+
+490
+01:02:16,600 --> 01:02:21,020
+الأشعة اللي هي أمام من الشبكيةفبتلاقي الصورة
+
+491
+01:02:21,020 --> 01:02:24,700
+بتتجمع وين؟ اللي هو على الشبكية، لكن ال focal
+
+492
+01:02:24,700 --> 01:02:29,340
+length بتاعي بيكون بدون العدسة ال focal length
+
+493
+01:02:29,340 --> 01:02:33,800
+بدون العدسة ايش ماله؟ بيكون virtual، خيالي، زي
+
+494
+01:02:33,800 --> 01:02:36,740
+بالظبط يعني الآن لو حسبت ال focal length بتاع
+
+495
+01:02:36,740 --> 01:02:40,990
+العدسةإشماله بيكون اللي هو تخيلة لإنه هي إيش بتكون
+
+496
+01:02:40,990 --> 01:02:46,050
+خلف العدسة أنا مابحكي عن عدسة العين العدسة العادية
+
+497
+01:02:46,050 --> 01:02:50,110
+يعني لو أنا جبت عدسة أنا لابس عدسة minus 2 نفرض
+
+498
+01:02:50,110 --> 01:02:54,130
+الآن ال focal length اللي هو تاعي في العدسة هذه
+
+499
+01:02:54,130 --> 01:03:04,420
+هيكون إشماله virtual مش حقيقي واضح؟ okayلكن لما
+
+500
+01:03:04,420 --> 01:03:08,460
+بتتجمع الأشعة على الشبكية بتكون الصورة حقيقية طبعا
+
+501
+01:03:08,460 --> 01:03:12,000
+انتوا أكيد أخدتوا ال anatomy of the retina ان
+
+502
+01:03:12,000 --> 01:03:16,720
+الصورة بتصل للشبكية أشمالها مقلوبة لحد دي ما تصل
+
+503
+01:03:16,720 --> 01:03:22,830
+ال optic track و بعدين تبدأش تنقلب الصورةطبعا أخر
+
+504
+01:03:22,830 --> 01:03:27,410
+حاجة in the case of convex or plus lenses using
+
+505
+01:03:27,410 --> 01:03:31,390
+the mathematical formula اللي هي D الديوبتريك
+
+506
+01:03:31,390 --> 01:03:34,410
+power equal one over focal length in millimeter
+
+507
+01:03:34,410 --> 01:03:42,710
+okay thank you so much we finish chapter one we
+
+508
+01:03:42,710 --> 01:03:46,890
+will start chapter two in the next lecture ان شاء
+
+509
+01:03:46,890 --> 01:03:49,250
+الله any question?
+
+510
+01:03:53,730 --> 01:03:57,570
+أى سؤال كله واضح ان شاء الله
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..9b23813bad625bdf267910f4b5066dce13a39785
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4897, "start": 21.09, "end": 48.97, "text": "طيب بسم الله الرحمن الرحيم في المحاضرة السابقة اتكلمنا عن ال visual symptoms of the eye strain أخدنا ال visual symptoms أعراض بصرية ال ocular symptoms أعراض عينية اليوم هنبدأ بال refer symptoms أعراض متعلقة بخارج العين واضح؟", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 1975, 2655, 4117, 19528, 8315, 18871, 2423, 5056, 8332, 295, 264, 3313, 14249, 5551, 9778, 3215, 8315, 2423, 5056, 8332, 5551, 3615, 2288, 46958, 4724, 9381, 2288, 10632, 2423, 10409, 1040, 8332, 5551, 3615, 2288, 46958, 6225, 9957, 10632, 45595, 20498, 8032, 1863, 44510, 10721, 20666, 2864, 8332, 5551, 3615, 2288, 46958, 44650, 30241, 28671, 4724, 9778, 9640, 7435, 18863, 9957, 4032, 46958, 5016, 22807], "avg_logprob": -0.08652797748529634, "compression_ratio": 1.7538461538461538, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 21.09, "end": 21.63, "word": "طيب", "probability": 0.97998046875}, {"start": 21.63, "end": 21.87, "word": " بسم", "probability": 0.9306640625}, {"start": 21.87, "end": 22.05, "word": " الله", "probability": 0.97900390625}, {"start": 22.05, "end": 22.41, "word": " الرحمن", "probability": 0.9332682291666666}, {"start": 22.41, "end": 22.93, "word": " الرحيم", "probability": 0.9920247395833334}, {"start": 22.93, "end": 24.05, "word": " في", "probability": 0.63037109375}, {"start": 24.05, "end": 24.59, "word": " المحاضرة", "probability": 0.981201171875}, {"start": 24.59, "end": 25.31, "word": " السابقة", "probability": 0.9923502604166666}, {"start": 25.31, "end": 26.45, "word": " اتكلمنا", "probability": 0.96005859375}, {"start": 26.45, "end": 26.79, "word": " عن", "probability": 0.99560546875}, {"start": 26.79, "end": 27.99, "word": " ال", "probability": 0.96826171875}, {"start": 27.99, "end": 28.95, "word": " visual", "probability": 0.58837890625}, {"start": 28.95, "end": 29.87, "word": " symptoms", "probability": 0.63916015625}, {"start": 29.87, "end": 30.29, "word": " of", "probability": 0.9873046875}, {"start": 30.29, "end": 30.45, "word": " the", "probability": 0.89013671875}, {"start": 30.45, "end": 30.65, "word": " eye", "probability": 0.8759765625}, {"start": 30.65, "end": 31.17, "word": " strain", "probability": 0.9326171875}, {"start": 31.17, "end": 33.57, "word": " أخدنا", "probability": 0.9158935546875}, {"start": 33.57, "end": 33.83, "word": " ال", "probability": 0.986328125}, {"start": 33.83, "end": 34.11, "word": " visual", "probability": 0.98486328125}, {"start": 34.11, "end": 34.93, "word": " symptoms", "probability": 0.9169921875}, {"start": 34.93, "end": 35.67, "word": " أعراض", "probability": 0.8787841796875}, {"start": 35.67, "end": 36.29, "word": " بصرية", "probability": 0.9388427734375}, {"start": 36.29, "end": 37.33, "word": " ال", "probability": 0.880859375}, {"start": 37.33, "end": 37.75, "word": " ocular", "probability": 0.896484375}, {"start": 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"temperature": 1.0}, {"id": 26, "seek": 70774, "start": 689.52, "end": 707.74, "text": "length بالmillimeter طب لو قولت شو تعريف ال focal length؟ تعرف ترفع أيديها، شو تعريف ال focal length؟ أه تعريف، definition", "tokens": [6698, 70, 392, 20666, 38274, 23032, 3555, 45164, 12174, 12610, 2655, 13412, 2407, 37279, 16572, 5172, 2423, 26592, 4641, 22807, 37279, 28480, 6055, 28480, 3615, 36632, 16254, 11296, 12399, 13412, 2407, 37279, 16572, 5172, 2423, 26592, 4641, 22807, 5551, 3224, 37279, 16572, 5172, 12399, 7123], "avg_logprob": -0.2484714758136998, "compression_ratio": 1.4426229508196722, "no_speech_prob": 0.0, "words": [{"start": 689.52, "end": 690.28, "word": "length", "probability": 0.657470703125}, {"start": 690.28, "end": 691.04, "word": " بالmillimeter", "probability": 0.69384765625}, {"start": 691.04, "end": 692.12, "word": " طب", "probability": 0.769775390625}, {"start": 692.12, "end": 692.24, "word": " لو", "probability": 0.982421875}, {"start": 692.24, "end": 692.62, "word": " 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"probability": 0.82666015625}, {"start": 715.62, "end": 715.88, "word": " ممكن", "probability": 0.986572265625}, {"start": 715.88, "end": 717.54, "word": " تعرفيه؟", "probability": 0.7921549479166666}, {"start": 717.54, "end": 719.3, "word": " اه", "probability": 0.70751953125}, {"start": 719.3, "end": 724.0, "word": " فجدت", "probability": 0.629730224609375}, {"start": 724.0, "end": 724.8, "word": " منطقيا", "probability": 0.7276611328125}, {"start": 724.8, "end": 725.5, "word": " قولنا", "probability": 0.7415364583333334}, {"start": 725.5, "end": 725.74, "word": " ال", "probability": 0.95849609375}, {"start": 725.74, "end": 726.34, "word": " virgins", "probability": 0.3045654296875}, {"start": 726.34, "end": 726.72, "word": " او", "probability": 0.7484130859375}, {"start": 726.72, "end": 726.86, "word": " ال", "probability": 0.469970703125}, {"start": 726.86, "end": 727.18, "word": " power", "probability": 0.81689453125}, {"start": 727.18, "end": 728.2, "word": " reciprocal", 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{"start": 733.68, "end": 734.36, "word": " ال", "probability": 0.951171875}, {"start": 734.36, "end": 734.68, "word": " focal", "probability": 0.97216796875}, {"start": 734.68, "end": 735.18, "word": " length", "probability": 0.888671875}, {"start": 735.18, "end": 735.94, "word": " okay", "probability": 0.61572265625}, {"start": 735.94, "end": 736.7, "word": " و", "probability": 0.9306640625}, {"start": 736.7, "end": 737.16, "word": " بيقاس", "probability": 0.804931640625}, {"start": 737.16, "end": 737.7, "word": " بوحدة", "probability": 0.94384765625}, {"start": 737.7, "end": 738.32, "word": " ايش؟", "probability": 0.7340087890625}, {"start": 738.32, "end": 738.48, "word": " ال", "probability": 0.9658203125}, {"start": 738.48, "end": 738.96, "word": " diopter", "probability": 0.92431640625}], "temperature": 1.0}, {"id": 28, "seek": 76004, "start": 739.48, "end": 760.04, "text": "الـ focal length إيش هيكون؟ مقلود البور وبيقاس بوحدة ال millimeter واضح؟ خلّيني أكتبه أمحي هذا؟", "tokens": 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"end": 1083.08, "text": "طيب سجلي عندك أو على الدفتر patient has refractive error patient has refractive error plus three ديوبتر سفير", "tokens": [9566, 1829, 3555, 8608, 7435, 20292, 43242, 4117, 34051, 15844, 32748, 5172, 2655, 2288, 4537, 575, 45353, 488, 6713, 4537, 575, 45353, 488, 6713, 1804, 1045, 11778, 1829, 37746, 2655, 2288, 8608, 5172, 13546], "avg_logprob": -0.2310267925262451, "compression_ratio": 1.2612612612612613, "no_speech_prob": 0.0, "words": [{"start": 1059.8, "end": 1060.74, "word": "طيب", "probability": 0.9344075520833334}, {"start": 1060.74, "end": 1061.58, "word": " سجلي", "probability": 0.8264973958333334}, {"start": 1061.58, "end": 1062.0, "word": " عندك", "probability": 0.981201171875}, {"start": 1062.0, "end": 1062.22, "word": " أو", "probability": 0.306640625}, {"start": 1062.22, "end": 1062.58, "word": " على", "probability": 0.88671875}, {"start": 1062.58, "end": 1063.5, "word": " الدفتر", "probability": 0.9190673828125}, {"start": 1063.5, "end": 1065.8, 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{"id": 39, "seek": 111558, "start": 1086.6, "end": 1115.58, "text": "what is the focal length? patient has refractive error plus three what is the focal length of the lens؟ شوية شوية", "tokens": [5479, 307, 264, 26592, 4641, 30, 4537, 575, 45353, 488, 6713, 1804, 1045, 437, 307, 264, 26592, 4641, 295, 264, 6765, 22807, 13412, 2407, 10632, 13412, 2407, 10632], "avg_logprob": -0.23141163998636707, "compression_ratio": 1.2842105263157895, "no_speech_prob": 0.0, "words": [{"start": 1086.6, "end": 1087.62, "word": "what", "probability": 0.328369140625}, {"start": 1087.62, "end": 1087.96, "word": " is", "probability": 0.94775390625}, {"start": 1087.96, "end": 1088.32, "word": " the", "probability": 0.90625}, {"start": 1088.32, "end": 1088.96, "word": " focal", "probability": 0.9375}, {"start": 1088.96, "end": 1089.94, "word": " length?", "probability": 0.82763671875}, {"start": 1095.66, "end": 1095.98, "word": " patient", "probability": 0.5751953125}, {"start": 1095.98, "end": 1097.2, 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lens؟", "probability": 0.8017578125}, {"start": 1114.96, "end": 1115.22, "word": " شوية", "probability": 0.7340494791666666}, {"start": 1115.22, "end": 1115.58, "word": " شوية", "probability": 0.9314778645833334}], "temperature": 1.0}, {"id": 40, "seek": 113955, "start": 1118.21, "end": 1139.55, "text": "كتبت السؤال؟ الكل كتب السؤال؟ طبعا إذا جيبت في الامتحان سؤال زي هذا لو واحد كتب لتلت مباشر", "tokens": [4117, 2655, 3555, 2655, 21136, 33604, 6027, 22807, 2423, 28820, 9122, 2655, 3555, 21136, 33604, 6027, 22807, 23032, 3555, 3615, 995, 11933, 15730, 10874, 1829, 3555, 2655, 8978, 2423, 10943, 2655, 5016, 7649, 8608, 33604, 6027, 30767, 1829, 23758, 45164, 36764, 24401, 9122, 2655, 3555, 5296, 2655, 1211, 2655, 3714, 3555, 33599, 2288], "avg_logprob": -0.1246383093573429, "compression_ratio": 1.5825242718446602, "no_speech_prob": 0.0, "words": [{"start": 1118.21, "end": 1119.19, "word": "كتبت", "probability": 0.82452392578125}, {"start": 1119.19, "end": 1120.17, "word": " السؤال؟", 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{"id": 99, "seek": 310132, "start": 3073.32, "end": 3101.32, "text": "شكرا لأ لازم تكتب ال image إيش بتكون و هان ال virtual إيش بتكون ال erect and طبعا هدول معظم الأسئلة ممكن يعني أي سؤال أو أي trick مابخلوش من هذه الأسئلة", "tokens": [8592, 4117, 23557, 5296, 10721, 5296, 31377, 2304, 6055, 4117, 2655, 3555, 2423, 3256, 11933, 1829, 8592, 39894, 30544, 4032, 8032, 7649, 2423, 6374, 11933, 1829, 8592, 39894, 30544, 2423, 34201, 293, 23032, 3555, 3615, 995, 8032, 3215, 12610, 20449, 19913, 2304, 16247, 3794, 19986, 37977, 3714, 43020, 37495, 22653, 36632, 8608, 33604, 6027, 34051, 36632, 4282, 3714, 16758, 9778, 1211, 2407, 8592, 9154, 29538, 16247, 3794, 19986, 37977], "avg_logprob": -0.15658482632466725, "compression_ratio": 1.5121951219512195, "no_speech_prob": 0.0, "words": [{"start": 3073.3199999999997, "end": 3074.1, "word": "شكرا", "probability": 0.8497721354166666}, {"start": 3074.1, "end": 3074.88, "word": " لأ", "probability": 0.874267578125}, {"start": 3074.88, "end": 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"end": 3152.26, "text": "light rays that moving away from each other are termed divergent الآن العدسة السالب إيش بتعمل؟ بتفرق الأشعة فال divergent إنه بيعمل عملية إنه light rays that moving away from each other are termed divergent يعني كل الأشعة اللي طالعة بتكون عبارة عن إيش؟ إنه divergent مشتتة", "tokens": [2764, 24417, 300, 2684, 1314, 490, 1184, 661, 366, 1433, 292, 18558, 6930, 6024, 48506, 18863, 3215, 3794, 3660, 21136, 6027, 3555, 11933, 1829, 8592, 39894, 25957, 1211, 22807, 39894, 5172, 2288, 4587, 16247, 8592, 27884, 6156, 6027, 18558, 6930, 36145, 3224, 4724, 1829, 25957, 1211, 6225, 42213, 10632, 36145, 3224, 1442, 24417, 300, 2684, 1314, 490, 1184, 661, 366, 1433, 292, 18558, 6930, 37495, 22653, 28242, 16247, 8592, 27884, 13672, 1829, 23032, 6027, 27884, 39894, 30544, 6225, 3555, 9640, 3660, 18871, 11933, 1829, 8592, 22807, 36145, 3224, 18558, 6930, 37893, 2655, 2655, 3660], "avg_logprob": -0.13930920958518983, "compression_ratio": 1.8883248730964468, "no_speech_prob": 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إنه", "probability": 0.7120361328125}, {"start": 3206.17, "end": 3206.71, "word": " عندي", "probability": 0.6173095703125}, {"start": 3206.71, "end": 3207.51, "word": " كان", "probability": 0.994140625}, {"start": 3207.51, "end": 3208.05, "word": " أشعة", "probability": 0.9860026041666666}, {"start": 3208.05, "end": 3209.05, "word": " minus", "probability": 0.98095703125}], "temperature": 1.0}, {"id": 104, "seek": 322981, "start": 3209.93, "end": 3229.81, "text": "واضح؟ شو ممكن الأشعة .. الأشعة اللي خارجها كانت divergence، شو بتتوقع تكون العدسة؟ concave ولا .. concave .. concave ولا convex؟ ارفع يدك .. concave lens طيب في ال mirror؟ هتكون convex mirror، واضح؟ okay", "tokens": [2407, 46958, 5016, 22807, 13412, 2407, 3714, 43020, 16247, 8592, 27884, 4386, 16247, 8592, 27884, 13672, 1829, 16490, 9640, 7435, 11296, 25961, 2655, 47387, 12399, 13412, 2407, 39894, 2655, 30543, 3615, 6055, 30544, 18863, 3215, 3794, 3660, 22807, 416, 50126, 49429, 4386, 416, 50126, 4386, 416, 50126, 49429, 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يعني", "probability": 0.7841796875}, {"start": 3353.18, "end": 3353.7, "word": " optical", "probability": 0.95068359375}, {"start": 3353.7, "end": 3354.14, "word": " aid", "probability": 0.96484375}, {"start": 3354.14, "end": 3354.66, "word": " يعني", "probability": 0.932373046875}, {"start": 3354.66, "end": 3355.0, "word": " اللي", "probability": 0.973388671875}, {"start": 3355.0, "end": 3355.2, "word": " هو", "probability": 0.99658203125}, {"start": 3355.2, "end": 3355.76, "word": " استخدام", "probability": 0.983642578125}, {"start": 3355.76, "end": 3356.24, "word": " بصري", "probability": 0.9951171875}, {"start": 3356.24, "end": 3357.32, "word": " واضح؟", "probability": 0.8773193359375}], "temperature": 1.0}, {"id": 110, "seek": 336690, "start": 3361.36, "end": 3366.9, "text": "Light rays emanating from the sun are essentially parallel and have zero divergence.", "tokens": [43, 397, 24417, 28211, 990, 490, 264, 3295, 366, 4476, 8952, 293, 362, 4018, 47387, 13], "avg_logprob": 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بقول انه دايما ال sign مهمة؟ لأن ال sign هي بتحددلي ان العدسة اذا كانت موجبة او سالبة، اذا كانت ال image عنده virtual او erect، واضح؟", "tokens": [40228, 22653, 11778, 47302, 15042, 13672, 1829, 4724, 1829, 24401, 3215, 2423, 47387, 1975, 2407, 2423, 14298, 13508, 13672, 1829, 39896, 12174, 2407, 3660, 18863, 3215, 3794, 3660, 37893, 29739, 13063, 3660, 12399, 1975, 3224, 13672, 1829, 39896, 12174, 2407, 3660, 18863, 3215, 3794, 3660, 12399, 1975, 15042, 1975, 15730, 25961, 2655, 4386, 32239, 8592, 1975, 8315, 4724, 39648, 16472, 3224, 11778, 47302, 15042, 2423, 1465, 3714, 16095, 3660, 22807, 5296, 33456, 2423, 1465, 39896, 39894, 24401, 3215, 20292, 16472, 18863, 3215, 3794, 3660, 1975, 15730, 25961, 2655, 3714, 29245, 49401, 1975, 2407, 8608, 6027, 49401, 12399, 1975, 15730, 25961, 2655, 2423, 3256, 43242, 3224, 6374, 1975, 2407, 34201, 12399, 4032, 46958, 5016, 22807], "avg_logprob": -0.14864129864651224, "compression_ratio": 1.8991228070175439, "no_speech_prob": 0.0, "words": 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{"start": 3423.22, "end": 3423.62, "word": " قوة", "probability": 0.96875}, {"start": 3423.62, "end": 3424.14, "word": " العدسة", "probability": 0.987548828125}, {"start": 3424.14, "end": 3424.38, "word": " مش", "probability": 0.767578125}, {"start": 3424.38, "end": 3425.7, "word": " البورة،", "probability": 0.5941162109375}, {"start": 3425.7, "end": 3426.02, "word": " اه", "probability": 0.886962890625}, {"start": 3426.02, "end": 3426.38, "word": " اللي", "probability": 0.9638671875}, {"start": 3426.38, "end": 3426.54, "word": " هي", "probability": 0.93212890625}, {"start": 3426.54, "end": 3426.96, "word": " قوة", "probability": 0.9889322916666666}, {"start": 3426.96, "end": 3427.76, "word": " العدسة،", "probability": 0.91376953125}, {"start": 3427.76, "end": 3428.08, "word": " اما", "probability": 0.90380859375}, {"start": 3428.08, "end": 3428.38, "word": " اذا", "probability": 0.807861328125}, {"start": 3428.38, "end": 3428.84, "word": " كانت", "probability": 0.99462890625}, {"start": 3428.84, "end": 3428.94, "word": " ..", "probability": 0.5048828125}, {"start": 3428.94, "end": 3429.14, "word": " ليش", "probability": 0.936279296875}, {"start": 3429.14, "end": 3429.28, "word": " انا", "probability": 0.866455078125}, {"start": 3429.28, "end": 3429.68, "word": " بقول", "probability": 0.98388671875}, {"start": 3429.68, "end": 3430.0, "word": " انه", "probability": 0.82666015625}, {"start": 3430.0, "end": 3430.28, "word": " دايما", "probability": 0.9344075520833334}, {"start": 3430.28, "end": 3430.5, "word": " ال", "probability": 0.96875}, {"start": 3430.5, "end": 3430.74, "word": " sign", "probability": 0.95166015625}, {"start": 3430.74, "end": 3431.74, "word": " مهمة؟", "probability": 0.9310302734375}, {"start": 3431.74, "end": 3431.92, "word": " لأن", "probability": 0.785888671875}, {"start": 3431.92, "end": 3432.08, "word": " ال", "probability": 0.471435546875}, {"start": 3432.08, "end": 3432.42, "word": " sign", "probability": 0.96044921875}, {"start": 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3437.28, "end": 3437.54, "word": " image", "probability": 0.9609375}, {"start": 3437.54, "end": 3438.06, "word": " عنده", "probability": 0.844970703125}, {"start": 3438.06, "end": 3438.58, "word": " virtual", "probability": 0.93603515625}, {"start": 3438.58, "end": 3439.02, "word": " او", "probability": 0.927490234375}, {"start": 3439.02, "end": 3439.9, "word": " erect،", "probability": 0.45208740234375}, {"start": 3439.9, "end": 3440.5, "word": " واضح؟", "probability": 0.971923828125}], "temperature": 1.0}, {"id": 113, "seek": 345785, "start": 3443.17, "end": 3457.85, "text": "by convention divergence is expressed in minus power and convergence is expressed in plus power دايما العدسة الموجبة بتاخد ال sign إيش؟ ال plus والعدسة السالية بتاخد ال sign ال minus", "tokens": [2322, 10286, 47387, 307, 12675, 294, 3175, 1347, 293, 32181, 307, 12675, 294, 1804, 1347, 11778, 47302, 15042, 18863, 3215, 3794, 3660, 9673, 29245, 49401, 39894, 47283, 3215, 2423, 1465, 11933, 1829, 8592, 22807, 2423, 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of a lens يعني لو واحدة كتبت مثلا measurement of the refractive error of the eye it's correct او incorrect؟ ديوبتر is a measurement of the refractive error of the eye why؟ دايما اي تبور اربط معه الديوبتر", "tokens": [6027, 16254, 37746, 2655, 2288, 11331, 4117, 1829, 8315, 8978, 11296, 16472, 3224, 39896, 2423, 4985, 13160, 295, 264, 45353, 488, 6713, 1975, 2407, 45353, 488, 1347, 295, 257, 6765, 37495, 22653, 45164, 36764, 24401, 3660, 9122, 2655, 3555, 2655, 50113, 15040, 13160, 295, 264, 45353, 488, 6713, 295, 264, 3313, 309, 311, 3006, 1975, 2407, 18424, 22807, 11778, 1829, 37746, 2655, 2288, 307, 257, 13160, 295, 264, 45353, 488, 6713, 295, 264, 3313, 983, 22807, 11778, 47302, 15042, 1975, 1829, 6055, 3555, 13063, 1975, 25513, 9566, 20449, 3224, 2423, 16254, 37746, 2655, 2288], "avg_logprob": -0.16324013377490795, "compression_ratio": 1.8472906403940887, "no_speech_prob": 0.0, "words": [{"start": 3458.66, "end": 3459.26, "word": "الديوبتر", "probability": 0.906640625}, {"start": 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horizontal كله بيكون متساوي القوة يعني ممكن انا ايش اقول مثلا هان لو كانت عدسة سفير", "tokens": [7649, 28242, 1975, 2655, 7435, 40294, 47395, 1975, 1829, 8592, 39894, 30544, 44650, 3794, 995, 2407, 10632, 25062, 2407, 3660, 293, 8807, 5296, 8848, 23275, 264, 912, 45353, 488, 1347, 294, 439, 3551, 327, 2567, 37495, 22653, 45164, 1975, 7435, 1829, 8315, 2423, 9429, 1975, 2407, 2423, 12750, 28242, 3224, 4724, 1829, 30544, 44650, 3794, 995, 45865, 25062, 2407, 3660, 37495, 22653, 3714, 43020, 1975, 8315, 1975, 1829, 8592, 1975, 39648, 50113, 15040, 8032, 7649, 45164, 25961, 2655, 6225, 3215, 3794, 3660, 8608, 5172, 13546], "avg_logprob": -0.15824854720470516, "compression_ratio": 1.5165876777251184, "no_speech_prob": 0.0, "words": [{"start": 3545.5, "end": 3545.78, "word": "ان", "probability": 0.443115234375}, {"start": 3545.78, "end": 3546.06, "word": " كل", "probability": 0.83544921875}, {"start": 3546.06, "end": 3546.72, "word": " اتجاهته", "probability": 0.862646484375}, {"start": 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منتظمة حقيقية لكن لو كانت ال .. العدسة minus هتكون ال .. الاشعة اشمالها virtual اللي هي مقلوبة واضح؟ طيب في العدسة الموجبة زي ما احنا حكينا انه هتجمع الأشعة في السالبة ايش هتعمل؟ هتفرق الأشعة", "tokens": [6027, 33599, 27884, 8032, 2655, 30544, 1975, 1829, 8592, 22807, 1975, 2304, 10943, 18863, 3215, 3794, 3660, 4032, 8032, 2655, 30544, 2423, 33599, 27884, 1975, 1829, 8592, 22807, 34201, 13672, 1829, 39896, 9154, 2655, 19913, 46007, 11331, 38436, 4587, 10632, 44381, 45164, 25961, 2655, 2423, 4386, 18863, 3215, 3794, 3660, 3175, 8032, 2655, 30544, 2423, 4386, 2423, 33599, 27884, 1975, 8592, 2304, 6027, 11296, 6374, 13672, 1829, 39896, 3714, 4587, 1211, 37746, 3660, 4032, 46958, 5016, 22807, 23032, 1829, 3555, 8978, 18863, 3215, 3794, 3660, 9673, 29245, 49401, 30767, 1829, 19446, 1975, 5016, 8315, 11331, 4117, 1829, 8315, 16472, 3224, 8032, 2655, 7435, 2304, 3615, 16247, 8592, 27884, 8978, 21136, 6027, 49401, 1975, 1829, 8592, 8032, 2655, 25957, 1211, 22807, 8032, 2655, 5172, 2288, 4587, 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3819.43, "word": " we", "probability": 0.57958984375}, {"start": 3819.43, "end": 3820.33, "word": " finish", "probability": 0.701171875}, {"start": 3820.33, "end": 3821.19, "word": " chapter", "probability": 0.92529296875}, {"start": 3821.19, "end": 3821.57, "word": " one", "probability": 0.8779296875}, {"start": 3821.57, "end": 3822.71, "word": " we", "probability": 0.60888671875}, {"start": 3822.71, "end": 3822.93, "word": " will", "probability": 0.90869140625}, {"start": 3822.93, "end": 3823.43, "word": " start", "probability": 0.931640625}, {"start": 3823.43, "end": 3823.97, "word": " chapter", "probability": 0.7021484375}, {"start": 3823.97, "end": 3824.39, "word": " two", "probability": 0.916015625}, {"start": 3824.39, "end": 3824.65, "word": " in", "probability": 0.955078125}, {"start": 3824.65, "end": 3824.73, "word": " the", "probability": 0.92041015625}, {"start": 3824.73, "end": 3825.21, "word": " next", "probability": 0.95703125}, {"start": 3825.21, "end": 3826.11, "word": " lecture", "probability": 0.611328125}, {"start": 3826.11, "end": 3826.65, "word": " ان", "probability": 0.443359375}, {"start": 3826.65, "end": 3826.89, "word": " شاء", "probability": 0.97705078125}, {"start": 3826.89, "end": 3827.05, "word": " الله", "probability": 0.962890625}, {"start": 3827.05, "end": 3828.81, "word": " any", "probability": 0.87451171875}, {"start": 3828.81, "end": 3829.25, "word": " question?", "probability": 0.875}], "temperature": 1.0}, {"id": 129, "seek": 383757, "start": 3833.73, "end": 3837.57, "text": "أى سؤال كله واضح ان شاء الله", "tokens": [10721, 7578, 8608, 33604, 6027, 28242, 3224, 4032, 46958, 5016, 16472, 13412, 16606, 21984], "avg_logprob": -0.11080728967984517, "compression_ratio": 0.9259259259259259, "no_speech_prob": 0.0, "words": [{"start": 3833.73, "end": 3833.99, "word": "أى", "probability": 0.59228515625}, {"start": 3833.99, "end": 3834.43, "word": " سؤال", "probability": 0.9728190104166666}, {"start": 3834.43, "end": 3836.77, "word": " كله", "probability": 0.9296875}, {"start": 3836.77, "end": 3837.09, "word": " واضح", "probability": 0.982421875}, {"start": 3837.09, "end": 3837.23, "word": " ان", "probability": 0.84326171875}, {"start": 3837.23, "end": 3837.45, "word": " شاء", "probability": 0.982421875}, {"start": 3837.45, "end": 3837.57, "word": " الله", "probability": 0.955078125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3839.257, "duration_after_vad": 3113.5974999999894}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3f65d2104e20e0bae183f54bf1f6562311987b8a
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Ahk3L3C4KKU_raw.srt
@@ -0,0 +1,2084 @@
+1
+00:00:21,090 --> 00:00:25,310
+طيب بسم الله الرحمن الرحيم في المحاضرة السابقة
+
+2
+00:00:25,310 --> 00:00:31,170
+اتكلمنا عن ال visual symptoms of the eye strain
+
+3
+00:00:31,170 --> 00:00:37,750
+أخدنا ال visual symptoms أعراض بصرية ال ocular
+
+4
+00:00:37,750 --> 00:00:42,990
+symptoms أعراض عينية اليوم هنبدأ بال refer
+
+5
+00:00:42,990 --> 00:00:51,700
+symptoms أعراض متعلقة بخارج العين واضح؟طبعا أهم
+
+6
+00:00:51,700 --> 00:00:56,740
+symptom في ال referred يعتبر ال headache اللي هو
+
+7
+00:00:56,740 --> 00:01:01,600
+الصداع the commands one of these symptoms is
+
+8
+00:01:01,600 --> 00:01:05,020
+headache ال headache او بنسميه احنا ال eye pain
+
+9
+00:01:05,020 --> 00:01:10,180
+لما بناخد ال history او strain of the eye او eye
+
+10
+00:01:10,180 --> 00:01:15,520
+fatigue كله هاد نفس المسمةthis headache is
+
+11
+00:01:15,520 --> 00:01:20,060
+localized around the eyes, frontal and sometimes
+
+12
+00:01:20,060 --> 00:01:24,480
+maybe temporal, vertical or occipital
+
+13
+00:01:43,890 --> 00:01:48,250
+يعني في المعمل القادم ان شاء الله يما تاخد ال
+
+14
+00:01:48,250 --> 00:01:52,730
+history للمريض، بدك تسألي أول حاجة إنه من ناحية
+
+15
+00:01:52,730 --> 00:01:56,950
+إذا كان عنده headache، صداع، هل هو vertical ولا
+
+16
+00:01:56,950 --> 00:02:01,670
+occipital، frontal ولا temporal؟ واضحة؟
+
+17
+00:02:04,000 --> 00:02:08,320
+the nature of the headache is aching يعني painful
+
+18
+00:02:08,320 --> 00:02:14,640
+ألم شديد boring أنه بيكون عنده نوع من الملل and
+
+19
+00:02:14,640 --> 00:02:20,700
+deep seated يعني بيكون هذا الصداع يعني بشكل عميق
+
+20
+00:02:20,700 --> 00:02:26,260
+يعني فترات طويلة يعني بييجي عند المريض it may be
+
+21
+00:02:26,260 --> 00:02:30,540
+intermittent or constant ممكن أنه يكون هذا الصداع
+
+22
+00:02:30,540 --> 00:02:36,620
+كمان متقطع أو مستمرrelated to the amount of use of
+
+23
+00:02:36,620 --> 00:02:40,760
+the eyes طبعا إله علاقة في إيش؟ في استخدام العين،
+
+24
+00:02:40,760 --> 00:02:45,480
+يعني بمعنى آخر إنه يما يكون المريض في حالة ال
+
+25
+00:02:45,480 --> 00:02:50,900
+relax بيروح هذا الصداع، يما يرجع ال activity
+
+26
+00:02:50,900 --> 00:02:54,600
+بتاعته سواء إنه بيستخدم ال mobile بتاعه أو ال ..
+
+27
+00:02:54,600 --> 00:02:58,740
+أو ال .. بيشاهد التلفاز لفترات طويلة، بيرجع هذا
+
+28
+00:02:58,740 --> 00:02:59,880
+إيش الصداع
+
+29
+00:03:02,770 --> 00:03:07,250
+the aggravating factors like eye fatigue and poor
+
+30
+00:03:07,250 --> 00:03:11,410
+illumination are said to be common من هذه الأعراض
+
+31
+00:03:11,410 --> 00:03:15,530
+لل headache ممكن أيضا إجهاد العين أن يكون فيه
+
+32
+00:03:15,530 --> 00:03:20,690
+للمريض إجهاد كمان الإضاءة إذا كانت سيئة بزود هذا
+
+33
+00:03:20,690 --> 00:03:26,610
+الصداع واضح؟ أو بزود اللي هو شكوة المريض من العين
+
+34
+00:03:26,610 --> 00:03:31,370
+ليش؟ لأنه دايما في الإضاءة لما تكون قليلةبكون ال
+
+35
+00:03:31,370 --> 00:03:36,430
+بيو بالإش ماله dilate ولا construct؟ dilate صح؟
+
+36
+00:03:36,430 --> 00:03:40,030
+يما بتيجي الإضاءة قوية بصير construct فحتى الواحد
+
+37
+00:03:40,030 --> 00:03:44,210
+إيش بتلاقي دايما بغط عينه بخاف أنه من الضوء للنضب،
+
+38
+00:03:44,210 --> 00:03:49,600
+الإضاءة بتيجي إيش شديدة على العينطبعا في ال
+
+39
+00:03:49,600 --> 00:03:55,440
+digestive upset disorder like dyspepsia and nausea
+
+40
+00:03:55,440 --> 00:04:00,040
+أنه أمراض متعلقة في الجهاز الهضمي زي مثلا ال
+
+41
+00:04:00,040 --> 00:04:04,040
+dyspepsia اللي هي سوء في الهضم أو ال nausea
+
+42
+00:04:04,040 --> 00:04:11,170
+الغثيان النقطة الثالثة مهمةال vague nervous
+
+43
+00:04:11,170 --> 00:04:16,590
+symptoms أعراض متعلقة في العصب العاشر ال vague هو
+
+44
+00:04:16,590 --> 00:04:22,230
+العصب العاشر طبعا الجسم الإنسان بيحتوي كام عصب؟
+
+45
+00:04:22,230 --> 00:04:30,610
+اتناشر ممتازة الأعصاب العين هكتبهم أول عصب اللي هو
+
+46
+00:04:30,610 --> 00:04:37,610
+ال optic nerve العصب البصري ال
+
+47
+00:04:37,610 --> 00:04:51,660
+opticNerve العصب البصري العصب الثاني ال Okolomotor
+
+48
+00:04:51,660 --> 00:05:05,000
+nerve العصب
+
+49
+00:05:05,000 --> 00:05:07,620
+الرابع Trochlear
+
+50
+00:05:11,550 --> 00:05:22,490
+nerve العصب الخامس الـ trigeminal nerve
+
+51
+00:05:22,490 --> 00:05:27,790
+ال
+
+52
+00:05:27,790 --> 00:05:38,890
+facial nerve اللي هو عصب الوجه و
+
+53
+00:05:38,890 --> 00:05:40,130
+ال vague
+
+54
+00:05:44,700 --> 00:05:51,540
+من قدرة الله عز وجل انه الإنسان بيحتوي ع 12 عصب،
+
+55
+00:05:51,540 --> 00:05:56,520
+العين لحالها فيها 6 عصب، اللي هو العصب البصري، ال
+
+56
+00:05:56,520 --> 00:06:01,860
+optic nerve، ال oculomotor nerve، ال trochlear
+
+57
+00:06:01,860 --> 00:06:07,480
+nerve، ال trigeminal nerve، ال facial nerve و ال
+
+58
+00:06:07,480 --> 00:06:12,990
+vagal nervevalue nervous symptoms هذه بتكون أعراض
+
+59
+00:06:12,990 --> 00:06:17,850
+.. الأعراض بتكون عصبية متعلقة في ال heart في القلب
+
+60
+00:06:17,850 --> 00:06:23,250
+like أنه بتسبب dizziness اللي هي الدوخة and
+
+61
+00:06:23,250 --> 00:06:26,450
+depression الإحباط واضح؟
+
+62
+00:06:31,880 --> 00:06:39,080
+review of geometrical optics هنعمل عملية update أو
+
+63
+00:06:39,080 --> 00:06:45,940
+عملية revision للبصريات الهندسية light travels
+
+64
+00:06:45,940 --> 00:06:51,240
+through space in straight lines الآن الضوء أول
+
+65
+00:06:51,240 --> 00:06:57,420
+حاجة بيسره في اللي هو خطوط إيه شمالها مستقيمةIf a
+
+66
+00:06:57,420 --> 00:07:01,660
+ray of light meet a body in its passage through
+
+67
+00:07:01,660 --> 00:07:05,600
+space, one of three things may happen.الان هذا
+
+68
+00:07:05,600 --> 00:07:10,560
+الضوء إذا بيقابل أي تجسم بيحصل له واحدة من التلت
+
+69
+00:07:10,560 --> 00:07:15,800
+أمور هذه، يا إما absorbed، يا إما refracted، يا
+
+70
+00:07:15,800 --> 00:07:19,340
+إما reflected أو transmitted، اللي هي عملية
+
+71
+00:07:19,340 --> 00:07:27,200
+امتصاص، يعني الآن أي تضوءباصطدم في أي تجسم بيحدث
+
+72
+00:07:27,200 --> 00:07:31,280
+إليه واحدة من التلات أمور، يا إما refracted إنكسار
+
+73
+00:07:31,280 --> 00:07:36,240
+أو reflected إنعكاس أو transmitted اللي هو أو
+
+74
+00:07:36,240 --> 00:07:39,240
+absorb امتصاص، واضحة النقطة الأولى؟
+
+75
+00:07:42,710 --> 00:07:47,130
+when the light transmit or absorb from one medium
+
+76
+00:07:47,130 --> 00:07:50,810
+into another medium of different density it is
+
+77
+00:07:50,810 --> 00:07:55,210
+called to be refracted طبعا احنا عرفنا تعريف ال
+
+78
+00:07:55,210 --> 00:08:00,190
+refracted من ناحية in a clinical ophthalmology شو
+
+79
+00:08:00,190 --> 00:08:03,270
+تعريف ال refraction من ناحية clinical
+
+80
+00:08:03,270 --> 00:08:07,070
+ophthalmology؟
+
+81
+00:08:07,070 --> 00:08:09,010
+علي صوتك، فضلي
+
+82
+00:08:14,100 --> 00:08:17,560
+ممتازة The determining of the refractive condition
+
+83
+00:08:17,560 --> 00:08:21,660
+of the eye may be myopic, hypermetropic or
+
+84
+00:08:21,660 --> 00:08:26,040
+astigmatism الان من ناحية physics من ناحية
+
+85
+00:08:26,040 --> 00:08:31,680
+فيزيائية انه يما بنتقل الضوء من وسط الى وسط اخر
+
+86
+00:08:31,680 --> 00:08:37,540
+الوسط الاخر بيكون مختلف الكثافة بيسمى هذا ايش ال
+
+87
+00:08:37,540 --> 00:08:44,920
+refractiveهو انتقال الضوء من وسط إلى وسط آخر، هذا
+
+88
+00:08:44,920 --> 00:08:50,300
+الوسط الآخر بيكون مختلف الكثافة، فبيعمل .. فهذا ما
+
+89
+00:08:50,300 --> 00:08:54,060
+يسمى بتعريف ال refracted، واضح؟
+
+90
+00:08:59,740 --> 00:09:06,140
+principles of virgins مبادئ الميل الإشعاعي ال
+
+91
+00:09:06,140 --> 00:09:12,600
+virgins المسمته الميل الإشعاعي as applied to light
+
+92
+00:09:12,600 --> 00:09:18,180
+rays يما أنا بستخدم أو بستعمل الإشعاع الضوءي the
+
+93
+00:09:18,180 --> 00:09:23,240
+term virgins describes the direction of a ray as
+
+94
+00:09:23,240 --> 00:09:27,420
+it passes between some luminous point to a lens
+
+95
+00:09:28,150 --> 00:09:34,530
+الان انا يما بستخدم الإشعاع الضوء كمفهوم للميل
+
+96
+00:09:34,530 --> 00:09:40,910
+الإشعاعي بيصف اتجاه الشعاع مابين نقاط ايه شمالها
+
+97
+00:09:40,910 --> 00:09:46,410
+ال luminous point انه نقاط بتكون مضيقة هذه النقاط
+
+98
+00:09:46,410 --> 00:09:50,630
+المضيقة وين بتكون؟ في العدسة يعني الان لو فرضت انا
+
+99
+00:09:50,630 --> 00:09:57,220
+مثلا هذه العدسة بتاعتيالان العدسة إيش بتتكون من
+
+100
+00:09:57,220 --> 00:10:02,240
+نقاط مضيقة ال virgins إيش بيعمل للعدسة يا إما
+
+101
+00:10:02,240 --> 00:10:07,860
+بيشتد يا إما إيش بيعمل اللي هو بيجمع الأشعة هذا
+
+102
+00:10:07,860 --> 00:10:13,120
+المفهوم البسيط لمين لل virgins يعني في .. اللي هو
+
+103
+00:10:13,120 --> 00:10:18,040
+في عند نقاط مضيقة في العدسة النقاط المضيقة يا إما
+
+104
+00:10:18,040 --> 00:10:21,200
+بتجمع أو بتفرق الأشعة واضح؟
+
+105
+00:10:26,250 --> 00:10:33,490
+طبعا ال divergence power قوة الميل الإشعاعي is the
+
+106
+00:10:33,490 --> 00:10:36,910
+reciprocal of the distance from the lens to the
+
+107
+00:10:36,910 --> 00:10:43,530
+point of convergence of the light طبعا أخدنا ال
+
+108
+00:10:43,530 --> 00:10:49,910
+power لأي تعدسة إيش بالساوية؟ واحد على ال focal
+
+109
+00:10:49,910 --> 00:10:56,310
+length أو ممكن في بعض الكتب بيكتبوها Done over F
+
+110
+00:10:56,310 --> 00:11:03,430
+طبعا القوة هذه هي عبارة عن القوة
+
+111
+00:11:03,430 --> 00:11:11,930
+بالديوبتر power
+
+112
+00:11:11,930 --> 00:11:16,690
+of the virgins
+
+113
+00:11:16,690 --> 00:11:20,470
+وال
+
+114
+00:11:20,470 --> 00:11:23,710
+F عبارة عن ال focal
+
+115
+00:11:29,520 --> 00:11:33,660
+length بالmillimeter طب لو قولت شو تعريف ال focal
+
+116
+00:11:33,660 --> 00:11:38,900
+length؟
+
+117
+00:11:38,900 --> 00:11:46,780
+تعرف ترفع أيديها، شو تعريف ال focal length؟ أه
+
+118
+00:11:46,780 --> 00:11:47,740
+تعريف، definition
+
+119
+00:11:52,880 --> 00:11:55,880
+طيب من التعريف هذا ممكن .. من العلاقة هذه ممكن
+
+120
+00:11:55,880 --> 00:12:04,000
+تعرفيه؟ اه فجدت
+
+121
+00:12:04,000 --> 00:12:09,160
+منطقيا قولنا ال virgins او ال power reciprocal of
+
+122
+00:12:09,160 --> 00:12:12,580
+the focal length and is measured in diopter يعني
+
+123
+00:12:12,580 --> 00:12:18,320
+هو مقلوب ال focal length okay و بيقاس بوحدة ايش؟
+
+124
+00:12:18,320 --> 00:12:23,220
+ال diopterالـ focal length إيش هيكون؟ مقلود البور
+
+125
+00:12:23,220 --> 00:12:39,620
+وبيقاس بوحدة ال millimeter واضح؟ خلّيني أكتبه أمحي
+
+126
+00:12:39,620 --> 00:12:40,040
+هذا؟
+
+127
+00:12:59,960 --> 00:13:06,640
+طبعا هي عندنا اول حاجة هي ال lens طبعا
+
+128
+00:13:06,640 --> 00:13:13,400
+اية lens بيكون فيها ايش؟ ال luminous ال
+
+129
+00:13:13,400 --> 00:13:17,280
+luminous point
+
+130
+00:13:17,280 --> 00:13:26,020
+اللي هي نقاط مضيقة مضيقة okay هذه ايش بتعمل؟ اما
+
+131
+00:13:26,020 --> 00:13:27,280
+بتعمل convergence
+
+132
+00:13:30,640 --> 00:13:40,600
+او divergence الان ال power ايش بيساوي one over F
+
+133
+00:13:40,600 --> 00:13:49,260
+طبعا هذا في الديوبتر و
+
+134
+00:13:49,260 --> 00:13:55,380
+ال focal length بال millimeter الديوبتر عبارة عن
+
+135
+00:13:55,380 --> 00:13:58,980
+power هذا ال focal
+
+136
+00:14:13,630 --> 00:14:21,270
+واضح؟ طيب مين عرف الديوبتر؟
+
+137
+00:14:21,270 --> 00:14:25,970
+طيب الديوبتر
+
+138
+00:14:25,970 --> 00:14:31,590
+اللي هي عبارة عن إيش؟الديوبتر اللي هي وحدة القياس
+
+139
+00:14:31,590 --> 00:14:36,450
+اللي بتقيس من ال power ال power اذا هي عبارة ال
+
+140
+00:14:36,450 --> 00:14:40,570
+unit is measurement of the power الوحدة اللي بتقيس
+
+141
+00:14:40,570 --> 00:14:45,290
+من ال power unit
+
+142
+00:14:45,290 --> 00:14:53,070
+measurement
+
+143
+00:14:53,070 --> 00:14:57,290
+of
+
+144
+00:14:57,290 --> 00:15:10,140
+thepower and abbreviated بتختصر بال
+
+145
+00:15:10,140 --> 00:15:14,900
+D واضح ال unit measurement of the power and
+
+146
+00:15:14,900 --> 00:15:18,620
+abbreviate D هذه عبارة عن مين الديوبتر
+
+147
+00:15:23,580 --> 00:15:28,660
+بالنسبة للـ focal length it is the reciprocal of
+
+148
+00:15:28,660 --> 00:15:33,140
+the diopter and is measured in millimeter
+
+149
+00:16:09,740 --> 00:16:18,840
+بالنسبة ل ال focal length هذا
+
+150
+00:16:18,840 --> 00:16:30,120
+تعريف ال focal length واضح؟
+
+151
+00:16:30,120 --> 00:16:33,900
+يعني
+
+152
+00:16:33,900 --> 00:16:43,140
+بمعنى آخر focal lengthIt is a reciprocal عندنا
+
+153
+00:16:43,140 --> 00:16:48,420
+اللي هو تعريف الديوبتر وحدة قياس من ال power اللي
+
+154
+00:16:48,420 --> 00:16:54,060
+هي قوة العدسة وبيرمزلها برمز ال D هذا بالنسبة
+
+155
+00:16:54,060 --> 00:16:59,600
+للديوبتر طيب ال focal length هي مقلوب من ال power
+
+156
+00:16:59,600 --> 00:17:05,360
+القوة و بتقاس بال millimeter واضح؟ طيب بالنسبة لل
+
+157
+00:17:05,360 --> 00:17:11,220
+powerال power اللى مقلوب فوق ال link وبتقاس بوحدة
+
+158
+00:17:11,220 --> 00:17:23,500
+مين ال diopter واضح؟
+
+159
+00:17:23,500 --> 00:17:36,800
+خلصته؟
+
+160
+00:17:39,800 --> 00:17:49,680
+طيب سجلي عندك أو على الدفتر patient has
+
+161
+00:17:49,680 --> 00:17:59,340
+refractive error patient has refractive error plus
+
+162
+00:17:59,340 --> 00:18:03,080
+three ديوبتر سفير
+
+163
+00:18:06,600 --> 00:18:09,940
+what is the focal length?
+
+164
+00:18:15,660 --> 00:18:22,460
+patient has refractive error plus
+
+165
+00:18:22,460 --> 00:18:34,960
+three what is the focal length of the lens؟
+
+166
+00:18:34,960 --> 00:18:53,730
+شوية شويةكتبت السؤال؟ الكل كتب السؤال؟ طبعا
+
+167
+00:18:53,730 --> 00:18:58,770
+إذا جيبت في الامتحان سؤال زي هذا لو واحد كتب لتلت
+
+168
+00:18:58,770 --> 00:18:59,550
+مباشر
+
+169
+00:19:04,880 --> 00:19:11,360
+بداية أول حاجة لسؤال زي هيك باجي برسم العدسة طبعا
+
+170
+00:19:11,360 --> 00:19:19,680
+العدسة إيه شمالها؟ موجبة صح؟
+
+171
+00:19:19,680 --> 00:19:30,740
+إذا plus three ده يبتر صح؟ الآن القانون F equal
+
+172
+00:19:30,740 --> 00:19:41,040
+one focal lengthطبعا انا بدت ايش؟ اذا انا بد مين؟
+
+173
+00:19:41,040 --> 00:19:51,060
+ال focal length طبعا
+
+174
+00:19:51,060 --> 00:20:02,600
+واحد على تلاتة مليمتر طيب another patient patient
+
+175
+00:20:02,600 --> 00:20:03,220
+has
+
+176
+00:20:28,460 --> 00:20:36,560
+الشخص لديه خطأ عضوى مفهوم مفهوم مفهوم مفهوم مفهوم
+
+177
+00:20:36,560 --> 00:20:36,820
+مفهوم مفهوم
+
+178
+00:20:45,060 --> 00:20:55,160
+حلو على الورقة حلو على الورقة لقيته؟
+
+179
+00:21:18,630 --> 00:21:34,610
+مين حلت السؤال؟ تهلي طب
+
+180
+00:21:34,610 --> 00:21:40,770
+على ال minus فوق أو ال plus فوق العدسة، واضح؟
+
+181
+00:21:40,770 --> 00:21:44,510
+كلهم؟
+
+182
+00:22:00,400 --> 00:22:04,620
+اللي هو عشان .. اللي مافوتش ثالث عشان هي مسافة
+
+183
+00:22:04,620 --> 00:22:08,140
+فانتصرت عشان اول و بحطينا ثالث من ايه ما يعني في
+
+184
+00:22:08,140 --> 00:22:11,620
+الآخر اتقلعي النتيجة في الآخر، إيه إيش بدك تكتب؟
+
+185
+00:22:11,620 --> 00:22:14,840
+بقى ده و بقى خلاص من اللي نبدأ؟ اه من اللي نبدأ
+
+186
+00:22:14,840 --> 00:22:19,460
+okay
+
+187
+00:22:22,250 --> 00:22:29,070
+صح الجواب ولا خطأ؟
+
+188
+00:22:29,070 --> 00:22:33,690
+في
+
+189
+00:22:33,690 --> 00:22:37,070
+حاجة في ال image أخدتوها أن العدسة السالبة بتكون
+
+190
+00:22:37,070 --> 00:22:41,030
+ال image فيها إيش؟ virtual، مقلوبة، صح؟ إذن إذا
+
+191
+00:22:41,030 --> 00:22:45,610
+بتكون مقلوبة بتكون إيش؟ minus إذن هم تحط minus
+
+192
+00:22:45,610 --> 00:22:47,190
+millimeter
+
+193
+00:22:49,760 --> 00:22:54,200
+طبعا ال sign مهمة تطبيق القانون سهل جدا لكن ممكن
+
+194
+00:22:54,200 --> 00:22:58,520
+ألعب في وين في ال sign فيه في الامتحان يعني كسؤال
+
+195
+00:22:58,520 --> 00:23:06,800
+طيب اكتب
+
+196
+00:23:06,800 --> 00:23:12,460
+على الدفتر lens
+
+197
+00:23:12,460 --> 00:23:13,160
+has
+
+198
+00:23:24,590 --> 00:23:32,770
+معنى ديوبتريك باور اللينز هو 1
+
+199
+00:23:32,770 --> 00:23:38,690
+over 10 ميلي متر
+
+200
+00:23:52,920 --> 00:23:57,300
+or what is the power of the lens ال focal length
+
+201
+00:23:57,300 --> 00:24:02,780
+بتاع العدسة واحد
+
+202
+00:24:02,780 --> 00:24:07,560
+على عشرة millimeter جديش قوة العدسة حللي على
+
+203
+00:24:07,560 --> 00:24:19,240
+الدفتر مين
+
+204
+00:24:19,240 --> 00:24:19,720
+حلله؟
+
+205
+00:24:22,550 --> 00:24:38,670
+تعالى تفضلي اول
+
+206
+00:24:38,670 --> 00:24:41,170
+شي هو انا مش مواضحنى ان العدسة موجة او اسا ممكن
+
+207
+00:24:41,170 --> 00:24:43,930
+اشوف حاسوب العدسة هلأ اولش اشتغل اكتب القانين
+
+208
+00:24:43,930 --> 00:24:47,830
+اخدنا اهو اول اكتب المعطيات ماعطينا ال focus link
+
+209
+00:24:47,830 --> 00:24:55,900
+يساوي واحد علىهلا احنا لدينا قانون F يساوي واحد
+
+210
+00:24:55,900 --> 00:24:59,980
+على ال focus زي ما قلت لك واحد على واحد على عشرة
+
+211
+00:24:59,980 --> 00:25:05,060
+يساوي عشرة طيب
+
+212
+00:25:05,060 --> 00:25:11,560
+الآن برسم العدسة صح؟ صم العدسة
+
+213
+00:25:11,560 --> 00:25:17,220
+تقعد
+
+214
+00:25:17,220 --> 00:25:18,320
+و تبعدها؟
+
+215
+00:25:33,520 --> 00:25:38,760
+طيب طلع ورقة صغيرة اكتب اسمك على الورقة ساكر
+
+216
+00:25:38,760 --> 00:25:42,860
+الدفتر طبعا الحل تلت دقائق بعد تلت دقائق مش هاخد
+
+217
+00:25:42,860 --> 00:25:44,820
+الورقة okay السؤال
+
+218
+00:25:52,820 --> 00:25:57,720
+طبعا هو سهل كثير patient
+
+219
+00:25:57,720 --> 00:26:01,740
+has
+
+220
+00:26:01,740 --> 00:26:11,660
+refractive error minus
+
+221
+00:26:11,660 --> 00:26:27,980
+twenty point five ده يبترWhat is the focal
+
+222
+00:26:27,980 --> 00:26:34,500
+length of
+
+223
+00:26:34,500 --> 00:26:39,340
+the lens in
+
+224
+00:26:39,340 --> 00:26:40,220
+centimeter؟
+
+225
+00:26:53,120 --> 00:27:08,340
+minus twenty point fifty please
+
+226
+00:27:08,340 --> 00:27:10,280
+complete your answer
+
+227
+00:27:26,260 --> 00:27:42,680
+you can apply your calculator without your
+
+228
+00:27:42,680 --> 00:27:43,180
+eyes
+
+229
+00:28:15,360 --> 00:28:23,600
+اللي بتخلص اجيب الورقة بس واحدة واحدة اسم اسم اسم
+
+230
+00:28:23,600 --> 00:28:24,260
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+231
+00:28:24,260 --> 00:28:28,040
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+232
+00:28:28,040 --> 00:28:28,400
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+233
+00:28:28,400 --> 00:28:28,400
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+234
+00:28:28,400 --> 00:28:28,400
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+235
+00:28:28,400 --> 00:28:30,160
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+236
+00:28:30,160 --> 00:28:30,760
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+237
+00:28:30,760 --> 00:28:33,960
+اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم اسم
+
+238
+00:28:33,960 --> 00:28:37,080
+اسم اسم
+
+239
+00:28:37,080 --> 00:28:43,600
+اس
+
+240
+00:28:53,770 --> 00:28:58,150
+طيب هعيد على التلاتة خلاص هعيد على التلاتة لكل دين
+
+241
+00:28:58,150 --> 00:29:07,110
+الورقة one two three
+
+242
+00:29:07,110 --> 00:29:13,550
+دين الورقة بعد هيك مش هاخدها
+
+243
+00:29:13,550 --> 00:29:22,310
+مين اتكلم؟ خلاص دينيا بس
+
+244
+00:29:25,280 --> 00:29:32,780
+مين ماتدنيش الورقة؟ اخر سطر شايفكم اه بدون ورقة؟
+
+245
+00:29:32,780 --> 00:29:36,960
+الحمد لله
+
+246
+00:29:36,960 --> 00:29:42,320
+خلص الدنيا صبيه
+
+247
+00:29:42,320 --> 00:29:46,640
+طيب
+
+248
+00:29:46,640 --> 00:29:49,540
+مين يحل السؤال؟ بدون كلام البنات بدون كلام
+
+249
+00:29:54,820 --> 00:30:00,780
+بنات بدون كلام بدون
+
+250
+00:30:00,780 --> 00:30:06,520
+كلام هاي
+
+251
+00:30:06,520 --> 00:30:14,060
+اللي بتكلم سطرهان، انتوا، واحدة، اتين، تين، هاي
+
+252
+00:30:14,060 --> 00:30:18,340
+اول group حاضر،
+
+253
+00:30:18,340 --> 00:30:19,160
+خليكوا تريحوا
+
+254
+00:30:23,610 --> 00:30:29,210
+طيب مين حل السؤال؟ اتفضل I told you complete your
+
+255
+00:30:29,210 --> 00:30:45,930
+answer من a ل z جوال
+
+256
+00:30:55,390 --> 00:31:02,830
+في الشنطة الجوال خلاص ارجع الجوال في الشنطة
+
+257
+00:31:02,830 --> 00:31:12,390
+okay
+
+258
+00:31:49,880 --> 00:31:52,880
+طيب another question بس عن الدفتر هذا
+
+259
+00:31:59,680 --> 00:32:04,860
+هال minus وينه؟
+
+260
+00:32:04,860 --> 00:32:13,280
+مين حط ال sign؟ يرفع يده، مين حط ال sign؟ الإشارة،
+
+261
+00:32:13,280 --> 00:32:19,980
+الإشارة، مين حطها؟ طبعا هان إيش بكتب كمان إن ذا
+
+262
+00:32:19,980 --> 00:32:31,310
+image طبعا لقدام، لقدام هذه is virtualو لو كانت
+
+263
+00:32:31,310 --> 00:32:38,730
+اللي هي موجبة the image erect هل بتكتبوها لقدام
+
+264
+00:32:38,730 --> 00:32:44,930
+ماححسبش عليها الأن طيب
+
+265
+00:32:44,930 --> 00:32:56,030
+أخر سؤال patient has refractive
+
+266
+00:32:56,030 --> 00:32:56,330
+error
+
+267
+00:33:00,030 --> 00:33:10,110
+minus thirteen what is the focal length of the
+
+268
+00:33:10,110 --> 00:33:18,110
+lens in
+
+269
+00:33:18,110 --> 00:33:27,950
+meter حللي
+
+270
+00:33:27,950 --> 00:33:28,690
+على الدفتر
+
+271
+00:33:51,170 --> 00:33:57,190
+من خلصت؟ please complete your answer
+
+272
+00:34:33,030 --> 00:34:45,910
+Okay done؟فضل الكلام؟
+
+273
+00:35:16,670 --> 00:35:28,070
+لو سمحت امنع الكلام انا
+
+274
+00:35:28,070 --> 00:35:37,120
+قولت thirteenthirteen انا قولت two
+
+275
+00:35:37,120 --> 00:35:45,560
+meter
+
+276
+00:35:45,560 --> 00:35:46,480
+no centimeter
+
+277
+00:36:09,040 --> 00:36:16,920
+فيرجوال okay okay
+
+278
+00:36:27,020 --> 00:36:32,140
+طيب لو كان عندى عدساتين يعني مثلا مريض كان بلبس
+
+279
+00:36:32,140 --> 00:36:39,840
+right eye كانت minus ten لو قولنا اكتبوا عندك
+
+280
+00:36:39,840 --> 00:36:45,380
+patient has refractive
+
+281
+00:36:45,380 --> 00:36:51,480
+error minus
+
+282
+00:36:51,480 --> 00:36:53,300
+ten in the right eye
+
+283
+00:37:01,740 --> 00:37:07,380
+الطبيعي لديه .. آسف .. الطبيعي لديه خطأ رفعية نقل
+
+284
+00:37:07,380 --> 00:37:18,200
+10 في العين اليسرى و 5 في العين اليسرى ماذا
+
+285
+00:37:18,200 --> 00:37:24,000
+هي طول التصوير في
+
+286
+00:37:24,000 --> 00:37:28,980
+كلا العيون؟ الطبيعي
+
+287
+00:37:28,980 --> 00:37:35,360
+لديهرفراكتف خطأ مايناس تن في عيني اليسرى و بلاس
+
+288
+00:37:35,360 --> 00:37:39,880
+فايف في عيني اليسرى، ماهو مدرسة الفوكال في كلا
+
+289
+00:37:39,880 --> 00:37:48,180
+عيونها؟ أرجوك
+
+290
+00:37:48,180 --> 00:37:49,420
+أعطوني إجابة كاملة
+
+291
+00:38:12,310 --> 00:38:30,730
+مين خلصت؟ خلصتي؟
+
+292
+00:38:48,150 --> 00:38:56,470
+please attention here okay
+
+293
+00:38:56,470 --> 00:38:56,790
+okay
+
+294
+00:39:19,430 --> 00:39:22,770
+هذه الهاتف مش عارفين إيه إذا هي على نسبة المحاصلة
+
+295
+00:39:22,770 --> 00:39:23,390
+بنائتها
+
+296
+00:40:08,740 --> 00:40:15,340
+مين موافق مع الإجابة؟ ارفع أيديك .. ارفع أيديك مين
+
+297
+00:40:15,340 --> 00:40:22,180
+حل السؤال؟ مين حل السؤال؟ تفضل
+
+298
+00:40:38,520 --> 00:40:38,840
+أوه
+
+299
+00:41:16,830 --> 00:41:23,710
+و هذا ال right ولا ال
+
+300
+00:41:23,710 --> 00:41:33,090
+left؟ هذا المفصلة و هذا ال right و هذا ال left و
+
+301
+00:41:33,090 --> 00:41:33,670
+أنا الرسمة
+
+302
+00:41:53,410 --> 00:42:00,410
+إذا ال right و ال left okay و الفوك ال length are
+
+303
+00:42:00,410 --> 00:42:13,590
+you agree with the answer طبعا
+
+304
+00:42:13,590 --> 00:42:15,330
+أول حاجة خلينا نحل السؤال
+
+305
+00:42:26,240 --> 00:42:30,240
+ممكن الطريقة هذه صح وممكن الطريقة الثانية أنه تفصل
+
+306
+00:42:30,240 --> 00:42:35,780
+نعم
+
+307
+00:42:35,780 --> 00:42:38,940
+طيب
+
+308
+00:42:38,940 --> 00:42:43,440
+خلّيني واحدة واحدة في الحل اللي حلته بيه اعتبره
+
+309
+00:42:43,440 --> 00:42:47,220
+مادة واحدة هو بالفعل لازم يخلّيه على ال
+
+310
+00:42:52,090 --> 00:42:55,150
+أنا باخدش ال هو ال summation للعدسات تانية لإني
+
+311
+00:42:55,150 --> 00:42:58,950
+قلتلك أنا حكيت أنه لازم ال answer بتاعتك تكون
+
+312
+00:42:58,950 --> 00:43:02,770
+separate اللي هي منفصلة فانا باخد العين اليمين على
+
+313
+00:43:02,770 --> 00:43:06,570
+حدا و باخد العين الشمال على حدا ان كأنه في right
+
+314
+00:43:06,570 --> 00:43:10,450
+eye و left eye فبحسب ال right eye ال focal length
+
+315
+00:43:10,450 --> 00:43:14,570
+بتاعتها و بحسب لل left eye زي ما اتعلمنا ال focal
+
+316
+00:43:14,570 --> 00:43:19,210
+length لها واضح؟ يعني زي كأنه ماتاخديش ال هو ال
+
+317
+00:43:19,210 --> 00:43:25,080
+summation ليش المجموعة بتاعه؟بس ايش برسم؟ ال right
+
+318
+00:43:25,080 --> 00:43:29,500
+eye باخد مثلا عدسة كانت موجبة ولا minus؟ minus ..
+
+319
+00:43:29,500 --> 00:43:31,380
+minus .. minus .. minus .. minus .. minus .. minus
+
+320
+00:43:31,380 --> 00:43:33,140
+.. minus .. minus .. minus .. minus .. minus ..
+
+321
+00:43:33,140 --> 00:43:33,400
+minus .. minus .. minus .. minus .. minus .. minus
+
+322
+00:43:33,400 --> 00:43:33,400
+.. minus .. minus .. minus .. minus .. minus ..
+
+323
+00:43:33,400 --> 00:43:33,400
+minus .. minus .. minus .. minus .. minus .. minus
+
+324
+00:43:33,400 --> 00:43:33,400
+.. minus .. minus .. minus .. minus .. minus ..
+
+325
+00:43:33,400 --> 00:43:33,400
+minus .. minus .. minus .. minus .. minus .. minus
+
+326
+00:43:33,400 --> 00:43:34,180
+.. minus .. minus .. minus .. minus .. minus ..
+
+327
+00:43:34,180 --> 00:43:34,200
+minus .. minus .. minus .. minus .. minus .. minus
+
+328
+00:43:34,200 --> 00:43:34,200
+.. minus .. minus .. minus .. minus .. minus ..
+
+329
+00:43:34,200 --> 00:43:34,240
+minus .. minus .. minus .. minus .. minus .. minus
+
+330
+00:43:34,240 --> 00:43:34,860
+.. minus .. minus .. minus .. minus .. minus ..
+
+331
+00:43:34,860 --> 00:43:40,540
+minus .. minus .. minus .. minus .. minus .. minus
+
+332
+00:43:40,540 --> 00:43:40,540
+.. minus .. minus .. minus .. minus .. minus ..
+
+333
+00:43:40,540 --> 00:43:40,540
+minus .. minus .. minus .. minus .. minus .. minus
+
+334
+00:43:40,540 --> 00:43:40,540
+.. minus .. minus .. minus .. minus .. minus ..
+
+335
+00:43:40,540 --> 00:43:40,540
+minus .. minus .. minus .. minus .. minus .. minus
+
+336
+00:43:40,540 --> 00:43:42,120
+.. minus .. minus .. minus
+
+337
+00:43:50,020 --> 00:43:53,980
+لو سمحت اللي بدها تسأل سؤال ترفع أيديها، تفضلي
+
+338
+00:44:14,810 --> 00:44:19,330
+لأنه أنا في عندى عدستين عدسة plus وعدسة minus أو
+
+339
+00:44:19,330 --> 00:44:23,850
+مثلا في عدستين عدسة plus plus او عدسة minus minus
+
+340
+00:44:23,850 --> 00:44:28,960
+فباخد كل واحدة على حدةيعني كأنه انا ماخد عند بيشان
+
+341
+00:44:28,960 --> 00:44:33,620
+بلبس اللي هو عدسة ال refractive error ب minus عشرة
+
+342
+00:44:33,620 --> 00:44:37,600
+والتاني refractive error plus خمسة وبحسبله ال
+
+343
+00:44:37,600 --> 00:44:40,460
+focal length هل بعمل summation ولا كل واحد على
+
+344
+00:44:40,460 --> 00:44:44,120
+حده؟ كل واحد بحسبله ال focal length للعدسة بتاعته
+
+345
+00:44:44,120 --> 00:44:48,220
+لل right و لل left لكن في نقطة مهمة بكتب ال right
+
+346
+00:44:48,220 --> 00:44:52,620
+و ال left انه ال OD او ال OS في اللي هو السؤال
+
+347
+00:44:52,620 --> 00:45:06,500
+واضح؟طيب طلعوا برضه ورقة صغيرة بس
+
+348
+00:45:06,500 --> 00:45:12,880
+امنع الكلام .. دي بالله كلام .. في عندك واحد تاني؟
+
+349
+00:45:34,740 --> 00:45:47,000
+اكتب اسمك ع الورقة your name okay
+
+350
+00:45:47,000 --> 00:45:52,440
+are you ready okay
+
+351
+00:45:52,440 --> 00:46:00,440
+patient has convergent
+
+352
+00:46:00,440 --> 00:46:01,140
+lens
+
+353
+00:46:19,870 --> 00:46:25,170
+Patient has convergent
+
+354
+00:46:25,170 --> 00:46:29,670
+lens in the right eye
+
+355
+00:46:43,090 --> 00:46:55,790
+الشخص لديه عيون مرتبطة في عيون تن ديوبتر وعيون
+
+356
+00:46:55,790 --> 00:47:03,510
+مرتبطة في عيون
+
+357
+00:47:03,510 --> 00:47:03,770
+اليسار
+
+358
+00:47:11,390 --> 00:47:18,530
+minus 10 ديوبتر in
+
+359
+00:47:18,530 --> 00:47:21,550
+the
+
+360
+00:47:21,550 --> 00:47:27,930
+left eye what is the focal length in both eyes؟
+
+361
+00:47:31,720 --> 00:47:38,240
+الطبيعي لديه عيون مرتبطة في عيون صحيحة 10 ديوبتر و
+
+362
+00:47:38,240 --> 00:47:44,240
+-10 عيون مرتبطة في عيون اليسار ماهي عيون الوصفة في
+
+363
+00:47:44,240 --> 00:47:54,160
+كلا العيون؟ لديك
+
+364
+00:47:54,160 --> 00:47:58,260
+فقط 3 دقيقة، أرجوك أعطني إجابة تمامة
+
+365
+00:48:05,470 --> 00:48:09,490
+one one one
+
+366
+00:48:09,490 --> 00:48:10,570
+one
+
+367
+00:48:45,040 --> 00:48:53,440
+لأ إذا في ال answer لأ دي .. اه why
+
+368
+00:48:53,440 --> 00:49:02,300
+you rotate yourself okay
+
+369
+00:49:19,000 --> 00:49:23,620
+لم الوراق الباقية خلاص اقل يوجد بمكانك هي بتلمه
+
+370
+00:49:23,620 --> 00:49:33,480
+okay
+
+371
+00:49:33,480 --> 00:49:39,320
+مين
+
+372
+00:49:39,320 --> 00:49:46,280
+يحل السؤال؟ تفضلي لأ لأ الوراق انت انت اه بقول
+
+373
+00:49:46,280 --> 00:49:46,660
+الوراق
+
+374
+00:50:38,020 --> 00:50:50,900
+مع الكلام شكرا
+
+375
+00:50:50,900 --> 00:50:56,480
+the image
+
+376
+00:50:56,480 --> 00:51:05,480
+is reflected quite virtual virtual معناها يعني
+
+377
+00:51:05,480 --> 00:51:06,040
+خيالية
+
+378
+00:51:13,320 --> 00:51:17,760
+شكرا لأ لازم تكتب ال image إيش بتكون و هان ال
+
+379
+00:51:17,760 --> 00:51:33,660
+virtual إيش بتكون ال erect and طبعا
+
+380
+00:51:33,660 --> 00:51:38,360
+هدول معظم الأسئلة ممكن يعني أي سؤال أو أي trick
+
+381
+00:51:38,360 --> 00:51:41,320
+مابخلوش من هذه الأسئلة
+
+382
+00:51:42,600 --> 00:51:47,220
+Okay divergence power زي ما حكينا اللي هو الديوبتر
+
+383
+00:51:47,220 --> 00:51:51,660
+power is the reciprocal of the distance from the
+
+384
+00:51:51,660 --> 00:51:55,700
+lens to the point of convergence of the light هو
+
+385
+00:51:55,700 --> 00:51:58,780
+عبارة عن مقلوب ال focal length يعني ال divergence
+
+386
+00:51:58,780 --> 00:52:02,760
+power اللي هو بيقاس بوحدة الديوبتر هو مقلوب ال
+
+387
+00:52:02,760 --> 00:52:08,240
+focal length اللي بيقاس بوحدة ال millimeterlight
+
+388
+00:52:08,240 --> 00:52:12,040
+rays that moving away from each other are termed
+
+389
+00:52:12,040 --> 00:52:16,160
+divergent الآن العدسة السالب إيش بتعمل؟ بتفرق
+
+390
+00:52:16,160 --> 00:52:20,420
+الأشعة فال divergent إنه بيعمل عملية إنه light
+
+391
+00:52:20,420 --> 00:52:24,960
+rays that moving away from each other are termed
+
+392
+00:52:24,960 --> 00:52:29,540
+divergent يعني كل الأشعة اللي طالعة بتكون عبارة عن
+
+393
+00:52:29,540 --> 00:52:35,120
+إيش؟ إنه divergent مشتتةال light rays that moving
+
+394
+00:52:35,120 --> 00:52:38,620
+toward each other are termed convergence الأشعة
+
+395
+00:52:38,620 --> 00:52:43,960
+اللي بتكون خارجها من ال plus lens بتكون أيش متجمعة
+
+396
+00:52:43,960 --> 00:52:49,960
+اللي هي plus lens parallel light rays have zero
+
+397
+00:52:49,960 --> 00:52:56,000
+convergence دايما ال parallel الأشعة المتوازية
+
+398
+00:52:56,000 --> 00:53:02,570
+القوة بتكون فيها قداش zero واضح؟طبعا هاي التلت
+
+399
+00:53:02,570 --> 00:53:07,870
+أنواع من الأشعة إما أن تكون divergent ال divergent
+
+400
+00:53:07,870 --> 00:53:13,830
+rays بتكون جاية من عدسة minus ال convergent rays
+
+401
+00:53:13,830 --> 00:53:18,550
+من عدسة plus ال parallel rays بتكون من عدسة zero
+
+402
+00:53:18,550 --> 00:53:25,310
+أو plano واضح؟ يعني الآن لو مثلا أنا حكيت السؤال
+
+403
+00:53:25,310 --> 00:53:32,410
+إنه عندي كان أشعة minusواضح؟ شو ممكن الأشعة ..
+
+404
+00:53:32,410 --> 00:53:36,590
+الأشعة اللي خارجها كانت divergence، شو بتتوقع تكون
+
+405
+00:53:36,590 --> 00:53:41,410
+العدسة؟ concave ولا .. concave .. concave ولا
+
+406
+00:53:41,410 --> 00:53:46,390
+convex؟ ارفع يدك .. concave lens طيب في ال mirror؟
+
+407
+00:53:46,390 --> 00:53:49,810
+هتكون convex mirror، واضح؟ okay
+
+408
+00:53:52,930 --> 00:53:56,890
+light rays emanating from a point source of light
+
+409
+00:53:56,890 --> 00:54:02,330
+are divergent ان الأشعة الضوئية اللي بتكون منبعثة
+
+410
+00:54:02,330 --> 00:54:11,890
+من مصدر ضوئي اش بتكون divergent متشتتة الاشعة
+
+411
+00:54:11,890 --> 00:54:18,050
+اللي بتكون خارج من أي جسم أو من أي عدسة اش بتكون
+
+412
+00:54:18,050 --> 00:54:20,990
+divergent متفرقة واضح؟
+
+413
+00:54:24,310 --> 00:54:28,310
+Convergent light rays doesn't usually occur in
+
+414
+00:54:28,310 --> 00:54:31,790
+nature, but the result of the action of an optical
+
+415
+00:54:31,790 --> 00:54:37,790
+system, for example a lensالأشعة اللي بتكون خارجة
+
+416
+00:54:37,790 --> 00:54:41,830
+من العدسة أو مثلا من ال prism أو من ال mirror
+
+417
+00:54:41,830 --> 00:54:46,970
+دايما بتكون هذه الأشعة أشمالها متجمعة لأن طبيعة
+
+418
+00:54:46,970 --> 00:54:53,770
+العدسة بتخرج أشعة متجمعة و من الصعب في الطبيعة أن
+
+419
+00:54:53,770 --> 00:54:57,410
+تلاقي أشعة متجمعة يعني دايما الأشعة أشمالها
+
+420
+00:54:57,410 --> 00:55:01,290
+متفارقة واضح؟ الله يجمع الصفنا
+
+421
+00:55:12,740 --> 00:55:18,660
+لأ، الآن في الطبيعة في هناك عدسة بتكون .. يعني في
+
+422
+00:55:18,660 --> 00:55:22,960
+الطبيعة فيه اللي هو ما يجمع و ما بيشتت، اللي هو
+
+423
+00:55:22,960 --> 00:55:27,060
+الأشعة، الآن في الوضع الطبيعي الأشعة بتكون إيه
+
+424
+00:55:27,060 --> 00:55:32,080
+شمالها؟ متفرقة أو برل، لكن في العدسة متى بتكون
+
+425
+00:55:32,080 --> 00:55:36,640
+الأشعة متجمعة؟يعني دايما في الطبيعي ما بتكون
+
+426
+00:55:36,640 --> 00:55:40,300
+الأشعة متجمعة إلا لو .. إلا لو أستخدم مثلا lens أو
+
+427
+00:55:40,300 --> 00:55:45,180
+أستخدم mirror واضح؟ أو prism .. أو prism يعني
+
+428
+00:55:45,180 --> 00:55:50,000
+دايما في الطبيعي مابناجيش أشعة متجمعة إلا باستخدام
+
+429
+00:55:50,000 --> 00:55:54,660
+ال lens أو باستخدام مثلا يعني optical aid يعني
+
+430
+00:55:54,660 --> 00:55:57,320
+اللي هو استخدام بصري واضح؟
+
+431
+00:56:01,360 --> 00:56:04,780
+Light rays emanating from the sun are essentially
+
+432
+00:56:04,780 --> 00:56:06,900
+parallel and have zero divergence.
+
+433
+00:56:35,950 --> 00:56:41,190
+power or divergence power describe the ability of
+
+434
+00:56:41,190 --> 00:56:45,710
+a curved lens to converge or diverge light rays
+
+435
+00:56:45,710 --> 00:56:53,730
+أنه دايما القوة ابتصف قدرة العدسة سواء كانت موجبة
+
+436
+00:56:53,730 --> 00:56:58,340
+أو سالبة على التجميع أو تشتيت الأشعةيعني دايما
+
+437
+00:56:58,340 --> 00:57:02,580
+اللي بيحدد ال divergence او ال conversion trace
+
+438
+00:57:02,580 --> 00:57:06,960
+اللي هي قوة العدسة مش البورة، اه اللي هي قوة
+
+439
+00:57:06,960 --> 00:57:10,500
+العدسة، اما اذا كانت .. ليش انا بقول انه دايما ال
+
+440
+00:57:10,500 --> 00:57:14,760
+sign مهمة؟ لأن ال sign هي بتحددلي ان العدسة اذا
+
+441
+00:57:14,760 --> 00:57:18,060
+كانت موجبة او سالبة، اذا كانت ال image عنده
+
+442
+00:57:18,060 --> 00:57:20,500
+virtual او erect، واضح؟
+
+443
+00:57:23,170 --> 00:57:27,730
+by convention divergence is expressed in minus
+
+444
+00:57:27,730 --> 00:57:31,030
+power and convergence is expressed in plus power
+
+445
+00:57:31,030 --> 00:57:35,170
+دايما العدسة الموجبة بتاخد ال sign إيش؟ ال plus
+
+446
+00:57:35,170 --> 00:57:39,260
+والعدسة السالية بتاخد ال sign ال minusالديوبتر
+
+447
+00:57:39,260 --> 00:57:42,100
+حكينا فيها انه هي ال unit measurement of the
+
+448
+00:57:42,100 --> 00:57:46,580
+refractive error او refractive power of a lens
+
+449
+00:57:46,580 --> 00:57:49,720
+يعني لو واحدة كتبت مثلا measurement of the
+
+450
+00:57:49,720 --> 00:57:52,580
+refractive error of the eye it's correct او
+
+451
+00:57:52,580 --> 00:57:58,400
+incorrect؟ ديوبتر is a measurement of the
+
+452
+00:57:58,400 --> 00:58:04,500
+refractive error of the eye why؟ دايما اي تبور
+
+453
+00:58:04,500 --> 00:58:12,490
+اربط معه الديوبترواضح؟ اذا correct دايما اي تبور
+
+454
+00:58:12,490 --> 00:58:16,330
+..الان انت ال refractive error مش تقولي minus 3
+
+455
+00:58:16,330 --> 00:58:21,410
+ديوبتر minus 4 ديوبتر صح ولا لا؟ فهي عبارة عن ال
+
+456
+00:58:21,410 --> 00:58:25,670
+measurement of refractive error and refractive
+
+457
+00:58:25,670 --> 00:58:31,150
+power of the lens واضح؟
+
+458
+00:58:31,150 --> 00:58:35,730
+okay
+
+459
+00:58:37,260 --> 00:58:44,920
+type of lenses، أنواع العدسات، lenses maybe يعني
+
+460
+00:58:44,920 --> 00:58:52,740
+العدسات ممكن ان تكون سفير، سلندر أو سفير و سلندر،
+
+461
+00:58:52,740 --> 00:58:57,240
+spherical lens has the same curvature over its
+
+462
+00:58:57,240 --> 00:59:00,300
+entire surface يعني دايما العدسة السفير بيكون
+
+463
+00:59:00,300 --> 00:59:06,060
+شكلها زي هيك، انه equal in all directionان كل
+
+464
+00:59:06,060 --> 00:59:13,400
+اتجاهته ايش بتكون متساوية القوة and thus لذلك the
+
+465
+00:59:13,400 --> 00:59:17,140
+same refractive power in all meridians يعني لو
+
+466
+00:59:17,140 --> 00:59:20,860
+اجينا ال vertical او ال horizontal كله بيكون
+
+467
+00:59:20,860 --> 00:59:26,000
+متساوي القوة يعني ممكن انا ايش اقول مثلا هان لو
+
+468
+00:59:26,000 --> 00:59:32,510
+كانت عدسة سفيرممتاز plus اتنين خلاص و اعمل اللي هو
+
+469
+00:59:32,510 --> 00:59:41,710
+الدائرة واضح بعرف ان هذه العدسة ايش سفير convex
+
+470
+00:59:41,710 --> 00:59:48,050
+spherical lenses العدسات اللي بتكون موجبة converge
+
+471
+00:59:48,050 --> 00:59:53,690
+light rays and are called plus lensesالعدسات
+
+472
+00:59:53,690 --> 00:59:57,430
+المجمعة اللى كنا نقول عنها ال conversion اللى
+
+473
+00:59:57,430 --> 01:00:02,070
+بتعمل عملية التجميع هي ال plus بتجمع كل إيش الأشعة
+
+474
+01:00:02,070 --> 01:00:07,990
+while concave spherical lenses diverge light rays
+
+475
+01:00:07,990 --> 01:00:12,310
+and cold minus lenses ان العدسات اللى بتفرق انه
+
+476
+01:00:12,310 --> 01:00:15,630
+بتكون divergence و بتكون الإشارة بتاعتها minus
+
+477
+01:00:15,630 --> 01:00:21,680
+signthe focal point of a plus lens is the position
+
+478
+01:00:21,680 --> 01:00:25,240
+where parallel light rays that have passed through
+
+479
+01:00:25,240 --> 01:00:30,120
+the lens and converge to form an image ال focal
+
+480
+01:00:30,120 --> 01:00:34,220
+point او احنا قلنا ال focal length في البداية هو
+
+481
+01:00:34,220 --> 01:00:39,080
+مقلوب من ال diopter ممكن ان ال focal point زي ما
+
+482
+01:00:39,080 --> 01:00:45,810
+قلنا انه يكون plus لو كانت لعدسة موجبةالاشعة هتكون
+
+483
+01:00:45,810 --> 01:00:51,050
+ايش؟ امام العدسة و هتكون الاشعة ايش؟ erect اللي هي
+
+484
+01:00:51,050 --> 01:00:57,470
+منتظمة حقيقية لكن لو كانت ال .. العدسة minus هتكون
+
+485
+01:00:57,470 --> 01:01:02,870
+ال .. الاشعة اشمالها virtual اللي هي مقلوبة واضح؟
+
+486
+01:01:02,870 --> 01:01:07,170
+طيب في العدسة الموجبة زي ما احنا حكينا انه هتجمع
+
+487
+01:01:07,170 --> 01:01:13,240
+الأشعة في السالبة ايش هتعمل؟ هتفرق الأشعةthe focal
+
+488
+01:01:13,240 --> 01:01:17,500
+point of a minus lens is that point which parallel
+
+489
+01:01:17,500 --> 01:01:21,900
+light rays entering the lens appear to divert الان
+
+490
+01:01:21,900 --> 01:01:26,120
+العدسة السالبة يما حطها قدام العين شو هتعمل؟ هتفرق
+
+491
+01:01:26,120 --> 01:01:30,660
+الأشعة فهتلاحظ إن الأشعة أشمالها متفرقة يما بتدخل
+
+492
+01:01:30,660 --> 01:01:31,460
+العين
+
+493
+01:01:39,380 --> 01:01:43,060
+طيب مثلا العدسات اللى بنظرها تكون مثلا ميوب او
+
+494
+01:01:43,060 --> 01:01:48,040
+هجنب بتكون minus فكيف يعني بتكون الصورة انت حكي
+
+495
+01:01:48,040 --> 01:01:51,280
+الأشعة ممكن تظهر لكن ممكنش الصورة ممكن تظهر؟ هي
+
+496
+01:01:51,280 --> 01:01:55,340
+الآن انا مثلا لو كان عندى مريض ميوب بس تختم معه
+
+497
+01:01:55,340 --> 01:02:01,580
+عدسة إيش minus okay الآن الميوب شو بتعمل؟ الأشعة
+
+498
+01:02:01,580 --> 01:02:06,720
+.. عفوا .. الأشعة بتتجمع وين؟أمام الشبكية فانا
+
+499
+01:02:06,720 --> 01:02:10,720
+بستخدم اللي هو الأشعة اللي عفوًا العدسة ال minus
+
+500
+01:02:10,720 --> 01:02:16,600
+عشان شو تعمل؟ اتجمع الأشعة على الشبكية يعني بتفرق
+
+501
+01:02:16,600 --> 01:02:21,020
+الأشعة اللي هي أمام من الشبكيةفبتلاقي الصورة
+
+502
+01:02:21,020 --> 01:02:24,700
+بتتجمع وين؟ اللي هو على الشبكية، لكن ال focal
+
+503
+01:02:24,700 --> 01:02:29,340
+length بتاعي بيكون بدون العدسة ال focal length
+
+504
+01:02:29,340 --> 01:02:33,800
+بدون العدسة ايش ماله؟ بيكون virtual، خيالي، زي
+
+505
+01:02:33,800 --> 01:02:36,740
+بالظبط يعني الآن لو حسبت ال focal length بتاع
+
+506
+01:02:36,740 --> 01:02:40,990
+العدسةإشماله بيكون اللي هو تخيلة لإنه هي إيش بتكون
+
+507
+01:02:40,990 --> 01:02:46,050
+خلف العدسة أنا مابحكي عن عدسة العين العدسة العادية
+
+508
+01:02:46,050 --> 01:02:50,110
+يعني لو أنا جبت عدسة أنا لابس عدسة minus 2 نفرض
+
+509
+01:02:50,110 --> 01:02:54,130
+الآن ال focal length اللي هو تاعي في العدسة هذه
+
+510
+01:02:54,130 --> 01:03:04,420
+هيكون إشماله virtual مش حقيقي واضح؟ okayلكن لما
+
+511
+01:03:04,420 --> 01:03:08,460
+بتتجمع الأشعة على الشبكية بتكون الصورة حقيقية طبعا
+
+512
+01:03:08,460 --> 01:03:12,000
+انتوا أكيد أخدتوا ال anatomy of the retina ان
+
+513
+01:03:12,000 --> 01:03:16,720
+الصورة بتصل للشبكية أشمالها مقلوبة لحد دي ما تصل
+
+514
+01:03:16,720 --> 01:03:22,830
+ال optic track و بعدين تبدأش تنقلب الصورةطبعا أخر
+
+515
+01:03:22,830 --> 01:03:27,410
+حاجة in the case of convex or plus lenses using
+
+516
+01:03:27,410 --> 01:03:31,390
+the mathematical formula اللي هي D الديوبتريك
+
+517
+01:03:31,390 --> 01:03:34,410
+power equal one over focal length in millimeter
+
+518
+01:03:34,410 --> 01:03:42,710
+okay thank you so much we finish chapter one we
+
+519
+01:03:42,710 --> 01:03:46,890
+will start chapter two in the next lecture ان شاء
+
+520
+01:03:46,890 --> 01:03:49,250
+الله any question?
+
+521
+01:03:53,730 --> 01:03:57,570
+أى سؤال كله واضح ان شاء الله
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A.srt
new file mode 100644
index 0000000000000000000000000000000000000000..81fc68fce9c3efab6c2dfa93eb784c8d7d5c641c
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A.srt
@@ -0,0 +1,1774 @@
+1
+00:00:21,780 --> 00:00:24,800
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,800 --> 00:00:29,600
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:29,600 --> 00:00:33,340
+اليوم إن شاء الله هنبدأ في موضوع الـ accommodation
+
+4
+00:00:33,340 --> 00:00:39,780
+accommodation بمعنى التكييف بداية قبل ما نبدأ في
+
+5
+00:00:39,780 --> 00:00:46,460
+موضوع التكييف في عندنا الـ crystalline lens العدسة
+
+6
+00:00:47,180 --> 00:00:51,860
+في لها characteristics خواص شو هي الـ lens
+
+7
+00:00:51,860 --> 00:00:56,480
+characteristics خواص العدسة number one okay
+
+8
+00:00:56,480 --> 00:01:02,520
+transparent okay number two biconvex okay number
+
+9
+00:01:02,520 --> 00:01:09,300
+three طيب
+
+10
+00:01:11,380 --> 00:01:16,000
+it helps to focus image on the retina إنه بتساعد
+
+11
+00:01:16,000 --> 00:01:20,800
+على تركيز الصورة على الشبكية برضه الـ function
+
+12
+00:01:20,800 --> 00:01:25,460
+بتاعة الـ lens إنه بتقوم بعملية إيه accommodation
+
+13
+00:01:25,460 --> 00:01:31,340
+okay طيب من الـ characteristics ده الـ lens biconvex
+
+14
+00:01:31,340 --> 00:01:36,440
+شو معنى biconvex؟ okay
+
+15
+00:01:40,560 --> 00:01:47,080
+يعني بمعنى إنه بتكون على الوجهين محدبة إذا عندنا
+
+16
+00:01:47,080 --> 00:01:50,980
+الـ crystalline
+
+17
+00:02:14,880 --> 00:02:21,040
+number one transparent
+
+18
+00:02:21,040 --> 00:02:25,200
+number
+
+19
+00:02:25,200 --> 00:02:28,920
+two biconvex
+
+20
+00:02:28,920 --> 00:02:34,120
+طبعا
+
+21
+00:02:34,120 --> 00:02:38,320
+elastic شو
+
+22
+00:02:38,320 --> 00:02:39,980
+معناه elastic؟  بنينا
+
+23
+00:02:47,430 --> 00:02:54,250
+to focus light
+
+24
+00:02:54,250 --> 00:03:08,450
+rays on the retina number
+
+25
+00:03:08,450 --> 00:03:14,350
+five dysfunction
+
+26
+00:03:19,240 --> 00:03:30,620
+to do of accommodation
+
+27
+00:03:30,620 --> 00:03:34,520
+إذا
+
+28
+00:03:34,520 --> 00:03:39,840
+الآن افهمنا أن طريقة عمل الـ accommodation أو الـ
+
+29
+00:03:39,840 --> 00:03:42,980
+definition of accommodation اللي مسئول عنه مين
+
+30
+00:03:44,400 --> 00:03:49,040
+crystalline lens صح العدسة هو المسئول عن عملية مين
+
+31
+00:03:49,040 --> 00:03:54,540
+الـ accommodation okay طيب شو الـ definition تعريف
+
+32
+00:03:54,540 --> 00:03:58,840
+الـ accommodation كـ definition of accommodation أي
+
+33
+00:03:58,840 --> 00:04:04,140
+بمعنى تعريف التكييف هي قدرة العدسة على تغيير إيه
+
+34
+00:04:04,140 --> 00:04:07,160
+شكلها إنه بتعمل converging power
+
+35
+00:04:10,360 --> 00:04:14,060
+بدي أعمل أنا converging okay قيمة الـ converging
+
+36
+00:04:14,060 --> 00:04:19,780
+هذا مساوية لمين؟ لقيمة الـ accommodation okay عشان
+
+37
+00:04:19,780 --> 00:04:24,200
+أقدر إنه أركز الصورة وين؟ على الشبكية طبعا بتكون
+
+38
+00:04:24,200 --> 00:04:28,540
+هذه على أي مسافة at any distance لكن المسافة الشرط
+
+39
+00:04:28,540 --> 00:04:34,280
+إنه تكون أقل من 6 متر صح ولا لأ؟ شو معنى أقل من 6
+
+40
+00:04:34,280 --> 00:04:40,260
+متر؟ بالظبط إنه ما تكونش إيه؟ في الـ infinity لو كانت
+
+41
+00:04:40,260 --> 00:04:45,260
+المسافة هذه ستة متر أو أكثر هتكون على الـ infinity
+
+42
+00:04:45,260 --> 00:04:52,660
+إذا كمفهوم للـ accommodation it
+
+43
+00:04:52,660 --> 00:04:58,870
+is the ability قدرة of the crystalline lens العدسة
+
+44
+00:04:58,870 --> 00:05:04,290
+to change تغيير it is shape شكلها the converging
+
+45
+00:05:04,290 --> 00:05:10,610
+power أي بمعنى قوة تجميع to focus بتركز objects
+
+46
+00:05:10,610 --> 00:05:15,770
+الأجسام of any distance لأي مسافة طبعا هذه المسافة
+
+47
+00:05:15,770 --> 00:05:21,550
+لازم تكون أقل من 6 متر okay لأن لو كانت من 6 متر و
+
+48
+00:05:21,550 --> 00:05:26,810
+أكثر هتكون at infinity upon the retina or on the
+
+49
+00:05:26,810 --> 00:05:32,320
+retina okay طيب الـ crystalline lens فيه لها تلات
+
+50
+00:05:32,320 --> 00:05:38,520
+طبقات شو هم الـ three parts لعدسة إزاى العدسة شو هم
+
+51
+00:05:38,520 --> 00:05:48,620
+فضلي ممتاز و الـ lens epithelium و الـ nucleus صح
+
+52
+00:05:48,620 --> 00:05:56,300
+النواة إذا عندنا خلصنا هذه finish
+
+53
+00:05:56,300 --> 00:05:56,840
+done
+
+54
+00:06:14,180 --> 00:06:29,540
+إذا الـ crystalline lens can be classified into
+
+55
+00:06:29,540 --> 00:06:33,600
+three
+
+56
+00:06:33,600 --> 00:06:38,180
+parts number
+
+57
+00:06:38,180 --> 00:06:41,660
+one lens
+
+58
+00:06:44,590 --> 00:06:53,070
+capsule number two lens epithelium
+
+59
+00:06:53,070 --> 00:07:00,750
+number
+
+60
+00:07:00,750 --> 00:07:10,570
+three الـ nucleus أي
+
+61
+00:07:10,570 --> 00:07:15,800
+بمعنى النواة طيب الآن الـ accommodation وين بتكون؟ في
+
+62
+00:07:15,800 --> 00:07:19,380
+الـ crystalline lens في أي جزء من الـ lens في الـ
+
+63
+00:07:19,380 --> 00:07:25,500
+capsule في الـ lens capsule في المحفظة طبعا هذا الـ
+
+64
+00:07:25,500 --> 00:07:32,520
+figure بيمثل عنده الـ unaccommodated eye لما يكون
+
+65
+00:07:32,520 --> 00:07:37,840
+في حالة الـ relax طبعا الآن الأشعة شو جاية؟  بالتوازي
+
+66
+00:07:37,840 --> 00:07:42,480
+متوازية لأنه جاية من مسافة ستة متر إنه from
+
+67
+00:07:42,480 --> 00:07:49,060
+infinity okay فالأشعة هتكون متوازية دخلت للـ .. للـ
+
+68
+00:07:49,060 --> 00:07:53,730
+retina when اتركزت on the retina okay الآن في حالة
+
+69
+00:07:53,730 --> 00:07:57,410
+الـ accommodated هتصير more convex مين هي الـ lens
+
+70
+00:07:57,410 --> 00:08:02,410
+يعني أكثر تحدبا فالأشعة جاية من object معين طبعا
+
+71
+00:08:02,410 --> 00:08:08,330
+كانت divergent المسافة قد إيش؟ أقل من ستة متر اتركزت
+
+72
+00:08:08,330 --> 00:08:14,810
+وين؟ on the retina upon the retina okay هاي الـ ..
+
+73
+00:08:14,810 --> 00:08:18,970
+طبعا الـ definition of accommodation كمفهوم أو
+
+74
+00:08:18,970 --> 00:08:20,670
+كتعريف للـ accommodation
+
+75
+00:08:23,990 --> 00:08:28,010
+طيب العدسة في حالة الـ accommodation ليش بتكون more
+
+76
+00:08:28,010 --> 00:08:35,470
+convex؟ ليش ما بتكون more concave؟ أه قصة إنه بتكون
+
+77
+00:08:35,470 --> 00:08:39,710
+إنه to converge the lens عشان تعمل converging
+
+78
+00:08:39,710 --> 00:08:45,910
+للـ power okay إذا why the lens must be convex
+
+79
+00:08:45,910 --> 00:08:50,870
+during the mechanism of accommodation؟ to converge
+
+80
+00:09:01,660 --> 00:09:06,180
+mechanism of accommodation أي بمعنى آلية عمل الـ
+
+81
+00:09:06,180 --> 00:09:13,320
+accommodation كيف بتعمل التكييف طبعا الآن في
+
+82
+00:09:13,320 --> 00:09:19,140
+الأطفال في معظم الأطفال لما بدي أعمل refraction
+
+83
+00:09:19,140 --> 00:09:25,300
+لازم أدي إيه؟ cyclopentolate why؟
+
+84
+00:09:25,300 --> 00:09:30,580
+why؟ ليش أنت بتدي لها الـ cyclopentolate؟ و أعمل
+
+85
+00:09:30,580 --> 00:09:36,720
+إيش؟ آه إنه أعمل paralysis لـ الـ ciliary muscle الـ
+
+86
+00:09:36,720 --> 00:09:42,560
+ciliary muscle من وين بتغذى؟ من الـ parasympathetic
+
+87
+00:09:42,560 --> 00:09:46,740
+nerve صح؟ الـ parasympathetic nerve هي اللي بتعمل
+
+88
+00:09:46,740 --> 00:09:50,600
+innervation  تغذية لمين؟ للـ ciliary muscle فالألان أنا
+
+89
+00:09:50,600 --> 00:09:56,340
+إما بدي الـ cyclopentolate، cyclo سواء الأتروبين
+
+90
+00:09:56,340 --> 00:10:03,130
+أو الـ homatropine okay، بيعمل إيه؟ relax لمين؟ للـ
+
+91
+00:10:03,130 --> 00:10:06,630
+accommodation لكن شو بيعمل لـ الـ ciliary muscle؟
+
+92
+00:10:06,630 --> 00:10:12,150
+paralysis للـ ciliary muscle طبعا أنتو عارفين إن
+
+93
+00:10:12,150 --> 00:10:17,250
+العين بتتكون من تلت أجزاء الجزء الأول هو يعتبر الـ
+
+94
+00:10:17,250 --> 00:10:25,230
+outer surface اللي بيمثل القرنية و القرنية و الـ
+
+95
+00:10:25,230 --> 00:10:29,550
+sclera و الجزء الثاني الـ ciliary muscle
+
+96
+00:10:34,640 --> 00:10:38,180
+و الجزء الداخلي اللي بيمثل الـ retina و الـ optic
+
+97
+00:10:38,180 --> 00:10:44,740
+nerve الآن الـ mechanism آلية عملها يعني بدي تفهمي
+
+98
+00:10:44,740 --> 00:10:49,740
+إن الـ accommodation هو وين بيحدث؟ أهم جزء في الـ lens
+
+99
+00:10:49,740 --> 00:10:55,130
+اللي هو بيمثل إيش في العين؟ بيمثل الـ anterior segment
+
+100
+00:10:55,130 --> 00:11:00,230
+of the eye طيب أبقى نوجزه في الـ lens في الـ lens
+
+101
+00:11:00,230 --> 00:11:06,050
+capsule في المحفظة للعدسة طيب الـ mechanism of
+
+102
+00:11:06,050 --> 00:11:11,320
+accommodation أول حاجة بيحدث contraction إنقباض
+
+103
+00:11:11,320 --> 00:11:16,160
+لمين؟ للـ ciliary muscle okay number two بيعمل
+
+104
+00:11:16,160 --> 00:11:21,180
+relaxation أي بمعنى ارتخاء لمين؟ للـ zonules of Zinn
+
+105
+00:11:21,180 --> 00:11:26,200
+طبعا الزنيات هو بيكون حوالي من الـ lens صح؟ فهو
+
+106
+00:11:26,200 --> 00:11:31,900
+بيعمله ارتخاء relaxation أيضا بيعمل ارتخاء of
+
+107
+00:11:31,900 --> 00:11:35,980
+tension للشد اللي موجود وين؟ في الـ lens capsule
+
+108
+00:11:35,980 --> 00:11:41,440
+اللي هو يعتبر part of the lens okay أيضا بيعمل
+
+109
+00:11:41,440 --> 00:11:45,740
+increase بيزيد الـ curvature تحدب of the anterior
+
+110
+00:11:45,740 --> 00:11:50,380
+lens surface العدسة بتتكون من جزئين anterior و
+
+111
+00:11:50,380 --> 00:11:53,740
+posterior surface عشان هيقولنا إيه؟ الـ anterior و
+
+112
+00:11:53,740 --> 00:11:57,440
+الـ posterior  biconvex اتنين محدبين why the lens
+
+113
+00:11:57,440 --> 00:12:01,600
+is biconvex إنه بمعنى إن اتنين إيش بتعمل
+
+114
+00:12:01,600 --> 00:12:08,520
+converging okay الـ crystalline lens هتصبح أكثر إيه؟
+
+115
+00:12:09,470 --> 00:12:13,970
+تحدبا و هتعمل إن الـ near objects هتركز وين؟ on
+
+116
+00:12:13,970 --> 00:12:17,790
+their retina إذا الآن لو أتى السؤال مثلا compare
+
+117
+00:12:17,790 --> 00:12:24,610
+between accommodation and unaccommodation okay
+
+118
+00:12:24,610 --> 00:12:29,470
+compare between accommodation and unaccommodation
+
+119
+00:12:29,470 --> 00:12:32,290
+number one accommodation
+
+120
+00:12:38,870 --> 00:12:44,010
+هدا مين؟ أنا أنا الـ accommodation okay الـ
+
+121
+00:12:44,010 --> 00:12:47,670
+accommodation إيه؟ contraction contraction للـ
+
+122
+00:12:47,670 --> 00:12:51,670
+ciliary muscle okay number two تفضلي بالـ
+
+123
+00:12:51,670 --> 00:12:54,890
+accommodation relaxation of the zonules يكون
+
+124
+00:12:54,890 --> 00:13:03,030
+contraction of the zonules okay number three الآن الـ
+
+125
+00:13:03,030 --> 00:13:06,810
+light rays في حالة الـ accommodation إيه؟ شو هيكون؟
+
+126
+00:13:08,770 --> 00:13:14,050
+diverging light rays from an object صح لكن في حالة
+
+127
+00:13:14,050 --> 00:13:17,750
+الـ unaccommodation هيكون parallel light rays و
+
+128
+00:13:17,750 --> 00:13:25,530
+هيتركز وين؟ on the retina على الشبكية صح طيب حاضر
+
+129
+00:13:25,530 --> 00:13:26,410
+هأكتبهم
+
+130
+00:13:45,470 --> 00:14:08,470
+compare between an
+
+131
+00:14:08,470 --> 00:14:13,570
+accommodation طبعا عندنا الـ accommodation
+
+132
+00:14:13,570 --> 00:14:19,310
+accommodation اختصارها إيه؟ okay و الـ un
+
+133
+00:14:19,310 --> 00:14:27,870
+accommodation unaccommodation
+
+134
+00:14:27,870 --> 00:14:37,690
+number one diverging
+
+135
+00:14:44,330 --> 00:14:51,550
+light rays are
+
+136
+00:14:51,550 --> 00:14:57,470
+focused on
+
+137
+00:14:57,470 --> 00:15:05,610
+the retina إذا الـ number one الأشعة إيش هتكون؟
+
+138
+00:15:05,610 --> 00:15:09,690
+diverging وين هتتركز؟ on the retina okay؟
+
+139
+00:15:11,910 --> 00:15:17,290
+الـ unaccommodation parallel
+
+140
+00:15:17,290 --> 00:15:21,790
+light
+
+141
+00:15:21,790 --> 00:15:25,370
+rays
+
+142
+00:15:25,370 --> 00:15:30,290
+are
+
+143
+00:15:30,290 --> 00:15:35,150
+brought to
+
+144
+00:15:35,150 --> 00:15:37,490
+focus
+
+145
+00:15:41,170 --> 00:15:47,650
+on the retina إذا الأشعة هتكون في حالة الـ un
+
+146
+00:15:47,650 --> 00:15:52,750
+accommodation parallel okay number
+
+147
+00:15:52,750 --> 00:15:57,250
+two في حالة الـ accommodation هتعمل إيه؟ contraction
+
+148
+00:15:57,250 --> 00:16:01,950
+of
+
+149
+00:16:01,950 --> 00:16:07,510
+ciliary muscle أي بمعنى هتعمل شد للـ ciliary muscle
+
+150
+00:16:07,510 --> 00:16:09,990
+okay هنا شو هتعمل؟
+
+151
+00:16:26,770 --> 00:16:31,150
+مقارنة بين الـ mechanism of accommodation و
+
+152
+00:16:31,150 --> 00:16:33,430
+الـ mechanism لمين؟ للـ unaccommodation
+
+153
+00:16:58,930 --> 00:17:09,310
+لأقل less convex في حالة الـ unaccommodation الـ near
+
+154
+00:17:09,310 --> 00:17:13,490
+objects الـ objects in general لأن في حالة الـ un
+
+155
+00:17:13,490 --> 00:17:16,370
+accommodation الأشياء جاية من وين؟ من parallel
+
+156
+00:17:16,370 --> 00:17:20,450
+يعني بمعنى إنه من مسافة فهتكون الـ .. الـ .. الـ
+
+157
+00:17:20,450 --> 00:17:24,290
+objects بشكل عام in general وين؟ are focused on the
+
+158
+00:17:24,290 --> 00:17:29,170
+retina okay؟ إذا في حالة الـ unaccommodation الـ
+
+159
+00:17:29,170 --> 00:17:40,750
+objects هي الأجسام وين؟ هتتركز على الشبكية okay طيب
+
+160
+00:17:40,750 --> 00:17:47,690
+في عندنا three aging factors of accommodation in
+
+161
+00:17:47,690 --> 00:17:51,890
+the presbyopia الآن الـ presbyopia بمعنى قصة
+
+162
+00:17:51,890 --> 00:17:58,410
+النظر الشيخوخي في تلات عوامل عمرية يعني مع تقدم
+
+163
+00:17:58,410 --> 00:18:03,590
+العمر بتحدث للإنسان وين؟ في عدسة العين طبعا هذه
+
+164
+00:18:03,590 --> 00:18:07,850
+بتكون العوامل إيه؟ في الـ surgery يعني الـ presby
+
+165
+00:18:07,850 --> 00:18:12,830
+opia هو ما بيعتبرش pathological مش مرضي هو يعتبر
+
+166
+00:18:12,830 --> 00:18:19,410
+إيه؟ في الـ surgery okay قصة قصة في الـ wow قصة النظر
+
+167
+00:18:19,410 --> 00:18:24,430
+قصر النظر الـ myopia okay طيب، في عندنا الـ presby
+
+168
+00:18:24,430 --> 00:18:28,470
+opia، الـ definition of presbyopia، شو تعريفه
+
+169
+00:18:28,470 --> 00:18:41,530
+الـ presbyopia؟ الـ ability to
+
+170
+00:18:41,530 --> 00:18:45,030
+focus on near objects on a regular basis by
+
+171
+00:18:45,030 --> 00:18:51,380
+losing flexibility بالظبط، إذا عدم قدرة العدسة على
+
+172
+00:18:51,380 --> 00:18:54,940
+تغيير شكلها، إنه ما بتقدرش تعمل العدسة إيش؟
+
+173
+00:18:54,940 --> 00:18:59,480
+converging power عشان إيه؟ طبعا اللي هو السبب
+
+174
+00:18:59,480 --> 00:19:04,240
+بتاعها إن العدسة بتصبح inelastic غير مرنة، okay؟
+
+175
+00:19:04,660 --> 00:19:09,000
+فما بتقدرش الـ .. الـ light rays يتركزوا وين؟ على
+
+176
+00:19:09,000 --> 00:19:13,580
+الشبكية فهي وين هتركزوا؟ behind the retina خلف
+
+177
+00:19:13,580 --> 00:19:17,480
+الشبكية وهذا بيذكرنا إن الـ incident light rays are
+
+178
+00:19:17,480 --> 00:19:21,000
+brought to focus behind the retina في حالة مين؟
+
+179
+00:19:21,000 --> 00:19:26,380
+الـ hypermetropia okay؟ إذا الـ presbyopia عدم قدرة
+
+180
+00:19:26,380 --> 00:19:33,280
+العين على تغيير شكلها طبعا نتيجة عامل العمر okay؟
+
+181
+00:19:34,410 --> 00:19:38,650
+على تغيير عدسة العين crystalline lens to change
+
+182
+00:19:38,650 --> 00:19:48,110
+its shape مع تقدم العمر فالأشعة
+
+183
+00:19:48,110 --> 00:19:52,730
+الضوئية وين هتتركز؟ behind the retina إذا ما هتقدر
+
+184
+00:19:52,730 --> 00:19:57,270
+أن تتركز وين؟ on the retina إذا تركيزها behind the
+
+185
+00:19:57,270 --> 00:20:01,570
+retina it is inability of the crystalline
+
+186
+00:20:13,100 --> 00:20:19,760
+هذا كمفهوم لـ الـ presbyopia طيب شو التلات عوامل
+
+187
+00:20:19,760 --> 00:20:25,220
+اللي بتحدث لعدسة العين مع تقدم العمر؟ أول حاجة الـ
+
+188
+00:20:25,220 --> 00:20:29,230
+elasticity المرونة طبيعة العدسة جانها من الـ
+
+189
+00:20:29,230 --> 00:20:33,110
+characteristics إنه بتكون flexibility أو elasticity
+
+190
+00:20:33,110 --> 00:20:38,790
+مرنة فبيقل إيه؟ الـ flexibility أو الـ elasticity المرونة
+
+191
+00:20:38,790 --> 00:20:43,870
+لمين؟ لل
+
+223
+00:23:32,030 --> 00:23:37,250
+the change إنه التغير in lens shape في شكل العدسة
+
+224
+00:23:37,250 --> 00:23:41,570
+during accommodation خلال التكييف when the lens
+
+225
+00:23:41,570 --> 00:23:47,190
+power عندما قوة العدسة increases بزيد the lens
+
+226
+00:23:47,190 --> 00:23:52,050
+thickness أي بزيد، أيش سماكة العدسة تصبح إيش
+
+227
+00:23:52,050 --> 00:23:56,030
+bulging بمعنى نتوء protrusion لو بتذكروا كلمة
+
+228
+00:23:56,030 --> 00:24:01,040
+protrusion نفسها هي كلمة bulging أي بمعنى نتوء. Okay
+
+229
+00:24:01,040 --> 00:24:05,720
+mainly at the front surface طبعاً هذا التغير بيصير
+
+230
+00:24:05,720 --> 00:24:13,660
+أساساً في السطح الأمامي للعدسة. Okay, hence أي بمعنى
+
+231
+00:24:13,660 --> 00:24:19,080
+لاحظوا the anterior surface السطح الأمامي is the
+
+232
+00:24:19,080 --> 00:24:24,800
+major contributor أي بمعنى هو الجزء الذي يساهم في
+
+233
+00:24:24,800 --> 00:24:29,860
+زيادة قوة العدسة to increase lens power. إذًا الـ
+
+234
+00:24:29,860 --> 00:24:33,220
+anterior surface ده الـ lens أي السطح الأمامي
+
+235
+00:24:33,220 --> 00:24:37,500
+للعدسة هو الذي يساهم في إيش؟ في الـ lens power، إنه
+
+236
+00:24:37,500 --> 00:24:43,260
+بزيادة قوة العدسة. Okay؟ إذًا which surface
+
+237
+00:24:43,260 --> 00:24:47,380
+increases the lens power, anterior or posterior?
+
+238
+00:24:47,740 --> 00:24:53,540
+anterior surface؟ لأن الـ anterior surface  غير
+
+239
+00:24:53,540 --> 00:24:58,740
+هيك أن الـ... الـ anterior surface يُعتبر الآن الـ
+
+240
+00:24:58,740 --> 00:25:03,760
+cornea، الـ window of the eye، بعد الـ cornea، السطح
+
+241
+00:25:03,760 --> 00:25:06,880
+الذي يأتي، الذي يقوم بـ refract لـ الأشعة الضوئية على
+
+242
+00:25:06,880 --> 00:25:11,540
+the retina، هو الـ main، الـ anterior surface of the lens
+
+243
+00:25:11,540 --> 00:25:15,200
+فعشان هيك هو يقوم دائماً بـ الـ accommodation، هو
+
+244
+00:25:15,200 --> 00:25:18,140
+المهم جداً أن  ليش الـ accommodation يكون في الـ
+
+245
+00:25:18,140 --> 00:25:20,800
+anterior surface، مش في الـ posterior surface
+
+246
+00:25:24,890 --> 00:25:30,290
+بالضبط، والـ anterior surface أنه بالإضافة أنه
+
+247
+00:25:30,290 --> 00:25:34,190
+يكون الـ anterior surface ملامساً لمن؟ للقرنية
+
+248
+00:25:34,190 --> 00:25:37,770
+القرنية التي هي الـ window of the eye، فيأتي الـ
+
+249
+00:25:37,770 --> 00:25:42,070
+light rays بعد ما يدخل القرنية إلى الـ anterior surface
+
+250
+00:25:42,070 --> 00:25:48,830
+of the lens and then to the retina. واضح؟
+
+251
+00:25:48,830 --> 00:25:49,470
+السؤال؟
+
+252
+00:25:57,710 --> 00:26:01,410
+الآن، في عندنا لو حكيت لكم، mention types of
+
+253
+00:26:01,410 --> 00:26:08,190
+accommodation، يعني أوصف أنواع الـ accommodation، شو
+
+254
+00:26:08,190 --> 00:26:10,870
+أنواع الـ accommodation؟ في عندنا نوعان للـ
+
+255
+00:26:10,870 --> 00:26:15,510
+accommodation، إما أن يكون physical أي بمعنى
+
+256
+00:26:15,510 --> 00:26:18,650
+فيزيائي، أو ممكن أن يكون physiological
+
+257
+00:26:18,650 --> 00:26:23,250
+accommodation، أي بمعنى فيزيولوجي.  نريد أن نرى إيش الـ
+
+258
+00:26:23,250 --> 00:26:27,430
+main difference بين الـ physical والفيزيولوجي
+
+259
+00:26:27,430 --> 00:26:32,890
+accommodation. Okay، two factors أي بمعنى عاملان
+
+260
+00:26:32,890 --> 00:26:38,370
+يدخلان في  the efficiency، إذًا عاملان يدخلان في
+
+261
+00:26:38,370 --> 00:26:41,650
+the efficiency أي بمعنى التأثير of accommodation
+
+262
+00:26:41,650 --> 00:26:46,450
+على عملية التكييف. إذًا، أي عاملين يؤثران على
+
+263
+00:26:46,450 --> 00:26:51,190
+الـ accommodation. عاملان ممتازان. إذًا الفيزيولوجي
+
+264
+00:26:51,190 --> 00:26:53,550
+والـ physical accommodation. Okay
+
+265
+00:26:56,560 --> 00:27:01,240
+شو الفرق بينهما؟ What are the differences or what
+
+266
+00:27:01,240 --> 00:27:04,560
+are the main differences between physical and
+
+267
+00:27:04,560 --> 00:27:09,880
+physiological accommodation?
+
+268
+00:27:09,880 --> 00:27:15,340
+طيب
+
+269
+00:27:15,340 --> 00:27:17,780
+another answer؟ تفضلي
+
+270
+00:27:26,150 --> 00:27:30,370
+another answer. إذًا في عندنا two types of
+
+271
+00:27:30,370 --> 00:27:35,130
+accommodation، الـ physical accommodation والـ
+
+272
+00:27:35,130 --> 00:27:39,170
+physiological accommodation.  شو الـ main difference
+
+273
+00:27:39,170 --> 00:27:42,210
+بين الـ physical accommodation والـ
+
+274
+00:27:42,210 --> 00:27:45,030
+physiological accommodation؟ الـ physical
+
+275
+00:27:45,030 --> 00:27:50,230
+accommodation  يُحدث تغيير في شكل العدسة. Okay، إذًا
+
+276
+00:27:50,230 --> 00:27:54,280
+يكون التغيير أين؟ في شكل العدسة. الـ physiological
+
+277
+00:27:54,280 --> 00:27:58,500
+accommodation له علاقة بمن؟ بالـ ciliary muscle
+
+278
+00:27:58,500 --> 00:28:03,960
+إحنا قلنا في الـ mechanism للـ accommodation، الـ
+
+279
+00:28:03,960 --> 00:28:07,360
+physiological accommodation أو الـ mechanism of
+
+280
+00:28:07,360 --> 00:28:10,260
+accommodation، إيش يُحدث؟ contraction للـ ciliary
+
+281
+00:28:10,260 --> 00:28:15,640
+muscle، أنه يُحدث انقباض للعضلة الهدبية. Okay، فالـ
+
+282
+00:28:15,640 --> 00:28:20,680
+physiological accommodation، أنه قدرة العين على
+
+283
+00:28:20,680 --> 00:28:25,100
+عمل contraction للـ ciliary muscle.  قد إيش قدرتها؟ Okay
+
+284
+00:28:25,100 --> 00:28:29,940
+فعندنا two factors، عاملان يدخلان في التأثير على الـ
+
+285
+00:28:29,940 --> 00:28:33,500
+accommodation. Number one، physical accommodation، أي
+
+286
+00:28:33,500 --> 00:28:38,100
+بمعنى التكييف الفيزيائي، the ability of the lens to
+
+287
+00:28:38,100 --> 00:28:42,360
+change its shape، إذًا قدرة العدسة على تغيير شكلها
+
+288
+00:28:43,070 --> 00:28:46,590
+أخذنا بدايةً في الـ definition للـ accommodation أن
+
+289
+00:28:46,590 --> 00:28:51,830
+عدسة العين يَصِبُح لها تغير في شكلها، فالقدرة على تغيير
+
+290
+00:28:51,830 --> 00:28:58,230
+شكل عدسة العين هذا نسميه physical accommodation
+
+291
+00:28:58,230 --> 00:29:05,090
+في physiological accommodation، the power of the
+
+292
+00:29:05,090 --> 00:29:09,830
+ciliary muscle، يعني قد إيش قوة العضلة الهدبية؟ One،
+
+293
+00:29:09,830 --> 00:29:16,370
+two، three، قد إيش القوة بتاعت من؟ العضلة الهدبية. إذًا
+
+294
+00:29:16,370 --> 00:29:22,370
+الـ mention types of accommodation، there are two
+
+295
+00:29:22,370 --> 00:29:25,850
+types. Number one، physical accommodation،
+
+296
+00:29:25,850 --> 00:29:29,070
+number two، physiological accommodation. Physical
+
+297
+00:29:29,070 --> 00:29:32,530
+accommodation، القدرة على التغيير في من؟ في شكل
+
+298
+00:29:32,530 --> 00:29:35,590
+العدسة. الـ physiological accommodation، الـ power of
+
+299
+00:29:35,590 --> 00:29:36,630
+the ciliary muscle
+
+300
+00:29:40,630 --> 00:29:44,390
+طيب، if the substance of the lens... إذا كانت
+
+301
+00:29:44,390 --> 00:29:49,230
+substance بمعنى مادة العدسة becomes inelastic، يعني
+
+302
+00:29:49,230 --> 00:29:53,910
+إذا أصبحت مادة العدسة إيش؟ غير مرنة، or
+
+303
+00:29:53,910 --> 00:30:00,390
+inflexibility، إنه تكون غير مرنة. Okay، as it occurs
+
+304
+00:30:00,390 --> 00:30:04,050
+كما يحدث أين؟ في الـ progressive age، أي بمعنى مع
+
+305
+00:30:04,050 --> 00:30:08,510
+تقدم العمر. يعني الإنسان كلما تقدم في العمر
+
+306
+00:30:08,510 --> 00:30:12,790
+يُلاحظ أن طبيعة العدسة تصبح إيه؟ inelastic، فعشان
+
+307
+00:30:12,790 --> 00:30:16,050
+هيك لا يستطيع القراءة، يُلاحظ إيه؟ إيش؟ بدون نظارة بعد
+
+308
+00:30:16,050 --> 00:30:21,770
+ذلك. Okay، فالمادة بتاعة العدسة، أنه مع تقدم العمر
+
+309
+00:30:21,770 --> 00:30:29,430
+إيش تصبح؟ inelastic، غير مرنة. Okay، why؟ ليش... ليش
+
+310
+00:30:29,430 --> 00:30:32,830
+العدسة تصبح... غير مرنة مع تقدم العمر؟ لا تستطيع
+
+311
+00:30:32,830 --> 00:30:37,550
+أن تقوم بوظائفها، مثل... ciliary muscle، لا تستطيع
+
+312
+00:30:37,550 --> 00:30:43,910
+contraction مثل أول مرة، فالشبكية ستكبر بشكل
+
+313
+00:30:43,910 --> 00:30:50,050
+عام، عامةً، كامة، عشان تشتغل، عامةً، كامة، عشان
+
+314
+00:30:50,050 --> 00:30:56,090
+تشتغل، عامةً، كامة، عامةً، عامةً، عامةً، عامةً، عامةً
+
+315
+00:30:56,090 --> 00:30:56,490
+عامةً، عامةً، عامةً، عامةً، عامةً، عامةً، عامةً، عامةً
+
+316
+00:30:59,700 --> 00:31:07,120
+طبعاً الإجابة الإسلامية هي الأقرب، أن العدسة مع تقدم
+
+317
+00:31:07,120 --> 00:31:11,540
+العمر يكون شكلها، يصبح inability to change
+
+318
+00:31:11,540 --> 00:31:16,100
+its shape. مع تقدم العمر، لكن الـ ciliary muscle، الـ
+
+319
+00:31:16,100 --> 00:31:19,700
+contraction للـ ciliary muscle، ممكن واحد صغير، طفل
+
+320
+00:31:19,700 --> 00:31:24,120
+يكون عنده relaxation للـ ciliary muscle، لا علاقة لها
+
+321
+00:31:24,120 --> 00:31:30,160
+بمن؟ بالعمر. Okay؟ إذًا لماذا العدسة تصبح
+
+322
+00:31:30,160 --> 00:31:39,700
+inelastic، غير مرنة مع تقدم العمر؟ Why؟
+
+323
+00:31:39,700 --> 00:31:46,720
+تكون inability to change its shape، يعني العدسة غير
+
+324
+00:31:46,720 --> 00:31:50,700
+قادرة على تغيير شكلها، فعشان هيك تصبح العدسة
+
+325
+00:31:50,700 --> 00:31:58,360
+inelastic، غير مرنة، or inflexibility. So that
+
+326
+00:31:58,360 --> 00:32:01,920
+it can no longer change its shape، accommodation
+
+327
+00:32:01,920 --> 00:32:05,320
+cannot act even if the ciliary muscle violently
+
+328
+00:32:05,320 --> 00:32:09,100
+contracts، يعني حتى لو قمنا بعمل contraction للـ
+
+329
+00:32:09,100 --> 00:32:13,820
+ciliary muscle بشكل عنيف، لن نستطيع أن نغير من من؟
+
+330
+00:32:13,820 --> 00:32:18,860
+من شكل العدسة. إذًا مع تقدم العمر شكل العدسة إيش
+
+331
+00:32:18,860 --> 00:32:24,750
+يصبح؟ غير قادر على التغير، inability to change its
+
+332
+00:32:24,750 --> 00:32:30,430
+shape. فلاحظ أن لو قمتَ بشكل عنيف بـ contraction
+
+333
+00:32:30,430 --> 00:32:35,870
+للـ ciliary muscle،  برضه لن تستطيع التغير من من؟ من شكل
+
+334
+00:32:35,870 --> 00:32:39,710
+العدسة. واضح؟
+
+335
+00:32:39,710 --> 00:32:43,070
+on
+
+336
+00:32:43,070 --> 00:32:48,090
+the other hand، أي بمعنى من ناحية أخرى، awake or
+
+337
+00:32:48,090 --> 00:32:53,490
+paralysis، أي بمعنى ضعف أو شلل لمن؟ للعضلة الهدبية
+
+338
+00:32:53,490 --> 00:33:00,330
+okay، will not be able، يعني سوف يكون غير قادر to
+
+339
+00:33:00,330 --> 00:33:05,590
+induce، أي بمعنى أنه يُغيّر، change in the lens shape
+
+340
+00:33:05,590 --> 00:33:09,950
+even in children، يعني واحد عنده نفترض relaxation
+
+341
+00:33:09,950 --> 00:33:14,500
+للـ accommodation. Okay، الـ... الـ relaxation للـ ciliary
+
+342
+00:33:14,500 --> 00:33:18,620
+muscle، الـ... الـ ciliary muscle، العضلة الهدبية، غير
+
+343
+00:33:18,620 --> 00:33:24,220
+ستستطيع تغيير من؟ من شكل العدسة، ولو كان طفلاً، و
+
+344
+00:33:24,220 --> 00:33:26,920
+دائماً ما يكون عند واحد paralysis للـ ciliary
+
+345
+00:33:26,920 --> 00:33:33,170
+muscle، علاقة بمن؟  حكيناهو، هو الذي يُحدث تغذية
+
+346
+00:33:33,170 --> 00:33:37,190
+للـ para-sympathetic nerve، فهي تكون الـ problem
+
+347
+00:33:37,190 --> 00:33:39,850
+أين؟ عنده، أو الـ disease في الـ para-sympathetic
+
+348
+00:33:39,850 --> 00:33:43,930
+nerve الذي يقوم بـ innervation، تغذية لمن؟ للـ ciliary
+
+349
+00:33:43,930 --> 00:33:50,630
+muscle. Okay، okay
+
+350
+00:33:50,630 --> 00:33:56,660
+physical accommodation، كتعريف، يعني more expression
+
+351
+00:33:56,660 --> 00:34:01,620
+يعني أكثر تعبيراً، it is an expression، أنه يُعبّر عن
+
+352
+00:34:01,620 --> 00:34:06,540
+of the actual physical deformation of the lens، إذًا
+
+353
+00:34:06,540 --> 00:34:12,820
+نعبّر عن مفهوم التكييف الفيزيائي، أنه يُحدث
+
+354
+00:34:12,820 --> 00:34:18,180
+deformation، أي بمعنى distortion، تشوّه لمن؟ للـ lens
+
+355
+00:34:18,180 --> 00:34:24,260
+للعدسة، and it is measured، يُقاس بوحدة من؟ الديوبتر.
+
+356
+00:34:24,260 --> 00:34:27,460
+الديوبتر هي عبارة عن الـ unit of measurement of the
+
+357
+00:34:27,460 --> 00:34:32,720
+refractive power، صحيح؟ Thus، لذلك if the
+
+358
+00:34:32,720 --> 00:34:37,120
+converging power، إذا القوة المجمعة of the eye
+
+359
+00:34:37,120 --> 00:34:42,510
+للعين increased by one diopter، increases by one
+
+360
+00:34:42,510 --> 00:34:47,250
+diopter، بمعنى يزيد one diopter، we speak of the
+
+361
+00:34:47,250 --> 00:34:50,870
+expenditure of one diopter of accommodation، يعني
+
+362
+00:34:50,870 --> 00:34:55,190
+هذا يُشير إلى، indication إلى، أن زيادة one
+
+363
+00:34:55,190 --> 00:34:59,270
+convergence. إذًا دائماً في علاقة بين الـ
+
+364
+00:34:59,270 --> 00:35:02,430
+accommodation وما بين الـ convergence، أو ما بين الـ
+
+365
+00:35:02,430 --> 00:35:05,830
+convergence والـ accommodation، أي زيادة في الـ
+
+366
+00:35:05,830 --> 00:35:08,530
+accommodation تَتْبَعُها زيادة في أين؟ في الـ
+
+367
+00:35:08,530 --> 00:35:12,670
+convergence، and vice versa، والعكس صحيح، أي زيادة
+
+368
+00:35:12,670 --> 00:35:16,670
+في الـ accommodation تَتْبَعُها زيادة في الـ convergence
+
+369
+00:35:16,670 --> 00:35:22,850
+عشان واحد مثلاً عنده abnormality للـ accommodation
+
+370
+00:35:22,850 --> 00:35:27,880
+تجد ثلاثة أشياء متلاصقة مع بعض، هذه احفظوها
+
+371
+00:35:27,880 --> 00:35:33,960
+accommodation، convergence، meiosis. دائماً ما يكون
+
+372
+00:35:33,960 --> 00:35:38,120
+عنده abnormality للـ accommodation، أي بمعنى الـ
+
+373
+00:35:38,120 --> 00:35:41,880
+accommodation الذي عنده غير طبيعي، ففي ثلاثة أشياء
+
+374
+00:35:41,880 --> 00:35:46,180
+متلاصقة مع بعض، يعني associated together، شو هما؟
+
+375
+00:35:46,180 --> 00:35:50,920
+accommodation، number one، convergence، و الـ meiosis
+
+376
+00:35:52,640 --> 00:35:56,300
+منطقياً الآن، أنا عندما أقوم بعمل accommodation، أقوم بعمل إيه؟
+
+377
+00:35:56,300 --> 00:36:00,600
+convergence، عندما تنظر إلى القريب، أقوم بعمل meiosis للـ pupil.
+
+378
+00:36:00,600 --> 00:36:08,640
+Okay، طيب
+
+379
+00:36:08,640 --> 00:36:13,200
+في عندنا الـ physiological accommodation، أي بمعنى
+
+380
+00:36:13,200 --> 00:36:17,000
+التكييف الفيزيولوجي
+
+381
+00:36:17,870 --> 00:36:23,030
+it is the action، أي بمعنى سلوك لمن؟ of ciliary
+
+382
+00:36:23,030 --> 00:36:29,250
+muscle، للعضلة الهدبية، and is measured، يُقاس بالـ
+
+383
+00:36:29,250 --> 00:36:33,710
+unit، بوحدة، of diopter، إذًا نقيسه بوحدة إيش؟
+
+384
+00:36:33,710 --> 00:36:38,010
+الديوبتر. دائماً accommodation الوحدة الخاصة بها
+
+385
+00:36:38,010 --> 00:36:42,630
+ديوبتر. convergence، divergence، الوحدة إيه؟ ديوبتر.
+
+386
+00:36:42,630 --> 00:36:49,130
+أيّاً يكن، دائماً القوة تكون بالديوبتر. which equals
+
+387
+00:36:49,130 --> 00:36:52,870
+to the magnitude of the ciliary muscle contraction
+
+388
+00:36:52,870 --> 00:37:03,310
+to rise
+
+389
+00:37:03,310 --> 00:37:06,570
+لزيادة the refractive power of the lens one
+
+390
+00:37:06,570 --> 00:37:07,010
+diopter
+
+391
+00:37:23,430 --> 00:37:31,650
+متى يزيد accommodation خلال عملية الـ accommodation؟ متى يزيد
+
+392
+00:37:31,650 --> 00:37:37,810
+accommodation خلال عملية الـ accommodation؟ متى
+
+393
+00:37:37,810 --> 00:37:42,390
+يزيد accommodation خلال عملية الـ accommodation؟
+
+394
+00:37:48,500 --> 00:37:51,980
+both، كلا من الـ physical والـ physiological
+
+395
+00:37:51,980 --> 00:37:55,900
+accommodation، يتناسب كل منهما مع الآخر خلال الـ
+
+396
+00:37:55,900 --> 00:38:00,420
+first half of life، يعني قبل الأربعين سنة، أو في
+
+397
+00:38:00,420 --> 00:38:04,880
+دراسات تقول قبل الخامسة والثلاثين سنة، الـ physical والـ
+
+398
+00:38:04,880 --> 00:38:08,220
+الـ physiological accommodation يكونان associated
+
+399
+00:38:08,220 --> 00:38:12,480
+يعني متلاصقان، or correspond، يعني معاً، معاً
+
+400
+00:38:12,480 --> 00:38:17,440
+Okay، هذه قبل أي سن؟ سن الخامسة والثلاثين أو الأربعين
+
+401
+00:38:21,850 --> 00:38:26,070
+آه، Okay، الآن الـ physical والـ physiological
+
+402
+00:38:26,070 --> 00:38:29,650
+accommodation، قبل سن الأربعين سنة أو الخامسة و
+
+403
+00:38:29,650 --> 00:38:33,030
+الثلاثين سنة، according to previous studies، يقول لك
+
+404
+00:38:
+
+445
+00:42:25,480 --> 00:42:30,680
+للciliary muscle وهذا اللي بيحدث وين؟ في عملية ال
+
+446
+00:42:30,680 --> 00:42:34,180
+presbyopia عشان هيك بتلاقي ال separation ما بين
+
+447
+00:42:34,180 --> 00:42:37,280
+الphysical والphysiological accommodation بعد
+
+448
+00:42:37,280 --> 00:42:42,460
+سن الأربعين سنة. اذا why the physical and
+
+449
+00:42:42,460 --> 00:42:46,320
+physiological accommodation separate after 40
+
+450
+00:42:46,320 --> 00:42:55,140
+years. انه okay and still contraction of the
+
+451
+00:42:55,140 --> 00:43:02,330
+ciliary muscle. okay due to يعني بسبب أن طبيعة
+
+452
+00:43:02,330 --> 00:43:08,250
+العدسة العين بتصبح inelastic غير مرنة لكن ال
+
+453
+00:43:08,250 --> 00:43:13,050
+ciliary muscle العضلة الهدبية بتستمر أن ايش أن is
+
+454
+00:43:13,050 --> 00:43:16,410
+still intact يعني normal. أن طبيعية يعني بتقدر
+
+455
+00:43:16,410 --> 00:43:21,510
+عملية الانقباض contraction والrelaxation  زي
+
+456
+00:43:21,510 --> 00:43:25,410
+ما كانت قبل. اه بس بتغير شكل العدسة فبالتالي
+
+457
+00:43:25,410 --> 00:43:28,430
+بيحدث presbyopia، عشان هي كما عرفنا ال
+
+458
+00:43:28,430 --> 00:43:32,250
+presbyopia، it is inability to change the shape
+
+459
+00:43:32,250 --> 00:43:37,410
+of the lens، okay، converging power، ما قلناش في ال
+
+460
+00:43:37,410 --> 00:43:39,670
+ciliary muscle، ما تكلمنا عن ال ciliary muscle، لأنّه
+
+461
+00:43:39,670 --> 00:43:42,730
+الciliary muscle بعد الأربعين سنة عادي، بيظلوا أنّه
+
+462
+00:43:42,730 --> 00:43:46,770
+بيعمل contraction و relaxation، أي بمعنى ارتخاء
+
+463
+00:43:46,770 --> 00:43:54,530
+وانقباض، okay؟ طبعا العدسة في حالة presbyopia
+
+464
+00:43:54,530 --> 00:43:59,290
+بتصير inelastic وكمان ايه؟ ممكن يعني بتصير hard،
+
+465
+00:43:59,290 --> 00:44:05,930
+hard بمعنى صلبة. okay conversely
+
+466
+00:44:05,930 --> 00:44:12,090
+أي بمعنى على العكس. or okay a failure of the
+
+467
+00:44:12,090 --> 00:44:12,730
+physiological
+
+468
+00:44:15,720 --> 00:44:20,340
+of the physiological power. أنّه يما بيعمل عملية أنّه
+
+469
+00:44:20,340 --> 00:44:22,580
+الـ... الـ ciliary muscle ما بيصير له عملية
+
+470
+00:44:22,580 --> 00:44:25,900
+contraction. مافيش انقباض للـ... لل ciliary muscle
+
+471
+00:44:25,900 --> 00:44:30,940
+may appear. هذه بتظهر in states of debility أي في
+
+472
+00:44:30,940 --> 00:44:33,180
+حالات وين ما يكون في ضعف للجسم
+
+473
+00:44:36,980 --> 00:44:42,240
+ناس عندهم  مغص أو فقر شديد and in diseases في
+
+474
+00:44:42,240 --> 00:44:45,340
+أمراض ال parasympathetic nerve supplied to the
+
+475
+00:44:45,340 --> 00:44:49,660
+muscle. when the muscle fails at any age while the
+
+476
+00:44:49,660 --> 00:44:53,550
+lens is intact. يعني بيكون الآن المشكلة وين؟ في ال
+
+477
+00:44:53,550 --> 00:44:56,550
+ciliary muscle، يعني ال ciliary muscle مش قادرة تعمل
+
+478
+00:44:56,550 --> 00:45:01,950
+contraction، انقباض، فالآن إما بيصير عدم قدرة ال
+
+479
+00:45:01,950 --> 00:45:05,510
+ciliary muscle على الانقباض، لكن العدسة بتكون
+
+480
+00:45:05,510 --> 00:45:10,230
+intact، سليمة، و هذه وين بتكون؟ في أي عمر؟ at any
+
+481
+00:45:10,230 --> 00:45:17,020
+age. صح؟ في أي عمر؟ لأن واحد عنده مثلا  ال parasympathetic nerve فيه problem فيه، ممكن يكون هو
+
+482
+00:45:17,020 --> 00:45:21,120
+طفل، ممكن يكون بعد الأربعين، قبل الأربعين، okay؟
+
+483
+00:45:21,120 --> 00:45:25,880
+أي بمعنى at any age، إذا دائما presbyopia
+
+484
+00:45:25,880 --> 00:45:30,920
+بتكون بعد الأربعين، okay؟ ليش؟ لأنّه بتغير شكل
+
+485
+00:45:30,920 --> 00:45:35,700
+العدسة، مع أنّه بتحافظ على أن ال ciliary muscle بيكون
+
+486
+00:45:35,700 --> 00:45:39,820
+contraction. لكن يما يكون في عملية أن الـ... أن الـ
+
+487
+00:45:40,700 --> 00:45:46,980
+parasympathetic nerve أنّه failure of the parasympathetic
+
+488
+00:45:46,980 --> 00:45:49,980
+nerve. هذا بتكون at any age، في أي عمر،
+
+489
+00:45:49,980 --> 00:45:53,760
+ليش؟ لأن العدسة بتكون intact، سليمة
+
+490
+00:45:53,760 --> 00:45:56,760
+.
+
+491
+00:46:00,360 --> 00:46:04,740
+Since an attempt of ciliary muscle. يعني منذ أن
+
+492
+00:46:04,740 --> 00:46:09,040
+تحاول ال ciliary muscle العضلة الهدبية to cover
+
+493
+00:46:09,040 --> 00:46:13,440
+the accommodation deficiency. أي منذ أن تحاول
+
+494
+00:46:13,440 --> 00:46:17,900
+العدسة على تغطية النقص اللي موجود في ال
+
+495
+00:46:17,900 --> 00:46:21,960
+accommodation. أي بمعنى weakness. يعني دائما بنسمّيه
+
+496
+00:46:21,960 --> 00:46:25,200
+عند واحد عنده accommodation deficiency أو بنسمّيه
+
+497
+00:46:25,200 --> 00:46:31,770
+weakness. أي بمعنى ضعف في التكيف by a sustained. أي
+
+498
+00:46:31,770 --> 00:46:37,570
+بمعنى بواسطة زيادة أنّه بعمل زيادة and exaggerated
+
+499
+00:46:37,570 --> 00:46:42,370
+أي بمعنى أنّه مبالغ فيه. يعني كيف؟ يعني over زيادة
+
+500
+00:46:42,370 --> 00:46:45,990
+over contraction. such as a weakness may be
+
+501
+00:46:45,990 --> 00:46:50,170
+responsible for the eye strain and a stenopia. الآن
+
+502
+00:46:50,170 --> 00:46:55,740
+الواحد عنده deficiency نقص في ال accommodation أو
+
+503
+00:46:55,740 --> 00:46:59,080
+بمعنى weakness، ضعف في ال accommodation، هذا
+
+504
+00:46:59,080 --> 00:47:05,260
+هيعمل إيش؟ eye strain، هيعمل ال fatigue أو ال
+
+505
+00:47:05,260 --> 00:47:10,740
+... ال eye pain، ألم في العين، okay؟ إذا دائما
+
+506
+00:47:10,740 --> 00:47:14,460
+سببها إيش؟ weakness في ال accommodation. عشان هيك
+
+507
+00:47:14,460 --> 00:47:17,940
+بتلاقي معظم الناس الكبار بعد سن الأربعين. يما بيجي
+
+508
+00:47:17,940 --> 00:47:22,140
+بيقرأ أكثر من ساعة إيش، بتعب، بقول لك أنا صار عندي
+
+509
+00:47:22,140 --> 00:47:26,600
+eye strain، صار عندي eye fatigue، استجماتية، ليش؟ شو
+
+510
+00:47:26,600 --> 00:47:30,820
+السبب؟ أنّه عنده weakness ... weakness لل
+
+511
+00:47:30,820 --> 00:47:36,200
+accommodation. أنّه inability to shape of the... to
+
+512
+00:47:36,200 --> 00:47:40,480
+shape the... to shape of the lens. أنّه مش قادر أنّه
+
+513
+00:47:40,480 --> 00:47:44,860
+يغيّر شكل العدسة. okay؟ لكن أنّه ال ciliary muscle
+
+514
+00:47:44,860 --> 00:47:49,760
+بتكون intact طبيعية. okay؟ في أي سؤال؟ أي استفسار؟
+
+515
+00:47:49,760 --> 00:47:51,120
+يعطيكم العافية. هيك
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..52d1c3be13fdb7becf71643462857bf6090dea1d
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_postprocess.srt
@@ -0,0 +1,2060 @@
+1
+00:00:21,780 --> 00:00:24,800
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,800 --> 00:00:29,600
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:29,600 --> 00:00:33,340
+اليوم ان شاء الله هنبدأ في موضوع ال accommodation
+
+4
+00:00:33,340 --> 00:00:39,780
+accommodation بمعنى التكييف بداية قبل ما نبدأ في
+
+5
+00:00:39,780 --> 00:00:46,460
+موضوع التكييف في عندنا ال crystalline lens العدسة
+
+6
+00:00:47,180 --> 00:00:51,860
+في لها characteristics خواص شو هي ال lens
+
+7
+00:00:51,860 --> 00:00:56,480
+characteristics خواص العدسة number one okay
+
+8
+00:00:56,480 --> 00:01:02,520
+transparent okay number two biconvex okay number
+
+9
+00:01:02,520 --> 00:01:09,300
+three طيب
+
+10
+00:01:11,380 --> 00:01:16,000
+it helps to focus image on the retina انه بتساعد
+
+11
+00:01:16,000 --> 00:01:20,800
+على تركيز الصورة على الشبكية برضه ال function
+
+12
+00:01:20,800 --> 00:01:25,460
+بتاعة ال lens انه بتقوم بعملية ايه accommodation
+
+13
+00:01:25,460 --> 00:01:31,340
+okay طيب من ال characteristics ده ال lens biconvex
+
+14
+00:01:31,340 --> 00:01:36,440
+شو معنى biconvex؟ okay
+
+15
+00:01:40,560 --> 00:01:47,080
+يعني بمعنى انه بتكون على الوجهين محدبة اذا عندنا
+
+16
+00:01:47,080 --> 00:01:50,980
+ال crystalline
+
+17
+00:02:14,880 --> 00:02:21,040
+number one transparent
+
+18
+00:02:21,040 --> 00:02:25,200
+number
+
+19
+00:02:25,200 --> 00:02:28,920
+two biconvex
+
+20
+00:02:28,920 --> 00:02:34,120
+طبعا
+
+21
+00:02:34,120 --> 00:02:38,320
+elastic شو
+
+22
+00:02:38,320 --> 00:02:39,980
+معناه elastic؟ بنينا
+
+23
+00:02:47,430 --> 00:02:54,250
+to focus light
+
+24
+00:02:54,250 --> 00:03:08,450
+rays on the retina number
+
+25
+00:03:08,450 --> 00:03:14,350
+five dysfunction
+
+26
+00:03:19,240 --> 00:03:30,620
+to do of accommodation
+
+27
+00:03:30,620 --> 00:03:34,520
+اذا
+
+28
+00:03:34,520 --> 00:03:39,840
+الأن افهمنا أن طريقة عمل ال accommodation أو ال
+
+29
+00:03:39,840 --> 00:03:42,980
+definition of accommodation اللي مسئول عنه مين
+
+30
+00:03:44,400 --> 00:03:49,040
+crystalline lens صح العدسة هو المسئول عن عملية مين
+
+31
+00:03:49,040 --> 00:03:54,540
+ال accommodation okay طيب شو ال definition تعريف
+
+32
+00:03:54,540 --> 00:03:58,840
+ال accommodation ك definition of accommodation أي
+
+33
+00:03:58,840 --> 00:04:04,140
+بمعنى تعريف التكييف هي قدرة العدسة على تغيير ايه
+
+34
+00:04:04,140 --> 00:04:07,160
+شكلها انه بتعمل converging power
+
+35
+00:04:10,360 --> 00:04:14,060
+بدي اعمل انا converging okay قيمة ال converging
+
+36
+00:04:14,060 --> 00:04:19,780
+هذا مساوية لمين لقيمة ال accommodation okay عشان
+
+37
+00:04:19,780 --> 00:04:24,200
+اقدر انه اركز الصورة وين على الشبكية طبعا بتكون
+
+38
+00:04:24,200 --> 00:04:28,540
+هذه على اي مسافة at any distance لكن المسافة الشرط
+
+39
+00:04:28,540 --> 00:04:34,280
+انه تكون اقل من 6 متر صح ولا لأ؟ شو معنى اقل من 6
+
+40
+00:04:34,280 --> 00:04:40,260
+متر؟ بالظبط انه ماتكونش ايه في ال infinityلو كانت
+
+41
+00:04:40,260 --> 00:04:45,260
+المسافة هذه ستة متر او اكتر هتكون على ال infinity
+
+42
+00:04:45,260 --> 00:04:52,660
+اذا كمفهوم لل accommodation it
+
+43
+00:04:52,660 --> 00:04:58,870
+is the ability قدرة of the crystalline lensالعدسة
+
+44
+00:04:58,870 --> 00:05:04,290
+to change تغيير it is shape شكلها the converging
+
+45
+00:05:04,290 --> 00:05:10,610
+power أي بمعنى قوة تجميع to focus بتركز objects
+
+46
+00:05:10,610 --> 00:05:15,770
+الأجسام of any distance لأي مسافة طبعا هذه المسافة
+
+47
+00:05:15,770 --> 00:05:21,550
+لازم تكون أقل من 6 متر okay لأن لو كانت من 6 متر و
+
+48
+00:05:21,550 --> 00:05:26,810
+أكتر هتكون at infinity upon the retina or on the
+
+49
+00:05:26,810 --> 00:05:32,320
+retinaOkay طيب ال crystalline lens فيه لها تلات
+
+50
+00:05:32,320 --> 00:05:38,520
+طبقات شو هم ال three parts لعدسة أزاى العدسة شو هم
+
+51
+00:05:38,520 --> 00:05:48,620
+فضلي ممتاز و ال lens ابيثيليام و ال nucleus صح
+
+52
+00:05:48,620 --> 00:05:56,300
+النوار اذا عندنا خلصته هذه finish
+
+53
+00:05:56,300 --> 00:05:56,840
+done
+
+54
+00:06:14,180 --> 00:06:29,540
+إذا الـ crystalline lens can be classified into
+
+55
+00:06:29,540 --> 00:06:33,600
+three
+
+56
+00:06:33,600 --> 00:06:38,180
+parts number
+
+57
+00:06:38,180 --> 00:06:41,660
+one lens
+
+58
+00:06:44,590 --> 00:06:53,070
+capsule number two lens epithelium
+
+59
+00:06:53,070 --> 00:07:00,750
+number
+
+60
+00:07:00,750 --> 00:07:10,570
+three ال nucleus أي
+
+61
+00:07:10,570 --> 00:07:15,800
+بمعنى النوىطيب الآن ال accommodation وين بتكون؟ فى
+
+62
+00:07:15,800 --> 00:07:19,380
+ال crystalline lens فى أنه جزء من ال lens فى ال
+
+63
+00:07:19,380 --> 00:07:25,500
+capsule فى ال lens capsule فى المحفظة طبعا هذا ال
+
+64
+00:07:25,500 --> 00:07:32,520
+figure بيمثل عنده ال un accommodated لل I لما يكون
+
+65
+00:07:32,520 --> 00:07:37,840
+في حالة ال relax طبعا الآن الأشعة شو جاية؟بررل
+
+66
+00:07:37,840 --> 00:07:42,480
+متوازية لانه جاية من مسافة ستة متر انه from
+
+67
+00:07:42,480 --> 00:07:49,060
+infinity okay فالاشعة هتكون بررل دخلت لل .. لل
+
+68
+00:07:49,060 --> 00:07:53,730
+retina when اتركزت on the retina okayالان في حالة
+
+69
+00:07:53,730 --> 00:07:57,410
+ال accommodated هصير more convex مين هي ال lens
+
+70
+00:07:57,410 --> 00:08:02,410
+يعني اكثر تحده فالاشعة جاية من object معين طبعا
+
+71
+00:08:02,410 --> 00:08:08,330
+كانت divergent المسافة جديش اقل من ستة متر اتركزت
+
+72
+00:08:08,330 --> 00:08:14,810
+وين on the retina upon the retina okay هاي ال ..
+
+73
+00:08:14,810 --> 00:08:18,970
+طبعا ال definition of accommodation كمفهوم او
+
+74
+00:08:18,970 --> 00:08:20,670
+كتعريف لل accommodation
+
+75
+00:08:23,990 --> 00:08:28,010
+طيب العدسة في حالة ال accommodation ليش بتكون more
+
+76
+00:08:28,010 --> 00:08:35,470
+convex؟ ليش مابتكون more concave؟ أه قصة انه بتكون
+
+77
+00:08:35,470 --> 00:08:39,710
+انه to converge the lens عشان تعمل converging
+
+78
+00:08:39,710 --> 00:08:45,910
+للpower okay اذا why the lens must be convex
+
+79
+00:08:45,910 --> 00:08:50,870
+during the mechanism of accommodation؟ to converge
+
+80
+00:09:01,660 --> 00:09:06,180
+mechanism of accommodation أي بمعنى آلية عمل ال
+
+81
+00:09:06,180 --> 00:09:13,320
+accommodation كيف بتعمل التكييف طبعا الآن في
+
+82
+00:09:13,320 --> 00:09:19,140
+الأطفال في معظم الأطفال يما بدي أعملrefraction
+
+83
+00:09:19,140 --> 00:09:25,300
+لازم ادي ايه؟ cyclopentolate why؟
+
+84
+00:09:25,300 --> 00:09:30,580
+why؟ ليش انت بتدي لها ال cyclopentolate؟ و اعمل
+
+85
+00:09:30,580 --> 00:09:36,720
+ايش؟ اه انه اعمل paralysis ل ال celery muscle ال
+
+86
+00:09:36,720 --> 00:09:42,560
+celery muscle من وين بتغذى؟ من ال parasympathetic
+
+87
+00:09:42,560 --> 00:09:46,740
+nerve صح؟البارا sympathetic nerve هي اللي بتعمل
+
+88
+00:09:46,740 --> 00:09:50,600
+innervation تخضيه لمين؟ لل celery muscle فالان انا
+
+89
+00:09:50,600 --> 00:09:56,340
+إما بدي ال cyclo bentilate، cyclo سواء الأتروبين
+
+90
+00:09:56,340 --> 00:10:03,130
+أو ال homotrobin okay، بيعمل إيه؟ relaxلمن؟ لل
+
+91
+00:10:03,130 --> 00:10:06,630
+accommodation لكن شو بيعمل ل ال celery muscle؟
+
+92
+00:10:06,630 --> 00:10:12,150
+paralysis ل ال celery muscle طبعا انتوا عارفين ان
+
+93
+00:10:12,150 --> 00:10:17,250
+العين بتتكون من تلت أجزاء الجزء الأول هو يعتبر ال
+
+94
+00:10:17,250 --> 00:10:25,230
+outer surface اللي بيمثل الكورنيا و الكورنيا و ال
+
+95
+00:10:25,230 --> 00:10:29,550
+sclera و الجزء الثاني ال celery muscle
+
+96
+00:10:34,640 --> 00:10:38,180
+والجزء الداخلي اللى بيمثل ال retina و ال optic
+
+97
+00:10:38,180 --> 00:10:44,740
+nerve الان ال mechanism قلية عملها يعني بدي تفهمى
+
+98
+00:10:44,740 --> 00:10:49,740
+ان ال accommodation هو وين بحدث اهم جزء في ال lens
+
+99
+00:10:49,740 --> 00:10:55,130
+اللى هو بيمثل ايش في العينبمثل ال anterior segment
+
+100
+00:10:55,130 --> 00:11:00,230
+of the eye طيب ابقى نوجزه في ال lens في ال lens
+
+101
+00:11:00,230 --> 00:11:06,050
+capsule في المحفظة للعدسة طيب ال mechanism of
+
+102
+00:11:06,050 --> 00:11:11,320
+accommodation أول حاجة بيحدث contractionإنقباض
+
+103
+00:11:11,320 --> 00:11:16,160
+لمين؟ للcellary muscle okay number two بيعمل
+
+104
+00:11:16,160 --> 00:11:21,180
+relaxation أي بمعنى ارتخاء لمين؟ للزنيول of zen
+
+105
+00:11:21,180 --> 00:11:26,200
+طبعا الزنيول هو بيكون حوالين من ال lens صح؟ فهو
+
+106
+00:11:26,200 --> 00:11:31,900
+بيعمله ارتخاء relaxation أيضا بيعمل ارتخاء of
+
+107
+00:11:31,900 --> 00:11:35,980
+tension للشد اللي موجود وين؟ في ال lens؟ capsule
+
+108
+00:11:35,980 --> 00:11:41,440
+اللي هو يعتبر part of the lens okayأيضا بيعمل
+
+109
+00:11:41,440 --> 00:11:45,740
+increase بيزود ال curvature تحدب of the anterior
+
+110
+00:11:45,740 --> 00:11:50,380
+lens surface العدسة بتتكون من جزئين anterior و
+
+111
+00:11:50,380 --> 00:11:53,740
+posterior surface عشان هيقولنا ايه ال anterior و
+
+112
+00:11:53,740 --> 00:11:57,440
+ال posterior by convex اتنين محددين why the lens
+
+113
+00:11:57,440 --> 00:12:01,600
+is by convex انه بمعنى ان اتنتين ايش تعمل
+
+114
+00:12:01,600 --> 00:12:08,520
+converging okay ال crystalline lens هتصبح اكتر ايه
+
+115
+00:12:09,470 --> 00:12:13,970
+تحدبا و هتعمل ان ال near objects هتركز وين on
+
+116
+00:12:13,970 --> 00:12:17,790
+their retina اذا الان لو اتيت السؤال مثلا compare
+
+117
+00:12:17,790 --> 00:12:24,610
+between accommodation and unaccomodation I okay
+
+118
+00:12:24,610 --> 00:12:29,470
+compare between accommodation and unaccomodation I
+
+119
+00:12:29,470 --> 00:12:32,290
+number one accommodation I
+
+120
+00:12:38,870 --> 00:12:44,010
+هد مين؟ انا انا ال accommodation okay ال
+
+121
+00:12:44,010 --> 00:12:47,670
+accommodation ايه؟ contraction contraction لأ
+
+122
+00:12:47,670 --> 00:12:51,670
+السلري muscle okay number two تفضلي بال
+
+123
+00:12:51,670 --> 00:12:54,890
+accommodation relaxation of the knee ناكه بكون
+
+124
+00:12:54,890 --> 00:13:03,030
+contraction of the knee okay number three الان ال
+
+125
+00:13:03,030 --> 00:13:06,810
+light rays في حالة ال accommodation ايه؟ شو هيكون؟
+
+126
+00:13:08,770 --> 00:13:14,050
+diverging light rays from a object صح لكن في حالة
+
+127
+00:13:14,050 --> 00:13:17,750
+ال un accommodation هيكون parallel light rays و
+
+128
+00:13:17,750 --> 00:13:25,530
+هيتركز وين on the retina على الشبكية صح طيب حاضر
+
+129
+00:13:25,530 --> 00:13:26,410
+هقد أكتب هم
+
+130
+00:13:45,470 --> 00:14:08,470
+compare between an
+
+131
+00:14:08,470 --> 00:14:13,570
+accommodation Iطبعا عندنا ال accommodation I
+
+132
+00:14:13,570 --> 00:14:19,310
+accommodation اختصارها ايه؟ okay و ال un
+
+133
+00:14:19,310 --> 00:14:27,870
+accommodation un small I
+
+134
+00:14:27,870 --> 00:14:37,690
+accommodation I number one diverging
+
+135
+00:14:44,330 --> 00:14:51,550
+light rays are
+
+136
+00:14:51,550 --> 00:14:57,470
+focused on
+
+137
+00:14:57,470 --> 00:15:05,610
+the retina إذا ال number one الأشعة إيش هتكون؟
+
+138
+00:15:05,610 --> 00:15:09,690
+diverging وين هتتركز؟ on the retina okay؟
+
+139
+00:15:11,910 --> 00:15:17,290
+الـ unaccomodation I parallel
+
+140
+00:15:17,290 --> 00:15:21,790
+light
+
+141
+00:15:21,790 --> 00:15:25,370
+rays
+
+142
+00:15:25,370 --> 00:15:30,290
+are
+
+143
+00:15:30,290 --> 00:15:35,150
+brought to
+
+144
+00:15:35,150 --> 00:15:37,490
+focus
+
+145
+00:15:41,170 --> 00:15:47,650
+on the retina إذا الأشعة هتكون في حالة ال un
+
+146
+00:15:47,650 --> 00:15:52,750
+accommodation parallel okay number
+
+147
+00:15:52,750 --> 00:15:57,250
+two في حالة ال accommodation هتعمل إيه contraction
+
+148
+00:15:57,250 --> 00:16:01,950
+of
+
+149
+00:16:01,950 --> 00:16:07,510
+ciliary muscle أي بمعنى هتعمل شد لل ciliary muscle
+
+150
+00:16:07,510 --> 00:16:09,990
+okay هان شو هتعمل؟
+
+151
+00:16:26,770 --> 00:16:31,150
+مقارنة بين الـmechanism of accommodation و
+
+152
+00:16:31,150 --> 00:16:33,430
+الـmechanism لمن؟ للـun accommodation
+
+153
+00:16:58,930 --> 00:17:09,310
+لأ less convex في حالة ال un accommodation ال near
+
+154
+00:17:09,310 --> 00:17:13,490
+objects ال object in general لأن في حالة ال un
+
+155
+00:17:13,490 --> 00:17:16,370
+accommodation الأشياء جاية من وين؟ من parallel
+
+156
+00:17:16,370 --> 00:17:20,450
+يعني بمعنى أنه من مسافة فهتكون ال .. ال .. ال
+
+157
+00:17:20,450 --> 00:17:24,290
+object بشكل عام in general وين are focused on the
+
+158
+00:17:24,290 --> 00:17:29,170
+retina okay؟إذا في حالة ال unaccommodation ال
+
+159
+00:17:29,170 --> 00:17:40,750
+objects هي الأجسام وين هتتركز على الشبكية okay طيب
+
+160
+00:17:40,750 --> 00:17:47,690
+في عندنا three aging factors of accommodation in
+
+161
+00:17:47,690 --> 00:17:51,890
+the breast biopia الآن ال breast biopia بمعنى قصه
+
+162
+00:17:51,890 --> 00:17:58,410
+النظر الشيخوخيففي تلت عوامل عمرية يعني مع تقدم
+
+163
+00:17:58,410 --> 00:18:03,590
+العمر بتحدث ذالإنسان وين؟ في عدسة العين طبعا هذه
+
+164
+00:18:03,590 --> 00:18:07,850
+بتكون العوامل إيه في ال surgery يعني ال breast
+
+165
+00:18:07,850 --> 00:18:12,830
+myopia هو ما بيعتبرش pathological مش مرضي هو يعتبر
+
+166
+00:18:12,830 --> 00:18:19,410
+إيه في ال surgery okay قصه قصه في ال wow قصه النظر
+
+167
+00:18:19,410 --> 00:18:24,430
+قصر النظر ال myopia okayطيب، في عندنا ال breast
+
+168
+00:18:24,430 --> 00:18:28,470
+biopia، ال definition of breast biopia، شو تعرفه
+
+169
+00:18:28,470 --> 00:18:41,530
+ال breast biopia؟ ال ability to
+
+170
+00:18:41,530 --> 00:18:45,030
+focus on a real object on a regular basis by
+
+171
+00:18:45,030 --> 00:18:51,380
+losing flexibilityبالظبط، اذا عدم قدرة العدسة على
+
+172
+00:18:51,380 --> 00:18:54,940
+تغيير شكلها، انه مابتقدرش تعمل العدسة ايش؟
+
+173
+00:18:54,940 --> 00:18:59,480
+converging power عشان ايه؟ طبعا اللي هو السبب
+
+174
+00:18:59,480 --> 00:19:04,240
+بتاعها ان العدسة بتصبح inelastic، غير مرنة، okay؟
+
+175
+00:19:04,660 --> 00:19:09,000
+فما بتقدرش ال .. ال light rays يتركزوا وين؟ على
+
+176
+00:19:09,000 --> 00:19:13,580
+الشبكية فهي وين هتركزوا؟ behind the retina انه خلف
+
+177
+00:19:13,580 --> 00:19:17,480
+الشبكية وهذا بيذكرنا ان ال incident light rays are
+
+178
+00:19:17,480 --> 00:19:21,000
+brought to focus behind on the retina في حالة مين؟
+
+179
+00:19:21,000 --> 00:19:26,380
+ال hyper metro okay؟ اذا ال breast biop عدم قدرة
+
+180
+00:19:26,380 --> 00:19:33,280
+العين على تغيير شكلها طبعا نتيجة عامل العمر okay؟
+
+181
+00:19:34,410 --> 00:19:38,650
+على تغيير عدسة العين crystalline lens to change
+
+182
+00:19:38,650 --> 00:19:48,110
+its shape مع تقدم العمر فالاشعة
+
+183
+00:19:48,110 --> 00:19:52,730
+الضوئية وين هتتركز behind the retina إذا ما هتتقدر
+
+184
+00:19:52,730 --> 00:19:57,270
+أن تتركز وين on the retina إذا تركيزها behind the
+
+185
+00:19:57,270 --> 00:20:01,570
+retina it is inability of the crystalline
+
+186
+00:20:13,100 --> 00:20:19,760
+هذا كمفهوم ل ال breast biopia طيب شو التلت عوامل
+
+187
+00:20:19,760 --> 00:20:25,220
+اللي بتحدث لعدسة العين مع تقدم العمر؟ أول حاجة ال
+
+188
+00:20:25,220 --> 00:20:29,230
+elastic المرونةطبيعة العدسة جونها من ال
+
+189
+00:20:29,230 --> 00:20:33,110
+characteristics انه بتكون flexibility او elastic
+
+190
+00:20:33,110 --> 00:20:38,790
+مرنة فبقل ايه ال flexibility او ال elastic المرونة
+
+191
+00:20:38,790 --> 00:20:43,870
+لمين للعدسة اذا ال number one اذا الان شو التلت
+
+192
+00:20:43,870 --> 00:20:48,070
+عوامل اللي بتحدث في عملية ال breast biopia اول
+
+193
+00:20:48,070 --> 00:20:52,650
+حاجة انه العدسة بتقل المرونة بتاعتها انه ال
+
+194
+00:20:52,650 --> 00:20:58,210
+crystalline lens بتصبح اقل elastic اقل مرونةأو
+
+195
+00:20:58,210 --> 00:21:04,190
+flexibility number two انه بيزود ال lens substance
+
+196
+00:21:04,190 --> 00:21:08,890
+انه مادة العدسة ايش مالها بيزيد من حيث ال size
+
+197
+00:21:08,890 --> 00:21:16,290
+الحجب و من حيث ال density الكثافة okay number
+
+198
+00:21:16,290 --> 00:21:19,970
+three flattening of the lens as whole انه العدسة
+
+199
+00:21:19,970 --> 00:21:26,870
+بيصير ايش مالها مسطحة okay اذا اكتر تسطيحاه طبعا
+
+200
+00:21:26,870 --> 00:21:31,530
+ال flattening عكسها ال steepness بنسميه يعني اكتر
+
+201
+00:21:31,530 --> 00:21:39,690
+انه بتكون اكتر تحدب خاصة بنستخدم كلمة flat و كلمة
+
+202
+00:21:39,690 --> 00:21:45,310
+steep في العدسات اللي ناسهاطبعا هي ال normal eye
+
+203
+00:21:45,310 --> 00:21:49,050
+incident light rays are brought to focus on the
+
+204
+00:21:49,050 --> 00:21:55,010
+retina, the presbyopia it is inability to focus
+
+205
+00:21:55,010 --> 00:21:58,330
+light rays on the retina و هتتركز وين؟ behind the
+
+206
+00:21:58,330 --> 00:22:07,650
+retina، like high bar metrope طيب،
+
+207
+00:22:07,650 --> 00:22:11,610
+الآن في حالة ما يكون ال patient عامل accommodation
+
+208
+00:22:12,770 --> 00:22:19,130
+العين بتصغر او عفوا عدسة العين بتصغر ولا بتكبر؟
+
+209
+00:22:19,130 --> 00:22:24,450
+الان يما patient بعمل accommodation عدسة العين
+
+210
+00:22:24,450 --> 00:22:30,470
+يعني بمعنى انه بتصير shorten ولا بتصير longer؟
+
+211
+00:22:30,470 --> 00:22:35,030
+بالظبط انه بتقصر okay ف hand accommodated
+
+212
+00:22:35,030 --> 00:22:40,910
+simplified eye هذا بيشرح انه كيف ان العدسة العين
+
+213
+00:22:40,910 --> 00:22:46,690
+بتصبح قصيرةيعني قصر عدسة العين اثناء ما بتعمل
+
+214
+00:22:46,690 --> 00:22:51,530
+عملية مين ال accommodation لو بتلاحظ في الشكل هذا
+
+215
+00:22:51,530 --> 00:22:56,710
+هنا عندنا في حالة ال accommodation انه lens shape
+
+216
+00:22:56,710 --> 00:23:02,170
+شكل العدسة in the unaccommodated eye وهذا ال lens
+
+217
+00:23:02,170 --> 00:23:06,190
+shape وين في ال accommodated eye بنلاحظ ان شكل
+
+218
+00:23:06,190 --> 00:23:11,430
+العدسة ايش صار اكتريعني أقل حجم okay لإنه صار لل
+
+219
+00:23:11,430 --> 00:23:15,030
+celery muscle إيه contraction وعملت ال lens
+
+220
+00:23:15,030 --> 00:23:20,170
+relaxation لل lens capsule فبصير حجم ايش أقل okay
+
+221
+00:23:20,170 --> 00:23:26,290
+إذا lens shape shortened in the accommodation eye
+
+222
+00:23:26,290 --> 00:23:29,370
+true or false true okay
+
+223
+00:23:32,030 --> 00:23:37,250
+the change انه التغير in lens shape في شكل العدسة
+
+224
+00:23:37,250 --> 00:23:41,570
+during accommodation خلال التكييف when the lens
+
+225
+00:23:41,570 --> 00:23:47,190
+power عندما قوة العدسة increases بزيد the lens
+
+226
+00:23:47,190 --> 00:23:52,050
+thickness اي بزيد ايش سماكة العدسة بصرلها ايش
+
+227
+00:23:52,050 --> 00:23:56,030
+bulging بمعنى نتوء protrusion لو بتذكروا كلمة
+
+228
+00:23:56,030 --> 00:24:01,040
+protrusion نفسها هي كلمة bulging اي بمعنى نتوءOkay
+
+229
+00:24:01,040 --> 00:24:05,720
+mainly at the front surface طبعا هذا المتوق بيصير
+
+230
+00:24:05,720 --> 00:24:13,660
+أساسه في السطح الأمامي للعدسة okay hence أي بمعنى
+
+231
+00:24:13,660 --> 00:24:19,080
+لاحظ the anterior surface السطح الأمامي is the
+
+232
+00:24:19,080 --> 00:24:24,800
+major contributor أي بمعنى هو الجزء اللي بيساهم في
+
+233
+00:24:24,800 --> 00:24:29,860
+زيادة قوة العدسة to increase lens powerإذا الـ
+
+234
+00:24:29,860 --> 00:24:33,220
+anterior surface ده ال lens أي السطح الأمامي
+
+235
+00:24:33,220 --> 00:24:37,500
+للعدسة هو اللي بيساهم بإيش في ال lens power إنه
+
+236
+00:24:37,500 --> 00:24:43,260
+بزيادة قوة مين العدسة okay؟ إذا which surface
+
+237
+00:24:43,260 --> 00:24:47,380
+increase the lens power, anterior or posterior,
+
+238
+00:24:47,740 --> 00:24:53,540
+anterior surface؟ لأن ال anterior surfaceلأ غير
+
+239
+00:24:53,540 --> 00:24:58,740
+هيك ان ال .. ال anterior surface هو يعتبر الان ال
+
+240
+00:24:58,740 --> 00:25:03,760
+cornia ال window of the eye بعد ال cornia السطح
+
+241
+00:25:03,760 --> 00:25:06,880
+اللي بيجي اللي بيعمل refract ل ال light rays on
+
+242
+00:25:06,880 --> 00:25:11,540
+the retina هو main ال anterior surface of the lens
+
+243
+00:25:11,540 --> 00:25:15,200
+فعشان هيك هو بيعمل دايما ال accommodations هو
+
+244
+00:25:15,200 --> 00:25:18,140
+المهم كثير انه ليش ال accommodation بيكون في ال
+
+245
+00:25:18,140 --> 00:25:20,800
+anterior surface مش في ال posterior surface
+
+246
+00:25:24,890 --> 00:25:30,290
+بالظبط و ال anterior surface انه بالاضافة انه
+
+247
+00:25:30,290 --> 00:25:34,190
+بيكون ال anterior surface هو ملامس لمين للكورنية
+
+248
+00:25:34,190 --> 00:25:37,770
+الكورنية اللي هي ال window of the eye فبيجي ال
+
+249
+00:25:37,770 --> 00:25:42,070
+light rays بعد ما بدخل القرنية لل anterior surface
+
+250
+00:25:42,070 --> 00:25:48,830
+of the lens and then to the retina واضح
+
+251
+00:25:48,830 --> 00:25:49,470
+السؤال؟
+
+252
+00:25:57,710 --> 00:26:01,410
+الان في عندنا لو حكيتلك mention types of
+
+253
+00:26:01,410 --> 00:26:08,190
+accommodation يعني اوصف انواع ال accommodation شو
+
+254
+00:26:08,190 --> 00:26:10,870
+انواع ال accommodation؟ في عندنا نوعين لل
+
+255
+00:26:10,870 --> 00:26:15,510
+accommodation اما ان يكون physical اي بمعنى
+
+256
+00:26:15,510 --> 00:26:18,650
+فيزيائي او ممكن ان يكون physiological
+
+257
+00:26:18,650 --> 00:26:23,250
+accommodation اي بمعنى فيزيولوجي بدنا نشوف ايش ال
+
+258
+00:26:23,250 --> 00:26:27,430
+main difference بين ال physicalوالفي السيولوجي
+
+259
+00:26:27,430 --> 00:26:32,890
+accommodation okay two factors أي بمعنى عاملين
+
+260
+00:26:32,890 --> 00:26:38,370
+enter into the efficiency إذا عاملين بيدخلوا in
+
+261
+00:26:38,370 --> 00:26:41,650
+the efficiency أي بمعنى التأثير of accommodation
+
+262
+00:26:41,650 --> 00:26:46,450
+على عملية التكييف إذا أكم عاملية ألا بيأثروا على
+
+263
+00:26:46,450 --> 00:26:51,190
+ال accommodation عاملين ممتازة إذا الفي السيولوجي
+
+264
+00:26:51,190 --> 00:26:53,550
+و ال physical accommodation okay
+
+265
+00:26:56,560 --> 00:27:01,240
+شو الفرق ما بينهم؟ what are the difference or what
+
+266
+00:27:01,240 --> 00:27:04,560
+are the main difference between physical and
+
+267
+00:27:04,560 --> 00:27:09,880
+physiological accommodation؟
+
+268
+00:27:09,880 --> 00:27:15,340
+طيب
+
+269
+00:27:15,340 --> 00:27:17,780
+another answer؟ تفضلي
+
+270
+00:27:26,150 --> 00:27:30,370
+another answer إذا في عندنا two types of
+
+271
+00:27:30,370 --> 00:27:35,130
+accommodation ال physical accommodation و ال
+
+272
+00:27:35,130 --> 00:27:39,170
+physiological accommodation شوه ال main difference
+
+273
+00:27:39,170 --> 00:27:42,210
+ما بين ال physical accommodation و ال
+
+274
+00:27:42,210 --> 00:27:45,030
+physiological accommodation ال physical
+
+275
+00:27:45,030 --> 00:27:50,230
+accommodation بيعمل تغيير في شكل العدسة okay إذا
+
+276
+00:27:50,230 --> 00:27:54,280
+بيكون التغيير وين؟ في شكل العدسةال physiological
+
+277
+00:27:54,280 --> 00:27:58,500
+accommodation له علاقة في مين؟ في ال celery muscle
+
+278
+00:27:58,500 --> 00:28:03,960
+احنا قلنا في ال mechanism لل accommodation ال
+
+279
+00:28:03,960 --> 00:28:07,360
+physiological accommodation او ال mechanism of
+
+280
+00:28:07,360 --> 00:28:10,260
+accommodation ايش بيعمل contraction لل celery
+
+281
+00:28:10,260 --> 00:28:15,640
+muscle انه بيعمل انقباض للعضلة الهدبية okay فال
+
+282
+00:28:15,640 --> 00:28:20,680
+physiological accommodation انه قدرة العين انه
+
+283
+00:28:20,680 --> 00:28:25,100
+تعمل contraction لل celery muscleقداش قدرتها؟ okay
+
+284
+00:28:25,100 --> 00:28:29,940
+فعنا two factors عاملين بيدخلوا في التأثير على ال
+
+285
+00:28:29,940 --> 00:28:33,500
+accommodation number one physical accommodation أي
+
+286
+00:28:33,500 --> 00:28:38,100
+بمعنى التكيف الفيزيائي the ability of the lens to
+
+287
+00:28:38,100 --> 00:28:42,360
+change its shape إذا قدرة العدسة على تغيير شكلها
+
+288
+00:28:43,070 --> 00:28:46,590
+أخدنا بداية في ال definition لل accommodation ان
+
+289
+00:28:46,590 --> 00:28:51,830
+عدسة العين بصير لها تغير في شكلها فالقدرة على تغير
+
+290
+00:28:51,830 --> 00:28:58,230
+شكل عدسة العين هذا بنسميه physical accommodation
+
+291
+00:28:58,230 --> 00:29:05,090
+في physiological accommodation the power of the
+
+292
+00:29:05,090 --> 00:29:09,830
+ciliary muscle يعني قداش قوة العضلة الهدبية one
+
+293
+00:29:09,830 --> 00:29:16,370
+two threeقداش القوة بتاعت مين؟ العضلة الهدبية اذا
+
+294
+00:29:16,370 --> 00:29:22,370
+ال mention types of accommodation there are two
+
+295
+00:29:22,370 --> 00:29:25,850
+types in number number one physical accommodation
+
+296
+00:29:25,850 --> 00:29:29,070
+number two physiological accommodation physical
+
+297
+00:29:29,070 --> 00:29:32,530
+accommodation القدرة على التغيير في مين؟ في شكل
+
+298
+00:29:32,530 --> 00:29:35,590
+العدسة ال physiological accommodation ال power of
+
+299
+00:29:35,590 --> 00:29:36,630
+the ciliary muscle
+
+300
+00:29:40,630 --> 00:29:44,390
+طيب if the substance of the lens .. إذا كانت
+
+301
+00:29:44,390 --> 00:29:49,230
+substance بمعنى مادة العدسة becomes inelastic يعني
+
+302
+00:29:49,230 --> 00:29:53,910
+إذا أصبحت مادة العدسة إيش؟ غير مرنة or
+
+303
+00:29:53,910 --> 00:30:00,390
+inflexibility إنه بتكون غير مرنة okayas it occurs
+
+304
+00:30:00,390 --> 00:30:04,050
+زي ما بحدث وين في ال progressive age أي بمعنى مع
+
+305
+00:30:04,050 --> 00:30:08,510
+تقدم العمر يعني الإنسان كل ما اتقدم في العمر
+
+306
+00:30:08,510 --> 00:30:12,790
+بتلاقي أنه طبيعة العدسة بتصير إيه inelastic فعشان
+
+307
+00:30:12,790 --> 00:30:16,050
+هيك ما بيجي بقرا بتلاقي إيه إيش بدون نضارة بعد
+
+308
+00:30:16,050 --> 00:30:21,770
+الكلام okay فالمادة بتاعة العدسة أنه مع تقدم العمر
+
+309
+00:30:21,770 --> 00:30:29,430
+إيش بتصير inelastic غير marina okay why؟ليش .. ليش
+
+310
+00:30:29,430 --> 00:30:32,830
+العدسة بتصبح ال .. غير مرنة مع تقدم العمر؟ تقدرش
+
+311
+00:30:32,830 --> 00:30:37,550
+تعمل وظائفها زي .. celery muscle تقدرش تعمل
+
+312
+00:30:37,550 --> 00:30:43,910
+contraction زي أول مرة، فالشبط تبقى هتكبر بشكل
+
+313
+00:30:43,910 --> 00:30:50,050
+عام، عامة كامة عشان تشتغل عامة كامة عامة عشان
+
+314
+00:30:50,050 --> 00:30:56,090
+تشتغل عامة كامة عامة عامة عامة عامة عامة عامة عامة
+
+315
+00:30:56,090 --> 00:30:56,490
+عامة عامة عامة عامة عامة عامة عامة عامة عامة عامة
+
+316
+00:30:59,700 --> 00:31:07,120
+طبعا الإجابة اسلام هي الأقرب انه العدسة مع تقدم
+
+317
+00:31:07,120 --> 00:31:11,540
+العمر بيكون الشكل بتاعها بيصير inability to change
+
+318
+00:31:11,540 --> 00:31:16,100
+its shape مع تقدم العمر لكن ال celery muscle ال
+
+319
+00:31:16,100 --> 00:31:19,700
+contraction لل celery muscle ممكن واحد صغير طفل
+
+320
+00:31:19,700 --> 00:31:24,120
+يكون عنده relaxation لل celery muscle مالهاش علاقة
+
+321
+00:31:24,120 --> 00:31:30,160
+في مين في العمر okay؟إذا ليش العدسة بتصبح
+
+322
+00:31:30,160 --> 00:31:39,700
+inelastic غير marina مع تقدم العمر؟ why؟
+
+323
+00:31:39,700 --> 00:31:46,720
+بتكون inability to change its shape يعني العدسة مش
+
+324
+00:31:46,720 --> 00:31:50,700
+قادرة على تغيير شكلها فعشان هيك بتصبح العدسة
+
+325
+00:31:50,700 --> 00:31:58,360
+inelastic انه غير marina or inflexibilitySo that
+
+326
+00:31:58,360 --> 00:32:01,920
+it can no longer change its shape, accommodation
+
+327
+00:32:01,920 --> 00:32:05,320
+cannot act even if the ciliary muscle violently
+
+328
+00:32:05,320 --> 00:32:09,100
+contracts يعني حتى لو احنا عملنا contraction لل
+
+329
+00:32:09,100 --> 00:32:13,820
+ciliary muscle بشكل عنيف مش هنقدر انه نغير من مين؟
+
+330
+00:32:13,820 --> 00:32:18,860
+من شكل العدسة، اذا مع تقدم العمر شكل العدسة ايش
+
+331
+00:32:18,860 --> 00:32:24,750
+بيصير؟ غير قادر على التغيرinability to change its
+
+332
+00:32:24,750 --> 00:32:30,430
+shape فبتلاحظ ان لو انت عملت بشكل عنيف contraction
+
+333
+00:32:30,430 --> 00:32:35,870
+للcellar muscle برضه مش هتقدر تتغير من مين من شكل
+
+334
+00:32:35,870 --> 00:32:39,710
+العدسة واضحة؟
+
+335
+00:32:39,710 --> 00:32:43,070
+on
+
+336
+00:32:43,070 --> 00:32:48,090
+the other hand أي بمعنى من ناحية أخرىawake or
+
+337
+00:32:48,090 --> 00:32:53,490
+paralysis أي بمعنى ضعف أو شلل لمين لسه لري مصل
+
+338
+00:32:53,490 --> 00:33:00,330
+okay will not be able يعني سوف يكون غير قادر to
+
+339
+00:33:00,330 --> 00:33:05,590
+induce أي بمعنى انه يغير change in the lens shape
+
+340
+00:33:05,590 --> 00:33:09,950
+even in children يعني واحد عنده نفترض relaxation
+
+341
+00:33:09,950 --> 00:33:14,500
+لل accommodation okayال .. ال relaxation لل celery
+
+342
+00:33:14,500 --> 00:33:18,620
+muscle ال .. ال celery muscle العضلة الهدبية مش
+
+343
+00:33:18,620 --> 00:33:24,220
+هتقدر تغير من مين من شكل العدسة و لو كان طفل و
+
+344
+00:33:24,220 --> 00:33:26,920
+دايما يما واحد يكون عنده paralysis لل celery
+
+345
+00:33:26,920 --> 00:33:33,170
+muscle علاقة في مين؟حكيانة هو اللي بيعمل تغذية
+
+346
+00:33:33,170 --> 00:33:37,190
+للبارا ال sympathetic nerve فهي بتكون ال problem
+
+347
+00:33:37,190 --> 00:33:39,850
+وين عنده او ال disease في البارا ال sympathetic
+
+348
+00:33:39,850 --> 00:33:43,930
+nerve اللي بيعمل innervation تغذية لمين؟ للcellar
+
+349
+00:33:43,930 --> 00:33:50,630
+muscle okay okay
+
+350
+00:33:50,630 --> 00:33:56,660
+physical accommodationكتعريف يعني more expression
+
+351
+00:33:56,660 --> 00:34:01,620
+يعني اكثر تعبيرا it is an expression انه بيعبرله
+
+352
+00:34:01,620 --> 00:34:06,540
+of the actual physical deformation of the lens اذا
+
+353
+00:34:06,540 --> 00:34:12,820
+بنعبر عن مفهوم التكييف الفيزيائي انه بيعمل
+
+354
+00:34:12,820 --> 00:34:18,180
+deformation اي بمعنى distortion تشوه لمين لل lens
+
+355
+00:34:18,180 --> 00:34:24,260
+للعدسة and it is measured بيقاس بوحدة مينالديوبتر،
+
+356
+00:34:24,260 --> 00:34:27,460
+الديوبتر هي عبارة عن ال unit measurement of the
+
+357
+00:34:27,460 --> 00:34:32,720
+refractive power، صحيح؟ Thus لذلك if the
+
+358
+00:34:32,720 --> 00:34:37,120
+converging power، إذا القوة المجمعة of the eye
+
+359
+00:34:37,120 --> 00:34:42,510
+للعين increased by one diopterincreases by one
+
+360
+00:34:42,510 --> 00:34:47,250
+diopter بمعنى بزيد one diopter we speak of the
+
+361
+00:34:47,250 --> 00:34:50,870
+expenditure of one diopter of accommodation يعني
+
+362
+00:34:50,870 --> 00:34:55,190
+هذا بشير انه indication اليك انه زيادة one
+
+363
+00:34:55,190 --> 00:34:59,270
+convergenceإذا دايما في علاقة ما بين ال
+
+364
+00:34:59,270 --> 00:35:02,430
+accommodation و ما بين ال convergence أو ما بين ال
+
+365
+00:35:02,430 --> 00:35:05,830
+convergence و ال accommodation أي زيادة في ال
+
+366
+00:35:05,830 --> 00:35:08,530
+accommodation بتبعها زيادة في وين في ال
+
+367
+00:35:08,530 --> 00:35:12,670
+convergence and vice versa و العكس صحيح أي زيادة
+
+368
+00:35:12,670 --> 00:35:16,670
+في ال accommodation بتبعها زيادة في ال convergence
+
+369
+00:35:16,670 --> 00:35:22,850
+عشان واحد مثلا عنده abnormality لل accommodation
+
+370
+00:35:22,850 --> 00:35:27,880
+بتلاقي تلت شغلات متلاسقين مع بعضهذه احفظوهم
+
+371
+00:35:27,880 --> 00:35:33,960
+accommodation, convergence, meiosis دائما يما واحد
+
+372
+00:35:33,960 --> 00:35:38,120
+يكون عنده abnormality لل accommodation اي بمعنى ال
+
+373
+00:35:38,120 --> 00:35:41,880
+accommodation اللي عنده مش طبيعي ففي تلات شغلات
+
+374
+00:35:41,880 --> 00:35:46,180
+متلاسقين مع بعض يعني associated together شو هما
+
+375
+00:35:46,180 --> 00:35:50,920
+accommodation number one, convergence و ال meiosis
+
+376
+00:35:52,640 --> 00:35:56,300
+منطقيا الان انا يما بعمل accommodation بعمل ايه
+
+377
+00:35:56,300 --> 00:36:00,600
+convergence يما انت بتطلع للقريب بعمل ميوز الزمين
+
+378
+00:36:00,600 --> 00:36:08,640
+للبيوبل okay طيب
+
+379
+00:36:08,640 --> 00:36:13,200
+في عندنا ال physiological accommodation اي بمعنى
+
+380
+00:36:13,200 --> 00:36:17,000
+التكييف الفيسيولوجي
+
+381
+00:36:17,870 --> 00:36:23,030
+it is the action أي بمعنى سلوك لمين of ciliary
+
+382
+00:36:23,030 --> 00:36:29,250
+muscle للعضلة الهدبية and is measured بيقاس by the
+
+383
+00:36:29,250 --> 00:36:33,710
+unit بوحدة of ديوبتر، إذا بنقيصه بوحدة إيش؟
+
+384
+00:36:33,710 --> 00:36:38,010
+الديوبتر، دايما accommodation ال unit بتاعها
+
+385
+00:36:38,010 --> 00:36:42,630
+ديوبتر، convergence divergence الوحدة إيه؟ ديوبتر،
+
+386
+00:36:42,630 --> 00:36:49,130
+أي تبور دايما القوة بتكون في الديوبترwhich equals
+
+387
+00:36:49,130 --> 00:36:52,870
+to the magnitude of the ciliary muscle contraction
+
+388
+00:36:52,870 --> 00:37:03,310
+to rise
+
+389
+00:37:03,310 --> 00:37:06,570
+لزيادة the refractive power of the lens one
+
+390
+00:37:06,570 --> 00:37:07,010
+diopter
+
+391
+00:37:23,430 --> 00:37:31,650
+لما يزيد اكومديشن خلال عملية الاكومديشن؟ لما يزيد
+
+392
+00:37:31,650 --> 00:37:37,810
+اكومديشن خلال عملية الاكومديشن؟ لما
+
+393
+00:37:37,810 --> 00:37:42,390
+يزيد اكومديشن خلال عملية الاكومديشن؟
+
+394
+00:37:48,500 --> 00:37:51,980
+both كلا ال physical and physiological
+
+395
+00:37:51,980 --> 00:37:55,900
+accommodation correspond each other during the
+
+396
+00:37:55,900 --> 00:38:00,420
+first half of life يعني قبل الأربعين سنة أو في
+
+397
+00:38:00,420 --> 00:38:04,880
+دراسات بتقول قبل الخمسة و ثلاثين سنة ال physical و
+
+398
+00:38:04,880 --> 00:38:08,220
+ال physiological accommodation بكونوا associated
+
+399
+00:38:08,220 --> 00:38:12,480
+يعني متلاسقين or correspond يعني together معاك
+
+400
+00:38:12,480 --> 00:38:17,440
+okay هذه قبل أيه سن الخمسة و تلاتين أو الأربعين
+
+401
+00:38:21,850 --> 00:38:26,070
+أه okay الآن ال physical و ال physiological
+
+402
+00:38:26,070 --> 00:38:29,650
+accommodation قبل سن الأربعين سنة أو الخمسة و
+
+403
+00:38:29,650 --> 00:38:33,030
+تلاتين سنة according to previous studies بيقولك
+
+404
+00:38:33,030 --> 00:38:37,210
+اتنين بيكونوا متلاسقين معا يعني بمعنى ان ال
+
+405
+00:38:37,210 --> 00:38:40,760
+physical accommodation شو بتعمل؟بتغير في شكل
+
+406
+00:38:40,760 --> 00:38:46,840
+العدسة و في physiological accommodation بتعمل انه
+
+407
+00:38:46,840 --> 00:38:50,060
+increase ال power of the ciliary muscle فالتانتين
+
+408
+00:38:50,060 --> 00:38:55,040
+هدول بيشتغلوا مع بعض يعني friendly okay يعني they
+
+409
+00:38:55,040 --> 00:39:01,200
+are together انه بيكونوا معانا okay إذا التانين
+
+410
+00:39:01,200 --> 00:39:05,800
+إيش بيكونوا؟ مع بعض okay طيب why؟
+
+411
+00:39:11,410 --> 00:39:14,810
+why the physical and physiological accommodation
+
+412
+00:39:14,810 --> 00:39:21,170
+are working together before 40 years old؟يعني ليش
+
+413
+00:39:21,170 --> 00:39:26,810
+التكيف الفيزيولوجي والتكيف الفيزيائي بيعملوا مع
+
+414
+00:39:26,810 --> 00:39:28,990
+بعض قبل سن الأربعين سنة؟
+
+415
+00:39:52,930 --> 00:40:00,130
+Okay another answer you
+
+416
+00:40:00,130 --> 00:40:00,710
+are correct
+
+417
+00:40:08,380 --> 00:40:17,820
+طيب هو اتفضلي طيب
+
+418
+00:40:17,820 --> 00:40:21,620
+بس
+
+419
+00:40:21,620 --> 00:40:25,580
+أنا بسأل why before forty years أنا ماسألتش after
+
+420
+00:40:25,580 --> 00:40:30,680
+يعني
+
+421
+00:40:30,680 --> 00:40:36,820
+قبل بتكون العدسةelastic صح or flexible النمر هنا
+
+422
+00:40:36,820 --> 00:40:42,560
+الإجابة صحيحة بتاعتكم بس يعني simple answer أنه
+
+423
+00:40:42,560 --> 00:40:46,880
+قبل الأربعين سنة بيكون العدسة قادرة على تغيير
+
+424
+00:40:46,880 --> 00:40:51,320
+شكلها okay يعني بتعمل it is ability to change it
+
+425
+00:40:51,320 --> 00:40:56,720
+is shape إذا بتقدر العدسة تغير من شكلها okay زائد
+
+426
+00:40:56,720 --> 00:41:00,080
+أنه بيعمل إيه contraction للcellar muscle فالتانين
+
+427
+00:41:00,080 --> 00:41:04,000
+هتلاقيهم إيشبشتغلوا مع بعض انه they are working
+
+428
+00:41:04,000 --> 00:41:07,480
+together ليش؟ لأنه هي بتعمل contraction انقباض
+
+429
+00:41:07,480 --> 00:41:12,360
+للcellar muscle زاد انه بتغير من شكلها طيب نشوف
+
+430
+00:41:12,360 --> 00:41:16,000
+بعد الأربعين أو بعد الخمسة و ثلاثين سنة إيش اللي
+
+431
+00:41:16,000 --> 00:41:23,140
+بيحدث but during the second half of life after age
+
+432
+00:41:23,140 --> 00:41:28,550
+of fortyبالاربعين سنة أو بعد الخمسة و تلاتين سنة
+
+433
+00:41:28,550 --> 00:41:33,610
+both types of accommodation النوعين ال physical و
+
+434
+00:41:33,610 --> 00:41:37,350
+ال physiological accommodation dissociate أي بمعنى
+
+435
+00:41:37,350 --> 00:41:41,630
+separate أي بمعنى بنفصله where the physical
+
+436
+00:41:41,630 --> 00:41:45,850
+accommodation fails to cover the needs of near
+
+437
+00:41:45,850 --> 00:41:50,830
+work إذا بتكون غير قادرة على إيش تعمل cover إنه
+
+438
+00:41:50,830 --> 00:41:55,530
+تغطية لل near work للقريبwhile the ciliary muscle
+
+439
+00:41:55,530 --> 00:42:00,970
+is still intact أي بمعنى العضل الهدبية ما زالت إيش
+
+440
+00:42:00,970 --> 00:42:06,660
+بتقدر يعني بتكون intact بمعنى سليمة normal okayand
+
+441
+00:42:06,660 --> 00:42:10,880
+powerful but the lens becomes hard this occurs in
+
+442
+00:42:10,880 --> 00:42:14,720
+the breast biopia بمعنى انه الآن بعد سن الأربعين
+
+443
+00:42:14,720 --> 00:42:21,020
+سنة طبيعة العدسة بتصبح inelastic انه غير مرنة لكن
+
+444
+00:42:21,020 --> 00:42:25,480
+ال celery muscle ايش ماله مازال بيعمل contraction
+
+445
+00:42:25,480 --> 00:42:30,680
+لل celery muscle و هذا اللي بيحدث وين؟في عملية ال
+
+446
+00:42:30,680 --> 00:42:34,180
+breast biopia عشان هيك بتلاقي ال separate ما بين
+
+447
+00:42:34,180 --> 00:42:37,280
+ال physical و ال physiological accommodation بعد
+
+448
+00:42:37,280 --> 00:42:42,460
+سن الأربعين سنة اذا why the physical and
+
+449
+00:42:42,460 --> 00:42:46,320
+physiological accommodation separate after 40
+
+450
+00:42:46,320 --> 00:42:55,140
+years انه okay and still contraction of the
+
+451
+00:42:55,140 --> 00:43:02,330
+ciliary muscle okaydue to يعني بسبب انه طبيعة
+
+452
+00:43:02,330 --> 00:43:08,250
+العدسة العين بتصبح inelastic غير marina لكن ال
+
+453
+00:43:08,250 --> 00:43:13,050
+celery muscle العضلة الهدبية بتستمر انه ايش انه is
+
+454
+00:43:13,050 --> 00:43:16,410
+still intact يعني normal انه طبيعية يعني بتقدر
+
+455
+00:43:16,410 --> 00:43:21,510
+عملية ال contraction الانقباط و ال relaxation زي
+
+456
+00:43:21,510 --> 00:43:25,410
+ما كانت قبل اه بس بتغير الشكل بتاع العدسةفبالتالي
+
+457
+00:43:25,410 --> 00:43:28,430
+بيحدث ال breast biopia، عشان هي كما عرفنا ال
+
+458
+00:43:28,430 --> 00:43:32,250
+breast biopia، it is inability to change the shape
+
+459
+00:43:32,250 --> 00:43:37,410
+of the lens، okay، converging power، ماقلناش في ال
+
+460
+00:43:37,410 --> 00:43:39,670
+celery muscle، ماتكلمنا عن ال celery muscle، لأنه
+
+461
+00:43:39,670 --> 00:43:42,730
+ال celery muscle بعد الأربعين سنة عادي، بيظلوا أنه
+
+462
+00:43:42,730 --> 00:43:46,770
+بيعمل contraction و relaxation، أي بمعنى ارتخاء
+
+463
+00:43:46,770 --> 00:43:54,530
+وانقفاض، okay؟طبعا العدسة في حالة ال breast biopia
+
+464
+00:43:54,530 --> 00:43:59,290
+بتصير inelastic وكمان ايه؟ ممكن يعني بتصير hard،
+
+465
+00:43:59,290 --> 00:44:05,930
+hard بمعنى صلبة okay conversely
+
+466
+00:44:05,930 --> 00:44:12,090
+أي بمعنى على العكس or okay a failure of the
+
+467
+00:44:12,090 --> 00:44:12,730
+physiological
+
+468
+00:44:15,720 --> 00:44:20,340
+of the physiological power انه يما بيعمل عملية انه
+
+469
+00:44:20,340 --> 00:44:22,580
+ال .. ال celery muscle ما بيصيرلهوش عملية
+
+470
+00:44:22,580 --> 00:44:25,900
+contraction مافيش انقباض لل .. لل celery muscle
+
+471
+00:44:25,900 --> 00:44:30,940
+may appear هذه بتظهر in states of debility أي في
+
+472
+00:44:30,940 --> 00:44:33,180
+حالات وين ما يكون في ضعف للجسم
+
+473
+00:44:36,980 --> 00:44:42,240
+ناس عندهم مجعيات أو فقر شديد and in diseases في
+
+474
+00:44:42,240 --> 00:44:45,340
+أمراض البارا sympathetic nerve supplied to the
+
+475
+00:44:45,340 --> 00:44:49,660
+muscle when the muscle fails at any age while the
+
+476
+00:44:49,660 --> 00:44:53,550
+lens is intactيعني بيكون الآن المشكلة وين؟ في ال
+
+477
+00:44:53,550 --> 00:44:56,550
+celery muscle، يعني ال celery muscle مش قادرة تعمل
+
+478
+00:44:56,550 --> 00:45:01,950
+contraction، انقباض، فالآن إما بيصير عدم قدرة ال
+
+479
+00:45:01,950 --> 00:45:05,510
+celery muscle على الانقباض، لكن العدسة H بتكون
+
+480
+00:45:05,510 --> 00:45:10,230
+intact، سليمة، و هذه وين بتكون؟ في أي عمر؟ at any
+
+481
+00:45:10,230 --> 00:45:17,020
+ageصح؟ في أي عمر؟ لإن واحد عنده مثلا البره
+
+482
+00:45:17,020 --> 00:45:21,120
+sympathetic nerve فيه problem فيه، ممكن يكون هو
+
+483
+00:45:21,120 --> 00:45:25,880
+طفل، ممكن يكون بعد الأربعين، قبل الأربعين، okay؟
+
+484
+00:45:25,880 --> 00:45:30,920
+أي بمعنى at any age، إذا دايما ال breast biopia
+
+485
+00:45:30,920 --> 00:45:35,700
+بتكون بعد الأربعين، okay؟ ليش؟ لإنه بتغير من شكل
+
+486
+00:45:35,700 --> 00:45:39,820
+العدسة، مع إنه بتحافظ على إن الcellar muscle بيكون
+
+487
+00:45:40,700 --> 00:45:46,980
+contraction لكن يما يكون في عملية انه ال .. انه ال
+
+488
+00:45:46,980 --> 00:45:49,980
+بره sympathetic nerve انه failure of the بره
+
+489
+00:45:49,980 --> 00:45:53,760
+sympathetic nerve هذا بتكون at any age، في أي عمر،
+
+490
+00:45:53,760 --> 00:45:56,760
+ليش؟ لأن العدسة بتكون intact، سليمة
+
+491
+00:46:00,360 --> 00:46:04,740
+Since an attempt of ciliary muscle يعني منذ انه
+
+492
+00:46:04,740 --> 00:46:09,040
+اتحاول ال ciliary muscle العضلة الهدبية to cover
+
+493
+00:46:09,040 --> 00:46:13,440
+the accommodation deficiency أي منذ انه اتحاول
+
+494
+00:46:13,440 --> 00:46:17,900
+العدسة على تغطية النقص اللي موجود في ال
+
+495
+00:46:17,900 --> 00:46:21,960
+accommodation أي بمعنى weakness يعني دايما بسمه
+
+496
+00:46:21,960 --> 00:46:25,200
+عند واحد عنده accommodation deficiency أو بنسميه
+
+497
+00:46:25,200 --> 00:46:31,770
+weakness أي بمعنى ضعف في التكيفby a sustained أي
+
+498
+00:46:31,770 --> 00:46:37,570
+بمعنى بواسطة زيادة انه بعمل زيادة and exaggerated
+
+499
+00:46:37,570 --> 00:46:42,370
+أي بمعنى انه مبالغ فيه يعني كيف يعني over زيادة
+
+500
+00:46:42,370 --> 00:46:45,990
+over contraction such as a weakness may be
+
+501
+00:46:45,990 --> 00:46:50,170
+responsible for the ice train and a stenopia الآن
+
+502
+00:46:50,170 --> 00:46:55,740
+المواحد عنده deficiency نقصفي ال accommodation أو
+
+503
+00:46:55,740 --> 00:46:59,080
+بمعنى weakness، ضعف في ال accommodation، هذا
+
+504
+00:46:59,080 --> 00:47:05,260
+هيعمله إيش؟ ال eye strain، هيعمله ال fatigue أو ال
+
+505
+00:47:05,260 --> 00:47:10,740
+.. ال eye pain، ألم في العين، okay؟ إذا دايما
+
+506
+00:47:10,740 --> 00:47:14,460
+سببها إيش؟ weakness في ال accommodationعشان هيك
+
+507
+00:47:14,460 --> 00:47:17,940
+بتلاقي معظم الناس الكبار بعد سن الأربعين ياما بيجي
+
+508
+00:47:17,940 --> 00:47:22,140
+بقرا أكتر من ساعة إيش، بتعب، بقولك أنا صار عندي
+
+509
+00:47:22,140 --> 00:47:26,600
+eye strain، صار عندي eye fatigue، أسنوبية، ليش؟ شو
+
+510
+00:47:26,600 --> 00:47:30,820
+السبب؟انه عنده weakness .. weakness لل
+
+511
+00:47:30,820 --> 00:47:36,200
+accommodation انه inability to shape of the .. to
+
+512
+00:47:36,200 --> 00:47:40,480
+shape the .. to shape of the lens انه مش قادر انه
+
+513
+00:47:40,480 --> 00:47:44,860
+يغير على شكل العدسة okay؟ لكن انه ال celery muscle
+
+514
+00:47:44,860 --> 00:47:49,760
+بتكون intact طبيعية okay؟ في اي سؤال اي استفسار
+
+515
+00:47:49,760 --> 00:47:51,120
+يعطيكم العافية هيك
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..87929152dc74d0d96f7c1e6ce2cf8f431db64055
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4646, "start": 21.78, "end": 46.46, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته and a very good afternoon to all of you اليوم ان شاء الله هنبدأ في موضوع ال accommodation accommodation بمعنى التكييف بداية قبل ما نبدأ في موضوع التكييف في عندنا ال crystalline lens العدسة", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 293, 257, 588, 665, 6499, 281, 439, 295, 291, 45595, 20498, 16472, 13412, 16606, 21984, 8032, 1863, 44510, 10721, 8978, 3714, 2407, 11242, 45367, 2423, 27363, 27363, 4724, 2304, 3615, 1863, 7578, 16712, 4117, 1829, 33911, 4724, 28259, 10632, 12174, 36150, 19446, 8717, 44510, 10721, 8978, 3714, 2407, 11242, 45367, 16712, 4117, 1829, 33911, 8978, 43242, 8315, 2423, 31924, 533, 6765, 18863, 3215, 3794, 3660], "avg_logprob": -0.0964712051863081, "compression_ratio": 1.7383177570093458, "no_speech_prob": 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الشبكية برضه ال function بتاعة ال lens انه بتقوم بعملية ايه accommodation okay طيب من ال characteristics ده ال lens biconvex شو معنى biconvex؟ okay", "tokens": [270, 3665, 281, 1879, 3256, 322, 264, 1533, 1426, 16472, 3224, 39894, 3794, 995, 22488, 15844, 6055, 31747, 1829, 11622, 31767, 13063, 3660, 15844, 25124, 3555, 4117, 10632, 4724, 43042, 3224, 2423, 2445, 39894, 995, 27884, 2423, 6765, 16472, 3224, 39894, 4587, 20498, 4724, 25957, 1211, 10632, 1975, 1829, 3224, 27363, 1392, 23032, 1829, 3555, 9154, 2423, 10891, 11778, 3224, 2423, 6765, 272, 11911, 303, 87, 13412, 2407, 20449, 1863, 7578, 272, 11911, 303, 87, 22807, 1392], "avg_logprob": -0.15715144058832756, "compression_ratio": 1.4752475247524752, "no_speech_prob": 0.0, "words": [{"start": 71.38, "end": 71.64, "word": "it", "probability": 0.491455078125}, {"start": 71.64, "end": 72.2, "word": " helps", "probability": 0.85546875}, {"start": 72.2, "end": 72.68, "word": " to", "probability": 0.96875}, {"start": 72.68, "end": 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"end": 88.28, "word": " من", "probability": 0.966796875}, {"start": 88.28, "end": 88.44, "word": " ال", "probability": 0.93017578125}, {"start": 88.44, "end": 89.14, "word": " characteristics", "probability": 0.9384765625}, {"start": 89.14, "end": 89.64, "word": " ده", "probability": 0.845947265625}, {"start": 89.64, "end": 89.84, "word": " ال", "probability": 0.98876953125}, {"start": 89.84, "end": 90.18, "word": " lens", "probability": 0.9521484375}, {"start": 90.18, "end": 91.34, "word": " biconvex", "probability": 0.77142333984375}, {"start": 91.34, "end": 92.08, "word": " شو", "probability": 0.955322265625}, {"start": 92.08, "end": 92.36, "word": " معنى", "probability": 0.7373046875}, {"start": 92.36, "end": 94.12, "word": " biconvex؟", "probability": 0.827294921875}, {"start": 94.12, "end": 96.44, "word": " okay", "probability": 0.421875}], "temperature": 1.0}, {"id": 4, "seek": 11098, "start": 100.56, "end": 110.98, "text": "يعني بمعنى انه بتكون على الوجهين محدبة اذا عندنا ال crystalline", "tokens": [40228, 22653, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 39894, 30544, 15844, 2423, 29245, 3224, 9957, 3714, 24401, 49401, 1975, 15730, 43242, 8315, 2423, 31924, 533], "avg_logprob": -0.35908565477088644, "compression_ratio": 1.1290322580645162, "no_speech_prob": 0.0, "words": [{"start": 100.56, "end": 100.82, "word": "يعني", "probability": 0.6065673828125}, {"start": 100.82, "end": 101.38, "word": " بمعنى", "probability": 0.94111328125}, {"start": 101.38, "end": 101.62, "word": " انه", "probability": 0.45751953125}, {"start": 101.62, "end": 102.0, "word": " بتكون", "probability": 0.8994140625}, {"start": 102.0, "end": 102.28, "word": " على", "probability": 0.798828125}, {"start": 102.28, "end": 103.08, "word": " الوجهين", "probability": 0.97509765625}, {"start": 103.08, "end": 104.88, "word": " محدبة", "probability": 0.7263997395833334}, {"start": 104.88, "end": 106.56, "word": " اذا", "probability": 0.5361328125}, {"start": 106.56, "end": 107.08, "word": " عندنا", "probability": 0.8232421875}, {"start": 107.08, "end": 107.52, "word": " ال", "probability": 0.80029296875}, {"start": 107.52, "end": 110.98, "word": " crystalline", "probability": 0.6318359375}], "temperature": 1.0}, {"id": 5, "seek": 15997, "start": 134.88, "end": 159.98, "text": "number one transparent number two biconvex طبعا elastic شو معناه elastic؟ بنينا", "tokens": [41261, 472, 1145, 38321, 1230, 732, 34472, 266, 303, 87, 23032, 3555, 3615, 995, 17115, 13412, 2407, 20449, 8315, 3224, 17115, 22807, 4724, 22653, 8315], "avg_logprob": -0.2791466334691414, "compression_ratio": 1.0434782608695652, "no_speech_prob": 0.0, "words": [{"start": 134.88, "end": 135.2, "word": "number", "probability": 0.76806640625}, {"start": 135.2, "end": 135.84, "word": " one", "probability": 0.9326171875}, {"start": 135.84, "end": 141.04, "word": " transparent", "probability": 0.5328369140625}, {"start": 141.04, "end": 145.2, "word": " number", "probability": 0.84326171875}, {"start": 145.2, "end": 145.76, "word": " two", "probability": 0.96337890625}, {"start": 145.76, "end": 148.92, "word": " biconvex", "probability": 0.8780517578125}, {"start": 148.92, "end": 154.12, "word": " طبعا", "probability": 0.94873046875}, {"start": 154.12, "end": 154.82, "word": " elastic", "probability": 0.7626953125}, {"start": 154.82, "end": 158.32, "word": " شو", "probability": 0.96044921875}, {"start": 158.32, "end": 158.56, "word": " معناه", "probability": 0.7338053385416666}, {"start": 158.56, "end": 159.58, "word": " elastic؟", "probability": 0.686279296875}, {"start": 159.58, "end": 159.98, "word": " بنينا", "probability": 0.6319986979166666}], "temperature": 1.0}, {"id": 6, "seek": 19435, "start": 167.43, "end": 194.35, "text": "to focus light rays on the retina number five dysfunction", "tokens": [1353, 1879, 1442, 24417, 322, 264, 1533, 1426, 1230, 1732, 32002], "avg_logprob": -0.2986653546492259, "compression_ratio": 0.9661016949152542, "no_speech_prob": 0.0, "words": [{"start": 167.43, "end": 167.77, "word": "to", "probability": 0.1268310546875}, {"start": 167.77, "end": 170.21, "word": " focus", "probability": 0.97265625}, {"start": 170.21, "end": 174.25, "word": " light", "probability": 0.8740234375}, {"start": 174.25, "end": 176.37, "word": " rays", "probability": 0.89892578125}, {"start": 176.37, "end": 178.85, "word": " on", "probability": 0.951171875}, {"start": 178.85, "end": 181.63, "word": " the", "probability": 0.86962890625}, {"start": 181.63, "end": 183.97, "word": " retina", "probability": 0.98388671875}, {"start": 183.97, "end": 188.45, "word": " number", "probability": 0.8388671875}, {"start": 188.45, "end": 189.41, "word": " five", "probability": 0.73974609375}, {"start": 189.41, "end": 194.35, "word": " dysfunction", "probability": 0.580078125}], "temperature": 1.0}, {"id": 7, "seek": 22298, "start": 199.24, "end": 222.98, "text": "to do of accommodation اذا الأن افهمنا أن طريقة عمل ال accommodation أو ال definition of accommodation اللي مسئول عنه مين", "tokens": [1353, 360, 295, 27363, 1975, 15730, 16247, 1863, 1975, 5172, 16095, 8315, 14739, 23032, 16572, 28671, 6225, 42213, 2423, 27363, 34051, 2423, 7123, 295, 27363, 13672, 1829, 47524, 19986, 12610, 18871, 3224, 3714, 9957], "avg_logprob": -0.17343750255448478, "compression_ratio": 1.3983050847457628, "no_speech_prob": 0.0, "words": [{"start": 199.23999999999998, "end": 200.2, "word": "to", "probability": 0.86181640625}, {"start": 200.2, "end": 201.16, "word": " do", "probability": 0.97265625}, {"start": 201.16, "end": 203.44, "word": " of", "probability": 0.9716796875}, {"start": 203.44, "end": 210.62, "word": " accommodation", "probability": 0.95751953125}, {"start": 210.62, "end": 214.52, "word": " اذا", "probability": 0.616455078125}, {"start": 214.52, "end": 214.92, "word": " الأن", "probability": 0.668701171875}, {"start": 214.92, "end": 216.02, "word": " افهمنا", "probability": 0.886962890625}, {"start": 216.02, "end": 216.36, "word": " أن", "probability": 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بتكون؟ فى ال crystalline lens فى أنه جزء من ال lens فى ال capsule فى ال lens capsule فى المحفظة طبعا هذا ال figure بيمثل عنده ال un accommodated لل I لما يكون في حالة ال relax طبعا الآن الأشعة شو جاية؟", "tokens": [9566, 1829, 3555, 6024, 48506, 2423, 27363, 4032, 9957, 39894, 30544, 22807, 6156, 7578, 2423, 31924, 533, 6765, 6156, 7578, 14739, 3224, 10874, 11622, 38207, 9154, 2423, 6765, 6156, 7578, 2423, 29247, 6156, 7578, 2423, 6765, 29247, 6156, 7578, 9673, 5016, 5172, 19913, 3660, 23032, 3555, 3615, 995, 23758, 2423, 2573, 4724, 32640, 12984, 1211, 43242, 3224, 2423, 517, 11713, 770, 24976, 286, 5296, 15042, 7251, 30544, 8978, 11331, 6027, 3660, 2423, 5789, 23032, 3555, 3615, 995, 6024, 48506, 16247, 8592, 27884, 13412, 2407, 10874, 995, 10632, 22807], "avg_logprob": -0.14325842294800148, "compression_ratio": 1.619047619047619, "no_speech_prob": 0.0, "words": [{"start": 432.1, "end": 432.6, "word": "طيب", "probability": 0.9645182291666666}, {"start": 432.6, "end": 433.08, "word": 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بزيادة قوة مين العدسة okay؟ إذا which surface increase the lens power, anterior or posterior, anterior surface؟ لأن ال anterior surface", "tokens": [28814, 15730, 2423, 39184, 22272, 3753, 11778, 3224, 2423, 6765, 36632, 21136, 9566, 5016, 16247, 2304, 10943, 1829, 24976, 22488, 3794, 3660, 31439, 13672, 1829, 4724, 1829, 3794, 995, 16095, 4724, 28814, 1829, 8592, 8978, 2423, 6765, 1347, 36145, 3224, 4724, 11622, 1829, 18513, 3660, 12174, 2407, 3660, 3714, 9957, 18863, 3215, 3794, 3660, 1392, 22807, 11933, 15730, 597, 3753, 3488, 264, 6765, 1347, 11, 22272, 420, 33529, 11, 22272, 3753, 22807, 5296, 33456, 2423, 22272, 3753], "avg_logprob": -0.23457532165906367, "compression_ratio": 1.6510416666666667, "no_speech_prob": 0.0, "words": [{"start": 1469.32, "end": 1469.64, "word": "إذا", "probability": 0.623046875}, {"start": 1469.64, "end": 1469.86, "word": " الـ", "probability": 0.639892578125}, {"start": 1469.86, "end": 1470.26, "word": " anterior", "probability": 0.775390625}, {"start": 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surface انه بالاضافة انه بيكون ال anterior surface هو ملامس لمين للكورنية الكورنية اللي هي ال window of the eye فبيجي ال light rays بعد ما بدخل القرنية لل anterior surface of the lens and then to the retina واضح السؤال؟", "tokens": [3555, 6027, 19913, 3555, 9566, 4032, 2423, 22272, 3753, 16472, 3224, 20666, 46958, 31845, 3660, 16472, 3224, 4724, 1829, 30544, 2423, 22272, 3753, 31439, 3714, 37440, 3794, 32767, 9957, 5296, 23275, 13063, 1863, 10632, 33251, 13063, 1863, 10632, 13672, 1829, 39896, 2423, 4910, 295, 264, 3313, 6156, 21292, 7435, 1829, 2423, 1442, 24417, 39182, 19446, 47525, 9778, 1211, 25062, 2288, 1863, 10632, 24976, 22272, 3753, 295, 264, 6765, 293, 550, 281, 264, 1533, 1426, 4032, 46958, 5016, 21136, 33604, 6027, 22807], "avg_logprob": -0.16653962687748233, "compression_ratio": 1.7309644670050761, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1524.89, "end": 1525.57, "word": "بالظبط", "probability": 0.89609375}, {"start": 1525.57, "end": 1526.11, "word": " 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بمعنى التأثير of accommodation على عملية التكييف إذا أكم عاملية ألا بيأثروا على ال accommodation عاملين ممتازة إذا الفي السيولوجي و ال physical accommodation okay", "tokens": [2407, 6027, 41185, 21136, 1829, 12610, 29245, 1829, 27363, 1392, 732, 6771, 36632, 4724, 2304, 3615, 1863, 7578, 6225, 10943, 1211, 9957, 3242, 666, 264, 10493, 11933, 15730, 6225, 10943, 1211, 9957, 4724, 25708, 9778, 1211, 14407, 294, 264, 10493, 36632, 4724, 2304, 3615, 1863, 7578, 16712, 10721, 12984, 13546, 295, 27363, 15844, 6225, 42213, 10632, 16712, 4117, 1829, 33911, 11933, 15730, 5551, 24793, 6225, 10943, 1211, 10632, 5551, 15040, 4724, 1829, 10721, 49115, 14407, 15844, 2423, 27363, 6225, 10943, 1211, 9957, 3714, 2304, 2655, 31377, 3660, 11933, 15730, 27188, 1829, 21136, 1829, 12610, 29245, 1829, 4032, 2423, 4001, 27363, 1392], "avg_logprob": -0.17340686639734343, "compression_ratio": 1.9765258215962442, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1586.13, "end": 1586.93, "word": 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"probability": 0.7727864583333334}, {"start": 1635.34, "end": 1636.0, "word": " another", "probability": 0.66259765625}, {"start": 1636.0, "end": 1637.1, "word": " answer؟", "probability": 0.66845703125}, {"start": 1637.1, "end": 1637.78, "word": " تفضلي", "probability": 0.8895263671875}], "temperature": 1.0}, {"id": 59, "seek": 167305, "start": 1646.15, "end": 1673.05, "text": "another answer إذا في عندنا two types of accommodation ال physical accommodation و ال physiological accommodation شوه ال main difference ما بين ال physical accommodation و ال physiological accommodation ال physical accommodation بيعمل تغيير في شكل العدسة okay إذا بيكون التغيير وين؟ في شكل العدسة", "tokens": [282, 802, 1867, 11933, 15730, 8978, 43242, 8315, 732, 3467, 295, 27363, 2423, 4001, 27363, 4032, 2423, 41234, 27363, 13412, 2407, 3224, 2423, 2135, 2649, 19446, 49374, 2423, 4001, 27363, 4032, 2423, 41234, 27363, 2423, 4001, 27363, 4724, 1829, 25957, 1211, 6055, 17082, 1829, 13546, 8978, 13412, 28820, 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accommodation أي زيادة في ال accommodation بتبعها زيادة في وين في ال convergence and vice versa و العكس صحيح أي زيادة في ال accommodation بتبعها زيادة في ال convergence عشان واحد مثلا عنده abnormality لل accommodation بتلاقي تلت شغلات متلاسقين مع بعض", "tokens": [28814, 15730, 11778, 47302, 15042, 8978, 11203, 995, 28671, 19446, 49374, 2423, 27363, 4032, 19446, 49374, 2423, 32181, 34051, 19446, 49374, 2423, 32181, 4032, 2423, 27363, 36632, 30767, 1829, 18513, 3660, 8978, 2423, 27363, 39894, 3555, 3615, 11296, 30767, 1829, 18513, 3660, 8978, 4032, 9957, 8978, 2423, 32181, 293, 11964, 25650, 4032, 18863, 4117, 3794, 20328, 5016, 1829, 5016, 36632, 30767, 1829, 18513, 3660, 8978, 2423, 27363, 39894, 3555, 3615, 11296, 30767, 1829, 18513, 3660, 8978, 2423, 32181, 6225, 8592, 7649, 36764, 24401, 50113, 15040, 43242, 3224, 47104, 1860, 24976, 27363, 39894, 15040, 38436, 6055, 1211, 2655, 13412, 17082, 1211, 9307, 44650, 15040, 3794, 4587, 9957, 20449, 45030, 11242], "avg_logprob": 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{"start": 2100.77, "end": 2100.95, "word": " ال", "probability": 0.986328125}, {"start": 2100.95, "end": 2101.47, "word": " convergence", "probability": 0.9443359375}, {"start": 2101.47, "end": 2101.91, "word": " أو", "probability": 0.5546875}, {"start": 2101.91, "end": 2102.07, "word": " ما", "probability": 0.96923828125}, {"start": 2102.07, "end": 2102.29, "word": " بين", "probability": 0.9951171875}, {"start": 2102.29, "end": 2102.43, "word": " ال", "probability": 0.99169921875}, {"start": 2102.43, "end": 2102.97, "word": " convergence", "probability": 0.97900390625}, {"start": 2102.97, "end": 2103.33, "word": " و", "probability": 0.935546875}, {"start": 2103.33, "end": 2103.43, "word": " ال", "probability": 0.93701171875}, {"start": 2103.43, "end": 2104.11, "word": " accommodation", "probability": 0.96630859375}, {"start": 2104.11, "end": 2104.95, "word": " أي", "probability": 0.611328125}, {"start": 2104.95, "end": 2105.61, "word": " زيادة", "probability": 0.8736572265625}, {"start": 2105.61, "end": 2105.73, "word": " في", "probability": 0.98095703125}, {"start": 2105.73, "end": 2105.83, "word": " ال", "probability": 0.95556640625}, {"start": 2105.83, "end": 2106.41, "word": " accommodation", "probability": 0.97509765625}, {"start": 2106.41, "end": 2107.25, "word": " بتبعها", "probability": 0.851318359375}, {"start": 2107.25, "end": 2107.67, "word": " زيادة", "probability": 0.994140625}, {"start": 2107.67, "end": 2107.87, "word": " في", "probability": 0.99462890625}, {"start": 2107.87, "end": 2108.11, "word": " وين", "probability": 0.637451171875}, {"start": 2108.11, "end": 2108.39, "word": " في", "probability": 0.4873046875}, {"start": 2108.39, "end": 2108.53, "word": " ال", "probability": 0.98876953125}, {"start": 2108.53, "end": 2109.05, "word": " convergence", "probability": 0.9677734375}, {"start": 2109.05, "end": 2109.75, "word": " and", "probability": 0.7177734375}, {"start": 2109.75, "end": 2110.19, "word": " vice", "probability": 0.91796875}, {"start": 2110.19, "end": 2110.99, "word": " versa", "probability": 0.89990234375}, {"start": 2110.99, "end": 2111.21, "word": " و", "probability": 0.52783203125}, {"start": 2111.21, "end": 2111.53, "word": " العكس", "probability": 0.98388671875}, {"start": 2111.53, "end": 2111.97, "word": " صحيح", "probability": 0.958740234375}, {"start": 2111.97, "end": 2112.21, "word": " أي", "probability": 0.61767578125}, {"start": 2112.21, "end": 2112.67, "word": " زيادة", "probability": 0.9945068359375}, {"start": 2112.67, "end": 2112.89, "word": " في", "probability": 0.9931640625}, {"start": 2112.89, "end": 2113.21, "word": " ال", "probability": 0.9638671875}, {"start": 2113.21, "end": 2113.79, "word": " accommodation", "probability": 0.966796875}, {"start": 2113.79, "end": 2114.71, "word": " بتبعها", "probability": 0.99169921875}, {"start": 2114.71, "end": 2115.31, "word": " زيادة", "probability": 0.9927978515625}, {"start": 2115.31, "end": 2115.81, "word": " في", "probability": 0.9921875}, {"start": 2115.81, "end": 2116.15, "word": " ال", "probability": 0.99267578125}, {"start": 2116.15, "end": 2116.67, "word": " convergence", "probability": 0.97314453125}, {"start": 2116.67, "end": 2118.91, "word": " عشان", "probability": 0.86328125}, {"start": 2118.91, "end": 2120.05, "word": " واحد", "probability": 0.6715087890625}, {"start": 2120.05, "end": 2120.37, "word": " مثلا", "probability": 0.96435546875}, {"start": 2120.37, "end": 2120.97, "word": " عنده", "probability": 0.9853515625}, {"start": 2120.97, "end": 2121.73, "word": " abnormality", "probability": 0.97314453125}, {"start": 2121.73, "end": 2122.21, "word": " لل", "probability": 0.86376953125}, {"start": 2122.21, "end": 2122.85, "word": " accommodation", "probability": 0.9384765625}, {"start": 2122.85, "end": 2123.75, "word": " بتلاقي", "probability": 0.9680989583333334}, {"start": 2123.75, "end": 2124.29, "word": " تلت", "probability": 0.8665364583333334}, {"start": 2124.29, "end": 2125.13, "word": " شغلات", "probability": 0.9810791015625}, {"start": 2125.13, "end": 2125.93, "word": " متلاسقين", "probability": 0.90625}, {"start": 2125.93, "end": 2126.09, "word": " مع", "probability": 0.998046875}, {"start": 2126.09, "end": 2126.41, "word": " بعض", "probability": 0.991455078125}], "temperature": 1.0}, {"id": 78, "seek": 215092, "start": 2127.06, "end": 2150.92, "text": "هذه احفظوهم accommodation, convergence, meiosis دائما يما واحد يكون عنده abnormality لل accommodation اي بمعنى ال accommodation اللي عنده مش طبيعي ففي تلات شغلات متلاسقين مع بعض يعني associated together شو هما accommodation number one, convergence و ال meiosis", "tokens": [3224, 24192, 1975, 5016, 5172, 19913, 2407, 16095, 27363, 11, 32181, 11, 385, 48783, 11778, 16373, 15042, 7251, 15042, 36764, 24401, 7251, 30544, 43242, 3224, 47104, 1860, 24976, 27363, 1975, 1829, 4724, 2304, 3615, 1863, 7578, 2423, 27363, 13672, 1829, 43242, 3224, 37893, 23032, 21292, 3615, 1829, 6156, 41185, 6055, 1211, 9307, 13412, 17082, 1211, 9307, 44650, 15040, 3794, 4587, 9957, 20449, 45030, 11242, 37495, 22653, 6615, 1214, 13412, 2407, 8032, 15042, 27363, 1230, 472, 11, 32181, 4032, 2423, 385, 48783], "avg_logprob": -0.21779724955558777, "compression_ratio": 1.59009009009009, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2127.06, "end": 2127.34, "word": "هذه", "probability": 0.5567626953125}, {"start": 2127.34, "end": 2127.88, "word": " احفظوهم", "probability": 0.9111328125}, {"start": 2127.88, "end": 2129.14, "word": " accommodation,", "probability": 0.4609375}, {"start": 2130.22, "end": 2130.94, "word": " convergence,", "probability": 0.9521484375}, {"start": 2131.32, "end": 2131.74, "word": " meiosis", "probability": 0.8525390625}, {"start": 2131.74, "end": 2133.2, "word": " دائما", "probability": 0.6783854166666666}, {"start": 2133.2, "end": 2133.62, "word": " يما", "probability": 0.3260498046875}, {"start": 2133.62, "end": 2133.96, "word": " واحد", "probability": 0.975341796875}, {"start": 2133.96, "end": 2134.28, "word": " يكون", "probability": 0.987060546875}, {"start": 2134.28, "end": 2134.78, "word": " عنده", "probability": 0.990966796875}, {"start": 2134.78, "end": 2135.66, "word": " abnormality", "probability": 0.96044921875}, {"start": 2135.66, "end": 2136.34, "word": " لل", "probability": 0.849609375}, {"start": 2136.34, "end": 2137.0, "word": " accommodation", "probability": 0.853515625}, {"start": 2137.0, "end": 2137.6, "word": " اي", "probability": 0.52734375}, {"start": 2137.6, "end": 2138.0, "word": " بمعنى", "probability": 0.9810546875}, {"start": 2138.0, "end": 2138.12, "word": " ال", "probability": 0.78271484375}, {"start": 2138.12, "end": 2138.62, "word": " accommodation", "probability": 0.96484375}, {"start": 2138.62, "end": 2138.92, "word": " اللي", "probability": 0.86767578125}, {"start": 2138.92, "end": 2139.22, "word": " عنده", "probability": 0.975830078125}, {"start": 2139.22, "end": 2139.36, "word": " مش", "probability": 0.994140625}, {"start": 2139.36, "end": 2139.86, "word": " طبيعي", "probability": 0.9647216796875}, {"start": 2139.86, "end": 2141.0, "word": " ففي", "probability": 0.898193359375}, {"start": 2141.0, "end": 2141.36, "word": " تلات", "probability": 0.6748046875}, {"start": 2141.36, "end": 2141.88, "word": " شغلات", "probability": 0.953369140625}, {"start": 2141.88, "end": 2142.62, "word": " متلاسقين", "probability": 0.88408203125}, {"start": 2142.62, "end": 2142.78, "word": " مع", "probability": 0.99755859375}, {"start": 2142.78, "end": 2143.16, "word": " بعض", "probability": 0.99609375}, {"start": 2143.16, "end": 2144.02, "word": " يعني", "probability": 0.884033203125}, {"start": 2144.02, "end": 2144.76, "word": " associated", "probability": 0.9091796875}, {"start": 2144.76, "end": 2145.42, "word": " together", "probability": 0.92236328125}, {"start": 2145.42, "end": 2145.9, "word": " شو", "probability": 0.75146484375}, {"start": 2145.9, "end": 2146.18, "word": " هما", "probability": 0.81494140625}, {"start": 2146.18, "end": 2147.72, "word": " accommodation", "probability": 0.57470703125}, {"start": 2147.72, "end": 2148.06, "word": " number", "probability": 0.96533203125}, {"start": 2148.06, "end": 2148.42, "word": " one,", "probability": 0.931640625}, {"start": 2149.18, "end": 2149.7, "word": " convergence", "probability": 0.98095703125}, {"start": 2149.7, "end": 2150.42, "word": " و", "probability": 0.56591796875}, {"start": 2150.42, "end": 2150.54, "word": " ال", "probability": 0.55322265625}, {"start": 2150.54, "end": 2150.92, "word": " meiosis", "probability": 0.939697265625}], "temperature": 1.0}, {"id": 79, "seek": 217700, "start": 2152.64, "end": 2177.0, "text": "منطقيا الان انا يما بعمل accommodation بعمل ايه convergence يما انت بتطلع للقريب بعمل ميوز الزمين للبيوبل okay طيب في عندنا ال physiological accommodation اي بمعنى التكييف الفيسيولوجي", "tokens": [27842, 9566, 38436, 995, 2423, 7649, 1975, 8315, 7251, 15042, 4724, 25957, 1211, 27363, 4724, 25957, 1211, 1975, 1829, 3224, 32181, 7251, 15042, 16472, 2655, 39894, 9566, 1211, 3615, 24976, 4587, 16572, 3555, 4724, 25957, 1211, 3714, 1829, 2407, 11622, 6024, 110, 2304, 9957, 24976, 21292, 2407, 36150, 1392, 23032, 1829, 3555, 8978, 43242, 8315, 2423, 41234, 27363, 1975, 1829, 4724, 2304, 3615, 1863, 7578, 16712, 4117, 1829, 33911, 27188, 1829, 3794, 1829, 12610, 29245, 1829], "avg_logprob": -0.200487012987013, "compression_ratio": 1.5833333333333333, "no_speech_prob": 0.0, "words": [{"start": 2152.64, "end": 2153.42, "word": "منطقيا", "probability": 0.7828369140625}, {"start": 2153.42, "end": 2153.82, "word": " الان", "probability": 0.5953369140625}, {"start": 2153.82, "end": 2154.0, "word": " انا", "probability": 0.856201171875}, {"start": 2154.0, "end": 2154.14, "word": " يما", "probability": 0.5244140625}, {"start": 2154.14, "end": 2154.5, "word": " بعمل", "probability": 0.9596354166666666}, {"start": 2154.5, "end": 2155.14, "word": " accommodation", "probability": 0.8818359375}, {"start": 2155.14, "end": 2155.9, "word": " بعمل", "probability": 0.9459635416666666}, {"start": 2155.9, "end": 2156.3, "word": " ايه", "probability": 0.8273111979166666}, {"start": 2156.3, "end": 2157.14, "word": " convergence", "probability": 0.7734375}, {"start": 2157.14, "end": 2157.96, "word": " يما", "probability": 0.782470703125}, {"start": 2157.96, "end": 2158.14, "word": " انت", "probability": 0.8515625}, {"start": 2158.14, "end": 2158.62, "word": " بتطلع", "probability": 0.9080810546875}, {"start": 2158.62, "end": 2159.26, "word": " للقريب", "probability": 0.8736572265625}, {"start": 2159.26, "end": 2159.76, "word": " بعمل", "probability": 0.9410807291666666}, {"start": 2159.76, "end": 2160.12, "word": " ميوز", "probability": 0.89501953125}, {"start": 2160.12, "end": 2160.6, "word": " الزمين", "probability": 0.890869140625}, {"start": 2160.6, "end": 2161.56, "word": " للبيوبل", "probability": 0.79052734375}, {"start": 2161.56, "end": 2162.82, "word": " okay", "probability": 0.382080078125}, {"start": 2162.82, "end": 2168.64, "word": " طيب", "probability": 0.8938802083333334}, {"start": 2168.64, "end": 2168.96, "word": " في", "probability": 0.80712890625}, {"start": 2168.96, "end": 2169.6, "word": " عندنا", "probability": 0.879638671875}, {"start": 2169.6, "end": 2169.9, "word": " ال", "probability": 0.8134765625}, {"start": 2169.9, "end": 2170.48, "word": " physiological", "probability": 0.99267578125}, {"start": 2170.48, "end": 2171.6, "word": " accommodation", "probability": 0.9541015625}, {"start": 2171.6, "end": 2172.56, "word": " اي", "probability": 0.708251953125}, {"start": 2172.56, "end": 2173.2, "word": " بمعنى", "probability": 0.988671875}, {"start": 2173.2, "end": 2174.16, "word": " التكييف", "probability": 0.8380126953125}, {"start": 2174.16, "end": 2177.0, "word": " الفيسيولوجي", "probability": 0.8206612723214286}], "temperature": 1.0}, {"id": 80, "seek": 220601, "start": 2177.87, "end": 2206.01, "text": "it is the action أي بمعنى سلوك لمين of ciliary muscle للعضلة الهدبية and is measured بيقاس by the unit بوحدة of ديوبتر، إذا بنقيصه بوحدة إيش؟ الديوبتر، دايما accommodation ال unit بتاعها ديوبتر، convergence divergence الوحدة إيه؟ ديوبتر، أي تبور دايما القوة بتكون في الديوبتر", "tokens": [270, 307, 264, 3069, 36632, 4724, 2304, 3615, 1863, 7578, 8608, 1211, 2407, 4117, 5296, 2304, 9957, 295, 269, 38550, 8679, 24976, 3615, 11242, 37977, 2423, 3224, 3215, 3555, 10632, 293, 307, 12690, 4724, 1829, 4587, 32277, 538, 264, 4985, 4724, 2407, 24401, 3660, 295, 11778, 1829, 37746, 2655, 2288, 12399, 11933, 15730, 44945, 4587, 1829, 9381, 3224, 4724, 2407, 24401, 3660, 11933, 1829, 8592, 22807, 2423, 16254, 37746, 2655, 2288, 12399, 11778, 47302, 15042, 27363, 2423, 4985, 39894, 45761, 11296, 11778, 1829, 37746, 2655, 2288, 12399, 32181, 47387, 2423, 2407, 24401, 3660, 11933, 1829, 3224, 22807, 11778, 1829, 37746, 2655, 2288, 12399, 36632, 6055, 3555, 13063, 11778, 47302, 15042, 25062, 2407, 3660, 39894, 30544, 8978, 2423, 16254, 37746, 2655, 2288], "avg_logprob": 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الفيزيائي بيعملوا مع بعض قبل سن الأربعين سنة؟", "tokens": [22628, 264, 4001, 293, 41234, 27363, 366, 1364, 1214, 949, 3356, 924, 1331, 22807, 40228, 22653, 32239, 8592, 16712, 4117, 33911, 27188, 1829, 11622, 1829, 12610, 29245, 1829, 16070, 2655, 4117, 33911, 27188, 1829, 11622, 1829, 16373, 1829, 4724, 1829, 25957, 1211, 14407, 20449, 45030, 11242, 12174, 36150, 8608, 1863, 16247, 25513, 3615, 9957, 8608, 1863, 3660, 22807], "avg_logprob": -0.130826272701813, "compression_ratio": 1.393063583815029, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 2351.41, "end": 2351.85, "word": "why", "probability": 0.5078125}, {"start": 2351.85, "end": 2352.15, "word": " the", "probability": 0.89990234375}, {"start": 2352.15, "end": 2352.55, "word": " physical", "probability": 0.8759765625}, {"start": 2352.55, "end": 2353.15, "word": " and", "probability": 0.97216796875}, {"start": 2353.15, "end": 2353.73, "word": " physiological", "probability": 0.970703125}, {"start": 2353.73, "end": 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2802.71, "end": 2803.77, "word": " contraction", "probability": 0.7685546875}, {"start": 2803.77, "end": 2804.51, "word": " such", "probability": 0.9443359375}, {"start": 2804.51, "end": 2804.87, "word": " as", "probability": 0.97998046875}, {"start": 2804.87, "end": 2805.07, "word": " a", "probability": 0.92041015625}, {"start": 2805.07, "end": 2805.53, "word": " weakness", "probability": 0.9638671875}, {"start": 2805.53, "end": 2805.89, "word": " may", "probability": 0.5712890625}, {"start": 2805.89, "end": 2805.99, "word": " be", "probability": 0.923828125}, {"start": 2805.99, "end": 2806.55, "word": " responsible", "probability": 0.943359375}, {"start": 2806.55, "end": 2806.89, "word": " for", "probability": 0.958984375}, {"start": 2806.89, "end": 2807.05, "word": " the", "probability": 0.8427734375}, {"start": 2807.05, "end": 2807.31, "word": " ice", "probability": 0.67431640625}, {"start": 2807.31, "end": 2807.61, "word": " train", "probability": 0.357421875}, {"start": 2807.61, "end": 2808.07, "word": " and", "probability": 0.93212890625}, {"start": 2808.07, "end": 2808.69, "word": " a", "probability": 0.2266845703125}, {"start": 2808.69, "end": 2809.17, "word": " stenopia", "probability": 0.4732666015625}, {"start": 2809.17, "end": 2810.17, "word": " الآن", "probability": 0.68115234375}, {"start": 2810.17, "end": 2810.73, "word": " المواحد", "probability": 0.9500325520833334}, {"start": 2810.73, "end": 2811.73, "word": " عنده", "probability": 0.9931640625}, {"start": 2811.73, "end": 2812.31, "word": " deficiency", "probability": 0.7509765625}, {"start": 2812.31, "end": 2813.19, "word": " نقص", "probability": 0.9430338541666666}], "temperature": 1.0}, {"id": 105, "seek": 283316, "start": 2813.96, "end": 2833.16, "text": "في ال accommodation أو بمعنى weakness، ضعف في ال accommodation، هذا هيعمله إيش؟ ال eye strain، هيعمله ال fatigue أو ال .. ال eye pain، ألم في العين، okay؟ إذا دايما سببها إيش؟ weakness في ال accommodation", "tokens": [41185, 2423, 27363, 34051, 4724, 2304, 3615, 1863, 7578, 12772, 12399, 48812, 3615, 5172, 8978, 2423, 27363, 12399, 23758, 39896, 25957, 43761, 11933, 1829, 8592, 22807, 2423, 3313, 14249, 12399, 39896, 25957, 43761, 2423, 20574, 34051, 2423, 4386, 2423, 3313, 1822, 12399, 5551, 19528, 8978, 18863, 9957, 12399, 1392, 22807, 11933, 15730, 11778, 47302, 15042, 8608, 3555, 3555, 11296, 11933, 1829, 8592, 22807, 12772, 8978, 2423, 27363], "avg_logprob": -0.14740349352359772, "compression_ratio": 1.6842105263157894, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2813.96, "end": 2814.24, "word": "في", "probability": 0.90087890625}, {"start": 2814.24, "end": 2814.52, "word": " ال", "probability": 0.86865234375}, {"start": 2814.52, "end": 2815.14, "word": " accommodation", "probability": 0.9013671875}, {"start": 2815.14, "end": 2815.74, "word": " أو", "probability": 0.6572265625}, {"start": 2815.74, "end": 2816.3, "word": " بمعنى", "probability": 0.98935546875}, {"start": 2816.3, "end": 2817.3, "word": " weakness،", "probability": 0.705810546875}, {"start": 2817.3, "end": 2817.64, "word": " ضعف", "probability": 0.90380859375}, {"start": 2817.64, "end": 2817.78, "word": " في", "probability": 0.95361328125}, {"start": 2817.78, "end": 2817.84, "word": " ال", "probability": 0.98193359375}, {"start": 2817.84, "end": 2818.9, "word": " accommodation،", "probability": 0.77001953125}, {"start": 2818.9, "end": 2819.08, "word": " هذا", "probability": 0.76611328125}, {"start": 2819.08, "end": 2819.66, "word": " هيعمله", "probability": 0.865234375}, {"start": 2819.66, "end": 2820.4, "word": " إيش؟", "probability": 0.8587646484375}, {"start": 2820.4, "end": 2820.58, "word": " ال", "probability": 0.9111328125}, {"start": 2820.58, "end": 2820.82, "word": " eye", "probability": 0.84716796875}, {"start": 2820.82, "end": 2821.62, "word": " strain،", "probability": 0.785888671875}, {"start": 2821.62, "end": 2822.28, "word": " هيعمله", "probability": 0.802978515625}, {"start": 2822.28, "end": 2823.08, "word": " ال", "probability": 0.69580078125}, {"start": 2823.08, "end": 2823.54, "word": " fatigue", "probability": 0.98779296875}, {"start": 2823.54, "end": 2824.1, "word": " أو", "probability": 0.876953125}, {"start": 2824.1, "end": 2825.26, "word": " ال", "probability": 0.9638671875}, {"start": 2825.26, "end": 2825.66, "word": " ..", "probability": 0.55712890625}, {"start": 2825.66, "end": 2826.28, "word": " ال", "probability": 0.89794921875}, {"start": 2826.28, "end": 2826.5, "word": " eye", "probability": 0.81201171875}, {"start": 2826.5, "end": 2827.58, "word": " pain،", "probability": 0.87646484375}, {"start": 2827.58, "end": 2827.68, "word": " ألم", "probability": 0.626220703125}, {"start": 2827.68, "end": 2827.88, "word": " في", "probability": 0.98583984375}, {"start": 2827.88, "end": 2828.28, "word": " العين،", "probability": 0.8966471354166666}, {"start": 2828.28, "end": 2830.22, "word": " okay؟", "probability": 0.86474609375}, {"start": 2830.22, "end": 2830.38, "word": " إذا", "probability": 0.8310546875}, {"start": 2830.38, "end": 2830.74, "word": " دايما", "probability": 0.8955078125}, {"start": 2830.74, "end": 2831.26, "word": " سببها", "probability": 0.9871826171875}, {"start": 2831.26, "end": 2831.62, "word": " إيش؟", "probability": 0.9820556640625}, {"start": 2831.62, "end": 2832.02, "word": " weakness", "probability": 0.9091796875}, {"start": 2832.02, "end": 2832.5, "word": " في", "probability": 0.98681640625}, {"start": 2832.5, "end": 2832.6, "word": " ال", "probability": 0.9853515625}, {"start": 2832.6, "end": 2833.16, "word": " accommodation", "probability": 0.9697265625}], "temperature": 1.0}, {"id": 106, "seek": 284722, "start": 2833.92, "end": 2847.22, "text": "عشان هيك بتلاقي معظم الناس الكبار بعد سن الأربعين ياما بيجي بقرا أكتر من ساعة إيش، بتعب، بقولك أنا صار عندي eye strain، صار عندي eye fatigue، أسنوبية، ليش؟ شو السبب؟", "tokens": [3615, 8592, 7649, 39896, 4117, 39894, 15040, 38436, 20449, 19913, 2304, 2423, 8315, 3794, 33251, 3555, 9640, 39182, 8608, 1863, 16247, 25513, 3615, 9957, 7251, 10943, 995, 4724, 1829, 7435, 1829, 4724, 4587, 23557, 5551, 4117, 2655, 2288, 9154, 8608, 995, 27884, 11933, 1829, 8592, 12399, 39894, 3615, 3555, 12399, 4724, 39648, 4117, 41850, 20328, 9640, 43242, 1829, 3313, 14249, 12399, 20328, 9640, 43242, 1829, 3313, 20574, 12399, 5551, 3794, 1863, 37746, 10632, 12399, 32239, 8592, 22807, 13412, 2407, 21136, 3555, 3555, 22807], "avg_logprob": -0.1513206823950722, "compression_ratio": 1.5524861878453038, "no_speech_prob": 0.0, "words": [{"start": 2833.92, "end": 2834.24, "word": "عشان", "probability": 0.9111328125}, {"start": 2834.24, "end": 2834.46, "word": " هيك", "probability": 0.971923828125}, {"start": 2834.46, "end": 2834.82, "word": " بتلاقي", "probability": 0.9654947916666666}, {"start": 2834.82, "end": 2835.2, "word": " معظم", "probability": 0.9957682291666666}, {"start": 2835.2, "end": 2835.52, "word": " الناس", "probability": 0.9931640625}, {"start": 2835.52, "end": 2836.04, "word": " الكبار", "probability": 0.8175455729166666}, {"start": 2836.04, "end": 2836.26, "word": " بعد", "probability": 0.86181640625}, {"start": 2836.26, "end": 2836.58, "word": " سن", "probability": 0.98193359375}, {"start": 2836.58, "end": 2837.22, "word": " الأربعين", "probability": 0.951904296875}, {"start": 2837.22, "end": 2837.68, "word": " ياما", "probability": 0.7140299479166666}, {"start": 2837.68, "end": 2837.94, "word": " بيجي", "probability": 0.9483642578125}, {"start": 2837.94, "end": 2838.28, "word": " بقرا", "probability": 0.8359375}, {"start": 2838.28, "end": 2838.68, "word": " أكتر", "probability": 0.94921875}, {"start": 2838.68, "end": 2838.84, "word": " من", "probability": 0.994140625}, {"start": 2838.84, "end": 2839.22, "word": " ساعة", "probability": 0.97802734375}, {"start": 2839.22, "end": 2839.68, "word": " إيش،", "probability": 0.6875}, {"start": 2839.68, "end": 2840.66, "word": " بتعب،", "probability": 0.9033203125}, {"start": 2840.66, "end": 2840.98, "word": " بقولك", "probability": 0.8251953125}, {"start": 2840.98, "end": 2841.16, "word": " أنا", "probability": 0.86083984375}, {"start": 2841.16, "end": 2841.36, "word": " صار", "probability": 0.9912109375}, {"start": 2841.36, "end": 2842.14, "word": " عندي", "probability": 0.6619873046875}, {"start": 2842.14, "end": 2842.68, "word": " eye", "probability": 0.44384765625}, {"start": 2842.68, "end": 2843.52, "word": " strain،", "probability": 0.8427734375}, {"start": 2843.52, "end": 2843.8, "word": " صار", "probability": 0.9150390625}, {"start": 2843.8, "end": 2844.28, "word": " عندي", "probability": 0.919921875}, {"start": 2844.28, "end": 2844.58, "word": " eye", "probability": 0.9189453125}, {"start": 2844.58, "end": 2845.24, "word": " fatigue،", "probability": 0.8828125}, {"start": 2845.24, "end": 2845.88, "word": " أسنوبية،", "probability": 0.7068684895833334}, {"start": 2845.88, "end": 2846.46, "word": " ليش؟", "probability": 0.8896484375}, {"start": 2846.46, "end": 2846.6, "word": " شو", "probability": 0.928466796875}, {"start": 2846.6, "end": 2847.22, "word": " السبب؟", "probability": 0.9600830078125}], "temperature": 1.0}, {"id": 107, "seek": 287112, "start": 2848.4, "end": 2871.12, "text": "انه عنده weakness .. weakness لل accommodation انه inability to shape of the .. to shape the .. to shape of the lens انه مش قادر انه يغير على شكل العدسة okay؟ لكن انه ال celery muscle بتكون intact طبيعية okay؟ في اي سؤال اي استفسار يعطيكم العافية هيك", "tokens": [7649, 3224, 43242, 3224, 12772, 4386, 12772, 24976, 27363, 16472, 3224, 33162, 281, 3909, 295, 264, 4386, 281, 3909, 264, 4386, 281, 3909, 295, 264, 6765, 16472, 3224, 37893, 12174, 18513, 2288, 16472, 3224, 7251, 17082, 13546, 15844, 13412, 28820, 18863, 3215, 3794, 3660, 1392, 22807, 44381, 16472, 3224, 2423, 37643, 8679, 39894, 30544, 23493, 23032, 21292, 3615, 10632, 1392, 22807, 8978, 1975, 1829, 8608, 33604, 6027, 1975, 1829, 44713, 36178, 9640, 37495, 9566, 1829, 24793, 18863, 31845, 10632, 39896, 4117], "avg_logprob": -0.16063262740286385, "compression_ratio": 1.5852534562211982, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 2848.4, "end": 2848.74, "word": "انه", "probability": 0.622314453125}, {"start": 2848.74, "end": 2849.04, "word": " عنده", "probability": 0.99365234375}, {"start": 2849.04, "end": 2849.56, "word": " weakness", "probability": 0.9521484375}, {"start": 2849.56, "end": 2849.92, "word": " ..", "probability": 0.423583984375}, {"start": 2849.92, "end": 2850.54, "word": " weakness", "probability": 0.97802734375}, {"start": 2850.54, "end": 2850.82, "word": " لل", "probability": 0.8759765625}, {"start": 2850.82, "end": 2851.48, "word": " accommodation", "probability": 0.74365234375}, {"start": 2851.48, "end": 2852.4, "word": " انه", "probability": 0.74658203125}, {"start": 2852.4, "end": 2852.86, "word": " inability", "probability": 0.9052734375}, {"start": 2852.86, "end": 2853.88, "word": " to", "probability": 0.9833984375}, {"start": 2853.88, "end": 2854.82, "word": " shape", "probability": 0.92529296875}, {"start": 2854.82, "end": 2855.34, "word": " of", "probability": 0.92431640625}, {"start": 2855.34, "end": 2855.64, "word": " the", "probability": 0.9140625}, {"start": 2855.64, "end": 2855.84, "word": " ..", "probability": 0.96533203125}, {"start": 2855.84, "end": 2856.2, "word": " to", "probability": 0.9697265625}, {"start": 2856.2, "end": 2856.56, "word": " shape", "probability": 0.92138671875}, {"start": 2856.56, "end": 2856.88, "word": " the", "probability": 0.7646484375}, {"start": 2856.88, "end": 2857.4, "word": " ..", "probability": 0.982421875}, {"start": 2857.4, "end": 2857.7, "word": " to", "probability": 0.97705078125}, {"start": 2857.7, "end": 2858.0, "word": " shape", "probability": 0.92041015625}, {"start": 2858.0, "end": 2858.18, "word": " of", "probability": 0.986328125}, {"start": 2858.18, "end": 2858.3, "word": " the", "probability": 0.92138671875}, {"start": 2858.3, "end": 2858.62, "word": " lens", "probability": 0.9365234375}, {"start": 2858.62, "end": 2859.32, "word": " انه", "probability": 0.870849609375}, {"start": 2859.32, "end": 2859.6, "word": " مش", "probability": 0.9892578125}, {"start": 2859.6, "end": 2860.2, "word": " قادر", "probability": 0.99267578125}, {"start": 2860.2, "end": 2860.48, "word": " انه", "probability": 0.883056640625}, {"start": 2860.48, "end": 2860.76, "word": " يغير", "probability": 0.98486328125}, {"start": 2860.76, "end": 2860.98, "word": " على", "probability": 0.93798828125}, {"start": 2860.98, "end": 2861.38, "word": " شكل", "probability": 0.9853515625}, {"start": 2861.38, "end": 2862.2, "word": " العدسة", "probability": 0.981201171875}, {"start": 2862.2, "end": 2863.34, "word": " okay؟", "probability": 0.524658203125}, {"start": 2863.34, "end": 2863.6, "word": " لكن", "probability": 0.9404296875}, {"start": 2863.6, "end": 2864.12, "word": " انه", "probability": 0.935302734375}, {"start": 2864.12, "end": 2864.28, "word": " ال", "probability": 0.92822265625}, {"start": 2864.28, "end": 2864.5, "word": " celery", "probability": 0.251220703125}, {"start": 2864.5, "end": 2864.86, "word": " muscle", "probability": 0.97802734375}, {"start": 2864.86, "end": 2865.38, "word": " بتكون", "probability": 0.98486328125}, {"start": 2865.38, "end": 2865.94, "word": " intact", "probability": 0.8974609375}, {"start": 2865.94, "end": 2866.62, "word": " طبيعية", "probability": 0.9151611328125}, {"start": 2866.62, "end": 2868.2, "word": " okay؟", "probability": 0.8974609375}, {"start": 2868.2, "end": 2868.34, "word": " في", "probability": 0.8232421875}, {"start": 2868.34, "end": 2868.54, "word": " اي", "probability": 0.7203369140625}, {"start": 2868.54, "end": 2868.96, "word": " سؤال", "probability": 0.9920247395833334}, {"start": 2868.96, "end": 2869.18, "word": " اي", "probability": 0.798828125}, {"start": 2869.18, "end": 2869.76, "word": " استفسار", "probability": 0.7474772135416666}, {"start": 2869.76, "end": 2870.44, "word": " يعطيكم", "probability": 0.8153076171875}, {"start": 2870.44, "end": 2870.84, "word": " العافية", "probability": 0.9619140625}, {"start": 2870.84, "end": 2871.12, "word": " هيك", "probability": 0.95703125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2871.1241875, "duration_after_vad": 2631.748124999991}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..22036da99c3b181a26557afb9e32be4b4ae19333
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/DZ4iF81eB2A_raw.srt
@@ -0,0 +1,2068 @@
+1
+00:00:21,780 --> 00:00:24,800
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,800 --> 00:00:29,600
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:29,600 --> 00:00:33,340
+اليوم ان شاء الله هنبدأ في موضوع ال accommodation
+
+4
+00:00:33,340 --> 00:00:39,780
+accommodation بمعنى التكييف بداية قبل ما نبدأ في
+
+5
+00:00:39,780 --> 00:00:46,460
+موضوع التكييف في عندنا ال crystalline lens العدسة
+
+6
+00:00:47,180 --> 00:00:51,860
+في لها characteristics خواص شو هي ال lens
+
+7
+00:00:51,860 --> 00:00:56,480
+characteristics خواص العدسة number one okay
+
+8
+00:00:56,480 --> 00:01:02,520
+transparent okay number two biconvex okay number
+
+9
+00:01:02,520 --> 00:01:09,300
+three طيب
+
+10
+00:01:11,380 --> 00:01:16,000
+it helps to focus image on the retina انه بتساعد
+
+11
+00:01:16,000 --> 00:01:20,800
+على تركيز الصورة على الشبكية برضه ال function
+
+12
+00:01:20,800 --> 00:01:25,460
+بتاعة ال lens انه بتقوم بعملية ايه accommodation
+
+13
+00:01:25,460 --> 00:01:31,340
+okay طيب من ال characteristics ده ال lens biconvex
+
+14
+00:01:31,340 --> 00:01:36,440
+شو معنى biconvex؟ okay
+
+15
+00:01:40,560 --> 00:01:47,080
+يعني بمعنى انه بتكون على الوجهين محدبة اذا عندنا
+
+16
+00:01:47,080 --> 00:01:50,980
+ال crystalline
+
+17
+00:02:14,880 --> 00:02:21,040
+number one transparent
+
+18
+00:02:21,040 --> 00:02:25,200
+number
+
+19
+00:02:25,200 --> 00:02:28,920
+two biconvex
+
+20
+00:02:28,920 --> 00:02:34,120
+طبعا
+
+21
+00:02:34,120 --> 00:02:38,320
+elastic شو
+
+22
+00:02:38,320 --> 00:02:39,980
+معناه elastic؟ بنينا
+
+23
+00:02:47,430 --> 00:02:54,250
+to focus light
+
+24
+00:02:54,250 --> 00:03:08,450
+rays on the retina number
+
+25
+00:03:08,450 --> 00:03:14,350
+five dysfunction
+
+26
+00:03:19,240 --> 00:03:30,620
+to do of accommodation
+
+27
+00:03:30,620 --> 00:03:34,520
+اذا
+
+28
+00:03:34,520 --> 00:03:39,840
+الأن افهمنا أن طريقة عمل ال accommodation أو ال
+
+29
+00:03:39,840 --> 00:03:42,980
+definition of accommodation اللي مسئول عنه مين
+
+30
+00:03:44,400 --> 00:03:49,040
+crystalline lens صح العدسة هو المسئول عن عملية مين
+
+31
+00:03:49,040 --> 00:03:54,540
+ال accommodation okay طيب شو ال definition تعريف
+
+32
+00:03:54,540 --> 00:03:58,840
+ال accommodation ك definition of accommodation أي
+
+33
+00:03:58,840 --> 00:04:04,140
+بمعنى تعريف التكييف هي قدرة العدسة على تغيير ايه
+
+34
+00:04:04,140 --> 00:04:07,160
+شكلها انه بتعمل converging power
+
+35
+00:04:10,360 --> 00:04:14,060
+بدي اعمل انا converging okay قيمة ال converging
+
+36
+00:04:14,060 --> 00:04:19,780
+هذا مساوية لمين لقيمة ال accommodation okay عشان
+
+37
+00:04:19,780 --> 00:04:24,200
+اقدر انه اركز الصورة وين على الشبكية طبعا بتكون
+
+38
+00:04:24,200 --> 00:04:28,540
+هذه على اي مسافة at any distance لكن المسافة الشرط
+
+39
+00:04:28,540 --> 00:04:34,280
+انه تكون اقل من 6 متر صح ولا لأ؟ شو معنى اقل من 6
+
+40
+00:04:34,280 --> 00:04:40,260
+متر؟ بالظبط انه ماتكونش ايه في ال infinityلو كانت
+
+41
+00:04:40,260 --> 00:04:45,260
+المسافة هذه ستة متر او اكتر هتكون على ال infinity
+
+42
+00:04:45,260 --> 00:04:52,660
+اذا كمفهوم لل accommodation it
+
+43
+00:04:52,660 --> 00:04:58,870
+is the ability قدرة of the crystalline lensالعدسة
+
+44
+00:04:58,870 --> 00:05:04,290
+to change تغيير it is shape شكلها the converging
+
+45
+00:05:04,290 --> 00:05:10,610
+power أي بمعنى قوة تجميع to focus بتركز objects
+
+46
+00:05:10,610 --> 00:05:15,770
+الأجسام of any distance لأي مسافة طبعا هذه المسافة
+
+47
+00:05:15,770 --> 00:05:21,550
+لازم تكون أقل من 6 متر okay لأن لو كانت من 6 متر و
+
+48
+00:05:21,550 --> 00:05:26,810
+أكتر هتكون at infinity upon the retina or on the
+
+49
+00:05:26,810 --> 00:05:32,320
+retinaOkay طيب ال crystalline lens فيه لها تلات
+
+50
+00:05:32,320 --> 00:05:38,520
+طبقات شو هم ال three parts لعدسة أزاى العدسة شو هم
+
+51
+00:05:38,520 --> 00:05:48,620
+فضلي ممتاز و ال lens ابيثيليام و ال nucleus صح
+
+52
+00:05:48,620 --> 00:05:56,300
+النوار اذا عندنا خلصته هذه finish
+
+53
+00:05:56,300 --> 00:05:56,840
+done
+
+54
+00:06:14,180 --> 00:06:29,540
+إذا الـ crystalline lens can be classified into
+
+55
+00:06:29,540 --> 00:06:33,600
+three
+
+56
+00:06:33,600 --> 00:06:38,180
+parts number
+
+57
+00:06:38,180 --> 00:06:41,660
+one lens
+
+58
+00:06:44,590 --> 00:06:53,070
+capsule number two lens epithelium
+
+59
+00:06:53,070 --> 00:07:00,750
+number
+
+60
+00:07:00,750 --> 00:07:10,570
+three ال nucleus أي
+
+61
+00:07:10,570 --> 00:07:15,800
+بمعنى النوىطيب الآن ال accommodation وين بتكون؟ فى
+
+62
+00:07:15,800 --> 00:07:19,380
+ال crystalline lens فى أنه جزء من ال lens فى ال
+
+63
+00:07:19,380 --> 00:07:25,500
+capsule فى ال lens capsule فى المحفظة طبعا هذا ال
+
+64
+00:07:25,500 --> 00:07:32,520
+figure بيمثل عنده ال un accommodated لل I لما يكون
+
+65
+00:07:32,520 --> 00:07:37,840
+في حالة ال relax طبعا الآن الأشعة شو جاية؟بررل
+
+66
+00:07:37,840 --> 00:07:42,480
+متوازية لانه جاية من مسافة ستة متر انه from
+
+67
+00:07:42,480 --> 00:07:49,060
+infinity okay فالاشعة هتكون بررل دخلت لل .. لل
+
+68
+00:07:49,060 --> 00:07:53,730
+retina when اتركزت on the retina okayالان في حالة
+
+69
+00:07:53,730 --> 00:07:57,410
+ال accommodated هصير more convex مين هي ال lens
+
+70
+00:07:57,410 --> 00:08:02,410
+يعني اكثر تحده فالاشعة جاية من object معين طبعا
+
+71
+00:08:02,410 --> 00:08:08,330
+كانت divergent المسافة جديش اقل من ستة متر اتركزت
+
+72
+00:08:08,330 --> 00:08:14,810
+وين on the retina upon the retina okay هاي ال ..
+
+73
+00:08:14,810 --> 00:08:18,970
+طبعا ال definition of accommodation كمفهوم او
+
+74
+00:08:18,970 --> 00:08:20,670
+كتعريف لل accommodation
+
+75
+00:08:23,990 --> 00:08:28,010
+طيب العدسة في حالة ال accommodation ليش بتكون more
+
+76
+00:08:28,010 --> 00:08:35,470
+convex؟ ليش مابتكون more concave؟ أه قصة انه بتكون
+
+77
+00:08:35,470 --> 00:08:39,710
+انه to converge the lens عشان تعمل converging
+
+78
+00:08:39,710 --> 00:08:45,910
+للpower okay اذا why the lens must be convex
+
+79
+00:08:45,910 --> 00:08:50,870
+during the mechanism of accommodation؟ to converge
+
+80
+00:09:01,660 --> 00:09:06,180
+mechanism of accommodation أي بمعنى آلية عمل ال
+
+81
+00:09:06,180 --> 00:09:13,320
+accommodation كيف بتعمل التكييف طبعا الآن في
+
+82
+00:09:13,320 --> 00:09:19,140
+الأطفال في معظم الأطفال يما بدي أعملrefraction
+
+83
+00:09:19,140 --> 00:09:25,300
+لازم ادي ايه؟ cyclopentolate why؟
+
+84
+00:09:25,300 --> 00:09:30,580
+why؟ ليش انت بتدي لها ال cyclopentolate؟ و اعمل
+
+85
+00:09:30,580 --> 00:09:36,720
+ايش؟ اه انه اعمل paralysis ل ال celery muscle ال
+
+86
+00:09:36,720 --> 00:09:42,560
+celery muscle من وين بتغذى؟ من ال parasympathetic
+
+87
+00:09:42,560 --> 00:09:46,740
+nerve صح؟البارا sympathetic nerve هي اللي بتعمل
+
+88
+00:09:46,740 --> 00:09:50,600
+innervation تخضيه لمين؟ لل celery muscle فالان انا
+
+89
+00:09:50,600 --> 00:09:56,340
+إما بدي ال cyclo bentilate، cyclo سواء الأتروبين
+
+90
+00:09:56,340 --> 00:10:03,130
+أو ال homotrobin okay، بيعمل إيه؟ relaxلمن؟ لل
+
+91
+00:10:03,130 --> 00:10:06,630
+accommodation لكن شو بيعمل ل ال celery muscle؟
+
+92
+00:10:06,630 --> 00:10:12,150
+paralysis ل ال celery muscle طبعا انتوا عارفين ان
+
+93
+00:10:12,150 --> 00:10:17,250
+العين بتتكون من تلت أجزاء الجزء الأول هو يعتبر ال
+
+94
+00:10:17,250 --> 00:10:25,230
+outer surface اللي بيمثل الكورنيا و الكورنيا و ال
+
+95
+00:10:25,230 --> 00:10:29,550
+sclera و الجزء الثاني ال celery muscle
+
+96
+00:10:34,640 --> 00:10:38,180
+والجزء الداخلي اللى بيمثل ال retina و ال optic
+
+97
+00:10:38,180 --> 00:10:44,740
+nerve الان ال mechanism قلية عملها يعني بدي تفهمى
+
+98
+00:10:44,740 --> 00:10:49,740
+ان ال accommodation هو وين بحدث اهم جزء في ال lens
+
+99
+00:10:49,740 --> 00:10:55,130
+اللى هو بيمثل ايش في العينبمثل ال anterior segment
+
+100
+00:10:55,130 --> 00:11:00,230
+of the eye طيب ابقى نوجزه في ال lens في ال lens
+
+101
+00:11:00,230 --> 00:11:06,050
+capsule في المحفظة للعدسة طيب ال mechanism of
+
+102
+00:11:06,050 --> 00:11:11,320
+accommodation أول حاجة بيحدث contractionإنقباض
+
+103
+00:11:11,320 --> 00:11:16,160
+لمين؟ للcellary muscle okay number two بيعمل
+
+104
+00:11:16,160 --> 00:11:21,180
+relaxation أي بمعنى ارتخاء لمين؟ للزنيول of zen
+
+105
+00:11:21,180 --> 00:11:26,200
+طبعا الزنيول هو بيكون حوالين من ال lens صح؟ فهو
+
+106
+00:11:26,200 --> 00:11:31,900
+بيعمله ارتخاء relaxation أيضا بيعمل ارتخاء of
+
+107
+00:11:31,900 --> 00:11:35,980
+tension للشد اللي موجود وين؟ في ال lens؟ capsule
+
+108
+00:11:35,980 --> 00:11:41,440
+اللي هو يعتبر part of the lens okayأيضا بيعمل
+
+109
+00:11:41,440 --> 00:11:45,740
+increase بيزود ال curvature تحدب of the anterior
+
+110
+00:11:45,740 --> 00:11:50,380
+lens surface العدسة بتتكون من جزئين anterior و
+
+111
+00:11:50,380 --> 00:11:53,740
+posterior surface عشان هيقولنا ايه ال anterior و
+
+112
+00:11:53,740 --> 00:11:57,440
+ال posterior by convex اتنين محددين why the lens
+
+113
+00:11:57,440 --> 00:12:01,600
+is by convex انه بمعنى ان اتنتين ايش تعمل
+
+114
+00:12:01,600 --> 00:12:08,520
+converging okay ال crystalline lens هتصبح اكتر ايه
+
+115
+00:12:09,470 --> 00:12:13,970
+تحدبا و هتعمل ان ال near objects هتركز وين on
+
+116
+00:12:13,970 --> 00:12:17,790
+their retina اذا الان لو اتيت السؤال مثلا compare
+
+117
+00:12:17,790 --> 00:12:24,610
+between accommodation and unaccomodation I okay
+
+118
+00:12:24,610 --> 00:12:29,470
+compare between accommodation and unaccomodation I
+
+119
+00:12:29,470 --> 00:12:32,290
+number one accommodation I
+
+120
+00:12:38,870 --> 00:12:44,010
+هد مين؟ انا انا ال accommodation okay ال
+
+121
+00:12:44,010 --> 00:12:47,670
+accommodation ايه؟ contraction contraction لأ
+
+122
+00:12:47,670 --> 00:12:51,670
+السلري muscle okay number two تفضلي بال
+
+123
+00:12:51,670 --> 00:12:54,890
+accommodation relaxation of the knee ناكه بكون
+
+124
+00:12:54,890 --> 00:13:03,030
+contraction of the knee okay number three الان ال
+
+125
+00:13:03,030 --> 00:13:06,810
+light rays في حالة ال accommodation ايه؟ شو هيكون؟
+
+126
+00:13:08,770 --> 00:13:14,050
+diverging light rays from a object صح لكن في حالة
+
+127
+00:13:14,050 --> 00:13:17,750
+ال un accommodation هيكون parallel light rays و
+
+128
+00:13:17,750 --> 00:13:25,530
+هيتركز وين on the retina على الشبكية صح طيب حاضر
+
+129
+00:13:25,530 --> 00:13:26,410
+هقد أكتب هم
+
+130
+00:13:45,470 --> 00:14:08,470
+compare between an
+
+131
+00:14:08,470 --> 00:14:13,570
+accommodation Iطبعا عندنا ال accommodation I
+
+132
+00:14:13,570 --> 00:14:19,310
+accommodation اختصارها ايه؟ okay و ال un
+
+133
+00:14:19,310 --> 00:14:27,870
+accommodation un small I
+
+134
+00:14:27,870 --> 00:14:37,690
+accommodation I number one diverging
+
+135
+00:14:44,330 --> 00:14:51,550
+light rays are
+
+136
+00:14:51,550 --> 00:14:57,470
+focused on
+
+137
+00:14:57,470 --> 00:15:05,610
+the retina إذا ال number one الأشعة إيش هتكون؟
+
+138
+00:15:05,610 --> 00:15:09,690
+diverging وين هتتركز؟ on the retina okay؟
+
+139
+00:15:11,910 --> 00:15:17,290
+الـ unaccomodation I parallel
+
+140
+00:15:17,290 --> 00:15:21,790
+light
+
+141
+00:15:21,790 --> 00:15:25,370
+rays
+
+142
+00:15:25,370 --> 00:15:30,290
+are
+
+143
+00:15:30,290 --> 00:15:35,150
+brought to
+
+144
+00:15:35,150 --> 00:15:37,490
+focus
+
+145
+00:15:41,170 --> 00:15:47,650
+on the retina إذا الأشعة هتكون في حالة ال un
+
+146
+00:15:47,650 --> 00:15:52,750
+accommodation parallel okay number
+
+147
+00:15:52,750 --> 00:15:57,250
+two في حالة ال accommodation هتعمل إيه contraction
+
+148
+00:15:57,250 --> 00:16:01,950
+of
+
+149
+00:16:01,950 --> 00:16:07,510
+ciliary muscle أي بمعنى هتعمل شد لل ciliary muscle
+
+150
+00:16:07,510 --> 00:16:09,990
+okay هان شو هتعمل؟
+
+151
+00:16:26,770 --> 00:16:31,150
+مقارنة بين الـmechanism of accommodation و
+
+152
+00:16:31,150 --> 00:16:33,430
+الـmechanism لمن؟ للـun accommodation
+
+153
+00:16:58,930 --> 00:17:09,310
+لأ less convex في حالة ال un accommodation ال near
+
+154
+00:17:09,310 --> 00:17:13,490
+objects ال object in general لأن في حالة ال un
+
+155
+00:17:13,490 --> 00:17:16,370
+accommodation الأشياء جاية من وين؟ من parallel
+
+156
+00:17:16,370 --> 00:17:20,450
+يعني بمعنى أنه من مسافة فهتكون ال .. ال .. ال
+
+157
+00:17:20,450 --> 00:17:24,290
+object بشكل عام in general وين are focused on the
+
+158
+00:17:24,290 --> 00:17:29,170
+retina okay؟إذا في حالة ال unaccommodation ال
+
+159
+00:17:29,170 --> 00:17:40,750
+objects هي الأجسام وين هتتركز على الشبكية okay طيب
+
+160
+00:17:40,750 --> 00:17:47,690
+في عندنا three aging factors of accommodation in
+
+161
+00:17:47,690 --> 00:17:51,890
+the breast biopia الآن ال breast biopia بمعنى قصه
+
+162
+00:17:51,890 --> 00:17:58,410
+النظر الشيخوخيففي تلت عوامل عمرية يعني مع تقدم
+
+163
+00:17:58,410 --> 00:18:03,590
+العمر بتحدث ذالإنسان وين؟ في عدسة العين طبعا هذه
+
+164
+00:18:03,590 --> 00:18:07,850
+بتكون العوامل إيه في ال surgery يعني ال breast
+
+165
+00:18:07,850 --> 00:18:12,830
+myopia هو ما بيعتبرش pathological مش مرضي هو يعتبر
+
+166
+00:18:12,830 --> 00:18:19,410
+إيه في ال surgery okay قصه قصه في ال wow قصه النظر
+
+167
+00:18:19,410 --> 00:18:24,430
+قصر النظر ال myopia okayطيب، في عندنا ال breast
+
+168
+00:18:24,430 --> 00:18:28,470
+biopia، ال definition of breast biopia، شو تعرفه
+
+169
+00:18:28,470 --> 00:18:41,530
+ال breast biopia؟ ال ability to
+
+170
+00:18:41,530 --> 00:18:45,030
+focus on a real object on a regular basis by
+
+171
+00:18:45,030 --> 00:18:51,380
+losing flexibilityبالظبط، اذا عدم قدرة العدسة على
+
+172
+00:18:51,380 --> 00:18:54,940
+تغيير شكلها، انه مابتقدرش تعمل العدسة ايش؟
+
+173
+00:18:54,940 --> 00:18:59,480
+converging power عشان ايه؟ طبعا اللي هو السبب
+
+174
+00:18:59,480 --> 00:19:04,240
+بتاعها ان العدسة بتصبح inelastic، غير مرنة، okay؟
+
+175
+00:19:04,660 --> 00:19:09,000
+فما بتقدرش ال .. ال light rays يتركزوا وين؟ على
+
+176
+00:19:09,000 --> 00:19:13,580
+الشبكية فهي وين هتركزوا؟ behind the retina انه خلف
+
+177
+00:19:13,580 --> 00:19:17,480
+الشبكية وهذا بيذكرنا ان ال incident light rays are
+
+178
+00:19:17,480 --> 00:19:21,000
+brought to focus behind on the retina في حالة مين؟
+
+179
+00:19:21,000 --> 00:19:26,380
+ال hyper metro okay؟ اذا ال breast biop عدم قدرة
+
+180
+00:19:26,380 --> 00:19:33,280
+العين على تغيير شكلها طبعا نتيجة عامل العمر okay؟
+
+181
+00:19:34,410 --> 00:19:38,650
+على تغيير عدسة العين crystalline lens to change
+
+182
+00:19:38,650 --> 00:19:48,110
+its shape مع تقدم العمر فالاشعة
+
+183
+00:19:48,110 --> 00:19:52,730
+الضوئية وين هتتركز behind the retina إذا ما هتتقدر
+
+184
+00:19:52,730 --> 00:19:57,270
+أن تتركز وين on the retina إذا تركيزها behind the
+
+185
+00:19:57,270 --> 00:20:01,570
+retina it is inability of the crystalline
+
+186
+00:20:13,100 --> 00:20:19,760
+هذا كمفهوم ل ال breast biopia طيب شو التلت عوامل
+
+187
+00:20:19,760 --> 00:20:25,220
+اللي بتحدث لعدسة العين مع تقدم العمر؟ أول حاجة ال
+
+188
+00:20:25,220 --> 00:20:29,230
+elastic المرونةطبيعة العدسة جونها من ال
+
+189
+00:20:29,230 --> 00:20:33,110
+characteristics انه بتكون flexibility او elastic
+
+190
+00:20:33,110 --> 00:20:38,790
+مرنة فبقل ايه ال flexibility او ال elastic المرونة
+
+191
+00:20:38,790 --> 00:20:43,870
+لمين للعدسة اذا ال number one اذا الان شو التلت
+
+192
+00:20:43,870 --> 00:20:48,070
+عوامل اللي بتحدث في عملية ال breast biopia اول
+
+193
+00:20:48,070 --> 00:20:52,650
+حاجة انه العدسة بتقل المرونة بتاعتها انه ال
+
+194
+00:20:52,650 --> 00:20:58,210
+crystalline lens بتصبح اقل elastic اقل مرونةأو
+
+195
+00:20:58,210 --> 00:21:04,190
+flexibility number two انه بيزود ال lens substance
+
+196
+00:21:04,190 --> 00:21:08,890
+انه مادة العدسة ايش مالها بيزيد من حيث ال size
+
+197
+00:21:08,890 --> 00:21:16,290
+الحجب و من حيث ال density الكثافة okay number
+
+198
+00:21:16,290 --> 00:21:19,970
+three flattening of the lens as whole انه العدسة
+
+199
+00:21:19,970 --> 00:21:26,870
+بيصير ايش مالها مسطحة okay اذا اكتر تسطيحاه طبعا
+
+200
+00:21:26,870 --> 00:21:31,530
+ال flattening عكسها ال steepness بنسميه يعني اكتر
+
+201
+00:21:31,530 --> 00:21:39,690
+انه بتكون اكتر تحدب خاصة بنستخدم كلمة flat و كلمة
+
+202
+00:21:39,690 --> 00:21:45,310
+steep في العدسات اللي ناسهاطبعا هي ال normal eye
+
+203
+00:21:45,310 --> 00:21:49,050
+incident light rays are brought to focus on the
+
+204
+00:21:49,050 --> 00:21:55,010
+retina, the presbyopia it is inability to focus
+
+205
+00:21:55,010 --> 00:21:58,330
+light rays on the retina و هتتركز وين؟ behind the
+
+206
+00:21:58,330 --> 00:22:07,650
+retina، like high bar metrope طيب،
+
+207
+00:22:07,650 --> 00:22:11,610
+الآن في حالة ما يكون ال patient عامل accommodation
+
+208
+00:22:12,770 --> 00:22:19,130
+العين بتصغر او عفوا عدسة العين بتصغر ولا بتكبر؟
+
+209
+00:22:19,130 --> 00:22:24,450
+الان يما patient بعمل accommodation عدسة العين
+
+210
+00:22:24,450 --> 00:22:30,470
+يعني بمعنى انه بتصير shorten ولا بتصير longer؟
+
+211
+00:22:30,470 --> 00:22:35,030
+بالظبط انه بتقصر okay ف hand accommodated
+
+212
+00:22:35,030 --> 00:22:40,910
+simplified eye هذا بيشرح انه كيف ان العدسة العين
+
+213
+00:22:40,910 --> 00:22:46,690
+بتصبح قصيرةيعني قصر عدسة العين اثناء ما بتعمل
+
+214
+00:22:46,690 --> 00:22:51,530
+عملية مين ال accommodation لو بتلاحظ في الشكل هذا
+
+215
+00:22:51,530 --> 00:22:56,710
+هنا عندنا في حالة ال accommodation انه lens shape
+
+216
+00:22:56,710 --> 00:23:02,170
+شكل العدسة in the unaccommodated eye وهذا ال lens
+
+217
+00:23:02,170 --> 00:23:06,190
+shape وين في ال accommodated eye بنلاحظ ان شكل
+
+218
+00:23:06,190 --> 00:23:11,430
+العدسة ايش صار اكتريعني أقل حجم okay لإنه صار لل
+
+219
+00:23:11,430 --> 00:23:15,030
+celery muscle إيه contraction وعملت ال lens
+
+220
+00:23:15,030 --> 00:23:20,170
+relaxation لل lens capsule فبصير حجم ايش أقل okay
+
+221
+00:23:20,170 --> 00:23:26,290
+إذا lens shape shortened in the accommodation eye
+
+222
+00:23:26,290 --> 00:23:29,370
+true or false true okay
+
+223
+00:23:32,030 --> 00:23:37,250
+the change انه التغير in lens shape في شكل العدسة
+
+224
+00:23:37,250 --> 00:23:41,570
+during accommodation خلال التكييف when the lens
+
+225
+00:23:41,570 --> 00:23:47,190
+power عندما قوة العدسة increases بزيد the lens
+
+226
+00:23:47,190 --> 00:23:52,050
+thickness اي بزيد ايش سماكة العدسة بصرلها ايش
+
+227
+00:23:52,050 --> 00:23:56,030
+bulging بمعنى نتوء protrusion لو بتذكروا كلمة
+
+228
+00:23:56,030 --> 00:24:01,040
+protrusion نفسها هي كلمة bulging اي بمعنى نتوءOkay
+
+229
+00:24:01,040 --> 00:24:05,720
+mainly at the front surface طبعا هذا المتوق بيصير
+
+230
+00:24:05,720 --> 00:24:13,660
+أساسه في السطح الأمامي للعدسة okay hence أي بمعنى
+
+231
+00:24:13,660 --> 00:24:19,080
+لاحظ the anterior surface السطح الأمامي is the
+
+232
+00:24:19,080 --> 00:24:24,800
+major contributor أي بمعنى هو الجزء اللي بيساهم في
+
+233
+00:24:24,800 --> 00:24:29,860
+زيادة قوة العدسة to increase lens powerإذا الـ
+
+234
+00:24:29,860 --> 00:24:33,220
+anterior surface ده ال lens أي السطح الأمامي
+
+235
+00:24:33,220 --> 00:24:37,500
+للعدسة هو اللي بيساهم بإيش في ال lens power إنه
+
+236
+00:24:37,500 --> 00:24:43,260
+بزيادة قوة مين العدسة okay؟ إذا which surface
+
+237
+00:24:43,260 --> 00:24:47,380
+increase the lens power, anterior or posterior,
+
+238
+00:24:47,740 --> 00:24:53,540
+anterior surface؟ لأن ال anterior surfaceلأ غير
+
+239
+00:24:53,540 --> 00:24:58,740
+هيك ان ال .. ال anterior surface هو يعتبر الان ال
+
+240
+00:24:58,740 --> 00:25:03,760
+cornia ال window of the eye بعد ال cornia السطح
+
+241
+00:25:03,760 --> 00:25:06,880
+اللي بيجي اللي بيعمل refract ل ال light rays on
+
+242
+00:25:06,880 --> 00:25:11,540
+the retina هو main ال anterior surface of the lens
+
+243
+00:25:11,540 --> 00:25:15,200
+فعشان هيك هو بيعمل دايما ال accommodations هو
+
+244
+00:25:15,200 --> 00:25:18,140
+المهم كثير انه ليش ال accommodation بيكون في ال
+
+245
+00:25:18,140 --> 00:25:20,800
+anterior surface مش في ال posterior surface
+
+246
+00:25:24,890 --> 00:25:30,290
+بالظبط و ال anterior surface انه بالاضافة انه
+
+247
+00:25:30,290 --> 00:25:34,190
+بيكون ال anterior surface هو ملامس لمين للكورنية
+
+248
+00:25:34,190 --> 00:25:37,770
+الكورنية اللي هي ال window of the eye فبيجي ال
+
+249
+00:25:37,770 --> 00:25:42,070
+light rays بعد ما بدخل القرنية لل anterior surface
+
+250
+00:25:42,070 --> 00:25:48,830
+of the lens and then to the retina واضح
+
+251
+00:25:48,830 --> 00:25:49,470
+السؤال؟
+
+252
+00:25:57,710 --> 00:26:01,410
+الان في عندنا لو حكيتلك mention types of
+
+253
+00:26:01,410 --> 00:26:08,190
+accommodation يعني اوصف انواع ال accommodation شو
+
+254
+00:26:08,190 --> 00:26:10,870
+انواع ال accommodation؟ في عندنا نوعين لل
+
+255
+00:26:10,870 --> 00:26:15,510
+accommodation اما ان يكون physical اي بمعنى
+
+256
+00:26:15,510 --> 00:26:18,650
+فيزيائي او ممكن ان يكون physiological
+
+257
+00:26:18,650 --> 00:26:23,250
+accommodation اي بمعنى فيزيولوجي بدنا نشوف ايش ال
+
+258
+00:26:23,250 --> 00:26:27,430
+main difference بين ال physicalوالفي السيولوجي
+
+259
+00:26:27,430 --> 00:26:32,890
+accommodation okay two factors أي بمعنى عاملين
+
+260
+00:26:32,890 --> 00:26:38,370
+enter into the efficiency إذا عاملين بيدخلوا in
+
+261
+00:26:38,370 --> 00:26:41,650
+the efficiency أي بمعنى التأثير of accommodation
+
+262
+00:26:41,650 --> 00:26:46,450
+على عملية التكييف إذا أكم عاملية ألا بيأثروا على
+
+263
+00:26:46,450 --> 00:26:51,190
+ال accommodation عاملين ممتازة إذا الفي السيولوجي
+
+264
+00:26:51,190 --> 00:26:53,550
+و ال physical accommodation okay
+
+265
+00:26:56,560 --> 00:27:01,240
+شو الفرق ما بينهم؟ what are the difference or what
+
+266
+00:27:01,240 --> 00:27:04,560
+are the main difference between physical and
+
+267
+00:27:04,560 --> 00:27:09,880
+physiological accommodation؟
+
+268
+00:27:09,880 --> 00:27:15,340
+طيب
+
+269
+00:27:15,340 --> 00:27:17,780
+another answer؟ تفضلي
+
+270
+00:27:26,150 --> 00:27:30,370
+another answer إذا في عندنا two types of
+
+271
+00:27:30,370 --> 00:27:35,130
+accommodation ال physical accommodation و ال
+
+272
+00:27:35,130 --> 00:27:39,170
+physiological accommodation شوه ال main difference
+
+273
+00:27:39,170 --> 00:27:42,210
+ما بين ال physical accommodation و ال
+
+274
+00:27:42,210 --> 00:27:45,030
+physiological accommodation ال physical
+
+275
+00:27:45,030 --> 00:27:50,230
+accommodation بيعمل تغيير في شكل العدسة okay إذا
+
+276
+00:27:50,230 --> 00:27:54,280
+بيكون التغيير وين؟ في شكل العدسةال physiological
+
+277
+00:27:54,280 --> 00:27:58,500
+accommodation له علاقة في مين؟ في ال celery muscle
+
+278
+00:27:58,500 --> 00:28:03,960
+احنا قلنا في ال mechanism لل accommodation ال
+
+279
+00:28:03,960 --> 00:28:07,360
+physiological accommodation او ال mechanism of
+
+280
+00:28:07,360 --> 00:28:10,260
+accommodation ايش بيعمل contraction لل celery
+
+281
+00:28:10,260 --> 00:28:15,640
+muscle انه بيعمل انقباض للعضلة الهدبية okay فال
+
+282
+00:28:15,640 --> 00:28:20,680
+physiological accommodation انه قدرة العين انه
+
+283
+00:28:20,680 --> 00:28:25,100
+تعمل contraction لل celery muscleقداش قدرتها؟ okay
+
+284
+00:28:25,100 --> 00:28:29,940
+فعنا two factors عاملين بيدخلوا في التأثير على ال
+
+285
+00:28:29,940 --> 00:28:33,500
+accommodation number one physical accommodation أي
+
+286
+00:28:33,500 --> 00:28:38,100
+بمعنى التكيف الفيزيائي the ability of the lens to
+
+287
+00:28:38,100 --> 00:28:42,360
+change its shape إذا قدرة العدسة على تغيير شكلها
+
+288
+00:28:43,070 --> 00:28:46,590
+أخدنا بداية في ال definition لل accommodation ان
+
+289
+00:28:46,590 --> 00:28:51,830
+عدسة العين بصير لها تغير في شكلها فالقدرة على تغير
+
+290
+00:28:51,830 --> 00:28:58,230
+شكل عدسة العين هذا بنسميه physical accommodation
+
+291
+00:28:58,230 --> 00:29:05,090
+في physiological accommodation the power of the
+
+292
+00:29:05,090 --> 00:29:09,830
+ciliary muscle يعني قداش قوة العضلة الهدبية one
+
+293
+00:29:09,830 --> 00:29:16,370
+two threeقداش القوة بتاعت مين؟ العضلة الهدبية اذا
+
+294
+00:29:16,370 --> 00:29:22,370
+ال mention types of accommodation there are two
+
+295
+00:29:22,370 --> 00:29:25,850
+types in number number one physical accommodation
+
+296
+00:29:25,850 --> 00:29:29,070
+number two physiological accommodation physical
+
+297
+00:29:29,070 --> 00:29:32,530
+accommodation القدرة على التغيير في مين؟ في شكل
+
+298
+00:29:32,530 --> 00:29:35,590
+العدسة ال physiological accommodation ال power of
+
+299
+00:29:35,590 --> 00:29:36,630
+the ciliary muscle
+
+300
+00:29:40,630 --> 00:29:44,390
+طيب if the substance of the lens .. إذا كانت
+
+301
+00:29:44,390 --> 00:29:49,230
+substance بمعنى مادة العدسة becomes inelastic يعني
+
+302
+00:29:49,230 --> 00:29:53,910
+إذا أصبحت مادة العدسة إيش؟ غير مرنة or
+
+303
+00:29:53,910 --> 00:30:00,390
+inflexibility إنه بتكون غير مرنة okayas it occurs
+
+304
+00:30:00,390 --> 00:30:04,050
+زي ما بحدث وين في ال progressive age أي بمعنى مع
+
+305
+00:30:04,050 --> 00:30:08,510
+تقدم العمر يعني الإنسان كل ما اتقدم في العمر
+
+306
+00:30:08,510 --> 00:30:12,790
+بتلاقي أنه طبيعة العدسة بتصير إيه inelastic فعشان
+
+307
+00:30:12,790 --> 00:30:16,050
+هيك ما بيجي بقرا بتلاقي إيه إيش بدون نضارة بعد
+
+308
+00:30:16,050 --> 00:30:21,770
+الكلام okay فالمادة بتاعة العدسة أنه مع تقدم العمر
+
+309
+00:30:21,770 --> 00:30:29,430
+إيش بتصير inelastic غير marina okay why؟ليش .. ليش
+
+310
+00:30:29,430 --> 00:30:32,830
+العدسة بتصبح ال .. غير مرنة مع تقدم العمر؟ تقدرش
+
+311
+00:30:32,830 --> 00:30:37,550
+تعمل وظائفها زي .. celery muscle تقدرش تعمل
+
+312
+00:30:37,550 --> 00:30:43,910
+contraction زي أول مرة، فالشبط تبقى هتكبر بشكل
+
+313
+00:30:43,910 --> 00:30:50,050
+عام، عامة كامة عشان تشتغل عامة كامة عامة عشان
+
+314
+00:30:50,050 --> 00:30:56,090
+تشتغل عامة كامة عامة عامة عامة عامة عامة عامة عامة
+
+315
+00:30:56,090 --> 00:30:56,490
+عامة عامة عامة عامة عامة عامة عامة عامة عامة عامة
+
+316
+00:30:56,490 --> 00:30:56,490
+عامة عامة عامة عامة عامة عامة عامة عامة عامة عامة
+
+317
+00:30:56,490 --> 00:30:56,490
+عامة عامة عامة عامة عامة عامة عامة عامة عامة ع
+
+318
+00:30:59,700 --> 00:31:07,120
+طبعا الإجابة اسلام هي الأقرب انه العدسة مع تقدم
+
+319
+00:31:07,120 --> 00:31:11,540
+العمر بيكون الشكل بتاعها بيصير inability to change
+
+320
+00:31:11,540 --> 00:31:16,100
+its shape مع تقدم العمر لكن ال celery muscle ال
+
+321
+00:31:16,100 --> 00:31:19,700
+contraction لل celery muscle ممكن واحد صغير طفل
+
+322
+00:31:19,700 --> 00:31:24,120
+يكون عنده relaxation لل celery muscle مالهاش علاقة
+
+323
+00:31:24,120 --> 00:31:30,160
+في مين في العمر okay؟إذا ليش العدسة بتصبح
+
+324
+00:31:30,160 --> 00:31:39,700
+inelastic غير marina مع تقدم العمر؟ why؟
+
+325
+00:31:39,700 --> 00:31:46,720
+بتكون inability to change its shape يعني العدسة مش
+
+326
+00:31:46,720 --> 00:31:50,700
+قادرة على تغيير شكلها فعشان هيك بتصبح العدسة
+
+327
+00:31:50,700 --> 00:31:58,360
+inelastic انه غير marina or inflexibilitySo that
+
+328
+00:31:58,360 --> 00:32:01,920
+it can no longer change its shape, accommodation
+
+329
+00:32:01,920 --> 00:32:05,320
+cannot act even if the ciliary muscle violently
+
+330
+00:32:05,320 --> 00:32:09,100
+contracts يعني حتى لو احنا عملنا contraction لل
+
+331
+00:32:09,100 --> 00:32:13,820
+ciliary muscle بشكل عنيف مش هنقدر انه نغير من مين؟
+
+332
+00:32:13,820 --> 00:32:18,860
+من شكل العدسة، اذا مع تقدم العمر شكل العدسة ايش
+
+333
+00:32:18,860 --> 00:32:24,750
+بيصير؟ غير قادر على التغيرinability to change its
+
+334
+00:32:24,750 --> 00:32:30,430
+shape فبتلاحظ ان لو انت عملت بشكل عنيف contraction
+
+335
+00:32:30,430 --> 00:32:35,870
+للcellar muscle برضه مش هتقدر تتغير من مين من شكل
+
+336
+00:32:35,870 --> 00:32:39,710
+العدسة واضحة؟
+
+337
+00:32:39,710 --> 00:32:43,070
+on
+
+338
+00:32:43,070 --> 00:32:48,090
+the other hand أي بمعنى من ناحية أخرىawake or
+
+339
+00:32:48,090 --> 00:32:53,490
+paralysis أي بمعنى ضعف أو شلل لمين لسه لري مصل
+
+340
+00:32:53,490 --> 00:33:00,330
+okay will not be able يعني سوف يكون غير قادر to
+
+341
+00:33:00,330 --> 00:33:05,590
+induce أي بمعنى انه يغير change in the lens shape
+
+342
+00:33:05,590 --> 00:33:09,950
+even in children يعني واحد عنده نفترض relaxation
+
+343
+00:33:09,950 --> 00:33:14,500
+لل accommodation okayال .. ال relaxation لل celery
+
+344
+00:33:14,500 --> 00:33:18,620
+muscle ال .. ال celery muscle العضلة الهدبية مش
+
+345
+00:33:18,620 --> 00:33:24,220
+هتقدر تغير من مين من شكل العدسة و لو كان طفل و
+
+346
+00:33:24,220 --> 00:33:26,920
+دايما يما واحد يكون عنده paralysis لل celery
+
+347
+00:33:26,920 --> 00:33:33,170
+muscle علاقة في مين؟حكيانة هو اللي بيعمل تغذية
+
+348
+00:33:33,170 --> 00:33:37,190
+للبارا ال sympathetic nerve فهي بتكون ال problem
+
+349
+00:33:37,190 --> 00:33:39,850
+وين عنده او ال disease في البارا ال sympathetic
+
+350
+00:33:39,850 --> 00:33:43,930
+nerve اللي بيعمل innervation تغذية لمين؟ للcellar
+
+351
+00:33:43,930 --> 00:33:50,630
+muscle okay okay
+
+352
+00:33:50,630 --> 00:33:56,660
+physical accommodationكتعريف يعني more expression
+
+353
+00:33:56,660 --> 00:34:01,620
+يعني اكثر تعبيرا it is an expression انه بيعبرله
+
+354
+00:34:01,620 --> 00:34:06,540
+of the actual physical deformation of the lens اذا
+
+355
+00:34:06,540 --> 00:34:12,820
+بنعبر عن مفهوم التكييف الفيزيائي انه بيعمل
+
+356
+00:34:12,820 --> 00:34:18,180
+deformation اي بمعنى distortion تشوه لمين لل lens
+
+357
+00:34:18,180 --> 00:34:24,260
+للعدسة and it is measured بيقاس بوحدة مينالديوبتر،
+
+358
+00:34:24,260 --> 00:34:27,460
+الديوبتر هي عبارة عن ال unit measurement of the
+
+359
+00:34:27,460 --> 00:34:32,720
+refractive power، صحيح؟ Thus لذلك if the
+
+360
+00:34:32,720 --> 00:34:37,120
+converging power، إذا القوة المجمعة of the eye
+
+361
+00:34:37,120 --> 00:34:42,510
+للعين increased by one diopterincreases by one
+
+362
+00:34:42,510 --> 00:34:47,250
+diopter بمعنى بزيد one diopter we speak of the
+
+363
+00:34:47,250 --> 00:34:50,870
+expenditure of one diopter of accommodation يعني
+
+364
+00:34:50,870 --> 00:34:55,190
+هذا بشير انه indication اليك انه زيادة one
+
+365
+00:34:55,190 --> 00:34:59,270
+convergenceإذا دايما في علاقة ما بين ال
+
+366
+00:34:59,270 --> 00:35:02,430
+accommodation و ما بين ال convergence أو ما بين ال
+
+367
+00:35:02,430 --> 00:35:05,830
+convergence و ال accommodation أي زيادة في ال
+
+368
+00:35:05,830 --> 00:35:08,530
+accommodation بتبعها زيادة في وين في ال
+
+369
+00:35:08,530 --> 00:35:12,670
+convergence and vice versa و العكس صحيح أي زيادة
+
+370
+00:35:12,670 --> 00:35:16,670
+في ال accommodation بتبعها زيادة في ال convergence
+
+371
+00:35:16,670 --> 00:35:22,850
+عشان واحد مثلا عنده abnormality لل accommodation
+
+372
+00:35:22,850 --> 00:35:27,880
+بتلاقي تلت شغلات متلاسقين مع بعضهذه احفظوهم
+
+373
+00:35:27,880 --> 00:35:33,960
+accommodation, convergence, meiosis دائما يما واحد
+
+374
+00:35:33,960 --> 00:35:38,120
+يكون عنده abnormality لل accommodation اي بمعنى ال
+
+375
+00:35:38,120 --> 00:35:41,880
+accommodation اللي عنده مش طبيعي ففي تلات شغلات
+
+376
+00:35:41,880 --> 00:35:46,180
+متلاسقين مع بعض يعني associated together شو هما
+
+377
+00:35:46,180 --> 00:35:50,920
+accommodation number one, convergence و ال meiosis
+
+378
+00:35:52,640 --> 00:35:56,300
+منطقيا الان انا يما بعمل accommodation بعمل ايه
+
+379
+00:35:56,300 --> 00:36:00,600
+convergence يما انت بتطلع للقريب بعمل ميوز الزمين
+
+380
+00:36:00,600 --> 00:36:08,640
+للبيوبل okay طيب
+
+381
+00:36:08,640 --> 00:36:13,200
+في عندنا ال physiological accommodation اي بمعنى
+
+382
+00:36:13,200 --> 00:36:17,000
+التكييف الفيسيولوجي
+
+383
+00:36:17,870 --> 00:36:23,030
+it is the action أي بمعنى سلوك لمين of ciliary
+
+384
+00:36:23,030 --> 00:36:29,250
+muscle للعضلة الهدبية and is measured بيقاس by the
+
+385
+00:36:29,250 --> 00:36:33,710
+unit بوحدة of ديوبتر، إذا بنقيصه بوحدة إيش؟
+
+386
+00:36:33,710 --> 00:36:38,010
+الديوبتر، دايما accommodation ال unit بتاعها
+
+387
+00:36:38,010 --> 00:36:42,630
+ديوبتر، convergence divergence الوحدة إيه؟ ديوبتر،
+
+388
+00:36:42,630 --> 00:36:49,130
+أي تبور دايما القوة بتكون في الديوبترwhich equals
+
+389
+00:36:49,130 --> 00:36:52,870
+to the magnitude of the ciliary muscle contraction
+
+390
+00:36:52,870 --> 00:37:03,310
+to rise
+
+391
+00:37:03,310 --> 00:37:06,570
+لزيادة the refractive power of the lens one
+
+392
+00:37:06,570 --> 00:37:07,010
+diopter
+
+393
+00:37:23,430 --> 00:37:31,650
+لما يزيد اكومديشن خلال عملية الاكومديشن؟ لما يزيد
+
+394
+00:37:31,650 --> 00:37:37,810
+اكومديشن خلال عملية الاكومديشن؟ لما
+
+395
+00:37:37,810 --> 00:37:42,390
+يزيد اكومديشن خلال عملية الاكومديشن؟
+
+396
+00:37:48,500 --> 00:37:51,980
+both كلا ال physical and physiological
+
+397
+00:37:51,980 --> 00:37:55,900
+accommodation correspond each other during the
+
+398
+00:37:55,900 --> 00:38:00,420
+first half of life يعني قبل الأربعين سنة أو في
+
+399
+00:38:00,420 --> 00:38:04,880
+دراسات بتقول قبل الخمسة و ثلاثين سنة ال physical و
+
+400
+00:38:04,880 --> 00:38:08,220
+ال physiological accommodation بكونوا associated
+
+401
+00:38:08,220 --> 00:38:12,480
+يعني متلاسقين or correspond يعني together معاك
+
+402
+00:38:12,480 --> 00:38:17,440
+okay هذه قبل أيه سن الخمسة و تلاتين أو الأربعين
+
+403
+00:38:21,850 --> 00:38:26,070
+أه okay الآن ال physical و ال physiological
+
+404
+00:38:26,070 --> 00:38:29,650
+accommodation قبل سن الأربعين سنة أو الخمسة و
+
+405
+00:38:29,650 --> 00:38:33,030
+تلاتين سنة according to previous studies بيقولك
+
+406
+00:38:33,030 --> 00:38:37,210
+اتنين بيكونوا متلاسقين معا يعني بمعنى ان ال
+
+407
+00:38:37,210 --> 00:38:40,760
+physical accommodation شو بتعمل؟بتغير في شكل
+
+408
+00:38:40,760 --> 00:38:46,840
+العدسة و في physiological accommodation بتعمل انه
+
+409
+00:38:46,840 --> 00:38:50,060
+increase ال power of the ciliary muscle فالتانتين
+
+410
+00:38:50,060 --> 00:38:55,040
+هدول بيشتغلوا مع بعض يعني friendly okay يعني they
+
+411
+00:38:55,040 --> 00:39:01,200
+are together انه بيكونوا معانا okay إذا التانين
+
+412
+00:39:01,200 --> 00:39:05,800
+إيش بيكونوا؟ مع بعض okay طيب why؟
+
+413
+00:39:11,410 --> 00:39:14,810
+why the physical and physiological accommodation
+
+414
+00:39:14,810 --> 00:39:21,170
+are working together before 40 years old؟يعني ليش
+
+415
+00:39:21,170 --> 00:39:26,810
+التكيف الفيزيولوجي والتكيف الفيزيائي بيعملوا مع
+
+416
+00:39:26,810 --> 00:39:28,990
+بعض قبل سن الأربعين سنة؟
+
+417
+00:39:52,930 --> 00:40:00,130
+Okay another answer you
+
+418
+00:40:00,130 --> 00:40:00,710
+are correct
+
+419
+00:40:08,380 --> 00:40:17,820
+طيب هو اتفضلي طيب
+
+420
+00:40:17,820 --> 00:40:21,620
+بس
+
+421
+00:40:21,620 --> 00:40:25,580
+أنا بسأل why before forty years أنا ماسألتش after
+
+422
+00:40:25,580 --> 00:40:30,680
+يعني
+
+423
+00:40:30,680 --> 00:40:36,820
+قبل بتكون العدسةelastic صح or flexible النمر هنا
+
+424
+00:40:36,820 --> 00:40:42,560
+الإجابة صحيحة بتاعتكم بس يعني simple answer أنه
+
+425
+00:40:42,560 --> 00:40:46,880
+قبل الأربعين سنة بيكون العدسة قادرة على تغيير
+
+426
+00:40:46,880 --> 00:40:51,320
+شكلها okay يعني بتعمل it is ability to change it
+
+427
+00:40:51,320 --> 00:40:56,720
+is shape إذا بتقدر العدسة تغير من شكلها okay زائد
+
+428
+00:40:56,720 --> 00:41:00,080
+أنه بيعمل إيه contraction للcellar muscle فالتانين
+
+429
+00:41:00,080 --> 00:41:04,000
+هتلاقيهم إيشبشتغلوا مع بعض انه they are working
+
+430
+00:41:04,000 --> 00:41:07,480
+together ليش؟ لأنه هي بتعمل contraction انقباض
+
+431
+00:41:07,480 --> 00:41:12,360
+للcellar muscle زاد انه بتغير من شكلها طيب نشوف
+
+432
+00:41:12,360 --> 00:41:16,000
+بعد الأربعين أو بعد الخمسة و ثلاثين سنة إيش اللي
+
+433
+00:41:16,000 --> 00:41:23,140
+بيحدث but during the second half of life after age
+
+434
+00:41:23,140 --> 00:41:28,550
+of fortyبالاربعين سنة أو بعد الخمسة و تلاتين سنة
+
+435
+00:41:28,550 --> 00:41:33,610
+both types of accommodation النوعين ال physical و
+
+436
+00:41:33,610 --> 00:41:37,350
+ال physiological accommodation dissociate أي بمعنى
+
+437
+00:41:37,350 --> 00:41:41,630
+separate أي بمعنى بنفصله where the physical
+
+438
+00:41:41,630 --> 00:41:45,850
+accommodation fails to cover the needs of near
+
+439
+00:41:45,850 --> 00:41:50,830
+work إذا بتكون غير قادرة على إيش تعمل cover إنه
+
+440
+00:41:50,830 --> 00:41:55,530
+تغطية لل near work للقريبwhile the ciliary muscle
+
+441
+00:41:55,530 --> 00:42:00,970
+is still intact أي بمعنى العضل الهدبية ما زالت إيش
+
+442
+00:42:00,970 --> 00:42:06,660
+بتقدر يعني بتكون intact بمعنى سليمة normal okayand
+
+443
+00:42:06,660 --> 00:42:10,880
+powerful but the lens becomes hard this occurs in
+
+444
+00:42:10,880 --> 00:42:14,720
+the breast biopia بمعنى انه الآن بعد سن الأربعين
+
+445
+00:42:14,720 --> 00:42:21,020
+سنة طبيعة العدسة بتصبح inelastic انه غير مرنة لكن
+
+446
+00:42:21,020 --> 00:42:25,480
+ال celery muscle ايش ماله مازال بيعمل contraction
+
+447
+00:42:25,480 --> 00:42:30,680
+لل celery muscle و هذا اللي بيحدث وين؟في عملية ال
+
+448
+00:42:30,680 --> 00:42:34,180
+breast biopia عشان هيك بتلاقي ال separate ما بين
+
+449
+00:42:34,180 --> 00:42:37,280
+ال physical و ال physiological accommodation بعد
+
+450
+00:42:37,280 --> 00:42:42,460
+سن الأربعين سنة اذا why the physical and
+
+451
+00:42:42,460 --> 00:42:46,320
+physiological accommodation separate after 40
+
+452
+00:42:46,320 --> 00:42:55,140
+years انه okay and still contraction of the
+
+453
+00:42:55,140 --> 00:43:02,330
+ciliary muscle okaydue to يعني بسبب انه طبيعة
+
+454
+00:43:02,330 --> 00:43:08,250
+العدسة العين بتصبح inelastic غير marina لكن ال
+
+455
+00:43:08,250 --> 00:43:13,050
+celery muscle العضلة الهدبية بتستمر انه ايش انه is
+
+456
+00:43:13,050 --> 00:43:16,410
+still intact يعني normal انه طبيعية يعني بتقدر
+
+457
+00:43:16,410 --> 00:43:21,510
+عملية ال contraction الانقباط و ال relaxation زي
+
+458
+00:43:21,510 --> 00:43:25,410
+ما كانت قبل اه بس بتغير الشكل بتاع العدسةفبالتالي
+
+459
+00:43:25,410 --> 00:43:28,430
+بيحدث ال breast biopia، عشان هي كما عرفنا ال
+
+460
+00:43:28,430 --> 00:43:32,250
+breast biopia، it is inability to change the shape
+
+461
+00:43:32,250 --> 00:43:37,410
+of the lens، okay، converging power، ماقلناش في ال
+
+462
+00:43:37,410 --> 00:43:39,670
+celery muscle، ماتكلمنا عن ال celery muscle، لأنه
+
+463
+00:43:39,670 --> 00:43:42,730
+ال celery muscle بعد الأربعين سنة عادي، بيظلوا أنه
+
+464
+00:43:42,730 --> 00:43:46,770
+بيعمل contraction و relaxation، أي بمعنى ارتخاء
+
+465
+00:43:46,770 --> 00:43:54,530
+وانقفاض، okay؟طبعا العدسة في حالة ال breast biopia
+
+466
+00:43:54,530 --> 00:43:59,290
+بتصير inelastic وكمان ايه؟ ممكن يعني بتصير hard،
+
+467
+00:43:59,290 --> 00:44:05,930
+hard بمعنى صلبة okay conversely
+
+468
+00:44:05,930 --> 00:44:12,090
+أي بمعنى على العكس or okay a failure of the
+
+469
+00:44:12,090 --> 00:44:12,730
+physiological
+
+470
+00:44:15,720 --> 00:44:20,340
+of the physiological power انه يما بيعمل عملية انه
+
+471
+00:44:20,340 --> 00:44:22,580
+ال .. ال celery muscle ما بيصيرلهوش عملية
+
+472
+00:44:22,580 --> 00:44:25,900
+contraction مافيش انقباض لل .. لل celery muscle
+
+473
+00:44:25,900 --> 00:44:30,940
+may appear هذه بتظهر in states of debility أي في
+
+474
+00:44:30,940 --> 00:44:33,180
+حالات وين ما يكون في ضعف للجسم
+
+475
+00:44:36,980 --> 00:44:42,240
+ناس عندهم مجعيات أو فقر شديد and in diseases في
+
+476
+00:44:42,240 --> 00:44:45,340
+أمراض البارا sympathetic nerve supplied to the
+
+477
+00:44:45,340 --> 00:44:49,660
+muscle when the muscle fails at any age while the
+
+478
+00:44:49,660 --> 00:44:53,550
+lens is intactيعني بيكون الآن المشكلة وين؟ في ال
+
+479
+00:44:53,550 --> 00:44:56,550
+celery muscle، يعني ال celery muscle مش قادرة تعمل
+
+480
+00:44:56,550 --> 00:45:01,950
+contraction، انقباض، فالآن إما بيصير عدم قدرة ال
+
+481
+00:45:01,950 --> 00:45:05,510
+celery muscle على الانقباض، لكن العدسة H بتكون
+
+482
+00:45:05,510 --> 00:45:10,230
+intact، سليمة، و هذه وين بتكون؟ في أي عمر؟ at any
+
+483
+00:45:10,230 --> 00:45:17,020
+ageصح؟ في أي عمر؟ لإن واحد عنده مثلا البره
+
+484
+00:45:17,020 --> 00:45:21,120
+sympathetic nerve فيه problem فيه، ممكن يكون هو
+
+485
+00:45:21,120 --> 00:45:25,880
+طفل، ممكن يكون بعد الأربعين، قبل الأربعين، okay؟
+
+486
+00:45:25,880 --> 00:45:30,920
+أي بمعنى at any age، إذا دايما ال breast biopia
+
+487
+00:45:30,920 --> 00:45:35,700
+بتكون بعد الأربعين، okay؟ ليش؟ لإنه بتغير من شكل
+
+488
+00:45:35,700 --> 00:45:39,820
+العدسة، مع إنه بتحافظ على إن الcellar muscle بيكون
+
+489
+00:45:40,700 --> 00:45:46,980
+contraction لكن يما يكون في عملية انه ال .. انه ال
+
+490
+00:45:46,980 --> 00:45:49,980
+بره sympathetic nerve انه failure of the بره
+
+491
+00:45:49,980 --> 00:45:53,760
+sympathetic nerve هذا بتكون at any age، في أي عمر،
+
+492
+00:45:53,760 --> 00:45:56,760
+ليش؟ لأن العدسة بتكون intact، سليمة
+
+493
+00:46:00,360 --> 00:46:04,740
+Since an attempt of ciliary muscle يعني منذ انه
+
+494
+00:46:04,740 --> 00:46:09,040
+اتحاول ال ciliary muscle العضلة الهدبية to cover
+
+495
+00:46:09,040 --> 00:46:13,440
+the accommodation deficiency أي منذ انه اتحاول
+
+496
+00:46:13,440 --> 00:46:17,900
+العدسة على تغطية النقص اللي موجود في ال
+
+497
+00:46:17,900 --> 00:46:21,960
+accommodation أي بمعنى weakness يعني دايما بسمه
+
+498
+00:46:21,960 --> 00:46:25,200
+عند واحد عنده accommodation deficiency أو بنسميه
+
+499
+00:46:25,200 --> 00:46:31,770
+weakness أي بمعنى ضعف في التكيفby a sustained أي
+
+500
+00:46:31,770 --> 00:46:37,570
+بمعنى بواسطة زيادة انه بعمل زيادة and exaggerated
+
+501
+00:46:37,570 --> 00:46:42,370
+أي بمعنى انه مبالغ فيه يعني كيف يعني over زيادة
+
+502
+00:46:42,370 --> 00:46:45,990
+over contraction such as a weakness may be
+
+503
+00:46:45,990 --> 00:46:50,170
+responsible for the ice train and a stenopia الآن
+
+504
+00:46:50,170 --> 00:46:55,740
+المواحد عنده deficiency نقصفي ال accommodation أو
+
+505
+00:46:55,740 --> 00:46:59,080
+بمعنى weakness، ضعف في ال accommodation، هذا
+
+506
+00:46:59,080 --> 00:47:05,260
+هيعمله إيش؟ ال eye strain، هيعمله ال fatigue أو ال
+
+507
+00:47:05,260 --> 00:47:10,740
+.. ال eye pain، ألم في العين، okay؟ إذا دايما
+
+508
+00:47:10,740 --> 00:47:14,460
+سببها إيش؟ weakness في ال accommodationعشان هيك
+
+509
+00:47:14,460 --> 00:47:17,940
+بتلاقي معظم الناس الكبار بعد سن الأربعين ياما بيجي
+
+510
+00:47:17,940 --> 00:47:22,140
+بقرا أكتر من ساعة إيش، بتعب، بقولك أنا صار عندي
+
+511
+00:47:22,140 --> 00:47:26,600
+eye strain، صار عندي eye fatigue، أسنوبية، ليش؟ شو
+
+512
+00:47:26,600 --> 00:47:30,820
+السبب؟انه عنده weakness .. weakness لل
+
+513
+00:47:30,820 --> 00:47:36,200
+accommodation انه inability to shape of the .. to
+
+514
+00:47:36,200 --> 00:47:40,480
+shape the .. to shape of the lens انه مش قادر انه
+
+515
+00:47:40,480 --> 00:47:44,860
+يغير على شكل العدسة okay؟ لكن انه ال celery muscle
+
+516
+00:47:44,860 --> 00:47:49,760
+بتكون intact طبيعية okay؟ في اي سؤال اي استفسار
+
+517
+00:47:49,760 --> 00:47:51,120
+يعطيكم العافية هيك
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7f10f9dcba9d4bf1f4fcfe3b2ade19e16ea19b50
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg.srt
@@ -0,0 +1,1466 @@
+1
+00:00:20,770 --> 00:00:24,150
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,150 --> 00:00:30,810
+وبركاته and a very good afternoon to all of you. في
+
+3
+00:00:30,810 --> 00:00:36,210
+آخر محاضرة أخذنا ال classification تصنيف لـ
+
+4
+00:00:36,210 --> 00:00:39,970
+anomalies of accommodation. Anomalies of
+
+5
+00:00:39,970 --> 00:00:45,510
+accommodation هو بمعنى خلل في عملية التكييف. okay
+
+6
+00:00:47,160 --> 00:00:51,760
+أما بيكون سببه زيادة في الـ accommodation increase
+
+7
+00:00:51,760 --> 00:00:56,200
+في الـ accommodation أو decrease في الـ accommodation إذا
+
+8
+00:00:56,200 --> 00:00:59,260
+كان increase في الـ accommodation. أخذنا أول نوع
+
+9
+00:00:59,260 --> 00:01:07,300
+excessive accommodation بمعنى وجود شد، يعني بيكون
+
+10
+00:01:07,300 --> 00:01:13,860
+شد، بوجود سبب. okay. لكن النوع الثاني الـ spasm of
+
+11
+00:01:13,860 --> 00:01:21,370
+accommodation بمعنى وجود شد لكن بدون سبب. الـ spasm
+
+12
+00:01:21,370 --> 00:01:26,210
+of accommodation له سببان، السبب الأول إما العمل
+
+13
+00:01:26,210 --> 00:01:31,030
+القريب المتواصل. يعني حد عنده refractive error
+
+14
+00:01:31,030 --> 00:01:35,030
+myopia أو hypermetropia أو astigmatism، وبيعمل عمل
+
+15
+00:01:35,030 --> 00:01:40,270
+قريب بشكل متواصل. هذا إيش بنسميه؟ عنده spasm of
+
+16
+00:01:40,270 --> 00:01:44,890
+accommodation. okay. continuous near work، يعني بيعمل
+
+17
+00:01:44,890 --> 00:01:51,280
+عمل قريب بشكل متواصل. السبب الثاني أنه بيستخدم قطرات
+
+18
+00:01:51,280 --> 00:01:55,680
+الـ miotic، إنها قطرات اللي بتعمل تضييق للبؤبؤ زي
+
+19
+00:01:55,680 --> 00:02:00,440
+مثل مين؟ البيلوكاربين. okay. قطرة البيلوكاربين اللي
+
+20
+00:02:00,440 --> 00:02:06,100
+بتعمل إيش؟ Spasm للعضلة الهدبية. okay. إذا Spasm of
+
+21
+00:02:06,100 --> 00:02:09,780
+accommodation causes، أي بمعنى الأسباب، اللي لها
+
+22
+00:02:09,780 --> 00:02:16,270
+سببين. Number one: continuous severe
+
+23
+00:02:16,270 --> 00:02:19,350
+near work in the presence of refractive error، أي
+
+24
+00:02:19,350 --> 00:02:23,910
+بمعنى عمل قريب متواصل مع وجود الأخطاء
+
+25
+00:02:23,910 --> 00:02:28,450
+الانكسارية سواء ميوبيا، hypermetropia أو astigmatism.
+
+26
+00:02:28,450 --> 00:02:34,630
+okay. Number two: miotic، أي بمعنى قطرة اللي هي
+
+27
+00:02:34,630 --> 00:02:39,690
+بتعمل إيش؟ التضييق، زي البيلوكاربين. البيلوكاربين شو
+
+28
+00:02:39,690 --> 00:02:45,120
+وظيفتها؟ may bring a spasm of ciliary muscle. بتعمل
+
+29
+00:02:45,120 --> 00:02:52,400
+عملية شد للعضلة الهدبية. Spasm بمعنى تشنج. Spasm.
+
+30
+00:02:52,400 --> 00:02:57,500
+طيب.
+
+31
+00:02:57,500 --> 00:03:03,260
+الـ precipitating factors، يعني العوامل المؤدية إلى
+
+32
+00:03:03,260 --> 00:03:07,620
+الـ Spasm of accommodation. شو هي العوامل اللي بتؤدي
+
+33
+00:03:07,620 --> 00:03:12,840
+إلى الـ Spasm of accommodation؟ Number one: في عندنا درجة
+
+34
+00:03:12,840 --> 00:03:17,400
+كبيرة من عدم التوازن في عضلات العين، زي ما أنتم
+
+35
+00:03:17,400 --> 00:03:21,540
+عارفين، في عندنا ست عضلات في العين، الـ extraocular
+
+36
+00:03:21,540 --> 00:03:25,860
+muscles: superior rectus، inferior rectus، medior
+
+37
+00:03:25,860 --> 00:03:28,500
+rectus، lateral rectus، superior and inferior
+
+38
+00:03:28,500 --> 00:03:34,720
+oblique. okay؟ الآن في... في هذه العضلات marked، يعني
+
+39
+00:03:34,720 --> 00:03:38,760
+درجة كبيرة من الـ imbalance، يعني عدم التوازن. زي ممكن
+
+40
+00:03:38,760 --> 00:03:42,560
+يكون إسترابيزم، واحد عنده إسترابيزم، شو معناه إسترابيزم؟
+
+41
+00:03:42,560 --> 00:03:53,440
+حول ظاهر، أي بمعنى استرابيزم manifest
+
+42
+00:03:53,440 --> 00:04:00,080
+misalignment.
+
+43
+00:04:10,570 --> 00:04:16,690
+أي بمعنى Manifest، ظاهر، Misalignment of the
+
+44
+00:04:16,690 --> 00:04:21,310
+عدم توازن في العينين. يعني بمعنى أن العينين داخلتين
+
+45
+00:04:21,310 --> 00:04:25,670
+للدخل أو خارجات للخارج. إذا عدم استقامة في العينين.
+
+46
+00:04:25,670 --> 00:04:30,230
+هذه بنسميها إيه؟ استرابيزم. في عندنا فورتيا.
+
+47
+00:04:30,230 --> 00:04:35,250
+فورتيا.
+
+48
+00:04:35,250 --> 00:04:37,710
+اللي هو حول خفي، Latent.
+
+49
+00:04:40,760 --> 00:04:45,880
+misalignment of the eyes. هذا الفرق ما بين المصطلحين
+
+50
+00:04:45,880 --> 00:04:51,340
+الفورتيا والإسترابيزم. فالـ precipitating factors
+
+51
+00:04:51,340 --> 00:04:56,080
+العوامل اللي بتؤدي إلى حدوث الـ spasm of
+
+52
+00:04:56,080 --> 00:05:05,140
+accommodation. أول حاجة: درجة كبيرة من عدم سواء كان
+
+53
+00:05:05,140 --> 00:05:09,400
+استرابيزم أو فورتيا، manifest أو latent misalignment
+
+54
+00:05:09,400 --> 00:05:13,400
+of the eyes. الحالة
+
+55
+00:05:13,400 --> 00:05:19,140
+الثانية هي trigeminal neuralgia بمعنى شلل في العصب
+
+56
+00:05:19,140 --> 00:05:26,920
+الخامس. العصب الخامس
+
+57
+00:05:26,920 --> 00:05:32,480
+اللي لو عندكم في الصورة شايفين التقسيم بتاعه، أنه
+
+58
+00:05:32,480 --> 00:05:38,300
+فيه له الـ parts، الأجزاء، ثلاثة أجزاء. في عندنا الجزء
+
+59
+00:05:38,300 --> 00:05:42,140
+العلوي، هذا اللي بيغذي مين؟ الـ maxillary، الـ
+
+60
+00:05:42,140 --> 00:05:46,680
+maxillary، أي بمعنى الفك العلوي. الجزء الثاني بيغذي
+
+61
+00:05:46,680 --> 00:05:50,880
+الـ ophthalmic، العين. والجزء الثالث بيغذي الـ
+
+62
+00:05:50,880 --> 00:05:55,040
+mandibular، اللي هو الجزء الفك السفلي. إذا في
+
+63
+00:05:55,040 --> 00:05:58,900
+عندنا كتبت هذا التعريف.
+
+64
+00:06:08,780 --> 00:06:14,320
+إذا عندنا الـ parts، أجزاء
+
+65
+00:06:14,320 --> 00:06:19,360
+of trigeminal
+
+66
+00:06:19,360 --> 00:06:30,620
+or fifth nerve. Number one: الـ maxillary، أي
+
+67
+00:06:30,620 --> 00:06:35,360
+بمعنى الفك العلوي. Number two: الـ ophthalmic
+
+68
+00:06:40,980 --> 00:06:46,700
+العيني. و Number three: mandibular.
+
+69
+00:06:46,700 --> 00:06:52,040
+هدول
+
+70
+00:06:52,040 --> 00:07:01,100
+أجزاء الـ trigeminal nerve. طبعاً هدول، mandibular part
+
+71
+00:07:01,100 --> 00:07:07,470
+بمعنى الفك السفلي. فالـ precipitating factors
+
+72
+00:07:07,470 --> 00:07:11,970
+العوامل اللي بتؤدي إلى Spasm of accommodation منها
+
+73
+00:07:11,970 --> 00:07:16,990
+الـ Trigeminal Neuralgia أو تلفظ Neuralgia في
+
+74
+00:07:16,990 --> 00:07:22,370
+الأمريكان والبريطانيين. okay؟ هذه بالنسبة لـ causes
+
+75
+00:07:22,370 --> 00:07:28,130
+لـ Spasm
+
+76
+00:07:28,130 --> 00:07:33,360
+of accommodation. Number three: الـ dental lesion، أي
+
+77
+00:07:33,360 --> 00:07:37,540
+بمعنى وجع في الأسنان أو ألم في الأسنان. نسميه
+
+78
+00:07:37,540 --> 00:07:42,640
+dental lesion أو causes of Iridocyclitis.
+
+79
+00:07:42,640 --> 00:07:46,780
+Iridocyclitis بمعنى inflammation بيكون
+
+80
+00:07:46,780 --> 00:07:51,760
+inflammation، شو معناه؟ التهاب. دائماً كلمة itis بمعنى
+
+81
+00:07:51,760 --> 00:07:57,260
+inflammation، يعني التهاب. أي كلمة فيها itis بمعنى
+
+82
+00:07:57,260 --> 00:08:01,300
+inflammation. okay؟ فـ Iridocyclitis بمعنى
+
+83
+00:08:01,300 --> 00:08:07,220
+inflammation للقزحية والجسم الهدبي. كتبت الـ
+
+84
+00:08:07,220 --> 00:08:08,300
+parts؟
+
+85
+00:08:28,970 --> 00:08:38,070
+Iridocyclitis: inflammation of
+
+86
+00:08:38,070 --> 00:08:45,730
+the iris and
+
+87
+00:08:45,730 --> 00:08:51,130
+ciliary body. هذا الـ definition لمين؟ لـ
+
+88
+00:08:51,130 --> 00:08:52,430
+Iridocyclitis.
+
+89
+00:08:56,270 --> 00:09:01,710
+طبعاً الـ ciliary spasm اللي بشكل عام بيحدث وين؟ في
+
+90
+00:09:01,710 --> 00:09:05,730
+العضلة الهدبية. دائماً هذا بيكون إيه؟ involuntary.
+
+91
+00:09:05,730 --> 00:09:10,690
+يعني لا إرادي، يعني خارج عن إرادة الإنسان أو الـ
+
+92
+00:09:10,690 --> 00:09:16,150
+patient، المريض. The ciliary spasm usually out of
+
+93
+00:09:16,150 --> 00:09:21,430
+the patient's control. يعني دائماً غالباً بيكون خارج
+
+94
+00:09:21,430 --> 00:09:34,570
+عن سيطرة الإنسان أو الـ patient. والدرجة بتكون
+
+95
+00:09:34,570 --> 00:09:39,430
+عشرة ديوبتر أو أكثر. بمعنى أنه بيعمل إيه؟
+
+96
+00:09:39,430 --> 00:09:42,090
+Artificial Myopia، يعني ميوبيا كاذبة.
+
+97
+00:09:46,730 --> 00:09:49,870
+إذا الآن لو سألتك سؤال: الـ spasm of accommodation
+
+98
+00:09:49,870 --> 00:09:54,210
+هل هو voluntary ولا involuntary؟ involuntary. What
+
+99
+00:09:54,210 --> 00:09:56,970
+do you mean by involuntary؟ Out of the patient's
+
+100
+00:09:56,970 --> 00:10:01,810
+control. يعني خارج عن سيطرة الإنسان. okay. ليش؟ لأن
+
+101
+00:10:01,810 --> 00:10:06,530
+هو منطق أن الـ... الـ spasm of accommodation بيحدث
+
+102
+00:10:06,530 --> 00:10:10,190
+لكن بدون سبب، زي ما حكيت المرة الفاتتة، أنه مش
+
+103
+00:10:10,190 --> 00:10:14,310
+نتيجة أن إيش؟ الـ contraction للعضلة الهدبية. أنه
+
+104
+00:10:14,310 --> 00:10:17,770
+دائماً سببه بيكون إيش؟ physiological، مش
+
+105
+00:10:17,770 --> 00:10:22,590
+physical accommodation. okay. طيب، شو الـ symptoms
+
+106
+00:10:22,590 --> 00:10:26,470
+بتاعته؟ الأعراض. يعني واحد عنده spasm of
+
+107
+00:10:26,470 --> 00:10:30,690
+accommodation، من إيش هيشوف كذا؟ أول حاجة أنه هيكون
+
+108
+00:10:30,690 --> 00:10:34,550
+عنده blurring للرؤية القريبة والبعيدة. يعني
+
+109
+00:10:34,550 --> 00:10:38,410
+بعيداً عن القريب وبعيداً عن البعيد. طيب، إذا الـ
+
+110
+00:10:38,410 --> 00:10:42,730
+number one، إذا إيش بيكون؟ في عندنا blurring للـ
+
+111
+00:10:42,730 --> 00:10:46,330
+distance و لل near vision. يعني دائماً القريب والبعيد
+
+112
+00:10:46,330 --> 00:10:51,810
+بيكون مُغبش. الـ patient دائماً اللي عنده spasm of
+
+113
+00:10:51,810 --> 00:10:55,470
+accommodation بيكون دائماً neurotic، أي بمعنى عصبي.
+
+114
+00:10:55,470 --> 00:11:01,490
+okay. زيادة أنه بيكون عنده drowsy، أي بمعنى دوخة. okay.
+
+115
+00:11:01,490 --> 00:11:05,370
+ودائماً بيحب يأكل الشوكولاتة اللي... اللي عنده
+
+116
+00:11:05,370 --> 00:11:11,450
+الـ spasm of accommodation. okay. All symptoms، كل
+
+117
+00:11:11,450 --> 00:11:14,090
+الأعراض بتاعة الـ excessive accommodation اللي
+
+118
+00:11:14,090 --> 00:11:16,830
+أخذناها في المرة السابقة، من ناحية
+
+119
+00:11:20,670 --> 00:11:25,370
+هذه بنضيفها لمين؟ لـ Spasm of accommodation، و
+
+120
+00:11:25,370 --> 00:11:28,170
+بتكون in excess، يعني بزيادة كمان.
+
+121
+00:11:34,020 --> 00:11:37,520
+Spasm of accommodation. أول حاجة: في عنده blurred
+
+122
+00:11:37,520 --> 00:11:42,840
+low vision. الـ patient بيكون neurotic، أنه عصبي، زيادة
+
+123
+00:11:42,840 --> 00:11:46,600
+عنده drowsy، دوخة، وكل الأعراض بتاعة الـ
+
+124
+00:11:46,600 --> 00:11:49,020
+excessive accommodation، من ناحية الـ headache،
+
+125
+00:11:49,020 --> 00:11:54,660
+الصداع، من ناحية الـ discomfort، عدم الراحة، أيضاً من
+
+126
+00:11:54,660 --> 00:11:58,140
+ناحية الـ eye fatigue، الـ eye strain، كلها مع إيش؟
+
+127
+00:11:58,140 --> 00:12:00,840
+زيادة في هذه الأعراض.
+
+128
+00:12:02,500 --> 00:12:05,760
+طيب، في بعض المرضى، زي ما أنتم عارفين، اللي بيكون
+
+129
+00:12:05,760 --> 00:12:09,920
+عنده glaucoma، المياه الزرقاء، بيستخدم قطرة مين؟ الـ
+
+130
+00:12:09,920 --> 00:12:14,900
+بيلوكاربين، اللي هي بتعمل تضييق للبؤبؤ. فهؤلاء الناس
+
+131
+00:12:14,900 --> 00:12:19,500
+بيعانون من مين؟ من الـ spasm of accommodation. يعني
+
+132
+00:12:19,500 --> 00:12:23,560
+الآن لو سألتك: من أكثر الناس بيعانون من الـ spasm
+
+133
+00:12:23,560 --> 00:12:26,680
+of accommodation؟ الناس اللي بياخذوا قطرة مين؟ الـ
+
+134
+00:12:26,680 --> 00:12:30,960
+بيلوكاربين، اللي بتعمل عملية miosis of the pupil.
+
+135
+00:12:30,960 --> 00:12:35,020
+In some patients، في بعض المرضى، pilocarpine drops
+
+136
+00:12:35,020 --> 00:12:38,980
+قطرة البيلوكاربين، that used if تستخدم in a
+
+137
+00:12:38,980 --> 00:12:42,800
+treatment في علاج of glaucoma، المياه الزرقاء، may
+
+138
+00:12:42,800 --> 00:12:49,970
+produce هذا ينتج إيه؟ ciliary spasm، أي بمعنى تشنج
+
+139
+00:12:49,970 --> 00:12:55,330
+للعضلة الهدبية. طبعاً
+
+140
+00:12:55,330 --> 00:12:59,430
+هذه صورة الاسترابيزم، زي ما أنتم شايفين. طبعاً حول
+
+141
+00:12:59,430 --> 00:13:05,030
+للدخل. okay. manifest misalignment of the eyes.
+
+142
+00:13:05,030 --> 00:13:09,570
+العينين لوين؟ للداخل. صح، أنه ما فيش misalignment of
+
+143
+00:13:09,570 --> 00:13:10,330
+the eyes.
+
+144
+00:13:13,160 --> 00:13:16,700
+طبعاً هذه الـ parts، أجزاء، اللي تريجيمنال نرف،
+
+145
+00:13:16,700 --> 00:13:20,400
+عندنا الـ maxillary، الجزء العلوي، الـ ophthalmic
+
+146
+00:13:20,400 --> 00:13:28,580
+العيني، والـ mandibular، الجزء السفلي. okay؟
+
+147
+00:13:28,580 --> 00:13:32,820
+هذه الـ Iridocyclitis، inflammation لها الـ iris والـ
+
+148
+00:13:32,820 --> 00:13:36,620
+الجسم الهدبي. okay؟ مش إحنا فيه عندنا ثلاثة أجزاء
+
+149
+00:13:36,620 --> 00:13:41,320
+للعين، الجزء الداخلي والخارجي والوسطي اللي هو
+
+150
+00:13:41,320 --> 00:13:45,840
+بيمثل مين؟ الـ iris والجسم الهدبي زائد الـ
+
+151
+00:13:45,840 --> 00:13:49,960
+الشبكية. طيب، في عندنا insufficiency of
+
+152
+00:13:49,960 --> 00:13:54,060
+accommodation. إذا الآن أخذنا إيش؟ الزيادة في الـ
+
+153
+00:13:54,060 --> 00:13:58,250
+accommodation. okay؟ إذا الزيادة في الـ accommodation
+
+154
+00:13:58,250 --> 00:14:02,130
+إما بتكون excessive accommodation أو النوع الثاني
+
+155
+00:14:02,130 --> 00:14:06,490
+إيش بتكون؟ spasm of accommodation. النوع الثاني
+
+156
+00:14:06,490 --> 00:14:10,930
+عندنا decrease، يعني بتقل الـ accommodation. طيب، أول
+
+157
+00:14:10,930 --> 00:14:14,870
+نوع: insufficiency of accommodation. Insufficiency
+
+158
+00:14:14,870 --> 00:14:19,530
+of accommodation، أي بمعنى أنه الكمية اللي موجودة
+
+159
+00:14:19,530 --> 00:14:25,300
+للـ patient هذا غير كافية. يعني بمعنى لو أخذنا two
+
+160
+00:14:25,300 --> 00:14:34,440
+patients عمرهم عشرين سنة، لو هذا فرضنا normal وهذا
+
+161
+00:14:34,440 --> 00:14:39,220
+عنده insufficient of
+
+162
+00:14:39,220 --> 00:14:42,240
+accommodation.
+
+163
+00:14:42,240 --> 00:14:45,360
+لو
+
+164
+00:14:45,360 --> 00:14:51,290
+فرضنا هذا عنده عشرة ديوبتر، هذا هيكون ثمانية ديوبتر.
+
+165
+00:14:51,290 --> 00:14:56,330
+واضح؟ يعني بمعنى نقص في الـ accommodation، أي بمعنى
+
+166
+00:14:56,330 --> 00:15:01,310
+أن كمية الـ accommodation لهذا الشخص هتكون أقل من
+
+167
+00:15:01,310 --> 00:15:05,530
+كمية الـ accommodation لـ patient إيش يكون normal في
+
+168
+00:15:05,530 --> 00:15:12,450
+العمر هذا. مرة ثانية: أن كمية الـ accommodation اللي
+
+169
+00:15:12,450 --> 00:15:15,490
+موجودة عند هذا الـ patient، لو كان عنده insufficient
+
+170
+00:15:15,490 --> 00:15:19,350
+of accommodation، هتكون أقل من كمية الـ
+
+171
+00:15:19,350 --> 00:15:23,650
+accommodation لو قارناها بمين؟ بواحد normal في نفس
+
+172
+00:15:23,650 --> 00:15:28,630
+العمر. آه.
+
+173
+00:15:28,630 --> 00:15:32,150
+يعني مش معقول واحد مثلاً عمره عشرين سنة أقارنه
+
+174
+00:15:32,150 --> 00:15:35,130
+بواحد عمره ثلاثين سنة. أكيد كمية الـ accommodation
+
+175
+00:15:35,130 --> 00:15:40,080
+للعشرين هتكون أعلى من أبو الثلاثين. صح؟ In this
+
+176
+00:15:40,080 --> 00:15:44,060
+calculation، في هذه المعادلة أو في هذا الـ
+
+177
+00:15:44,060 --> 00:15:47,460
+definition، التعريف. The accommodation power، أي
+
+178
+00:15:47,460 --> 00:15:53,270
+بمعنى قوة التكيف، is constantly، أي بمعنى ثابت، below
+
+179
+00:15:53,270 --> 00:15:59,350
+أقل من الـ lower limit، من الكمية المحددة، of what may
+
+180
+00:15:59,350 --> 00:16:03,590
+be accepted as the normal variation of patients
+
+181
+00:16:03,590 --> 00:16:08,550
+of age. أنه هتكون هذه الكمية أقل من الكمية المحددة لـ
+
+182
+00:16:08,550 --> 00:16:11,670
+patient إيش يكون normal في وضع الـ normal.
+
+183
+00:
+
+223
+00:19:26,060 --> 00:19:30,940
+حالة كما يكون واحد عنده chronic glaucoma
+
+224
+00:19:30,940 --> 00:19:34,600
+chronic بمعنى إيش مزمن okay يعني الـ diabetes
+
+225
+00:19:34,600 --> 00:19:38,380
+mellitus مرض الـ diabetes بنسميه chronic أي مرض
+
+226
+00:19:38,380 --> 00:19:42,480
+مزمن بنسميه chronic فعندنا فيه البرودرومال أي
+
+227
+00:19:42,480 --> 00:19:47,760
+advanced stage يعني في المرحلة المتقدمة من الـ
+
+228
+00:19:47,760 --> 00:19:49,520
+chronic angle-closure glaucoma
+
+229
+00:19:56,000 --> 00:19:59,400
+أسباب الـ insufficiency of accommodation أول حاجة
+
+230
+00:19:59,400 --> 00:20:02,920
+عندنا الـ debility أي بمعنى ضعف عام الإنسان بيكون
+
+231
+00:20:02,920 --> 00:20:07,820
+عنده ضعف في الجسم خاصة في المناطق اللي فيها مفاصل
+
+232
+00:20:08,100 --> 00:20:11,380
+هذا بزيد عندهم الـ insufficiency of accommodation
+
+233
+00:20:11,380 --> 00:20:15,640
+يعني في أفريقيا وغيرها من المناطق هذه الناس اللي
+
+234
+00:20:15,640 --> 00:20:20,240
+عندهم anemia فقر الدم برضه بزيد كمية الـ
+
+235
+00:20:20,240 --> 00:20:24,040
+insufficiency of accommodation أيضا في سوء
+
+236
+00:20:24,040 --> 00:20:30,140
+nutrition أي بمعنى سوء التغذية okay النقطة الثانية
+
+237
+00:20:30,140 --> 00:20:35,910
+اللي بيعملوا excessive زيادة في استخدام الأشياء القريبة
+
+238
+00:20:35,910 --> 00:20:39,510
+هذا الاستخدام بيكون غير مرغوب فيه يعني بمعنى أنه
+
+239
+00:20:39,510 --> 00:20:43,930
+بيستخدم ساعات طويلة من اليوم على الـ laptop أو مثلا
+
+240
+00:20:43,930 --> 00:20:48,150
+بيستخدم على الـ smart phone كل هذه بدون فائدة هذه
+
+241
+00:20:48,150 --> 00:20:51,690
+بتعمل إيش insufficiency of accommodation لأنه بيعمل
+
+242
+00:20:51,690 --> 00:20:55,550
+إجهاد على من؟ على الـ accommodation والحالة الثالثة
+
+243
+00:20:57,170 --> 00:21:01,030
+failure of ciliary muscle أي بمعنى فشل في العضلة
+
+244
+00:21:01,030 --> 00:21:05,990
+الهدبية خاصة في حالات وين يكون عنده في الـ advanced
+
+245
+00:21:05,990 --> 00:21:09,910
+stage يعني المرحلة المتقدمة من الـ angle-closure
+
+246
+00:21:09,910 --> 00:21:14,770
+glaucoma يعني في مرحلة متقدمة من المياه
+
+247
+00:21:14,770 --> 00:21:18,690
+الزرقاء هذه كلها الـ etiology الأسباب
+
+248
+00:21:18,690 --> 00:21:22,470
+للـ insufficiency of accommodation أهم سببين هما اثنين
+
+249
+00:21:22,470 --> 00:21:23,650
+الفيلر
+
+250
+00:21:46,820 --> 00:21:50,260
+مريض اللي عنده نقص في الـ accommodation من إيش
+
+251
+00:21:50,260 --> 00:21:55,520
+هيشعر؟ أول حاجة من headache صداع سواء كان frontal
+
+252
+00:21:55,520 --> 00:22:00,960
+or occipital أو ممكن يكون temporal ممكن مثلا
+
+253
+00:22:00,960 --> 00:22:05,600
+sometimes or constant زي ما اتعلمنا أيضا الـ
+
+254
+00:22:05,600 --> 00:22:10,740
+الـasthenopia أو الـ eye fatigue إجهاد في العين eye
+
+255
+00:22:10,740 --> 00:22:15,260
+pain ألم في العين زائد الـ drowsiness أي بمعنى إيش
+
+256
+00:22:15,260 --> 00:22:22,570
+النعاس okay والخمول near work is blurred يعني
+
+257
+00:22:22,570 --> 00:22:27,530
+القريب إيش بيكون؟ مغبش and becomes وبيصبح إيش ماله؟
+
+258
+00:22:27,530 --> 00:22:33,490
+impossible أي بمعنى مستحيل or difficult أو صعب
+
+259
+00:22:33,490 --> 00:22:37,770
+okay sometimes
+
+260
+00:22:37,770 --> 00:22:41,690
+في بعض الوقت and attempted أنه بيحاول to read
+
+261
+00:22:41,690 --> 00:22:47,490
+clearly mainly due to excessive convergence  الصورة من
+
+262
+00:22:47,490 --> 00:22:52,050
+الناس ماعندهوش كمية كافية من الـ accommodation لكن
+
+263
+00:22:52,050 --> 00:22:56,330
+عليه بكرا امتحان فبيحاول أنه يعمل accommodation إيش
+
+264
+00:22:56,330 --> 00:22:59,650
+قدر المستطاع فزيادة الـ accommodation بتاعه إيش
+
+265
+00:22:59,650 --> 00:23:03,870
+هيعمل convergence excess زيادة في وين؟ في الـ
+
+266
+00:23:03,870 --> 00:23:07,830
+convergence لأن حكينا أن تلاشي أشياء بتكون إيش
+
+267
+00:23:07,830 --> 00:23:11,990
+متلازمة مع بعض accommodation convergence and
+
+268
+00:23:11,990 --> 00:23:12,410
+miosis
+
+269
+00:23:17,290 --> 00:23:22,530
+طيب النوع الثاني من الـ decrease للـ accommodation
+
+270
+00:23:22,530 --> 00:23:27,830
+هو الـ paralysis of accommodation paralysis بمعنى
+
+271
+00:23:27,830 --> 00:23:34,030
+شلل okay شلل في الـ accommodation طبعا بيكون نوعين
+
+272
+00:23:34,030 --> 00:23:39,990
+فيه، يعني الـ causes أسبابه إما بتكون general عامة
+
+273
+00:23:45,290 --> 00:23:51,050
+أو بتكون local بمعنى أن سببها العين الـ general
+
+274
+00:23:51,050 --> 00:23:55,190
+causes
+
+275
+00:23:55,190 --> 00:24:01,590
+one الـ drugs أي بمعنى أدوية زي مثلا الـ anti
+
+276
+00:24:01,590 --> 00:24:07,090
+hypertensive drugs يعني أدوية ضد ارتفاع ضغط الدم
+
+277
+00:24:07,090 --> 00:24:10,510
+أو anti-depressant drugs
+
+278
+00:24:13,540 --> 00:24:20,360
+للإكتئاب أو anti-spasmodic drugs أي بتكون أدوية ضد
+
+279
+00:24:20,360 --> 00:24:24,640
+اللي هو إيه؟ التشنج هذه أنواع الـ drugs اللي
+
+280
+00:24:24,640 --> 00:24:30,540
+بتستخدم إذا anti-hypertensive drugs أدوية ضد
+
+281
+00:24:30,540 --> 00:24:39,850
+ارتفاع ضغط الدم الثانية أدوية ضد الإكتئاب والثالثة
+
+282
+00:24:39,850 --> 00:24:44,330
+أدوية بتكون ضد التشنج خاصة الناس اللي بيكون عندهم
+
+283
+00:24:44,330 --> 00:24:51,210
+تشنج anti-spasmodic drugs هذه بيستخدموها النوع
+
+284
+00:24:51,210 --> 00:24:55,370
+الثاني أنه السبب الثاني الـ general أي systemic disease
+
+285
+00:24:55,370 --> 00:24:59,990
+أي مرض أو trauma أو ضربة وين بتكون؟ في الـ midbrain
+
+286
+00:24:59,990 --> 00:25:04,960
+الـ midbrain أي بمعنى في الدماغ or the
+
+287
+00:25:04,960 --> 00:25:08,200
+course of parasympathetic nerve supply to the
+
+288
+00:25:08,200 --> 00:25:11,400
+ciliary muscle زي ما أنتم عارفين اللي بيغذي الـ
+
+289
+00:25:11,400 --> 00:25:14,720
+ciliary muscle هو الـ parasympathetic فيصير إيش؟ الـ
+
+290
+00:25:14,720 --> 00:25:20,680
+trauma، ضربة فيه number three, central
+
+291
+00:25:20,680 --> 00:25:26,120
+neurological causes يعني بمعنى أسباب عصبية مركزية
+
+292
+00:25:26,120 --> 00:25:30,480
+زي إيش مثلا الـ central neurological causes؟
+
+293
+00:25:36,690 --> 00:25:41,210
+مثال على الـ central يعني أسباب عصبية central
+
+294
+00:25:41,210 --> 00:25:48,970
+neurological causes أسباب
+
+295
+00:25:48,970 --> 00:25:53,870
+عصبية يعني بيكون هي أسبابها بتعمل paralysis للـ
+
+296
+00:25:53,870 --> 00:26:01,370
+accommodation بصراحة
+
+297
+00:26:01,370 --> 00:26:05,590
+حكينا أنه في النوع الأول أنه الأدوية ضد
+
+298
+00:26:10,520 --> 00:26:16,200
+طيب هذا واجب للمرة القادمة الـ central neurological
+
+299
+00:26:16,200 --> 00:26:23,240
+causes عليه علامة اللي بتجيب شو هي الـ general من
+
+300
+00:26:23,240 --> 00:26:26,760
+ضمن الأسباب اللي بتعمل paralysis للـ accommodation
+
+301
+00:26:26,760 --> 00:26:34,850
+central neurological causes أسباب عصبية number four
+
+302
+00:26:34,850 --> 00:26:40,870
+infectious diseases أي بمعنى أمراض بتكون معدية زي
+
+303
+00:26:40,870 --> 00:26:47,710
+مثلا عندنا النكاف mumps
+
+304
+00:26:47,710 --> 00:26:57,930
+بمعنى النكاف
+
+305
+00:26:57,930 --> 00:27:05,680
+نكاف نعم mumps أو مثلا التهاب اللوزتين بنسميه
+
+306
+00:27:05,680 --> 00:27:11,060
+tonsillitis okay
+
+307
+00:27:11,060 --> 00:27:18,240
+هذه بنسميها infectious diseases يعني بمعنى أمراض
+
+308
+00:27:18,240 --> 00:27:23,780
+معدية زي ما قلنا النكاف mumps or tonsillitis أي
+
+309
+00:27:23,780 --> 00:27:28,640
+بمعنى التهاب في اللوزتين هذه تعتبر general causes
+
+310
+00:27:28,640 --> 00:27:33,340
+يعني أسباب عامة بتؤدي إلى إيش؟ paralysis of
+
+311
+00:27:33,340 --> 00:27:33,980
+accommodation
+
+312
+00:27:36,790 --> 00:27:43,050
+non-infectious diseases يعني أمراض مالهاش علاقة في
+
+313
+00:27:43,050 --> 00:27:47,750
+الـ infection زي مثلا الـ diabetes mellitus اللي هو
+
+314
+00:27:47,750 --> 00:27:52,070
+السكري DM طيب
+
+315
+00:27:52,070 --> 00:27:57,650
+الـ local causes أي بمعنى أسباب في العين زي مثلا
+
+316
+00:27:57,650 --> 00:28:03,590
+واحد بيستخدم الـ short-acting مثلا الـ
+
+317
+00:28:03,590 --> 00:28:08,090
+cyclopentolate اللي بتعمل dilate للـ pupil أو واحد
+
+318
+00:28:08,090 --> 00:28:12,630
+ثاني بيستخدم الـ long-acting eye drops زي مثلا
+
+319
+00:28:12,630 --> 00:28:17,870
+الأتروبين اللي بتعمل توسيع، okay؟ هذه كلها بتعتبر
+
+320
+00:28:17,870 --> 00:28:22,790
+إيش؟ local، يعني أسباب local بتؤدي لمن؟ للـ
+
+321
+00:28:22,790 --> 00:28:28,800
+paralysis of accommodation، okay؟ وأيضا عندنا الـ
+
+322
+00:28:28,800 --> 00:28:33,920
+eye trauma أي بمعنى ضربة في العين affecting بتأثر
+
+323
+00:28:33,920 --> 00:28:39,600
+the ciliary body في الجسم الهدبي إذا الآن الـ
+
+324
+00:28:39,600 --> 00:28:43,260
+paralysis of accommodation بمعنى شلل في الـ
+
+325
+00:28:43,260 --> 00:28:47,380
+accommodation أسبابه اثنين إما بيكون general أو
+
+326
+00:28:47,380 --> 00:28:47,780
+local
+
+327
+00:28:51,800 --> 00:28:56,140
+أدوية زي مثلا الـ anti-hypertensive أو الـ anti
+
+328
+00:28:56,140 --> 00:29:00,500
+spasmodic ممكن تكون non-infectious أو في عندنا
+
+329
+00:29:00,500 --> 00:29:04,440
+infectious causes و الـ central neurological
+
+330
+00:29:04,440 --> 00:29:11,120
+causes نعم أو ضربة أو trauma أو أي infection في
+
+331
+00:29:11,120 --> 00:29:15,360
+الـ midbrain في الدماغ طيب إذا كانت local في عندنا
+
+332
+00:29:15,360 --> 00:29:20,100
+الـ cyclopentolate اللي هي بنسميها الـ short-acting
+
+333
+00:29:20,100 --> 00:29:25,420
+أو الـ long-acting مثل الأتروبين أو أي ضربة وين؟ في
+
+334
+00:29:25,420 --> 00:29:32,020
+العين بتأثر وين؟ على الـ ciliary body طيب
+
+335
+00:29:32,020 --> 00:29:37,440
+شو الـ symptoms الأعراض و الـ signs العلامات لو
+
+336
+00:29:37,440 --> 00:29:43,700
+واحد بيكون عنده إيش؟ paralysis of accommodation شلل
+
+337
+00:29:43,700 --> 00:29:51,620
+في الـ accommodation number one receding بمعنى إيش؟
+
+338
+00:29:51,620 --> 00:29:56,000
+receding of near point  أنه الـ near point بتبعد صح؟
+
+339
+00:29:56,000 --> 00:30:00,080
+So the far point and near point become close
+
+340
+00:30:00,080 --> 00:30:03,820
+together إذا أول حاجة الـ near point بتاعة المريض
+
+341
+00:30:03,820 --> 00:30:07,940
+بتبعد فبتلاحظي أن الـ near point و الـ far point
+
+342
+00:30:07,940 --> 00:30:12,920
+بيصيروا إيش؟ close together okay طيب الآن
+
+343
+00:30:12,920 --> 00:30:19,160
+واحدة بتفكر إذا الـ near point بتبعد صح معناه
+
+344
+00:30:19,160 --> 00:30:26,220
+البعيد هيتأثر؟ لأ القريب اللي هيتأثر okay إذا
+
+345
+00:30:26,220 --> 00:30:29,780
+impossible near work يعني بيكون العمل القريب
+
+346
+00:30:29,780 --> 00:30:31,400
+إيش ماله؟ مستحيل
+
+347
+00:30:36,570 --> 00:30:41,950
+لشلل الـ accommodation أول حاجة أنه الـ near point
+
+348
+00:30:41,950 --> 00:30:46,130
+بتاعة المريض بتبعد فالآن لما بتبعد بتصير الـ near
+
+349
+00:30:46,130 --> 00:30:50,450
+point و الـ far point إيش مالهم؟ together مع بعض بمعنى
+
+350
+00:30:50,450 --> 00:30:54,890
+إيش؟ أقصد أنه البعيد ما هيتأثرش صح؟ لأن already الـ
+
+351
+00:30:54,890 --> 00:31:01,420
+near point إيش مالها؟ بعدت زي هيك حأحاول أن أعمل طريقة
+
+352
+00:31:01,420 --> 00:31:05,680
+لحفظ الـ symptoms و الـ signs مثلا للـ paralysis of
+
+353
+00:31:05,680 --> 00:31:09,300
+accommodation للـ insufficiency of accommodation
+
+354
+00:31:09,300 --> 00:31:12,720
+بالشكل هذا النقطة الثانية الـ near point هي اللي
+
+355
+00:31:12,720 --> 00:31:17,200
+فيه المشكلة فـ impossible هيكون إيش ماله؟ مستحيل
+
+356
+00:31:17,200 --> 00:31:20,860
+okay distant
+
+357
+00:31:20,860 --> 00:31:25,460
+vision is not affected مش هيتأثر why لو قلت لك
+
+358
+00:31:25,460 --> 00:31:28,160
+distance vision is not affected in paralysis of
+
+359
+00:31:28,160 --> 00:31:32,220
+accommodation بالظبط و الـ near point قصتها
+
+360
+00:31:32,220 --> 00:31:40,500
+receding أنها بعدت okay واضح اه
+
+361
+00:31:40,500 --> 00:31:44,860
+بس لو سألتك السؤال distance vision is not affected
+
+362
+00:31:44,860 --> 00:31:51,700
+in paralysis of accommodation خليني
+
+363
+00:31:51,700 --> 00:31:52,160
+أكتبه
+
+364
+00:32:08,920 --> 00:32:17,680
+distance vision is
+
+365
+00:32:17,680 --> 00:32:21,880
+not affected
+
+366
+00:32:21,880 --> 00:32:29,200
+or impacted in
+
+367
+00:32:29,200 --> 00:32:31,520
+paralysis of
+
+368
+00:32:39,290 --> 00:32:45,530
+بمعنى أن الرؤية البعيدة لن تتأثر بالـ paralysis of
+
+369
+00:32:45,530 --> 00:32:47,350
+accommodation لماذا؟
+
+370
+00:33:23,730 --> 00:33:27,290
+ممكن أكتب الفار بوينت FP و نير بوينت NP
+
+371
+00:33:31,330 --> 00:33:35,170
+إذا منطق ليش في حالة الـ paralysis of accommodation
+
+372
+00:33:35,170 --> 00:33:38,990
+الـ distance vision أنه ما هتتأثرش لأنه الـ near
+
+373
+00:33:38,990 --> 00:33:45,850
+point إيش مالها؟ هتبعد اه it's not affected الـ near
+
+374
+00:33:45,850 --> 00:33:49,830
+point هتبعد فهيصبح الإثنين إيش مالهم؟ together أنه
+
+375
+00:33:49,830 --> 00:33:54,430
+مع بعض حيصير
+
+376
+00:33:54,430 --> 00:34:00,380
+full dilatation of the pupil يعني بمعنى أن البؤبؤ
+
+377
+00:34:00,380 --> 00:34:06,100
+بالظبط أنه هيتوسع زائد أنه إيش يصير؟ الـ sphincter
+
+378
+00:34:06,100 --> 00:34:10,260
+pupillae muscle اللي بتعمل contraction مش إحنا
+
+379
+00:34:10,260 --> 00:34:16,820
+في عندنا عضلتين الـ intraocular muscle في
+
+380
+00:34:16,820 --> 00:34:21,880
+عندنا الـ intraocular muscles ثلاث عضلات الإثنين منهم
+
+381
+00:34:21,880 --> 00:34:26,220
+واحدة الـ sphincter و الـ dilator طبعا مين اللي
+
+382
+00:34:26,220 --> 00:34:30,450
+هتتأثر عندنا؟ الـ sphincter فدايما المريض هتلاقي إيش
+
+383
+00:34:30,450 --> 00:34:35,850
+ماله؟ عنده dazzle  إذا دايما منبهر okay
+
+384
+00:34:35,850 --> 00:34:42,470
+فيصير full dilatation للبؤبؤ زائد أن الـ sphincter
+
+385
+00:34:42,470 --> 00:34:46,270
+الـ pupillae muscle is not affected فهذا إيش بيؤدي إلى
+
+386
+00:34:46,270 --> 00:34:51,710
+أن المريض يكون عنده dazzle أنه إنبها okay يعني
+
+387
+00:34:51,710 --> 00:34:54,890
+دايما منبهر عنده إنبهار okay
+
+388
+00:35:00,630 --> 00:35:06,030
+حاضر هلا في الـ paralysis of accommodation الـ
+
+389
+00:35:06,030 --> 00:35:10,270
+الـ patient هيكون عنده dilatation للبؤبؤ يعني
+
+390
+00:35:10,270 --> 00:35:15,690
+البؤبؤ موسع ليش؟ لأنه الـ sphincter هتتأثر فبيضيع الـ
+
+391
+00:35:15,690 --> 00:35:19,610
+function الوظيفة بتاعة الـ sphincter هتتأثر المريض
+
+392
+00:35:19,610 --> 00:35:23,220
+هيكون دايما هيشتغل مين؟ الـ dilatation of pupil
+
+393
+00:35:23,220 --> 00:35:27,180
+muscle فدائما هي اللي هتشتغل فالمريض هيكون في وضع
+
+394
+00:35:27,180 --> 00:35:32,600
+أنه full pupillary dilatation يعني البؤبؤ موسع بشكل
+
+395
+00:35:32,600 --> 00:35:37,620
+كامل زائد أنه هيكون عنده إيش؟ dazzle إنبهار يعني
+
+396
+00:35:37,620 --> 00:35:44,080
+نتيجة عدم عمل الـ which name؟ الـ sphincter
+
+397
+00:35:44,080 --> 00:35:50,510
+pupillae muscle هيصير عنده إنبهار okay؟ عندنا أخذنا في
+
+398
+00:35:50,510 --> 00:35:54,970
+العمل micropsia و macropsia، أي بمعنى الرؤية
+
+399
+00:35:54,970 --> 00:36:02,390
+المصغرة والرؤية المكبرة فحكينا بالنسبة لـ micropsia
+
+400
+00:36:02,390 --> 00:36:07,650
+which is reserve، reserve بمعنى إيش؟ تلغي، يعني
+
+401
+00:36:07,650 --> 00:36:12,250
+cancellation، أنها تلغي من macropsia، الرؤية
+
+402
+00:36:12,250 --> 00:36:18,490
+المكبرة إذا الرؤية المصغرة تلغي الرؤية المكبرة
+
+403
+00:36:18,490 --> 00:36:23,870
+وين؟ في الـ spasm of accommodation طيب why؟ السبب
+
+404
+00:36:23,870 --> 00:36:30,010
+أنه في micropsia في الرؤية المصغرة لا يوجد
+
+405
+00:36:30,010 --> 00:36:35,070
+accommodation لكن في macropsia الرؤية المكبرة
+
+406
+00:36:35,070 --> 00:36:40,740
+بي
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..563bfcb5ce2c4e98d7e54a8a73f9075b793bee67
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_postprocess.srt
@@ -0,0 +1,1732 @@
+1
+00:00:20,770 --> 00:00:24,150
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,150 --> 00:00:30,810
+وبركاته and a very good afternoon to all of you في
+
+3
+00:00:30,810 --> 00:00:36,210
+آخر محاضرة أخدنا ال classification تصنيف ل ال
+
+4
+00:00:36,210 --> 00:00:39,970
+anomalies of accommodation anomalies of
+
+5
+00:00:39,970 --> 00:00:45,510
+accommodation هو بمعنى خلل في عملية التكييف okay
+
+6
+00:00:47,160 --> 00:00:51,760
+اما بيكون سببه زيادة في ال accommodation increase
+
+7
+00:00:51,760 --> 00:00:56,200
+لل accommodation او decrease لل accommodation اذا
+
+8
+00:00:56,200 --> 00:00:59,260
+كان increase لل accommodation اخدنا اول نوع
+
+9
+00:00:59,260 --> 00:01:07,300
+excessive accommodation بمعنى وجود شد يعني بيكون
+
+10
+00:01:07,300 --> 00:01:13,860
+شد بوجود ايه سبب okay لكن النوع التاني ال spasm of
+
+11
+00:01:13,860 --> 00:01:21,370
+accommodationبمعنى وجود شد لكن بدون سببالـ spasm
+
+12
+00:01:21,370 --> 00:01:26,210
+of accommodation له سببين السبب الأول إما العمل
+
+13
+00:01:26,210 --> 00:01:31,030
+القريب المتواصل يعني حد عنده refractive error
+
+14
+00:01:31,030 --> 00:01:35,030
+myopia أو hypermetropia أو astigmatism وبيعمل عمل
+
+15
+00:01:35,030 --> 00:01:40,270
+قريب بشكل متواصل هذا إيش بنسميه عنده spasm of
+
+16
+00:01:40,270 --> 00:01:44,890
+accommodation okay continuous near work يعني بيعمل
+
+17
+00:01:44,890 --> 00:01:51,280
+عمل قريب بشكل متواصل السبب التانيإنه بيستخدم قطرات
+
+18
+00:01:51,280 --> 00:01:55,680
+الـ meiotic إنه قطرات اللي بتعمل تضييق للبقبق زي
+
+19
+00:01:55,680 --> 00:02:00,440
+مثل مين؟ البيلو كربين okay قطرة البيلو كربين اللي
+
+20
+00:02:00,440 --> 00:02:06,100
+بتعمل إيش؟ Spasm للcellar muscle okay إذا Spasm of
+
+21
+00:02:06,100 --> 00:02:09,780
+accommodation causes أي بمعنى الأسباب، اللي لها
+
+22
+00:02:09,780 --> 00:02:16,270
+سبابينNumber one continuous severe
+
+23
+00:02:16,270 --> 00:02:19,350
+near work in the presence of refractive error أي
+
+24
+00:02:19,350 --> 00:02:23,910
+بمعنى عمل قريب متواصل مع وجود أيه الأخطاء
+
+25
+00:02:23,910 --> 00:02:28,450
+الانكسارية سواء ميوب، hypermetrop أو astigmatism
+
+26
+00:02:28,450 --> 00:02:34,630
+okay number two meiotic أي بمعنى قطرة اللي هي
+
+27
+00:02:34,630 --> 00:02:39,690
+بتعمل إيش التضييق زي البيلو كربين البيلو كربين شو
+
+28
+00:02:39,690 --> 00:02:45,120
+وظفتها؟may bring a spasm of ciliary muscle بتعمل
+
+29
+00:02:45,120 --> 00:02:52,400
+عملية شد لسيلاريه muscle Spasm بمعنى تشنج Spasm
+
+30
+00:02:52,400 --> 00:02:57,500
+طيب
+
+31
+00:02:57,500 --> 00:03:03,260
+ال precipitating factors يعني العوامل المؤدية الى
+
+32
+00:03:03,260 --> 00:03:07,620
+ال Spasm of accommodation شو هي العوامل اللى بتقدى
+
+33
+00:03:07,620 --> 00:03:12,840
+ال Spasm of accommodation؟نمبر وان في عندنا درجة
+
+34
+00:03:12,840 --> 00:03:17,400
+كبيرة من عدم التوازن في عضلات العين زي ما انتوا
+
+35
+00:03:17,400 --> 00:03:21,540
+عارفين في عندنا ست عضلات في العين ال extraocular
+
+36
+00:03:21,540 --> 00:03:25,860
+muscle تبدأ superior rectus inferior rectus medior
+
+37
+00:03:25,860 --> 00:03:28,500
+rectus lateral rectus superior and inferior
+
+38
+00:03:28,500 --> 00:03:34,720
+oblique okay؟الان في .. في هذه العضلات marked يعني
+
+39
+00:03:34,720 --> 00:03:38,760
+درجة كبيرة من ال imbalance يعني عدم التوازنزي ممكن
+
+40
+00:03:38,760 --> 00:03:42,560
+يكون اترابية، واحد عنده اترابية، شو معناه اترابية؟
+
+41
+00:03:42,560 --> 00:03:53,440
+حول ظاهر، اي بمعنى اترابية manifest
+
+42
+00:03:53,440 --> 00:04:00,080
+misalignment
+
+43
+00:04:10,570 --> 00:04:16,690
+I يعني بمعنى Manifest ظاهر Misalignment of the I
+
+44
+00:04:16,690 --> 00:04:21,310
+عدم توازن في العنتين يعني بمعنى ان العنتين دخلين
+
+45
+00:04:21,310 --> 00:04:25,670
+للداخل او خرجين للخارج اذا عدم استقامة في العنتين
+
+46
+00:04:25,670 --> 00:04:30,230
+هذه بنسميها ايه Petropia في عندنا euphoria
+
+47
+00:04:30,230 --> 00:04:35,250
+euphoria
+
+48
+00:04:35,250 --> 00:04:37,710
+اللي حول الخفيت Latent
+
+49
+00:04:40,760 --> 00:04:45,880
+misalignment of the I هاي الفرق ما بين المصطلحين
+
+50
+00:04:45,880 --> 00:04:51,340
+الفارية والترابية فال precipitating factors
+
+51
+00:04:51,340 --> 00:04:56,080
+العوامل اللي بتأدي إلى حدوث ال spasm of
+
+52
+00:04:56,080 --> 00:05:05,140
+accommodation أول حاجة درجة كبيرة من عدمسواء كان
+
+53
+00:05:05,140 --> 00:05:09,400
+atropia او phoria manifest or latent misalignment
+
+54
+00:05:09,400 --> 00:05:13,400
+of the eye الحالة
+
+55
+00:05:13,400 --> 00:05:19,140
+التانية is trigeminal neurolgia بمعنى شلل في العضل
+
+56
+00:05:19,140 --> 00:05:26,920
+العصب الخامس العصب الخامس
+
+57
+00:05:26,920 --> 00:05:32,480
+اللي لو عندكم في الصورة شايفين التقسيم بتاعهانه
+
+58
+00:05:32,480 --> 00:05:38,300
+فيه له ال parts الأجزاء تلت أجزاء في عندنا الجزء
+
+59
+00:05:38,300 --> 00:05:42,140
+العلوي هذا اللي بيغضي مين ال maxillary ال
+
+60
+00:05:42,140 --> 00:05:46,680
+maxillary أي بمعنى الفك العلوي الجزء التاني بيغضي
+
+61
+00:05:46,680 --> 00:05:50,880
+ال ophthalmic العين والجزء التالت بيغضي ال
+
+62
+00:05:50,880 --> 00:05:55,040
+mandibular اللي هو الجزء ايه الفك السفلي اذا في
+
+63
+00:05:55,040 --> 00:05:58,900
+عندنا كتبته هذه تعريف
+
+64
+00:06:08,780 --> 00:06:14,320
+إذا عندنا ال parts أزاق
+
+65
+00:06:14,320 --> 00:06:19,360
+of trigeminal
+
+66
+00:06:19,360 --> 00:06:30,620
+or fifth nerve number one ال maxillary أي
+
+67
+00:06:30,620 --> 00:06:35,360
+بمعنى الفك السفلي العلوي number two ال ophthalmic
+
+68
+00:06:40,980 --> 00:06:46,700
+العيني و number three mandibular
+
+69
+00:06:46,700 --> 00:06:52,040
+هدول
+
+70
+00:06:52,040 --> 00:07:01,100
+أزاق ال trigeminal nerve طبعا هدول mandibular part
+
+71
+00:07:01,100 --> 00:07:07,470
+بمعنى الفك السفليفالان ال precipitating factors
+
+72
+00:07:07,470 --> 00:07:11,970
+العوامل اللى بتدى لـ Spasm of accommodation منها
+
+73
+00:07:11,970 --> 00:07:16,990
+الـ Trigeminal Neuralgia أو تلفظ Neuralgia في
+
+74
+00:07:16,990 --> 00:07:22,370
+الامريكان و البريتش okay؟ هذه بالنسبة ل ال causes
+
+75
+00:07:22,370 --> 00:07:28,130
+ل Spasm
+
+76
+00:07:28,130 --> 00:07:33,360
+of accommodationNumber three ال dental lesion أي
+
+77
+00:07:33,360 --> 00:07:37,540
+بمعنى وجع في الأسنان أو ألم وين في الأسنان سميه
+
+78
+00:07:37,540 --> 00:07:42,640
+dental lesion أو causes of Iridocyclitis
+
+79
+00:07:42,640 --> 00:07:46,780
+Iridocyclitis بمعنى inflammation بيكون
+
+80
+00:07:46,780 --> 00:07:51,760
+inflammation شو معناه التهابدائما كلمة itis بمعنى
+
+81
+00:07:51,760 --> 00:07:57,260
+inflammation يعني يوفييتس، أي كلمة فيها itis بمعنى
+
+82
+00:07:57,260 --> 00:08:01,300
+inflammation، okay؟ ف Iridocyclitis بمعنى
+
+83
+00:08:01,300 --> 00:08:07,220
+inflammation للعيرس والcellary body، كتبت ال
+
+84
+00:08:07,220 --> 00:08:08,300
+parts؟
+
+85
+00:08:28,970 --> 00:08:38,070
+Iridocyclitis inflammation of
+
+86
+00:08:38,070 --> 00:08:45,730
+the iris and
+
+87
+00:08:45,730 --> 00:08:51,130
+ciliary body هاي ال definition لمين؟ لأ
+
+88
+00:08:51,130 --> 00:08:52,430
+Iridocyclitis
+
+89
+00:08:56,270 --> 00:09:01,710
+طبعا ال ciliary spasm اللي بشكل عام بحدث وين؟ في
+
+90
+00:09:01,710 --> 00:09:05,730
+ال ciliary muscle دايما هذا بيكون ايه؟ involuntary
+
+91
+00:09:05,730 --> 00:09:10,690
+يعني لا إرادة يعني خارج عن إرادة الإنسان أو ال
+
+92
+00:09:10,690 --> 00:09:16,150
+patient المريض the ciliary spasm usually out of
+
+93
+00:09:16,150 --> 00:09:21,430
+the patient's control يعني دائما غالبا بيكون خارج
+
+94
+00:09:21,430 --> 00:09:34,570
+عن مين سيطرت الإنسان أو ال patientوالدرجة بتكون
+
+95
+00:09:34,570 --> 00:09:39,430
+عشرة ديوبتر او اكتر بمعنى انه بيعمل ايه؟
+
+96
+00:09:39,430 --> 00:09:42,090
+Artificial Myopia يعني Myopia كاذبة
+
+97
+00:09:46,730 --> 00:09:49,870
+إذا الأن لو سألتيك سؤال ال spasm of accommodation
+
+98
+00:09:49,870 --> 00:09:54,210
+هل هو voluntary ولا involuntary؟ involuntary what
+
+99
+00:09:54,210 --> 00:09:56,970
+do you mean involuntary؟ out of the patient
+
+100
+00:09:56,970 --> 00:10:01,810
+control يعني خارج عن سيطرة الإنسان okay ليش؟ لأن
+
+101
+00:10:01,810 --> 00:10:06,530
+هو منطق أن ال .. ال spasm of accommodationبيحدث
+
+102
+00:10:06,530 --> 00:10:10,190
+لكن بدون سبب زي ما حكت المرة الفاتة السحر انه مش
+
+103
+00:10:10,190 --> 00:10:14,310
+نتيجة انه إيش ال contraction لل celery muscle انه
+
+104
+00:10:14,310 --> 00:10:17,770
+دايما السبب بتاعه بيكون إيش physiological مش
+
+105
+00:10:17,770 --> 00:10:22,590
+physical accommodation okay طيب شو ال symptoms
+
+106
+00:10:22,590 --> 00:10:26,470
+بتاعته؟ الأعراض يعني واحد عنده spasm of
+
+107
+00:10:26,470 --> 00:10:30,690
+accommodation من إيش هيش كذا؟أول حاجة انه هيكون
+
+108
+00:10:30,690 --> 00:10:34,550
+عنده blurring لالنير و لل distance vision يعني
+
+109
+00:10:34,550 --> 00:10:38,410
+بعيني من القريب و من وين من البعيد طيب إذا ال
+
+110
+00:10:38,410 --> 00:10:42,730
+number one إذا إيش بيكون؟ في عندنا blurring لال
+
+111
+00:10:42,730 --> 00:10:46,330
+distance و للنير vision يعني دايما القريب و البعيد
+
+112
+00:10:46,330 --> 00:10:51,810
+بيكون مغبشال patient دايما اللي عنده spasm of
+
+113
+00:10:51,810 --> 00:10:55,470
+accommodation بيكون دايما انيورتيك أي بمعنى عصبي
+
+114
+00:10:55,470 --> 00:11:01,490
+okay زاد انه بيكون عنده drowsy أي بمعنى دوخة okay
+
+115
+00:11:01,490 --> 00:11:05,370
+و دايما بيحب ياكل ال chocolate اللي .. اللي عنده
+
+116
+00:11:05,370 --> 00:11:11,450
+ال spasm of accommodation okay all symptoms كل
+
+117
+00:11:11,450 --> 00:11:14,090
+الأعراض بتاعة ال excessive accommodation اللي
+
+118
+00:11:14,090 --> 00:11:16,830
+أخدناها في المرة السابقة من ناحية
+
+119
+00:11:20,670 --> 00:11:25,370
+هذه بنضيفها لمين؟ لـ Spasm of accommodation و
+
+120
+00:11:25,370 --> 00:11:28,170
+بتكون in excess يعني بزيادة كمان
+
+121
+00:11:34,020 --> 00:11:37,520
+Spasm of accommodation اول حاجة في عنده blurred
+
+122
+00:11:37,520 --> 00:11:42,840
+low vision ال patient بيكون neurotic انه عصبي زاد
+
+123
+00:11:42,840 --> 00:11:46,600
+عنده drowsy دوخة و كل ال symptoms بتاعة ال
+
+124
+00:11:46,600 --> 00:11:49,020
+excessive accommodation من ناحية ال headache
+
+125
+00:11:49,020 --> 00:11:54,660
+الصداع من ناحية ال discomfort عدم الراحة ايضا من
+
+126
+00:11:54,660 --> 00:11:58,140
+ناحية ال eye fatigue ال eye strain كلها مع إيش
+
+127
+00:11:58,140 --> 00:12:00,840
+زيادة في هذه الأعراض
+
+128
+00:12:02,500 --> 00:12:05,760
+طيب في بعض المرضى زي ما انتوا عارفين اللي بيكون
+
+129
+00:12:05,760 --> 00:12:09,920
+عنده glaucoma الميه الزرقه بيستخدم قطرة مين؟ ال
+
+130
+00:12:09,920 --> 00:12:14,900
+bilocarbine اللي هي بتعمل تضييق للبقبق فهدول الناس
+
+131
+00:12:14,900 --> 00:12:19,500
+بيعانوا من مين؟ من ال spasm of accommodationيعني
+
+132
+00:12:19,500 --> 00:12:23,560
+الأن لو سألتك مين أكتر الناس بيعانوا من ال spasm
+
+133
+00:12:23,560 --> 00:12:26,680
+of accommodation؟ الناس اللي بياخدوا قطرة مين؟ ال
+
+134
+00:12:26,680 --> 00:12:30,960
+bilocarbine اللي بتعمل عملية meiosis of the pupil
+
+135
+00:12:30,960 --> 00:12:35,020
+in some patients في بعض المرضى bilocarbine drop
+
+136
+00:12:35,020 --> 00:12:38,980
+قطرة ال bilocarbine that used if تستخدم in a
+
+137
+00:12:38,980 --> 00:12:42,800
+treatment في علاج of glaucoma الميه الزرقه may
+
+138
+00:12:42,800 --> 00:12:49,970
+produce هذا بينتج أيه؟ cellar spasm أي بمعنىتشنج
+
+139
+00:12:49,970 --> 00:12:55,330
+للعضلة الهدبية طبعا
+
+140
+00:12:55,330 --> 00:12:59,430
+هذه صورة الاترابيا زي ما انتوا شايفين طبعا حول
+
+141
+00:12:59,430 --> 00:13:05,030
+للداخل okay manifest misalignment of the eye
+
+142
+00:13:05,030 --> 00:13:09,570
+العنتيل لوين للداخل صح انه مافيش misalignment of
+
+143
+00:13:09,570 --> 00:13:10,330
+the eye
+
+144
+00:13:13,160 --> 00:13:16,700
+طبعا هذه ال parts أزاق اللي تريجي من ال nerve،
+
+145
+00:13:16,700 --> 00:13:20,400
+عندنا ال maxillary الجزء العلوي، ال ophthalmic
+
+146
+00:13:20,400 --> 00:13:28,580
+العيني و ال mandibular الجزء السفلي، okay؟
+
+147
+00:13:28,580 --> 00:13:32,820
+هذه ال Iridocyclitis، inflammation لها ال iris و
+
+148
+00:13:32,820 --> 00:13:36,620
+ال celery bodyOkay؟ مش احنا فيه عندنا تلت أزاق
+
+149
+00:13:36,620 --> 00:13:41,320
+للعين الجزء الداخلي والخارجي و ال middle اللي هو
+
+150
+00:13:41,320 --> 00:13:45,840
+بيتمثل مين ال iris و ال celery body زائد ال
+
+151
+00:13:45,840 --> 00:13:49,960
+chloride طيب في عندنا insufficiency of
+
+152
+00:13:49,960 --> 00:13:54,060
+accommodation إذا الآن أخدنا إيش؟ الزيادة في ال
+
+153
+00:13:54,060 --> 00:13:58,250
+accommodation okay؟إذا الزيادة في ال accommodation
+
+154
+00:13:58,250 --> 00:14:02,130
+إما بتكون excessive accommodation أو النوع التاني
+
+155
+00:14:02,130 --> 00:14:06,490
+إيش بتكون spasm of accommodation النوع التاني
+
+156
+00:14:06,490 --> 00:14:10,930
+عندنا decrease يعني بقل ال accommodation طيب أول
+
+157
+00:14:10,930 --> 00:14:14,870
+نوع insufficiency of accommodation insufficiency
+
+158
+00:14:14,870 --> 00:14:19,530
+of accommodation أي بمعنى إنه الكمية اللي موجودة
+
+159
+00:14:19,530 --> 00:14:25,300
+لل patient هذا غير كافيةيعني بمعنى لو أخدنا two
+
+160
+00:14:25,300 --> 00:14:34,440
+patient عمرهم عشرين سنة لو هذا فرضنا normal و هذا
+
+161
+00:14:34,440 --> 00:14:39,220
+عنده insufficient of
+
+162
+00:14:39,220 --> 00:14:42,240
+accommodation
+
+163
+00:14:42,240 --> 00:14:45,360
+لو
+
+164
+00:14:45,360 --> 00:14:51,290
+فرضنا هذا عنده عشرة ديوبترهذا هيكون تمانية ديوبتر
+
+165
+00:14:51,290 --> 00:14:56,330
+واضح؟ يعني بمعنى نقص في ال accommodation اي بمعنى
+
+166
+00:14:56,330 --> 00:15:01,310
+ان كمية ال accommodation لهذا الشخص هتكون اقل من
+
+167
+00:15:01,310 --> 00:15:05,530
+كمية ال accommodation ل patient ايش يكون normal في
+
+168
+00:15:05,530 --> 00:15:12,450
+العمر هذا مرة تانيةإن كمية ال accommodation اللى
+
+169
+00:15:12,450 --> 00:15:15,490
+موجودة عند هذا ال patient لو كان عنده insufficient
+
+170
+00:15:15,490 --> 00:15:19,350
+of accommodation هتكون أقل من كمية ال
+
+171
+00:15:19,350 --> 00:15:23,650
+accommodation لو قرناها بمين؟ بواحد normal في نفس
+
+172
+00:15:23,650 --> 00:15:28,630
+العمر اه
+
+173
+00:15:28,630 --> 00:15:32,150
+يعني مش معقول واحد مثلا عمره عشرين سنة أقارنه
+
+174
+00:15:32,150 --> 00:15:35,130
+بواحد عمره تلاتين سنة أكيد كمية ال accommodation
+
+175
+00:15:35,130 --> 00:15:40,080
+للعشرين هتكون أعلى من أبو التلاتين صح؟In this
+
+176
+00:15:40,080 --> 00:15:44,060
+calculation في هذه المعادلة أو في هذا ال
+
+177
+00:15:44,060 --> 00:15:47,460
+definition التعريف The accommodation power أي
+
+178
+00:15:47,460 --> 00:15:53,270
+بمعنى قوة التكيفis constantly أي بمعنى ثابت below
+
+179
+00:15:53,270 --> 00:15:59,350
+أقل the lower limit من الكمية المحددة of what may
+
+180
+00:15:59,350 --> 00:16:03,590
+be accepted as the normal variation of patients
+
+181
+00:16:03,590 --> 00:16:08,550
+age انه هتكون هذه الكمية أقل من الكمية المحددة ل
+
+182
+00:16:08,550 --> 00:16:11,670
+patient ايش يكون normal في وضع ال normal
+
+183
+00:16:14,970 --> 00:16:18,670
+طيب، شو أسباب insufficient of accommodation؟ أي
+
+184
+00:16:18,670 --> 00:16:24,370
+بمعنى النقص أو عدم كفاية في ال accommodation أول
+
+185
+00:16:24,370 --> 00:16:27,870
+سبب أنه بيكون عنده failure، failure في ال
+
+186
+00:16:27,870 --> 00:16:31,690
+accommodation، أي بمعنى فشل في ال accommodation
+
+187
+00:16:31,690 --> 00:16:34,830
+طبعا،
+
+188
+00:16:34,830 --> 00:16:38,350
+هذا مين بيسببه؟ lenticular، يعني ال failure of
+
+189
+00:16:38,350 --> 00:16:41,810
+accommodation هذا بيكون lenticular، lenticular
+
+190
+00:16:41,810 --> 00:16:46,780
+بمعنى عدسي، يعني من عدسة العيننتيجة ايش؟ انه بيصير
+
+191
+00:16:46,780 --> 00:16:52,280
+sclerosis تصلب في عدسة العين لو انتوا فاكرين قسمنا
+
+192
+00:16:52,280 --> 00:16:55,300
+ال accommodation إلى نوعين قلنا ال accommodation
+
+193
+00:16:55,300 --> 00:16:59,260
+اما بيكون physical او بيكون physiological ال
+
+194
+00:16:59,260 --> 00:17:03,840
+physical نتيجة ايش؟ انه بيكون تغير .. تغير في عدسة
+
+195
+00:17:03,840 --> 00:17:08,300
+العين okay؟ لكن بالنسبة لها ال physiological بيكون
+
+196
+00:17:08,300 --> 00:17:12,140
+تغير وين؟ انه contraction لل celery muscle صحيح؟
+
+197
+00:17:13,170 --> 00:17:16,890
+فأول حاجة في عندنا failure فشل في ال accommodation
+
+198
+00:17:16,890 --> 00:17:21,910
+وهذا مين بتحمله انه بيكون sclerosis تصلب وين
+
+199
+00:17:21,910 --> 00:17:26,530
+التصلب هذا بيكون في العدسة في ال lens اذا فقط
+
+200
+00:17:26,530 --> 00:17:31,230
+physical accommodation اذا دايما ال failure of
+
+201
+00:17:31,230 --> 00:17:34,710
+accommodation الفشل في ال accommodation بربط مع
+
+202
+00:17:34,710 --> 00:17:40,230
+مين؟ مع ال physical accommodation اي بمعنى تصلب
+
+203
+00:17:40,230 --> 00:17:47,480
+بعدسة العينالحالة التانية انه weakness، weakness
+
+204
+00:17:47,480 --> 00:17:52,900
+بمعنى ضعف لمين؟ ل ال celery muscle وهذا بيكون
+
+205
+00:17:52,900 --> 00:17:56,760
+مرتبط مع مين؟مع ال physiological accommodation
+
+206
+00:17:56,760 --> 00:18:00,940
+اللي بيعمل contraction لمين؟ لال celery muscle إذا
+
+207
+00:18:00,940 --> 00:18:03,940
+الأن يما يحكيلك ال failure of accommodation مرتبط
+
+208
+00:18:03,940 --> 00:18:08,180
+مع مين؟ physical أي بمعنى lenticular عدسة انه
+
+209
+00:18:08,180 --> 00:18:15,040
+بيعمل ايه؟ sclerosis لل limbs تصلب للعدسة النوع
+
+210
+00:18:15,040 --> 00:18:18,900
+التاني اللي بيعمل weakness لل accommodation sorry
+
+211
+00:18:18,900 --> 00:18:22,260
+weakness لل celery muscle هو مين؟اللي في الـ
+
+212
+00:18:22,260 --> 00:18:24,880
+Surgical accommodation اللي بيعمل contraction
+
+213
+00:18:24,880 --> 00:18:35,100
+انقباض ل ال muscle الاسباب
+
+214
+00:18:35,100 --> 00:18:45,540
+لأي حالة هتشمل كل الأسباب لإجهاد العضلة مثل مين؟
+
+215
+00:18:45,540 --> 00:18:48,520
+number one عندنا ال debility اللي هو ضعف عام
+
+216
+00:18:48,520 --> 00:18:56,240
+أنيميا فقر الدمmalnutrition بمعنى سوء التغذية okay
+
+217
+00:18:56,240 --> 00:19:02,920
+excessive near work انه بيعمل عمل قريب بشكل كبير
+
+218
+00:19:02,920 --> 00:19:08,280
+in unfavorable conditions في حالات غير مرغوب فيها
+
+219
+00:19:08,280 --> 00:19:09,040
+okay
+
+220
+00:19:13,080 --> 00:19:16,940
+Number three, failure of ciliary muscle أي بمعنى
+
+221
+00:19:16,940 --> 00:19:22,100
+فشل في العضلة الهدبية may occur يعني بمعنى هذا
+
+222
+00:19:22,100 --> 00:19:26,060
+بيحدث in a prodromal أي بمعنى advanced يعني في
+
+223
+00:19:26,060 --> 00:19:30,940
+حالة كما يكون واحد عنده chronic aglaocoma ال
+
+224
+00:19:30,940 --> 00:19:34,600
+chronic بمعنى إيش مزمن okay يعني ال diabetes
+
+225
+00:19:34,600 --> 00:19:38,380
+mellitus مرض ال diabetes بنسميه chronicأي تمرض
+
+226
+00:19:38,380 --> 00:19:42,480
+مزمن بنسميه chronic فعنا فيه البرودرومال أي
+
+227
+00:19:42,480 --> 00:19:47,760
+advance stage يعني في المرحلة المتقدمة من ال
+
+228
+00:19:47,760 --> 00:19:49,520
+chronic symbol aglaocoma
+
+229
+00:19:56,000 --> 00:19:59,400
+أسباب ال insufficiency of accommodation أول حاجة
+
+230
+00:19:59,400 --> 00:20:02,920
+عندنا ال debility أي بمعنى ضعف عام الإنسان بيكون
+
+231
+00:20:02,920 --> 00:20:07,820
+عنده ضعف في الجسم خاصة في المناطق اللي فيها مجعات
+
+232
+00:20:08,100 --> 00:20:11,380
+هذا بزيد عندهم ال insufficiency of accommodation
+
+233
+00:20:11,380 --> 00:20:15,640
+يعني في أفريقيا و غيرها المناطق هذه الناس اللي
+
+234
+00:20:15,640 --> 00:20:20,240
+عندهم anemia فقر الدم برضه بزيد كمية ال
+
+235
+00:20:20,240 --> 00:20:24,040
+insufficiency of accommodation أيضا في المال
+
+236
+00:20:24,040 --> 00:20:30,140
+nutrition أي بمعنى سوء التغذية okay النقطة التانية
+
+237
+00:20:30,140 --> 00:20:35,910
+اللي بيعملوا excessive زيادة في استخدام القريبلكن
+
+238
+00:20:35,910 --> 00:20:39,510
+هذا الاستخدام بيكون غير مرغوب فيه يعني بمعنى انه
+
+239
+00:20:39,510 --> 00:20:43,930
+بيستخدم ساعات طويلة من اليوم على ال laptop او مثلا
+
+240
+00:20:43,930 --> 00:20:48,150
+بيستخدم على ال smile phone كل هذه بدون فائدة هذه
+
+241
+00:20:48,150 --> 00:20:51,690
+بتعمل ايه insufficient of accommodation لانه بيعمل
+
+242
+00:20:51,690 --> 00:20:55,550
+اجهاد على مين ال accommodation والحالة التالتة
+
+243
+00:20:57,170 --> 00:21:01,030
+failure of cellular muscle أي بمعنى فشل في العضلة
+
+244
+00:21:01,030 --> 00:21:05,990
+الهدبية خاصة في حالات وين يكون عنده في ال advanced
+
+245
+00:21:05,990 --> 00:21:09,910
+stage يعني المرحلة المتقدمة من ال electronic
+
+246
+00:21:09,910 --> 00:21:14,770
+symbol glaucoma يعني في مرحلة متقدمة من المياه
+
+247
+00:21:14,770 --> 00:21:18,690
+الزرقاء هذه كلها ال etiology الأسباب
+
+248
+00:21:18,690 --> 00:21:22,470
+للinsufficiency of Akuma أهم سببين هما اتنين
+
+249
+00:21:22,470 --> 00:21:23,650
+الفيلر
+
+250
+00:21:46,820 --> 00:21:50,260
+مريض اللي عنده نقص في ال accommodation من أيش
+
+251
+00:21:50,260 --> 00:21:55,520
+هيشكه؟أول حاجة من headache صداع سواء كان frontal
+
+252
+00:21:55,520 --> 00:22:00,960
+or occipital او ممكن يكون temporal ممكن مثلا
+
+253
+00:22:00,960 --> 00:22:05,600
+sometimes or constant زي ما اتعلمنا ايضا ال ..
+
+254
+00:22:05,600 --> 00:22:10,740
+الastinopia او ال eye fatigue اجهاد في العين eye
+
+255
+00:22:10,740 --> 00:22:15,260
+pain ألم في العين زاد ال drowsiness اي بمعنى ايش
+
+256
+00:22:15,260 --> 00:22:22,570
+الدوخة okay و الخمولnear word is blurred يعني
+
+257
+00:22:22,570 --> 00:22:27,530
+القريب إيش بيكون مغبّش and becomes وبيصبح إيش ماله
+
+258
+00:22:27,530 --> 00:22:33,490
+impossible أي بمعنى مستحيل or difficult أو صعب
+
+259
+00:22:33,490 --> 00:22:37,770
+okay sometime
+
+260
+00:22:37,770 --> 00:22:41,690
+في بعض الوقت and attempted أنه بيحاول to read
+
+261
+00:22:41,690 --> 00:22:47,490
+clearly mainly to excessive convergenceالصين من
+
+262
+00:22:47,490 --> 00:22:52,050
+الناس ماعندهوش كمية كافية من ال accommodation لكن
+
+263
+00:22:52,050 --> 00:22:56,330
+عليه بكرا امتحان فبحاول انه يعمل accommodation ايش
+
+264
+00:22:56,330 --> 00:22:59,650
+قدر المستطاع فزيادة ال accommodation بتاعه ايش
+
+265
+00:22:59,650 --> 00:23:03,870
+هيعمل convergence excess زيادة في وين؟ في ال
+
+266
+00:23:03,870 --> 00:23:07,830
+convergence لان حكينا ان تلاش شغلات بتكون ايش
+
+267
+00:23:07,830 --> 00:23:11,990
+متلازمة مع بعض accommodation convergence and
+
+268
+00:23:11,990 --> 00:23:12,410
+meiosis
+
+269
+00:23:17,290 --> 00:23:22,530
+طيب النوع التاني من ال decrease لل accommodation
+
+270
+00:23:22,530 --> 00:23:27,830
+هو ال paralysis of accommodation paralysis بمعنى
+
+271
+00:23:27,830 --> 00:23:34,030
+شلل okay شلل في ال accommodation طبعا بيكون نوعين
+
+272
+00:23:34,030 --> 00:23:39,990
+فيه، يعني ال causes أسبابه إما بتكون general عامة
+
+273
+00:23:45,290 --> 00:23:51,050
+او بتكون local بمعنى ان سببها العين ال general
+
+274
+00:23:51,050 --> 00:23:55,190
+number
+
+275
+00:23:55,190 --> 00:24:01,590
+one ال drugs اي بمعنى أدوية زي مثلا ال anti
+
+276
+00:24:01,590 --> 00:24:07,090
+-hypertensive drugs يعني أدوية ضد ارتفاع ضغط الدم
+
+277
+00:24:07,090 --> 00:24:10,510
+او anti-depressant drugs
+
+278
+00:24:13,540 --> 00:24:20,360
+الاكتئاب او Anti-spasmodic drugs اي بتكون أدوية ضد
+
+279
+00:24:20,360 --> 00:24:24,640
+اللي هو ايه التشنج هدول أنواع ال drugs اللي
+
+280
+00:24:24,640 --> 00:24:30,540
+بتستخدم اذا Anti-hypertensive drugs أدوية ضد
+
+281
+00:24:30,540 --> 00:24:39,850
+ارتفاع ضغط الدم التانية أدوية ضد الاكتئابوالتالتة
+
+282
+00:24:39,850 --> 00:24:44,330
+أدوية بتكون ضد التشنج خاصة الناس اللي بيكون عندهم
+
+283
+00:24:44,330 --> 00:24:51,210
+صراع Anti-spasmodic drugs هدول بيستخدموهم النوع
+
+284
+00:24:51,210 --> 00:24:55,370
+التاني أنه السبب التاني ال general أي تقاش disease
+
+285
+00:24:55,370 --> 00:24:59,990
+أي مرض أو trauma أو ضربة وين بتكون؟ في ال middle
+
+286
+00:24:59,990 --> 00:25:04,960
+brain ال middle brain أي بمعنى في الدماغor the
+
+287
+00:25:04,960 --> 00:25:08,200
+course of parasympathetic nerve supplied to
+
+288
+00:25:08,200 --> 00:25:11,400
+ciliary muscle زي ما انتوا عارفين اللى بيغذى ال
+
+289
+00:25:11,400 --> 00:25:14,720
+ciliary muscle هو ال parasympathetic فبصير ايه؟ ال
+
+290
+00:25:14,720 --> 00:25:20,680
+trauma، ضربة فيه number three, central
+
+291
+00:25:20,680 --> 00:25:26,120
+neurological causes يعني بمعنى أسباب عصبية مركزية
+
+292
+00:25:26,120 --> 00:25:30,480
+زى ايش مثلا ال central neurological causes؟
+
+293
+00:25:36,690 --> 00:25:41,210
+بثال على ال central يعني أسباب عصبية Central
+
+294
+00:25:41,210 --> 00:25:48,970
+neurological causes أسباب
+
+295
+00:25:48,970 --> 00:25:53,870
+عصبية يعني بيكون هي أسبابها بتعمل paralysis ال
+
+296
+00:25:53,870 --> 00:26:01,370
+accommodation الصراحة
+
+297
+00:26:01,370 --> 00:26:05,590
+حكينا أنه في النوع الأول أنه الأدوية ضده
+
+298
+00:26:10,520 --> 00:26:16,200
+طيب هذا واجب للمرة الجاية ال central neurological
+
+299
+00:26:16,200 --> 00:26:23,240
+causes عليه علامة اللي بتجيب شو هي ال general من
+
+300
+00:26:23,240 --> 00:26:26,760
+ضمن الأسباب اللي بتعمل paralysis لل accommodation
+
+301
+00:26:26,760 --> 00:26:34,850
+central neurological causes أسباب عصبيةnumber four
+
+302
+00:26:34,850 --> 00:26:40,870
+infectious diseases أي بمعنى أمراض بتكون معدية زي
+
+303
+00:26:40,870 --> 00:26:47,710
+مثلا عندنا ال moms انه كاف moms
+
+304
+00:26:47,710 --> 00:26:57,930
+بمعنى انه كاف انه
+
+305
+00:26:57,930 --> 00:27:05,680
+كاف نعم moms او مثلا التهاب اللستينبنسميه
+
+306
+00:27:05,680 --> 00:27:11,060
+tonsillitis okay
+
+307
+00:27:11,060 --> 00:27:18,240
+هذه بنسميها infectious diseases يعني بمعنى أمراض
+
+308
+00:27:18,240 --> 00:27:23,780
+معدية زي ما قلنا الممس النكاف or tonsillitis أي
+
+309
+00:27:23,780 --> 00:27:28,640
+بمعنى التهاب في اللستين هذه تعتبر general causes
+
+310
+00:27:28,640 --> 00:27:33,340
+يعني أسباب عامة بتأدي إلى إيش paralysis of
+
+311
+00:27:33,340 --> 00:27:33,980
+accommodation
+
+312
+00:27:36,790 --> 00:27:43,050
+Non-infectious diseases يعني أمراض مالهاش علاقة في
+
+313
+00:27:43,050 --> 00:27:47,750
+ال infection زي مثلا ال diabetes mellitus اللي هو
+
+314
+00:27:47,750 --> 00:27:52,070
+السكري DM طيب
+
+315
+00:27:52,070 --> 00:27:57,650
+ال local causes أي بمعنى أسباب في العين زي مثلا
+
+316
+00:27:57,650 --> 00:28:03,590
+واحد بيستخدم ال short acting لمثلا الـ
+
+317
+00:28:03,590 --> 00:28:08,090
+Cyclopentolate اللي بتعمل dilate للبيوبل أو واحد
+
+318
+00:28:08,090 --> 00:28:12,630
+تاني بيستخدم الـ long acting of a drop زي مثلا
+
+319
+00:28:12,630 --> 00:28:17,870
+الأتروبين اللي بتعمل توصية، okay؟ هذه كلها بتعتبر
+
+320
+00:28:17,870 --> 00:28:22,790
+إيش؟ Local، يعني أسباب Local بتقدّي لمين؟ لل
+
+321
+00:28:22,790 --> 00:28:28,800
+paralysis of accommodation، okay؟وأيضا عندنا ال
+
+322
+00:28:28,800 --> 00:28:33,920
+eye trauma أي بمعنى ضربة في العين affecting بتأثر
+
+323
+00:28:33,920 --> 00:28:39,600
+the ciliary body في الجسم الهضبي إذا الأن ال
+
+324
+00:28:39,600 --> 00:28:43,260
+paralysis of accommodation بمعنى شلل في ال
+
+325
+00:28:43,260 --> 00:28:47,380
+accommodation أسبابه تنين إما بيكون general أو
+
+326
+00:28:47,380 --> 00:28:47,780
+local
+
+327
+00:28:51,800 --> 00:28:56,140
+أدوية زي مثلا الـ Anti-hypertensive أو الـ Anti
+
+328
+00:28:56,140 --> 00:29:00,500
+-spasmodic ممكن تكون non-infectious أو في عندنا
+
+329
+00:29:00,500 --> 00:29:04,440
+infectious causes و الـ central neurological
+
+330
+00:29:04,440 --> 00:29:11,120
+causes نعم أو ضربة أو trauma أو any infection في
+
+331
+00:29:11,120 --> 00:29:15,360
+ال med brain في الدماغطيب إذا كانت local في عندنا
+
+332
+00:29:15,360 --> 00:29:20,100
+ال cycle pentulate اللي هي بنسميها ال short acting
+
+333
+00:29:20,100 --> 00:29:25,420
+أو ال long acting مثل الأتروبين أو أي تضربة وين في
+
+334
+00:29:25,420 --> 00:29:32,020
+العين بتأثر وين على الcellary body طيب
+
+335
+00:29:32,020 --> 00:29:37,440
+شو ال symptoms الأعراض and ال signs العلمات لو
+
+336
+00:29:37,440 --> 00:29:43,700
+واحد بيكون عنده ايه paralysis of accommodationشلل
+
+337
+00:29:43,700 --> 00:29:51,620
+في ال accommodation number one receding بمعنى ايش؟
+
+338
+00:29:51,620 --> 00:29:56,000
+receding of near point انه ال near point بتبعد صح؟
+
+339
+00:29:56,000 --> 00:30:00,080
+so as the far point and near point becomes close
+
+340
+00:30:00,080 --> 00:30:03,820
+together اذا اول حاجة ال near point بتاعة المريض
+
+341
+00:30:03,820 --> 00:30:07,940
+بتبعد فبتلاحظي ان ال near point و ال far point
+
+342
+00:30:07,940 --> 00:30:12,920
+بصيروا ايش؟ togetherclose together okay طيب الآن
+
+343
+00:30:12,920 --> 00:30:19,160
+واحدة بتفكر إذا ال near point بتبعد صح معناه
+
+344
+00:30:19,160 --> 00:30:26,220
+البعيد هيتأثر لأ الجريب اللي هيتأثر okay إذا
+
+345
+00:30:26,220 --> 00:30:29,780
+impossible near work يعني بيكون العمل القريب
+
+346
+00:30:29,780 --> 00:30:31,400
+إشماله مستحيل
+
+347
+00:30:36,570 --> 00:30:41,950
+لشلل ال accommodation اول حاجة انه ال near point
+
+348
+00:30:41,950 --> 00:30:46,130
+بتاعة المريض بتبعد فالان يما بتبعد بتصير ال near
+
+349
+00:30:46,130 --> 00:30:50,450
+point و ال far point اشمالهم together معاهم بمعنى
+
+350
+00:30:50,450 --> 00:30:54,890
+ايش بقصد انه البعيد ماهيتأثرش صح؟ لان already ال
+
+351
+00:30:54,890 --> 00:31:01,420
+near point اشمالها بعدتزي هيك حاولة ان تعملى طريقة
+
+352
+00:31:01,420 --> 00:31:05,680
+لحفظ ال symptoms و ال signs مثلا لل paralysis of
+
+353
+00:31:05,680 --> 00:31:09,300
+accommodation لل insufficiency of accommodation
+
+354
+00:31:09,300 --> 00:31:12,720
+بالشكل هذا النقطة التانية ال near point هي اللي
+
+355
+00:31:12,720 --> 00:31:17,200
+فيه المشكلة ف impossible هيكون ايش ماله مستحيل
+
+356
+00:31:17,200 --> 00:31:20,860
+okay distant
+
+357
+00:31:20,860 --> 00:31:25,460
+vision is not affected مش هيتأثر whyلو قلت لك
+
+358
+00:31:25,460 --> 00:31:28,160
+distance vision is not affected in paralysis of
+
+359
+00:31:28,160 --> 00:31:32,220
+accommodation بالظبط و ال near point قصة لها
+
+360
+00:31:32,220 --> 00:31:40,500
+receding انه بعدت okay واضح اه
+
+361
+00:31:40,500 --> 00:31:44,860
+بس لو سألتك السؤال distance vision is not affected
+
+362
+00:31:44,860 --> 00:31:51,700
+in paralysis of accommodation خليني
+
+363
+00:31:51,700 --> 00:31:52,160
+اكتبها
+
+364
+00:32:08,920 --> 00:32:17,680
+distance vision is
+
+365
+00:32:17,680 --> 00:32:21,880
+not affected
+
+366
+00:32:21,880 --> 00:32:29,200
+or impacted in
+
+367
+00:32:29,200 --> 00:32:31,520
+paralysis of
+
+368
+00:32:39,290 --> 00:32:45,530
+بمعنى أن الرؤية البعيدة لن تتأثر بالـ Paralysis of
+
+369
+00:32:45,530 --> 00:32:47,350
+accommodation لماذا؟
+
+370
+00:33:23,730 --> 00:33:27,290
+ممكن اكتب الفار بوينت FP و نير بوينت NP
+
+371
+00:33:31,330 --> 00:33:35,170
+اذا منطق ليش في حالة ال paralysis of accommodation
+
+372
+00:33:35,170 --> 00:33:38,990
+ال distance vision انه ماحتتأثرش لأنه ال near
+
+373
+00:33:38,990 --> 00:33:45,850
+point ايش مالها هتبعد اه it's not affected ال near
+
+374
+00:33:45,850 --> 00:33:49,830
+point هتبعد فهيصبح التنتين ايش مالهم together انه
+
+375
+00:33:49,830 --> 00:33:54,430
+معاهم حيصير
+
+376
+00:33:54,430 --> 00:34:00,380
+full dilatation of the pupilيعني بمعنى ان البقبر
+
+377
+00:34:00,380 --> 00:34:06,100
+بالظبط انه هيتوسع زاد انه ايش هيصير ال esfenector
+
+378
+00:34:06,100 --> 00:34:10,260
+in pupilla muscle اللي بتعمل construction مش احنا
+
+379
+00:34:10,260 --> 00:34:16,820
+في عندنا عضلتين ال intraocular muscle في
+
+380
+00:34:16,820 --> 00:34:21,880
+عندنا ال intraocular muscle تلت عضلات التنتين منهم
+
+381
+00:34:21,880 --> 00:34:26,220
+واحدة ال esfenector و ال dilator طبعا مين اللي
+
+382
+00:34:26,220 --> 00:34:30,450
+هتتأثر عندنا؟الصفينكتر فدايما المريض هتلاقي ايش
+
+383
+00:34:30,450 --> 00:34:35,850
+ماله عنده انبهار dazzle اذا دايما منبهر okay
+
+384
+00:34:35,850 --> 00:34:42,470
+فهيصير full dilatation للبيوبل زائد ان الصفينكتر
+
+385
+00:34:42,470 --> 00:34:46,270
+البيوبلة muscle is not affected فهذا ايش بيقود الى
+
+386
+00:34:46,270 --> 00:34:51,710
+ان المريض يكون عنده dazzle انه انبهار okay يعني
+
+387
+00:34:51,710 --> 00:34:54,890
+دايما منبهر عنده انبهار okay
+
+388
+00:35:00,630 --> 00:35:06,030
+حاضر هالجيت في ال paralysis of accommodation ال ..
+
+389
+00:35:06,030 --> 00:35:10,270
+ال patient هيكون عنده dilatation للبيوبل يعني
+
+390
+00:35:10,270 --> 00:35:15,690
+البقبق موسع ليش؟ لأنه الاصفينكتر هتتأثر فمدين ال
+
+391
+00:35:15,690 --> 00:35:19,610
+function الوظيفة بتاعة الاصفينكتر هتتأثر المريض
+
+392
+00:35:19,610 --> 00:35:23,220
+هيكون دايما هيشغل مين؟الـ dilatation of pupilla
+
+393
+00:35:23,220 --> 00:35:27,180
+muscle فدائما هي اللي هتشتغل فالمريض هيكون في وضع
+
+394
+00:35:27,180 --> 00:35:32,600
+انه full pupal dilatation يعني البقبق موسع بشكل
+
+395
+00:35:32,600 --> 00:35:37,620
+كامل زائد انه هيكون عنده ايش؟ dazzle انبهار يعني
+
+396
+00:35:37,620 --> 00:35:44,080
+نتيجة عدم عمل ال .. which name؟ ال sfenector
+
+397
+00:35:44,080 --> 00:35:50,510
+pupilla muscle هيصير عنده انبهار okay؟عنا أخدنا في
+
+398
+00:35:50,510 --> 00:35:54,970
+العمل مايكروبسيا والماكروبسيا، أي بمعنى الرؤية
+
+399
+00:35:54,970 --> 00:36:02,390
+المصغرة والرؤية المكبرة فحكينا بالنسبة لمايكروبسيا
+
+400
+00:36:02,390 --> 00:36:07,650
+which is reserve، reserve بمعنى إيش؟ هتلغي، يعني
+
+401
+00:36:07,650 --> 00:36:12,250
+cancellation، انه تلغي من الماكروبسيا، الرؤية
+
+402
+00:36:12,250 --> 00:36:18,490
+المكبرةإذا الرؤية المصغرة هتلغي الرؤية المكبرة
+
+403
+00:36:18,490 --> 00:36:23,870
+وين؟ في ال spasm of accommodation طيب why؟ السبب
+
+404
+00:36:23,870 --> 00:36:30,010
+انه في الميكروبسيا في الرؤية المصغرة لا يوجد
+
+405
+00:36:30,010 --> 00:36:35,070
+accommodation لكن في الميكروبسيا الرؤية المكبرة
+
+406
+00:36:35,070 --> 00:36:40,740
+بيكون هناك ايش؟ في accommodationSo لذلك انه بتكون
+
+407
+00:36:40,740 --> 00:36:44,680
+الميكروبسيا الرؤية المصغرة بتعمل cancellation
+
+408
+00:36:44,680 --> 00:36:49,520
+لمين؟ للميكروبسيا، في حالة مين؟ الـ spasm of
+
+409
+00:36:49,520 --> 00:36:55,560
+accommodation مرة تانية، لو سألتك سؤال الميكروبسيا
+
+410
+00:36:55,560 --> 00:37:02,670
+أي بمعنى الرؤية المصغرة which isreserve أي بمعنى
+
+411
+00:37:02,670 --> 00:37:08,150
+cancellation ابتلغي الماكروبسيا الرؤية المكبرة
+
+412
+00:37:08,150 --> 00:37:14,610
+where in a spasm of accommodation الجواب أن
+
+413
+00:37:14,610 --> 00:37:22,010
+مايكروبسيا has no accommodationwhile macropsia has
+
+414
+00:37:22,010 --> 00:37:27,150
+accommodation so macropsia which is preserved
+
+415
+00:37:27,150 --> 00:37:30,750
+macropsia in a spasm of accommodation بمعنى واحدة
+
+416
+00:37:30,750 --> 00:37:33,450
+فيها إلها accommodation والأخرى مالهاش
+
+417
+00:37:33,450 --> 00:37:38,950
+accommodation فالتنين بلغوا بعض طبعا هيك بنكون ان
+
+418
+00:37:38,950 --> 00:37:44,950
+شاء اللهختمنا بحمد الله عز وجل مادة ال reflection
+
+419
+00:37:44,950 --> 00:37:51,810
+بصريات الرؤية والانكسار لهذا الفصل طبعا ما كان من
+
+420
+00:37:51,810 --> 00:37:56,610
+توفيق فمن الله وما كان من خطأ فمن نفسي ومن الشيطان
+
+421
+00:37:56,610 --> 00:38:04,270
+بتمنى منكم ان شاء الله انه تبدأوا بمراجعة المادة
+
+422
+00:38:04,270 --> 00:38:11,030
+وانا وعدكمالاقتراحات اللي انتوا اقتراحتوها طبعا ان
+
+423
+00:38:11,030 --> 00:38:14,890
+شاء الله هيك بنكون زي ما اتفقنا انه أنهينا مادة
+
+424
+00:38:14,890 --> 00:38:19,730
+بصريات الرؤية والانكسار لهذا الفصل طبعا بنتمنى ان
+
+425
+00:38:19,730 --> 00:38:26,190
+شاء الله الفصول القادمة ان نكون معكم طبعا ممكن انه
+
+426
+00:38:26,190 --> 00:38:31,190
+في بعض ال .. في بعض الأحيان يكون الواحد قد اساءلكم
+
+427
+00:38:31,190 --> 00:38:37,300
+او قدفي الآخر قد نصيب و قد نخطئ لكن ان شاء الله
+
+428
+00:38:37,300 --> 00:38:41,640
+يعني كأمل فيكم كبير ان شاء الله صراحة الدفعة
+
+429
+00:38:41,640 --> 00:38:47,540
+أبهرتوني كثير بعلمكم بأخلاقكم بمستواكم بتمنى ان
+
+430
+00:38:47,540 --> 00:38:49,940
+شاء الله لكم التوفيق في كل المواد ان شاء الله
+
+431
+00:38:49,940 --> 00:38:55,300
+القادمة الانسان بتحسن فش انما كان للفشل لازم
+
+432
+00:38:55,300 --> 00:38:59,790
+الانسان دايما يتحدى الفشل وهذه سنة الحياةطبعا
+
+433
+00:38:59,790 --> 00:39:04,090
+بالنسبة للمراجعة انه ابتداء من المحاضرة القادمة
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..2e7286a4cdfad496c5a7052a7e9fe036b8ad1924
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4551, "start": 20.77, "end": 45.51, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته and a very good afternoon to all of you في آخر محاضرة أخدنا ال classification تصنيف ل ال anomalies of accommodation anomalies of accommodation هو بمعنى خلل في عملية التكييف okay", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 293, 257, 588, 665, 6499, 281, 439, 295, 291, 8978, 19753, 34740, 3714, 5016, 46958, 25720, 5551, 9778, 3215, 8315, 2423, 21538, 6055, 9381, 22653, 5172, 5296, 2423, 24769, 48872, 295, 27363, 24769, 48872, 295, 27363, 31439, 4724, 2304, 3615, 1863, 7578, 16490, 1211, 1211, 8978, 6225, 42213, 10632, 16712, 4117, 1829, 33911, 1392], "avg_logprob": -0.13715277483433852, "compression_ratio": 1.5727699530516432, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 20.77, "end": 21.05, "word": 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"end": 72.12, "word": " النوع", "probability": 0.97314453125}, {"start": 72.12, "end": 72.7, "word": " التاني", "probability": 0.9440104166666666}, {"start": 72.7, "end": 72.94, "word": " ال", "probability": 0.8818359375}, {"start": 72.94, "end": 73.52, "word": " spasm", "probability": 0.7841796875}, {"start": 73.52, "end": 73.86, "word": " of", "probability": 0.9833984375}, {"start": 73.86, "end": 74.54, "word": " accommodation", "probability": 0.9521484375}], "temperature": 1.0}, {"id": 3, "seek": 7902, "start": 75.58, "end": 79.02, "text": "بمعنى وجود شد لكن بدون سبب", "tokens": [3555, 2304, 3615, 1863, 7578, 49610, 23328, 13412, 3215, 44381, 47525, 11536, 8608, 3555, 3555], "avg_logprob": -0.08850097423419356, "compression_ratio": 0.9215686274509803, "no_speech_prob": 0.0, "words": [{"start": 75.58, "end": 76.4, "word": "بمعنى", "probability": 0.95029296875}, {"start": 76.4, "end": 77.04, "word": " وجود", "probability": 0.9736328125}, {"start": 77.04, "end": 77.56, "word": " شد", 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107.23, "word": " متواصل", "probability": 0.9859619140625}, {"start": 107.23, "end": 108.31, "word": " السبب", "probability": 0.9791666666666666}, {"start": 108.31, "end": 108.89, "word": " التاني", "probability": 0.9195963541666666}], "temperature": 1.0}, {"id": 5, "seek": 13026, "start": 109.4, "end": 130.26, "text": "إنه بيستخدم قطرات الـ meiotic إنه قطرات اللي بتعمل تضييق للبقبق زي مثل مين؟ البيلو كربين okay قطرة البيلو كربين اللي بتعمل إيش؟ Spasm للcellar muscle okay إذا Spasm of accommodation causes أي بمعنى الأسباب، اللي لها سبابين", "tokens": [28814, 1863, 3224, 4724, 1829, 14851, 9778, 40448, 12174, 9566, 2288, 9307, 2423, 39184, 385, 6471, 299, 36145, 3224, 12174, 9566, 2288, 9307, 13672, 1829, 39894, 25957, 1211, 6055, 11242, 1829, 1829, 4587, 24976, 3555, 4587, 3555, 4587, 30767, 1829, 50113, 1211, 3714, 9957, 22807, 2423, 21292, 1211, 2407, 9122, 25513, 9957, 1392, 12174, 9566, 25720, 2423, 21292, 1211, 2407, 9122, 25513, 9957, 13672, 1829, 39894, 25957, 1211, 11933, 1829, 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42434, "start": 400.98, "end": 424.34, "text": "العيني و number three mandibular هدول أزاق ال trigeminal nerve طبعا هدول mandibular part بمعنى الفك السفلي", "tokens": [6027, 3615, 9957, 1829, 4032, 1230, 1045, 7411, 897, 1040, 8032, 3215, 12610, 5551, 11622, 995, 4587, 2423, 1376, 26322, 2071, 16355, 23032, 3555, 3615, 995, 8032, 3215, 12610, 7411, 897, 1040, 644, 4724, 2304, 3615, 1863, 7578, 27188, 4117, 21136, 5172, 20292], "avg_logprob": -0.17862216417085042, "compression_ratio": 1.2066115702479339, "no_speech_prob": 0.0, "words": [{"start": 400.98, "end": 401.88, "word": "العيني", "probability": 0.78570556640625}, {"start": 401.88, "end": 402.88, "word": " و", "probability": 0.85009765625}, {"start": 402.88, "end": 403.12, "word": " number", "probability": 0.91064453125}, {"start": 403.12, "end": 403.6, "word": " three", "probability": 0.8505859375}, {"start": 403.6, "end": 406.7, "word": " mandibular", "probability": 0.8968098958333334}, {"start": 406.7, "end": 412.04, "word": " 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"seek": 44911, "start": 425.23, "end": 449.11, "text": "فالان ال precipitating factors العوامل اللى بتدى لـ Spasm of accommodation منها الـ Trigeminal Neuralgia أو تلفظ Neuralgia في الامريكان و البريتش okay؟ هذه بالنسبة ل ال causes ل Spasm of accommodation", "tokens": [5172, 6027, 7649, 2423, 23354, 16350, 6771, 18863, 2407, 10943, 1211, 13672, 7578, 39894, 3215, 7578, 5296, 39184, 1738, 14774, 295, 27363, 9154, 11296, 2423, 39184, 1765, 328, 443, 2071, 1734, 1807, 40550, 34051, 6055, 46538, 19913, 1734, 374, 30928, 8978, 2423, 10943, 16572, 41361, 4032, 29739, 16572, 2655, 8592, 1392, 22807, 29538, 20666, 1863, 35457, 3660, 5296, 2423, 7700, 5296, 1738, 14774, 295, 27363], "avg_logprob": -0.35842801811117114, "compression_ratio": 1.433862433862434, "no_speech_prob": 0.0, "words": [{"start": 425.23, "end": 425.75, "word": "فالان", "probability": 0.6800944010416666}, {"start": 425.75, "end": 426.05, "word": " ال", "probability": 0.94189453125}, {"start": 426.05, "end": 426.79, "word": " 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0.97607421875}, {"start": 454.4, "end": 454.96, "word": " الأسنان", "probability": 0.9765625}, {"start": 454.96, "end": 455.3, "word": " أو", "probability": 0.89697265625}, {"start": 455.3, "end": 455.6, "word": " ألم", "probability": 0.852783203125}, {"start": 455.6, "end": 455.9, "word": " وين", "probability": 0.94873046875}, {"start": 455.9, "end": 456.26, "word": " في", "probability": 0.98388671875}, {"start": 456.26, "end": 456.82, "word": " الأسنان", "probability": 0.9927978515625}, {"start": 456.82, "end": 457.54, "word": " سميه", "probability": 0.7344970703125}, {"start": 457.54, "end": 457.92, "word": " dental", "probability": 0.8076171875}, {"start": 457.92, "end": 458.78, "word": " lesion", "probability": 0.9853515625}, {"start": 458.78, "end": 460.1, "word": " أو", "probability": 0.69775390625}, {"start": 460.1, "end": 460.92, "word": " causes", "probability": 0.89794921875}, {"start": 460.92, "end": 461.3, "word": " of", "probability": 0.9853515625}, {"start": 461.3, "end": 462.64, "word": " Iridocyclitis", "probability": 0.74744873046875}, {"start": 462.64, "end": 464.5, "word": " Iridocyclitis", "probability": 0.9177734375}, {"start": 464.5, "end": 465.18, "word": " بمعنى", "probability": 0.99306640625}, {"start": 465.18, "end": 465.78, "word": " inflammation", "probability": 0.873046875}, {"start": 465.78, "end": 466.78, "word": " بيكون", "probability": 0.78955078125}, {"start": 466.78, "end": 467.58, "word": " inflammation", "probability": 0.54345703125}, {"start": 467.58, "end": 467.92, "word": " شو", "probability": 0.986328125}, {"start": 467.92, "end": 468.4, "word": " معناه", "probability": 0.94140625}, {"start": 468.4, "end": 468.94, "word": " التهاب", "probability": 0.5935872395833334}], "temperature": 1.0}, {"id": 18, "seek": 48830, "start": 469.78, "end": 488.3, "text": "دائما كلمة itis بمعنى inflammation يعني يوفييتس، أي كلمة فيها itis بمعنى inflammation، okay؟ ف Iridocyclitis بمعنى inflammation للعيرس والcellary body، كتبت ال parts؟", 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"word": " يعني", "probability": 0.6258544921875}, {"start": 474.0, "end": 475.12, "word": " يوفييتس،", "probability": 0.5174153645833334}, {"start": 475.12, "end": 475.32, "word": " أي", "probability": 0.56591796875}, {"start": 475.32, "end": 475.88, "word": " كلمة", "probability": 0.9498697916666666}, {"start": 475.88, "end": 476.22, "word": " فيها", "probability": 0.936279296875}, {"start": 476.22, "end": 476.78, "word": " itis", "probability": 0.9501953125}, {"start": 476.78, "end": 477.26, "word": " بمعنى", "probability": 0.9849609375}, {"start": 477.26, "end": 478.36, "word": " inflammation،", "probability": 0.60205078125}, {"start": 478.36, "end": 479.3, "word": " okay؟", "probability": 0.5986328125}, {"start": 479.3, "end": 479.5, "word": " ف", "probability": 0.6669921875}, {"start": 479.5, "end": 480.82, "word": " Iridocyclitis", "probability": 0.766064453125}, {"start": 480.82, "end": 481.3, "word": " بمعنى", "probability": 0.99052734375}, {"start": 481.3, "end": 481.92, 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ophthalmic العيني و ال mandibular الجزء السفلي، okay؟ هذه ال Iridocyclitis، inflammation لها ال iris و ال celery body", "tokens": [9566, 3555, 3615, 995, 29538, 2423, 3166, 5551, 11622, 995, 4587, 13672, 1829, 6055, 16572, 7435, 1829, 9154, 2423, 16355, 12399, 43242, 8315, 2423, 11469, 46367, 25724, 11622, 38207, 18863, 1211, 45865, 12399, 2423, 999, 49123, 13195, 18863, 9957, 1829, 4032, 2423, 7411, 897, 1040, 25724, 11622, 38207, 21136, 5172, 20292, 12399, 1392, 22807, 29538, 2423, 286, 8558, 31078, 3474, 16074, 12399, 21613, 5296, 11296, 2423, 3418, 271, 4032, 2423, 37643, 1772], "avg_logprob": -0.3407534181255184, "compression_ratio": 1.471502590673575, "no_speech_prob": 0.0, "words": [{"start": 793.16, "end": 793.5, "word": "طبعا", "probability": 0.9525146484375}, {"start": 793.5, "end": 793.82, "word": " هذه", "probability": 0.67724609375}, {"start": 793.82, "end": 794.22, "word": " ال", "probability": 0.71533203125}, {"start": 794.22, "end": 794.6, "word": " parts", 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"probability": 0.6563720703125}], "temperature": 1.0}, {"id": 33, "seek": 86243, "start": 836.39, "end": 862.43, "text": "إذا الزيادة في ال accommodation إما بتكون excessive accommodation أو النوع التاني إيش بتكون spasm of accommodation النوع التاني عندنا decrease يعني بقل ال accommodation طيب أول نوع insufficiency of accommodation insufficiency of accommodation أي بمعنى إنه الكمية اللي موجودة لل patient هذا غير كافية", "tokens": [28814, 15730, 6024, 110, 1829, 18513, 3660, 8978, 2423, 27363, 11933, 15042, 39894, 30544, 22704, 27363, 34051, 28239, 45367, 16712, 7649, 1829, 11933, 1829, 8592, 39894, 30544, 637, 14774, 295, 27363, 28239, 45367, 16712, 7649, 1829, 43242, 8315, 11514, 37495, 22653, 4724, 4587, 1211, 2423, 27363, 23032, 1829, 3555, 5551, 12610, 8717, 45367, 1028, 1245, 42081, 295, 27363, 1028, 1245, 42081, 295, 27363, 36632, 4724, 2304, 3615, 1863, 7578, 36145, 3224, 33251, 2304, 10632, 13672, 1829, 3714, 29245, 23328, 3660, 24976, 4537, 23758, 32771, 13546, 9122, 31845, 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"end": 856.31, "word": " أي", "probability": 0.55712890625}, {"start": 856.31, "end": 857.25, "word": " بمعنى", "probability": 0.98876953125}, {"start": 857.25, "end": 857.61, "word": " إنه", "probability": 0.5433349609375}, {"start": 857.61, "end": 858.25, "word": " الكمية", "probability": 0.8312174479166666}, {"start": 858.25, "end": 858.85, "word": " اللي", "probability": 0.888427734375}, {"start": 858.85, "end": 859.53, "word": " موجودة", "probability": 0.9918212890625}, {"start": 859.53, "end": 860.39, "word": " لل", "probability": 0.81396484375}, {"start": 860.39, "end": 860.81, "word": " patient", "probability": 0.9541015625}, {"start": 860.81, "end": 861.25, "word": " هذا", "probability": 0.77685546875}, {"start": 861.25, "end": 861.93, "word": " غير", "probability": 0.995849609375}, {"start": 861.93, "end": 862.43, "word": " كافية", "probability": 0.9947916666666666}], "temperature": 1.0}, {"id": 34, "seek": 88774, "start": 862.72, "end": 887.74, "text": "يعني بمعنى لو أخدنا two patient عمرهم عشرين سنة لو هذا فرضنا normal و هذا عنده insufficient of accommodation لو فرضنا هذا عنده عشرة ديوبتر", "tokens": [40228, 22653, 4724, 2304, 3615, 1863, 7578, 45164, 5551, 9778, 3215, 8315, 732, 4537, 6225, 29973, 16095, 6225, 46309, 9957, 8608, 1863, 3660, 45164, 23758, 6156, 43042, 8315, 2710, 4032, 23758, 43242, 3224, 41709, 295, 27363, 45164, 6156, 43042, 8315, 23758, 43242, 3224, 6225, 8592, 25720, 11778, 1829, 37746, 2655, 2288], "avg_logprob": -0.15151742501900747, "compression_ratio": 1.4315068493150684, "no_speech_prob": 0.0, "words": [{"start": 862.72, "end": 863.76, "word": "يعني", "probability": 0.784423828125}, {"start": 863.76, "end": 864.28, "word": " بمعنى", "probability": 0.97998046875}, {"start": 864.28, "end": 864.7, "word": " لو", "probability": 0.6865234375}, {"start": 864.7, "end": 865.1, "word": " أخدنا", "probability": 0.9410400390625}, {"start": 865.1, "end": 865.3, "word": " two", "probability": 0.69970703125}, {"start": 865.3, "end": 865.8, "word": " patient", "probability": 0.451171875}, {"start": 865.8, "end": 866.42, "word": " عمرهم", "probability": 0.9874674479166666}, {"start": 866.42, "end": 866.82, "word": " عشرين", "probability": 0.9488932291666666}, {"start": 866.82, "end": 867.84, "word": " سنة", "probability": 0.99365234375}, {"start": 867.84, "end": 868.54, "word": " لو", "probability": 0.53173828125}, {"start": 868.54, "end": 870.5, "word": " هذا", "probability": 0.93115234375}, {"start": 870.5, "end": 871.0, "word": " فرضنا", "probability": 0.9015299479166666}, {"start": 871.0, "end": 871.82, "word": " normal", "probability": 0.765625}, {"start": 871.82, "end": 874.2, "word": " و", "probability": 0.54931640625}, {"start": 874.2, "end": 874.44, "word": " هذا", "probability": 0.80419921875}, {"start": 874.44, "end": 874.9, "word": " عنده", "probability": 0.968505859375}, {"start": 874.9, "end": 875.38, "word": " insufficient", "probability": 0.53759765625}, {"start": 875.38, "end": 879.22, "word": " of", "probability": 0.912109375}, {"start": 879.22, "end": 882.24, "word": " accommodation", "probability": 0.94921875}, {"start": 882.24, "end": 885.36, "word": " لو", "probability": 0.6328125}, {"start": 885.36, "end": 885.82, "word": " فرضنا", "probability": 0.99365234375}, {"start": 885.82, "end": 886.06, "word": " هذا", "probability": 0.9482421875}, {"start": 886.06, "end": 886.82, "word": " عنده", "probability": 0.807373046875}, {"start": 886.82, "end": 887.16, "word": " عشرة", "probability": 0.8380533854166666}, {"start": 887.16, "end": 887.74, "word": " ديوبتر", "probability": 0.8935546875}], "temperature": 1.0}, {"id": 35, "seek": 90799, "start": 888.99, "end": 907.99, "text": "هذا هيكون تمانية ديوبتر واضح؟ يعني بمعنى نقص في ال accommodation اي بمعنى ان كمية ال accommodation لهذا الشخص هتكون اقل من كمية ال accommodation ل patient ايش يكون normal في العمر هذا مرة تانية", "tokens": [3224, 15730, 39896, 30544, 46811, 7649, 10632, 11778, 1829, 37746, 2655, 2288, 4032, 46958, 5016, 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{"start": 892.79, "end": 893.19, "word": " بمعنى", "probability": 0.98779296875}, {"start": 893.19, "end": 893.57, "word": " نقص", "probability": 0.9923502604166666}, {"start": 893.57, "end": 893.71, "word": " في", "probability": 0.966796875}, {"start": 893.71, "end": 893.77, "word": " ال", "probability": 0.95166015625}, {"start": 893.77, "end": 894.33, "word": " accommodation", "probability": 0.912109375}, {"start": 894.33, "end": 895.73, "word": " اي", "probability": 0.58367919921875}, {"start": 895.73, "end": 896.33, "word": " بمعنى", "probability": 0.98310546875}, {"start": 896.33, "end": 896.55, "word": " ان", "probability": 0.75048828125}, {"start": 896.55, "end": 897.23, "word": " كمية", "probability": 0.9453125}, {"start": 897.23, "end": 897.59, "word": " ال", "probability": 0.97216796875}, {"start": 897.59, "end": 898.17, "word": " accommodation", "probability": 0.9794921875}, {"start": 898.17, "end": 898.71, "word": " لهذا", "probability": 0.967529296875}, {"start": 898.71, 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mellitus اللي هو السكري DM طيب ال local causes أي بمعنى أسباب في العين زي مثلا واحد بيستخدم ال short acting ل", "tokens": [47914, 12, 26260, 851, 11044, 37495, 22653, 5551, 29973, 46958, 3714, 6027, 3224, 33599, 11203, 995, 28671, 8978, 2423, 11764, 30767, 1829, 50113, 15040, 2423, 13881, 385, 285, 30973, 13672, 1829, 31439, 21136, 4117, 16572, 15322, 23032, 1829, 3555, 2423, 2654, 7700, 36632, 4724, 2304, 3615, 1863, 7578, 5551, 35457, 16758, 8978, 18863, 9957, 30767, 1829, 50113, 15040, 36764, 24401, 4724, 1829, 14851, 9778, 40448, 2423, 2099, 6577, 5296], "avg_logprob": -0.17522322024617876, "compression_ratio": 1.433673469387755, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1656.79, "end": 1658.01, "word": "Non", "probability": 0.178466796875}, {"start": 1658.01, "end": 1659.05, "word": "-infectious", "probability": 0.7022298177083334}, {"start": 1659.05, "end": 1659.93, "word": " diseases", "probability": 0.9072265625}, {"start": 1659.93, "end": 1660.63, "word": " 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" vision", "probability": 0.368896484375}, {"start": 1931.72, "end": 1937.68, "word": " is", "probability": 0.84716796875}, {"start": 1937.68, "end": 1938.02, "word": " not", "probability": 0.96142578125}, {"start": 1938.02, "end": 1941.88, "word": " affected", "probability": 0.7333984375}, {"start": 1941.88, "end": 1943.1, "word": " or", "probability": 0.91357421875}, {"start": 1943.1, "end": 1943.96, "word": " impacted", "probability": 0.962890625}, {"start": 1943.96, "end": 1949.2, "word": " in", "probability": 0.3740234375}, {"start": 1949.2, "end": 1949.7, "word": " paralysis", "probability": 0.69677734375}, {"start": 1949.7, "end": 1951.52, "word": " of", "probability": 0.9091796875}], "temperature": 1.0}, {"id": 76, "seek": 196735, "start": 1959.29, "end": 1967.35, "text": "بمعنى أن الرؤية البعيدة لن تتأثر بالـ Paralysis of accommodation لماذا؟", "tokens": [3555, 2304, 3615, 1863, 7578, 14739, 34892, 33604, 10632, 29739, 3615, 25708, 3660, 5296, 1863, 6055, 2655, 10721, 49115, 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accommodation", "probability": 0.7275390625}, {"start": 1966.15, "end": 1967.35, "word": " لماذا؟", "probability": 0.7840576171875}], "temperature": 1.0}, {"id": 77, "seek": 200729, "start": 2003.73, "end": 2007.29, "text": "ممكن اكتب الفار بوينت FP و نير بوينت NP", "tokens": [2304, 43020, 1975, 4117, 2655, 3555, 27188, 9640, 4724, 2407, 9957, 2655, 36655, 4032, 8717, 13546, 4724, 2407, 9957, 2655, 38611], "avg_logprob": -0.34552555869926105, "compression_ratio": 1.0819672131147542, "no_speech_prob": 0.0, "words": [{"start": 2003.73, "end": 2004.49, "word": "ممكن", "probability": 0.506256103515625}, {"start": 2004.49, "end": 2004.89, "word": " اكتب", "probability": 0.943115234375}, {"start": 2004.89, "end": 2005.27, "word": " الفار", "probability": 0.615478515625}, {"start": 2005.27, "end": 2005.63, "word": " بوينت", "probability": 0.81298828125}, {"start": 2005.63, "end": 2006.01, "word": " FP", "probability": 0.78662109375}, {"start": 2006.01, "end": 2006.33, "word": " و", 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2308.75, "end": 2309.51, "word": " يكون", "probability": 0.974609375}, {"start": 2309.51, "end": 2309.97, "word": " الواحد", "probability": 0.99560546875}, {"start": 2309.97, "end": 2310.27, "word": " قد", "probability": 0.997314453125}, {"start": 2310.27, "end": 2311.19, "word": " اساءلكم", "probability": 0.8182373046875}, {"start": 2311.19, "end": 2311.67, "word": " او", "probability": 0.809326171875}, {"start": 2311.67, "end": 2311.85, "word": " قد", "probability": 0.99560546875}], "temperature": 1.0}, {"id": 90, "seek": 233850, "start": 2313.32, "end": 2338.5, "text": "في الآخر قد نصيب و قد نخطئ لكن ان شاء الله يعني كأمل فيكم كبير ان شاء الله صراحة الدفعة أبهرتوني كثير بعلمكم بأخلاقكم بمستواكم بتمنى ان شاء الله لكم التوفيق في كل المواد ان شاء الله القادمة الانسان بتحسن فش انما كان للفشل لازم الانسان دايما يتحدى الفشل وهذه سنة الحياة", "tokens": [41185, 6024, 95, 34740, 12174, 3215, 8717, 9381, 1829, 3555, 4032, 12174, 3215, 8717, 9778, 9566, 19986, 44381, 16472, 13412, 16606, 21984, 37495, 22653, 9122, 10721, 42213, 8978, 24793, 9122, 3555, 13546, 16472, 13412, 16606, 21984, 20328, 23557, 5016, 3660, 32748, 5172, 27884, 5551, 3555, 3224, 43500, 11536, 1829, 9122, 12984, 13546, 45030, 19528, 24793, 4724, 10721, 9778, 15040, 4587, 24793, 4724, 2304, 14851, 14407, 24793, 39894, 27842, 7578, 16472, 13412, 16606, 21984, 5296, 24793, 16712, 38688, 1829, 4587, 8978, 28242, 9673, 14407, 3215, 16472, 13412, 16606, 21984, 25062, 18513, 46007, 2423, 7649, 3794, 7649, 39894, 5016, 3794, 1863, 6156, 8592, 16472, 15042, 25961, 24976, 5172, 8592, 1211, 5296, 31377, 2304, 2423, 7649, 3794, 7649, 11778, 47302, 15042, 7251, 2655, 24401, 7578, 27188, 8592, 1211, 37037, 24192, 8608, 1863, 3660, 21542, 25528, 3660], "avg_logprob": -0.13596081989469813, "compression_ratio": 2.1365638766519823, "no_speech_prob": 0.0001627206802368164, "words": [{"start": 2313.32, "end": 2313.5, "word": "في", "probability": 0.30517578125}, {"start": 2313.5, "end": 2314.0, "word": " الآخر", "probability": 0.7583821614583334}, {"start": 2314.0, "end": 2314.54, "word": " قد", "probability": 0.965087890625}, {"start": 2314.54, "end": 2314.98, "word": " نصيب", "probability": 0.904296875}, {"start": 2314.98, "end": 2315.06, "word": " و", "probability": 0.98095703125}, {"start": 2315.06, "end": 2315.24, "word": " قد", "probability": 0.820068359375}, {"start": 2315.24, "end": 2315.7, "word": " نخطئ", "probability": 0.9051513671875}, {"start": 2315.7, "end": 2316.5, "word": " لكن", "probability": 0.6484375}, {"start": 2316.5, "end": 2317.0, "word": " ان", "probability": 0.8720703125}, {"start": 2317.0, "end": 2317.18, "word": " شاء", "probability": 0.94873046875}, {"start": 2317.18, "end": 2317.3, "word": " الله", "probability": 0.962890625}, {"start": 2317.3, "end": 2317.68, "word": " يعني", "probability": 0.92333984375}, {"start": 2317.68, "end": 2318.26, "word": " كأمل", "probability": 0.9386393229166666}, {"start": 2318.26, "end": 2318.74, "word": " فيكم", "probability": 0.98095703125}, {"start": 2318.74, "end": 2319.22, "word": " كبير", "probability": 0.9807942708333334}, {"start": 2319.22, "end": 2319.4, "word": " ان", "probability": 0.85107421875}, {"start": 2319.4, "end": 2319.58, "word": " شاء", "probability": 0.994873046875}, {"start": 2319.58, "end": 2319.8, "word": " الله", "probability": 0.95751953125}, {"start": 2319.8, "end": 2321.1, "word": " صراحة", "probability": 0.935546875}, {"start": 2321.1, "end": 2321.64, "word": " الدفعة", "probability": 0.8766276041666666}, {"start": 2321.64, "end": 2322.44, "word": " أبهرتوني", "probability": 0.9190266927083334}, {"start": 2322.44, "end": 2322.84, "word": " كثير", "probability": 0.9679361979166666}, {"start": 2322.84, "end": 2324.32, "word": " بعلمكم", "probability": 0.8671875}, {"start": 2324.32, "end": 2325.32, "word": " بأخلاقكم", "probability": 0.89599609375}, {"start": 2325.32, "end": 2326.28, "word": " بمستواكم", "probability": 0.9298828125}, {"start": 2326.28, "end": 2327.44, "word": " بتمنى", "probability": 0.7670084635416666}, {"start": 2327.44, "end": 2327.54, "word": " ان", "probability": 0.896484375}, {"start": 2327.54, "end": 2327.68, "word": " شاء", "probability": 0.992431640625}, {"start": 2327.68, "end": 2327.8, "word": " الله", "probability": 0.9462890625}, {"start": 2327.8, "end": 2328.08, "word": " لكم", "probability": 0.57098388671875}, {"start": 2328.08, "end": 2328.76, "word": " التوفيق", "probability": 0.9864501953125}, {"start": 2328.76, "end": 2328.94, "word": " في", "probability": 0.92333984375}, {"start": 2328.94, "end": 2329.14, "word": " كل", "probability": 0.98828125}, {"start": 2329.14, "end": 2329.56, "word": " المواد", "probability": 0.9671223958333334}, {"start": 2329.56, "end": 2329.72, "word": " ان", "probability": 0.82763671875}, {"start": 2329.72, "end": 2329.88, "word": " شاء", "probability": 0.993896484375}, {"start": 2329.88, "end": 2329.94, "word": " الله", "probability": 0.94091796875}, {"start": 2329.94, "end": 2331.22, "word": " القادمة", "probability": 0.9939778645833334}, {"start": 2331.22, "end": 2332.26, "word": " الانسان", "probability": 0.86761474609375}, {"start": 2332.26, "end": 2333.0, "word": " بتحسن", "probability": 0.9580078125}, {"start": 2333.0, "end": 2333.6, "word": " فش", "probability": 0.5738525390625}, {"start": 2333.6, "end": 2334.0, "word": " انما", "probability": 0.70849609375}, {"start": 2334.0, "end": 2334.26, "word": " كان", "probability": 0.85546875}, {"start": 2334.26, "end": 2334.9, "word": " للفشل", "probability": 0.914794921875}, {"start": 2334.9, "end": 2335.3, "word": " لازم", "probability": 0.98193359375}, {"start": 2335.3, "end": 2335.68, "word": " الانسان", "probability": 0.9329833984375}, {"start": 2335.68, "end": 2336.0, "word": " دايما", "probability": 0.7760416666666666}, {"start": 2336.0, "end": 2336.5, "word": " يتحدى", "probability": 0.9822998046875}, {"start": 2336.5, "end": 2337.0, "word": " الفشل", "probability": 0.9860026041666666}, {"start": 2337.0, "end": 2337.56, "word": " وهذه", "probability": 0.68701171875}, {"start": 2337.56, "end": 2337.92, "word": " سنة", "probability": 0.826171875}, {"start": 2337.92, "end": 2338.5, "word": " الحياة", "probability": 0.99658203125}], "temperature": 1.0}, {"id": 91, "seek": 234409, "start": 2339.11, "end": 2344.09, "text": "طبعا بالنسبة للمراجعة انه ابتداء من المحاضرة القادمة", "tokens": [9566, 3555, 3615, 995, 20666, 1863, 35457, 3660, 5296, 19528, 2288, 26108, 27884, 16472, 3224, 48127, 2655, 3215, 16606, 9154, 9673, 5016, 46958, 25720, 25062, 18513, 46007], "avg_logprob": -0.14208984055689403, "compression_ratio": 1.2435897435897436, "no_speech_prob": 7.927417755126953e-06, "words": [{"start": 2339.11, "end": 2339.79, "word": "طبعا", "probability": 0.9425048828125}, {"start": 2339.79, "end": 2340.21, "word": " بالنسبة", "probability": 0.9622802734375}, {"start": 2340.21, "end": 2341.03, "word": " للمراجعة", "probability": 0.9189453125}, {"start": 2341.03, "end": 2341.55, "word": " انه", "probability": 0.6170654296875}, {"start": 2341.55, "end": 2342.23, "word": " ابتداء", "probability": 0.8309326171875}, {"start": 2342.23, "end": 2342.83, "word": " من", "probability": 0.89697265625}, {"start": 2342.83, "end": 2343.61, "word": " المحاضرة", "probability": 0.98095703125}, {"start": 2343.61, "end": 2344.09, "word": " القادمة", "probability": 0.99072265625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2346.4460625, "duration_after_vad": 2162.769374999992}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..563bfcb5ce2c4e98d7e54a8a73f9075b793bee67
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/FTEpsvrHXFg_raw.srt
@@ -0,0 +1,1732 @@
+1
+00:00:20,770 --> 00:00:24,150
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,150 --> 00:00:30,810
+وبركاته and a very good afternoon to all of you في
+
+3
+00:00:30,810 --> 00:00:36,210
+آخر محاضرة أخدنا ال classification تصنيف ل ال
+
+4
+00:00:36,210 --> 00:00:39,970
+anomalies of accommodation anomalies of
+
+5
+00:00:39,970 --> 00:00:45,510
+accommodation هو بمعنى خلل في عملية التكييف okay
+
+6
+00:00:47,160 --> 00:00:51,760
+اما بيكون سببه زيادة في ال accommodation increase
+
+7
+00:00:51,760 --> 00:00:56,200
+لل accommodation او decrease لل accommodation اذا
+
+8
+00:00:56,200 --> 00:00:59,260
+كان increase لل accommodation اخدنا اول نوع
+
+9
+00:00:59,260 --> 00:01:07,300
+excessive accommodation بمعنى وجود شد يعني بيكون
+
+10
+00:01:07,300 --> 00:01:13,860
+شد بوجود ايه سبب okay لكن النوع التاني ال spasm of
+
+11
+00:01:13,860 --> 00:01:21,370
+accommodationبمعنى وجود شد لكن بدون سببالـ spasm
+
+12
+00:01:21,370 --> 00:01:26,210
+of accommodation له سببين السبب الأول إما العمل
+
+13
+00:01:26,210 --> 00:01:31,030
+القريب المتواصل يعني حد عنده refractive error
+
+14
+00:01:31,030 --> 00:01:35,030
+myopia أو hypermetropia أو astigmatism وبيعمل عمل
+
+15
+00:01:35,030 --> 00:01:40,270
+قريب بشكل متواصل هذا إيش بنسميه عنده spasm of
+
+16
+00:01:40,270 --> 00:01:44,890
+accommodation okay continuous near work يعني بيعمل
+
+17
+00:01:44,890 --> 00:01:51,280
+عمل قريب بشكل متواصل السبب التانيإنه بيستخدم قطرات
+
+18
+00:01:51,280 --> 00:01:55,680
+الـ meiotic إنه قطرات اللي بتعمل تضييق للبقبق زي
+
+19
+00:01:55,680 --> 00:02:00,440
+مثل مين؟ البيلو كربين okay قطرة البيلو كربين اللي
+
+20
+00:02:00,440 --> 00:02:06,100
+بتعمل إيش؟ Spasm للcellar muscle okay إذا Spasm of
+
+21
+00:02:06,100 --> 00:02:09,780
+accommodation causes أي بمعنى الأسباب، اللي لها
+
+22
+00:02:09,780 --> 00:02:16,270
+سبابينNumber one continuous severe
+
+23
+00:02:16,270 --> 00:02:19,350
+near work in the presence of refractive error أي
+
+24
+00:02:19,350 --> 00:02:23,910
+بمعنى عمل قريب متواصل مع وجود أيه الأخطاء
+
+25
+00:02:23,910 --> 00:02:28,450
+الانكسارية سواء ميوب، hypermetrop أو astigmatism
+
+26
+00:02:28,450 --> 00:02:34,630
+okay number two meiotic أي بمعنى قطرة اللي هي
+
+27
+00:02:34,630 --> 00:02:39,690
+بتعمل إيش التضييق زي البيلو كربين البيلو كربين شو
+
+28
+00:02:39,690 --> 00:02:45,120
+وظفتها؟may bring a spasm of ciliary muscle بتعمل
+
+29
+00:02:45,120 --> 00:02:52,400
+عملية شد لسيلاريه muscle Spasm بمعنى تشنج Spasm
+
+30
+00:02:52,400 --> 00:02:57,500
+طيب
+
+31
+00:02:57,500 --> 00:03:03,260
+ال precipitating factors يعني العوامل المؤدية الى
+
+32
+00:03:03,260 --> 00:03:07,620
+ال Spasm of accommodation شو هي العوامل اللى بتقدى
+
+33
+00:03:07,620 --> 00:03:12,840
+ال Spasm of accommodation؟نمبر وان في عندنا درجة
+
+34
+00:03:12,840 --> 00:03:17,400
+كبيرة من عدم التوازن في عضلات العين زي ما انتوا
+
+35
+00:03:17,400 --> 00:03:21,540
+عارفين في عندنا ست عضلات في العين ال extraocular
+
+36
+00:03:21,540 --> 00:03:25,860
+muscle تبدأ superior rectus inferior rectus medior
+
+37
+00:03:25,860 --> 00:03:28,500
+rectus lateral rectus superior and inferior
+
+38
+00:03:28,500 --> 00:03:34,720
+oblique okay؟الان في .. في هذه العضلات marked يعني
+
+39
+00:03:34,720 --> 00:03:38,760
+درجة كبيرة من ال imbalance يعني عدم التوازنزي ممكن
+
+40
+00:03:38,760 --> 00:03:42,560
+يكون اترابية، واحد عنده اترابية، شو معناه اترابية؟
+
+41
+00:03:42,560 --> 00:03:53,440
+حول ظاهر، اي بمعنى اترابية manifest
+
+42
+00:03:53,440 --> 00:04:00,080
+misalignment
+
+43
+00:04:10,570 --> 00:04:16,690
+I يعني بمعنى Manifest ظاهر Misalignment of the I
+
+44
+00:04:16,690 --> 00:04:21,310
+عدم توازن في العنتين يعني بمعنى ان العنتين دخلين
+
+45
+00:04:21,310 --> 00:04:25,670
+للداخل او خرجين للخارج اذا عدم استقامة في العنتين
+
+46
+00:04:25,670 --> 00:04:30,230
+هذه بنسميها ايه Petropia في عندنا euphoria
+
+47
+00:04:30,230 --> 00:04:35,250
+euphoria
+
+48
+00:04:35,250 --> 00:04:37,710
+اللي حول الخفيت Latent
+
+49
+00:04:40,760 --> 00:04:45,880
+misalignment of the I هاي الفرق ما بين المصطلحين
+
+50
+00:04:45,880 --> 00:04:51,340
+الفارية والترابية فال precipitating factors
+
+51
+00:04:51,340 --> 00:04:56,080
+العوامل اللي بتأدي إلى حدوث ال spasm of
+
+52
+00:04:56,080 --> 00:05:05,140
+accommodation أول حاجة درجة كبيرة من عدمسواء كان
+
+53
+00:05:05,140 --> 00:05:09,400
+atropia او phoria manifest or latent misalignment
+
+54
+00:05:09,400 --> 00:05:13,400
+of the eye الحالة
+
+55
+00:05:13,400 --> 00:05:19,140
+التانية is trigeminal neurolgia بمعنى شلل في العضل
+
+56
+00:05:19,140 --> 00:05:26,920
+العصب الخامس العصب الخامس
+
+57
+00:05:26,920 --> 00:05:32,480
+اللي لو عندكم في الصورة شايفين التقسيم بتاعهانه
+
+58
+00:05:32,480 --> 00:05:38,300
+فيه له ال parts الأجزاء تلت أجزاء في عندنا الجزء
+
+59
+00:05:38,300 --> 00:05:42,140
+العلوي هذا اللي بيغضي مين ال maxillary ال
+
+60
+00:05:42,140 --> 00:05:46,680
+maxillary أي بمعنى الفك العلوي الجزء التاني بيغضي
+
+61
+00:05:46,680 --> 00:05:50,880
+ال ophthalmic العين والجزء التالت بيغضي ال
+
+62
+00:05:50,880 --> 00:05:55,040
+mandibular اللي هو الجزء ايه الفك السفلي اذا في
+
+63
+00:05:55,040 --> 00:05:58,900
+عندنا كتبته هذه تعريف
+
+64
+00:06:08,780 --> 00:06:14,320
+إذا عندنا ال parts أزاق
+
+65
+00:06:14,320 --> 00:06:19,360
+of trigeminal
+
+66
+00:06:19,360 --> 00:06:30,620
+or fifth nerve number one ال maxillary أي
+
+67
+00:06:30,620 --> 00:06:35,360
+بمعنى الفك السفلي العلوي number two ال ophthalmic
+
+68
+00:06:40,980 --> 00:06:46,700
+العيني و number three mandibular
+
+69
+00:06:46,700 --> 00:06:52,040
+هدول
+
+70
+00:06:52,040 --> 00:07:01,100
+أزاق ال trigeminal nerve طبعا هدول mandibular part
+
+71
+00:07:01,100 --> 00:07:07,470
+بمعنى الفك السفليفالان ال precipitating factors
+
+72
+00:07:07,470 --> 00:07:11,970
+العوامل اللى بتدى لـ Spasm of accommodation منها
+
+73
+00:07:11,970 --> 00:07:16,990
+الـ Trigeminal Neuralgia أو تلفظ Neuralgia في
+
+74
+00:07:16,990 --> 00:07:22,370
+الامريكان و البريتش okay؟ هذه بالنسبة ل ال causes
+
+75
+00:07:22,370 --> 00:07:28,130
+ل Spasm
+
+76
+00:07:28,130 --> 00:07:33,360
+of accommodationNumber three ال dental lesion أي
+
+77
+00:07:33,360 --> 00:07:37,540
+بمعنى وجع في الأسنان أو ألم وين في الأسنان سميه
+
+78
+00:07:37,540 --> 00:07:42,640
+dental lesion أو causes of Iridocyclitis
+
+79
+00:07:42,640 --> 00:07:46,780
+Iridocyclitis بمعنى inflammation بيكون
+
+80
+00:07:46,780 --> 00:07:51,760
+inflammation شو معناه التهابدائما كلمة itis بمعنى
+
+81
+00:07:51,760 --> 00:07:57,260
+inflammation يعني يوفييتس، أي كلمة فيها itis بمعنى
+
+82
+00:07:57,260 --> 00:08:01,300
+inflammation، okay؟ ف Iridocyclitis بمعنى
+
+83
+00:08:01,300 --> 00:08:07,220
+inflammation للعيرس والcellary body، كتبت ال
+
+84
+00:08:07,220 --> 00:08:08,300
+parts؟
+
+85
+00:08:28,970 --> 00:08:38,070
+Iridocyclitis inflammation of
+
+86
+00:08:38,070 --> 00:08:45,730
+the iris and
+
+87
+00:08:45,730 --> 00:08:51,130
+ciliary body هاي ال definition لمين؟ لأ
+
+88
+00:08:51,130 --> 00:08:52,430
+Iridocyclitis
+
+89
+00:08:56,270 --> 00:09:01,710
+طبعا ال ciliary spasm اللي بشكل عام بحدث وين؟ في
+
+90
+00:09:01,710 --> 00:09:05,730
+ال ciliary muscle دايما هذا بيكون ايه؟ involuntary
+
+91
+00:09:05,730 --> 00:09:10,690
+يعني لا إرادة يعني خارج عن إرادة الإنسان أو ال
+
+92
+00:09:10,690 --> 00:09:16,150
+patient المريض the ciliary spasm usually out of
+
+93
+00:09:16,150 --> 00:09:21,430
+the patient's control يعني دائما غالبا بيكون خارج
+
+94
+00:09:21,430 --> 00:09:34,570
+عن مين سيطرت الإنسان أو ال patientوالدرجة بتكون
+
+95
+00:09:34,570 --> 00:09:39,430
+عشرة ديوبتر او اكتر بمعنى انه بيعمل ايه؟
+
+96
+00:09:39,430 --> 00:09:42,090
+Artificial Myopia يعني Myopia كاذبة
+
+97
+00:09:46,730 --> 00:09:49,870
+إذا الأن لو سألتيك سؤال ال spasm of accommodation
+
+98
+00:09:49,870 --> 00:09:54,210
+هل هو voluntary ولا involuntary؟ involuntary what
+
+99
+00:09:54,210 --> 00:09:56,970
+do you mean involuntary؟ out of the patient
+
+100
+00:09:56,970 --> 00:10:01,810
+control يعني خارج عن سيطرة الإنسان okay ليش؟ لأن
+
+101
+00:10:01,810 --> 00:10:06,530
+هو منطق أن ال .. ال spasm of accommodationبيحدث
+
+102
+00:10:06,530 --> 00:10:10,190
+لكن بدون سبب زي ما حكت المرة الفاتة السحر انه مش
+
+103
+00:10:10,190 --> 00:10:14,310
+نتيجة انه إيش ال contraction لل celery muscle انه
+
+104
+00:10:14,310 --> 00:10:17,770
+دايما السبب بتاعه بيكون إيش physiological مش
+
+105
+00:10:17,770 --> 00:10:22,590
+physical accommodation okay طيب شو ال symptoms
+
+106
+00:10:22,590 --> 00:10:26,470
+بتاعته؟ الأعراض يعني واحد عنده spasm of
+
+107
+00:10:26,470 --> 00:10:30,690
+accommodation من إيش هيش كذا؟أول حاجة انه هيكون
+
+108
+00:10:30,690 --> 00:10:34,550
+عنده blurring لالنير و لل distance vision يعني
+
+109
+00:10:34,550 --> 00:10:38,410
+بعيني من القريب و من وين من البعيد طيب إذا ال
+
+110
+00:10:38,410 --> 00:10:42,730
+number one إذا إيش بيكون؟ في عندنا blurring لال
+
+111
+00:10:42,730 --> 00:10:46,330
+distance و للنير vision يعني دايما القريب و البعيد
+
+112
+00:10:46,330 --> 00:10:51,810
+بيكون مغبشال patient دايما اللي عنده spasm of
+
+113
+00:10:51,810 --> 00:10:55,470
+accommodation بيكون دايما انيورتيك أي بمعنى عصبي
+
+114
+00:10:55,470 --> 00:11:01,490
+okay زاد انه بيكون عنده drowsy أي بمعنى دوخة okay
+
+115
+00:11:01,490 --> 00:11:05,370
+و دايما بيحب ياكل ال chocolate اللي .. اللي عنده
+
+116
+00:11:05,370 --> 00:11:11,450
+ال spasm of accommodation okay all symptoms كل
+
+117
+00:11:11,450 --> 00:11:14,090
+الأعراض بتاعة ال excessive accommodation اللي
+
+118
+00:11:14,090 --> 00:11:16,830
+أخدناها في المرة السابقة من ناحية
+
+119
+00:11:20,670 --> 00:11:25,370
+هذه بنضيفها لمين؟ لـ Spasm of accommodation و
+
+120
+00:11:25,370 --> 00:11:28,170
+بتكون in excess يعني بزيادة كمان
+
+121
+00:11:34,020 --> 00:11:37,520
+Spasm of accommodation اول حاجة في عنده blurred
+
+122
+00:11:37,520 --> 00:11:42,840
+low vision ال patient بيكون neurotic انه عصبي زاد
+
+123
+00:11:42,840 --> 00:11:46,600
+عنده drowsy دوخة و كل ال symptoms بتاعة ال
+
+124
+00:11:46,600 --> 00:11:49,020
+excessive accommodation من ناحية ال headache
+
+125
+00:11:49,020 --> 00:11:54,660
+الصداع من ناحية ال discomfort عدم الراحة ايضا من
+
+126
+00:11:54,660 --> 00:11:58,140
+ناحية ال eye fatigue ال eye strain كلها مع إيش
+
+127
+00:11:58,140 --> 00:12:00,840
+زيادة في هذه الأعراض
+
+128
+00:12:02,500 --> 00:12:05,760
+طيب في بعض المرضى زي ما انتوا عارفين اللي بيكون
+
+129
+00:12:05,760 --> 00:12:09,920
+عنده glaucoma الميه الزرقه بيستخدم قطرة مين؟ ال
+
+130
+00:12:09,920 --> 00:12:14,900
+bilocarbine اللي هي بتعمل تضييق للبقبق فهدول الناس
+
+131
+00:12:14,900 --> 00:12:19,500
+بيعانوا من مين؟ من ال spasm of accommodationيعني
+
+132
+00:12:19,500 --> 00:12:23,560
+الأن لو سألتك مين أكتر الناس بيعانوا من ال spasm
+
+133
+00:12:23,560 --> 00:12:26,680
+of accommodation؟ الناس اللي بياخدوا قطرة مين؟ ال
+
+134
+00:12:26,680 --> 00:12:30,960
+bilocarbine اللي بتعمل عملية meiosis of the pupil
+
+135
+00:12:30,960 --> 00:12:35,020
+in some patients في بعض المرضى bilocarbine drop
+
+136
+00:12:35,020 --> 00:12:38,980
+قطرة ال bilocarbine that used if تستخدم in a
+
+137
+00:12:38,980 --> 00:12:42,800
+treatment في علاج of glaucoma الميه الزرقه may
+
+138
+00:12:42,800 --> 00:12:49,970
+produce هذا بينتج أيه؟ cellar spasm أي بمعنىتشنج
+
+139
+00:12:49,970 --> 00:12:55,330
+للعضلة الهدبية طبعا
+
+140
+00:12:55,330 --> 00:12:59,430
+هذه صورة الاترابيا زي ما انتوا شايفين طبعا حول
+
+141
+00:12:59,430 --> 00:13:05,030
+للداخل okay manifest misalignment of the eye
+
+142
+00:13:05,030 --> 00:13:09,570
+العنتيل لوين للداخل صح انه مافيش misalignment of
+
+143
+00:13:09,570 --> 00:13:10,330
+the eye
+
+144
+00:13:13,160 --> 00:13:16,700
+طبعا هذه ال parts أزاق اللي تريجي من ال nerve،
+
+145
+00:13:16,700 --> 00:13:20,400
+عندنا ال maxillary الجزء العلوي، ال ophthalmic
+
+146
+00:13:20,400 --> 00:13:28,580
+العيني و ال mandibular الجزء السفلي، okay؟
+
+147
+00:13:28,580 --> 00:13:32,820
+هذه ال Iridocyclitis، inflammation لها ال iris و
+
+148
+00:13:32,820 --> 00:13:36,620
+ال celery bodyOkay؟ مش احنا فيه عندنا تلت أزاق
+
+149
+00:13:36,620 --> 00:13:41,320
+للعين الجزء الداخلي والخارجي و ال middle اللي هو
+
+150
+00:13:41,320 --> 00:13:45,840
+بيتمثل مين ال iris و ال celery body زائد ال
+
+151
+00:13:45,840 --> 00:13:49,960
+chloride طيب في عندنا insufficiency of
+
+152
+00:13:49,960 --> 00:13:54,060
+accommodation إذا الآن أخدنا إيش؟ الزيادة في ال
+
+153
+00:13:54,060 --> 00:13:58,250
+accommodation okay؟إذا الزيادة في ال accommodation
+
+154
+00:13:58,250 --> 00:14:02,130
+إما بتكون excessive accommodation أو النوع التاني
+
+155
+00:14:02,130 --> 00:14:06,490
+إيش بتكون spasm of accommodation النوع التاني
+
+156
+00:14:06,490 --> 00:14:10,930
+عندنا decrease يعني بقل ال accommodation طيب أول
+
+157
+00:14:10,930 --> 00:14:14,870
+نوع insufficiency of accommodation insufficiency
+
+158
+00:14:14,870 --> 00:14:19,530
+of accommodation أي بمعنى إنه الكمية اللي موجودة
+
+159
+00:14:19,530 --> 00:14:25,300
+لل patient هذا غير كافيةيعني بمعنى لو أخدنا two
+
+160
+00:14:25,300 --> 00:14:34,440
+patient عمرهم عشرين سنة لو هذا فرضنا normal و هذا
+
+161
+00:14:34,440 --> 00:14:39,220
+عنده insufficient of
+
+162
+00:14:39,220 --> 00:14:42,240
+accommodation
+
+163
+00:14:42,240 --> 00:14:45,360
+لو
+
+164
+00:14:45,360 --> 00:14:51,290
+فرضنا هذا عنده عشرة ديوبترهذا هيكون تمانية ديوبتر
+
+165
+00:14:51,290 --> 00:14:56,330
+واضح؟ يعني بمعنى نقص في ال accommodation اي بمعنى
+
+166
+00:14:56,330 --> 00:15:01,310
+ان كمية ال accommodation لهذا الشخص هتكون اقل من
+
+167
+00:15:01,310 --> 00:15:05,530
+كمية ال accommodation ل patient ايش يكون normal في
+
+168
+00:15:05,530 --> 00:15:12,450
+العمر هذا مرة تانيةإن كمية ال accommodation اللى
+
+169
+00:15:12,450 --> 00:15:15,490
+موجودة عند هذا ال patient لو كان عنده insufficient
+
+170
+00:15:15,490 --> 00:15:19,350
+of accommodation هتكون أقل من كمية ال
+
+171
+00:15:19,350 --> 00:15:23,650
+accommodation لو قرناها بمين؟ بواحد normal في نفس
+
+172
+00:15:23,650 --> 00:15:28,630
+العمر اه
+
+173
+00:15:28,630 --> 00:15:32,150
+يعني مش معقول واحد مثلا عمره عشرين سنة أقارنه
+
+174
+00:15:32,150 --> 00:15:35,130
+بواحد عمره تلاتين سنة أكيد كمية ال accommodation
+
+175
+00:15:35,130 --> 00:15:40,080
+للعشرين هتكون أعلى من أبو التلاتين صح؟In this
+
+176
+00:15:40,080 --> 00:15:44,060
+calculation في هذه المعادلة أو في هذا ال
+
+177
+00:15:44,060 --> 00:15:47,460
+definition التعريف The accommodation power أي
+
+178
+00:15:47,460 --> 00:15:53,270
+بمعنى قوة التكيفis constantly أي بمعنى ثابت below
+
+179
+00:15:53,270 --> 00:15:59,350
+أقل the lower limit من الكمية المحددة of what may
+
+180
+00:15:59,350 --> 00:16:03,590
+be accepted as the normal variation of patients
+
+181
+00:16:03,590 --> 00:16:08,550
+age انه هتكون هذه الكمية أقل من الكمية المحددة ل
+
+182
+00:16:08,550 --> 00:16:11,670
+patient ايش يكون normal في وضع ال normal
+
+183
+00:16:14,970 --> 00:16:18,670
+طيب، شو أسباب insufficient of accommodation؟ أي
+
+184
+00:16:18,670 --> 00:16:24,370
+بمعنى النقص أو عدم كفاية في ال accommodation أول
+
+185
+00:16:24,370 --> 00:16:27,870
+سبب أنه بيكون عنده failure، failure في ال
+
+186
+00:16:27,870 --> 00:16:31,690
+accommodation، أي بمعنى فشل في ال accommodation
+
+187
+00:16:31,690 --> 00:16:34,830
+طبعا،
+
+188
+00:16:34,830 --> 00:16:38,350
+هذا مين بيسببه؟ lenticular، يعني ال failure of
+
+189
+00:16:38,350 --> 00:16:41,810
+accommodation هذا بيكون lenticular، lenticular
+
+190
+00:16:41,810 --> 00:16:46,780
+بمعنى عدسي، يعني من عدسة العيننتيجة ايش؟ انه بيصير
+
+191
+00:16:46,780 --> 00:16:52,280
+sclerosis تصلب في عدسة العين لو انتوا فاكرين قسمنا
+
+192
+00:16:52,280 --> 00:16:55,300
+ال accommodation إلى نوعين قلنا ال accommodation
+
+193
+00:16:55,300 --> 00:16:59,260
+اما بيكون physical او بيكون physiological ال
+
+194
+00:16:59,260 --> 00:17:03,840
+physical نتيجة ايش؟ انه بيكون تغير .. تغير في عدسة
+
+195
+00:17:03,840 --> 00:17:08,300
+العين okay؟ لكن بالنسبة لها ال physiological بيكون
+
+196
+00:17:08,300 --> 00:17:12,140
+تغير وين؟ انه contraction لل celery muscle صحيح؟
+
+197
+00:17:13,170 --> 00:17:16,890
+فأول حاجة في عندنا failure فشل في ال accommodation
+
+198
+00:17:16,890 --> 00:17:21,910
+وهذا مين بتحمله انه بيكون sclerosis تصلب وين
+
+199
+00:17:21,910 --> 00:17:26,530
+التصلب هذا بيكون في العدسة في ال lens اذا فقط
+
+200
+00:17:26,530 --> 00:17:31,230
+physical accommodation اذا دايما ال failure of
+
+201
+00:17:31,230 --> 00:17:34,710
+accommodation الفشل في ال accommodation بربط مع
+
+202
+00:17:34,710 --> 00:17:40,230
+مين؟ مع ال physical accommodation اي بمعنى تصلب
+
+203
+00:17:40,230 --> 00:17:47,480
+بعدسة العينالحالة التانية انه weakness، weakness
+
+204
+00:17:47,480 --> 00:17:52,900
+بمعنى ضعف لمين؟ ل ال celery muscle وهذا بيكون
+
+205
+00:17:52,900 --> 00:17:56,760
+مرتبط مع مين؟مع ال physiological accommodation
+
+206
+00:17:56,760 --> 00:18:00,940
+اللي بيعمل contraction لمين؟ لال celery muscle إذا
+
+207
+00:18:00,940 --> 00:18:03,940
+الأن يما يحكيلك ال failure of accommodation مرتبط
+
+208
+00:18:03,940 --> 00:18:08,180
+مع مين؟ physical أي بمعنى lenticular عدسة انه
+
+209
+00:18:08,180 --> 00:18:15,040
+بيعمل ايه؟ sclerosis لل limbs تصلب للعدسة النوع
+
+210
+00:18:15,040 --> 00:18:18,900
+التاني اللي بيعمل weakness لل accommodation sorry
+
+211
+00:18:18,900 --> 00:18:22,260
+weakness لل celery muscle هو مين؟اللي في الـ
+
+212
+00:18:22,260 --> 00:18:24,880
+Surgical accommodation اللي بيعمل contraction
+
+213
+00:18:24,880 --> 00:18:35,100
+انقباض ل ال muscle الاسباب
+
+214
+00:18:35,100 --> 00:18:45,540
+لأي حالة هتشمل كل الأسباب لإجهاد العضلة مثل مين؟
+
+215
+00:18:45,540 --> 00:18:48,520
+number one عندنا ال debility اللي هو ضعف عام
+
+216
+00:18:48,520 --> 00:18:56,240
+أنيميا فقر الدمmalnutrition بمعنى سوء التغذية okay
+
+217
+00:18:56,240 --> 00:19:02,920
+excessive near work انه بيعمل عمل قريب بشكل كبير
+
+218
+00:19:02,920 --> 00:19:08,280
+in unfavorable conditions في حالات غير مرغوب فيها
+
+219
+00:19:08,280 --> 00:19:09,040
+okay
+
+220
+00:19:13,080 --> 00:19:16,940
+Number three, failure of ciliary muscle أي بمعنى
+
+221
+00:19:16,940 --> 00:19:22,100
+فشل في العضلة الهدبية may occur يعني بمعنى هذا
+
+222
+00:19:22,100 --> 00:19:26,060
+بيحدث in a prodromal أي بمعنى advanced يعني في
+
+223
+00:19:26,060 --> 00:19:30,940
+حالة كما يكون واحد عنده chronic aglaocoma ال
+
+224
+00:19:30,940 --> 00:19:34,600
+chronic بمعنى إيش مزمن okay يعني ال diabetes
+
+225
+00:19:34,600 --> 00:19:38,380
+mellitus مرض ال diabetes بنسميه chronicأي تمرض
+
+226
+00:19:38,380 --> 00:19:42,480
+مزمن بنسميه chronic فعنا فيه البرودرومال أي
+
+227
+00:19:42,480 --> 00:19:47,760
+advance stage يعني في المرحلة المتقدمة من ال
+
+228
+00:19:47,760 --> 00:19:49,520
+chronic symbol aglaocoma
+
+229
+00:19:56,000 --> 00:19:59,400
+أسباب ال insufficiency of accommodation أول حاجة
+
+230
+00:19:59,400 --> 00:20:02,920
+عندنا ال debility أي بمعنى ضعف عام الإنسان بيكون
+
+231
+00:20:02,920 --> 00:20:07,820
+عنده ضعف في الجسم خاصة في المناطق اللي فيها مجعات
+
+232
+00:20:08,100 --> 00:20:11,380
+هذا بزيد عندهم ال insufficiency of accommodation
+
+233
+00:20:11,380 --> 00:20:15,640
+يعني في أفريقيا و غيرها المناطق هذه الناس اللي
+
+234
+00:20:15,640 --> 00:20:20,240
+عندهم anemia فقر الدم برضه بزيد كمية ال
+
+235
+00:20:20,240 --> 00:20:24,040
+insufficiency of accommodation أيضا في المال
+
+236
+00:20:24,040 --> 00:20:30,140
+nutrition أي بمعنى سوء التغذية okay النقطة التانية
+
+237
+00:20:30,140 --> 00:20:35,910
+اللي بيعملوا excessive زيادة في استخدام القريبلكن
+
+238
+00:20:35,910 --> 00:20:39,510
+هذا الاستخدام بيكون غير مرغوب فيه يعني بمعنى انه
+
+239
+00:20:39,510 --> 00:20:43,930
+بيستخدم ساعات طويلة من اليوم على ال laptop او مثلا
+
+240
+00:20:43,930 --> 00:20:48,150
+بيستخدم على ال smile phone كل هذه بدون فائدة هذه
+
+241
+00:20:48,150 --> 00:20:51,690
+بتعمل ايه insufficient of accommodation لانه بيعمل
+
+242
+00:20:51,690 --> 00:20:55,550
+اجهاد على مين ال accommodation والحالة التالتة
+
+243
+00:20:57,170 --> 00:21:01,030
+failure of cellular muscle أي بمعنى فشل في العضلة
+
+244
+00:21:01,030 --> 00:21:05,990
+الهدبية خاصة في حالات وين يكون عنده في ال advanced
+
+245
+00:21:05,990 --> 00:21:09,910
+stage يعني المرحلة المتقدمة من ال electronic
+
+246
+00:21:09,910 --> 00:21:14,770
+symbol glaucoma يعني في مرحلة متقدمة من المياه
+
+247
+00:21:14,770 --> 00:21:18,690
+الزرقاء هذه كلها ال etiology الأسباب
+
+248
+00:21:18,690 --> 00:21:22,470
+للinsufficiency of Akuma أهم سببين هما اتنين
+
+249
+00:21:22,470 --> 00:21:23,650
+الفيلر
+
+250
+00:21:46,820 --> 00:21:50,260
+مريض اللي عنده نقص في ال accommodation من أيش
+
+251
+00:21:50,260 --> 00:21:55,520
+هيشكه؟أول حاجة من headache صداع سواء كان frontal
+
+252
+00:21:55,520 --> 00:22:00,960
+or occipital او ممكن يكون temporal ممكن مثلا
+
+253
+00:22:00,960 --> 00:22:05,600
+sometimes or constant زي ما اتعلمنا ايضا ال ..
+
+254
+00:22:05,600 --> 00:22:10,740
+الastinopia او ال eye fatigue اجهاد في العين eye
+
+255
+00:22:10,740 --> 00:22:15,260
+pain ألم في العين زاد ال drowsiness اي بمعنى ايش
+
+256
+00:22:15,260 --> 00:22:22,570
+الدوخة okay و الخمولnear word is blurred يعني
+
+257
+00:22:22,570 --> 00:22:27,530
+القريب إيش بيكون مغبّش and becomes وبيصبح إيش ماله
+
+258
+00:22:27,530 --> 00:22:33,490
+impossible أي بمعنى مستحيل or difficult أو صعب
+
+259
+00:22:33,490 --> 00:22:37,770
+okay sometime
+
+260
+00:22:37,770 --> 00:22:41,690
+في بعض الوقت and attempted أنه بيحاول to read
+
+261
+00:22:41,690 --> 00:22:47,490
+clearly mainly to excessive convergenceالصين من
+
+262
+00:22:47,490 --> 00:22:52,050
+الناس ماعندهوش كمية كافية من ال accommodation لكن
+
+263
+00:22:52,050 --> 00:22:56,330
+عليه بكرا امتحان فبحاول انه يعمل accommodation ايش
+
+264
+00:22:56,330 --> 00:22:59,650
+قدر المستطاع فزيادة ال accommodation بتاعه ايش
+
+265
+00:22:59,650 --> 00:23:03,870
+هيعمل convergence excess زيادة في وين؟ في ال
+
+266
+00:23:03,870 --> 00:23:07,830
+convergence لان حكينا ان تلاش شغلات بتكون ايش
+
+267
+00:23:07,830 --> 00:23:11,990
+متلازمة مع بعض accommodation convergence and
+
+268
+00:23:11,990 --> 00:23:12,410
+meiosis
+
+269
+00:23:17,290 --> 00:23:22,530
+طيب النوع التاني من ال decrease لل accommodation
+
+270
+00:23:22,530 --> 00:23:27,830
+هو ال paralysis of accommodation paralysis بمعنى
+
+271
+00:23:27,830 --> 00:23:34,030
+شلل okay شلل في ال accommodation طبعا بيكون نوعين
+
+272
+00:23:34,030 --> 00:23:39,990
+فيه، يعني ال causes أسبابه إما بتكون general عامة
+
+273
+00:23:45,290 --> 00:23:51,050
+او بتكون local بمعنى ان سببها العين ال general
+
+274
+00:23:51,050 --> 00:23:55,190
+number
+
+275
+00:23:55,190 --> 00:24:01,590
+one ال drugs اي بمعنى أدوية زي مثلا ال anti
+
+276
+00:24:01,590 --> 00:24:07,090
+-hypertensive drugs يعني أدوية ضد ارتفاع ضغط الدم
+
+277
+00:24:07,090 --> 00:24:10,510
+او anti-depressant drugs
+
+278
+00:24:13,540 --> 00:24:20,360
+الاكتئاب او Anti-spasmodic drugs اي بتكون أدوية ضد
+
+279
+00:24:20,360 --> 00:24:24,640
+اللي هو ايه التشنج هدول أنواع ال drugs اللي
+
+280
+00:24:24,640 --> 00:24:30,540
+بتستخدم اذا Anti-hypertensive drugs أدوية ضد
+
+281
+00:24:30,540 --> 00:24:39,850
+ارتفاع ضغط الدم التانية أدوية ضد الاكتئابوالتالتة
+
+282
+00:24:39,850 --> 00:24:44,330
+أدوية بتكون ضد التشنج خاصة الناس اللي بيكون عندهم
+
+283
+00:24:44,330 --> 00:24:51,210
+صراع Anti-spasmodic drugs هدول بيستخدموهم النوع
+
+284
+00:24:51,210 --> 00:24:55,370
+التاني أنه السبب التاني ال general أي تقاش disease
+
+285
+00:24:55,370 --> 00:24:59,990
+أي مرض أو trauma أو ضربة وين بتكون؟ في ال middle
+
+286
+00:24:59,990 --> 00:25:04,960
+brain ال middle brain أي بمعنى في الدماغor the
+
+287
+00:25:04,960 --> 00:25:08,200
+course of parasympathetic nerve supplied to
+
+288
+00:25:08,200 --> 00:25:11,400
+ciliary muscle زي ما انتوا عارفين اللى بيغذى ال
+
+289
+00:25:11,400 --> 00:25:14,720
+ciliary muscle هو ال parasympathetic فبصير ايه؟ ال
+
+290
+00:25:14,720 --> 00:25:20,680
+trauma، ضربة فيه number three, central
+
+291
+00:25:20,680 --> 00:25:26,120
+neurological causes يعني بمعنى أسباب عصبية مركزية
+
+292
+00:25:26,120 --> 00:25:30,480
+زى ايش مثلا ال central neurological causes؟
+
+293
+00:25:36,690 --> 00:25:41,210
+بثال على ال central يعني أسباب عصبية Central
+
+294
+00:25:41,210 --> 00:25:48,970
+neurological causes أسباب
+
+295
+00:25:48,970 --> 00:25:53,870
+عصبية يعني بيكون هي أسبابها بتعمل paralysis ال
+
+296
+00:25:53,870 --> 00:26:01,370
+accommodation الصراحة
+
+297
+00:26:01,370 --> 00:26:05,590
+حكينا أنه في النوع الأول أنه الأدوية ضده
+
+298
+00:26:10,520 --> 00:26:16,200
+طيب هذا واجب للمرة الجاية ال central neurological
+
+299
+00:26:16,200 --> 00:26:23,240
+causes عليه علامة اللي بتجيب شو هي ال general من
+
+300
+00:26:23,240 --> 00:26:26,760
+ضمن الأسباب اللي بتعمل paralysis لل accommodation
+
+301
+00:26:26,760 --> 00:26:34,850
+central neurological causes أسباب عصبيةnumber four
+
+302
+00:26:34,850 --> 00:26:40,870
+infectious diseases أي بمعنى أمراض بتكون معدية زي
+
+303
+00:26:40,870 --> 00:26:47,710
+مثلا عندنا ال moms انه كاف moms
+
+304
+00:26:47,710 --> 00:26:57,930
+بمعنى انه كاف انه
+
+305
+00:26:57,930 --> 00:27:05,680
+كاف نعم moms او مثلا التهاب اللستينبنسميه
+
+306
+00:27:05,680 --> 00:27:11,060
+tonsillitis okay
+
+307
+00:27:11,060 --> 00:27:18,240
+هذه بنسميها infectious diseases يعني بمعنى أمراض
+
+308
+00:27:18,240 --> 00:27:23,780
+معدية زي ما قلنا الممس النكاف or tonsillitis أي
+
+309
+00:27:23,780 --> 00:27:28,640
+بمعنى التهاب في اللستين هذه تعتبر general causes
+
+310
+00:27:28,640 --> 00:27:33,340
+يعني أسباب عامة بتأدي إلى إيش paralysis of
+
+311
+00:27:33,340 --> 00:27:33,980
+accommodation
+
+312
+00:27:36,790 --> 00:27:43,050
+Non-infectious diseases يعني أمراض مالهاش علاقة في
+
+313
+00:27:43,050 --> 00:27:47,750
+ال infection زي مثلا ال diabetes mellitus اللي هو
+
+314
+00:27:47,750 --> 00:27:52,070
+السكري DM طيب
+
+315
+00:27:52,070 --> 00:27:57,650
+ال local causes أي بمعنى أسباب في العين زي مثلا
+
+316
+00:27:57,650 --> 00:28:03,590
+واحد بيستخدم ال short acting لمثلا الـ
+
+317
+00:28:03,590 --> 00:28:08,090
+Cyclopentolate اللي بتعمل dilate للبيوبل أو واحد
+
+318
+00:28:08,090 --> 00:28:12,630
+تاني بيستخدم الـ long acting of a drop زي مثلا
+
+319
+00:28:12,630 --> 00:28:17,870
+الأتروبين اللي بتعمل توصية، okay؟ هذه كلها بتعتبر
+
+320
+00:28:17,870 --> 00:28:22,790
+إيش؟ Local، يعني أسباب Local بتقدّي لمين؟ لل
+
+321
+00:28:22,790 --> 00:28:28,800
+paralysis of accommodation، okay؟وأيضا عندنا ال
+
+322
+00:28:28,800 --> 00:28:33,920
+eye trauma أي بمعنى ضربة في العين affecting بتأثر
+
+323
+00:28:33,920 --> 00:28:39,600
+the ciliary body في الجسم الهضبي إذا الأن ال
+
+324
+00:28:39,600 --> 00:28:43,260
+paralysis of accommodation بمعنى شلل في ال
+
+325
+00:28:43,260 --> 00:28:47,380
+accommodation أسبابه تنين إما بيكون general أو
+
+326
+00:28:47,380 --> 00:28:47,780
+local
+
+327
+00:28:51,800 --> 00:28:56,140
+أدوية زي مثلا الـ Anti-hypertensive أو الـ Anti
+
+328
+00:28:56,140 --> 00:29:00,500
+-spasmodic ممكن تكون non-infectious أو في عندنا
+
+329
+00:29:00,500 --> 00:29:04,440
+infectious causes و الـ central neurological
+
+330
+00:29:04,440 --> 00:29:11,120
+causes نعم أو ضربة أو trauma أو any infection في
+
+331
+00:29:11,120 --> 00:29:15,360
+ال med brain في الدماغطيب إذا كانت local في عندنا
+
+332
+00:29:15,360 --> 00:29:20,100
+ال cycle pentulate اللي هي بنسميها ال short acting
+
+333
+00:29:20,100 --> 00:29:25,420
+أو ال long acting مثل الأتروبين أو أي تضربة وين في
+
+334
+00:29:25,420 --> 00:29:32,020
+العين بتأثر وين على الcellary body طيب
+
+335
+00:29:32,020 --> 00:29:37,440
+شو ال symptoms الأعراض and ال signs العلمات لو
+
+336
+00:29:37,440 --> 00:29:43,700
+واحد بيكون عنده ايه paralysis of accommodationشلل
+
+337
+00:29:43,700 --> 00:29:51,620
+في ال accommodation number one receding بمعنى ايش؟
+
+338
+00:29:51,620 --> 00:29:56,000
+receding of near point انه ال near point بتبعد صح؟
+
+339
+00:29:56,000 --> 00:30:00,080
+so as the far point and near point becomes close
+
+340
+00:30:00,080 --> 00:30:03,820
+together اذا اول حاجة ال near point بتاعة المريض
+
+341
+00:30:03,820 --> 00:30:07,940
+بتبعد فبتلاحظي ان ال near point و ال far point
+
+342
+00:30:07,940 --> 00:30:12,920
+بصيروا ايش؟ togetherclose together okay طيب الآن
+
+343
+00:30:12,920 --> 00:30:19,160
+واحدة بتفكر إذا ال near point بتبعد صح معناه
+
+344
+00:30:19,160 --> 00:30:26,220
+البعيد هيتأثر لأ الجريب اللي هيتأثر okay إذا
+
+345
+00:30:26,220 --> 00:30:29,780
+impossible near work يعني بيكون العمل القريب
+
+346
+00:30:29,780 --> 00:30:31,400
+إشماله مستحيل
+
+347
+00:30:36,570 --> 00:30:41,950
+لشلل ال accommodation اول حاجة انه ال near point
+
+348
+00:30:41,950 --> 00:30:46,130
+بتاعة المريض بتبعد فالان يما بتبعد بتصير ال near
+
+349
+00:30:46,130 --> 00:30:50,450
+point و ال far point اشمالهم together معاهم بمعنى
+
+350
+00:30:50,450 --> 00:30:54,890
+ايش بقصد انه البعيد ماهيتأثرش صح؟ لان already ال
+
+351
+00:30:54,890 --> 00:31:01,420
+near point اشمالها بعدتزي هيك حاولة ان تعملى طريقة
+
+352
+00:31:01,420 --> 00:31:05,680
+لحفظ ال symptoms و ال signs مثلا لل paralysis of
+
+353
+00:31:05,680 --> 00:31:09,300
+accommodation لل insufficiency of accommodation
+
+354
+00:31:09,300 --> 00:31:12,720
+بالشكل هذا النقطة التانية ال near point هي اللي
+
+355
+00:31:12,720 --> 00:31:17,200
+فيه المشكلة ف impossible هيكون ايش ماله مستحيل
+
+356
+00:31:17,200 --> 00:31:20,860
+okay distant
+
+357
+00:31:20,860 --> 00:31:25,460
+vision is not affected مش هيتأثر whyلو قلت لك
+
+358
+00:31:25,460 --> 00:31:28,160
+distance vision is not affected in paralysis of
+
+359
+00:31:28,160 --> 00:31:32,220
+accommodation بالظبط و ال near point قصة لها
+
+360
+00:31:32,220 --> 00:31:40,500
+receding انه بعدت okay واضح اه
+
+361
+00:31:40,500 --> 00:31:44,860
+بس لو سألتك السؤال distance vision is not affected
+
+362
+00:31:44,860 --> 00:31:51,700
+in paralysis of accommodation خليني
+
+363
+00:31:51,700 --> 00:31:52,160
+اكتبها
+
+364
+00:32:08,920 --> 00:32:17,680
+distance vision is
+
+365
+00:32:17,680 --> 00:32:21,880
+not affected
+
+366
+00:32:21,880 --> 00:32:29,200
+or impacted in
+
+367
+00:32:29,200 --> 00:32:31,520
+paralysis of
+
+368
+00:32:39,290 --> 00:32:45,530
+بمعنى أن الرؤية البعيدة لن تتأثر بالـ Paralysis of
+
+369
+00:32:45,530 --> 00:32:47,350
+accommodation لماذا؟
+
+370
+00:33:23,730 --> 00:33:27,290
+ممكن اكتب الفار بوينت FP و نير بوينت NP
+
+371
+00:33:31,330 --> 00:33:35,170
+اذا منطق ليش في حالة ال paralysis of accommodation
+
+372
+00:33:35,170 --> 00:33:38,990
+ال distance vision انه ماحتتأثرش لأنه ال near
+
+373
+00:33:38,990 --> 00:33:45,850
+point ايش مالها هتبعد اه it's not affected ال near
+
+374
+00:33:45,850 --> 00:33:49,830
+point هتبعد فهيصبح التنتين ايش مالهم together انه
+
+375
+00:33:49,830 --> 00:33:54,430
+معاهم حيصير
+
+376
+00:33:54,430 --> 00:34:00,380
+full dilatation of the pupilيعني بمعنى ان البقبر
+
+377
+00:34:00,380 --> 00:34:06,100
+بالظبط انه هيتوسع زاد انه ايش هيصير ال esfenector
+
+378
+00:34:06,100 --> 00:34:10,260
+in pupilla muscle اللي بتعمل construction مش احنا
+
+379
+00:34:10,260 --> 00:34:16,820
+في عندنا عضلتين ال intraocular muscle في
+
+380
+00:34:16,820 --> 00:34:21,880
+عندنا ال intraocular muscle تلت عضلات التنتين منهم
+
+381
+00:34:21,880 --> 00:34:26,220
+واحدة ال esfenector و ال dilator طبعا مين اللي
+
+382
+00:34:26,220 --> 00:34:30,450
+هتتأثر عندنا؟الصفينكتر فدايما المريض هتلاقي ايش
+
+383
+00:34:30,450 --> 00:34:35,850
+ماله عنده انبهار dazzle اذا دايما منبهر okay
+
+384
+00:34:35,850 --> 00:34:42,470
+فهيصير full dilatation للبيوبل زائد ان الصفينكتر
+
+385
+00:34:42,470 --> 00:34:46,270
+البيوبلة muscle is not affected فهذا ايش بيقود الى
+
+386
+00:34:46,270 --> 00:34:51,710
+ان المريض يكون عنده dazzle انه انبهار okay يعني
+
+387
+00:34:51,710 --> 00:34:54,890
+دايما منبهر عنده انبهار okay
+
+388
+00:35:00,630 --> 00:35:06,030
+حاضر هالجيت في ال paralysis of accommodation ال ..
+
+389
+00:35:06,030 --> 00:35:10,270
+ال patient هيكون عنده dilatation للبيوبل يعني
+
+390
+00:35:10,270 --> 00:35:15,690
+البقبق موسع ليش؟ لأنه الاصفينكتر هتتأثر فمدين ال
+
+391
+00:35:15,690 --> 00:35:19,610
+function الوظيفة بتاعة الاصفينكتر هتتأثر المريض
+
+392
+00:35:19,610 --> 00:35:23,220
+هيكون دايما هيشغل مين؟الـ dilatation of pupilla
+
+393
+00:35:23,220 --> 00:35:27,180
+muscle فدائما هي اللي هتشتغل فالمريض هيكون في وضع
+
+394
+00:35:27,180 --> 00:35:32,600
+انه full pupal dilatation يعني البقبق موسع بشكل
+
+395
+00:35:32,600 --> 00:35:37,620
+كامل زائد انه هيكون عنده ايش؟ dazzle انبهار يعني
+
+396
+00:35:37,620 --> 00:35:44,080
+نتيجة عدم عمل ال .. which name؟ ال sfenector
+
+397
+00:35:44,080 --> 00:35:50,510
+pupilla muscle هيصير عنده انبهار okay؟عنا أخدنا في
+
+398
+00:35:50,510 --> 00:35:54,970
+العمل مايكروبسيا والماكروبسيا، أي بمعنى الرؤية
+
+399
+00:35:54,970 --> 00:36:02,390
+المصغرة والرؤية المكبرة فحكينا بالنسبة لمايكروبسيا
+
+400
+00:36:02,390 --> 00:36:07,650
+which is reserve، reserve بمعنى إيش؟ هتلغي، يعني
+
+401
+00:36:07,650 --> 00:36:12,250
+cancellation، انه تلغي من الماكروبسيا، الرؤية
+
+402
+00:36:12,250 --> 00:36:18,490
+المكبرةإذا الرؤية المصغرة هتلغي الرؤية المكبرة
+
+403
+00:36:18,490 --> 00:36:23,870
+وين؟ في ال spasm of accommodation طيب why؟ السبب
+
+404
+00:36:23,870 --> 00:36:30,010
+انه في الميكروبسيا في الرؤية المصغرة لا يوجد
+
+405
+00:36:30,010 --> 00:36:35,070
+accommodation لكن في الميكروبسيا الرؤية المكبرة
+
+406
+00:36:35,070 --> 00:36:40,740
+بيكون هناك ايش؟ في accommodationSo لذلك انه بتكون
+
+407
+00:36:40,740 --> 00:36:44,680
+الميكروبسيا الرؤية المصغرة بتعمل cancellation
+
+408
+00:36:44,680 --> 00:36:49,520
+لمين؟ للميكروبسيا، في حالة مين؟ الـ spasm of
+
+409
+00:36:49,520 --> 00:36:55,560
+accommodation مرة تانية، لو سألتك سؤال الميكروبسيا
+
+410
+00:36:55,560 --> 00:37:02,670
+أي بمعنى الرؤية المصغرة which isreserve أي بمعنى
+
+411
+00:37:02,670 --> 00:37:08,150
+cancellation ابتلغي الماكروبسيا الرؤية المكبرة
+
+412
+00:37:08,150 --> 00:37:14,610
+where in a spasm of accommodation الجواب أن
+
+413
+00:37:14,610 --> 00:37:22,010
+مايكروبسيا has no accommodationwhile macropsia has
+
+414
+00:37:22,010 --> 00:37:27,150
+accommodation so macropsia which is preserved
+
+415
+00:37:27,150 --> 00:37:30,750
+macropsia in a spasm of accommodation بمعنى واحدة
+
+416
+00:37:30,750 --> 00:37:33,450
+فيها إلها accommodation والأخرى مالهاش
+
+417
+00:37:33,450 --> 00:37:38,950
+accommodation فالتنين بلغوا بعض طبعا هيك بنكون ان
+
+418
+00:37:38,950 --> 00:37:44,950
+شاء اللهختمنا بحمد الله عز وجل مادة ال reflection
+
+419
+00:37:44,950 --> 00:37:51,810
+بصريات الرؤية والانكسار لهذا الفصل طبعا ما كان من
+
+420
+00:37:51,810 --> 00:37:56,610
+توفيق فمن الله وما كان من خطأ فمن نفسي ومن الشيطان
+
+421
+00:37:56,610 --> 00:38:04,270
+بتمنى منكم ان شاء الله انه تبدأوا بمراجعة المادة
+
+422
+00:38:04,270 --> 00:38:11,030
+وانا وعدكمالاقتراحات اللي انتوا اقتراحتوها طبعا ان
+
+423
+00:38:11,030 --> 00:38:14,890
+شاء الله هيك بنكون زي ما اتفقنا انه أنهينا مادة
+
+424
+00:38:14,890 --> 00:38:19,730
+بصريات الرؤية والانكسار لهذا الفصل طبعا بنتمنى ان
+
+425
+00:38:19,730 --> 00:38:26,190
+شاء الله الفصول القادمة ان نكون معكم طبعا ممكن انه
+
+426
+00:38:26,190 --> 00:38:31,190
+في بعض ال .. في بعض الأحيان يكون الواحد قد اساءلكم
+
+427
+00:38:31,190 --> 00:38:37,300
+او قدفي الآخر قد نصيب و قد نخطئ لكن ان شاء الله
+
+428
+00:38:37,300 --> 00:38:41,640
+يعني كأمل فيكم كبير ان شاء الله صراحة الدفعة
+
+429
+00:38:41,640 --> 00:38:47,540
+أبهرتوني كثير بعلمكم بأخلاقكم بمستواكم بتمنى ان
+
+430
+00:38:47,540 --> 00:38:49,940
+شاء الله لكم التوفيق في كل المواد ان شاء الله
+
+431
+00:38:49,940 --> 00:38:55,300
+القادمة الانسان بتحسن فش انما كان للفشل لازم
+
+432
+00:38:55,300 --> 00:38:59,790
+الانسان دايما يتحدى الفشل وهذه سنة الحياةطبعا
+
+433
+00:38:59,790 --> 00:39:04,090
+بالنسبة للمراجعة انه ابتداء من المحاضرة القادمة
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..211d9de6f07f5ab9d439f8980dcfa150abe718fb
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc.srt
@@ -0,0 +1,2068 @@
+1
+00:00:21,400 --> 00:00:24,540
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,540 --> 00:00:28,000
+and a very good afternoon to all of you في
+
+3
+00:00:28,000 --> 00:00:33,180
+المحاضرة السابقة تكلمنا عن ال verification for
+
+4
+00:00:33,180 --> 00:00:38,960
+spherical power. ما الطرق التي استخدمناها للـ
+
+5
+00:00:38,960 --> 00:00:42,320
+verification for spherical power? Number one:
+
+6
+00:00:47,160 --> 00:00:53,400
+ديو كروم تاست أو رد جرين تاست. رقم 2: ترايل أند إيرور.
+
+7
+00:00:53,400 --> 00:01:02,700
+وخطأ. هل يمكنك تطبيق ترايل أند إيرور على سلندر، أم لا؟
+
+8
+00:01:02,700 --> 00:01:09,280
+نعم، يمكنك تطبيقه على سفير وسلندر. رقم 3:
+
+9
+00:01:25,040 --> 00:01:29,580
+طيب، اليوم سنبدأ إن شاء الله verification for
+
+10
+00:01:29,580 --> 00:01:36,300
+cylindrical power. عندنا
+
+11
+00:01:36,300 --> 00:01:40,410
+الـ astigmatism. نقول كلمة verification بمعنى
+
+12
+00:01:40,410 --> 00:01:46,790
+refinement، تأكيد. okay. Astigmatism: incident light
+
+13
+00:01:46,790 --> 00:01:51,330
+rays are brought to focus in a line instead of a
+
+14
+00:01:51,330 --> 00:01:57,070
+single point. okay. طيب، أول حاجة عندنا الـ astigmatic
+
+15
+00:01:57,070 --> 00:02:02,490
+fan. Astigmatic fan. فان بمعنى مروحة، يعني بتكون
+
+16
+00:02:02,490 --> 00:02:07,890
+بالشكل هذا. شكلها زي ما عندنا في الـ chart، في داخل
+
+17
+00:02:07,890 --> 00:02:12,310
+المعمل، في الـ manual، الـ chart، في اللوحة، أو بتكون
+
+18
+00:02:12,310 --> 00:02:18,610
+على الـ projector chart. okay. الـ astigmatic fan
+
+19
+00:02:18,610 --> 00:02:25,070
+تستخدم في تأكيد الـ axis، يعني  مقدار الـ axis. تعمل
+
+20
+00:02:25,070 --> 00:02:32,840
+السيلندر. okay. الآن، نعرض الخطوط كلها على المريض، أو
+
+21
+00:02:32,840 --> 00:02:37,340
+الـ slide، نعرضه. إذا المريض شاف كل الخطوط بنفس
+
+22
+00:02:37,340 --> 00:02:42,160
+الوضوح، هذا بيديني دلالة على أنه المريض ليس عنده
+
+23
+00:02:42,160 --> 00:02:47,760
+أي astigmatism، أي بمعنى أن المريض  حالة طبيعية.
+
+24
+00:02:47,760 --> 00:02:54,580
+إذا، الـ astigmatic fan يستخدم لتأكيد الـ axis، يعني
+
+25
+00:02:54,580 --> 00:03:01,540
+مقدار قيمة الـ axis للعدسة السيلندر. نعرض الـ
+
+26
+00:03:01,540 --> 00:03:06,120
+astigmatic fan للمريض. إذا شاف المريض كل الخطوط
+
+27
+00:03:06,120 --> 00:03:10,080
+بنفس الوضوح، هذا يدل على أن المريض ليس عنده
+
+28
+00:03:10,080 --> 00:03:14,120
+astigmatism، يعني astigmatism is not present for
+
+29
+00:03:14,120 --> 00:03:18,740
+the patient. طيب، لو قال المريض إنه في خط أوضح من
+
+30
+00:03:18,740 --> 00:03:24,440
+الخطوط الأخرى، يعني في خط واضح، يعني more
+
+31
+00:03:24,440 --> 00:03:29,260
+clear compared to the other lines، هذا بمعنى أن
+
+32
+00:03:29,260 --> 00:03:34,760
+المريض has a stigmatism، يعني must have a
+
+33
+00:03:34,760 --> 00:03:39,940
+stigmatism. okay. يعني معناه أن هذا المريض لازم يكون
+
+34
+00:03:39,940 --> 00:03:45,840
+عنده astigmatism. طيب، الآن، هذا الخط، لو فرضنا
+
+35
+00:03:45,840 --> 00:03:47,660
+هو خط واضح.
+
+36
+00:04:00,790 --> 00:04:06,970
+لو فرضنا أن الـ axis تسعين، كانت هذه الخط
+
+37
+00:04:06,970 --> 00:04:13,610
+واضحاً. طبعاً، هنا سيكون 12 و6. شو معناه أن الـ
+
+38
+00:04:13,610 --> 00:04:17,930
+axis تسعين، صح؟ اللي هو الـ vertical line. لو كان هذا
+
+39
+00:04:17,930 --> 00:04:23,850
+الخط واضحاً مقارنة بالخطوط الأخرى، معناه أن هذا هو الـ
+
+40
+00:04:23,850 --> 00:04:29,330
+field defect، يعني هذا هو الـ field الأكثر وضوحاً. okay.  عندنا
+
+41
+00:04:29,330 --> 00:04:38,150
+الـ more clear، more
+
+42
+00:04:38,150 --> 00:04:41,490
+clear
+
+43
+00:04:41,490 --> 00:04:47,110
+بدلاً
+
+44
+00:04:47,110 --> 00:04:47,690
+عن أنّه غير
+
+45
+00:04:55,720 --> 00:05:00,580
+إذا، الـ meridian، أو sorry، الـ axis الذي يكون أكثر
+
+46
+00:05:00,580 --> 00:05:06,340
+وضوحاً، هو يكون أقل وضوحاً،  okay. يعني شو معناه أن هذا
+
+47
+00:05:06,340 --> 00:05:12,000
+الـ axis هو الذي فيه الـ defect، التأثير. طيب، الـ less
+
+48
+00:05:12,000 --> 00:05:22,300
+clear يكون أكثر  symmetrical. okay. طيب، من ناحية
+
+49
+00:05:22,300 --> 00:05:28,110
+التطبيق، أنا أستوعب أن الفكرة لسه مش واضحة الآن.
+
+50
+00:05:28,110 --> 00:05:32,670
+عملنا على الـ auto، أو على الـ retinascope.  جئنا
+
+51
+00:05:32,670 --> 00:05:41,770
+مثلاً، المريض عنده -1 على -2 axis
+
+52
+00:05:41,770 --> 00:05:50,030
+تسعين. okay. إذا الـ axis تسعين، إيش حال الـ axis
+
+53
+00:05:50,030 --> 00:05:56,300
+التسعين؟ هو الذي سيكون غير واضح. الـ axis تسعين
+
+54
+00:05:56,300 --> 00:06:01,660
+الـ axis تسعين. أكمل الفكرة. الـ axis تسعين هو  الـ
+
+55
+00:06:01,660 --> 00:06:07,400
+غير الواضح. ف الآن، أين أضع الـ ... الـ ... الـ ... الـ axis
+
+56
+00:06:07,400 --> 00:06:13,280
+بتاعي؟ على الأكثر وضوحاً، صح؟ على الـ 180، يعني
+
+57
+00:06:13,280 --> 00:06:18,720
+بمعنى أن العدسة ستأتي أين؟ يعني الآن، الخط من هو  الـ
+
+58
+00:06:18,720 --> 00:06:22,940
+غير الواضح؟ الـ تسعين، أم الـ 180؟ الـ تسعين. الـ تسعين.
+
+59
+00:06:22,940 --> 00:06:29,950
+إذا، سيكون العدسة من هو غير الواضح بالنسبة للمرآة؟ الـ
+
+60
+00:06:29,950 --> 00:06:39,250
+الـ 90. واحدة وأكثر، الـ defect أين هو سيكون؟
+
+61
+00:06:39,250 --> 00:06:44,430
+قلنا أن الـ more clear، الخط الذي يكون أكثر
+
+62
+00:06:44,430 --> 00:06:49,910
+وضوحاً، الخط الذي يكون أكثر وضوحاً هو من؟ الـ 180.
+
+63
+00:06:49,910 --> 00:06:55,410
+صح؟ الأكثر وضوحاً، فالـ axis سيكون عمودياً عليه.
+
+64
+00:06:55,410 --> 00:07:03,330
+يعني بمعنى أنه سأضع العدسة على الـ axis تسعين. واضح؟
+
+65
+00:07:03,330 --> 00:07:09,050
+مش معنى ثاني. الآن، نعرض الخطوط هذه على
+
+66
+00:07:09,050 --> 00:07:14,410
+المريض. لو كان مثلاً الـ power على الـ axis تسعين
+
+67
+00:07:14,410 --> 00:07:19,610
+سيقول لي الـ 180 غير واضحة، فأنا أذهب وأحضر العدسة
+
+68
+00:07:19,610 --> 00:07:24,520
+أضعها على الـ axis تسعين. فأنا صلحت من؟ التسعين.
+
+69
+00:07:24,520 --> 00:07:29,500
+فمعنى أنّه الـ more clear less immature، و الـ less clear
+
+70
+00:07:29,500 --> 00:07:32,280
+more immature. يعني هل سنضع الـ axis على الـ
+
+71
+00:07:32,280 --> 00:07:36,760
+180؟ لا، هو شئ أكثر، أي التسعين؟ آه، من
+
+72
+00:07:36,760 --> 00:07:40,620
+يكون؟ كوضوح، يعني المريض هنا، من الأوضح له؟
+
+73
+00:07:40,620 --> 00:07:44,840
+هيكون؟ الـ 180. الـ 180، عشان هيك أنا أضع الـ axis
+
+74
+00:07:44,840 --> 00:07:50,900
+يعني على التسعين. فأنا أكون صلحت من؟ آه، أنا أحكي
+
+75
+00:07:50,900 --> 00:07:56,420
+عن وصفة هذه. okay. يعني الـ -1 على -2
+
+76
+00:07:56,420 --> 00:08:00,080
+axis تسعين. إذا، أين سيكون الخلل الذي عنده؟ الـ
+
+77
+00:08:00,080 --> 00:08:05,040
+defect. الـ defect عندي أين؟ على التسعين. طيب، المريض
+
+78
+00:08:05,040 --> 00:08:08,760
+من سيرى أوضح؟ الـ 180. إذا أضع الـ axis
+
+79
+00:08:08,760 --> 00:08:13,780
+أيه؟ على التسعين. فأنا هكذا أكون صلحت الـ 90.
+
+80
+00:08:13,780 --> 00:08:20,130
+هذه الفكرة العامة لـ astigmatic fan. okay. فيه
+
+81
+00:08:20,130 --> 00:08:25,830
+blurred، أم كيف؟ على الفكرة، يعني أنت ترى الـ axis
+
+82
+00:08:25,830 --> 00:08:31,650
+الأكثر وضوحاً يكون هو الذي فيه الـ defect، هو فيه الخلل، أو
+
+83
+00:08:31,650 --> 00:08:35,370
+هو فيه الـ problem. يعني هو يكون أضعف من الخطوط
+
+84
+00:08:35,370 --> 00:08:42,070
+الأخرى. okay. هذه فكرة الـ astigmatic fan. نحرك الـ
+
+85
+00:08:42,070 --> 00:08:46,150
+axis على الـ triangle عليه. نعم. العدسة، عندما نضعها
+
+86
+00:08:46,150 --> 00:08:50,190
+نضعها على الـ axis الذي يكون عمودياً عليه. نأخذ
+
+87
+00:08:50,190 --> 00:08:54,630
+العدسة ونضعها على الـ axis الذي نريده. مثلاً، axis
+
+88
+00:08:54,630 --> 00:09:00,250
+90، نضع الـ axis 90، 180، وهكذا. okay؟ اه، تفضل. يعني
+
+89
+00:09:00,250 --> 00:09:02,870
+عندما آتي أسأل، سأسأل: من هو الأكثر؟ ومن هو الأكثر وضوحاً؟
+
+90
+00:09:02,870 --> 00:09:06,350
+آه، الآن آتي على التكنيك. الآن، عندما نعرض الـ
+
+91
+00:09:06,350 --> 00:09:11,610
+astigmatic fan، نقول للمريض: أيّ خط هو الأوضح
+
+92
+00:09:11,610 --> 00:09:16,690
+بالخطوط الأخرى؟ يعني مقارنة، which one is more clear
+
+93
+00:09:16,690 --> 00:09:20,760
+compared to the other lines؟ يعني أنه خط يكون أوضح
+
+94
+00:09:20,760 --> 00:09:24,860
+من الخطوط الأخرى. يقول لي مثلاً ... طبعاً، هي تكون في
+
+95
+00:09:24,860 --> 00:09:29,840
+أرقام في المعمل، أو هذا. يقول لي مثلاً، 12
+
+96
+00:09:29,840 --> 00:09:33,460
+و6، أوضح من الأخرى، أعرف أنه في 12
+
+97
+00:09:33,460 --> 00:09:38,720
+و6  فيه الـ defect. okay. فأذهب أضع العدسة
+
+98
+00:09:38,720 --> 00:09:42,840
+عمودياً على الـ ... الـ ... الـ ... الـ ...
+
+99
+00:09:45,910 --> 00:09:51,410
+لأنّ الـ meridian هو عكس من؟ الـ axis. يعني الـ axis هو
+
+100
+00:09:51,410 --> 00:09:53,670
+الواضح، الذي يظهر في الـ stone، الذي هو في الـ axis
+
+101
+00:09:53,670 --> 00:10:00,450
+180. فأنا هكذا أكون صلحت من؟ التسعين. واضح؟
+
+102
+00:10:00,450 --> 00:10:03,250
+النقطة، يعني الـ axis التي يراها المريض تكون أن
+
+103
+00:10:03,250 --> 00:10:06,630
+أيضاً العودة على التهير، فيها defect. لا، واحد فيها
+
+104
+00:10:06,630 --> 00:10:12,560
+يكون الـ defect. الآن، نعرض الصورة هنا: أنّه واحد
+
+105
+00:10:12,560 --> 00:10:15,980
+فيها more clear، هو هذا الذي فيه defect، هو هذا الذي
+
+106
+00:10:15,980 --> 00:10:20,740
+فيه المشكلة. okay. آه. فأنا أين أضع العدسة على
+
+107
+00:10:20,740 --> 00:10:25,880
+العمودي عليه. يعني مثلاً جاءتني المشكلة 12 و6،
+
+108
+00:10:25,880 --> 00:10:32,960
+إذا أضع العدسة أين؟ على الـ axis 3 و9. واضح؟ لو جاءني
+
+109
+00:10:32,960 --> 00:10:38,170
+مثلاً على الـ 130، يعني جاءني الـ line 130 هو الأوضح
+
+110
+00:10:38,170 --> 00:10:46,530
+سيكون، نطرح اللي هو 90، 50. واضح؟ الفكرة، يعني الـ
+
+111
+00:10:46,530 --> 00:10:53,550
+more clear، أضع العدسة أين؟ عمودياً عليه. الـ astigmatic
+
+112
+00:10:53,550 --> 00:10:57,470
+fan، it is used to verify the axis of a cylindrical
+
+113
+00:10:57,470 --> 00:11:03,950
+lens. إذا تستخدم لتأكيد الـ axis للعدسة الإسطوانية.
+
+114
+00:11:03,950 --> 00:11:10,650
+okay. On looking at such fan, if any of the lines
+
+115
+00:11:10,650 --> 00:11:14,390
+are seen more clearly than the others, astigmatism
+
+116
+00:11:14,390 --> 00:11:15,830
+must be present.
+
+117
+00:11:35,550 --> 00:11:39,510
+If the vertical line is clearer than the
+
+118
+00:11:39,510 --> 00:11:44,170
+horizontal meridian, it is the less ametropic one
+
+119
+00:11:44,170 --> 00:11:48,790
+that has the defect. Inverse relation. أي بمعنى إذا كان
+
+120
+00:11:48,790 --> 00:11:55,140
+الخط، أو كان الـ axis العمودي هو الواضح، يعني بمعنى الـ
+
+121
+00:11:55,140 --> 00:12:00,260
+12 والـ 6 أوضح من باقي الخطوط، معناه أن هذا الخط هو
+
+122
+00:12:00,260 --> 00:12:04,180
+فيه أيّ الـ defect، أي هو فيه الـ problem، المشكلة.
+
+123
+00:12:04,180 --> 00:12:11,100
+فأضع الـ axis بتاعي عمودياً على الـ 12 والـ 6. طبعاً،
+
+124
+00:12:11,100 --> 00:12:18,400
+inverse relation، بمعنى علاقة عكسية. more clear line,
+
+125
+00:12:18,400 --> 00:12:25,180
+less ametropic. أن الخط الأكثر وضوحاً يكون أقل طبيعية.
+
+126
+00:12:25,180 --> 00:12:31,000
+okay. لسه clear line. الخط الأقل وضوحاً يكون أكثر
+
+127
+00:12:31,000 --> 00:12:37,460
+امتروبية، أكثر طبيعية. A
+
+128
+00:12:37,460 --> 00:12:41,840
+cylindrical lens. العدسة الإسطوانية is placed in
+
+129
+00:12:41,840 --> 00:12:46,100
+front of the eye. دائماً، أين تضع العدسة الإسطوانية؟
+
+130
+00:12:46,100 --> 00:12:50,120
+أمام العين. يعني تضعيها في الـ trial frame، صح؟ قبل
+
+131
+00:12:50,120 --> 00:12:56,390
+الـ frame، أم ... لا، هي ممكن أن تكون يعني قبل أو
+
+132
+00:12:56,390 --> 00:12:59,690
+بعد. يعني ممكن المريض يكون عنده مثلاً إبلانه،
+
+133
+00:12:59,690 --> 00:13:03,850
+ليس عنده سفير، صح؟ فأنا ... هي تكون ... يعني ... آه،
+
+134
+00:13:03,850 --> 00:13:08,110
+أضع العدسة للسفير، بعدين أضع السيلندر. لكن مثلاً الآن
+
+135
+00:13:08,110 --> 00:13:11,670
+عرضت الـ astigmatic fan، المريض قال لي غير واضح،
+
+136
+00:13:11,670 --> 00:13:16,070
+يعني كلها مُغبشة، معناه أني أصلح من؟ السفير.
+
+137
+00:13:16,070 --> 00:13:19,830
+أولاً. آه، يعني أصلح السفير، بعدين السيلندر هو، صح؟
+
+138
+00:13:19,830 --> 00:13:24,330
+أنّه أصلح ...  قلت لكم المعلومة هذه، أنّه الصحيح أنّه
+
+139
+00:13:24,330 --> 00:13:29,570
+موجود في الكتب: لازم أصلح السفير قبل السيلندر. لكن
+
+140
+00:13:29,570 --> 00:13:34,110
+من ناحية practice، صحيح أنّه هذه ... آه، طبعاً اللي هو
+
+141
+00:13:34,110 --> 00:13:37,610
+كل حالة تُعتبر special case، حالة خاصة، لكن
+
+142
+00:13:37,610 --> 00:13:41,850
+according to my experience، أنا أرى أنه لازم التصحيح
+
+143
+00:13:41,850 --> 00:13:46,090
+في المعظم للسيلندر قبل السفير، لأنه دائماً بالتصحيح
+
+144
+00:13:46,090 --> 00:13:50,200
+للسفير قبل، تشعر أن المريض عنده إيش؟
+
+145
+00:13:50,200 --> 00:13:53,380
+impairment للـ vision، وبالتالي لا يتحسن معه. يعني
+
+146
+00:13:53,380 --> 00:13:55,920
+أنت مثلاً تسأله: من أوضح؟ الأحمر، أم ... أم
+
+147
+00:13:55,920 --> 00:13:59,300
+الأخضر؟ يقول لك: لا أرى، لا الأحمر ولا الأخضر. طيب،
+
+148
+00:13:59,300 --> 00:14:02,680
+في هذه الحالة، إيش أفعل؟ أصلح السيلندر، بعدين
+
+149
+00:14:02,680 --> 00:14:06,680
+أعود على السفير. okay. يعني هنا الفكرة
+
+150
+00:14:09,320 --> 00:14:14,880
+السيلندر لينز، العدسة الإسطوانية، is placed مكانها in
+
+151
+00:14:14,880 --> 00:14:19,500
+front of the eye، أمام العين، with its axis
+
+152
+00:14:19,500 --> 00:14:23,880
+horizontal will correct the vertical meridian. طبعاً،
+
+153
+00:14:23,880 --> 00:14:27,080
+لأنه يكون عمودياً، الـ power عمودياً على الـ axis في
+
+154
+00:14:27,080 --> 00:14:32,700
+العدسة السيلندر. And when the correct glass power
+
+155
+00:14:32,700 --> 00:14:39,330
+عندما أقوم بعملية تصحيح للقوة is to be warned, all
+
+156
+00:14:39,330 --> 00:14:43,850
+the lines of the astigmatic fan appear equally
+
+157
+00:14:43,850 --> 00:14:48,150
+distinct. أي بمعنى، عندما أقوم بعملية تصحيح في
+
+158
+00:14:48,150 --> 00:14:52,430
+العدسة السيلندر، أن كل الخطوط ستكون متساوية الوضوح،
+
+159
+00:14:52,430 --> 00:14:57,570
+واضحة، لأنني أكون قمت بعملية تصحيح للـ astigmatism.
+
+160
+00:15:04,130 --> 00:15:11,110
+which thus renders. بمعنى أن العدسة الإسطوانية، لهذا
+
+161
+00:15:11,110 --> 00:15:17,150
+السبب، ستظهر أنها تقلل، renders بمعنى reduces the
+
+162
+00:15:17,150 --> 00:15:22,650
+outline، أي بمعنى the shape، شكل، of the whole lines
+
+163
+00:15:22,650 --> 00:15:26,990
+الخطوط كلها، يعني كل الخطوط الموجودة في
+
+164
+00:15:26,990 --> 00:15:31,530
+الـ astigmatic fan، تقلل منها. equally clear, it's the
+
+165
+00:15:31,530 --> 00:15:36,160
+amount of astigmatism. يعني وظيفة العدسة الإسطوانية
+
+166
+00:15:36,160 --> 00:15:40,420
+أنها تجعل كل الخطوط متساوية الوضوح. okay؟ عندما أنا
+
+167
+00:15:40,420 --> 00:15:46,030
+أضعها أين؟ in front of the eye, and the axis of the
+
+168
+00:15:46,030 --> 00:15:50,710
+cylinder is at right angle. إذا سيكون الـ ... الـ ...
+
+169
+00:15:50,710 --> 00:15:55,610
+الـ axis للعدسة عمودياً، يعني سيكون متعامداً
+
+170
+00:15:55,610 --> 00:16:00,070
+عليه to the line which was initially seen most
+
+171
+00:16:00,070 --> 00:16:04,610
+clearly less ametropic according to the sign of
+
+172
+00:16:04,610 --> 00:16:07,730
+the cylinder lens. يعني الآن لو واحد يعمل على الـ
+
+173
+
+223
+00:19:44,630 --> 00:19:48,810
+astrophobic state وين؟ على الـ 180 فرضنا أنه على
+
+224
+00:19:48,810 --> 00:19:55,000
+التسعين فحط على التسعين إذا الـ more clear تعتبر إيه
+
+225
+00:19:55,000 --> 00:20:01,140
+إشمالها الـ more clear والـ less clear what are the
+
+226
+00:20:01,140 --> 00:20:04,340
+main difference between a stenopic slit and a
+
+227
+00:20:04,340 --> 00:20:10,500
+stigmatic fan؟ إيه الفرق اللي أنتو حكيته الآن
+
+228
+00:20:10,500 --> 00:20:15,200
+هي عبارة عن عدسة إضافية موجودة في معظم الـ trial
+
+229
+00:20:15,200 --> 00:20:21,680
+set بيكون لها فتحة من المنتصف والباب كله عبارة عن
+
+230
+00:20:21,680 --> 00:20:27,680
+opaque معتم، والمريض اللي عندك كان الـ problem
+
+231
+00:20:27,680 --> 00:20:32,580
+على الـ axis 90 فبحط هذه الفتحة وين؟ على الـ 90، على
+
+232
+00:20:32,580 --> 00:20:38,580
+الـ 180، بحطه على الـ 180، أنه خليت الـ image point
+
+233
+00:20:38,580 --> 00:20:43,910
+تتركز كأنه pinhole، إبرِيشة، حطيت الصورة أنه تكون
+
+234
+00:20:43,910 --> 00:20:48,190
+more clear بس على المية وتمانين أو على التسعين
+
+235
+00:20:48,190 --> 00:20:52,130
+يعني عملت اللي هو تصحيح فقط للمحور اللي فيه الـ
+
+236
+00:20:52,130 --> 00:20:56,110
+defect، المشكلة، هتشوفه أحسن لو أخدتها في أي ديال
+
+237
+00:20:56,110 --> 00:21:01,550
+يعني بالظبط أنه هيكون فتحة صغيرة، okay، بالإضافة لـ
+
+238
+00:21:01,550 --> 00:21:05,150
+الـ horizontal line هيشوفها زي كأنه نقطة اللي هي ما
+
+239
+00:21:05,150 --> 00:21:09,010
+تسمى بـ circle of least confusion اللي أخدناها في
+
+240
+00:21:09,010 --> 00:21:13,740
+أول الفصل،هيكون الصورة إيش مالها؟ واضحة، فأنا بكون
+
+241
+00:21:13,740 --> 00:21:19,640
+هيك صلحت من الـ axis الـ90، طيب وين بتستخدم هذه
+
+242
+00:21:19,640 --> 00:21:24,380
+الـ stenopic slit؟ بتستخدم في حالات الـ keratoconus
+
+243
+00:21:24,380 --> 00:21:28,600
+لما واحد يكون عنده high astigmatism أو irregular
+
+244
+00:21:28,600 --> 00:21:33,480
+astigmatism، ما بنفعش معه الـ astigmatic fan فبستخدم
+
+245
+00:21:33,480 --> 00:21:36,120
+معه مين؟ الـ stenopic
+
+246
+00:21:36,120 --> 00:21:46,900
+slit
+
+247
+00:21:47,420 --> 00:21:50,560
+الريتينسكوب لو بتذكر أخذنا في الـ special
+
+248
+00:21:50,560 --> 00:21:54,280
+difficulties للريتينسكوب، واحدة منهم أما يكون عنده
+
+249
+00:21:54,280 --> 00:21:57,860
+irregular astigmatism أو high degree of
+
+250
+00:21:57,860 --> 00:22:02,260
+astigmatism أو keratoconus، لكن الجهاز اللي بتدل أن
+
+251
+00:22:02,260 --> 00:22:06,220
+هذا المريض عنده keratoconus أو لا بنعمله الـ
+
+252
+00:22:06,220 --> 00:22:11,100
+corneal topography، جهاز بنسميه الـ corneal
+
+253
+00:22:11,100 --> 00:22:14,920
+topography
+
+254
+00:22:19,400 --> 00:22:24,340
+هل تعتبرها subjective؟ آه، ما هي؟ هل تعتبرها
+
+255
+00:22:24,340 --> 00:22:27,100
+subjective؟ مش إحنا قلنا subjective verification
+
+256
+00:22:27,100 --> 00:22:30,520
+أنه أنا already عملت يا في الـ written أو يا في الـ
+
+257
+00:22:30,520 --> 00:22:33,960
+auto keratometer
+
+258
+00:22:33,960 --> 00:22:38,470
+topography، يعني بيشوف تباريز القرنية، يعني بفحص
+
+259
+00:22:38,470 --> 00:22:42,970
+اللي هو تَباريز القرنية، okay؟ هذا من خلاله بقدر
+
+260
+00:22:42,970 --> 00:22:47,130
+أنه أحدد المريض عنده keratoconus أو لا، إذا لو واحد
+
+261
+00:22:47,130 --> 00:22:50,990
+سألكم شو الجهاز اللي بنستخدمه لكشف القرنية
+
+262
+00:22:50,990 --> 00:22:56,410
+المخروطية؟ الـ corneal topography، okay؟ هان إحنا كل
+
+263
+00:22:56,410 --> 00:23:00,050
+الفحوصات، الـ astigmatic fan، الـ pin hole، الـ diachrome
+
+264
+00:23:00,050 --> 00:23:05,140
+test، كل اللي أخذناهم هدول إيش تعتبر؟ طيب بس إحنا
+
+265
+00:23:05,140 --> 00:23:08,720
+بنقول، نسأل أنا ومش أوضح، شو؟ ولا أنا مش أوضح؟ مش
+
+266
+00:23:08,720 --> 00:23:16,120
+عيلنا زي الـ... أنا بسأل المريض، أنا الآن كان مثلاً
+
+267
+00:23:16,120 --> 00:23:24,340
+الوصفة هذه، إذا التسعين هو في إيه؟ الديفكت مش الـ axis
+
+268
+00:23:24,340 --> 00:23:28,640
+التسعين اللي فيه الديفكت، يعني الآن العدسة الإسطوانية
+
+269
+00:23:28,640 --> 00:23:32,460
+وين بدي أحطها؟ على axis قد إيش في النضارة؟ التسعين صح ولا
+
+270
+00:23:32,460 --> 00:23:36,280
+لا؟ إذا بجيب الـ... الـ stenopic slit، الفتحة هذه الـ
+
+271
+00:23:36,280 --> 00:23:40,660
+horizontal على الـ axis التسعين، فهي عاملة إيه
+
+272
+00:23:40,660 --> 00:23:44,360
+للصورة؟ الـ blurred اللي هو الـ defect لمين؟
+
+273
+00:23:44,360 --> 00:23:49,640
+التسعين، تتحسن عنده، بيصير اللي هو improvement للـ
+
+274
+00:23:49,640 --> 00:23:56,050
+vision، okay، فيما بيصير مثلاً عنده improvement بعرف
+
+275
+00:23:56,050 --> 00:23:59,650
+أنه الـ axis بتاعه قد إيش؟ تسعين، أنه الـ axis اللي
+
+276
+00:23:59,650 --> 00:24:04,950
+أنا شغال فيه صح، بقول للمريض حرك شوية، بيحرك في مش
+
+277
+00:24:04,950 --> 00:24:09,130
+فيه اللي هو الـ screw، البرغي، بقوله حرك في البرغي
+
+278
+00:24:09,130 --> 00:24:13,550
+بتلاقي الصورة إيش صارت فيها؟ بلَرت، غبشِت، فبعرف أن
+
+279
+00:24:13,550 --> 00:24:17,410
+الـ axis اللي أنا بشتغل فيه إيه؟ صح، هذه كلها عملية
+
+280
+00:24:17,410 --> 00:24:21,720
+إيه؟ verification، تأكيد، يعني بدي آخد اللي هو الـ
+
+281
+00:24:21,720 --> 00:24:28,980
+response من مين؟ من المريض، الـrug بتاعه، okay، إذا
+
+282
+00:24:28,980 --> 00:24:33,840
+الـ stenopic slit، it is essentially an accessory
+
+283
+00:24:33,840 --> 00:24:40,820
+lens in the trial set، هي عبارة عن عدسة إضافية موجودة في
+
+284
+00:24:40,820 --> 00:24:46,260
+الـ trial set that consists of... بتتكون من an
+
+285
+00:24:46,260 --> 00:24:52,810
+elongated pinhole aperture، تتكون من فتحة بتكون
+
+286
+00:24:52,810 --> 00:24:59,210
+شكلها elongated، طوليّة، أو horizontal elongated، بمعنى
+
+287
+00:24:59,210 --> 00:25:05,750
+طوليّة، as a slit cut in an opaque disk، يعني هذا...
+
+288
+00:25:05,750 --> 00:25:09,790
+هذا بنسميه الـ slit، صح؟ زي الـ slit بتاع مين؟ الـ
+
+289
+00:25:09,790 --> 00:25:14,630
+retinoscope، أو الـ slit مثلاً في جهاز الـ direct
+
+290
+00:25:14,630 --> 00:25:18,650
+ophthalmoscope، أو في جهاز الـ... الـ slit، الـ okay
+
+291
+00:25:18,650 --> 00:25:22,370
+هذا كله يعتبر إيه؟ slit، سواء horizontal أو
+
+292
+00:25:22,370 --> 00:25:23,030
+vertical
+
+293
+00:25:25,660 --> 00:25:33,960
+دكتور، هذا زي ما هو، فيه برضه حالات ما حصلش فيها؟ ولا
+
+294
+00:25:33,960 --> 00:25:39,240
+مع كلهم حتى لو كان هنا open media، هذا بيحدد بس الـ
+
+295
+00:25:39,240 --> 00:25:44,930
+axis،  it is used to detect، أنا لو أصور شوية بكمل،used
+
+296
+00:25:44,930 --> 00:25:50,170
+to detect، إذا بيستخدم لكشف الـ axis of astigmatism
+
+297
+00:25:50,170 --> 00:25:55,050
+if present، إذا بيستخدم لكشف مين؟ الـ axis بتاع الـ
+
+298
+00:25:55,050 --> 00:25:59,010
+astigmatism، يعني أنا بدي أتأكد إن هل هذا الـ axis
+
+299
+00:25:59,010 --> 00:26:01,950
+اللي بدي أَدِّيه للمريض اللي طلعته من جهاز الـ auto
+
+300
+00:26:01,950 --> 00:26:06,090
+refractometer أو الـ retinoscope، صح أو خطأ، هي
+
+301
+00:26:06,090 --> 00:26:11,850
+الهدف منه، إذا ليش بيستخدم الـ stenopic slit to detect
+
+302
+00:26:11,850 --> 00:26:17,010
+the axis of the astigmatism if present؟ okay، إذا
+
+303
+00:26:17,010 --> 00:26:22,370
+بيستخدم في تحديد الـ axis بتاع العدسة الإسطوانية
+
+304
+00:26:22,370 --> 00:26:27,890
+إذا المريض كان عنده إيه؟ astigmatism، فكرته تختلف عن
+
+305
+00:26:27,890 --> 00:26:29,550
+مين بينهم؟
+
+306
+00:26:32,830 --> 00:26:37,450
+when put before the eye، يمّا أنا بضع الـ stenopic
+
+307
+00:26:37,450 --> 00:26:44,110
+slit أمام العين، it allows only rays of light in a
+
+308
+00:26:44,110 --> 00:26:48,330
+particular meridian to enter the eye، إذا هيسمح فقط
+
+309
+00:26:48,330 --> 00:26:53,690
+لحزمة من الضوء أنه تدخل بشكل إيه؟ elongated، اللي هو
+
+310
+00:26:53,690 --> 00:26:58,230
+طولي، يعني فقط من الـ slit اللي موجود في منتصف من الـ
+
+311
+00:26:58,230 --> 00:26:58,570
+disk
+
+312
+00:27:03,800 --> 00:27:09,220
+طيب، if the slit، إذا هذه الفتحة، okay، الـ elongated
+
+313
+00:27:09,220 --> 00:27:14,260
+aperture is placed مكانها horizontal، هاي بمعنى
+
+314
+00:27:14,260 --> 00:27:19,520
+أفقي بالشكل هذا زي ما في الرسمة، before the eye، قبل
+
+315
+00:27:19,520 --> 00:27:25,140
+العين، the vertical meridian، قلنا دايماً الـ meridian
+
+316
+00:27:25,140 --> 00:27:31,970
+هو عكس مين؟ الـ axis، okay، before the eye the vertical
+
+317
+00:27:31,970 --> 00:27:36,790
+meridian is pinhole and it produces a point image
+
+318
+00:27:36,790 --> 00:27:42,910
+إذا هينتج هنا صورة في الـ vertical هنكون مثل اللي
+
+319
+00:27:42,910 --> 00:27:49,430
+هو فتحة الـ pinhole، okay، بالنسبة للمريض، I think
+
+320
+00:27:49,430 --> 00:27:53,690
+that a stenopic slit and astigmatic fan need to
+
+321
+00:27:53,690 --> 00:27:58,520
+imagine what will happen for the patient، okay؟ بدك
+
+322
+00:27:58,520 --> 00:28:02,300
+تتخيلي أنه شو ممكن يحصل مع المريض، طبعاً هذا عبارة
+
+323
+00:28:02,300 --> 00:28:06,780
+عن theory، لكن في الـ practice بختلف الأمر، أنه يعني
+
+324
+00:28:06,780 --> 00:28:10,480
+أنت بدك تديري كيف... إيش هيحدث مع المريض، أنه مثلاً
+
+325
+00:28:10,480 --> 00:28:14,440
+الآن حطيته على الـ axis اللي هو في الـ blurred
+
+326
+00:28:14,440 --> 00:28:20,900
+vision، okay؟ إذا حطينا على... نفترض على الـ 180، أنا
+
+327
+00:28:20,900 --> 00:28:24,440
+إيش معناه؟ أني بدي أكد أنه هل هذا الـ axis بتاعي صح
+
+328
+00:28:24,440 --> 00:28:31,980
+ولا لأ، okay؟ إذا بيستخدم لتأكيد الـ axis بتاعي، إنه
+
+329
+00:28:31,980 --> 00:28:36,820
+هذا والله صح، على الـ 180، لأ شوية، ممكن إنه نعمل
+
+330
+00:28:36,820 --> 00:28:43,600
+rotation للـ axis، 170، ممكن مثلاً 160، 165، فهذا كل
+
+331
+00:28:43,600 --> 00:28:47,380
+إيش بيعمل؟ detect، مين هي الـ skin of the snail؟ طب
+
+332
+00:28:47,380 --> 00:28:52,320
+إيش اللي ممكن معرضة قدامك؟ ممكن الـ snail العادية،
+
+333
+00:28:52,320 --> 00:28:56,190
+اللي هو... وبحط العدسة أمام العين، يعني مش شرط أنه
+
+334
+00:28:56,190 --> 00:29:01,670
+مثلاً أنا أكون عارض a stigmatic fan أو يعني ممكن
+
+335
+00:29:01,670 --> 00:29:03,850
+اللي هو الـ snail in العادية، مالها؟ والـ snail in
+
+336
+00:29:03,850 --> 00:29:09,150
+اللي موجودة عندنا في المعمل، مش شرط، ممكن مرضى ما
+
+337
+00:29:09,150 --> 00:29:15,310
+بيصلوا ستة على ستة، أكيد
+
+338
+00:29:15,310 --> 00:29:21,610
+أنا بدي أحط مع الـ axis اللي هو فوق العدسة، يعني
+
+339
+00:29:21,610 --> 00:29:25,630
+مثلاً، الآن العدسة كانت على axis 90، فأنا بحطه
+
+340
+00:29:25,630 --> 00:29:29,870
+موازية مين؟ للتسعين، موازية المية وتمانين، و
+
+341
+00:29:29,870 --> 00:29:33,890
+هكذا، يعني الـ astigmatic fan، الآن أنا بعمل الـ
+
+342
+00:29:33,890 --> 00:29:37,990
+verification بعد ما إيه؟ أحط العدسة، ممكن قبل لو
+
+343
+00:29:37,990 --> 00:29:41,010
+أنا مثلاً مش عارف عندي power جديد، بقول له مين
+
+344
+00:29:41,010 --> 00:29:45,350
+الأوضح، يعني أنه الخط اللي هو أوضح، لكن في حالة
+
+345
+00:29:45,350 --> 00:29:51,730
+الـ stenopic slit، لأ، بستخدمه إيه؟ مع العدسة
+
+346
+00:29:51,730 --> 00:29:55,170
+أنا بدي
+
+347
+00:29:55,170 --> 00:29:59,890
+أشوف هل الـ axis واضح، الـ axis صح ولا لأ، أنا قاعد
+
+348
+00:29:59,890 --> 00:30:04,710
+بَعيد، يعني هي تلت مرات، أنه to detect the axis of
+
+349
+00:30:04,710 --> 00:30:09,100
+the cylinder is correct or incorrect، يعني بس بدي
+
+350
+00:30:09,100 --> 00:30:13,900
+أعرف هل الـ axis بتاع المريض هذا أوضح ولا لأ، يعني
+
+351
+00:30:13,900 --> 00:30:17,540
+مش الهدف أن أشوف الـ power قد إيش؟ لأ، أنا بس الـ axis
+
+352
+00:30:17,540 --> 00:30:21,360
+بتاع الـ cylinder، يعني هل أن الـ axis والله مية و
+
+353
+00:30:21,360 --> 00:30:25,380
+تمانين، لأ مية وسبعين، مية وخمسة وسبعين، فهو
+
+354
+00:30:25,380 --> 00:30:30,180
+بيكشف لقد إيش الـ axis لمين؟ للمريض، وهذا الـ stenopic
+
+355
+00:30:30,180 --> 00:30:34,140
+slit أكثر ناس بنستخدمه لهم اللي عندهم الـ irregular
+
+356
+00:30:34,140 --> 00:30:38,420
+للقرنية، أو عندهم الـ corneal scar، ندبة في القرنية
+
+357
+00:30:38,420 --> 00:30:42,460
+أو عندهم keratoconus، بيكون عندهم درجات عالية،
+
+358
+00:30:42,460 --> 00:30:48,480
+يعني الدرجة أو الدرجتين للـ axis بتفرق معاهم، okay
+
+359
+00:30:48,480 --> 00:30:53,380
+من حيث الوضوح، okay
+
+360
+00:30:53,380 --> 00:30:57,400
+when put before the eye it allows only rays of
+
+361
+00:30:57,400 --> 00:31:00,520
+light in a particular meridian to enter the eye
+
+362
+00:31:00,520 --> 00:31:06,320
+إذا فقط هتسمح للضوء أنه يدخل وين؟ من الـ elongated
+
+363
+00:31:06,320 --> 00:31:10,660
+aperture، من الفتحة، لأن الباقي كله هيكون إيه؟ عبارة
+
+364
+00:31:10,660 --> 00:31:15,270
+عن disk أو opaque، okay، if the slit is placed
+
+365
+00:31:15,270 --> 00:31:18,410
+horizontal before the eye، the vertical meridian
+
+366
+00:31:18,410 --> 00:31:24,570
+is pinhole and produces a point image، إذا الآن لما
+
+367
+00:31:24,570 --> 00:31:28,170
+أنا بحطه مثلاً horizontal، هيكون الـ vertical عبارة
+
+368
+00:31:28,170 --> 00:31:33,550
+عن إيه؟ pinhole، أنه نقطة زي بالظبط الآن أي تجسّم
+
+369
+00:31:33,550 --> 00:31:38,530
+بيكون طالع منه شعار، إذا هو عبارة عن إيه؟ point،
+
+370
+00:31:38,530 --> 00:31:42,510
+أنه نقطة، يعني أنا بشوف اللي هي عبارة عن صورة بتكون
+
+371
+00:31:42,510 --> 00:31:46,290
+الأشعة اللي طالعة منه إيه؟ divergent، متشتتة، صح ولا
+
+372
+00:31:46,290 --> 00:31:49,970
+لا؟ فهي عبارة عن الـ image point اللي هي نقطة
+
+373
+00:31:49,970 --> 00:31:55,770
+الصورة after
+
+374
+00:31:55,770 --> 00:31:59,470
+correction، إذا بعد ما بصلح، of any spherical
+
+375
+00:31:59,470 --> 00:32:02,830
+ametropia، لو مثلاً مريض كان عنده myopia،
+
+376
+00:32:03,170 --> 00:32:06,590
+hypermetropia أو mixed myopia، صلحناها، الآن
+
+377
+00:32:06,590 --> 00:32:12,080
+spherical ametropia، المقصود فيها myopia، hypermetropia أو
+
+378
+00:32:12,080 --> 00:32:18,440
+mixed myopia، all meridians in 360 degree can be
+
+379
+00:32:18,440 --> 00:32:28,440
+seen equally or rotating the stenopic slit، why؟
+
+380
+00:32:28,440 --> 00:32:33,140
+after correction of any spherical ametropia، إذا
+
+381
+00:32:33,140 --> 00:32:37,820
+بعد ما أنا بصلح كل الأخطاء في الـ spherical ametropia
+
+382
+00:32:37,820 --> 00:32:45,280
+hypermetropia، وبالنسبة لك، كل meridian في الـ 360
+
+383
+00:32:45,280 --> 00:32:49,740
+درجة يمكن أن يكون واضحاً أو محايداً على الـ cylinder، أي
+
+384
+00:32:49,740 --> 00:32:54,960
+بمعنى كل المحاور هتكون متساوية الوضوح من حيث
+
+385
+00:32:54,960 --> 00:33:01,420
+الرؤية، للمرَيدين ليه؟ لأن الـ cylinder بيستخدم to detect
+
+386
+00:33:01,420 --> 00:33:06,620
+the axis of the cylinder، فهيكون نفس اللي have the
+
+387
+00:33:06,620 --> 00:33:09,700
+same vertical power in all the meridian
+
+388
+00:33:15,220 --> 00:33:21,280
+okay؟ طيب، in the presence of a high astigmatism
+
+389
+00:33:21,280 --> 00:33:26,280
+زي مثلاً الـ keratoconus، القرنية المخروطية، أي
+
+390
+00:33:26,280 --> 00:33:32,040
+بمعنى في وجود مريض عنده high astigmatism and
+
+391
+00:33:32,040 --> 00:33:38,270
+before correction، قبل التصحيح، the stenopic slit can
+
+392
+00:33:38,270 --> 00:33:44,110
+detect، إذا
+
+393
+00:33:44,110 --> 00:33:49,810
+كان عنده
+
+394
+00:33:49,810 --> 00:33:54,270
+high astigmatism، ممكن أن العدسة هذه تكتشف كده الـ
+
+395
+00:33:54,270 --> 00:33:58,490
+axis الصحيح لهذا المريض، إذا وضعتها وين؟ على الـ
+
+396
+00:33:58,490 --> 00:34
+
+445
+00:37:56,220 --> 00:37:59,380
+هو هينمش هيندي .. هينمش هيندي access في الـ .. في الـ
+
+446
+00:37:59,380 --> 00:38:02,480
+الـ high school اللي بتاني تستجرب .. تقرأ slits ..
+
+447
+00:38:02,480 --> 00:38:08,020
+تستجرب الـ slits إذا ممتازة هيك الـ main difference
+
+448
+00:38:08,020 --> 00:38:13,460
+ما بين الـ astigmatic fan و الـ stenopic slit في
+
+449
+00:38:13,460 --> 00:38:17,980
+حالة الـ astigmatic fan هيكون الـ more clear أي
+
+450
+00:38:17,980 --> 00:38:22,680
+بمعنى more clear line، الخط الأكثر وضوحًا، هنعمل لكم
+
+451
+00:38:22,680 --> 00:38:27,480
+إياها بشكل أسهم، هذا في حالة الـ stenopic slit، لكن
+
+452
+00:38:27,480 --> 00:38:31,220
+في حالة الـ astigmatic fan، الـ more clear، less
+
+453
+00:38:31,220 --> 00:38:35,300
+immature، الـ less clear، more immature، أما في
+
+454
+00:38:35,300 --> 00:38:39,400
+حالة الـ astigmatic fan، هيكون الـ more clear، more
+
+455
+00:38:39,400 --> 00:38:43,910
+immature، less clear، less immature. Okay، هذا الـ
+
+456
+00:38:43,910 --> 00:38:48,450
+main difference between the astigmatic fan and the
+
+457
+00:38:48,450 --> 00:38:53,850
+stenopic slit. هذا لما أنا بستخدم، mean according to
+
+458
+00:38:53,850 --> 00:38:57,750
+the sign of the cylinder lens. لما أنا بستخدم minus
+
+459
+00:38:57,750 --> 00:39:03,450
+cylinder واضح واضح
+
+460
+00:39:03,450 --> 00:39:07,290
+الفرق ما بين الـ astigmatic fan و الـ stenopic slit
+
+461
+00:39:07,290 --> 00:39:14,850
+طبعًا أنّه اختصار لـ note book، okay. دائمًا كلمة كما
+
+462
+00:39:14,850 --> 00:39:19,870
+بكتب الدكتور أو الأستاذ notebook كـ abbreviation
+
+463
+00:39:19,870 --> 00:39:26,990
+اختصار. okay. rotation of drill screw. طبعًا هذه طريقة
+
+464
+00:39:26,990 --> 00:39:33,930
+بسيطة جدًا، أنّها بتعتمد على المريض بعد ما أنا بعمل الـ
+
+465
+00:39:33,930 --> 00:39:38,990
+objective refraction سواء كان الـ retinoscope أو الـ
+
+466
+00:39:38,990 --> 00:39:44,000
+auto refractometer. بطلب من المريض بعد ما حط العدسة،
+
+467
+00:39:44,000 --> 00:39:48,140
+السيلندر، أنّه يعمل عملية إيه؟ تحريك، أنّه تحريك
+
+468
+00:39:48,140 --> 00:39:52,120
+لمين؟ من خلال الـ screw، screw بمعنى برغي، okay.
+
+469
+00:39:52,120 --> 00:39:57,240
+فبيحرك اللي هو البرغي هذا، لكن بطلب من المريض أنّه
+
+470
+00:39:57,240 --> 00:40:02,580
+يحرك بشكل إيه؟ بطيء، مش يحرك بشكل سريع عشان .. طيب
+
+471
+00:40:02,580 --> 00:40:06,500
+الحركة أما تكون بشكل بطيء، هذا المريض هيستطيع أنّه
+
+472
+00:40:06,500 --> 00:40:09,060
+إيه؟ يلاحظ اللي هو التغير
+
+473
+00:40:11,570 --> 00:40:17,530
+rotation of drill screw، أنّه دوران البرغي هذا بتاع
+
+474
+00:40:17,530 --> 00:40:23,890
+الـ trial frame. it is simply done، أي بمعنى منهج
+
+475
+00:40:23,890 --> 00:40:29,570
+بسيط، بيعمل done by asking the patient بواسطة
+
+476
+00:40:29,570 --> 00:40:34,870
+السؤال المريض to rotate the screw، أنّه يدور البرغي
+
+477
+00:40:34,870 --> 00:40:39,610
+هذا of the trial frame، للإطار to rotate the
+
+478
+00:40:39,610 --> 00:40:43,310
+cylindrical lens in the trial frame. بيعمل عملية
+
+479
+00:40:43,310 --> 00:40:47,730
+تحريك لمين؟ للعدسة الإسطوانية. طيب بتتحرك معاه
+
+480
+00:40:47,730 --> 00:40:52,170
+العدسة الكروية ولا لأ؟ لما تحرك البرغي
+
+481
+00:40:55,720 --> 00:41:00,040
+الكروية. الآن أنا ما بحرك البرغي الـ screw هذا، بتحرك
+
+482
+00:41:00,040 --> 00:41:05,580
+العدسة الكروية ولا لا؟ بالضبط بتحرك كلها. يطول أن
+
+483
+00:41:05,580 --> 00:41:09,400
+هو لو أخذنا .. أخذنا في العمل أنّه عبارة عن إيه؟
+
+484
+00:41:09,400 --> 00:41:14,500
+disk، وبتكون من ثلاثة three components، okay. ثلاثة اللي
+
+485
+00:41:14,500 --> 00:41:18,940
+هو فتحات ممكن أحط فيها الكروية، السيلندر، زائد الـ
+
+486
+00:41:18,940 --> 00:41:23,900
+accessory lens. Okay. لكن حتى لو اتحركت العدسة
+
+487
+00:41:23,900 --> 00:41:27,020
+الكروية، have the same power in all the ingredients
+
+488
+00:41:28,640 --> 00:41:31,980
+to rotate the cylindrical lens in the trial frame,
+
+489
+00:41:32,340 --> 00:41:36,680
+the patient will rotate the screw until he or she
+
+490
+00:41:36,680 --> 00:41:42,100
+sees the best clear image. يعني أنّه لحد ما أنا بصل
+
+491
+00:41:42,100 --> 00:41:49,380
+لأفضل رؤية لمين؟ للمريض. يعني أنا برشد المريض أنّه
+
+492
+00:41:49,380 --> 00:41:54,100
+يحرك البرغي هذا لحد ما يصل إلى صورة إيش؟ بتكون هي
+
+493
+00:41:54,100 --> 00:41:58,870
+الـ best clear image له. Okay. عندها يكون هذا الـ axis
+
+494
+00:41:58,870 --> 00:42:04,030
+إيه؟ correct صحيح. هو الـ axis المطلوب منه. طيب لو بقى
+
+495
+00:42:04,030 --> 00:42:08,870
+اللي blurred للـ vision، شو بيعنيلك؟ أنّه ممكن يكون
+
+496
+00:42:08,870 --> 00:42:13,790
+الـ power، طبعًا ممكن أنّه الـ power بتاع العدسة أنّه
+
+497
+00:42:13,790 --> 00:42:18,210
+ما يكونش اللي هو correct. فلذلك أنّه دائمًا أنا بصلح
+
+498
+00:42:18,210 --> 00:42:22,390
+في الـ cylinder الـ power قبل الـ axis، صح؟ يعني مثلًا
+
+499
+00:42:22,390 --> 00:42:27,410
+المريض عنده minus نص. Okay. لو حطيت له minus ربع، و كان
+
+500
+00:42:27,410 --> 00:42:31,750
+الـ axis مثلًا تسعين الأصلي، و أنا حطيت له axis ثمانين،
+
+501
+00:42:31,750 --> 00:42:36,390
+طيب أنا مقلل إيش؟ الـ power، صح؟ فأنا بدي أصل لـ maximum
+
+502
+00:42:36,390 --> 00:42:42,790
+power، وبعدين بصلح من الـ axis. okay. إذا دائمًا في
+
+503
+00:42:42,790 --> 00:42:47,270
+حالة الـ cylinder بصلح الـ power، وبعدين بصلح من الـ
+
+504
+00:42:47,270 --> 00:42:52,630
+axis. at
+
+505
+00:42:52,630 --> 00:42:56,810
+this point. The rotation is stopped and we can
+
+506
+00:42:56,810 --> 00:43:00,490
+determine the accurate axis of the cylindrical
+
+507
+00:43:00,490 --> 00:43:05,770
+lens. يعني عند هذه النقطة بنجد عملية إيش؟ الدوران، و
+
+508
+00:43:05,770 --> 00:43:10,190
+بيكون هذا، لما أنا بصل لـ a clear image،
+
+509
+00:43:10,190 --> 00:43:15,960
+بتكون هنا الـ axis هو إيه؟ صحيح بالنسبة للمريض، و
+
+510
+00:43:15,960 --> 00:43:20,480
+بيكون هذا الـ axis للعدسة الإسطوانية. يعني بطلب
+
+511
+00:43:20,480 --> 00:43:24,100
+من المريض بقول له: عمليّة عدسة minus one على minus
+
+512
+00:43:24,100 --> 00:43:27,880
+two، axis تسعين. هذه اللي هتركب وين؟ في لدّارة
+
+513
+00:43:27,880 --> 00:43:34,420
+الـ trial frame. okay. الـ
+
+514
+00:43:34,420 --> 00:43:36,040
+Jackson cross cylinder
+
+515
+00:43:42,360 --> 00:43:49,660
+طبعًا Jackson cross cylinder عبارة عن عدسة بتتكون من
+
+516
+00:43:49,660 --> 00:43:57,540
+عدستين، عدسة بتكون plus، وعدسة minus. الإثنتين إيه؟
+
+517
+00:43:57,540 --> 00:44:04,920
+صار لهما عملية damage. okay. ففي الآخر أداني عدسة
+
+518
+00:44:04,920 --> 00:44:10,980
+قوتها من طرف plus مثلًا نص،
+
+519
+00:44:13,740 --> 00:44:26,420
+axis تسعين، من طرف ثاني minus نص، axis
+
+520
+00:44:26,420 --> 00:44:33,300
+تسعين. شو معناته هذا؟ أنّ العدستين equal in the
+
+521
+00:44:33,300 --> 00:44:38,980
+power، لكن different in the size. إذا القوتين
+
+522
+00:44:38,980 --> 00:44:46,910
+متساويتان، لكن واحدة plus. Okay. طيب الـ Jackson cross
+
+523
+00:44:46,910 --> 00:44:52,850
+cylinder بتستخدم لتأكيد الـ axis للعدسة
+
+524
+00:44:52,850 --> 00:44:58,250
+الإسطوانية، وبرضه بيستخدم لإيش؟ لتأكيد الـ power of
+
+525
+00:44:58,250 --> 00:45:03,290
+the cylindrical lens. الـ astigmatic fan to detect the
+
+526
+00:45:03,290 --> 00:45:07,190
+axis and power of the lens. true or false?
+
+527
+00:45:10,070 --> 00:45:15,390
+بمعنى أن الـ astigmatic fan بتستخدم لتأكيد الـ
+
+528
+00:45:15,390 --> 00:45:20,210
+axis و الـ power للعدسة الإسطوانية. هذا صح ولا خطأ؟
+
+529
+00:45:20,210 --> 00:45:28,430
+فقط to detect the axis. الـ stenopic slit أيضًا
+
+530
+00:45:28,430 --> 00:45:33,610
+فقط لمين؟ to detect the axis. الجاكسون across الـ
+
+531
+00:45:33,610 --> 00:45:36,830
+end up للـ power وللـ axis.
+
+532
+00:45:39,770 --> 00:45:44,530
+طبعًا Jackson، أي بمعنى اسم العالم اللي اكتشف أو
+
+533
+00:45:44,530 --> 00:45:50,630
+اللي apply استخدام هذه العدسة. بسألك أن يكونوا منكم
+
+534
+00:45:50,630 --> 00:45:56,170
+علماء إن شاء الله. الـ cross cylinder، العدسة
+
+535
+00:45:56,170 --> 00:46:02,210
+الإسطوانية is composed، أي بمعنى بتتكون، of a plus
+
+536
+00:46:02,210 --> 00:46:09,480
+cylindrical lens، من عدسة بتكون موجبة، and a minus
+
+537
+00:46:09,480 --> 00:46:14,500
+cylindrical lens، عدسة أخرى بتكون minus. متساويين الـ
+
+538
+00:46:14,500 --> 00:46:18,840
+power، equal of power that are ground on a lens، أي
+
+539
+00:46:18,840 --> 00:46:25,040
+بمعنى متحدتين معًا. okay. with their axes at right
+
+540
+00:46:25,040 --> 00:46:29,100
+angles to each other. أنّه بيكون المحورين أشمالهما
+
+541
+00:46:29,100 --> 00:46:34,740
+متعامدين على بعضهما البعض. إذا عبارة عن عدسة بتتكون
+
+542
+00:46:34,740 --> 00:46:41,820
+من قوتين مختلفتي الـ power، كل واحدة مختلفة الـ sign،
+
+543
+00:46:41,820 --> 00:46:45,820
+واحدة plus، اه متساويتين الـ power، واحدة plus، واحدة
+
+544
+00:46:45,820 --> 00:46:51,100
+minus، لكن بيكونوا مختلفين من حيث إيه؟ الإشارة، و
+
+545
+00:46:51,100 --> 00:46:57,600
+بيكونوا متعامدين على بعض، اه.
+
+546
+00:46:57,600 --> 00:46:58,320
+زاوية 180
+
+547
+00:47:06,390 --> 00:47:11,610
+Okay. the commonly used cross cylinders are of a
+
+548
+00:47:11,610 --> 00:47:18,190
+plus or minus 0.25 diopter and 0 or minus 0.5
+
+549
+00:47:18,190 --> 00:47:23,350
+diopter. إذا في منها بيكون minus ربع، و plus ربع، في
+
+550
+00:47:23,350 --> 00:47:28,150
+plus نص، و minus نص، وفي plus or minus 0.75، يعني
+
+551
+00:47:28,150 --> 00:47:33,650
+موجود اللي هو من ناحية القدرة لحد 0.75. okay.
+
+552
+00:47:37,880 --> 00:47:41,320
+All cross-cylinder lenses have a spherical
+
+553
+00:47:41,320 --> 00:47:46,660
+equivalent power of zero. إحنا لو أخذنا قانون الـ
+
+554
+00:47:46,660 --> 00:47:50,420
+spherical equivalent، الكروي زائد السيلندر، إشملها
+
+555
+00:47:50,420 --> 00:47:55,280
+نص السيلندر، بيساوي زيرو، صح؟ Spherical equivalent
+
+556
+00:47:55,280 --> 00:47:57,640
+ما أخذتها؟ طيب
+
+557
+00:48:09,400 --> 00:48:16,420
+عندنا قانون Spherical
+
+558
+00:48:16,420 --> 00:48:28,980
+طبعًا
+
+559
+00:48:28,980 --> 00:48:33,500
+هي تُكتب باختصار بشكل هذا: Spherical Equivalent
+
+560
+00:48:33,500 --> 00:48:38,500
+يساوي Sphere زائد نصف
+
+561
+00:48:42,230 --> 00:48:47,850
+السيلندر. أي بمعنى لو أنا مثلًا كان عندي الـ plus one
+
+562
+00:48:47,850 --> 00:48:51,090
+على
+
+563
+00:48:51,090 --> 00:48:56,670
+minus two، axis بسيط. كنتش هل الـ spherical
+
+564
+00:48:56,670 --> 00:49:05,430
+equivalent plus one، صح؟ تصير بعدها
+
+565
+00:49:05,430 --> 00:49:07,510
+النص في السيلندر كان
+
+566
+00:49:23,620 --> 00:49:31,250
+إذا spherical equivalent هي المبدأ بتاع الـ Jackson
+
+567
+00:49:31,250 --> 00:49:35,690
+cross cylinder قائم على الـ spherical equivalent، أن
+
+568
+00:49:35,690 --> 00:49:42,170
+الكروي زائد نصف السيلندر بيساوي zero. معادلة
+
+569
+00:49:42,170 --> 00:49:47,050
+الكروي. يعني equivalent جديش اللي هي المعادلة لعدسة
+
+570
+00:49:47,050 --> 00:49:51,010
+الكروية. بمعنى الآن يجي مثلًا مريض
+
+571
+00:49:53,220 --> 00:49:58,380
+لأ، هي لها application، لها استعمالات. بمعنى الآن
+
+572
+00:49:58,380 --> 00:50:03,580
+لو جاني مثلًا مريض كان minus one على minus، sorry،
+
+573
+00:50:03,580 --> 00:50:09,480
+minus نص. خلينا نكبر شويّة على minus ثلاثة. okay. axis
+
+574
+00:50:09,480 --> 00:50:13,100
+مئتان وثمانون. بحكيلك: عملينه spherical equivalent
+
+575
+00:50:13,100 --> 00:50:17,980
+بتروح تعمل القانون هذا. عمليات الـ cataract اللي
+
+576
+00:50:17,980 --> 00:50:21,380
+بتشوفوها الناس اللي عندهم، بيعملوا عمليات مياه بيضاء
+
+577
+00:50:21,910 --> 00:50:24,590
+كلها قائمة على القانون هذا، الـ spherical
+
+578
+00:50:24,590 --> 00:50:27,690
+equivalent. بالكروي زائد النص. الإنت
+
+579
+00:50:27,690 --> 00:50:31,830
+عارفين في عمليات المياه البيضاء بيعملوا عملية زراعة
+
+580
+00:50:31,830 --> 00:50:37,150
+عدسة جديدة. فالمبدأ هذا، هذه العدسة اللي بتم زراعتها
+
+581
+00:50:37,150 --> 00:50:40,110
+هي على الـ spherical equivalent. من ضمن الـ
+
+582
+00:50:40,110 --> 00:50:43,050
+application، وأهم استعمال لها للـ spherical
+
+583
+00:50:43,050 --> 00:50:46,370
+equivalent هي في حالة مين؟ الـ Jackson cross cylinder.
+
+584
+00:50:46,370 --> 00:50:47,470
+واضح.
+
+585
+00:50:50,750 --> 00:50:53,050
+إذا الـ spherical equivalent في ناحية
+
+586
+00:50:53,050 --> 00:50:56,470
+الـ astigmatic fan، من ناحية الـ Jackson cross
+
+587
+00:50:56,470 --> 00:51:00,350
+cylinder، إن الكروي زائد نصف السيلندر بيساوي
+
+588
+00:51:00,350 --> 00:51:07,530
+plano أو بيساوي zero. طيب
+
+589
+00:51:07,530 --> 00:51:12,390
+the cross-cylinder may be used. إذا ممكن أن هذه
+
+590
+00:51:12,390 --> 00:51:17,420
+واضحة القانون ولا كيف؟ يعني ببساطة أن الـ spherical
+
+591
+00:51:17,420 --> 00:51:21,700
+equivalent، معادلة الكروي، بيساوي الكروي زائد نصف
+
+592
+00:51:21,700 --> 00:51:26,420
+السيلندر. okay. شو الـ application بتاعتها؟ أهم موضوع
+
+593
+00:51:26,420 --> 00:51:29,280
+اللي هو الـ Jackson cross cylinder أو الـ cross
+
+594
+00:51:29,280 --> 00:51:34,240
+cylinder، أيضًا وين بتستخدم؟ الـ application من ضمن في
+
+595
+00:51:34,240 --> 00:51:37,680
+عمليات الـ cataract surgery، للـ lens اللي بتم
+
+596
+00:51:37,680 --> 00:51:41,460
+زراعتها، وين؟ في الـ anterior shape. okay.
+
+597
+00:51:50,870 --> 00:51:56,070
+the cross cylinder. إذا العدسة هذه may be used، إذا
+
+598
+00:51:56,070 --> 00:52:01,890
+ممكن أنّه تستخدم to refine، أي بمعنى لتأكيد، the
+
+599
+00:52:01,890 --> 00:52:06,510
+patient's cylindrical axis or power. إذا إذا بتستخدم
+
+600
+00:52:06,510 --> 00:52:11,030
+لتأكيد قد إيش الـ axis، يعني العدسة الإسطوانية، أو الـ
+
+601
+00:52:11,030 --> 00:52:17,010
+power أو القوة after estimation، بعد تقدير، by either
+
+602
+00:52:17,010 --> 00:52:22,290
+objective written score or subjective astigmatic
+
+603
+00:52:22,290 --> 00:52:27,230
+deal means. يعني إما بعد ما أنا بعمل الـ objective
+
+604
+00:52:27,230 --> 00:52:30,150
+refraction، زي الـ written score أو الـ auto
+
+605
+00:52:30,150 --> 00:52:36,330
+refractometer، أو بعد إيه؟ الـ astigmatic fan، أو ممكن
+
+606
+00:52:36,330 --> 00:52:41,910
+بعد الـ rotation of drill screw، بعد أن ما أدور من
+
+607
+00:52:41,910 --> 00:52:46,530
+البرغي للعدسة الإسطوانية في الـ trial frame،
+
+608
+00:52:46,530 --> 00:52:51,070
+حنقف
+
+609
+00:52:51,070 --> 00:52:57,490
+لهنا، لأن المرة الجاية هناخذ كيف تستخدم العدسة الـ
+
+610
+00:52:57,490 --> 00:53:01,850
+Jackson cross cylinder في معادلة الـ axis ومعادلة
+
+611
+00:53:01,850 --> 00:53:07,380
+الـ power. يعني how to apply the Jackson cross
+
+612
+00:53:07,380 --> 00:53:18,020
+cylinder for axis length and for power. طيب
+
+613
+00:53:18,020 --> 00:53:22,280
+لهنا إن شاء الله، نُتوقف في المحاضرة، في أي سؤال؟ أي
+
+614
+00:53:22,280 --> 00:53:27,720
+استفسار؟
+
+615
+00:53:27,720 --> 00:53:29,340
+طيب، شكرًا، يعطيكم العافية.
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b52c5f042ff97b5711fe99202361713f1fc54aba
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc_postprocess.srt
@@ -0,0 +1,2460 @@
+1
+00:00:21,400 --> 00:00:24,540
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,540 --> 00:00:28,000
+and a very good afternoon to all of you في
+
+3
+00:00:28,000 --> 00:00:33,180
+المحاضرة السابقة اتكلمنا عن ال verification for
+
+4
+00:00:33,180 --> 00:00:38,960
+spherical power شو الطرق اللي استخدمناها ل ال
+
+5
+00:00:38,960 --> 00:00:42,320
+verification for spherical power number one
+
+6
+00:00:47,160 --> 00:00:53,400
+ديو كروم تاست أو رد جرين تاست رسم أخر رقم 2 ترايل
+
+7
+00:00:53,400 --> 00:01:02,700
+و خطأ هل يمكنك تطبيق ترايل و خطأ على سلندر أو لا؟
+
+8
+00:01:02,700 --> 00:01:09,280
+نعم يمكنك تطبيقه على سفير و سلندر رقم 3
+
+9
+00:01:25,040 --> 00:01:29,580
+طيب اليوم هنبدأ ان شاء الله verification for
+
+10
+00:01:29,580 --> 00:01:36,300
+cylindrical power عندنا
+
+11
+00:01:36,300 --> 00:01:40,410
+ال astigmatismبقولنا كلمة verification بمعنى
+
+12
+00:01:40,410 --> 00:01:46,790
+refinement تأكيد okay Astigmatism incident light
+
+13
+00:01:46,790 --> 00:01:51,330
+rays are brought to focus in a line instead of
+
+14
+00:01:51,330 --> 00:01:57,070
+single point okay طيب أول حاجة عندنا ال astigmatic
+
+15
+00:01:57,070 --> 00:02:02,490
+fanastigmatic fan فان بمعنى مروحة يعني بتكون
+
+16
+00:02:02,490 --> 00:02:07,890
+بالشكل هذا شكلها زي عندنا في ال chart في داخل
+
+17
+00:02:07,890 --> 00:02:12,310
+المعمل في ال manual ال chart في اللوحة أو بتكون
+
+18
+00:02:12,310 --> 00:02:18,610
+على ال projector chart okay الastigmatic fan
+
+19
+00:02:18,610 --> 00:02:25,070
+بتستخدم في تأكيد ال axis يعني جديش ال axis تعمل
+
+20
+00:02:25,070 --> 00:02:32,840
+السيلندر okayالان بعرض الخطوط ككلها على المريض او
+
+21
+00:02:32,840 --> 00:02:37,340
+ال slide بعرضه اذا المريض شاف كل الخطوط بنفس
+
+22
+00:02:37,340 --> 00:02:42,160
+الوضوح هذا بيديني دلالة على انه المريض مافيش عنده
+
+23
+00:02:42,160 --> 00:02:47,760
+ايه astigmatism اي بمعنى ان المريض امتراض طبيعي
+
+24
+00:02:47,760 --> 00:02:54,580
+اذا الastigmatic fan بيستخدم لتأكيد ال access يعني
+
+25
+00:02:54,580 --> 00:03:01,540
+جديش قيمة ال accessللعدسة ال cylinder باعرض ال
+
+26
+00:03:01,540 --> 00:03:06,120
+astigmatic fan للمريض إذا شاف المريض كل الخطوط
+
+27
+00:03:06,120 --> 00:03:10,080
+بنفس الوضوح هذا بيدل على إن المريض ما عندهوش
+
+28
+00:03:10,080 --> 00:03:14,120
+astigmatism يعني ال astigmatism is not present for
+
+29
+00:03:14,120 --> 00:03:18,740
+the patient طيب لو قال للمريض إنه في خط أوضح من
+
+30
+00:03:18,740 --> 00:03:24,440
+الخط من الخطوط الأخرى يعني في خط واضح يعنيmore
+
+31
+00:03:24,440 --> 00:03:29,260
+clear compared to the other lines هذا بمعنى ان
+
+32
+00:03:29,260 --> 00:03:34,760
+المريض have a stigmatism يعني must be have a
+
+33
+00:03:34,760 --> 00:03:39,940
+stigmatism okay يعني معناه ان هذا المريض لازم يكون
+
+34
+00:03:39,940 --> 00:03:45,840
+عنده ايه a stigmatism طيب الآن هذا الخط لو فرضنا
+
+35
+00:03:45,840 --> 00:03:47,660
+هي خط واضح
+
+36
+00:04:00,790 --> 00:04:06,970
+لو فرضنا انه التسعين ال axis تسعين كانت هان الخط
+
+37
+00:04:06,970 --> 00:04:13,610
+جليه طبعا هان هيكون أتمعش و ستة شو معناه ان ال
+
+38
+00:04:13,610 --> 00:04:17,930
+axis تسعين صح اللي هو ال vertical line لو جلي هذا
+
+39
+00:04:17,930 --> 00:04:23,850
+واضح مقارنة في الخطوط الأخرىمعناه ان هذا هو ال
+
+40
+00:04:23,850 --> 00:04:29,330
+field defect يعني هذا هو ال field تكثير okay فعنا
+
+41
+00:04:29,330 --> 00:04:38,150
+ال more clear more
+
+42
+00:04:38,150 --> 00:04:41,490
+clear
+
+43
+00:04:41,490 --> 00:04:47,110
+بدل
+
+44
+00:04:47,110 --> 00:04:47,690
+على انه غير
+
+45
+00:04:55,720 --> 00:05:00,580
+اذا ال meridian او sorry ال axis اللي بيكون اكثر
+
+46
+00:05:00,580 --> 00:05:06,340
+وضوح هو بيكون اقل طبيعي okay يعني شو معناه ان هذا
+
+47
+00:05:06,340 --> 00:05:12,000
+ال axis هو اللي فيه ال defect التأثير طيب ال less
+
+48
+00:05:12,000 --> 00:05:22,300
+clear بيكون ايه more symmetrical okay طيب من ناحية
+
+49
+00:05:22,300 --> 00:05:28,110
+التطبيق انامستوعب ان الفكرة لسه مش واضحة الان
+
+50
+00:05:28,110 --> 00:05:32,670
+اعملنا على ال auto او على ال retinascope لجينا
+
+51
+00:05:32,670 --> 00:05:41,770
+مثلا المريض عنده minus واحد على minus اتنين axis
+
+52
+00:05:41,770 --> 00:05:50,030
+تسعين okay اذا ال axis تسعين ايش ماله ال axis
+
+53
+00:05:50,030 --> 00:05:56,300
+التسعين هو اللي هيكون ايه مش واضحال access تسعين
+
+54
+00:05:56,300 --> 00:06:01,660
+ال access تسعين كمل الفكرة ال access تسعين هو المش
+
+55
+00:06:01,660 --> 00:06:07,400
+واضح فالان انا وين بحط ال .. ال .. ال .. ال access
+
+56
+00:06:07,400 --> 00:06:13,280
+بتاعي على الاكتر وضوح صح على ال مية و تمانين يعني
+
+57
+00:06:13,280 --> 00:06:18,720
+بمعنى ان العدسة هتيجي وين يعني الان الخط مين المش
+
+58
+00:06:18,720 --> 00:06:22,940
+واضح ال تسعين ولا المية و تمانين ال تسعين ال تسعين
+
+59
+00:06:22,940 --> 00:06:29,950
+اذا هيكون ايهلسة مين المش واضح بالنسبة للمريم؟ ال
+
+60
+00:06:29,950 --> 00:06:39,250
+جتب واحدة و أكتر ال defect وين هو هيكون؟
+
+61
+00:06:39,250 --> 00:06:44,430
+احنا قولنا ان ال more clear الخط اللي هيكون أكتر
+
+62
+00:06:44,430 --> 00:06:49,910
+وضوح الخط اللي هيكون أكتر وضوح اللي هو مين؟ ال مية
+
+63
+00:06:49,910 --> 00:06:55,410
+و تمانين صح؟ الأكتر وضوحفال axis هيكون عمودي عليه
+
+64
+00:06:55,410 --> 00:07:03,330
+يعني بمعنى انه هحط العدسة على ال axis تسعين واضح؟
+
+65
+00:07:03,330 --> 00:07:09,050
+مش مرضى تاني الان الان انا بعرض الخطوط هذه على
+
+66
+00:07:09,050 --> 00:07:14,410
+المريض لو كان مثلا ال power على ال axis تسعين
+
+67
+00:07:14,410 --> 00:07:19,610
+هيقوللي ال 180 مش واضحة فانا بروح بجيب العدسة
+
+68
+00:07:19,610 --> 00:07:24,520
+بحطها على ال axis تسعينفأنا صلحت مين؟ التسييط
+
+69
+00:07:24,520 --> 00:07:29,500
+فمعنى أنه ال more clear less immature و less clear
+
+70
+00:07:29,500 --> 00:07:32,280
+more immature يعني هل هنحن نحط ال access على ال
+
+71
+00:07:32,280 --> 00:07:36,760
+180؟ لأ هو شوية أكتر، إيه التسييط؟ أه، مين اللي
+
+72
+00:07:36,760 --> 00:07:40,620
+هيكون؟ كوضوح يعني المريض هان، مين الأوضح إله
+
+73
+00:07:40,620 --> 00:07:44,840
+هيكون؟ ال 180، ال 180 عشان هيك وان بحط ال access
+
+74
+00:07:44,840 --> 00:07:50,900
+يعني على التسييط فأنا بكون صلحت مين؟ أه، أنا بحكي
+
+75
+00:07:50,900 --> 00:07:56,420
+عن وصفة هذهOkay يعني ال minus one على minus two
+
+76
+00:07:56,420 --> 00:08:00,080
+axis تسعين إذا وين هيكون الخلل اللي فيه عنده؟ ال
+
+77
+00:08:00,080 --> 00:08:05,040
+defect ال defect عندي وين؟ على التسعين طيب المريض
+
+78
+00:08:05,040 --> 00:08:08,760
+مين هيشوف أوضح؟ المية و تمانيت إذا بحط ال axis
+
+79
+00:08:08,760 --> 00:08:13,780
+إيه؟ على التسعين فانا بكون هيك صلحت مية بالتسعين
+
+80
+00:08:13,780 --> 00:08:20,130
+هذه الفكرة العامة تاعت الastigmatic fan okayفيه
+
+81
+00:08:20,130 --> 00:08:25,830
+blurred ولا كيف على الفكرة يعني انت بتشوف ال axis
+
+82
+00:08:25,830 --> 00:08:31,650
+الاكتر وضوح بيكون هو فيه ال defect هو فيه الخلل او
+
+83
+00:08:31,650 --> 00:08:35,370
+هو فيه ال problem يعني هو بيكون اضعف من الخطوط
+
+84
+00:08:35,370 --> 00:08:42,070
+التانية okay هذه فكرة ال astigmatic fan بحرك ال
+
+85
+00:08:42,070 --> 00:08:46,150
+axis على ال triangle عليه نعم العدس لما نحطها
+
+86
+00:08:46,150 --> 00:08:50,190
+بحطها على ال axis اللي هو بيكون بعالي منهانا بمسك
+
+87
+00:08:50,190 --> 00:08:54,630
+العدسة و بحطها على ال axis اللي انا بديه مثلا axis
+
+88
+00:08:54,630 --> 00:09:00,250
+90 بحط ال axis 90، 180 و هكذا okay؟ اه تفضل يعني
+
+89
+00:09:00,250 --> 00:09:02,870
+لما اجي أسأل بس هقول مين أكتر و مين أكتر ايش واضح
+
+90
+00:09:02,870 --> 00:09:06,350
+اه الان انا جاي على التكنيك الان لما انا بعرض ال
+
+91
+00:09:06,350 --> 00:09:11,610
+astigmatic fan بقول للمريض مين ال خط الأوضح
+
+92
+00:09:11,610 --> 00:09:16,690
+بالخطوط الأخرى يعني مقارنة which one is more clear
+
+93
+00:09:16,690 --> 00:09:20,760
+compared to the other linesيعني أنه خط بيكون أوضح
+
+94
+00:09:20,760 --> 00:09:24,860
+من الخطوط التانية، بقوللي مثلا .. طبعا هي بتكون في
+
+95
+00:09:24,860 --> 00:09:29,840
+أرقام في المعمل أوه هذا، بقوللي مثلا الاطنعش
+
+96
+00:09:29,840 --> 00:09:33,460
+والستة، أوضح من التانية، بعرف أنه في الاطنعش
+
+97
+00:09:33,460 --> 00:09:38,720
+والستة في إيه ال defect، okay فبروح بحط العدسة
+
+98
+00:09:38,720 --> 00:09:42,840
+عمودي على ال .. ال .. ال .. ال ..
+
+99
+00:09:45,910 --> 00:09:51,410
+لأن ال meridian هو عكس مين ال axis يعني ال axis هو
+
+100
+00:09:51,410 --> 00:09:53,670
+الواضح اللي بيطلع في ال stone اللي هو في ال axis
+
+101
+00:09:53,670 --> 00:10:00,450
+180 فانا بكون هيك ايه صلحت مين؟ التسعين واضح
+
+102
+00:10:00,450 --> 00:10:03,250
+النقطة يعني ال axis اللي بيبقوا بيشوف بيكونوا ان
+
+103
+00:10:03,250 --> 00:10:06,630
+برضه العودة علي التهير فيهم defect لأ واحد فيهم
+
+104
+00:10:06,630 --> 00:10:12,560
+يكون ال defectالان انا بعرض الصورة هنا ان هو واحد
+
+105
+00:10:12,560 --> 00:10:15,980
+فيهم more clear هو هذا اللي فيه defect هو هذا اللي
+
+106
+00:10:15,980 --> 00:10:20,740
+فيه المشكلة okay اه فانا وين بدي احط العدسة ع
+
+107
+00:10:20,740 --> 00:10:25,880
+العمودي عليه يعني مثلا جالي المشكلة ال 12 وال 6
+
+108
+00:10:25,880 --> 00:10:32,960
+اذا بحط العدسة وين على ال axis 3 و 9 واضح؟ لو جالي
+
+109
+00:10:32,960 --> 00:10:38,170
+مثلا على ال 130يعني جال ال line 130 هو الأوضح
+
+110
+00:10:38,170 --> 00:10:46,530
+هيكون ايه بطرح اللي هو 90 50 واضح الفكرة يعني ال
+
+111
+00:10:46,530 --> 00:10:53,550
+more clear بحط العدسة وين عمودي عليه ال stigmatic
+
+112
+00:10:53,550 --> 00:10:57,470
+fan it is used to verify the axis of a triangular
+
+113
+00:10:57,470 --> 00:11:03,950
+lens إذا بتستخدم لتأكيد ال axis للعدسة الستوانية
+
+114
+00:11:03,950 --> 00:11:10,650
+okayOn looking at such fan, if any of the lines
+
+115
+00:11:10,650 --> 00:11:14,390
+are seen more clearly than the others, astigmatism
+
+116
+00:11:14,390 --> 00:11:15,830
+must be present
+
+117
+00:11:35,550 --> 00:11:39,510
+If the vertical line is clear more than the
+
+118
+00:11:39,510 --> 00:11:44,170
+horizontal meridian, it is the less immetropic one
+
+119
+00:11:44,170 --> 00:11:48,790
+has the defect, inverse relation أي بمعنى إذا كان
+
+120
+00:11:48,790 --> 00:11:55,140
+الخط أو كان ال axis العمودي هو الواضحيعني بمعنى ال
+
+121
+00:11:55,140 --> 00:12:00,260
+12 وال6 أوضح من باقي الخطوط معناه ان هذا الخط هو
+
+122
+00:12:00,260 --> 00:12:04,180
+فيه ايه ال defect اي هو فيه ال problem المشكلة
+
+123
+00:12:04,180 --> 00:12:11,100
+فبحط ال access بتاعي عمودي على ال 12 وال6 طبعا
+
+124
+00:12:11,100 --> 00:12:18,400
+inverse relation بمعنى علاقة عكسية more clear line
+
+125
+00:12:18,400 --> 00:12:25,180
+less semidrop ان الخط الاكتر وضوحبكون اقل طبيعي
+
+126
+00:12:25,180 --> 00:12:31,000
+okay لسه clear line الخط الاقل وضوح بكون اكثر
+
+127
+00:12:31,000 --> 00:12:37,460
+امترو اكثر طبيعي a
+
+128
+00:12:37,460 --> 00:12:41,840
+cylinder lens العدسة الاصطوانية is a place in
+
+129
+00:12:41,840 --> 00:12:46,100
+front of the eye دايما وين بتحط العدسة الاصطوانية؟
+
+130
+00:12:46,100 --> 00:12:50,120
+امام العين يعني بتحطيها في ال trial frame صح قبل
+
+131
+00:12:50,120 --> 00:12:56,390
+ال frame ولا ..لأ، هي ممكن أنه تكون يعني قبل أو
+
+132
+00:12:56,390 --> 00:12:59,690
+بعد، يعني ممكن المريض يكون عنده مثلا إبلانه،
+
+133
+00:12:59,690 --> 00:13:03,850
+ماعندهوش سفير، صح؟ فانا .. هي بتكون .. يعني .. أه،
+
+134
+00:13:03,850 --> 00:13:08,110
+بحط العدس لسفير، بعدين بحط السلندر، لكن مثلا الآن
+
+135
+00:13:08,110 --> 00:13:11,670
+أنا عرضت ال astigmatic fan، المريض قاللي مش واضح،
+
+136
+00:13:11,670 --> 00:13:16,070
+يعني كلها مغبشة، معناه أني بدي أصلح مين؟ الاسفير،
+
+137
+00:13:16,070 --> 00:13:19,830
+الميور أه يعني أصلح السفير، بعدين السلندر هو صح
+
+138
+00:13:19,830 --> 00:13:24,330
+أنه أصلح .. أنا حكيتلكم المعلومة هذهانه الصح انه
+
+139
+00:13:24,330 --> 00:13:29,570
+موجود في الكتب لازم أصلح الاسفير قبل السليندر، لكن
+
+140
+00:13:29,570 --> 00:13:34,110
+من ناحية practice صحيح انه هذي .. اه طبعا اللي هو
+
+141
+00:13:34,110 --> 00:13:37,610
+كل حالة تعتبر special case، حالة خاصة، لكن
+
+142
+00:13:37,610 --> 00:13:41,850
+according to my experience انا شايف انه لازم الصلح
+
+143
+00:13:41,850 --> 00:13:46,090
+في المعظم السليندر قبل الاسفير، لأنه دايما بالصلح
+
+144
+00:13:46,090 --> 00:13:50,200
+انت ..الاسفير قبل بتحس إن المريض عنده إيش،
+
+145
+00:13:50,200 --> 00:13:53,380
+implored لل vision وبالتالي ما بتحسن معاه، يعني
+
+146
+00:13:53,380 --> 00:13:55,920
+أنت مثلا بيقوليله مين أوضح، ال red ولا ال .. ولا
+
+147
+00:13:55,920 --> 00:13:59,300
+ال green؟ بقولك أنا مش شايف، لا red ولا green طب
+
+148
+00:13:59,300 --> 00:14:02,680
+في هذه الحالة إيش بدي أعمل؟ بصلح السليندة، بعدين
+
+149
+00:14:02,680 --> 00:14:06,680
+باجع مين؟ على الاسفير، okay يعني هان الفكرة
+
+150
+00:14:09,320 --> 00:14:14,880
+أسلندر لينز العدسة الأسطوانية is placed مكانها in
+
+151
+00:14:14,880 --> 00:14:19,500
+front of the eye أمام العين with its axis
+
+152
+00:14:19,500 --> 00:14:23,880
+horizontal will correct the vertical meridian طبعا
+
+153
+00:14:23,880 --> 00:14:27,080
+لأنه بيكون عمودي ال power عمودي على ال axis في
+
+154
+00:14:27,080 --> 00:14:32,700
+العدسة السليندة and when the correct glass power
+
+155
+00:14:32,700 --> 00:14:39,330
+لما أنا بعمل عملية تصحيح للقوةis to be warned all
+
+156
+00:14:39,330 --> 00:14:43,850
+the lines of the astigmatic fan appear equally
+
+157
+00:14:43,850 --> 00:14:48,150
+distinct أي بمعنى لما انا بعمل عملية تصحيح في
+
+158
+00:14:48,150 --> 00:14:52,430
+العدسة السليندر ان كل الخطوط هتكون متساوية الواضح
+
+159
+00:14:52,430 --> 00:14:57,570
+واضح لان عمالي انا ايش اعملت تصحيح للastigmatism
+
+160
+00:15:04,130 --> 00:15:11,110
+which thus renders بمعنى ان العدسة الاصطوانية لهذا
+
+161
+00:15:11,110 --> 00:15:17,150
+السبب هتظهر انه هتقلل renders بمعنى reduces the
+
+162
+00:15:17,150 --> 00:15:22,650
+outline اي بمعنى the shape شكل of the whole lines
+
+163
+00:15:22,650 --> 00:15:26,990
+الخطوط كلها يعني كل الخطوط الموجودة في
+
+164
+00:15:26,990 --> 00:15:31,530
+الastigmatic fan هتقللها equally clear it's the
+
+165
+00:15:31,530 --> 00:15:36,160
+amount of astigmatismيعني وظيفة العدسة الاستوانية
+
+166
+00:15:36,160 --> 00:15:40,420
+انها هتجعل كل الخطوط متساوية الوضوح، okay؟ لما انا
+
+167
+00:15:40,420 --> 00:15:46,030
+بحط هوين in front of the eyeand the axis of the
+
+168
+00:15:46,030 --> 00:15:50,710
+cylinder is at right angle، إذا هيكون ال .. ال ..
+
+169
+00:15:50,710 --> 00:15:55,610
+ال axis بتاع العدسة عمودي، يعني هيكونه متعامد
+
+170
+00:15:55,610 --> 00:16:00,070
+عليها to the line which was initially seen most
+
+171
+00:16:00,070 --> 00:16:04,610
+clearly less immetropic according to the sign of
+
+172
+00:16:04,610 --> 00:16:07,730
+the cylinder lens يعني الآن لو واحد بيشتغل على ال
+
+173
+00:16:07,730 --> 00:16:11,950
+plus cylinder، بس مابتاخد فيها عشان مايعملش اللي
+
+174
+00:16:11,950 --> 00:16:15,480
+هو ايه خربط عينكملو واحد بيشتغل على ال plus
+
+175
+00:16:15,480 --> 00:16:19,580
+cylinder، العكس، هيكون عكس اللي هو شغلنا، واضح؟
+
+176
+00:16:19,580 --> 00:16:22,620
+فهنأشغلك according to the sign of the cylinder
+
+177
+00:16:22,620 --> 00:16:26,500
+length، حسب اللي هو إشارة من العدسة الصغانية
+
+178
+00:16:26,500 --> 00:16:31,380
+الفكرة ببساطة، أنا بعرض ال slide، بقول للمريض
+
+179
+00:16:31,380 --> 00:16:35,100
+which line is more clear compared to the other
+
+180
+00:16:35,100 --> 00:16:40,490
+lines، بعرف مثلا ال 12 وال6 هو أوضح واحدبين و بين
+
+181
+00:16:40,490 --> 00:16:44,570
+نفسي إيش بعرف؟ إن هذا هو ال feed defect صح؟ إذا
+
+182
+00:16:44,570 --> 00:16:48,730
+بجيب العدسة الإسبانية أمام العين وين بده أحطها؟
+
+183
+00:16:48,730 --> 00:16:52,570
+على ال 180 اللي هو عمودي على the perpendicular to
+
+184
+00:16:52,570 --> 00:16:57,130
+the axis هي فكرة الastigmatic factor واضحة؟ يعني
+
+185
+00:16:57,130 --> 00:17:03,450
+دايما ال axis عمودي على المحور الواضح واضح هسمين؟
+
+186
+00:17:03,450 --> 00:17:07,530
+احنا دايما نعملها minus lambda الأسهلاه احنا دايما
+
+187
+00:17:07,530 --> 00:17:10,710
+بنشتغل احنا كل شغلنا على ال minus cylinder لانه
+
+188
+00:17:10,710 --> 00:17:14,450
+لقدام يما تبدأوا بال contact lens لازم انه يكون ال
+
+189
+00:17:14,450 --> 00:17:18,410
+cylinder بال minus okay عشان هيك معظم او كل
+
+190
+00:17:18,410 --> 00:17:22,610
+وصواتنا لازم تكون بال minus لكن لو فتحت بعض الكتب
+
+191
+00:17:22,610 --> 00:17:26,390
+بتلاقي ال cylinder بيكتبوه في ال plus وهذا برضه صح
+
+192
+00:17:26,390 --> 00:17:29,270
+لو أخدتوا ال transposition في ال ophthalmic lenses
+
+193
+00:17:29,270 --> 00:17:33,500
+ممكن لو عملت نفسها هتطلع بال minus cylinderو هذا
+
+194
+00:17:33,500 --> 00:17:35,900
+كله بيكونوا يعني العدسة لو كان في عنده سفير بيكون
+
+195
+00:17:35,900 --> 00:17:38,880
+العدسة موجودة في السفير و انا بصلح ال astigmatism
+
+196
+00:17:38,880 --> 00:17:42,740
+ده؟ نعم لو كان في عنده سفير و بيبقىها العدسة .. هو
+
+197
+00:17:42,740 --> 00:17:47,700
+الصح اذا كان عندى small refractive error انه ابدأ
+
+198
+00:17:47,700 --> 00:17:51,900
+بالسفير و بالتالي انا بصلح السفير و باجي على ال
+
+199
+00:17:51,900 --> 00:17:55,440
+astigmatism هتكون العدسة السفيرة موجودة لأن لو
+
+200
+00:17:55,440 --> 00:17:59,580
+واحد مثلا عنده ميوب only شو هيكون ال history
+
+201
+00:17:59,580 --> 00:18:04,100
+بتاعه؟planet vision planet vision far distance صح
+
+202
+00:18:04,100 --> 00:18:10,230
+فهيكونيعني الرؤية بتاعة ال line مش واضحة له، يعني
+
+203
+00:18:10,230 --> 00:18:14,290
+هيقولك كل الخطوط مش واضحة، okay؟ فأنا بصلح ال
+
+204
+00:18:14,290 --> 00:18:18,090
+أسفير، وبعدين باجي بصلح السليندا، لكن في حالات
+
+205
+00:18:18,090 --> 00:18:20,870
+يكون عنده high refractive error أو high
+
+206
+00:18:20,870 --> 00:18:23,630
+astigmatism أو واحد يكون مثلا عنده irregular
+
+207
+00:18:23,630 --> 00:18:27,310
+astigmatism أو keratoconus، خرانية مخروطية، من
+
+208
+00:18:27,310 --> 00:18:30,130
+الصعب أنه أروح أصلح الاسفير، وبعدين أجي على
+
+209
+00:18:30,130 --> 00:18:34,560
+السليندا، لأن هو مش شايف الرؤية واضحةيعني لا شايف
+
+210
+00:18:34,560 --> 00:18:38,120
+ال red ولا ال green بسبب مين ال astigmatism مش
+
+211
+00:18:38,120 --> 00:18:42,940
+بسبب ال myopia okay فانت كل حالة لازم تاخديها ك
+
+212
+00:18:42,940 --> 00:18:48,040
+special case حالة خاصة مختلفة عن التاني لكن فكرة
+
+213
+00:18:48,040 --> 00:18:55,700
+اعتقد ال astigmatic fan واضحة الآن للجميع طيب في
+
+214
+00:18:55,700 --> 00:19:03,030
+عندنا ال sterobic slit هي عبارة عن عدسةتعتبر عدسة
+
+215
+00:19:03,030 --> 00:19:07,610
+إضافية يعني زي ال pen hole aberration okay هذه
+
+216
+00:19:07,610 --> 00:19:11,810
+العدسة يمكن معظمكم شفوها .. شفتوها في ال trial set
+
+217
+00:19:11,810 --> 00:19:18,210
+بتكون this okay كله معتف و بيكون فتحة إيه شمالها
+
+218
+00:19:18,210 --> 00:19:23,150
+من المنتصف يعني horizontal إيه line في الstylobic
+
+219
+00:19:23,150 --> 00:19:27,870
+set بختلف عن مين الastigmatic fan أنا وين بروح
+
+220
+00:19:27,870 --> 00:19:33,830
+أدوربدور وين ال line اللي فيه blurred اي بمعنى وين
+
+221
+00:19:33,830 --> 00:19:41,250
+ال line اللي فيه ال problem المشكلة فمثلا فرضنا
+
+222
+00:19:41,250 --> 00:19:44,630
+انه ال 180 هو فيه ال blurred بروح احط ال
+
+223
+00:19:44,630 --> 00:19:48,810
+astrophobic state وين؟ على ال 180 فرضنا انه على
+
+224
+00:19:48,810 --> 00:19:55,000
+التسعين فحط على التسعين اذا ال more clearتعتبر ايه
+
+225
+00:19:55,000 --> 00:20:01,140
+اشمالها ال more clear و ال less clear what are the
+
+226
+00:20:01,140 --> 00:20:04,340
+main difference between a stereopic slit and a
+
+227
+00:20:04,340 --> 00:20:10,500
+stigmatic vent ايه الفرق اللي انتوا حاكيته الان
+
+228
+00:20:10,500 --> 00:20:15,200
+هي عبارة عن عدسة تضافية موجودة في معظم ال trial
+
+229
+00:20:15,200 --> 00:20:21,680
+set بيكون لها فتحة من المنتصف والباب كله عبارة عن
+
+230
+00:20:21,680 --> 00:20:27,680
+opaque معتمالان المريض اللي عندك كان ال problem
+
+231
+00:20:27,680 --> 00:20:32,580
+على ال axis 90 فبحط هذه الفتحة وين؟ على ال 90، على
+
+232
+00:20:32,580 --> 00:20:38,580
+ال 180، بحطه على ال 180، انه خليت ال image point
+
+233
+00:20:38,580 --> 00:20:43,910
+تتركز كأنه pinhole، أبريشةحطيت الصورة انه تكون
+
+234
+00:20:43,910 --> 00:20:48,190
+more clear بس على المية وتمانين او على التسعين
+
+235
+00:20:48,190 --> 00:20:52,130
+يعني عملت اللي هو تصحيح فقط للمحور اللي فيه ال
+
+236
+00:20:52,130 --> 00:20:56,110
+defect المشكلة هتشوفه أحسن لو أخدتها في اي دنيال
+
+237
+00:20:56,110 --> 00:21:01,550
+يعني بالظبط انه هيكون فتحة صغيرة okay بالإضافة ل
+
+238
+00:21:01,550 --> 00:21:05,150
+ال horizontal line هيشوفها زي كأنه نقطة اللي هي ما
+
+239
+00:21:05,150 --> 00:21:09,010
+تسمى بال circle of least confusion اللي أخدناها في
+
+240
+00:21:09,010 --> 00:21:13,740
+أول الفصلفهيكون الصورة إيش مالها واضح فانا بكون
+
+241
+00:21:13,740 --> 00:21:19,640
+هيك صلحت من ال axis لا التسعين طيب وين بتستخدم هذه
+
+242
+00:21:19,640 --> 00:21:24,380
+ال stenopic slate بتستخدم في حالات ال keratoconus
+
+243
+00:21:24,380 --> 00:21:28,600
+لما واحد يكون عنده high astigmatism أو irregular
+
+244
+00:21:28,600 --> 00:21:33,480
+astigmatism مابنفعش معه ال astigmatic fan فبستخدم
+
+245
+00:21:33,480 --> 00:21:36,120
+معه مين؟الستيونوبيك
+
+246
+00:21:36,120 --> 00:21:46,900
+اسلتطططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططط
+
+247
+00:21:47,420 --> 00:21:50,560
+الريتنسكوب لو بتذكر اخدنا في ال special
+
+248
+00:21:50,560 --> 00:21:54,280
+difficulties للريتنسكوب واحدة منهم اما يكون عنده
+
+249
+00:21:54,280 --> 00:21:57,860
+irregular astigmatism او high degree of
+
+250
+00:21:57,860 --> 00:22:02,260
+astigmatism او keratoconus لكن الجهاز اللي بتدل ان
+
+251
+00:22:02,260 --> 00:22:06,220
+هذا المريض عنده keratoconus او لا بنعمله ال
+
+252
+00:22:06,220 --> 00:22:11,100
+corneal topography جهاز بنسميه ال corneal
+
+253
+00:22:11,100 --> 00:22:14,920
+topography
+
+254
+00:22:19,400 --> 00:22:24,340
+هل تعتبرها subjective؟ اه ما هي هل تعتبرها
+
+255
+00:22:24,340 --> 00:22:27,100
+subjective مش احنا قولنا subjective verification
+
+256
+00:22:27,100 --> 00:22:30,520
+انه انا already عملت يا في ال written or يا في ال
+
+257
+00:22:30,520 --> 00:22:33,960
+auto cornier
+
+258
+00:22:33,960 --> 00:22:38,470
+topography يعني بيشوف تباريث القرانيةيعني بفحص
+
+259
+00:22:38,470 --> 00:22:42,970
+اللي هو تدريس القرانية، okay؟ هذا من خلاله بقدر
+
+260
+00:22:42,970 --> 00:22:47,130
+انه احدد المريض عنده keratoconus او لا إذا لو واحد
+
+261
+00:22:47,130 --> 00:22:50,990
+سألكم شو الجهاز اللي بنستخدمه لكشف القرانية
+
+262
+00:22:50,990 --> 00:22:56,410
+المخروطية ال corneal topography، okay؟ هان احنا كل
+
+263
+00:22:56,410 --> 00:23:00,050
+الفحصات ال astigmatic fan ال pin hole الdiachrome
+
+264
+00:23:00,050 --> 00:23:05,140
+test كل اللي أخدناهم هدول إيش تعتبر؟طيب بس احنا
+
+265
+00:23:05,140 --> 00:23:08,720
+بنقول نسأل انا و مش اوضح، شو و لا انا مش اوضح؟ مش
+
+266
+00:23:08,720 --> 00:23:16,120
+عيلنا زي ال .. انا مابسأل المريض انا الآن كان مثلا
+
+267
+00:23:16,120 --> 00:23:24,340
+الوصفة هذه اذا التسعين هو في ايه؟ الدفك مش ال axis
+
+268
+00:23:24,340 --> 00:23:28,640
+التسعين اللي فيه الدفك يعني الآن العدسة الاسطوانية
+
+269
+00:23:28,640 --> 00:23:32,460
+وين بده احط على axis جديش في النضارةالتسعين صح ولا
+
+270
+00:23:32,460 --> 00:23:36,280
+لا؟ إذا بجيب ال .. ال stylobic slit الفتحة هذه ال
+
+271
+00:23:36,280 --> 00:23:40,660
+horizontal على ال axis التسعين فهي عامالها أيه
+
+272
+00:23:40,660 --> 00:23:44,360
+الصلاحات؟ ال blurred اللي هو ال defect لمين؟
+
+273
+00:23:44,360 --> 00:23:49,640
+التسعين تتحسن عنده بصير اللي هو improvement لل
+
+274
+00:23:49,640 --> 00:23:56,050
+vision okayفيما بيصير مثلا عنده improvement بعرف
+
+275
+00:23:56,050 --> 00:23:59,650
+انه ال access بتاعه قداش؟ تسعين انه ال access اللي
+
+276
+00:23:59,650 --> 00:24:04,950
+انا شغال فيه صح بقول للمريض حرك شوية بيحرك في مش
+
+277
+00:24:04,950 --> 00:24:09,130
+في اللي هو ال screw البرغي بقوله حرك في البرغي
+
+278
+00:24:09,130 --> 00:24:13,550
+بتلاقي الصورة ايه صارت فيها؟ بلغت، غبشت فبعرف ان
+
+279
+00:24:13,550 --> 00:24:17,410
+ال access اللي انا بشتغل فيه ايه صح هذه كلها عملية
+
+280
+00:24:17,410 --> 00:24:21,720
+ايه؟ verification تأكيديعني بدى اخد اللى هو ال
+
+281
+00:24:21,720 --> 00:24:28,980
+response من مين؟ من المريض ال rug بتاعه okay اذا
+
+282
+00:24:28,980 --> 00:24:33,840
+ال escinopec slit it is essentially an accessory
+
+283
+00:24:33,840 --> 00:24:40,820
+in the trial set هي عبارة عن عدسة إضافية موجودة في
+
+284
+00:24:40,820 --> 00:24:46,260
+ال trial set that consists of .. بتتكون من an
+
+285
+00:24:46,260 --> 00:24:52,810
+elongated pin hole aberrationتتكون من فتحة بتكون
+
+286
+00:24:52,810 --> 00:24:59,210
+شكلها elongated طولة أو horizontal elongated بمعنى
+
+287
+00:24:59,210 --> 00:25:05,750
+طولةas a slit cut in an opaque disk يعني هذا ..
+
+288
+00:25:05,750 --> 00:25:09,790
+هذا بنسميه ال slit صح؟ زي ال slit بتاع مين ال
+
+289
+00:25:09,790 --> 00:25:14,630
+retinal score او ال slit مثلا في جهاز ال direct
+
+290
+00:25:14,630 --> 00:25:18,650
+ophthalmos score او في جهاز ال .. ال slit ال okay
+
+291
+00:25:18,650 --> 00:25:22,370
+هذا كله يعتبر ايه؟ slit سواء horizontal او
+
+292
+00:25:22,370 --> 00:25:23,030
+vertical
+
+293
+00:25:25,660 --> 00:25:33,960
+دكتور هذا زي دمهار فيه برضه حالات حصلش فيها؟ ولا
+
+294
+00:25:33,960 --> 00:25:39,240
+مع كلهم حتى لو كان هنا open media هذا بيحدد بس ال
+
+295
+00:25:39,240 --> 00:25:44,930
+access هي use to detect انا لو تصور شوية بكملUse
+
+296
+00:25:44,930 --> 00:25:50,170
+to detect إذا بيستخدم لكشف the axis of astigmatism
+
+297
+00:25:50,170 --> 00:25:55,050
+if present، إذا بيستخدم لكشف مين؟ ال axis داعي ال
+
+298
+00:25:55,050 --> 00:25:59,010
+astigmatism، يعني أنا بدي أتأكد إن هل هذا ال axis
+
+299
+00:25:59,010 --> 00:26:01,950
+اللي بدي أديه للمريض اللي طلعته من جهاز ال auto
+
+300
+00:26:01,950 --> 00:26:06,090
+refractometer أو ال retinascope صح أو خطأ، هي
+
+301
+00:26:06,090 --> 00:26:11,850
+الهدف منهإذا ليش بيستخدم الستينوبيكسليت to detect
+
+302
+00:26:11,850 --> 00:26:17,010
+the axis of the astigmatism if present؟ okay إذا
+
+303
+00:26:17,010 --> 00:26:22,370
+بيستخدم في تحديد ال axis بتاع العدسة الإستوانية
+
+304
+00:26:22,370 --> 00:26:27,890
+إذا المريض كان عنده إيه astigmatism فكرته تختلف عن
+
+305
+00:26:27,890 --> 00:26:29,550
+مين بينهم؟
+
+306
+00:26:32,830 --> 00:26:37,450
+when put before the eye يمّا أنا بضع ال stenopic
+
+307
+00:26:37,450 --> 00:26:44,110
+slit أمام العين it allows only rays of light in a
+
+308
+00:26:44,110 --> 00:26:48,330
+particular meridian to enter the eye إذا هيسمح فقط
+
+309
+00:26:48,330 --> 00:26:53,690
+لحزمة من الضوء أنه تدخل بشكل إيه elongated اللي هو
+
+310
+00:26:53,690 --> 00:26:58,230
+طولة يعني فقط من ال slit اللي موجود في منتصف من ال
+
+311
+00:26:58,230 --> 00:26:58,570
+disk
+
+312
+00:27:03,800 --> 00:27:09,220
+طيب if the slit إذا هذه الفتحة okay ال elongated
+
+313
+00:27:09,220 --> 00:27:14,260
+aberration is placed مكانها horizontal هاي بمعنى
+
+314
+00:27:14,260 --> 00:27:19,520
+أفقي بالشكل هذا زي ما في الرسمة before the eye قبل
+
+315
+00:27:19,520 --> 00:27:25,140
+العين the vertical meridian قلنا دايما ال meridian
+
+316
+00:27:25,140 --> 00:27:31,970
+هو عكس مين ال axisOkay before the eye the vertical
+
+317
+00:27:31,970 --> 00:27:36,790
+meridian is pinhole and it produces a point image
+
+318
+00:27:36,790 --> 00:27:42,910
+اذا هينتج هنا صورة في ال vertical هنكون مثل اللي
+
+319
+00:27:42,910 --> 00:27:49,430
+هو فتحة ال pinhole okay بالنسبة للمريض I think
+
+320
+00:27:49,430 --> 00:27:53,690
+that a scionopic acid and astigmatic fan need to
+
+321
+00:27:53,690 --> 00:27:58,520
+imagine what will happen for the patientOkay؟ بدك
+
+322
+00:27:58,520 --> 00:28:02,300
+تتخيلي أنه شو ممكن يحصل مع المريض، طبعا هذا عبارة
+
+323
+00:28:02,300 --> 00:28:06,780
+عن theory لكن في ال practice بختلف الأمر أنه يعني
+
+324
+00:28:06,780 --> 00:28:10,480
+أنت بدك تديري كيف .. إيش هيحدث مع المريض، أنه مثلا
+
+325
+00:28:10,480 --> 00:28:14,440
+الآن حطيته على ال axis اللي هو في ال blurred
+
+326
+00:28:14,440 --> 00:28:20,900
+vision okay؟ إذا حطينا على .. نفترض على ال 180 أنا
+
+327
+00:28:20,900 --> 00:28:24,440
+إيش معناه؟ أني بدي أكد أنه هل هذا ال axis بتاعي صح
+
+328
+00:28:24,440 --> 00:28:31,980
+ولا لأ okay؟إذا بيستخدم لتأكيد ال axis بتاعي، إنه
+
+329
+00:28:31,980 --> 00:28:36,820
+هذا والله صح، على ال 180، لأ شوية ممكن إنه نعمل
+
+330
+00:28:36,820 --> 00:28:43,600
+rotation لل axis، 170، ممكن مثلا 160، 165، فهذا كل
+
+331
+00:28:43,600 --> 00:28:47,380
+إيش بيعمله detect، مين هي ال skin of the snail طب
+
+332
+00:28:47,380 --> 00:28:52,320
+إيش اللي ممكن معرضة قدامك؟ ممكن ال snail عادي،
+
+333
+00:28:52,320 --> 00:28:56,190
+اللي هو .. و بحط العدسة أمام العينيعني مش شرط انه
+
+334
+00:28:56,190 --> 00:29:01,670
+مثلا انا اكون عارض a stigmatic fan او يعني ممكن
+
+335
+00:29:01,670 --> 00:29:03,850
+اللي هو ال snailin العادية الماني و ال snailin
+
+336
+00:29:03,850 --> 00:29:09,150
+اللي موجودة عندنا في المعمل مش شرط ممكن مرضى ما
+
+337
+00:29:09,150 --> 00:29:15,310
+بيصلوا ستة ع ستة اكيد
+
+338
+00:29:15,310 --> 00:29:21,610
+انا بدي احط مع ال axis اللي هو فوق العدسةيعني
+
+339
+00:29:21,610 --> 00:29:25,630
+مثلا، الآن العدسة كانت على axis 90، فانا بحطه
+
+340
+00:29:25,630 --> 00:29:29,870
+موازلة مين؟ للتسعين، موازلة المية و تمانين، و
+
+341
+00:29:29,870 --> 00:29:33,890
+هكذا، يعني ال astigmatic fan، الآن انا بعمل ال
+
+342
+00:29:33,890 --> 00:29:37,990
+verification بعد ما ايه؟ احط العدسة، ممكن قبل لو
+
+343
+00:29:37,990 --> 00:29:41,010
+انا مثلا مش عارف عندي power جديدبقول له مين
+
+344
+00:29:41,010 --> 00:29:45,350
+الأوضح، يعني أنه خط اللي هو أوضح، لكن في حالة
+
+345
+00:29:45,350 --> 00:29:51,730
+الاستيلوفيك السيت، لأ بستخدمه ايه مع العدسة
+
+346
+00:29:51,730 --> 00:29:55,170
+أنا بدي
+
+347
+00:29:55,170 --> 00:29:59,890
+أشوف هل ال axis واضح، ال axis صح ولا لأ أنا قاعد
+
+348
+00:29:59,890 --> 00:30:04,710
+بعيد يعني هي تلت مرات، انه to detect the axis of
+
+349
+00:30:04,710 --> 00:30:09,100
+the cylinderis correct or incorrect يعني بس بدي
+
+350
+00:30:09,100 --> 00:30:13,900
+أعرف هل ال access بتاع المريض هذا أوضح ولا لأ يعني
+
+351
+00:30:13,900 --> 00:30:17,540
+مش الهدف ان اشوف ال power جديش لأ انا بس ال access
+
+352
+00:30:17,540 --> 00:30:21,360
+بتاع ال cylinderيعني هل ان ال access والله مية و
+
+353
+00:30:21,360 --> 00:30:25,380
+تمانين، لأ مية و سبعين، مية و خمسة و سبعين، فهو
+
+354
+00:30:25,380 --> 00:30:30,180
+بيكشف لقداش ال access لمن؟ للمريض، وهذا الاستينابك
+
+355
+00:30:30,180 --> 00:30:34,140
+الست أكتر ناس بنستخدملهم اللي عندهم ال regular
+
+356
+00:30:34,140 --> 00:30:38,420
+للقرنية أو عندهم ال corneal scar، ندّة في القرنية
+
+357
+00:30:38,420 --> 00:30:42,460
+أو عندهم keratoconus، بيكون عندهم درجات عالية،
+
+358
+00:30:42,460 --> 00:30:48,480
+يعني الدرجة أو الدرجتين لل access بتفرق معاهمOkay
+
+359
+00:30:48,480 --> 00:30:53,380
+من حيث الوضوح Okay
+
+360
+00:30:53,380 --> 00:30:57,400
+when put before the eye it allows only rays of
+
+361
+00:30:57,400 --> 00:31:00,520
+light in a particular meridian to enter the eye
+
+362
+00:31:00,520 --> 00:31:06,320
+اذا فقط هتسمح للضوح انه يدخل وين من ال elongated
+
+363
+00:31:06,320 --> 00:31:10,660
+aperture من الفتحة لان الباقي كله هيكون ايه عبارة
+
+364
+00:31:10,660 --> 00:31:15,270
+عن disk أو bake okayIf the slit is placed
+
+365
+00:31:15,270 --> 00:31:18,410
+horizontal before the eye, the vertical meridian
+
+366
+00:31:18,410 --> 00:31:24,570
+is pinhole and produces a point image إذا الآن لما
+
+367
+00:31:24,570 --> 00:31:28,170
+أنا بحطه مثلا horizontal، هيكون ال vertical عبارة
+
+368
+00:31:28,170 --> 00:31:33,550
+عن إيه؟ pinhole، إنه نقطة زي بالظبط الآن أي تجسم
+
+369
+00:31:33,550 --> 00:31:38,530
+بيكون طالع منه شعار، إذا هو عبارة عن إيه؟ point،
+
+370
+00:31:38,530 --> 00:31:42,510
+إنه نقطة، يعني أنا بشوف اللي هي عبارة عن صورةبتكون
+
+371
+00:31:42,510 --> 00:31:46,290
+الأشعة اللي طالعة منه ايه؟ Divergent متشتدة صح ولا
+
+372
+00:31:46,290 --> 00:31:49,970
+لا؟ فهي عبارة عن ال image point اللي هي نقطة
+
+373
+00:31:49,970 --> 00:31:55,770
+الصورة after
+
+374
+00:31:55,770 --> 00:31:59,470
+correction إذا بعد ما بصلح of any spherical
+
+375
+00:31:59,470 --> 00:32:02,830
+ametropia لو مثلا مريض كان عنده myopia,
+
+376
+00:32:03,170 --> 00:32:06,590
+hypermetropia او breast myopia صلحناها الآن
+
+377
+00:32:06,590 --> 00:32:12,080
+spherical ametropia مقصود فيها myopiaهيبرمتروب او
+
+378
+00:32:12,080 --> 00:32:18,440
+breast biop all meridians in 360 degree can be
+
+379
+00:32:18,440 --> 00:32:28,440
+seen equally or rotating the stenopic state why؟
+
+380
+00:32:28,440 --> 00:32:33,140
+after correction of any spherical ametropia اذا
+
+381
+00:32:33,140 --> 00:32:37,820
+بعد ما انا بصلق كل الأخطاء في الاسفير بيوب
+
+382
+00:32:37,820 --> 00:32:45,280
+هايبرمتروب andبالنسبة لك، كل مريديا في الـ 360
+
+383
+00:32:45,280 --> 00:32:49,740
+درجة يمكن أن يكون روحاً أو محاولاً على السلينتر أي
+
+384
+00:32:49,740 --> 00:32:54,960
+بمعنى كل المحاور هتكون متساوية الوضوح من حيث
+
+385
+00:32:54,960 --> 00:33:01,420
+الرؤية للمريد ليه؟ لأن السلينتر بيستخدم to detect
+
+386
+00:33:01,420 --> 00:33:06,620
+the axis of the cylinder فهيكون نفس اللي have the
+
+387
+00:33:06,620 --> 00:33:09,700
+same vertical power in all the meridian
+
+388
+00:33:15,220 --> 00:33:21,280
+Okay؟ طيب، in the presence of a high astigmatism
+
+389
+00:33:21,280 --> 00:33:26,280
+زي مثلا ال keratoconus القرانية المفروضية، أي
+
+390
+00:33:26,280 --> 00:33:32,040
+بمعنى في وجود مريض عنده high astigmatism and
+
+391
+00:33:32,040 --> 00:33:38,270
+before correction قبل التصحيحThe sterobic slit can
+
+392
+00:33:38,270 --> 00:33:44,110
+detect إذا
+
+393
+00:33:44,110 --> 00:33:49,810
+كان عندي
+
+394
+00:33:49,810 --> 00:33:54,270
+high astigmatism، ممكن إن العدسة هذه تكتشف كده ال
+
+395
+00:33:54,270 --> 00:33:58,490
+access الصحيح لهذا المريض إذا وضعتها وين على ال
+
+396
+00:33:58,490 --> 00:34:02,910
+access الصحيحProperly positioned أي بمعنى الـ axis
+
+397
+00:34:02,910 --> 00:34:07,090
+الصحيح أي بمعنى حصيت ال elongated aberration على
+
+398
+00:34:07,090 --> 00:34:12,110
+ال axis 90 أو على ال axis 180 أي بمعنى على ال axis
+
+399
+00:34:12,110 --> 00:34:15,550
+اللي فيه إيه ال problem أو فيه ال defect
+
+400
+00:34:21,090 --> 00:34:24,530
+السلط هو في بعض الأحيان مفيد في تحريك
+
+401
+00:34:24,530 --> 00:34:28,330
+الـastigmatism عندما يكون الأجهزة الأخرى غير
+
+402
+00:34:28,330 --> 00:34:34,650
+مستمتعين إذا ممكن الـstenopic slit تكتشف قيمة
+
+403
+00:34:34,650 --> 00:34:42,090
+الastigmatism أو أكسس لهذا المريضبينما بعض ال
+
+404
+00:34:42,090 --> 00:34:45,910
+devices أي بعض الأدوات زي مثلا ال astigmatic fan
+
+405
+00:34:45,910 --> 00:34:50,290
+أو مثلا ال jackson cross cylinder بتكون غير قادرة
+
+406
+00:34:50,290 --> 00:34:54,970
+and satisfactory أي بمعنى غير قادرة على كشف ايه ال
+
+407
+00:34:54,970 --> 00:34:59,830
+astigmatism لهذا المريض، وين هي اللي بتكون؟ في ال
+
+408
+00:34:59,830 --> 00:35:03,880
+high astigmatismدايما اما يكون المريض عنده high
+
+409
+00:35:03,880 --> 00:35:08,820
+astigmatism, the best way for verification of the
+
+410
+00:35:08,820 --> 00:35:13,680
+cylinder ايش هي الastenobic acid يعني افضل طريقة
+
+411
+00:35:13,680 --> 00:35:19,040
+انه اتبعها هي عبارة عن مين الastenobic acid يعني
+
+412
+00:35:19,040 --> 00:35:24,960
+الان لو مثلا يجالك patient كان عنده minus one على
+
+413
+00:35:24,960 --> 00:35:30,860
+minus five, x is مية و تمانينأفضل طريقة لكشف قداش
+
+414
+00:35:30,860 --> 00:35:34,360
+ال access عند هذا المريض، الasterobic effect،
+
+415
+00:35:34,360 --> 00:35:39,580
+okay؟ و بنغير من هنا العشاء لحد ما يقولوا هذا أوضح
+
+416
+00:35:39,580 --> 00:35:43,860
+إشي؟ أه لحد ما يقولوا أن هذا ال access أه من ناحية
+
+417
+00:35:43,860 --> 00:35:44,760
+الوضوح، لعم
+
+418
+00:35:49,430 --> 00:35:55,130
+When the image is equally clear in 360 degrees in
+
+419
+00:35:55,130 --> 00:35:58,950
+the presence of the slit, no astigmatism is
+
+420
+00:35:58,950 --> 00:36:06,480
+present. All lines are equally clearمثلا حركنا ال
+
+421
+00:36:06,480 --> 00:36:10,860
+استيونو بكسلت على كل المحاور على ال 360 درجة و
+
+422
+00:36:10,860 --> 00:36:17,140
+المريض يعني أشار اليك انه كله نفس الوضوح شو معناه؟
+
+423
+00:36:17,140 --> 00:36:21,120
+مش السيماتيزم معناه انه بيكون فقط اللي هو عنده
+
+424
+00:36:21,120 --> 00:36:24,620
+ورسفيريكال
+
+425
+00:36:24,620 --> 00:36:31,980
+امترابيه وممكن
+
+426
+00:36:31,980 --> 00:36:37,610
+هذا كمان يعنيكلامها صح انه لو مثلا انا الآن حطيت
+
+427
+00:36:37,610 --> 00:36:41,570
+ال escuno بكسلات، حطيته موازع ال axis اللي انا
+
+428
+00:36:41,570 --> 00:36:45,630
+صلحته في الأول، معناه انه ايه؟ ال axis هذا صحيح،
+
+429
+00:36:45,630 --> 00:36:49,290
+لكن لما امشيها شوية، ايش هتعمل؟ يعني لما احرك
+
+430
+00:36:49,290 --> 00:36:52,930
+العدسات، هيعمل blurred television وهذا بيدل على ان
+
+431
+00:36:52,930 --> 00:36:56,210
+ال axis ايش ماله؟ خطر، okay؟
+
+432
+00:36:58,590 --> 00:37:02,530
+هدول ال two devices ال astigmatic fan و ال
+
+433
+00:37:02,530 --> 00:37:05,730
+astenobic slit يعتبروا are very important for the
+
+434
+00:37:05,730 --> 00:37:09,510
+optometrist من حيث الاستخدام طبعا احنا ان شاء الله
+
+435
+00:37:09,510 --> 00:37:13,990
+الأسبوع هذا امتحان في المعمل من الأسبوع القادم اي
+
+436
+00:37:13,990 --> 00:37:17,950
+patient هيجي عندنا نعمله verification, diachrome
+
+437
+00:37:17,950 --> 00:37:22,450
+test, pin hole زائد ال astigmatic fan لو كان عنده
+
+438
+00:37:22,450 --> 00:37:25,150
+سلندة و ال astenobic slit
+
+439
+00:37:28,220 --> 00:37:32,860
+طيب، شو ال main difference ما بين ال astigmatic
+
+440
+00:37:32,860 --> 00:37:41,540
+fan و ال stenobic sled؟ اذا كان ماري كلير في ال
+
+441
+00:37:41,540 --> 00:37:44,200
+astigmatic fan، اذا كان ماري كلير، فهيكون عندى لسه
+
+442
+00:37:44,200 --> 00:37:46,660
+متراب، اذا كان عندى لسه كلير، هيكون عندى ماري
+
+443
+00:37:46,660 --> 00:37:51,260
+متراب، اما في ال stenobic sled هيكون عندى ماري
+
+444
+00:37:51,260 --> 00:37:56,220
+كلير، ماري متراب، ماري .. لسه كلير، لسه مترابلأن
+
+445
+00:37:56,220 --> 00:37:59,380
+هو هينمش هيندي .. هينمش هيندي access في ال .. في
+
+446
+00:37:59,380 --> 00:38:02,480
+ال high school اللي بتاني تستجرب .. تقرأ sleds ..
+
+447
+00:38:02,480 --> 00:38:08,020
+تستجرب ال sleds اذا ممتازة هيك ال main difference
+
+448
+00:38:08,020 --> 00:38:13,460
+ما بين ال astigmatic fan و ال astenobic sled في
+
+449
+00:38:13,460 --> 00:38:17,980
+حالة ال astigmatic fan هيكون ال more clear أي
+
+450
+00:38:17,980 --> 00:38:22,680
+بمعنى more clear lineالخط الأكتر وضوح، هنعملكم
+
+451
+00:38:22,680 --> 00:38:27,480
+إياها بشكل أسهم، هذا في حالة الastenobic acid، لكن
+
+452
+00:38:27,480 --> 00:38:31,220
+في حالة الastigmatic fan، ال more clear، less
+
+453
+00:38:31,220 --> 00:38:35,300
+immature، ال less clear، more immature، أما في
+
+454
+00:38:35,300 --> 00:38:39,400
+حالة الastigmatic fan، هيكون ال more clear، more
+
+455
+00:38:39,400 --> 00:38:43,910
+immature، less clear، less immatureOkay هدى ال
+
+456
+00:38:43,910 --> 00:38:48,450
+main difference between the astigmatic fan and the
+
+457
+00:38:48,450 --> 00:38:53,850
+stenopic slit هدى لما أنا بستخدم mean according to
+
+458
+00:38:53,850 --> 00:38:57,750
+the sign of the cylinder lens لما أنا بستخدم minus
+
+459
+00:38:57,750 --> 00:39:03,450
+cylinder واضح واضح
+
+460
+00:39:03,450 --> 00:39:07,290
+الفرق ما بين ال astigmatic fan و ال stenopic slit
+
+461
+00:39:07,290 --> 00:39:14,850
+طبعا انبيه اختصار ل note book okayدائما كلمة كما
+
+462
+00:39:14,850 --> 00:39:19,870
+بكتب الدكتور او الأستاذ notebook ك abbreviation
+
+463
+00:39:19,870 --> 00:39:26,990
+اختصار okay rotation of drill screw طبعا هذه طريقة
+
+464
+00:39:26,990 --> 00:39:33,930
+بسيطة جدا انه بتعتمد على المريض بعد ما انا بعمل ال
+
+465
+00:39:33,930 --> 00:39:38,990
+objective refraction سواء كان ال retinascope او ال
+
+466
+00:39:38,990 --> 00:39:44,000
+auto refractometerبطلب من المريض بعد ما حط العدسة،
+
+467
+00:39:44,000 --> 00:39:48,140
+السيلندر، انه يعمل عملية ايه؟ تحريك، انه تحريك
+
+468
+00:39:48,140 --> 00:39:52,120
+لمين؟ من خلال ال screw، screw بمعنى برغي، okay
+
+469
+00:39:52,120 --> 00:39:57,240
+فبيحرك اللي هو البرغي هذا، لكن بطلب من المريض انه
+
+470
+00:39:57,240 --> 00:40:02,580
+يحرك بشكل ايه؟ بطيء، مش يحرك بشكل سريع عشان .. طيب
+
+471
+00:40:02,580 --> 00:40:06,500
+الحركة اما تكون بشكل بطيء، هذا المريض هيستطيع انه
+
+472
+00:40:06,500 --> 00:40:09,060
+ايه؟ يلاحظ اللي هو التغير
+
+473
+00:40:11,570 --> 00:40:17,530
+rotation of drill screw انه دوران البرغ هذا بتاع
+
+474
+00:40:17,530 --> 00:40:23,890
+ال trial frame it is simply done أي بمعنى منهج
+
+475
+00:40:23,890 --> 00:40:29,570
+بسيط بيعمل done by asking the patient بواسطة
+
+476
+00:40:29,570 --> 00:40:34,870
+السؤال المريض to rotate the screw انه يدور البرغ
+
+477
+00:40:34,870 --> 00:40:39,610
+هذا of the trial frame للإطار to rotate the
+
+478
+00:40:39,610 --> 00:40:43,310
+cylindrical lensin the trial frame بيعمل عملية
+
+479
+00:40:43,310 --> 00:40:47,730
+تحريك لمين للعدسة الاصطوانية طيب بتتحرك معاه
+
+480
+00:40:47,730 --> 00:40:52,170
+العدسة الاسفير ولا لأ؟ لما تحرك البرج
+
+481
+00:40:55,720 --> 00:41:00,040
+الاسفير الان انا مابحرك البرغ ال screw هذا بتحرك
+
+482
+00:41:00,040 --> 00:41:05,580
+العدسة الاسفير ولا لا؟ بالظبط بتحرك كلها يطول ان
+
+483
+00:41:05,580 --> 00:41:09,400
+هو لو أخدنا .. أخدنا في العمل ان هو عبارة عن ايه؟
+
+484
+00:41:09,400 --> 00:41:14,500
+disk و بتكون من تلت three components okay تلت اللي
+
+485
+00:41:14,500 --> 00:41:18,940
+هو فتحات ممكن أحط فيها الاسفير ال cylinder زائد ال
+
+486
+00:41:18,940 --> 00:41:23,900
+accessory lensOkay لكن حتى لو اتحاربكت العدسة
+
+487
+00:41:23,900 --> 00:41:27,020
+الاسمية have the same power in all the ingredients
+
+488
+00:41:28,640 --> 00:41:31,980
+to rotate the cylindrical lens in the trial frame,
+
+489
+00:41:32,340 --> 00:41:36,680
+the patient will rotate the screw until he or she
+
+490
+00:41:36,680 --> 00:41:42,100
+sees the best clear image يعني انه لحد ما انا بصل
+
+491
+00:41:42,100 --> 00:41:49,380
+لأفضل رؤية لمين للمريض يعني انا برشد المريض انه
+
+492
+00:41:49,380 --> 00:41:54,100
+يحرك البرغي هذا لحد ما يصل إلى صورة ايش بتكون هي
+
+493
+00:41:54,100 --> 00:41:58,870
+ال best clear image لهOkay عندها يكون هذا ال axis
+
+494
+00:41:58,870 --> 00:42:04,030
+ايه correct صحيح هو ال axis المطلوب منه طيب لو بقى
+
+495
+00:42:04,030 --> 00:42:08,870
+اللي blurred لل vision شو بيعنيلك؟ انه ممكن يكون
+
+496
+00:42:08,870 --> 00:42:13,790
+ال power طبعا ممكن انه ال power بتاع العدسة انه
+
+497
+00:42:13,790 --> 00:42:18,210
+مايكونش اللي هو correct فلذلك انه دايما انا بصلح
+
+498
+00:42:18,210 --> 00:42:22,390
+في ال cylinder ال power قبل ال axis صح؟ يعني مثلا
+
+499
+00:42:22,390 --> 00:42:27,410
+المريض عنده minus نصOkay لو حطيتله minus ربع و كان
+
+500
+00:42:27,410 --> 00:42:31,750
+ال axis مثلا تسعين الاصلي و انا حطيتله axis تمانين
+
+501
+00:42:31,750 --> 00:42:36,390
+طب انا مقلل ايش ال power صح فانا بدي اصل ل maximum
+
+502
+00:42:36,390 --> 00:42:42,790
+power و بعدين بصلح من ال axis okay اذا دايما في
+
+503
+00:42:42,790 --> 00:42:47,270
+حالة ال cylinder بصلح ال power و بعدين بصلح من ال
+
+504
+00:42:47,270 --> 00:42:52,630
+axis at
+
+505
+00:42:52,630 --> 00:42:56,810
+this pointThe rotation is stopped and we can
+
+506
+00:42:56,810 --> 00:43:00,490
+determine the accurate axis of the cylindrical
+
+507
+00:43:00,490 --> 00:43:05,770
+lens يعني عند هذه النقطة بنجف عملية إيش الدوران و
+
+508
+00:43:05,770 --> 00:43:10,190
+بيكون هذا يما أنا بصل ل ال base a clear image
+
+509
+00:43:10,190 --> 00:43:15,960
+بتكون هان ال axis هو إيه صحيح بالنسبة للمريضو
+
+510
+00:43:15,960 --> 00:43:20,480
+بيكون هذا ال axis تعمل العدسة الاستوانية يعني بطلب
+
+511
+00:43:20,480 --> 00:43:24,100
+من المركز بقوله عمال ليه عدسة minus one على minus
+
+512
+00:43:24,100 --> 00:43:27,880
+two axis تسايم هذه اللي هتركب وين؟ فى لدّارة
+
+513
+00:43:27,880 --> 00:43:34,420
+المارين okay ال
+
+514
+00:43:34,420 --> 00:43:36,040
+Jackson cross cylinder
+
+515
+00:43:42,360 --> 00:43:49,660
+طبعا جاكسون cross cylinder عبارة عن عدسة بتتكون من
+
+516
+00:43:49,660 --> 00:43:57,540
+عدستين عدسة بتكون plus و عدسة minus التنتين ايه
+
+517
+00:43:57,540 --> 00:44:04,920
+صار لهم عملية damage okay ففي الآخر أداني عدسة
+
+518
+00:44:04,920 --> 00:44:10,980
+قوتها من طرف plus مثلا نص
+
+519
+00:44:13,740 --> 00:44:26,420
+أكسز تسعين من طرف تالي minus نص أكسز
+
+520
+00:44:26,420 --> 00:44:33,300
+تسعين شو معناته هذه أن العدسيتين equal in the
+
+521
+00:44:33,300 --> 00:44:38,980
+power لكن different in the size إذا القوتين
+
+522
+00:44:38,980 --> 00:44:46,910
+متساوية لكن واحدة plusOkay طيب ال Jackson cross
+
+523
+00:44:46,910 --> 00:44:52,850
+cylinder بتستخدم لتأكيد ال access للعدسة
+
+524
+00:44:52,850 --> 00:44:58,250
+الاسطوانية و برضه بيستخدم لإيش؟ لتأكيد ال power of
+
+525
+00:44:58,250 --> 00:45:03,290
+the cylinder lens ال astigmatic fan to detect the
+
+526
+00:45:03,290 --> 00:45:07,190
+access and power of the lens true or false
+
+527
+00:45:10,070 --> 00:45:15,390
+بمعنى ان ال astigmatic fan بتستخدم لتأكيد ال
+
+528
+00:45:15,390 --> 00:45:20,210
+access و ال power للعدسة الستوانية هذا صح ولا خطأ
+
+529
+00:45:20,210 --> 00:45:28,430
+فقط to detect the access ال scleropic slit أيضا
+
+530
+00:45:28,430 --> 00:45:33,610
+فقط لمين to detect the access الجاكسون across ال
+
+531
+00:45:33,610 --> 00:45:36,830
+end up لل power و لل access
+
+532
+00:45:39,770 --> 00:45:44,530
+طبعا jackson أي بمعنى اسم العالم اللى اكتشف او
+
+533
+00:45:44,530 --> 00:45:50,630
+اللى apply استخدام هذه العدسة بسأله ان يكونوا منكم
+
+534
+00:45:50,630 --> 00:45:56,170
+علماء ان شاء الله ال cross cylinder العدسة
+
+535
+00:45:56,170 --> 00:46:02,210
+الاستوانية is composed اي بمعنى بتتكون of a plus
+
+536
+00:46:02,210 --> 00:46:09,480
+cylinder lens من عدسة بتكونموجبة and a minus
+
+537
+00:46:09,480 --> 00:46:14,500
+cylinder lens عدسة أخرى بتكون minus متساويين ال
+
+538
+00:46:14,500 --> 00:46:18,840
+power equal of power that are ground on a lens أي
+
+539
+00:46:18,840 --> 00:46:25,040
+بمعنى متحدين معا okay with their axes at right
+
+540
+00:46:25,040 --> 00:46:29,100
+angles to each other انه بيكون المحورين أشمالهم
+
+541
+00:46:29,100 --> 00:46:34,740
+متعامدين على بعضهم البعض إذا عبارة عن عدسة بتتكون
+
+542
+00:46:34,740 --> 00:46:41,820
+منقوتينمختلفة ال power كل واحدة مختلفة ال sign
+
+543
+00:46:41,820 --> 00:46:45,820
+واحدة plus اه متساوية ال power واحدة plus واحدة
+
+544
+00:46:45,820 --> 00:46:51,100
+minus لكن بيكونوا مختلفين من حيث إيه؟ الإشارة و
+
+545
+00:46:51,100 --> 00:46:57,600
+بيكونوا متعمدين على بقى أه
+
+546
+00:46:57,600 --> 00:46:58,320
+هال 180
+
+547
+00:47:06,390 --> 00:47:11,610
+Okay the commonly used a cross cylinder are of a
+
+548
+00:47:11,610 --> 00:47:18,190
+plus or minus 0.25 diopter and 0 or minus 0.5
+
+549
+00:47:18,190 --> 00:47:23,350
+diopter إذا في منها بيكون minus ربع و plus ربع في
+
+550
+00:47:23,350 --> 00:47:28,150
+plus نص و minus نص و في plus or minus 75 يعني
+
+551
+00:47:28,150 --> 00:47:33,650
+موجود اللي هو من ناحية البواب لحدية 75 okay
+
+552
+00:47:37,880 --> 00:47:41,320
+All a cross-cylinder lenses have a spherical
+
+553
+00:47:41,320 --> 00:47:46,660
+equivalent power of zero إبلانو أخدت قانون الـ
+
+554
+00:47:46,660 --> 00:47:50,420
+spherical equivalent الاسفير زائد السيلندر إشماله
+
+555
+00:47:50,420 --> 00:47:55,280
+نص السيلندر بساوي زيرو صح؟ Spherical equivalent
+
+556
+00:47:55,280 --> 00:47:57,640
+ماخدتها؟ طيب
+
+557
+00:48:09,400 --> 00:48:16,420
+عنا قانون Spherical
+
+558
+00:48:16,420 --> 00:48:28,980
+طبعا
+
+559
+00:48:28,980 --> 00:48:33,500
+هي تُكتب باختصار شكل هذا Spherical Equivalent
+
+560
+00:48:33,500 --> 00:48:38,500
+بزاوية Sphere بزاوية النص
+
+561
+00:48:42,230 --> 00:48:47,850
+السيلندر اي بمعنى لو انا مثلا كان عندى ال plus one
+
+562
+00:48:47,850 --> 00:48:51,090
+على
+
+563
+00:48:51,090 --> 00:48:56,670
+minus two axis بسيط كنتش هل ال spherical
+
+564
+00:48:56,670 --> 00:49:05,430
+equivalent plus one صح تصير بعدها
+
+565
+00:49:05,430 --> 00:49:07,510
+النص في السيلندر كان
+
+566
+00:49:23,620 --> 00:49:31,250
+إذا ناسفريكال equivalentهي المبدأ بتاع الجاكسون
+
+567
+00:49:31,250 --> 00:49:35,690
+across سلنده قائم على ال spherical equivalent ان
+
+568
+00:49:35,690 --> 00:49:42,170
+السفير زائد نص السلنده بساوي zero معادلة
+
+569
+00:49:42,170 --> 00:49:47,050
+السفير يعني equivalent جديش اللي هي المعادلة لعدسة
+
+570
+00:49:47,050 --> 00:49:51,010
+السفير بمعنى الآن ايجي مثلا مريض
+
+571
+00:49:53,220 --> 00:49:58,380
+لأ هي إلها application إلها استعمالات بمعنى الآن
+
+572
+00:49:58,380 --> 00:50:03,580
+لو جاني مثلا مريض كان minus one ع minus sorry
+
+573
+00:50:03,580 --> 00:50:09,480
+minus نص خلينا نقل شوية ع minus ثلاثة okay x is
+
+574
+00:50:09,480 --> 00:50:13,100
+مية و تمانين بحكيلك عملينه spherical equivalent
+
+575
+00:50:13,100 --> 00:50:17,980
+بتروح تعمل القانون هذا عمليات ال cataract اللي
+
+576
+00:50:17,980 --> 00:50:21,380
+بتشوفوها الناس اللي عندهم بيعملوا عمليات مية بيضا
+
+577
+00:50:21,910 --> 00:50:24,590
+كلها قائمة على القانون هذا الـ spherical
+
+578
+00:50:24,590 --> 00:50:27,690
+equivalent بالزاوية الاسفير زايد النُص الانت
+
+579
+00:50:27,690 --> 00:50:31,830
+عارفين في عمليات الميال بيضا بيعملوا عملية زراعة
+
+580
+00:50:31,830 --> 00:50:37,150
+عدسة جديدة فالمبدأ دا هذه العدسة اللي بتم زراعتها
+
+581
+00:50:37,150 --> 00:50:40,110
+هي على ال spherical equivalent من ضمن ال
+
+582
+00:50:40,110 --> 00:50:43,050
+application و أهم استعمال لها لل spherical
+
+583
+00:50:43,050 --> 00:50:46,370
+equivalent هي في حالة مين ال Jackson's crossband
+
+584
+00:50:46,370 --> 00:50:47,470
+واضح
+
+585
+00:50:50,750 --> 00:50:53,050
+إذا الـ spherical equivalent في ناحية
+
+586
+00:50:53,050 --> 00:50:56,470
+الـastigmatic فان، من ناحية الجاكسون cross
+
+587
+00:50:56,470 --> 00:51:00,350
+-cylinder إن الاسفير في plus half السليندر بيساوي
+
+588
+00:51:00,350 --> 00:51:07,530
+plano أو بيساوي zero طيب
+
+589
+00:51:07,530 --> 00:51:12,390
+the cross-cylinder may be used إذا ممكن إن هذه
+
+590
+00:51:12,390 --> 00:51:17,420
+واضحة القانون ولا كيف؟يعني ببساطة ان ال spherical
+
+591
+00:51:17,420 --> 00:51:21,700
+equivalent معادلة الاسفير بالساوي الاسفير زائد نص
+
+592
+00:51:21,700 --> 00:51:26,420
+السليندر okay شو ال application بتاعتها أهم موضوع
+
+593
+00:51:26,420 --> 00:51:29,280
+اللي هو ال Jackson cross cylinder او ال cross
+
+594
+00:51:29,280 --> 00:51:34,240
+cylinder ايضا وين بتستخدم ال application من ضمن في
+
+595
+00:51:34,240 --> 00:51:37,680
+عمليات ال cataract surgery لل lens اللي بتم
+
+596
+00:51:37,680 --> 00:51:41,460
+زراعتها وين في ال anterior shape okay
+
+597
+00:51:50,870 --> 00:51:56,070
+the cross cylinder إذا العدسة هذه may be used إذا
+
+598
+00:51:56,070 --> 00:52:01,890
+ممكن إنه تستخدم to refine أي بمعنى لتأكيد the
+
+599
+00:52:01,890 --> 00:52:06,510
+patient's cylinder axis or power إذا إذا بتستخدم
+
+600
+00:52:06,510 --> 00:52:11,030
+لتأكيد قداش ال axis يعني العدسة الإستوانية أو ال
+
+601
+00:52:11,030 --> 00:52:17,010
+power أو القوةafter estimation بعد تقدير by either
+
+602
+00:52:17,010 --> 00:52:22,290
+objective written score or subjective astigmatic
+
+603
+00:52:22,290 --> 00:52:27,230
+deal means يعني إما بعد ما أنا بعمل ال objective
+
+604
+00:52:27,230 --> 00:52:30,150
+refraction زي ال written score أو ال auto
+
+605
+00:52:30,150 --> 00:52:36,330
+refractometer أو بعد إيهالـ Stigmatic Fan أو ممكن
+
+606
+00:52:36,330 --> 00:52:41,910
+بعيد الـ Rotation لـ Dell Screw بعد أن ما أدور من
+
+607
+00:52:41,910 --> 00:52:46,530
+البرمجل للعدسة الاصطوانية في الـ Trailer Frame
+
+608
+00:52:46,530 --> 00:52:51,070
+حنقف
+
+609
+00:52:51,070 --> 00:52:57,490
+لهان لأن المرة الجاية هناخد كيف تستخدم العدسة الـ
+
+610
+00:52:57,490 --> 00:53:01,850
+Jackson Cross Cylinder في معادلة ال Axis و معادلة
+
+611
+00:53:01,850 --> 00:53:07,380
+الPowerيعني how to apply the jackson cross
+
+612
+00:53:07,380 --> 00:53:18,020
+cylinder for x's length and for x's power طيب
+
+613
+00:53:18,020 --> 00:53:22,280
+لها ان شاء الله بنتوقف في المحاضرة، في أي سؤال؟ أي
+
+614
+00:53:22,280 --> 00:53:27,720
+استفسار؟
+
+615
+00:53:27,720 --> 00:53:29,340
+طيب شكرا يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b52c5f042ff97b5711fe99202361713f1fc54aba
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/RObt8Y8hYFc_raw.srt
@@ -0,0 +1,2460 @@
+1
+00:00:21,400 --> 00:00:24,540
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,540 --> 00:00:28,000
+and a very good afternoon to all of you في
+
+3
+00:00:28,000 --> 00:00:33,180
+المحاضرة السابقة اتكلمنا عن ال verification for
+
+4
+00:00:33,180 --> 00:00:38,960
+spherical power شو الطرق اللي استخدمناها ل ال
+
+5
+00:00:38,960 --> 00:00:42,320
+verification for spherical power number one
+
+6
+00:00:47,160 --> 00:00:53,400
+ديو كروم تاست أو رد جرين تاست رسم أخر رقم 2 ترايل
+
+7
+00:00:53,400 --> 00:01:02,700
+و خطأ هل يمكنك تطبيق ترايل و خطأ على سلندر أو لا؟
+
+8
+00:01:02,700 --> 00:01:09,280
+نعم يمكنك تطبيقه على سفير و سلندر رقم 3
+
+9
+00:01:25,040 --> 00:01:29,580
+طيب اليوم هنبدأ ان شاء الله verification for
+
+10
+00:01:29,580 --> 00:01:36,300
+cylindrical power عندنا
+
+11
+00:01:36,300 --> 00:01:40,410
+ال astigmatismبقولنا كلمة verification بمعنى
+
+12
+00:01:40,410 --> 00:01:46,790
+refinement تأكيد okay Astigmatism incident light
+
+13
+00:01:46,790 --> 00:01:51,330
+rays are brought to focus in a line instead of
+
+14
+00:01:51,330 --> 00:01:57,070
+single point okay طيب أول حاجة عندنا ال astigmatic
+
+15
+00:01:57,070 --> 00:02:02,490
+fanastigmatic fan فان بمعنى مروحة يعني بتكون
+
+16
+00:02:02,490 --> 00:02:07,890
+بالشكل هذا شكلها زي عندنا في ال chart في داخل
+
+17
+00:02:07,890 --> 00:02:12,310
+المعمل في ال manual ال chart في اللوحة أو بتكون
+
+18
+00:02:12,310 --> 00:02:18,610
+على ال projector chart okay الastigmatic fan
+
+19
+00:02:18,610 --> 00:02:25,070
+بتستخدم في تأكيد ال axis يعني جديش ال axis تعمل
+
+20
+00:02:25,070 --> 00:02:32,840
+السيلندر okayالان بعرض الخطوط ككلها على المريض او
+
+21
+00:02:32,840 --> 00:02:37,340
+ال slide بعرضه اذا المريض شاف كل الخطوط بنفس
+
+22
+00:02:37,340 --> 00:02:42,160
+الوضوح هذا بيديني دلالة على انه المريض مافيش عنده
+
+23
+00:02:42,160 --> 00:02:47,760
+ايه astigmatism اي بمعنى ان المريض امتراض طبيعي
+
+24
+00:02:47,760 --> 00:02:54,580
+اذا الastigmatic fan بيستخدم لتأكيد ال access يعني
+
+25
+00:02:54,580 --> 00:03:01,540
+جديش قيمة ال accessللعدسة ال cylinder باعرض ال
+
+26
+00:03:01,540 --> 00:03:06,120
+astigmatic fan للمريض إذا شاف المريض كل الخطوط
+
+27
+00:03:06,120 --> 00:03:10,080
+بنفس الوضوح هذا بيدل على إن المريض ما عندهوش
+
+28
+00:03:10,080 --> 00:03:14,120
+astigmatism يعني ال astigmatism is not present for
+
+29
+00:03:14,120 --> 00:03:18,740
+the patient طيب لو قال للمريض إنه في خط أوضح من
+
+30
+00:03:18,740 --> 00:03:24,440
+الخط من الخطوط الأخرى يعني في خط واضح يعنيmore
+
+31
+00:03:24,440 --> 00:03:29,260
+clear compared to the other lines هذا بمعنى ان
+
+32
+00:03:29,260 --> 00:03:34,760
+المريض have a stigmatism يعني must be have a
+
+33
+00:03:34,760 --> 00:03:39,940
+stigmatism okay يعني معناه ان هذا المريض لازم يكون
+
+34
+00:03:39,940 --> 00:03:45,840
+عنده ايه a stigmatism طيب الآن هذا الخط لو فرضنا
+
+35
+00:03:45,840 --> 00:03:47,660
+هي خط واضح
+
+36
+00:04:00,790 --> 00:04:06,970
+لو فرضنا انه التسعين ال axis تسعين كانت هان الخط
+
+37
+00:04:06,970 --> 00:04:13,610
+جليه طبعا هان هيكون أتمعش و ستة شو معناه ان ال
+
+38
+00:04:13,610 --> 00:04:17,930
+axis تسعين صح اللي هو ال vertical line لو جلي هذا
+
+39
+00:04:17,930 --> 00:04:23,850
+واضح مقارنة في الخطوط الأخرىمعناه ان هذا هو ال
+
+40
+00:04:23,850 --> 00:04:29,330
+field defect يعني هذا هو ال field تكثير okay فعنا
+
+41
+00:04:29,330 --> 00:04:38,150
+ال more clear more
+
+42
+00:04:38,150 --> 00:04:41,490
+clear
+
+43
+00:04:41,490 --> 00:04:47,110
+بدل
+
+44
+00:04:47,110 --> 00:04:47,690
+على انه غير
+
+45
+00:04:55,720 --> 00:05:00,580
+اذا ال meridian او sorry ال axis اللي بيكون اكثر
+
+46
+00:05:00,580 --> 00:05:06,340
+وضوح هو بيكون اقل طبيعي okay يعني شو معناه ان هذا
+
+47
+00:05:06,340 --> 00:05:12,000
+ال axis هو اللي فيه ال defect التأثير طيب ال less
+
+48
+00:05:12,000 --> 00:05:22,300
+clear بيكون ايه more symmetrical okay طيب من ناحية
+
+49
+00:05:22,300 --> 00:05:28,110
+التطبيق انامستوعب ان الفكرة لسه مش واضحة الان
+
+50
+00:05:28,110 --> 00:05:32,670
+اعملنا على ال auto او على ال retinascope لجينا
+
+51
+00:05:32,670 --> 00:05:41,770
+مثلا المريض عنده minus واحد على minus اتنين axis
+
+52
+00:05:41,770 --> 00:05:50,030
+تسعين okay اذا ال axis تسعين ايش ماله ال axis
+
+53
+00:05:50,030 --> 00:05:56,300
+التسعين هو اللي هيكون ايه مش واضحال access تسعين
+
+54
+00:05:56,300 --> 00:06:01,660
+ال access تسعين كمل الفكرة ال access تسعين هو المش
+
+55
+00:06:01,660 --> 00:06:07,400
+واضح فالان انا وين بحط ال .. ال .. ال .. ال access
+
+56
+00:06:07,400 --> 00:06:13,280
+بتاعي على الاكتر وضوح صح على ال مية و تمانين يعني
+
+57
+00:06:13,280 --> 00:06:18,720
+بمعنى ان العدسة هتيجي وين يعني الان الخط مين المش
+
+58
+00:06:18,720 --> 00:06:22,940
+واضح ال تسعين ولا المية و تمانين ال تسعين ال تسعين
+
+59
+00:06:22,940 --> 00:06:29,950
+اذا هيكون ايهلسة مين المش واضح بالنسبة للمريم؟ ال
+
+60
+00:06:29,950 --> 00:06:39,250
+جتب واحدة و أكتر ال defect وين هو هيكون؟
+
+61
+00:06:39,250 --> 00:06:44,430
+احنا قولنا ان ال more clear الخط اللي هيكون أكتر
+
+62
+00:06:44,430 --> 00:06:49,910
+وضوح الخط اللي هيكون أكتر وضوح اللي هو مين؟ ال مية
+
+63
+00:06:49,910 --> 00:06:55,410
+و تمانين صح؟ الأكتر وضوحفال axis هيكون عمودي عليه
+
+64
+00:06:55,410 --> 00:07:03,330
+يعني بمعنى انه هحط العدسة على ال axis تسعين واضح؟
+
+65
+00:07:03,330 --> 00:07:09,050
+مش مرضى تاني الان الان انا بعرض الخطوط هذه على
+
+66
+00:07:09,050 --> 00:07:14,410
+المريض لو كان مثلا ال power على ال axis تسعين
+
+67
+00:07:14,410 --> 00:07:19,610
+هيقوللي ال 180 مش واضحة فانا بروح بجيب العدسة
+
+68
+00:07:19,610 --> 00:07:24,520
+بحطها على ال axis تسعينفأنا صلحت مين؟ التسييط
+
+69
+00:07:24,520 --> 00:07:29,500
+فمعنى أنه ال more clear less immature و less clear
+
+70
+00:07:29,500 --> 00:07:32,280
+more immature يعني هل هنحن نحط ال access على ال
+
+71
+00:07:32,280 --> 00:07:36,760
+180؟ لأ هو شوية أكتر، إيه التسييط؟ أه، مين اللي
+
+72
+00:07:36,760 --> 00:07:40,620
+هيكون؟ كوضوح يعني المريض هان، مين الأوضح إله
+
+73
+00:07:40,620 --> 00:07:44,840
+هيكون؟ ال 180، ال 180 عشان هيك وان بحط ال access
+
+74
+00:07:44,840 --> 00:07:50,900
+يعني على التسييط فأنا بكون صلحت مين؟ أه، أنا بحكي
+
+75
+00:07:50,900 --> 00:07:56,420
+عن وصفة هذهOkay يعني ال minus one على minus two
+
+76
+00:07:56,420 --> 00:08:00,080
+axis تسعين إذا وين هيكون الخلل اللي فيه عنده؟ ال
+
+77
+00:08:00,080 --> 00:08:05,040
+defect ال defect عندي وين؟ على التسعين طيب المريض
+
+78
+00:08:05,040 --> 00:08:08,760
+مين هيشوف أوضح؟ المية و تمانيت إذا بحط ال axis
+
+79
+00:08:08,760 --> 00:08:13,780
+إيه؟ على التسعين فانا بكون هيك صلحت مية بالتسعين
+
+80
+00:08:13,780 --> 00:08:20,130
+هذه الفكرة العامة تاعت الastigmatic fan okayفيه
+
+81
+00:08:20,130 --> 00:08:25,830
+blurred ولا كيف على الفكرة يعني انت بتشوف ال axis
+
+82
+00:08:25,830 --> 00:08:31,650
+الاكتر وضوح بيكون هو فيه ال defect هو فيه الخلل او
+
+83
+00:08:31,650 --> 00:08:35,370
+هو فيه ال problem يعني هو بيكون اضعف من الخطوط
+
+84
+00:08:35,370 --> 00:08:42,070
+التانية okay هذه فكرة ال astigmatic fan بحرك ال
+
+85
+00:08:42,070 --> 00:08:46,150
+axis على ال triangle عليه نعم العدس لما نحطها
+
+86
+00:08:46,150 --> 00:08:50,190
+بحطها على ال axis اللي هو بيكون بعالي منهانا بمسك
+
+87
+00:08:50,190 --> 00:08:54,630
+العدسة و بحطها على ال axis اللي انا بديه مثلا axis
+
+88
+00:08:54,630 --> 00:09:00,250
+90 بحط ال axis 90، 180 و هكذا okay؟ اه تفضل يعني
+
+89
+00:09:00,250 --> 00:09:02,870
+لما اجي أسأل بس هقول مين أكتر و مين أكتر ايش واضح
+
+90
+00:09:02,870 --> 00:09:06,350
+اه الان انا جاي على التكنيك الان لما انا بعرض ال
+
+91
+00:09:06,350 --> 00:09:11,610
+astigmatic fan بقول للمريض مين ال خط الأوضح
+
+92
+00:09:11,610 --> 00:09:16,690
+بالخطوط الأخرى يعني مقارنة which one is more clear
+
+93
+00:09:16,690 --> 00:09:20,760
+compared to the other linesيعني أنه خط بيكون أوضح
+
+94
+00:09:20,760 --> 00:09:24,860
+من الخطوط التانية، بقوللي مثلا .. طبعا هي بتكون في
+
+95
+00:09:24,860 --> 00:09:29,840
+أرقام في المعمل أوه هذا، بقوللي مثلا الاطنعش
+
+96
+00:09:29,840 --> 00:09:33,460
+والستة، أوضح من التانية، بعرف أنه في الاطنعش
+
+97
+00:09:33,460 --> 00:09:38,720
+والستة في إيه ال defect، okay فبروح بحط العدسة
+
+98
+00:09:38,720 --> 00:09:42,840
+عمودي على ال .. ال .. ال .. ال ..
+
+99
+00:09:45,910 --> 00:09:51,410
+لأن ال meridian هو عكس مين ال axis يعني ال axis هو
+
+100
+00:09:51,410 --> 00:09:53,670
+الواضح اللي بيطلع في ال stone اللي هو في ال axis
+
+101
+00:09:53,670 --> 00:10:00,450
+180 فانا بكون هيك ايه صلحت مين؟ التسعين واضح
+
+102
+00:10:00,450 --> 00:10:03,250
+النقطة يعني ال axis اللي بيبقوا بيشوف بيكونوا ان
+
+103
+00:10:03,250 --> 00:10:06,630
+برضه العودة علي التهير فيهم defect لأ واحد فيهم
+
+104
+00:10:06,630 --> 00:10:12,560
+يكون ال defectالان انا بعرض الصورة هنا ان هو واحد
+
+105
+00:10:12,560 --> 00:10:15,980
+فيهم more clear هو هذا اللي فيه defect هو هذا اللي
+
+106
+00:10:15,980 --> 00:10:20,740
+فيه المشكلة okay اه فانا وين بدي احط العدسة ع
+
+107
+00:10:20,740 --> 00:10:25,880
+العمودي عليه يعني مثلا جالي المشكلة ال 12 وال 6
+
+108
+00:10:25,880 --> 00:10:32,960
+اذا بحط العدسة وين على ال axis 3 و 9 واضح؟ لو جالي
+
+109
+00:10:32,960 --> 00:10:38,170
+مثلا على ال 130يعني جال ال line 130 هو الأوضح
+
+110
+00:10:38,170 --> 00:10:46,530
+هيكون ايه بطرح اللي هو 90 50 واضح الفكرة يعني ال
+
+111
+00:10:46,530 --> 00:10:53,550
+more clear بحط العدسة وين عمودي عليه ال stigmatic
+
+112
+00:10:53,550 --> 00:10:57,470
+fan it is used to verify the axis of a triangular
+
+113
+00:10:57,470 --> 00:11:03,950
+lens إذا بتستخدم لتأكيد ال axis للعدسة الستوانية
+
+114
+00:11:03,950 --> 00:11:10,650
+okayOn looking at such fan, if any of the lines
+
+115
+00:11:10,650 --> 00:11:14,390
+are seen more clearly than the others, astigmatism
+
+116
+00:11:14,390 --> 00:11:15,830
+must be present
+
+117
+00:11:35,550 --> 00:11:39,510
+If the vertical line is clear more than the
+
+118
+00:11:39,510 --> 00:11:44,170
+horizontal meridian, it is the less immetropic one
+
+119
+00:11:44,170 --> 00:11:48,790
+has the defect, inverse relation أي بمعنى إذا كان
+
+120
+00:11:48,790 --> 00:11:55,140
+الخط أو كان ال axis العمودي هو الواضحيعني بمعنى ال
+
+121
+00:11:55,140 --> 00:12:00,260
+12 وال6 أوضح من باقي الخطوط معناه ان هذا الخط هو
+
+122
+00:12:00,260 --> 00:12:04,180
+فيه ايه ال defect اي هو فيه ال problem المشكلة
+
+123
+00:12:04,180 --> 00:12:11,100
+فبحط ال access بتاعي عمودي على ال 12 وال6 طبعا
+
+124
+00:12:11,100 --> 00:12:18,400
+inverse relation بمعنى علاقة عكسية more clear line
+
+125
+00:12:18,400 --> 00:12:25,180
+less semidrop ان الخط الاكتر وضوحبكون اقل طبيعي
+
+126
+00:12:25,180 --> 00:12:31,000
+okay لسه clear line الخط الاقل وضوح بكون اكثر
+
+127
+00:12:31,000 --> 00:12:37,460
+امترو اكثر طبيعي a
+
+128
+00:12:37,460 --> 00:12:41,840
+cylinder lens العدسة الاصطوانية is a place in
+
+129
+00:12:41,840 --> 00:12:46,100
+front of the eye دايما وين بتحط العدسة الاصطوانية؟
+
+130
+00:12:46,100 --> 00:12:50,120
+امام العين يعني بتحطيها في ال trial frame صح قبل
+
+131
+00:12:50,120 --> 00:12:56,390
+ال frame ولا ..لأ، هي ممكن أنه تكون يعني قبل أو
+
+132
+00:12:56,390 --> 00:12:59,690
+بعد، يعني ممكن المريض يكون عنده مثلا إبلانه،
+
+133
+00:12:59,690 --> 00:13:03,850
+ماعندهوش سفير، صح؟ فانا .. هي بتكون .. يعني .. أه،
+
+134
+00:13:03,850 --> 00:13:08,110
+بحط العدس لسفير، بعدين بحط السلندر، لكن مثلا الآن
+
+135
+00:13:08,110 --> 00:13:11,670
+أنا عرضت ال astigmatic fan، المريض قاللي مش واضح،
+
+136
+00:13:11,670 --> 00:13:16,070
+يعني كلها مغبشة، معناه أني بدي أصلح مين؟ الاسفير،
+
+137
+00:13:16,070 --> 00:13:19,830
+الميور أه يعني أصلح السفير، بعدين السلندر هو صح
+
+138
+00:13:19,830 --> 00:13:24,330
+أنه أصلح .. أنا حكيتلكم المعلومة هذهانه الصح انه
+
+139
+00:13:24,330 --> 00:13:29,570
+موجود في الكتب لازم أصلح الاسفير قبل السليندر، لكن
+
+140
+00:13:29,570 --> 00:13:34,110
+من ناحية practice صحيح انه هذي .. اه طبعا اللي هو
+
+141
+00:13:34,110 --> 00:13:37,610
+كل حالة تعتبر special case، حالة خاصة، لكن
+
+142
+00:13:37,610 --> 00:13:41,850
+according to my experience انا شايف انه لازم الصلح
+
+143
+00:13:41,850 --> 00:13:46,090
+في المعظم السليندر قبل الاسفير، لأنه دايما بالصلح
+
+144
+00:13:46,090 --> 00:13:50,200
+انت ..الاسفير قبل بتحس إن المريض عنده إيش،
+
+145
+00:13:50,200 --> 00:13:53,380
+implored لل vision وبالتالي ما بتحسن معاه، يعني
+
+146
+00:13:53,380 --> 00:13:55,920
+أنت مثلا بيقوليله مين أوضح، ال red ولا ال .. ولا
+
+147
+00:13:55,920 --> 00:13:59,300
+ال green؟ بقولك أنا مش شايف، لا red ولا green طب
+
+148
+00:13:59,300 --> 00:14:02,680
+في هذه الحالة إيش بدي أعمل؟ بصلح السليندة، بعدين
+
+149
+00:14:02,680 --> 00:14:06,680
+باجع مين؟ على الاسفير، okay يعني هان الفكرة
+
+150
+00:14:09,320 --> 00:14:14,880
+أسلندر لينز العدسة الأسطوانية is placed مكانها in
+
+151
+00:14:14,880 --> 00:14:19,500
+front of the eye أمام العين with its axis
+
+152
+00:14:19,500 --> 00:14:23,880
+horizontal will correct the vertical meridian طبعا
+
+153
+00:14:23,880 --> 00:14:27,080
+لأنه بيكون عمودي ال power عمودي على ال axis في
+
+154
+00:14:27,080 --> 00:14:32,700
+العدسة السليندة and when the correct glass power
+
+155
+00:14:32,700 --> 00:14:39,330
+لما أنا بعمل عملية تصحيح للقوةis to be warned all
+
+156
+00:14:39,330 --> 00:14:43,850
+the lines of the astigmatic fan appear equally
+
+157
+00:14:43,850 --> 00:14:48,150
+distinct أي بمعنى لما انا بعمل عملية تصحيح في
+
+158
+00:14:48,150 --> 00:14:52,430
+العدسة السليندر ان كل الخطوط هتكون متساوية الواضح
+
+159
+00:14:52,430 --> 00:14:57,570
+واضح لان عمالي انا ايش اعملت تصحيح للastigmatism
+
+160
+00:15:04,130 --> 00:15:11,110
+which thus renders بمعنى ان العدسة الاصطوانية لهذا
+
+161
+00:15:11,110 --> 00:15:17,150
+السبب هتظهر انه هتقلل renders بمعنى reduces the
+
+162
+00:15:17,150 --> 00:15:22,650
+outline اي بمعنى the shape شكل of the whole lines
+
+163
+00:15:22,650 --> 00:15:26,990
+الخطوط كلها يعني كل الخطوط الموجودة في
+
+164
+00:15:26,990 --> 00:15:31,530
+الastigmatic fan هتقللها equally clear it's the
+
+165
+00:15:31,530 --> 00:15:36,160
+amount of astigmatismيعني وظيفة العدسة الاستوانية
+
+166
+00:15:36,160 --> 00:15:40,420
+انها هتجعل كل الخطوط متساوية الوضوح، okay؟ لما انا
+
+167
+00:15:40,420 --> 00:15:46,030
+بحط هوين in front of the eyeand the axis of the
+
+168
+00:15:46,030 --> 00:15:50,710
+cylinder is at right angle، إذا هيكون ال .. ال ..
+
+169
+00:15:50,710 --> 00:15:55,610
+ال axis بتاع العدسة عمودي، يعني هيكونه متعامد
+
+170
+00:15:55,610 --> 00:16:00,070
+عليها to the line which was initially seen most
+
+171
+00:16:00,070 --> 00:16:04,610
+clearly less immetropic according to the sign of
+
+172
+00:16:04,610 --> 00:16:07,730
+the cylinder lens يعني الآن لو واحد بيشتغل على ال
+
+173
+00:16:07,730 --> 00:16:11,950
+plus cylinder، بس مابتاخد فيها عشان مايعملش اللي
+
+174
+00:16:11,950 --> 00:16:15,480
+هو ايه خربط عينكملو واحد بيشتغل على ال plus
+
+175
+00:16:15,480 --> 00:16:19,580
+cylinder، العكس، هيكون عكس اللي هو شغلنا، واضح؟
+
+176
+00:16:19,580 --> 00:16:22,620
+فهنأشغلك according to the sign of the cylinder
+
+177
+00:16:22,620 --> 00:16:26,500
+length، حسب اللي هو إشارة من العدسة الصغانية
+
+178
+00:16:26,500 --> 00:16:31,380
+الفكرة ببساطة، أنا بعرض ال slide، بقول للمريض
+
+179
+00:16:31,380 --> 00:16:35,100
+which line is more clear compared to the other
+
+180
+00:16:35,100 --> 00:16:40,490
+lines، بعرف مثلا ال 12 وال6 هو أوضح واحدبين و بين
+
+181
+00:16:40,490 --> 00:16:44,570
+نفسي إيش بعرف؟ إن هذا هو ال feed defect صح؟ إذا
+
+182
+00:16:44,570 --> 00:16:48,730
+بجيب العدسة الإسبانية أمام العين وين بده أحطها؟
+
+183
+00:16:48,730 --> 00:16:52,570
+على ال 180 اللي هو عمودي على the perpendicular to
+
+184
+00:16:52,570 --> 00:16:57,130
+the axis هي فكرة الastigmatic factor واضحة؟ يعني
+
+185
+00:16:57,130 --> 00:17:03,450
+دايما ال axis عمودي على المحور الواضح واضح هسمين؟
+
+186
+00:17:03,450 --> 00:17:07,530
+احنا دايما نعملها minus lambda الأسهلاه احنا دايما
+
+187
+00:17:07,530 --> 00:17:10,710
+بنشتغل احنا كل شغلنا على ال minus cylinder لانه
+
+188
+00:17:10,710 --> 00:17:14,450
+لقدام يما تبدأوا بال contact lens لازم انه يكون ال
+
+189
+00:17:14,450 --> 00:17:18,410
+cylinder بال minus okay عشان هيك معظم او كل
+
+190
+00:17:18,410 --> 00:17:22,610
+وصواتنا لازم تكون بال minus لكن لو فتحت بعض الكتب
+
+191
+00:17:22,610 --> 00:17:26,390
+بتلاقي ال cylinder بيكتبوه في ال plus وهذا برضه صح
+
+192
+00:17:26,390 --> 00:17:29,270
+لو أخدتوا ال transposition في ال ophthalmic lenses
+
+193
+00:17:29,270 --> 00:17:33,500
+ممكن لو عملت نفسها هتطلع بال minus cylinderو هذا
+
+194
+00:17:33,500 --> 00:17:35,900
+كله بيكونوا يعني العدسة لو كان في عنده سفير بيكون
+
+195
+00:17:35,900 --> 00:17:38,880
+العدسة موجودة في السفير و انا بصلح ال astigmatism
+
+196
+00:17:38,880 --> 00:17:42,740
+ده؟ نعم لو كان في عنده سفير و بيبقىها العدسة .. هو
+
+197
+00:17:42,740 --> 00:17:47,700
+الصح اذا كان عندى small refractive error انه ابدأ
+
+198
+00:17:47,700 --> 00:17:51,900
+بالسفير و بالتالي انا بصلح السفير و باجي على ال
+
+199
+00:17:51,900 --> 00:17:55,440
+astigmatism هتكون العدسة السفيرة موجودة لأن لو
+
+200
+00:17:55,440 --> 00:17:59,580
+واحد مثلا عنده ميوب only شو هيكون ال history
+
+201
+00:17:59,580 --> 00:18:04,100
+بتاعه؟planet vision planet vision far distance صح
+
+202
+00:18:04,100 --> 00:18:10,230
+فهيكونيعني الرؤية بتاعة ال line مش واضحة له، يعني
+
+203
+00:18:10,230 --> 00:18:14,290
+هيقولك كل الخطوط مش واضحة، okay؟ فأنا بصلح ال
+
+204
+00:18:14,290 --> 00:18:18,090
+أسفير، وبعدين باجي بصلح السليندا، لكن في حالات
+
+205
+00:18:18,090 --> 00:18:20,870
+يكون عنده high refractive error أو high
+
+206
+00:18:20,870 --> 00:18:23,630
+astigmatism أو واحد يكون مثلا عنده irregular
+
+207
+00:18:23,630 --> 00:18:27,310
+astigmatism أو keratoconus، خرانية مخروطية، من
+
+208
+00:18:27,310 --> 00:18:30,130
+الصعب أنه أروح أصلح الاسفير، وبعدين أجي على
+
+209
+00:18:30,130 --> 00:18:34,560
+السليندا، لأن هو مش شايف الرؤية واضحةيعني لا شايف
+
+210
+00:18:34,560 --> 00:18:38,120
+ال red ولا ال green بسبب مين ال astigmatism مش
+
+211
+00:18:38,120 --> 00:18:42,940
+بسبب ال myopia okay فانت كل حالة لازم تاخديها ك
+
+212
+00:18:42,940 --> 00:18:48,040
+special case حالة خاصة مختلفة عن التاني لكن فكرة
+
+213
+00:18:48,040 --> 00:18:55,700
+اعتقد ال astigmatic fan واضحة الآن للجميع طيب في
+
+214
+00:18:55,700 --> 00:19:03,030
+عندنا ال sterobic slit هي عبارة عن عدسةتعتبر عدسة
+
+215
+00:19:03,030 --> 00:19:07,610
+إضافية يعني زي ال pen hole aberration okay هذه
+
+216
+00:19:07,610 --> 00:19:11,810
+العدسة يمكن معظمكم شفوها .. شفتوها في ال trial set
+
+217
+00:19:11,810 --> 00:19:18,210
+بتكون this okay كله معتف و بيكون فتحة إيه شمالها
+
+218
+00:19:18,210 --> 00:19:23,150
+من المنتصف يعني horizontal إيه line في الstylobic
+
+219
+00:19:23,150 --> 00:19:27,870
+set بختلف عن مين الastigmatic fan أنا وين بروح
+
+220
+00:19:27,870 --> 00:19:33,830
+أدوربدور وين ال line اللي فيه blurred اي بمعنى وين
+
+221
+00:19:33,830 --> 00:19:41,250
+ال line اللي فيه ال problem المشكلة فمثلا فرضنا
+
+222
+00:19:41,250 --> 00:19:44,630
+انه ال 180 هو فيه ال blurred بروح احط ال
+
+223
+00:19:44,630 --> 00:19:48,810
+astrophobic state وين؟ على ال 180 فرضنا انه على
+
+224
+00:19:48,810 --> 00:19:55,000
+التسعين فحط على التسعين اذا ال more clearتعتبر ايه
+
+225
+00:19:55,000 --> 00:20:01,140
+اشمالها ال more clear و ال less clear what are the
+
+226
+00:20:01,140 --> 00:20:04,340
+main difference between a stereopic slit and a
+
+227
+00:20:04,340 --> 00:20:10,500
+stigmatic vent ايه الفرق اللي انتوا حاكيته الان
+
+228
+00:20:10,500 --> 00:20:15,200
+هي عبارة عن عدسة تضافية موجودة في معظم ال trial
+
+229
+00:20:15,200 --> 00:20:21,680
+set بيكون لها فتحة من المنتصف والباب كله عبارة عن
+
+230
+00:20:21,680 --> 00:20:27,680
+opaque معتمالان المريض اللي عندك كان ال problem
+
+231
+00:20:27,680 --> 00:20:32,580
+على ال axis 90 فبحط هذه الفتحة وين؟ على ال 90، على
+
+232
+00:20:32,580 --> 00:20:38,580
+ال 180، بحطه على ال 180، انه خليت ال image point
+
+233
+00:20:38,580 --> 00:20:43,910
+تتركز كأنه pinhole، أبريشةحطيت الصورة انه تكون
+
+234
+00:20:43,910 --> 00:20:48,190
+more clear بس على المية وتمانين او على التسعين
+
+235
+00:20:48,190 --> 00:20:52,130
+يعني عملت اللي هو تصحيح فقط للمحور اللي فيه ال
+
+236
+00:20:52,130 --> 00:20:56,110
+defect المشكلة هتشوفه أحسن لو أخدتها في اي دنيال
+
+237
+00:20:56,110 --> 00:21:01,550
+يعني بالظبط انه هيكون فتحة صغيرة okay بالإضافة ل
+
+238
+00:21:01,550 --> 00:21:05,150
+ال horizontal line هيشوفها زي كأنه نقطة اللي هي ما
+
+239
+00:21:05,150 --> 00:21:09,010
+تسمى بال circle of least confusion اللي أخدناها في
+
+240
+00:21:09,010 --> 00:21:13,740
+أول الفصلفهيكون الصورة إيش مالها واضح فانا بكون
+
+241
+00:21:13,740 --> 00:21:19,640
+هيك صلحت من ال axis لا التسعين طيب وين بتستخدم هذه
+
+242
+00:21:19,640 --> 00:21:24,380
+ال stenopic slate بتستخدم في حالات ال keratoconus
+
+243
+00:21:24,380 --> 00:21:28,600
+لما واحد يكون عنده high astigmatism أو irregular
+
+244
+00:21:28,600 --> 00:21:33,480
+astigmatism مابنفعش معه ال astigmatic fan فبستخدم
+
+245
+00:21:33,480 --> 00:21:36,120
+معه مين؟الستيونوبيك
+
+246
+00:21:36,120 --> 00:21:46,900
+اسلتطططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططططط
+
+247
+00:21:47,420 --> 00:21:50,560
+الريتنسكوب لو بتذكر اخدنا في ال special
+
+248
+00:21:50,560 --> 00:21:54,280
+difficulties للريتنسكوب واحدة منهم اما يكون عنده
+
+249
+00:21:54,280 --> 00:21:57,860
+irregular astigmatism او high degree of
+
+250
+00:21:57,860 --> 00:22:02,260
+astigmatism او keratoconus لكن الجهاز اللي بتدل ان
+
+251
+00:22:02,260 --> 00:22:06,220
+هذا المريض عنده keratoconus او لا بنعمله ال
+
+252
+00:22:06,220 --> 00:22:11,100
+corneal topography جهاز بنسميه ال corneal
+
+253
+00:22:11,100 --> 00:22:14,920
+topography
+
+254
+00:22:19,400 --> 00:22:24,340
+هل تعتبرها subjective؟ اه ما هي هل تعتبرها
+
+255
+00:22:24,340 --> 00:22:27,100
+subjective مش احنا قولنا subjective verification
+
+256
+00:22:27,100 --> 00:22:30,520
+انه انا already عملت يا في ال written or يا في ال
+
+257
+00:22:30,520 --> 00:22:33,960
+auto cornier
+
+258
+00:22:33,960 --> 00:22:38,470
+topography يعني بيشوف تباريث القرانيةيعني بفحص
+
+259
+00:22:38,470 --> 00:22:42,970
+اللي هو تدريس القرانية، okay؟ هذا من خلاله بقدر
+
+260
+00:22:42,970 --> 00:22:47,130
+انه احدد المريض عنده keratoconus او لا إذا لو واحد
+
+261
+00:22:47,130 --> 00:22:50,990
+سألكم شو الجهاز اللي بنستخدمه لكشف القرانية
+
+262
+00:22:50,990 --> 00:22:56,410
+المخروطية ال corneal topography، okay؟ هان احنا كل
+
+263
+00:22:56,410 --> 00:23:00,050
+الفحصات ال astigmatic fan ال pin hole الdiachrome
+
+264
+00:23:00,050 --> 00:23:05,140
+test كل اللي أخدناهم هدول إيش تعتبر؟طيب بس احنا
+
+265
+00:23:05,140 --> 00:23:08,720
+بنقول نسأل انا و مش اوضح، شو و لا انا مش اوضح؟ مش
+
+266
+00:23:08,720 --> 00:23:16,120
+عيلنا زي ال .. انا مابسأل المريض انا الآن كان مثلا
+
+267
+00:23:16,120 --> 00:23:24,340
+الوصفة هذه اذا التسعين هو في ايه؟ الدفك مش ال axis
+
+268
+00:23:24,340 --> 00:23:28,640
+التسعين اللي فيه الدفك يعني الآن العدسة الاسطوانية
+
+269
+00:23:28,640 --> 00:23:32,460
+وين بده احط على axis جديش في النضارةالتسعين صح ولا
+
+270
+00:23:32,460 --> 00:23:36,280
+لا؟ إذا بجيب ال .. ال stylobic slit الفتحة هذه ال
+
+271
+00:23:36,280 --> 00:23:40,660
+horizontal على ال axis التسعين فهي عامالها أيه
+
+272
+00:23:40,660 --> 00:23:44,360
+الصلاحات؟ ال blurred اللي هو ال defect لمين؟
+
+273
+00:23:44,360 --> 00:23:49,640
+التسعين تتحسن عنده بصير اللي هو improvement لل
+
+274
+00:23:49,640 --> 00:23:56,050
+vision okayفيما بيصير مثلا عنده improvement بعرف
+
+275
+00:23:56,050 --> 00:23:59,650
+انه ال access بتاعه قداش؟ تسعين انه ال access اللي
+
+276
+00:23:59,650 --> 00:24:04,950
+انا شغال فيه صح بقول للمريض حرك شوية بيحرك في مش
+
+277
+00:24:04,950 --> 00:24:09,130
+في اللي هو ال screw البرغي بقوله حرك في البرغي
+
+278
+00:24:09,130 --> 00:24:13,550
+بتلاقي الصورة ايه صارت فيها؟ بلغت، غبشت فبعرف ان
+
+279
+00:24:13,550 --> 00:24:17,410
+ال access اللي انا بشتغل فيه ايه صح هذه كلها عملية
+
+280
+00:24:17,410 --> 00:24:21,720
+ايه؟ verification تأكيديعني بدى اخد اللى هو ال
+
+281
+00:24:21,720 --> 00:24:28,980
+response من مين؟ من المريض ال rug بتاعه okay اذا
+
+282
+00:24:28,980 --> 00:24:33,840
+ال escinopec slit it is essentially an accessory
+
+283
+00:24:33,840 --> 00:24:40,820
+in the trial set هي عبارة عن عدسة إضافية موجودة في
+
+284
+00:24:40,820 --> 00:24:46,260
+ال trial set that consists of .. بتتكون من an
+
+285
+00:24:46,260 --> 00:24:52,810
+elongated pin hole aberrationتتكون من فتحة بتكون
+
+286
+00:24:52,810 --> 00:24:59,210
+شكلها elongated طولة أو horizontal elongated بمعنى
+
+287
+00:24:59,210 --> 00:25:05,750
+طولةas a slit cut in an opaque disk يعني هذا ..
+
+288
+00:25:05,750 --> 00:25:09,790
+هذا بنسميه ال slit صح؟ زي ال slit بتاع مين ال
+
+289
+00:25:09,790 --> 00:25:14,630
+retinal score او ال slit مثلا في جهاز ال direct
+
+290
+00:25:14,630 --> 00:25:18,650
+ophthalmos score او في جهاز ال .. ال slit ال okay
+
+291
+00:25:18,650 --> 00:25:22,370
+هذا كله يعتبر ايه؟ slit سواء horizontal او
+
+292
+00:25:22,370 --> 00:25:23,030
+vertical
+
+293
+00:25:25,660 --> 00:25:33,960
+دكتور هذا زي دمهار فيه برضه حالات حصلش فيها؟ ولا
+
+294
+00:25:33,960 --> 00:25:39,240
+مع كلهم حتى لو كان هنا open media هذا بيحدد بس ال
+
+295
+00:25:39,240 --> 00:25:44,930
+access هي use to detect انا لو تصور شوية بكملUse
+
+296
+00:25:44,930 --> 00:25:50,170
+to detect إذا بيستخدم لكشف the axis of astigmatism
+
+297
+00:25:50,170 --> 00:25:55,050
+if present، إذا بيستخدم لكشف مين؟ ال axis داعي ال
+
+298
+00:25:55,050 --> 00:25:59,010
+astigmatism، يعني أنا بدي أتأكد إن هل هذا ال axis
+
+299
+00:25:59,010 --> 00:26:01,950
+اللي بدي أديه للمريض اللي طلعته من جهاز ال auto
+
+300
+00:26:01,950 --> 00:26:06,090
+refractometer أو ال retinascope صح أو خطأ، هي
+
+301
+00:26:06,090 --> 00:26:11,850
+الهدف منهإذا ليش بيستخدم الستينوبيكسليت to detect
+
+302
+00:26:11,850 --> 00:26:17,010
+the axis of the astigmatism if present؟ okay إذا
+
+303
+00:26:17,010 --> 00:26:22,370
+بيستخدم في تحديد ال axis بتاع العدسة الإستوانية
+
+304
+00:26:22,370 --> 00:26:27,890
+إذا المريض كان عنده إيه astigmatism فكرته تختلف عن
+
+305
+00:26:27,890 --> 00:26:29,550
+مين بينهم؟
+
+306
+00:26:32,830 --> 00:26:37,450
+when put before the eye يمّا أنا بضع ال stenopic
+
+307
+00:26:37,450 --> 00:26:44,110
+slit أمام العين it allows only rays of light in a
+
+308
+00:26:44,110 --> 00:26:48,330
+particular meridian to enter the eye إذا هيسمح فقط
+
+309
+00:26:48,330 --> 00:26:53,690
+لحزمة من الضوء أنه تدخل بشكل إيه elongated اللي هو
+
+310
+00:26:53,690 --> 00:26:58,230
+طولة يعني فقط من ال slit اللي موجود في منتصف من ال
+
+311
+00:26:58,230 --> 00:26:58,570
+disk
+
+312
+00:27:03,800 --> 00:27:09,220
+طيب if the slit إذا هذه الفتحة okay ال elongated
+
+313
+00:27:09,220 --> 00:27:14,260
+aberration is placed مكانها horizontal هاي بمعنى
+
+314
+00:27:14,260 --> 00:27:19,520
+أفقي بالشكل هذا زي ما في الرسمة before the eye قبل
+
+315
+00:27:19,520 --> 00:27:25,140
+العين the vertical meridian قلنا دايما ال meridian
+
+316
+00:27:25,140 --> 00:27:31,970
+هو عكس مين ال axisOkay before the eye the vertical
+
+317
+00:27:31,970 --> 00:27:36,790
+meridian is pinhole and it produces a point image
+
+318
+00:27:36,790 --> 00:27:42,910
+اذا هينتج هنا صورة في ال vertical هنكون مثل اللي
+
+319
+00:27:42,910 --> 00:27:49,430
+هو فتحة ال pinhole okay بالنسبة للمريض I think
+
+320
+00:27:49,430 --> 00:27:53,690
+that a scionopic acid and astigmatic fan need to
+
+321
+00:27:53,690 --> 00:27:58,520
+imagine what will happen for the patientOkay؟ بدك
+
+322
+00:27:58,520 --> 00:28:02,300
+تتخيلي أنه شو ممكن يحصل مع المريض، طبعا هذا عبارة
+
+323
+00:28:02,300 --> 00:28:06,780
+عن theory لكن في ال practice بختلف الأمر أنه يعني
+
+324
+00:28:06,780 --> 00:28:10,480
+أنت بدك تديري كيف .. إيش هيحدث مع المريض، أنه مثلا
+
+325
+00:28:10,480 --> 00:28:14,440
+الآن حطيته على ال axis اللي هو في ال blurred
+
+326
+00:28:14,440 --> 00:28:20,900
+vision okay؟ إذا حطينا على .. نفترض على ال 180 أنا
+
+327
+00:28:20,900 --> 00:28:24,440
+إيش معناه؟ أني بدي أكد أنه هل هذا ال axis بتاعي صح
+
+328
+00:28:24,440 --> 00:28:31,980
+ولا لأ okay؟إذا بيستخدم لتأكيد ال axis بتاعي، إنه
+
+329
+00:28:31,980 --> 00:28:36,820
+هذا والله صح، على ال 180، لأ شوية ممكن إنه نعمل
+
+330
+00:28:36,820 --> 00:28:43,600
+rotation لل axis، 170، ممكن مثلا 160، 165، فهذا كل
+
+331
+00:28:43,600 --> 00:28:47,380
+إيش بيعمله detect، مين هي ال skin of the snail طب
+
+332
+00:28:47,380 --> 00:28:52,320
+إيش اللي ممكن معرضة قدامك؟ ممكن ال snail عادي،
+
+333
+00:28:52,320 --> 00:28:56,190
+اللي هو .. و بحط العدسة أمام العينيعني مش شرط انه
+
+334
+00:28:56,190 --> 00:29:01,670
+مثلا انا اكون عارض a stigmatic fan او يعني ممكن
+
+335
+00:29:01,670 --> 00:29:03,850
+اللي هو ال snailin العادية الماني و ال snailin
+
+336
+00:29:03,850 --> 00:29:09,150
+اللي موجودة عندنا في المعمل مش شرط ممكن مرضى ما
+
+337
+00:29:09,150 --> 00:29:15,310
+بيصلوا ستة ع ستة اكيد
+
+338
+00:29:15,310 --> 00:29:21,610
+انا بدي احط مع ال axis اللي هو فوق العدسةيعني
+
+339
+00:29:21,610 --> 00:29:25,630
+مثلا، الآن العدسة كانت على axis 90، فانا بحطه
+
+340
+00:29:25,630 --> 00:29:29,870
+موازلة مين؟ للتسعين، موازلة المية و تمانين، و
+
+341
+00:29:29,870 --> 00:29:33,890
+هكذا، يعني ال astigmatic fan، الآن انا بعمل ال
+
+342
+00:29:33,890 --> 00:29:37,990
+verification بعد ما ايه؟ احط العدسة، ممكن قبل لو
+
+343
+00:29:37,990 --> 00:29:41,010
+انا مثلا مش عارف عندي power جديدبقول له مين
+
+344
+00:29:41,010 --> 00:29:45,350
+الأوضح، يعني أنه خط اللي هو أوضح، لكن في حالة
+
+345
+00:29:45,350 --> 00:29:51,730
+الاستيلوفيك السيت، لأ بستخدمه ايه مع العدسة
+
+346
+00:29:51,730 --> 00:29:55,170
+أنا بدي
+
+347
+00:29:55,170 --> 00:29:59,890
+أشوف هل ال axis واضح، ال axis صح ولا لأ أنا قاعد
+
+348
+00:29:59,890 --> 00:30:04,710
+بعيد يعني هي تلت مرات، انه to detect the axis of
+
+349
+00:30:04,710 --> 00:30:09,100
+the cylinderis correct or incorrect يعني بس بدي
+
+350
+00:30:09,100 --> 00:30:13,900
+أعرف هل ال access بتاع المريض هذا أوضح ولا لأ يعني
+
+351
+00:30:13,900 --> 00:30:17,540
+مش الهدف ان اشوف ال power جديش لأ انا بس ال access
+
+352
+00:30:17,540 --> 00:30:21,360
+بتاع ال cylinderيعني هل ان ال access والله مية و
+
+353
+00:30:21,360 --> 00:30:25,380
+تمانين، لأ مية و سبعين، مية و خمسة و سبعين، فهو
+
+354
+00:30:25,380 --> 00:30:30,180
+بيكشف لقداش ال access لمن؟ للمريض، وهذا الاستينابك
+
+355
+00:30:30,180 --> 00:30:34,140
+الست أكتر ناس بنستخدملهم اللي عندهم ال regular
+
+356
+00:30:34,140 --> 00:30:38,420
+للقرنية أو عندهم ال corneal scar، ندّة في القرنية
+
+357
+00:30:38,420 --> 00:30:42,460
+أو عندهم keratoconus، بيكون عندهم درجات عالية،
+
+358
+00:30:42,460 --> 00:30:48,480
+يعني الدرجة أو الدرجتين لل access بتفرق معاهمOkay
+
+359
+00:30:48,480 --> 00:30:53,380
+من حيث الوضوح Okay
+
+360
+00:30:53,380 --> 00:30:57,400
+when put before the eye it allows only rays of
+
+361
+00:30:57,400 --> 00:31:00,520
+light in a particular meridian to enter the eye
+
+362
+00:31:00,520 --> 00:31:06,320
+اذا فقط هتسمح للضوح انه يدخل وين من ال elongated
+
+363
+00:31:06,320 --> 00:31:10,660
+aperture من الفتحة لان الباقي كله هيكون ايه عبارة
+
+364
+00:31:10,660 --> 00:31:15,270
+عن disk أو bake okayIf the slit is placed
+
+365
+00:31:15,270 --> 00:31:18,410
+horizontal before the eye, the vertical meridian
+
+366
+00:31:18,410 --> 00:31:24,570
+is pinhole and produces a point image إذا الآن لما
+
+367
+00:31:24,570 --> 00:31:28,170
+أنا بحطه مثلا horizontal، هيكون ال vertical عبارة
+
+368
+00:31:28,170 --> 00:31:33,550
+عن إيه؟ pinhole، إنه نقطة زي بالظبط الآن أي تجسم
+
+369
+00:31:33,550 --> 00:31:38,530
+بيكون طالع منه شعار، إذا هو عبارة عن إيه؟ point،
+
+370
+00:31:38,530 --> 00:31:42,510
+إنه نقطة، يعني أنا بشوف اللي هي عبارة عن صورةبتكون
+
+371
+00:31:42,510 --> 00:31:46,290
+الأشعة اللي طالعة منه ايه؟ Divergent متشتدة صح ولا
+
+372
+00:31:46,290 --> 00:31:49,970
+لا؟ فهي عبارة عن ال image point اللي هي نقطة
+
+373
+00:31:49,970 --> 00:31:55,770
+الصورة after
+
+374
+00:31:55,770 --> 00:31:59,470
+correction إذا بعد ما بصلح of any spherical
+
+375
+00:31:59,470 --> 00:32:02,830
+ametropia لو مثلا مريض كان عنده myopia,
+
+376
+00:32:03,170 --> 00:32:06,590
+hypermetropia او breast myopia صلحناها الآن
+
+377
+00:32:06,590 --> 00:32:12,080
+spherical ametropia مقصود فيها myopiaهيبرمتروب او
+
+378
+00:32:12,080 --> 00:32:18,440
+breast biop all meridians in 360 degree can be
+
+379
+00:32:18,440 --> 00:32:28,440
+seen equally or rotating the stenopic state why؟
+
+380
+00:32:28,440 --> 00:32:33,140
+after correction of any spherical ametropia اذا
+
+381
+00:32:33,140 --> 00:32:37,820
+بعد ما انا بصلق كل الأخطاء في الاسفير بيوب
+
+382
+00:32:37,820 --> 00:32:45,280
+هايبرمتروب andبالنسبة لك، كل مريديا في الـ 360
+
+383
+00:32:45,280 --> 00:32:49,740
+درجة يمكن أن يكون روحاً أو محاولاً على السلينتر أي
+
+384
+00:32:49,740 --> 00:32:54,960
+بمعنى كل المحاور هتكون متساوية الوضوح من حيث
+
+385
+00:32:54,960 --> 00:33:01,420
+الرؤية للمريد ليه؟ لأن السلينتر بيستخدم to detect
+
+386
+00:33:01,420 --> 00:33:06,620
+the axis of the cylinder فهيكون نفس اللي have the
+
+387
+00:33:06,620 --> 00:33:09,700
+same vertical power in all the meridian
+
+388
+00:33:15,220 --> 00:33:21,280
+Okay؟ طيب، in the presence of a high astigmatism
+
+389
+00:33:21,280 --> 00:33:26,280
+زي مثلا ال keratoconus القرانية المفروضية، أي
+
+390
+00:33:26,280 --> 00:33:32,040
+بمعنى في وجود مريض عنده high astigmatism and
+
+391
+00:33:32,040 --> 00:33:38,270
+before correction قبل التصحيحThe sterobic slit can
+
+392
+00:33:38,270 --> 00:33:44,110
+detect إذا
+
+393
+00:33:44,110 --> 00:33:49,810
+كان عندي
+
+394
+00:33:49,810 --> 00:33:54,270
+high astigmatism، ممكن إن العدسة هذه تكتشف كده ال
+
+395
+00:33:54,270 --> 00:33:58,490
+access الصحيح لهذا المريض إذا وضعتها وين على ال
+
+396
+00:33:58,490 --> 00:34:02,910
+access الصحيحProperly positioned أي بمعنى الـ axis
+
+397
+00:34:02,910 --> 00:34:07,090
+الصحيح أي بمعنى حصيت ال elongated aberration على
+
+398
+00:34:07,090 --> 00:34:12,110
+ال axis 90 أو على ال axis 180 أي بمعنى على ال axis
+
+399
+00:34:12,110 --> 00:34:15,550
+اللي فيه إيه ال problem أو فيه ال defect
+
+400
+00:34:21,090 --> 00:34:24,530
+السلط هو في بعض الأحيان مفيد في تحريك
+
+401
+00:34:24,530 --> 00:34:28,330
+الـastigmatism عندما يكون الأجهزة الأخرى غير
+
+402
+00:34:28,330 --> 00:34:34,650
+مستمتعين إذا ممكن الـstenopic slit تكتشف قيمة
+
+403
+00:34:34,650 --> 00:34:42,090
+الastigmatism أو أكسس لهذا المريضبينما بعض ال
+
+404
+00:34:42,090 --> 00:34:45,910
+devices أي بعض الأدوات زي مثلا ال astigmatic fan
+
+405
+00:34:45,910 --> 00:34:50,290
+أو مثلا ال jackson cross cylinder بتكون غير قادرة
+
+406
+00:34:50,290 --> 00:34:54,970
+and satisfactory أي بمعنى غير قادرة على كشف ايه ال
+
+407
+00:34:54,970 --> 00:34:59,830
+astigmatism لهذا المريض، وين هي اللي بتكون؟ في ال
+
+408
+00:34:59,830 --> 00:35:03,880
+high astigmatismدايما اما يكون المريض عنده high
+
+409
+00:35:03,880 --> 00:35:08,820
+astigmatism, the best way for verification of the
+
+410
+00:35:08,820 --> 00:35:13,680
+cylinder ايش هي الastenobic acid يعني افضل طريقة
+
+411
+00:35:13,680 --> 00:35:19,040
+انه اتبعها هي عبارة عن مين الastenobic acid يعني
+
+412
+00:35:19,040 --> 00:35:24,960
+الان لو مثلا يجالك patient كان عنده minus one على
+
+413
+00:35:24,960 --> 00:35:30,860
+minus five, x is مية و تمانينأفضل طريقة لكشف قداش
+
+414
+00:35:30,860 --> 00:35:34,360
+ال access عند هذا المريض، الasterobic effect،
+
+415
+00:35:34,360 --> 00:35:39,580
+okay؟ و بنغير من هنا العشاء لحد ما يقولوا هذا أوضح
+
+416
+00:35:39,580 --> 00:35:43,860
+إشي؟ أه لحد ما يقولوا أن هذا ال access أه من ناحية
+
+417
+00:35:43,860 --> 00:35:44,760
+الوضوح، لعم
+
+418
+00:35:49,430 --> 00:35:55,130
+When the image is equally clear in 360 degrees in
+
+419
+00:35:55,130 --> 00:35:58,950
+the presence of the slit, no astigmatism is
+
+420
+00:35:58,950 --> 00:36:06,480
+present. All lines are equally clearمثلا حركنا ال
+
+421
+00:36:06,480 --> 00:36:10,860
+استيونو بكسلت على كل المحاور على ال 360 درجة و
+
+422
+00:36:10,860 --> 00:36:17,140
+المريض يعني أشار اليك انه كله نفس الوضوح شو معناه؟
+
+423
+00:36:17,140 --> 00:36:21,120
+مش السيماتيزم معناه انه بيكون فقط اللي هو عنده
+
+424
+00:36:21,120 --> 00:36:24,620
+ورسفيريكال
+
+425
+00:36:24,620 --> 00:36:31,980
+امترابيه وممكن
+
+426
+00:36:31,980 --> 00:36:37,610
+هذا كمان يعنيكلامها صح انه لو مثلا انا الآن حطيت
+
+427
+00:36:37,610 --> 00:36:41,570
+ال escuno بكسلات، حطيته موازع ال axis اللي انا
+
+428
+00:36:41,570 --> 00:36:45,630
+صلحته في الأول، معناه انه ايه؟ ال axis هذا صحيح،
+
+429
+00:36:45,630 --> 00:36:49,290
+لكن لما امشيها شوية، ايش هتعمل؟ يعني لما احرك
+
+430
+00:36:49,290 --> 00:36:52,930
+العدسات، هيعمل blurred television وهذا بيدل على ان
+
+431
+00:36:52,930 --> 00:36:56,210
+ال axis ايش ماله؟ خطر، okay؟
+
+432
+00:36:58,590 --> 00:37:02,530
+هدول ال two devices ال astigmatic fan و ال
+
+433
+00:37:02,530 --> 00:37:05,730
+astenobic slit يعتبروا are very important for the
+
+434
+00:37:05,730 --> 00:37:09,510
+optometrist من حيث الاستخدام طبعا احنا ان شاء الله
+
+435
+00:37:09,510 --> 00:37:13,990
+الأسبوع هذا امتحان في المعمل من الأسبوع القادم اي
+
+436
+00:37:13,990 --> 00:37:17,950
+patient هيجي عندنا نعمله verification, diachrome
+
+437
+00:37:17,950 --> 00:37:22,450
+test, pin hole زائد ال astigmatic fan لو كان عنده
+
+438
+00:37:22,450 --> 00:37:25,150
+سلندة و ال astenobic slit
+
+439
+00:37:28,220 --> 00:37:32,860
+طيب، شو ال main difference ما بين ال astigmatic
+
+440
+00:37:32,860 --> 00:37:41,540
+fan و ال stenobic sled؟ اذا كان ماري كلير في ال
+
+441
+00:37:41,540 --> 00:37:44,200
+astigmatic fan، اذا كان ماري كلير، فهيكون عندى لسه
+
+442
+00:37:44,200 --> 00:37:46,660
+متراب، اذا كان عندى لسه كلير، هيكون عندى ماري
+
+443
+00:37:46,660 --> 00:37:51,260
+متراب، اما في ال stenobic sled هيكون عندى ماري
+
+444
+00:37:51,260 --> 00:37:56,220
+كلير، ماري متراب، ماري .. لسه كلير، لسه مترابلأن
+
+445
+00:37:56,220 --> 00:37:59,380
+هو هينمش هيندي .. هينمش هيندي access في ال .. في
+
+446
+00:37:59,380 --> 00:38:02,480
+ال high school اللي بتاني تستجرب .. تقرأ sleds ..
+
+447
+00:38:02,480 --> 00:38:08,020
+تستجرب ال sleds اذا ممتازة هيك ال main difference
+
+448
+00:38:08,020 --> 00:38:13,460
+ما بين ال astigmatic fan و ال astenobic sled في
+
+449
+00:38:13,460 --> 00:38:17,980
+حالة ال astigmatic fan هيكون ال more clear أي
+
+450
+00:38:17,980 --> 00:38:22,680
+بمعنى more clear lineالخط الأكتر وضوح، هنعملكم
+
+451
+00:38:22,680 --> 00:38:27,480
+إياها بشكل أسهم، هذا في حالة الastenobic acid، لكن
+
+452
+00:38:27,480 --> 00:38:31,220
+في حالة الastigmatic fan، ال more clear، less
+
+453
+00:38:31,220 --> 00:38:35,300
+immature، ال less clear، more immature، أما في
+
+454
+00:38:35,300 --> 00:38:39,400
+حالة الastigmatic fan، هيكون ال more clear، more
+
+455
+00:38:39,400 --> 00:38:43,910
+immature، less clear، less immatureOkay هدى ال
+
+456
+00:38:43,910 --> 00:38:48,450
+main difference between the astigmatic fan and the
+
+457
+00:38:48,450 --> 00:38:53,850
+stenopic slit هدى لما أنا بستخدم mean according to
+
+458
+00:38:53,850 --> 00:38:57,750
+the sign of the cylinder lens لما أنا بستخدم minus
+
+459
+00:38:57,750 --> 00:39:03,450
+cylinder واضح واضح
+
+460
+00:39:03,450 --> 00:39:07,290
+الفرق ما بين ال astigmatic fan و ال stenopic slit
+
+461
+00:39:07,290 --> 00:39:14,850
+طبعا انبيه اختصار ل note book okayدائما كلمة كما
+
+462
+00:39:14,850 --> 00:39:19,870
+بكتب الدكتور او الأستاذ notebook ك abbreviation
+
+463
+00:39:19,870 --> 00:39:26,990
+اختصار okay rotation of drill screw طبعا هذه طريقة
+
+464
+00:39:26,990 --> 00:39:33,930
+بسيطة جدا انه بتعتمد على المريض بعد ما انا بعمل ال
+
+465
+00:39:33,930 --> 00:39:38,990
+objective refraction سواء كان ال retinascope او ال
+
+466
+00:39:38,990 --> 00:39:44,000
+auto refractometerبطلب من المريض بعد ما حط العدسة،
+
+467
+00:39:44,000 --> 00:39:48,140
+السيلندر، انه يعمل عملية ايه؟ تحريك، انه تحريك
+
+468
+00:39:48,140 --> 00:39:52,120
+لمين؟ من خلال ال screw، screw بمعنى برغي، okay
+
+469
+00:39:52,120 --> 00:39:57,240
+فبيحرك اللي هو البرغي هذا، لكن بطلب من المريض انه
+
+470
+00:39:57,240 --> 00:40:02,580
+يحرك بشكل ايه؟ بطيء، مش يحرك بشكل سريع عشان .. طيب
+
+471
+00:40:02,580 --> 00:40:06,500
+الحركة اما تكون بشكل بطيء، هذا المريض هيستطيع انه
+
+472
+00:40:06,500 --> 00:40:09,060
+ايه؟ يلاحظ اللي هو التغير
+
+473
+00:40:11,570 --> 00:40:17,530
+rotation of drill screw انه دوران البرغ هذا بتاع
+
+474
+00:40:17,530 --> 00:40:23,890
+ال trial frame it is simply done أي بمعنى منهج
+
+475
+00:40:23,890 --> 00:40:29,570
+بسيط بيعمل done by asking the patient بواسطة
+
+476
+00:40:29,570 --> 00:40:34,870
+السؤال المريض to rotate the screw انه يدور البرغ
+
+477
+00:40:34,870 --> 00:40:39,610
+هذا of the trial frame للإطار to rotate the
+
+478
+00:40:39,610 --> 00:40:43,310
+cylindrical lensin the trial frame بيعمل عملية
+
+479
+00:40:43,310 --> 00:40:47,730
+تحريك لمين للعدسة الاصطوانية طيب بتتحرك معاه
+
+480
+00:40:47,730 --> 00:40:52,170
+العدسة الاسفير ولا لأ؟ لما تحرك البرج
+
+481
+00:40:55,720 --> 00:41:00,040
+الاسفير الان انا مابحرك البرغ ال screw هذا بتحرك
+
+482
+00:41:00,040 --> 00:41:05,580
+العدسة الاسفير ولا لا؟ بالظبط بتحرك كلها يطول ان
+
+483
+00:41:05,580 --> 00:41:09,400
+هو لو أخدنا .. أخدنا في العمل ان هو عبارة عن ايه؟
+
+484
+00:41:09,400 --> 00:41:14,500
+disk و بتكون من تلت three components okay تلت اللي
+
+485
+00:41:14,500 --> 00:41:18,940
+هو فتحات ممكن أحط فيها الاسفير ال cylinder زائد ال
+
+486
+00:41:18,940 --> 00:41:23,900
+accessory lensOkay لكن حتى لو اتحاربكت العدسة
+
+487
+00:41:23,900 --> 00:41:27,020
+الاسمية have the same power in all the ingredients
+
+488
+00:41:28,640 --> 00:41:31,980
+to rotate the cylindrical lens in the trial frame,
+
+489
+00:41:32,340 --> 00:41:36,680
+the patient will rotate the screw until he or she
+
+490
+00:41:36,680 --> 00:41:42,100
+sees the best clear image يعني انه لحد ما انا بصل
+
+491
+00:41:42,100 --> 00:41:49,380
+لأفضل رؤية لمين للمريض يعني انا برشد المريض انه
+
+492
+00:41:49,380 --> 00:41:54,100
+يحرك البرغي هذا لحد ما يصل إلى صورة ايش بتكون هي
+
+493
+00:41:54,100 --> 00:41:58,870
+ال best clear image لهOkay عندها يكون هذا ال axis
+
+494
+00:41:58,870 --> 00:42:04,030
+ايه correct صحيح هو ال axis المطلوب منه طيب لو بقى
+
+495
+00:42:04,030 --> 00:42:08,870
+اللي blurred لل vision شو بيعنيلك؟ انه ممكن يكون
+
+496
+00:42:08,870 --> 00:42:13,790
+ال power طبعا ممكن انه ال power بتاع العدسة انه
+
+497
+00:42:13,790 --> 00:42:18,210
+مايكونش اللي هو correct فلذلك انه دايما انا بصلح
+
+498
+00:42:18,210 --> 00:42:22,390
+في ال cylinder ال power قبل ال axis صح؟ يعني مثلا
+
+499
+00:42:22,390 --> 00:42:27,410
+المريض عنده minus نصOkay لو حطيتله minus ربع و كان
+
+500
+00:42:27,410 --> 00:42:31,750
+ال axis مثلا تسعين الاصلي و انا حطيتله axis تمانين
+
+501
+00:42:31,750 --> 00:42:36,390
+طب انا مقلل ايش ال power صح فانا بدي اصل ل maximum
+
+502
+00:42:36,390 --> 00:42:42,790
+power و بعدين بصلح من ال axis okay اذا دايما في
+
+503
+00:42:42,790 --> 00:42:47,270
+حالة ال cylinder بصلح ال power و بعدين بصلح من ال
+
+504
+00:42:47,270 --> 00:42:52,630
+axis at
+
+505
+00:42:52,630 --> 00:42:56,810
+this pointThe rotation is stopped and we can
+
+506
+00:42:56,810 --> 00:43:00,490
+determine the accurate axis of the cylindrical
+
+507
+00:43:00,490 --> 00:43:05,770
+lens يعني عند هذه النقطة بنجف عملية إيش الدوران و
+
+508
+00:43:05,770 --> 00:43:10,190
+بيكون هذا يما أنا بصل ل ال base a clear image
+
+509
+00:43:10,190 --> 00:43:15,960
+بتكون هان ال axis هو إيه صحيح بالنسبة للمريضو
+
+510
+00:43:15,960 --> 00:43:20,480
+بيكون هذا ال axis تعمل العدسة الاستوانية يعني بطلب
+
+511
+00:43:20,480 --> 00:43:24,100
+من المركز بقوله عمال ليه عدسة minus one على minus
+
+512
+00:43:24,100 --> 00:43:27,880
+two axis تسايم هذه اللي هتركب وين؟ فى لدّارة
+
+513
+00:43:27,880 --> 00:43:34,420
+المارين okay ال
+
+514
+00:43:34,420 --> 00:43:36,040
+Jackson cross cylinder
+
+515
+00:43:42,360 --> 00:43:49,660
+طبعا جاكسون cross cylinder عبارة عن عدسة بتتكون من
+
+516
+00:43:49,660 --> 00:43:57,540
+عدستين عدسة بتكون plus و عدسة minus التنتين ايه
+
+517
+00:43:57,540 --> 00:44:04,920
+صار لهم عملية damage okay ففي الآخر أداني عدسة
+
+518
+00:44:04,920 --> 00:44:10,980
+قوتها من طرف plus مثلا نص
+
+519
+00:44:13,740 --> 00:44:26,420
+أكسز تسعين من طرف تالي minus نص أكسز
+
+520
+00:44:26,420 --> 00:44:33,300
+تسعين شو معناته هذه أن العدسيتين equal in the
+
+521
+00:44:33,300 --> 00:44:38,980
+power لكن different in the size إذا القوتين
+
+522
+00:44:38,980 --> 00:44:46,910
+متساوية لكن واحدة plusOkay طيب ال Jackson cross
+
+523
+00:44:46,910 --> 00:44:52,850
+cylinder بتستخدم لتأكيد ال access للعدسة
+
+524
+00:44:52,850 --> 00:44:58,250
+الاسطوانية و برضه بيستخدم لإيش؟ لتأكيد ال power of
+
+525
+00:44:58,250 --> 00:45:03,290
+the cylinder lens ال astigmatic fan to detect the
+
+526
+00:45:03,290 --> 00:45:07,190
+access and power of the lens true or false
+
+527
+00:45:10,070 --> 00:45:15,390
+بمعنى ان ال astigmatic fan بتستخدم لتأكيد ال
+
+528
+00:45:15,390 --> 00:45:20,210
+access و ال power للعدسة الستوانية هذا صح ولا خطأ
+
+529
+00:45:20,210 --> 00:45:28,430
+فقط to detect the access ال scleropic slit أيضا
+
+530
+00:45:28,430 --> 00:45:33,610
+فقط لمين to detect the access الجاكسون across ال
+
+531
+00:45:33,610 --> 00:45:36,830
+end up لل power و لل access
+
+532
+00:45:39,770 --> 00:45:44,530
+طبعا jackson أي بمعنى اسم العالم اللى اكتشف او
+
+533
+00:45:44,530 --> 00:45:50,630
+اللى apply استخدام هذه العدسة بسأله ان يكونوا منكم
+
+534
+00:45:50,630 --> 00:45:56,170
+علماء ان شاء الله ال cross cylinder العدسة
+
+535
+00:45:56,170 --> 00:46:02,210
+الاستوانية is composed اي بمعنى بتتكون of a plus
+
+536
+00:46:02,210 --> 00:46:09,480
+cylinder lens من عدسة بتكونموجبة and a minus
+
+537
+00:46:09,480 --> 00:46:14,500
+cylinder lens عدسة أخرى بتكون minus متساويين ال
+
+538
+00:46:14,500 --> 00:46:18,840
+power equal of power that are ground on a lens أي
+
+539
+00:46:18,840 --> 00:46:25,040
+بمعنى متحدين معا okay with their axes at right
+
+540
+00:46:25,040 --> 00:46:29,100
+angles to each other انه بيكون المحورين أشمالهم
+
+541
+00:46:29,100 --> 00:46:34,740
+متعامدين على بعضهم البعض إذا عبارة عن عدسة بتتكون
+
+542
+00:46:34,740 --> 00:46:41,820
+منقوتينمختلفة ال power كل واحدة مختلفة ال sign
+
+543
+00:46:41,820 --> 00:46:45,820
+واحدة plus اه متساوية ال power واحدة plus واحدة
+
+544
+00:46:45,820 --> 00:46:51,100
+minus لكن بيكونوا مختلفين من حيث إيه؟ الإشارة و
+
+545
+00:46:51,100 --> 00:46:57,600
+بيكونوا متعمدين على بقى أه
+
+546
+00:46:57,600 --> 00:46:58,320
+هال 180
+
+547
+00:47:06,390 --> 00:47:11,610
+Okay the commonly used a cross cylinder are of a
+
+548
+00:47:11,610 --> 00:47:18,190
+plus or minus 0.25 diopter and 0 or minus 0.5
+
+549
+00:47:18,190 --> 00:47:23,350
+diopter إذا في منها بيكون minus ربع و plus ربع في
+
+550
+00:47:23,350 --> 00:47:28,150
+plus نص و minus نص و في plus or minus 75 يعني
+
+551
+00:47:28,150 --> 00:47:33,650
+موجود اللي هو من ناحية البواب لحدية 75 okay
+
+552
+00:47:37,880 --> 00:47:41,320
+All a cross-cylinder lenses have a spherical
+
+553
+00:47:41,320 --> 00:47:46,660
+equivalent power of zero إبلانو أخدت قانون الـ
+
+554
+00:47:46,660 --> 00:47:50,420
+spherical equivalent الاسفير زائد السيلندر إشماله
+
+555
+00:47:50,420 --> 00:47:55,280
+نص السيلندر بساوي زيرو صح؟ Spherical equivalent
+
+556
+00:47:55,280 --> 00:47:57,640
+ماخدتها؟ طيب
+
+557
+00:48:09,400 --> 00:48:16,420
+عنا قانون Spherical
+
+558
+00:48:16,420 --> 00:48:28,980
+طبعا
+
+559
+00:48:28,980 --> 00:48:33,500
+هي تُكتب باختصار شكل هذا Spherical Equivalent
+
+560
+00:48:33,500 --> 00:48:38,500
+بزاوية Sphere بزاوية النص
+
+561
+00:48:42,230 --> 00:48:47,850
+السيلندر اي بمعنى لو انا مثلا كان عندى ال plus one
+
+562
+00:48:47,850 --> 00:48:51,090
+على
+
+563
+00:48:51,090 --> 00:48:56,670
+minus two axis بسيط كنتش هل ال spherical
+
+564
+00:48:56,670 --> 00:49:05,430
+equivalent plus one صح تصير بعدها
+
+565
+00:49:05,430 --> 00:49:07,510
+النص في السيلندر كان
+
+566
+00:49:23,620 --> 00:49:31,250
+إذا ناسفريكال equivalentهي المبدأ بتاع الجاكسون
+
+567
+00:49:31,250 --> 00:49:35,690
+across سلنده قائم على ال spherical equivalent ان
+
+568
+00:49:35,690 --> 00:49:42,170
+السفير زائد نص السلنده بساوي zero معادلة
+
+569
+00:49:42,170 --> 00:49:47,050
+السفير يعني equivalent جديش اللي هي المعادلة لعدسة
+
+570
+00:49:47,050 --> 00:49:51,010
+السفير بمعنى الآن ايجي مثلا مريض
+
+571
+00:49:53,220 --> 00:49:58,380
+لأ هي إلها application إلها استعمالات بمعنى الآن
+
+572
+00:49:58,380 --> 00:50:03,580
+لو جاني مثلا مريض كان minus one ع minus sorry
+
+573
+00:50:03,580 --> 00:50:09,480
+minus نص خلينا نقل شوية ع minus ثلاثة okay x is
+
+574
+00:50:09,480 --> 00:50:13,100
+مية و تمانين بحكيلك عملينه spherical equivalent
+
+575
+00:50:13,100 --> 00:50:17,980
+بتروح تعمل القانون هذا عمليات ال cataract اللي
+
+576
+00:50:17,980 --> 00:50:21,380
+بتشوفوها الناس اللي عندهم بيعملوا عمليات مية بيضا
+
+577
+00:50:21,910 --> 00:50:24,590
+كلها قائمة على القانون هذا الـ spherical
+
+578
+00:50:24,590 --> 00:50:27,690
+equivalent بالزاوية الاسفير زايد النُص الانت
+
+579
+00:50:27,690 --> 00:50:31,830
+عارفين في عمليات الميال بيضا بيعملوا عملية زراعة
+
+580
+00:50:31,830 --> 00:50:37,150
+عدسة جديدة فالمبدأ دا هذه العدسة اللي بتم زراعتها
+
+581
+00:50:37,150 --> 00:50:40,110
+هي على ال spherical equivalent من ضمن ال
+
+582
+00:50:40,110 --> 00:50:43,050
+application و أهم استعمال لها لل spherical
+
+583
+00:50:43,050 --> 00:50:46,370
+equivalent هي في حالة مين ال Jackson's crossband
+
+584
+00:50:46,370 --> 00:50:47,470
+واضح
+
+585
+00:50:50,750 --> 00:50:53,050
+إذا الـ spherical equivalent في ناحية
+
+586
+00:50:53,050 --> 00:50:56,470
+الـastigmatic فان، من ناحية الجاكسون cross
+
+587
+00:50:56,470 --> 00:51:00,350
+-cylinder إن الاسفير في plus half السليندر بيساوي
+
+588
+00:51:00,350 --> 00:51:07,530
+plano أو بيساوي zero طيب
+
+589
+00:51:07,530 --> 00:51:12,390
+the cross-cylinder may be used إذا ممكن إن هذه
+
+590
+00:51:12,390 --> 00:51:17,420
+واضحة القانون ولا كيف؟يعني ببساطة ان ال spherical
+
+591
+00:51:17,420 --> 00:51:21,700
+equivalent معادلة الاسفير بالساوي الاسفير زائد نص
+
+592
+00:51:21,700 --> 00:51:26,420
+السليندر okay شو ال application بتاعتها أهم موضوع
+
+593
+00:51:26,420 --> 00:51:29,280
+اللي هو ال Jackson cross cylinder او ال cross
+
+594
+00:51:29,280 --> 00:51:34,240
+cylinder ايضا وين بتستخدم ال application من ضمن في
+
+595
+00:51:34,240 --> 00:51:37,680
+عمليات ال cataract surgery لل lens اللي بتم
+
+596
+00:51:37,680 --> 00:51:41,460
+زراعتها وين في ال anterior shape okay
+
+597
+00:51:50,870 --> 00:51:56,070
+the cross cylinder إذا العدسة هذه may be used إذا
+
+598
+00:51:56,070 --> 00:52:01,890
+ممكن إنه تستخدم to refine أي بمعنى لتأكيد the
+
+599
+00:52:01,890 --> 00:52:06,510
+patient's cylinder axis or power إذا إذا بتستخدم
+
+600
+00:52:06,510 --> 00:52:11,030
+لتأكيد قداش ال axis يعني العدسة الإستوانية أو ال
+
+601
+00:52:11,030 --> 00:52:17,010
+power أو القوةafter estimation بعد تقدير by either
+
+602
+00:52:17,010 --> 00:52:22,290
+objective written score or subjective astigmatic
+
+603
+00:52:22,290 --> 00:52:27,230
+deal means يعني إما بعد ما أنا بعمل ال objective
+
+604
+00:52:27,230 --> 00:52:30,150
+refraction زي ال written score أو ال auto
+
+605
+00:52:30,150 --> 00:52:36,330
+refractometer أو بعد إيهالـ Stigmatic Fan أو ممكن
+
+606
+00:52:36,330 --> 00:52:41,910
+بعيد الـ Rotation لـ Dell Screw بعد أن ما أدور من
+
+607
+00:52:41,910 --> 00:52:46,530
+البرمجل للعدسة الاصطوانية في الـ Trailer Frame
+
+608
+00:52:46,530 --> 00:52:51,070
+حنقف
+
+609
+00:52:51,070 --> 00:52:57,490
+لهان لأن المرة الجاية هناخد كيف تستخدم العدسة الـ
+
+610
+00:52:57,490 --> 00:53:01,850
+Jackson Cross Cylinder في معادلة ال Axis و معادلة
+
+611
+00:53:01,850 --> 00:53:07,380
+الPowerيعني how to apply the jackson cross
+
+612
+00:53:07,380 --> 00:53:18,020
+cylinder for x's length and for x's power طيب
+
+613
+00:53:18,020 --> 00:53:22,280
+لها ان شاء الله بنتوقف في المحاضرة، في أي سؤال؟ أي
+
+614
+00:53:22,280 --> 00:53:27,720
+استفسار؟
+
+615
+00:53:27,720 --> 00:53:29,340
+طيب شكرا يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Yn5Ckh9qadE_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Yn5Ckh9qadE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c3c91ec0dc4643997ea2bb39d90efce1493258d0
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/Yn5Ckh9qadE_postprocess.srt
@@ -0,0 +1,1824 @@
+1
+00:00:20,810 --> 00:00:23,910
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,910 --> 00:00:27,690
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:27,690 --> 00:00:32,290
+بالنسبة لموضوع ال diachrome test موضوع ال
+
+4
+00:00:32,290 --> 00:00:39,140
+astigmatic fan موضوع يعني مهملو في معمل أو مادة ال
+
+5
+00:00:39,140 --> 00:00:42,980
+refraction لازم تكونوا مستوعبينها مية في المية
+
+6
+00:00:42,980 --> 00:00:48,280
+الديوكروم تست حديكم بعض الأمثلة عشان انه نصير ايش
+
+7
+00:00:48,280 --> 00:00:55,560
+نتدرب اكثر okay يعني الان لو مثلا حكينا في مثال ال
+
+8
+00:00:55,560 --> 00:01:00,260
+right eye minus
+
+9
+00:01:00,260 --> 00:01:05,560
+نص ديوبتر سفير okay
+
+10
+00:01:09,780 --> 00:01:13,200
+إذا في ال right eye minus نص ده يبتر السفير، لو
+
+11
+00:01:13,200 --> 00:01:19,520
+أنا حاطيه قدام العين minus one ده يبتر السفير، شو
+
+12
+00:01:19,520 --> 00:01:25,320
+بدي يصير؟ بالظبط، بدنا دايما اتكلمي كمصطلح over
+
+13
+00:01:25,320 --> 00:01:29,880
+correction، إذا minus one هيعمل over correction،
+
+14
+00:01:29,880 --> 00:01:34,500
+أي بمعنى إن ال light rays وين هتتركز؟بهايبر اتنق
+
+15
+00:01:34,500 --> 00:01:39,440
+اي بمعنى هيصير artificial هايبرمتروب okay؟ اذا هذا
+
+16
+00:01:39,440 --> 00:01:44,320
+artificial
+
+17
+00:01:44,320 --> 00:01:48,200
+hypermetrop
+
+18
+00:01:48,200 --> 00:01:51,660
+اي
+
+19
+00:01:51,660 --> 00:01:55,560
+بمعنى hypermetrop اشماله كاذب، artificial كاذب او
+
+20
+00:01:55,560 --> 00:02:02,340
+صناعي okay؟ ليش يا نديم؟ليش ال minus one صار
+
+21
+00:02:02,340 --> 00:02:05,160
+artificial hypermetroid؟ لأنه ال data over
+
+22
+00:02:05,160 --> 00:02:13,560
+connection صح؟ طيب لو أنا حطيت minus نص بالظبط
+
+23
+00:02:13,560 --> 00:02:18,920
+لكن بيقول في بعض الكتب أنه دايما ال red slightly
+
+24
+00:02:18,920 --> 00:02:24,020
+compared to green okay يعني دايما ال red بيكون
+
+25
+00:02:24,020 --> 00:02:30,200
+أوضح بدرجة بسيطة عن مين؟ عن اللي green okayإذا هان
+
+26
+00:02:30,200 --> 00:02:40,140
+ال minus two إنه بدنا نكتب ال red color is
+
+27
+00:02:40,140 --> 00:02:45,260
+slightly clear
+
+28
+00:02:45,260 --> 00:02:48,500
+compared
+
+29
+00:02:48,500 --> 00:02:53,000
+to
+
+30
+00:02:53,000 --> 00:02:58,220
+green color
+
+31
+00:02:59,610 --> 00:03:05,130
+طيب، الآن أنا استخدمت إيش؟ minus نص، صح، الآن لو
+
+32
+00:03:05,130 --> 00:03:12,330
+سالتي سؤال why the red color is slightly clear
+
+33
+00:03:12,330 --> 00:03:19,850
+compared to green color في ال minus نص؟ بمعنى
+
+34
+00:03:19,850 --> 00:03:25,590
+ليش أنه المريض شاف درجة شوية أوضح أو التنتين
+
+35
+00:03:25,590 --> 00:03:28,870
+متساويات الوضوح في ال minus نص؟
+
+36
+00:03:31,880 --> 00:03:35,860
+تفسير دايما ال interruption لازم يكون logic منطق
+
+37
+00:03:35,860 --> 00:03:40,480
+انه خلانا الأشياء هتتركز على ال truth بالظبط هاي
+
+38
+00:03:40,480 --> 00:03:43,520
+الجواب ان ال incident light rays are brought to
+
+39
+00:03:43,520 --> 00:03:49,920
+focus on the truth okay اذا هان ايش بكتب ان ال
+
+40
+00:03:49,920 --> 00:03:55,940
+incident light
+
+41
+00:03:55,940 --> 00:03:59,380
+rays
+
+42
+00:04:08,520 --> 00:04:14,620
+to focus on
+
+43
+00:04:14,620 --> 00:04:19,740
+the retina ممكن
+
+44
+00:04:19,740 --> 00:04:23,740
+واحدة تانية تكتب sharply the retina okay نفس
+
+45
+00:04:23,740 --> 00:04:29,140
+المعنى أو on the retina طيب الآن يا ولا يما
+
+46
+00:04:29,140 --> 00:04:34,880
+استخدمنا ال minus one صار إيش في عنده بالظبط over
+
+47
+00:04:34,880 --> 00:04:36,480
+correction شو معناها؟
+
+48
+00:04:39,260 --> 00:04:44,500
+بالظبط انه تركزت وين behind ال retina واضحة النقطة
+
+49
+00:04:44,500 --> 00:04:48,300
+هذه طالبات
+
+50
+00:04:48,300 --> 00:04:51,260
+اللي اجوا جداد الان احنا بنشرح في موضوع ال
+
+51
+00:04:51,260 --> 00:04:54,900
+diachrome test أخدنا عن ال diachrome test quiz كان
+
+52
+00:04:54,900 --> 00:05:00,220
+صغير انه كيف بتم تصحيح او ال verification
+
+53
+00:05:09,400 --> 00:05:13,940
+الان اجانب patient كان عنده minus نص ديوبتر السفير
+
+54
+00:05:13,940 --> 00:05:18,800
+okay في ال right eye طيب انا روحت ال data minus
+
+55
+00:05:18,800 --> 00:05:24,020
+one ديوبتر السفير ايش معناه ال data؟ بالظبط شو
+
+56
+00:05:24,020 --> 00:05:28,540
+معناه مصطلح over correction طيب الان ال minus one
+
+57
+00:05:28,540 --> 00:05:31,100
+شو معناته صار هذا ال patient؟
+
+58
+00:05:35,680 --> 00:05:38,600
+يعني الـ refractive state الحالة الإنكسرية بتاعته
+
+59
+00:05:38,600 --> 00:05:42,260
+صارت over correction إذا ال light .. ال incident
+
+60
+00:05:42,260 --> 00:05:46,640
+light rays are brought to focus where؟ behind the
+
+61
+00:05:46,640 --> 00:05:51,460
+retina صح؟ في ال artificial hyper metro طيب الحالة
+
+62
+00:05:51,460 --> 00:05:55,820
+التانية ال data minus نص إذا إيش هيصير عنده؟ يعني
+
+63
+00:05:55,820 --> 00:05:58,940
+أنا مثلا أدي minus نص إنه صلحته ال data ال full
+
+64
+00:05:58,940 --> 00:06:01,660
+correction إذا ال light rays وين هتتركّر؟
+
+65
+00:06:29,690 --> 00:06:33,250
+طب لو افترضنا ال left eye كانت عنده hyper metroid
+
+66
+00:06:33,250 --> 00:06:37,950
+ممكن تكون hyper metroid؟ ممكن عين ميوب واحدة hyper
+
+67
+00:06:37,950 --> 00:06:47,110
+metroid ال left كانت plus three ديوب تر سفير طيب
+
+68
+00:06:47,110 --> 00:06:54,290
+الآن سين من الناس استخدمت plus اتنين ديوب تر سفير
+
+69
+00:06:54,290 --> 00:06:58,050
+شو معناه؟ مين هيشوف اوضح؟
+
+70
+00:07:06,900 --> 00:07:11,920
+أديته plus two، إذا شو معناها؟ under ولا over
+
+71
+00:07:11,920 --> 00:07:16,000
+correction؟ ولا correction؟ under correction صح؟
+
+72
+00:07:16,000 --> 00:07:18,960
+يعني أقل من القيمة المطلوبة
+
+73
+00:07:48,350 --> 00:07:52,070
+behind the retina لأنه ما زال هو يعتبر ايه hyper
+
+74
+00:07:52,070 --> 00:07:59,510
+metro واضح يا فاطمة طيب لو استخدمنا plus two point
+
+75
+00:07:59,510 --> 00:08:03,390
+fifty فاطمة
+
+76
+00:08:03,390 --> 00:08:08,070
+ايش هيكون under correction اذا وين ال light rays
+
+77
+00:08:08,070 --> 00:08:11,050
+هتتركز behind the retina
+
+78
+00:08:23,680 --> 00:08:26,940
+ميوب صح؟ يعني when ال incident light rays are
+
+79
+00:08:26,940 --> 00:08:31,560
+brought to focus where؟ in the front امتازة طيب لو
+
+80
+00:08:31,560 --> 00:08:35,860
+اديتوا plus ثلاثة؟ بالظبط
+
+81
+00:08:55,340 --> 00:09:04,340
+الـ Hyper Metro Okay واضحة في
+
+82
+00:09:04,340 --> 00:09:08,200
+ال place 4 ايش عملت؟ مابدى احفظنا عملت Artificial
+
+83
+00:09:08,200 --> 00:09:11,400
+Myopic يعني وين ال incident light rays are brought
+
+84
+00:09:11,400 --> 00:09:14,720
+to focus where؟ in front إذا صار هو ايش؟ Myopic
+
+85
+00:09:14,720 --> 00:09:19,260
+مين هيشوف الأوضح؟ الرب في حدا مش فاهم النقطة هذه
+
+86
+00:09:19,260 --> 00:09:22,780
+هذه
+
+87
+00:09:22,780 --> 00:09:23,660
+مهمة جدا
+
+88
+00:09:29,610 --> 00:09:33,610
+ممكن تلاقوا خارجين مابيعرفوش كلام الديوكروم تست
+
+89
+00:09:33,610 --> 00:09:40,050
+واضح مهم كثير وهذه أمانة أنا بحملكم إياها اللي مش
+
+90
+00:09:40,050 --> 00:09:44,630
+فاهمة تحكي okay يعني هذه المواضيع المهمة جدا لأن
+
+91
+00:09:44,630 --> 00:09:49,650
+الديوكروم تست تعتبر very accurate دقيقة كثير وبدها
+
+92
+00:09:49,650 --> 00:09:55,450
+ناس ان يكون عندهم knowledge كعلم كويس وزائد اللي
+
+93
+00:09:55,450 --> 00:10:00,070
+هو خبرة هاي احنا فهمناها الآن اعتقديعني اي سؤال او
+
+94
+00:10:00,070 --> 00:10:05,490
+اي تمثلة بتقدر تحليها طبعا بالاضافة للتطبيق العملي
+
+95
+00:10:05,490 --> 00:10:12,190
+انا
+
+96
+00:10:12,190 --> 00:10:18,070
+عارف ال astigmatic fan هي المحبط شوية اللي صعبة بس
+
+97
+00:10:18,070 --> 00:10:22,590
+الآن بنحاول نجيب اكم مسألة ان شاء الله بصير سهلة
+
+98
+00:10:22,590 --> 00:10:22,950
+كثير
+
+99
+00:10:34,240 --> 00:10:45,020
+خلصتي؟ حاضر ال right eye بلانه على minus تلاتة
+
+100
+00:10:45,020 --> 00:10:55,540
+اكسز قلبي هد ايش هد؟يعني الوصفة هذه cylinder هذه
+
+101
+00:10:55,540 --> 00:10:59,620
+عبارة عن ال final objective refraction يعني أخدتها
+
+102
+00:10:59,620 --> 00:11:03,500
+من ال retroscope أو ال auto refractometer إذا هذه
+
+103
+00:11:03,500 --> 00:11:10,400
+ايه؟ final objective
+
+104
+00:11:22,690 --> 00:11:28,870
+طيب الان minus 3 cylinder ال sphere قداش ال plano
+
+105
+00:11:28,870 --> 00:11:33,710
+يعني ماعنديش ايه ال sphere يعني الان يما باجيت بحط
+
+106
+00:11:33,710 --> 00:11:37,510
+في ال right بجيب عدسة minus 3 و بحطها قدام العين
+
+107
+00:11:37,510 --> 00:11:42,030
+okay نيجي بدنا نفهم كيف بدي استخدم ال astigmatic
+
+108
+00:11:42,030 --> 00:11:46,510
+fan ال astigmatic fan عبارة عن مجموعة ايه من
+
+109
+00:11:46,510 --> 00:11:53,430
+الخطوط الان بعرض الخطوط هذه لمين للمريضبسأل المريض
+
+110
+00:11:53,430 --> 00:11:58,390
+which line is more clear يعني أي واحد من الخطوط هو
+
+111
+00:11:58,390 --> 00:12:04,010
+أوضح مقارنة في الخطوط التانية okay؟ الآن زي ما
+
+112
+00:12:04,010 --> 00:12:08,470
+انتوا عارفين في عندنا التسعين والمية و تمانين
+
+113
+00:12:28,440 --> 00:12:33,040
+تقريبا هنا اذا هذا الخط هيكون ايش هو ال more clear
+
+114
+00:12:33,040 --> 00:12:39,040
+يعني اوضح خط هيشوفه ايه المريض ياما باجي انا
+
+115
+00:12:39,040 --> 00:12:43,520
+بستخدم العدسات ايش بحط ال access اللي عنده ال 40
+
+116
+00:12:43,520 --> 00:12:50,660
+فال 40 هي عمودي على مين اذا هو صلح مين ال 130 صح
+
+117
+00:12:50,660 --> 00:12:56,080
+واضح هيك اذا عملية .. لان ال access عمودي على مين
+
+118
+00:12:56,080 --> 00:13:01,370
+ال powerفانا الآن إما حطيت على ال axis 130 عملت
+
+119
+00:13:01,370 --> 00:13:07,350
+تصحيح لمين؟ لل .. لل axis ال 40 يعني العمودي عليه
+
+120
+00:13:07,350 --> 00:13:12,870
+okay فاحنا حكينا ال more clear هو يعتبر less
+
+121
+00:13:12,870 --> 00:13:17,210
+immature و ال less clear يعتبر ايه؟ more immature
+
+122
+00:13:17,210 --> 00:13:20,330
+ال more clear
+
+123
+00:13:29,300 --> 00:13:35,920
+less immature و
+
+124
+00:13:35,920 --> 00:13:39,480
+less clear
+
+125
+00:13:39,480 --> 00:13:47,220
+more clear more immature okay إذا علاقة إيه صارت
+
+126
+00:13:47,220 --> 00:13:50,720
+inverse relation علاقة عكسية
+
+127
+00:13:59,550 --> 00:14:05,550
+ولا ريتنسكوب جبت مريض غطيت عينه الشمال لقيت ال
+
+128
+00:14:05,550 --> 00:14:10,270
+line الواضح عنده كانت تلاتين بعرف ان وين بده أحط
+
+129
+00:14:10,270 --> 00:14:15,930
+ال trial cell على ال مية و عشرين لو غطيت العين و
+
+130
+00:14:15,930 --> 00:14:22,330
+مثلا جالي الواضح عشرة قداش طيب؟ محدد يجاوب؟ مية
+
+131
+00:14:22,330 --> 00:14:26,210
+ليش؟ ضفنا طيب لو قلنا مية و تلاتين اللي كان هو ال
+
+132
+00:14:26,210 --> 00:14:26,770
+more clear
+
+133
+00:14:30,160 --> 00:14:34,280
+بدنا نجس ايه؟ تسعين .. تسعين .. واضحة .. واضحة ..
+
+134
+00:14:34,280 --> 00:14:40,280
+واضحة .. واضحة
+
+135
+00:14:40,280 --> 00:14:45,460
+.. واضحة .. واضح .. واضح .. واضح .. واضح .. واضح
+
+136
+00:14:45,460 --> 00:14:46,180
+واضح .. واضح .. واضح .. واضح .. واضح .. واضح ..
+
+137
+00:14:46,180 --> 00:14:49,960
+واضح .. واضح .. واضح .. واضح .. واضح .. واضح ..
+
+138
+00:14:49,960 --> 00:14:56,280
+واضح .. واضح .. واضح .. واضح ..
+
+139
+00:15:02,250 --> 00:15:10,510
+فهو هيصلح مين ال 130 طيب
+
+140
+00:15:10,510 --> 00:15:13,590
+لو
+
+141
+00:15:13,590 --> 00:15:17,210
+فرضنا patient has refractive error بال left eye
+
+142
+00:15:17,210 --> 00:15:27,910
+حلو هذا plus one على minus four ال
+
+143
+00:15:27,910 --> 00:15:31,310
+left eye plus one
+
+144
+00:15:41,000 --> 00:15:46,880
+مين ال line اللي هيكون واضح؟ لو طلبت منك انه draw
+
+145
+00:15:46,880 --> 00:15:54,720
+انه ترسم ال .. ال هذا نعم بالظبط
+
+146
+00:15:54,720 --> 00:15:58,540
+في الرابع التاني بقدر انه ارسمه بحط هو ال more
+
+147
+00:15:58,540 --> 00:16:02,360
+clear compared to the other lines okay
+
+148
+00:16:05,890 --> 00:16:10,770
+في حد اللي مش فاهم ال astigmatic fan يعني الآن ال
+
+149
+00:16:10,770 --> 00:16:14,530
+astigmatic fan لو واحد كان عنده astigmatism بقدر
+
+150
+00:16:14,530 --> 00:16:18,970
+انه اعرف جديش ال axis من خلال ايه ال chart بدون لا
+
+151
+00:16:18,970 --> 00:16:26,630
+auto ولا ايه ولا retinascope اه تفضل اه
+
+152
+00:16:35,420 --> 00:16:41,520
+المية و خمساش more clear هو الواضح فاهم عيكي؟ يعني
+
+153
+00:16:41,520 --> 00:16:49,200
+هذا الخط بيكون مميز عن الخطوط التانية هو .. هو
+
+154
+00:16:49,200 --> 00:16:52,880
+اللي فيه ال defect من ناحية إيش؟ إن المريض شايفه
+
+155
+00:16:52,880 --> 00:16:55,920
+أوضح من الخطوط التانية لكن ال access بتاعي هو
+
+156
+00:16:55,920 --> 00:17:00,460
+الخمساش ال access اللي هو ال originalاللي أخدته
+
+157
+00:17:00,460 --> 00:17:03,020
+أنا من وين؟ من ال written scope أو من ال auto
+
+158
+00:17:03,020 --> 00:17:10,360
+refractometer أو من ال auto ..
+
+159
+00:17:10,360 --> 00:17:13,440
+طبعا
+
+160
+00:17:13,440 --> 00:17:17,660
+هذه هتطبقوها عملي يعني الآن هقولك اشتغلي على ال
+
+161
+00:17:17,660 --> 00:17:20,740
+auto أو على ال written scope كده اشطلع من ال axis
+
+162
+00:17:20,740 --> 00:17:24,740
+مثلا تسعين إذا مين هيكون مش واضح ال .. الواضح كتير
+
+163
+00:17:24,740 --> 00:17:28,800
+مين هيكون عند ال .. ال 108 العمودي عليه okay
+
+164
+00:17:30,990 --> 00:17:33,570
+طبعا هذه وين بنشتغل؟ في ال minus cylinder
+
+165
+00:17:33,570 --> 00:17:37,190
+according to the minus cylinder lens لكن لو قلتلك
+
+166
+00:17:37,190 --> 00:17:40,810
+according to the plus cylinder lens عكس الاشياء اه
+
+167
+00:17:40,810 --> 00:17:45,110
+بس ايه ايش بده يكون العكس؟ عكس انه الخمس عاشر ..
+
+168
+00:17:45,110 --> 00:17:49,650
+اه بالظبط اه طيب اليوم موضوعنا عن ال jackson
+
+169
+00:17:49,650 --> 00:17:52,890
+across cylinder ال jackson across cylinder هي
+
+170
+00:17:52,890 --> 00:17:57,850
+عبارة عن عدسة بتتكون من عدستين
+
+171
+00:18:04,410 --> 00:18:10,290
+التنتين متساويات في ال power يعني plus ربوع minus
+
+172
+00:18:10,290 --> 00:18:13,790
+ربوع إذا التنتين إيش مالهم؟ متساويات في ال power
+
+173
+00:18:13,790 --> 00:18:19,910
+مختلفين من ناحية إيش؟ الإشارة طيب الآن هدول
+
+174
+00:18:19,910 --> 00:18:24,470
+العدستين شايفهم عدسة واحدة صح؟ إذا هم متحدين إيه؟
+
+175
+00:18:24,470 --> 00:18:30,090
+مع بعض صح؟ okay هذا ال Jackson برجع عندك
+
+176
+00:18:33,340 --> 00:18:41,140
+بكون ال power فيهم ايه؟ فضل
+
+177
+00:18:41,140 --> 00:18:48,540
+ايه؟ اذا التنتين بكون فيهم .. شايفين الخطين؟ ركزوا
+
+178
+00:18:48,540 --> 00:18:54,280
+على الخط الأسود و الأحمر، في عندك خطين صح؟ في خط
+
+179
+00:18:54,280 --> 00:18:58,780
+أحمر و في خط أسود، بس شوية بسرعة عشان يشوف الجميل
+
+180
+00:19:14,480 --> 00:19:19,620
+من حيث الإشارة متعمدين ال power ايه؟ على بعض كل
+
+181
+00:19:19,620 --> 00:19:24,420
+axis واحدة مثلا بتكون مية و خمسة و تلاتين والتانية
+
+182
+00:19:24,420 --> 00:19:30,060
+كده؟ خمسة و أربعين اذا ال axis ايه؟ متعمد لاحظة في
+
+183
+00:19:30,060 --> 00:19:36,540
+العدسة في عندنا خط أحمر و في خط أسود صح؟ الآن انا
+
+184
+00:19:36,540 --> 00:19:39,060
+مثلا طبعا ال Jackson cross اللي
+
+185
+00:19:44,350 --> 00:19:50,410
+لمن؟ للسلندر ولا لل .. للسلندر .. للسلندر الان
+
+186
+00:19:50,410 --> 00:19:55,850
+مثلا انا فرضت عنده hand تلاتين يعني طلعت .. هانجدش
+
+187
+00:19:55,850 --> 00:20:00,550
+ال power واحد و نص شكرا
+
+188
+00:20:00,550 --> 00:20:08,910
+لو انا فرضت عنده plano على
+
+189
+00:20:08,910 --> 00:20:16,750
+minus واحد و نصaccess تلاتين هذا ايش ال final
+
+190
+00:20:16,750 --> 00:20:22,430
+objective reflection بروح الآن هي minus واحد و نص
+
+191
+00:20:22,430 --> 00:20:27,830
+على ال access جديش تلاتين طبعا هان بده يكون ايه
+
+192
+00:20:27,830 --> 00:20:31,930
+occluder للعين التانية لانه دايما بشتغل ايه
+
+193
+00:20:31,930 --> 00:20:34,810
+monocular monocular fashion
+
+194
+00:20:38,180 --> 00:20:42,020
+إذا هين حطيت العدسة للسلندر على ال axis كام؟
+
+195
+00:20:42,020 --> 00:20:47,620
+تلاتين الآن بدي انا اعمل verification لل axis زي
+
+196
+00:20:47,620 --> 00:20:54,660
+ما انتوا شايفين في عندنا واحدة ال black وفي عندنا
+
+197
+00:20:54,660 --> 00:20:59,780
+ال red okay الآن التنتين إيش معلهم؟ متعمدين على
+
+198
+00:20:59,780 --> 00:21:04,700
+بعضهم صح؟ إذا واحدة مثلا على خمسة و أربعين والتاني
+
+199
+00:21:04,700 --> 00:21:09,770
+على كم؟ مية و خمسة و تلاتينلهان واضح؟ لهان واضح
+
+200
+00:21:09,770 --> 00:21:18,730
+بجيب الآن ال handle ال E بتاعتها okay بحطها
+
+201
+00:21:18,730 --> 00:21:23,230
+وين؟ متعامدة مع ال access بتاعي على التلاتين hand
+
+202
+00:21:23,230 --> 00:21:30,370
+بالظبط بقول للمريض هيك أوضح ولا هيك أوضح ولا هيك
+
+203
+00:21:39,120 --> 00:21:42,880
+يعني حطيتها يعني متعامد على وين؟ على التلاتين okay
+
+204
+00:21:42,880 --> 00:21:49,940
+فبقول للمريض هيك أحسن ولا هيك ولا هيك إذا جلت
+
+205
+00:21:49,940 --> 00:21:54,360
+تلاتة زي بعض بعرف أنه عندي مشكلة إيه في ال power
+
+206
+00:21:54,360 --> 00:21:58,180
+يعني لسه أنا مش مصلح ال power كويس خليني أجابل
+
+207
+00:21:58,180 --> 00:22:01,080
+النقطة هذه الآن لو جل مثلا
+
+208
+00:22:03,960 --> 00:22:09,800
+بدونهم أفضل، بالظبط، إذا ال access بتاعي إيش؟ صح،
+
+209
+00:22:09,800 --> 00:22:15,220
+okay إذا هي ال handle وان حطيتها parallel to the
+
+210
+00:22:15,220 --> 00:22:20,260
+access بتاعيإذا يعني متوازي مع مين؟ مع ال access
+
+211
+00:22:20,260 --> 00:22:25,500
+فانا الآن في زي ما اتفقنا من جهة بتكون خمسة
+
+212
+00:22:25,500 --> 00:22:29,260
+واربعين ومن جهة التانية قداشر؟ مية وخمسة و تلاتين
+
+213
+00:22:29,260 --> 00:22:34,500
+حطيتهم إيش مالهم متوازية بشكل متوازي يعني ال
+
+214
+00:22:34,500 --> 00:22:39,740
+handle هيك متوازي okay بحرك هيك و هيك طيب لو قاللي
+
+215
+00:22:39,740 --> 00:22:47,910
+مثلا من اتجاه الصورة الأولى هي الأوضحبالظبط قال لي
+
+216
+00:22:47,910 --> 00:22:51,410
+واحدة واحدة واحدة واحدة اذا الصورة الاولى قاللي هي
+
+217
+00:22:51,410 --> 00:22:55,890
+الاوضح اذا ايش انا شايف الاسوأ الصح اذا وين بروح
+
+218
+00:22:55,890 --> 00:23:03,030
+بحرك بحرك باتجاه ال plus ال
+
+219
+00:23:03,030 --> 00:23:07,130
+اولى
+
+220
+00:23:07,130 --> 00:23:17,340
+فهمتوها حاضر الان هي العدسة كده ع minusعلى axis 30
+
+221
+00:23:17,340 --> 00:23:21,440
+صح؟ متفقين على الفور؟ يعني انا روح اتحطيت العدسة
+
+222
+00:23:21,440 --> 00:23:26,340
+على ال axis 30 هي ال handle تع مين؟ العدسة بحط
+
+223
+00:23:26,340 --> 00:23:31,480
+موازي على مين؟ على ال 30 هي موازي وين؟ على ال 30
+
+224
+00:23:31,480 --> 00:23:39,860
+okay؟ اذا بقول للمريض هيك واضح ولا هيك؟ ولا هيك؟
+
+225
+00:23:39,860 --> 00:23:46,240
+يعني عندك تلت خياراتلأ بدونهم افضل اذا ال access
+
+226
+00:23:46,240 --> 00:23:51,780
+ده يعني صح صح صح واضحة
+
+227
+00:23:51,780 --> 00:23:56,800
+النقطة الاولى اذا بس حطيت هذه يعني كأنها موازية لل
+
+228
+00:23:56,800 --> 00:24:00,740
+access طيب
+
+229
+00:24:00,740 --> 00:24:06,260
+الحالة التانية الان حطيت هذه موازية يعني انا اديته
+
+230
+00:24:06,260 --> 00:24:11,120
+الصورة الاولى جلب اتجاه جلب الصورة الاولى اوضح اذا
+
+231
+00:24:11,120 --> 00:24:12,780
+هاي انتش شايفه في plus صح
+
+232
+00:24:22,270 --> 00:24:29,310
+الان هنركيش شوية باتجاه ال plus يعني
+
+233
+00:24:29,310 --> 00:24:34,130
+مجانبة اللي هو rotation تدوير طيب الان نرجع على
+
+234
+00:24:34,130 --> 00:24:39,510
+التلاتين الان انا حركت باتجاه ال plus
+
+235
+00:24:43,600 --> 00:24:47,800
+ياما راحت حركت باتجاه ال minus جالي واضحة بروح
+
+236
+00:24:47,800 --> 00:24:51,400
+بحرك باتجاه مين ال minus إذا ال access بتاعي بيكون
+
+237
+00:24:51,400 --> 00:25:01,240
+باتجاه ال minus تفضلي مانا
+
+238
+00:25:01,240 --> 00:25:06,800
+ألجيت أه هذا السؤال ممتاز الآن حطيت مثلا على الخمس
+
+239
+00:25:06,800 --> 00:25:11,400
+عاشر كان ال access بتاعي الجديد بالظبط مرة تانية
+
+240
+00:25:11,960 --> 00:25:16,360
+بجيب ال .. ال handle بتاعة العدسة موازي وين؟
+
+241
+00:25:16,360 --> 00:25:21,940
+للخمساش و مرة تانية بعمل rotation لل .. ايه؟
+
+242
+00:25:21,940 --> 00:25:33,640
+للعدسة واضحة؟ مين مش فاهم؟ صراحة؟ في حاجة مش فاهم؟
+
+243
+00:25:33,640 --> 00:25:38,880
+نعم في ال ..
+
+244
+00:25:42,620 --> 00:25:48,980
+السماء هاي ال .. ال أسود هو ال plus يعني .. كيف
+
+245
+00:25:48,980 --> 00:25:55,700
+يعني؟ يعني زي ما أنا مثلا حركت من هان okay يعني
+
+246
+00:25:55,700 --> 00:25:59,440
+بدي أحرك جالي هيك أوضح إذا بدي أطلع فوق جالي مثلا
+
+247
+00:25:59,440 --> 00:26:03,680
+هيك أوضح يا ما أطلع هيك إذا بدي أنزل لتحت okay
+
+248
+00:26:03,680 --> 00:26:08,180
+يعني باتجاه بدي أطلع على الأسهم أنا وين جالي أوضح
+
+249
+00:26:08,180 --> 00:26:23,630
+okay طيب بدي تنتينيلا بالعجب فضلي الان
+
+250
+00:26:23,630 --> 00:26:33,530
+في عندنا لو
+
+251
+00:26:33,530 --> 00:26:38,370
+فرضنا ال right plus
+
+252
+00:26:38,370 --> 00:26:38,770
+3
+
+253
+00:26:41,810 --> 00:26:50,270
+مينوس اتنين اكسز مية و تلاتين الان بدنا نعمل
+
+254
+00:26:50,270 --> 00:26:53,850
+verification سيبك من ال plus ثلاثة اللي هي الاسفير
+
+255
+00:26:53,850 --> 00:26:56,690
+لان الاسفير بدنا نستخدم اليها ايه ال diachrome
+
+256
+00:26:56,690 --> 00:27:01,010
+test صح؟ الان انا بدي اعمل verification لمن؟ لل
+
+257
+00:27:01,010 --> 00:27:07,430
+cylinder احنا مش موجود عندنا واحد و نص يعني اعتبري
+
+258
+00:27:07,430 --> 00:27:11,030
+هذه مينوس اتنين كده يبترك ال power الان وانت كتحط
+
+259
+00:27:12,870 --> 00:27:17,770
+هتبريها هي ال patient okay هي ال occlusion وحط
+
+260
+00:27:17,770 --> 00:27:22,410
+العدسة اعمال verification لل access هتبريها ال
+
+261
+00:27:22,410 --> 00:27:22,650
+patient
+
+262
+00:27:49,410 --> 00:28:01,350
+دعوها مجال، دعوها مجال، حاضر Westpire،
+
+263
+00:28:01,350 --> 00:28:05,550
+خطة دلوقتي يعني
+
+264
+00:28:05,550 --> 00:28:06,690
+ذات؟
+
+265
+00:28:25,160 --> 00:28:28,760
+أسألها ايه؟ هلجيت وين ال access؟ ال .. ال handle
+
+266
+00:28:28,760 --> 00:28:34,460
+هيكون وين؟ ع مية و تلاتين بالظبط
+
+267
+00:28:34,460 --> 00:28:38,500
+لازم يكون مية و تلاتين هل هو مافيش أرقام ل .. لأ
+
+268
+00:28:38,500 --> 00:28:45,520
+هي .. هي جداش؟ مية و عشرين هي تقريبا مية و تلاتين
+
+269
+00:28:45,520 --> 00:28:51,520
+هون صح؟ هلجيت وين ال handle اللي بدك تحطيه؟ ع مية
+
+270
+00:28:51,520 --> 00:29:01,030
+و تلاتينهي هيك صح؟ صحي هيك
+
+271
+00:29:01,030 --> 00:29:11,070
+لازم برميل متوازي بالظبط هيك بمسك هيك هيك أوضح انا
+
+272
+00:29:11,070 --> 00:29:18,430
+عارف هيك أوضح ولا هيك مرة تانية يعني بالظبط لازم
+
+273
+00:29:18,430 --> 00:29:19,510
+يكون متوازي له
+
+274
+00:29:23,690 --> 00:29:27,450
+هي ال handle okay هذه ال handle لازم يكون على ال
+
+275
+00:29:27,450 --> 00:29:35,170
+axis أحمر ال بيضا مش الخط أه أنا فاكر هات فوضى ورد
+
+276
+00:29:35,170 --> 00:29:38,990
+هات
+
+277
+00:29:38,990 --> 00:29:50,650
+لأ مش شايفها هلجيت هى المية و تلاتين صح تمام هلجيت
+
+278
+00:29:50,650 --> 00:29:56,340
+هذه ال handle هى الخطالأبيض وهي ال handle بتاعتها
+
+279
+00:29:56,340 --> 00:30:03,400
+بجيب لازم أصلا معملي touch مع ال frame هيك أوضح و
+
+280
+00:30:03,400 --> 00:30:10,100
+لا هيك و لا هيك okay يعني ال handle ايجي على المية
+
+281
+00:30:10,100 --> 00:30:14,580
+و تلاتين الخط الأبيض هذا وين ايجي موازي على المية
+
+282
+00:30:14,580 --> 00:30:22,040
+و تلاتين okay دي ولا واحد واضحهي مشيلها ال power
+
+283
+00:30:22,040 --> 00:30:29,960
+طيب لو قلنا ال left eye plus واحد و نص على minus
+
+284
+00:30:29,960 --> 00:30:34,980
+واحد و نص axis خمسة و عشرين اعمل ايه هذا ال left
+
+285
+00:30:34,980 --> 00:30:35,200
+eye
+
+286
+00:31:05,380 --> 00:31:10,940
+أه مرة تانية بالله جيت هالي خمس عشر عشرين لأ مرة
+
+287
+00:31:10,940 --> 00:31:15,900
+خمس عشرين احنا قولنا شايفة هاي التدريج هاي خمس عشر
+
+288
+00:31:15,900 --> 00:31:21,840
+بعدين انه عشرين خمس عشرين تلاتين يعني بيكون بالظبط
+
+289
+00:31:21,840 --> 00:31:29,360
+هون هي ال frame في مشكلة انها هالي هيت و انا هيت و
+
+290
+00:31:29,360 --> 00:31:34,980
+انا بدوني بالظبط هاي المثل في another group
+
+291
+00:31:47,630 --> 00:32:00,470
+طيب إنها right إبلاه
+
+292
+00:32:00,470 --> 00:32:04,330
+نه ع minus نص
+
+293
+00:32:07,460 --> 00:32:09,120
+access خمسة
+
+294
+00:32:39,830 --> 00:32:44,690
+هذه مية و خمسة شويه
+
+295
+00:32:44,690 --> 00:32:54,590
+ده؟ على الخمسة وتسعين شوفها
+
+296
+00:32:54,590 --> 00:33:00,350
+هاي مية هاي خمس عشر بعدين عشرة بعدين هاي خمسة يعني
+
+297
+00:33:00,350 --> 00:33:05,710
+جري بع المية و تمانين و انزليها تحت كمان
+
+298
+00:33:05,710 --> 00:33:11,580
+انزليها مش هيك مية و تمانين صح؟إذا وين بتنزل كمان؟
+
+299
+00:33:11,580 --> 00:33:16,840
+ده تحت، هاي خمسة عايش؟ اكسس خمسة شوف كيف هي خمسة
+
+300
+00:33:16,840 --> 00:33:26,440
+طيب وين ال ..
+
+301
+00:33:26,440 --> 00:33:31,180
+لأ
+
+302
+00:33:31,180 --> 00:33:36,080
+هاي ال handle وين بيكون؟ على الخمسة على الخمسة اه
+
+303
+00:33:36,080 --> 00:33:39,060
+شكرا okay
+
+304
+00:33:40,530 --> 00:33:46,230
+هذه one تسأل المريض طيب
+
+305
+00:33:46,230 --> 00:33:50,770
+هيك؟ أحسن؟
+
+306
+00:33:50,770 --> 00:33:54,070
+نفس
+
+307
+00:33:54,070 --> 00:34:00,130
+الحاجة هي .. ليش بتغيري إيدك؟ هي واحدة، اتنتين أو
+
+308
+00:34:00,130 --> 00:34:05,010
+هيك يعني بس بتعمل عملية rotation flip إنه بده و
+
+309
+00:34:05,010 --> 00:34:05,510
+مرة تانية
+
+310
+00:34:18,510 --> 00:34:22,750
+Okay؟ هعملوا rotation، خليها هي تشتغل، يعني دايما
+
+311
+00:34:22,750 --> 00:34:25,950
+ال .. ال handle بتاعة ال cross cylinder بحطها
+
+312
+00:34:25,950 --> 00:34:29,610
+موازي على مين ال axis اللي أنا حطيته، بشوف هل هذا
+
+313
+00:34:29,610 --> 00:34:33,990
+ال axis صح ولا لأ، okay؟ أه تفضلي
+
+314
+00:34:48,310 --> 00:34:57,890
+ع ال .. كم بدك تحطيه؟ خمسة .. خمسة .. خمسة ..
+
+315
+00:34:57,890 --> 00:35:02,530
+خمسة
+
+316
+00:35:02,530 --> 00:35:03,230
+.. خمسة .. خمسة .. خمسة .. خمسة .. خمسة .. خمسة ..
+
+317
+00:35:03,230 --> 00:35:03,350
+خمسة .. خمسة .. خمسة .. خمسة .. خمسة .. خمسة ..
+
+318
+00:35:03,350 --> 00:35:03,790
+خمسة .. خمسة .. خمسة .. خمسة .. خمسة .. خمسة ..
+
+319
+00:35:03,790 --> 00:35:03,850
+خمسة .. خمسة .. خمسة .. خمسة .. خمسة .. خمسة ..
+
+320
+00:35:03,850 --> 00:35:03,930
+خمسة .. خمسة .. خمسة .. خمسة .. خمسة .. خمسة ..
+
+321
+00:35:03,930 --> 00:35:11,550
+خمسة .. خمسة .. خمسة .. خمسة .. خمسة .. خمسة ..
+
+322
+00:35:11,550 --> 00:35:17,310
+خمسة .. خمسة
+
+323
+00:35:17,310 --> 00:35:24,720
+.. خهيك الخمسة صح؟ اه هلجيت بجيب العدسة ال handle
+
+324
+00:35:24,720 --> 00:35:30,280
+بتاعتها بدها تكون موازية لمين للخمسة؟ يعني هيك؟
+
+325
+00:35:30,280 --> 00:35:39,620
+بالظبط ايه ليش بترجع؟ هيك؟ اه او هيك؟ صحيح او هيك؟
+
+326
+00:35:39,620 --> 00:35:44,920
+بالظبط okay طب
+
+327
+00:35:44,920 --> 00:35:46,280
+اعمل على ال axis تلاتين
+
+328
+00:35:54,020 --> 00:36:08,740
+أعمل ال lift أسألك عشان مقصور من ال ride في
+
+329
+00:36:08,740 --> 00:36:11,800
+حد مش فاهم ال jacks on a cross cylinder هذا
+
+330
+00:36:11,800 --> 00:36:13,500
+verification لل access
+
+331
+00:36:24,670 --> 00:36:31,010
+أحنا بنعمله لمين؟ لل access okay after that we
+
+332
+00:36:31,010 --> 00:36:38,230
+will start for cylinder for power cylinder
+
+333
+00:36:38,230 --> 00:36:46,670
+عرفت زي ما هي دي؟ تانية قولنا الأكم؟ تلاتين ممتاز
+
+334
+00:36:46,670 --> 00:36:47,170
+ايه؟
+
+335
+00:36:54,540 --> 00:37:00,440
+بالظبط ان يكون موازي لمين بالان طيب بالنسبة
+
+336
+00:37:00,440 --> 00:37:04,740
+لالموضوع ال power انه كيف ال jason ال cross
+
+337
+00:37:04,740 --> 00:37:10,920
+cylinder بعمل verification ل ال power الان لما انا
+
+338
+00:37:10,920 --> 00:37:16,400
+ببدأ في ال power already انا صلحت من ال axis okay
+
+339
+00:37:16,400 --> 00:37:24,130
+الان زي ما انتوا شايفين في الخط الليالأسود و في
+
+340
+00:37:24,130 --> 00:37:29,190
+الخط الأحمر صح؟ الآن هدول الخطوط هما اللي هيكونوا
+
+341
+00:37:29,190 --> 00:37:37,810
+ايش؟ متوازين مع ال access بتاعي يعني بمعنى انه
+
+342
+00:37:37,810 --> 00:37:42,050
+الآن هانجدنيش حطات رهد تلاتين okay؟
+
+343
+00:37:46,910 --> 00:37:53,190
+يعني لو كان أنا مثلا عندي الآن minus واحد و نص
+
+344
+00:37:53,190 --> 00:37:57,090
+يعني بحط ال minus واحد و ربع بيصير كده .. sorry
+
+345
+00:37:57,090 --> 00:38:02,350
+minus ربع minus واحد و نص بيصير كده؟ واحد و خمس و
+
+346
+00:38:02,350 --> 00:38:09,230
+سبعين okay إذا بجيب الأحمر بحط موازلة مين؟ لل
+
+347
+00:38:09,230 --> 00:38:15,880
+تلاتينممكن أقبل أسود يعني مرة بعمل بزود هين زوّدت
+
+348
+00:38:15,880 --> 00:38:24,160
+ال minus بقوله هيك أوضح ولا هيك okay او هيك يعني
+
+349
+00:38:24,160 --> 00:38:29,100
+بمعنى يما حطت ال minus ربع شو أنا عملت؟ زوّدت ال
+
+350
+00:38:29,100 --> 00:38:33,560
+minus زوّدت ال minus و يما حطت plus ربع جلّلت ال
+
+351
+00:38:33,560 --> 00:38:38,860
+minus صح؟ فمرة بجرب في ال plus و مرة فيه ال minus
+
+352
+00:38:40,060 --> 00:38:43,940
+طيب إذا قال لي التنتين مش واضحات بيكون ال power
+
+353
+00:38:43,940 --> 00:38:52,360
+اللي انا موجود فيه ايه صح واضح مرة تانية الآن انا
+
+354
+00:38:52,360 --> 00:38:58,000
+حاطط على ال axes تلاتين okay هى في عندى زى ما
+
+355
+00:38:58,000 --> 00:39:01,700
+انتوا شوفته في ال black وفي ال red ال black و ال
+
+356
+00:39:01,700 --> 00:39:06,480
+red معنى ال black انه بدي اضيف اضيف plus ربع ال
+
+357
+00:39:06,480 --> 00:39:09,920
+minus بمعنى بدي اجلل يعني بدي اطرح okay
+
+358
+00:39:12,510 --> 00:39:19,250
+وين بحطه؟ موازي .. موازي لمين؟ لل access بتاعك هي
+
+359
+00:39:19,250 --> 00:39:27,110
+.. هيك أو هيك، يعني بمعنى هيك، نقصت و هيك إيه؟
+
+360
+00:39:27,110 --> 00:39:33,570
+زولتفهنا إذا مثلا قال لي في الوضع الأول أوضح يعني
+
+361
+00:39:33,570 --> 00:39:37,090
+لو فرضنا الأسود هو الوضع الأول بقول minus واحد و
+
+362
+00:39:37,090 --> 00:39:43,450
+نص من الربع قداش plus ربع minus واحد و ربع صح؟ لو
+
+363
+00:39:43,450 --> 00:39:49,210
+مثلا ال minus ربع طلعتها من ال minus واحد و نص
+
+364
+00:39:49,210 --> 00:39:53,830
+صارت واحد و خمسة سبع okay؟
+
+365
+00:39:58,040 --> 00:40:06,100
+ال red slash موازلة مين لل access بتاعي okay هذه
+
+366
+00:40:06,100 --> 00:40:10,380
+طريقة مين ال power طيب مين ببدأ في الأول ال access
+
+367
+00:40:10,380 --> 00:40:22,100
+ولا ال power في ال cylinder why السؤال
+
+368
+00:40:22,100 --> 00:40:25,820
+مين ببدأ في الأول ال power ولا ال access why
+
+369
+00:40:34,580 --> 00:40:38,480
+نبدأ بال access why؟ لإن لو احنا نحطوله العدسة و
+
+370
+00:40:38,480 --> 00:40:42,000
+نسينا ندفل Jackson بس اذا ماشيفش ولا واحد اقول انا
+
+371
+00:40:42,000 --> 00:40:48,000
+عندي ال power ولا ال access بور
+
+372
+00:40:48,000 --> 00:40:51,320
+ولا ال access؟ ال access يعني انه احنا هال program
+
+373
+00:40:51,320 --> 00:40:54,380
+أول اشينا نعمل في ال access لو ماشيفش ال access
+
+374
+00:40:54,380 --> 00:40:57,200
+ولا ال يعني ماشيفش ال access ولا عدسة ال Jackson
+
+375
+00:40:57,200 --> 00:41:00,320
+اقول انا عندي ال power ولا ال access okay another
+
+376
+00:41:00,320 --> 00:41:04,670
+answer لإن لو حدنا ال power الصح فلما ..يعني ال
+
+377
+00:41:04,670 --> 00:41:07,310
+access غلط و ال power الصح هو مش عارف شوفيه فبنعمل
+
+378
+00:41:07,310 --> 00:41:10,410
+ال access عشان نفكر ان ال power الصح هو .. بالظبط
+
+379
+00:41:10,410 --> 00:41:13,210
+انه هتكون إيش blurred لل vision يعني ال access أنا
+
+380
+00:41:13,210 --> 00:41:16,670
+تعرف الصح يعني لو أنا روحت على ال astigmatic fan
+
+381
+00:41:16,670 --> 00:41:20,690
+هيديني واحد من ال line هيكون more clear compared
+
+382
+00:41:20,690 --> 00:41:23,770
+to the other فدايما أنا ببدأ في ال access بعدين
+
+383
+00:41:23,770 --> 00:41:26,530
+باخد مين ال power طب حتى لو ال power خلاني ال
+
+384
+00:41:26,530 --> 00:41:30,170
+power هتكون blurred؟ okay بس ال .. ال power دايما
+
+385
+00:41:30,170 --> 00:41:33,750
+في ال astigmatism مابكونش تأثيره أعلى من ال access
+
+386
+00:41:40,380 --> 00:41:44,700
+يكون discomfort مش مرتاح طيب ممكن نعمل ال
+
+387
+00:41:44,700 --> 00:41:49,660
+procedure بتاعة ال .. ال power فيه بدنا two group
+
+388
+00:41:49,660 --> 00:41:53,140
+بتاعي
+
+389
+00:41:53,140 --> 00:42:04,580
+ايمان بتاع حنان و نور مين كمان و رانيا يلا اسرع
+
+390
+00:42:24,920 --> 00:42:33,720
+فى minus واحد و نص مين بتكلم؟ حاضر
+
+391
+00:42:33,720 --> 00:42:45,740
+طب فهمت ال method؟ okay تعالى يصيبون Axis تلاتين و
+
+392
+00:42:45,740 --> 00:43:17,160
+left eye بلانه فى minus واحد و نصاكسس اشرين اختصار
+
+393
+00:43:17,160 --> 00:43:23,300
+لجهاز cross-cylinder بتكتب بشكل هذاإمان و حنان انت
+
+394
+00:43:23,300 --> 00:43:26,480
+اشتغلي الها ال right و انت ال left يعني اعملوا
+
+395
+00:43:26,480 --> 00:43:29,900
+rotation okay؟ اه تفضلي
+
+396
+00:43:45,040 --> 00:43:50,160
+المريد اه ال right لان تتعامل مع المريض بيكون
+
+397
+00:43:50,160 --> 00:43:56,240
+الدقة في الأول يعني ال accuracy مهمة كتير بس
+
+398
+00:43:56,240 --> 00:43:59,540
+المريض مابشعر بيقولك مافيش فرق ممكن مرة مرتين
+
+399
+00:43:59,540 --> 00:44:03,660
+تلاتة اعملها المريض بيحكي انه مافيش ايه فرق فانا
+
+400
+00:44:03,660 --> 00:44:07,320
+بدي اكون ايه يعني دقيق في هذه الناحية كتير okay
+
+401
+00:44:07,320 --> 00:44:11,400
+يعني ممكن اعيد ال test مرة و مرتين و تلاتة okay
+
+402
+00:44:20,750 --> 00:44:35,150
+على كدهش؟ تلاتين؟ بس إيدك شوية مالش
+
+403
+00:44:35,150 --> 00:44:41,910
+لإن هم بيشتغلوا في معمل عشان هيك دخلي من هنا لأ
+
+404
+00:44:41,910 --> 00:44:42,250
+هيك
+
+405
+00:44:51,160 --> 00:44:54,860
+الآن حطيتها على التلاتين؟ اه بحط هذا .. ممتازة ..
+
+406
+00:44:54,860 --> 00:45:02,620
+اسمها شوية .. اه .. الآن up to you .. بناها ال
+
+407
+00:45:02,620 --> 00:45:05,900
+power ..
+
+408
+00:45:05,900 --> 00:45:11,380
+ممتازة .. الأحمر موازي لمين؟ لل .. ال axis بتاعك
+
+409
+00:45:11,380 --> 00:45:15,540
+اللي هو تاع ال train .. بالظبط .. اه .. و انا
+
+410
+00:45:15,540 --> 00:45:19,180
+مسكها .. اه .. و انا مسكها .. اه .. هيك .. بالظبط
+
+411
+00:45:20,250 --> 00:45:27,470
+لأ مرة تانية هى واحدة هيك افضل ولا هيك ولا هيك
+
+412
+00:45:27,470 --> 00:45:37,970
+موازة
+
+413
+00:45:37,970 --> 00:45:42,030
+اه
+
+414
+00:45:42,030 --> 00:45:50,760
+الأحمر ممتازة او التالتة and without okayانت عمل
+
+415
+00:45:50,760 --> 00:46:13,300
+left I plano minus 1.50 X 26 طب
+
+416
+00:46:13,300 --> 00:46:17,040
+ع المريض لازم يمسك ال .. ال frame ايه ايدك شوية
+
+417
+00:46:17,040 --> 00:46:18,220
+اللي بيصيح اللي بيصيح
+
+418
+00:46:22,700 --> 00:46:30,860
+جبان احط هنا و اتهبط شوية ايوة جميل okay
+
+419
+00:46:53,060 --> 00:46:57,880
+الان ال image clear, you are optometrist, okay
+
+420
+00:46:57,880 --> 00:47:00,980
+clear ال image من ناحية ال diachrome test,
+
+421
+00:47:01,280 --> 00:47:04,660
+astigmatic fan و ال jackson cross cylinder ل ال
+
+422
+00:47:04,660 --> 00:47:08,900
+axis و لل power هذول تقريبا هم أهم تلات تستات من
+
+423
+00:47:08,900 --> 00:47:13,500
+ناحية ال verification ل ال sphere and cylinder for
+
+424
+00:47:13,500 --> 00:47:14,600
+power and axis
+
+425
+00:47:21,260 --> 00:47:26,760
+الان ال axis كدهش؟ ال عشرين لأ وين العشرين؟ هال
+
+426
+00:47:26,760 --> 00:47:33,340
+مية و خمس و ستين هى اهو طيب لأ هى هى العشرين هى
+
+427
+00:47:33,340 --> 00:47:40,180
+الصفر هى خمس و عشر هى العشرين صح؟ هى خمس و عشر
+
+428
+00:47:40,180 --> 00:47:45,880
+بعدين عشرين خمس و عشرين تلاتين صح؟ يعني هو هى كده
+
+429
+00:47:45,880 --> 00:47:54,510
+اه هى تدريجي هو بعدين هيكون موازن؟up to you يا
+
+430
+00:47:54,510 --> 00:48:01,650
+بتبدأ في ال plus or minus ارفع
+
+431
+00:48:01,650 --> 00:48:13,370
+يدك يا حنان ايوة
+
+432
+00:48:13,370 --> 00:48:19,370
+بس
+
+433
+00:48:19,370 --> 00:48:30,620
+هيك في rotationهى إيدي هى one two or three okay
+
+434
+00:48:30,620 --> 00:48:37,020
+again طبعا
+
+435
+00:48:37,020 --> 00:48:41,160
+هى بدها trick يعني بسرعة لازم أنك تستخدميها لإنه
+
+436
+00:48:41,160 --> 00:48:46,760
+المريض يعني نعم اه
+
+437
+00:48:46,760 --> 00:48:50,920
+طيب تعالى هان كمان تعالى
+
+438
+00:48:58,140 --> 00:49:02,140
+طيب ال right eye خليه على نفس ال .. ال .. ال
+
+439
+00:49:02,140 --> 00:49:10,760
+meridian او ال axis لأ
+
+440
+00:49:10,760 --> 00:49:14,680
+في هى انا جايبلكم هان ماانتبهتيش على القوة هان
+
+441
+00:49:14,680 --> 00:49:19,340
+minuszero point two five فيه ممكن تكون minus zero
+
+442
+00:49:19,340 --> 00:49:23,500
+point fifty ممكن minus zero point seventy five or
+
+443
+00:49:23,500 --> 00:49:26,980
+one دي أكتر بس ال more common اللي احنا بنشتغل
+
+444
+00:49:26,980 --> 00:49:33,440
+فيها minus zero point two five okay يعني الأكثر
+
+445
+00:49:33,440 --> 00:49:38,320
+شيوع ال excess كده إيش؟
+
+446
+00:49:43,620 --> 00:49:51,380
+بالظبط بستخدم اللي هو مين ال screw okay هاي الصح؟
+
+447
+00:49:51,380 --> 00:49:56,540
+اه هاي
+
+448
+00:49:56,540 --> 00:50:02,820
+الأحمر؟ لأ عليها ارفع يدي شوية سابرين هاتي شوية ال
+
+449
+00:50:02,820 --> 00:50:08,200
+.. ال gen two امتازة حطيتي على التلاتين صح؟ اه هاي
+
+450
+00:50:08,200 --> 00:50:13,600
+العدسةهي موازية للتلاتين هيك أفضل ولا هيك ولا هيك
+
+451
+00:50:13,600 --> 00:50:32,080
+okay one two three اه
+
+452
+00:50:32,080 --> 00:50:36,960
+و التالتة without هي مرة تانية
+
+453
+00:50:43,620 --> 00:50:57,300
+هي one two three okay again ممتاز
+
+454
+00:50:57,300 --> 00:51:01,840
+طيب ان شاء الله بنكون هيك أنهينا ال Jackson cross
+
+455
+00:51:01,840 --> 00:51:06,520
+cylinder في المحاضرة القادمة ان شاء الله هنترجم
+
+456
+00:51:06,520 --> 00:51:09,080
+بعض الأمور عن ال Jackson cross cylinder
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d9dcbfa8c8bc22809a9df10cca1dee18f02a8ed2
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE.srt
@@ -0,0 +1,2452 @@
+1
+00:00:20,810 --> 00:00:24,750
+طيب بسم الله الرحمن الرحيم السلام عليكم اليوم
+
+2
+00:00:24,750 --> 00:00:30,490
+هنتكلم فى موضوع الـ astigmatism الذي بقرية أخذنا فى
+
+3
+00:00:30,490 --> 00:00:35,890
+السابق أن الـ astigmatism هو يعتبر نوع من أنواع الـ
+
+4
+00:00:35,890 --> 00:00:40,430
+refractive error الأخطاء الانكسارية، okay قسمنا
+
+5
+00:00:40,430 --> 00:00:44,150
+الأخطاء الانكسارية إلى ثلاثة أنواع، there are three
+
+6
+00:00:44,150 --> 00:00:47,810
+types: hypermetropia, myopia, and astigmatism.
+
+7
+00:00:48,460 --> 00:00:54,460
+astigmatism بمعنى اللابؤرية أو المتداول عندنا في
+
+8
+00:00:54,460 --> 00:00:58,980
+الشارع يسمونه الانحراف، ولكن هذا المصطلح الشائع
+
+9
+00:00:58,980 --> 00:01:03,840
+يعتبر خاطئًا، لأن الانحراف بمعناه هو الـ squint،
+
+10
+00:01:03,840 --> 00:01:09,990
+الحول أو الـ eye deviation، انحراف العين. انحراف
+
+11
+00:01:09,990 --> 00:01:13,290
+القرنية بمعنى أنه ممكن أن يكون المريض عنده
+
+12
+00:01:13,290 --> 00:01:18,390
+keratoconus، قرنية مخروطية، أو عنده نوع من أنواع
+
+13
+00:01:18,390 --> 00:01:24,190
+الـ astigmatism الذي  أخذناه اليوم، استجماتيزم.
+
+14
+00:01:24,190 --> 00:01:30,400
+نعم، بالنسبة للـ astigmatism كتعريف أن الـ
+
+15
+00:01:30,400 --> 00:01:36,500
+incident light rays are brought to focus in two...
+
+16
+00:01:36,500 --> 00:01:41,080
+are brought to a focus in a line instead of a single
+
+17
+00:01:41,080 --> 00:01:46,820
+point. يعني بمعنى أنه هان الصورة بتكون... بتتكون
+
+18
+00:01:46,820 --> 00:01:51,140
+على أكثر من ايه؟ من line، يعني بتكون two lines أو
+
+19
+00:01:51,140 --> 00:01:57,160
+two points، نقطتين. هذا كتعريف لمن؟ للـ astigmatism، لكن
+
+20
+00:01:57,160 --> 00:02:00,660
+في المريض الطبيعي، أن الـ incident light rays are
+
+21
+00:02:00,660 --> 00:02:04,220
+brought to focus on the retina، أنه بيكون على
+
+22
+00:02:04,220 --> 00:02:12,640
+الشبكية، okay؟ إذًا كمفهوم للـ astigmatism، incident
+
+23
+00:02:29,380 --> 00:02:42,840
+light rays are brought to
+
+24
+00:02:42,840 --> 00:02:49,420
+a focus in
+
+25
+00:02:49,420 --> 00:02:49,940
+a line
+
+26
+00:03:02,340 --> 00:03:07,160
+ألا single point
+
+27
+00:03:09,910 --> 00:03:13,430
+دائمًا مريض الـ Astigmatism لما بيجي يشكي للـ
+
+28
+00:03:13,430 --> 00:03:18,590
+examiner،  للفاحص، بيحكيلك أنا بشوف دائمًا غبش في الرؤية،
+
+29
+00:03:18,590 --> 00:03:23,310
+مغبشة، وبشوف أكثر من نقطة، يعني ما أقدرش أن أحدد
+
+30
+00:03:23,310 --> 00:03:28,550
+نقطة واحدة، يعني دائمًا الصورة بتكون أكثر من نقطة،
+
+31
+00:03:28,550 --> 00:03:32,450
+فهذا يُعرف بأنه إيش؟ أن المريض عنده Astigmatism، يعني
+
+32
+00:03:32,450 --> 00:03:36,190
+هذه واحدة من indications لوجود الـ Astigmatism، أن
+
+33
+00:03:36,190 --> 00:03:40,580
+الصورة بتكون مكونة من أكثر من point، يعني بيشوف
+
+34
+00:03:40,580 --> 00:03:50,060
+بالضبط بالشكل هذا، يعني نقطتين، okay، بين النقطتين
+
+35
+00:03:50,060 --> 00:03:53,040
+يعني لا، هو بيشوف نقطتين، يعني ممكن لو نقطة واحدة،
+
+36
+00:03:53,040 --> 00:03:57,360
+حكينا أنه بيشوفها نقطتين، يعني قد يكونوا متوازيين
+
+37
+00:03:57,360 --> 00:04:05,460
+لبعض، يعني تحت بعض، okay. طيب، في types of astigmatism،
+
+38
+00:04:05,460 --> 00:04:10,410
+أنواع الـ astigmatism، شو أنواع اللابؤرية؟ there are
+
+39
+00:04:10,410 --> 00:04:15,010
+two types. عندنا نوعين من الـ astigmatism، إما أن
+
+40
+00:04:15,010 --> 00:04:21,310
+يكون الـ astigmatism regular أو irregular. إذا كان
+
+41
+00:04:21,310 --> 00:04:26,510
+الـ astigmatism regular، بمعنى أن الفرق ما بين الـ two
+
+42
+00:04:26,510 --> 00:04:33,400
+axes بيكون تسعين درجة، يعني لو رسمنا هان الرسمة، لو
+
+43
+00:04:33,400 --> 00:04:37,180
+هذه فرضناها مثلًا تسعين degree، هذه هتكون مئة و
+
+44
+00:04:37,180 --> 00:04:41,940
+ثمانين، إذن الفرق بينهم كده؟ تسعين، لو أخذنا ستين
+
+45
+00:04:41,940 --> 00:04:48,320
+كده؟ مئة وعشرين، ثلاثين؟ مئة وخمسة، إنه هضيف
+
+46
+00:04:48,320 --> 00:04:53,200
+اللي هو إيه؟ إذا كانت عشرين، إذا كانت ثلاثين، هضيف
+
+47
+00:04:53,200 --> 00:04:57,580
+تسعين، اللي هي قد ايه؟ مئة وعشرين، إذا كانت ستين،
+
+48
+00:04:57,580 --> 00:05:01,780
+أضيف مئة وخمسين فأضيف اللي هو تسعين درجة، إذا كان
+
+49
+00:05:01,780 --> 00:05:05,600
+الفرق ما بينهم تسعين degree، هذا نسميه regular
+
+50
+00:05:05,600 --> 00:05:10,910
+astigmatism. الـ Irregular astigmatism هو أن الـ two
+
+51
+00:05:10,910 --> 00:05:15,030
+principal meridians ليسا متعامدين مع بعضهما البعض،
+
+52
+00:05:15,030 --> 00:05:19,730
+يعني بيكونوا المحورين مش متعامدين على بعض، بمعنى أن
+
+53
+00:05:19,730 --> 00:05:24,230
+الفرق ما بينهما ما يكونش تسعين درجة، يعني ثلاثين ممكن،
+
+54
+00:05:24,230 --> 00:05:28,890
+ستين، ممكن يكون سبعين، هذا الـ Irregular
+
+55
+00:05:28,890 --> 00:05:38,370
+astigmatism. واضح؟ طيب، في عندنا، يعني أسس لتقسيم الـ
+
+56
+00:05:38,370 --> 00:05:43,830
+astigmatism. number one، الـ simple astigmatism،
+
+57
+00:05:43,830 --> 00:05:50,990
+simple من اسمه بمعنى بسيط، صح؟ في عندنا نوعين من الـ
+
+58
+00:05:50,990 --> 00:05:54,570
+simple astigmatism، إما أن يكون simple myopic
+
+59
+00:05:54,570 --> 00:05:58,650
+astigmatism أو simple hypermetropic astigmatism.
+
+60
+00:06:08,530 --> 00:06:14,270
+الصورة الأولى أين تكونت؟ على الشبكية، والصورة
+
+61
+00:06:14,270 --> 00:06:19,980
+الثانية أين تكونت؟ in front of the retina، okay. إذن الـ
+
+62
+00:06:19,980 --> 00:06:24,500
+simple myopic astigmatism، one of the principle
+
+63
+00:06:24,500 --> 00:06:29,700
+meridians focuses on the retina and another one focuses
+
+64
+00:06:29,700 --> 00:06:33,560
+in front of the retina. هذا يعني الـ simple myopic
+
+65
+00:06:33,560 --> 00:06:37,920
+astigmatism. واضح؟ في عندنا الـ simple
+
+66
+00:06:37,920 --> 00:06:42,840
+hypermetropic astigmatism. one of the principal
+
+67
+00:06:42,840 --> 00:06:47,740
+meridians focuses on the retina or sharply on the retina
+
+68
+00:06:47,740 --> 00:06:52,200
+and another one focuses behind the retina. هذا الـ
+
+69
+00:06:52,200 --> 00:06:57,500
+simple hypermetropic astigmatism. طيب، في عندنا الـ
+
+70
+00:06:57,500 --> 00:07:04,360
+compound astigmatism، compound بمعنى مركب. بيكون الـ
+
+71
+00:07:04,360 --> 00:07:08,000
+compound myopic astigmatism، the two principal
+
+72
+00:07:08,000 --> 00:07:12,200
+meridians are focused in front of the retina، أمام
+
+73
+00:07:12,200 --> 00:07:17,230
+الشبكية.الكمباوند hypermetropic astigmatism، الاثنان
+
+74
+00:07:17,230 --> 00:07:23,630
+الأساسيين مركزان خلف الرتينة. عندنا الـ mixed
+
+75
+00:07:23,630 --> 00:07:27,670
+astigmatism، one of the principal meridians focuses
+
+76
+00:07:27,670 --> 00:07:30,450
+in front of the retina and another one focuses behind
+
+77
+00:07:30,450 --> 00:07:33,770
+the retina. هذا بالنسبة لمن؟ للـ regular
+
+78
+00:07:33,770 --> 00:07:38,650
+astigmatism، يعني regular بمعنى ايه؟ منتظم، يعني
+
+79
+00:07:38,650 --> 00:07:43,590
+الفرق ما بينهم كده؟ تسعين درجة. Okay، يعني مش شرط أنه
+
+80
+00:07:43,590 --> 00:07:47,650
+يكون تسعين ومئة وثمانين، لا، ممكن يكون مثلًا ثلاثين
+
+81
+00:07:47,650 --> 00:07:52,150
+ومئة وعشرين، ستين ومئة وخمسين، المهم الفرق ما بين الـ
+
+82
+00:07:52,150 --> 00:07:59,510
+two meridians قد ايه؟ تسعين. واضح؟ إذًا
+
+83
+00:07:59,510 --> 00:08:07,910
+هالـ لو جسمنا أنواع الـ astigmatism عندنا،
+
+84
+00:08:07,910 --> 00:08:08,790
+الـ types
+
+85
+00:08:22,270 --> 00:08:32,390
+of أنواع الـ astigmatism. number one، regular
+
+86
+00:08:32,390 --> 00:08:41,250
+astigmatism.
+
+87
+00:08:48,550 --> 00:08:54,810
+the two principal
+
+88
+00:08:54,810 --> 00:09:01,590
+meridians
+
+89
+00:09:01,590 --> 00:09:07,650
+are
+
+90
+00:09:07,650 --> 00:09:09,350
+perpendicular to each other.
+
+91
+00:09:32,430 --> 00:09:38,130
+Okay، الـ regular astigmatism، في عندنا الـ ايه؟ simple،
+
+92
+00:09:38,130 --> 00:09:42,510
+شو
+
+93
+00:09:42,510 --> 00:09:46,610
+معناه؟ الـ simple بسيط، okay. simple astigmatism
+
+94
+00:09:46,610 --> 00:09:57,330
+number
+
+95
+00:09:57,330 --> 00:09:58,810
+one، simple
+
+96
+00:10:06,640 --> 00:10:23,700
+myopic astigmatism، الـ simple
+
+97
+00:10:23,700 --> 00:10:29,000
+myopic astigmatism، one of
+
+98
+00:10:29,000 --> 00:10:29,320
+the
+
+99
+00:10:33,510 --> 00:10:39,110
+principal meridians، يعني واحد من المحاور، okay، one of the
+
+100
+00:10:39,110 --> 00:10:47,470
+principal meridians focuses
+
+101
+00:10:47,470 --> 00:10:51,430
+on
+
+102
+00:10:51,430 --> 00:10:57,890
+the retina or sharply on the retina. sharply يعني بحدد
+
+103
+00:10:57,890 --> 00:11:01,110
+الشبكية، okay، sharply on the retina.
+
+104
+00:11:12,370 --> 00:11:19,330
+والآخر مركز في
+
+105
+00:11:19,330 --> 00:11:26,230
+الأمام للشبكية.
+
+106
+00:11:30,440 --> 00:11:37,620
+عندنا simple myopic astigmatism. number two، simple
+
+107
+00:11:37,620 --> 00:11:51,220
+hypermetropic
+
+108
+00:11:51,220 --> 00:11:54,980
+astigmatism. one of the principal meridians focuses on
+
+109
+00:11:54,980 --> 00:11:59,100
+the retina and another one focuses behind the retina.
+
+110
+00:12:06,310 --> 00:12:13,370
+الـ compound astigmatism، one of the principal،
+
+111
+00:12:13,370 --> 00:12:16,990
+the two principal meridians are focused behind or
+
+112
+00:12:16,990 --> 00:12:20,490
+in front of the retina. mixed astigmatism، one of the
+
+113
+00:12:20,490 --> 00:12:24,030
+principal meridians focuses in front, another one focuses
+
+114
+00:12:24,030 --> 00:12:29,340
+behind the retina.كمباوند بمعنى مُركّب، mixed يعني
+
+115
+00:12:29,340 --> 00:12:37,000
+مُختلط، ما بين الـ hypermetropic و الميوبيا. أنا
+
+116
+00:12:37,000 --> 00:12:41,700
+ممكن سؤال، mention types of regular astigmatism، شو
+
+117
+00:12:41,700 --> 00:12:49,840
+هم أنواع الـ regular astigmatism؟ لو حكيت
+
+118
+00:12:49,840 --> 00:12:54,240
+مثلًا، mention and draw types of regular astigmatism.
+
+119
+00:12:55,670 --> 00:13:00,110
+واضح؟ طيب، بالنسبة للـ oblique astigmatism أو نفس
+
+120
+00:13:00,110 --> 00:13:04,450
+المسمى بتاعه، الـ irregular astigmatism، the two
+
+121
+00:13:04,450 --> 00:13:08,190
+principal meridians are not perpendicular to each
+
+122
+00:13:08,190 --> 00:13:13,650
+other. يعني واحد محور بيكون، بلاحظ أنه لما أعمل الـ
+
+123
+00:13:13,650 --> 00:13:17,050
+examination بتاع الـ retinoscope وأشوف الـ red reflex،
+
+124
+00:13:17,050 --> 00:13:22,050
+بتلاقي مش regular، أنه oblique، مائل، فهذا أنا بسميه
+
+125
+00:13:22,050 --> 00:13:26,430
+الـ irregular astigmatism، لكن في حالة إذا كان الفرق ما
+
+126
+00:13:26,430 --> 00:13:31,350
+بينهما أقل من تسعين درجة، هذا نسميه irregular
+
+127
+00:13:31,350 --> 00:13:35,610
+astigmatism، لكن إذا كان الفرق بينهما تسعين فما فوق،
+
+128
+00:13:35,610 --> 00:13:42,810
+نسميه regular astigmatism. إذًا الـ regular
+
+129
+00:13:42,810 --> 00:13:46,690
+astigmatism oblique أن الفرق بينهما يكون أقل من
+
+130
+00:13:46,690 --> 00:13:50,550
+تسعين، لكن في الـ regular astigmatism يكون تسعين فما
+
+131
+00:13:50,550 --> 00:13:50,870
+فوق.
+
+132
+00:13:53,660 --> 00:13:57,380
+آه، الـ regular بيكون الفرق تسعين ما بينهما، وممكن
+
+133
+00:13:57,380 --> 00:14:01,300
+يكون أكثر في بعض الحالات، في بعض الحالات بيكون ممكن
+
+134
+00:14:01,300 --> 00:14:06,220
+أن يكون أكثر، في شيء يسمى الـ high order aberration،
+
+135
+00:14:06,220 --> 00:14:09,940
+هتأخذوها لاحقًا، أنه ممكن في بعض الحالات يكون
+
+136
+00:14:09,940 --> 00:14:13,980
+regular astigmatism والفرق ما بينهما أكثر من تسعين
+
+137
+00:14:13,980 --> 00:14:17,790
+degree، لكن ما نريد أن ندخل في هذه الناحية، لكن يكون عندكم
+
+138
+00:14:17,790 --> 00:14:21,550
+فكرة عامة، أنه في شيء يسمى الـ high order
+
+139
+00:14:21,550 --> 00:14:24,990
+aberration. الـ high order aberration بمعنى أنه
+
+140
+00:14:24,990 --> 00:14:29,290
+لا تُصحح بالنظارة أو بالعدسة اللاصقة، في هذه الحالة
+
+141
+00:14:29,290 --> 00:14:33,410
+يجب على المريض أن يجري عملية جراحة، أي surgery. واضح؟
+
+142
+00:14:33,410 --> 00:14:39,670
+مثل LASIK أو غيره. طيب، أنواع الـ oblique astigmatism،
+
+143
+00:14:39,670 --> 00:14:43,130
+في عندنا الـ with the rule وفي عندنا الـ against
+
+144
+00:14:43,130 --> 00:14:50,890
+the rule. الـ with the rule astigmatism بيكون الـ
+
+145
+00:14:50,890 --> 00:14:54,970
+vertical meridian steeper than the horizontal
+
+146
+00:14:54,970 --> 00:15:02,030
+meridian. يعني بمعنى المحور العمودي بيكون التحدب
+
+147
+00:15:02,030 --> 00:15:06,430
+بتاعه أكثر من من؟ من الأفقي. هذه في حالة من؟ الـ
+
+148
+00:15:06,430 --> 00:15:11,630
+with the rule. إذا الـ with the rule astigmatism بيكون
+
+149
+00:15:11,630 --> 00:15:18,780
+التحدب العمودي أكثر من التحدب الأفقي، with the rule
+
+150
+00:15:18,780 --> 00:15:23,940
+of astigmatism, the vertical meridian is steeper than
+
+151
+00:15:23,940 --> 00:15:25,280
+the horizontal meridian.
+
+152
+00:15:28,700 --> 00:15:34,480
+في كلمة steep وفي كلمة flat. flat بمعنى ايه؟ مسطح.
+
+153
+00:15:34,480 --> 00:15:39,440
+أخذناها، الـ steep بمعنى أكثر تحدبًا، فهنا بتلاحظ أن
+
+154
+00:15:39,440 --> 00:15:44,120
+المحور العمودي أكثر تحدبًا من من؟ من الأفقي. هذا
+
+155
+00:15:44,120 --> 00:15:48,740
+نسميه with the rule of astigmatism. في الـ against
+
+156
+00:15:48,740 --> 00:15:53,040
+the rule of astigmatism، أنه بيكون الـ horizontal
+
+157
+00:15:53,040 --> 00:15:57,080
+meridian أكثر تحدبًا من من؟ من الـ vertical meridian.
+
+158
+00:15:57,980 --> 00:16:03,180
+Okay، وهذا يكون يعني خاصة في حالات الـ keratoconus،
+
+159
+00:16:03,180 --> 00:16:06,100
+القرنية المخروطية. مرة ثانية، الـ irregular
+
+160
+00:16:06,100 --> 00:16:09,860
+astigmatism، فيه نوعان، أن الـ two principal
+
+161
+00:16:09,860 --> 00:16:13,280
+meridians ما يكونوش متعامدين على بعض، فالنوعان
+
+162
+00:16:13,280 --> 00:16:16,240
+إما يكون with the rule أو against the rule. الـ
+
+163
+00:16:16,240 --> 00:16:19,920
+with the rule بيكون الـ vertical steeper، يعني
+
+164
+00:16:19,920 --> 00:16:24,000
+أكثر تحدبًا من من؟ من الـ horizontal. في الـ against
+
+165
+00:16:24,000 --> 00:16:27,680
+the rule، الـ horizontal meridian is steeper than
+
+166
+00:16:27,680 --> 00:16:32,500
+the vertical meridian. واضح؟ وهذا يكون
+
+167
+00:16:32,500 --> 00:16:35,880
+الـ against the rule في حالات الـ astigmatism، في
+
+168
+00:16:35,880 --> 00:16:40,280
+حالات الـ keratoconus، الـ high astigmatism، القرنية
+
+169
+00:16:40,280 --> 00:16:44,440
+المخروطية، صح؟ إذن
+
+170
+00:16:44,440 --> 00:16:46,560
+عندنا الـ irregular astigmatism.
+
+171
+00:17:17,100 --> 00:17:21,000
+الـ regular astigmatism، أي بمعنى اللابؤرية بتكون
+
+172
+00:17:21,000 --> 00:17:28,660
+غير منتظمة، okay. إذًا ده
+
+173
+00:17:28,660 --> 00:17:35,460
+to الـ
+
+174
+00:17:35,460 --> 00:17:42,960
+principal meridians
+
+175
+00:17:48,350 --> 00:17:56,550
+are not perpendicular
+
+176
+00:17:56,550 --> 00:18:02,430
+to
+
+177
+00:18:02,430 --> 00:18:11,370
+each other، زي
+
+178
+00:18:11,370 --> 00:18:13,950
+مثلًا، such as
+
+179
+00:18:17,140 --> 00:18:23,840
+عندنا ثلاثين degree، مئة وعشرين degree، آسف، ثلاثين
+
+180
+00:18:23,840 --> 00:18:28,720
+ستين، هذا
+
+181
+00:18:28,720 --> 00:18:32,080
+الـ irregular astigmatism، في الـ with the rule
+
+182
+00:18:32,080 --> 00:18:35,280
+أنواعه،
+
+183
+00:18:35,280 --> 00:18:39,660
+و
+
+184
+00:18:39,660 --> 00:18:40,920
+في الـ against
+
+185
+00:18:45,140 --> 00:18:49,480
+the rule. with the rule with the rule with the rule
+
+186
+00:18:49,48
+
+223
+00:21:34,150 --> 00:21:35,230
+minus one
+
+224
+00:21:41,900 --> 00:21:46,680
+يما تيجي تعادلة في ال written scope يما يكون ال
+
+225
+00:21:46,680 --> 00:21:48,960
+streak دي على ال written scope جاي على ال read
+
+226
+00:21:48,960 --> 00:21:54,980
+reflex بتكون plano متعادلة مرة تانية الآن مش أنت
+
+227
+00:21:54,980 --> 00:21:58,280
+بشوف الحركة أول حاجة في ال written scope يا إما
+
+228
+00:21:58,280 --> 00:22:03,140
+بتكون with أو against أو بتكون إيه neutral متعادلة
+
+229
+00:22:03,140 --> 00:22:06,440
+طيب
+
+230
+00:22:06,440 --> 00:22:11,460
+أه، بس لو قدام هشوف حالات neutral، أي بمعنى أن أنا
+
+231
+00:22:11,460 --> 00:22:19,330
+بدون ما أحط عدسة، هي بتكون متعادلة، واضح؟ نعم، هذا
+
+232
+00:22:19,330 --> 00:22:29,770
+يعني أنه يعترف أن هناك استigmatism، يعني
+
+233
+00:22:29,770 --> 00:22:33,470
+بمعنى الحالات اللي أنا بقول عنها في استigmatism
+
+234
+00:22:33,470 --> 00:22:38,190
+للمريض، أول حالة بيكون محور سواء ال vertical أو ال
+
+235
+00:22:38,190 --> 00:22:41,810
+horizontal، أو لو كانت oblique، واحد منهم بيكون
+
+236
+00:22:41,810 --> 00:22:47,510
+plano، شو معناه plano؟ يعني neutral point، يعني ال far
+
+237
+00:22:47,510 --> 00:22:51,110
+point بتاعة ال observer إيش ما لها corresponding
+
+238
+00:22:51,110 --> 00:22:55,610
+لأن ال point لل patient هذه عندها إيش بقول؟ إنه
+
+239
+00:22:55,610 --> 00:23:00,530
+فيها ال astigmatism، okay؟ هذه number one، إذا one
+
+240
+00:23:00,530 --> 00:23:03,990
+of the meridian with the neutral point and another
+
+241
+00:23:03,990 --> 00:23:09,050
+one with the rule or against the rule، الحالة
+
+242
+00:23:09,050 --> 00:23:13,010
+التانية أنه بيكون واحدة متعاكسة، يعني واحدة with
+
+243
+00:23:13,010 --> 00:23:16,350
+the rule والأخرى against the rule، لو فرضنا ال
+
+244
+00:23:16,350 --> 00:23:20,690
+meridian 90 كان with the rule، الحركة التانية هتكون
+
+245
+00:23:20,690 --> 00:23:27,490
+against the rule، واضحة؟ الحالة التانية لما أنا
+
+246
+00:23:27,490 --> 00:23:31,750
+بعمل في جهاز ال retinascope مثلاً، ال vertical بقولك
+
+247
+00:23:31,750 --> 00:23:40,630
+شو الحركة؟ horizontal، صح، ال vertical كانت against
+
+248
+00:23:40,630 --> 00:23:44,570
+the rule، ال horizontal إيش هتكون؟ with the rule
+
+249
+00:23:44,570 --> 00:23:48,470
+إذا التنتين إيش مالهم؟ متعاكسات، إذا هيطلع بينهم في
+
+250
+00:23:48,470 --> 00:23:53,250
+ال final objective refraction هيطلع ال stigma، الآن
+
+251
+00:23:53,250 --> 00:23:57,190
+أنا كيف بحسب ال astigmatism من ال final objective
+
+252
+00:23:57,190 --> 00:24:00,810
+refraction؟ صح، الوصفة النهائية، يعني هنا لو أنا كان
+
+253
+00:24:00,810 --> 00:24:05,350
+عندي plano و plus one، لو أنا مثلاً plus one خسمته
+
+254
+00:24:05,350 --> 00:24:09,170
+من مسافة العمل، الإثنين أو الواحد ونص، تطلع كده؟
+
+255
+00:24:09,170 --> 00:24:16,150
+minus نص، okay، بعدين plano من minus one، minus one
+
+256
+00:24:16,150 --> 00:24:19,950
+صح، يعني إذا ال minus one هذه تعتبر إيش؟
+
+257
+00:24:19,950 --> 00:24:26,260
+astigmatism، مرة ثانية، هلجيت، احنا عندنا هنا minus
+
+258
+00:24:26,260 --> 00:24:38,340
+one على minus one axis 90، شو معنى هذه ال minus one؟
+
+259
+00:24:38,340 --> 00:24:41,800
+هذه
+
+260
+00:24:41,800 --> 00:24:46,820
+وصفة، إيش معنى minus one؟ واحدة تجاوب، أه، تفضلي
+
+261
+00:24:51,700 --> 00:24:54,560
+هجيت، أنا ما بحكيلك، طلعي ال final objective
+
+262
+00:24:54,560 --> 00:25:04,520
+refraction، شو معنى ال minus واحد؟ بالظبط
+
+263
+00:25:04,520 --> 00:25:08,780
+يعني شو هذه ال minus one، إيش بتمثل؟ السفير، بالظبط
+
+264
+00:25:08,780 --> 00:25:14,320
+يعني هذه ال minus one تعتبر إيش؟ ديوبتر السفير، صح؟
+
+265
+00:25:14,320 --> 00:25:19,560
+و هذه إيش هي بتمثل؟ السلندر
+
+266
+00:25:23,240 --> 00:25:27,120
+يعني بمعنى، أنا يما آجي بدي أحط في ال trial set ال
+
+267
+00:25:27,120 --> 00:25:30,680
+trial frame بتاعي، بدي آخد من ال trial set إيش؟
+
+268
+00:25:30,680 --> 00:25:34,440
+minus واحد ال sphere، صح؟ وال minus واحد الثاني
+
+269
+00:25:34,440 --> 00:25:40,140
+cylinder، واضح؟ وال axis سواء كان تسعين أو مئة و
+
+270
+00:25:40,140 --> 00:25:43,600
+ثمانين أو ثلاثين، واضح ولا كيف؟
+
+271
+00:25:46,510 --> 00:25:51,530
+الآن، عندنا في ال written scope، بناخد two principle
+
+272
+00:25:51,530 --> 00:25:56,330
+meridian، بعادل حسب أنا إيش الحركة اللي عندي، إذا
+
+273
+00:25:56,330 --> 00:25:59,630
+كانت with the rule أو against the rule، طيب أنا ليش
+
+274
+00:25:59,630 --> 00:26:06,330
+هدف منه أنه أطلع ال final objective refraction، ال
+
+275
+00:26:06,330 --> 00:26:10,570
+final objective refraction إما بتحتوي على سفير
+
+276
+00:26:10,570 --> 00:26:18,620
+لحاله، يعني بيكون، إذا مثلاً أنا فرضت هنا plus واحد، لو
+
+277
+00:26:18,620 --> 00:26:25,100
+خصمناها من إثنين، جديش؟ minus one، ديوبتر سفير، واضح؟
+
+278
+00:26:25,100 --> 00:26:30,000
+إذا هذه إيش معناها؟ أن القوة متساوية في كل المحاور
+
+279
+00:26:30,000 --> 00:26:35,200
+يعني كل المحاور هنا القوة جديش هتكون؟ plus واحد، سواء
+
+280
+00:26:35,200 --> 00:26:38,840
+كانت في ال horizontal أو في ال vertical، يما تكون
+
+281
+00:26:38,840 --> 00:26:42,300
+بالشكل هذا، معناه أن أنا عندي مين؟ ال stigma تزم
+
+282
+00:26:42,300 --> 00:26:47,160
+يعني بتكون فيه قوة، ومعادلة، يعني عمودية على مين؟ على
+
+283
+00:26:47,160 --> 00:26:51,200
+ال axis، perpendicular to the axis، يعني هنا ال plus
+
+284
+00:26:51,200 --> 00:27:00,720
+واحد إيه شماله؟ perpendicular to
+
+285
+00:27:00,720 --> 00:27:06,740
+the axis، يعني القوة دائماً بتكون عمودية على ال axis
+
+286
+00:27:06,740 --> 00:27:11,180
+مش أخذنا أنواع العدسات؟ أول حاجة أخذنا ال spherical
+
+287
+00:27:11,180 --> 00:27:15,720
+lenses، العدسات الاسفير، أي بمعنى العدسات الكروية
+
+288
+00:27:15,720 --> 00:27:21,180
+اللي بيكون فيها بالظبط أنه have the same
+
+289
+00:27:21,180 --> 00:27:25,080
+refractive power in all the meridians، قلنا بالنسبة
+
+290
+00:27:25,080 --> 00:27:29,920
+للسيلندر، بتكون القوة وين موجودة؟ على محور، وال axis
+
+291
+00:27:29,920 --> 00:27:34,550
+بيكون عمودي على مين؟ على القوة، واضح؟ يعني كيف بدي
+
+292
+00:27:34,550 --> 00:27:36,790
+أعرف أنا في ال written scope أن في عندي
+
+293
+00:27:36,790 --> 00:27:41,450
+astigmatism؟ مرات بتطلع، بقولك قداش مثلاً الوصفة
+
+294
+00:27:41,450 --> 00:27:44,650
+ال final objective refraction تحكيلي مثلاً plus
+
+295
+00:27:44,650 --> 00:27:49,350
+واحد على minus إثنين، شو معناه ال minus إثنين؟ أنه
+
+296
+00:27:49,350 --> 00:27:54,770
+سلندر، أنه عنده astigmatism، واضح؟ فهذا ال minus
+
+297
+00:27:54,770 --> 00:28:00,240
+إثنين هو بيمثل عندي ال astigmatism للمريض، طيب كيف
+
+298
+00:28:00,240 --> 00:28:03,480
+أنا بدي أكشف ال astigmatism، أن هذا المريض عنده
+
+299
+00:28:03,480 --> 00:28:07,920
+astigmatism؟ لما بعمل ال neutral point، أي بمعنى ال
+
+300
+00:28:07,920 --> 00:28:12,720
+neutralization، المعادلة، أول حاجة بيكون محور، لو
+
+301
+00:28:12,720 --> 00:28:16,300
+أخذنا ال horizontal، واحد منهم بيكون ال neutral
+
+302
+00:28:16,300 --> 00:28:21,620
+point، والثاني بيكون إيش؟ with أو against the rule، واضح؟
+
+303
+00:28:21,620 --> 00:28:26,400
+يعني محور منهم بيكون متعادل، والثاني إيش بيكون؟
+
+304
+00:28:26,400 --> 00:28:30,240
+بضيف plus أو minus، النقطة التانية، واحد منهم بيكون
+
+305
+00:28:30,240 --> 00:28:34,060
+with، والثاني against، الثالثة، الحالة الثالثة أنه
+
+306
+00:28:34,060 --> 00:28:38,640
+بيكونوا متساويين، يعني بمعنى، إذا فرضنا التسعين، يعني
+
+307
+00:28:38,640 --> 00:28:42,520
+أنا بشتغل في التسعين، في ال vertical، بتكون with the
+
+308
+00:28:42,520 --> 00:28:46,510
+rule، في المئة وثمانين برضه كانت with the rule، أو
+
+309
+00:28:46,510 --> 00:28:50,490
+لو فرضنا against the rule، برضه against the rule
+
+310
+00:28:50,490 --> 00:28:55,850
+لكن واحد فيهم narrow وواحد فيهم wide، ال reflex
+
+311
+00:28:55,850 --> 00:28:59,530
+بتاعي اللي أنا بشتغل فيه، تحكيلي والله أنا شوفت ال
+
+312
+00:28:59,530 --> 00:29:02,570
+red reflex، لكن في المئة وثمانين كان إيه شماله؟
+
+313
+00:29:02,570 --> 00:29:07,630
+واسع، في التسعين كان ضيق، مش بتصير معاكم في العمل
+
+314
+00:29:07,630 --> 00:29:13,220
+ولا لأ؟ هذه من الحالات اللي بيصير، إيش اللي أنا بعرف
+
+315
+00:29:13,220 --> 00:29:17,680
+أنه في المريض عنده إيه؟ Astigmatism، واضح؟ مش فاهم،
+
+316
+00:29:17,680 --> 00:29:21,360
+مش أخر حالة، يعني مثلاً ده مش همتلها لو كان هذا
+
+317
+00:29:21,360 --> 00:29:26,280
+Astigmatism، حتى لو إشي خفيف؟ أه، لو minus ربع، مش
+
+318
+00:29:26,280 --> 00:29:32,280
+Astigmatism، يعتبروه هو، يعني في السيولوجيا إيه
+
+319
+00:29:32,280 --> 00:29:36,980
+إنسان عنده minus ربع ل minus نص، ال stigma، الحالة
+
+320
+00:29:36,980 --> 00:29:41,360
+الأخيرة، لأن أنا لما عملت ال vertical meridian، طلعت
+
+321
+00:29:41,360 --> 00:29:45,310
+with the rule، أو معاك، طلعت against the rule، لما
+
+322
+00:29:45,310 --> 00:29:49,650
+شوفت ال 180، أي بمعنى ال horizontal، طلعت نفس الحركة
+
+323
+00:29:49,650 --> 00:29:53,930
+with the rule، يعني لما جينا نعادل، with the rule و
+
+324
+00:29:53,930 --> 00:29:57,610
+with the rule، لكن واحد ال red reflex كان wide و
+
+325
+00:29:57,610 --> 00:30:00,410
+واحد narrow، يعني ممكن واحد small refractive error
+
+326
+00:30:00,410 --> 00:30:04,130
+والثاني high refractive error، هل بيبين أن عندي إيش؟
+
+327
+00:30:04,130 --> 00:30:10,100
+استigmatism؟ واضح الثلاث حالات؟ إذن، recognizing the
+
+328
+00:30:10,100 --> 00:30:13,560
+presence of astigmatism، أن التعرف على وجود
+
+329
+00:30:13,560 --> 00:30:17,820
+ال astigmatism، when you begin retinoscopy on an eye
+
+330
+00:30:17,820 --> 00:30:22,620
+عندما تبدأ في جهاز ال retinoscope في أي عين، you
+
+331
+00:30:22,620 --> 00:30:26,320
+will know that there is astigmatism present in the
+
+332
+00:30:26,320 --> 00:30:29,700
+following situation، بدك تعرف أن ال astigmatism
+
+333
+00:30:29,700 --> 00:30:33,760
+بيكون موجود في واحدة من الحالات هذول، أول واحدة
+
+334
+00:30:34,380 --> 00:30:38,120
+Streaking one meridian gives you with motion or
+
+335
+00:30:38,120 --> 00:30:41,620
+against motion and streaking the meridian ninety
+
+336
+00:30:41,620 --> 00:30:45,520
+degrees away gives you a neutral reflex، بمعنى
+
+337
+00:30:45,520 --> 00:30:50,640
+الاستريك بتاع الرتنسكوب اللي هو في الجهاز، يما
+
+338
+00:30:50,640 --> 00:30:54,920
+بيعمل .. يما بيكون عمودي على ال red reflex بتاع ال
+
+339
+00:30:54,920 --> 00:30:59,490
+patient eye، بيكون neutral point، والمحور الثاني إيش
+
+340
+00:30:59,490 --> 00:31:05,210
+بيكون؟ with أو against the rule، طبعاً هو غلط يكتب
+
+341
+00:31:05,210 --> 00:31:08,930
+streaking one meridian، هو المفروض يكتب ال red
+
+342
+00:31:08,930 --> 00:31:13,230
+reflex، لأنه بتاعة ال patient eye، لأن ال streaking
+
+343
+00:31:13,230 --> 00:31:17,350
+تعني ال light، رتنسكوب بتاعي أو ال slit بتاع ال
+
+344
+00:31:17,350 --> 00:31:22,850
+رتنسكوب، بس هم في بعض الكتب بيفترض أن ال streaking
+
+345
+00:31:22,850 --> 00:31:28,010
+معناه ال red reflex، واضح؟ يعني هنا مفترض أن
+
+346
+00:31:28,010 --> 00:31:31,830
+الـ streaking هو عبارة عن الـ red reflex لمين؟ للـ
+
+347
+00:31:31,830 --> 00:31:36,970
+patient، للمريض، إذا الحالة الأولى بيكون واحد من
+
+348
+00:31:36,970 --> 00:31:41,830
+المحاور ال neutral، والمحور الثاني بيكون إما with
+
+349
+00:31:41,830 --> 00:31:48,130
+أو against، واضح؟ الحالة الثانية، streaking والـ
+
+350
+00:31:48,130 --> 00:31:53,420
+meridian gives you against motion and streaking
+
+351
+00:31:53,420 --> 00:31:56,560
+the meridian 90 degrees away gives you with motion
+
+352
+00:31:56,560 --> 00:32:01,680
+يعني واحد بيكون معاكس للثاني، إما التسعين أو ال
+
+353
+00:32:01,680 --> 00:32:05,140
+vertical بيكون with، ال horizontal بيكون against
+
+354
+00:32:08,320 --> 00:32:11,580
+Streaking one meridian gives you with motion or
+
+355
+00:32:11,580 --> 00:32:15,700
+against motion with a wide streak reflex and
+
+356
+00:32:15,700 --> 00:32:19,140
+streaking the meridian ninety degrees away gives
+
+357
+00:32:19,140 --> 00:32:21,960
+you the same motion but with a narrower streak
+
+358
+00:32:21,960 --> 00:32:26,920
+reflex، إذا الإثنين المحورين بيكونوا نفس الحركة سواء
+
+359
+00:32:26,920 --> 00:32:31,190
+كانوا with أو كانوا against، لكن واحد بيكون narrow
+
+360
+00:32:31,190 --> 00:32:35,830
+ال red reflex، والثاني إيش بيكون؟ wide، بمعنى أن واحد
+
+361
+00:32:35,830 --> 00:32:40,030
+بيكون عنده small refractive error في محور، والمحور
+
+362
+00:32:40,030 --> 00:32:43,810
+الثاني بيكون إيه؟ high refractive error، يعني لو
+
+363
+00:32:43,810 --> 00:32:48,110
+سألتك، شو معناه أن واحد عنده الإثنين مختلفات الـ
+
+364
+00:32:48,110 --> 00:32:52,650
+red reflex مختلفات، لكن واحد narrow واحد wide، أنه
+
+365
+00:32:52,650 --> 00:32:56,790
+astigmatism، ومعناه أن واحد عنده small refractive
+
+366
+00:32:56,790 --> 00:33:00,810
+error، والثاني high refractive error، زي ما حكينا إنه
+
+367
+00:33:00,810 --> 00:33:04,130
+كل ما كان ال red reflex wide، إيش بيكون ال
+
+368
+00:33:04,130 --> 00:33:08,590
+refractive؟ بيكون small، والعكس صحيح، واضح؟ هذول من
+
+369
+00:33:08,590 --> 00:33:12,210
+ال characteristics اللي هم الخاصّة بال red reflex
+
+370
+00:33:12,210 --> 00:33:16,890
+ال scissor shadow تعتبر من ال difficulties
+
+371
+00:33:16,890 --> 00:33:21,370
+للريتنسكوب، يعني هي تعتبر من ال special cases، من
+
+372
+00:33:21,370 --> 00:33:26,410
+الحالات الخاصة بالريتنسكوب، هي تعتبر scissor shadow
+
+373
+00:33:31,260 --> 00:33:36,320
+وين؟ في حالة إيش؟ يما يكون دائماً ال scissor shadow
+
+374
+00:33:36,320 --> 00:33:40,740
+في الغالب، إذا كان المريض فوق الأربعين سنة، بأشك أنا
+
+375
+00:33:40,740 --> 00:33:43,920
+بعض الأحيان أن يكون عنده cataract، مياه بيضاء، أو
+
+376
+00:33:43,920 --> 00:33:47,680
+بداية المياه البيضاء، وهذه من شطارة ال optometrist
+
+377
+00:33:47,680 --> 00:33:51,780
+الشاطر، أنه كيف ممكن أن هو يكتشف أن المريض عنده
+
+378
+00:33:51,780 --> 00:33:56,020
+cataract، على فكرة ال cataract مش ممكن أن يكتشفها حتى
+
+379
+00:33:56,020 --> 00:33:59,340
+في ال Vandas، يا ما يجي يفحص الدكتور في ال CT Lab
+
+380
+00:33:59,340 --> 00:34:03,180
+أكيد أخذته، في بعض الأحيان .. أحياناً لما تكون ال
+
+381
+00:34:03,180 --> 00:34:07,180
+cataract يعني early، immature، بيقدرش يكشفها،
+
+382
+00:34:07,180 --> 00:34:09,760
+فممكن ال optometrist هو يكشف من خلال ال red
+
+383
+00:34:09,760 --> 00:34:13,570
+reflex، ال scissor shadow، بعض الأحيان في ال scissor
+
+384
+00:34:13,570 --> 00:34:16,690
+shadow ممكن يكون عنده keratoconus، قرنية مخروطية، أو
+
+385
+00:34:16,690 --> 00:34:20,650
+ال regular astigmatism، فيه لها عدة، هذه تعتبر من
+
+386
+00:34:20,650 --> 00:34:26,590
+ال special difficulties of retinoscopy، ده sketch
+
+387
+00:34:41,820 --> 00:34:45,700
+هي ال scissor shadow، scissor معناها مقص، وال shadow
+
+388
+00:34:45,700 --> 00:34:51,280
+اللي هي حركة مقصية، طيب، recognizing the presence of
+
+389
+00:34:51,280 --> 00:34:56,360
+astigmatism، لو بتلاحظي هنا في فرق ما بين الـ ال red
+
+390
+00:34:56,360 --> 00:35:02,060
+reflex، واحد منهم كان عريض، والثاني شماله narrow
+
+391
+00:35:02,060 --> 00:35:08,980
+okay، إذا في اختلاف من ناحية إيش الـ الـ size للـ
+
+392
+00:35:08,980 --> 00:35:13,280
+red reflex، الإثنين بيكونوا تقريباً، يعني أنا حاولت
+
+393
+00:35:13,280 --> 00:35:18,120
+أنه أجيب الإثنين مختلفين في إيش؟ من ناحية الـ الـ
+
+394
+00:35:18,120 --> 00:35:27,420
+size، الحجم بتاعهم، فضلوا هو
+
+395
+00:35:27,420 --> 00:35:30,900
+في الغالب، لازم أنه يكونوا الإثنين عموديين على بعض
+
+396
+00:35:31,720 --> 00:35:36,420
+يعني معظم الحالات الانكسارية، لازم أنه يكون المريض
+
+397
+00:35:36,420 --> 00:35:41,100
+إما سفير، أو بيكون regular astigmatism، regular
+
+398
+00:35:41,100 --> 00:35:44,220
+astigmatism، زي ما اتفقنا أن الإثنين بيكونوا
+
+399
+00:35:44,220 --> 00:
+
+445
+00:39:18,130 --> 00:39:23,010
+عين لحاله أي بمعنى الـ vertical تعتبر عين والـ
+
+446
+00:39:23,010 --> 00:39:27,230
+horizontal تعتبر عين، يعني التنين منفصلين عن بعض
+
+447
+00:39:27,230 --> 00:39:31,150
+بمعنى أن واحدة ممكن تكون with the rule والتانية
+
+448
+00:39:31,150 --> 00:39:35,670
+against the rule، فهذه تعتبر الـ initial point، يعني
+
+449
+00:39:35,670 --> 00:39:39,530
+النقطة البداية، يعني كتير مثلاً طلاب سألوني كيف
+
+450
+00:39:39,530 --> 00:39:43,410
+طيب نعمل الـ neutralization لمريض عنده astigmatism
+
+451
+00:39:43,410 --> 00:39:50,550
+كيف؟ بأخذ كل axis على حدة، أي بمعنى أن كل axis
+
+452
+00:39:50,550 --> 00:39:55,870
+بيكون عبارة عن عين، فمثلاً بأخذ الـ horizontal بشوف
+
+453
+00:39:55,870 --> 00:40:00,230
+الحركة هل width ولا against the rule، هل مثلاً
+
+454
+00:40:00,230 --> 00:40:04,410
+regular ولا irregular، إذا كان oblique مثلاً الحركة
+
+455
+00:40:04,410 --> 00:40:09,310
+بعادل في plus أو minus حسب اللي هي حركة مين؟ الـ red
+
+456
+00:40:09,310 --> 00:40:15,410
+reflex، okay؟ بأجي للمحور من الـ vertical برضه بعادل
+
+457
+00:40:15,410 --> 00:40:20,490
+في plus أو minus lens، okay؟ وبشوف أنه قداش الفرق
+
+458
+00:40:20,490 --> 00:40:24,730
+ما بينهم، هل الفرق تسعين؟ إذا والله تسعين بينهم
+
+459
+00:40:24,730 --> 00:40:28,770
+بيكون هذا إيه؟ regular astigmatism، إذا بيكون أقل من
+
+460
+00:40:28,770 --> 00:40:34,270
+تسعين، عشان هيك ممكن واحدة تسألني كمان سؤال: لو
+
+461
+00:40:34,270 --> 00:40:39,150
+بتلاحظوا في الـ written scope الـ axis دائماً بيكونش
+
+462
+00:40:39,150 --> 00:40:42,600
+دقيق في الـ written scope، يعني بمعنى أن الـ axis
+
+463
+00:40:42,600 --> 00:40:47,060
+دائماً ما بدي نفسه للمريض، لأن هو ما بيكونش، احنا دائماً
+
+464
+00:40:47,060 --> 00:40:50,520
+إيش بنكتب؟ يا إما 90 يا 180 في الـ written score
+
+465
+00:40:50,520 --> 00:40:55,360
+فيعني لما تشتغلوا في clinic أو في مستشفى لما
+
+466
+00:40:55,360 --> 00:40:58,520
+تاخدوا الـ axis حاولوا أنه تاخدوا من وين؟ من الـ
+
+467
+00:40:58,520 --> 00:41:02,300
+auto refractometer، خاصة في حالات من الـ young يعني
+
+468
+00:41:02,300 --> 00:41:05,940
+الأكبر في العمر، في الأطفال لازم تكونوا accurate
+
+469
+00:41:05,940 --> 00:41:10,400
+على الآخر، لأن الوصفة هذه وين هتروح؟ للتصنيع،
+
+470
+00:41:10,400 --> 00:41:13,980
+مباشرةً، ما فيش عندنا الـ subjective refraction في
+
+471
+00:41:13,980 --> 00:41:19,520
+حالة واضحة، الفكرة فعندنا neutralizing of
+
+472
+00:41:19,520 --> 00:41:24,820
+astigmatism، معادلة اللابؤرية، الأمترية اللي هي واحد
+
+473
+00:41:24,820 --> 00:41:29,200
+من أنواع الأخطاء الانكسارية للعين that create
+
+474
+00:41:29,200 --> 00:41:34,140
+majority of refractive cases، either without
+
+475
+00:41:34,140 --> 00:41:37,820
+astigmatism، spherical refractive error أو with
+
+476
+00:41:37,820 --> 00:41:42,000
+regular astigmatism، أي بمعنى معظم الحالات
+
+477
+00:41:42,000 --> 00:41:47,860
+الانكسارية اللي بتتم تعديلها أو تصحيحها هي تعتبر
+
+478
+00:41:47,860 --> 00:41:51,700
+إما sphere، أنه spherical refractive error، شو
+
+479
+00:41:51,700 --> 00:41:56,340
+معناها؟ أي major أو hypermetropia أو تعتبر regular
+
+480
+00:41:56,340 --> 00:42:00,080
+astigmatism، أن الـ two principle meridians are
+
+481
+00:42:00,080 --> 00:42:04,040
+perpendicular to each other، أن الفرق ما بينهم كان
+
+482
+00:42:04,040 --> 00:42:09,080
+تسعين درجة، واضحة
+
+483
+00:42:09,080 --> 00:42:16,760
+الـ minority، بمعنى قليل، of refractive errors من الأخطاء
+
+484
+00:42:16,760 --> 00:42:22,300
+الانكسارية consist of irregular astigmatism، بتتكون
+
+485
+00:42:22,300 --> 00:42:27,500
+من الـ Irregular Astigmatism، اللابؤرية الغير
+
+486
+00:42:27,500 --> 00:42:32,780
+منتظمة، أي الـ two principle meridians are not
+
+487
+00:42:32,780 --> 00:42:37,140
+perpendicular to each other، أن الفرق ما بينهم أقل
+
+488
+00:42:37,140 --> 00:42:41,920
+من تسعين، Okay،
+
+489
+00:42:42,820 --> 00:42:45,960
+Neutralizing of Astigmatism، معادلة الـ
+
+490
+00:42:45,960 --> 00:42:50,490
+Astigmatism، في حالة زي ما اتفقنا الاسفير in
+
+491
+00:42:50,490 --> 00:42:54,650
+spherical errors، the retinascope will show a
+
+492
+00:42:54,650 --> 00:42:58,530
+neutral point which is the same in all meridians.
+
+493
+00:42:58,870 --> 00:43:02,470
+The result is no movement in all meridians using
+
+494
+00:43:02,470 --> 00:43:07,190
+the same lenses، بمعنى أن كل المحاور هتكون متساوية
+
+495
+00:43:07,190 --> 00:43:11,430
+أي أنه have the same refractive power in all
+
+496
+00:43:11,430 --> 00:43:11,950
+meridians
+
+497
+00:43:15,610 --> 00:43:18,870
+أنه have the same ingredients in all the
+
+498
+00:43:18,870 --> 00:43:23,710
+ingredients، طيب إذا إيش بنكتب دائماً الوصفة في حالة
+
+499
+00:43:23,710 --> 00:43:28,570
+الاسفير؟ معظمكم كيف بكتب؟ بالشكل هذا: plus واحد، plus
+
+500
+00:43:28,570 --> 00:43:33,990
+واحد، وبكتب لي إيه؟ plus واحد، هذا إيه؟ غلط، دائماً
+
+501
+00:43:33,990 --> 00:43:39,750
+أرسم اللي هو اسفير، زي هي كرة، و plus واحد، إذا الـ all
+
+502
+00:43:39,750 --> 00:43:44,450
+principle meridians بتكون متساوية في كل المحاور، في
+
+503
+00:43:44,450 --> 00:43:48,430
+حالة مين؟ الـ spherical error، لما يكون عنده سفير
+
+504
+00:43:48,430 --> 00:43:53,270
+لازم في كل المحاور أنه تكون متساوية، in spherical
+
+505
+00:43:53,270 --> 00:43:56,490
+errors، the retinascope will shows a neutral point
+
+506
+00:43:56,490 --> 00:43:59,990
+which the same in all meridians، the result is no
+
+507
+00:43:59,990 --> 00:44:05,640
+movement in all meridians using the same lenses، the
+
+508
+00:44:05,640 --> 00:44:11,200
+initial، أي بمعنى أنه باستخدم عدسات متساوية لكل
+
+509
+00:44:11,200 --> 00:44:15,960
+المحاور، للـ horizontal ولـ vertical meridian، واضح؟
+
+510
+00:44:15,960 --> 00:44:19,860
+إذا الـ spherical lenses have the same refractive
+
+511
+00:44:19,860 --> 00:44:26,980
+power in all meridians، the initial examination، أي
+
+512
+00:44:26,980 --> 00:44:31,380
+بمعنى الـ preliminary examination، الفحص الأولي
+
+513
+00:44:38,810 --> 00:44:45,870
+معظمكم عندما بدأ في حالة الـ astigmatism، حكالي أنه
+
+514
+00:44:45,870 --> 00:44:49,650
+مش واضح حركة الـ red reflex، صح؟ أو مش شايفين وين
+
+515
+00:44:49,650 --> 00:44:52,710
+الـ red reflex؟ لأن الـ red reflex كان ماله؟
+
+516
+00:44:52,710 --> 00:44:58,560
+oblique، مش regular، حركة الـ red reflex في حالة
+
+517
+00:44:58,560 --> 00:45:02,720
+الـ astigmatism مش واضحة بالنسبة لمين؟ للـ examiner
+
+518
+00:45:02,720 --> 00:45:09,320
+لأنه بيكونش منتظم، بيكون irregular، صح؟ فعندنا the
+
+519
+00:45:09,320 --> 00:45:13,120
+initial examination، الفحص الأولي، with an
+
+520
+00:45:13,120 --> 00:45:17,680
+astigmatism، في حالة الـ astigmatism، the situation is
+
+521
+00:45:17,680 --> 00:45:22,080
+not quite، أن الموقع بتاع الـ red reflex بيكون غير
+
+522
+00:45:22,080 --> 00:45:24,060
+محدد أو غير موجود
+
+523
+00:45:33,280 --> 00:45:39,460
+الهدف أو الهدف من الريتينيسكوب أنه يكشف حركة الـ
+
+524
+00:45:39,460 --> 00:45:47,240
+red reflex في حالة مين؟ الـ astigmatism، The observer
+
+525
+00:45:47,240 --> 00:45:52,360
+الفاحص أو examiner starts with vertical، then with
+
+526
+00:45:52,360 --> 00:45:56,590
+horizontal movement، طبعاً احنا في المعمل عندنا دائماً
+
+527
+00:45:56,590 --> 00:46:01,250
+بنبدأ بإيش؟ بالـ horizontal،  هان بعض الناس بيبدؤوا
+
+528
+00:46:01,250 --> 00:46:04,670
+مثلاً في الـ vertical meridian، لأن في الغالب من
+
+529
+00:46:04,670 --> 00:46:08,310
+خلال الخبرة هذه بكرا هتعرفوها، دائماً الناس اللي
+
+530
+00:46:08,310 --> 00:46:12,810
+عندهم astigmatism، العيب أو المشكلة دي دائماً بتكون
+
+531
+00:46:12,810 --> 00:46:15,270
+في الـ vertical meridian، مش في الـ horizontal
+
+532
+00:46:15,270 --> 00:46:20,250
+meridian، واضح؟ في الغالب، غالباً، غالباً بتكون
+
+533
+00:46:20,250 --> 00:46:24,890
+المشكلة، لكن هذه ليست قرآن، يعني مش معناها قرآن
+
+534
+00:46:24,890 --> 00:46:28,470
+أنه لازم تكون المشكلة في الـ vertical، لأ، لكن من
+
+535
+00:46:28,470 --> 00:46:32,890
+خلال الخبرة، بكرا لما بتشتغل في عدة حالات للـ
+
+536
+00:46:32,890 --> 00:46:36,330
+written scope، بتلاحظ أنه دائماً المشكلة بتكون في الـ
+
+537
+00:46:36,330 --> 00:46:39,930
+vertical meridian، مش في الـ horizontal meridian
+
+538
+00:46:41,770 --> 00:46:45,450
+فاحنا بنبدأ في الـ vertical meridian، لكن في المعمل
+
+539
+00:46:45,450 --> 00:46:49,030
+عندنا ما فيش إشكالية، دائماً بنبدأ في الـ horizontal
+
+540
+00:46:49,030 --> 00:46:54,470
+meridian، ليه؟ لأن دائماً الـ examiner إذا كان شاطر
+
+541
+00:46:54,470 --> 00:46:59,150
+يبدأ بالـ high refractive error، ما تبدأي دائماً في الـ
+
+542
+00:46:59,150 --> 00:47:02,310
+neutral point أو الـ small refractive error، ليه؟
+
+543
+00:47:02,310 --> 00:47:07,150
+لأنه لما يكون عنده المريض high refractive error في
+
+544
+00:47:07,150 --> 00:47:10,130
+meridian، والـ meridian الثاني small refractive
+
+545
+00:47:10,130 --> 00:47:13,910
+error، لما أنا ببدأ في الـ small، وآخذ مدة طويلة
+
+546
+00:47:13,910 --> 00:47:17,330
+هيزهج المريض، فلما أجي على المرحلة الثانية الـ high
+
+547
+00:47:17,330 --> 00:47:20,950
+refractive error، فبيكون أن المريض عنده boring
+
+548
+00:47:20,950 --> 00:47:25,650
+إزعاج مني وما هيكونش cooperative، متعاون معاه كتير
+
+549
+00:47:28,350 --> 00:47:33,290
+the observer starts with vertical أو with high
+
+550
+00:47:33,290 --> 00:47:36,770
+refractive error، then with horizontal movement and
+
+551
+00:47:36,770 --> 00:47:41,650
+lenses are inserted، inserted، بمعنى يعني أنه بنضع
+
+552
+00:47:41,650 --> 00:47:45,890
+العدسة، inserted بمعنى وضع العدسة، removal إزالة
+
+553
+00:47:45,890 --> 00:47:51,130
+العدسة، يعني أقول لك inserted lens بمعنى حط العدسة،
+
+554
+00:47:51,130 --> 00:47:57,130
+removal the lens يعني ارفع العدسة، are inserted to
+
+555
+00:47:57,130 --> 00:48:00,070
+determine the neutral point in each meridian
+
+556
+00:48:00,070 --> 00:48:06,250
+separately، فهذا بيحدد قداش الـ .. يعني الـ neutral
+
+557
+00:48:06,250 --> 00:48:10,030
+point أو الـ end point، نقطة النهاية، كل واحدة على
+
+558
+00:48:10,030 --> 00:48:14,710
+حدة بالنسبة للـ vertical وللـ horizontal meridian
+
+559
+00:48:15,600 --> 00:48:20,580
+للمريض، بمعنى أنه بأخذ المحور العمودي، بأعمل له الـ
+
+560
+00:48:20,580 --> 00:48:25,240
+neutral point، بأخذ بعدها المحور الأفقي، وبأعمل له الـ
+
+561
+00:48:25,240 --> 00:48:30,200
+neutral point، شو عملت أنا؟ فصلت، أنه اعتبرت أن العين
+
+562
+00:48:30,200 --> 00:48:34,100
+عبارة عن إيه؟ two meridian، و فصلت كل meridian عن
+
+563
+00:48:34,100 --> 00:48:34,780
+الآخر
+
+564
+00:48:38,090 --> 00:48:42,130
+If this is not so corresponding، أي بمعنى إذا الـ
+
+565
+00:48:42,130 --> 00:48:48,290
+two meridian  مع بعض مش متطابقين على بعض، then the
+
+566
+00:48:48,290 --> 00:48:52,070
+reflex may alter، إذا ممكن الـ red reflex هذا إيش
+
+567
+00:48:52,070 --> 00:48:57,630
+ماله؟ يتغير، it is a plan of movement indicating the
+
+568
+00:48:57,630 --> 00:49:01,750
+presence of a stigmatism which is oblique، البلان
+
+569
+00:49:01,750 --> 00:49:05,670
+إيش بنسمع دائماً؟ حركة البلان بمعنى zero، يعني ما فيش
+
+570
+00:49:05,670 --> 00:49:08,890
+neutral point، أنه no movement of the red reflex
+
+571
+00:49:10,190 --> 00:49:15,610
+واضح؟ فبيكون لما أنا بأجي بعمل الـ neutralization
+
+572
+00:49:15,610 --> 00:49:19,890
+المعادلة، واحدة بتكون منهم bland، أي بمعنى no
+
+573
+00:49:19,890 --> 00:49:23,430
+movement of the red reflex، والتانية بتكون with أو
+
+574
+00:49:23,430 --> 00:49:27,530
+against the rule، إذا في حركة بالنسبة للمحور
+
+575
+00:49:27,530 --> 00:49:33,410
+الثاني، in this case، في هذه الحالة، the examiner
+
+576
+00:49:33,410 --> 00:49:39,770
+الفاحص must again، يجب أنه يكرر، يكسب له اكتشاف
+
+577
+00:49:39,770 --> 00:49:44,770
+different plans of external movement of his light
+
+578
+00:49:44,770 --> 00:49:48,810
+until it corresponds to those of red reflex، هذه
+
+579
+00:49:48,810 --> 00:49:54,570
+بالضبط، كمثال لها، لما بأجي أعمل المحور التسعين، يكون
+
+580
+00:49:54,570 --> 00:49:59,210
+الـ red reflex للـ patient eye oblique، دائماً
+
+581
+00:49:59,210 --> 00:50:05,950
+إيش بحكيلكم؟ لازم الـ streak retinoscope يكون parallel
+
+582
+00:50:05,950 --> 00:50:11,410
+to the red reflex، فالـ examiner لازم إيش يعمل؟ أنه
+
+583
+00:50:11,410 --> 00:50:17,270
+يحاول أنه يغير أنه .. أنه يعمل تدوير، rotatable
+
+584
+00:50:17,270 --> 00:50:21,910
+لمين؟ للـ streak، لحد ما يصير مطابق لمين؟ للـ red
+
+585
+00:50:21,910 --> 00:50:27,440
+reflex، okay؟ يعني غلط أنه مثلاً أنا الـ red reflex
+
+586
+00:50:27,440 --> 00:50:31,540
+بتاعي مائل، okay؟ بتاع الـ patient eye، والـ streak
+
+587
+00:50:31,540 --> 00:50:34,520
+بتاعي يكون إيه؟ عمودي، دائماً لازم أعمله إيه؟
+
+588
+00:50:34,520 --> 00:50:38,440
+rotatable، اللي هو دوران، وهذه واحدة من الـ
+
+589
+00:50:38,440 --> 00:50:42,940
+advantage لجهاز من الـ streak retinascope، الـ
+
+590
+00:50:42,940 --> 00:50:46,320
+luminous retinascope، المضاء، مش أخذنا أنواع الـ
+
+591
+00:50:46,320 --> 00:50:48,960
+retinascope؟ في عندنا نوعين: الـ reflecting
+
+592
+00:50:48,960 --> 00:50:52,840
+retinascope، والـ luminous أو الـ streak retinascope
+
+593
+00:50:53,210 --> 00:50:59,910
+وحدة من الـ advantage بتاعه أنه إيش ماله؟ motivable
+
+594
+00:50:59,910 --> 00:51:04,570
+اللي هو متحرك، أنه بيكون إيش ماله؟ movable، بيكون
+
+595
+00:51:04,570 --> 00:51:11,130
+متحرك بالنسبة للـ red reflex، واضح
+
+596
+00:51:11,130 --> 00:51:16,570
+لها، بالنسبة لـ neutralizing of astigmatism، طيب الـ
+
+597
+00:51:16,570 --> 00:51:23,710
+difficulties، الرتينيسكوبية، الصعوبات في الرتينيسكوب، في
+
+598
+00:51:23,710 --> 00:51:28,050
+الأول، أنا مش ممكن أنه أتعلم الـ written scope، you
+
+599
+00:51:28,050 --> 00:51:31,910
+cannot learn the written scope during one day، مش
+
+600
+00:51:31,910 --> 00:51:36,410
+ممكن أنه أتعلمه بيوم واحد، هذه يعني يمكن أنتو في
+
+601
+00:51:36,410 --> 00:51:41,810
+البداية شفتوا الحركة، عرفنا كيف نشوف الحركة with ولا
+
+602
+00:51:41,810 --> 00:51:46,010
+against the rule، بعدين المرحلة الثانية، اتعلمنا كيف
+
+603
+00:51:46,010 --> 00:51:50,370
+نعمل الـ neutralization، المعادلة، سواء إذا كانت with
+
+604
+00:51:50,370 --> 00:51:55,610
+بنستخدم plus، إذا كانت against بنستخدم minus lens
+
+605
+00:51:55,610 --> 00:51:58,930
+المرحلة الثالثة أنه طلعنا الـ final objective
+
+606
+00:51:58,930 --> 00:52:02,850
+refraction، المعادلة النهائية، كانت كلها في حالات من
+
+607
+00:52:02,850 --> 00:52:09,690
+الـ normal patients، صح؟ لكن في حالات الـ abnormal، لما
+
+608
+00:52:09,690 --> 00:52:13,990
+انطلقنا للـ abnormal، صار في إيش؟ different، اختلاف في
+
+609
+00:52:13,990 --> 00:52:18,130
+النتائج، ليش؟ لأن الحالات بتصعب، أن الـ red reflex
+
+610
+00:52:18,130 --> 00:52:25,550
+ما بيكون واضح بالنسبة للـ examiner، some refractions
+
+611
+00:52:25,550 --> 00:52:28,990
+are easy while others are extremely difficult، إذا
+
+612
+00:52:28,990 --> 00:52:34,270
+بعض الحالات الانكسارية بتكون سهلة، لكن الأخرى
+
+613
+00:52:34,270 --> 00:52:40,230
+إيش مالها؟ بتكون صعبة، written scopy is an art، هو عبارة
+
+614
+00:52:40,230 --> 00:52:44,950
+عن فن، which requires، بيتطلب، penetrating a
+
+615
+00:52:44,950 --> 00:52:52,250
+practice، أي بمعنى عمله بشكل مستمر أو متكرر، and
+
+616
+00:52:52,250 --> 00:52:56,450
+cannot be learned in one day، لا يمكن تعلمه خلال
+
+617
+00:52:56,450 --> 00:52:57,310
+يوم واحد
+
+618
+00:53:00,230 --> 00:53:03,590
+it is essentially a practice and cannot be learned
+
+619
+00:53:03,590 --> 00:53:07,790
+from textbooks but only under careful supervision
+
+620
+00:53:07,790 --> 00:53:14,190
+إذا هو يعتبر أساس عملي، ومش ممكن أنه تتعلم الـ
+
+621
+00:53:14,190 --> 00:53:18,470
+written scope من خلال قراءة textbook، كتاب، وبيحتاج
+
+622
+00:53:18,470 --> 00:53:23,250
+أنه يكون تحت إيدك يعني supervisor، مشرف، أنه يكون
+
+623
+00:53:23,25
+
+667
+00:56:45,520 --> 00:56:49,780
+تعرفي أن راحة المريض أهم من أنه يصل إلى vision ستة
+
+668
+00:56:49,780 --> 00:56:51,600
+ع ستة، واضح؟
+
+669
+00:56:54,380 --> 00:56:59,140
+الـ Subjective Refraction بيوضح الـ uncorrection
+
+670
+00:56:59,140 --> 00:57:04,100
+visual acuity and unacceptability of the lenses
+
+671
+00:57:24,450 --> 00:57:27,670
+زي ما اتفقنا أنه فيه فرق ما بين الـ objective والـ
+
+672
+00:57:27,670 --> 00:57:33,810
+subjective.  إيه؟ Refraction. Such a state of affairs
+
+673
+00:57:33,810 --> 00:57:36,630
+commonly results from the mistakes of
+
+674
+00:57:36,630 --> 00:57:40,670
+inexperienced, unpracticed refractionists. دائماً
+
+675
+00:57:40,670 --> 00:57:45,210
+أنه بيكون سببها إيه؟ ما فيش خبرة كافية أو عملية
+
+676
+00:57:45,210 --> 00:57:49,590
+كافية لمن؟ للـ examiner، للباحص، عشان هي دائماً
+
+677
+00:57:49,590 --> 00:57:53,600
+بحكيلكم أنه a practice, a practice, and a practice
+
+678
+00:57:53,600 --> 00:57:57,540
+for written scope. هذه number one. يعني لما أنا
+
+679
+00:57:57,540 --> 00:58:02,040
+أطلب منكم تلت حالات، الشاطرة بتجيب ستة. يعني أنا
+
+680
+00:58:02,040 --> 00:58:05,940
+بذكر أيام أنا كنت طالب، لما كان الدكتور يكون مثلاً
+
+681
+00:58:05,940 --> 00:58:10,040
+عنده free، أروح أقول له أفحص written scope، أجيب حالات
+
+682
+00:58:10,040 --> 00:58:14,280
+أطفال، يعني كل عائلتي مثلاً، أيام أنا كنت طالب فحصتهم
+
+683
+00:58:14,280 --> 00:58:17,800
+على written scope، وهيك الواحد بيتعلم، غير هيك ما بيتعلمش
+
+684
+00:58:19,050 --> 00:58:22,930
+واضح؟ إذا الـ written scope بيكون إيش؟ هي a
+
+685
+00:58:22,930 --> 00:58:28,350
+practice, a practice, and a practice. It
+
+686
+00:58:28,350 --> 00:58:31,550
+is important to keep a suitable working distance.
+
+687
+00:58:31,550 --> 00:58:35,530
+لازم أنا أحافظ على إيه؟ مسافة العمل، الـ working
+
+688
+00:58:35,530 --> 00:58:38,770
+distance. هي عبارة عن المسافة ما بين عين المريض
+
+689
+00:58:38,770 --> 00:58:44,790
+وعين الفاحص. دائماً برضه بحسكم أنه بتجربوا أو
+
+690
+00:58:44,790 --> 00:58:50,230
+بتبعدوا كتير. يعني هذه لازم أن الفرق ما بيننا يكون
+
+691
+00:58:50,230 --> 00:58:54,430
+zero، ما فيش فرق. يعني لما أنا أقول لك مثلاً minus واحد
+
+692
+00:58:54,430 --> 00:58:57,790
+و نص، لازم تكون minus واحد و نص. لكن مرة أنا بمشيها
+
+693
+00:58:57,790 --> 00:59:01,350
+الربع، بقول working distance، بس أنت مثلاً لما بتاخد
+
+694
+00:59:01,350 --> 00:59:05,830
+الـ working distance صحيح، لازم ما تغيرهوش. مش مرة
+
+695
+00:59:05,830 --> 00:59:10,490
+أجرب، مرة بعد مرة، أقول المريض قدم لـ  لازم أن تكون
+
+696
+00:59:10,490 --> 00:59:14,770
+ثابتة، fixed working distance. إذا مسافة العمل إيش
+
+697
+00:59:14,770 --> 00:59:16,030
+تكون ثابتة.
+
+698
+00:59:19,140 --> 00:59:24,640
+ولتتأكد أنه أضمن، that retroscopic examination، أي
+
+699
+00:59:24,640 --> 00:59:29,400
+بمعنى فحص بجهاز الـ retroscope، is performed close
+
+700
+00:59:29,400 --> 00:59:33,220
+to the visual axis in order to refract the macula.
+
+701
+00:59:33,220 --> 00:59:38,560
+زي ما اتفقنا أن في عندنا الـ visual axis، وفي عندنا
+
+702
+00:59:38,560 --> 00:59:43,760
+الـ optical أو الـ anatomical axis. الـ visual axis، كل
+
+703
+00:59:43,760 --> 00:59:49,180
+عين فيها visual axis. طبعاً الآن هذا فيه target، صورة
+
+704
+00:59:49,180 --> 00:59:55,390
+أو object. الصورة مين يشوفها؟ على الـ fovea. فالـ
+
+705
+00:59:55,390 --> 00:59:59,090
+straight line اللي بيمر من الـ fovea لحد الـ
+
+706
+00:59:59,090 --> 01:00:03,070
+object. هذا بنسميه الـ visual axis. إذا الـ visual
+
+707
+01:00:03,070 --> 01:00:08,670
+axis، it is a straight line that passes through the
+
+708
+01:00:08,670 --> 01:00:13,390
+center of the target to the fovea. هذا هو عبارة عن مين؟
+
+709
+01:00:13,390 --> 01:00:18,490
+الـ visual axis. أي بمعنى مجال الرؤية. طبعاً كل عين
+
+710
+01:00:18,490 --> 01:00:23,230
+بيكون لها visual axis. يعني الـ right eye في لها
+
+711
+01:00:23,230 --> 01:00:27,690
+visual axis، الـ left eye visual axis. عشان هيك أنا
+
+712
+01:00:27,690 --> 01:00:30,710
+ما بدي أجي أعمل الـ retinoscopy، مش ألاقي أنا دائماً
+
+713
+01:00:30,710 --> 01:00:34,310
+بلاحظكم، بلاقي المريض هيك، وأنا واخد هيك، والـ
+
+714
+01:00:34,310 --> 01:00:38,140
+visual axis كيف جاي هيك بزاوية، وأنت غلط. الـ visual
+
+715
+01:00:38,140 --> 01:00:41,720
+axis لازم يكون إيه؟ في الـ primary position. لو
+
+716
+01:00:41,720 --> 01:00:45,540
+بيشوفوني، معظمكم دائماً بقول للمريض: ازيح الكرسي يا
+
+717
+01:00:45,540 --> 01:00:49,380
+يمين يا شمال، عشان أحافظ على مين؟ الـ visual axis.
+
+718
+01:00:49,380 --> 01:00:53,320
+لازم أنه يكون... يعني الـ fovea بتاعته يشوف الـ
+
+719
+01:00:53,320 --> 01:00:57,700
+object بتاعته إيه؟ straight، أنه خط إيه؟ مستقيم.
+
+720
+01:00:57,700 --> 01:00:58,940
+واضح؟
+
+721
+01:01:01,220 --> 01:01:04,280
+In this respect، في هذا المظهر، not only the
+
+722
+01:01:04,280 --> 01:01:07,640
+horizontal orientation is to be noted, but also the
+
+723
+01:01:07,640 --> 01:01:11,640
+vertical one. Failure to observe this fact may
+
+724
+01:01:11,640 --> 01:01:15,760
+falsely introduce a cylindrical element during
+
+725
+01:01:15,760 --> 01:01:20,360
+retinoscopy. إذا في هذه الحالات أو بعض الحالات ممكن
+
+726
+01:01:20,360 --> 01:01:24,920
+أنا أعمل الـ vertical meridian يكون correct، لكن الـ
+
+727
+01:01:24,920 --> 01:01:29,000
+horizontal meridian يكون عنده incorrect. فهذه
+
+728
+01:01:29,000 --> 01:01:34,790
+الحالة إيش هتعمل؟ هتعمل لي Artificial Astigmatism،
+
+729
+01:01:34,790 --> 01:01:39,090
+أي هتبين أن المريض عنده Astigmatism وهو بطبيعة
+
+730
+01:01:39,090 --> 01:01:42,650
+الحال هو ما عندهوش Astigmatism. أنا عندي غلط في
+
+731
+01:01:42,650 --> 01:01:47,090
+meridian. يعني في بعض الأحيان طالبات أو طلاب
+
+732
+01:01:47,090 --> 01:01:50,170
+بيحكوا لي: احنا جبنا meridian صح، والتاني غلط. ما أنت
+
+733
+01:01:50,170 --> 01:01:53,930
+التاني لو غلط، إيش عملت للمريض؟ عملت له بور، هو مش
+
+734
+01:01:53,930 --> 01:01:58,380
+موجود عنده. زي هيك أنك شوفت له astigmatism، حطيت له، و
+
+735
+01:01:58,380 --> 01:02:06,400
+هو في الحقيقة إيش؟ سليم، ما فيش حاجة. طيب نوقف هنا.
+
+736
+01:02:06,400 --> 01:02:10,760
+المحاضرة الجاية إن شاء الله هنكمل في موضوع
+
+737
+01:02:10,760 --> 01:02:15,260
+الصعوبات في الـ written scope، وهنبدأ بالـ special
+
+738
+01:02:15,260 --> 01:02:17,440
+cases  الـ written scope إن شاء الله.
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1b37018bf5e652ace9f09df84e001aa5e0190b5b
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_postprocess.srt
@@ -0,0 +1,2952 @@
+1
+00:00:20,810 --> 00:00:24,750
+طيب بسم الله الرحمن الرحيم السلام عليكم اليوم
+
+2
+00:00:24,750 --> 00:00:30,490
+هنتكلم فى موضوع ال astigmatism اللى بقرية أخدنا فى
+
+3
+00:00:30,490 --> 00:00:35,890
+السابق أنه ال astigmatism هو يعتبر نوع من أنواع ال
+
+4
+00:00:35,890 --> 00:00:40,430
+refractive error الأخطاء الانكسارية okay قسمنا
+
+5
+00:00:40,430 --> 00:00:44,150
+الأخطاء الانكسارية إلى تلت أنواع there are three
+
+6
+00:00:44,150 --> 00:00:47,810
+in number hypermetrop, myopic and astigmatism
+
+7
+00:00:48,460 --> 00:00:54,460
+astigmatism بمعنى اللابؤرية أو المتداول عندنا في
+
+8
+00:00:54,460 --> 00:00:58,980
+الشارع بيسموها الانحراف ولكن هذا المصطلح الشائع
+
+9
+00:00:58,980 --> 00:01:03,840
+يعتبر خاطئ لأنه الانحراف بمعناه اللي هو ال squint
+
+10
+00:01:03,840 --> 00:01:09,990
+الحول أو ال eye deviation انحراف العينانحراف
+
+11
+00:01:09,990 --> 00:01:13,290
+القرانية بمعنى انه ممكن انه يكون المريض عنده
+
+12
+00:01:13,290 --> 00:01:18,390
+keratoconus، قرانية مخروطية أو عنده نوع من أنواع
+
+13
+00:01:18,390 --> 00:01:24,190
+ال astigmatism اللي احنا خدهم اليوم استجماتيزم
+
+14
+00:01:24,190 --> 00:01:30,400
+نعمفعنا بالنسبة لـastigmatism كتعريف أن ال
+
+15
+00:01:30,400 --> 00:01:36,500
+incident light rays are brought to focus in two ..
+
+16
+00:01:36,500 --> 00:01:41,080
+are brought to focus in a line instead of single
+
+17
+00:01:41,080 --> 00:01:46,820
+point يعني بمعنى أنه هان الصورة بتكون .. بتتكون
+
+18
+00:01:46,820 --> 00:01:51,140
+على أكتر من أيه من ال line يعني بتكون two line أو
+
+19
+00:01:51,140 --> 00:01:57,160
+two points نقطتينهذا كتعريف لمين للastigmatism لكن
+
+20
+00:01:57,160 --> 00:02:00,660
+في ال patient normal ان ال incident light rays are
+
+21
+00:02:00,660 --> 00:02:04,220
+brought to focus when on the retina انه بيكون على
+
+22
+00:02:04,220 --> 00:02:12,640
+الشبكية okay؟ اذا كمفهوم لastigmatism incident
+
+23
+00:02:29,380 --> 00:02:42,840
+light rays are brought to
+
+24
+00:02:42,840 --> 00:02:49,420
+focus in
+
+25
+00:02:49,420 --> 00:02:49,940
+a line
+
+26
+00:03:02,340 --> 00:03:07,160
+أه single point
+
+27
+00:03:09,910 --> 00:03:13,430
+دايمًا مريض الـ Astigmatism لما بيجي يشكى ال
+
+28
+00:03:13,430 --> 00:03:18,590
+examiner للفاحص بيحكيلك أنا بشوف دايما غبش الرؤية
+
+29
+00:03:18,590 --> 00:03:23,310
+مغبشة و بشوف أكتر من نقطة يعني ماقدرش أنه أحدد
+
+30
+00:03:23,310 --> 00:03:28,550
+نقطة واحدة يعني دايما الصورة بتكون أكتر من نقطة
+
+31
+00:03:28,550 --> 00:03:32,450
+فهذا بعرف أنه إيش أن المريض عنده Astigmatism يعني
+
+32
+00:03:32,450 --> 00:03:36,190
+هذه واحدة من ال indication لوجود ال Astigmatism أن
+
+33
+00:03:36,190 --> 00:03:40,580
+الصورة بتكون مكونة من أكتر من pointيعني بيشوف
+
+34
+00:03:40,580 --> 00:03:50,060
+بالظبط بالشكل هذه يعني نقطتين okay بين النقطتين
+
+35
+00:03:50,060 --> 00:03:53,040
+يعني لأ هو بيشوف نقطتين يعني ممكن لو نقطة واحدة
+
+36
+00:03:53,040 --> 00:03:57,360
+حكينا انه بيشوفها نقطتين يعني قد يكونوا متوازين
+
+37
+00:03:57,360 --> 00:04:05,460
+لبعض يعني تحت بعض okay طيب في types of astigmatism
+
+38
+00:04:05,460 --> 00:04:10,410
+أنواع ال astigmatism شو أنواع اللابقريةthere are
+
+39
+00:04:10,410 --> 00:04:15,010
+two number في عندنا نوعين من الastigmatism اما ان
+
+40
+00:04:15,010 --> 00:04:21,310
+يكون الastigmatism regular او irregular اذا كان
+
+41
+00:04:21,310 --> 00:04:26,510
+الastigmatism regular بمعنى ان الفرق ما بين ال two
+
+42
+00:04:26,510 --> 00:04:33,400
+axis بيكون تسعين درجة يعني لو رسمنا هان الرسمةلو
+
+43
+00:04:33,400 --> 00:04:37,180
+هذه فرضناها مثلا تسعين degree هذه هتكون مية و
+
+44
+00:04:37,180 --> 00:04:41,940
+تمانين، إذا الفرق بينهم كده؟ تسعين، لو أخدنا ستين
+
+45
+00:04:41,940 --> 00:04:48,320
+كده؟ مية و عشرين، تلاتين؟ مية و خمسة، إنه هضيف
+
+46
+00:04:48,320 --> 00:04:53,200
+اللي هو إيه؟إذا كانت عشرين، إذا كانت تلاتين، هضيف
+
+47
+00:04:53,200 --> 00:04:57,580
+تسعين، اللي هي قداش مية وعشرين، إذا كانت ستين،
+
+48
+00:04:57,580 --> 00:05:01,780
+بضيف مية وخمسين فبضيف اللي هو تسعين درجة، إذا كان
+
+49
+00:05:01,780 --> 00:05:05,600
+الفرق ما بينهم تسعين degree، هذا بنسمي regular
+
+50
+00:05:05,600 --> 00:05:10,910
+astigmatismالـ Irregular Stigmatism هو أن الـ two
+
+51
+00:05:10,910 --> 00:05:15,030
+principle meridians ليسوا متعاملين مع بعضهم البعض
+
+52
+00:05:15,030 --> 00:05:19,730
+يعني بيكونوا المحورين مش متعاملين على بعض بمعنى أن
+
+53
+00:05:19,730 --> 00:05:24,230
+الفرق ما بينهم مايكونش تسعين درجة يعني تلاتين ممكن
+
+54
+00:05:24,230 --> 00:05:28,890
+ستين ممكن يكون تسعين سبعين هذا الـ Irregular
+
+55
+00:05:28,890 --> 00:05:38,370
+Stigmatism واضح؟ طيب في عندنايعني أسس لتقسيم ال
+
+56
+00:05:38,370 --> 00:05:43,830
+astigmatism number one ال symbol astigmatism
+
+57
+00:05:43,830 --> 00:05:50,990
+symbol من اسمه بمعنى بسيط صح؟ في عندنا نوعين من ال
+
+58
+00:05:50,990 --> 00:05:54,570
+symbol astigmatism إما أن يكون symbol myopic
+
+59
+00:05:54,570 --> 00:05:58,650
+astigmatism أو symbol hypermetropic astigmatism
+
+60
+00:06:08,530 --> 00:06:14,270
+الصورة الأولى وين اتكولت؟ على الشبكية والصورة
+
+61
+00:06:14,270 --> 00:06:19,980
+التانية وين اتكولت؟in front the retina okay إذا ال
+
+62
+00:06:19,980 --> 00:06:24,500
+symbol ميوب ال stigma one of the principle
+
+63
+00:06:24,500 --> 00:06:29,700
+meridian focus on the retina and another one focus
+
+64
+00:06:29,700 --> 00:06:33,560
+in front the retina هذا يعني ال symbol ميوب ال
+
+65
+00:06:33,560 --> 00:06:37,920
+stigma واضح؟في عندنا ال symbol
+
+66
+00:06:37,920 --> 00:06:42,840
+hypermetropostigmatism one of the principal
+
+67
+00:06:42,840 --> 00:06:47,740
+meridian focus on the retina or sharply the retina
+
+68
+00:06:47,740 --> 00:06:52,200
+and another one focus behind the retina هذا ال
+
+69
+00:06:52,200 --> 00:06:57,500
+symbol hypermetropostigmatism طيب في عندنا ال
+
+70
+00:06:57,500 --> 00:07:04,360
+compound astigmatism، compound بمعنى مركببيكون الـ
+
+71
+00:07:04,360 --> 00:07:08,000
+compound ما يُعب الـ stigmatism، the two principle
+
+72
+00:07:08,000 --> 00:07:12,200
+meridians are focused in front of the retina، أمام
+
+73
+00:07:12,200 --> 00:07:17,230
+الشبكيةالكمباوند هايبرمتروب أستيقماتزم، الاثنين
+
+74
+00:07:17,230 --> 00:07:23,630
+الأساسيين مركزي خلف الرتينة، عنا ال mix
+
+75
+00:07:23,630 --> 00:07:27,670
+astigmatism، one of the principal meridian focus
+
+76
+00:07:27,670 --> 00:07:30,450
+in front the retina and another one focus behind
+
+77
+00:07:30,450 --> 00:07:33,770
+the retina، هذا بالنسبة لمين؟ لال regular
+
+78
+00:07:33,770 --> 00:07:38,650
+astigmatism، يعني regular بمعنى أيه؟ منتظم، يعني
+
+79
+00:07:38,650 --> 00:07:43,590
+الفرق ما بينهم كده؟ تسعين درجةOkay يعني مش شرط انه
+
+80
+00:07:43,590 --> 00:07:47,650
+يكون تسعين ومية و تمانين لأ ممكن يكون مثلا تلاتين
+
+81
+00:07:47,650 --> 00:07:52,150
+ومية وعشرين ستين ومية وخمسين المهم الفرق ما بين ال
+
+82
+00:07:52,150 --> 00:07:59,510
+two meridian قديش تسعين واضح اذا
+
+83
+00:07:59,510 --> 00:08:07,910
+هال لو جسمنا انواع الastigmatism عندنا
+
+84
+00:08:07,910 --> 00:08:08,790
+ال types
+
+85
+00:08:22,270 --> 00:08:32,390
+of أنواع الastigmatism number one regular
+
+86
+00:08:32,390 --> 00:08:41,250
+astigmatism
+
+87
+00:08:48,550 --> 00:08:54,810
+the two principle
+
+88
+00:08:54,810 --> 00:09:01,590
+meridian
+
+89
+00:09:01,590 --> 00:09:07,650
+are
+
+90
+00:09:07,650 --> 00:09:09,350
+perpendicular to each other
+
+91
+00:09:32,430 --> 00:09:38,130
+Okay ال regular astigmatism في عندنا ال ايه simple
+
+92
+00:09:38,130 --> 00:09:42,510
+شو
+
+93
+00:09:42,510 --> 00:09:46,610
+معناه ال simple بسيط okay simple astigmatism
+
+94
+00:09:46,610 --> 00:09:57,330
+number
+
+95
+00:09:57,330 --> 00:09:58,810
+one simple
+
+96
+00:10:06,640 --> 00:10:23,700
+ميوب استغمتزم السمبل
+
+97
+00:10:23,700 --> 00:10:29,000
+ميوب استغمتزم one of
+
+98
+00:10:29,000 --> 00:10:29,320
+the
+
+99
+00:10:33,510 --> 00:10:39,110
+principle يعني واحد من المحاور okay one of the
+
+100
+00:10:39,110 --> 00:10:47,470
+principle meridian focused
+
+101
+00:10:47,470 --> 00:10:51,430
+on
+
+102
+00:10:51,430 --> 00:10:57,890
+the retina or sharply the retina sharply يعني بحدد
+
+103
+00:10:57,890 --> 00:11:01,110
+الشبكية okay sharply on the retina
+
+104
+00:11:12,370 --> 00:11:19,330
+والخرى مركزا في
+
+105
+00:11:19,330 --> 00:11:26,230
+الأمام للورقة
+
+106
+00:11:30,440 --> 00:11:37,620
+عنا symbol ميوب a stigmatism number two symbol
+
+107
+00:11:37,620 --> 00:11:51,220
+hyper metro a
+
+108
+00:11:51,220 --> 00:11:54,980
+stigmatism one of the principle meridian focus on
+
+109
+00:11:54,980 --> 00:11:59,100
+the retina and another one focus behind the retina
+
+110
+00:12:06,310 --> 00:12:13,370
+الـ compound astigmatism، one of the principle،
+
+111
+00:12:13,370 --> 00:12:16,990
+the two principle meridian are focused behind or
+
+112
+00:12:16,990 --> 00:12:20,490
+in front the retina، mixed astigmatism، one of the
+
+113
+00:12:20,490 --> 00:12:24,030
+principle focused in front, another one focused
+
+114
+00:12:24,030 --> 00:12:29,340
+behind the retinaكمباوند بمعنى مُركّب mixed يعني
+
+115
+00:12:29,340 --> 00:12:37,000
+مازج ما بين الـ hypermetroid و الميوب أنا
+
+116
+00:12:37,000 --> 00:12:41,700
+ممكن سؤال mention types of regular astigmatism شو
+
+117
+00:12:41,700 --> 00:12:49,840
+هم أنواع ال regular astigmatism لو حكيت
+
+118
+00:12:49,840 --> 00:12:54,240
+مثلا mention and draw types of regular astigmatism
+
+119
+00:12:55,670 --> 00:13:00,110
+واضح طيب بالنسبة ل ال oblique astigmatism او نفس
+
+120
+00:13:00,110 --> 00:13:04,450
+المسمى بتاعه ال regular astigmatism the two
+
+121
+00:13:04,450 --> 00:13:08,190
+principle meridian are not perpendicular to each
+
+122
+00:13:08,190 --> 00:13:13,650
+other يعني واحد محور بيكون بلاحظ انه لما اعمل ال
+
+123
+00:13:13,650 --> 00:13:17,050
+excrete بتاع ال retinascope وشوف ال red reflex
+
+124
+00:13:17,050 --> 00:13:22,050
+بتلاقي مش regular انه oblique مائل فهذا انا بسميه
+
+125
+00:13:22,050 --> 00:13:26,430
+ال regular astigmatismلكن في حالة إذا كان الفرق ما
+
+126
+00:13:26,430 --> 00:13:31,350
+بينهم أقل من تسعين درجة هذا بنسميه irregular
+
+127
+00:13:31,350 --> 00:13:35,610
+astigmatism لكن إذا كان الفرق بينهم تسعين فما فوق
+
+128
+00:13:35,610 --> 00:13:42,810
+بنسميه regular astigmatism إذا ال regular
+
+129
+00:13:42,810 --> 00:13:46,690
+astigmatism obligue أن الفرق بينهم يكون أقل من
+
+130
+00:13:46,690 --> 00:13:50,550
+تسعين لكن في ال regular astigmatism يكون تسعين فما
+
+131
+00:13:50,550 --> 00:13:50,870
+فوق
+
+132
+00:13:53,660 --> 00:13:57,380
+اه ال regular بيكون الفرق تسعين ما بينهم و ممكن
+
+133
+00:13:57,380 --> 00:14:01,300
+يكون أكتر في بعض الحالات في بعض الحالات بيكون ممكن
+
+134
+00:14:01,300 --> 00:14:06,220
+انه أكتر في حاجة بيسموها ال high order aberration
+
+135
+00:14:06,220 --> 00:14:09,940
+هتاخدوها لقدام انه ممكن في بعض الحالات بيكون
+
+136
+00:14:09,940 --> 00:14:13,980
+regular astigmatism و الفرق ما بينهم اكتر من تسعين
+
+137
+00:14:13,980 --> 00:14:17,790
+degree لكن مابناش ندخل في هذاالناحية لكن يكون عنكم
+
+138
+00:14:17,790 --> 00:14:21,550
+فكرة عامة انه في حاجة بسميها ال high order
+
+139
+00:14:21,550 --> 00:14:24,990
+aberration ال high order aberration بمعنى انه
+
+140
+00:14:24,990 --> 00:14:29,290
+مابتصلحش بالنضارة او بالعدس اللاسقة في هذه الحالة
+
+141
+00:14:29,290 --> 00:14:33,410
+لازم المريض انه يعمله عملية جراحة انه surgery واضح
+
+142
+00:14:33,410 --> 00:14:39,670
+ك LASIK او غيره طيب انواع ال oblique astigmatism
+
+143
+00:14:39,670 --> 00:14:43,130
+في عندنا ال with the rule و في عندنا ال against
+
+144
+00:14:43,130 --> 00:14:50,890
+the ruleالـ with the rule الـ stigmatism بيكون ال
+
+145
+00:14:50,890 --> 00:14:54,970
+vertical meridian steepest than the horizontal
+
+146
+00:14:54,970 --> 00:15:02,030
+meridian يعني بمعنى المحور العمودي بيكون التحدب
+
+147
+00:15:02,030 --> 00:15:06,430
+بتاعه أكتر من مين من الأفق هذه في حالة مين؟ ال
+
+148
+00:15:06,430 --> 00:15:11,630
+with the rule إذا ال with the rule ال stigma بيكون
+
+149
+00:15:11,630 --> 00:15:18,780
+التحدب العموديأكتر من التحدب الأفقي، with the rule
+
+150
+00:15:18,780 --> 00:15:23,940
+of stigmatism, the vertical meridian steepest than
+
+151
+00:15:23,940 --> 00:15:25,280
+the horizontal meridian
+
+152
+00:15:28,700 --> 00:15:34,480
+في كلمة steep وفي كلمة flat flat بمعنى ايه مسطح
+
+153
+00:15:34,480 --> 00:15:39,440
+اخدناها ال steep بمعنى اكثر تحدب فهنا بتلاحظ ان
+
+154
+00:15:39,440 --> 00:15:44,120
+المحور العمودي اكتر تحدب من مين ال horizontal هذا
+
+155
+00:15:44,120 --> 00:15:48,740
+بنسميه with the rule of stigmatism في ال against
+
+156
+00:15:48,740 --> 00:15:53,040
+the rule of stigmatism انه بيكون ال horizontal
+
+157
+00:15:53,040 --> 00:15:57,080
+meridian محدد اكتر من مين من ال vertical meridian
+
+158
+00:15:57,980 --> 00:16:03,180
+Okay و هذا بيكون يعني خاصة في حالات ال keratoconus
+
+159
+00:16:03,180 --> 00:16:06,100
+القرانية المخرطية مرة تانية ال irregular
+
+160
+00:16:06,100 --> 00:16:09,860
+astigmatism فيله نوعين ان ال two principle
+
+161
+00:16:09,860 --> 00:16:13,280
+meridian ما بيكونوش متعامدين على بعض فالو نوعين
+
+162
+00:16:13,280 --> 00:16:16,240
+اما بيكون with the rule او against the rule ال
+
+163
+00:16:16,240 --> 00:16:19,920
+with the rule بيكون ال vertical steepest down يعني
+
+164
+00:16:19,920 --> 00:16:24,000
+اكتر تحدب من مين من ال horizontal في ال against
+
+165
+00:16:24,000 --> 00:16:27,680
+the ruleالـHorizontal Meridian is steepest than
+
+166
+00:16:27,680 --> 00:16:32,500
+mean الـVertical Meridian واضح؟ وهذا يكون
+
+167
+00:16:32,500 --> 00:16:35,880
+الـagainst the rule في حالات الـastigmatism في
+
+168
+00:16:35,880 --> 00:16:40,280
+حالات الـkeratokonas الـhigh astigmatism القرانية
+
+169
+00:16:40,280 --> 00:16:44,440
+المخلطية صح؟ إذن
+
+170
+00:16:44,440 --> 00:16:46,560
+عندنا الـirregular astigmatism
+
+171
+00:17:17,100 --> 00:17:21,000
+ال regular astigmatism أي بمعنى اللابقرية بتكون
+
+172
+00:17:21,000 --> 00:17:28,660
+غير منتظمة okay اذا ده
+
+173
+00:17:28,660 --> 00:17:35,460
+to ال
+
+174
+00:17:35,460 --> 00:17:42,960
+principle meridians
+
+175
+00:17:48,350 --> 00:17:56,550
+are not perpendicular
+
+176
+00:17:56,550 --> 00:18:02,430
+to
+
+177
+00:18:02,430 --> 00:18:11,370
+each other زي
+
+178
+00:18:11,370 --> 00:18:13,950
+مثلا such as
+
+179
+00:18:17,140 --> 00:18:23,840
+عنا تلاتين degree مية و عشرين degree sorry تلاتين
+
+180
+00:18:23,840 --> 00:18:28,720
+ستين هذا
+
+181
+00:18:28,720 --> 00:18:32,080
+ال irregular astigmatism في ال with the rule
+
+182
+00:18:32,080 --> 00:18:35,280
+أنواعه
+
+183
+00:18:35,280 --> 00:18:39,660
+و
+
+184
+00:18:39,660 --> 00:18:40,920
+في ال against
+
+185
+00:18:45,140 --> 00:18:49,480
+the rule with the rule with the rule with the rule
+
+186
+00:18:49,480 --> 00:18:50,940
+with the rule with the rule with the rule with the
+
+187
+00:18:50,940 --> 00:18:51,780
+rule with the rule with the rule with the rule
+
+188
+00:18:51,780 --> 00:18:53,200
+with the rule with the rule with the rule with the
+
+189
+00:18:53,200 --> 00:18:56,320
+rule with the rule with the rule with the rule
+
+190
+00:18:56,320 --> 00:18:57,040
+with the rule with the rule with the rule with the
+
+191
+00:18:57,040 --> 00:18:57,340
+rule with the rule with the rule with the rule
+
+192
+00:18:57,340 --> 00:18:59,040
+rule with the rule with the rule with the rule
+
+193
+00:18:59,040 --> 00:19:00,620
+with the rule with the rule with the rule with the
+
+194
+00:19:00,620 --> 00:19:07,140
+with the
+
+195
+00:19:15,400 --> 00:19:23,260
+الـ vertical meridian إذا
+
+196
+00:19:23,260 --> 00:19:30,340
+الآن لو سألتك mention types of astigmatism أول
+
+197
+00:19:30,340 --> 00:19:35,420
+حاجة there are two numberregular and irregular
+
+198
+00:19:35,420 --> 00:19:39,780
+astigmatism regular astigmatism the two principle
+
+199
+00:19:39,780 --> 00:19:42,600
+meridians are perpendicular to each other
+
+200
+00:19:42,600 --> 00:19:46,060
+irregular astigmatism the two principle meridians
+
+201
+00:19:46,060 --> 00:19:48,980
+are not perpendicular to each other regular
+
+202
+00:19:48,980 --> 00:19:53,260
+astigmatism ممكن يلو أقسام simple myopic simple
+
+203
+00:19:53,260 --> 00:19:56,240
+hyper metropic بعدين بدخل ع موضوع ال compound
+
+204
+00:19:56,240 --> 00:19:59,160
+compound hyper metropic myopic و ال mixed
+
+205
+00:19:59,160 --> 00:20:03,790
+astigmatismOkay بالنسبة ل ال irregular astigmatism
+
+206
+00:20:03,790 --> 00:20:06,450
+في عندنا ال with the rule و ال against the rule
+
+207
+00:20:06,450 --> 00:20:11,550
+بالنسبة ل recognizing the presence of astigmatism
+
+208
+00:20:11,550 --> 00:20:17,730
+كيف أنا خلال ما بعمل ال retinoscopy أعرف أن هذا
+
+209
+00:20:17,730 --> 00:20:21,590
+المريض عنده astigmatism؟
+
+210
+00:20:24,570 --> 00:20:29,310
+في عندنا تلت حالات تلت حالات بتثبت ان هذا المريض
+
+211
+00:20:29,310 --> 00:20:35,210
+عنده astigmatism من خلال ال retinoscopy method اي
+
+212
+00:20:35,210 --> 00:20:40,230
+من خلال طريقة ال retinoscopy الطريقة الاولى احنا
+
+213
+00:20:40,230 --> 00:20:44,510
+في اي تعين دايما بكون عنده two principle meridian
+
+214
+00:20:44,510 --> 00:20:51,010
+يعني محورين صح؟فبكون واحد من ال principle meridian
+
+215
+00:20:51,010 --> 00:20:55,930
+a neutral point يعني واحد فيهم إيش ماله متعدل و
+
+216
+00:20:55,930 --> 00:21:00,770
+التاني بيكون with the rule أو against the rule
+
+217
+00:21:00,770 --> 00:21:06,650
+بمعنى واحد متعدل يعني بدهوش power يعني ثابت اللي
+
+218
+00:21:06,650 --> 00:21:11,910
+هو planه و الآخر إيش بيكون يا إما with the rule أو
+
+219
+00:21:11,910 --> 00:21:14,290
+against the rule يعني بالظبط زي هيك
+
+220
+00:21:17,710 --> 00:21:20,510
+يعني لما تعمل ال crossات ال vertical و ال
+
+221
+00:21:20,510 --> 00:21:29,130
+horizontal meridian واحد فيهم بيكون هذا
+
+222
+00:21:29,130 --> 00:21:34,150
+plan و مثلا لو فرضنا التسعين و هذا بيكون plus او
+
+223
+00:21:34,150 --> 00:21:35,230
+minus one
+
+224
+00:21:41,900 --> 00:21:46,680
+يما تيجي تعادلة في ال written scope يما يكون ال
+
+225
+00:21:46,680 --> 00:21:48,960
+streak دي على ال written scope جاي على ال read
+
+226
+00:21:48,960 --> 00:21:54,980
+reflex بتكون plano متعادلة مرة تانية الان مش انت
+
+227
+00:21:54,980 --> 00:21:58,280
+بشوف الحركة اول حاجة في ال written scope يا اما
+
+228
+00:21:58,280 --> 00:22:03,140
+بتكون with او against او بتكون ايه neutral متعادلة
+
+229
+00:22:03,140 --> 00:22:06,440
+طيب
+
+230
+00:22:06,440 --> 00:22:11,460
+اه بس لو قدام هشوفه حالات neutralأي بمعنى أن أنا
+
+231
+00:22:11,460 --> 00:22:19,330
+بدون ما أحط عدسة هي بتكون متعادلة، واضح؟ نعمهذا
+
+232
+00:22:19,330 --> 00:22:29,770
+يعني انه يعترف ان هناك استigmatism يعني
+
+233
+00:22:29,770 --> 00:22:33,470
+بمعنى الحالات اللى انا بقول ان عنها فى استigmatism
+
+234
+00:22:33,470 --> 00:22:38,190
+للمريض اول حالة بيكون محور سواء ال vertical او ال
+
+235
+00:22:38,190 --> 00:22:41,810
+horizontal او لو كانت oblique واحد منهم بيكون
+
+236
+00:22:41,810 --> 00:22:47,510
+plano شو معناه plano يعني نيوترال pointيعني ال far
+
+237
+00:22:47,510 --> 00:22:51,110
+point بتاعة ال observer إيش ما لها corresponding
+
+238
+00:22:51,110 --> 00:22:55,610
+لإنه ال point لل patient هذه عندها إيش بقول؟ إنه
+
+239
+00:22:55,610 --> 00:23:00,530
+فيها ال astigmatism okay؟ هذه number one إذا one
+
+240
+00:23:00,530 --> 00:23:03,990
+of the meridian with the neutral point and another
+
+241
+00:23:03,990 --> 00:23:09,050
+one with the rule or against the ruleالحالة
+
+242
+00:23:09,050 --> 00:23:13,010
+التانية انه بيكون واحدة متعاكسة يعني واحدة with
+
+243
+00:23:13,010 --> 00:23:16,350
+the rule والاخرى against the rule لو فرضنا ال
+
+244
+00:23:16,350 --> 00:23:20,690
+meridian 90 كان with the rule الحركة التانية هتكون
+
+245
+00:23:20,690 --> 00:23:27,490
+against the rule واضحة؟ الحالة التانية لما انا
+
+246
+00:23:27,490 --> 00:23:31,750
+بعمل في جهاز ال retinascopeمثلا ال vertical بقولك
+
+247
+00:23:31,750 --> 00:23:40,630
+شو الحركة؟ horizontal صح ال vertical كانت against
+
+248
+00:23:40,630 --> 00:23:44,570
+the rule ال horizontal إيش هتكون؟ with the rule
+
+249
+00:23:44,570 --> 00:23:48,470
+إذا التنتين إيش مالهم؟ متعاكسات إذا هيطلع بينهم في
+
+250
+00:23:48,470 --> 00:23:53,250
+ال final objective refraction هيطلع ال stigmaالان
+
+251
+00:23:53,250 --> 00:23:57,190
+انا كيف بحسب ال astigmatism من ال final objective
+
+252
+00:23:57,190 --> 00:24:00,810
+refraction صح الوصفة النهائية يعني هان لو انا كان
+
+253
+00:24:00,810 --> 00:24:05,350
+عندى plano و plus one لو انا مثلا plus one خسمته
+
+254
+00:24:05,350 --> 00:24:09,170
+من مسافة العمل الاتنين او الواحد و نص تطلع كده؟
+
+255
+00:24:09,170 --> 00:24:16,150
+minus نص okay بعدين plano من minus one minus one
+
+256
+00:24:16,150 --> 00:24:19,950
+صح يعني اذا ال minus one هدى تعتبر ايش؟
+
+257
+00:24:19,950 --> 00:24:26,260
+astigmatismمرة تانية هلجيت احنا عندنا هنا minus
+
+258
+00:24:26,260 --> 00:24:38,340
+one على minus one axis 90 شو معنى هذه ال minus one
+
+259
+00:24:38,340 --> 00:24:41,800
+هذه
+
+260
+00:24:41,800 --> 00:24:46,820
+وصفة ايش معنى minus one واحدة تجاوب اه تفضلي
+
+261
+00:24:51,700 --> 00:24:54,560
+هجيت انا ما بحكيلك طلعي ال final objective
+
+262
+00:24:54,560 --> 00:25:04,520
+refraction شو معنى ال minus واحد؟ بالظبط
+
+263
+00:25:04,520 --> 00:25:08,780
+يعني شو هذي ال minus one ايش بتمثل؟ السفير بالظبط
+
+264
+00:25:08,780 --> 00:25:14,320
+يعني هذي ال minus one تعتبر ايش؟ ديوبتر السفير صح؟
+
+265
+00:25:14,320 --> 00:25:19,560
+و هذي ايش هي بتمثل؟ السلندر
+
+266
+00:25:23,240 --> 00:25:27,120
+يعني بمعنى انا يما اجي بدي احط في ال trial set ال
+
+267
+00:25:27,120 --> 00:25:30,680
+trial frame بتاعي بدي اخد من ال trial set ايش؟
+
+268
+00:25:30,680 --> 00:25:34,440
+minus واحد ال sphere صح؟ و ال minus واحد التاني
+
+269
+00:25:34,440 --> 00:25:40,140
+cylinder واضح؟ و ال axis سواء كان تسعين او مية و
+
+270
+00:25:40,140 --> 00:25:43,600
+تمانين او تلاتين واضح ولا كيف؟
+
+271
+00:25:46,510 --> 00:25:51,530
+الان عندنا في ال written scope بناخد two principle
+
+272
+00:25:51,530 --> 00:25:56,330
+meridian بعادل حسب انا ايش الحركة اللى عندى اذا
+
+273
+00:25:56,330 --> 00:25:59,630
+كانت with the rule او against the rule طيب انا ليش
+
+274
+00:25:59,630 --> 00:26:06,330
+هدف منه انه اطلع ال final objective refraction ال
+
+275
+00:26:06,330 --> 00:26:10,570
+final objective refraction اما بتحتوي على سفير
+
+276
+00:26:10,570 --> 00:26:18,620
+لحاله يعني بيكون اذا مثلا انا فرضت هنابلاس واحد لو
+
+277
+00:26:18,620 --> 00:26:25,100
+خصمناها من اتنين جديش minus one ده يبتر سفير واضح؟
+
+278
+00:26:25,100 --> 00:26:30,000
+اذا هاذي ايش معناه؟ ان القوة متساوية في كل المحاور
+
+279
+00:26:30,000 --> 00:26:35,200
+يعني كل المحاور هان القوة جديش هتكون plus واحدسواء
+
+280
+00:26:35,200 --> 00:26:38,840
+كانت في ال horizontal او في ال vertical يما تكون
+
+281
+00:26:38,840 --> 00:26:42,300
+بالشكل هذا معناه انه انا عند مين ال stigma تزم
+
+282
+00:26:42,300 --> 00:26:47,160
+يعني بتكون فيه قوة و معاد يعني عمودية على مين على
+
+283
+00:26:47,160 --> 00:26:51,200
+ال axis perpendicular to the axis يعني هنا ال plus
+
+284
+00:26:51,200 --> 00:27:00,720
+واحد ايه شماله؟ perpendicular to
+
+285
+00:27:00,720 --> 00:27:06,740
+the axisيعني القوة دايما بتكون عمودية على ال axis
+
+286
+00:27:06,740 --> 00:27:11,180
+مش أخدنا أنواع العدسات أول حاجة أخدنا ال spherical
+
+287
+00:27:11,180 --> 00:27:15,720
+lenses العدسات الاسفير أي بمعنى العدسات الكراوية
+
+288
+00:27:15,720 --> 00:27:21,180
+اللي بيكون فيها بالظبط انه have the same
+
+289
+00:27:21,180 --> 00:27:25,080
+refractive power in all the meridians قلنا بالنسبة
+
+290
+00:27:25,080 --> 00:27:29,920
+للسيلندر بتكون القوة وين موجودة على محور وال axis
+
+291
+00:27:29,920 --> 00:27:34,550
+بيكون عمودي على مين على القوةواضح؟ يعني كي بدى
+
+292
+00:27:34,550 --> 00:27:36,790
+اعرف انا في ال written scope ان في عندى
+
+293
+00:27:36,790 --> 00:27:41,450
+astigmatism مش مرات بتطلع بقولك قداش مثلا الوصفة
+
+294
+00:27:41,450 --> 00:27:44,650
+ال final objective refraction تحكيلي مثلا plus
+
+295
+00:27:44,650 --> 00:27:49,350
+واحد على minus اتنين شو معناه ال minus اتنين؟ انه
+
+296
+00:27:49,350 --> 00:27:54,770
+سلندر انه عنده astigmatism واضح؟ فهذا ال minus
+
+297
+00:27:54,770 --> 00:28:00,240
+اتنين هو بيمثل عندى الastigmatism للمريضطيب كيف
+
+298
+00:28:00,240 --> 00:28:03,480
+انا بدي اكشف ال astigmatism انه هذا المريض عنده
+
+299
+00:28:03,480 --> 00:28:07,920
+astigmatism؟ لما بعمل ال neutral point اي بمعنى ال
+
+300
+00:28:07,920 --> 00:28:12,720
+neutralization المعادلة اول حاجة بيكون محور لو
+
+301
+00:28:12,720 --> 00:28:16,300
+أخدنا ال horizontal واحد منهم بيكون ال neutral
+
+302
+00:28:16,300 --> 00:28:21,620
+point والتاني بيكون ايش with او against درولواضح؟
+
+303
+00:28:21,620 --> 00:28:26,400
+يعني محور منهم بيكون متعادل والتاني إيش بيكون؟
+
+304
+00:28:26,400 --> 00:28:30,240
+بضيف plus أو minus النقطة التانية واحد منهم بيكون
+
+305
+00:28:30,240 --> 00:28:34,060
+with والتاني against التالتة الحالة التالتة أنه
+
+306
+00:28:34,060 --> 00:28:38,640
+بيكونوا متساويين يعني بمعنى إذا فرضنا التسعين يعني
+
+307
+00:28:38,640 --> 00:28:42,520
+أنا بشتغل في التسعين في ال vertical بتكون with the
+
+308
+00:28:42,520 --> 00:28:46,510
+ruleفي المية و تمانين برضه كانت with the rule أو
+
+309
+00:28:46,510 --> 00:28:50,490
+لو فرضنا against the rule برضه against the rule
+
+310
+00:28:50,490 --> 00:28:55,850
+لكن واحد فيهم narrow و واحد فيهم wide ال reflex
+
+311
+00:28:55,850 --> 00:28:59,530
+بتاعي اللي أنا بشتغل فيه تحكيلي والله أنا شوفت ال
+
+312
+00:28:59,530 --> 00:29:02,570
+red reflex لكن في المية و تمانين كان إيه شماله
+
+313
+00:29:02,570 --> 00:29:07,630
+واسع في التسعين كان ديك مش بتصير معاكم في العمل
+
+314
+00:29:07,630 --> 00:29:13,220
+ولا لأ؟هذه من الحالات اللي بيصير إيش اللي أنا بعرف
+
+315
+00:29:13,220 --> 00:29:17,680
+إنه في المريض عنده إيه Astigmatism، واضح؟ مش فاهم،
+
+316
+00:29:17,680 --> 00:29:21,360
+مش أخر حالة، يعني مثلا ده مش همتلها لو كان هذا
+
+317
+00:29:21,360 --> 00:29:26,280
+Astigmatism حتى لو إشي خفيف؟ أه لو minus ربع، مش
+
+318
+00:29:26,280 --> 00:29:32,280
+Astigmatism يعتبراه هو يعني في السيولوجيا اية
+
+319
+00:29:32,280 --> 00:29:36,980
+انسان عنده minus ربع ل minus نص ال stigma الحالة
+
+320
+00:29:36,980 --> 00:29:41,360
+الأخيرة لان انا لما عملت ال vertical meridian طلعت
+
+321
+00:29:41,360 --> 00:29:45,310
+with the ruleأو معاك طلعت against the rule لما
+
+322
+00:29:45,310 --> 00:29:49,650
+شوفت ال 180 أي بمعنى ال horizontal طلعت نفس الحركة
+
+323
+00:29:49,650 --> 00:29:53,930
+with the rule يعني لما جينا العادل with the rule و
+
+324
+00:29:53,930 --> 00:29:57,610
+with the rule لكن واحد ال red reflex كان wide و
+
+325
+00:29:57,610 --> 00:30:00,410
+واحد narrow يعني ممكن واحد small refractive error
+
+326
+00:30:00,410 --> 00:30:04,130
+والتاني high refractive error هل بيبين ان عندي ايش
+
+327
+00:30:04,130 --> 00:30:10,100
+استigmatism؟ واضح التلات حالات؟إذن recognizing the
+
+328
+00:30:10,100 --> 00:30:13,560
+presence of astigmatism ان التعرف على وجود
+
+329
+00:30:13,560 --> 00:30:17,820
+الastigmatism when you begin retinoscopy on an eye
+
+330
+00:30:17,820 --> 00:30:22,620
+عندما تبدأ في جهاز ال retinoscope في أي عين you
+
+331
+00:30:22,620 --> 00:30:26,320
+will know that there is astigmatism present in the
+
+332
+00:30:26,320 --> 00:30:29,700
+following situation بدك تعرف أن الastigmatism
+
+333
+00:30:29,700 --> 00:30:33,760
+بيكون موجود في واحدة من الحالات هدول أول واحدة
+
+334
+00:30:34,380 --> 00:30:38,120
+Streaking one meridian gives you with motion or
+
+335
+00:30:38,120 --> 00:30:41,620
+against motion and streaking the meridian ninety
+
+336
+00:30:41,620 --> 00:30:45,520
+degrees away gives you a neutral reflex بمعنى
+
+337
+00:30:45,520 --> 00:30:50,640
+الاستريك بتاع الرتنسكوب اللي هو في الجهاز يما
+
+338
+00:30:50,640 --> 00:30:54,920
+بيعمل .. يما بيكون عمودي على ال red reflex بتاع ال
+
+339
+00:30:54,920 --> 00:30:59,490
+patient eye بيكون neutral pointوالمحول التاني ايش
+
+340
+00:30:59,490 --> 00:31:05,210
+بيكون with او against the rule طبعا هو غلط يكتب
+
+341
+00:31:05,210 --> 00:31:08,930
+streaking one meridian هو المفروض يكتب ال red
+
+342
+00:31:08,930 --> 00:31:13,230
+reflex لانه بتاعة ال patient eye لان ال streaking
+
+343
+00:31:13,230 --> 00:31:17,350
+تعني ال light رتنسكوب بتاعي او ال slit بتاع ال
+
+344
+00:31:17,350 --> 00:31:22,850
+رتنسكوب بس هم في بعض الكتب بيفترض ان ال streaking
+
+345
+00:31:22,850 --> 00:31:28,010
+معناه ال red reflexواضح؟ يعني هان مفترض أن
+
+346
+00:31:28,010 --> 00:31:31,830
+الـstreaking هو عبارة عن الـ red reflex لمين؟ لال
+
+347
+00:31:31,830 --> 00:31:36,970
+patient، للمريض، إذا الحالة الأولى بيكون واحد من
+
+348
+00:31:36,970 --> 00:31:41,830
+المحاور ال neutral والمحور التاني بيكون اما with
+
+349
+00:31:41,830 --> 00:31:48,130
+أو against، واضح؟ الحالة التانية، streaking و ال
+
+350
+00:31:48,130 --> 00:31:53,420
+meridian gives you against motionand streaking
+
+351
+00:31:53,420 --> 00:31:56,560
+them radian 90 degrees away gives you with motion
+
+352
+00:31:56,560 --> 00:32:01,680
+يعني واحد بيكون معاكس للتاني اما التسعين او ال
+
+353
+00:32:01,680 --> 00:32:05,140
+vertical بيكون with ال horizontal بيكون against
+
+354
+00:32:08,320 --> 00:32:11,580
+Streaking one meridian gives you with motion or
+
+355
+00:32:11,580 --> 00:32:15,700
+against motion with a wide streak reflex and
+
+356
+00:32:15,700 --> 00:32:19,140
+streaking the meridian ninety degrees away gives
+
+357
+00:32:19,140 --> 00:32:21,960
+you the same motion but with a narrower streak
+
+358
+00:32:21,960 --> 00:32:26,920
+reflex إذا التنين المحورين بيكونوا نفس الحركة سواء
+
+359
+00:32:26,920 --> 00:32:31,190
+كانوا with أو كانوا againstلكن واحد بيكون narrow
+
+360
+00:32:31,190 --> 00:32:35,830
+ال red reflex والتاني ايش بيكون wide بمعنى ان واحد
+
+361
+00:32:35,830 --> 00:32:40,030
+بيكون عنده small refractive error في محور والمحور
+
+362
+00:32:40,030 --> 00:32:43,810
+التاني بيكون ايه high refractive error يعني لو
+
+363
+00:32:43,810 --> 00:32:48,110
+اسألك شو معناته ان واحد عنده التانين مختلفات ال
+
+364
+00:32:48,110 --> 00:32:52,650
+red reflex مختلفات لكن واحد narrow واحد wide انه
+
+365
+00:32:52,650 --> 00:32:56,790
+astigmatism ومعناه ان واحد عنده small refractive
+
+366
+00:32:56,790 --> 00:33:00,810
+error والتاني high refractive errorزي ما حكينا إنه
+
+367
+00:33:00,810 --> 00:33:04,130
+كل ما كان ال red reflex white، إيش بيكون ال
+
+368
+00:33:04,130 --> 00:33:08,590
+refractive؟ بيكون small و العكس صحيح واضح؟ هدول من
+
+369
+00:33:08,590 --> 00:33:12,210
+ال characteristics اللي هم الخاص ل ال red reflex
+
+370
+00:33:12,210 --> 00:33:16,890
+ال scissor shadow تعتبر من ال difficulties
+
+371
+00:33:16,890 --> 00:33:21,370
+للريتنسكوب يعني هي تعتبر من ال special cases من
+
+372
+00:33:21,370 --> 00:33:26,410
+الحلات الخاصة للريتنسكوب هي تعتبر scissor shadow
+
+373
+00:33:31,260 --> 00:33:36,320
+وين؟ في حالة ايش؟ يما يكون دايما ال Caesar shadow
+
+374
+00:33:36,320 --> 00:33:40,740
+في الغالب اذا كان المريض فوق الاربعين سنة بشك انا
+
+375
+00:33:40,740 --> 00:33:43,920
+بعض الأحيان ان يكون عنده cataract ميه بيضه او
+
+376
+00:33:43,920 --> 00:33:47,680
+بداية الميه البيضه وهذه من شطارة ال optometrist
+
+377
+00:33:47,680 --> 00:33:51,780
+الشاطر انه كيف ممكن ان هو يكتشف ان المريض عنده
+
+378
+00:33:51,780 --> 00:33:56,020
+cataractع فكرة ال cataract مش ممكن انه يكتشفها حتى
+
+379
+00:33:56,020 --> 00:33:59,340
+في ال Vandas، يا ما ييجي يفحص الدكتور في ال CT Lab
+
+380
+00:33:59,340 --> 00:34:03,180
+أكيد أخدته، في بعض الأحيان .. أحيان لما تكون ال
+
+381
+00:34:03,180 --> 00:34:07,180
+cataract يعني early، immature، بيقدرش يكشفها،
+
+382
+00:34:07,180 --> 00:34:09,760
+فممكن ال optometrist هو يكشف من خلال ال red
+
+383
+00:34:09,760 --> 00:34:13,570
+reflex، ال scissor shadowبعض الأحيان في ال scissor
+
+384
+00:34:13,570 --> 00:34:16,690
+shadow ممكن يكون عنده keratocolus قرانية مخلوطية
+
+385
+00:34:16,690 --> 00:34:20,650
+أو ال regular astigmatism فيه لها عدة هذه تعتبر من
+
+386
+00:34:20,650 --> 00:34:26,590
+ال special difficulties of retinoscopy ده sketch
+
+387
+00:34:41,820 --> 00:34:45,700
+هى ال scissor shadow scissor معناها مقص وال shadow
+
+388
+00:34:45,700 --> 00:34:51,280
+اللى هى حركة مقصية طيب recognizing the presence of
+
+389
+00:34:51,280 --> 00:34:56,360
+astigmatism لو بتلاحظى هان فى فرق ما بين ال ال red
+
+390
+00:34:56,360 --> 00:35:02,060
+reflex واحد منهم كان عريض والتانى أشماله narrow
+
+391
+00:35:02,060 --> 00:35:08,980
+okayإذا في اختلاف من ناحية إيش ال .. ال size ل ال
+
+392
+00:35:08,980 --> 00:35:13,280
+red reflex التنين بيكونوا تقريبا يعني أنا حاولت
+
+393
+00:35:13,280 --> 00:35:18,120
+أنه أجيب التنين مختلفين في إيش من ناحية ال .. ال
+
+394
+00:35:18,120 --> 00:35:27,420
+size الحجم بتاعهم فضلوا هو
+
+395
+00:35:27,420 --> 00:35:30,900
+في الغالب لازم أنه يكونوا التنين عموديات على بعض
+
+396
+00:35:31,720 --> 00:35:36,420
+يعني معظم الحالات الانكسارية لازم انه يكون المريض
+
+397
+00:35:36,420 --> 00:35:41,100
+اما اسفير او بيكون regular astigmatism regular
+
+398
+00:35:41,100 --> 00:35:44,220
+astigmatism زي ما اتفقنا انه التنين بيكونوا
+
+399
+00:35:44,220 --> 00:35:47,620
+عموديات على بعض لكن في بعض الحالات وهي تعتبر
+
+400
+00:35:47,620 --> 00:35:51,100
+minority يعني قليلة انه بيكونوا oblique انه مش
+
+401
+00:35:51,100 --> 00:35:54,280
+متعامدين على بعض انه irregularity زي ما انت
+
+402
+00:35:54,280 --> 00:35:57,880
+بتشوفيها ال oblique انه مثلا واحد تلاتين واحد ستين
+
+403
+00:35:57,880 --> 00:36:03,390
+وموجودة شوفيها يعني خاصة انهافي ال refractive احنا
+
+404
+00:36:03,390 --> 00:36:07,710
+بنشوف ال oblique لكن بيكون regular a stigmatism ال
+
+405
+00:36:07,710 --> 00:36:11,130
+regular .. ال regular a stigmatism تعتبر حالة
+
+406
+00:36:11,130 --> 00:36:15,430
+majority يعني شائعة يعني common واضح انه بتكون
+
+407
+00:36:15,430 --> 00:36:19,230
+شائعة لكن في حالة ال irregular a stigmatism يما
+
+408
+00:36:19,230 --> 00:36:24,030
+يكون الفرق ما بينهم اقل من تسعين هذه الحالات بتكون
+
+409
+00:36:24,030 --> 00:36:28,410
+ايه شمالها؟ very rare انه نادرة كتيرليش؟ لأنه
+
+410
+00:36:28,410 --> 00:36:31,410
+دايماً لما واحد يكون عنده irregular astigmatism،
+
+411
+00:36:31,410 --> 00:36:34,630
+بنخاف إنه دايماً يكون عنده keratokonas، قرانية
+
+412
+00:36:34,630 --> 00:36:40,330
+مخروطية أو بدخل في موضوع إنه ال draft، يعني عملية
+
+413
+00:36:40,330 --> 00:36:42,810
+إزالة القرانية، واضح؟
+
+414
+00:36:51,020 --> 00:36:56,260
+معظم الحالات الإنكسارية اللى مرّت علينا في جهاز
+
+415
+00:36:56,260 --> 00:37:00,800
+الريتينيسكوب ال neutralizing بمعنى معادلة، معادلة
+
+416
+00:37:00,800 --> 00:37:06,340
+حالات الastigmatism، واضح؟ إذا معظم الحالات اللى
+
+417
+00:37:06,340 --> 00:37:13,080
+بتمر علينا إما بتكون سفيران كل المحاور متساوية او
+
+418
+00:37:13,080 --> 00:37:18,700
+بتكون ايه؟ regular astigmatism ان ال two principle
+
+419
+00:37:18,700 --> 00:37:21,100
+meridians are perpendicular to each other
+
+420
+00:37:24,260 --> 00:37:29,060
+معظم الحالات اللي عملناها في المعمل كانت الأخطاء
+
+421
+00:37:29,060 --> 00:37:33,660
+الانكسارية فيها إما السفير إنه كل المحاور متساوية
+
+422
+00:37:33,660 --> 00:37:38,040
+يعني بتكتبي لي plus واحد plus اتنين minus واحد في
+
+423
+00:37:38,040 --> 00:37:42,060
+كل المحاور ال power إيه شمالها ثابتة أو بتكون إيه
+
+424
+00:37:42,060 --> 00:37:45,860
+شمالها regular astigmatism regular astigmatism
+
+425
+00:37:45,860 --> 00:37:49,200
+بمعنى two principal meridians are perpendicular to
+
+426
+00:37:49,200 --> 00:37:53,940
+each other يعني الفرق ما بينهم جديش تسعين متفقين؟
+
+427
+00:37:54,950 --> 00:37:58,190
+الحلات اللي هي ال minority بيكون الفرق ما بينهم
+
+428
+00:37:58,190 --> 00:38:04,430
+جديش اقل من تسعين، يعني بمعنى تلاتين او عشرين او
+
+429
+00:38:04,430 --> 00:38:08,910
+عشرة او خمسة، اذا ما بيكونوش اشمالهم متعمدين مع
+
+430
+00:38:08,910 --> 00:38:15,070
+بعض، اي بمعنى المحورين غير متعمدينالـ Astigmatism
+
+431
+00:38:15,070 --> 00:38:20,390
+بده شوية imagination، تخيل، لازم الإنسان يتخيل إيش
+
+432
+00:38:20,390 --> 00:38:23,730
+المنظر الموجود أمامه، يعني واحد لما بيكون عنده
+
+433
+00:38:23,730 --> 00:38:27,250
+irregular astigmatism جد ما أنا هشرحلك على ال
+
+434
+00:38:27,250 --> 00:38:33,340
+irregular astigmatism مش هتقدر تستوعبيههو أمر اكتر
+
+435
+00:38:33,340 --> 00:38:38,120
+يعني theory نظري لكن بده شويه تخيل من الواحد انه
+
+436
+00:38:38,120 --> 00:38:41,520
+اعرف ال regular astigmatism دايما بيكون الفرق
+
+437
+00:38:41,520 --> 00:38:45,820
+بينهم قداش اقل من تسعين اي بمعنى الفرق ما بينهم
+
+438
+00:38:45,820 --> 00:38:50,820
+تلاتين او عشرين او عشرة او خمسة okay هذا بنسميه ال
+
+439
+00:38:50,820 --> 00:38:55,450
+regular astigmatismطيب من ناحية المعادلة في
+
+440
+00:38:55,450 --> 00:38:59,330
+الاسفير سهل إذا كانت with the rule بعادل في plus
+
+441
+00:38:59,330 --> 00:39:02,910
+against the rule بعادل بإيه في minus زي ما اتعلمنا
+
+442
+00:39:02,910 --> 00:39:07,070
+و بطلع الوصفة لل right و لل left و بعدين بطلع من
+
+443
+00:39:07,070 --> 00:39:12,210
+ال final objective refraction واضح؟ طيب لو كان عند
+
+444
+00:39:12,210 --> 00:39:18,130
+المريض ال stigmaباخد كل meridian على انه ايه يعتبر
+
+445
+00:39:18,130 --> 00:39:23,010
+عين لحاله اي بمعنى ال vertical تعتبر عين وال
+
+446
+00:39:23,010 --> 00:39:27,230
+horizontal تعتبر عين يعني التنين منفصلين عن بعض
+
+447
+00:39:27,230 --> 00:39:31,150
+بمعنى ان واحدة ممكن تكون with the rule والتانية
+
+448
+00:39:31,150 --> 00:39:35,670
+against the rule فهذه تعتبر ال initial point يعني
+
+449
+00:39:35,670 --> 00:39:39,530
+النقطة البداية يعني كتير مثلا طالبها سألوني كيف
+
+450
+00:39:39,530 --> 00:39:43,410
+طيب نعمل ال neutralization لمريض عنده astigmatism
+
+451
+00:39:45,410 --> 00:39:50,550
+كيف؟ باخد كل axis على حدة أي بمعنى ان كل axis
+
+452
+00:39:50,550 --> 00:39:55,870
+بيكون عبارة عن عين فمثلا باخد ال horizontal بشوف
+
+453
+00:39:55,870 --> 00:40:00,230
+الحركة هل width ولا against the rule هل مثلا
+
+454
+00:40:00,230 --> 00:40:04,410
+regular ولا irregular اذا كان oblig مثلا الحركة
+
+455
+00:40:04,410 --> 00:40:09,310
+بعادل في plus او minus حسب اللي هي حركة مين ال red
+
+456
+00:40:09,310 --> 00:40:15,410
+reflex okay؟باجي للمحور من ال vertical برضه بعادل
+
+457
+00:40:15,410 --> 00:40:20,490
+في plus او minus lens okay و بشوف انه قداش الفرق
+
+458
+00:40:20,490 --> 00:40:24,730
+ما بينهم هل الفرق تسعين اذا والله تسعين بينهم
+
+459
+00:40:24,730 --> 00:40:28,770
+بيكون هذا ايه regular astigmatism اذا بيكون اقل من
+
+460
+00:40:28,770 --> 00:40:34,270
+تسعين عشان هيك ممكن واحدة تسألني كمان سؤال لو
+
+461
+00:40:34,270 --> 00:40:39,150
+بتلاحظوا في ال written scope ال axis دايما بيكونش
+
+462
+00:40:39,150 --> 00:40:42,600
+دقيق في ال written scopeيعني بمعنى ان ال access
+
+463
+00:40:42,600 --> 00:40:47,060
+دايما ما بدي نفسه للمريض لان هو مابكونش احنا دايما
+
+464
+00:40:47,060 --> 00:40:50,520
+ايش بنكتب يا اما 90 يا 180 في ال written score
+
+465
+00:40:50,520 --> 00:40:55,360
+فيعني لما تشتغلوا في clinic او في مستشفى لما
+
+466
+00:40:55,360 --> 00:40:58,520
+تاخدوا ال access حاولوا انه تاخدوا من وين من ال
+
+467
+00:40:58,520 --> 00:41:02,300
+auto refractometer خاصة في حالات من ال young يعني
+
+468
+00:41:02,300 --> 00:41:05,940
+الأكبر في العمر في الأطفال لازم تكونوا accurate
+
+469
+00:41:05,940 --> 00:41:10,400
+على الآخر لان الوصفة هذه وين هتروحلا التصنيع،
+
+470
+00:41:10,400 --> 00:41:13,980
+مباشرة، مافيش عندنا ال subjective refraction في
+
+471
+00:41:13,980 --> 00:41:19,520
+حالة لا واضحة الفكرة فعندنا neutralizing of
+
+472
+00:41:19,520 --> 00:41:24,820
+astigmatism معادلة اللابؤرية الامترو اللي هي واحد
+
+473
+00:41:24,820 --> 00:41:29,200
+من أنواع الأخطاء الانكسارية للعين that create
+
+474
+00:41:29,200 --> 00:41:34,140
+majority of refractionare cases either without
+
+475
+00:41:34,140 --> 00:41:37,820
+astigmatism, spherical refractive error or with
+
+476
+00:41:37,820 --> 00:41:42,000
+regular astigmatism أي بمعنى معظم الحالات
+
+477
+00:41:42,000 --> 00:41:47,860
+الانكسارية اللي بتتم تعديلها او تصحيحها هي تعتبر
+
+478
+00:41:47,860 --> 00:41:51,700
+اما sphere انه spherical refractive error شو
+
+479
+00:41:51,700 --> 00:41:56,340
+معناها؟ اي major او hyper metroأو تعتبر regular
+
+480
+00:41:56,340 --> 00:42:00,080
+astigmatism ان ال two principle meridians are
+
+481
+00:42:00,080 --> 00:42:04,040
+perpendicular to each other ان الفرق ما بينهم كان
+
+482
+00:42:04,040 --> 00:42:09,080
+تسعين درجة واضحة
+
+483
+00:42:09,080 --> 00:42:16,760
+ال minority بمعنى قليل of refractions من الأخطاء
+
+484
+00:42:16,760 --> 00:42:22,300
+الانكسرية consist of irregular astigmatism بتتكون
+
+485
+00:42:22,300 --> 00:42:27,500
+منالـ Irregular Astigmatism اللابقرية الغير
+
+486
+00:42:27,500 --> 00:42:32,780
+منتظمة، أي الـ two principle meridians are not
+
+487
+00:42:32,780 --> 00:42:37,140
+perpendicular to each other، أن الفرق ما بينهم أقل
+
+488
+00:42:37,140 --> 00:42:41,920
+من تسعين Okay,
+
+489
+00:42:42,820 --> 00:42:45,960
+Neutralizing of Astigmatism، معادلة الـ
+
+490
+00:42:45,960 --> 00:42:50,490
+Astigmatismفي حالة زي ما اتفقنا الاسفير in
+
+491
+00:42:50,490 --> 00:42:54,650
+spherical errors, the retinascope will show a
+
+492
+00:42:54,650 --> 00:42:58,530
+neutral point which is the same in all meridians.
+
+493
+00:42:58,870 --> 00:43:02,470
+The result is no movement in all meridians using
+
+494
+00:43:02,470 --> 00:43:07,190
+the same lenses بمعنى ان كل المحاور هتكون متساوية
+
+495
+00:43:07,190 --> 00:43:11,430
+اي انه have the same refractive power in all
+
+496
+00:43:11,430 --> 00:43:11,950
+meridians
+
+497
+00:43:15,610 --> 00:43:18,870
+إنه have the same ingredients in all the
+
+498
+00:43:18,870 --> 00:43:23,710
+ingredients طيب إذا يما بنكتب دايما الوصفة في حالة
+
+499
+00:43:23,710 --> 00:43:28,570
+الاسفير معظمكم كيف بكتب؟ بالشكل هذا plus واحد plus
+
+500
+00:43:28,570 --> 00:43:33,990
+واحد و بكتب لي إيه plus واحد هذا إيه غلط دايما
+
+501
+00:43:33,990 --> 00:43:39,750
+أرسم اللي هو اسفير زي هي كرة و plus واحدإذا ال all
+
+502
+00:43:39,750 --> 00:43:44,450
+principle meridians بتكون متساوية في كل المحاور في
+
+503
+00:43:44,450 --> 00:43:48,430
+حالة مين ال spherical error لما يكون عنده سفير
+
+504
+00:43:48,430 --> 00:43:53,270
+لازم في كل المحاور انه تكون متساوية in spherical
+
+505
+00:43:53,270 --> 00:43:56,490
+errors the retina scope will shows a neutral point
+
+506
+00:43:56,490 --> 00:43:59,990
+which the same in all meridians the result is no
+
+507
+00:43:59,990 --> 00:44:05,640
+movement in all meridians using the same lensesthe
+
+508
+00:44:05,640 --> 00:44:11,200
+initial أي بمعنى أنه باستخدم عدسات متساوية لكل
+
+509
+00:44:11,200 --> 00:44:15,960
+المحاور لل horizontal و ال vertical meridian واضح؟
+
+510
+00:44:15,960 --> 00:44:19,860
+إذا ال spherical lenses have the same refractive
+
+511
+00:44:19,860 --> 00:44:26,980
+power in all meridians the initial examination أي
+
+512
+00:44:26,980 --> 00:44:31,380
+بمعنى ال preliminary examination الفحص الأولى
+
+513
+00:44:38,810 --> 00:44:45,870
+معظمكم عندما بدأت في حالة الastigmatism حكالي انه
+
+514
+00:44:45,870 --> 00:44:49,650
+مش واضح حركة ال read reflex صح؟ او مش شايفين وين
+
+515
+00:44:49,650 --> 00:44:52,710
+ال read reflex؟ لأن ال read reflex كان ماله
+
+516
+00:44:52,710 --> 00:44:58,560
+oblique مش regularحركة ال red reflex في حالة
+
+517
+00:44:58,560 --> 00:45:02,720
+الastigmatism مش واضح بالنسبة لمين لا ال examiner
+
+518
+00:45:02,720 --> 00:45:09,320
+لأنه بيكونش منتظم بيكون irregular صح فعنا the
+
+519
+00:45:09,320 --> 00:45:13,120
+initial examination الفحص الأولي with an
+
+520
+00:45:13,120 --> 00:45:17,680
+astigmatism في حالة الastigmatism the situation is
+
+521
+00:45:17,680 --> 00:45:22,080
+not quite ان الموقع بتاع ال red reflex بيكون غير
+
+522
+00:45:22,080 --> 00:45:24,060
+محدد أو غير موجود
+
+523
+00:45:33,280 --> 00:45:39,460
+الهدف أو الهدف من الريتينيسكوب انه يكشف حركة ال
+
+524
+00:45:39,460 --> 00:45:47,240
+Red Reflex في حالة مين الastigmatism The observer
+
+525
+00:45:47,240 --> 00:45:52,360
+الفاحص or examiner starts with vertical then with
+
+526
+00:45:52,360 --> 00:45:56,590
+horizontal movementطبعا احنا في المعمل عندنا دايما
+
+527
+00:45:56,590 --> 00:46:01,250
+بنبدأ بإيش؟ بال horizontal، هان بعض الناس بيبدوا
+
+528
+00:46:01,250 --> 00:46:04,670
+مثلا في ال vertical meridian، لأن في الغالب من
+
+529
+00:46:04,670 --> 00:46:08,310
+خلال الخبرة هذه بكرا هتعرفوها، دايما الناس اللي
+
+530
+00:46:08,310 --> 00:46:12,810
+عندهم astigmatism العيب أو المشكلة دي دايما بتكون
+
+531
+00:46:12,810 --> 00:46:15,270
+في ال vertical meridian، مش في ال horizontal
+
+532
+00:46:15,270 --> 00:46:20,250
+meridian، واضح؟في الغالب، غالبا، غالبا بتكون
+
+533
+00:46:20,250 --> 00:46:24,890
+المشكلة، لكن هذه ليست قرآن، يعني مش معناها قرآن
+
+534
+00:46:24,890 --> 00:46:28,470
+أنه لازم تكون المشكلة في ال vertical، لأ، لكن من
+
+535
+00:46:28,470 --> 00:46:32,890
+خلال الخبرة بكرا لما بتشتغل في عدة حالات لل
+
+536
+00:46:32,890 --> 00:46:36,330
+written scope بتلاحظ أنه دايما المشكلة بتكون في ال
+
+537
+00:46:36,330 --> 00:46:39,930
+vertical meridian مش في ال horizontal meridian
+
+538
+00:46:41,770 --> 00:46:45,450
+فاحنا بنبدأ في ال vertical meridian، لكن في المعمل
+
+539
+00:46:45,450 --> 00:46:49,030
+عندنا مافيش إشكالية، دايما بنبدأ في ال horizontal
+
+540
+00:46:49,030 --> 00:46:54,470
+meridian، ليه؟ لأنه دايما ال examiner إذا كان شاطر
+
+541
+00:46:54,470 --> 00:46:59,150
+يبدأ بال high refractive errorبتبديش دايما في ال
+
+542
+00:46:59,150 --> 00:47:02,310
+neutral point او ال small refractive error ليه؟
+
+543
+00:47:02,310 --> 00:47:07,150
+لأنه لما يكون عنده المريض high refractive error في
+
+544
+00:47:07,150 --> 00:47:10,130
+meridian و ال meridian التاني small refractive
+
+545
+00:47:10,130 --> 00:47:13,910
+error لما انا ببدأ في ال small و اخد مدة طويلة
+
+546
+00:47:13,910 --> 00:47:17,330
+هيزهج المريض فلما اجي على المرحلة التانية ال high
+
+547
+00:47:17,330 --> 00:47:20,950
+refractive error فهيكون ان المريض عنده boring
+
+548
+00:47:20,950 --> 00:47:25,650
+ازعاج مني و ما هيكونش cooperative متعاون معاه كتير
+
+549
+00:47:28,350 --> 00:47:33,290
+the observer starts with vertical او with high
+
+550
+00:47:33,290 --> 00:47:36,770
+refractive error then with horizontal movement and
+
+551
+00:47:36,770 --> 00:47:41,650
+lenses are inserted inserted بمعنى يعني انه بنضع
+
+552
+00:47:41,650 --> 00:47:45,890
+العدسة inserted بمعنى وضع العدسة removal ازالة
+
+553
+00:47:45,890 --> 00:47:51,130
+العدسة يعني اقولك inserted lens بمعنى حط العدسة
+
+554
+00:47:51,130 --> 00:47:57,130
+removal the lens يعني ارفع العدسةare inserted to
+
+555
+00:47:57,130 --> 00:48:00,070
+determine the neutral point in each meridian
+
+556
+00:48:00,070 --> 00:48:06,250
+separately فهذا بيحدد قداش ال .. يعني ال neutral
+
+557
+00:48:06,250 --> 00:48:10,030
+point أو ال end point نقطة النهاية كل واحدة على
+
+558
+00:48:10,030 --> 00:48:14,710
+حده بالنسبة لل vertical و ال horizontal meridian
+
+559
+00:48:15,600 --> 00:48:20,580
+للمريض بمعنى انه باخد المحور العمودي بعمله ال
+
+560
+00:48:20,580 --> 00:48:25,240
+neutral point باخد بعدها المحور الأفقي و بعمله ال
+
+561
+00:48:25,240 --> 00:48:30,200
+neutral point شو عملت انا فصلت انه اعتبرت ان العين
+
+562
+00:48:30,200 --> 00:48:34,100
+عبارة عن ايه two meridian و فصلت كل meridian عن
+
+563
+00:48:34,100 --> 00:48:34,780
+الآخر
+
+564
+00:48:38,090 --> 00:48:42,130
+If this is not so corresponding، أي بمعنى إذا ال
+
+565
+00:48:42,130 --> 00:48:48,290
+two meridian تعوني مش متطابقين على بعض، then the
+
+566
+00:48:48,290 --> 00:48:52,070
+reflex may alter، إذا ممكن ال red reflex هذا إيش
+
+567
+00:48:52,070 --> 00:48:57,630
+ماله يتغيرit is a plan of movement indicating the
+
+568
+00:48:57,630 --> 00:49:01,750
+presence of a stigmatism which is oblique البلان
+
+569
+00:49:01,750 --> 00:49:05,670
+يما تسمعي دايما حركة البلان بمعنى zero، يعني مافيش
+
+570
+00:49:05,670 --> 00:49:08,890
+neutral point، انه no movement of the red reflex
+
+571
+00:49:10,190 --> 00:49:15,610
+واضح؟ فبكون لما انا باجي بعمل ال neutralization
+
+572
+00:49:15,610 --> 00:49:19,890
+المعادلة، واحدة بتكون منهم bland أي بمعنى no
+
+573
+00:49:19,890 --> 00:49:23,430
+movement of the red reflex والتانية بتكون with أو
+
+574
+00:49:23,430 --> 00:49:27,530
+against the rule، إذا في حركة بالنسبة للمحور
+
+575
+00:49:27,530 --> 00:49:33,410
+التانيin this case في هذه الحالة the examiner
+
+576
+00:49:33,410 --> 00:49:39,770
+الفاحص must again يجب انه يكرر اكسبله اكتشاف
+
+577
+00:49:39,770 --> 00:49:44,770
+different plans of external movement of his light
+
+578
+00:49:44,770 --> 00:49:48,810
+until it corresponds to those of red reflex هذه
+
+579
+00:49:48,810 --> 00:49:54,570
+بالظبط كمثال لها يما باجي اعمل المحور التسعينو
+
+580
+00:49:54,570 --> 00:49:59,210
+يكون ال red reflex لل patient eye oblique دايما
+
+581
+00:49:59,210 --> 00:50:05,950
+ايش بحكيلكم لازم ال streak ريتنسكوب يكون parallel
+
+582
+00:50:05,950 --> 00:50:11,410
+to the red reflex فال examiner لازم ايش يعمل انه
+
+583
+00:50:11,410 --> 00:50:17,270
+يحاول انه يغير انه .. انه يعمل تدوير rotatable
+
+584
+00:50:17,270 --> 00:50:21,910
+لمين لا ال streak لحد ما يصير مطابق لمين لل red
+
+585
+00:50:21,910 --> 00:50:27,440
+reflex okay؟يعني غلط انه مثلا انا ال red reflex
+
+586
+00:50:27,440 --> 00:50:31,540
+بتاعي مائل okay بتاع ال patient eye و ال streak
+
+587
+00:50:31,540 --> 00:50:34,520
+بتاعي يكون ايه عمودي دايما لازم اعمله ايه
+
+588
+00:50:34,520 --> 00:50:38,440
+rotatable اللي هو دوران و هذه واحدة من ال
+
+589
+00:50:38,440 --> 00:50:42,940
+advantage لجهاز من ال streak retinascope ال
+
+590
+00:50:42,940 --> 00:50:46,320
+luminous retinascope المضاء مش أخدنا أنواع ال
+
+591
+00:50:46,320 --> 00:50:48,960
+retinascope في عندنا نوعين ال reflecting
+
+592
+00:50:48,960 --> 00:50:52,840
+retinascope و ال luminous او ال streak retinascope
+
+593
+00:50:53,210 --> 00:50:59,910
+وحدة من ال advantage بتاعه انه ايش ماله motivable
+
+594
+00:50:59,910 --> 00:51:04,570
+اللي هو متحرك انه بيكون ايش ماله movable بيكون
+
+595
+00:51:04,570 --> 00:51:11,130
+متحرك بالنسبة ل ال red reflex واضح
+
+596
+00:51:11,130 --> 00:51:16,570
+لها بالنسبة ل neutralizing of astigmatism طيب ال
+
+597
+00:51:16,570 --> 00:51:23,710
+difficulties الرتنسكوبية الصعوبات في الرتنسكوبفي
+
+598
+00:51:23,710 --> 00:51:28,050
+الأول انا مش ممكن انه اتعلم ال written scope you
+
+599
+00:51:28,050 --> 00:51:31,910
+cannot learn the written scope during one day مش
+
+600
+00:51:31,910 --> 00:51:36,410
+ممكن انه اتعلمه بيوم واحد هذه يعني يمكن انتوا في
+
+601
+00:51:36,410 --> 00:51:41,810
+البداية شفتوا الحركةعرفنا كيف نشوف الحركة with ولا
+
+602
+00:51:41,810 --> 00:51:46,010
+against the rule بعدين المرحلة التانية اتعلمنا كيف
+
+603
+00:51:46,010 --> 00:51:50,370
+نعمل ال neutralization المعادلة سواء اذا كانت with
+
+604
+00:51:50,370 --> 00:51:55,610
+بنستخدم plus اذا كانت against بنستخدم minus lens
+
+605
+00:51:55,610 --> 00:51:58,930
+المرحلة التالتة انه طلعنا ال final objective
+
+606
+00:51:58,930 --> 00:52:02,850
+refraction المعادلة النهائية كانت كلها في حالات من
+
+607
+00:52:02,850 --> 00:52:09,690
+ال normal patients صح؟لكن في حالات ال abnormal يما
+
+608
+00:52:09,690 --> 00:52:13,990
+انطلقنا لل abnormal صار في ايش different اختلاف في
+
+609
+00:52:13,990 --> 00:52:18,130
+النتائج ليش؟ لأن الحالات بتصعب ان ال read reflex
+
+610
+00:52:18,130 --> 00:52:25,550
+ما بيكون واضح بالنسبة لل examiner some refractions
+
+611
+00:52:25,550 --> 00:52:28,990
+are easy while others are extremely difficult اذا
+
+612
+00:52:28,990 --> 00:52:34,270
+بعض الحالات الانكسارية بتكون سهلة لكن الأخرى
+
+613
+00:52:34,270 --> 00:52:40,230
+اشمالها بتكون صعبةwritten scopy is an art هو عبارة
+
+614
+00:52:40,230 --> 00:52:44,950
+عن ثنه which requires بيتطلب penestrating a
+
+615
+00:52:44,950 --> 00:52:52,250
+practice أي بمعنى عمله بشكل مستمر أو مثير and
+
+616
+00:52:52,250 --> 00:52:56,450
+cannot be learned in one day لا يمكن تعلمه خلال
+
+617
+00:52:56,450 --> 00:52:57,310
+يوم واحد
+
+618
+00:53:00,230 --> 00:53:03,590
+it is essentially a practice and cannot be learned
+
+619
+00:53:03,590 --> 00:53:07,790
+from textbooks but only under careful supervision
+
+620
+00:53:07,790 --> 00:53:14,190
+إذا هو يعتبر أساس عملي ومش ممكن أنه تتعلم ال
+
+621
+00:53:14,190 --> 00:53:18,470
+written scope من خلال قراءة textbook كتاب وبيحتاج
+
+622
+00:53:18,470 --> 00:53:23,250
+أنه يكون تحت إيدك يعني supervisor مشرف أنه يكون
+
+623
+00:53:23,250 --> 00:53:28,110
+professional من ناحية ال written scope okay؟
+
+624
+00:53:29,890 --> 00:53:34,550
+difficulties due to inadequacy of technique صعوبات
+
+625
+00:53:34,550 --> 00:53:40,150
+سببها ايش انه نقص في التكنيك طبعا بالنسبة لمين لل
+
+626
+00:53:40,150 --> 00:53:45,370
+examiner للفاحص okay inadequacy of technique يعني
+
+627
+00:53:45,370 --> 00:53:50,210
+الفاحص بيكون عنده مشكلة في التقنيات انه كيف
+
+628
+00:53:50,210 --> 00:53:53,950
+بيستخدم جهاز ال retinascope يعني بتلاقي مثلا
+
+629
+00:53:53,950 --> 00:53:58,070
+بيشتغل ال normalممتاز، professional، إيجاد له حالة
+
+630
+00:53:58,070 --> 00:54:02,410
+abnormal، oblique مثلا ال retinoscope كانت الحركة
+
+631
+00:54:02,410 --> 00:54:07,110
+بتاعته إيش بدأ أنه يصعب، مابيقدرش أنه يتعامل مع
+
+632
+00:54:07,110 --> 00:54:07,570
+المريض
+
+633
+00:54:10,480 --> 00:54:14,680
+فعنا أول حاجة نتيجة إيش هذه مثلا ال difficulties
+
+634
+00:54:14,680 --> 00:54:19,380
+الصعوبات سببها انأديوكسي of refraction نقص في
+
+635
+00:54:19,380 --> 00:54:25,960
+الأخطاء الانكسارية أول حاجة قلة خبرة من مين من ال
+
+636
+00:54:25,960 --> 00:54:30,240
+examiner يمكن في أول يوم لما فحصته normal قلت جهاز
+
+637
+00:54:30,240 --> 00:54:35,140
+ال retinascope سهل كثير صح بعدها لما بدأته مثلا في
+
+638
+00:54:35,140 --> 00:54:42,380
+ال abnormalتغير الكلام انه صار في ايه؟ صعوبة و لسه
+
+639
+00:54:42,380 --> 00:54:46,400
+لما يكون يعني المريض مثلا عنده obesity media او
+
+640
+00:54:46,400 --> 00:54:50,360
+يكون مثلا عنده keratoconus يعني بيكون الأمر صعب
+
+641
+00:54:50,360 --> 00:54:54,860
+كثير بس في يعني ما شاء الله يعني بعض البنات يعني
+
+642
+00:54:54,860 --> 00:54:58,500
+حتى في حالات ال refractive error يعني professional
+
+643
+00:54:59,430 --> 00:55:04,250
+يعني ممتزين كثير و .. و ان شاء الله يعني احنا بنصل
+
+644
+00:55:04,250 --> 00:55:09,350
+لمرحلة انه يصير يشوف حركة ال red reflex من حركة ال
+
+645
+00:55:09,350 --> 00:55:13,630
+red reflex بتعرف يجديش ال power يعني لهذه المرحلة
+
+646
+00:55:13,630 --> 00:55:16,550
+ان شاء الله حصل معاكم انه بس يشوف حركة ال red
+
+647
+00:55:16,550 --> 00:55:20,410
+reflex تقع مثلا هذه minus one ولا minus ten ولا
+
+648
+00:55:20,410 --> 00:55:24,910
+minus .. بس هي بدها practice يعني جد ما هنشرح نظري
+
+649
+00:55:24,910 --> 00:55:31,490
+مش هيفيد لازم نشوف ايه ك practice okay؟الـ
+
+650
+00:55:31,490 --> 00:55:35,730
+subjective refraction زي ما اتفقنا انه في عندنا
+
+651
+00:55:35,730 --> 00:55:39,330
+two methods of refraction في عندنا ال subjective و
+
+652
+00:55:39,330 --> 00:55:43,590
+ال objective refraction ال objective refraction it
+
+653
+00:55:43,590 --> 00:55:48,250
+is a preliminary estimation اي بمعنى تقدير اولي of
+
+654
+00:55:48,250 --> 00:55:51,990
+the refractive error للخطأ الانكساري without a
+
+655
+00:55:51,990 --> 00:55:57,590
+response from the patient دون تدخل من المريض في
+
+656
+00:55:57,590 --> 00:56:02,600
+عندنا ال subjective refractionبكون verification it
+
+657
+00:56:02,600 --> 00:56:07,520
+is a verification or refinement of the refractive
+
+658
+00:56:07,520 --> 00:56:11,420
+error with the response from the patient to obtain
+
+659
+00:56:11,420 --> 00:56:16,780
+the best visionthe subjective refraction will
+
+660
+00:56:16,780 --> 00:56:21,520
+reveal، إذا هيوضح أو يظهر ال subjective refraction
+
+661
+00:56:21,520 --> 00:56:25,400
+uncorrection of visual acuity عشان هيك دايما
+
+662
+00:56:25,400 --> 00:56:30,320
+بحكيلكم مش شرط أنه يكون فحصك هو النضارة اللي هديها
+
+663
+00:56:30,320 --> 00:56:33,820
+للمريض قد يكون فيه اختلاف ما بين ال objective و ال
+
+664
+00:56:33,820 --> 00:56:37,460
+subjective refraction أهم شغلة في ال subjective
+
+665
+00:56:37,460 --> 00:56:41,860
+refraction اللي هي إيه؟ راحة المريضيعني مش شرط من
+
+666
+00:56:41,860 --> 00:56:45,520
+الآن قبل ما بدينا في ال subjective reflection بدك
+
+667
+00:56:45,520 --> 00:56:49,780
+تعرفي ان راحة المريض اهم من انه يصل ال vision ستة
+
+668
+00:56:49,780 --> 00:56:51,600
+ع ستة، واضح؟
+
+669
+00:56:54,380 --> 00:56:59,140
+الـ Subjective Refraction بيوضح الـ uncorrection
+
+670
+00:56:59,140 --> 00:57:04,100
+visual acuity and unacceptance of the lenses
+
+671
+00:57:24,450 --> 00:57:27,670
+زي ما اتفقنا انه فيه فرق ما بين ال objective وال
+
+672
+00:57:27,670 --> 00:57:33,810
+subjective ايه؟ Refraction Such a state of efforts
+
+673
+00:57:33,810 --> 00:57:36,630
+commonly results from the mistakes of
+
+674
+00:57:36,630 --> 00:57:40,670
+inexperienced, unpracticed refractionists دايما
+
+675
+00:57:40,670 --> 00:57:45,210
+انه بيكون سببها ايه؟ مافيش خبرة كافية او عملية
+
+676
+00:57:45,210 --> 00:57:49,590
+كافية لمن؟ لال examiner لالفاحص عشان هي دايما
+
+677
+00:57:49,590 --> 00:57:53,600
+بحكيلكمإنه a practice, a practice and a practice
+
+678
+00:57:53,600 --> 00:57:57,540
+for written scope هذي number one يعني لما أنا
+
+679
+00:57:57,540 --> 00:58:02,040
+باطلب منكم تلت حلات الشاطرة بتجيب ستة يعني أنا
+
+680
+00:58:02,040 --> 00:58:05,940
+بذكر أيام انا كنت طالب لما كان الدكتور يكون مثلا
+
+681
+00:58:05,940 --> 00:58:10,040
+عنده free أروح أقوله أفحص written scope أجيب حلات
+
+682
+00:58:10,040 --> 00:58:14,280
+أطفال يعني كل عائلتي مثلا أيام أنا كنت طالب فحصتم
+
+683
+00:58:14,280 --> 00:58:17,800
+على written scope وهيك الواحد بتعلم غير هيك بتعلمش
+
+684
+00:58:19,050 --> 00:58:22,930
+واضح؟ إذا ال written scope بيكون إيش؟ هي a
+
+685
+00:58:22,930 --> 00:58:28,350
+practice, a practice and a practice it
+
+686
+00:58:28,350 --> 00:58:31,550
+is important to keep a suitable working distance
+
+687
+00:58:31,550 --> 00:58:35,530
+لازم أنا أحافظ على أيه مسافة العمل ال working
+
+688
+00:58:35,530 --> 00:58:38,770
+distance هي عبارة عن المسافة ما بين عين المريض
+
+689
+00:58:38,770 --> 00:58:44,790
+وعين الفاحص دايما برضه بحسكم أنه بتجربوا أو
+
+690
+00:58:44,790 --> 00:58:50,230
+بتبعدوا كتير يعني هذه لازم أنهالفرق ما بيننا يكون
+
+691
+00:58:50,230 --> 00:58:54,430
+zero مافيش فرق يعني لما انا اقولك مثلا minus واحد
+
+692
+00:58:54,430 --> 00:58:57,790
+و نص لازم تكون minus واحد و نص لكن مرة انا بمشيها
+
+693
+00:58:57,790 --> 00:59:01,350
+الربع بقول working distance بس انت مثلا لما بتاخد
+
+694
+00:59:01,350 --> 00:59:05,830
+ال working distance صحيح لازم ما تغيريهوش مش مرة
+
+695
+00:59:05,830 --> 00:59:10,490
+اجرب مرة بعد مرة اقول المريض قدم لأ لازم ان تكون
+
+696
+00:59:10,490 --> 00:59:14,770
+ثابتة fixed working distance اذا مسافة العمل ايش
+
+697
+00:59:14,770 --> 00:59:16,030
+تكون ثابتة
+
+698
+00:59:19,140 --> 00:59:24,640
+و لتأكد أنه أضمنthat retroscopic examination أي
+
+699
+00:59:24,640 --> 00:59:29,400
+بمعنى فحص بجهاز ال retroscope is performed close
+
+700
+00:59:29,400 --> 00:59:33,220
+to the visual axis in order to refract the macula
+
+701
+00:59:33,220 --> 00:59:38,560
+زي ما اتفقنا ان في عندنا ال visual axis وفي عندنا
+
+702
+00:59:38,560 --> 00:59:43,760
+ال optical او ال anatomical axis ال visual axis كل
+
+703
+00:59:43,760 --> 00:59:49,180
+عين فيها visual axis طبعا الان هذا فيه target صورة
+
+704
+00:59:49,180 --> 00:59:55,390
+او objectالصورة مين هيشوفها؟ على ال Vuvia فال
+
+705
+00:59:55,390 --> 00:59:59,090
+straight line اللي بيمر من ال Vuvia لحدية ال
+
+706
+00:59:59,090 --> 01:00:03,070
+object هذا بنسميه ال visual axis إذا ال visual
+
+707
+01:00:03,070 --> 01:00:08,670
+axis it is a straight line that passes throughthe
+
+708
+01:00:08,670 --> 01:00:13,390
+center of target to the fovea هذا هو عبارة عن مين
+
+709
+01:00:13,390 --> 01:00:18,490
+ال visual axis أي بمعنى مجال الرؤية طبعا كل عين
+
+710
+01:00:18,490 --> 01:00:23,230
+بيكون لها visual axis يعني ال right eye فيه لها
+
+711
+01:00:23,230 --> 01:00:27,690
+visual axis ال left eye visual axis عشان هيك انا
+
+712
+01:00:27,690 --> 01:00:30,710
+مابدهاجي اعمل ال retina scope مش الاقي انا دايما
+
+713
+01:00:30,710 --> 01:00:34,310
+بلاحظكم بلاقي المريض هيك و انا ماخد هيك و ال
+
+714
+01:00:34,310 --> 01:00:38,140
+visual axis كيف جاي هيك بزاويةوانت غلط ال visual
+
+715
+01:00:38,140 --> 01:00:41,720
+axis لازم يكون ايه؟ في ال primary position لو
+
+716
+01:00:41,720 --> 01:00:45,540
+بيشوفوني معظمكم دايما بقول للمريض ازيح الكرسي يا
+
+717
+01:00:45,540 --> 01:00:49,380
+يمين يا شمال عشان احافظ على مين ال visual axis
+
+718
+01:00:49,380 --> 01:00:53,320
+لازم انه يكون .. يعني ال vuvia بتاعته يشوف ال
+
+719
+01:00:53,320 --> 01:00:57,700
+object بتاعته ايه؟ straight انه خط ايه؟ مستقيم
+
+720
+01:00:57,700 --> 01:00:58,940
+واضح؟
+
+721
+01:01:01,220 --> 01:01:04,280
+in this respect في هذا المظهر not only the
+
+722
+01:01:04,280 --> 01:01:07,640
+horizontal orientation to be noted but also the
+
+723
+01:01:07,640 --> 01:01:11,640
+vertical one failure to observe this fact may
+
+724
+01:01:11,640 --> 01:01:15,760
+falsely introduce a cylindrical element during
+
+725
+01:01:15,760 --> 01:01:20,360
+retinoscopy إذا في هذه الحالات أو بعض الحالات ممكن
+
+726
+01:01:20,360 --> 01:01:24,920
+أنا أعمل ال vertical meridian يكون correct لكن ال
+
+727
+01:01:24,920 --> 01:01:29,000
+horizontal meridian يكون عنده incorrect فهذه
+
+728
+01:01:29,000 --> 01:01:34,790
+الحالة إيش هتعمل؟هتعمل لزي Artificial Astigmatism،
+
+729
+01:01:34,790 --> 01:01:39,090
+أي هتبين أن المريض عنده Astigmatism و هو بطبيعة
+
+730
+01:01:39,090 --> 01:01:42,650
+الحال هو ماعندهوش Astigmatism، أنا عندي غلط في
+
+731
+01:01:42,650 --> 01:01:47,090
+Meridian، يعني في بعض الأحيان طالبات أو طلاب
+
+732
+01:01:47,090 --> 01:01:50,170
+بيحكوا لي احنا جبنا Meridian صح و التاني غلط، مانت
+
+733
+01:01:50,170 --> 01:01:53,930
+التاني لو غلط، إيش عملت للمريض؟ عملت له بور، هو مش
+
+734
+01:01:53,930 --> 01:01:58,380
+موجود عندهزي هيك انك تشوفتله astigmatism حطيتله و
+
+735
+01:01:58,380 --> 01:02:06,400
+هو في الحقيقة ايش سليم مافيش حاجة طيب نقف هان
+
+736
+01:02:06,400 --> 01:02:10,760
+المحاضرة الجاية ان شاء الله هنكمل في موضوع
+
+737
+01:02:10,760 --> 01:02:15,260
+الصعوبات في ال written scope و هنبدأ بال special
+
+738
+01:02:15,260 --> 01:02:17,440
+cases ال written scope ان شاء الله
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d5ef660eae0c34abe6119ca7d7c3c9ab0bc90406
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4781, "start": 20.81, "end": 47.81, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم اليوم هنتكلم فى موضوع ال astigmatism اللى بقرية أخدنا فى السابق أنه ال astigmatism هو يعتبر نوع من أنواع ال refractive error الأخطاء الانكسارية okay قسمنا الأخطاء الانكسارية إلى تلت أنواع there are three in number hypermetrop, myopic and astigmatism", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 45595, 20498, 8032, 29399, 4117, 19528, 6156, 7578, 3714, 2407, 11242, 45367, 2423, 5357, 46496, 1434, 13672, 7578, 4724, 4587, 2288, 10632, 5551, 9778, 3215, 8315, 6156, 7578, 21136, 16758, 4587, 14739, 3224, 2423, 5357, 46496, 1434, 31439, 7251, 34268, 26890, 8717, 45367, 9154, 14739, 14407, 3615, 2423, 45353, 488, 6713, 16247, 9778, 9566, 16606, 2423, 7649, 4117, 3794, 9640, 10632, 1392, 12174, 38251, 8315, 16247, 9778, 9566, 16606, 2423, 7649, 4117, 3794, 9640, 10632, 30731, 6055, 1211, 2655, 14739, 14407, 3615, 456, 366, 1045, 294, 1230, 9848, 5537, 1513, 11, 452, 40216, 293, 5357, 46496, 1434], "avg_logprob": -0.16598135781915566, "compression_ratio": 1.7732793522267207, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 20.81, "end": 21.09, "word": "طيب", "probability": 0.8372395833333334}, {"start": 21.09, "end": 21.33, "word": " بسم", "probability": 0.937255859375}, {"start": 21.33, "end": 21.49, "word": " الله", "probability": 0.97265625}, {"start": 21.49, "end": 21.83, "word": " الرحمن", "probability": 0.9578450520833334}, {"start": 21.83, "end": 22.17, "word": " الرحيم", "probability": 0.9925130208333334}, {"start": 22.17, "end": 22.49, "word": " السلام", "probability": 0.871337890625}, {"start": 22.49, "end": 23.03, "word": " عليكم", "probability": 0.944091796875}, {"start": 23.03, "end": 24.75, "word": " اليوم", "probability": 0.87255859375}, {"start": 24.75, "end": 25.31, "word": " هنتكلم", "probability": 0.9627685546875}, {"start": 25.31, "end": 25.51, 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المريض", "probability": 0.8699544270833334}, {"start": 210.53, "end": 210.93, "word": " عنده", "probability": 0.98291015625}, {"start": 210.93, "end": 211.73, "word": " Astigmatism", "probability": 0.8375651041666666}, {"start": 211.73, "end": 212.45, "word": " يعني", "probability": 0.955322265625}, {"start": 212.45, "end": 212.65, "word": " هذه", "probability": 0.66064453125}, {"start": 212.65, "end": 213.03, "word": " واحدة", "probability": 0.9908854166666666}, {"start": 213.03, "end": 213.27, "word": " من", "probability": 0.99267578125}, {"start": 213.27, "end": 213.49, "word": " ال", "probability": 0.96484375}, {"start": 213.49, "end": 214.07, "word": " indication", "probability": 0.89111328125}, {"start": 214.07, "end": 215.01, "word": " لوجود", "probability": 0.8517252604166666}, {"start": 215.01, "end": 215.13, "word": " ال", "probability": 0.93359375}, {"start": 215.13, "end": 215.93, "word": " Astigmatism", "probability": 0.7981770833333334}, {"start": 215.93, "end": 216.19, 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"probability": 0.9912109375}, {"start": 236.72, "end": 237.36, "word": " متوازين", "probability": 0.9853515625}, {"start": 237.36, "end": 237.82, "word": " لبعض", "probability": 0.9669189453125}, {"start": 237.82, "end": 238.26, "word": " يعني", "probability": 0.920166015625}, {"start": 238.26, "end": 238.56, "word": " تحت", "probability": 0.996826171875}, {"start": 238.56, "end": 238.9, "word": " بعض", "probability": 0.9755859375}, {"start": 238.9, "end": 239.42, "word": " okay", "probability": 0.83544921875}, {"start": 239.42, "end": 241.98, "word": " طيب", "probability": 0.9715169270833334}, {"start": 241.98, "end": 242.66, "word": " في", "probability": 0.9208984375}, {"start": 242.66, "end": 243.84, "word": " types", "probability": 0.81298828125}, {"start": 243.84, "end": 244.56, "word": " of", "probability": 0.98046875}, {"start": 244.56, "end": 245.46, "word": " astigmatism", "probability": 0.927734375}, {"start": 245.46, "end": 245.96, "word": " أنواع", "probability": 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"probability": 0.77203369140625}, {"start": 253.57, "end": 254.81, "word": " اما", "probability": 0.791748046875}, {"start": 254.81, "end": 255.01, "word": " ان", "probability": 0.7724609375}, {"start": 255.01, "end": 255.45, "word": " يكون", "probability": 0.982666015625}, {"start": 255.45, "end": 256.53, "word": " الastigmatism", "probability": 0.902587890625}, {"start": 256.53, "end": 257.61, "word": " regular", "probability": 0.95458984375}, {"start": 257.61, "end": 258.31, "word": " او", "probability": 0.93115234375}, {"start": 258.31, "end": 259.21, "word": " irregular", "probability": 0.87158203125}, {"start": 259.21, "end": 261.03, "word": " اذا", "probability": 0.716064453125}, {"start": 261.03, "end": 261.31, "word": " كان", "probability": 0.9931640625}, {"start": 261.31, "end": 262.25, "word": " الastigmatism", "probability": 0.9306640625}, {"start": 262.25, "end": 263.17, "word": " regular", "probability": 0.95751953125}, {"start": 263.17, "end": 264.61, "word": " بمعنى", 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اللي هو تسعين درجة، إذا كان الفرق ما بينهم تسعين degree، هذا بنسمي regular astigmatism", "tokens": [28814, 15730, 25961, 2655, 6225, 46309, 9957, 12399, 11933, 15730, 25961, 2655, 6055, 1211, 9307, 9957, 12399, 8032, 11242, 33911, 6055, 3794, 3615, 9957, 12399, 13672, 1829, 39896, 12174, 3215, 33599, 3714, 10632, 4032, 3615, 46309, 9957, 12399, 11933, 15730, 25961, 2655, 8608, 2655, 9957, 12399, 4724, 11242, 33911, 3714, 10632, 4032, 9778, 2304, 3794, 9957, 6156, 3555, 11242, 33911, 13672, 1829, 31439, 6055, 3794, 3615, 9957, 11778, 47341, 3660, 12399, 11933, 15730, 25961, 27188, 2288, 4587, 19446, 49374, 16095, 6055, 3794, 3615, 9957, 4314, 12399, 23758, 44945, 38251, 1829, 3890, 5357, 46496, 1434], "avg_logprob": -0.11595394736842106, "compression_ratio": 1.9181286549707601, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 290.64, "end": 290.94, "word": "إذا", "probability": 0.830322265625}, {"start": 290.94, "end": 291.28, "word": " كانت", "probability": 0.912109375}, 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simple شو معناه ال simple بسيط okay simple astigmatism number one simple", "tokens": [8297, 2423, 3890, 5357, 46496, 1434, 8978, 43242, 8315, 2423, 1975, 1829, 3224, 2199, 13412, 2407, 20449, 8315, 3224, 2423, 2199, 4724, 3794, 1829, 9566, 1392, 2199, 5357, 46496, 1434, 1230, 472, 2199], "avg_logprob": -0.2545955768402885, "compression_ratio": 1.2767857142857142, "no_speech_prob": 0.0, "words": [{"start": 572.43, "end": 572.85, "word": "Okay", "probability": 0.435791015625}, {"start": 572.85, "end": 573.65, "word": " ال", "probability": 0.8916015625}, {"start": 573.65, "end": 573.99, "word": " regular", "probability": 0.84033203125}, {"start": 573.99, "end": 574.99, "word": " astigmatism", "probability": 0.9521484375}, {"start": 574.99, "end": 575.35, "word": " في", "probability": 0.54638671875}, {"start": 575.35, "end": 575.65, "word": " عندنا", "probability": 0.91845703125}, {"start": 575.65, "end": 575.81, "word": " ال", "probability": 0.4931640625}, {"start": 575.81, "end": 577.33, 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perpendicular", "probability": 0.76416015625}, {"start": 787.49, "end": 787.95, "word": " to", "probability": 0.9814453125}, {"start": 787.95, "end": 788.19, "word": " each", "probability": 0.9677734375}, {"start": 788.19, "end": 788.55, "word": " other", "probability": 0.8955078125}, {"start": 788.55, "end": 789.53, "word": " يعني", "probability": 0.9052734375}, {"start": 789.53, "end": 790.41, "word": " واحد", "probability": 0.983642578125}, {"start": 790.41, "end": 790.83, "word": " محور", "probability": 0.9840494791666666}, {"start": 790.83, "end": 791.31, "word": " بيكون", "probability": 0.9140625}, {"start": 791.31, "end": 792.35, "word": " بلاحظ", "probability": 0.9161376953125}, {"start": 792.35, "end": 792.61, "word": " انه", "probability": 0.7197265625}, {"start": 792.61, "end": 792.79, "word": " لما", "probability": 0.7108154296875}, {"start": 792.79, "end": 793.41, "word": " اعمل", "probability": 0.9153645833333334}, {"start": 793.41, "end": 793.65, "word": " ال", 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0.935302734375}, {"start": 799.59, "end": 800.01, "word": " oblique", "probability": 0.876220703125}, {"start": 800.01, "end": 800.47, "word": " مائل", "probability": 0.94677734375}, {"start": 800.47, "end": 801.27, "word": " فهذا", "probability": 0.9231770833333334}, {"start": 801.27, "end": 801.39, "word": " انا", "probability": 0.79736328125}, {"start": 801.39, "end": 802.05, "word": " بسميه", "probability": 0.98828125}, {"start": 802.05, "end": 802.25, "word": " ال", "probability": 0.87744140625}, {"start": 802.25, "end": 802.59, "word": " regular", "probability": 0.97998046875}, {"start": 802.59, "end": 803.47, "word": " astigmatism", "probability": 0.9518229166666666}], "temperature": 1.0}, {"id": 31, "seek": 83087, "start": 804.13, "end": 830.87, "text": "لكن في حالة إذا كان الفرق ما بينهم أقل من تسعين درجة هذا بنسميه irregular astigmatism لكن إذا كان الفرق بينهم تسعين فما فوق بنسميه regular astigmatism إذا ال regular astigmatism obligue أن الفرق بينهم يكون أقل من تسعين لكن في ال regular astigmatism يكون تسعين فما فوق", "tokens": [1211, 19452, 8978, 11331, 6027, 3660, 11933, 15730, 25961, 27188, 2288, 4587, 19446, 49374, 16095, 5551, 4587, 1211, 9154, 6055, 3794, 3615, 9957, 11778, 47341, 3660, 23758, 44945, 38251, 1829, 3224, 29349, 5357, 46496, 1434, 44381, 11933, 15730, 25961, 27188, 2288, 4587, 49374, 16095, 6055, 3794, 3615, 9957, 6156, 15042, 6156, 30543, 44945, 38251, 1829, 3224, 3890, 5357, 46496, 1434, 11933, 15730, 2423, 3890, 5357, 46496, 1434, 9270, 622, 14739, 27188, 2288, 4587, 49374, 16095, 7251, 30544, 5551, 4587, 1211, 9154, 6055, 3794, 3615, 9957, 44381, 8978, 2423, 3890, 5357, 46496, 1434, 7251, 30544, 6055, 3794, 3615, 9957, 6156, 15042, 6156, 30543], "avg_logprob": -0.1689927222080601, "compression_ratio": 2.32, "no_speech_prob": 0.0, "words": [{"start": 804.13, "end": 804.57, "word": "لكن", "probability": 0.770263671875}, {"start": 804.57, "end": 804.75, "word": " في", "probability": 0.8681640625}, {"start": 804.75, "end": 805.25, 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astigmatism", "probability": 0.9344075520833334}, {"start": 817.91, "end": 818.65, "word": " إذا", "probability": 0.650146484375}, {"start": 818.65, "end": 818.81, "word": " ال", "probability": 0.81640625}, {"start": 818.81, "end": 822.81, "word": " regular", "probability": 0.0830078125}, {"start": 822.81, "end": 823.89, "word": " astigmatism", "probability": 0.9207356770833334}, {"start": 823.89, "end": 824.67, "word": " obligue", "probability": 0.28173828125}, {"start": 824.67, "end": 824.81, "word": " أن", "probability": 0.389404296875}, {"start": 824.81, "end": 825.27, "word": " الفرق", "probability": 0.9637044270833334}, {"start": 825.27, "end": 825.73, "word": " بينهم", "probability": 0.77783203125}, {"start": 825.73, "end": 826.15, "word": " يكون", "probability": 0.715576171875}, {"start": 826.15, "end": 826.53, "word": " أقل", "probability": 0.974609375}, {"start": 826.53, "end": 826.69, "word": " من", "probability": 0.99560546875}, {"start": 826.69, "end": 827.19, "word": " تسعين", "probability": 0.991943359375}, {"start": 827.19, "end": 827.85, "word": " لكن", "probability": 0.8427734375}, {"start": 827.85, "end": 828.11, "word": " في", "probability": 0.962890625}, {"start": 828.11, "end": 828.23, "word": " ال", "probability": 0.80859375}, {"start": 828.23, "end": 828.59, "word": " regular", "probability": 0.79052734375}, {"start": 828.59, "end": 829.49, "word": " astigmatism", "probability": 0.9225260416666666}, {"start": 829.49, "end": 829.83, "word": " يكون", "probability": 0.896728515625}, {"start": 829.83, "end": 830.31, "word": " تسعين", "probability": 0.989013671875}, {"start": 830.31, "end": 830.55, "word": " فما", "probability": 0.977783203125}, {"start": 830.55, "end": 830.87, "word": " فوق", "probability": 0.98486328125}], "temperature": 1.0}, {"id": 32, "seek": 85608, "start": 833.66, "end": 856.08, "text": "اه ال regular بيكون الفرق تسعين ما بينهم و ممكن يكون أكتر في بعض الحالات في بعض الحالات بيكون ممكن انه أكتر في حاجة بيسموها ال high 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1205.15, "word": " rule", "probability": 0.9169921875}, {"start": 1205.15, "end": 1205.41, "word": " و", "probability": 0.8212890625}, {"start": 1205.41, "end": 1205.49, "word": " ال", "probability": 0.888671875}, {"start": 1205.49, "end": 1205.89, "word": " against", "probability": 0.98779296875}, {"start": 1205.89, "end": 1206.25, "word": " the", "probability": 0.9189453125}, {"start": 1206.25, "end": 1206.45, "word": " rule", "probability": 0.93603515625}, {"start": 1206.45, "end": 1207.25, "word": " بالنسبة", "probability": 0.953369140625}, {"start": 1207.25, "end": 1207.55, "word": " ل", "probability": 0.9814453125}, {"start": 1207.55, "end": 1208.49, "word": " recognizing", "probability": 0.984375}, {"start": 1208.49, "end": 1209.27, "word": " the", "probability": 0.91455078125}, {"start": 1209.27, "end": 1209.87, "word": " presence", "probability": 0.892578125}, {"start": 1209.87, "end": 1210.45, "word": " of", "probability": 0.9873046875}, {"start": 1210.45, "end": 1211.55, "word": " astigmatism", "probability": 0.9537760416666666}, {"start": 1211.55, "end": 1212.35, "word": " كيف", "probability": 0.948486328125}, {"start": 1212.35, "end": 1212.67, "word": " أنا", "probability": 0.66455078125}, {"start": 1212.67, "end": 1213.43, "word": " خلال", "probability": 0.9957682291666666}, {"start": 1213.43, "end": 1213.65, "word": " ما", "probability": 0.8935546875}, {"start": 1213.65, "end": 1214.43, "word": " بعمل", "probability": 0.9768880208333334}, {"start": 1214.43, "end": 1215.53, "word": " ال", "probability": 0.93994140625}, {"start": 1215.53, "end": 1216.45, "word": " retinoscopy", "probability": 0.6624755859375}, {"start": 1216.45, "end": 1217.19, "word": " أعرف", "probability": 0.8898111979166666}, {"start": 1217.19, "end": 1217.41, "word": " أن", "probability": 0.64990234375}, {"start": 1217.41, "end": 1217.73, "word": " هذا", "probability": 0.76318359375}, {"start": 1217.73, "end": 1218.21, "word": " المريض", "probability": 0.9915364583333334}, {"start": 1218.21, "end": 1219.45, "word": " عنده", "probability": 0.988037109375}, {"start": 1219.45, "end": 1221.59, "word": " astigmatism؟", "probability": 0.851318359375}], "temperature": 1.0}, {"id": 46, "seek": 124673, "start": 1224.57, "end": 1246.73, "text": "في عندنا تلت حالات تلت حالات بتثبت ان هذا المريض عنده astigmatism من خلال ال retinoscopy method اي من خلال طريقة ال retinoscopy الطريقة الاولى احنا في اي تعين دايما بكون عنده two principle meridian يعني محورين صح؟", "tokens": [41185, 43242, 8315, 6055, 1211, 2655, 11331, 6027, 9307, 6055, 1211, 2655, 11331, 6027, 9307, 39894, 12984, 3555, 2655, 16472, 23758, 9673, 16572, 11242, 43242, 3224, 5357, 46496, 1434, 9154, 16490, 1211, 6027, 2423, 1533, 259, 10466, 19680, 3170, 1975, 1829, 9154, 16490, 1211, 6027, 23032, 16572, 28671, 2423, 1533, 259, 10466, 19680, 41950, 16572, 28671, 42963, 12610, 7578, 1975, 5016, 8315, 8978, 1975, 1829, 37279, 9957, 11778, 47302, 15042, 4724, 30544, 43242, 3224, 732, 8665, 3551, 34681, 37495, 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{"start": 1229.31, "end": 1230.21, "word": " عنده", "probability": 0.98828125}, {"start": 1230.21, "end": 1231.07, "word": " astigmatism", "probability": 0.7616373697916666}, {"start": 1231.07, "end": 1231.83, "word": " من", "probability": 0.9697265625}, {"start": 1231.83, "end": 1232.41, "word": " خلال", "probability": 0.9931640625}, {"start": 1232.41, "end": 1232.85, "word": " ال", "probability": 0.9296875}, {"start": 1232.85, "end": 1233.61, "word": " retinoscopy", "probability": 0.6412353515625}, {"start": 1233.61, "end": 1234.29, "word": " method", "probability": 0.98388671875}, {"start": 1234.29, "end": 1235.21, "word": " اي", "probability": 0.59130859375}, {"start": 1235.21, "end": 1235.35, "word": " من", "probability": 0.99169921875}, {"start": 1235.35, "end": 1235.75, "word": " خلال", "probability": 0.9939778645833334}, {"start": 1235.75, "end": 1236.27, "word": " طريقة", "probability": 0.99365234375}, {"start": 1236.27, "end": 1236.53, "word": " ال", "probability": 0.96923828125}, {"start": 1236.53, "end": 1237.25, "word": " retinoscopy", "probability": 0.753662109375}, {"start": 1237.25, "end": 1238.73, "word": " الطريقة", "probability": 0.98388671875}, {"start": 1238.73, "end": 1239.37, "word": " الاولى", "probability": 0.7776692708333334}, {"start": 1239.37, "end": 1240.23, "word": " احنا", "probability": 0.9580078125}, {"start": 1240.23, "end": 1240.53, "word": " في", "probability": 0.943359375}, {"start": 1240.53, "end": 1240.81, "word": " اي", "probability": 0.80517578125}, {"start": 1240.81, "end": 1241.25, "word": " تعين", "probability": 0.968505859375}, {"start": 1241.25, "end": 1241.85, "word": " دايما", "probability": 0.861328125}, {"start": 1241.85, "end": 1242.23, "word": " بكون", "probability": 0.775634765625}, {"start": 1242.23, "end": 1242.63, "word": " عنده", "probability": 0.652099609375}, {"start": 1242.63, "end": 1242.89, "word": " two", "probability": 0.88037109375}, {"start": 1242.89, "end": 1243.77, "word": " principle", "probability": 0.587890625}, {"start": 1243.77, "end": 1244.51, "word": " meridian", "probability": 0.94140625}, {"start": 1244.51, "end": 1245.11, "word": " يعني", "probability": 0.93212890625}, {"start": 1245.11, "end": 1245.93, "word": " محورين", "probability": 0.988525390625}, {"start": 1245.93, "end": 1246.73, "word": " صح؟", "probability": 0.9503580729166666}], "temperature": 1.0}, {"id": 47, "seek": 127429, "start": 1247.53, "end": 1274.29, "text": "فبكون واحد من ال principle meridian a neutral point يعني واحد فيهم إيش ماله متعدل و التاني بيكون with the rule أو against the rule بمعنى واحد متعدل يعني بدهوش power يعني ثابت اللي هو planه و الآخر إيش بيكون يا إما with the rule أو against the rule يعني بالظبط زي هيك", "tokens": [5172, 3555, 30544, 36764, 24401, 9154, 2423, 8665, 3551, 34681, 257, 10598, 935, 37495, 22653, 36764, 24401, 8978, 16095, 11933, 1829, 8592, 3714, 6027, 3224, 44650, 22488, 1211, 4032, 16712, 7649, 1829, 4724, 1829, 30544, 365, 264, 4978, 34051, 1970, 264, 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لما تعمل ال crossات ال vertical و ال horizontal meridian واحد فيهم بيكون هذا plan و مثلا لو فرضنا التسعين و هذا بيكون plus او minus one", "tokens": [40228, 22653, 5296, 15042, 6055, 25957, 1211, 2423, 3278, 9307, 2423, 9429, 4032, 2423, 12750, 3551, 34681, 36764, 24401, 8978, 16095, 4724, 1829, 30544, 23758, 1393, 4032, 50113, 15040, 45164, 6156, 43042, 8315, 16712, 3794, 3615, 9957, 4032, 23758, 4724, 1829, 30544, 1804, 1975, 2407, 3175, 472], "avg_logprob": -0.3740234275658925, "compression_ratio": 1.34640522875817, "no_speech_prob": 0.0, "words": [{"start": 1277.71, "end": 1277.99, "word": "يعني", "probability": 0.6171875}, {"start": 1277.99, "end": 1278.15, "word": " لما", "probability": 0.61181640625}, {"start": 1278.15, "end": 1278.81, "word": " تعمل", "probability": 0.8118489583333334}, {"start": 1278.81, "end": 1278.91, "word": " ال", "probability": 0.378662109375}, {"start": 1278.91, "end": 1279.53, "word": " crossات", "probability": 0.2401123046875}, {"start": 1279.53, "end": 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"word": " مثلا", "probability": 0.914794921875}, {"start": 1289.97, "end": 1290.27, "word": " لو", "probability": 0.87744140625}, {"start": 1290.27, "end": 1290.65, "word": " فرضنا", "probability": 0.9912109375}, {"start": 1290.65, "end": 1291.29, "word": " التسعين", "probability": 0.8668212890625}, {"start": 1291.29, "end": 1292.83, "word": " و", "probability": 0.454833984375}, {"start": 1292.83, "end": 1293.03, "word": " هذا", "probability": 0.9228515625}, {"start": 1293.03, "end": 1293.43, "word": " بيكون", "probability": 0.85400390625}, {"start": 1293.43, "end": 1293.89, "word": " plus", "probability": 0.943359375}, {"start": 1293.89, "end": 1294.15, "word": " او", "probability": 0.840576171875}, {"start": 1294.15, "end": 1294.63, "word": " minus", "probability": 0.98828125}, {"start": 1294.63, "end": 1295.23, "word": " one", "probability": 0.93701171875}], "temperature": 1.0}, {"id": 49, "seek": 132858, "start": 1301.9, "end": 1328.58, "text": "يما تيجي تعادلة في ال written scope يما يكون ال streak دي على ال written scope جاي على ال read reflex بتكون plano متعادلة مرة تانية الان مش انت بشوف الحركة اول حاجة في ال written scope يا اما بتكون with او against او بتكون ايه neutral متعادلة طيب اه بس لو قدام هشوفه حالات neutral", "tokens": [1829, 15042, 6055, 1829, 7435, 1829, 37279, 18513, 37977, 8978, 2423, 3720, 11923, 7251, 15042, 7251, 30544, 2423, 35634, 11778, 1829, 15844, 2423, 3720, 11923, 10874, 47302, 15844, 2423, 1401, 23802, 39894, 30544, 40259, 44650, 3615, 18513, 37977, 3714, 25720, 6055, 7649, 10632, 2423, 7649, 37893, 16472, 2655, 4724, 8592, 38688, 21542, 31747, 3660, 1975, 12610, 11331, 26108, 3660, 8978, 2423, 3720, 11923, 35186, 1975, 15042, 39894, 30544, 365, 1975, 2407, 1970, 1975, 2407, 39894, 30544, 1975, 1829, 3224, 10598, 44650, 3615, 18513, 37977, 23032, 1829, 3555, 1975, 3224, 4724, 3794, 45164, 12174, 3215, 10943, 8032, 8592, 38688, 3224, 11331, 6027, 9307, 10598], "avg_logprob": -0.17262620794085357, "compression_ratio": 1.88, 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{"start": 1311.68, "end": 1313.4, "word": " مرة", "probability": 0.92236328125}, {"start": 1313.4, "end": 1313.8, "word": " تانية", "probability": 0.9933268229166666}, {"start": 1313.8, "end": 1314.64, "word": " الان", "probability": 0.581787109375}, {"start": 1314.64, "end": 1314.8, "word": " مش", "probability": 0.98193359375}, {"start": 1314.8, "end": 1314.98, "word": " انت", "probability": 0.755126953125}, {"start": 1314.98, "end": 1315.32, "word": " بشوف", "probability": 0.92626953125}, {"start": 1315.32, "end": 1315.92, "word": " الحركة", "probability": 0.9723307291666666}, {"start": 1315.92, "end": 1316.18, "word": " اول", "probability": 0.687744140625}, {"start": 1316.18, "end": 1316.66, "word": " حاجة", "probability": 0.9869791666666666}, {"start": 1316.66, "end": 1316.86, "word": " في", "probability": 0.81494140625}, {"start": 1316.86, "end": 1316.92, "word": " ال", "probability": 0.93212890625}, {"start": 1316.92, "end": 1317.14, "word": " written", "probability": 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0.9503173828125}, {"start": 1323.14, "end": 1326.44, "word": " طيب", "probability": 0.9235026041666666}, {"start": 1326.44, "end": 1326.7, "word": " اه", "probability": 0.921875}, {"start": 1326.7, "end": 1326.98, "word": " بس", "probability": 0.960693359375}, {"start": 1326.98, "end": 1327.12, "word": " لو", "probability": 0.98486328125}, {"start": 1327.12, "end": 1327.46, "word": " قدام", "probability": 0.9791666666666666}, {"start": 1327.46, "end": 1327.92, "word": " هشوفه", "probability": 0.758544921875}, {"start": 1327.92, "end": 1328.22, "word": " حالات", "probability": 0.8986002604166666}, {"start": 1328.22, "end": 1328.58, "word": " neutral", "probability": 0.87255859375}], "temperature": 1.0}, {"id": 50, "seek": 133684, "start": 1330.1, "end": 1336.84, "text": "أي بمعنى أن أنا بدون ما أحط عدسة هي بتكون متعادلة، واضح؟ نعم", "tokens": [10721, 1829, 4724, 2304, 3615, 1863, 7578, 14739, 41850, 47525, 11536, 19446, 5551, 5016, 9566, 6225, 3215, 3794, 3660, 39896, 39894, 30544, 44650, 3615, 18513, 37977, 12399, 4032, 46958, 5016, 22807, 8717, 25957], "avg_logprob": -0.19037223826436436, "compression_ratio": 1.2272727272727273, "no_speech_prob": 0.0, "words": [{"start": 1330.1, "end": 1330.4, "word": "أي", "probability": 0.60009765625}, {"start": 1330.4, "end": 1331.02, "word": " بمعنى", "probability": 0.9841796875}, {"start": 1331.02, "end": 1331.18, "word": " أن", "probability": 0.496337890625}, {"start": 1331.18, "end": 1331.46, "word": " أنا", "probability": 0.57861328125}, {"start": 1331.46, "end": 1331.82, "word": " بدون", "probability": 0.98583984375}, {"start": 1331.82, "end": 1331.94, "word": " ما", "probability": 0.86962890625}, {"start": 1331.94, "end": 1332.24, "word": " أحط", "probability": 0.89404296875}, {"start": 1332.24, "end": 1332.8, "word": " عدسة", "probability": 0.97216796875}, {"start": 1332.8, "end": 1332.98, "word": " هي", "probability": 0.61083984375}, {"start": 1332.98, "end": 1333.38, "word": " بتكون", "probability": 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{"start": 1349.77, "end": 1350.21, "word": " بمعنى", "probability": 0.894921875}, {"start": 1350.21, "end": 1350.79, "word": " الحالات", "probability": 0.9757486979166666}, {"start": 1350.79, "end": 1351.05, "word": " اللى", "probability": 0.62255859375}, {"start": 1351.05, "end": 1351.23, "word": " انا", "probability": 0.6585693359375}, {"start": 1351.23, "end": 1351.59, "word": " بقول", "probability": 0.93798828125}, {"start": 1351.59, "end": 1351.83, "word": " ان", "probability": 0.83740234375}, {"start": 1351.83, "end": 1352.27, "word": " عنها", "probability": 0.9755859375}, {"start": 1352.27, "end": 1352.75, "word": " فى", "probability": 0.64208984375}, {"start": 1352.75, "end": 1353.47, "word": " استigmatism", "probability": 0.7998046875}, {"start": 1353.47, "end": 1354.01, "word": " للمريض", "probability": 0.8785400390625}, {"start": 1354.01, "end": 1354.71, "word": " اول", "probability": 0.90576171875}, {"start": 1354.71, "end": 1355.03, "word": " حالة", "probability": 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"probability": 0.6470947265625}, {"start": 1360.49, "end": 1361.15, "word": " واحد", "probability": 0.965087890625}, {"start": 1361.15, "end": 1361.45, "word": " منهم", "probability": 0.9814453125}, {"start": 1361.45, "end": 1361.81, "word": " بيكون", "probability": 0.9488932291666666}, {"start": 1361.81, "end": 1362.25, "word": " plano", "probability": 0.7861328125}, {"start": 1362.25, "end": 1363.43, "word": " شو", "probability": 0.874755859375}, {"start": 1363.43, "end": 1363.75, "word": " معناه", "probability": 0.9309895833333334}, {"start": 1363.75, "end": 1364.19, "word": " plano", "probability": 0.80126953125}, {"start": 1364.19, "end": 1364.65, "word": " يعني", "probability": 0.694091796875}, {"start": 1364.65, "end": 1365.17, "word": " نيوترال", "probability": 0.779443359375}, {"start": 1365.17, "end": 1365.51, "word": " point", "probability": 0.734375}], "temperature": 1.0}, {"id": 52, "seek": 138765, "start": 1366.79, "end": 1387.65, "text": "يعني ال far point بتاعة ال observer إيش ما لها corresponding لإنه ال point لل patient هذه عندها إيش بقول؟ إنه فيها ال astigmatism okay؟ هذه number one إذا one of the meridian with the neutral point and another one with the rule or against the rule", "tokens": [40228, 22653, 2423, 1400, 935, 39894, 995, 27884, 2423, 27878, 11933, 1829, 8592, 19446, 5296, 11296, 11760, 5296, 28814, 1863, 3224, 2423, 935, 24976, 4537, 29538, 43242, 11296, 11933, 1829, 8592, 4724, 39648, 22807, 36145, 3224, 8978, 11296, 2423, 5357, 46496, 1434, 1392, 22807, 29538, 1230, 472, 11933, 15730, 472, 295, 264, 3551, 34681, 365, 264, 10598, 935, 293, 1071, 472, 365, 264, 4978, 420, 1970, 264, 4978], "avg_logprob": -0.26358695824941, "compression_ratio": 1.5323383084577114, "no_speech_prob": 0.0, "words": [{"start": 1366.79, "end": 1367.11, "word": "يعني", "probability": 0.80126953125}, {"start": 1367.11, "end": 1367.27, "word": " ال", "probability": 0.75732421875}, {"start": 1367.27, "end": 1367.51, "word": " far", "probability": 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0.90283203125}, {"start": 1372.61, "end": 1373.01, "word": " patient", "probability": 0.8984375}, {"start": 1373.01, "end": 1374.05, "word": " هذه", "probability": 0.2861328125}, {"start": 1374.05, "end": 1374.37, "word": " عندها", "probability": 0.986572265625}, {"start": 1374.37, "end": 1374.55, "word": " إيش", "probability": 0.9510091145833334}, {"start": 1374.55, "end": 1375.31, "word": " بقول؟", "probability": 0.8108723958333334}, {"start": 1375.31, "end": 1375.61, "word": " إنه", "probability": 0.5885009765625}, {"start": 1375.61, "end": 1375.99, "word": " فيها", "probability": 0.980224609375}, {"start": 1375.99, "end": 1376.21, "word": " ال", "probability": 0.45263671875}, {"start": 1376.21, "end": 1376.89, "word": " astigmatism", "probability": 0.8084309895833334}, {"start": 1376.89, "end": 1378.31, "word": " okay؟", "probability": 0.3408203125}, {"start": 1378.31, "end": 1378.57, "word": " هذه", "probability": 0.491455078125}, {"start": 1378.57, "end": 1378.85, "word": " number", "probability": 0.94970703125}, {"start": 1378.85, "end": 1379.23, "word": " one", "probability": 0.93017578125}, {"start": 1379.23, "end": 1380.23, "word": " إذا", "probability": 0.81396484375}, {"start": 1380.23, "end": 1380.53, "word": " one", "probability": 0.8349609375}, {"start": 1380.53, "end": 1380.87, "word": " of", "probability": 0.9677734375}, {"start": 1380.87, "end": 1381.07, "word": " the", "probability": 0.92578125}, {"start": 1381.07, "end": 1381.69, "word": " meridian", "probability": 0.924560546875}, {"start": 1381.69, "end": 1382.15, "word": " with", "probability": 0.923828125}, {"start": 1382.15, "end": 1382.27, "word": " the", "probability": 0.400146484375}, {"start": 1382.27, "end": 1382.59, "word": " neutral", "probability": 0.97216796875}, {"start": 1382.59, "end": 1383.03, "word": " point", "probability": 0.98291015625}, {"start": 1383.03, "end": 1383.65, "word": " and", "probability": 0.80859375}, {"start": 1383.65, "end": 1383.99, "word": " another", 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235321, "start": 2332.51, "end": 2353.21, "text": "طيب من ناحية المعادلة في الاسفير سهل إذا كانت with the rule بعادل في plus against the rule بعادل بإيه في minus زي ما اتعلمنا و بطلع الوصفة لل right و لل left و بعدين بطلع من ال final objective refraction واضح؟ طيب لو كان عند المريض ال stigma", "tokens": [9566, 1829, 3555, 9154, 8717, 39319, 10632, 9673, 3615, 18513, 37977, 8978, 2423, 32277, 5172, 13546, 8608, 3224, 1211, 11933, 15730, 25961, 2655, 365, 264, 4978, 45030, 18513, 1211, 8978, 1804, 1970, 264, 4978, 45030, 18513, 1211, 4724, 28814, 1829, 3224, 8978, 3175, 30767, 1829, 19446, 1975, 2655, 3615, 19528, 8315, 4032, 4724, 9566, 1211, 3615, 2423, 2407, 9381, 5172, 3660, 24976, 558, 4032, 24976, 1411, 4032, 39182, 9957, 4724, 9566, 1211, 3615, 9154, 2423, 2572, 10024, 1895, 26766, 4032, 46958, 5016, 22807, 23032, 1829, 3555, 45164, 25961, 43242, 9673, 16572, 11242, 2423, 27880], "avg_logprob": -0.18338815538506759, "compression_ratio": 1.5833333333333333, "no_speech_prob": 0.0, 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have the same refractive power in all meridians the initial examination أي بمعنى ال preliminary examination الفحص الأولى", "tokens": [3322, 5883, 36632, 4724, 2304, 3615, 1863, 7578, 14739, 3224, 4724, 995, 14851, 9778, 40448, 6225, 3215, 3794, 9307, 44650, 3794, 995, 2407, 10632, 5296, 28820, 9673, 5016, 995, 13063, 24976, 12750, 4032, 2423, 9429, 3551, 34681, 4032, 46958, 5016, 22807, 11933, 15730, 2423, 37300, 18059, 362, 264, 912, 45353, 488, 1347, 294, 439, 3551, 327, 2567, 264, 5883, 23874, 36632, 4724, 2304, 3615, 1863, 7578, 2423, 28817, 23874, 27188, 5016, 9381, 16247, 12610, 7578], "avg_logprob": -0.20723683563502213, "compression_ratio": 1.4883720930232558, "no_speech_prob": 0.0, "words": [{"start": 2645.22, "end": 2645.64, "word": "the", "probability": 0.244873046875}, {"start": 2645.64, "end": 2646.52, "word": " initial", "probability": 0.86181640625}, {"start": 2646.52, "end": 2647.24, "word": " أي", "probability": 0.64453125}, {"start": 2647.24, "end": 2647.7, "word": " 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{"id": 105, "seek": 269417, "start": 2678.81, "end": 2694.17, "text": "معظمكم عندما بدأت في حالة الastigmatism حكالي انه مش واضح حركة ال read reflex صح؟ او مش شايفين وين ال read reflex؟ لأن ال read reflex كان ماله oblique مش regular", "tokens": [2304, 3615, 19913, 2304, 24793, 43242, 15042, 47525, 10721, 2655, 8978, 11331, 6027, 3660, 2423, 525, 46496, 1434, 11331, 4117, 6027, 1829, 16472, 3224, 37893, 4032, 46958, 5016, 11331, 31747, 3660, 2423, 1401, 23802, 20328, 5016, 22807, 1975, 2407, 37893, 13412, 995, 33911, 9957, 4032, 9957, 2423, 1401, 23802, 22807, 5296, 33456, 2423, 1401, 23802, 25961, 3714, 6027, 3224, 23740, 1925, 37893, 3890], "avg_logprob": -0.37915038177743554, "compression_ratio": 1.4720496894409938, "no_speech_prob": 0.0, "words": [{"start": 2678.8099999999995, "end": 2679.6099999999997, "word": "معظمكم", "probability": 0.77640380859375}, {"start": 2679.6099999999997, "end": 2680.41, "word": " عندما", "probability": 0.6385498046875}, {"start": 2680.41, "end": 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{"start": 2687.83, "end": 2688.69, "word": " صح؟", "probability": 0.6504720052083334}, {"start": 2688.69, "end": 2688.87, "word": " او", "probability": 0.859375}, {"start": 2688.87, "end": 2689.05, "word": " مش", "probability": 0.966796875}, {"start": 2689.05, "end": 2689.45, "word": " شايفين", "probability": 0.972412109375}, {"start": 2689.45, "end": 2689.65, "word": " وين", "probability": 0.7841796875}, {"start": 2689.65, "end": 2689.75, "word": " ال", "probability": 0.9443359375}, {"start": 2689.75, "end": 2689.93, "word": " read", "probability": 0.97265625}, {"start": 2689.93, "end": 2690.81, "word": " reflex؟", "probability": 0.6282958984375}, {"start": 2690.81, "end": 2691.03, "word": " لأن", "probability": 0.718505859375}, {"start": 2691.03, "end": 2691.59, "word": " ال", "probability": 0.75146484375}, {"start": 2691.59, "end": 2691.81, "word": " read", "probability": 0.97412109375}, {"start": 2691.81, "end": 2692.21, "word": " reflex", "probability": 0.8623046875}, {"start": 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بيكون", "probability": 0.89599609375}, {"start": 2705.34, "end": 2705.92, "word": " irregular", "probability": 0.87744140625}, {"start": 2705.92, "end": 2706.66, "word": " صح", "probability": 0.840576171875}, {"start": 2706.66, "end": 2708.94, "word": " فعنا", "probability": 0.7913411458333334}, {"start": 2708.94, "end": 2709.32, "word": " the", "probability": 0.364501953125}, {"start": 2709.32, "end": 2709.82, "word": " initial", "probability": 0.8447265625}, {"start": 2709.82, "end": 2710.68, "word": " examination", "probability": 0.9306640625}, {"start": 2710.68, "end": 2711.48, "word": " الفحص", "probability": 0.9326171875}, {"start": 2711.48, "end": 2712.48, "word": " الأولي", "probability": 0.8349609375}, {"start": 2712.48, "end": 2712.88, "word": " with", "probability": 0.640625}, {"start": 2712.88, "end": 2713.12, "word": " an", "probability": 0.452392578125}, {"start": 2713.12, "end": 2714.02, "word": " astigmatism", "probability": 0.93408203125}, {"start": 2714.02, "end": 2714.34, "word": " في", "probability": 0.94384765625}, {"start": 2714.34, "end": 2714.82, "word": " حالة", "probability": 0.9970703125}, {"start": 2714.82, "end": 2715.82, "word": " الastigmatism", "probability": 0.8541259765625}, {"start": 2715.82, "end": 2716.38, "word": " the", "probability": 0.464599609375}, {"start": 2716.38, "end": 2717.04, "word": " situation", "probability": 0.9599609375}, {"start": 2717.04, "end": 2717.68, "word": " is", "probability": 0.96875}, {"start": 2717.68, "end": 2717.88, "word": " not", "probability": 0.96826171875}, {"start": 2717.88, "end": 2718.44, "word": " quite", "probability": 0.72802734375}, {"start": 2718.44, "end": 2719.06, "word": " ان", "probability": 0.47900390625}, {"start": 2719.06, "end": 2719.64, "word": " الموقع", "probability": 0.958984375}, {"start": 2719.64, "end": 2720.0, "word": " بتاع", "probability": 0.7376708984375}, {"start": 2720.0, "end": 2720.3, "word": " ال", "probability": 0.935546875}, {"start": 2720.3, "end": 2720.48, "word": " red", "probability": 0.88720703125}, {"start": 2720.48, "end": 2720.94, "word": " reflex", "probability": 0.9375}, {"start": 2720.94, "end": 2721.64, "word": " بيكون", "probability": 0.95654296875}, {"start": 2721.64, "end": 2722.08, "word": " غير", "probability": 0.996826171875}, {"start": 2722.08, "end": 2722.94, "word": " محدد", "probability": 0.9954427083333334}, {"start": 2722.94, "end": 2723.26, "word": " أو", "probability": 0.73388671875}, {"start": 2723.26, "end": 2723.54, "word": " غير", "probability": 0.995849609375}, {"start": 2723.54, "end": 2724.06, "word": " موجود", "probability": 0.9913736979166666}], "temperature": 1.0}, {"id": 107, "seek": 275370, "start": 2733.28, "end": 2753.7, "text": "الهدف أو الهدف من الريتينيسكوب انه يكشف حركة ال Red Reflex في حالة مين الastigmatism The observer الفاحص or examiner starts with vertical then with horizontal movement", "tokens": [6027, 3224, 3215, 5172, 34051, 2423, 3224, 3215, 5172, 9154, 2423, 16572, 2655, 9957, 1829, 3794, 4117, 37746, 16472, 3224, 7251, 4117, 8592, 5172, 11331, 31747, 3660, 2423, 4477, 16957, 2021, 8978, 11331, 6027, 3660, 3714, 9957, 2423, 525, 46496, 1434, 440, 27878, 27188, 39319, 9381, 420, 1139, 4564, 3719, 365, 9429, 550, 365, 12750, 3963], "avg_logprob": -0.4265351002676445, "compression_ratio": 1.3273809523809523, "no_speech_prob": 0.0, "words": [{"start": 2733.28, "end": 2734.36, "word": "الهدف", "probability": 0.7586669921875}, {"start": 2734.36, "end": 2734.74, "word": " أو", "probability": 0.43994140625}, {"start": 2734.74, "end": 2735.22, "word": " الهدف", "probability": 0.7083740234375}, {"start": 2735.22, "end": 2735.76, "word": " من", "probability": 0.9580078125}, {"start": 2735.76, "end": 2736.78, "word": " الريتينيسكوب", "probability": 0.7042999267578125}, {"start": 2736.78, "end": 2737.58, "word": " انه", "probability": 0.5340576171875}, {"start": 2737.58, "end": 2738.08, "word": " يكشف", "probability": 0.979248046875}, {"start": 2738.08, "end": 2739.28, "word": 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"start": 2817.95, "end": 2845.65, "text": "بتبديش دايما في ال neutral point او ال small refractive error ليه؟ لأنه لما يكون عنده المريض high refractive error في meridian و ال meridian التاني small refractive error لما انا ببدأ في ال small و اخد مدة طويلة هيزهج المريض فلما اجي على المرحلة التانية ال high refractive error فهيكون ان المريض عنده boring ازعاج مني و ما هيكونش cooperative متعاون معاه كتير", "tokens": [3555, 2655, 3555, 16254, 8592, 11778, 47302, 15042, 8978, 2423, 10598, 935, 1975, 2407, 2423, 1359, 45353, 488, 6713, 32239, 3224, 22807, 5296, 33456, 3224, 5296, 15042, 7251, 30544, 43242, 3224, 9673, 16572, 11242, 1090, 45353, 488, 6713, 8978, 3551, 34681, 4032, 2423, 3551, 34681, 16712, 7649, 1829, 1359, 45353, 488, 6713, 5296, 15042, 1975, 8315, 4724, 44510, 10721, 8978, 2423, 1359, 4032, 1975, 9778, 3215, 3714, 41891, 23032, 2407, 26895, 3660, 39896, 11622, 3224, 7435, 9673, 16572, 11242, 6156, 1211, 15042, 1975, 7435, 1829, 15844, 9673, 2288, 5016, 37977, 16712, 7649, 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{"start": 2840.95, "end": 2841.63, "word": " ازعاج", "probability": 0.8636474609375}, {"start": 2841.63, "end": 2842.05, "word": " مني", "probability": 0.846923828125}, {"start": 2842.05, "end": 2842.45, "word": " و", "probability": 0.89697265625}, {"start": 2842.45, "end": 2842.51, "word": " ما", "probability": 0.52734375}, {"start": 2842.51, "end": 2843.91, "word": " هيكونش", "probability": 0.6547037760416666}, {"start": 2843.91, "end": 2844.31, "word": " cooperative", "probability": 0.70068359375}, {"start": 2844.31, "end": 2845.01, "word": " متعاون", "probability": 0.974609375}, {"start": 2845.01, "end": 2845.27, "word": " معاه", "probability": 0.859130859375}, {"start": 2845.27, "end": 2845.65, "word": " كتير", "probability": 0.96923828125}], "temperature": 1.0}, {"id": 112, "seek": 287375, "start": 2848.35, "end": 2873.75, "text": "the observer starts with vertical او with high refractive error then with horizontal movement and lenses are inserted inserted بمعنى يعني انه بنضع العدسة inserted بمعنى وضع العدسة removal ازالة العدسة يعني اقولك inserted lens بمعنى حط العدسة removal the lens يعني ارفع العدسة", "tokens": [3322, 27878, 3719, 365, 9429, 1975, 2407, 365, 1090, 45353, 488, 6713, 550, 365, 12750, 3963, 293, 18059, 366, 27992, 27992, 4724, 2304, 3615, 1863, 7578, 37495, 22653, 16472, 3224, 44945, 11242, 3615, 18863, 3215, 3794, 3660, 27992, 4724, 2304, 3615, 1863, 7578, 4032, 11242, 3615, 18863, 3215, 3794, 3660, 17933, 1975, 11622, 6027, 3660, 18863, 3215, 3794, 3660, 37495, 22653, 1975, 39648, 4117, 27992, 6765, 4724, 2304, 3615, 1863, 7578, 11331, 9566, 18863, 3215, 3794, 3660, 17933, 264, 6765, 37495, 22653, 1975, 28480, 3615, 18863, 3215, 3794, 3660], "avg_logprob": -0.15651041434870827, "compression_ratio": 1.9251336898395721, "no_speech_prob": 0.0, "words": [{"start": 2848.35, "end": 2848.63, "word": "the", "probability": 0.06390380859375}, {"start": 2848.63, "end": 2849.45, "word": " observer", "probability": 0.78662109375}, {"start": 2849.45, 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"probability": 0.9925537109375}, {"start": 2871.13, "end": 2871.83, "word": " removal", "probability": 0.69091796875}, {"start": 2871.83, "end": 2872.13, "word": " the", "probability": 0.64208984375}, {"start": 2872.13, "end": 2872.43, "word": " lens", "probability": 0.9013671875}, {"start": 2872.43, "end": 2872.77, "word": " يعني", "probability": 0.97412109375}, {"start": 2872.77, "end": 2873.15, "word": " ارفع", "probability": 0.9850260416666666}, {"start": 2873.15, "end": 2873.75, "word": " العدسة", "probability": 0.98779296875}], "temperature": 1.0}, {"id": 113, "seek": 289471, "start": 2875.89, "end": 2894.71, "text": "are inserted to determine the neutral point in each meridian separately فهذا بيحدد قداش ال .. يعني ال neutral point أو ال end point نقطة النهاية كل واحدة على حده بالنسبة لل vertical و ال horizontal meridian", "tokens": [543, 27992, 281, 6997, 264, 10598, 935, 294, 1184, 3551, 34681, 14759, 6156, 3224, 15730, 4724, 1829, 24401, 3215, 12174, 3215, 33599, 2423, 4386, 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{"start": 2921.43, "end": 2921.83, "word": " إذا", "probability": 0.950439453125}, {"start": 2921.83, "end": 2922.13, "word": " ال", "probability": 0.92626953125}, {"start": 2922.13, "end": 2922.37, "word": " two", "probability": 0.77880859375}, {"start": 2922.37, "end": 2923.01, "word": " meridian", "probability": 0.817626953125}, {"start": 2923.01, "end": 2924.25, "word": " تعوني", "probability": 0.7469075520833334}, {"start": 2924.25, "end": 2924.69, "word": " مش", "probability": 0.98193359375}, {"start": 2924.69, "end": 2926.27, "word": " متطابقين", "probability": 0.8736328125}, {"start": 2926.27, "end": 2926.43, "word": " على", "probability": 0.60302734375}, {"start": 2926.43, "end": 2927.29, "word": " بعض،", "probability": 0.900390625}, {"start": 2927.29, "end": 2927.89, "word": " then", "probability": 0.88232421875}, {"start": 2927.89, "end": 2928.29, "word": " the", "probability": 0.92431640625}, {"start": 2928.29, "end": 2928.81, "word": " reflex", "probability": 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"end": 2948.89, "text": "it is a plan of movement indicating the presence of a stigmatism which is oblique البلان يما تسمعي دايما حركة البلان بمعنى zero، يعني مافيش neutral point، انه no movement of the red reflex", "tokens": [270, 307, 257, 1393, 295, 3963, 25604, 264, 6814, 295, 257, 342, 46496, 1434, 597, 307, 23740, 1925, 2423, 3555, 15040, 1863, 7251, 15042, 6055, 38251, 3615, 1829, 11778, 47302, 15042, 11331, 31747, 3660, 2423, 3555, 15040, 1863, 4724, 2304, 3615, 1863, 7578, 4018, 12399, 37495, 22653, 19446, 41185, 8592, 10598, 935, 12399, 16472, 3224, 572, 3963, 295, 264, 2182, 23802], "avg_logprob": -0.30090725854519873, "compression_ratio": 1.372093023255814, "no_speech_prob": 0.0, "words": [{"start": 2934.39, "end": 2934.65, "word": "it", "probability": 0.431640625}, {"start": 2934.65, "end": 2934.87, "word": " is", "probability": 0.88037109375}, {"start": 2934.87, "end": 2934.99, "word": " a", "probability": 0.45166015625}, {"start": 2934.99, "end": 2935.25, "word": " plan", "probability": 0.85986328125}, {"start": 2935.25, "end": 2935.59, "word": " of", "probability": 0.97705078125}, {"start": 2935.59, "end": 2936.17, "word": " movement", "probability": 0.94091796875}, {"start": 2936.17, "end": 2937.21, "word": " indicating", "probability": 0.82470703125}, {"start": 2937.21, "end": 2937.63, "word": " the", "probability": 0.9091796875}, {"start": 2937.63, "end": 2938.11, "word": " presence", "probability": 0.85546875}, {"start": 2938.11, "end": 2938.69, "word": " of", "probability": 0.97705078125}, {"start": 2938.69, "end": 2938.89, "word": " a", "probability": 0.67724609375}, {"start": 2938.89, "end": 2939.59, "word": " stigmatism", "probability": 0.9148763020833334}, {"start": 2939.59, "end": 2939.99, "word": " which", "probability": 0.91552734375}, {"start": 2939.99, "end": 2940.29, "word": " is", "probability": 0.96484375}, {"start": 2940.29, "end": 2940.87, "word": " oblique", "probability": 0.7216796875}, {"start": 2940.87, "end": 2941.75, "word": " البلان", "probability": 0.531463623046875}, {"start": 2941.75, "end": 2941.87, "word": " يما", "probability": 0.2769775390625}, {"start": 2941.87, "end": 2942.37, "word": " تسمعي", "probability": 0.9049072265625}, {"start": 2942.37, "end": 2942.67, "word": " دايما", "probability": 0.7044270833333334}, {"start": 2942.67, "end": 2943.21, "word": " حركة", "probability": 0.962890625}, {"start": 2943.21, "end": 2943.61, "word": " البلان", "probability": 0.73175048828125}, {"start": 2943.61, "end": 2944.31, "word": " بمعنى", "probability": 0.97763671875}, {"start": 2944.31, "end": 2945.11, "word": " zero،", "probability": 0.3553466796875}, {"start": 2945.11, "end": 2945.29, "word": " يعني", "probability": 0.894287109375}, {"start": 2945.29, "end": 2945.67, "word": " مافيش", "probability": 0.9703776041666666}, {"start": 2945.67, "end": 2946.07, "word": " neutral", "probability": 0.45947265625}, {"start": 2946.07, "end": 2947.05, "word": " point،", "probability": 0.912109375}, {"start": 2947.05, "end": 2947.27, "word": " انه", "probability": 0.7296142578125}, {"start": 2947.27, "end": 2947.39, "word": " no", "probability": 0.44091796875}, {"start": 2947.39, "end": 2947.89, "word": " movement", "probability": 0.9697265625}, {"start": 2947.89, "end": 2948.15, "word": " of", "probability": 0.9765625}, {"start": 2948.15, "end": 2948.29, "word": " the", "probability": 0.88232421875}, {"start": 2948.29, "end": 2948.43, "word": " red", "probability": 0.82275390625}, {"start": 2948.43, "end": 2948.89, "word": " reflex", "probability": 0.9326171875}], "temperature": 1.0}, {"id": 117, "seek": 296829, "start": 2950.19, "end": 2968.29, "text": "واضح؟ فبكون لما انا باجي بعمل ال neutralization المعادلة، واحدة بتكون منهم bland أي بمعنى no movement of the red reflex والتانية بتكون with أو against the rule، إذا في حركة بالنسبة للمحور التاني", "tokens": [2407, 46958, 5016, 22807, 6156, 3555, 30544, 5296, 15042, 1975, 8315, 4724, 26108, 1829, 4724, 25957, 1211, 2423, 10598, 2144, 9673, 3615, 18513, 37977, 12399, 36764, 24401, 3660, 39894, 30544, 9154, 16095, 29849, 36632, 4724, 2304, 3615, 1863, 7578, 572, 3963, 295, 264, 2182, 23802, 16070, 2655, 7649, 10632, 39894, 30544, 365, 34051, 1970, 264, 4978, 12399, 11933, 15730, 8978, 11331, 31747, 3660, 20666, 1863, 35457, 3660, 5296, 19528, 5016, 13063, 16712, 7649, 1829], "avg_logprob": -0.18781249602635702, "compression_ratio": 1.4482758620689655, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2950.1899999999996, "end": 2951.0699999999997, "word": "واضح؟", "probability": 0.8966064453125}, {"start": 2951.0699999999997, "end": 2951.95, "word": " فبكون", "probability": 0.74755859375}, {"start": 2951.95, "end": 2952.33, "word": " لما", "probability": 0.5360107421875}, {"start": 2952.33, "end": 2952.53, "word": " انا", "probability": 0.7015380859375}, {"start": 2952.53, "end": 2952.85, "word": " باجي", "probability": 0.9104817708333334}, {"start": 2952.85, "end": 2953.91, "word": " بعمل", "probability": 0.9571940104166666}, {"start": 2953.91, "end": 2954.25, "word": " ال", "probability": 0.9091796875}, {"start": 2954.25, "end": 2955.61, "word": " neutralization", "probability": 0.9462890625}, {"start": 2955.61, "end": 2957.11, "word": " المعادلة،", "probability": 0.821044921875}, {"start": 2957.11, "end": 2957.43, "word": " واحدة", "probability": 0.9622395833333334}, {"start": 2957.43, "end": 2957.79, "word": " بتكون", "probability": 0.9453125}, {"start": 2957.79, "end": 2958.25, "word": " منهم", "probability": 0.987548828125}, {"start": 2958.25, "end": 2958.85, "word": " bland", "probability": 0.30419921875}, {"start": 2958.85, "end": 2959.37, "word": " أي", "probability": 0.265625}, {"start": 2959.37, "end": 2959.75, "word": " بمعنى", "probability": 0.96630859375}, {"start": 2959.75, "end": 2959.89, "word": " no", "probability": 0.287841796875}, {"start": 2959.89, "end": 2960.49, "word": " movement", "probability": 0.97216796875}, {"start": 2960.49, "end": 2960.85, "word": " of", "probability": 0.96826171875}, {"start": 2960.85, "end": 2960.99, "word": " the", "probability": 0.916015625}, {"start": 2960.99, "end": 2961.13, "word": " red", "probability": 0.603515625}, {"start": 2961.13, "end": 2961.63, "word": " reflex", "probability": 0.90771484375}, {"start": 2961.63, "end": 2962.43, "word": " والتانية", "probability": 0.9300537109375}, {"start": 2962.43, "end": 2962.85, "word": " بتكون", "probability": 0.978759765625}, {"start": 2962.85, "end": 2963.15, "word": " with", "probability": 0.94384765625}, {"start": 2963.15, "end": 2963.43, "word": " أو", "probability": 0.681640625}, {"start": 2963.43, "end": 2963.93, "word": " against", "probability": 0.9765625}, {"start": 2963.93, "end": 2964.33, "word": " the", "probability": 0.8564453125}, {"start": 2964.33, "end": 2965.07, "word": " rule،", "probability": 0.825439453125}, {"start": 2965.07, "end": 2965.23, "word": " إذا", "probability": 0.726318359375}, {"start": 2965.23, "end": 2965.45, "word": " في", "probability": 0.59375}, {"start": 2965.45, "end": 2966.09, "word": " حركة", "probability": 0.986328125}, {"start": 2966.09, "end": 2966.69, "word": " بالنسبة", "probability": 0.980712890625}, {"start": 2966.69, "end": 2967.53, "word": " للمحور", "probability": 0.9029541015625}, {"start": 2967.53, "end": 2968.29, "word": " التاني", "probability": 0.9664713541666666}], "temperature": 1.0}, {"id": 118, "seek": 299357, "start": 2969.75, "end": 2993.57, "text": "in this case في هذه الحالة the examiner الفاحص must again يجب انه يكرر اكسبله اكتشاف different plans of external movement of his light until it corresponds to those of red reflex هذه بالظبط كمثال لها يما باجي اعمل المحور التسعين", "tokens": [259, 341, 1389, 8978, 29538, 21542, 6027, 3660, 264, 1139, 4564, 27188, 39319, 9381, 1633, 797, 7251, 7435, 3555, 16472, 3224, 7251, 37983, 2288, 1975, 4117, 35457, 43761, 1975, 4117, 2655, 8592, 31845, 819, 5482, 295, 8320, 3963, 295, 702, 1442, 1826, 309, 23249, 281, 729, 295, 2182, 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"probability": 0.8050130208333334}, {"start": 2974.33, "end": 2975.11, "word": " must", "probability": 0.69921875}, {"start": 2975.11, "end": 2975.73, "word": " again", "probability": 0.92626953125}, {"start": 2975.73, "end": 2976.39, "word": " يجب", "probability": 0.9755859375}, {"start": 2976.39, "end": 2976.71, "word": " انه", "probability": 0.52783203125}, {"start": 2976.71, "end": 2977.23, "word": " يكرر", "probability": 0.8904622395833334}, {"start": 2977.23, "end": 2978.27, "word": " اكسبله", "probability": 0.7320556640625}, {"start": 2978.27, "end": 2979.77, "word": " اكتشاف", "probability": 0.97099609375}, {"start": 2979.77, "end": 2980.85, "word": " different", "probability": 0.89404296875}, {"start": 2980.85, "end": 2981.65, "word": " plans", "probability": 0.57763671875}, {"start": 2981.65, "end": 2982.79, "word": " of", "probability": 0.97265625}, {"start": 2982.79, "end": 2983.41, "word": " external", "probability": 0.8603515625}, {"start": 2983.41, "end": 2984.01, "word": " movement", "probability": 0.849609375}, {"start": 2984.01, "end": 2984.23, "word": " of", "probability": 0.978515625}, {"start": 2984.23, "end": 2984.45, "word": " his", "probability": 0.970703125}, {"start": 2984.45, "end": 2984.77, "word": " light", "probability": 0.8662109375}, {"start": 2984.77, "end": 2985.25, "word": " until", "probability": 0.876953125}, {"start": 2985.25, "end": 2985.57, "word": " it", "probability": 0.97509765625}, {"start": 2985.57, "end": 2986.33, "word": " corresponds", "probability": 0.86376953125}, {"start": 2986.33, "end": 2986.97, "word": " to", "probability": 0.97216796875}, {"start": 2986.97, "end": 2987.39, "word": " those", "probability": 0.86328125}, {"start": 2987.39, "end": 2987.71, "word": " of", "probability": 0.9736328125}, {"start": 2987.71, "end": 2987.91, "word": " red", "probability": 0.89013671875}, {"start": 2987.91, "end": 2988.37, "word": " reflex", "probability": 0.8779296875}, {"start": 2988.37, "end": 2988.81, "word": " 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يعمل تدوير rotatable لمين لا ال streak لحد ما يصير مطابق لمين لل red reflex okay؟", "tokens": [2407, 7251, 30544, 2423, 2182, 23802, 24976, 4537, 3313, 1111, 2081, 80, 622, 11778, 47302, 15042, 1975, 1829, 8592, 4724, 5016, 4117, 1829, 23275, 2304, 5296, 31377, 2304, 2423, 35634, 12602, 36081, 1863, 3794, 4117, 37746, 7251, 30544, 8952, 281, 264, 2182, 23802, 6156, 6027, 1139, 4564, 5296, 31377, 2304, 1975, 1829, 8592, 7251, 25957, 1211, 16472, 3224, 7251, 5016, 995, 12610, 16472, 3224, 7251, 17082, 13546, 16472, 3224, 4386, 16472, 3224, 7251, 25957, 1211, 6055, 3215, 2407, 13546, 4297, 31415, 32767, 9957, 20193, 2423, 35634, 5296, 24401, 19446, 7251, 9381, 13546, 3714, 9566, 16758, 4587, 32767, 9957, 24976, 2182, 23802, 1392, 22807], "avg_logprob": -0.18509615972065008, "compression_ratio": 1.701834862385321, "no_speech_prob": 0.0, "words": [{"start": 2994.35, "end": 2994.57, "word": "و", "probability": 0.89111328125}, {"start": 2994.57, "end": 2995.01, "word": " يكون", "probability": 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{"start": 3089.77, "end": 3090.27, "word": " scope", "probability": 0.931640625}, {"start": 3090.27, "end": 3090.75, "word": " during", "probability": 0.8642578125}, {"start": 3090.75, "end": 3091.01, "word": " one", "probability": 0.94775390625}, {"start": 3091.01, "end": 3091.27, "word": " day", "probability": 0.94970703125}, {"start": 3091.27, "end": 3091.91, "word": " مش", "probability": 0.72998046875}, {"start": 3091.91, "end": 3092.23, "word": " ممكن", "probability": 0.992431640625}, {"start": 3092.23, "end": 3092.47, "word": " انه", "probability": 0.938720703125}, {"start": 3092.47, "end": 3092.97, "word": " اتعلمه", "probability": 0.9572265625}, {"start": 3092.97, "end": 3093.23, "word": " بيوم", "probability": 0.9581705729166666}, {"start": 3093.23, "end": 3093.73, "word": " واحد", "probability": 0.985107421875}, {"start": 3093.73, "end": 3094.85, "word": " هذه", "probability": 0.2357177734375}, {"start": 3094.85, "end": 3095.61, "word": " يعني", "probability": 0.92919921875}, 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يما انطلقنا لل abnormal صار في ايش different اختلاف في النتائج ليش؟ لأن الحالات بتصعب ان ال read reflex ما بيكون واضح بالنسبة لل examiner some refractions are easy while others are extremely difficult اذا بعض الحالات الانكسارية بتكون سهلة لكن الأخرى اشمالها بتكون صعبة", "tokens": [1211, 19452, 8978, 11331, 6027, 9307, 2423, 32847, 7251, 15042, 16472, 9566, 1211, 4587, 8315, 24976, 32847, 20328, 9640, 8978, 1975, 1829, 8592, 819, 1975, 46456, 15040, 5172, 8978, 28239, 2655, 16373, 7435, 32239, 8592, 22807, 5296, 33456, 21542, 6027, 9307, 39894, 9381, 3615, 3555, 16472, 2423, 1401, 23802, 19446, 4724, 1829, 30544, 4032, 46958, 5016, 20666, 1863, 35457, 3660, 24976, 1139, 4564, 512, 45353, 626, 366, 1858, 1339, 2357, 366, 4664, 2252, 1975, 15730, 45030, 11242, 21542, 6027, 9307, 2423, 7649, 4117, 3794, 9640, 10632, 39894, 30544, 8608, 3224, 37977, 44381, 16247, 34740, 7578, 1975, 8592, 2304, 6027, 11296, 39894, 30544, 20328, 3615, 49401], "avg_logprob": -0.1283903363740669, 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341160, "start": 3400.82, "end": 3411.6, "text": "يعني مش شرط من الآن قبل ما بدينا في ال subjective reflection بدك تعرفي ان راحة المريض اهم من انه يصل ال vision ستة ع ستة، واضح؟", "tokens": [40228, 22653, 37893, 13412, 2288, 9566, 9154, 6024, 48506, 12174, 36150, 19446, 47525, 1829, 8315, 8978, 2423, 25972, 12914, 47525, 4117, 37279, 28480, 1829, 16472, 12602, 39319, 3660, 9673, 16572, 11242, 1975, 16095, 9154, 16472, 3224, 7251, 36520, 2423, 5201, 8608, 2655, 3660, 6225, 8608, 2655, 3660, 12399, 4032, 46958, 5016, 22807], "avg_logprob": -0.20224056266388804, "compression_ratio": 1.3835616438356164, "no_speech_prob": 0.0, "words": [{"start": 3400.82, "end": 3401.18, "word": "يعني", "probability": 0.87939453125}, {"start": 3401.18, "end": 3401.4, "word": " مش", "probability": 0.95947265625}, {"start": 3401.4, "end": 3401.7, "word": " شرط", "probability": 0.9724934895833334}, {"start": 3401.7, "end": 3401.86, "word": " من", "probability": 0.9521484375}, {"start": 3401.86, "end": 3402.26, 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الـ uncorrection visual acuity and unacceptance of the lenses", "tokens": [6027, 39184, 8511, 1020, 488, 16957, 26766, 4724, 1829, 2407, 11242, 5016, 2423, 39184, 6219, 284, 11417, 5056, 696, 21757, 293, 517, 24870, 719, 295, 264, 18059], "avg_logprob": -0.3351004325917789, "compression_ratio": 1.0196078431372548, "no_speech_prob": 0.0001842975616455078, "words": [{"start": 3414.38, "end": 3415.34, "word": "الـ", "probability": 0.55615234375}, {"start": 3415.34, "end": 3416.06, "word": " Subjective", "probability": 0.8707682291666666}, {"start": 3416.06, "end": 3416.66, "word": " Refraction", "probability": 0.878662109375}, {"start": 3416.66, "end": 3418.08, "word": " بيوضح", "probability": 0.86845703125}, {"start": 3418.08, "end": 3418.42, "word": " الـ", "probability": 0.6553955078125}, {"start": 3418.42, "end": 3419.14, "word": " uncorrection", "probability": 0.6693522135416666}, {"start": 3419.14, "end": 3419.78, "word": " visual", "probability": 0.274658203125}, {"start": 3419.78, 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يعني كل عائلتي مثلا أيام أنا كنت طالب فحصتم على written scope وهيك الواحد بتعلم غير هيك بتعلمش", "tokens": [28814, 1863, 3224, 257, 3124, 11, 257, 3124, 293, 257, 3124, 337, 3720, 11923, 8032, 8848, 1829, 1230, 472, 37495, 22653, 5296, 15042, 41850, 4724, 41193, 46152, 9154, 24793, 6055, 1211, 2655, 11331, 1211, 9307, 25124, 41193, 25720, 39894, 7435, 1829, 3555, 8608, 2655, 3660, 37495, 22653, 41850, 4724, 8848, 37983, 36632, 10943, 1975, 8315, 9122, 29399, 23032, 6027, 3555, 5296, 15042, 25961, 32748, 4117, 2655, 13063, 7251, 30544, 50113, 15040, 43242, 3224, 1737, 5551, 32887, 5016, 5551, 39648, 3224, 5551, 5172, 5016, 9381, 3720, 11923, 5551, 7435, 1829, 3555, 11331, 1211, 9307, 5551, 9566, 5172, 6027, 37495, 22653, 28242, 6225, 16373, 1211, 31371, 50113, 15040, 36632, 10943, 41850, 9122, 29399, 23032, 6027, 3555, 6156, 5016, 9381, 39237, 15844, 3720, 11923, 37037, 1829, 4117, 2423, 14407, 24401, 39894, 3615, 19528, 32771, 13546, 39896, 4117, 39894, 3615, 19528, 8592], 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3615, 37746, 9307, 8978, 2423, 3720, 11923, 4032, 8032, 1863, 44510, 10721, 20666, 2121, 3331, 2423, 3720, 11923, 16472, 13412, 16606, 21984], "avg_logprob": -0.1910511345009912, "compression_ratio": 1.6766169154228856, "no_speech_prob": 0.0, "words": [{"start": 3715.0, "end": 3715.38, "word": "زي", "probability": 0.881591796875}, {"start": 3715.38, "end": 3715.6, "word": " هيك", "probability": 0.935302734375}, {"start": 3715.6, "end": 3715.88, "word": " انك", "probability": 0.6982421875}, {"start": 3715.88, "end": 3716.5, "word": " تشوفتله", "probability": 0.7869140625}, {"start": 3716.5, "end": 3717.28, "word": " astigmatism", "probability": 0.598388671875}, {"start": 3717.28, "end": 3717.98, "word": " حطيتله", "probability": 0.850341796875}, {"start": 3717.98, "end": 3718.38, "word": " و", "probability": 0.63525390625}, {"start": 3718.38, "end": 3718.52, "word": " هو", "probability": 0.95849609375}, {"start": 3718.52, "end": 3718.6, "word": " في", "probability": 0.7587890625}, {"start": 3718.6, "end": 3719.14, "word": " الحقيقة", "probability": 0.994140625}, {"start": 3719.14, "end": 3719.52, "word": " ايش", "probability": 0.82763671875}, {"start": 3719.52, "end": 3720.66, "word": " سليم", "probability": 0.7770182291666666}, {"start": 3720.66, "end": 3721.0, "word": " مافيش", "probability": 0.8873697916666666}, {"start": 3721.0, "end": 3722.1, "word": " حاجة", "probability": 0.9952799479166666}, {"start": 3722.1, "end": 3725.08, "word": " طيب", "probability": 0.8349609375}, {"start": 3725.08, "end": 3726.02, "word": " نقف", "probability": 0.739990234375}, {"start": 3726.02, "end": 3726.4, "word": " هان", "probability": 0.5706787109375}, {"start": 3726.4, "end": 3728.58, "word": " المحاضرة", "probability": 0.873779296875}, {"start": 3728.58, "end": 3728.88, "word": " الجاية", "probability": 0.7716471354166666}, {"start": 3728.88, "end": 3729.04, "word": " ان", "probability": 0.88427734375}, {"start": 3729.04, "end": 3729.22, "word": " شاء", "probability": 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{"start": 3734.76, "end": 3735.26, "word": " special", "probability": 0.90087890625}, {"start": 3735.26, "end": 3735.98, "word": " cases", "probability": 0.94384765625}, {"start": 3735.98, "end": 3736.22, "word": " ال", "probability": 0.830078125}, {"start": 3736.22, "end": 3736.44, "word": " written", "probability": 0.53662109375}, {"start": 3736.44, "end": 3736.82, "word": " scope", "probability": 0.7431640625}, {"start": 3736.82, "end": 3737.08, "word": " ان", "probability": 0.9345703125}, {"start": 3737.08, "end": 3737.32, "word": " شاء", "probability": 0.991943359375}, {"start": 3737.32, "end": 3737.44, "word": " الله", "probability": 0.94970703125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3737.5768125, "duration_after_vad": 3511.540624999985}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fdcff1a776f0ccecfa881ca5df810c3dc69a831b
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/ZKGeFEjCGmE_raw.srt
@@ -0,0 +1,3004 @@
+1
+00:00:20,810 --> 00:00:24,750
+طيب بسم الله الرحمن الرحيم السلام عليكم اليوم
+
+2
+00:00:24,750 --> 00:00:30,490
+هنتكلم فى موضوع ال astigmatism اللى بقرية أخدنا فى
+
+3
+00:00:30,490 --> 00:00:35,890
+السابق أنه ال astigmatism هو يعتبر نوع من أنواع ال
+
+4
+00:00:35,890 --> 00:00:40,430
+refractive error الأخطاء الانكسارية okay قسمنا
+
+5
+00:00:40,430 --> 00:00:44,150
+الأخطاء الانكسارية إلى تلت أنواع there are three
+
+6
+00:00:44,150 --> 00:00:47,810
+in number hypermetrop, myopic and astigmatism
+
+7
+00:00:48,460 --> 00:00:54,460
+astigmatism بمعنى اللابؤرية أو المتداول عندنا في
+
+8
+00:00:54,460 --> 00:00:58,980
+الشارع بيسموها الانحراف ولكن هذا المصطلح الشائع
+
+9
+00:00:58,980 --> 00:01:03,840
+يعتبر خاطئ لأنه الانحراف بمعناه اللي هو ال squint
+
+10
+00:01:03,840 --> 00:01:09,990
+الحول أو ال eye deviation انحراف العينانحراف
+
+11
+00:01:09,990 --> 00:01:13,290
+القرانية بمعنى انه ممكن انه يكون المريض عنده
+
+12
+00:01:13,290 --> 00:01:18,390
+keratoconus، قرانية مخروطية أو عنده نوع من أنواع
+
+13
+00:01:18,390 --> 00:01:24,190
+ال astigmatism اللي احنا خدهم اليوم استجماتيزم
+
+14
+00:01:24,190 --> 00:01:30,400
+نعمفعنا بالنسبة لـastigmatism كتعريف أن ال
+
+15
+00:01:30,400 --> 00:01:36,500
+incident light rays are brought to focus in two ..
+
+16
+00:01:36,500 --> 00:01:41,080
+are brought to focus in a line instead of single
+
+17
+00:01:41,080 --> 00:01:46,820
+point يعني بمعنى أنه هان الصورة بتكون .. بتتكون
+
+18
+00:01:46,820 --> 00:01:51,140
+على أكتر من أيه من ال line يعني بتكون two line أو
+
+19
+00:01:51,140 --> 00:01:57,160
+two points نقطتينهذا كتعريف لمين للastigmatism لكن
+
+20
+00:01:57,160 --> 00:02:00,660
+في ال patient normal ان ال incident light rays are
+
+21
+00:02:00,660 --> 00:02:04,220
+brought to focus when on the retina انه بيكون على
+
+22
+00:02:04,220 --> 00:02:12,640
+الشبكية okay؟ اذا كمفهوم لastigmatism incident
+
+23
+00:02:29,380 --> 00:02:42,840
+light rays are brought to
+
+24
+00:02:42,840 --> 00:02:49,420
+focus in
+
+25
+00:02:49,420 --> 00:02:49,940
+a line
+
+26
+00:03:02,340 --> 00:03:07,160
+أه single point
+
+27
+00:03:09,910 --> 00:03:13,430
+دايمًا مريض الـ Astigmatism لما بيجي يشكى ال
+
+28
+00:03:13,430 --> 00:03:18,590
+examiner للفاحص بيحكيلك أنا بشوف دايما غبش الرؤية
+
+29
+00:03:18,590 --> 00:03:23,310
+مغبشة و بشوف أكتر من نقطة يعني ماقدرش أنه أحدد
+
+30
+00:03:23,310 --> 00:03:28,550
+نقطة واحدة يعني دايما الصورة بتكون أكتر من نقطة
+
+31
+00:03:28,550 --> 00:03:32,450
+فهذا بعرف أنه إيش أن المريض عنده Astigmatism يعني
+
+32
+00:03:32,450 --> 00:03:36,190
+هذه واحدة من ال indication لوجود ال Astigmatism أن
+
+33
+00:03:36,190 --> 00:03:40,580
+الصورة بتكون مكونة من أكتر من pointيعني بيشوف
+
+34
+00:03:40,580 --> 00:03:50,060
+بالظبط بالشكل هذه يعني نقطتين okay بين النقطتين
+
+35
+00:03:50,060 --> 00:03:53,040
+يعني لأ هو بيشوف نقطتين يعني ممكن لو نقطة واحدة
+
+36
+00:03:53,040 --> 00:03:57,360
+حكينا انه بيشوفها نقطتين يعني قد يكونوا متوازين
+
+37
+00:03:57,360 --> 00:04:05,460
+لبعض يعني تحت بعض okay طيب في types of astigmatism
+
+38
+00:04:05,460 --> 00:04:10,410
+أنواع ال astigmatism شو أنواع اللابقريةthere are
+
+39
+00:04:10,410 --> 00:04:15,010
+two number في عندنا نوعين من الastigmatism اما ان
+
+40
+00:04:15,010 --> 00:04:21,310
+يكون الastigmatism regular او irregular اذا كان
+
+41
+00:04:21,310 --> 00:04:26,510
+الastigmatism regular بمعنى ان الفرق ما بين ال two
+
+42
+00:04:26,510 --> 00:04:33,400
+axis بيكون تسعين درجة يعني لو رسمنا هان الرسمةلو
+
+43
+00:04:33,400 --> 00:04:37,180
+هذه فرضناها مثلا تسعين degree هذه هتكون مية و
+
+44
+00:04:37,180 --> 00:04:41,940
+تمانين، إذا الفرق بينهم كده؟ تسعين، لو أخدنا ستين
+
+45
+00:04:41,940 --> 00:04:48,320
+كده؟ مية و عشرين، تلاتين؟ مية و خمسة، إنه هضيف
+
+46
+00:04:48,320 --> 00:04:53,200
+اللي هو إيه؟إذا كانت عشرين، إذا كانت تلاتين، هضيف
+
+47
+00:04:53,200 --> 00:04:57,580
+تسعين، اللي هي قداش مية وعشرين، إذا كانت ستين،
+
+48
+00:04:57,580 --> 00:05:01,780
+بضيف مية وخمسين فبضيف اللي هو تسعين درجة، إذا كان
+
+49
+00:05:01,780 --> 00:05:05,600
+الفرق ما بينهم تسعين degree، هذا بنسمي regular
+
+50
+00:05:05,600 --> 00:05:10,910
+astigmatismالـ Irregular Stigmatism هو أن الـ two
+
+51
+00:05:10,910 --> 00:05:15,030
+principle meridians ليسوا متعاملين مع بعضهم البعض
+
+52
+00:05:15,030 --> 00:05:19,730
+يعني بيكونوا المحورين مش متعاملين على بعض بمعنى أن
+
+53
+00:05:19,730 --> 00:05:24,230
+الفرق ما بينهم مايكونش تسعين درجة يعني تلاتين ممكن
+
+54
+00:05:24,230 --> 00:05:28,890
+ستين ممكن يكون تسعين سبعين هذا الـ Irregular
+
+55
+00:05:28,890 --> 00:05:38,370
+Stigmatism واضح؟ طيب في عندنايعني أسس لتقسيم ال
+
+56
+00:05:38,370 --> 00:05:43,830
+astigmatism number one ال symbol astigmatism
+
+57
+00:05:43,830 --> 00:05:50,990
+symbol من اسمه بمعنى بسيط صح؟ في عندنا نوعين من ال
+
+58
+00:05:50,990 --> 00:05:54,570
+symbol astigmatism إما أن يكون symbol myopic
+
+59
+00:05:54,570 --> 00:05:58,650
+astigmatism أو symbol hypermetropic astigmatism
+
+60
+00:06:08,530 --> 00:06:14,270
+الصورة الأولى وين اتكولت؟ على الشبكية والصورة
+
+61
+00:06:14,270 --> 00:06:19,980
+التانية وين اتكولت؟in front the retina okay إذا ال
+
+62
+00:06:19,980 --> 00:06:24,500
+symbol ميوب ال stigma one of the principle
+
+63
+00:06:24,500 --> 00:06:29,700
+meridian focus on the retina and another one focus
+
+64
+00:06:29,700 --> 00:06:33,560
+in front the retina هذا يعني ال symbol ميوب ال
+
+65
+00:06:33,560 --> 00:06:37,920
+stigma واضح؟في عندنا ال symbol
+
+66
+00:06:37,920 --> 00:06:42,840
+hypermetropostigmatism one of the principal
+
+67
+00:06:42,840 --> 00:06:47,740
+meridian focus on the retina or sharply the retina
+
+68
+00:06:47,740 --> 00:06:52,200
+and another one focus behind the retina هذا ال
+
+69
+00:06:52,200 --> 00:06:57,500
+symbol hypermetropostigmatism طيب في عندنا ال
+
+70
+00:06:57,500 --> 00:07:04,360
+compound astigmatism، compound بمعنى مركببيكون الـ
+
+71
+00:07:04,360 --> 00:07:08,000
+compound ما يُعب الـ stigmatism، the two principle
+
+72
+00:07:08,000 --> 00:07:12,200
+meridians are focused in front of the retina، أمام
+
+73
+00:07:12,200 --> 00:07:17,230
+الشبكيةالكمباوند هايبرمتروب أستيقماتزم، الاثنين
+
+74
+00:07:17,230 --> 00:07:23,630
+الأساسيين مركزي خلف الرتينة، عنا ال mix
+
+75
+00:07:23,630 --> 00:07:27,670
+astigmatism، one of the principal meridian focus
+
+76
+00:07:27,670 --> 00:07:30,450
+in front the retina and another one focus behind
+
+77
+00:07:30,450 --> 00:07:33,770
+the retina، هذا بالنسبة لمين؟ لال regular
+
+78
+00:07:33,770 --> 00:07:38,650
+astigmatism، يعني regular بمعنى أيه؟ منتظم، يعني
+
+79
+00:07:38,650 --> 00:07:43,590
+الفرق ما بينهم كده؟ تسعين درجةOkay يعني مش شرط انه
+
+80
+00:07:43,590 --> 00:07:47,650
+يكون تسعين ومية و تمانين لأ ممكن يكون مثلا تلاتين
+
+81
+00:07:47,650 --> 00:07:52,150
+ومية وعشرين ستين ومية وخمسين المهم الفرق ما بين ال
+
+82
+00:07:52,150 --> 00:07:59,510
+two meridian قديش تسعين واضح اذا
+
+83
+00:07:59,510 --> 00:08:07,910
+هال لو جسمنا انواع الastigmatism عندنا
+
+84
+00:08:07,910 --> 00:08:08,790
+ال types
+
+85
+00:08:22,270 --> 00:08:32,390
+of أنواع الastigmatism number one regular
+
+86
+00:08:32,390 --> 00:08:41,250
+astigmatism
+
+87
+00:08:48,550 --> 00:08:54,810
+the two principle
+
+88
+00:08:54,810 --> 00:09:01,590
+meridian
+
+89
+00:09:01,590 --> 00:09:07,650
+are
+
+90
+00:09:07,650 --> 00:09:09,350
+perpendicular to each other
+
+91
+00:09:32,430 --> 00:09:38,130
+Okay ال regular astigmatism في عندنا ال ايه simple
+
+92
+00:09:38,130 --> 00:09:42,510
+شو
+
+93
+00:09:42,510 --> 00:09:46,610
+معناه ال simple بسيط okay simple astigmatism
+
+94
+00:09:46,610 --> 00:09:57,330
+number
+
+95
+00:09:57,330 --> 00:09:58,810
+one simple
+
+96
+00:10:06,640 --> 00:10:23,700
+ميوب استغمتزم السمبل
+
+97
+00:10:23,700 --> 00:10:29,000
+ميوب استغمتزم one of
+
+98
+00:10:29,000 --> 00:10:29,320
+the
+
+99
+00:10:33,510 --> 00:10:39,110
+principle يعني واحد من المحاور okay one of the
+
+100
+00:10:39,110 --> 00:10:47,470
+principle meridian focused
+
+101
+00:10:47,470 --> 00:10:51,430
+on
+
+102
+00:10:51,430 --> 00:10:57,890
+the retina or sharply the retina sharply يعني بحدد
+
+103
+00:10:57,890 --> 00:11:01,110
+الشبكية okay sharply on the retina
+
+104
+00:11:12,370 --> 00:11:19,330
+والخرى مركزا في
+
+105
+00:11:19,330 --> 00:11:26,230
+الأمام للورقة
+
+106
+00:11:30,440 --> 00:11:37,620
+عنا symbol ميوب a stigmatism number two symbol
+
+107
+00:11:37,620 --> 00:11:51,220
+hyper metro a
+
+108
+00:11:51,220 --> 00:11:54,980
+stigmatism one of the principle meridian focus on
+
+109
+00:11:54,980 --> 00:11:59,100
+the retina and another one focus behind the retina
+
+110
+00:12:06,310 --> 00:12:13,370
+الـ compound astigmatism، one of the principle،
+
+111
+00:12:13,370 --> 00:12:16,990
+the two principle meridian are focused behind or
+
+112
+00:12:16,990 --> 00:12:20,490
+in front the retina، mixed astigmatism، one of the
+
+113
+00:12:20,490 --> 00:12:24,030
+principle focused in front, another one focused
+
+114
+00:12:24,030 --> 00:12:29,340
+behind the retinaكمباوند بمعنى مُركّب mixed يعني
+
+115
+00:12:29,340 --> 00:12:37,000
+مازج ما بين الـ hypermetroid و الميوب أنا
+
+116
+00:12:37,000 --> 00:12:41,700
+ممكن سؤال mention types of regular astigmatism شو
+
+117
+00:12:41,700 --> 00:12:49,840
+هم أنواع ال regular astigmatism لو حكيت
+
+118
+00:12:49,840 --> 00:12:54,240
+مثلا mention and draw types of regular astigmatism
+
+119
+00:12:55,670 --> 00:13:00,110
+واضح طيب بالنسبة ل ال oblique astigmatism او نفس
+
+120
+00:13:00,110 --> 00:13:04,450
+المسمى بتاعه ال regular astigmatism the two
+
+121
+00:13:04,450 --> 00:13:08,190
+principle meridian are not perpendicular to each
+
+122
+00:13:08,190 --> 00:13:13,650
+other يعني واحد محور بيكون بلاحظ انه لما اعمل ال
+
+123
+00:13:13,650 --> 00:13:17,050
+excrete بتاع ال retinascope وشوف ال red reflex
+
+124
+00:13:17,050 --> 00:13:22,050
+بتلاقي مش regular انه oblique مائل فهذا انا بسميه
+
+125
+00:13:22,050 --> 00:13:26,430
+ال regular astigmatismلكن في حالة إذا كان الفرق ما
+
+126
+00:13:26,430 --> 00:13:31,350
+بينهم أقل من تسعين درجة هذا بنسميه irregular
+
+127
+00:13:31,350 --> 00:13:35,610
+astigmatism لكن إذا كان الفرق بينهم تسعين فما فوق
+
+128
+00:13:35,610 --> 00:13:42,810
+بنسميه regular astigmatism إذا ال regular
+
+129
+00:13:42,810 --> 00:13:46,690
+astigmatism obligue أن الفرق بينهم يكون أقل من
+
+130
+00:13:46,690 --> 00:13:50,550
+تسعين لكن في ال regular astigmatism يكون تسعين فما
+
+131
+00:13:50,550 --> 00:13:50,870
+فوق
+
+132
+00:13:53,660 --> 00:13:57,380
+اه ال regular بيكون الفرق تسعين ما بينهم و ممكن
+
+133
+00:13:57,380 --> 00:14:01,300
+يكون أكتر في بعض الحالات في بعض الحالات بيكون ممكن
+
+134
+00:14:01,300 --> 00:14:06,220
+انه أكتر في حاجة بيسموها ال high order aberration
+
+135
+00:14:06,220 --> 00:14:09,940
+هتاخدوها لقدام انه ممكن في بعض الحالات بيكون
+
+136
+00:14:09,940 --> 00:14:13,980
+regular astigmatism و الفرق ما بينهم اكتر من تسعين
+
+137
+00:14:13,980 --> 00:14:17,790
+degree لكن مابناش ندخل في هذاالناحية لكن يكون عنكم
+
+138
+00:14:17,790 --> 00:14:21,550
+فكرة عامة انه في حاجة بسميها ال high order
+
+139
+00:14:21,550 --> 00:14:24,990
+aberration ال high order aberration بمعنى انه
+
+140
+00:14:24,990 --> 00:14:29,290
+مابتصلحش بالنضارة او بالعدس اللاسقة في هذه الحالة
+
+141
+00:14:29,290 --> 00:14:33,410
+لازم المريض انه يعمله عملية جراحة انه surgery واضح
+
+142
+00:14:33,410 --> 00:14:39,670
+ك LASIK او غيره طيب انواع ال oblique astigmatism
+
+143
+00:14:39,670 --> 00:14:43,130
+في عندنا ال with the rule و في عندنا ال against
+
+144
+00:14:43,130 --> 00:14:50,890
+the ruleالـ with the rule الـ stigmatism بيكون ال
+
+145
+00:14:50,890 --> 00:14:54,970
+vertical meridian steepest than the horizontal
+
+146
+00:14:54,970 --> 00:15:02,030
+meridian يعني بمعنى المحور العمودي بيكون التحدب
+
+147
+00:15:02,030 --> 00:15:06,430
+بتاعه أكتر من مين من الأفق هذه في حالة مين؟ ال
+
+148
+00:15:06,430 --> 00:15:11,630
+with the rule إذا ال with the rule ال stigma بيكون
+
+149
+00:15:11,630 --> 00:15:18,780
+التحدب العموديأكتر من التحدب الأفقي، with the rule
+
+150
+00:15:18,780 --> 00:15:23,940
+of stigmatism, the vertical meridian steepest than
+
+151
+00:15:23,940 --> 00:15:25,280
+the horizontal meridian
+
+152
+00:15:28,700 --> 00:15:34,480
+في كلمة steep وفي كلمة flat flat بمعنى ايه مسطح
+
+153
+00:15:34,480 --> 00:15:39,440
+اخدناها ال steep بمعنى اكثر تحدب فهنا بتلاحظ ان
+
+154
+00:15:39,440 --> 00:15:44,120
+المحور العمودي اكتر تحدب من مين ال horizontal هذا
+
+155
+00:15:44,120 --> 00:15:48,740
+بنسميه with the rule of stigmatism في ال against
+
+156
+00:15:48,740 --> 00:15:53,040
+the rule of stigmatism انه بيكون ال horizontal
+
+157
+00:15:53,040 --> 00:15:57,080
+meridian محدد اكتر من مين من ال vertical meridian
+
+158
+00:15:57,980 --> 00:16:03,180
+Okay و هذا بيكون يعني خاصة في حالات ال keratoconus
+
+159
+00:16:03,180 --> 00:16:06,100
+القرانية المخرطية مرة تانية ال irregular
+
+160
+00:16:06,100 --> 00:16:09,860
+astigmatism فيله نوعين ان ال two principle
+
+161
+00:16:09,860 --> 00:16:13,280
+meridian ما بيكونوش متعامدين على بعض فالو نوعين
+
+162
+00:16:13,280 --> 00:16:16,240
+اما بيكون with the rule او against the rule ال
+
+163
+00:16:16,240 --> 00:16:19,920
+with the rule بيكون ال vertical steepest down يعني
+
+164
+00:16:19,920 --> 00:16:24,000
+اكتر تحدب من مين من ال horizontal في ال against
+
+165
+00:16:24,000 --> 00:16:27,680
+the ruleالـHorizontal Meridian is steepest than
+
+166
+00:16:27,680 --> 00:16:32,500
+mean الـVertical Meridian واضح؟ وهذا يكون
+
+167
+00:16:32,500 --> 00:16:35,880
+الـagainst the rule في حالات الـastigmatism في
+
+168
+00:16:35,880 --> 00:16:40,280
+حالات الـkeratokonas الـhigh astigmatism القرانية
+
+169
+00:16:40,280 --> 00:16:44,440
+المخلطية صح؟ إذن
+
+170
+00:16:44,440 --> 00:16:46,560
+عندنا الـirregular astigmatism
+
+171
+00:17:17,100 --> 00:17:21,000
+ال regular astigmatism أي بمعنى اللابقرية بتكون
+
+172
+00:17:21,000 --> 00:17:28,660
+غير منتظمة okay اذا ده
+
+173
+00:17:28,660 --> 00:17:35,460
+to ال
+
+174
+00:17:35,460 --> 00:17:42,960
+principle meridians
+
+175
+00:17:48,350 --> 00:17:56,550
+are not perpendicular
+
+176
+00:17:56,550 --> 00:18:02,430
+to
+
+177
+00:18:02,430 --> 00:18:11,370
+each other زي
+
+178
+00:18:11,370 --> 00:18:13,950
+مثلا such as
+
+179
+00:18:17,140 --> 00:18:23,840
+عنا تلاتين degree مية و عشرين degree sorry تلاتين
+
+180
+00:18:23,840 --> 00:18:28,720
+ستين هذا
+
+181
+00:18:28,720 --> 00:18:32,080
+ال irregular astigmatism في ال with the rule
+
+182
+00:18:32,080 --> 00:18:35,280
+أنواعه
+
+183
+00:18:35,280 --> 00:18:39,660
+و
+
+184
+00:18:39,660 --> 00:18:40,920
+في ال against
+
+185
+00:18:45,140 --> 00:18:49,480
+the rule with the rule with the rule with the rule
+
+186
+00:18:49,480 --> 00:18:50,940
+with the rule with the rule with the rule with the
+
+187
+00:18:50,940 --> 00:18:51,780
+rule with the rule with the rule with the rule
+
+188
+00:18:51,780 --> 00:18:53,200
+with the rule with the rule with the rule with the
+
+189
+00:18:53,200 --> 00:18:56,320
+rule with the rule with the rule with the rule
+
+190
+00:18:56,320 --> 00:18:57,040
+with the rule with the rule with the rule with the
+
+191
+00:18:57,040 --> 00:18:57,040
+rule with the rule with the rule with the rule
+
+192
+00:18:57,040 --> 00:18:57,040
+with the rule with the rule with the rule with the
+
+193
+00:18:57,040 --> 00:18:57,040
+rule with the rule with the rule with the rule
+
+194
+00:18:57,040 --> 00:18:57,040
+with the rule with the rule with the rule with the
+
+195
+00:18:57,040 --> 00:18:57,340
+rule with the rule with the rule with the rule
+
+196
+00:18:57,340 --> 00:18:57,340
+with the rule with the rule with the rule with the
+
+197
+00:18:57,340 --> 00:18:57,340
+rule with the rule with the rule with the rule
+
+198
+00:18:57,340 --> 00:18:57,340
+with the rule with the rule with the rule with the
+
+199
+00:18:57,340 --> 00:18:59,040
+rule with the rule with the rule with the rule
+
+200
+00:18:59,040 --> 00:19:00,620
+with the rule with the rule with the rule with the
+
+201
+00:19:00,620 --> 00:19:00,620
+rule with the rule with the rule with the rule
+
+202
+00:19:00,620 --> 00:19:00,620
+with the rule with the rule with the rule with the
+
+203
+00:19:00,620 --> 00:19:00,620
+rule with the rule with the rule with the rule
+
+204
+00:19:00,620 --> 00:19:00,620
+with the rule with the rule with the rule with the
+
+205
+00:19:00,620 --> 00:19:00,620
+rule with the rule with the rule with the rule
+
+206
+00:19:00,620 --> 00:19:07,140
+with the
+
+207
+00:19:07,140 --> 00:19:07,140
+rule
+
+208
+00:19:15,400 --> 00:19:23,260
+الـ vertical meridian إذا
+
+209
+00:19:23,260 --> 00:19:30,340
+الآن لو سألتك mention types of astigmatism أول
+
+210
+00:19:30,340 --> 00:19:35,420
+حاجة there are two numberregular and irregular
+
+211
+00:19:35,420 --> 00:19:39,780
+astigmatism regular astigmatism the two principle
+
+212
+00:19:39,780 --> 00:19:42,600
+meridians are perpendicular to each other
+
+213
+00:19:42,600 --> 00:19:46,060
+irregular astigmatism the two principle meridians
+
+214
+00:19:46,060 --> 00:19:48,980
+are not perpendicular to each other regular
+
+215
+00:19:48,980 --> 00:19:53,260
+astigmatism ممكن يلو أقسام simple myopic simple
+
+216
+00:19:53,260 --> 00:19:56,240
+hyper metropic بعدين بدخل ع موضوع ال compound
+
+217
+00:19:56,240 --> 00:19:59,160
+compound hyper metropic myopic و ال mixed
+
+218
+00:19:59,160 --> 00:20:03,790
+astigmatismOkay بالنسبة ل ال irregular astigmatism
+
+219
+00:20:03,790 --> 00:20:06,450
+في عندنا ال with the rule و ال against the rule
+
+220
+00:20:06,450 --> 00:20:11,550
+بالنسبة ل recognizing the presence of astigmatism
+
+221
+00:20:11,550 --> 00:20:17,730
+كيف أنا خلال ما بعمل ال retinoscopy أعرف أن هذا
+
+222
+00:20:17,730 --> 00:20:21,590
+المريض عنده astigmatism؟
+
+223
+00:20:24,570 --> 00:20:29,310
+في عندنا تلت حالات تلت حالات بتثبت ان هذا المريض
+
+224
+00:20:29,310 --> 00:20:35,210
+عنده astigmatism من خلال ال retinoscopy method اي
+
+225
+00:20:35,210 --> 00:20:40,230
+من خلال طريقة ال retinoscopy الطريقة الاولى احنا
+
+226
+00:20:40,230 --> 00:20:44,510
+في اي تعين دايما بكون عنده two principle meridian
+
+227
+00:20:44,510 --> 00:20:51,010
+يعني محورين صح؟فبكون واحد من ال principle meridian
+
+228
+00:20:51,010 --> 00:20:55,930
+a neutral point يعني واحد فيهم إيش ماله متعدل و
+
+229
+00:20:55,930 --> 00:21:00,770
+التاني بيكون with the rule أو against the rule
+
+230
+00:21:00,770 --> 00:21:06,650
+بمعنى واحد متعدل يعني بدهوش power يعني ثابت اللي
+
+231
+00:21:06,650 --> 00:21:11,910
+هو planه و الآخر إيش بيكون يا إما with the rule أو
+
+232
+00:21:11,910 --> 00:21:14,290
+against the rule يعني بالظبط زي هيك
+
+233
+00:21:17,710 --> 00:21:20,510
+يعني لما تعمل ال crossات ال vertical و ال
+
+234
+00:21:20,510 --> 00:21:29,130
+horizontal meridian واحد فيهم بيكون هذا
+
+235
+00:21:29,130 --> 00:21:34,150
+plan و مثلا لو فرضنا التسعين و هذا بيكون plus او
+
+236
+00:21:34,150 --> 00:21:35,230
+minus one
+
+237
+00:21:41,900 --> 00:21:46,680
+يما تيجي تعادلة في ال written scope يما يكون ال
+
+238
+00:21:46,680 --> 00:21:48,960
+streak دي على ال written scope جاي على ال read
+
+239
+00:21:48,960 --> 00:21:54,980
+reflex بتكون plano متعادلة مرة تانية الان مش انت
+
+240
+00:21:54,980 --> 00:21:58,280
+بشوف الحركة اول حاجة في ال written scope يا اما
+
+241
+00:21:58,280 --> 00:22:03,140
+بتكون with او against او بتكون ايه neutral متعادلة
+
+242
+00:22:03,140 --> 00:22:06,440
+طيب
+
+243
+00:22:06,440 --> 00:22:11,460
+اه بس لو قدام هشوفه حالات neutralأي بمعنى أن أنا
+
+244
+00:22:11,460 --> 00:22:19,330
+بدون ما أحط عدسة هي بتكون متعادلة، واضح؟ نعمهذا
+
+245
+00:22:19,330 --> 00:22:29,770
+يعني انه يعترف ان هناك استigmatism يعني
+
+246
+00:22:29,770 --> 00:22:33,470
+بمعنى الحالات اللى انا بقول ان عنها فى استigmatism
+
+247
+00:22:33,470 --> 00:22:38,190
+للمريض اول حالة بيكون محور سواء ال vertical او ال
+
+248
+00:22:38,190 --> 00:22:41,810
+horizontal او لو كانت oblique واحد منهم بيكون
+
+249
+00:22:41,810 --> 00:22:47,510
+plano شو معناه plano يعني نيوترال pointيعني ال far
+
+250
+00:22:47,510 --> 00:22:51,110
+point بتاعة ال observer إيش ما لها corresponding
+
+251
+00:22:51,110 --> 00:22:55,610
+لإنه ال point لل patient هذه عندها إيش بقول؟ إنه
+
+252
+00:22:55,610 --> 00:23:00,530
+فيها ال astigmatism okay؟ هذه number one إذا one
+
+253
+00:23:00,530 --> 00:23:03,990
+of the meridian with the neutral point and another
+
+254
+00:23:03,990 --> 00:23:09,050
+one with the rule or against the ruleالحالة
+
+255
+00:23:09,050 --> 00:23:13,010
+التانية انه بيكون واحدة متعاكسة يعني واحدة with
+
+256
+00:23:13,010 --> 00:23:16,350
+the rule والاخرى against the rule لو فرضنا ال
+
+257
+00:23:16,350 --> 00:23:20,690
+meridian 90 كان with the rule الحركة التانية هتكون
+
+258
+00:23:20,690 --> 00:23:27,490
+against the rule واضحة؟ الحالة التانية لما انا
+
+259
+00:23:27,490 --> 00:23:31,750
+بعمل في جهاز ال retinascopeمثلا ال vertical بقولك
+
+260
+00:23:31,750 --> 00:23:40,630
+شو الحركة؟ horizontal صح ال vertical كانت against
+
+261
+00:23:40,630 --> 00:23:44,570
+the rule ال horizontal إيش هتكون؟ with the rule
+
+262
+00:23:44,570 --> 00:23:48,470
+إذا التنتين إيش مالهم؟ متعاكسات إذا هيطلع بينهم في
+
+263
+00:23:48,470 --> 00:23:53,250
+ال final objective refraction هيطلع ال stigmaالان
+
+264
+00:23:53,250 --> 00:23:57,190
+انا كيف بحسب ال astigmatism من ال final objective
+
+265
+00:23:57,190 --> 00:24:00,810
+refraction صح الوصفة النهائية يعني هان لو انا كان
+
+266
+00:24:00,810 --> 00:24:05,350
+عندى plano و plus one لو انا مثلا plus one خسمته
+
+267
+00:24:05,350 --> 00:24:09,170
+من مسافة العمل الاتنين او الواحد و نص تطلع كده؟
+
+268
+00:24:09,170 --> 00:24:16,150
+minus نص okay بعدين plano من minus one minus one
+
+269
+00:24:16,150 --> 00:24:19,950
+صح يعني اذا ال minus one هدى تعتبر ايش؟
+
+270
+00:24:19,950 --> 00:24:26,260
+astigmatismمرة تانية هلجيت احنا عندنا هنا minus
+
+271
+00:24:26,260 --> 00:24:38,340
+one على minus one axis 90 شو معنى هذه ال minus one
+
+272
+00:24:38,340 --> 00:24:41,800
+هذه
+
+273
+00:24:41,800 --> 00:24:46,820
+وصفة ايش معنى minus one واحدة تجاوب اه تفضلي
+
+274
+00:24:51,700 --> 00:24:54,560
+هجيت انا ما بحكيلك طلعي ال final objective
+
+275
+00:24:54,560 --> 00:25:04,520
+refraction شو معنى ال minus واحد؟ بالظبط
+
+276
+00:25:04,520 --> 00:25:08,780
+يعني شو هذي ال minus one ايش بتمثل؟ السفير بالظبط
+
+277
+00:25:08,780 --> 00:25:14,320
+يعني هذي ال minus one تعتبر ايش؟ ديوبتر السفير صح؟
+
+278
+00:25:14,320 --> 00:25:19,560
+و هذي ايش هي بتمثل؟ السلندر
+
+279
+00:25:23,240 --> 00:25:27,120
+يعني بمعنى انا يما اجي بدي احط في ال trial set ال
+
+280
+00:25:27,120 --> 00:25:30,680
+trial frame بتاعي بدي اخد من ال trial set ايش؟
+
+281
+00:25:30,680 --> 00:25:34,440
+minus واحد ال sphere صح؟ و ال minus واحد التاني
+
+282
+00:25:34,440 --> 00:25:40,140
+cylinder واضح؟ و ال axis سواء كان تسعين او مية و
+
+283
+00:25:40,140 --> 00:25:43,600
+تمانين او تلاتين واضح ولا كيف؟
+
+284
+00:25:46,510 --> 00:25:51,530
+الان عندنا في ال written scope بناخد two principle
+
+285
+00:25:51,530 --> 00:25:56,330
+meridian بعادل حسب انا ايش الحركة اللى عندى اذا
+
+286
+00:25:56,330 --> 00:25:59,630
+كانت with the rule او against the rule طيب انا ليش
+
+287
+00:25:59,630 --> 00:26:06,330
+هدف منه انه اطلع ال final objective refraction ال
+
+288
+00:26:06,330 --> 00:26:10,570
+final objective refraction اما بتحتوي على سفير
+
+289
+00:26:10,570 --> 00:26:18,620
+لحاله يعني بيكون اذا مثلا انا فرضت هنابلاس واحد لو
+
+290
+00:26:18,620 --> 00:26:25,100
+خصمناها من اتنين جديش minus one ده يبتر سفير واضح؟
+
+291
+00:26:25,100 --> 00:26:30,000
+اذا هاذي ايش معناه؟ ان القوة متساوية في كل المحاور
+
+292
+00:26:30,000 --> 00:26:35,200
+يعني كل المحاور هان القوة جديش هتكون plus واحدسواء
+
+293
+00:26:35,200 --> 00:26:38,840
+كانت في ال horizontal او في ال vertical يما تكون
+
+294
+00:26:38,840 --> 00:26:42,300
+بالشكل هذا معناه انه انا عند مين ال stigma تزم
+
+295
+00:26:42,300 --> 00:26:47,160
+يعني بتكون فيه قوة و معاد يعني عمودية على مين على
+
+296
+00:26:47,160 --> 00:26:51,200
+ال axis perpendicular to the axis يعني هنا ال plus
+
+297
+00:26:51,200 --> 00:27:00,720
+واحد ايه شماله؟ perpendicular to
+
+298
+00:27:00,720 --> 00:27:06,740
+the axisيعني القوة دايما بتكون عمودية على ال axis
+
+299
+00:27:06,740 --> 00:27:11,180
+مش أخدنا أنواع العدسات أول حاجة أخدنا ال spherical
+
+300
+00:27:11,180 --> 00:27:15,720
+lenses العدسات الاسفير أي بمعنى العدسات الكراوية
+
+301
+00:27:15,720 --> 00:27:21,180
+اللي بيكون فيها بالظبط انه have the same
+
+302
+00:27:21,180 --> 00:27:25,080
+refractive power in all the meridians قلنا بالنسبة
+
+303
+00:27:25,080 --> 00:27:29,920
+للسيلندر بتكون القوة وين موجودة على محور وال axis
+
+304
+00:27:29,920 --> 00:27:34,550
+بيكون عمودي على مين على القوةواضح؟ يعني كي بدى
+
+305
+00:27:34,550 --> 00:27:36,790
+اعرف انا في ال written scope ان في عندى
+
+306
+00:27:36,790 --> 00:27:41,450
+astigmatism مش مرات بتطلع بقولك قداش مثلا الوصفة
+
+307
+00:27:41,450 --> 00:27:44,650
+ال final objective refraction تحكيلي مثلا plus
+
+308
+00:27:44,650 --> 00:27:49,350
+واحد على minus اتنين شو معناه ال minus اتنين؟ انه
+
+309
+00:27:49,350 --> 00:27:54,770
+سلندر انه عنده astigmatism واضح؟ فهذا ال minus
+
+310
+00:27:54,770 --> 00:28:00,240
+اتنين هو بيمثل عندى الastigmatism للمريضطيب كيف
+
+311
+00:28:00,240 --> 00:28:03,480
+انا بدي اكشف ال astigmatism انه هذا المريض عنده
+
+312
+00:28:03,480 --> 00:28:07,920
+astigmatism؟ لما بعمل ال neutral point اي بمعنى ال
+
+313
+00:28:07,920 --> 00:28:12,720
+neutralization المعادلة اول حاجة بيكون محور لو
+
+314
+00:28:12,720 --> 00:28:16,300
+أخدنا ال horizontal واحد منهم بيكون ال neutral
+
+315
+00:28:16,300 --> 00:28:21,620
+point والتاني بيكون ايش with او against درولواضح؟
+
+316
+00:28:21,620 --> 00:28:26,400
+يعني محور منهم بيكون متعادل والتاني إيش بيكون؟
+
+317
+00:28:26,400 --> 00:28:30,240
+بضيف plus أو minus النقطة التانية واحد منهم بيكون
+
+318
+00:28:30,240 --> 00:28:34,060
+with والتاني against التالتة الحالة التالتة أنه
+
+319
+00:28:34,060 --> 00:28:38,640
+بيكونوا متساويين يعني بمعنى إذا فرضنا التسعين يعني
+
+320
+00:28:38,640 --> 00:28:42,520
+أنا بشتغل في التسعين في ال vertical بتكون with the
+
+321
+00:28:42,520 --> 00:28:46,510
+ruleفي المية و تمانين برضه كانت with the rule أو
+
+322
+00:28:46,510 --> 00:28:50,490
+لو فرضنا against the rule برضه against the rule
+
+323
+00:28:50,490 --> 00:28:55,850
+لكن واحد فيهم narrow و واحد فيهم wide ال reflex
+
+324
+00:28:55,850 --> 00:28:59,530
+بتاعي اللي أنا بشتغل فيه تحكيلي والله أنا شوفت ال
+
+325
+00:28:59,530 --> 00:29:02,570
+red reflex لكن في المية و تمانين كان إيه شماله
+
+326
+00:29:02,570 --> 00:29:07,630
+واسع في التسعين كان ديك مش بتصير معاكم في العمل
+
+327
+00:29:07,630 --> 00:29:13,220
+ولا لأ؟هذه من الحالات اللي بيصير إيش اللي أنا بعرف
+
+328
+00:29:13,220 --> 00:29:17,680
+إنه في المريض عنده إيه Astigmatism، واضح؟ مش فاهم،
+
+329
+00:29:17,680 --> 00:29:21,360
+مش أخر حالة، يعني مثلا ده مش همتلها لو كان هذا
+
+330
+00:29:21,360 --> 00:29:26,280
+Astigmatism حتى لو إشي خفيف؟ أه لو minus ربع، مش
+
+331
+00:29:26,280 --> 00:29:32,280
+Astigmatism يعتبراه هو يعني في السيولوجيا اية
+
+332
+00:29:32,280 --> 00:29:36,980
+انسان عنده minus ربع ل minus نص ال stigma الحالة
+
+333
+00:29:36,980 --> 00:29:41,360
+الأخيرة لان انا لما عملت ال vertical meridian طلعت
+
+334
+00:29:41,360 --> 00:29:45,310
+with the ruleأو معاك طلعت against the rule لما
+
+335
+00:29:45,310 --> 00:29:49,650
+شوفت ال 180 أي بمعنى ال horizontal طلعت نفس الحركة
+
+336
+00:29:49,650 --> 00:29:53,930
+with the rule يعني لما جينا العادل with the rule و
+
+337
+00:29:53,930 --> 00:29:57,610
+with the rule لكن واحد ال red reflex كان wide و
+
+338
+00:29:57,610 --> 00:30:00,410
+واحد narrow يعني ممكن واحد small refractive error
+
+339
+00:30:00,410 --> 00:30:04,130
+والتاني high refractive error هل بيبين ان عندي ايش
+
+340
+00:30:04,130 --> 00:30:10,100
+استigmatism؟ واضح التلات حالات؟إذن recognizing the
+
+341
+00:30:10,100 --> 00:30:13,560
+presence of astigmatism ان التعرف على وجود
+
+342
+00:30:13,560 --> 00:30:17,820
+الastigmatism when you begin retinoscopy on an eye
+
+343
+00:30:17,820 --> 00:30:22,620
+عندما تبدأ في جهاز ال retinoscope في أي عين you
+
+344
+00:30:22,620 --> 00:30:26,320
+will know that there is astigmatism present in the
+
+345
+00:30:26,320 --> 00:30:29,700
+following situation بدك تعرف أن الastigmatism
+
+346
+00:30:29,700 --> 00:30:33,760
+بيكون موجود في واحدة من الحالات هدول أول واحدة
+
+347
+00:30:34,380 --> 00:30:38,120
+Streaking one meridian gives you with motion or
+
+348
+00:30:38,120 --> 00:30:41,620
+against motion and streaking the meridian ninety
+
+349
+00:30:41,620 --> 00:30:45,520
+degrees away gives you a neutral reflex بمعنى
+
+350
+00:30:45,520 --> 00:30:50,640
+الاستريك بتاع الرتنسكوب اللي هو في الجهاز يما
+
+351
+00:30:50,640 --> 00:30:54,920
+بيعمل .. يما بيكون عمودي على ال red reflex بتاع ال
+
+352
+00:30:54,920 --> 00:30:59,490
+patient eye بيكون neutral pointوالمحول التاني ايش
+
+353
+00:30:59,490 --> 00:31:05,210
+بيكون with او against the rule طبعا هو غلط يكتب
+
+354
+00:31:05,210 --> 00:31:08,930
+streaking one meridian هو المفروض يكتب ال red
+
+355
+00:31:08,930 --> 00:31:13,230
+reflex لانه بتاعة ال patient eye لان ال streaking
+
+356
+00:31:13,230 --> 00:31:17,350
+تعني ال light رتنسكوب بتاعي او ال slit بتاع ال
+
+357
+00:31:17,350 --> 00:31:22,850
+رتنسكوب بس هم في بعض الكتب بيفترض ان ال streaking
+
+358
+00:31:22,850 --> 00:31:28,010
+معناه ال red reflexواضح؟ يعني هان مفترض أن
+
+359
+00:31:28,010 --> 00:31:31,830
+الـstreaking هو عبارة عن الـ red reflex لمين؟ لال
+
+360
+00:31:31,830 --> 00:31:36,970
+patient، للمريض، إذا الحالة الأولى بيكون واحد من
+
+361
+00:31:36,970 --> 00:31:41,830
+المحاور ال neutral والمحور التاني بيكون اما with
+
+362
+00:31:41,830 --> 00:31:48,130
+أو against، واضح؟ الحالة التانية، streaking و ال
+
+363
+00:31:48,130 --> 00:31:53,420
+meridian gives you against motionand streaking
+
+364
+00:31:53,420 --> 00:31:56,560
+them radian 90 degrees away gives you with motion
+
+365
+00:31:56,560 --> 00:32:01,680
+يعني واحد بيكون معاكس للتاني اما التسعين او ال
+
+366
+00:32:01,680 --> 00:32:05,140
+vertical بيكون with ال horizontal بيكون against
+
+367
+00:32:08,320 --> 00:32:11,580
+Streaking one meridian gives you with motion or
+
+368
+00:32:11,580 --> 00:32:15,700
+against motion with a wide streak reflex and
+
+369
+00:32:15,700 --> 00:32:19,140
+streaking the meridian ninety degrees away gives
+
+370
+00:32:19,140 --> 00:32:21,960
+you the same motion but with a narrower streak
+
+371
+00:32:21,960 --> 00:32:26,920
+reflex إذا التنين المحورين بيكونوا نفس الحركة سواء
+
+372
+00:32:26,920 --> 00:32:31,190
+كانوا with أو كانوا againstلكن واحد بيكون narrow
+
+373
+00:32:31,190 --> 00:32:35,830
+ال red reflex والتاني ايش بيكون wide بمعنى ان واحد
+
+374
+00:32:35,830 --> 00:32:40,030
+بيكون عنده small refractive error في محور والمحور
+
+375
+00:32:40,030 --> 00:32:43,810
+التاني بيكون ايه high refractive error يعني لو
+
+376
+00:32:43,810 --> 00:32:48,110
+اسألك شو معناته ان واحد عنده التانين مختلفات ال
+
+377
+00:32:48,110 --> 00:32:52,650
+red reflex مختلفات لكن واحد narrow واحد wide انه
+
+378
+00:32:52,650 --> 00:32:56,790
+astigmatism ومعناه ان واحد عنده small refractive
+
+379
+00:32:56,790 --> 00:33:00,810
+error والتاني high refractive errorزي ما حكينا إنه
+
+380
+00:33:00,810 --> 00:33:04,130
+كل ما كان ال red reflex white، إيش بيكون ال
+
+381
+00:33:04,130 --> 00:33:08,590
+refractive؟ بيكون small و العكس صحيح واضح؟ هدول من
+
+382
+00:33:08,590 --> 00:33:12,210
+ال characteristics اللي هم الخاص ل ال red reflex
+
+383
+00:33:12,210 --> 00:33:16,890
+ال scissor shadow تعتبر من ال difficulties
+
+384
+00:33:16,890 --> 00:33:21,370
+للريتنسكوب يعني هي تعتبر من ال special cases من
+
+385
+00:33:21,370 --> 00:33:26,410
+الحلات الخاصة للريتنسكوب هي تعتبر scissor shadow
+
+386
+00:33:31,260 --> 00:33:36,320
+وين؟ في حالة ايش؟ يما يكون دايما ال Caesar shadow
+
+387
+00:33:36,320 --> 00:33:40,740
+في الغالب اذا كان المريض فوق الاربعين سنة بشك انا
+
+388
+00:33:40,740 --> 00:33:43,920
+بعض الأحيان ان يكون عنده cataract ميه بيضه او
+
+389
+00:33:43,920 --> 00:33:47,680
+بداية الميه البيضه وهذه من شطارة ال optometrist
+
+390
+00:33:47,680 --> 00:33:51,780
+الشاطر انه كيف ممكن ان هو يكتشف ان المريض عنده
+
+391
+00:33:51,780 --> 00:33:56,020
+cataractع فكرة ال cataract مش ممكن انه يكتشفها حتى
+
+392
+00:33:56,020 --> 00:33:59,340
+في ال Vandas، يا ما ييجي يفحص الدكتور في ال CT Lab
+
+393
+00:33:59,340 --> 00:34:03,180
+أكيد أخدته، في بعض الأحيان .. أحيان لما تكون ال
+
+394
+00:34:03,180 --> 00:34:07,180
+cataract يعني early، immature، بيقدرش يكشفها،
+
+395
+00:34:07,180 --> 00:34:09,760
+فممكن ال optometrist هو يكشف من خلال ال red
+
+396
+00:34:09,760 --> 00:34:13,570
+reflex، ال scissor shadowبعض الأحيان في ال scissor
+
+397
+00:34:13,570 --> 00:34:16,690
+shadow ممكن يكون عنده keratocolus قرانية مخلوطية
+
+398
+00:34:16,690 --> 00:34:20,650
+أو ال regular astigmatism فيه لها عدة هذه تعتبر من
+
+399
+00:34:20,650 --> 00:34:26,590
+ال special difficulties of retinoscopy ده sketch
+
+400
+00:34:41,820 --> 00:34:45,700
+هى ال scissor shadow scissor معناها مقص وال shadow
+
+401
+00:34:45,700 --> 00:34:51,280
+اللى هى حركة مقصية طيب recognizing the presence of
+
+402
+00:34:51,280 --> 00:34:56,360
+astigmatism لو بتلاحظى هان فى فرق ما بين ال ال red
+
+403
+00:34:56,360 --> 00:35:02,060
+reflex واحد منهم كان عريض والتانى أشماله narrow
+
+404
+00:35:02,060 --> 00:35:08,980
+okayإذا في اختلاف من ناحية إيش ال .. ال size ل ال
+
+405
+00:35:08,980 --> 00:35:13,280
+red reflex التنين بيكونوا تقريبا يعني أنا حاولت
+
+406
+00:35:13,280 --> 00:35:18,120
+أنه أجيب التنين مختلفين في إيش من ناحية ال .. ال
+
+407
+00:35:18,120 --> 00:35:27,420
+size الحجم بتاعهم فضلوا هو
+
+408
+00:35:27,420 --> 00:35:30,900
+في الغالب لازم أنه يكونوا التنين عموديات على بعض
+
+409
+00:35:31,720 --> 00:35:36,420
+يعني معظم الحالات الانكسارية لازم انه يكون المريض
+
+410
+00:35:36,420 --> 00:35:41,100
+اما اسفير او بيكون regular astigmatism regular
+
+411
+00:35:41,100 --> 00:35:44,220
+astigmatism زي ما اتفقنا انه التنين بيكونوا
+
+412
+00:35:44,220 --> 00:35:47,620
+عموديات على بعض لكن في بعض الحالات وهي تعتبر
+
+413
+00:35:47,620 --> 00:35:51,100
+minority يعني قليلة انه بيكونوا oblique انه مش
+
+414
+00:35:51,100 --> 00:35:54,280
+متعامدين على بعض انه irregularity زي ما انت
+
+415
+00:35:54,280 --> 00:35:57,880
+بتشوفيها ال oblique انه مثلا واحد تلاتين واحد ستين
+
+416
+00:35:57,880 --> 00:36:03,390
+وموجودة شوفيها يعني خاصة انهافي ال refractive احنا
+
+417
+00:36:03,390 --> 00:36:07,710
+بنشوف ال oblique لكن بيكون regular a stigmatism ال
+
+418
+00:36:07,710 --> 00:36:11,130
+regular .. ال regular a stigmatism تعتبر حالة
+
+419
+00:36:11,130 --> 00:36:15,430
+majority يعني شائعة يعني common واضح انه بتكون
+
+420
+00:36:15,430 --> 00:36:19,230
+شائعة لكن في حالة ال irregular a stigmatism يما
+
+421
+00:36:19,230 --> 00:36:24,030
+يكون الفرق ما بينهم اقل من تسعين هذه الحالات بتكون
+
+422
+00:36:24,030 --> 00:36:28,410
+ايه شمالها؟ very rare انه نادرة كتيرليش؟ لأنه
+
+423
+00:36:28,410 --> 00:36:31,410
+دايماً لما واحد يكون عنده irregular astigmatism،
+
+424
+00:36:31,410 --> 00:36:34,630
+بنخاف إنه دايماً يكون عنده keratokonas، قرانية
+
+425
+00:36:34,630 --> 00:36:40,330
+مخروطية أو بدخل في موضوع إنه ال draft، يعني عملية
+
+426
+00:36:40,330 --> 00:36:42,810
+إزالة القرانية، واضح؟
+
+427
+00:36:51,020 --> 00:36:56,260
+معظم الحالات الإنكسارية اللى مرّت علينا في جهاز
+
+428
+00:36:56,260 --> 00:37:00,800
+الريتينيسكوب ال neutralizing بمعنى معادلة، معادلة
+
+429
+00:37:00,800 --> 00:37:06,340
+حالات الastigmatism، واضح؟ إذا معظم الحالات اللى
+
+430
+00:37:06,340 --> 00:37:13,080
+بتمر علينا إما بتكون سفيران كل المحاور متساوية او
+
+431
+00:37:13,080 --> 00:37:18,700
+بتكون ايه؟ regular astigmatism ان ال two principle
+
+432
+00:37:18,700 --> 00:37:21,100
+meridians are perpendicular to each other
+
+433
+00:37:24,260 --> 00:37:29,060
+معظم الحالات اللي عملناها في المعمل كانت الأخطاء
+
+434
+00:37:29,060 --> 00:37:33,660
+الانكسارية فيها إما السفير إنه كل المحاور متساوية
+
+435
+00:37:33,660 --> 00:37:38,040
+يعني بتكتبي لي plus واحد plus اتنين minus واحد في
+
+436
+00:37:38,040 --> 00:37:42,060
+كل المحاور ال power إيه شمالها ثابتة أو بتكون إيه
+
+437
+00:37:42,060 --> 00:37:45,860
+شمالها regular astigmatism regular astigmatism
+
+438
+00:37:45,860 --> 00:37:49,200
+بمعنى two principal meridians are perpendicular to
+
+439
+00:37:49,200 --> 00:37:53,940
+each other يعني الفرق ما بينهم جديش تسعين متفقين؟
+
+440
+00:37:54,950 --> 00:37:58,190
+الحلات اللي هي ال minority بيكون الفرق ما بينهم
+
+441
+00:37:58,190 --> 00:38:04,430
+جديش اقل من تسعين، يعني بمعنى تلاتين او عشرين او
+
+442
+00:38:04,430 --> 00:38:08,910
+عشرة او خمسة، اذا ما بيكونوش اشمالهم متعمدين مع
+
+443
+00:38:08,910 --> 00:38:15,070
+بعض، اي بمعنى المحورين غير متعمدينالـ Astigmatism
+
+444
+00:38:15,070 --> 00:38:20,390
+بده شوية imagination، تخيل، لازم الإنسان يتخيل إيش
+
+445
+00:38:20,390 --> 00:38:23,730
+المنظر الموجود أمامه، يعني واحد لما بيكون عنده
+
+446
+00:38:23,730 --> 00:38:27,250
+irregular astigmatism جد ما أنا هشرحلك على ال
+
+447
+00:38:27,250 --> 00:38:33,340
+irregular astigmatism مش هتقدر تستوعبيههو أمر اكتر
+
+448
+00:38:33,340 --> 00:38:38,120
+يعني theory نظري لكن بده شويه تخيل من الواحد انه
+
+449
+00:38:38,120 --> 00:38:41,520
+اعرف ال regular astigmatism دايما بيكون الفرق
+
+450
+00:38:41,520 --> 00:38:45,820
+بينهم قداش اقل من تسعين اي بمعنى الفرق ما بينهم
+
+451
+00:38:45,820 --> 00:38:50,820
+تلاتين او عشرين او عشرة او خمسة okay هذا بنسميه ال
+
+452
+00:38:50,820 --> 00:38:55,450
+regular astigmatismطيب من ناحية المعادلة في
+
+453
+00:38:55,450 --> 00:38:59,330
+الاسفير سهل إذا كانت with the rule بعادل في plus
+
+454
+00:38:59,330 --> 00:39:02,910
+against the rule بعادل بإيه في minus زي ما اتعلمنا
+
+455
+00:39:02,910 --> 00:39:07,070
+و بطلع الوصفة لل right و لل left و بعدين بطلع من
+
+456
+00:39:07,070 --> 00:39:12,210
+ال final objective refraction واضح؟ طيب لو كان عند
+
+457
+00:39:12,210 --> 00:39:18,130
+المريض ال stigmaباخد كل meridian على انه ايه يعتبر
+
+458
+00:39:18,130 --> 00:39:23,010
+عين لحاله اي بمعنى ال vertical تعتبر عين وال
+
+459
+00:39:23,010 --> 00:39:27,230
+horizontal تعتبر عين يعني التنين منفصلين عن بعض
+
+460
+00:39:27,230 --> 00:39:31,150
+بمعنى ان واحدة ممكن تكون with the rule والتانية
+
+461
+00:39:31,150 --> 00:39:35,670
+against the rule فهذه تعتبر ال initial point يعني
+
+462
+00:39:35,670 --> 00:39:39,530
+النقطة البداية يعني كتير مثلا طالبها سألوني كيف
+
+463
+00:39:39,530 --> 00:39:43,410
+طيب نعمل ال neutralization لمريض عنده astigmatism
+
+464
+00:39:45,410 --> 00:39:50,550
+كيف؟ باخد كل axis على حدة أي بمعنى ان كل axis
+
+465
+00:39:50,550 --> 00:39:55,870
+بيكون عبارة عن عين فمثلا باخد ال horizontal بشوف
+
+466
+00:39:55,870 --> 00:40:00,230
+الحركة هل width ولا against the rule هل مثلا
+
+467
+00:40:00,230 --> 00:40:04,410
+regular ولا irregular اذا كان oblig مثلا الحركة
+
+468
+00:40:04,410 --> 00:40:09,310
+بعادل في plus او minus حسب اللي هي حركة مين ال red
+
+469
+00:40:09,310 --> 00:40:15,410
+reflex okay؟باجي للمحور من ال vertical برضه بعادل
+
+470
+00:40:15,410 --> 00:40:20,490
+في plus او minus lens okay و بشوف انه قداش الفرق
+
+471
+00:40:20,490 --> 00:40:24,730
+ما بينهم هل الفرق تسعين اذا والله تسعين بينهم
+
+472
+00:40:24,730 --> 00:40:28,770
+بيكون هذا ايه regular astigmatism اذا بيكون اقل من
+
+473
+00:40:28,770 --> 00:40:34,270
+تسعين عشان هيك ممكن واحدة تسألني كمان سؤال لو
+
+474
+00:40:34,270 --> 00:40:39,150
+بتلاحظوا في ال written scope ال axis دايما بيكونش
+
+475
+00:40:39,150 --> 00:40:42,600
+دقيق في ال written scopeيعني بمعنى ان ال access
+
+476
+00:40:42,600 --> 00:40:47,060
+دايما ما بدي نفسه للمريض لان هو مابكونش احنا دايما
+
+477
+00:40:47,060 --> 00:40:50,520
+ايش بنكتب يا اما 90 يا 180 في ال written score
+
+478
+00:40:50,520 --> 00:40:55,360
+فيعني لما تشتغلوا في clinic او في مستشفى لما
+
+479
+00:40:55,360 --> 00:40:58,520
+تاخدوا ال access حاولوا انه تاخدوا من وين من ال
+
+480
+00:40:58,520 --> 00:41:02,300
+auto refractometer خاصة في حالات من ال young يعني
+
+481
+00:41:02,300 --> 00:41:05,940
+الأكبر في العمر في الأطفال لازم تكونوا accurate
+
+482
+00:41:05,940 --> 00:41:10,400
+على الآخر لان الوصفة هذه وين هتروحلا التصنيع،
+
+483
+00:41:10,400 --> 00:41:13,980
+مباشرة، مافيش عندنا ال subjective refraction في
+
+484
+00:41:13,980 --> 00:41:19,520
+حالة لا واضحة الفكرة فعندنا neutralizing of
+
+485
+00:41:19,520 --> 00:41:24,820
+astigmatism معادلة اللابؤرية الامترو اللي هي واحد
+
+486
+00:41:24,820 --> 00:41:29,200
+من أنواع الأخطاء الانكسارية للعين that create
+
+487
+00:41:29,200 --> 00:41:34,140
+majority of refractionare cases either without
+
+488
+00:41:34,140 --> 00:41:37,820
+astigmatism, spherical refractive error or with
+
+489
+00:41:37,820 --> 00:41:42,000
+regular astigmatism أي بمعنى معظم الحالات
+
+490
+00:41:42,000 --> 00:41:47,860
+الانكسارية اللي بتتم تعديلها او تصحيحها هي تعتبر
+
+491
+00:41:47,860 --> 00:41:51,700
+اما sphere انه spherical refractive error شو
+
+492
+00:41:51,700 --> 00:41:56,340
+معناها؟ اي major او hyper metroأو تعتبر regular
+
+493
+00:41:56,340 --> 00:42:00,080
+astigmatism ان ال two principle meridians are
+
+494
+00:42:00,080 --> 00:42:04,040
+perpendicular to each other ان الفرق ما بينهم كان
+
+495
+00:42:04,040 --> 00:42:09,080
+تسعين درجة واضحة
+
+496
+00:42:09,080 --> 00:42:16,760
+ال minority بمعنى قليل of refractions من الأخطاء
+
+497
+00:42:16,760 --> 00:42:22,300
+الانكسرية consist of irregular astigmatism بتتكون
+
+498
+00:42:22,300 --> 00:42:27,500
+منالـ Irregular Astigmatism اللابقرية الغير
+
+499
+00:42:27,500 --> 00:42:32,780
+منتظمة، أي الـ two principle meridians are not
+
+500
+00:42:32,780 --> 00:42:37,140
+perpendicular to each other، أن الفرق ما بينهم أقل
+
+501
+00:42:37,140 --> 00:42:41,920
+من تسعين Okay,
+
+502
+00:42:42,820 --> 00:42:45,960
+Neutralizing of Astigmatism، معادلة الـ
+
+503
+00:42:45,960 --> 00:42:50,490
+Astigmatismفي حالة زي ما اتفقنا الاسفير in
+
+504
+00:42:50,490 --> 00:42:54,650
+spherical errors, the retinascope will show a
+
+505
+00:42:54,650 --> 00:42:58,530
+neutral point which is the same in all meridians.
+
+506
+00:42:58,870 --> 00:43:02,470
+The result is no movement in all meridians using
+
+507
+00:43:02,470 --> 00:43:07,190
+the same lenses بمعنى ان كل المحاور هتكون متساوية
+
+508
+00:43:07,190 --> 00:43:11,430
+اي انه have the same refractive power in all
+
+509
+00:43:11,430 --> 00:43:11,950
+meridians
+
+510
+00:43:15,610 --> 00:43:18,870
+إنه have the same ingredients in all the
+
+511
+00:43:18,870 --> 00:43:23,710
+ingredients طيب إذا يما بنكتب دايما الوصفة في حالة
+
+512
+00:43:23,710 --> 00:43:28,570
+الاسفير معظمكم كيف بكتب؟ بالشكل هذا plus واحد plus
+
+513
+00:43:28,570 --> 00:43:33,990
+واحد و بكتب لي إيه plus واحد هذا إيه غلط دايما
+
+514
+00:43:33,990 --> 00:43:39,750
+أرسم اللي هو اسفير زي هي كرة و plus واحدإذا ال all
+
+515
+00:43:39,750 --> 00:43:44,450
+principle meridians بتكون متساوية في كل المحاور في
+
+516
+00:43:44,450 --> 00:43:48,430
+حالة مين ال spherical error لما يكون عنده سفير
+
+517
+00:43:48,430 --> 00:43:53,270
+لازم في كل المحاور انه تكون متساوية in spherical
+
+518
+00:43:53,270 --> 00:43:56,490
+errors the retina scope will shows a neutral point
+
+519
+00:43:56,490 --> 00:43:59,990
+which the same in all meridians the result is no
+
+520
+00:43:59,990 --> 00:44:05,640
+movement in all meridians using the same lensesthe
+
+521
+00:44:05,640 --> 00:44:11,200
+initial أي بمعنى أنه باستخدم عدسات متساوية لكل
+
+522
+00:44:11,200 --> 00:44:15,960
+المحاور لل horizontal و ال vertical meridian واضح؟
+
+523
+00:44:15,960 --> 00:44:19,860
+إذا ال spherical lenses have the same refractive
+
+524
+00:44:19,860 --> 00:44:26,980
+power in all meridians the initial examination أي
+
+525
+00:44:26,980 --> 00:44:31,380
+بمعنى ال preliminary examination الفحص الأولى
+
+526
+00:44:38,810 --> 00:44:45,870
+معظمكم عندما بدأت في حالة الastigmatism حكالي انه
+
+527
+00:44:45,870 --> 00:44:49,650
+مش واضح حركة ال read reflex صح؟ او مش شايفين وين
+
+528
+00:44:49,650 --> 00:44:52,710
+ال read reflex؟ لأن ال read reflex كان ماله
+
+529
+00:44:52,710 --> 00:44:58,560
+oblique مش regularحركة ال red reflex في حالة
+
+530
+00:44:58,560 --> 00:45:02,720
+الastigmatism مش واضح بالنسبة لمين لا ال examiner
+
+531
+00:45:02,720 --> 00:45:09,320
+لأنه بيكونش منتظم بيكون irregular صح فعنا the
+
+532
+00:45:09,320 --> 00:45:13,120
+initial examination الفحص الأولي with an
+
+533
+00:45:13,120 --> 00:45:17,680
+astigmatism في حالة الastigmatism the situation is
+
+534
+00:45:17,680 --> 00:45:22,080
+not quite ان الموقع بتاع ال red reflex بيكون غير
+
+535
+00:45:22,080 --> 00:45:24,060
+محدد أو غير موجود
+
+536
+00:45:33,280 --> 00:45:39,460
+الهدف أو الهدف من الريتينيسكوب انه يكشف حركة ال
+
+537
+00:45:39,460 --> 00:45:47,240
+Red Reflex في حالة مين الastigmatism The observer
+
+538
+00:45:47,240 --> 00:45:52,360
+الفاحص or examiner starts with vertical then with
+
+539
+00:45:52,360 --> 00:45:56,590
+horizontal movementطبعا احنا في المعمل عندنا دايما
+
+540
+00:45:56,590 --> 00:46:01,250
+بنبدأ بإيش؟ بال horizontal، هان بعض الناس بيبدوا
+
+541
+00:46:01,250 --> 00:46:04,670
+مثلا في ال vertical meridian، لأن في الغالب من
+
+542
+00:46:04,670 --> 00:46:08,310
+خلال الخبرة هذه بكرا هتعرفوها، دايما الناس اللي
+
+543
+00:46:08,310 --> 00:46:12,810
+عندهم astigmatism العيب أو المشكلة دي دايما بتكون
+
+544
+00:46:12,810 --> 00:46:15,270
+في ال vertical meridian، مش في ال horizontal
+
+545
+00:46:15,270 --> 00:46:20,250
+meridian، واضح؟في الغالب، غالبا، غالبا بتكون
+
+546
+00:46:20,250 --> 00:46:24,890
+المشكلة، لكن هذه ليست قرآن، يعني مش معناها قرآن
+
+547
+00:46:24,890 --> 00:46:28,470
+أنه لازم تكون المشكلة في ال vertical، لأ، لكن من
+
+548
+00:46:28,470 --> 00:46:32,890
+خلال الخبرة بكرا لما بتشتغل في عدة حالات لل
+
+549
+00:46:32,890 --> 00:46:36,330
+written scope بتلاحظ أنه دايما المشكلة بتكون في ال
+
+550
+00:46:36,330 --> 00:46:39,930
+vertical meridian مش في ال horizontal meridian
+
+551
+00:46:41,770 --> 00:46:45,450
+فاحنا بنبدأ في ال vertical meridian، لكن في المعمل
+
+552
+00:46:45,450 --> 00:46:49,030
+عندنا مافيش إشكالية، دايما بنبدأ في ال horizontal
+
+553
+00:46:49,030 --> 00:46:54,470
+meridian، ليه؟ لأنه دايما ال examiner إذا كان شاطر
+
+554
+00:46:54,470 --> 00:46:59,150
+يبدأ بال high refractive errorبتبديش دايما في ال
+
+555
+00:46:59,150 --> 00:47:02,310
+neutral point او ال small refractive error ليه؟
+
+556
+00:47:02,310 --> 00:47:07,150
+لأنه لما يكون عنده المريض high refractive error في
+
+557
+00:47:07,150 --> 00:47:10,130
+meridian و ال meridian التاني small refractive
+
+558
+00:47:10,130 --> 00:47:13,910
+error لما انا ببدأ في ال small و اخد مدة طويلة
+
+559
+00:47:13,910 --> 00:47:17,330
+هيزهج المريض فلما اجي على المرحلة التانية ال high
+
+560
+00:47:17,330 --> 00:47:20,950
+refractive error فهيكون ان المريض عنده boring
+
+561
+00:47:20,950 --> 00:47:25,650
+ازعاج مني و ما هيكونش cooperative متعاون معاه كتير
+
+562
+00:47:28,350 --> 00:47:33,290
+the observer starts with vertical او with high
+
+563
+00:47:33,290 --> 00:47:36,770
+refractive error then with horizontal movement and
+
+564
+00:47:36,770 --> 00:47:41,650
+lenses are inserted inserted بمعنى يعني انه بنضع
+
+565
+00:47:41,650 --> 00:47:45,890
+العدسة inserted بمعنى وضع العدسة removal ازالة
+
+566
+00:47:45,890 --> 00:47:51,130
+العدسة يعني اقولك inserted lens بمعنى حط العدسة
+
+567
+00:47:51,130 --> 00:47:57,130
+removal the lens يعني ارفع العدسةare inserted to
+
+568
+00:47:57,130 --> 00:48:00,070
+determine the neutral point in each meridian
+
+569
+00:48:00,070 --> 00:48:06,250
+separately فهذا بيحدد قداش ال .. يعني ال neutral
+
+570
+00:48:06,250 --> 00:48:10,030
+point أو ال end point نقطة النهاية كل واحدة على
+
+571
+00:48:10,030 --> 00:48:14,710
+حده بالنسبة لل vertical و ال horizontal meridian
+
+572
+00:48:15,600 --> 00:48:20,580
+للمريض بمعنى انه باخد المحور العمودي بعمله ال
+
+573
+00:48:20,580 --> 00:48:25,240
+neutral point باخد بعدها المحور الأفقي و بعمله ال
+
+574
+00:48:25,240 --> 00:48:30,200
+neutral point شو عملت انا فصلت انه اعتبرت ان العين
+
+575
+00:48:30,200 --> 00:48:34,100
+عبارة عن ايه two meridian و فصلت كل meridian عن
+
+576
+00:48:34,100 --> 00:48:34,780
+الآخر
+
+577
+00:48:38,090 --> 00:48:42,130
+If this is not so corresponding، أي بمعنى إذا ال
+
+578
+00:48:42,130 --> 00:48:48,290
+two meridian تعوني مش متطابقين على بعض، then the
+
+579
+00:48:48,290 --> 00:48:52,070
+reflex may alter، إذا ممكن ال red reflex هذا إيش
+
+580
+00:48:52,070 --> 00:48:57,630
+ماله يتغيرit is a plan of movement indicating the
+
+581
+00:48:57,630 --> 00:49:01,750
+presence of a stigmatism which is oblique البلان
+
+582
+00:49:01,750 --> 00:49:05,670
+يما تسمعي دايما حركة البلان بمعنى zero، يعني مافيش
+
+583
+00:49:05,670 --> 00:49:08,890
+neutral point، انه no movement of the red reflex
+
+584
+00:49:10,190 --> 00:49:15,610
+واضح؟ فبكون لما انا باجي بعمل ال neutralization
+
+585
+00:49:15,610 --> 00:49:19,890
+المعادلة، واحدة بتكون منهم bland أي بمعنى no
+
+586
+00:49:19,890 --> 00:49:23,430
+movement of the red reflex والتانية بتكون with أو
+
+587
+00:49:23,430 --> 00:49:27,530
+against the rule، إذا في حركة بالنسبة للمحور
+
+588
+00:49:27,530 --> 00:49:33,410
+التانيin this case في هذه الحالة the examiner
+
+589
+00:49:33,410 --> 00:49:39,770
+الفاحص must again يجب انه يكرر اكسبله اكتشاف
+
+590
+00:49:39,770 --> 00:49:44,770
+different plans of external movement of his light
+
+591
+00:49:44,770 --> 00:49:48,810
+until it corresponds to those of red reflex هذه
+
+592
+00:49:48,810 --> 00:49:54,570
+بالظبط كمثال لها يما باجي اعمل المحور التسعينو
+
+593
+00:49:54,570 --> 00:49:59,210
+يكون ال red reflex لل patient eye oblique دايما
+
+594
+00:49:59,210 --> 00:50:05,950
+ايش بحكيلكم لازم ال streak ريتنسكوب يكون parallel
+
+595
+00:50:05,950 --> 00:50:11,410
+to the red reflex فال examiner لازم ايش يعمل انه
+
+596
+00:50:11,410 --> 00:50:17,270
+يحاول انه يغير انه .. انه يعمل تدوير rotatable
+
+597
+00:50:17,270 --> 00:50:21,910
+لمين لا ال streak لحد ما يصير مطابق لمين لل red
+
+598
+00:50:21,910 --> 00:50:27,440
+reflex okay؟يعني غلط انه مثلا انا ال red reflex
+
+599
+00:50:27,440 --> 00:50:31,540
+بتاعي مائل okay بتاع ال patient eye و ال streak
+
+600
+00:50:31,540 --> 00:50:34,520
+بتاعي يكون ايه عمودي دايما لازم اعمله ايه
+
+601
+00:50:34,520 --> 00:50:38,440
+rotatable اللي هو دوران و هذه واحدة من ال
+
+602
+00:50:38,440 --> 00:50:42,940
+advantage لجهاز من ال streak retinascope ال
+
+603
+00:50:42,940 --> 00:50:46,320
+luminous retinascope المضاء مش أخدنا أنواع ال
+
+604
+00:50:46,320 --> 00:50:48,960
+retinascope في عندنا نوعين ال reflecting
+
+605
+00:50:48,960 --> 00:50:52,840
+retinascope و ال luminous او ال streak retinascope
+
+606
+00:50:53,210 --> 00:50:59,910
+وحدة من ال advantage بتاعه انه ايش ماله motivable
+
+607
+00:50:59,910 --> 00:51:04,570
+اللي هو متحرك انه بيكون ايش ماله movable بيكون
+
+608
+00:51:04,570 --> 00:51:11,130
+متحرك بالنسبة ل ال red reflex واضح
+
+609
+00:51:11,130 --> 00:51:16,570
+لها بالنسبة ل neutralizing of astigmatism طيب ال
+
+610
+00:51:16,570 --> 00:51:23,710
+difficulties الرتنسكوبية الصعوبات في الرتنسكوبفي
+
+611
+00:51:23,710 --> 00:51:28,050
+الأول انا مش ممكن انه اتعلم ال written scope you
+
+612
+00:51:28,050 --> 00:51:31,910
+cannot learn the written scope during one day مش
+
+613
+00:51:31,910 --> 00:51:36,410
+ممكن انه اتعلمه بيوم واحد هذه يعني يمكن انتوا في
+
+614
+00:51:36,410 --> 00:51:41,810
+البداية شفتوا الحركةعرفنا كيف نشوف الحركة with ولا
+
+615
+00:51:41,810 --> 00:51:46,010
+against the rule بعدين المرحلة التانية اتعلمنا كيف
+
+616
+00:51:46,010 --> 00:51:50,370
+نعمل ال neutralization المعادلة سواء اذا كانت with
+
+617
+00:51:50,370 --> 00:51:55,610
+بنستخدم plus اذا كانت against بنستخدم minus lens
+
+618
+00:51:55,610 --> 00:51:58,930
+المرحلة التالتة انه طلعنا ال final objective
+
+619
+00:51:58,930 --> 00:52:02,850
+refraction المعادلة النهائية كانت كلها في حالات من
+
+620
+00:52:02,850 --> 00:52:09,690
+ال normal patients صح؟لكن في حالات ال abnormal يما
+
+621
+00:52:09,690 --> 00:52:13,990
+انطلقنا لل abnormal صار في ايش different اختلاف في
+
+622
+00:52:13,990 --> 00:52:18,130
+النتائج ليش؟ لأن الحالات بتصعب ان ال read reflex
+
+623
+00:52:18,130 --> 00:52:25,550
+ما بيكون واضح بالنسبة لل examiner some refractions
+
+624
+00:52:25,550 --> 00:52:28,990
+are easy while others are extremely difficult اذا
+
+625
+00:52:28,990 --> 00:52:34,270
+بعض الحالات الانكسارية بتكون سهلة لكن الأخرى
+
+626
+00:52:34,270 --> 00:52:40,230
+اشمالها بتكون صعبةwritten scopy is an art هو عبارة
+
+627
+00:52:40,230 --> 00:52:44,950
+عن ثنه which requires بيتطلب penestrating a
+
+628
+00:52:44,950 --> 00:52:52,250
+practice أي بمعنى عمله بشكل مستمر أو مثير and
+
+629
+00:52:52,250 --> 00:52:56,450
+cannot be learned in one day لا يمكن تعلمه خلال
+
+630
+00:52:56,450 --> 00:52:57,310
+يوم واحد
+
+631
+00:53:00,230 --> 00:53:03,590
+it is essentially a practice and cannot be learned
+
+632
+00:53:03,590 --> 00:53:07,790
+from textbooks but only under careful supervision
+
+633
+00:53:07,790 --> 00:53:14,190
+إذا هو يعتبر أساس عملي ومش ممكن أنه تتعلم ال
+
+634
+00:53:14,190 --> 00:53:18,470
+written scope من خلال قراءة textbook كتاب وبيحتاج
+
+635
+00:53:18,470 --> 00:53:23,250
+أنه يكون تحت إيدك يعني supervisor مشرف أنه يكون
+
+636
+00:53:23,250 --> 00:53:28,110
+professional من ناحية ال written scope okay؟
+
+637
+00:53:29,890 --> 00:53:34,550
+difficulties due to inadequacy of technique صعوبات
+
+638
+00:53:34,550 --> 00:53:40,150
+سببها ايش انه نقص في التكنيك طبعا بالنسبة لمين لل
+
+639
+00:53:40,150 --> 00:53:45,370
+examiner للفاحص okay inadequacy of technique يعني
+
+640
+00:53:45,370 --> 00:53:50,210
+الفاحص بيكون عنده مشكلة في التقنيات انه كيف
+
+641
+00:53:50,210 --> 00:53:53,950
+بيستخدم جهاز ال retinascope يعني بتلاقي مثلا
+
+642
+00:53:53,950 --> 00:53:58,070
+بيشتغل ال normalممتاز، professional، إيجاد له حالة
+
+643
+00:53:58,070 --> 00:54:02,410
+abnormal، oblique مثلا ال retinoscope كانت الحركة
+
+644
+00:54:02,410 --> 00:54:07,110
+بتاعته إيش بدأ أنه يصعب، مابيقدرش أنه يتعامل مع
+
+645
+00:54:07,110 --> 00:54:07,570
+المريض
+
+646
+00:54:10,480 --> 00:54:14,680
+فعنا أول حاجة نتيجة إيش هذه مثلا ال difficulties
+
+647
+00:54:14,680 --> 00:54:19,380
+الصعوبات سببها انأديوكسي of refraction نقص في
+
+648
+00:54:19,380 --> 00:54:25,960
+الأخطاء الانكسارية أول حاجة قلة خبرة من مين من ال
+
+649
+00:54:25,960 --> 00:54:30,240
+examiner يمكن في أول يوم لما فحصته normal قلت جهاز
+
+650
+00:54:30,240 --> 00:54:35,140
+ال retinascope سهل كثير صح بعدها لما بدأته مثلا في
+
+651
+00:54:35,140 --> 00:54:42,380
+ال abnormalتغير الكلام انه صار في ايه؟ صعوبة و لسه
+
+652
+00:54:42,380 --> 00:54:46,400
+لما يكون يعني المريض مثلا عنده obesity media او
+
+653
+00:54:46,400 --> 00:54:50,360
+يكون مثلا عنده keratoconus يعني بيكون الأمر صعب
+
+654
+00:54:50,360 --> 00:54:54,860
+كثير بس في يعني ما شاء الله يعني بعض البنات يعني
+
+655
+00:54:54,860 --> 00:54:58,500
+حتى في حالات ال refractive error يعني professional
+
+656
+00:54:59,430 --> 00:55:04,250
+يعني ممتزين كثير و .. و ان شاء الله يعني احنا بنصل
+
+657
+00:55:04,250 --> 00:55:09,350
+لمرحلة انه يصير يشوف حركة ال red reflex من حركة ال
+
+658
+00:55:09,350 --> 00:55:13,630
+red reflex بتعرف يجديش ال power يعني لهذه المرحلة
+
+659
+00:55:13,630 --> 00:55:16,550
+ان شاء الله حصل معاكم انه بس يشوف حركة ال red
+
+660
+00:55:16,550 --> 00:55:20,410
+reflex تقع مثلا هذه minus one ولا minus ten ولا
+
+661
+00:55:20,410 --> 00:55:24,910
+minus .. بس هي بدها practice يعني جد ما هنشرح نظري
+
+662
+00:55:24,910 --> 00:55:31,490
+مش هيفيد لازم نشوف ايه ك practice okay؟الـ
+
+663
+00:55:31,490 --> 00:55:35,730
+subjective refraction زي ما اتفقنا انه في عندنا
+
+664
+00:55:35,730 --> 00:55:39,330
+two methods of refraction في عندنا ال subjective و
+
+665
+00:55:39,330 --> 00:55:43,590
+ال objective refraction ال objective refraction it
+
+666
+00:55:43,590 --> 00:55:48,250
+is a preliminary estimation اي بمعنى تقدير اولي of
+
+667
+00:55:48,250 --> 00:55:51,990
+the refractive error للخطأ الانكساري without a
+
+668
+00:55:51,990 --> 00:55:57,590
+response from the patient دون تدخل من المريض في
+
+669
+00:55:57,590 --> 00:56:02,600
+عندنا ال subjective refractionبكون verification it
+
+670
+00:56:02,600 --> 00:56:07,520
+is a verification or refinement of the refractive
+
+671
+00:56:07,520 --> 00:56:11,420
+error with the response from the patient to obtain
+
+672
+00:56:11,420 --> 00:56:16,780
+the best visionthe subjective refraction will
+
+673
+00:56:16,780 --> 00:56:21,520
+reveal، إذا هيوضح أو يظهر ال subjective refraction
+
+674
+00:56:21,520 --> 00:56:25,400
+uncorrection of visual acuity عشان هيك دايما
+
+675
+00:56:25,400 --> 00:56:30,320
+بحكيلكم مش شرط أنه يكون فحصك هو النضارة اللي هديها
+
+676
+00:56:30,320 --> 00:56:33,820
+للمريض قد يكون فيه اختلاف ما بين ال objective و ال
+
+677
+00:56:33,820 --> 00:56:37,460
+subjective refraction أهم شغلة في ال subjective
+
+678
+00:56:37,460 --> 00:56:41,860
+refraction اللي هي إيه؟ راحة المريضيعني مش شرط من
+
+679
+00:56:41,860 --> 00:56:45,520
+الآن قبل ما بدينا في ال subjective reflection بدك
+
+680
+00:56:45,520 --> 00:56:49,780
+تعرفي ان راحة المريض اهم من انه يصل ال vision ستة
+
+681
+00:56:49,780 --> 00:56:51,600
+ع ستة، واضح؟
+
+682
+00:56:54,380 --> 00:56:59,140
+الـ Subjective Refraction بيوضح الـ uncorrection
+
+683
+00:56:59,140 --> 00:57:04,100
+visual acuity and unacceptance of the lenses
+
+684
+00:57:24,450 --> 00:57:27,670
+زي ما اتفقنا انه فيه فرق ما بين ال objective وال
+
+685
+00:57:27,670 --> 00:57:33,810
+subjective ايه؟ Refraction Such a state of efforts
+
+686
+00:57:33,810 --> 00:57:36,630
+commonly results from the mistakes of
+
+687
+00:57:36,630 --> 00:57:40,670
+inexperienced, unpracticed refractionists دايما
+
+688
+00:57:40,670 --> 00:57:45,210
+انه بيكون سببها ايه؟ مافيش خبرة كافية او عملية
+
+689
+00:57:45,210 --> 00:57:49,590
+كافية لمن؟ لال examiner لالفاحص عشان هي دايما
+
+690
+00:57:49,590 --> 00:57:53,600
+بحكيلكمإنه a practice, a practice and a practice
+
+691
+00:57:53,600 --> 00:57:57,540
+for written scope هذي number one يعني لما أنا
+
+692
+00:57:57,540 --> 00:58:02,040
+باطلب منكم تلت حلات الشاطرة بتجيب ستة يعني أنا
+
+693
+00:58:02,040 --> 00:58:05,940
+بذكر أيام انا كنت طالب لما كان الدكتور يكون مثلا
+
+694
+00:58:05,940 --> 00:58:10,040
+عنده free أروح أقوله أفحص written scope أجيب حلات
+
+695
+00:58:10,040 --> 00:58:14,280
+أطفال يعني كل عائلتي مثلا أيام أنا كنت طالب فحصتم
+
+696
+00:58:14,280 --> 00:58:17,800
+على written scope وهيك الواحد بتعلم غير هيك بتعلمش
+
+697
+00:58:19,050 --> 00:58:22,930
+واضح؟ إذا ال written scope بيكون إيش؟ هي a
+
+698
+00:58:22,930 --> 00:58:28,350
+practice, a practice and a practice it
+
+699
+00:58:28,350 --> 00:58:31,550
+is important to keep a suitable working distance
+
+700
+00:58:31,550 --> 00:58:35,530
+لازم أنا أحافظ على أيه مسافة العمل ال working
+
+701
+00:58:35,530 --> 00:58:38,770
+distance هي عبارة عن المسافة ما بين عين المريض
+
+702
+00:58:38,770 --> 00:58:44,790
+وعين الفاحص دايما برضه بحسكم أنه بتجربوا أو
+
+703
+00:58:44,790 --> 00:58:50,230
+بتبعدوا كتير يعني هذه لازم أنهالفرق ما بيننا يكون
+
+704
+00:58:50,230 --> 00:58:54,430
+zero مافيش فرق يعني لما انا اقولك مثلا minus واحد
+
+705
+00:58:54,430 --> 00:58:57,790
+و نص لازم تكون minus واحد و نص لكن مرة انا بمشيها
+
+706
+00:58:57,790 --> 00:59:01,350
+الربع بقول working distance بس انت مثلا لما بتاخد
+
+707
+00:59:01,350 --> 00:59:05,830
+ال working distance صحيح لازم ما تغيريهوش مش مرة
+
+708
+00:59:05,830 --> 00:59:10,490
+اجرب مرة بعد مرة اقول المريض قدم لأ لازم ان تكون
+
+709
+00:59:10,490 --> 00:59:14,770
+ثابتة fixed working distance اذا مسافة العمل ايش
+
+710
+00:59:14,770 --> 00:59:16,030
+تكون ثابتة
+
+711
+00:59:19,140 --> 00:59:24,640
+و لتأكد أنه أضمنthat retroscopic examination أي
+
+712
+00:59:24,640 --> 00:59:29,400
+بمعنى فحص بجهاز ال retroscope is performed close
+
+713
+00:59:29,400 --> 00:59:33,220
+to the visual axis in order to refract the macula
+
+714
+00:59:33,220 --> 00:59:38,560
+زي ما اتفقنا ان في عندنا ال visual axis وفي عندنا
+
+715
+00:59:38,560 --> 00:59:43,760
+ال optical او ال anatomical axis ال visual axis كل
+
+716
+00:59:43,760 --> 00:59:49,180
+عين فيها visual axis طبعا الان هذا فيه target صورة
+
+717
+00:59:49,180 --> 00:59:55,390
+او objectالصورة مين هيشوفها؟ على ال Vuvia فال
+
+718
+00:59:55,390 --> 00:59:59,090
+straight line اللي بيمر من ال Vuvia لحدية ال
+
+719
+00:59:59,090 --> 01:00:03,070
+object هذا بنسميه ال visual axis إذا ال visual
+
+720
+01:00:03,070 --> 01:00:08,670
+axis it is a straight line that passes throughthe
+
+721
+01:00:08,670 --> 01:00:13,390
+center of target to the fovea هذا هو عبارة عن مين
+
+722
+01:00:13,390 --> 01:00:18,490
+ال visual axis أي بمعنى مجال الرؤية طبعا كل عين
+
+723
+01:00:18,490 --> 01:00:23,230
+بيكون لها visual axis يعني ال right eye فيه لها
+
+724
+01:00:23,230 --> 01:00:27,690
+visual axis ال left eye visual axis عشان هيك انا
+
+725
+01:00:27,690 --> 01:00:30,710
+مابدهاجي اعمل ال retina scope مش الاقي انا دايما
+
+726
+01:00:30,710 --> 01:00:34,310
+بلاحظكم بلاقي المريض هيك و انا ماخد هيك و ال
+
+727
+01:00:34,310 --> 01:00:38,140
+visual axis كيف جاي هيك بزاويةوانت غلط ال visual
+
+728
+01:00:38,140 --> 01:00:41,720
+axis لازم يكون ايه؟ في ال primary position لو
+
+729
+01:00:41,720 --> 01:00:45,540
+بيشوفوني معظمكم دايما بقول للمريض ازيح الكرسي يا
+
+730
+01:00:45,540 --> 01:00:49,380
+يمين يا شمال عشان احافظ على مين ال visual axis
+
+731
+01:00:49,380 --> 01:00:53,320
+لازم انه يكون .. يعني ال vuvia بتاعته يشوف ال
+
+732
+01:00:53,320 --> 01:00:57,700
+object بتاعته ايه؟ straight انه خط ايه؟ مستقيم
+
+733
+01:00:57,700 --> 01:00:58,940
+واضح؟
+
+734
+01:01:01,220 --> 01:01:04,280
+in this respect في هذا المظهر not only the
+
+735
+01:01:04,280 --> 01:01:07,640
+horizontal orientation to be noted but also the
+
+736
+01:01:07,640 --> 01:01:11,640
+vertical one failure to observe this fact may
+
+737
+01:01:11,640 --> 01:01:15,760
+falsely introduce a cylindrical element during
+
+738
+01:01:15,760 --> 01:01:20,360
+retinoscopy إذا في هذه الحالات أو بعض الحالات ممكن
+
+739
+01:01:20,360 --> 01:01:24,920
+أنا أعمل ال vertical meridian يكون correct لكن ال
+
+740
+01:01:24,920 --> 01:01:29,000
+horizontal meridian يكون عنده incorrect فهذه
+
+741
+01:01:29,000 --> 01:01:34,790
+الحالة إيش هتعمل؟هتعمل لزي Artificial Astigmatism،
+
+742
+01:01:34,790 --> 01:01:39,090
+أي هتبين أن المريض عنده Astigmatism و هو بطبيعة
+
+743
+01:01:39,090 --> 01:01:42,650
+الحال هو ماعندهوش Astigmatism، أنا عندي غلط في
+
+744
+01:01:42,650 --> 01:01:47,090
+Meridian، يعني في بعض الأحيان طالبات أو طلاب
+
+745
+01:01:47,090 --> 01:01:50,170
+بيحكوا لي احنا جبنا Meridian صح و التاني غلط، مانت
+
+746
+01:01:50,170 --> 01:01:53,930
+التاني لو غلط، إيش عملت للمريض؟ عملت له بور، هو مش
+
+747
+01:01:53,930 --> 01:01:58,380
+موجود عندهزي هيك انك تشوفتله astigmatism حطيتله و
+
+748
+01:01:58,380 --> 01:02:06,400
+هو في الحقيقة ايش سليم مافيش حاجة طيب نقف هان
+
+749
+01:02:06,400 --> 01:02:10,760
+المحاضرة الجاية ان شاء الله هنكمل في موضوع
+
+750
+01:02:10,760 --> 01:02:15,260
+الصعوبات في ال written scope و هنبدأ بال special
+
+751
+01:02:15,260 --> 01:02:17,440
+cases ال written scope ان شاء الله
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d3246573a83a95df456a6a35021f167435ec883f
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k.srt
@@ -0,0 +1,976 @@
+1
+00:00:20,640 --> 00:00:23,580
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,580 --> 00:00:26,900
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:26,900 --> 00:00:31,240
+اليوم هنبدأ إن شاء الله ببرنامج  الpresentation
+
+4
+00:00:31,240 --> 00:00:36,120
+الذي سيقدمه مجموعة من الطالبات، موضوع المحاضرة
+
+5
+00:00:36,120 --> 00:00:41,760
+convex and concave lens، سيقدمه كل من آية الجماعة
+
+6
+00:00:41,760 --> 00:00:47,250
+داليا غنام، نور الهدى إزريقمي أبو عرب، نور برغوت،
+
+7
+00:00:47,250 --> 00:00:51,270
+ياسمين القصاص، تفضلوا بسم الله الرحمن الرحيم
+
+8
+00:00:51,270 --> 00:00:57,630
+السلام عليكم my name is Aya El Jumasi. I am from
+
+9
+00:00:57,630 --> 00:01:01,170
+Palestine, Gaza. Today I would like to present to you
+
+10
+00:01:01,170 --> 00:01:04,190
+about the concave and convex lens, the
+
+11
+00:01:04,190 --> 00:01:08,390
+optometrists: Aya El Jumasi, Dalia Ghannan, Mei
+
+12
+00:01:08,390 --> 00:01:11,230
+Abu Arab, Noor Ezra, Noor Barghout, Yasmin El
+
+13
+00:01:11,230 --> 00:01:18,050
+Qassas، دكتور محمد الجاروشا و ميس سندوس نصار. Title
+
+14
+00:01:18,050 --> 00:01:24,970
+index.  سنتحدث اليوم عن العدسات، مبدأ
+
+15
+00:01:24,970 --> 00:01:27,490
+العدسات المقعرة والمحدبة، والفرق بين
+
+16
+00:01:27,490 --> 00:01:33,050
+العدسات المقعرة والمحدبة، واستخدام العدسات في
+
+17
+00:01:33,050 --> 00:01:37,110
+تصحيح الأخطاء الانكسارية.  أولًا، أود أن
+
+18
+00:01:37,110 --> 00:01:41,130
+أقدم لكم تعريف العدسة. سنتحدث عن تعريف الـ lens.
+
+19
+00:01:41,130 --> 00:01:47,150
+العدسة هي قطعة زجاجية، أو ممكن
+
+20
+00:01:47,150 --> 00:01:52,050
+أن تكون مادة شفافة، سواء كانت glass أو plastic، وهي
+
+21
+00:01:52,050 --> 00:01:58,810
+جزء من سطح كرة. is a piece of glass or any other
+
+22
+00:01:58,810 --> 00:02:02,850
+transparent material with a bulge or convexity in
+
+23
+00:02:02,850 --> 00:02:07,650
+both surfaces, or both surfaces refract the light rays
+
+24
+00:02:07,650 --> 00:02:12,220
+falling on a convex lens.  كلا السطحين ينكسران أشعة الضوء.
+
+25
+00:02:12,220 --> 00:02:17,200
+أي شعاع يسقط على العدسة سينكسر. a convex lens
+
+26
+00:02:17,200 --> 00:02:20,920
+لماذا تستخدم العدسات المقعرة؟ to assemble the light
+
+27
+00:02:20,920 --> 00:02:25,500
+rays. جمع الأشعة، أما العدسات
+
+28
+00:02:25,500 --> 00:02:30,560
+المقعرة تستخدم لتفريق الأشعة.
+
+29
+00:02:30,560 --> 00:02:36,920
+بعد ذلك، أنواع العدسات. أغلب...
+
+30
+00:02:36,920 --> 00:02:40,100
+لدينا نوعان من العدسات: spherical و cylindrical lens.
+
+31
+00:02:40,100 --> 00:02:44,480
+Spherical lens هي أغلب العدسات، تكون spherical
+
+32
+00:02:44,480 --> 00:02:48,280
+lens، تتكون من سطحين من الكرة. the majority of
+
+33
+00:02:48,280 --> 00:02:51,300
+lenses are spherical lenses.  على سبيل المثال، عدسات
+
+34
+00:02:51,300 --> 00:02:56,280
+تتكون من سطحين بحيث كل منهما جزء من
+
+35
+00:02:56,280 --> 00:02:58,200
+سطح هذه الكرة.
+
+36
+00:03:06,530 --> 00:03:11,970
+الخط المستقيم الذي يصل بين مركزي الكرة سيكون
+
+37
+00:03:11,970 --> 00:03:16,850
+عموديًا على السطح.  باختصار، spherical lens: the
+
+38
+00:03:16,850 --> 00:03:21,210
+جميع خطوط الطول لها نفس القدرة. يعني مثلاً كانت قوة بثلاثة
+
+39
+00:03:21,210 --> 00:03:24,530
+هنا قوة بثلاثة. the same power.
+
+40
+00:03:27,260 --> 00:03:31,540
+النوع الثاني: another kind: cylindrical lens، يكون
+
+41
+00:03:31,540 --> 00:03:37,100
+أحد سطوحها أو كلاهما أسطوانيًا. هذه الـ... هذه الـ
+
+42
+00:03:37,100 --> 00:03:42,900
+lens تُنتج صورًا أكثر وضوحًا، وذات انحرافات أقل من
+
+43
+00:03:42,900 --> 00:03:47,380
+العدسات الكروية.  والآن أترككم... أترككم
+
+44
+00:03:47,380 --> 00:03:52,480
+مع نور. أنواع العدسات المقعرة والمحدبة، مثل التي تعلمناها مع الدكتور محمد.
+
+45
+00:03:52,480 --> 00:03:55,880
+العديد من العدسات المقعرة والمحدبة. أول نوع هو
+
+46
+00:03:55,880 --> 00:04:02,240
+الـ bi-convex. أن سطحيها عبارة عن convex.
+
+47
+00:04:02,240 --> 00:04:07,920
+bi-convex، سطح convex، والسطح الثاني convex.  الثانية
+
+48
+00:04:07,920 --> 00:04:13,000
+plano-convex، سطح convex، والسطح الثاني plano.
+
+49
+00:04:13,000 --> 00:04:17,680
+العدسة الثانية وهي plano-convex، التي يكون أحد سطوحها convex، والسطح الثاني plano.
+
+50
+00:04:17,680 --> 00:04:22,240
+العدسة الثالثة هي convex and concave، التي يكون
+
+51
+00:04:22,240 --> 00:04:26,980
+أحد سطوحها concave، والآخر convex...
+
+52
+00:04:26,980 --> 00:04:32,120
+concave.  التي نسميها...  طيب plano
+
+53
+00:04:32,120 --> 00:04:37,480
+concave، التي يكون أحد سطحيها plano، والسطح الثاني
+
+54
+00:04:37,480 --> 00:04:42,660
+عبارة عن عدسة مقعرة.  آخر عدسة هي bi-concave،
+
+55
+00:04:42,660 --> 00:04:48,380
+التي يكون أحد سطحيها concave، وكذلك السطح الثاني
+
+56
+00:04:48,380 --> 00:04:52,660
+عبارة عن عدسة مقعرة. the presence of the convex
+
+57
+00:04:57,080 --> 00:05:01,550
+lens. If a bundle of parallel light rays fell on the
+
+58
+00:05:01,550 --> 00:05:06,130
+convex lens, they gathered at one point. إذن أي
+
+59
+00:05:06,130 --> 00:05:11,290
+أشعة ضوئية متوازية تسقط على العدسة المحدبة، ستتجمع
+
+60
+00:05:11,290 --> 00:05:15,790
+في نقطة واحدة، which is the focus of the convex
+
+61
+00:05:15,790 --> 00:05:16,290
+lens.
+
+62
+00:05:19,650 --> 00:05:24,830
+المسافة بين مركز العدسة ونقطة تجميع الأشعة تسمى البعد البؤري، أي
+
+63
+00:05:24,830 --> 00:05:29,910
+المسافة بين مركز العدسة المحدبة
+
+64
+00:05:29,910 --> 00:05:35,270
+ومكان تكون الصورة،  ماذا نسميها؟ تسمى البعد البؤري.
+
+65
+00:05:35,270 --> 00:05:41,990
+dimensions which is positive in the
+
+66
+00:05:41,990 --> 00:05:46,410
+convex lens and negative in concave lens.  الـ
+
+67
+00:05:46,410 --> 00:05:48,390
+بعد البؤري الذي هو كونكاف.
+
+68
+00:05:55,110 --> 00:05:59,110
+هنا عندي الـ convex lens التي كانت تتحدث عنها نور
+
+69
+00:05:59,110 --> 00:06:03,210
+أن الأشياء عندما تدخل قريبة من العدسة، ستعمل العدسة
+
+70
+00:06:03,210 --> 00:06:06,850
+على تجميعها في نقطة بؤرية. وهنا  وضعت الأشياء على
+
+71
+00:06:06,850 --> 00:06:10,370
+أساس كونها  option لشيء آخر. طيب ما فلقيتها principle
+
+72
+00:06:10,370 --> 00:06:13,930
+of convex lens. فلقيتها: convex lens using lens
+
+73
+00:06:13,930 --> 00:06:17,290
+glass. هي عبارة عن عدسة تجارية. if it blends the
+
+74
+00:06:17,290 --> 00:06:20,190
+body between the lens and its focus.  سلوكها
+
+75
+00:06:20,190 --> 00:06:23,070
+from the other side of the magnifying glass. image of the body.
+
+76
+00:06:23,070 --> 00:06:26,610
+فلقيتها: إذا وضعنا الجسم بين
+
+77
+00:06:26,610 --> 00:06:32,590
+العدسة ونقطة التركيز، صورة مكبرة للجسم على الجهة
+
+78
+00:06:32,590 --> 00:06:37,330
+المقابلة للعدسة، الجهة الثانية. just over after the
+
+79
+00:06:37,330 --> 00:06:40,370
+physical body. but if the body put of after the
+
+80
+00:06:40,370 --> 00:06:43,290
+lens, over after the focal length, you will not see
+
+81
+00:06:43,290 --> 00:06:49,250
+إذا وضعنا الـ object بعد البعد البؤري، لن نستطيع رؤية
+
+82
+00:06:49,250 --> 00:06:50,410
+أي صورة للـ object.
+
+83
+00:06:53,820 --> 00:06:57,820
+ممتازة الفكرة. شكراً. طيب قلت but you can revise a
+
+84
+00:06:57,820 --> 00:07:02,200
+real picture of him.  للـ object مقلوبة، لكن
+
+85
+00:07:02,200 --> 00:07:06,280
+ممكن الحصول على صورة له مقلوبة. on a sheet on other
+
+86
+00:07:06,280 --> 00:07:09,540
+side of the lens. إذا وضعنا ورقة التلقي على جهة
+
+87
+00:07:09,540 --> 00:07:14,260
+مقابل العدسة، ستتكون عندها صورة مقلوبة له. especially
+
+88
+00:07:14,260 --> 00:07:17,540
+if the body illuminating or good lighting. يعني إذا
+
+89
+00:07:17,540 --> 00:07:20,880
+كان الجسم مضاءً أو إضاءته جيدة، ستتكون عنده
+
+90
+00:07:20,880 --> 00:07:24,840
+صورة أوضح. as in the case of the concave lens. على
+
+91
+00:07:24,840 --> 00:07:30,180
+عكس العدسات المقعرة. are on contrary. على العكس
+
+92
+00:07:30,180 --> 00:07:33,780
+تمامًا، تستخدم لتقليل الصورة. تستخدم
+
+93
+00:07:33,780 --> 00:07:37,720
+لتقليل الصورة.  as the concave lens is an image of
+
+94
+00:07:37,720 --> 00:07:41,820
+the body moderate. تكون الصورة في المنتصف، متوسطة
+
+95
+00:07:41,820 --> 00:07:46,950
+الحجم، غير مقلوبة، بتكون منتصبة، مصغرة. at
+
+96
+00:07:46,950 --> 00:07:50,870
+the same entity of which the body. تكون نفس كيان
+
+97
+00:07:50,870 --> 00:07:57,710
+الـ object نفسه، لكن مصغرة. My name
+
+98
+00:07:57,710 --> 00:08:00,570
+is Dalia Ghannam. I will talk about the difference
+
+99
+00:08:00,570 --> 00:08:04,070
+between concave and convex lenses. The major
+
+100
+00:08:04,070 --> 00:08:07,010
+difference between concave and convex lenses lies in
+
+101
+00:08:07,010 --> 00:08:10,270
+the fact that concave lenses are thicker at the edge
+
+102
+00:08:10,270 --> 00:08:12,110
+and convex lenses are thicker in the middle.
+
+103
+00:08:25,760 --> 00:08:31,220
+هنا العدسة المقعرة، التي تزداد سماكتها في الحواف.
+
+104
+00:08:31,220 --> 00:08:35,860
+هنا الحواف أكثر سماكة من المنتصف. أما العدسة
+
+105
+00:08:35,860 --> 00:08:39,620
+المحدبة، convex lens، الحواف أكثر سماكة في
+
+106
+00:08:39,620 --> 00:08:40,800
+الوسط من الحواف.
+
+107
+00:08:44,070 --> 00:08:46,590
+This distinction in shape results in the
+
+108
+00:08:46,590 --> 00:08:49,990
+difference in how light rays bend when striking
+
+109
+00:08:49,990 --> 00:08:53,870
+the lenses. Concave lenses bend inward and
+
+110
+00:08:53,870 --> 00:08:58,650
+light rays outward. العدسة المقعرة تنكسر للداخل،
+
+111
+00:08:58,650 --> 00:09:06,090
+وتجعل الأشعة الضوئية متباعدة.  they are
+
+112
+00:09:06,090 --> 00:09:09,310
+used in the treatment of myopia, or nearsightedness.
+
+113
+00:09:09,310 --> 00:09:15,470
+العدسة المقعرة تستخدم لعلاج الأشخاص المصابين بقصر
+
+114
+00:09:15,470 --> 00:09:17,510
+النظر.
+
+115
+00:09:25,530 --> 00:09:33,490
+بسبب أن الصورة تتركز أمام الشبكية عند الأشخاص المصابين
+
+116
+00:09:33,490 --> 00:09:38,430
+بالـ myopia أو قصر النظر، تكون في حالتهم الأشعة
+
+117
+00:09:38,430 --> 00:09:44,570
+ساقطة أمام الشبكية. الـ Concave Lens يساعد
+
+118
+00:09:44,570 --> 00:09:48,370
+بإبعاد الصورة لتركز بشكل أفضل. في الواقع، في
+
+119
+00:09:48,370 --> 00:09:53,430
+إنتاج رؤية واضحة. clear vision at a
+
+120
+00:09:53,430 --> 00:09:57,130
+distance. Concave lenses are used in movie projectors
+
+121
+00:09:57,130 --> 00:10:01,150
+to cause the image to spread.  تستخدم العدسات
+
+122
+00:10:01,150 --> 00:10:04,290
+المقعرة... تستخدم العدسات المقعرة
+
+123
+00:10:06,960 --> 00:10:10,800
+تستخدم العدسة المقعرة في الأجهزة مثل جهاز الـ
+
+124
+00:10:10,800 --> 00:10:13,940
+projector لأنها تقوم بتشتيت الأشعة. lens of a
+
+125
+00:10:13,940 --> 00:10:19,420
+normal eye is bi-concave. في الأشخاص الطبيعيين، تكون
+
+126
+00:10:19,420 --> 00:10:25,890
+العدسة، العدسة الطبيعية، محدبة. convex lens rounded outward
+
+127
+00:10:25,890 --> 00:10:29,590
+and bends light rays to converge. في العدسات
+
+128
+00:10:29,590 --> 00:10:34,310
+المحدبة، تكون الأشعة منحنية من الخارج، وتجعل
+
+129
+00:10:34,310 --> 00:10:39,330
+الأشعة متجمعة. convex lenses are beneficial in
+
+130
+00:10:39,330 --> 00:10:44,890
+treating hyperopia. العدسة المحدبة مفيدة في علاج
+
+131
+00:10:44,890 --> 00:10:48,610
+الأشخاص المصابين بطول النظر الشيخوخي أو في الـ hyper-
+
+132
+00:10:48,610 --> 00:10:48,910
+metropia.
+
+133
+00:10:57,210 --> 00:11:00,150
+The convex lens corrects this problem and allows
+
+134
+00:11:00,150 --> 00:11:04,010
+the person to see clearly. العدسة المحدبة تقوم
+
+135
+00:11:04,010 --> 00:11:07,030
+بتصحيح الأخطاء الانكسارية للأشخاص المصابين بطول
+
+136
+00:11:07,030 --> 00:11:10,750
+النظر الشيخوخي، أو المصابين بطول النظر، وتجعل الرؤية
+
+137
+00:11:10,750 --> 00:11:15,120
+واضحة بالنسبة لهم. Convex lenses are also found in
+
+138
+00:11:15,120 --> 00:11:17,960
+magnifying glasses, binoculars, telescopes, and
+
+139
+00:11:17,960 --> 00:11:23,780
+cameras. العدسة المحدبة تتواجد في أجهزة مثل أجهزة
+
+140
+00:11:23,780 --> 00:11:27,560
+التكبير، مثل النظارات، والمنظار، وفي التلسكوب، ويوجد هنا نوعان من التلسكوب.
+
+141
+00:11:27,560 --> 00:11:31,720
+لدينا تلسكوب جاليليو، وتلسكوب كاسر.
+
+142
+00:11:31,720 --> 00:11:35,140
+لدينا تلسكوب جاليليو، وتلسكوب كاسر.
+
+143
+00:11:35,140 --> 00:11:38,000
+Galilean telescope يحتوي على نوعين من
+
+144
+00:11:38,000 --> 00:11:41,800
+العدسات، عدسة سالبة وعدسة موجبة. أما الكاسر
+
+145
+00:11:41,800 --> 00:11:46,540
+يحتوي على عدستين موجبتين.  certain
+
+146
+00:11:46,540 --> 00:11:49,800
+telescopes and microscopes use concave mirrors as
+
+147
+00:11:49,800 --> 00:11:55,040
+well as convex lenses. التلسكوب والميكروسكوب فيهما
+
+148
+00:11:55,040 --> 00:11:59,560
+مرآة مقعرة وعدسة محدبة. الـ convex lens of a human
+
+149
+00:11:59,560 --> 00:12:03,440
+eye actually focuses the image upside down.
+
+150
+00:12:03,440 --> 00:12:07,400
+وفي العين الطبيعية للإنسان، تقوم
+
+151
+00:12:07,400 --> 00:12:08,960
+بإظهار الـ object
+
+152
+00:12:21,720 --> 00:12:33,260
+تسقط الأشعة على العين، وتسقط
+
+153
+00:12:33,260 --> 00:12:37,940
+على الشبكية بشكل مقلوب، وتقوم بتصحيحه عن طريق الـ
+
+154
+00:12:37,940 --> 00:12:44,660
+optic tract، ثم إلى الدماغ، لتجعل الصورة منتصبة
+
+155
+00:12:44,660 --> 00:12:46,200
+وواضحة.
+
+156
+00:12:55,640 --> 00:12:59,320
+هي مقارنة بين العدسات المقعرة والمحدبة. الـ
+
+157
+00:12:59,320 --> 00:13:02,860
+convex lens تجعل الأشياء تبدو أكبر وأبعد.
+
+158
+00:13:02,860 --> 00:13:08,880
+عندك لو وضعنا أي جسم أمام عدسة محدبة، سيظهر
+
+159
+00:13:08,880 --> 00:13:15,240
+أنه أبعد وأكبر، وهي أيضًا تصحح طول النظر far
+
+160
+00:13:15,240 --> 00:13:19,420
+sightedness، التي هي تصحيح طول النظر. لكن العدسة
+
+161
+00:13:19,420 --> 00:13:23,080
+المقعرة، عكسها تمامًا، التي تجعل الأشياء تبدو
+
+162
+00:13:23,080 --> 00:13:30,160
+smaller and closer.  تقصر المسافة، تبدو أقرب وأصغر، وهي
+
+163
+00:13:30,160 --> 00:13:34,760
+تصحح قصر النظر nearsightedness،  التي هي قصر
+
+164
+00:13:34,760 --> 00:13:39,900
+النظر. هنا العدسة المحدبة،  convex lens bends light rays toward
+
+165
+00:13:39,900 --> 00:13:44,580
+each other،  العدسة المحدبة أشعة الضوء
+
+166
+00:13:44,580 --> 00:13:49,380
+تجمعها في نقطة بؤرية، لكن العدسة المقعرة
+
+167
+00:13:49,380 --> 00:13:53,920
+تبعثر أشعة الضوء. التي تشتت
+
+168
+00:13:53,920 --> 00:14:00,360
+الأشعة.  continue with Yasmin Qassas. سأستمر
+
+169
+00:14:00,360 --> 00:14:08,490
+مع حالات تكون الصورة في العدسات المركبة. في الـ... في
+
+170
+00:14:08,490 --> 00:14:11,510
+العدسة المقعرة، تكون لدينا image
+
+171
+00:14:11,510 --> 00:14:14,090
+location، موقع الصورة، في نفس النقطة في
+
+172
+00:14:14,090 --> 00:14:16,910
+مقدمة الجسم، قريبة من العدسة.
+
+173
+00:14:16,910 --> 00:14:20,610
+تكون في نفس النقطة، يعني على نفس الخط
+
+174
+00:14:20,610 --> 00:14:27,170
+القريب من العدسة. مميزاتها: تكون لدينا صورة
+
+175
+00:14:27,170 --> 00:14:30,270
+خَطَميَّة، لأن مصدرها... لأن لدينا الـ object
+
+176
+00:14:31,200 --> 00:14:37,740
+ستخرج منه الأشعة متباعدة.  العدسة المقعرة ستعمل
+
+177
+00:14:37,740 --> 00:14:41,200
+على تفريق الضوء وبالتالي لن يتكون...  لن نرى
+
+178
+00:14:41,200 --> 00:14:45,540
+صورة إلا على امتداد الأشعة.  سيتكون لدينا
+
+179
+00:14:45,540 --> 00:14:49,280
+صورة خَطَميَّة، منتصبة، مصغرة.  ستكون لدينا
+
+180
+00:14:49,280 --> 00:14:56,920
+منتصبة. The
+
+181
+00:14:56,920 --> 00:15:00,360
+use of lenses in refractive error correction.
+
+182
+00:15:10,830 --> 00:15:15,710
+في حالة طول النظر، نستخدم العدسات الم
+
+223
+00:18:04,860 --> 00:18:08,580
+3 rules for ray diagrams for lenses، اسمها لإن
+
+224
+00:18:08,580 --> 00:18:12,540
+طلعت قواعد بالنسبة للـ lenses: a incident ray
+
+225
+00:18:12,540 --> 00:18:15,600
+parallel to the principal axis will refract
+
+226
+00:18:15,600 --> 00:18:21,420
+through the focus، بمعنى أن لو كانت الأشعة موازية
+
+227
+00:18:21,420 --> 00:18:25,540
+للـ lens، دخلت في الـ lens، هتسقط على الـ focal
+
+228
+00:18:25,540 --> 00:18:29,470
+point بالضبط، على الـ focal point. أما لو كانت الـ
+
+229
+00:18:29,470 --> 00:18:32,030
+incident ray through the focus will refract
+
+230
+00:18:32,030 --> 00:18:35,670
+parallel to the principal axis. لو كانت  عيني على الـ
+
+231
+00:18:35,670 --> 00:18:41,050
+focal، هتطلع الأشعة، لكن هتطلع برا، يعني هتـrefract
+
+232
+00:18:41,050 --> 00:18:44,390
+برا to the principal axis. An incident ray through
+
+233
+00:18:44,390 --> 00:18:47,890
+the center of the lens will go straight through
+
+234
+00:18:47,890 --> 00:18:52,160
+the lens. لو مرت في الـ center مش هتحس بأي
+
+235
+00:18:52,160 --> 00:18:57,560
+انكسارات. why does .. هم بيحكيلك .. why does this ..
+
+236
+00:18:57,560 --> 00:19:01,620
+why do these rules work for lenses؟ ليش هذه القواعد
+
+237
+00:19:01,620 --> 00:19:04,600
+بتمشي على الـ lenses؟ لأنها في أساسها  Snell's law
+
+238
+00:19:04,600 --> 00:19:07,960
+قانون Snell's law هو عبارة عن قانون بيوضح لك كيف الأشعة
+
+239
+00:19:07,960 --> 00:19:12,960
+بتدخل و كيف بتطلع.  The number of incident rays is equal
+
+240
+00:19:12,960 --> 00:19:14,640
+to the refracted rays.
+
+241
+00:19:23,040 --> 00:19:31,360
+هذا عبارة عن optical axis. فيه
+
+242
+00:19:31,360 --> 00:19:34,980
+عبارة عن two focal points: anterior focal and posterior
+
+243
+00:19:34,980 --> 00:19:44,620
+focal point. لو
+
+244
+00:19:44,620 --> 00:19:50,180
+كان أن الـ object before the anterior focal
+
+245
+00:19:50,180 --> 00:19:54,630
+point. هو الـ optical system عندنا بتكون من الـ
+
+246
+00:19:54,630 --> 00:19:58,030
+objects. والـ optical system بتكون عندنا من الـ
+
+247
+00:19:58,030 --> 00:20:00,890
+energy اللي هتبثها الأشياء.  هنا أول قانون عندنا
+
+248
+00:20:00,890 --> 00:20:05,830
+أنه طلعت الأشعة بردو دخلت في الـ lens و طلعت عندنا
+
+249
+00:20:05,830 --> 00:20:17,710
+اللي هو على فوق الـ body بالنسبة
+
+250
+00:20:17,710 --> 00:20:23,460
+للأشعة اللي بتطلع من الـ object. فالدنيا هتفوت على
+
+251
+00:20:23,460 --> 00:20:33,540
+العدسة، العدسة هتركسها برا، لله أخر
+
+252
+00:20:33,540 --> 00:20:38,080
+شيء بالنسبة للأشعة اللي بتطلع من الـ object  بمارة،
+
+253
+00:20:38,080 --> 00:20:41,480
+بالـ center للـ lenses مش هيصير لها أي انكسار
+
+254
+00:20:41,480 --> 00:20:45,400
+وبالتالي هنا هيكون عندنا صورة هتكون inverted, like a
+
+255
+00:20:45,400 --> 00:20:47,540
+real image, a real image
+
+256
+00:20:52,090 --> 00:20:59,690
+مقلوبة وحقيقية image
+
+257
+00:20:59,690 --> 00:21:05,390
+inside the focus. هذا الـ object كان بـ access. فهناك
+
+258
+00:21:05,390 --> 00:21:10,190
+two focal points. نفس الأشياء لو كان عندنا الـ object
+
+259
+00:21:10,190 --> 00:21:12,990
+inside the focal point، يعني داخل البعد البؤري
+
+260
+00:21:20,300 --> 00:21:23,760
+أول شيء هتطلع الأشعة، هتدخل في الـ lens، هتفوت في
+
+261
+00:21:23,760 --> 00:21:25,840
+الـ focus، هتدخل من الأول اللي حكينا عنه
+
+262
+00:21:47,190 --> 00:21:51,950
+هذا بوضح أن الأشياء عم تدخلش في الـ lens، هتبقى لها زي ما هي
+
+263
+00:21:51,950 --> 00:21:55,950
+عم تتصرف  بموازاة، بالنسبة
+
+264
+00:21:55,950 --> 00:21:59,290
+للي هتفوت بالـ center هتبقى لها زي ما هي .. مش
+
+265
+00:21:59,290 --> 00:22:00,670
+هيصير لها أي انكسار من concept
+
+266
+00:22:08,870 --> 00:22:12,990
+طبعا هنا مش هتتكون أي صورة لأن مستحيل أن هاد الـ
+
+267
+00:22:12,990 --> 00:22:17,330
+rays اللي طلعت مستحيل أنهم يلتقوا مع بعض
+
+268
+00:22:17,330 --> 00:22:21,690
+امتداد هذه الأشعة هيكون صورة، هتكون عندنا صورة
+
+269
+00:22:21,690 --> 00:22:35,430
+virtual image، تكون
+
+270
+00:22:35,430 --> 00:22:40,690
+عندنا دي صورة virtual image، طب إنها هتكون magnified
+
+271
+00:22:40,690 --> 00:22:46,850
+هتكون مكبرة، أكبر من الصورة الحقيقية. هنا بوضح لك كيف
+
+272
+00:22:46,850 --> 00:22:53,150
+عين الإنسان human eye عبارة عن convex lens.  By
+
+273
+00:22:53,150 --> 00:22:57,250
+convex lens, دخلت عليها هاي الـ object. لمن إنت بتيجي
+
+274
+00:22:57,250 --> 00:23:01,030
+هتطلع الـ .. thank you for your attention. Okay, thank you
+
+275
+00:23:01,030 --> 00:23:05,610
+so much for your presentation. Any comments? Okay.
+
+276
+00:23:08,590 --> 00:23:12,350
+الفترة اللي فكرت فيها أن أقلب العدسات اللي إحنا
+
+277
+00:23:12,350 --> 00:23:17,730
+بنستخدمها هي spherical lenses.  فإنها تتراها في
+
+278
+00:23:17,730 --> 00:23:18,350
+العدسات
+
+279
+00:23:25,990 --> 00:23:30,170
+أعتقد أن هذا ليس صحيحا، لأنه يعتمد على خطأ الانكسار
+
+280
+00:23:30,170 --> 00:23:36,010
+إذا كان الشخص لديه ميوبيا أو  فرط  بصري أو presbyopia
+
+281
+00:23:36,010 --> 00:23:41,250
+يمكنك تطبيق تصحيح لو كان الشخص لديه أستجماتيزم
+
+282
+00:23:41,250 --> 00:23:45,910
+يجب أن تطبق تصحيح
+
+283
+00:23:45,910 --> 00:23:49,770
+آخر
+
+284
+00:23:49,770 --> 00:23:57,320
+سؤال؟ حسنا شكرا مرة أخرى. مع اللقاء
+
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@@ -0,0 +1,1136 @@
+1
+00:00:20,640 --> 00:00:23,580
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,580 --> 00:00:26,900
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:26,900 --> 00:00:31,240
+اليوم هنبدأ ان شاء الله ببرنامج ال presentation
+
+4
+00:00:31,240 --> 00:00:36,120
+اللي هيقدمه مجموع من الطالبات موضوع المحاضرة
+
+5
+00:00:36,120 --> 00:00:41,760
+convex and concave lens هيقدمه كل من آية الجماعة
+
+6
+00:00:41,760 --> 00:00:47,250
+داليا غنام، نور الهدى إزريقمي أبو عرب، نور برغوت،
+
+7
+00:00:47,250 --> 00:00:51,270
+ياسمين القصاص، اتفضلوا بسم الله الرحمن الرحيم
+
+8
+00:00:51,270 --> 00:00:57,630
+السلام عليكم my name is Aya El Jumasi I am from
+
+9
+00:00:57,630 --> 00:01:01,170
+Palestine, Gaza today I would like to present you
+
+10
+00:01:01,170 --> 00:01:04,190
+about the concave and convex lens, the
+
+11
+00:01:04,190 --> 00:01:08,390
+optometristics Aya El Jumasi, Dalia Ghannan, Mei
+
+12
+00:01:08,390 --> 00:01:11,230
+Abu Arab, Noor Ezra, Noor Barghout, Yasmin El
+
+13
+00:01:11,230 --> 00:01:18,050
+Qassasدكتور محمد الجاروشا و ميس سندوس نصار title
+
+14
+00:01:18,050 --> 00:01:24,970
+index راح نحكي اليوم the lens the principle of the
+
+15
+00:01:24,970 --> 00:01:27,490
+concave and convex lens the difference between the
+
+16
+00:01:27,490 --> 00:01:33,050
+concave and convex lens lens the use of lens in
+
+17
+00:01:33,050 --> 00:01:37,110
+refractive error correction first I would like to
+
+18
+00:01:37,110 --> 00:01:41,130
+present you about the definition of the lens راح
+
+19
+00:01:41,130 --> 00:01:47,150
+نحكي عن تعريف ال lensالعدسة هى قطعة زجاجية أو ممكن
+
+20
+00:01:47,150 --> 00:01:52,050
+تكون مادة شفافة سواء كانت glass or plastic و بتكون
+
+21
+00:01:52,050 --> 00:01:58,810
+هى جزء من سطح كرة is a piece of glass or any other
+
+22
+00:01:58,810 --> 00:02:02,850
+transparent material with a bold or convexity in
+
+23
+00:02:02,850 --> 00:02:07,650
+both surfaces or both occur refract the light rays
+
+24
+00:02:07,650 --> 00:02:12,220
+falling on a convex lens and the both surfacesهلأ
+
+25
+00:02:12,220 --> 00:02:17,200
+أي شعاع بيسقط على العدسة راح ينكس، a convex lens
+
+26
+00:02:17,200 --> 00:02:20,920
+ليش تستخدم العدسات المقاعرة؟ to assemble the light
+
+27
+00:02:20,920 --> 00:02:25,500
+rays جمع الأشعة، but the concave lens العدسات
+
+28
+00:02:25,500 --> 00:02:30,560
+المقاعرة used to disperse radiation لتفريق الأشعة
+
+29
+00:02:30,560 --> 00:02:36,920
+next the type of the lensأنواع العدسات، أغلب ..
+
+30
+00:02:36,920 --> 00:02:40,100
+هلأ عندنا نوعين عدسات spherical و cylindrical lens
+
+31
+00:02:40,100 --> 00:02:44,480
+Spherical lens هي أغلبية العدسات بتكون spherical
+
+32
+00:02:44,480 --> 00:02:48,280
+lens بتتكون من سطحين من الكورة ال majority of
+
+33
+00:02:48,280 --> 00:02:51,300
+lenses are spherical lens for example lenses
+
+34
+00:02:51,300 --> 00:02:56,280
+consist of the two surfaces so that each them is a
+
+35
+00:02:56,280 --> 00:02:58,200
+part of the surface of this ball
+
+36
+00:03:06,530 --> 00:03:11,970
+الخط المستقيم اللى بيصل بين مركزي الكرة رح يكون
+
+37
+00:03:11,970 --> 00:03:16,850
+عمودي على السطح يعنى للخلاصة spherical lens the
+
+38
+00:03:16,850 --> 00:03:21,210
+all meridian same power يعني مثلا كانت موجة بتلاتة
+
+39
+00:03:21,210 --> 00:03:24,530
+هان موجة بتلاتة the same power
+
+40
+00:03:27,260 --> 00:03:31,540
+النوع التاني another kind cylindrical lens بيكون
+
+41
+00:03:31,540 --> 00:03:37,100
+أحد سطحيها أو كلاهما cylindrical هذه ال .. هذه ال
+
+42
+00:03:37,100 --> 00:03:42,900
+lens تمتج صور أكتر وضوح و ذات انحرافات أقل من
+
+43
+00:03:42,900 --> 00:03:47,380
+العدسات الكراوية and now I leave you .. I leave
+
+44
+00:03:47,380 --> 00:03:52,480
+you with the normal moodthe types of cave and
+
+45
+00:03:52,480 --> 00:03:55,880
+convex lens زي اللي اتعلمنا مع الدكتور محمد هناك
+
+46
+00:03:55,880 --> 00:04:02,240
+العديد من العدسات ال cave و ال convex اول نوع انه
+
+47
+00:04:02,240 --> 00:04:07,920
+هان by convex انه السطحين لها عبارة عن convex
+
+48
+00:04:07,920 --> 00:04:13,000
+convex سطح convex و السطح التاني convex التانية
+
+49
+00:04:13,000 --> 00:04:17,680
+plan و convexالعدسة التانية اللى هى plano convex
+
+50
+00:04:17,680 --> 00:04:22,240
+اللى هى أحد سطحها convex والسطح التانى plano
+
+51
+00:04:22,240 --> 00:04:26,980
+العدسة التالتة اللى هى convex and concave اللى هى
+
+52
+00:04:26,980 --> 00:04:32,120
+أحد السطح concave .. convex والسطح التانى con ..
+
+53
+00:04:32,120 --> 00:04:37,480
+concave اللى هى إيش بنسميها Dimaliscousطيب plano
+
+54
+00:04:37,480 --> 00:04:42,660
+concave اللي هي أحد السطحين plano والسطح التاني
+
+55
+00:04:42,660 --> 00:04:48,380
+عبارة عن عدسة مقعرة أخر عدسة اللي هي bi-concave
+
+56
+00:04:48,380 --> 00:04:52,660
+اللي هي أحد السطحين concave وكذلك السطح التاني
+
+57
+00:04:52,660 --> 00:04:57,080
+عبارة عن عدسة مقعرة the presence of the convex
+
+58
+00:04:57,080 --> 00:05:01,550
+lensIf a bundle of parallel light rays fell on the
+
+59
+00:05:01,550 --> 00:05:06,130
+convex lens, they gathered at one point.إذن أي
+
+60
+00:05:06,130 --> 00:05:11,290
+أشعة ضوئية متوازية تسقط على العدسة المحددة، راح
+
+61
+00:05:11,290 --> 00:05:15,790
+تتجمع في نقطة واحدة، is the focus of the convex
+
+62
+00:05:15,790 --> 00:05:16,290
+lens
+
+63
+00:05:19,650 --> 00:05:24,830
+القاعدة بين مركز الوزراء تسمى الوزراء الفوكال أي
+
+64
+00:05:24,830 --> 00:05:29,910
+المسافة بين مركز الوزراء المحددة العدسة المحددة
+
+65
+00:05:29,910 --> 00:05:35,270
+ومكان تكون الإيماج هي إيش راح نسميها تسمى الوزراء
+
+66
+00:05:35,270 --> 00:05:41,990
+الفوكال دا dimensions which is positive in the
+
+67
+00:05:41,990 --> 00:05:46,410
+lens convex lens and in negative lens diverse ال
+
+68
+00:05:46,410 --> 00:05:48,390
+cold اللي هي أش كونكاب
+
+69
+00:05:55,110 --> 00:05:59,110
+هنا عندى ال convex lens اللى كانت بتحكى عنها نور
+
+70
+00:05:59,110 --> 00:06:03,210
+انه الأشياء لما تدخل برر على العدسة هتعمل العدسة
+
+71
+00:06:03,210 --> 00:06:06,850
+على تجميع همفي فوكال بون و هنا طلعت الأشياء على
+
+72
+00:06:06,850 --> 00:06:10,370
+أساس كإنها option لإشي تانيطب ما فلقيتها principle
+
+73
+00:06:10,370 --> 00:06:13,930
+of convex lens فلقيتها convex lens using lens
+
+74
+00:06:13,930 --> 00:06:17,290
+glass هي عبارة عن عدسة تجارية if it blends the
+
+75
+00:06:17,290 --> 00:06:20,190
+body between the lens and its focus يده behavior
+
+76
+00:06:20,190 --> 00:06:23,070
+from the other side of the multiplicandly glass
+
+77
+00:06:23,070 --> 00:06:26,610
+image of the body فلقيتها إذا حطينا الجسم بين
+
+78
+00:06:26,610 --> 00:06:32,590
+العدسة أو نقطة التركيزسورة مكبرة للجسم على الجهة
+
+79
+00:06:32,590 --> 00:06:37,330
+المقابلة للعدسة الجهة التانية just over after the
+
+80
+00:06:37,330 --> 00:06:40,370
+physical body but if the body put of after the
+
+81
+00:06:40,370 --> 00:06:43,290
+lens over after the focal length you will not see
+
+82
+00:06:43,290 --> 00:06:49,250
+اذا حطينا ال object بعد طول البقرة مش هنقدر نشوف
+
+83
+00:06:49,250 --> 00:06:50,410
+أي صورة لل object
+
+84
+00:06:53,820 --> 00:06:57,820
+مفتوح فكرة thanks طيب قلت but you can revise a
+
+85
+00:06:57,820 --> 00:07:02,200
+real picture of him لل M لل object upside down لكن
+
+86
+00:07:02,200 --> 00:07:06,280
+ممكن نحصل على صورة له مقلوبة on a sheath on other
+
+87
+00:07:06,280 --> 00:07:09,540
+side of the lens إذا حطينا ورق التلقي على جهة
+
+88
+00:07:09,540 --> 00:07:14,260
+مقابلة العدسة هتتكون عنده صورة مقلوبة لهespecially
+
+89
+00:07:14,260 --> 00:07:17,540
+if the body illuminating or good lighting يعني إذا
+
+90
+00:07:17,540 --> 00:07:20,880
+كان الجسم نفسه مضاء أو إضاءته جيدة هتتكوّر عنده
+
+91
+00:07:20,880 --> 00:07:24,840
+صورة أوضح as in the case of the concave lens على
+
+92
+00:07:24,840 --> 00:07:30,180
+عكس العدسات المقعرة are on contrary على العكس
+
+93
+00:07:30,180 --> 00:07:33,780
+تماما they are used to reduce the image تستخدم
+
+94
+00:07:33,780 --> 00:07:37,720
+لتقليل الصورة as the concave lens is an image of
+
+95
+00:07:37,720 --> 00:07:41,820
+the body moderate بتكون الصورة في المنتصف متوسطة
+
+96
+00:07:41,820 --> 00:07:46,950
+non-invertedغير مقلوبة بتكون erect ميني مصغرة at
+
+97
+00:07:46,950 --> 00:07:50,870
+the same entity of which the body بتكون نفس كيان
+
+98
+00:07:50,870 --> 00:07:57,710
+ال object نفسه لكن مصغرة my name
+
+99
+00:07:57,710 --> 00:08:00,570
+is Dalia Ghannam I will talk about the difference
+
+100
+00:08:00,570 --> 00:08:04,070
+between concave and convex lens the major
+
+101
+00:08:04,070 --> 00:08:07,010
+difference between concave and convex lens lies in
+
+102
+00:08:07,010 --> 00:08:10,270
+the fact that concave lens are thicker at the edge
+
+103
+00:08:10,270 --> 00:08:12,110
+and convex lens are thicker in the middle
+
+104
+00:08:25,760 --> 00:08:31,220
+هنا ال concave lens اللى بتنقل السماكة في الحوار
+
+105
+00:08:31,220 --> 00:08:35,860
+هنا ال edge أكتر ثمق من ال middle أما العدسة
+
+106
+00:08:35,860 --> 00:08:39,620
+المحددة بال convex lens ال edge أكتر سماكة في
+
+107
+00:08:39,620 --> 00:08:40,800
+الوسط من الحوار
+
+108
+00:08:44,070 --> 00:08:46,590
+This distinction in shape results in the
+
+109
+00:08:46,590 --> 00:08:49,990
+difference in which light rays bend when striking
+
+110
+00:08:49,990 --> 00:08:53,870
+the lenses. لكون كاب لانس كاب inward and bend
+
+111
+00:08:53,870 --> 00:08:58,650
+light rays outward. العدسة المقعرة تتدوبها للداخل
+
+112
+00:08:58,650 --> 00:09:06,090
+وتجعل الأشعة الضوئية divergent and متفرقةthey are
+
+113
+00:09:06,090 --> 00:09:09,310
+used in the treatment of myopic or nearsighted
+
+114
+00:09:09,310 --> 00:09:15,470
+العدسة المقعرة تستخدم ليه علاج الأشخاص المصابين في
+
+115
+00:09:15,470 --> 00:09:17,510
+قصر النظر
+
+116
+00:09:25,530 --> 00:09:33,490
+بسبب أن النار تركز أمام الناس المصابين
+
+117
+00:09:33,490 --> 00:09:38,430
+في المياب أو قصر النظر تكون اللي في حالتهم الأشعة
+
+118
+00:09:38,430 --> 00:09:44,570
+ساقطة في أمام الشبكية الـ Concave Lens يساعد
+
+119
+00:09:44,570 --> 00:09:48,370
+بإتصال النار لتنقل و تركز أكتر، في الواقع، في
+
+120
+00:09:48,370 --> 00:09:53,430
+إpromoting a clear visionclear vision at a
+
+121
+00:09:53,430 --> 00:09:57,130
+distance concave lens are used in movie projector
+
+122
+00:09:57,130 --> 00:10:01,150
+to cause the image to spread يستخدم العدسات
+
+123
+00:10:01,150 --> 00:10:04,290
+المحددة .. يستخدم العدسات المقاعرة
+
+124
+00:10:06,960 --> 00:10:10,800
+تسخدم العدسة المقعرة في الأجهزة مثل جهاز ال
+
+125
+00:10:10,800 --> 00:10:13,940
+projector لإنها تقوم بتشتيت الأشعة ال lens of a
+
+126
+00:10:13,940 --> 00:10:19,420
+normal eye is bi-concave في الأشخاص الطبيعيين تكون
+
+127
+00:10:19,420 --> 00:10:25,890
+العدسة تناقية التحدثconvex lens rounded outward
+
+128
+00:10:25,890 --> 00:10:29,590
+and gives light rays to converge في العدسات
+
+129
+00:10:29,590 --> 00:10:34,310
+المحددة تكون الأشعة تكون التحد من الخارج وتجعل
+
+130
+00:10:34,310 --> 00:10:39,330
+الأشعة متجمعة convex lens are beneficial in
+
+131
+00:10:39,330 --> 00:10:44,890
+treating breast biop العدسة المحددة تكون بعلاج
+
+132
+00:10:44,890 --> 00:10:48,610
+الأشخاص المصابين بطول النضر الشلقوقي أو في الhyper
+
+133
+00:10:48,610 --> 00:10:48,910
+metro
+
+134
+00:10:57,210 --> 00:11:00,150
+the convex lens correct this problem and allows
+
+135
+00:11:00,150 --> 00:11:04,010
+the person to see clearly up، العدسة المحدة بتحكم
+
+136
+00:11:04,010 --> 00:11:07,030
+بتصحيح الأخطاء الإنكسارية للأشخاص المصابين بطول
+
+137
+00:11:07,030 --> 00:11:10,750
+المضر الشيخوخي أو المصابين بطول المضر وتجعل الرؤية
+
+138
+00:11:10,750 --> 00:11:15,120
+واضحة بالنسبة لهمconvex lens are also found in
+
+139
+00:11:15,120 --> 00:11:17,960
+magnifying glasses, binoculars, telescope and
+
+140
+00:11:17,960 --> 00:11:23,780
+camera العدسة المحددة بتتواجد في أجهزة مثل أجهزة
+
+141
+00:11:23,780 --> 00:11:27,560
+التكبير مثل ال glasses النضارات and ال binoculars
+
+142
+00:11:27,560 --> 00:11:31,720
+المنظير وفي التليسكوب ويوجد هنا نوعين من التليسكوب
+
+143
+00:11:31,720 --> 00:11:35,140
+عندنا تليسكوب Galilean telescope and capillary
+
+144
+00:11:35,140 --> 00:11:38,000
+telescope Galilean telescope تحتوي على نوعين من
+
+145
+00:11:38,000 --> 00:11:41,800
+العدسات عدسة minusو عدسة plus أما ال camellarian
+
+146
+00:11:41,800 --> 00:11:46,540
+telescope تحتوي على two plus lenses certain
+
+147
+00:11:46,540 --> 00:11:49,800
+telescope and microscope use concave mirror as
+
+148
+00:11:49,800 --> 00:11:55,040
+well as convex lens التليسكوب و ال microscope فيها
+
+149
+00:11:55,040 --> 00:11:59,560
+مرأة مقعرة و عدسة محددة ال convex lens of a human
+
+150
+00:11:59,560 --> 00:12:03,440
+eye actually actually focus the image upside down
+
+151
+00:12:03,440 --> 00:12:07,400
+و انت ريت هنا في الحلقة الطبيعية اللي الإنسان تقوم
+
+152
+00:12:07,400 --> 00:12:08,960
+يوجد ال object
+
+153
+00:12:21,720 --> 00:12:33,260
+تسقط الشعر على العين وتسقط
+
+154
+00:12:33,260 --> 00:12:37,940
+على الشباكية بشكل مقلوبة تقوم تصحيحها عن طريق ال
+
+155
+00:12:37,940 --> 00:12:44,660
+optic track وثم إلى الدماغ تجعل الصورة Erect
+
+156
+00:12:44,660 --> 00:12:46,200
+وواضحة
+
+157
+00:12:55,640 --> 00:12:59,320
+هي مقارنة بين ال concave و ال convex lens ال
+
+158
+00:12:59,320 --> 00:13:02,860
+convex lens makes object look larger and farther
+
+159
+00:13:02,860 --> 00:13:08,880
+away عندك لو حطينا أي جسم قدام عدسة محددة بقى راح
+
+160
+00:13:08,880 --> 00:13:15,240
+تظهر أن هي أبعد و أكبر وهي كمان ب correct far
+
+161
+00:13:15,240 --> 00:13:19,420
+sightedness اللي هي بتصحح اللي هو طول النظرلكن ال
+
+162
+00:13:19,420 --> 00:13:23,080
+concave lens عكسها تماما اللى هى makes object look
+
+163
+00:13:23,080 --> 00:13:30,160
+smaller and closer بقصر النجاة أقرب و أصغر و هى بت
+
+164
+00:13:30,160 --> 00:13:34,760
+.. بتتصحح اللى هى inner sidedness اللى هى قصر
+
+165
+00:13:34,760 --> 00:13:39,900
+النظرهنا ال convex lens bends light rays toward
+
+166
+00:13:39,900 --> 00:13:44,580
+each other اللي هي بالعدسة المحددة أشعة اللي هي
+
+167
+00:13:44,580 --> 00:13:49,380
+الضوء بتجمعناياها in focal point لكن ال concave
+
+168
+00:13:49,380 --> 00:13:53,920
+lens spreads light rays apart اللي هي بتشتت اللي
+
+169
+00:13:53,920 --> 00:14:00,360
+هي الأشعة continue with Yasmin قصص I will continue
+
+170
+00:14:00,360 --> 00:14:08,490
+with the casesimage the complex lens في ال .. في
+
+171
+00:14:08,490 --> 00:14:11,510
+ال concave .. في ال concave lens بتكون عندنا image
+
+172
+00:14:11,510 --> 00:14:14,090
+location موقع الصورة بتكون at the same point in
+
+173
+00:14:14,090 --> 00:14:16,910
+the front of the body close to the .. to the lens
+
+174
+00:14:16,910 --> 00:14:20,610
+بتكون في ال same point يعني أنه على نفس السطر
+
+175
+00:14:20,610 --> 00:14:27,170
+بيكون close to the lens مميزاتها بتكون عندنا صورة
+
+176
+00:14:27,170 --> 00:14:30,270
+virtual لإن مولدتها اللي .. بتكون عندنا ال object
+
+177
+00:14:31,200 --> 00:14:37,740
+هتطلع منه الأشعة divergence العدسة المقعرة هتعمل
+
+178
+00:14:37,740 --> 00:14:41,200
+على تفريق الضوء وبالتالي مش هيتكون اصلا احنا عندنا
+
+179
+00:14:41,200 --> 00:14:45,540
+مش هنشوف صورة الا على انتداد الأشعة هيتكون عندنا
+
+180
+00:14:45,540 --> 00:14:49,280
+صورة virtual ومدرة في المتصفف هتكون عندنا مينية
+
+181
+00:14:49,280 --> 00:14:56,920
+هتكون مصدرة The
+
+182
+00:14:56,920 --> 00:15:00,360
+use of lens in refractive error correction
+
+183
+00:15:10,830 --> 00:15:15,710
+في حالة طول النظر نستخدم العدسات اللي هي المجبة
+
+184
+00:15:15,710 --> 00:15:19,390
+عشان تعمل اللي نعادة تجميع الأشعة to positive ray
+
+185
+00:15:19,390 --> 00:15:23,150
+تدينا أشعة مجبة on the retina surface to clarify
+
+186
+00:15:23,150 --> 00:15:26,270
+the picture fore closed عشان أتوضح لنا الصورة
+
+187
+00:15:26,270 --> 00:15:31,370
+وأقربas in this case of hyperrabia, rays are
+
+188
+00:15:31,370 --> 00:15:36,050
+grooved behind the retina ليش احنا حطينا عدسة
+
+189
+00:15:36,050 --> 00:15:39,730
+مجمعة؟ لأن اصلا احنا في حالات ال hyperrabia بيكون
+
+190
+00:15:39,730 --> 00:15:49,230
+في عيننا الامش بتتكون behind the retina الصورة
+
+191
+00:15:49,230 --> 00:15:53,170
+بتتكون هان behind the retinaلمّا نحط في عدسة مجمة
+
+192
+00:15:53,170 --> 00:15:56,710
+هتقوم أنها تجمع للضوء و تحط لنا هي ع ال surface، ع
+
+193
+00:15:56,710 --> 00:15:58,950
+ال retina، ع ال surface بالظبط و بالتالي احنا نكون
+
+194
+00:15:58,950 --> 00:16:04,500
+صالحنا الخطوةعند الشخص هذا in the case of myopia
+
+195
+00:16:04,500 --> 00:16:09,960
+using a concave lens to deflect negative rays from
+
+196
+00:16:09,960 --> 00:16:12,860
+the retina surface بنعمل في حالات ال myopia اللي
+
+197
+00:16:12,860 --> 00:16:16,900
+هو في حالات قصر نظر أنه بنحطله عدسة مقعرة عشان
+
+198
+00:16:16,900 --> 00:16:22,280
+تعمل .. تدينا أحنا أشعة minus بالتالي على أشعة
+
+199
+00:16:22,280 --> 00:16:25,140
+minus على ال retina surface to glorify the picture
+
+200
+00:16:25,140 --> 00:16:32,280
+for long عشان تبين أن ال ..الصورة كبيرة و واضحة
+
+201
+00:16:32,280 --> 00:16:37,420
+عنده as in the case of myopia, rays are grabbed in
+
+202
+00:16:37,420 --> 00:16:40,680
+front retina في حالات ال myopia عندنا الصورة
+
+203
+00:16:40,680 --> 00:16:45,520
+بتتكون in front retina فهيك بيكون هو شايف عنده قوة
+
+204
+00:16:45,520 --> 00:16:48,320
+تجمعية كبيرة احنا عشان نتغذى هذه القوة التجمعية
+
+205
+00:16:48,320 --> 00:16:51,940
+اللي عنده بيحطله عدسة مقايرة بالتالي بتعمل على انه
+
+206
+00:16:51,940 --> 00:16:55,660
+.. بتعمل diverge لل .. لل .. للrays و بتحطها على
+
+207
+00:16:55,660 --> 00:16:56,480
+ال retina بالظبط
+
+208
+00:16:59,740 --> 00:17:03,000
+أخر إشي فيه عندنا فيديو image formation by lenses
+
+209
+00:17:03,000 --> 00:17:07,600
+so we talked about how mirrors form imagesImage
+
+210
+00:17:07,600 --> 00:17:11,840
+Proportion Balances هنا بوضح لي حطتلك عدستين على
+
+211
+00:17:11,840 --> 00:17:15,740
+كل صورة حسب البقرة احنا وان بنحط العدسة و حسب ال
+
+212
+00:17:15,740 --> 00:17:18,640
+focal length و هتطلع عينها الصورة هال هو ان بعد ال
+
+213
+00:17:18,640 --> 00:17:22,740
+focal length فبالتالي هتطلع عنده الصورة inverted و
+
+214
+00:17:22,740 --> 00:17:26,100
+هتطلع عينها الصورة mini بالنسبة لها اللي هو حاطتنا
+
+215
+00:17:26,100 --> 00:17:29,400
+صورة أعد عدسة و ده كان مقرب ال focal length إليها
+
+216
+00:17:29,400 --> 00:17:33,260
+فبالتالي هيكبر عيننا اللي هو الكلامفي ال convex
+
+217
+00:17:33,260 --> 00:17:36,940
+lens هتكون عندنا هاي convex lens عدسة مجمعة هتطلع
+
+218
+00:17:36,940 --> 00:17:40,500
+الأشعة برارت وبالتالي هتقطع في ال focal point يبقى
+
+219
+00:17:40,500 --> 00:17:49,040
+هيعمل عندنا عملية conversions بالنسبة
+
+220
+00:17:49,040 --> 00:17:52,240
+للعدسات concave lens هتكون عندنا الأشعة بتيجي
+
+221
+00:17:52,240 --> 00:17:56,660
+برارت هتعمل على divergence وبالتالي هتكون لانها
+
+222
+00:17:56,660 --> 00:17:58,200
+diverged to the right race
+
+223
+00:18:04,860 --> 00:18:08,580
+3 rules for race diagrams for lenses، اسمها لإن
+
+224
+00:18:08,580 --> 00:18:12,540
+طلعت قواعد بالنسبة للـ lenses a incident trail
+
+225
+00:18:12,540 --> 00:18:15,600
+parallel to the principal axis will refract
+
+226
+00:18:15,600 --> 00:18:21,420
+through the focus، بمعنى إن لو خلت الأشعة البراريل
+
+227
+00:18:21,420 --> 00:18:25,540
+على ال lens، دخلت في ال lens، هتسقط على ال focal
+
+228
+00:18:25,540 --> 00:18:29,470
+point بالظبطعال focal point أما لو كانت ال
+
+229
+00:18:29,470 --> 00:18:32,030
+incident ray through the focus will reflect
+
+230
+00:18:32,030 --> 00:18:35,670
+parallel to the principal axis لو كانت عيني عال
+
+231
+00:18:35,670 --> 00:18:41,050
+focal هتطلع الأشعة لكن هتطلع برره يعني هreflect
+
+232
+00:18:41,050 --> 00:18:44,390
+برره to the principal axis an incident ray through
+
+233
+00:18:44,390 --> 00:18:47,890
+the center of the lens will go straight through
+
+234
+00:18:47,890 --> 00:18:52,160
+the lensلو مرت في ال center مش حاسسة اللي هي اي
+
+235
+00:18:52,160 --> 00:18:57,560
+انكسات why does .. هم بيحكيلك .. why does this ..
+
+236
+00:18:57,560 --> 00:19:01,620
+why do this rules work for lenses؟ ليش هذه القواعد
+
+237
+00:19:01,620 --> 00:19:04,600
+بتمشي على ال lenses؟ لأنه في انها ال learners law
+
+238
+00:19:04,600 --> 00:19:07,960
+ال learners law هو عبارة عن قانون بوضحك كيف الأشعة
+
+239
+00:19:07,960 --> 00:19:12,960
+بتدخل و كيف بتطلع ان عدد ال incident trace equal
+
+240
+00:19:12,960 --> 00:19:14,640
+to the refract trace
+
+241
+00:19:23,040 --> 00:19:31,360
+هذا عبارة عن optical axis في
+
+242
+00:19:31,360 --> 00:19:34,980
+عبارة عن two focal, anterior focal و posterior
+
+243
+00:19:34,980 --> 00:19:44,620
+focal point لو
+
+244
+00:19:44,620 --> 00:19:50,180
+كان أن ال object before the focal .. anterior
+
+245
+00:19:50,180 --> 00:19:54,630
+focal pointهو ال optical system عندنا بتكون من ال
+
+246
+00:19:54,630 --> 00:19:58,030
+objects و ال optical system بتكون عندنا من ال
+
+247
+00:19:58,030 --> 00:20:00,890
+energy اللي هبتلوها الأخر أشياء هي أول قانون عندنا
+
+248
+00:20:00,890 --> 00:20:05,830
+أنه طلعت الأشعة برد دخلت في ال lens و طلعت عندنا
+
+249
+00:20:05,830 --> 00:20:17,710
+اللي هو على فوق ال body بالنسبة
+
+250
+00:20:17,710 --> 00:20:23,460
+للأشعة اللي بتطلع من ال objectفالدنيا هتفوت على
+
+251
+00:20:23,460 --> 00:20:33,540
+العدسة، العدسة هتركسها برا لله أخر
+
+252
+00:20:33,540 --> 00:20:38,080
+إشي بالنسبة للأشعار اللي بتطلع من ال object بمارة،
+
+253
+00:20:38,080 --> 00:20:41,480
+بال center لل lenses مش هيصير لها أي انكاس
+
+254
+00:20:41,480 --> 00:20:45,400
+وبالتالي هنا هيكوّللي صورة هتكون inverted like a
+
+255
+00:20:45,400 --> 00:20:47,540
+real object, a real قمش
+
+256
+00:20:52,090 --> 00:20:59,690
+مقلوبة وحقيقية object
+
+257
+00:20:59,690 --> 00:21:05,390
+inside the focus هذا ال object كان ب access فهناك
+
+258
+00:21:05,390 --> 00:21:10,190
+two focal point نفس الأشياء لو كان عندنا ال object
+
+259
+00:21:10,190 --> 00:21:12,990
+inside the focal يعني داخل البعد البقى
+
+260
+00:21:20,300 --> 00:21:23,760
+أول شي هتطلع الأشعة ضرر تدخل في ال lens، هتفوت في
+
+261
+00:21:23,760 --> 00:21:25,840
+ال focus، هتدخل من الأول اللي حكينا عنه
+
+262
+00:21:47,190 --> 00:21:51,950
+هدا بوضح أنه ال .. الأشياء عم تدخلتش فيه ال .. ال
+
+263
+00:21:51,950 --> 00:21:55,950
+lens هتبقى لها زي ان هي عم تطور براريل، بالنسبة
+
+264
+00:21:55,950 --> 00:21:59,290
+للي هتفوت بال center هتبقى لها زي ان هي .. مش
+
+265
+00:21:59,290 --> 00:22:00,670
+هيصيرلها أي إيه من ال concept
+
+266
+00:22:08,870 --> 00:22:12,990
+طبعا هنا مش هتتكون اي صورة لأن مش مستحيل ان هاد ال
+
+267
+00:22:12,990 --> 00:22:17,330
+.. ال race اللي طلعت مستحيل انها تطلعقه بالتاني
+
+268
+00:22:17,330 --> 00:22:21,690
+امتداد هذه الأشعة هتكون لصورة هتكون عندنا صورة
+
+269
+00:22:21,690 --> 00:22:35,430
+virtual image تكون
+
+270
+00:22:35,430 --> 00:22:40,690
+عندنا دي صورة virtual imageطب انها هتكون magnified
+
+271
+00:22:40,690 --> 00:22:46,850
+هتكون مكبرة اكبر من الصورة المخاطرة هان بوضحلك كيف
+
+272
+00:22:46,850 --> 00:22:53,150
+عين الإنسان human eye عبارة عن convexness by
+
+273
+00:22:53,150 --> 00:22:57,250
+convexness دخلت عليها هاي ال object لمن انت بتيجي
+
+274
+00:22:57,250 --> 00:23:01,030
+هتطلع ال .. thank you for attention okay thank you
+
+275
+00:23:01,030 --> 00:23:05,610
+so much for your presentation any comment okay
+
+276
+00:23:08,590 --> 00:23:12,350
+الفترة اللي فترة فكرت ان اقلب العدسات اللي احنا
+
+277
+00:23:12,350 --> 00:23:17,730
+بنستخدمها هي script and lens فانها تتراها في
+
+278
+00:23:17,730 --> 00:23:18,350
+العدسات
+
+279
+00:23:25,990 --> 00:23:30,170
+أعتقد أن هذا ليس صحيح لأنه يعتمد على خطأ الانتجار
+
+280
+00:23:30,170 --> 00:23:36,010
+إذا كان الشخص لديه ميوب أو حيبرمتروب أو بريس بيوب
+
+281
+00:23:36,010 --> 00:23:41,250
+يمكنك تطبيق عصفرية لو كان الشخص لديه أستigmatism
+
+282
+00:23:41,250 --> 00:23:45,910
+يجب أن تطبيق عصفرية
+
+283
+00:23:45,910 --> 00:23:49,770
+أخر
+
+284
+00:23:49,770 --> 00:23:57,320
+سؤال؟ حسنا شكرا مرة أخرىمع مقابلتك
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..3961b9f92b93bf859f7fc614abc66f65ef86b245
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k_raw.json
@@ -0,0 +1 @@
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cylindrical lens بيكون أحد سطحيها أو كلاهما cylindrical هذه ال .. هذه ال lens تمتج صور أكتر وضوح و ذات انحرافات أقل من العدسات الكراوية and now I leave you .. I leave you with the normal mood", "tokens": [6027, 1863, 45367, 16712, 7649, 1829, 1071, 733, 28044, 15888, 6765, 4724, 1829, 30544, 5551, 24401, 8608, 9566, 5016, 1829, 11296, 34051, 9122, 15040, 3224, 15042, 28044, 15888, 29538, 2423, 4386, 29538, 2423, 6765, 46811, 2655, 7435, 20328, 13063, 5551, 4117, 2655, 2288, 4032, 11242, 2407, 5016, 4032, 29910, 9307, 16472, 5016, 23557, 5172, 9307, 5551, 4587, 1211, 9154, 18863, 3215, 3794, 9307, 33251, 23557, 2407, 10632, 293, 586, 286, 1856, 291, 4386, 286, 1856, 291, 365, 264, 2710, 9268], "avg_logprob": -0.21257715460694868, "compression_ratio": 1.4549763033175356, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 207.26, "end": 207.98, "word": "النوع", "probability": 0.9894205729166666}, {"start": 207.98, "end": 208.38, "word": " التاني", "probability": 0.8282877604166666}, {"start": 208.38, "end": 208.68, "word": " another", "probability": 0.515625}, {"start": 208.68, "end": 209.34, "word": " kind", "probability": 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"end": 311.97, "word": " تتجمع", "probability": 0.99033203125}, {"start": 311.97, "end": 312.33, "word": " في", "probability": 0.9423828125}, {"start": 312.33, "end": 313.35, "word": " نقطة", "probability": 0.98193359375}, {"start": 313.35, "end": 313.59, "word": " واحدة،", "probability": 0.70416259765625}, {"start": 313.59, "end": 313.87, "word": " is", "probability": 0.61376953125}, {"start": 313.87, "end": 314.33, "word": " the", "probability": 0.9111328125}, {"start": 314.33, "end": 314.81, "word": " focus", "probability": 0.9501953125}, {"start": 314.81, "end": 315.07, "word": " of", "probability": 0.93896484375}, {"start": 315.07, "end": 315.41, "word": " the", "probability": 0.8623046875}, {"start": 315.41, "end": 315.79, "word": " convex", "probability": 0.97509765625}, {"start": 315.79, "end": 316.29, "word": " lens", "probability": 0.93798828125}], "temperature": 1.0}, {"id": 13, "seek": 34839, "start": 319.65, "end": 348.39, "text": "القاعدة بين مركز الوزراء تسمى الوزراء الفوكال أي المسافة بين مركز الوزراء المحددة العدسة المحددة ومكان تكون الإيماج هي إيش راح نسميها تسمى الوزراء الفوكال دا dimensions which is positive in the lens convex lens and in negative lens diverse ال cold اللي هي أش كونكاب", "tokens": [6027, 4587, 995, 22488, 3660, 49374, 3714, 31747, 11622, 2423, 2407, 11622, 2288, 16606, 6055, 38251, 7578, 2423, 2407, 11622, 2288, 16606, 27188, 2407, 4117, 6027, 36632, 9673, 3794, 31845, 3660, 49374, 3714, 31747, 11622, 2423, 2407, 11622, 2288, 16606, 9673, 24401, 41891, 18863, 3215, 3794, 3660, 9673, 24401, 41891, 4032, 2304, 41361, 6055, 30544, 33688, 1829, 2304, 26108, 39896, 11933, 1829, 8592, 12602, 39319, 8717, 38251, 1829, 11296, 6055, 38251, 7578, 2423, 2407, 11622, 2288, 16606, 27188, 2407, 4117, 6027, 11778, 995, 12819, 597, 307, 3353, 294, 264, 6765, 42432, 6765, 293, 294, 3671, 6765, 9521, 2423, 3554, 13672, 1829, 39896, 5551, 8592, 9122, 11536, 4117, 16758], "avg_logprob": -0.4257454128440367, "compression_ratio": 1.903225806451613, 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الوزراء", "probability": 0.96064453125}, {"start": 335.27, "end": 335.95, "word": " الفوكال", "probability": 0.95556640625}, {"start": 335.95, "end": 337.05, "word": " دا", "probability": 0.37890625}, {"start": 337.05, "end": 338.19, "word": " dimensions", "probability": 0.20849609375}, {"start": 338.19, "end": 340.25, "word": " which", "probability": 0.3037109375}, {"start": 340.25, "end": 340.61, "word": " is", "probability": 0.92138671875}, {"start": 340.61, "end": 341.39, "word": " positive", "probability": 0.91064453125}, {"start": 341.39, "end": 341.81, "word": " in", "probability": 0.8720703125}, {"start": 341.81, "end": 341.99, "word": " the", "probability": 0.712890625}, {"start": 341.99, "end": 342.21, "word": " lens", "probability": 0.8837890625}, {"start": 342.21, "end": 342.59, "word": " convex", "probability": 0.28125}, {"start": 342.59, "end": 343.51, "word": " lens", "probability": 0.73291015625}, {"start": 343.51, "end": 344.01, "word": " and", "probability": 0.47216796875}, {"start": 344.01, "end": 344.29, "word": " in", "probability": 0.56982421875}, {"start": 344.29, "end": 344.89, "word": " negative", "probability": 0.8828125}, {"start": 344.89, "end": 345.29, "word": " lens", "probability": 0.87744140625}, {"start": 345.29, "end": 346.01, "word": " diverse", "probability": 0.40673828125}, {"start": 346.01, "end": 346.41, "word": " ال", "probability": 0.662109375}, {"start": 346.41, "end": 346.95, "word": " cold", "probability": 0.480224609375}, {"start": 346.95, "end": 347.25, "word": " اللي", "probability": 0.81982421875}, {"start": 347.25, "end": 347.43, "word": " هي", "probability": 0.86181640625}, {"start": 347.43, "end": 347.69, "word": " أش", "probability": 0.5458984375}, {"start": 347.69, "end": 348.39, "word": " كونكاب", "probability": 0.644775390625}], "temperature": 1.0}, {"id": 14, "seek": 36883, "start": 355.11, "end": 368.83, "text": "هنا عندى ال convex lens اللى كانت بتحكى عنها نور انه الأشياء لما تدخل برر على العدسة هتعمل العدسة على تجميع همفي فوكال بون و هنا طلعت الأشياء على أساس كإنها option لإشي تاني", "tokens": [3224, 8315, 43242, 7578, 2423, 42432, 6765, 13672, 7578, 25961, 2655, 39894, 5016, 4117, 7578, 18871, 11296, 8717, 13063, 16472, 3224, 16247, 8592, 1829, 16606, 5296, 15042, 6055, 3215, 9778, 1211, 4724, 2288, 2288, 15844, 18863, 3215, 3794, 3660, 8032, 2655, 25957, 1211, 18863, 3215, 3794, 3660, 15844, 6055, 7435, 2304, 40228, 8032, 2304, 41185, 6156, 2407, 4117, 6027, 4724, 11536, 4032, 34105, 23032, 1211, 34268, 16247, 8592, 1829, 16606, 15844, 5551, 3794, 32277, 9122, 28814, 1863, 11296, 3614, 5296, 28814, 8592, 1829, 6055, 7649, 1829], "avg_logprob": -0.19953304906001038, "compression_ratio": 1.6408839779005524, "no_speech_prob": 1.0669231414794922e-05, "words": [{"start": 355.11, "end": 355.85, "word": "هنا", "probability": 0.497650146484375}, {"start": 355.85, "end": 356.51, "word": " عندى", "probability": 0.814208984375}, {"start": 356.51, "end": 356.97, "word": " ال", 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{"start": 379.33, "end": 379.77, "word": " يده", "probability": 0.453125}, {"start": 379.77, "end": 380.19, "word": " behavior", "probability": 0.78955078125}, {"start": 380.19, "end": 380.63, "word": " from", "probability": 0.9091796875}, {"start": 380.63, "end": 380.87, "word": " the", "probability": 0.8974609375}, {"start": 380.87, "end": 381.11, "word": " other", "probability": 0.9130859375}, {"start": 381.11, "end": 381.49, "word": " side", "probability": 0.8642578125}, {"start": 381.49, "end": 381.67, "word": " of", "probability": 0.96728515625}, {"start": 381.67, "end": 381.81, "word": " the", "probability": 0.91455078125}, {"start": 381.81, "end": 382.69, "word": " multiplicandly", "probability": 0.4970703125}, {"start": 382.69, "end": 383.07, "word": " glass", "probability": 0.732421875}, {"start": 383.07, "end": 383.65, "word": " image", "probability": 0.94580078125}, {"start": 383.65, "end": 383.83, "word": " of", "probability": 0.982421875}, {"start": 383.83, "end": 383.97, 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الجهة التانية just over after the physical body but if the body put of after the lens over after the focal length you will not see اذا حطينا ال object بعد طول البقرة مش هنقدر نشوف أي صورة لل object", "tokens": [3794, 13063, 3660, 3714, 4117, 3555, 25720, 24976, 7435, 38251, 15844, 25724, 3224, 3660, 9673, 4587, 16758, 37977, 24976, 22488, 3794, 3660, 25724, 3224, 3660, 16712, 7649, 10632, 445, 670, 934, 264, 4001, 1772, 457, 498, 264, 1772, 829, 295, 934, 264, 6765, 670, 934, 264, 26592, 4641, 291, 486, 406, 536, 1975, 15730, 11331, 9566, 1829, 8315, 2423, 2657, 39182, 23032, 12610, 29739, 4587, 25720, 37893, 8032, 1863, 28543, 2288, 8717, 8592, 38688, 36632, 20328, 13063, 3660, 24976, 2657], "avg_logprob": -0.21431326866149902, "compression_ratio": 1.5518867924528301, "no_speech_prob": 5.7816505432128906e-05, "words": [{"start": 390.47, "end": 390.69, "word": "سورة", "probability": 0.6717122395833334}, {"start": 390.69, "end": 391.19, "word": " مكبرة", "probability": 0.8265380859375}, 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"word": " a", "probability": 0.953125}, {"start": 425.44, "end": 425.76, "word": " sheath", "probability": 0.6263427734375}, {"start": 425.76, "end": 425.96, "word": " on", "probability": 0.92724609375}, {"start": 425.96, "end": 426.28, "word": " other", "probability": 0.71337890625}, {"start": 426.28, "end": 426.68, "word": " side", "probability": 0.87646484375}, {"start": 426.68, "end": 426.86, "word": " of", "probability": 0.97998046875}, {"start": 426.86, "end": 427.02, "word": " the", "probability": 0.91357421875}, {"start": 427.02, "end": 427.22, "word": " lens", "probability": 0.94580078125}, {"start": 427.22, "end": 427.42, "word": " إذا", "probability": 0.80810546875}, {"start": 427.42, "end": 428.06, "word": " حطينا", "probability": 0.9532470703125}, {"start": 428.06, "end": 428.54, "word": " ورق", "probability": 0.9571940104166666}, {"start": 428.54, "end": 429.02, "word": " التلقي", "probability": 0.6785481770833334}, {"start": 429.02, "end": 429.24, "word": " على", "probability": 0.84765625}, {"start": 429.24, "end": 429.54, "word": " جهة", "probability": 0.9137369791666666}, {"start": 429.54, "end": 430.1, "word": " مقابلة", "probability": 0.8939208984375}, {"start": 430.1, "end": 430.96, "word": " العدسة", "probability": 0.895751953125}, {"start": 430.96, "end": 431.72, "word": " هتتكون", "probability": 0.8443196614583334}, {"start": 431.72, "end": 432.04, "word": " عنده", "probability": 0.7020263671875}, {"start": 432.04, "end": 432.28, "word": " صورة", "probability": 0.9890950520833334}, {"start": 432.28, "end": 432.74, "word": " مقلوبة", "probability": 0.97529296875}, {"start": 432.74, "end": 432.92, "word": " له", "probability": 0.9619140625}], "temperature": 1.0}, {"id": 18, "seek": 46314, "start": 433.6, "end": 463.14, "text": "especially if the body illuminating or good lighting يعني إذا كان الجسم نفسه مضاء أو إضاءته جيدة هتتكوّر عنده صورة أوضح as in the case of the concave lens على عكس العدسات المقعرة are on contrary على العكس تماما they are used to reduce the image تستخدم لتقليل الصورة as the concave lens is an image of the body moderate بتكون الصورة في المنتصف متوسطة non-inverted", "tokens": [279, 2084, 498, 264, 1772, 28593, 990, 420, 665, 9577, 37495, 22653, 11933, 15730, 25961, 25724, 38251, 8717, 36178, 3224, 3714, 11242, 16606, 34051, 11933, 11242, 16606, 47395, 10874, 25708, 3660, 8032, 2655, 2655, 4117, 2407, 11703, 2288, 43242, 3224, 20328, 13063, 3660, 34051, 11242, 5016, 382, 294, 264, 1389, 295, 264, 416, 50126, 6765, 15844, 6225, 4117, 3794, 18863, 3215, 3794, 9307, 9673, 4587, 3615, 25720, 366, 322, 19506, 15844, 18863, 4117, 3794, 46811, 10943, 995, 436, 366, 1143, 281, 5407, 264, 3256, 6055, 14851, 9778, 40448, 5296, 2655, 4587, 20292, 1211, 31767, 13063, 3660, 382, 264, 416, 50126, 6765, 307, 364, 3256, 295, 264, 1772, 18174, 39894, 30544, 31767, 13063, 3660, 8978, 9673, 29399, 9381, 5172, 44650, 41779, 9566, 3660, 2107, 12, 259, 18537], "avg_logprob": -0.13976377858890324, "compression_ratio": 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"word": " الجسم", "probability": 0.969970703125}, {"start": 438.5, "end": 438.86, "word": " نفسه", "probability": 0.9969075520833334}, {"start": 438.86, "end": 439.16, "word": " مضاء", "probability": 0.8416341145833334}, {"start": 439.16, "end": 439.3, "word": " أو", "probability": 0.83837890625}, {"start": 439.3, "end": 439.72, "word": " إضاءته", "probability": 0.943115234375}, {"start": 439.72, "end": 440.04, "word": " جيدة", "probability": 0.931640625}, {"start": 440.04, "end": 440.54, "word": " هتتكوّر", "probability": 0.7839704241071429}, {"start": 440.54, "end": 440.88, "word": " عنده", "probability": 0.7705078125}, {"start": 440.88, "end": 441.14, "word": " صورة", "probability": 0.9833984375}, {"start": 441.14, "end": 441.5, "word": " أوضح", "probability": 0.8450520833333334}, {"start": 441.5, "end": 442.04, "word": " as", "probability": 0.84326171875}, {"start": 442.04, "end": 442.24, "word": " in", "probability": 0.96826171875}, {"start": 442.24, "end": 442.42, "word": " the", 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"word": " الصورة", "probability": 0.9920247395833334}, {"start": 455.4, "end": 455.86, "word": " as", "probability": 0.9248046875}, {"start": 455.86, "end": 456.06, "word": " the", "probability": 0.822265625}, {"start": 456.06, "end": 456.46, "word": " concave", "probability": 0.909423828125}, {"start": 456.46, "end": 456.8, "word": " lens", "probability": 0.955078125}, {"start": 456.8, "end": 457.04, "word": " is", "probability": 0.9267578125}, {"start": 457.04, "end": 457.22, "word": " an", "probability": 0.859375}, {"start": 457.22, "end": 457.5, "word": " image", "probability": 0.94482421875}, {"start": 457.5, "end": 457.72, "word": " of", "probability": 0.98095703125}, {"start": 457.72, "end": 457.88, "word": " the", "probability": 0.89013671875}, {"start": 457.88, "end": 458.12, "word": " body", "probability": 0.857421875}, {"start": 458.12, "end": 458.76, "word": " moderate", "probability": 0.87158203125}, {"start": 458.76, "end": 459.3, "word": " بتكون", "probability": 0.85791015625}, {"start": 459.3, "end": 459.86, "word": " الصورة", "probability": 0.98828125}, {"start": 459.86, "end": 460.18, "word": " في", "probability": 0.92578125}, {"start": 460.18, "end": 460.9, "word": " المنتصف", "probability": 0.8197021484375}, {"start": 460.9, "end": 461.82, "word": " متوسطة", "probability": 0.953857421875}, {"start": 461.82, "end": 462.54, "word": " non", "probability": 0.7705078125}, {"start": 462.54, "end": 463.14, "word": "-inverted", "probability": 0.75390625}], "temperature": 1.0}, {"id": 19, "seek": 49211, "start": 463.57, "end": 492.11, "text": "غير مقلوبة بتكون erect ميني مصغرة at the same entity of which the body بتكون نفس كيان ال object نفسه لكن مصغرة my name is Dalia Ghannam I will talk about the difference between concave and convex lens the major difference between concave and convex lens lies in the fact that concave lens are thicker at the edge and convex lens are thicker in the middle", "tokens": [17082, 13546, 3714, 4587, 1211, 37746, 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2288], "avg_logprob": -0.261660447761194, "compression_ratio": 1.44375, "no_speech_prob": 0.0, "words": [{"start": 798.86, "end": 799.28, "word": "لكن", "probability": 0.922607421875}, {"start": 799.28, "end": 799.42, "word": " ال", "probability": 0.978515625}, {"start": 799.42, "end": 799.88, "word": " concave", "probability": 0.381591796875}, {"start": 799.88, "end": 800.14, "word": " lens", "probability": 0.258544921875}, {"start": 800.14, "end": 800.6, "word": " عكسها", "probability": 0.9552001953125}, {"start": 800.6, "end": 801.12, "word": " تماما", "probability": 0.9925130208333334}, {"start": 801.12, "end": 801.74, "word": " اللى", "probability": 0.6435546875}, {"start": 801.74, "end": 802.0, "word": " هى", "probability": 0.84521484375}, {"start": 802.0, "end": 802.36, "word": " makes", "probability": 0.76611328125}, {"start": 802.36, "end": 802.78, "word": " object", "probability": 0.8759765625}, {"start": 802.78, "end": 803.08, "word": " look", "probability": 0.92822265625}, {"start": 803.08, "end": 803.64, "word": " smaller", "probability": 0.8681640625}, {"start": 803.64, "end": 804.36, "word": " and", "probability": 0.9677734375}, {"start": 804.36, "end": 804.82, "word": " closer", "probability": 0.92431640625}, {"start": 804.82, "end": 805.62, "word": " بقصر", "probability": 0.60784912109375}, {"start": 805.62, "end": 806.26, "word": " النجاة", "probability": 0.6722412109375}, {"start": 806.26, "end": 807.16, "word": " أقرب", "probability": 0.8369140625}, {"start": 807.16, "end": 807.62, "word": " و", "probability": 0.72216796875}, {"start": 807.62, "end": 808.46, "word": " أصغر", "probability": 0.9554443359375}, {"start": 808.46, "end": 809.58, "word": " و", "probability": 0.607421875}, {"start": 809.58, "end": 809.84, "word": " هى", "probability": 0.864013671875}, {"start": 809.84, "end": 810.16, "word": " بت", "probability": 0.96533203125}, {"start": 810.16, "end": 810.44, "word": " ..", "probability": 0.60302734375}, {"start": 810.44, "end": 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قصص I will continue with the cases", "tokens": [3224, 8315, 2423, 42432, 6765, 42990, 1442, 24417, 7361, 1184, 661, 13672, 1829, 39896, 20666, 22488, 3794, 3660, 9673, 24401, 41891, 5551, 8592, 27884, 13672, 1829, 39896, 6024, 114, 2407, 38207, 39894, 7435, 2304, 3615, 8315, 25528, 11296, 294, 26592, 935, 44381, 2423, 416, 50126, 6765, 25728, 1442, 24417, 4936, 13672, 1829, 39896, 39894, 8592, 2655, 2655, 13672, 1829, 39896, 16247, 8592, 27884, 2354, 365, 30557, 2367, 12174, 9381, 9381, 286, 486, 2354, 365, 264, 3331], "avg_logprob": -0.28936689705043644, "compression_ratio": 1.6028708133971292, "no_speech_prob": 7.748603820800781e-07, "words": [{"start": 815.5, "end": 816.28, "word": "هنا", "probability": 0.728759765625}, {"start": 816.28, "end": 816.42, "word": " ال", "probability": 0.93408203125}, {"start": 816.42, "end": 816.72, "word": " convex", "probability": 0.29150390625}, {"start": 816.72, "end": 817.16, "word": " lens", "probability": 0.939453125}, {"start": 817.16, "end": 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focus، بمعنى إن لو خلت الأشعة البراريل على ال lens، دخلت في ال lens، هتسقط على ال focal point بالظبط", "tokens": [18, 4474, 337, 4569, 36709, 337, 18059, 12399, 24525, 2304, 11296, 5296, 28814, 1863, 23032, 1211, 34268, 12174, 14407, 22488, 20666, 1863, 35457, 3660, 24976, 39184, 18059, 257, 9348, 9924, 8952, 281, 264, 9716, 10298, 486, 45353, 807, 264, 1879, 12399, 4724, 2304, 3615, 1863, 7578, 36145, 45164, 16490, 1211, 2655, 16247, 8592, 27884, 2423, 26890, 9640, 26895, 15844, 2423, 6765, 12399, 11778, 9778, 1211, 2655, 8978, 2423, 6765, 12399, 8032, 2655, 3794, 47432, 15844, 2423, 26592, 935, 20666, 19913, 3555, 9566], "avg_logprob": -0.39307229705603725, "compression_ratio": 1.4525862068965518, "no_speech_prob": 0.0, "words": [{"start": 1084.86, "end": 1085.14, "word": "3", "probability": 0.271484375}, {"start": 1085.14, "end": 1085.9, "word": " rules", "probability": 0.64697265625}, {"start": 1085.9, "end": 1086.46, "word": " for", "probability": 0.958984375}, {"start": 1086.46, 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{"start": 1429.77, "end": 1430.81, "word": " سؤال؟", "probability": 0.8052978515625}, {"start": 1430.81, "end": 1433.77, "word": " حسنا", "probability": 0.7044270833333334}, {"start": 1433.77, "end": 1434.19, "word": " شكرا", "probability": 0.90771484375}, {"start": 1434.19, "end": 1434.55, "word": " مرة", "probability": 0.5771484375}, {"start": 1434.55, "end": 1434.73, "word": " أخرى", "probability": 0.9811197916666666}], "temperature": 1.0}, {"id": 57, "seek": 143732, "start": 1435.86, "end": 1437.32, "text": "مع مقابلتك", "tokens": [2304, 3615, 3714, 4587, 16758, 1211, 2655, 4117], "avg_logprob": -0.9149305555555556, "compression_ratio": 0.6785714285714286, "no_speech_prob": 0.0, "words": [{"start": 1435.86, "end": 1436.24, "word": "مع", "probability": 0.263946533203125}, {"start": 1436.24, "end": 1437.32, "word": " مقابلتك", "probability": 0.5709635416666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1437.570625, "duration_after_vad": 1276.3199999999988}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/_vo1bwumP2k_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..46579179b0e0da0ffe2b7f9d600cfc8bca524da7
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@@ -0,0 +1,1136 @@
+1
+00:00:20,640 --> 00:00:23,580
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,580 --> 00:00:26,900
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:26,900 --> 00:00:31,240
+اليوم هنبدأ ان شاء الله ببرنامج ال presentation
+
+4
+00:00:31,240 --> 00:00:36,120
+اللي هيقدمه مجموع من الطالبات موضوع المحاضرة
+
+5
+00:00:36,120 --> 00:00:41,760
+convex and concave lens هيقدمه كل من آية الجماعة
+
+6
+00:00:41,760 --> 00:00:47,250
+داليا غنام، نور الهدى إزريقمي أبو عرب، نور برغوت،
+
+7
+00:00:47,250 --> 00:00:51,270
+ياسمين القصاص، اتفضلوا بسم الله الرحمن الرحيم
+
+8
+00:00:51,270 --> 00:00:57,630
+السلام عليكم my name is Aya El Jumasi I am from
+
+9
+00:00:57,630 --> 00:01:01,170
+Palestine, Gaza today I would like to present you
+
+10
+00:01:01,170 --> 00:01:04,190
+about the concave and convex lens, the
+
+11
+00:01:04,190 --> 00:01:08,390
+optometristics Aya El Jumasi, Dalia Ghannan, Mei
+
+12
+00:01:08,390 --> 00:01:11,230
+Abu Arab, Noor Ezra, Noor Barghout, Yasmin El
+
+13
+00:01:11,230 --> 00:01:18,050
+Qassasدكتور محمد الجاروشا و ميس سندوس نصار title
+
+14
+00:01:18,050 --> 00:01:24,970
+index راح نحكي اليوم the lens the principle of the
+
+15
+00:01:24,970 --> 00:01:27,490
+concave and convex lens the difference between the
+
+16
+00:01:27,490 --> 00:01:33,050
+concave and convex lens lens the use of lens in
+
+17
+00:01:33,050 --> 00:01:37,110
+refractive error correction first I would like to
+
+18
+00:01:37,110 --> 00:01:41,130
+present you about the definition of the lens راح
+
+19
+00:01:41,130 --> 00:01:47,150
+نحكي عن تعريف ال lensالعدسة هى قطعة زجاجية أو ممكن
+
+20
+00:01:47,150 --> 00:01:52,050
+تكون مادة شفافة سواء كانت glass or plastic و بتكون
+
+21
+00:01:52,050 --> 00:01:58,810
+هى جزء من سطح كرة is a piece of glass or any other
+
+22
+00:01:58,810 --> 00:02:02,850
+transparent material with a bold or convexity in
+
+23
+00:02:02,850 --> 00:02:07,650
+both surfaces or both occur refract the light rays
+
+24
+00:02:07,650 --> 00:02:12,220
+falling on a convex lens and the both surfacesهلأ
+
+25
+00:02:12,220 --> 00:02:17,200
+أي شعاع بيسقط على العدسة راح ينكس، a convex lens
+
+26
+00:02:17,200 --> 00:02:20,920
+ليش تستخدم العدسات المقاعرة؟ to assemble the light
+
+27
+00:02:20,920 --> 00:02:25,500
+rays جمع الأشعة، but the concave lens العدسات
+
+28
+00:02:25,500 --> 00:02:30,560
+المقاعرة used to disperse radiation لتفريق الأشعة
+
+29
+00:02:30,560 --> 00:02:36,920
+next the type of the lensأنواع العدسات، أغلب ..
+
+30
+00:02:36,920 --> 00:02:40,100
+هلأ عندنا نوعين عدسات spherical و cylindrical lens
+
+31
+00:02:40,100 --> 00:02:44,480
+Spherical lens هي أغلبية العدسات بتكون spherical
+
+32
+00:02:44,480 --> 00:02:48,280
+lens بتتكون من سطحين من الكورة ال majority of
+
+33
+00:02:48,280 --> 00:02:51,300
+lenses are spherical lens for example lenses
+
+34
+00:02:51,300 --> 00:02:56,280
+consist of the two surfaces so that each them is a
+
+35
+00:02:56,280 --> 00:02:58,200
+part of the surface of this ball
+
+36
+00:03:06,530 --> 00:03:11,970
+الخط المستقيم اللى بيصل بين مركزي الكرة رح يكون
+
+37
+00:03:11,970 --> 00:03:16,850
+عمودي على السطح يعنى للخلاصة spherical lens the
+
+38
+00:03:16,850 --> 00:03:21,210
+all meridian same power يعني مثلا كانت موجة بتلاتة
+
+39
+00:03:21,210 --> 00:03:24,530
+هان موجة بتلاتة the same power
+
+40
+00:03:27,260 --> 00:03:31,540
+النوع التاني another kind cylindrical lens بيكون
+
+41
+00:03:31,540 --> 00:03:37,100
+أحد سطحيها أو كلاهما cylindrical هذه ال .. هذه ال
+
+42
+00:03:37,100 --> 00:03:42,900
+lens تمتج صور أكتر وضوح و ذات انحرافات أقل من
+
+43
+00:03:42,900 --> 00:03:47,380
+العدسات الكراوية and now I leave you .. I leave
+
+44
+00:03:47,380 --> 00:03:52,480
+you with the normal moodthe types of cave and
+
+45
+00:03:52,480 --> 00:03:55,880
+convex lens زي اللي اتعلمنا مع الدكتور محمد هناك
+
+46
+00:03:55,880 --> 00:04:02,240
+العديد من العدسات ال cave و ال convex اول نوع انه
+
+47
+00:04:02,240 --> 00:04:07,920
+هان by convex انه السطحين لها عبارة عن convex
+
+48
+00:04:07,920 --> 00:04:13,000
+convex سطح convex و السطح التاني convex التانية
+
+49
+00:04:13,000 --> 00:04:17,680
+plan و convexالعدسة التانية اللى هى plano convex
+
+50
+00:04:17,680 --> 00:04:22,240
+اللى هى أحد سطحها convex والسطح التانى plano
+
+51
+00:04:22,240 --> 00:04:26,980
+العدسة التالتة اللى هى convex and concave اللى هى
+
+52
+00:04:26,980 --> 00:04:32,120
+أحد السطح concave .. convex والسطح التانى con ..
+
+53
+00:04:32,120 --> 00:04:37,480
+concave اللى هى إيش بنسميها Dimaliscousطيب plano
+
+54
+00:04:37,480 --> 00:04:42,660
+concave اللي هي أحد السطحين plano والسطح التاني
+
+55
+00:04:42,660 --> 00:04:48,380
+عبارة عن عدسة مقعرة أخر عدسة اللي هي bi-concave
+
+56
+00:04:48,380 --> 00:04:52,660
+اللي هي أحد السطحين concave وكذلك السطح التاني
+
+57
+00:04:52,660 --> 00:04:57,080
+عبارة عن عدسة مقعرة the presence of the convex
+
+58
+00:04:57,080 --> 00:05:01,550
+lensIf a bundle of parallel light rays fell on the
+
+59
+00:05:01,550 --> 00:05:06,130
+convex lens, they gathered at one point.إذن أي
+
+60
+00:05:06,130 --> 00:05:11,290
+أشعة ضوئية متوازية تسقط على العدسة المحددة، راح
+
+61
+00:05:11,290 --> 00:05:15,790
+تتجمع في نقطة واحدة، is the focus of the convex
+
+62
+00:05:15,790 --> 00:05:16,290
+lens
+
+63
+00:05:19,650 --> 00:05:24,830
+القاعدة بين مركز الوزراء تسمى الوزراء الفوكال أي
+
+64
+00:05:24,830 --> 00:05:29,910
+المسافة بين مركز الوزراء المحددة العدسة المحددة
+
+65
+00:05:29,910 --> 00:05:35,270
+ومكان تكون الإيماج هي إيش راح نسميها تسمى الوزراء
+
+66
+00:05:35,270 --> 00:05:41,990
+الفوكال دا dimensions which is positive in the
+
+67
+00:05:41,990 --> 00:05:46,410
+lens convex lens and in negative lens diverse ال
+
+68
+00:05:46,410 --> 00:05:48,390
+cold اللي هي أش كونكاب
+
+69
+00:05:55,110 --> 00:05:59,110
+هنا عندى ال convex lens اللى كانت بتحكى عنها نور
+
+70
+00:05:59,110 --> 00:06:03,210
+انه الأشياء لما تدخل برر على العدسة هتعمل العدسة
+
+71
+00:06:03,210 --> 00:06:06,850
+على تجميع همفي فوكال بون و هنا طلعت الأشياء على
+
+72
+00:06:06,850 --> 00:06:10,370
+أساس كإنها option لإشي تانيطب ما فلقيتها principle
+
+73
+00:06:10,370 --> 00:06:13,930
+of convex lens فلقيتها convex lens using lens
+
+74
+00:06:13,930 --> 00:06:17,290
+glass هي عبارة عن عدسة تجارية if it blends the
+
+75
+00:06:17,290 --> 00:06:20,190
+body between the lens and its focus يده behavior
+
+76
+00:06:20,190 --> 00:06:23,070
+from the other side of the multiplicandly glass
+
+77
+00:06:23,070 --> 00:06:26,610
+image of the body فلقيتها إذا حطينا الجسم بين
+
+78
+00:06:26,610 --> 00:06:32,590
+العدسة أو نقطة التركيزسورة مكبرة للجسم على الجهة
+
+79
+00:06:32,590 --> 00:06:37,330
+المقابلة للعدسة الجهة التانية just over after the
+
+80
+00:06:37,330 --> 00:06:40,370
+physical body but if the body put of after the
+
+81
+00:06:40,370 --> 00:06:43,290
+lens over after the focal length you will not see
+
+82
+00:06:43,290 --> 00:06:49,250
+اذا حطينا ال object بعد طول البقرة مش هنقدر نشوف
+
+83
+00:06:49,250 --> 00:06:50,410
+أي صورة لل object
+
+84
+00:06:53,820 --> 00:06:57,820
+مفتوح فكرة thanks طيب قلت but you can revise a
+
+85
+00:06:57,820 --> 00:07:02,200
+real picture of him لل M لل object upside down لكن
+
+86
+00:07:02,200 --> 00:07:06,280
+ممكن نحصل على صورة له مقلوبة on a sheath on other
+
+87
+00:07:06,280 --> 00:07:09,540
+side of the lens إذا حطينا ورق التلقي على جهة
+
+88
+00:07:09,540 --> 00:07:14,260
+مقابلة العدسة هتتكون عنده صورة مقلوبة لهespecially
+
+89
+00:07:14,260 --> 00:07:17,540
+if the body illuminating or good lighting يعني إذا
+
+90
+00:07:17,540 --> 00:07:20,880
+كان الجسم نفسه مضاء أو إضاءته جيدة هتتكوّر عنده
+
+91
+00:07:20,880 --> 00:07:24,840
+صورة أوضح as in the case of the concave lens على
+
+92
+00:07:24,840 --> 00:07:30,180
+عكس العدسات المقعرة are on contrary على العكس
+
+93
+00:07:30,180 --> 00:07:33,780
+تماما they are used to reduce the image تستخدم
+
+94
+00:07:33,780 --> 00:07:37,720
+لتقليل الصورة as the concave lens is an image of
+
+95
+00:07:37,720 --> 00:07:41,820
+the body moderate بتكون الصورة في المنتصف متوسطة
+
+96
+00:07:41,820 --> 00:07:46,950
+non-invertedغير مقلوبة بتكون erect ميني مصغرة at
+
+97
+00:07:46,950 --> 00:07:50,870
+the same entity of which the body بتكون نفس كيان
+
+98
+00:07:50,870 --> 00:07:57,710
+ال object نفسه لكن مصغرة my name
+
+99
+00:07:57,710 --> 00:08:00,570
+is Dalia Ghannam I will talk about the difference
+
+100
+00:08:00,570 --> 00:08:04,070
+between concave and convex lens the major
+
+101
+00:08:04,070 --> 00:08:07,010
+difference between concave and convex lens lies in
+
+102
+00:08:07,010 --> 00:08:10,270
+the fact that concave lens are thicker at the edge
+
+103
+00:08:10,270 --> 00:08:12,110
+and convex lens are thicker in the middle
+
+104
+00:08:25,760 --> 00:08:31,220
+هنا ال concave lens اللى بتنقل السماكة في الحوار
+
+105
+00:08:31,220 --> 00:08:35,860
+هنا ال edge أكتر ثمق من ال middle أما العدسة
+
+106
+00:08:35,860 --> 00:08:39,620
+المحددة بال convex lens ال edge أكتر سماكة في
+
+107
+00:08:39,620 --> 00:08:40,800
+الوسط من الحوار
+
+108
+00:08:44,070 --> 00:08:46,590
+This distinction in shape results in the
+
+109
+00:08:46,590 --> 00:08:49,990
+difference in which light rays bend when striking
+
+110
+00:08:49,990 --> 00:08:53,870
+the lenses. لكون كاب لانس كاب inward and bend
+
+111
+00:08:53,870 --> 00:08:58,650
+light rays outward. العدسة المقعرة تتدوبها للداخل
+
+112
+00:08:58,650 --> 00:09:06,090
+وتجعل الأشعة الضوئية divergent and متفرقةthey are
+
+113
+00:09:06,090 --> 00:09:09,310
+used in the treatment of myopic or nearsighted
+
+114
+00:09:09,310 --> 00:09:15,470
+العدسة المقعرة تستخدم ليه علاج الأشخاص المصابين في
+
+115
+00:09:15,470 --> 00:09:17,510
+قصر النظر
+
+116
+00:09:25,530 --> 00:09:33,490
+بسبب أن النار تركز أمام الناس المصابين
+
+117
+00:09:33,490 --> 00:09:38,430
+في المياب أو قصر النظر تكون اللي في حالتهم الأشعة
+
+118
+00:09:38,430 --> 00:09:44,570
+ساقطة في أمام الشبكية الـ Concave Lens يساعد
+
+119
+00:09:44,570 --> 00:09:48,370
+بإتصال النار لتنقل و تركز أكتر، في الواقع، في
+
+120
+00:09:48,370 --> 00:09:53,430
+إpromoting a clear visionclear vision at a
+
+121
+00:09:53,430 --> 00:09:57,130
+distance concave lens are used in movie projector
+
+122
+00:09:57,130 --> 00:10:01,150
+to cause the image to spread يستخدم العدسات
+
+123
+00:10:01,150 --> 00:10:04,290
+المحددة .. يستخدم العدسات المقاعرة
+
+124
+00:10:06,960 --> 00:10:10,800
+تسخدم العدسة المقعرة في الأجهزة مثل جهاز ال
+
+125
+00:10:10,800 --> 00:10:13,940
+projector لإنها تقوم بتشتيت الأشعة ال lens of a
+
+126
+00:10:13,940 --> 00:10:19,420
+normal eye is bi-concave في الأشخاص الطبيعيين تكون
+
+127
+00:10:19,420 --> 00:10:25,890
+العدسة تناقية التحدثconvex lens rounded outward
+
+128
+00:10:25,890 --> 00:10:29,590
+and gives light rays to converge في العدسات
+
+129
+00:10:29,590 --> 00:10:34,310
+المحددة تكون الأشعة تكون التحد من الخارج وتجعل
+
+130
+00:10:34,310 --> 00:10:39,330
+الأشعة متجمعة convex lens are beneficial in
+
+131
+00:10:39,330 --> 00:10:44,890
+treating breast biop العدسة المحددة تكون بعلاج
+
+132
+00:10:44,890 --> 00:10:48,610
+الأشخاص المصابين بطول النضر الشلقوقي أو في الhyper
+
+133
+00:10:48,610 --> 00:10:48,910
+metro
+
+134
+00:10:57,210 --> 00:11:00,150
+the convex lens correct this problem and allows
+
+135
+00:11:00,150 --> 00:11:04,010
+the person to see clearly up، العدسة المحدة بتحكم
+
+136
+00:11:04,010 --> 00:11:07,030
+بتصحيح الأخطاء الإنكسارية للأشخاص المصابين بطول
+
+137
+00:11:07,030 --> 00:11:10,750
+المضر الشيخوخي أو المصابين بطول المضر وتجعل الرؤية
+
+138
+00:11:10,750 --> 00:11:15,120
+واضحة بالنسبة لهمconvex lens are also found in
+
+139
+00:11:15,120 --> 00:11:17,960
+magnifying glasses, binoculars, telescope and
+
+140
+00:11:17,960 --> 00:11:23,780
+camera العدسة المحددة بتتواجد في أجهزة مثل أجهزة
+
+141
+00:11:23,780 --> 00:11:27,560
+التكبير مثل ال glasses النضارات and ال binoculars
+
+142
+00:11:27,560 --> 00:11:31,720
+المنظير وفي التليسكوب ويوجد هنا نوعين من التليسكوب
+
+143
+00:11:31,720 --> 00:11:35,140
+عندنا تليسكوب Galilean telescope and capillary
+
+144
+00:11:35,140 --> 00:11:38,000
+telescope Galilean telescope تحتوي على نوعين من
+
+145
+00:11:38,000 --> 00:11:41,800
+العدسات عدسة minusو عدسة plus أما ال camellarian
+
+146
+00:11:41,800 --> 00:11:46,540
+telescope تحتوي على two plus lenses certain
+
+147
+00:11:46,540 --> 00:11:49,800
+telescope and microscope use concave mirror as
+
+148
+00:11:49,800 --> 00:11:55,040
+well as convex lens التليسكوب و ال microscope فيها
+
+149
+00:11:55,040 --> 00:11:59,560
+مرأة مقعرة و عدسة محددة ال convex lens of a human
+
+150
+00:11:59,560 --> 00:12:03,440
+eye actually actually focus the image upside down
+
+151
+00:12:03,440 --> 00:12:07,400
+و انت ريت هنا في الحلقة الطبيعية اللي الإنسان تقوم
+
+152
+00:12:07,400 --> 00:12:08,960
+يوجد ال object
+
+153
+00:12:21,720 --> 00:12:33,260
+تسقط الشعر على العين وتسقط
+
+154
+00:12:33,260 --> 00:12:37,940
+على الشباكية بشكل مقلوبة تقوم تصحيحها عن طريق ال
+
+155
+00:12:37,940 --> 00:12:44,660
+optic track وثم إلى الدماغ تجعل الصورة Erect
+
+156
+00:12:44,660 --> 00:12:46,200
+وواضحة
+
+157
+00:12:55,640 --> 00:12:59,320
+هي مقارنة بين ال concave و ال convex lens ال
+
+158
+00:12:59,320 --> 00:13:02,860
+convex lens makes object look larger and farther
+
+159
+00:13:02,860 --> 00:13:08,880
+away عندك لو حطينا أي جسم قدام عدسة محددة بقى راح
+
+160
+00:13:08,880 --> 00:13:15,240
+تظهر أن هي أبعد و أكبر وهي كمان ب correct far
+
+161
+00:13:15,240 --> 00:13:19,420
+sightedness اللي هي بتصحح اللي هو طول النظرلكن ال
+
+162
+00:13:19,420 --> 00:13:23,080
+concave lens عكسها تماما اللى هى makes object look
+
+163
+00:13:23,080 --> 00:13:30,160
+smaller and closer بقصر النجاة أقرب و أصغر و هى بت
+
+164
+00:13:30,160 --> 00:13:34,760
+.. بتتصحح اللى هى inner sidedness اللى هى قصر
+
+165
+00:13:34,760 --> 00:13:39,900
+النظرهنا ال convex lens bends light rays toward
+
+166
+00:13:39,900 --> 00:13:44,580
+each other اللي هي بالعدسة المحددة أشعة اللي هي
+
+167
+00:13:44,580 --> 00:13:49,380
+الضوء بتجمعناياها in focal point لكن ال concave
+
+168
+00:13:49,380 --> 00:13:53,920
+lens spreads light rays apart اللي هي بتشتت اللي
+
+169
+00:13:53,920 --> 00:14:00,360
+هي الأشعة continue with Yasmin قصص I will continue
+
+170
+00:14:00,360 --> 00:14:08,490
+with the casesimage the complex lens في ال .. في
+
+171
+00:14:08,490 --> 00:14:11,510
+ال concave .. في ال concave lens بتكون عندنا image
+
+172
+00:14:11,510 --> 00:14:14,090
+location موقع الصورة بتكون at the same point in
+
+173
+00:14:14,090 --> 00:14:16,910
+the front of the body close to the .. to the lens
+
+174
+00:14:16,910 --> 00:14:20,610
+بتكون في ال same point يعني أنه على نفس السطر
+
+175
+00:14:20,610 --> 00:14:27,170
+بيكون close to the lens مميزاتها بتكون عندنا صورة
+
+176
+00:14:27,170 --> 00:14:30,270
+virtual لإن مولدتها اللي .. بتكون عندنا ال object
+
+177
+00:14:31,200 --> 00:14:37,740
+هتطلع منه الأشعة divergence العدسة المقعرة هتعمل
+
+178
+00:14:37,740 --> 00:14:41,200
+على تفريق الضوء وبالتالي مش هيتكون اصلا احنا عندنا
+
+179
+00:14:41,200 --> 00:14:45,540
+مش هنشوف صورة الا على انتداد الأشعة هيتكون عندنا
+
+180
+00:14:45,540 --> 00:14:49,280
+صورة virtual ومدرة في المتصفف هتكون عندنا مينية
+
+181
+00:14:49,280 --> 00:14:56,920
+هتكون مصدرة The
+
+182
+00:14:56,920 --> 00:15:00,360
+use of lens in refractive error correction
+
+183
+00:15:10,830 --> 00:15:15,710
+في حالة طول النظر نستخدم العدسات اللي هي المجبة
+
+184
+00:15:15,710 --> 00:15:19,390
+عشان تعمل اللي نعادة تجميع الأشعة to positive ray
+
+185
+00:15:19,390 --> 00:15:23,150
+تدينا أشعة مجبة on the retina surface to clarify
+
+186
+00:15:23,150 --> 00:15:26,270
+the picture fore closed عشان أتوضح لنا الصورة
+
+187
+00:15:26,270 --> 00:15:31,370
+وأقربas in this case of hyperrabia, rays are
+
+188
+00:15:31,370 --> 00:15:36,050
+grooved behind the retina ليش احنا حطينا عدسة
+
+189
+00:15:36,050 --> 00:15:39,730
+مجمعة؟ لأن اصلا احنا في حالات ال hyperrabia بيكون
+
+190
+00:15:39,730 --> 00:15:49,230
+في عيننا الامش بتتكون behind the retina الصورة
+
+191
+00:15:49,230 --> 00:15:53,170
+بتتكون هان behind the retinaلمّا نحط في عدسة مجمة
+
+192
+00:15:53,170 --> 00:15:56,710
+هتقوم أنها تجمع للضوء و تحط لنا هي ع ال surface، ع
+
+193
+00:15:56,710 --> 00:15:58,950
+ال retina، ع ال surface بالظبط و بالتالي احنا نكون
+
+194
+00:15:58,950 --> 00:16:04,500
+صالحنا الخطوةعند الشخص هذا in the case of myopia
+
+195
+00:16:04,500 --> 00:16:09,960
+using a concave lens to deflect negative rays from
+
+196
+00:16:09,960 --> 00:16:12,860
+the retina surface بنعمل في حالات ال myopia اللي
+
+197
+00:16:12,860 --> 00:16:16,900
+هو في حالات قصر نظر أنه بنحطله عدسة مقعرة عشان
+
+198
+00:16:16,900 --> 00:16:22,280
+تعمل .. تدينا أحنا أشعة minus بالتالي على أشعة
+
+199
+00:16:22,280 --> 00:16:25,140
+minus على ال retina surface to glorify the picture
+
+200
+00:16:25,140 --> 00:16:32,280
+for long عشان تبين أن ال ..الصورة كبيرة و واضحة
+
+201
+00:16:32,280 --> 00:16:37,420
+عنده as in the case of myopia, rays are grabbed in
+
+202
+00:16:37,420 --> 00:16:40,680
+front retina في حالات ال myopia عندنا الصورة
+
+203
+00:16:40,680 --> 00:16:45,520
+بتتكون in front retina فهيك بيكون هو شايف عنده قوة
+
+204
+00:16:45,520 --> 00:16:48,320
+تجمعية كبيرة احنا عشان نتغذى هذه القوة التجمعية
+
+205
+00:16:48,320 --> 00:16:51,940
+اللي عنده بيحطله عدسة مقايرة بالتالي بتعمل على انه
+
+206
+00:16:51,940 --> 00:16:55,660
+.. بتعمل diverge لل .. لل .. للrays و بتحطها على
+
+207
+00:16:55,660 --> 00:16:56,480
+ال retina بالظبط
+
+208
+00:16:59,740 --> 00:17:03,000
+أخر إشي فيه عندنا فيديو image formation by lenses
+
+209
+00:17:03,000 --> 00:17:07,600
+so we talked about how mirrors form imagesImage
+
+210
+00:17:07,600 --> 00:17:11,840
+Proportion Balances هنا بوضح لي حطتلك عدستين على
+
+211
+00:17:11,840 --> 00:17:15,740
+كل صورة حسب البقرة احنا وان بنحط العدسة و حسب ال
+
+212
+00:17:15,740 --> 00:17:18,640
+focal length و هتطلع عينها الصورة هال هو ان بعد ال
+
+213
+00:17:18,640 --> 00:17:22,740
+focal length فبالتالي هتطلع عنده الصورة inverted و
+
+214
+00:17:22,740 --> 00:17:26,100
+هتطلع عينها الصورة mini بالنسبة لها اللي هو حاطتنا
+
+215
+00:17:26,100 --> 00:17:29,400
+صورة أعد عدسة و ده كان مقرب ال focal length إليها
+
+216
+00:17:29,400 --> 00:17:33,260
+فبالتالي هيكبر عيننا اللي هو الكلامفي ال convex
+
+217
+00:17:33,260 --> 00:17:36,940
+lens هتكون عندنا هاي convex lens عدسة مجمعة هتطلع
+
+218
+00:17:36,940 --> 00:17:40,500
+الأشعة برارت وبالتالي هتقطع في ال focal point يبقى
+
+219
+00:17:40,500 --> 00:17:49,040
+هيعمل عندنا عملية conversions بالنسبة
+
+220
+00:17:49,040 --> 00:17:52,240
+للعدسات concave lens هتكون عندنا الأشعة بتيجي
+
+221
+00:17:52,240 --> 00:17:56,660
+برارت هتعمل على divergence وبالتالي هتكون لانها
+
+222
+00:17:56,660 --> 00:17:58,200
+diverged to the right race
+
+223
+00:18:04,860 --> 00:18:08,580
+3 rules for race diagrams for lenses، اسمها لإن
+
+224
+00:18:08,580 --> 00:18:12,540
+طلعت قواعد بالنسبة للـ lenses a incident trail
+
+225
+00:18:12,540 --> 00:18:15,600
+parallel to the principal axis will refract
+
+226
+00:18:15,600 --> 00:18:21,420
+through the focus، بمعنى إن لو خلت الأشعة البراريل
+
+227
+00:18:21,420 --> 00:18:25,540
+على ال lens، دخلت في ال lens، هتسقط على ال focal
+
+228
+00:18:25,540 --> 00:18:29,470
+point بالظبطعال focal point أما لو كانت ال
+
+229
+00:18:29,470 --> 00:18:32,030
+incident ray through the focus will reflect
+
+230
+00:18:32,030 --> 00:18:35,670
+parallel to the principal axis لو كانت عيني عال
+
+231
+00:18:35,670 --> 00:18:41,050
+focal هتطلع الأشعة لكن هتطلع برره يعني هreflect
+
+232
+00:18:41,050 --> 00:18:44,390
+برره to the principal axis an incident ray through
+
+233
+00:18:44,390 --> 00:18:47,890
+the center of the lens will go straight through
+
+234
+00:18:47,890 --> 00:18:52,160
+the lensلو مرت في ال center مش حاسسة اللي هي اي
+
+235
+00:18:52,160 --> 00:18:57,560
+انكسات why does .. هم بيحكيلك .. why does this ..
+
+236
+00:18:57,560 --> 00:19:01,620
+why do this rules work for lenses؟ ليش هذه القواعد
+
+237
+00:19:01,620 --> 00:19:04,600
+بتمشي على ال lenses؟ لأنه في انها ال learners law
+
+238
+00:19:04,600 --> 00:19:07,960
+ال learners law هو عبارة عن قانون بوضحك كيف الأشعة
+
+239
+00:19:07,960 --> 00:19:12,960
+بتدخل و كيف بتطلع ان عدد ال incident trace equal
+
+240
+00:19:12,960 --> 00:19:14,640
+to the refract trace
+
+241
+00:19:23,040 --> 00:19:31,360
+هذا عبارة عن optical axis في
+
+242
+00:19:31,360 --> 00:19:34,980
+عبارة عن two focal, anterior focal و posterior
+
+243
+00:19:34,980 --> 00:19:44,620
+focal point لو
+
+244
+00:19:44,620 --> 00:19:50,180
+كان أن ال object before the focal .. anterior
+
+245
+00:19:50,180 --> 00:19:54,630
+focal pointهو ال optical system عندنا بتكون من ال
+
+246
+00:19:54,630 --> 00:19:58,030
+objects و ال optical system بتكون عندنا من ال
+
+247
+00:19:58,030 --> 00:20:00,890
+energy اللي هبتلوها الأخر أشياء هي أول قانون عندنا
+
+248
+00:20:00,890 --> 00:20:05,830
+أنه طلعت الأشعة برد دخلت في ال lens و طلعت عندنا
+
+249
+00:20:05,830 --> 00:20:17,710
+اللي هو على فوق ال body بالنسبة
+
+250
+00:20:17,710 --> 00:20:23,460
+للأشعة اللي بتطلع من ال objectفالدنيا هتفوت على
+
+251
+00:20:23,460 --> 00:20:33,540
+العدسة، العدسة هتركسها برا لله أخر
+
+252
+00:20:33,540 --> 00:20:38,080
+إشي بالنسبة للأشعار اللي بتطلع من ال object بمارة،
+
+253
+00:20:38,080 --> 00:20:41,480
+بال center لل lenses مش هيصير لها أي انكاس
+
+254
+00:20:41,480 --> 00:20:45,400
+وبالتالي هنا هيكوّللي صورة هتكون inverted like a
+
+255
+00:20:45,400 --> 00:20:47,540
+real object, a real قمش
+
+256
+00:20:52,090 --> 00:20:59,690
+مقلوبة وحقيقية object
+
+257
+00:20:59,690 --> 00:21:05,390
+inside the focus هذا ال object كان ب access فهناك
+
+258
+00:21:05,390 --> 00:21:10,190
+two focal point نفس الأشياء لو كان عندنا ال object
+
+259
+00:21:10,190 --> 00:21:12,990
+inside the focal يعني داخل البعد البقى
+
+260
+00:21:20,300 --> 00:21:23,760
+أول شي هتطلع الأشعة ضرر تدخل في ال lens، هتفوت في
+
+261
+00:21:23,760 --> 00:21:25,840
+ال focus، هتدخل من الأول اللي حكينا عنه
+
+262
+00:21:47,190 --> 00:21:51,950
+هدا بوضح أنه ال .. الأشياء عم تدخلتش فيه ال .. ال
+
+263
+00:21:51,950 --> 00:21:55,950
+lens هتبقى لها زي ان هي عم تطور براريل، بالنسبة
+
+264
+00:21:55,950 --> 00:21:59,290
+للي هتفوت بال center هتبقى لها زي ان هي .. مش
+
+265
+00:21:59,290 --> 00:22:00,670
+هيصيرلها أي إيه من ال concept
+
+266
+00:22:08,870 --> 00:22:12,990
+طبعا هنا مش هتتكون اي صورة لأن مش مستحيل ان هاد ال
+
+267
+00:22:12,990 --> 00:22:17,330
+.. ال race اللي طلعت مستحيل انها تطلعقه بالتاني
+
+268
+00:22:17,330 --> 00:22:21,690
+امتداد هذه الأشعة هتكون لصورة هتكون عندنا صورة
+
+269
+00:22:21,690 --> 00:22:35,430
+virtual image تكون
+
+270
+00:22:35,430 --> 00:22:40,690
+عندنا دي صورة virtual imageطب انها هتكون magnified
+
+271
+00:22:40,690 --> 00:22:46,850
+هتكون مكبرة اكبر من الصورة المخاطرة هان بوضحلك كيف
+
+272
+00:22:46,850 --> 00:22:53,150
+عين الإنسان human eye عبارة عن convexness by
+
+273
+00:22:53,150 --> 00:22:57,250
+convexness دخلت عليها هاي ال object لمن انت بتيجي
+
+274
+00:22:57,250 --> 00:23:01,030
+هتطلع ال .. thank you for attention okay thank you
+
+275
+00:23:01,030 --> 00:23:05,610
+so much for your presentation any comment okay
+
+276
+00:23:08,590 --> 00:23:12,350
+الفترة اللي فترة فكرت ان اقلب العدسات اللي احنا
+
+277
+00:23:12,350 --> 00:23:17,730
+بنستخدمها هي script and lens فانها تتراها في
+
+278
+00:23:17,730 --> 00:23:18,350
+العدسات
+
+279
+00:23:25,990 --> 00:23:30,170
+أعتقد أن هذا ليس صحيح لأنه يعتمد على خطأ الانتجار
+
+280
+00:23:30,170 --> 00:23:36,010
+إذا كان الشخص لديه ميوب أو حيبرمتروب أو بريس بيوب
+
+281
+00:23:36,010 --> 00:23:41,250
+يمكنك تطبيق عصفرية لو كان الشخص لديه أستigmatism
+
+282
+00:23:41,250 --> 00:23:45,910
+يجب أن تطبيق عصفرية
+
+283
+00:23:45,910 --> 00:23:49,770
+أخر
+
+284
+00:23:49,770 --> 00:23:57,320
+سؤال؟ حسنا شكرا مرة أخرىمع مقابلتك
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bb2af1be0df758cb6dfc1cade78301b1a21fa05b
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ.srt
@@ -0,0 +1,1314 @@
+1
+00:00:20,920 --> 00:00:24,100
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,100 --> 00:00:28,000
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:28,000 --> 00:00:34,520
+بداية محاضرة اليوم هنتكلم how to give an answer for a
+
+4
+00:00:34,520 --> 00:00:39,860
+question. طبعا هذه محاضرة in general، يعني بشكل عام
+
+5
+00:00:39,860 --> 00:00:47,840
+لأي امتحان بتمر فيه في قسم البصريات الطبية، طبعا
+
+6
+00:00:47,840 --> 00:00:53,960
+بداية طبيعة الامتحان. أول ما ببدأ الدكتور أو المحاضر
+
+7
+00:00:53,960 --> 00:00:59,000
+أو الأستاذ في الامتحان بكتب please answer all the
+
+8
+00:00:59,000 --> 00:01:03,560
+following questions. يعني من فضلك أجب عن كل الأسئلة
+
+9
+00:01:03,560 --> 00:01:09,540
+التالية. في صيغة أخرى ممكن يستخدمها الدكتور: please
+
+10
+00:01:09,540 --> 00:01:14,260
+answer only five of the following questions. أي
+
+11
+00:01:14,260 --> 00:01:19,100
+بمعنى إنه اختاري خمس أسئلة من... بيكون مثلا ستة أو
+
+12
+00:01:19,100 --> 00:01:25,370
+سبعة أو أكثر. Okay. طبعا هنا الدكتور لما بيجي يصحيح أو
+
+13
+00:01:25,370 --> 00:01:30,410
+المحاضر يصحيح، خلاص مثلا حكى أنه خمس أسئلة: one,
+
+14
+00:01:30,530 --> 00:01:34,870
+two, three, four, five. بس لو أنت حليت ست أسئلة هو
+
+15
+00:01:34,870 --> 00:01:39,230
+بيصحيح بس الخمسة الأولى فقط، يعني ما بيصحيح مثلا
+
+16
+00:01:39,230 --> 00:01:43,270
+أنتَ بدك تترك السادس أو... لأ، هو بيعرف أنه أول خمس
+
+17
+00:01:43,270 --> 00:01:46,090
+أسئلة. Okay، هذه نقطة كثيرة مهمة.
+
+18
+00:01:49,300 --> 00:01:53,840
+طيب أنواع الأسئلة: types of questions. كيف الأسئلة
+
+19
+00:01:53,840 --> 00:01:58,760
+بشكل عام، أنه بتكون يعني كـ shape of the question
+
+20
+00:01:58,760 --> 00:02:03,980
+يعني أو الـ style،  أنه شكل الأسئلة بشكل عام. أول
+
+21
+00:02:03,980 --> 00:02:10,060
+حاجة ممكن true or false. أي بمعنى state whether the
+
+22
+00:02:10,060 --> 00:02:14,020
+following sentences are true or false. طبعا في
+
+23
+00:02:14,020 --> 00:02:15,240
+موضوع الـ true or false
+
+24
+00:02:51,140 --> 00:02:55,580
+ولو أنتَ كنت كاتبها صح أو خطأ، مش عارف يعني، أو
+
+25
+00:02:55,580 --> 00:02:55,920
+في مثل...
+
+26
+00:03:34,290 --> 00:03:39,130
+يعني خلاص أنه لازم الإنسان يلتزم بالسؤال، في صيغة
+
+27
+00:03:39,130 --> 00:03:43,410
+أخرى ممكن: state whether the following sentences
+
+28
+00:03:43,410 --> 00:03:47,990
+are true or false and correct the false sentences.
+
+29
+00:03:47,990 --> 00:03:54,470
+أي بمعنى صلح الأخطاء الجمالية. okay؟
+
+30
+00:04:32,610 --> 00:04:37,970
+مثلا الأولى true والثانية false وهكذا. هذا طبعا يعني
+
+31
+00:04:37,970 --> 00:04:46,210
+style آخر من الأسئلة. واضح النقطة هذه؟ choose
+
+32
+00:04:46,210 --> 00:04:50,070
+the correct answer or select the correct answer.
+
+33
+00:04:50,070 --> 00:04:55,090
+يعني اختاري الإجابة الصحيحة. okay. طبعا إذا كان شوية
+
+34
+00:04:55,090 --> 00:04:58,730
+صعب، الدكتور بيجيب الأسئلة هذه
+
+35
+00:05:02,550 --> 00:05:10,690
+أكثر من إجابة صحيحة، لكن هو بده إيه؟ الأصح. طيب
+
+36
+00:05:10,690 --> 00:05:16,210
+في سؤال ممكن: define the following. بنصح في الـ
+
+37
+00:05:16,210 --> 00:05:20,970
+define دائما اكتب، خاصة في الامتحان النهائي، في الـ
+
+38
+00:05:20,970 --> 00:05:25,880
+more detail. يعني أي معلومة بتعرفيها اكتبيها. إذا كـ
+
+39
+00:05:25,880 --> 00:05:30,780
+details، أنه لازم تكون كاملة. okay؟ لأنه الامتحان
+
+40
+00:05:30,780 --> 00:05:34,720
+النهائي تقريبا عليه ما بين ستين وسبعين علامة.
+
+41
+00:05:34,720 --> 00:05:39,260
+بمعنى أن الدكتور عنده range كبير من الدرجات. okay؟
+
+42
+00:05:39,260 --> 00:05:45,580
+فلازم أنه يكون إيش؟ أنه أكتب كـ full answer، أنه
+
+43
+00:05:45,580 --> 00:05:52,020
+إجابة إيش؟ كاملة. okay؟ ممكن
+
+44
+00:05:52,020 --> 00:05:53,980
+سؤال: match the following.
+
+45
+00:06:02,960 --> 00:06:08,160
+ممكن أقول لك العضلة والـ action بتاعها، فبعمل عملية
+
+46
+00:06:08,160 --> 00:06:09,960
+توصيل لإيه؟ لكل عضلة.
+
+47
+00:06:46,110 --> 00:06:52,150
+أنه مديكِ نقاط معينة، ما تهمليش عنها. okay. and mention
+
+48
+00:06:52,150 --> 00:06:56,510
+its types with drawings. يعني بدي أعمل وصف لهذه
+
+49
+00:06:56,510 --> 00:07:01,210
+الأنواع، بالإضافة إلى أنه إيش؟ أنه بدي أرسم، إذا with a
+
+50
+00:07:01,210 --> 00:07:06,250
+drawing. إذا هنا السؤال شمل define وmention و
+
+51
+00:07:06,250 --> 00:07:13,650
+drawing، تلت شغلات مع بعض. okay؟ في
+
+52
+00:07:13,650 --> 00:07:15,250
+صيغة أخرى: mention
+
+53
+00:07:27,030 --> 00:07:32,950
+مثلا:  ديو كروم تست، أو مثلا جاكسون كروس سيلندر، أو
+
+54
+00:07:32,950 --> 00:07:37,890
+لـ الـ muscle، الـ extraocular muscle، فالـ main factors
+
+55
+00:07:37,890 --> 00:07:41,750
+العوامل الأساسية فقط اللي بده إياها. ممكن يكونوا عشرين
+
+56
+00:07:41,750 --> 00:07:45,450
+عامل، لكن أنا بدي أحط إيه؟ الـ main three factors.
+
+57
+00:07:45,450 --> 00:07:50,750
+okay. mention
+
+58
+00:07:50,750 --> 00:07:52,090
+يعني بمعنى
+
+59
+00:07:56,600 --> 00:08:00,380
+بدي أعمل وصف. for example، هنا مثلا لـ الـ prince role.
+
+60
+00:08:00,380 --> 00:08:04,960
+إذا وضحت، بالإضافة إلى أنه إيه؟ بدي أفصل في الـ prince role.
+
+61
+00:08:04,960 --> 00:08:11,060
+دائما كلمة illustrate بتيجي مع الـ mention، هدول
+
+62
+00:08:11,060 --> 00:08:15,520
+الاثنين مع بعض، بمعنى أنه توضيح ووصف. okay؟
+
+63
+00:08:38,350 --> 00:08:43,990
+ممكن يكونوا three or four or five، لكن هو حدد only
+
+64
+00:08:43,990 --> 00:08:47,850
+two types: objective and subjective methods. okay.
+
+65
+00:08:47,850 --> 00:08:52,050
+mention
+
+66
+00:08:52,050 --> 00:08:58,600
+the main types. okay. of causes. أيضا بيكون أكثر من نوع
+
+67
+00:08:58,600 --> 00:09:03,740
+لـ الـ doses، لكن أنا بدي أحدد إيه؟ الـ main، الأساسي.
+
+68
+00:09:03,740 --> 00:09:08,380
+طبعا هذه الأسئلة هي شوية، معظمها هي الـ... هي هذه
+
+69
+00:09:08,380 --> 00:09:11,560
+الصعبة، لأن هذا اللي بيقدر... يعني الدكتور بيعمل
+
+70
+00:09:11,560 --> 00:09:18,020
+subtract من الطالب. okay؟ أنه بده إجابة، لكن تكون
+
+71
+00:09:18,020 --> 00:09:23,340
+more detail، في شغل معين لو هو سأل. okay؟ وامتحان
+
+72
+00:09:23,340 --> 00:09:28,020
+النهائي في الغالب بيكون هيك. طيب mention the
+
+73
+00:09:28,020 --> 00:09:30,760
+different types of primary and secondary
+
+74
+00:09:30,760 --> 00:09:34,880
+glaucoma. إذا different types، أنواع مختلفة، هنا بنفتح
+
+75
+00:09:34,880 --> 00:09:38,800
+المجال، يعني فيه اثنا عشر type، بدي أذكر الاثنا عشر type.
+
+76
+00:09:38,800 --> 00:09:43,800
+okay. illustrate
+
+77
+00:09:43,800 --> 00:09:48,780
+the finished lens dimension. هنا توضيح. دائما كلمة
+
+78
+00:09:48,780 --> 00:09:53,160
+illustrate، إذا فيه drawing، رسم، حط معها الرسم. Okay؟
+
+79
+00:09:53,160 --> 00:09:57,140
+يعني دائما بييجوا الاثنين مع بعض، حتى لو هو مش
+
+80
+00:09:57,140 --> 00:10:02,000
+طالب منك. طيب
+
+81
+00:10:02,000 --> 00:10:07,400
+mention in brief only for aging changes of the
+
+82
+00:10:07,400 --> 00:10:12,900
+lens. هنا فقط بدي وصف، لكن إيش؟ briefly، باختصار، يعني
+
+83
+00:10:12,900 --> 00:10:18,910
+تصف شغل معينة، لكن باختصار معين. Okay؟ وهنا بيكون
+
+84
+00:10:18,910 --> 00:10:24,490
+السؤال يعني سهل... سهل للطالب من حيث أنه يحصل على
+
+85
+00:10:24,490 --> 00:10:29,250
+علامة كاملة. ليش؟ لأنه أي نقطة أنتَ هتكتبيها هو هيحط
+
+86
+00:10:29,250 --> 00:10:33,810
+عليها صح، لأنه هو حاطط السؤال كـ general question.
+
+87
+00:10:33,810 --> 00:10:37,670
+بالإضافة إلى أنه طلب أنه in brief، باختصار.
+
+88
+00:10:40,930 --> 00:10:47,010
+طيب في عندنا الـ describe، هذا سؤال شوية صعب، دائما
+
+89
+00:10:47,010 --> 00:10:53,270
+describe، يعني أي معلومة بدك تذكريها. يعني الآن الـ
+
+90
+00:10:53,270 --> 00:10:57,750
+myopic vandas، يحكي لي عن الـ myopic vandas، الـ
+
+91
+00:10:57,750 --> 00:11:01,910
+define، التعريف، الـ types، الأنواع، الـ
+
+92
+00:11:01,910 --> 00:11:06,210
+classification، التصنيف، الـ treatment، العلاج، الـ
+
+93
+00:11:06,210 --> 00:11:12,180
+method. أي حاجة فيها describe، بدك تكون الإجابة full
+
+94
+00:11:12,180 --> 00:11:17,160
+answer. okay. discuss
+
+95
+00:11:17,160 --> 00:11:22,300
+briefly the process of glazing. دائما كلمة discuss
+
+96
+00:11:22,300 --> 00:11:26,700
+ومع كلمة briefly، فيه process، زي مثلا عندنا مثلا
+
+97
+00:11:26,700 --> 00:11:28,440
+الـ retinoscopic. okay.
+
+98
+00:11:30,880 --> 00:11:34,300
+إذا عملية الـ ريتناسكوبي. okay. the reforming of
+
+99
+00:11:34,300 --> 00:11:39,060
+retinascope. هنا بدك تكتبي باختصار العملية هذه. okay؟
+
+100
+00:11:39,060 --> 00:11:42,300
+طيب
+
+101
+00:11:42,300 --> 00:11:46,560
+الصيغة الأخرى ممكن تقول لك: what is gonioscope؟ هنا
+
+102
+00:11:46,560 --> 00:11:50,740
+بمعنى define، كتعريف، وتقولنا، دائما التعريف بدك تكتبي
+
+103
+00:11:50,740 --> 00:11:56,270
+full answer. okay. describe the angle of the anterior
+
+104
+00:11:56,270 --> 00:12:00,910
+chamber. يعني هنا بده تعريف، وهنا سهّلها على الطالب
+
+105
+00:12:00,910 --> 00:12:04,650
+أكثر، أنه قال لك what is gonioscope، كان بيسأل شو
+
+106
+00:12:04,650 --> 00:12:10,730
+التعريف، وبعدين قال لك describe، أنه أوصف الـ angle of
+
+107
+00:12:10,730 --> 00:12:13,170
+anterior chamber.
+
+108
+00:12:15,730 --> 00:12:19,830
+why we do this secret؟ هل أعتقد جبتُه أنا في المصفوفة؟
+
+109
+00:12:19,830 --> 00:12:23,590
+سؤال يعني فهمته كيف الصيغة بتاعته، أنه دائما الـ
+
+110
+00:12:23,590 --> 00:12:27,610
+reason، السبب، السبب دائما بيكون واضح، اللي هو الـ
+
+111
+00:12:27,610 --> 00:12:31,750
+main، يعني أما واحد بيسألَك why، يعني الـ main reason،
+
+112
+00:12:31,750 --> 00:12:38,650
+السبب الرئيسي. okay. Why a flare exists in soft
+
+113
+00:12:38,650 --> 00:12:41,810
+lenses than in rigid lenses؟ خلاص، بدي أركز على
+
+114
+00:12:41,810 --> 00:12:45,930
+شغلتين، إذا الـ flare، أي بمعنى الـ cloud، الضباب، في
+
+115
+00:12:45,930 --> 00:12:51,250
+الـ rigid وفي الـ hard، يعني فقط بنوعين معينين، في
+
+116
+00:12:51,250 --> 00:12:54,730
+عدة أنواع من الـ contact lens، لكن أنا بدي أركز في
+
+117
+00:12:54,730 --> 00:12:55,950
+إيه؟ في two types.
+
+118
+00:12:59,830 --> 00:13:03,850
+what happened after plant injury؟ هنا برضه زي كأنه
+
+119
+00:13:03,850 --> 00:13:09,370
+سؤال discuss أو سؤال describe. زي مثلا: discuss what
+
+120
+00:13:09,370 --> 00:13:13,620
+happens during the retinoscopic. هنا بدها تكون full
+
+121
+00:13:13,620 --> 00:13:19,360
+answer برضه، يعني السؤال كبير. بنصح نصيحة دائما
+
+122
+00:13:19,360 --> 00:13:23,460
+اطلع، في بعض الدكاترة بيكتبوا علامة، العلامة بتاعة
+
+123
+00:13:23,460 --> 00:13:27,700
+السؤال، كل ما كانت العلامة كبيرة للسؤال، معناها
+
+124
+00:13:27,700 --> 00:13:30,780
+الكلام، أن الـ answer بده تكون كبيرة. في بعض الأحيان
+
+125
+00:13:30,780 --> 00:13:35,220
+مش دائما. okay؟ يعني مش مثلا السؤال عليه خمسة عشر
+
+126
+00:13:35,220 --> 00:13:40,940
+علامة، تكتب له سطرين أو ثلاثة. Okay؟ يعني مثلا الـ
+
+127
+00:13:40,940 --> 00:13:45,880
+characteristics لـ... نقول القرنية، هو حاطط الـ
+
+128
+00:13:45,880 --> 00:13:50,440
+characteristics مثلا عليه سبع علامات، وعندي مثلا
+
+129
+00:13:50,440 --> 00:13:54,700
+هم عشرة. خلاص، بدك تكتبي، لازم أقل شيء تسعة، لأنه في
+
+130
+00:13:54,700 --> 00:14:00,140
+الأخر هيدي كل واحدة علامة. Okay؟ إذا عديت الخمسة
+
+131
+00:14:00,140 --> 00:14:04,380
+صح، هو هيديك الـ full mark. Okay؟
+
+132
+00:14:06,210 --> 00:14:09,930
+طيب what is the principle of the lensometer؟ أهم
+
+133
+00:14:09,930 --> 00:14:12,950
+شيء في الـ principle، يعني إذا واحد يجي سؤال الـ
+
+134
+00:14:12,950 --> 00:14:17,250
+principle، اكتب it depends on، أنه بيعتمد على، يعني
+
+135
+00:14:17,250 --> 00:14:20,970
+مثلا الـ Jackson cross cylinder، اللي معناه بيعتمد
+
+136
+00:14:20,970 --> 00:14:24,410
+على إيش؟ الـ circle of least confusion. هذه لازم
+
+137
+00:14:24,410 --> 00:14:29,830
+تحطيها يعني كبداية الصفحة بتاعتك. يعني الآن المبدأ
+
+138
+00:14:29,830 --> 00:14:34,370
+بتاعه على إيش بيعتمد. okay؟ بعدها بتكمل الـ answer
+
+139
+00:14:34,370 --> 00:14:41,730
+بتاعتك. بشكل سهل. إذا أي سؤال فيه بيكون principle،
+
+140
+00:14:41,730 --> 00:14:50,490
+مبدأ، لازم أحط أنه it depends on، أنه بيعتمد على. طيب
+
+141
+00:14:50,490 --> 00:14:55,410
+how can you test the field of vision؟ يعني كيف أنا
+
+142
+00:14:55,410 --> 00:15:02,310
+بدي أفحص، الـ test of vision. okay؟ هذه how. إذا السؤال
+
+143
+00:15:02,310 --> 00:15:06,810
+بعدها حكى: what is the extent of normal field؟ هنا كـ
+
+144
+00:15:06,810 --> 00:15:12,150
+definition للـ normal field. okay. how to calculate
+
+145
+00:15:12,150 --> 00:15:16,490
+IOL؟ طبعا كلمة how دائما الإجابة بدها تكون قصيرة،
+
+146
+00:15:16,490 --> 00:15:20,030
+بمعنى one, two, three. يعني مثلا السؤال هذا لو بدي
+
+147
+00:15:20,030 --> 00:15:24,530
+أجاوب، إن كيف بدنا نحسب الـ IOL، هذه الـ intraocular
+
+148
+00:15:24,530 --> 00:15:28,310
+lens، العدسة الداخلية اللي داخل العين. أول حاجة بأخذ
+
+149
+00:15:28,310 --> 00:15:33,430
+الكراتوميتر K1 وK2، سواء من الـ keratometer، أي بمعنى الـ K
+
+150
+00:15:33,430 --> 00:15:36,830
+reading، يعني قد إيش تحدب القرنية. أعتقد في بعض
+
+151
+00:15:36,830 --> 00:15:40,610
+الطلبات عملت لهم قياس تحدب القرنية، بعدين بدي
+
+152
+00:15:40,610 --> 00:15:45,330
+أستخدم جهاز الـ iol master، أو جهاز مشابه. إذا دائما
+
+153
+00:15:45,330 --> 00:15:50,510
+كلمة how، بدو يكون short answer، إجابة قصيرة وعبارة
+
+154
+00:15:50,510 --> 00:15:58,170
+عن steps، خطوات. okay؟ طيب comment، زي كلمة describe.
+
+155
+00:16:04,330 --> 00:16:10,570
+Uses of، sign up to 4. كلمة uses هذه in general، برضه
+
+156
+00:16:10,570 --> 00:16:14,250
+استخدامات، in general. لكن لو قال لي الـ main uses،
+
+157
+00:16:14,250 --> 00:16:18,370
+الاستخدامات الرئيسية، بعرف أنه إيش؟ أنه في one, two,
+
+158
+00:16:18,370 --> 00:16:20,770
+three، هدول main uses.
+
+159
+00:16:24,740 --> 00:16:27,560
+طيب امتحاني هيكون إن شاء الله
+
+160
+00:16:30,360 --> 00:16:35,860
+في يناير، صح؟ هيكون الامتحان، شكل الامتحان هو اللي
+
+161
+00:16:35,860 --> 00:16:40,220
+أمامكم. طبعا هذه وفقا لـ... لـ... لـ... الـ
+
+162
+00:16:40,220 --> 00:16:44,260
+comments بتاعتكم والـ recommendations. طبعا هيكون
+
+163
+00:16:44,260 --> 00:16:48,580
+السؤال الأول هو عبارة عن: choose the correct answer.
+
+164
+00:16:48,580 --> 00:16:54,040
+okay. خمسة عشر سؤال. define the following، خمسة أسئلة.
+
+165
+00:16:54,040 --> 00:16:58,600
+describe، وصف لشغل معينة. okay؟
+
+166
+00:17:01,560 --> 00:17:06,000
+أو only، قلنا short answer. السؤال الخامس: what are
+
+167
+00:17:06,000 --> 00:17:09,340
+the differences؟ مقارنة بين two groups. okay؟
+
+168
+00:17:09,340 --> 00:17:15,920
+أيضا what are، define and describe، وصف. السؤال
+
+169
+00:17:15,920 --> 00:17:20,920
+السابع: mention in brief only steps، خطوات فقط.
+
+170
+00:17:20,920 --> 00:17:26,320
+والسؤال الأخير هم عبارة عن تلت فقرات، أربع فقرات،
+
+171
+00:17:26,320 --> 00:17:29,380
+بتختاري منهم إيه؟ ثلاثة. okay؟
+
+172
+00:17:32,560 --> 00:17:37,840
+آه ستين... طبعا هيكون امتحان ستين على أربعة... أربعة
+
+173
+00:17:37,840 --> 00:17:43,160
+أسئلة، تختار منهم ثلاثة. هيكون الامتحان ستين
+
+174
+00:17:43,160 --> 00:17:48,280
+علامة، إن شاء الله. بتمنى لكم التوفيق. طبعا الامتحان
+
+175
+00:17:48,280 --> 00:17:53,940
+ما هيكونش خارج من المادة العلمية، ومن خلال
+
+176
+00:17:53,940 --> 00:17:57,940
+المناقشة اللي كنا بنتناقش مع بعض، زي أنه هيكون
+
+177
+00:17:57,940 --> 00:18:02,320
+الامتحان، يعني ممكن سؤال أو سؤالين بيكون فيهم idea،
+
+178
+00:18
+
+223
+00:21:20,980 --> 00:21:27,580
+غطّ عين سليمة للطفل، وبعدين بنشوف رد فعل الطفل
+
+224
+00:21:27,580 --> 00:21:31,980
+من حسب إذا ما كانت .. لو استخدمنا غطية عين الـ
+
+225
+00:21:31,980 --> 00:21:35,620
+right، هتكون رد فعل إذا كان فيها رد فعل للعين
+
+226
+00:21:35,620 --> 00:21:40,320
+الـ left هتكون إذا مش سليمة، راح يحاول إنه يبعدها
+
+227
+00:21:40,320 --> 00:21:43,800
+بإيده، و إذا لأ راح يبعدها، هنعرف إنه في
+
+228
+00:21:43,800 --> 00:21:50,000
+عين ضعيفة عنده، ضعف في العين هذه، وإذا غطينا العين الـ
+
+229
+00:21:50,000 --> 00:21:54,300
+left أو خلينا الـ right اللي هي المكشوفة، هنكون حاسس
+
+230
+00:21:54,300 --> 00:21:58,400
+بإرتياح أنه ما فيش أي مشكلة في العين الـ
+
+231
+00:21:58,400 --> 00:22:03,880
+right، وبنستخدم طبعاً الدمية عشان نبضل نركز على
+
+232
+00:22:03,880 --> 00:22:10,940
+الـ .. الـ هذا مع الـ .. مع الفحص هذا هنا، طبعاً غطينا
+
+233
+00:22:10,940 --> 00:22:16,990
+العين الـ right، كانت الـ left هي المكشوفة، كانت اللي
+
+234
+00:22:16,990 --> 00:22:21,170
+هنا الطفل سليم وما فيش أي مشكلة، لما غطّينا العين الـ
+
+235
+00:22:21,170 --> 00:22:24,110
+left، خلال المرحلة، هي المكشوفة، كان عندي مشكلة
+
+236
+00:22:24,110 --> 00:22:27,930
+بحاول إنه يبعد الـ .. الـ .. الـ occlusive الـ
+
+237
+00:22:27,930 --> 00:22:33,590
+occluder، لنجيب  بصل الماء، هنغطي الآن عين واحدة
+
+238
+00:22:47,720 --> 00:22:50,980
+الثانية هي test اللى هو الـ hundred and thousand
+
+239
+00:22:50,980 --> 00:22:55,610
+sweet test، هو عبارة عن أنه بنجيب الـ .. الـ sweet
+
+240
+00:22:55,610 --> 00:23:00,090
+بتكون different color and small، بنحطها طبعاً في
+
+241
+00:23:00,090 --> 00:23:03,570
+الإيد بشكل متباعد، ومش كتير متباعد ولا قريب من
+
+242
+00:23:03,570 --> 00:23:06,810
+بعض، بتكون مسافة الإيد من الـ patient .. الـ patient
+
+243
+00:23:06,810 --> 00:23:10,690
+يعني، والإيد بتكون تلاتة وتلاتين سنتيمتر تقريباً، وبيكون
+
+244
+00:23:10,690 --> 00:23:16,910
+.. إذا كان الطفل مش قادر إنه يمسك .. ياخد من هذا
+
+245
+00:23:16,910 --> 00:23:21,670
+الحلو، الـ sweet، بيكون عنده visual acuity ضعيف، أما
+
+246
+00:23:21,670 --> 00:23:26,630
+إذا قادر إنه يمسك .. يعني يلقط شوية من الحلويات دي
+
+247
+00:23:26,630 --> 00:23:31,950
+حسب ما كانش بيحرك إيده ناحيتها، فبيكون عنده  visual acuity
+
+248
+00:23:31,950 --> 00:23:36,330
+سليم، تقريباً 24 على 6، 6 على 24
+
+249
+00:23:40,890 --> 00:23:44,030
+I want to .. now I want to talk about a third
+
+250
+00:23:44,030 --> 00:23:47,430
+method، اللي هي فحص شاير بريفينال لوكينج. This
+
+251
+00:23:47,430 --> 00:23:50,230
+behavioral tonic pattern is based on the
+
+252
+00:23:50,230 --> 00:23:54,170
+observation that infants prefer a few but in
+
+253
+00:23:54,170 --> 00:23:58,350
+stimulation that they are really well split، بمعنى
+
+254
+00:23:58,350 --> 00:24:03,970
+أن هذه الطريقة تقنية سلوكية بتعتمد على ملاحظة
+
+255
+00:24:03,970 --> 00:24:08,360
+الأطفال، وملاحظتهم كيف هم، حركتهم طبعاً أسهل من أن ..
+
+256
+00:24:08,360 --> 00:24:11,620
+بتكون هي نمط محدد، لأنهم أسهل من أن يكون مثلاً
+
+257
+00:24:11,620 --> 00:24:16,360
+أشكال و .. خليط من أشكال وأي شغلات. The shape must
+
+258
+00:24:16,360 --> 00:24:19,720
+be altered and able to generate neck and eye
+
+259
+00:24:19,720 --> 00:24:20,480
+movement
+
+260
+00:24:22,910 --> 00:24:27,010
+Evaluated by means of motor response، اللي هم لازم
+
+261
+00:24:27,010 --> 00:24:31,550
+يكونوا منتبهين، ولازم يكونوا قادرين على حركة
+
+262
+00:24:31,550 --> 00:24:38,370
+أرجلتهم، يعني، وحركة العين، حركة عيونهم، طبعاً هذا
+
+263
+00:24:38,370 --> 00:24:42,030
+الشيء اللي بنسميه إحنا رؤية، اللي هي استجابة حركية
+
+264
+00:24:42,030 --> 00:24:45,330
+الـ motor response، فيه هنا نوعين منه، اللي هو
+
+265
+00:24:45,330 --> 00:24:48,890
+teleacuity gardens black، هو عبارة عن black strips
+
+266
+00:24:48,890 --> 00:24:53,470
+of varying thickness، اللي هو عبارة عن خطوط سوداء
+
+267
+00:24:53,470 --> 00:24:59,690
+مختلفة السماكة، guarded acuity guards shape of
+
+268
+00:24:59,690 --> 00:25:03,330
+variable outline bloodline و cell lines، اللي هو
+
+269
+00:25:03,330 --> 00:25:08,870
+عبارة عن أشكال مختلفة، it used from every infants
+
+270
+00:25:08,870 --> 00:25:11,610
+اللي هو بيستخدمها .. بيستخدمها الطريقة دي للأطفال
+
+271
+00:25:16,440 --> 00:25:22,060
+it's useful at age 3 to 12 months but can be used
+
+272
+00:25:22,060 --> 00:25:26,440
+up to 3 years، المريض يستخدم من 3 شهور إلى 12 شهر
+
+273
+00:25:26,440 --> 00:25:30,300
+أو ممكن كمان لتلات سنين، this test is very well
+
+274
+00:25:30,300 --> 00:25:34,120
+accurate using strips، black and white strips in a
+
+275
+00:25:34,120 --> 00:25:39,480
+bath، it varying a size of width of the strips from
+
+276
+00:25:39,480 --> 00:25:43,970
+very close، very less and very fine، الأول زي ما هو
+
+277
+00:25:43,970 --> 00:25:48,450
+جايبه بالصورة الموضحة، أن الشكل بيكون فيه خطوط
+
+278
+00:25:48,450 --> 00:25:53,570
+سوداء وفيه خطوط بيضاء مختلفة بالسماكة، وإحنا باختصار
+
+279
+00:25:53,570 --> 00:25:58,430
+بنقول إن إحنا بنجيب الطفل ونقعده، ونقيب هذه الأدوات
+
+280
+00:25:58,430 --> 00:26:03,130
+اللي هي الـ .. الـ .. الـ Teller أو الـ garden، ونسير
+
+281
+00:26:03,130 --> 00:26:07,270
+نواجهها للأطفال، والـ .. والـ examiner بيسير
+
+282
+00:26:07,270 --> 00:26:11,930
+يلاحظ كده حركة عين الطفل، وكيف حاجة  طيبته، إذا كان
+
+283
+00:26:11,930 --> 00:26:16,070
+هم بيستجيبوا لـ .. لإلها، كيف بتطلع نضيف، فإنه بيكون
+
+284
+00:26:16,070 --> 00:26:20,590
+الرؤية عنده نضيفه، إذا ما كان واضح كتير، ويعني ما
+
+285
+00:26:20,590 --> 00:26:24,850
+بتحرك رأسه نضيف حسب الـ .. كيف هو بيجيب الأشكال،
+
+286
+00:26:24,850 --> 00:26:30,030
+بيكون عنده مشكلة في الرؤية، طبعاً خلينا نكمل مع سجدة
+
+287
+00:26:30,030 --> 00:26:32,910
+My name is Sajada and I will talk about
+
+288
+00:26:32,910 --> 00:26:34,770
+autokinetic and stigmas test
+
+289
+00:26:37,880 --> 00:26:40,500
+أول شيء بيقول لنا evaluation of the presence or
+
+290
+00:26:40,500 --> 00:26:44,000
+absence of optokinetic nystagmus was the first
+
+291
+00:26:44,000 --> 00:26:47,140
+technological approach to acute measurements in
+
+292
+00:26:47,140 --> 00:26:51,800
+preverbal children، بيقول لنا تقييم وجود أو غياب هو
+
+293
+00:26:51,800 --> 00:26:56,840
+كان أول تقنية لتحديد الـ acuity، اللي هو تحديد الإبصار
+
+294
+00:26:56,840 --> 00:26:59,740
+عند الأطفال، بيقول لنا الـ nystagmus is elected by
+
+295
+00:26:59,740 --> 00:27:03,200
+passing a succession of black and white strips
+
+296
+00:27:03,200 --> 00:27:05,980
+through the patient's field of view، بيقولنا
+
+297
+00:27:05,980 --> 00:27:10,980
+الرقرقة بتصير عند مرور الخطوط البيضاء والسوداء، هي
+
+298
+00:27:10,980 --> 00:27:14,160
+عبارة عن .. الـ drum، أول شيء عبارة عن جهاز فيه
+
+299
+00:27:14,160 --> 00:27:17,340
+خطوط بيضاء وسوداء، فهذه الخطوط راح تفوت للـ visual
+
+300
+00:27:17,340 --> 00:27:21,940
+field للـ patient، بحكينا the visual angle substended
+
+301
+00:27:21,940 --> 00:27:26,220
+by the smallest strip، اللي هو هذا الـ drum عبارة عن
+
+302
+00:27:26,220 --> 00:27:31,580
+strips black and white، راح نحركها قدام عين الـ
+
+303
+00:27:31,580 --> 00:27:36,520
+patient، عشان نشوف كيف حركة عين الطفل هتكون، بيقولنا
+
+304
+00:27:36,520 --> 00:27:40,460
+الـ visual angle substended by the smallest strip
+
+305
+00:27:40,460 --> 00:27:45,660
+الخط الصغير راح يفوت لعين المريض، وهو راح يسبب
+
+306
+00:27:45,660 --> 00:27:49,060
+الحركة، ومن خلاله بنقدر نقيس الـ visual acuity، أول
+
+307
+00:27:49,060 --> 00:27:53,080
+شيء هذا الـ test بيصير لما يكون العينين عند الطفل
+
+308
+00:27:53,080 --> 00:27:57,300
+مفتوحتين، ما بنغطيش أي عين، فبعد هيك راح نحرك الـ ..
+
+309
+00:27:57,300 --> 00:28:02,080
+الـ drum، هتصير في حركة في عين الطفل لما يشوف الـ ..
+
+310
+00:28:02,080 --> 00:28:07,090
+الـ drum بتتحرك، فالطفل رح يكون مركز عينه على الـ drum
+
+311
+00:28:07,090 --> 00:28:10,490
+فلما تتحرك عينه مع حركة الـ drum، رح تكون عين الطفل
+
+312
+00:28:10,490 --> 00:28:14,310
+سليمة، لما يكون عامل تركيزه، بحكينا إنه إحنا ليش
+
+313
+00:28:14,310 --> 00:28:17,790
+إخترنا الـ black والـ white strips، لأن هدول عبارة
+
+314
+00:28:17,790 --> 00:28:22,490
+عن خطوط متباينة، فالطفل رح يكون مركز عينه على
+
+315
+00:28:22,490 --> 00:28:26,140
+الخطوط السوداء، فبالتالي بنقدر نقيس الـ .. الـ visual
+
+316
+00:28:26,140 --> 00:28:31,580
+acuity لعين الطفل، بيحكينا الـ acuity عندنا 6 على
+
+317
+00:28:31,580 --> 00:28:36,780
+120 للـ newborns، للمواليد الجداد، أو 6 على 20 لـ ..
+
+318
+00:28:36,780 --> 00:28:41,780
+لعمرهم شهرين، أو ممكن 6 على 6 من .. من عشرين
+
+319
+00:28:41,780 --> 00:28:46,860
+لتلاتين شهر، هلأ راح نطبق الـ .. الكلام اللي حكيته
+
+320
+00:28:46,860 --> 00:28:48,080
+هلق على الطفل هلق
+
+321
+00:29:15,940 --> 00:29:20,300
+لأ، بما إنه إحنا عملنا هذا الـ test للطفلة، هي صارت
+
+322
+00:29:20,300 --> 00:29:23,940
+عندها القدرة العامة، We will continue with
+
+323
+00:29:23,940 --> 00:29:27,920
+fixation test. Fixation
+
+324
+00:29:27,920 --> 00:29:34,280
+test is a quantitative test and هو يعني الـ more
+
+325
+00:29:34,280 --> 00:29:39,400
+accurate test بكل الاختبارات تبع الـ preferable
+
+326
+00:29:39,400 --> 00:29:45,800
+children، عن طريقية الفحص، فيه أول شغلة لو .. لما نـ
+
+327
+00:29:45,800 --> 00:29:48,780
+.. لما نيجي نفحص، طبعاً من غطّي العين السليمة، من
+
+328
+00:29:48,780 --> 00:29:54,780
+الفحص، العين اللي شاكين فيها مشكلة، هنحط برزم قيمته
+
+329
+00:29:54,780 --> 00:29:58,620
+16 based on .. ليش based on؟ عشان الصورة هتتكون
+
+330
+00:29:58,620 --> 00:30:04,460
+عند الـ apex، فنظر الـ .. الـ baby أو الطفل هيكون مركز
+
+331
+00:30:04,460 --> 00:30:08,800
+على الصورة المُكوّنة، إن هي up، طبعاً هو هيكون
+
+332
+00:30:08,800 --> 00:30:11,640
+molecular، زي ما قلنا، هنغطي العين السليمة ونفحص
+
+333
+00:30:11,640 --> 00:30:17,880
+العين المشكوك بها، وهنشوف مقدار الـ fixation للطفل
+
+334
+00:30:17,880 --> 00:30:21,580
+إذا كان central أو non central، وإذا كان steady أو
+
+335
+00:30:21,580 --> 00:30:25,000
+non steady، لما نيجي نفحص العين اللي إحنا مش
+
+336
+00:30:25,000 --> 00:30:28,200
+مغطيينها، العين اللي هي اللي قدامها الـ prism، إذا
+
+337
+00:30:28,200 --> 00:30:33,520
+يعني لما نشيل الـ occluder، إذا الطفل راح غير نظره
+
+338
+00:30:33,520 --> 00:30:37,840
+أو الـ fixation، غيره مباشرة بعد فترة من الزمن أقل
+
+339
+00:30:37,840 --> 00:30:41,320
+من عشر ثواني، بيكون عنده الـ visual acuity impaired
+
+340
+00:30:41,320 --> 00:30:46,020
+أما إذا غير الـ fixation بعد عشر ثواني، بيكون عنده
+
+341
+00:30:46,020 --> 00:30:50,450
+الـ visual acuity good، زي ما كنا نحكي .. بنحكي هلأ
+
+342
+00:30:50,450 --> 00:30:55,430
+كيف .. قد ايش قيمة الـ visual acuity لكل حالة، إذا
+
+343
+00:30:55,430 --> 00:31:00,030
+مباشرة، يعني إحنا رفعنا الـ occluder عن العين السليمة
+
+344
+00:31:00,030 --> 00:31:04,470
+ومباشرة غير الـ fixation، فبيكون نظره واحد على ستين
+
+345
+00:31:04,670 --> 00:31:10,570
+أما إذا كان يعني الـ fixation عنده unsteady، يعني مش
+
+346
+00:31:10,570 --> 00:31:15,610
+ثابت، مش مركز على الـ prism، ويعني لمدة أقل من خمس
+
+347
+00:31:15,610 --> 00:31:19,070
+ثواني، بيكون نظره أربعة على ستين، أما إذا كان عنده الـ
+
+348
+00:31:19,070 --> 00:31:23,090
+central with steady fixation، لكن لما إحنا رفعنا الـ
+
+349
+00:31:23,090 --> 00:31:29,350
+occluder، غيرها، يعني غير الـ fixation بعد مدة أكثر
+
+350
+00:31:29,350 --> 00:31:32,630
+من خمس ثواني وأقل من عشر ثواني، بيكون endotoxin with
+
+351
+00:31:32,630 --> 00:31:37,990
+acuity 6 على 60 أو 6 على 24، إذا كان برضه Central
+
+352
+00:31:37,990 --> 00:31:41,930
+وستر الـ fixation، لكن برضه بيفضل إنه يعمل الـ
+
+353
+00:31:41,930 --> 00:31:44,890
+fixation على العين التانية، ويكون عنده another 6
+
+354
+00:31:44,890 --> 00:31:49,670
+على 18 أو 6 على 9، أما إذا كان صار الـ fixation
+
+355
+00:31:49,670 --> 00:31:53,070
+عامل هيك، وظلّ .. لما رفعنا الـ .. الـ occluder، ظلّ
+
+356
+00:31:53,070 --> 00:31:57,230
+الـ fixation ثابت لعين .. لحد عشر ثواني، وبعدين
+
+357
+00:31:57,230 --> 00:32:00,690
+غيّروا من عين لعين، يعني عشر ثواني بالعين الـ right
+
+358
+00:32:00,690 --> 00:32:05,180
+بعدين الـ left، ويكون عنده visual acuity ستة على ستة
+
+359
+00:32:05,180 --> 00:32:09,760
+يعني good visual ability، okay thank you so much
+
+360
+00:32:09,760 --> 00:32:14,500
+for your representation، any comment? do you have
+
+361
+00:32:14,500 --> 00:32:20,760
+any comment? any answer? any question? rotation
+
+362
+00:32:20,760 --> 00:32:22,540
+test
+
+363
+00:32:28,230 --> 00:32:31,330
+الطفل اخذ محاولة حلوة، الوضع الوضع الوضع الوضع
+
+364
+00:32:31,330 --> 00:32:37,710
+الوضع الوضع
+
+365
+00:32:37,710 --> 00:32:44,210
+الوضع الوضع
+
+366
+00:32:44,210 --> 00:32:44,730
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+367
+00:32:44,730 --> 00:32:45,050
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+368
+00:32:45,050 --> 00:32:45,170
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+369
+00:32:45,170 --> 00:32:45,190
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+370
+00:32:45,190 --> 00:32:46,130
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+371
+00:32:46,130 --> 00:32:52,470
+الوضع الوضع الوضع الوضع
+
+372
+00:32:58,930 --> 00:33:03,430
+Decimal six over twenty four, zero point two five
+
+373
+00:33:03,430 --> 00:33:05,550
+okay thank you
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..2f3d73f90c37f8c3236e57c08492b4ed9a58935d
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ_postprocess.srt
@@ -0,0 +1,1492 @@
+1
+00:00:20,920 --> 00:00:24,100
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,100 --> 00:00:28,000
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:28,000 --> 00:00:34,520
+بداية محاضرة اليوم هنتكلم how to give answer for a
+
+4
+00:00:34,520 --> 00:00:39,860
+question طبعا هذه محاضرة in general يعني بشكل عام
+
+5
+00:00:39,860 --> 00:00:47,840
+لأي امتحان بتمر فيه في قسم البصريات الطبية طبعا
+
+6
+00:00:47,840 --> 00:00:53,960
+بداية طبيعة الامتحانأول ما ببدأ الدكتور أو المحاضر
+
+7
+00:00:53,960 --> 00:00:59,000
+أو الأستاذ في الامتحان بكتب please answer all the
+
+8
+00:00:59,000 --> 00:01:03,560
+following questions يعني من فضلك إجابة كل الأسئلة
+
+9
+00:01:03,560 --> 00:01:09,540
+التالية في صيغة أخرى ممكن بستخدمها الدكتور please
+
+10
+00:01:09,540 --> 00:01:14,260
+answer only five from the following questions أي
+
+11
+00:01:14,260 --> 00:01:19,100
+بمعنى إنه اختاري خمس أسئلة من .. بيكون مثلا ستة أو
+
+12
+00:01:19,100 --> 00:01:25,370
+سبعة و اكترOkay طبعا هان الدكتور يما بيجي بصليح أو
+
+13
+00:01:25,370 --> 00:01:30,410
+المحاضر بصليح على خلاص مثلا حكى أنه خمس أسئلة one,
+
+14
+00:01:30,530 --> 00:01:34,870
+two, three, four, five بس لو أنت حل ست أسئلة هو
+
+15
+00:01:34,870 --> 00:01:39,230
+بصليح بس الخمسة الأولى نجيه يعني ما بيصليح مثلا
+
+16
+00:01:39,230 --> 00:01:43,270
+أنت بدك تكترك السادس أو .. لأ هو بعرف أنه أول خمس
+
+17
+00:01:43,270 --> 00:01:46,090
+أسئلة okay هذا نقطة كتير مهمة
+
+18
+00:01:49,300 --> 00:01:53,840
+طيب أنواع الأسئلة type of equations كيف الأسئلة
+
+19
+00:01:53,840 --> 00:01:58,760
+بشكل عام أنه بتكون يعني ك shape of the equation
+
+20
+00:01:58,760 --> 00:02:03,980
+يعني أو ال style أنه شكل بتاع الأسئلة بشكل عام أول
+
+21
+00:02:03,980 --> 00:02:10,060
+حاجة ممكن true or false أي بمعنى state whether the
+
+22
+00:02:10,060 --> 00:02:14,020
+following sentences are true or false طبعا في
+
+23
+00:02:14,020 --> 00:02:15,240
+موضوع ال true or false
+
+24
+00:02:51,140 --> 00:02:55,580
+ولو انت كنت قصارها الصح أو خطأ، مش عارف يعني، او
+
+25
+00:02:55,580 --> 00:02:55,920
+في مثل ..
+
+26
+00:03:34,290 --> 00:03:39,130
+يعني خلاص إنه لازم الإنسان يلتزم بالسؤال في صيغة
+
+27
+00:03:39,130 --> 00:03:43,410
+أخرى ممكن state whether the following sentences
+
+28
+00:03:43,410 --> 00:03:47,990
+are true or false and correct the false sentences
+
+29
+00:03:47,990 --> 00:03:54,470
+أي بمعنى صلح الأخطاء الجمال okay؟
+
+30
+00:04:32,610 --> 00:04:37,970
+مثلا الأولى true والتانية false وهكذا هذا طب يعني
+
+31
+00:04:37,970 --> 00:04:46,210
+style آخر من الأسئلة واضح النقطة هذه؟ choose
+
+32
+00:04:46,210 --> 00:04:50,070
+the correct answer or select the correct answer
+
+33
+00:04:50,070 --> 00:04:55,090
+يعني اختاري الإجابة الصحيحة okay طبعا إذا كان شوية
+
+34
+00:04:55,090 --> 00:04:58,730
+صعب الدكتور بيجيب الأسئلة هذا
+
+35
+00:05:02,550 --> 00:05:10,690
+أكتر من إجابة صحيحة لكن هو بده إيه؟ الأصحى طيب
+
+36
+00:05:10,690 --> 00:05:16,210
+في سؤال ممكن define the following بنصح في ال
+
+37
+00:05:16,210 --> 00:05:20,970
+define دايما أكتب خاصة في الامتحان النهائي في ال
+
+38
+00:05:20,970 --> 00:05:25,880
+more detail يعني أية معلومة بتعرفيها اكتبيهاإذا ك
+
+39
+00:05:25,880 --> 00:05:30,780
+details أنه لازم تكون كاملة okay لأنه الامتحان
+
+40
+00:05:30,780 --> 00:05:34,720
+النهائي تقريبا عليه ما بين ستين و سبعين علامة
+
+41
+00:05:34,720 --> 00:05:39,260
+بمعنى أن الدكتور عنده range كبير من الدرجات okay
+
+42
+00:05:39,260 --> 00:05:45,580
+فلازم أنه يكون إيش أنه أكتب ك full answer أنه
+
+43
+00:05:45,580 --> 00:05:52,020
+إجابة إيش ما كاملة okay ممكن
+
+44
+00:05:52,020 --> 00:05:53,980
+سؤال match the following
+
+45
+00:06:02,960 --> 00:06:08,160
+ممكن اقولك العضلة و ال action بتاعها فبعمل عملية
+
+46
+00:06:08,160 --> 00:06:09,960
+توصيل لإيه؟ لكل عضلة
+
+47
+00:06:46,110 --> 00:06:52,150
+انه مديكي نقاط معينة مازليش عنها okay and mention
+
+48
+00:06:52,150 --> 00:06:56,510
+its types with drawings يعني بدي اعمل وصف لهذه
+
+49
+00:06:56,510 --> 00:07:01,210
+الأنواع زائد انه ايش انه بدي ارسم اذا with a
+
+50
+00:07:01,210 --> 00:07:06,250
+drawing اذا هان السؤال شمل define و mention و
+
+51
+00:07:06,250 --> 00:07:13,650
+drawing تلت شغلات مع بعض okay في
+
+52
+00:07:13,650 --> 00:07:15,250
+صيغة أخرى mention
+
+53
+00:07:27,030 --> 00:07:32,950
+مثلا لديو كروم تست او مثلا لجاكسون كروس سيلندر او
+
+54
+00:07:32,950 --> 00:07:37,890
+ل ال muscle ال extraocular muscle فال main factors
+
+55
+00:07:37,890 --> 00:07:41,750
+العوامل الأساسية فقط اللي بدوها ممكن يكون هم عشرين
+
+56
+00:07:41,750 --> 00:07:45,450
+عامل لكن انا بدي احط ايه ال main three factors
+
+57
+00:07:45,450 --> 00:07:50,750
+okay mention
+
+58
+00:07:50,750 --> 00:07:52,090
+يعني بمعنى
+
+59
+00:07:56,600 --> 00:08:00,380
+بدي اعمل وصف for example هنا مثلا ل ال prince role
+
+60
+00:08:00,380 --> 00:08:04,960
+إذا وضحت زائد أنه إيه بدي أفصل في ال prince role
+
+61
+00:08:04,960 --> 00:08:11,060
+دايما كلمة illustrate بتيجي ل ال mention هدول
+
+62
+00:08:11,060 --> 00:08:15,520
+التنتين مع بعض بمعنى أنه توضيح ووصف okay
+
+63
+00:08:38,350 --> 00:08:43,990
+ممكن يكون هم three or four or five لكن هو حدد only
+
+64
+00:08:43,990 --> 00:08:47,850
+two types objective and subjective methods okay
+
+65
+00:08:47,850 --> 00:08:52,050
+mention
+
+66
+00:08:52,050 --> 00:08:58,600
+the main types okay of causesايضا بكون اكتر من نوع
+
+67
+00:08:58,600 --> 00:09:03,740
+ل ال doses لكن انا بدي احدد ايه ال main الأساسي
+
+68
+00:09:03,740 --> 00:09:08,380
+طبعا هذه الأسئلة هي شوية معظمها هي ال .. هي هذه
+
+69
+00:09:08,380 --> 00:09:11,560
+الصعبة لأن هذا اللي بيقدر .. يعني الدكتور يعمل
+
+70
+00:09:11,560 --> 00:09:18,020
+subtract من الطالب okay انه بده إجابة لكن تكون
+
+71
+00:09:18,020 --> 00:09:23,340
+more detail في شغل معين لو هو سائل okay وامتحان
+
+72
+00:09:23,340 --> 00:09:28,020
+النهائي في الغالب بيكون هيكطيب mention the
+
+73
+00:09:28,020 --> 00:09:30,760
+different types of a primary and secondary
+
+74
+00:09:30,760 --> 00:09:34,880
+glaucoma اذا different types أنواع مختلفة هانفتح
+
+75
+00:09:34,880 --> 00:09:38,800
+المجال يعني فيه اتناشر type بدي اذكر الاتناشر type
+
+76
+00:09:38,800 --> 00:09:43,800
+okay illustrate
+
+77
+00:09:43,800 --> 00:09:48,780
+the finished lens dimension هانتوضيح دايما كلمة
+
+78
+00:09:48,780 --> 00:09:53,160
+illustrate إذا فيه drawing رسم حط معها الرسمOkay
+
+79
+00:09:53,160 --> 00:09:57,140
+يعني دايما بيجيوا التنتين مع بعض انه حتى لو هو مش
+
+80
+00:09:57,140 --> 00:10:02,000
+طالب منك طيب
+
+81
+00:10:02,000 --> 00:10:07,400
+mention in brief only for aging changes of the
+
+82
+00:10:07,400 --> 00:10:12,900
+lead هان فقط بدي وصف لكن ايش briefly باختصار يعني
+
+83
+00:10:12,900 --> 00:10:18,910
+تصفي شغل معينة لكن باختصار معينOkay و هان بيكون
+
+84
+00:10:18,910 --> 00:10:24,490
+السؤال يعني سهل .. سهل لطالب من حيث انه يحصل على
+
+85
+00:10:24,490 --> 00:10:29,250
+علامة كاملة ليش؟ لأنه اي نقطة انت هتكتبيها هو هيحط
+
+86
+00:10:29,250 --> 00:10:33,810
+عليها صح لأن هو هنحط السؤال ك general a question
+
+87
+00:10:33,810 --> 00:10:37,670
+زائد انه طلب انه in brief باختصار
+
+88
+00:10:40,930 --> 00:10:47,010
+طيب في عندنا ال describe هذا سؤال شويه صعب، دايما
+
+89
+00:10:47,010 --> 00:10:53,270
+describe يعني أي تمعلومة بدك تذكريها يعني الآن ال
+
+90
+00:10:53,270 --> 00:10:57,750
+myopic vandas يحكيلي عن ال myopic vandas ال
+
+91
+00:10:57,750 --> 00:11:01,910
+define، التعريف، ال types، الأنواع، ال
+
+92
+00:11:01,910 --> 00:11:06,210
+classification، التصنيف، ال treatment، العلاج، ال
+
+93
+00:11:06,210 --> 00:11:12,180
+methodأى حاجة فيها describe بدك تكون الإجابة full
+
+94
+00:11:12,180 --> 00:11:17,160
+answer okay discuss
+
+95
+00:11:17,160 --> 00:11:22,300
+briefly the process of glazing دايما كلمة discuss
+
+96
+00:11:22,300 --> 00:11:26,700
+و مع كلمة briefly فيه process زى مثلا عندنا مثلا
+
+97
+00:11:26,700 --> 00:11:28,440
+ال retinoscopic okay
+
+98
+00:11:30,880 --> 00:11:34,300
+إذا عملية ال ريتناسكوبي okay the reforming of
+
+99
+00:11:34,300 --> 00:11:39,060
+retinascope هان بدك تكتب باختصار العملية هذه okay
+
+100
+00:11:39,060 --> 00:11:42,300
+طيب
+
+101
+00:11:42,300 --> 00:11:46,560
+الصيغة الأخرى ممكن تقولك what is gonioscope هان
+
+102
+00:11:46,560 --> 00:11:50,740
+بمعنى define كتعريف وتقولنا دايما التعريف بدك تكتب
+
+103
+00:11:50,740 --> 00:11:56,270
+full answer okaydescribe the angle of the anterior
+
+104
+00:11:56,270 --> 00:12:00,910
+chamber يعني هان بده تعريف و هان سهلها على الطالب
+
+105
+00:12:00,910 --> 00:12:04,650
+أكتر انه قالك what is جونيوسكوبيه كان بيسأل شو
+
+106
+00:12:04,650 --> 00:12:10,730
+التعريف و بعدين قالك describe انه أوصف ال angle of
+
+107
+00:12:10,730 --> 00:12:13,170
+anterior chamber
+
+108
+00:12:15,730 --> 00:12:19,830
+why we do his secret هل اعتقد جبته انا في المصفة
+
+109
+00:12:19,830 --> 00:12:23,590
+سؤال يعني اتفهمته كيف الصيغة بتاعته انه دايما ال
+
+110
+00:12:23,590 --> 00:12:27,610
+reason السبب السبب دايما بيكون واضح اللي هو ال
+
+111
+00:12:27,610 --> 00:12:31,750
+main يعني اما واحد بيسألك why يعني ال main reason
+
+112
+00:12:31,750 --> 00:12:38,650
+السبب الرئيسي okayWhy a flare exists in soft
+
+113
+00:12:38,650 --> 00:12:41,810
+lenses than in rigid lenses؟ خلاص، بدي أركز ع
+
+114
+00:12:41,810 --> 00:12:45,930
+شغلتين، إذا ال flare أي بمعنى ال cloud الضباب في
+
+115
+00:12:45,930 --> 00:12:51,250
+ال rigid و في ال hard، يعني فقط بنوعين معينين، في
+
+116
+00:12:51,250 --> 00:12:54,730
+عدة أنواع من ال contact lens، لكن أنا بدي أركز في
+
+117
+00:12:54,730 --> 00:12:55,950
+إيه؟ في two types
+
+118
+00:12:59,830 --> 00:13:03,850
+what happened after plant injury هان برضه زي كأنه
+
+119
+00:13:03,850 --> 00:13:09,370
+سؤال discuss أو سؤال describe زي مثلك discuss what
+
+120
+00:13:09,370 --> 00:13:13,620
+happens during the retinoscopicهنا بدى يكون full
+
+121
+00:13:13,620 --> 00:13:19,360
+answer برضه، يعني السؤال كبير بنصح نصيحة دايما
+
+122
+00:13:19,360 --> 00:13:23,460
+اطلع في بعض الدكاترة بكتبوا علامة العلامة بتاعة
+
+123
+00:13:23,460 --> 00:13:27,700
+السؤال كل ما كانت العلامة كبيرة للسؤال معناه
+
+124
+00:13:27,700 --> 00:13:30,780
+الكلام ان ال answer بده تكون كبيرة في بعض الأحيان
+
+125
+00:13:30,780 --> 00:13:35,220
+مش دايما okay يعني مش مثلا السؤال عليه خمس عشر
+
+126
+00:13:35,220 --> 00:13:40,940
+علامة اكتبله سطرين او تلاتةOkay؟ يعني مثلا ال
+
+127
+00:13:40,940 --> 00:13:45,880
+characteristics ل .. نقول الكورنيا هو حاطط ال
+
+128
+00:13:45,880 --> 00:13:50,440
+characteristics مثلا عليه سبع علامات و عندي مثلا
+
+129
+00:13:50,440 --> 00:13:54,700
+هم عشرة خلاص، بدك تكتب لازم أقل شيء تسعة لأن هو في
+
+130
+00:13:54,700 --> 00:14:00,140
+الآخر هيدي كل واحدة علامة Okay؟ إذا عديت الخمسة
+
+131
+00:14:00,140 --> 00:14:04,380
+صح، هو هيديك ال full mark Okay؟
+
+132
+00:14:06,210 --> 00:14:09,930
+طيب what is the principle of the lensometer؟ أهم
+
+133
+00:14:09,930 --> 00:14:12,950
+شيء في ال principle يعني إذا واحد يجي سؤال ال
+
+134
+00:14:12,950 --> 00:14:17,250
+principle اكتب it depends on أنه بيعتمد على يعني
+
+135
+00:14:17,250 --> 00:14:20,970
+مثلا ال Jackson cross cylinder اللي معناه تعتمد
+
+136
+00:14:20,970 --> 00:14:24,410
+على إيش ال circle of least confusion هذه لازم
+
+137
+00:14:24,410 --> 00:14:29,830
+تحطيها يعني كبداية الصفحة بتاعتك يعني الآن المبدأ
+
+138
+00:14:29,830 --> 00:14:34,370
+بتاعه على إيش بيعتمد okay بعدها بتكمل ال answer
+
+139
+00:14:34,370 --> 00:14:41,730
+بتاعتكبشكل سهل إذا أي سؤال فيه بيكون principle
+
+140
+00:14:41,730 --> 00:14:50,490
+مبدأ لازم أحط انه it depends on انه بيعتمد على طيب
+
+141
+00:14:50,490 --> 00:14:55,410
+how can you test the field of vision يعني كيف أنا
+
+142
+00:14:55,410 --> 00:15:02,310
+بدي أفحص ال test of vision okay هذي howإذا السؤال
+
+143
+00:15:02,310 --> 00:15:06,810
+بعدها حكى what is the extent of normal field هان ك
+
+144
+00:15:06,810 --> 00:15:12,150
+definition لل normal field okay how to calculate
+
+145
+00:15:12,150 --> 00:15:16,490
+IOL طبعا كلمة how دايما الإجابة بدها تكون قصيرة
+
+146
+00:15:16,490 --> 00:15:20,030
+بمعنى one, two, three يعني مثلا السؤال هذا لو بدي
+
+147
+00:15:20,030 --> 00:15:24,530
+أجابه إن كيف بدنا نقسم ال IOL هذه ال intraocular
+
+148
+00:15:24,530 --> 00:15:28,310
+lens العدسة الداخلية اللي داخل العين أول حاجة باخد
+
+149
+00:15:28,310 --> 00:15:33,430
+الكراتوميترK1 و K2 سواء من الجفال أي بمعنى ال K
+
+150
+00:15:33,430 --> 00:15:36,830
+Reading يعني قداش تحدي بالقرانية أعتقد في بعض
+
+151
+00:15:36,830 --> 00:15:40,610
+الطلبات عملتلهم التحدي بتاع القرانية بعدين بدي
+
+152
+00:15:40,610 --> 00:15:45,330
+أستخدم جهاز الاسكت هاي خطوفين هاي تسابق إذا دايما
+
+153
+00:15:45,330 --> 00:15:50,510
+كلمة how بدو يكون short answer إجابة قصيرة و عبارة
+
+154
+00:15:50,510 --> 00:15:58,170
+عن steps خطوات okay طيب comment زي كلمة describe
+
+155
+00:16:04,330 --> 00:16:10,570
+Uses of sign up to 4 كلمة uses هذه in general برضه
+
+156
+00:16:10,570 --> 00:16:14,250
+استخدامات in general لكن لو قال لي ال main uses
+
+157
+00:16:14,250 --> 00:16:18,370
+الاستخدامات الرئيسية بعرف انه ايش انه في one two
+
+158
+00:16:18,370 --> 00:16:20,770
+three هدول main uses
+
+159
+00:16:24,740 --> 00:16:27,560
+طيب امتحاني هيكون ان شاء الله
+
+160
+00:16:30,360 --> 00:16:35,860
+في جانوري صح؟ هيكون الامتحان شكل الامتحان هو اللي
+
+161
+00:16:35,860 --> 00:16:40,220
+أمامكم طبعا هذه وفقا ال .. ال .. ال .. ال
+
+162
+00:16:40,220 --> 00:16:44,260
+commentات بتاعتكم و ال recommendation طبعا هيكون
+
+163
+00:16:44,260 --> 00:16:48,580
+السؤال الأول هو عبارة عن choose the correct answer
+
+164
+00:16:48,580 --> 00:16:54,040
+okay خمس عشر سؤال define the following خمس أسئلة
+
+165
+00:16:54,040 --> 00:16:58,600
+describe وصف لشغل معينة okay
+
+166
+00:17:01,560 --> 00:17:06,000
+أو only قولنا short answer السؤال الخامس what are
+
+167
+00:17:06,000 --> 00:17:09,340
+the differences مقارنة between two groups okay
+
+168
+00:17:09,340 --> 00:17:15,920
+أيضا what are the define and describe وصف السؤال
+
+169
+00:17:15,920 --> 00:17:20,920
+السابع mention in briefly only steps خطوات فقط
+
+170
+00:17:20,920 --> 00:17:26,320
+والسؤال الأخير هم عبارة عن تلت فقرات اربع فقرات
+
+171
+00:17:26,320 --> 00:17:29,380
+بتختاري منهم ايه تلتة okay
+
+172
+00:17:32,560 --> 00:17:37,840
+اه ستين .. طبعا هيكون امتحان ستين على أربعةأه
+
+173
+00:17:37,840 --> 00:17:43,160
+أربعة أسئلة تختار منهم تلاتة هيكون الامتحان ستين
+
+174
+00:17:43,160 --> 00:17:48,280
+علامة ان شاء الله بتمنى لكم التوفيق طبعا الامتحان
+
+175
+00:17:48,280 --> 00:17:53,940
+ما هيكونش خارج من المادة العلمية و من خلال
+
+176
+00:17:53,940 --> 00:17:57,940
+المناقشة اللي كنا نتناقش مع بعض زي أنه هيكون
+
+177
+00:17:57,940 --> 00:18:02,320
+الامتحان يعني ممكن سؤال أو سؤالين بيكون فيهم idea
+
+178
+00:18:02,320 --> 00:18:08,630
+فكرة للتمييز ما بين الطالبينفالناس في ال .. ممكن
+
+179
+00:18:08,630 --> 00:18:13,350
+تشيري من الناس في ال .. في العقد؟ In general
+
+180
+00:18:13,350 --> 00:18:19,270
+الامتحان بس هو التقسيم انه بيكون عشرين لقبل
+
+181
+00:18:19,270 --> 00:18:24,730
+الامتحان يعني according ل الجامعة انه عشرين قبل
+
+182
+00:18:24,730 --> 00:18:28,610
+يعني الامتحان النصف عشرين في المية و بعد المادة
+
+183
+00:18:28,610 --> 00:18:32,890
+تقريبا سبعين او تمانين في المية يعني بعد امتحان
+
+184
+00:18:32,890 --> 00:18:33,250
+النصف
+
+185
+00:18:36,140 --> 00:18:39,760
+طبعا هذه طبيعة امتحان .. يعني الامتحانات بشكل عام
+
+186
+00:18:39,760 --> 00:18:43,340
+في الجامعة مابيخرجش الامتحان عن هدول الأسئلة أنا
+
+187
+00:18:43,340 --> 00:18:47,900
+ان شاء الله هحمل ال .. الصيدات هدول على الصفحة ان
+
+188
+00:18:47,900 --> 00:18:52,180
+شاء الله يعني أي تمتحان ماهيخرجش عن مجموعة الأسئلة
+
+189
+00:18:52,180 --> 00:18:58,760
+هدول، okay؟ طيب، الآن بنبقى مع مجموعة من الطالبات
+
+190
+00:18:58,760 --> 00:19:03,800
+حوال موضوع ال visual acuityال pre verbal children
+
+191
+00:19:03,800 --> 00:19:12,120
+عمل كل من الطالبة إيمان ياغي و سجة عودة و حفص زين
+
+192
+00:19:12,120 --> 00:19:18,360
+الدين و ندى أبو ذية و وعد الحلبة بسم الله الرحمن
+
+193
+00:19:18,360 --> 00:19:21,720
+الرحيم أنا الطالبة ندى أبو ذيةاليوم بدي أقدم عاية
+
+194
+00:19:21,720 --> 00:19:25,600
+انه بموضوع testing visual acuity in very very bald
+
+195
+00:19:25,600 --> 00:19:29,300
+children اللي هو الأطفال الصغير، الغير ناطقين ممكن
+
+196
+00:19:29,300 --> 00:19:35,860
+يكون عمرهم من الموليد لحد سنتين و نص و بنبدأ أول
+
+197
+00:19:35,860 --> 00:19:39,360
+إشي عندنا different type من ال visual acuity in
+
+198
+00:19:39,360 --> 00:19:42,980
+infants عند الموليد نفحص طرق مختلفة أول إشي عندنا
+
+199
+00:19:42,980 --> 00:19:45,800
+inclusion of one eye ثاني إشي عندنا fixation test
+
+200
+00:19:45,800 --> 00:19:48,640
+و بعدين عندنا الopticaي نترك الدرام نستجمس الدرام
+
+201
+00:19:48,640 --> 00:19:52,670
+andfirst choice for differential blocking and
+
+202
+00:19:52,670 --> 00:19:55,150
+hundred or thousand sweep test and rotation test
+
+203
+00:19:55,150 --> 00:20:00,350
+أول إشي عندنا فيه اختلاف بين الأساليب الفحص
+
+204
+00:20:00,350 --> 00:20:04,390
+للإكبار و للصغار عند الموليد و عند البالغين لإنهم
+
+205
+00:20:04,390 --> 00:20:11,240
+تلت أسبابأول إشي أن المواليد عندنا ما .. ما بقدرش
+
+206
+00:20:11,240 --> 00:20:14,240
+نفحصلهم بنفس الطريقة و بنفس المواد و الأساليب اللي
+
+207
+00:20:14,240 --> 00:20:17,840
+بنستخدمها مع ال Dubai تاني إشي أنه .. أنه أساليب
+
+208
+00:20:17,840 --> 00:20:23,540
+الفحص عندنا متطوعة و لازم أنه يكون يعني الصغير
+
+209
+00:20:23,540 --> 00:20:26,300
+قادر إنهم يفهموا هذه الأساليب و عنده أساليب خاصة
+
+210
+00:20:26,300 --> 00:20:30,540
+ممكن .. احنا ممكن نستعملها اللي هي مع ال infants و
+
+211
+00:20:30,540 --> 00:20:34,180
+ما بقدرش أنه يطبقها ال ..نطبقها مع الإكبار،
+
+212
+00:20:34,180 --> 00:20:37,680
+مابقدرش نطبقها مع ال infants زي مثلا إن ال HI
+
+213
+00:20:37,680 --> 00:20:39,920
+مابقدرش مثلا إن حد بدي كفه اتجاه الفحص اللي ممكن
+
+214
+00:20:39,920 --> 00:20:44,380
+يكون و زي هي كتفانة و احنا بنسهل، بنجيبلنا أشياء
+
+215
+00:20:44,380 --> 00:20:48,160
+ان تكون سهلة، حاجة العين أو بنقل صورة أو حاجات
+
+216
+00:20:48,160 --> 00:20:52,880
+مقلوفة لهم و
+
+217
+00:20:52,880 --> 00:20:56,400
+بنتكلم عن أول موضوع اللي هو inclusion of one eye
+
+218
+00:20:56,400 --> 00:21:01,830
+مع إيمان ياغيEclosion of one eye، عينها بيهيب هو
+
+219
+00:21:01,830 --> 00:21:06,450
+عبارة عن طاقة فحص، monocular طبعا، بيكون مغطي في
+
+220
+00:21:06,450 --> 00:21:10,810
+عين واحدة، مغطي فيها العين السليمة، ال normal eye،
+
+221
+00:21:10,810 --> 00:21:17,580
+و بعدين بيعمل fixation لل ..بنشوف رد اتفاعل الطفل
+
+222
+00:21:17,580 --> 00:21:20,980
+evolution of one eye بنغطي أي حد اللي بحث نستخدم
+
+223
+00:21:20,980 --> 00:21:27,580
+غطغة عين سليمة للطفل و بعدين بنشوف رد اتفاعل الطفل
+
+224
+00:21:27,580 --> 00:21:31,980
+من حسب إذا ما كانت .. لو استخدمنا غطية عين ال
+
+225
+00:21:31,980 --> 00:21:35,620
+right هتكون الرد اتفاعل إذا كان فيها رد عفر لعين
+
+226
+00:21:35,620 --> 00:21:40,320
+ال left هتكون إذا مش سليمة راح يحاول إنه يبعد في
+
+227
+00:21:40,320 --> 00:21:43,800
+إيد الفاحث عنه و إذا لأ راح يبعدها هنعرف إنه في
+
+228
+00:21:43,800 --> 00:21:50,000
+عين ضاقعنده ضعف في العين هادي و إذا غطينا العين ال
+
+229
+00:21:50,000 --> 00:21:54,300
+left أو خلينا ال right اللي هي المكشوفة هنكون حاسس
+
+230
+00:21:54,300 --> 00:21:58,400
+بارتياح أنه مافيش اي غرق .. مشكلة في العين ال
+
+231
+00:21:58,400 --> 00:22:03,880
+right و بنستخدم طبعا الدم ياقن عشان نبضل نركز على
+
+232
+00:22:03,880 --> 00:22:10,940
+ال .. ال هذا مع ال .. مع الفحص هاي هنا طبعا غطينا
+
+233
+00:22:10,940 --> 00:22:16,990
+العينال right كانت ال left هي المكشوفة كانت اللي
+
+234
+00:22:16,990 --> 00:22:21,170
+هنا الطفل سليم و مافيش اي مشكلة لما غبطيها العين
+
+235
+00:22:21,170 --> 00:22:24,110
+ال left خلال المرحلة هي المكشوفة كان عندي مشكلة
+
+236
+00:22:24,110 --> 00:22:27,930
+بحاول انه يبعد ال .. ال .. ال occlusive ال
+
+237
+00:22:27,930 --> 00:22:33,590
+occluder لنجيب بصل ماء هنغطيه الآن عين واحدة
+
+238
+00:22:47,720 --> 00:22:50,980
+الثانية هي test اللى هو ال hundred and thousand
+
+239
+00:22:50,980 --> 00:22:55,610
+sweet testهو عبارة عن أنه بنجيب ال .. ال sweet
+
+240
+00:22:55,610 --> 00:23:00,090
+بتكون different color and small، بنحطها طبعا في
+
+241
+00:23:00,090 --> 00:23:03,570
+الإيد بشكل متباعد و مش كتير متباعد ولا قريب من
+
+242
+00:23:03,570 --> 00:23:06,810
+بعض، بتكون مسافة الإيد من ال patient .. ال patient
+
+243
+00:23:06,810 --> 00:23:10,690
+يعني و الإيدنا تلات و تلاتين سانتر تقريباو بيكون
+
+244
+00:23:10,690 --> 00:23:16,910
+.. اذا كان الطفل مش قادر انه يمسك .. ياخد من هذا
+
+245
+00:23:16,910 --> 00:23:21,670
+الحلو ال sweet بيكون عنده visual equity ضعيف اما
+
+246
+00:23:21,670 --> 00:23:26,630
+اذا قادر انه يمسك .. يعني يلقط شوية من تسطها دي
+
+247
+00:23:26,630 --> 00:23:31,950
+حسب ما كانش يحرك ايده نيح بيها فهيكون عنده طقل
+
+248
+00:23:31,950 --> 00:23:36,330
+visual equity سليم تقريبا 24 ع 6، 6 ع 24
+
+249
+00:23:40,890 --> 00:23:44,030
+I want to .. now I want to talk about a third
+
+250
+00:23:44,030 --> 00:23:47,430
+method اللي هي فاصد شاير بريفينالوكينج This
+
+251
+00:23:47,430 --> 00:23:50,230
+behavioral tonic pattern is based on the
+
+252
+00:23:50,230 --> 00:23:54,170
+observation that infants prefer a pew but in
+
+253
+00:23:54,170 --> 00:23:58,350
+stimulation that they are really well split بمعنى
+
+254
+00:23:58,350 --> 00:24:03,970
+أن هذه الطريقة تقنية سلوكية بتعتمد على ملاحظة
+
+255
+00:24:03,970 --> 00:24:08,360
+الأطفال و ملاحظهم كيف هم حركتهمطبعا أبضع من أنه ..
+
+256
+00:24:08,360 --> 00:24:11,620
+بتكون هي نمط محفظ لإنهم أكتر من أنه يكون مثلا
+
+257
+00:24:11,620 --> 00:24:16,360
+أشكال و .. خليط من أشكال و أي شغلات The shape must
+
+258
+00:24:16,360 --> 00:24:19,720
+be altered and able to generate neck and eye
+
+259
+00:24:19,720 --> 00:24:20,480
+movement
+
+260
+00:24:22,910 --> 00:24:27,010
+Evaluated by means of motor response اللي هم لازم
+
+261
+00:24:27,010 --> 00:24:31,550
+يكونوا منتبهين و لازم يكونوا قادرين على حركة
+
+262
+00:24:31,550 --> 00:24:38,370
+يركبتهم يعني و حركة العين حركة عينهم طبعا هذا
+
+263
+00:24:38,370 --> 00:24:42,030
+الاشي اللي بسميه احنا رؤية اللي هي استجابة حركية
+
+264
+00:24:42,030 --> 00:24:45,330
+ال motor responseفيه هنا نوعين منه اللي هو
+
+265
+00:24:45,330 --> 00:24:48,890
+teleacuity gardens black هو عبارة عن black strips
+
+266
+00:24:48,890 --> 00:24:53,470
+of varying thickness اللي هو عبارة عن خطوط سودة
+
+267
+00:24:53,470 --> 00:24:59,690
+مختلفة السماكة guarded acuity guards shape of
+
+268
+00:24:59,690 --> 00:25:03,330
+variable outline bloodline و cell lines اللي هو
+
+269
+00:25:03,330 --> 00:25:08,870
+عبارة عن أشكال مختلفة it used from every infants
+
+270
+00:25:08,870 --> 00:25:11,610
+اللي هو بيستخدمها .. بيستخدمها الطريقة بس الأطفال
+
+271
+00:25:16,440 --> 00:25:22,060
+it's useful at age 3 to 12 months but can be used
+
+272
+00:25:22,060 --> 00:25:26,440
+up to 3 years المريض يستخدم من 3 شهور إلى 12 شهر
+
+273
+00:25:26,440 --> 00:25:30,300
+أو ممكن كمان لتالت سنين this test is very well
+
+274
+00:25:30,300 --> 00:25:34,120
+accurate using strips, black and white strips in a
+
+275
+00:25:34,120 --> 00:25:39,480
+bath it varying a size of width of the strips from
+
+276
+00:25:39,480 --> 00:25:43,970
+very close, very less and very fineالأول زى ما هو
+
+277
+00:25:43,970 --> 00:25:48,450
+جايبى بالصورة الموضحانة أن الشكل بيكون فيه خطوط
+
+278
+00:25:48,450 --> 00:25:53,570
+سودة و فيه خطوط بيضا مختلفة بالثمن و احنا باختصار
+
+279
+00:25:53,570 --> 00:25:58,430
+شديد ان احنا نجيب الطفل و نقعده و نجيب هذه الأدوات
+
+280
+00:25:58,430 --> 00:26:03,130
+اللى هى ال .. ال .. ال tiller أو ال garden و نسير
+
+281
+00:26:03,130 --> 00:26:07,270
+نواجهينها الأطفال و ال .. و ال examiner بيسير
+
+282
+00:26:07,270 --> 00:26:11,930
+يلاحظ كده حركة العين للطفل و كيف حاجة طيبتهإذا كان
+
+283
+00:26:11,930 --> 00:26:16,070
+هم بيستجيب ل .. لإله كيف بتطلع نيح فإنه بيكون
+
+284
+00:26:16,070 --> 00:26:20,590
+الرؤية عنده نيحة، إذا ما كان واضح كتير و يعني ما
+
+285
+00:26:20,590 --> 00:26:24,850
+بتحرك ريبته نيح حسب ال .. كيف هو بيجيب الأشكال،
+
+286
+00:26:24,850 --> 00:26:30,030
+بيكون عنده مشكلة في الرؤية طبعا خلّنا بنكمل مع سجة
+
+287
+00:26:30,030 --> 00:26:32,910
+My name is Sajada and I will talk about
+
+288
+00:26:32,910 --> 00:26:34,770
+autokinetic and stigmas test
+
+289
+00:26:37,880 --> 00:26:40,500
+أول شي بقولنا evaluation of the presence or
+
+290
+00:26:40,500 --> 00:26:44,000
+absence of optokinetic nystagmus was the first
+
+291
+00:26:44,000 --> 00:26:47,140
+technological approach to acute measurements in
+
+292
+00:26:47,140 --> 00:26:51,800
+preverbal children بقولنا تقييم وجود أو غياب هو
+
+293
+00:26:51,800 --> 00:26:56,840
+كان أول تقنية لتحديد ال acuity اللي هو حدد الأبصار
+
+294
+00:26:56,840 --> 00:26:59,740
+عند الأطفال بقولنا ال nystagmus is elected by
+
+295
+00:26:59,740 --> 00:27:03,200
+passinga succession of black and white strips
+
+296
+00:27:03,200 --> 00:27:05,980
+through the patient's field of view بيقولنا
+
+297
+00:27:05,980 --> 00:27:10,980
+الرقرقة بتصير عند مرور الخطوط البيضا و السودا هي
+
+298
+00:27:10,980 --> 00:27:14,160
+عبارة عن .. ال drama أولا شهية عبارة عن جهاز فيه
+
+299
+00:27:14,160 --> 00:27:17,340
+خطوط بيضا و سودا فهذه الخطوط راح تفوت لل visual
+
+300
+00:27:17,340 --> 00:27:21,940
+field لل patientبحكينا the visual angle substended
+
+301
+00:27:21,940 --> 00:27:26,220
+by the smallest strip اللي هو هذا ال drum عبارة عن
+
+302
+00:27:26,220 --> 00:27:31,580
+strips black and white راح نحركها قدام عين ال
+
+303
+00:27:31,580 --> 00:27:36,520
+patient عشان نشوف كيف حركة عين الطفل هتكون بيقولنا
+
+304
+00:27:36,520 --> 00:27:40,460
+ال visual angle substended by the smallest strip
+
+305
+00:27:40,460 --> 00:27:45,660
+الخط الصغيرراح يفوت لعين المريض و هو راح يسبب
+
+306
+00:27:45,660 --> 00:27:49,060
+الحركة و من خلاله بنقدر نقيص ال visual acuity أول
+
+307
+00:27:49,060 --> 00:27:53,080
+شي هذا ال test بيصير لما يكون العين تان عند الطفل
+
+308
+00:27:53,080 --> 00:27:57,300
+مفتوحين مابينغطيش أي عين فبعد هيك راح نحرك ال ..
+
+309
+00:27:57,300 --> 00:28:02,080
+ال drum هتصير في حركة في عين الطفل لما يشوف ال ..
+
+310
+00:28:02,080 --> 00:28:07,090
+ال drum بتحركفالطفل رح يكون مركز عينه على ال drum
+
+311
+00:28:07,090 --> 00:28:10,490
+فلما تتحرك عينه ما حركت ال drum رح تكون عين الطفل
+
+312
+00:28:10,490 --> 00:28:14,310
+سليمة لما يكون عامل تركيزه فبحكينا انه احنا ليش
+
+313
+00:28:14,310 --> 00:28:17,790
+اختارنا ال black و ال white strips لإن هدول عبارة
+
+314
+00:28:17,790 --> 00:28:22,490
+عن خطوط متباينة فالطفل رح يكون مركز عينه على
+
+315
+00:28:22,490 --> 00:28:26,140
+الخطوط السودة فبالتالي بنقدر نقلس ال ..ال visual
+
+316
+00:28:26,140 --> 00:28:31,580
+acuity لعين الطفل بيحكينا ال acuity عندنا 6 على
+
+317
+00:28:31,580 --> 00:28:36,780
+120 ل ال newborns، للموليد الجداد أو 6 على 20 ل ..
+
+318
+00:28:36,780 --> 00:28:41,780
+لعمرهم شهرين أو ممكن 6 على 6 من .. من عشرين
+
+319
+00:28:41,780 --> 00:28:46,860
+لتلاتين شهر هلأ راح نطبق ال .. الكلام اللي حكيته
+
+320
+00:28:46,860 --> 00:28:48,080
+شجرة على الطفل الساعة
+
+321
+00:29:15,940 --> 00:29:20,300
+لأ بما أنه احنا عملنا هذا ال test للطفلة هي صارت
+
+322
+00:29:20,300 --> 00:29:23,940
+عندها الأراضي العامة We will continue with
+
+323
+00:29:23,940 --> 00:29:27,920
+fixation test Fixation
+
+324
+00:29:27,920 --> 00:29:34,280
+test is a quantitative test and هو يعني ال more
+
+325
+00:29:34,280 --> 00:29:39,400
+accurate test بكل الاختبارات تبع ال preferable
+
+326
+00:29:39,400 --> 00:29:45,800
+childrenعن طريقية الفحص فيه أول شغلة لو .. لما ن
+
+327
+00:29:45,800 --> 00:29:48,780
+.. لما نيجي نفحص طبعا من غطي العين السليمة، من
+
+328
+00:29:48,780 --> 00:29:54,780
+الفحص العين اللي شاكين فيها مشكلة، هنحط برزم قيمته
+
+329
+00:29:54,780 --> 00:29:58,620
+16 based on .. ليش based on؟ عشان الصورة هتتكوّل
+
+330
+00:29:58,620 --> 00:30:04,460
+عند ال apex فنظر ال ..ال baby او الطفل هيكون مركز
+
+331
+00:30:04,460 --> 00:30:08,800
+على الصورة المكونة ان هي up طبعا هو هيكون
+
+332
+00:30:08,800 --> 00:30:11,640
+molecular زى ما قولنا هنغطي العين السليمة و نفحص
+
+333
+00:30:11,640 --> 00:30:17,880
+العين المستليمة و هنشوف مقدار ال fixation للطفل
+
+334
+00:30:17,880 --> 00:30:21,580
+اذا كان central او non central و اذا كان steady او
+
+335
+00:30:21,580 --> 00:30:25,000
+non steadyلمّا نجي نفحص العين اللي احنا مش
+
+336
+00:30:25,000 --> 00:30:28,200
+مغطيينها العين اللي هي اللي قدامها ال prism إذا
+
+337
+00:30:28,200 --> 00:30:33,520
+يعني لما نشيل ال occluder إذا الطفل راح غير نظره
+
+338
+00:30:33,520 --> 00:30:37,840
+أو ال fixation غيره مباشرة بعد فترة من الزمن أقل
+
+339
+00:30:37,840 --> 00:30:41,320
+من عشر ثواني بيكون عنده ال visual acuity impaired
+
+340
+00:30:41,320 --> 00:30:46,020
+أما إذا غير ال fixation بعد عشر ثواني بيكون عنده
+
+341
+00:30:46,020 --> 00:30:50,450
+ال visual acuity goodزي ما كنا نحكي .. بنحكي هلأ
+
+342
+00:30:50,450 --> 00:30:55,430
+كيف .. قدش قيمة ال visual acuity لكل حالة إذا
+
+343
+00:30:55,430 --> 00:31:00,030
+مباشرة يعني احنا رفعنا ال occluder عن العنص تريمة
+
+344
+00:31:00,030 --> 00:31:04,470
+و مباشرة غير ال fixation فبيكون نظره واحد على ستين
+
+345
+00:31:04,670 --> 00:31:10,570
+أما إذا كان يعني ال fixation عنده unsteady يعني مش
+
+346
+00:31:10,570 --> 00:31:15,610
+ثابت مش مركز على ال prison و يعني لمدة أقل من خمس
+
+347
+00:31:15,610 --> 00:31:19,070
+ثواني بيكون نظره أربع على ستين أما إذا كان عنده ال
+
+348
+00:31:19,070 --> 00:31:23,090
+central with steady fixation لكن لما احنا رفعنا ال
+
+349
+00:31:23,090 --> 00:31:29,350
+occluder غيرها يعني غير ال fixation بعد مدة أكتر
+
+350
+00:31:29,350 --> 00:31:32,630
+من خمس ثواني و أقل من عشر ثوانيبكون endotoxin with
+
+351
+00:31:32,630 --> 00:31:37,990
+acuity 6 على 60 أو 6 على 24إذا كان برضه Central
+
+352
+00:31:37,990 --> 00:31:41,930
+وستر ال fixation لكن برضه تفضل أنه يعمل ال
+
+353
+00:31:41,930 --> 00:31:44,890
+fixation على العين التانية ويكون عنده another 6
+
+354
+00:31:44,890 --> 00:31:49,670
+على 18 أو 6 على 9 أما إذا كان صار ال fixation
+
+355
+00:31:49,670 --> 00:31:53,070
+عاملها وضلوا .. لما رفعنا ال .. ال occluder ضلوا
+
+356
+00:31:53,070 --> 00:31:57,230
+ال fixation ثابت لعين .. لحد عشر ثواني و بعدين
+
+357
+00:31:57,230 --> 00:32:00,690
+غيروا من عين لعين يعني عشر ثواني بالعين ال right
+
+358
+00:32:00,690 --> 00:32:05,180
+بعدين ال left ويكون عنده visual acuityستة ع ستة
+
+359
+00:32:05,180 --> 00:32:09,760
+يعني good visual ability okay thank you so much
+
+360
+00:32:09,760 --> 00:32:14,500
+for your representation any comment? do you have
+
+361
+00:32:14,500 --> 00:32:20,760
+any comment? any answer? any question? rotation
+
+362
+00:32:20,760 --> 00:32:22,540
+test
+
+363
+00:32:28,230 --> 00:32:31,330
+الطفل أخذ محاولة حلوة الوضع الوضع الوضع الوضع
+
+364
+00:32:31,330 --> 00:32:37,710
+الوضع الوضع
+
+365
+00:32:37,710 --> 00:32:44,210
+الوضع الوضع
+
+366
+00:32:44,210 --> 00:32:44,730
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+367
+00:32:44,730 --> 00:32:45,050
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+368
+00:32:45,050 --> 00:32:45,170
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+369
+00:32:45,170 --> 00:32:45,190
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+370
+00:32:45,190 --> 00:32:46,130
+الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع
+
+371
+00:32:46,130 --> 00:32:52,470
+الوضع الوضع الوضع الوضع
+
+372
+00:32:58,930 --> 00:33:03,430
+Decimal six over twenty four zero point two five
+
+373
+00:33:03,430 --> 00:33:05,550
+okay thank you
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..1a28ab5cb2b6d9048056c2c4ad400bb251ab381f
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/cYWI8vSbdjQ_raw.json
@@ -0,0 +1 @@
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{"start": 99.23, "end": 99.67, "word": " أنت", "probability": 0.752685546875}, {"start": 99.67, "end": 100.11, "word": " بدك", "probability": 0.8291015625}, {"start": 100.11, "end": 100.59, "word": " تكترك", "probability": 0.76015625}, {"start": 100.59, "end": 101.11, "word": " السادس", "probability": 0.80078125}, {"start": 101.11, "end": 101.25, "word": " أو", "probability": 0.83251953125}, {"start": 101.25, "end": 101.53, "word": " ..", "probability": 0.71484375}, {"start": 101.53, "end": 101.79, "word": " لأ", "probability": 0.826171875}, {"start": 101.79, "end": 101.95, "word": " هو", "probability": 0.8515625}, {"start": 101.95, "end": 102.37, "word": " بعرف", "probability": 0.82080078125}, {"start": 102.37, "end": 102.69, "word": " أنه", "probability": 0.855712890625}, {"start": 102.69, "end": 102.93, "word": " أول", "probability": 0.92041015625}, {"start": 102.93, "end": 103.27, "word": " خمس", "probability": 0.9957682291666666}, {"start": 103.27, "end": 103.73, "word": " أسئلة", "probability": 0.988525390625}, {"start": 103.73, "end": 104.37, "word": " okay", "probability": 0.52392578125}, {"start": 104.37, "end": 104.93, "word": " هذا", "probability": 0.1640625}, {"start": 104.93, "end": 105.27, "word": " نقطة", "probability": 0.9855143229166666}, {"start": 105.27, "end": 105.55, "word": " كتير", "probability": 0.8170572916666666}, {"start": 105.55, "end": 106.09, "word": " مهمة", "probability": 0.99609375}], "temperature": 1.0}, {"id": 4, "seek": 13524, "start": 109.3, "end": 135.24, "text": "طيب أنواع الأسئلة type of equations كيف الأسئلة بشكل عام أنه بتكون يعني ك shape of the equation يعني أو ال style أنه شكل بتاع الأسئلة بشكل عام أول حاجة ممكن true or false أي بمعنى state whether the following sentences are true or false طبعا في موضوع ال true or false", "tokens": [9566, 1829, 3555, 14739, 14407, 3615, 16247, 3794, 19986, 37977, 2010, 295, 11787, 9122, 33911, 16247, 3794, 19986, 37977, 4724, 8592, 28820, 6225, 10943, 14739, 3224, 39894, 30544, 37495, 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"end": 119.18, "word": " يعني", "probability": 0.8330078125}, {"start": 119.18, "end": 119.48, "word": " أو", "probability": 0.67431640625}, {"start": 119.48, "end": 119.64, "word": " ال", "probability": 0.96923828125}, {"start": 119.64, "end": 120.14, "word": " style", "probability": 0.85888671875}, {"start": 120.14, "end": 120.72, "word": " أنه", "probability": 0.7353515625}, {"start": 120.72, "end": 121.04, "word": " شكل", "probability": 0.793212890625}, {"start": 121.04, "end": 121.34, "word": " بتاع", "probability": 0.87841796875}, {"start": 121.34, "end": 121.78, "word": " الأسئلة", "probability": 0.9976806640625}, {"start": 121.78, "end": 122.14, "word": " بشكل", "probability": 0.9881184895833334}, {"start": 122.14, "end": 122.5, "word": " عام", "probability": 0.997314453125}, {"start": 122.5, "end": 123.98, "word": " أول", "probability": 0.811279296875}, {"start": 123.98, "end": 124.26, "word": " حاجة", "probability": 0.9931640625}, {"start": 124.26, "end": 124.68, "word": " ممكن", "probability": 0.992919921875}, {"start": 124.68, "end": 125.82, "word": " true", "probability": 0.91650390625}, {"start": 125.82, "end": 126.14, "word": " or", "probability": 0.95263671875}, {"start": 126.14, "end": 126.68, "word": " false", "probability": 0.88818359375}, {"start": 126.68, "end": 127.76, "word": " أي", "probability": 0.34814453125}, {"start": 127.76, "end": 128.4, "word": " بمعنى", "probability": 0.97890625}, {"start": 128.4, "end": 129.28, "word": " state", "probability": 0.64208984375}, {"start": 129.28, "end": 129.68, "word": " whether", "probability": 0.7939453125}, {"start": 129.68, "end": 130.06, "word": " the", "probability": 0.9111328125}, {"start": 130.06, "end": 130.52, "word": " following", "probability": 0.83984375}, {"start": 130.52, "end": 131.42, "word": " sentences", "probability": 0.9541015625}, {"start": 131.42, "end": 131.76, "word": " are", "probability": 0.96533203125}, {"start": 131.76, "end": 132.1, "word": " true", "probability": 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12399, 37893, 6225, 9640, 5172, 37495, 22653, 12399, 1975, 2407, 8978, 50113, 1211, 4386], "avg_logprob": -0.32358870390922795, "compression_ratio": 1.1744186046511629, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 171.14, "end": 171.46, "word": "ولو", "probability": 0.85107421875}, {"start": 171.46, "end": 171.68, "word": " انت", "probability": 0.6781005859375}, {"start": 171.68, "end": 171.94, "word": " كنت", "probability": 0.989990234375}, {"start": 171.94, "end": 172.44, "word": " قصارها", "probability": 0.74041748046875}, {"start": 172.44, "end": 172.72, "word": " الصح", "probability": 0.78466796875}, {"start": 172.72, "end": 172.92, "word": " أو", "probability": 0.5966796875}, {"start": 172.92, "end": 173.46, "word": " خطأ،", "probability": 0.7451171875}, {"start": 173.46, "end": 173.6, "word": " مش", "probability": 0.92236328125}, {"start": 173.6, "end": 173.92, "word": " عارف", "probability": 0.99755859375}, {"start": 173.92, "end": 174.76, "word": " يعني،", "probability": 0.75732421875}, {"start": 174.76, "end": 175.58, "word": " او", "probability": 0.496826171875}, {"start": 175.58, "end": 175.74, "word": " في", "probability": 0.95947265625}, {"start": 175.74, "end": 175.92, "word": " مثل", "probability": 0.64794921875}, {"start": 175.92, "end": 175.92, "word": " ..", "probability": 0.53857421875}], "temperature": 1.0}, {"id": 6, "seek": 23447, "start": 214.29, "end": 234.47, "text": "يعني خلاص إنه لازم الإنسان يلتزم بالسؤال في صيغة أخرى ممكن state whether the following sentences are true or false and correct the false sentences أي بمعنى صلح الأخطاء الجمال okay؟", "tokens": [40228, 22653, 16490, 1211, 33546, 36145, 3224, 5296, 31377, 2304, 33688, 1863, 3794, 7649, 7251, 1211, 2655, 11622, 2304, 20666, 3794, 33604, 6027, 8978, 20328, 1829, 17082, 3660, 5551, 34740, 7578, 3714, 43020, 1785, 1968, 264, 3480, 16579, 366, 2074, 420, 7908, 293, 3006, 264, 7908, 16579, 36632, 4724, 2304, 3615, 1863, 7578, 20328, 1211, 5016, 16247, 9778, 9566, 16606, 25724, 2304, 6027, 1392, 22807], "avg_logprob": -0.134588067956043, "compression_ratio": 1.3846153846153846, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 214.29, "end": 214.61, "word": "يعني", "probability": 0.944580078125}, {"start": 214.61, "end": 215.41, "word": " خلاص", "probability": 0.9488932291666666}, {"start": 215.41, "end": 215.75, "word": " إنه", "probability": 0.6585693359375}, {"start": 215.75, "end": 216.01, "word": " لازم", "probability": 0.98828125}, {"start": 216.01, "end": 216.55, "word": " الإنسان", "probability": 0.991943359375}, {"start": 216.55, "end": 217.21, "word": " يلتزم", "probability": 0.9953125}, {"start": 217.21, "end": 217.81, "word": " بالسؤال", "probability": 0.9935302734375}, {"start": 217.81, "end": 218.59, "word": " في", "probability": 0.409912109375}, {"start": 218.59, "end": 219.13, "word": " صيغة", "probability": 0.9796142578125}, {"start": 219.13, "end": 219.61, "word": " أخرى", "probability": 0.9791666666666666}, {"start": 219.61, "end": 220.13, "word": " ممكن", "probability": 0.9892578125}, {"start": 220.13, "end": 221.63, "word": " state", "probability": 0.2208251953125}, {"start": 221.63, "end": 221.99, "word": " whether", "probability": 0.6513671875}, {"start": 221.99, "end": 222.33, "word": " the", "probability": 0.92041015625}, {"start": 222.33, "end": 222.69, "word": " following", "probability": 0.84228515625}, {"start": 222.69, "end": 223.41, "word": " sentences", "probability": 0.96044921875}, {"start": 223.41, "end": 223.71, "word": " are", "probability": 0.9638671875}, {"start": 223.71, "end": 224.03, "word": " true", "probability": 0.974609375}, {"start": 224.03, "end": 224.33, "word": " or", "probability": 0.958984375}, {"start": 224.33, "end": 224.75, "word": " false", "probability": 0.9013671875}, {"start": 224.75, "end": 225.29, "word": " and", "probability": 0.9296875}, {"start": 225.29, "end": 225.93, "word": " correct", "probability": 0.94580078125}, {"start": 225.93, "end": 226.45, "word": " the", "probability": 0.92919921875}, {"start": 226.45, "end": 226.95, "word": " false", "probability": 0.900390625}, {"start": 226.95, "end": 227.99, "word": " sentences", "probability": 0.96826171875}, {"start": 227.99, "end": 228.35, "word": " أي", "probability": 0.59619140625}, {"start": 228.35, "end": 228.77, "word": " بمعنى", "probability": 0.98662109375}, {"start": 228.77, "end": 229.21, "word": " صلح", "probability": 0.9034830729166666}, {"start": 229.21, "end": 230.23, "word": " الأخطاء", "probability": 0.9739990234375}, {"start": 230.23, "end": 231.37, "word": " الجمال", "probability": 0.66015625}, {"start": 231.37, "end": 234.47, "word": " okay؟", "probability": 0.700927734375}], "temperature": 1.0}, {"id": 7, "seek": 29873, "start": 272.61, "end": 298.73, "text": "مثلا الأولى true والتانية false وهكذا هذا طب يعني style آخر من الأسئلة واضح النقطة هذه؟ choose the correct answer or select the correct answer يعني اختاري الإجابة الصحيحة okay طبعا إذا كان شوية صعب الدكتور بيجيب الأسئلة هذا", "tokens": [2304, 12984, 15040, 16247, 12610, 7578, 2074, 16070, 2655, 7649, 10632, 7908, 37037, 4117, 15730, 23758, 23032, 3555, 37495, 22653, 3758, 19753, 34740, 9154, 16247, 3794, 19986, 37977, 4032, 46958, 5016, 28239, 47432, 3660, 29538, 22807, 2826, 264, 3006, 1867, 420, 3048, 264, 3006, 1867, 37495, 22653, 1975, 46456, 9640, 1829, 33688, 7435, 16758, 3660, 31767, 5016, 1829, 5016, 3660, 1392, 23032, 3555, 3615, 995, 11933, 15730, 25961, 13412, 2407, 10632, 20328, 3615, 3555, 32748, 4117, 2655, 13063, 4724, 1829, 7435, 1829, 3555, 16247, 3794, 19986, 37977, 23758], "avg_logprob": -0.2675561824541413, "compression_ratio": 1.5925925925925926, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 272.61, "end": 273.47, "word": "مثلا", "probability": 0.4665934244791667}, {"start": 273.47, "end": 273.99, "word": " الأولى", "probability": 0.6978352864583334}, {"start": 273.99, "end": 274.19, "word": " true", "probability": 0.65966796875}, {"start": 274.19, "end": 274.63, "word": " والتانية", "probability": 0.648681640625}, {"start": 274.63, "end": 274.99, "word": " false", "probability": 0.68408203125}, {"start": 274.99, "end": 275.83, "word": " وهكذا", "probability": 0.8052571614583334}, {"start": 275.83, "end": 276.67, "word": " هذا", "probability": 0.35693359375}, {"start": 276.67, "end": 276.91, "word": " طب", "probability": 0.7529296875}, {"start": 276.91, "end": 277.97, "word": " يعني", "probability": 0.874267578125}, {"start": 277.97, "end": 278.49, "word": " style", "probability": 0.5537109375}, {"start": 278.49, "end": 278.89, "word": " آخر", "probability": 0.7059326171875}, {"start": 278.89, "end": 279.09, "word": " من", "probability": 0.9833984375}, {"start": 279.09, "end": 279.63, "word": " الأسئلة", "probability": 0.9615478515625}, {"start": 279.63, "end": 280.47, "word": " واضح", "probability": 0.927734375}, {"start": 280.47, "end": 280.89, "word": " النقطة", "probability": 0.97119140625}, {"start": 280.89, "end": 283.03, "word": " هذه؟", "probability": 0.4583740234375}, {"start": 283.03, "end": 286.21, "word": " choose", "probability": 0.62109375}, {"start": 286.21, "end": 286.57, "word": " the", "probability": 0.90966796875}, {"start": 286.57, "end": 286.95, "word": " correct", "probability": 0.93408203125}, {"start": 286.95, "end": 287.55, "word": " answer", "probability": 0.978515625}, {"start": 287.55, "end": 287.93, "word": " or", "probability": 0.4921875}, {"start": 287.93, "end": 288.67, "word": " select", "probability": 0.9140625}, {"start": 288.67, "end": 289.13, "word": " the", "probability": 0.90869140625}, {"start": 289.13, "end": 289.49, "word": " correct", "probability": 0.93115234375}, {"start": 289.49, "end": 290.07, "word": " answer", "probability": 0.9775390625}, {"start": 290.07, "end": 290.47, "word": " يعني", "probability": 0.901123046875}, {"start": 290.47, "end": 291.07, "word": " اختاري", "probability": 0.9227294921875}, {"start": 291.07, "end": 291.65, "word": " الإجابة", "probability": 0.9659423828125}, {"start": 291.65, "end": 292.33, "word": " الصحيحة", "probability": 0.966796875}, {"start": 292.33, "end": 292.75, "word": " okay", "probability": 0.32080078125}, {"start": 292.75, "end": 294.13, "word": " طبعا", "probability": 0.9464111328125}, {"start": 294.13, "end": 294.35, "word": " إذا", "probability": 0.899658203125}, {"start": 294.35, "end": 294.61, "word": " كان", "probability": 0.99560546875}, {"start": 294.61, "end": 295.09, "word": " شوية", "probability": 0.85888671875}, {"start": 295.09, "end": 296.19, "word": " صعب", "probability": 0.9959309895833334}, {"start": 296.19, "end": 296.79, "word": " الدكتور", "probability": 0.9791259765625}, {"start": 296.79, "end": 297.75, "word": " بيجيب", "probability": 0.82607421875}, {"start": 297.75, "end": 298.43, "word": " الأسئلة", "probability": 0.60003662109375}, {"start": 298.43, "end": 298.73, "word": " هذا", "probability": 0.5556640625}], "temperature": 1.0}, {"id": 8, "seek": 32433, "start": 302.55, "end": 324.33, "text": "أكتر من إجابة صحيحة لكن هو بده إيه؟ الأصحى طيب في سؤال ممكن define the following بنصح في ال define دايما أكتب خاصة في الامتحان النهائي في ال more detail يعني أية معلومة بتعرفيها اكتبيها", "tokens": [10721, 4117, 2655, 2288, 9154, 11933, 7435, 16758, 3660, 20328, 5016, 1829, 5016, 3660, 44381, 31439, 47525, 3224, 11933, 1829, 3224, 22807, 16247, 9381, 5016, 7578, 23032, 1829, 3555, 8978, 8608, 33604, 6027, 3714, 43020, 6964, 264, 3480, 44945, 9381, 5016, 8978, 2423, 6964, 11778, 47302, 15042, 5551, 4117, 2655, 3555, 16490, 33546, 3660, 8978, 2423, 10943, 2655, 5016, 7649, 28239, 3224, 16373, 1829, 8978, 2423, 544, 2607, 37495, 22653, 36632, 3660, 20449, 1211, 20498, 3660, 39894, 3615, 28480, 1829, 11296, 1975, 4117, 2655, 21292, 11296], "avg_logprob": -0.22952586104129924, "compression_ratio": 1.532994923857868, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 302.55, "end": 302.63, "word": "أكتر", "probability": 0.52459716796875}, {"start": 302.63, "end": 302.77, "word": " من", "probability": 0.9970703125}, {"start": 302.77, "end": 303.23, "word": " إجابة", "probability": 0.958251953125}, {"start": 303.23, "end": 303.87, "word": " صحيحة", "probability": 0.99521484375}, {"start": 303.87, "end": 304.29, "word": " لكن", "probability": 0.67626953125}, {"start": 304.29, "end": 304.55, "word": " هو", "probability": 0.98486328125}, {"start": 304.55, "end": 304.91, "word": " بده", "probability": 0.75341796875}, {"start": 304.91, "end": 305.71, "word": " إيه؟", "probability": 0.7734375}, {"start": 305.71, "end": 306.83, "word": " الأصحى", "probability": 0.5040283203125}, {"start": 306.83, "end": 310.69, "word": " طيب", "probability": 0.7166748046875}, {"start": 310.69, "end": 312.87, "word": " في", "probability": 0.54248046875}, {"start": 312.87, "end": 313.25, "word": " سؤال", "probability": 0.9599609375}, {"start": 313.25, "end": 313.67, "word": " ممكن", "probability": 0.993408203125}, {"start": 313.67, "end": 314.35, "word": " define", "probability": 0.865234375}, {"start": 314.35, "end": 314.73, "word": " the", "probability": 0.705078125}, {"start": 314.73, "end": 315.19, "word": " following", "probability": 0.91064453125}, {"start": 315.19, "end": 315.93, "word": " بنصح", "probability": 0.7403971354166666}, {"start": 315.93, "end": 316.09, "word": " في", "probability": 0.9091796875}, {"start": 316.09, "end": 316.21, "word": " ال", "probability": 0.9697265625}, {"start": 316.21, "end": 316.63, "word": " define", "probability": 0.888671875}, {"start": 316.63, "end": 317.61, "word": " دايما", "probability": 0.9475911458333334}, {"start": 317.61, "end": 318.37, "word": " أكتب", "probability": 0.7979736328125}, {"start": 318.37, "end": 318.97, "word": " خاصة", "probability": 0.9830729166666666}, {"start": 318.97, "end": 319.07, "word": " في", "probability": 0.97802734375}, {"start": 319.07, "end": 319.67, "word": " الامتحان", "probability": 0.96484375}, {"start": 319.67, "end": 320.71, "word": " النهائي", "probability": 0.978515625}, {"start": 320.71, "end": 320.87, "word": " في", "probability": 0.83349609375}, {"start": 320.87, "end": 320.97, "word": " ال", "probability": 0.85791015625}, {"start": 320.97, "end": 321.19, "word": " more", "probability": 0.9599609375}, {"start": 321.19, "end": 321.67, "word": " detail", "probability": 0.92431640625}, {"start": 321.67, "end": 322.41, "word": " يعني", "probability": 0.923583984375}, {"start": 322.41, "end": 322.87, "word": " أية", "probability": 0.533203125}, {"start": 322.87, "end": 323.31, "word": " معلومة", "probability": 0.9908447265625}, {"start": 323.31, "end": 323.87, "word": " بتعرفيها", "probability": 0.823046875}, {"start": 323.87, "end": 324.33, "word": " اكتبيها", "probability": 0.903125}], "temperature": 1.0}, {"id": 9, "seek": 35398, "start": 325.28, "end": 353.98, "text": "إذا ك details أنه لازم تكون كاملة okay لأنه الامتحان النهائي تقريبا عليه ما بين ستين و سبعين علامة بمعنى أن الدكتور عنده range كبير من الدرجات okay فلازم أنه يكون إيش أنه أكتب ك full answer أنه إجابة إيش ما كاملة okay ممكن سؤال match the following", "tokens": [28814, 15730, 9122, 4365, 14739, 3224, 5296, 31377, 2304, 6055, 30544, 9122, 10943, 37977, 1392, 5296, 33456, 3224, 2423, 10943, 2655, 5016, 7649, 28239, 3224, 16373, 1829, 6055, 4587, 16572, 3555, 995, 47356, 19446, 49374, 8608, 2655, 9957, 4032, 8608, 3555, 3615, 9957, 11203, 10943, 3660, 4724, 2304, 3615, 1863, 7578, 14739, 32748, 4117, 2655, 13063, 43242, 3224, 3613, 9122, 3555, 13546, 9154, 32748, 47341, 9307, 1392, 6156, 1211, 31377, 2304, 14739, 3224, 7251, 30544, 11933, 1829, 8592, 14739, 3224, 5551, 4117, 2655, 3555, 9122, 1577, 1867, 14739, 3224, 11933, 7435, 16758, 3660, 11933, 1829, 8592, 19446, 9122, 10943, 37977, 1392, 3714, 43020, 8608, 33604, 6027, 2995, 264, 3480], "avg_logprob": -0.11754261167211966, "compression_ratio": 1.6708860759493671, "no_speech_prob": 0.0, "words": [{"start": 325.28, "end": 325.64, "word": "إذا", "probability": 0.676025390625}, {"start": 325.64, "end": 325.88, "word": " ك", "probability": 0.91357421875}, {"start": 325.88, "end": 326.4, "word": " details", "probability": 0.6474609375}, {"start": 326.4, "end": 326.82, "word": " أنه", "probability": 0.645751953125}, {"start": 326.82, "end": 327.1, "word": " لازم", "probability": 0.9801432291666666}, {"start": 327.1, "end": 327.5, "word": " تكون", "probability": 0.905517578125}, {"start": 327.5, "end": 328.08, "word": " كاملة", "probability": 0.9734700520833334}, {"start": 328.08, "end": 328.98, "word": " okay", "probability": 0.38720703125}, {"start": 328.98, "end": 330.16, "word": " لأنه", "probability": 0.8043619791666666}, {"start": 330.16, "end": 330.78, "word": " الامتحان", "probability": 0.95517578125}, {"start": 330.78, "end": 331.4, "word": " النهائي", "probability": 0.9874267578125}, {"start": 331.4, "end": 332.02, "word": " تقريبا", "probability": 0.99248046875}, {"start": 332.02, "end": 332.44, "word": " عليه", "probability": 0.69384765625}, {"start": 332.44, "end": 333.04, "word": " ما", "probability": 0.708984375}, {"start": 333.04, "end": 333.24, "word": " بين", "probability": 0.98388671875}, {"start": 333.24, "end": 333.7, "word": " ستين", "probability": 0.8780924479166666}, {"start": 333.7, "end": 333.8, "word": " و", "probability": 0.98095703125}, {"start": 333.8, "end": 334.18, "word": " سبعين", "probability": 0.907470703125}, {"start": 334.18, "end": 334.72, "word": " علامة", "probability": 0.9861653645833334}, {"start": 334.72, "end": 335.38, "word": " بمعنى", "probability": 0.91298828125}, {"start": 335.38, "end": 335.54, "word": " أن", "probability": 0.7783203125}, {"start": 335.54, "end": 336.12, "word": " الدكتور", "probability": 0.907470703125}, {"start": 336.12, "end": 336.6, "word": " عنده", "probability": 0.98681640625}, {"start": 336.6, "end": 337.0, "word": " range", "probability": 0.91357421875}, {"start": 337.0, "end": 337.48, "word": " كبير", "probability": 0.9949544270833334}, {"start": 337.48, "end": 337.9, "word": " من", "probability": 0.9931640625}, {"start": 337.9, "end": 338.58, "word": " الدرجات", "probability": 0.99072265625}, {"start": 338.58, "end": 339.26, "word": " okay", "probability": 0.8740234375}, {"start": 339.26, "end": 340.66, "word": " فلازم", "probability": 0.85400390625}, {"start": 340.66, "end": 340.92, "word": " أنه", "probability": 0.869140625}, {"start": 340.92, "end": 341.24, "word": " يكون", "probability": 0.989501953125}, {"start": 341.24, "end": 341.6, "word": " إيش", "probability": 0.8341471354166666}, {"start": 341.6, "end": 342.5, "word": " أنه", "probability": 0.8564453125}, {"start": 342.5, "end": 343.24, "word": " أكتب", "probability": 0.934326171875}, {"start": 343.24, "end": 343.68, "word": " ك", "probability": 0.98876953125}, {"start": 343.68, "end": 344.26, "word": " full", "probability": 0.8955078125}, {"start": 344.26, "end": 344.98, "word": " answer", "probability": 0.98193359375}, {"start": 344.98, "end": 345.58, "word": " أنه", "probability": 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"tokens": [2304, 43020, 1975, 39648, 4117, 18863, 11242, 37977, 4032, 2423, 3069, 39894, 45761, 11296, 6156, 3555, 25957, 1211, 6225, 42213, 10632, 33427, 9381, 26895, 5296, 28814, 1829, 3224, 22807, 5296, 28820, 6225, 11242, 37977], "avg_logprob": -0.25468749318804057, "compression_ratio": 1.2244897959183674, "no_speech_prob": 1.7285346984863281e-06, "words": [{"start": 362.96000000000004, "end": 363.92, "word": "ممكن", "probability": 0.473846435546875}, {"start": 363.92, "end": 364.42, "word": " اقولك", "probability": 0.6937662760416666}, {"start": 364.42, "end": 365.34, "word": " العضلة", "probability": 0.9501953125}, {"start": 365.34, "end": 365.76, "word": " و", "probability": 0.7490234375}, {"start": 365.76, "end": 365.86, "word": " ال", "probability": 0.82470703125}, {"start": 365.86, "end": 366.2, "word": " action", "probability": 0.94580078125}, {"start": 366.2, "end": 366.84, "word": " بتاعها", "probability": 0.9098307291666666}, {"start": 366.84, "end": 367.76, "word": " 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بدي أفصل في ال prince role دايما كلمة illustrate بتيجي ل ال mention هدول التنتين مع بعض بمعنى أنه توضيح ووصف okay", "tokens": [3555, 16254, 1975, 25957, 1211, 4032, 9381, 5172, 337, 1365, 34105, 50113, 15040, 5296, 2423, 16467, 3090, 11933, 15730, 4032, 11242, 33753, 30767, 16373, 3215, 14739, 3224, 11933, 1829, 3224, 4724, 16254, 5551, 5172, 36520, 8978, 2423, 16467, 3090, 11778, 47302, 15042, 9122, 19528, 3660, 23221, 39894, 1829, 7435, 1829, 5296, 2423, 2152, 8032, 3215, 12610, 16712, 29399, 9957, 20449, 45030, 11242, 4724, 2304, 3615, 1863, 7578, 14739, 3224, 33427, 11242, 1829, 5016, 4032, 2407, 9381, 5172, 1392], "avg_logprob": -0.22626582768898976, "compression_ratio": 1.486910994764398, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 476.6, "end": 476.74, "word": "بدي", "probability": 0.505126953125}, {"start": 476.74, "end": 477.04, "word": " اعمل", "probability": 0.8333333333333334}, {"start": 477.04, "end": 477.46, "word": " وصف", "probability": 0.9912109375}, 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subjective methods okay mention the main types okay of causes", "tokens": [2304, 43020, 7251, 30544, 8032, 2304, 1045, 420, 1451, 420, 1732, 44381, 31439, 11331, 3215, 3215, 787, 732, 3467, 10024, 293, 25972, 7150, 1392, 2152, 264, 2135, 3467, 1392, 295, 7700], "avg_logprob": -0.37963866349309683, "compression_ratio": 1.2833333333333334, "no_speech_prob": 0.0, "words": [{"start": 518.35, "end": 519.21, "word": "ممكن", "probability": 0.2763671875}, {"start": 519.21, "end": 520.07, "word": " يكون", "probability": 0.899169921875}, {"start": 520.07, "end": 520.37, "word": " هم", "probability": 0.732421875}, {"start": 520.37, "end": 520.89, "word": " three", "probability": 0.453857421875}, {"start": 520.89, "end": 521.23, "word": " or", "probability": 0.56787109375}, {"start": 521.23, "end": 521.63, "word": " four", "probability": 0.9482421875}, {"start": 521.63, "end": 521.87, "word": " or", "probability": 0.888671875}, {"start": 521.87, "end": 522.29, "word": " five", "probability": 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"probability": 0.9844970703125}], "temperature": 1.0}, {"id": 75, "seek": 198555, "start": 1978.93, "end": 1985.55, "text": "Decimal six over twenty four zero point two five okay thank you", "tokens": [35, 3045, 10650, 2309, 670, 7699, 1451, 4018, 935, 732, 1732, 1392, 1309, 291], "avg_logprob": -0.43463542064030963, "compression_ratio": 0.9692307692307692, "no_speech_prob": 1.7881393432617188e-06, "words": [{"start": 1978.93, "end": 1979.59, "word": "Decimal", "probability": 0.6443990071614584}, {"start": 1979.59, "end": 1980.15, "word": " six", "probability": 0.379150390625}, {"start": 1980.15, "end": 1980.59, "word": " over", "probability": 0.89892578125}, {"start": 1980.59, "end": 1981.13, "word": " twenty", "probability": 0.69384765625}, {"start": 1981.13, "end": 1981.61, "word": " four", "probability": 0.77001953125}, {"start": 1981.61, "end": 1982.53, "word": " zero", "probability": 0.57080078125}, {"start": 1982.53, "end": 1982.81, "word": " point", "probability": 0.9794921875}, {"start": 1982.81, "end": 1983.07, "word": " two", "probability": 0.84619140625}, {"start": 1983.07, "end": 1983.43, "word": " five", "probability": 0.9365234375}, {"start": 1983.43, "end": 1984.85, "word": " okay", "probability": 0.489501953125}, {"start": 1984.85, "end": 1985.45, "word": " thank", "probability": 0.82763671875}, {"start": 1985.45, "end": 1985.55, "word": " you", "probability": 0.97705078125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1985.58475, "duration_after_vad": 1700.2056249999976}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM.srt
new file mode 100644
index 0000000000000000000000000000000000000000..032729d05aff2ce353bb3d3b4677622e9f9d714e
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM.srt
@@ -0,0 +1,1566 @@
+1
+00:00:21,140 --> 00:00:24,480
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,480 --> 00:00:29,660
+وبركاته طبعا اليوم هتكون المحاضرة مراجعة لمادة ال
+
+3
+00:00:29,660 --> 00:00:35,860
+refraction للامتحان النصفي الموافق 2.11.2016 إن
+
+4
+00:00:35,860 --> 00:00:43,000
+شاء الله طبعا بداية بسبب اللي هو تأخر مع بداية
+
+5
+00:00:43,000 --> 00:00:47,420
+الفصل بدي أَديكم ال clinical optometry refraction
+
+6
+00:00:47,420 --> 00:00:52,870
+ال syllabus بتاعها هذه عبارة عن اللي هتكون
+
+7
+00:00:52,870 --> 00:00:57,150
+المادة بتاعتنا ستة شباتر احنا تقريبا خلصنا تلت
+
+8
+00:00:57,150 --> 00:01:01,850
+شباتر تقريبا هيبقى معناه اللي هو chapter طبعا هذه
+
+9
+00:01:01,850 --> 00:01:05,670
+تعتبر ال syllabus أو مفردات المراجعة لمادة ال
+
+10
+00:01:05,670 --> 00:01:11,050
+reflection النظري بالنسبة لنموذج الامتحان هيكون
+
+11
+00:01:11,050 --> 00:01:16,450
+السؤال الأول زي ما اتفقنا أن true و false السؤال
+
+12
+00:01:16,450 --> 00:01:23,200
+الثاني هيكون mention، السؤال الثالث examine، السؤال
+
+13
+00:01:23,200 --> 00:01:28,380
+الرابع difference ما بين شغلتين، الخامس هيكون why،
+
+14
+00:01:28,380 --> 00:01:33,800
+السادس كمان why، والسابع match، okay؟ هاي نمط الامتحان
+
+15
+00:01:33,800 --> 00:01:41,280
+طبعا امتحان من ثلاثين، امتحان سهل جدا للدارس أكيد،
+
+16
+00:01:41,280 --> 00:01:44,760
+معظمه من اللي حكيناه إذا ما كان كله
+
+17
+00:01:47,710 --> 00:01:51,130
+أنا بتمنى أنه يكونوا اليوم درسين عشان تكون
+
+18
+00:01:51,130 --> 00:01:57,010
+المحاضرة فيها فائدة من ناحية الأسئلة والإجابة
+
+19
+00:01:57,010 --> 00:02:03,210
+بتاعتها، نبدأ من شُجَّة اليمين، أي
+
+20
+00:02:03,210 --> 00:02:08,410
+أي سؤال؟ بفضلك، التجارة الأُخرى كده، هأدرس فقط
+
+21
+00:02:08,410 --> 00:02:10,550
+شهرين، ما تدرس كمية؟
+
+22
+00:02:15,840 --> 00:02:19,280
+طيب أول حاجة بالنسبة لل visual acuity، حدة
+
+23
+00:02:19,280 --> 00:02:24,600
+الإبصار، حدة الإبصار، it is a measurement of
+
+24
+00:02:24,600 --> 00:02:28,480
+spatial resolving capacity and is applied to
+
+25
+00:02:28,480 --> 00:02:34,480
+central vision، okay؟ إذًا بيحدد قد إيش الرؤية اللي
+
+26
+00:02:34,480 --> 00:02:40,860
+بتستخدمها، أنه ال central vision يعني دايما ليش احنا
+
+27
+00:02:40,860 --> 00:02:44,580
+في .. لو بتعرفوا في ال .. ال written up في عندنا
+
+28
+00:02:44,580 --> 00:02:48,280
+ال photoreceptor، ال photoreceptor اللي هي فيها
+
+29
+00:02:48,280 --> 00:02:52,980
+ال rods و ال cones، ليش ال cones بتكون مسؤولة عن ال
+
+30
+00:02:52,980 --> 00:02:58,360
+central vision؟ يعني ..
+
+31
+00:02:58,400 --> 00:03:02,460
+هي بتكون ال responsible بتاعها عن ال central
+
+32
+00:03:02,460 --> 00:03:07,120
+vision، عن الرؤية المركزية، رغم أنه عددها بيكون أقل
+
+33
+00:03:07,120 --> 00:03:10,560
+من مين؟ من ال rods اللي هي تقريبا من ستة لسبعة
+
+34
+00:03:10,560 --> 00:03:15,240
+ملايين، فأنا دايما ال visual acuity بقيس حدة الإبصار
+
+35
+00:03:15,240 --> 00:03:19,040
+لمين؟ لل central vision، يعني الآن إما أنا بعمل في
+
+36
+00:03:19,040 --> 00:03:25,320
+ال Snellen chart أو أي chart أو Landolt broken ring، دايما بقييس
+
+37
+00:03:25,320 --> 00:03:30,240
+ال visual acuity لمين؟ لحالة ال central vision
+
+38
+00:03:30,240 --> 00:03:35,440
+okay؟ هنا في عندنا، it is determined أنه ال visual
+
+39
+00:03:35,440 --> 00:03:39,810
+acuity بتحدث by the smallest retinal image، لو
+
+40
+00:03:39,810 --> 00:03:42,710
+تذكروا في ال principle بتاع ال Snellen visual
+
+41
+00:03:42,710 --> 00:03:48,850
+acuity، أنه بيحدد قد إيش أصغر صورة ممكن تتكون وين؟ على
+
+42
+00:03:48,850 --> 00:03:53,310
+الشبكية، صح؟ فهنا هي بتحدد ال smallest retinal
+
+43
+00:03:53,310 --> 00:03:58,510
+image، أن أصغر صورة ممكن تتكون على الشبكية، the form
+
+44
+00:03:58,510 --> 00:04:01,710
+of which can be appreciated، أنه هذه الصورة ممكن
+
+45
+00:04:01,710 --> 00:04:06,690
+أنها تُقَدَّر، and it is measured، وبتُقاس، by the smallest
+
+46
+00:04:06,690 --> 00:04:10,490
+object which can be clearly seen at a certain
+
+47
+00:04:10,490 --> 00:04:14,470
+distance، بمعنى الآن أمامي target، أنا مُحدد
+
+48
+00:04:14,470 --> 00:04:18,590
+اللي هو ال target هذا، في عندي ال visual axis اللي
+
+49
+00:04:18,590 --> 00:04:22,670
+هي بيكون ما بين ال fovea و ما بين ال target هذا،
+
+50
+00:04:23,200 --> 00:04:27,420
+فإذًا ال visual acuity بتاعي بتحدد بالنسبة لمين؟
+
+51
+00:04:27,420 --> 00:04:34,320
+لسقوط الصورة على الشبكية، واضح؟ يعني مقدار سقوط
+
+52
+00:04:34,320 --> 00:04:38,080
+الصورة على الشبكية عشان أقدر أنه أشوف هذا الجسم
+
+53
+00:04:38,080 --> 00:04:47,460
+إيه بوضوح، إيه المقصود فيها؟ مقدار وضوح الصورة أو
+
+54
+00:04:47,460 --> 00:04:51,780
+وقوع الصورة على الشبكية، عشان من خلالها إني بقدر
+
+55
+00:04:51,780 --> 00:04:57,540
+أشوف الصورة بوضوح، طبعا البنات اللي اجوا أجابوا سؤال
+
+56
+00:04:57,540 --> 00:05:01,880
+سؤال عن ال visual acuity، حدة الإبصار، حكينا بالنسبة
+
+57
+00:05:01,880 --> 00:05:05,660
+لل visual acuity، أنه بقيس قد إيش ال spatial
+
+58
+00:05:05,660 --> 00:05:08,980
+resolving capacity of the eye، و ال central vision
+
+59
+00:05:10,290 --> 00:05:14,090
+الآن في عندنا ال smallest retinal image، يعني قد إيش
+
+60
+00:05:14,090 --> 00:05:18,430
+أصغر صورة ممكن تتكون وين؟ على الشبكية، الآن مين اللي
+
+61
+00:05:18,430 --> 00:05:24,150
+بتحكم فيها؟ هذه ال visual acuity، بكون مسؤولة عن قد إيش
+
+62
+00:05:24,150 --> 00:05:28,510
+الرؤية اللي بتسقط وين؟ على الشبكية، واضح؟ ال retinal
+
+63
+00:05:28,510 --> 00:05:34,610
+image، فقد إيش مقدار وضوح هذه، من خلالها بقدر أحدد ال
+
+64
+00:05:34,610 --> 00:05:37,850
+visual acuity، واللي بكون مسؤولة عنها ال central
+
+65
+00:05:37,850 --> 00:05:50,000
+vision، اللي هو ال cones، واضح؟ سؤال ثاني، شُجَّعها، يعني
+
+66
+00:05:50,000 --> 00:05:52,540
+أهم حاجة بدي أعرف ال definition بتاع ال visual
+
+67
+00:05:52,540 --> 00:05:57,260
+acuity، مهم جدا أنه it is a measurement of spatial
+
+68
+00:05:57,260 --> 00:06:00,100
+resolving capacity and is applied to central
+
+69
+00:06:00,100 --> 00:06:09,220
+vision، another question؟ طيب ناخد النص؟ آه، تفضلي
+
+70
+00:06:09,220 --> 00:06:13,100
+fixation test، لما استخدمنا ستة عشر بريزم ديوبتر،
+
+71
+00:06:13,100 --> 00:06:15,800
+حكيت عشان قوة العين تتلألأ الريزم، طب ليش ما نختار
+
+72
+00:06:15,800 --> 00:06:19,040
+نغير الستة عشر؟ عشان هو بيذاكر بالظبط، هو عشان
+
+73
+00:06:19,040 --> 00:06:22,840
+الكلام؟ آه، الآن أنا ما بستخدم الستة عشر بريزم
+
+74
+00:06:22,840 --> 00:06:26,840
+ديوبتر، وفي بعض الكتب بيكتبوا عشرين بريزم ديوبتر،
+
+75
+00:06:26,840 --> 00:06:31,500
+أنه therefore، يعني أنا بأجبر العين أنها تعمل fixate
+
+76
+00:06:31,500 --> 00:06:36,140
+up، therefore to fixate up of the eye، يعني عشان أعمل
+
+77
+00:06:36,140 --> 00:06:41,020
+إجبار للعين أنها تعمل إيش؟ fixate up، أنها تركز لفوق،
+
+78
+00:06:41,020 --> 00:06:45,300
+لأنه دايما الصورة باتجاه مين؟ ال apex في ال prism،
+
+79
+00:06:45,300 --> 00:06:52,840
+صح؟ والشعاع باتجاه ال base، طيب
+
+80
+00:06:52,840 --> 00:06:57,100
+السؤال الثاني؟
+
+81
+00:06:57,100 --> 00:07:03,800
+تفضلي، لو المريض عنده full نظر بس فاتنلهوش عدسة plus
+
+82
+00:07:03,800 --> 00:07:08,240
+حمصها، هاي بالمضطرب؟ آه لأ، آه لكن بس لو كان معاها
+
+83
+00:07:08,240 --> 00:07:13,100
+تدمير، بس فاتنلهوش معاكسها، في حالة إيش؟ إن أنت بتاني
+
+84
+00:07:13,100 --> 00:07:17,560
+بهدر، أنا آه، آه، في عندنا ال three methods، يما أنا
+
+85
+00:07:17,560 --> 00:07:21,300
+يكون عندي مريض عنده latent nystagmus، يعني بمعنى
+
+86
+00:07:21,300 --> 00:07:27,320
+أنه حركة للعين لكن إيش بتكون؟ خفية، ففي ثلاث طرق، أما
+
+87
+00:07:27,320 --> 00:07:31,300
+أول طريقة بستخدم occlusion of one eye، أنه بغطي عين
+
+88
+00:07:31,300 --> 00:07:35,330
+هذه، الطريقة اللي هي ال common، الشائعة، فالطريقة
+
+89
+00:07:35,330 --> 00:07:39,890
+الثانية أنه بستخدم plus خمسة ديوبتر، طبعا في حالة
+
+90
+00:07:39,890 --> 00:07:43,810
+أنه ما يكون المريض hypermetropic أو presbyopic، لو أنا
+
+91
+00:07:43,810 --> 00:07:47,310
+حطيت ال plus خمسة، إيش هأعمل؟ هأعمل improve لل vision،
+
+92
+00:07:47,310 --> 00:07:50,530
+صح؟ فهذه الحالة بستثنيها، إذا كان المريض
+
+93
+00:07:50,530 --> 00:07:54,650
+hypermetropic أو presbyopic، والحالة الثالثة هي ال
+
+94
+00:07:54,650 --> 00:07:58,790
+fogged lens، العدسة الضبابية، طبعا أما أنا بستخدم
+
+95
+00:07:58,790 --> 00:08:02,830
+العدسة الضبابية هتسمح للضوء أنه يمر، لكن الصورة إيش
+
+96
+00:08:02,830 --> 00:08:04,590
+مالها؟ ما هتكونش واضحة
+
+97
+00:08:11,410 --> 00:08:17,230
+شُجَّع هذه؟ مش
+
+98
+00:08:17,230 --> 00:08:26,450
+هي أسئلة؟ أنا سألت، طبعا
+
+99
+00:08:26,450 --> 00:08:30,610
+هو سؤال عبارة عن mention أو short notes، يعني يعني
+
+100
+00:08:30,610 --> 00:08:36,990
+أنه توضح أو تصف أو يعني تعدد مثلا شغلة وتشوف مين
+
+101
+00:08:36,990 --> 00:08:43,520
+فيهم ال which is more accurate، مع أي كيف؟ يعني .. أنا
+
+102
+00:08:43,520 --> 00:08:49,740
+مستخدمها عكس الناس، خنزة .. آه، في حالة
+
+103
+00:08:49,740 --> 00:08:53,220
+الـ nystagmus .. آه، طب أنا ليش أعمل هيك؟ أنا في فحص يعني
+
+104
+00:08:53,220 --> 00:08:55,180
+.. بل الآن في عندي latent
+
+105
+00:09:01,190 --> 00:09:06,150
+فأنا بدي أكشفها، إن هو عنده nystagmus، فكيف؟ بستخدم عدسة
+
+106
+00:09:06,150 --> 00:09:10,790
+plus 5، فهذه ال plus 5 هتكشف إن المريض عنده latent
+
+107
+00:09:10,790 --> 00:09:17,990
+nystagmus، لأ،
+
+108
+00:09:17,990 --> 00:09:25,630
+هتبين ال nystagmus بتاعت العين في ال other eye، ال other
+
+109
+00:09:25,630 --> 00:09:26,990
+eye بيكون ما فيش فيها
+
+110
+00:09:34,120 --> 00:09:37,360
+بنعمل ال normal eye، بغطي العين اللي فيها
+
+111
+00:09:37,360 --> 00:09:40,300
+المشكلة، لأنه أنا ببدأ أكشف في العين اللي فيها
+
+112
+00:09:40,300 --> 00:09:44,360
+المشكلة، واضح كده؟ يعني ال .. يعني الآن يما أنا
+
+113
+00:09:44,360 --> 00:09:47,280
+بحط ال occluder، بحطه للعين ال normal ولا ال
+
+114
+00:09:47,280 --> 00:09:51,180
+abnormal؟ ال normal، عشان أكشف مين؟ ال abnormal، أو
+
+115
+00:09:51,180 --> 00:09:53,940
+ال fogged lens، بحطها لل normal ولا ال abnormal؟
+
+116
+00:09:53,940 --> 00:10:00,300
+دايما لل normal، في العين
+
+117
+00:10:00,300 --> 00:10:01,900
+التانية، اللي هي ال abnormal
+
+118
+00:10:14,030 --> 00:10:20,830
+آه، تفضلي، حاضر
+
+119
+00:10:20,830 --> 00:10:26,570
+هالجيت ال circle of least confusion، في عندنا أيضًا
+
+120
+00:10:26,570 --> 00:10:30,730
+الآن أنا بشوف فيه divergence و convergence،
+
+121
+00:10:30,730 --> 00:10:35,790
+صح؟ يعني ما الآن مثلا أنا ال rays بشكل عام الشعاع
+
+122
+00:10:35,790 --> 00:10:38,790
+ممكن أنه يكون convergent و ممكن أنه يكون
+
+123
+00:10:38,790 --> 00:10:42,780
+divergent، بالإضافة إنه ممكن يكون horizontal أو
+
+124
+00:10:42,780 --> 00:10:46,960
+vertical، يما تكون الأشعة اللي جاية vertical
+
+125
+00:10:46,960 --> 00:10:51,800
+والأشعة ال horizontal متساويات، exactly equal، هذه
+
+126
+00:10:51,800 --> 00:10:55,880
+بقول عنها إنه بصل أنا لنقطة ال circle of least
+
+127
+00:10:55,880 --> 00:11:00,320
+confusion، يعني أفضل رؤية ممكن يشوفها ال patient،
+
+128
+00:11:00,320 --> 00:11:06,140
+يعني هذه كمفهوم لها، ومن خلالها أنه بيجي موضوع ال
+
+129
+00:11:06,140 --> 00:11:11,440
+strabismus، أنه ال divergence للأشعة ال vertical
+
+130
+00:11:11,440 --> 00:11:19,440
+و .. طيب
+
+131
+00:11:19,440 --> 00:11:24,580
+لـ ال preverbal ولا ال verbal؟ أول حاجة ال
+
+132
+00:11:24,580 --> 00:11:27,900
+occlusion of one eye، ما بدناش احنا نحفظ ال
+
+133
+00:11:27,900 --> 00:11:32,840
+occlusion of one eye measure the visual acuity، يعني
+
+134
+00:11:32,840 --> 00:11:37,260
+بمعنى أنه بيديني ال visual acuity، إما بكون poor أو
+
+135
+00:11:37,260 --> 00:11:42,200
+بكون good، إذًا هذا إيش بيشير له؟ إذًا يُعتبر
+
+136
+00:11:42,200 --> 00:11:46,640
+qualitative، كمّي؟ لأنه ما بيحددلي قد إيش ال visual
+
+137
+00:11:46,640 --> 00:11:51,060
+acuity، صح؟ ال fixation test، بيديني ال visual acuity
+
+138
+00:11:51,060 --> 00:11:54,960
+واحد على ستين، أربعة على ستين، ثلاثة على ستين، إذًا يُعتبر
+
+139
+00:11:54,960 --> 00:11:58,810
+quantitative، في عندنا rotation task، ال rotation
+
+140
+00:11:58,810 --> 00:12:02,990
+task، بستخدمه لمين؟ لل both eyes، وبلف الطفل، إذًا
+
+141
+00:12:02,990 --> 00:12:06,490
+ما بيحددلي اللي هو قد إيش ال visual acuity للطفل، إذًا
+
+142
+00:12:06,490 --> 00:12:10,850
+هو يُعتبر qualitative، ال optokinetic nystagmus
+
+143
+00:12:10,850 --> 00:12:15,730
+drum، في عندنا جهازي بيكون standardized drum، ومختلفة
+
+144
+00:12:15,730 --> 00:12:21,630
+إيش؟ الحجم، يعني ال .. ال strip بتاعته مختلفة، فهو
+
+145
+00:12:21,630 --> 00:12:25,310
+يُعتبر إيش؟ يعني بين أربعة على ستين، ستة على ستين، إذًا
+
+146
+00:12:25,310 --> 00:12:30,220
+هو quantitative، في عندنا كمان ال forced choice
+
+147
+00:12:30,220 --> 00:12:33,900
+preferential looking test، يُعتبر quantitative، ليش؟
+
+148
+00:12:33,900 --> 00:12:39,360
+لأنه في صور متعددة، ستة على ستين، ال Allen figures chart،
+
+149
+00:12:39,360 --> 00:12:44,300
+أو ال forced choice preferential looking test، أيضًا
+
+150
+00:12:44,300 --> 00:12:50,400
+يُعتبر إيه؟ quantitative، ال Teller acuity cards، بيحدد قد إيش
+
+151
+00:12:50,400 --> 00:12:53,580
+ال visual acuity، ممكن يكون more than or equal 6
+
+152
+00:12:53,580 --> 00:12:57,960
+over 24، إذًا المريض إيش؟ عمل backup لهم، إذا كان
+
+153
+00:12:57,960 --> 00:13:02,240
+أقل، بيكون ال visual acuity less than 6 over 24،
+
+154
+00:13:02,240 --> 00:13:08,400
+okay؟ ال quantitative،
+
+155
+00:13:08,400 --> 00:13:14,790
+لأنه بيحدد قيمة، أي قيمة، آه، بس بحدد visual acuity
+
+156
+00:13:14,790 --> 00:13:20,030
+يعني أنا بذكر كتابة هنا كيف أنا بكتب ال method
+
+157
+00:13:20,030 --> 00:13:23,270
+بتاعة ال visual acuity، في حالة ال .. ال .. ال
+
+158
+00:13:23,270 --> 00:13:33,870
+Teller acuity cards، أنه مثلا بأخذ لل right ولل left، هذا
+
+159
+00:13:33,870 --> 00:13:38,810
+مش .. مش عظيم، اقتلربل دي card ودي card دي، طيب في
+
+160
+00:13:38,810 --> 00:13:43,370
+عندنا نوعين من ال .. ال .. ال verbal children
+
+161
+00:13:43,370 --> 00:13:47,090
+visual acuity testing in verbal children، في عندنا
+
+162
+00:13:47,090 --> 00:13:51,350
+ال Teller cards، وفي عندنا ال Cardiff cards، نبدأ في
+
+163
+00:13:51,350 --> 00:13:55,770
+ال Cardiff cards، زي ما حكينا أنه هو بناء على جامعة
+
+164
+00:13:55,770 --> 00:14:01,210
+في بريطانيا، سموا ال test هذا، عبارة عن صور، طبعا إن
+
+165
+00:14:01,210 --> 00:14:05,530
+شاء الله هأَديكم إياها في العملية، الصور في من ستة على
+
+166
+00:14:05,530 --> 00:14:10,740
+ستين لستة على ستة، okay؟ مثلا ستة على ستين، زي ال largest
+
+167
+00:14:10,740 --> 00:14:14,500
+optotype، اللي هو أكبر حرف، بتكون واضحة كتير، يعني
+
+168
+00:14:14,500 --> 00:14:18,280
+الطفل لازم يشوفها، ممكن تكون في ال center، الصورة
+
+169
+00:14:18,280 --> 00:14:23,300
+يعني، أو بتكون up، down، right أو left، okay؟ الستة
+
+170
+00:14:23,300 --> 00:14:27,840
+على ستة وثلاثين بتخف، يعني الوضوح بتاعها بيكون faint،
+
+171
+00:14:28,200 --> 00:14:32,500
+compared to ال six over sixty، يعني بتكون أفتح
+
+172
+00:14:32,500 --> 00:14:37,760
+من الستة على ستين، اتجاهها ممكن يكون متغير، بمعنى أنه
+
+173
+00:14:37,760 --> 00:14:41,280
+لو فرضنا الستة على ستين في ال center، الثانية هتكون up
+
+174
+00:14:41,280 --> 00:14:45,480
+أو down، فأنا بشوف بطلع على وين؟ ال eye movement،
+
+175
+00:14:45,480 --> 00:14:49,940
+eye movement لل children، للطفل، أنه بعرض الصورة بالشكل
+
+176
+00:14:49,940 --> 00:14:54,470
+هذا، بشوف وين الحركة، مثلا إذا كانت في ال center، بروح
+
+177
+00:14:54,470 -->
+
+223
+00:18:33,680 --> 00:18:43,860
+optometric أو clinical refraction  خارج الجوّ في
+
+224
+00:18:43,860 --> 00:18:44,920
+أي سؤال كمان؟
+
+225
+00:18:50,120 --> 00:18:52,740
+طيب شو الفرق ما بين الـ spherical lens و الـ
+
+226
+00:18:52,740 --> 00:19:00,880
+cylindrical lens؟ الـ cylindrical  لليوم
+
+227
+00:19:00,880 --> 00:19:06,040
+وصلنا لـ الـ mid term فضل
+
+228
+00:19:06,040 --> 00:19:16,520
+مرة
+
+229
+00:19:16,520 --> 00:19:18,760
+ثانية تقدر ترسميها
+
+230
+00:19:21,660 --> 00:19:25,840
+شو الفرق ما بين الـ spherical lens و الـ cylindrical
+
+231
+00:19:25,840 --> 00:19:37,320
+lens؟ الـ spherical يكون محاور متساوية أما
+
+232
+00:19:37,320 --> 00:19:42,400
+الـ cylindrical يكون واحد منه  قوّة أعلى و الثاني أقل
+
+233
+00:19:42,400 --> 00:19:49,390
+ثاني صحيح، يعني بمعنى أن الـ spherical lens بتكون all
+
+234
+00:19:49,390 --> 00:19:54,170
+the meridian have the same power، الـ cylinder lens
+
+235
+00:19:54,170 --> 00:19:57,370
+بيكون one meridian، والقوّة بتكون إيه؟
+
+236
+00:19:57,370 --> 00:20:00,810
+perpendicular to the axis عمودي على الـ axis طيب شو
+
+237
+00:20:00,810 --> 00:20:03,390
+الفرق ما بين الـ spherical error و الـ spherical
+
+238
+00:20:03,390 --> 00:20:10,570
+lens؟ الـ spherical
+
+239
+00:20:10,570 --> 00:20:11,750
+lens هو عرفناها
+
+240
+00:20:17,660 --> 00:20:21,160
+يعني you have the same refractive error in whole
+
+241
+00:20:21,160 --> 00:20:22,660
+the meridian صح؟
+
+242
+00:20:24,840 --> 00:20:28,340
+الـ spherical lens have the same refractive power
+
+243
+00:20:28,340 --> 00:20:33,060
+in all meridian يعني قوّة واحدة، يعني plus واحد على الـ
+
+244
+00:20:33,060 --> 00:20:35,880
+vertical بتكون نفسها plus واحد على الـ horizontal
+
+245
+00:20:35,880 --> 00:20:39,720
+على كل المحاور لكن بالنسبة للـ spherical error
+
+246
+00:20:39,720 --> 00:20:44,620
+بتكون have the same refractive error in all the
+
+247
+00:20:44,620 --> 00:20:49,140
+meridian بمعنى إذا كان عنده في الـ horizontal minus
+
+248
+00:20:49,140 --> 00:20:54,550
+في الـ vertical برضه بيكون minus، plus أي بمعنى hyper
+
+249
+00:20:54,550 --> 00:20:58,750
+metropia hyper metropia ميوبيا ميوبيا يعني كله بيكون إيه؟
+
+250
+00:20:58,750 --> 00:21:01,910
+have the same refractive error in all the meridian
+
+251
+00:21:01,910 --> 00:21:08,350
+طيب
+
+252
+00:21:08,350 --> 00:21:11,250
+شو الفرق ما بين الـ objective و الـ subjective
+
+253
+00:21:11,250 --> 00:21:13,850
+refraction؟ up to you
+
+254
+00:21:19,650 --> 00:21:22,690
+الـ objective refraction اللي هو يعني إنه الإنسان
+
+255
+00:21:22,690 --> 00:21:26,630
+بيعملها بدون ما المريض يتدخل، أما without ..
+
+256
+00:21:26,630 --> 00:21:31,090
+دون ما المريض يتدخل، لكن الـ subjective بتدخل طيب مين ممكن
+
+257
+00:21:31,090 --> 00:21:34,690
+يُعرفها باللغة الإنجليزية، الفرق ما بين الـ
+
+258
+00:21:34,690 --> 00:21:37,150
+objective و الـ subjective refraction؟ الـ
+
+259
+00:21:37,150 --> 00:21:42,850
+preliminary
+
+260
+00:21:44,670 --> 00:21:53,830
+ممكن أكتب initial preliminary
+
+261
+00:21:53,830 --> 00:22:12,430
+أو
+
+262
+00:22:12,430 --> 00:22:16,470
+initial examination، إذا الفرق ما بين الـ objective
+
+263
+00:22:16,470 --> 00:22:19,630
+refraction والـ subjective refraction، الـ objective
+
+264
+00:22:19,630 --> 00:22:23,050
+refraction it is a preliminary or initial
+
+265
+00:22:23,050 --> 00:22:27,070
+examination of the refractive error without a
+
+266
+00:22:27,070 --> 00:22:31,450
+response from the patient بمعنى هو عبارة عن فحص
+
+267
+00:22:31,450 --> 00:22:38,220
+أولي يُجرى للمريض دون تدخل من الفاحص، دون تدخل المريض
+
+268
+00:22:38,220 --> 00:22:41,440
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+269
+00:22:41,440 --> 00:22:41,500
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+270
+00:22:41,500 --> 00:22:41,640
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+271
+00:22:41,640 --> 00:22:46,120
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+272
+00:22:46,120 --> 00:22:52,880
+دون تدخل المريض دون تدخل المريض دون
+
+273
+00:22:52,880 --> 00:22:57,320
+تدخل
+
+274
+00:22:57,320 --> 00:22:59,080
+المريض
+
+275
+00:23:01,770 --> 00:23:05,370
+أبو سيد بصراحة إحنا بنحكي الـ objective هو تحسّس أولي و
+
+276
+00:23:05,370 --> 00:23:08,630
+الـ subjective بتأكيده، يعني أنا في الـ objective بعمل
+
+277
+00:23:08,630 --> 00:23:11,430
+فحص، والتأكيد بعدين بتكون علينا التأكيد في
+
+278
+00:23:11,430 --> 00:23:14,990
+الـ subjective هو في الـ verification لو أنتَ لاقيت في
+
+279
+00:23:14,990 --> 00:23:19,460
+المفردات بتاعة المسائل في الشابتر الخامس، لأ شابتر أربعة
+
+280
+00:23:19,460 --> 00:23:23,720
+الـ subjective verification of refraction للسفيرك وللـ
+
+281
+00:23:23,720 --> 00:23:27,300
+السيلندرك، بمعنى الآن أنا طلعت الـ final objective
+
+282
+00:23:27,300 --> 00:23:30,220
+refraction في الـ retinoscope اللي هو موضوع الـ
+
+283
+00:23:30,220 --> 00:23:34,180
+trial يعني عندما نعمل الـ trial إزاي نعمل إن
+
+284
+00:23:34,180 --> 00:23:37,780
+مريض مثلًا يكون myopic أو hypermetropic كيف نصلّح
+
+285
+00:23:37,780 --> 00:23:41,730
+الخطأ الانكساري؟ بعدها بنعمل verification في عدّة
+
+286
+00:23:41,730 --> 00:23:44,610
+طرق اللي هو إما الـ biochrome test أو الـ pin hole
+
+287
+00:23:44,610 --> 00:23:48,610
+أو ... بس الآن آه لسه ما أخذناش فيه، الآن تعرفوا
+
+288
+00:23:48,610 --> 00:23:51,490
+بشكل عام إيش الفرق ما بين الـ objective و الـ
+
+289
+00:23:51,490 --> 00:23:58,850
+subjective method okay؟ لأ
+
+290
+00:23:58,850 --> 00:24:02,450
+كل واحد يعني هالجزء أهم حاجة
+
+291
+00:24:05,490 --> 00:24:10,490
+أهم شيء في الـ visual أول حاجة الـ history بأخذ الـ
+
+292
+00:24:10,490 --> 00:24:15,530
+history يعني taking history for patient لما بأخذ
+
+293
+00:24:15,530 --> 00:24:20,570
+الـ history للمريض أنا وصلت لـ half of diagnostic
+
+294
+00:24:20,570 --> 00:24:25,070
+لنص التشخيص، الخطوة الثانية إيش؟ بأستخدم الـ visual
+
+295
+00:24:25,070 --> 00:24:29,050
+acuity الـ visual acuity بحدد قد إيه الـ central
+
+296
+00:24:29,050 --> 00:24:33,090
+vision للمريض، لكن الـ retinoscope أو الـ auto
+
+297
+00:24:33,090 --> 00:24:37,310
+refractometer الجهاز الكمبيوتر هذا بيحدد يعني
+
+298
+00:24:37,310 --> 00:24:40,890
+determining the refractive error يعني قد إيه القوّة
+
+299
+00:24:40,890 --> 00:24:46,010
+الانكسارية للعين، واضح؟ لكن لو واحد مثلًا سالني في
+
+300
+00:24:46,010 --> 00:24:48,930
+الـ retinoscope قد إيه الـ visual acuity بتاعه، صح؟
+
+301
+00:24:49,990 --> 00:24:53,370
+لأنه ما بيحددش إيه؟ الـ visual acuity، visual acuity
+
+302
+00:24:53,370 --> 00:24:56,570
+من خلال مين؟ الـ Snellen أو الـ E chart أو الـ C
+
+303
+00:24:56,570 --> 00:25:00,870
+chart، الـ different chart، okay؟ لكن الـ retino
+
+304
+00:25:00,870 --> 00:25:07,590
+scope بيحدد الـ refractive error للعين، determining
+
+305
+00:25:07,590 --> 00:25:11,930
+the refractive error of the patient or of the eye
+
+306
+00:25:25,330 --> 00:25:34,050
+كمان في أسئلة؟ طيب شو الـ benefit of refraction؟ الـ
+
+307
+00:25:34,050 --> 00:25:38,870
+benefit of refraction هو
+
+308
+00:25:38,870 --> 00:25:44,550
+determining of the refractive condition of the eye
+
+309
+00:25:44,550 --> 00:25:46,710
+من مجموعة ومجموعة ومجموعة واسمة ومجموعة واسمة
+
+310
+00:25:46,710 --> 00:25:48,510
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+311
+00:25:48,510 --> 00:25:50,270
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+312
+00:25:50,270 --> 00:25:50,630
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+313
+00:25:50,630 --> 00:25:52,700
+ومجموعة ومجموعة ومجمو provide clear and
+
+314
+00:25:52,700 --> 00:26:00,560
+comfortable vision طيب
+
+315
+00:26:00,560 --> 00:26:05,340
+شو الفرق ما بين defective vision و الـ eye strain؟
+
+316
+00:26:27,810 --> 00:26:32,610
+ممتازة، بس ممكن أنا يعني بالنسبة لـ الـ defective
+
+317
+00:26:32,610 --> 00:26:36,990
+vision أنه يُعتبر one of the refractive error or
+
+318
+00:26:36,990 --> 00:26:40,210
+one of the optical state of the eye، ميوبيا،
+
+319
+00:26:40,210 --> 00:26:43,410
+هايبرمتروبيا، استجماتيزم، أنا بالنسبة للـ defective
+
+320
+00:26:43,410 --> 00:26:50,150
+vision يعني خلل بصري صح؟ النقطة الثانية الـ الـ
+
+321
+00:26:50,150 --> 00:26:54,330
+الـ eye strain، هذا بينتج نتيجة إيش؟ إن واحد مثلًا
+
+322
+00:26:54,330 --> 00:27:00,130
+عنده deficiency في الـ accommodation، صح؟ فبيعمل لي
+
+323
+00:27:00,130 --> 00:27:03,090
+الـ headache و الـ eye strain، يعني مش نتيجة الـ
+
+324
+00:27:03,090 --> 00:27:08,010
+visual symptom، نتيجة الـ ocular symptom، صح؟
+
+325
+00:27:08,010 --> 00:27:12,880
+بالنسبة لـ eye strain، يعني الـ eye strain زي بالضبط
+
+326
+00:27:12,880 --> 00:27:17,680
+واحد عنده واحد hypermetropia أو presbyopia okay؟
+
+327
+00:27:17,680 --> 00:27:21,180
+الآن بيستخدم القريب، عنده مشكلة في القريب يعني
+
+328
+00:27:21,180 --> 00:27:24,800
+بيجي يقرا بيحس حاله أنه إيه في عنده trouble أنه
+
+329
+00:27:24,800 --> 00:27:29,680
+بتعب، فهذا إيش الخلل اللي عنده هيصير؟ هيصير عنده
+
+330
+00:27:29,680 --> 00:27:33,540
+headache وعنده eye strain إجهاد للعين فهذا المريض
+
+331
+00:27:33,540 --> 00:27:37,800
+نتيجة إيش الإجهاد والخلل؟ أنه عنده deficiency في
+
+332
+00:27:37,800 --> 00:27:42,160
+الـ accommodation، ما لهاش علاقة في الـ vision أنه
+
+333
+00:27:42,160 --> 00:27:44,760
+عنده نقص في الـ accommodation فهو ما عندوش
+
+334
+00:27:44,760 --> 00:27:48,780
+accommodation كافي أنه يتغلب على إيش؟ على القراءة
+
+335
+00:27:48,780 --> 00:27:56,700
+أو هذا، فبتلاقي الأعراض بتظهر هذه له واضح؟
+
+336
+00:27:56,700 --> 00:28:01,860
+طبعًا
+
+337
+00:28:01,860 --> 00:28:04,240
+حكينا إيش معنى السينوبيا؟
+
+338
+00:28:06,990 --> 00:28:17,770
+إيه هو بالظبط إجهاد العين، الاسم
+
+339
+00:28:17,770 --> 00:28:29,670
+أستينوبيا معناها، الـ استينوبيا كتب طبعًا
+
+340
+00:28:29,670 --> 00:28:32,830
+أستينوبيا معناها vision في اللاتينية
+
+341
+00:28:37,720 --> 00:28:45,360
+زي مثلًا أفاكيا، كلها معناها not، أستينوبيا
+
+342
+00:28:45,360 --> 00:28:51,460
+لأ مش nothing، بس دائمًا مثلًا عندنا أفاكيا، أفاكيا
+
+343
+00:28:51,460 --> 00:28:56,760
+بمعنى absent of the lens، غياب العدسة، يعني دائمًا
+
+344
+00:28:56,760 --> 00:29:02,000
+الـ A عندنا بتعتبر زي مثلًا Ametropia، Ametropia
+
+345
+00:29:02,000 --> 00:29:04,560
+بتعتبر not يعني معناها
+
+346
+00:29:08,030 --> 00:29:11,630
+طيب شو الـ principle بتاع الـ visual acuity؟ what is
+
+347
+00:29:11,630 --> 00:29:20,450
+the principle of visual acuity؟
+
+348
+00:29:20,450 --> 00:29:23,730
+مش
+
+349
+00:29:23,730 --> 00:29:28,730
+حاجة أرفع يدي كمان، بتكلمت what
+
+350
+00:29:28,730 --> 00:29:32,050
+is the principle of a Snellen in visual acuity؟ شو
+
+351
+00:29:32,050 --> 00:29:34,630
+المبدأ بتاع الـ Snellen in visual acuity؟
+
+352
+00:29:37,580 --> 00:29:43,040
+طيب سهل كتير، اعتبروني إني ما شرحتوش، أول حاجة في
+
+353
+00:29:43,040 --> 00:29:46,820
+عندنا حاجة بنسميها الـ minute وفي حاجة اسمها إيه؟ الـ
+
+354
+00:29:46,820 --> 00:29:54,460
+degree، الآن كل حرف الـ E بتلاقيه له خمس pieces يعني
+
+355
+00:29:54,460 --> 00:30:01,600
+خمس قطع، okay، كل واحد piece بيمثل واحد minute، أخذنا
+
+356
+00:30:01,600 --> 00:30:05,920
+في الـ math الـ واحد minute بتمثل إيه؟ واحد degree،
+
+357
+00:30:05,920 --> 00:30:10,580
+okay؟ إذا الـ five pieces كم degree بتمثل؟ five
+
+358
+00:30:10,580 --> 00:30:14,340
+degree، الـ five degree بتمثل five minutes، إذا كل
+
+359
+00:30:14,340 --> 00:30:20,720
+خمسة pieces بتمثل خمسة degree، okay، الآن إيش بتمثل
+
+360
+00:30:20,720 --> 00:30:24,680
+هذه الـ minimum angle resolution هي عبارة عن
+
+361
+00:30:24,680 --> 00:30:28,740
+الزاوية الـ smallest retinal image اللي بتكونها فين
+
+362
+00:30:28,740 --> 00:30:33,020
+في الـ normal eye، في العين الطبيعية، يعني أصغر صورة
+
+363
+00:30:33,020 --> 00:30:37,380
+بتتشكل على الشبكية لما يكون الـ normal vision، أي
+
+364
+00:30:37,380 --> 00:30:43,820
+بمعنى إن الصورة واقعة على الشبكية، فالآن ليش مثلًا في
+
+365
+00:30:43,820 --> 00:30:47,960
+الـ Snellen and chart بتكون الأحرف كلها موجودة لكن
+
+366
+00:30:47,960 --> 00:30:52,080
+المسافة أبعادها ثابتة، يعني بمعنى أنه 6 على 60،
+
+367
+00:30:52,080 --> 00:30:55,600
+6 على 60، 6 على 36، 6 على 24 يعني
+
+368
+00:30:55,600 --> 00:31:03,880
+بيكون شكلها شكل هذا، أن الـ size of optotype متغير
+
+369
+00:31:03,880 --> 00:31:10,550
+لكن الحجم أبعادها أو عفواً المسافة بتكون ثابتة، يعني
+
+370
+00:31:10,550 --> 00:31:16,610
+لو فرضنا هاي
+
+371
+00:31:16,610 --> 00:31:20,530
+العين تلاقي
+
+372
+00:31:20,530 --> 00:31:29,710
+hand مثلًا إيه؟ أو إيه؟ بعدين إيه؟ بتكبر، لحد ما دي ما
+
+373
+00:31:29,710 --> 00:31:35,700
+بتوصل hand، فهان مثلًا بتكون 6 على 6، هان بتكون
+
+374
+00:31:35,700 --> 00:31:40,040
+6 على 60، الـ 6 هذه المسافة إيش مالها؟ ثابتة،
+
+375
+00:31:40,040 --> 00:31:44,180
+يعني constant،
+
+376
+00:31:44,180 --> 00:31:52,560
+distant، okay، الـ size of optotype بيكون إيه؟ متغير
+
+377
+00:31:57,120 --> 00:32:02,120
+فالآن أنا كل ما وضعت مثلًا 6 على 60، لو حطيت الـ
+
+378
+00:32:02,120 --> 00:32:06,140
+optotype الـ 6 على 60 اللي هو largest letter حطيته
+
+379
+00:32:06,140 --> 00:32:10,200
+على مسافة 60 متر أنا هشوفه إيش؟ 6 على 6 كأنه
+
+380
+00:32:10,200 --> 00:32:16,100
+6 على 6، لو 6 على 36 هشوفه على مسافة 6 على
+
+381
+00:32:16,100 --> 00:32:20,260
+36، 24، 18 وهكذا، فالآن لو واحد
+
+382
+00:32:20,260 --> 00:32:23,820
+مثلًا بيشوف الـ line  اتنَعَش قد إيه الـ visual acuity
+
+383
+00:32:23,820 --> 00:32:27,860
+بتاعه؟ أي بمعنى الـ optotype 12، قد إيه الـ visual
+
+384
+00:32:27,860 --> 00:32:33,000
+acuity؟ 6 على 12، 8 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6،
+
+385
+00:32:33,000 --> 00:32:35,520
+6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6
+
+386
+00:32:35,520 --> 00:32:36,900
+على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على
+
+387
+00:32:36,900 --> 00:32:38,300
+6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على
+
+388
+00:32:38,300 --> 00:32:42,080
+6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على 6، 6 على
+
+389
+00:32:42,080 --> 00:32:49,380
+6، 6 على 6، 6 على
+
+390
+00:32:49,380 --> 00:32:53,920
+6، قد إيه المسافة بينهم؟ 4 من 1000 مليمتر أو 4
+
+391
+00:32:53,920 --> 00:32:57,740
+مايكرون، واضح؟ هذه بتمثل إيش؟ الـ smallest retinal
+
+392
+00:32:57,740 --> 00:33:05,580
+image in the normal eye، الـ diameter،
+
+393
+00:33:05,580 --> 00:33:13,980
+القطر، آه قطر الصورة، 4 من 1000 مليمتر أو 4
+
+394
+00:33:13,980 --> 00:33:14,440
+مايكرون
+
+395
+00:33:18,370 --> 00:33:21,350
+أنا ممكن أسأل سؤال، what is the principle of Snellen
+
+396
+00:33:21,350 --> 00:33:27,370
+and visual acuity؟ يعني
+
+397
+00:33:27,370 --> 00:33:31,910
+شو المبدأ بتاعها؟ يعني حتى ممكن أنه .. يعني وأنتَ
+
+398
+00:33:31,910 --> 00:33:35,210
+بتقيس الـ visual acuity لأي مريض، يقول لك كيف بنيت
+
+399
+00:33:35,210 --> 00:33:39,370
+هذه؟ أنه إيش المبدأ بتاعها؟ بتاع الـ visual acuity؟
+
+400
+00:33:43,850 --> 00:33:47,730
+طبعًا الـ measurement notation واضحة،
+
+445
+00:37:03,890 --> 00:37:08,330
+فهو بالنسبة للهوتف تست بيكون more accurate to
+
+446
+00:37:08,330 --> 00:37:12,290
+amblyopic eye بين جثين الـ crowding phenomenon اللي
+
+447
+00:37:12,290 --> 00:37:17,050
+هي ظاهرة التزاحم، يعني more accurate to amblyopic
+
+448
+00:37:17,050 --> 00:37:21,090
+eye or lazy eye بين جثين  إيه؟ الـ crowding
+
+449
+00:37:21,090 --> 00:37:26,370
+phenomenon اللي هي ظاهرة التزاحم، هذا الـ main
+
+450
+00:37:26,370 --> 00:37:27,470
+difference ما بينهم
+
+451
+00:37:30,530 --> 00:37:33,990
+الـ Sheridan Gardner Test بتكون one optotype،
+
+452
+00:37:33,990 --> 00:37:38,650
+يعني حرف واحد، فالحرف الواحد ممكن أن المريض
+
+453
+00:37:38,650 --> 00:37:43,410
+يشوفه، لكن ما بيكشف الـ amblyopic eye، ليش؟ لأن
+
+454
+00:37:43,410 --> 00:37:48,140
+ما فيه تداخل معاها، حرف آخر، هذا بيدل أن المريض أنه
+
+455
+00:37:48,140 --> 00:37:52,440
+عنده انبليوبيا أو لا من خلال مين؟ الـ hotv test
+
+456
+00:37:52,440 --> 00:37:56,500
+فالهوتف تيست يعتبر more accurate in amblyopic eye
+
+457
+00:37:56,500 --> 00:38:01,700
+أو lazy eye، two bracket crowding phenomenon، ظاهرة
+
+458
+00:38:01,700 --> 00:38:05,880
+التزاحم، طبعا بالنسبة للبرر الـ light rays و
+
+459
+00:38:05,880 --> 00:38:10,060
+الـ convergent light rays و الـ divergent، يعني الطوق
+
+460
+00:38:10,060 --> 00:38:16,920
+له ثلاث، يعني الطوق إما بيكون divergent أو convergent
+
+461
+00:38:16,920 --> 00:38:20,920
+أو parallel،  بل هو مش رابع، يعني واحدة من ثلاث
+
+462
+00:38:20,920 --> 00:38:24,620
+حالات، يا إما بيكون divergent، يا إما convergent،
+
+463
+00:38:24,620 --> 00:38:27,500
+يا إما parallel، بالنسبة لي الـ convergent إن الـ
+
+464
+00:38:27,500 --> 00:38:30,680
+light rays toward to each other، الـ parallel
+
+465
+00:38:30,680 --> 00:38:34,960
+بتكون إيه؟ متوازية، إنه have zero divergence، الـ
+
+466
+00:38:34,960 --> 00:38:39,020
+divergent بتكون إيش؟ ما لها متشتتة أو متفرقة
+
+467
+00:38:42,640 --> 00:38:48,600
+طبعا إيه؟ real image يعني، أو إيه؟ real target، إما
+
+468
+00:38:48,600 --> 00:38:52,780
+أنت بتطلع عليه بتكون الأشعة إيش؟ divergent، لأنه
+
+469
+00:38:52,780 --> 00:38:56,280
+الآن هاي الضوء أنت شايفه متشتت وأنا شايفه و
+
+470
+00:38:56,280 --> 00:38:59,240
+زملائي كلهم شايفينه، لو هذا الضوء parallel أو
+
+471
+00:38:59,240 --> 00:39:03,300
+convergent، أنا إيه؟ بس أنا بقدر أشوفه أو أنت واحد
+
+472
+00:39:03,300 --> 00:39:10,900
+و هي نفس فكرة مين؟ الـ sunlight، نعم مش دائما، ما فيه
+
+473
+00:39:10,900 --> 00:39:11,840
+حاجة اسمها دائما
+
+474
+00:39:15,020 --> 00:39:18,260
+أه، الـ real image دائما أنه لازم تكون divergent
+
+475
+00:39:18,260 --> 00:39:22,740
+عشان هيك احنا بنستخدم مين؟ الـ sleeve down في حالة
+
+476
+00:39:22,740 --> 00:39:26,620
+اللي هو الـ retinascope عشان تكون الأشعة slightly
+
+477
+00:39:26,620 --> 00:39:30,400
+divergent nearly parallel، طب هيك ما فيش سؤال خلاص
+
+478
+00:39:30,400 --> 00:39:35,000
+طب يعطيكم العافية، بتمنى إن شاء الله منكم التوفيق
+
+479
+00:39:35,000 --> 00:39:38,120
+الله يوفقكم إن شاء الله، إن شاء الله الامتحان زي ما
+
+480
+00:39:38,120 --> 00:39:43,160
+اتفقنا أنه هيكون سهل، بس ركزوا في الامتحان بده
+
+481
+00:39:43,160 --> 00:39:43,740
+تركيز
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0c88f2ea37a3e8daef52163da92443413f49bfeb
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_postprocess.srt
@@ -0,0 +1,1924 @@
+1
+00:00:21,140 --> 00:00:24,480
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,480 --> 00:00:29,660
+وبركاته طبعا اليوم هتكون المحاضرة مراجعة لمادة ال
+
+3
+00:00:29,660 --> 00:00:35,860
+refraction للامتحان النصفي الموافق 2.11.2016 ان
+
+4
+00:00:35,860 --> 00:00:43,000
+شاء الله طبعا بداية بسبب اللي هو اتأخر مع بداية
+
+5
+00:00:43,000 --> 00:00:47,420
+الفصل بدي اديكم ال clinical optometry refraction
+
+6
+00:00:47,420 --> 00:00:52,870
+one ال syllabus بتاعهفهذه عبارة عن اللي هتكون
+
+7
+00:00:52,870 --> 00:00:57,150
+المادة بتاعتنا ست شباتر احنا تقريبا خلصنا تلت
+
+8
+00:00:57,150 --> 00:01:01,850
+شباتر تقريبا هيبقى معناه اللي هو chapter طبعا هذه
+
+9
+00:01:01,850 --> 00:01:05,670
+تعتبر ال syllabus او مفردات المساء لمادة ال
+
+10
+00:01:05,670 --> 00:01:11,050
+reflection النظري بالنسبة لنموذج الامتحان هيكون
+
+11
+00:01:11,050 --> 00:01:16,450
+السؤال الاول زي ما اتفقنا ان true و false السؤال
+
+12
+00:01:16,450 --> 00:01:23,200
+التاني هيكون mentionالسؤال الثالث examine السؤال
+
+13
+00:01:23,200 --> 00:01:28,380
+الرابع difference ما بين شغلتين الخامس هيكون why
+
+14
+00:01:28,380 --> 00:01:33,800
+السادس كمان why والسبع match okay هاي نمط الامتحان
+
+15
+00:01:33,800 --> 00:01:41,280
+طبعا امتحان من تلاتين امتحان سهل جدا للدارس اكيد
+
+16
+00:01:41,280 --> 00:01:44,760
+معظمه من اللي حكيناه إذا ما كان كله
+
+17
+00:01:47,710 --> 00:01:51,130
+أنا بتمنى انه يكونوا اليوم درسين عشان تكون
+
+18
+00:01:51,130 --> 00:01:57,010
+المحاضرة فيها فائدة من ناحية الأسئلة والإجابة
+
+19
+00:01:57,010 --> 00:02:03,210
+بتاعتها نبدأ من شجة اليمين ايه
+
+20
+00:02:03,210 --> 00:02:08,410
+اي سؤال؟ بفضلك بالتجارة الاخر كده، هدرس فقط
+
+21
+00:02:08,410 --> 00:02:10,550
+شهرانة، ما تدرس كمية؟
+
+22
+00:02:15,840 --> 00:02:19,280
+طيب أول حاجة بالنسبة لل visual acuity، حدة
+
+23
+00:02:19,280 --> 00:02:24,600
+الإبصار، حدة الإبصار it is a measurement of
+
+24
+00:02:24,600 --> 00:02:28,480
+spatial resolving capacity and is applied to
+
+25
+00:02:28,480 --> 00:02:34,480
+central vision، okay؟ إذا بيحدد قداش الرؤية اللي
+
+26
+00:02:34,480 --> 00:02:40,860
+بتستخدمهاانه ال central vision يعني دايما ليش احنا
+
+27
+00:02:40,860 --> 00:02:44,580
+في .. لو بتعرفوا في ال .. ال written up في عندنا
+
+28
+00:02:44,580 --> 00:02:48,280
+ال photo receptor ال photo receptor اللي هي فيها
+
+29
+00:02:48,280 --> 00:02:52,980
+ال rods و ال cone ليش ال cone بتكون مسئول عن ال
+
+30
+00:02:52,980 --> 00:02:58,360
+central vision؟ يعني ..
+
+31
+00:02:58,400 --> 00:03:02,460
+هي بتكون ال responsible بتاعها عن ال central
+
+32
+00:03:02,460 --> 00:03:07,120
+vision عن الرؤية المركزية رغم أنه عددها بيكون أقل
+
+33
+00:03:07,120 --> 00:03:10,560
+من مين من ال road اللي هي تقريبا من ستة لسبعة
+
+34
+00:03:10,560 --> 00:03:15,240
+مليون فانا دايما ال visual acuity بقيس حدة الإبصار
+
+35
+00:03:15,240 --> 00:03:19,040
+لمين لل central vision يعني الآن إما أنا بعمل في
+
+36
+00:03:19,040 --> 00:03:25,320
+الأو في أي تشارت أو لاندلت بروكل رينج دايما بجيس
+
+37
+00:03:25,320 --> 00:03:30,240
+ال visual acuity لمين لحالة ال ال central vision
+
+38
+00:03:30,240 --> 00:03:35,440
+okay هان في عنا it is determined انه ال visual
+
+39
+00:03:35,440 --> 00:03:39,810
+acuity بتحدث by the smallest retinal imageلو
+
+40
+00:03:39,810 --> 00:03:42,710
+تذكروا في ال principle بتاع ال smelling visual
+
+41
+00:03:42,710 --> 00:03:48,850
+acuity أنه بيحدد قداش أصغر صورة ممكن تتكون وين على
+
+42
+00:03:48,850 --> 00:03:53,310
+الشبكية، صح؟ فهنا هي بتحدد ال smallest retinal
+
+43
+00:03:53,310 --> 00:03:58,510
+image أن أصغر صورة ممكن تتكون على الشبكيةthe form
+
+44
+00:03:58,510 --> 00:04:01,710
+of which can be appreciated أنه هذه الصورة ممكن
+
+45
+00:04:01,710 --> 00:04:06,690
+أنه تقدر and it is measured ابتقاص by the smallest
+
+46
+00:04:06,690 --> 00:04:10,490
+object which can be clearly seen at a certain
+
+47
+00:04:10,490 --> 00:04:14,470
+distance بمعنى الآن أنا أمامي target، أنا محدد
+
+48
+00:04:14,470 --> 00:04:18,590
+اللي هو ال target هذا، في عندى ال visual axis اللي
+
+49
+00:04:18,590 --> 00:04:22,670
+هي بيكون ما بين ال vuvia و ما بين ال target هذا
+
+50
+00:04:23,200 --> 00:04:27,420
+فجدتش ال visual acuity بتاعي بتحدد بالنسبة لمين
+
+51
+00:04:27,420 --> 00:04:34,320
+لسقوط الصورة على الشبكية، واضح؟ يعني مقدار سقوط
+
+52
+00:04:34,320 --> 00:04:38,080
+الصورة على الشبكية عشان أقدر أنه أشوف هذا الجسم
+
+53
+00:04:38,080 --> 00:04:47,460
+إيه بوضوح، أيه المقصود فيها؟ مقدار وضوح الصورة أو
+
+54
+00:04:47,460 --> 00:04:51,780
+وقوع الصورة على الشبكيةعشان من خلالها اني بقدر
+
+55
+00:04:51,780 --> 00:04:57,540
+اشوف الصورة بوضوح طبعا البنات اللي اجوا اجداد سألة
+
+56
+00:04:57,540 --> 00:05:01,880
+سؤال عن ال visual acuity حدة الأبصار حكينا بالنسبة
+
+57
+00:05:01,880 --> 00:05:05,660
+لل visual acuity انه بقيس قداش ال special
+
+58
+00:05:05,660 --> 00:05:08,980
+resolving capacity of the eye و ال central vision
+
+59
+00:05:10,290 --> 00:05:14,090
+الان فى عندنا ال smallest retinal image يعني قداش
+
+60
+00:05:14,090 --> 00:05:18,430
+أصغر صورة ممكن تتكون وين على الشبكية الان مين اللى
+
+61
+00:05:18,430 --> 00:05:24,150
+بتحكم فيها هذه ال visual acuity بكون مسئول عن قداش
+
+62
+00:05:24,150 --> 00:05:28,510
+الرؤية اللى بتسقط وين على الشبكية واضح ال retinal
+
+63
+00:05:28,510 --> 00:05:34,610
+image فقداش مقدار وضوحة هذه من خلالها بقدر أحدد ال
+
+64
+00:05:34,610 --> 00:05:37,850
+visual acuity و اللى بكون مسئول عنها ال central
+
+65
+00:05:37,850 --> 00:05:50,000
+vision اللى هو الكونواضح؟ سؤال تاني شجهها يعني
+
+66
+00:05:50,000 --> 00:05:52,540
+أهم حاجة بدي أعرف ال definition بتاع ال visual
+
+67
+00:05:52,540 --> 00:05:57,260
+acuity مهم جدا انه it is a measurement of spatial
+
+68
+00:05:57,260 --> 00:06:00,100
+resolving capacity and is applied to central
+
+69
+00:06:00,100 --> 00:06:09,220
+vision another question؟ طيب ناخد النص؟ اه تفضلالـ
+
+70
+00:06:09,220 --> 00:06:13,100
+fixation test لما استخدرنا ستاشر بريزم كوتوكز،
+
+71
+00:06:13,100 --> 00:06:15,800
+حكيت عشان قوة العين تتلال الريزم، طب ليش ما اختار
+
+72
+00:06:15,800 --> 00:06:19,040
+نغير الستاشر؟ عشان هو بيذاكر بالظبط هو عشان
+
+73
+00:06:19,040 --> 00:06:22,840
+الكلام؟ آه، الآن أنا مابستخدم الستاشر بريزم
+
+74
+00:06:22,840 --> 00:06:26,840
+ديوبتر، وفي بعض الكتب بيكتبوا عشرين بريزم ديوبتر،
+
+75
+00:06:26,840 --> 00:06:31,500
+انه therefore يعني أنا أجبر العين انه تعمل fixate
+
+76
+00:06:31,500 --> 00:06:36,140
+uptherefore to fixate up of the eye يعني عشان أعمل
+
+77
+00:06:36,140 --> 00:06:41,020
+إجبار للعين أنه تعمل إيش؟ fixate up أنه تركز لفوق
+
+78
+00:06:41,020 --> 00:06:45,300
+لأنه دايما الصورة باتجاه مين؟ ال apex في الprism
+
+79
+00:06:45,300 --> 00:06:52,840
+صح؟ والشعاع باتجاه الbase طيب
+
+80
+00:06:52,840 --> 00:06:57,100
+السؤال التاني؟
+
+81
+00:06:57,100 --> 00:07:03,800
+الفضللو المريض عنده full نظر بس فاتنلهوش عدسة plus
+
+82
+00:07:03,800 --> 00:07:08,240
+حمصها هاي بالمضطراب؟ اه لأ اه لكن بس لو كان معاها
+
+83
+00:07:08,240 --> 00:07:13,100
+تدمير بس فاتنلهو معاكسها في حالة ايش؟ ان انت بتاني
+
+84
+00:07:13,100 --> 00:07:17,560
+بهدر انا اهأه في عندنا ال three methods يما انا
+
+85
+00:07:17,560 --> 00:07:21,300
+يكون عندى مريض عنده latent nystagmus يعني بمعنى
+
+86
+00:07:21,300 --> 00:07:27,320
+انه حركة للعين لكن ايش بتكون خفية ففي تلات طرق اما
+
+87
+00:07:27,320 --> 00:07:31,300
+اول طريقة بستخدم occlusion of one eye انه بغطي عين
+
+88
+00:07:31,300 --> 00:07:35,330
+هذا الطريقة اللي هي ال common الشائعةفالطريقة
+
+89
+00:07:35,330 --> 00:07:39,890
+التانية انه بستخدم plus خمسة ديوبتر، طبعا في حالة
+
+90
+00:07:39,890 --> 00:07:43,810
+انه ما يكون المريض hypermetrop أو presbyop لو انا
+
+91
+00:07:43,810 --> 00:07:47,310
+حطيت ال plus خمسة ايش هعمل؟ هعمل improve لل vision
+
+92
+00:07:47,310 --> 00:07:50,530
+صح؟ فهذه الحالة بستثنيها اذا كان المريض
+
+93
+00:07:50,530 --> 00:07:54,650
+hypermetrop او presbyop والحالة التالتة هي ال
+
+94
+00:07:54,650 --> 00:07:58,790
+forested lens العدسة الثلجية طبعا اما انا بستخدم
+
+95
+00:07:58,790 --> 00:08:02,830
+العدسة الثلجية هتسمح للطوق انه يمر لكن الصورة ايش
+
+96
+00:08:02,830 --> 00:08:04,590
+مالها ماهتكونش واضحة
+
+97
+00:08:11,410 --> 00:08:17,230
+شجّه هذه؟ مش
+
+98
+00:08:17,230 --> 00:08:26,450
+هي أسئلة؟ أنا سألت طبعا
+
+99
+00:08:26,450 --> 00:08:30,610
+هو سؤال عبارة عن mention أو short notice يعني يعني
+
+100
+00:08:30,610 --> 00:08:36,990
+أنه توضح أو تصف أو يعني تعدد مثلا شغلة و تشوف مين
+
+101
+00:08:36,990 --> 00:08:43,520
+فيهم ال which more accurateمع أي كيف؟ يعني .. انا
+
+102
+00:08:43,520 --> 00:08:49,740
+مستخدمها عكس الناس خنزة .. اه في حالة
+
+103
+00:08:49,740 --> 00:08:53,220
+الميوم .. اه طب انا ليش اعمل هيك؟ انا في فحص يعني
+
+104
+00:08:53,220 --> 00:08:55,180
+.. بل الآن في عندي latent
+
+105
+00:09:01,190 --> 00:09:06,150
+فانا بدي اكشفها ان هو عنده رقراك فكيف؟ بستخدم علصة
+
+106
+00:09:06,150 --> 00:09:10,790
+plus 5 فهذه ال plus 5 هتكشف ان المريض عنده latent
+
+107
+00:09:10,790 --> 00:09:17,990
+stagmas لأ،
+
+108
+00:09:17,990 --> 00:09:25,630
+هتبين الرقراك بتاعت العين في ال other eye ال other
+
+109
+00:09:25,630 --> 00:09:26,990
+eye بيكون مافيش فيها
+
+110
+00:09:34,120 --> 00:09:37,360
+بنصنع ال normal eye، بغطيش العين اللي فيها
+
+111
+00:09:37,360 --> 00:09:40,300
+المشكلة، لأنه أنا بدأ أكشف في العين اللي فيها
+
+112
+00:09:40,300 --> 00:09:44,360
+المشكلة، واضح كده؟ يعني ال .. يعني الآن يما أنا
+
+113
+00:09:44,360 --> 00:09:47,280
+بحط ال occluder، بحطه للعين ال normal ولا ال
+
+114
+00:09:47,280 --> 00:09:51,180
+abnormal؟ ال normal عشان أكشف مين؟ ال abnormal أو
+
+115
+00:09:51,180 --> 00:09:53,940
+ال forested lens، بحطها لل normal ولا ال abnormal؟
+
+116
+00:09:53,940 --> 00:10:00,300
+دايما لل normal في العين
+
+117
+00:10:00,300 --> 00:10:01,900
+التانية، اللي هي ال abnormal
+
+118
+00:10:14,030 --> 00:10:20,830
+أه تفضلي حاضر
+
+119
+00:10:20,830 --> 00:10:26,570
+هلجيت ال circle of least confusion في عندنا أيضه
+
+120
+00:10:26,570 --> 00:10:30,730
+الآن أنا بشوفه فيله divergence و فيله convergence
+
+121
+00:10:30,730 --> 00:10:35,790
+صح؟ يعني ما الآن مثلا انا ال risk بشكل عام الشعاع
+
+122
+00:10:35,790 --> 00:10:38,790
+ممكن انه يكون convergence و ممكن انه يكون
+
+123
+00:10:38,790 --> 00:10:42,780
+divergenceبالإضافة إنه ممكن يكون horizontal أو
+
+124
+00:10:42,780 --> 00:10:46,960
+vertical، يما تكون الأشعة اللي جاية vertical
+
+125
+00:10:46,960 --> 00:10:51,800
+والأشعة ال horizontal متساويات exactly equal، هذه
+
+126
+00:10:51,800 --> 00:10:55,880
+بقول عنها إنه بصل أنا لنقطة ال circle of least
+
+127
+00:10:55,880 --> 00:11:00,320
+confusion، يعني أفضل رؤية ممكن يشوفها ال patient،
+
+128
+00:11:00,320 --> 00:11:06,140
+يعني هذه كمفهوم لهاو من خلالها انه بيجي موضوع الـ
+
+129
+00:11:06,140 --> 00:11:11,440
+stramconoid انه ال divergence لالاشعة ال vertical
+
+130
+00:11:11,440 --> 00:11:19,440
+و .. طيب
+
+131
+00:11:19,440 --> 00:11:24,580
+ل ال preverbal ولا ال verbal؟ اول حاجة ال
+
+132
+00:11:24,580 --> 00:11:27,900
+occlusion of one eye مابدناش احنا نحفظ ال
+
+133
+00:11:27,900 --> 00:11:32,840
+occlusion of one eye measure the visual acuityيعني
+
+134
+00:11:32,840 --> 00:11:37,260
+بمعنى انه بدين ال visual acuity اما بكون poor او
+
+135
+00:11:37,260 --> 00:11:42,200
+بكون good، اذا هذا ايش بشيرله؟ اذا يعتبر
+
+136
+00:11:42,200 --> 00:11:46,640
+equalitative، كم؟ لأنه ما بيحدد لجديش ال visual
+
+137
+00:11:46,640 --> 00:11:51,060
+acuity، صح؟ ال fixation test بدين ال visual acuity
+
+138
+00:11:51,060 --> 00:11:54,960
+واحد ع ستين، اربع ستين، تلاتة ع ستين، اذا يعتبر
+
+139
+00:11:54,960 --> 00:11:58,810
+equalitativeفي عندنا rotation task، ال rotation
+
+140
+00:11:58,810 --> 00:12:02,990
+task بستخدمه لمين؟ لل both eyes و بلف الطفل، إذا
+
+141
+00:12:02,990 --> 00:12:06,490
+ما بيحدد اللي هو جديش ال visual acuity للطفل، إذا
+
+142
+00:12:06,490 --> 00:12:10,850
+هو يعتبر qualitative ال optokinetic nystagmus
+
+143
+00:12:10,850 --> 00:12:15,730
+drum، في عندنا جنة بيكون standardized drum و مختلف
+
+144
+00:12:15,730 --> 00:12:21,630
+إيش الحجم، يعني ال .. ال strip بتاعته مختلفة، فهو
+
+145
+00:12:21,630 --> 00:12:25,310
+يعتبر إيش؟ يعني بين اربعة و ستين، ستة و ستين، إذا
+
+146
+00:12:25,310 --> 00:12:30,220
+هو quantitativeفي عندنا كمان ال force choice
+
+147
+00:12:30,220 --> 00:12:33,900
+preferational looking test يعتبر quantitative ليش؟
+
+148
+00:12:33,900 --> 00:12:39,360
+لأن في صور متعددة ستة ع ستين ال allencabeg chart
+
+149
+00:12:39,360 --> 00:12:44,300
+أو ال force choice preferational looking test أيضا
+
+150
+00:12:44,300 --> 00:12:50,400
+يعتبر ايه؟ quantitativeالـ sweet test بيحدد مقداش
+
+151
+00:12:50,400 --> 00:12:53,580
+ال visual acuity ممكن يكون more than or equal 6
+
+152
+00:12:53,580 --> 00:12:57,960
+over 24 إذا المريض إيش عمل back up لهم، إذا كان
+
+153
+00:12:57,960 --> 00:13:02,240
+أقل بيكون ال visual acuity less than 6 over 24،
+
+154
+00:13:02,240 --> 00:13:08,400
+okay؟ ال quantitative،
+
+155
+00:13:08,400 --> 00:13:14,790
+لأنه بيحدد جدية، أي تقةأه بس بحدد visual acuity
+
+156
+00:13:14,790 --> 00:13:20,030
+يعني أنا بذكر كتابة هان كيف أنا بكتب ال method
+
+157
+00:13:20,030 --> 00:13:23,270
+بتاعة ال visual acuity في حالة ال .. ال .. ال
+
+158
+00:13:23,270 --> 00:13:33,870
+sweet test أنه مثلا باخد لل right و لل left هذا
+
+159
+00:13:33,870 --> 00:13:38,810
+مش مش عظيم اقتلر ابل دي card و دي card ديطيب في
+
+160
+00:13:38,810 --> 00:13:43,370
+عندنا نوعين من ال .. ال .. ال verbal children
+
+161
+00:13:43,370 --> 00:13:47,090
+visual acuity testing in verbal children في عندنا
+
+162
+00:13:47,090 --> 00:13:51,350
+ال teller card و في عندنا ال card of card نبدأ في
+
+163
+00:13:51,350 --> 00:13:55,770
+ال card of card زي ما حكينا أن هو بناء على جامعة
+
+164
+00:13:55,770 --> 00:14:01,210
+في بريطانيا سموا ال test هذا عبارة عن صور طبعا ان
+
+165
+00:14:01,210 --> 00:14:05,530
+شاء الله هديكم إياها في العملية الصور في من ستة ع
+
+166
+00:14:05,530 --> 00:14:10,740
+ستين لستة ع ستة okayمثلاً ستة ع ستين زي ال largest
+
+167
+00:14:10,740 --> 00:14:14,500
+optotype اللي هو أكبر حرف، بتكون واضحة كتير، يعني
+
+168
+00:14:14,500 --> 00:14:18,280
+الطفل لازم يشوفها، ممكن تكون في ال center الصورة
+
+169
+00:14:18,280 --> 00:14:23,300
+يعني أو بتكون up, down, right or left، okay؟ الستة
+
+170
+00:14:23,300 --> 00:14:27,840
+ع ستة و تلاتين بتخف، يعني الوضوح بتاعك بتكون faint
+
+171
+00:14:28,200 --> 00:14:32,500
+Compare to win to six over sixty يعني بتكون أفتح
+
+172
+00:14:32,500 --> 00:14:37,760
+من الستة ع ستين اتجاهها ممكن يكون متغير بمعنى انه
+
+173
+00:14:37,760 --> 00:14:41,280
+لو فرضنا الستة ع ستين في ال center التاني هتكون up
+
+174
+00:14:41,280 --> 00:14:45,480
+او down فانا بشوف بطلع على وين ال movement ال eye
+
+175
+00:14:45,480 --> 00:14:49,940
+movement ل children للطفل انه بعرض الصورة بالشكل
+
+176
+00:14:49,940 --> 00:14:54,470
+هذابشوف وين الحركة مثلا إذا كانت في ال center بروح
+
+177
+00:14:54,470 --> 00:14:57,730
+مثلا أحرق زي إيه و لازم أنا دايما ال head تعي مش
+
+178
+00:14:57,730 --> 00:15:02,750
+مبين للطفل عشان هو مايركزش إيه مع ال head تعي طبعا
+
+179
+00:15:02,750 --> 00:15:06,630
+بالنسبة لل examiner العين بتاعته بس هي اللي مبينة
+
+180
+00:15:06,630 --> 00:15:11,930
+في عين الطفلو دايما لازم يكون ورا ال chart في حاجة
+
+181
+00:15:11,930 --> 00:15:15,130
+انه مثلا hand up hand down ان الصورة يحددله
+
+182
+00:15:15,130 --> 00:15:18,930
+الاتجاه مش اروح انا مثلا اشوف الصورة هذي up اروح
+
+183
+00:15:18,930 --> 00:15:23,650
+اعرضها للطفل، هيك الطفل هو يتطلع على وين يعني فهم
+
+184
+00:15:23,650 --> 00:15:28,670
+لغة العين بتاعته، فهو هيتطلع برضه up ال tiller
+
+185
+00:15:28,670 --> 00:15:32,810
+card if card عبارة عن خطوط نفس فكرة ال optokainety
+
+186
+00:15:33,620 --> 00:15:39,040
+خطوط برضه مختلفة ايه الحجم مثلا ال 6 ع 60 بيكون ال
+
+187
+00:15:39,040 --> 00:15:44,480
+thickness السماكه بتاعتهم اكتر مثلا من ال 6 ع 36،
+
+188
+00:15:44,480 --> 00:15:49,140
+ال 6 ع 24، ال 6 ع 6، و هكذا، بيكونوا مختلفات الحجم
+
+189
+00:15:49,140 --> 00:15:52,820
+نفس فكرة ال optokina thickness diagram و بيكون
+
+190
+00:15:52,820 --> 00:15:56,940
+الصور يعني مرة right, left, up, down مختلفة برضه
+
+191
+00:15:56,940 --> 00:16:01,000
+ايه الحجم حاضر
+
+192
+00:16:02,310 --> 00:16:07,630
+الـ .. بالنسبة لـ Snilling visual acuity نفس فكرة
+
+193
+00:16:07,630 --> 00:16:10,970
+الـ visual ac .. ال snilling اللي عندنالكن في
+
+194
+00:16:10,970 --> 00:16:14,610
+الطفل مش معقولة انه استخدم مين ال smelling chart
+
+195
+00:16:14,610 --> 00:16:18,570
+لان الطفل مايعرفش حدد الفتحة انه right, left, up,
+
+196
+00:16:18,630 --> 00:16:24,490
+down فانا ايش بستخدم صورة مثلا مطابقة للصورة الستة
+
+197
+00:16:24,490 --> 00:16:29,490
+ع ستين فهو مثلا اكبر صورة بقوللي هادي ع ستة ع ستين
+
+198
+00:16:29,490 --> 00:16:34,190
+يعني بعمل عملية match توصيل يعني مين اكبر صورة
+
+199
+00:16:34,190 --> 00:16:38,550
+بوصلهاطبعا هدى مش معقول انا استخدمها لطفل مايكونش
+
+200
+00:16:38,550 --> 00:16:42,590
+intelligent ذكى، يعني واحد طفل مش .. uncoperative
+
+201
+00:16:42,590 --> 00:16:47,710
+مش صح انه استخدم معاه مين؟ ال .. ال snail .. ال
+
+202
+00:16:47,710 --> 00:16:51,530
+snail and chart او ال familiar ايه؟ tumbling chart
+
+203
+00:16:51,530 --> 00:16:54,030
+يعني حجم الصورة مايكون نفس حجم الاطل طيب الواحد؟
+
+204
+00:16:54,030 --> 00:17:00,010
+بالظبط، نفس الحجم بتاعه، اه وبيعمل عملية match،
+
+205
+00:17:00,010 --> 00:17:03,550
+توصيل لهدى الصورة، وهى تعتبر a quantitative برضه
+
+206
+00:17:04,360 --> 00:17:12,660
+يعني نفس فكرة ال snail in each يعني في سؤال
+
+207
+00:17:12,660 --> 00:17:20,660
+يعني مفهوم المادة ولا إيش هفهم دي مش صعبة
+
+208
+00:17:20,660 --> 00:17:28,120
+ولا صعبة الحمد لله لا
+
+209
+00:17:28,120 --> 00:17:33,380
+بدهاش حفظ امتحان مافيش فيه ولا حاجة حفظ نعم
+
+210
+00:17:34,650 --> 00:17:39,110
+لأ أنا جبته match عشان أنا عارف شوية التعريفات من
+
+211
+00:17:39,110 --> 00:17:45,250
+ناحية اللغة أصلا نعم
+
+212
+00:17:45,250 --> 00:17:52,500
+مانا بناء على ال quiz بنيت الامتحانفي ناحية ال
+
+213
+00:17:52,500 --> 00:17:56,840
+spelling شوية عندكم .. طبعا .. اه في المناسبة ال
+
+214
+00:17:56,840 --> 00:18:00,420
+spelling لازم يكون صح في الكلمات ال .. ال .. في ال
+
+215
+00:18:00,420 --> 00:18:03,240
+optometry يعني ال hypermetroid, ال myopia, ال
+
+216
+00:18:03,240 --> 00:18:07,380
+astigmatism اي معلومة مش عارفاها اكتبيها في العربي
+
+217
+00:18:07,380 --> 00:18:12,460
+انا بمشيها ان شاء الله بس مش كل الجملة تكون عربي
+
+218
+00:18:12,460 --> 00:18:15,040
+او كل الكلام يكون عربي يعني لو كلمة مثلا
+
+219
+00:18:15,040 --> 00:18:18,500
+ماعرفتيهاش اكتب بين قصير بالعربي طب و ساحنا
+
+220
+00:18:18,500 --> 00:18:26,860
+انتصاراتبس هكون اعرف الاختصارة نعم عادي
+
+221
+00:18:26,860 --> 00:18:30,400
+اه بالعكس انا بدي .. انا هديكم ان شاء الله ورقة ال
+
+222
+00:18:30,400 --> 00:18:33,680
+abbreviation في المعمل لكل الاختصارات بتاعة ال
+
+223
+00:18:33,680 --> 00:18:43,860
+optometric او clinical refraction خاين جوا في
+
+224
+00:18:43,860 --> 00:18:44,920
+اي سؤال كمان؟
+
+225
+00:18:50,120 --> 00:18:52,740
+طيب شو الفرق ما بين ال spherical lens و ال
+
+226
+00:18:52,740 --> 00:19:00,880
+cylindrical lens؟ ال cylindrical لليوم
+
+227
+00:19:00,880 --> 00:19:06,040
+وصلنا ل ال mid term فضل
+
+228
+00:19:06,040 --> 00:19:16,520
+مرة
+
+229
+00:19:16,520 --> 00:19:18,760
+تانية تقدر ترسميها
+
+230
+00:19:21,660 --> 00:19:25,840
+شو الفرق ما بين ال spherical lens و ال cylindrical
+
+231
+00:19:25,840 --> 00:19:37,320
+lens؟ ال spherical يكون محاول متساوية أما
+
+232
+00:19:37,320 --> 00:19:42,400
+ال cylindrical يكون واحد منه فش علي بوار و تن علي
+
+233
+00:19:42,400 --> 00:19:49,390
+ثاني صحيحيعني بمعنى ان ال spherical lens بتكون all
+
+234
+00:19:49,390 --> 00:19:54,170
+the meridian have the same power، ال cylinder lens
+
+235
+00:19:54,170 --> 00:19:57,370
+بيكون one meridian، والpower بيكون ايه؟
+
+236
+00:19:57,370 --> 00:20:00,810
+perpendicular to the axis عمودي على ال axis طيب شو
+
+237
+00:20:00,810 --> 00:20:03,390
+الفرق ما بين ال spherical error و ال spherical
+
+238
+00:20:03,390 --> 00:20:10,570
+lens؟ ال spherical
+
+239
+00:20:10,570 --> 00:20:11,750
+lens هو عرفناها
+
+240
+00:20:17,660 --> 00:20:21,160
+يعني you have the same refractive error in whole
+
+241
+00:20:21,160 --> 00:20:22,660
+the meridian صح؟
+
+242
+00:20:24,840 --> 00:20:28,340
+الـ spherical lens have the same refractive power
+
+243
+00:20:28,340 --> 00:20:33,060
+in all meridian يعني بور قوة يعني plus واحد على ال
+
+244
+00:20:33,060 --> 00:20:35,880
+vertical بتكون نفسها plus واحد على ال horizontal
+
+245
+00:20:35,880 --> 00:20:39,720
+على كل المحاور لكن بالنسبة لل spherical error
+
+246
+00:20:39,720 --> 00:20:44,620
+بتكون have the same refractive error in all the
+
+247
+00:20:44,620 --> 00:20:49,140
+meridian بمعنى إذا كان عنده في ال horizontal minus
+
+248
+00:20:49,140 --> 00:20:54,550
+في ال vertical برضه بيكون minusبلاس أي بمعنى hyper
+
+249
+00:20:54,550 --> 00:20:58,750
+metroid hyper metroid ميوب ميوب انه كله بيكون ايه؟
+
+250
+00:20:58,750 --> 00:21:01,910
+have the same refractive error in all the meridian
+
+251
+00:21:01,910 --> 00:21:08,350
+طيب
+
+252
+00:21:08,350 --> 00:21:11,250
+شو الفرق ما بين ال objective و ال subjective
+
+253
+00:21:11,250 --> 00:21:13,850
+refraction؟ up to you
+
+254
+00:21:19,650 --> 00:21:22,690
+الobjective refraction اللي هو يعني إنه الإنسان
+
+255
+00:21:22,690 --> 00:21:26,630
+غارب يشتغل بدون أنه ساعات تمارين أما without ..
+
+256
+00:21:26,630 --> 00:21:31,090
+دول ما يتدخل، لكن ال subjective بتدخل طيب مين ممكن
+
+257
+00:21:31,090 --> 00:21:34,690
+أنه يعرفها باللغة الإنقليزية، الفرق ما بين ال
+
+258
+00:21:34,690 --> 00:21:37,150
+objective و ال subjective refraction؟ ال
+
+259
+00:21:37,150 --> 00:21:42,850
+preliminary
+
+260
+00:21:44,670 --> 00:21:53,830
+ممكن اكتب initial preliminary
+
+261
+00:21:53,830 --> 00:22:12,430
+او
+
+262
+00:22:12,430 --> 00:22:16,470
+initial examinationإذا الفرق ما بين ال objective
+
+263
+00:22:16,470 --> 00:22:19,630
+refraction وال subjective refraction ال objective
+
+264
+00:22:19,630 --> 00:22:23,050
+refraction it is a preliminary or initial
+
+265
+00:22:23,050 --> 00:22:27,070
+examination of the refractive error without a
+
+266
+00:22:27,070 --> 00:22:31,450
+response from the patient بمعنى هو عبارة عن فحص
+
+267
+00:22:31,450 --> 00:22:38,220
+أولي بتم للمريض دون تدخل من الفاحصدون تدخل المريض
+
+268
+00:22:38,220 --> 00:22:41,440
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+269
+00:22:41,440 --> 00:22:41,500
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+270
+00:22:41,500 --> 00:22:41,640
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+271
+00:22:41,640 --> 00:22:46,120
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+272
+00:22:46,120 --> 00:22:52,880
+دون تدخل المريض دون تدخل المريض دون
+
+273
+00:22:52,880 --> 00:22:57,320
+تدخل
+
+274
+00:22:57,320 --> 00:22:59,080
+المري
+
+275
+00:23:01,770 --> 00:23:05,370
+أبو سيد بصراحة إحنا نحكي ال object هو تحس أولي و
+
+276
+00:23:05,370 --> 00:23:08,630
+ال subject بتأكيده، يعني أنا في ال objective بعمل
+
+277
+00:23:08,630 --> 00:23:11,430
+bulletin و التأكيد طب كانت بتكون علينا التأكيد في
+
+278
+00:23:11,430 --> 00:23:14,990
+ال subject هو في ال verification لو أنت لحظة في
+
+279
+00:23:14,990 --> 00:23:19,460
+المفردات بتاعة المساءفي في شبتر خمسة، لأ شبتر أربع
+
+280
+00:23:19,460 --> 00:23:23,720
+ال subjective verification of refraction للسفير و
+
+281
+00:23:23,720 --> 00:23:27,300
+للسليندا، بمعنى الآن انا طلعت ال final objective
+
+282
+00:23:27,300 --> 00:23:30,220
+refraction في ال retinascope اللي هو موضوع ال
+
+283
+00:23:30,220 --> 00:23:34,180
+trial يعني عندما نعمل ال trial انه كيف نعمل ان
+
+284
+00:23:34,180 --> 00:23:37,780
+مريض مثلا يكون myopic او hyper metropic كيف نصلح
+
+285
+00:23:37,780 --> 00:23:41,730
+الخطأ الانكساري؟بعدها بنعمل verification في عدة
+
+286
+00:23:41,730 --> 00:23:44,610
+اللي هو طرق إما ال biochrome test أو ال pin hole
+
+287
+00:23:44,610 --> 00:23:48,610
+أو .. بس الآن اه لسه أنا ماتخناش فيه، الآن تعرفي
+
+288
+00:23:48,610 --> 00:23:51,490
+بشكل عام إيش الفرق ما بين ال objective و ال
+
+289
+00:23:51,490 --> 00:23:58,850
+subjective method okay؟ لأ
+
+290
+00:23:58,850 --> 00:24:02,450
+كل واحد يعني هال gate أهم حاجة
+
+291
+00:24:05,490 --> 00:24:10,490
+أهم شيء في ال visual أول حاجة ال history باخد ال
+
+292
+00:24:10,490 --> 00:24:15,530
+history يعني taking history for patient لما باخد
+
+293
+00:24:15,530 --> 00:24:20,570
+ال history للمريض أنا وصلت ل half of diagnostic
+
+294
+00:24:20,570 --> 00:24:25,070
+لنص التشخيص الخطوة التانية إيش بستخدم ال visual
+
+295
+00:24:25,070 --> 00:24:29,050
+acuity ال visual acuity بحدد قداش ال central
+
+296
+00:24:29,050 --> 00:24:33,090
+vision للمريضلكن ال written scope أو ال auto
+
+297
+00:24:33,090 --> 00:24:37,310
+refractometer الجهاز الكمبيوتر هذا بيحدد يعني
+
+298
+00:24:37,310 --> 00:24:40,890
+determining the refractive error يعني قداش القوة
+
+299
+00:24:40,890 --> 00:24:46,010
+الانكسارية للعين، واضح؟ لكن لو واحد مثلا سالج في
+
+300
+00:24:46,010 --> 00:24:48,930
+ال written scope قداش ال visual acuity بتاعه، صح؟
+
+301
+00:24:49,990 --> 00:24:53,370
+لأنه بيحددش إيه؟ ال visual acuity، visual acuity
+
+302
+00:24:53,370 --> 00:24:56,570
+من خلال مين؟ ال smelling أو ال E chart أو ال C
+
+303
+00:24:56,570 --> 00:25:00,870
+chart، ال different chart، okay؟ لكن ال retina
+
+304
+00:25:00,870 --> 00:25:07,590
+scope بيحدد ال refractive error للعين، determining
+
+305
+00:25:07,590 --> 00:25:11,930
+the refractive error of the patient or of the eye
+
+306
+00:25:25,330 --> 00:25:34,050
+كمان في أسئلة؟ طيب شو ال benefit of refraction؟ ال
+
+307
+00:25:34,050 --> 00:25:38,870
+benefit of refraction هو
+
+308
+00:25:38,870 --> 00:25:44,550
+determining of the refractive condition of the eye
+
+309
+00:25:44,550 --> 00:25:46,710
+من مجموعة ومجموعة ومجموعة واسمة ومجموعة واسمة
+
+310
+00:25:46,710 --> 00:25:48,510
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+311
+00:25:48,510 --> 00:25:50,270
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+312
+00:25:50,270 --> 00:25:50,630
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+313
+00:25:50,630 --> 00:25:52,700
+ومجموعة ومجموعة ومجمو provide clear and
+
+314
+00:25:52,700 --> 00:26:00,560
+comfortable vision طيب
+
+315
+00:26:00,560 --> 00:26:05,340
+شو الفرق ما بين defective vision و ال eye strain؟
+
+316
+00:26:27,810 --> 00:26:32,610
+ممتازة بس ممكن انا يعني بالنسبة ل ال defective
+
+317
+00:26:32,610 --> 00:26:36,990
+vision انه يعتبر one of the refractive error or
+
+318
+00:26:36,990 --> 00:26:40,210
+one of the optical state of the eye ميوب،
+
+319
+00:26:40,210 --> 00:26:43,410
+هيبرمتروب، استجمتزم انا بالنسبة لل defective
+
+320
+00:26:43,410 --> 00:26:50,150
+vision يعني خلل بصري صح؟النقطة التانية ال .. ال ..
+
+321
+00:26:50,150 --> 00:26:54,330
+ال eye strain، هذا بنتج نتيجة إيش؟ إن واحد مثلا
+
+322
+00:26:54,330 --> 00:27:00,130
+عنده deficiency في ال accommodation، صح؟ فبيعمللي
+
+323
+00:27:00,130 --> 00:27:03,090
+ال headache و ال eye strain، يعني مش نتيجة ال
+
+324
+00:27:03,090 --> 00:27:08,010
+visual symptom، نتيجة ال ocular symptom، صح؟
+
+325
+00:27:08,010 --> 00:27:12,880
+بالنسبة ل eye strainيعني ال eye strain زي بالظبط
+
+326
+00:27:12,880 --> 00:27:17,680
+واحد عنده واحد hyper metrop أو breast biome okay؟
+
+327
+00:27:17,680 --> 00:27:21,180
+الآن بيستخدم القريب عنده مشكلة في القريب يعني
+
+328
+00:27:21,180 --> 00:27:24,800
+بييجي بقرا بيحس حاله انه ايه في عنده trouble انه
+
+329
+00:27:24,800 --> 00:27:29,680
+بتعب فهذا ايش الخلل اللي عنده هيصير؟ هيصير عنده
+
+330
+00:27:29,680 --> 00:27:33,540
+headache وعنده eye strain إجهاد للعين فهذا المريض
+
+331
+00:27:33,540 --> 00:27:37,800
+نتيجة ايش الإجهاد والخلل؟ انه عنده deficiency في
+
+332
+00:27:37,800 --> 00:27:42,160
+ال accommodationما لهاش علاقة في ال vision انه
+
+333
+00:27:42,160 --> 00:27:44,760
+عنده نقص في ال accommodation فهو ماعندهوش
+
+334
+00:27:44,760 --> 00:27:48,780
+accommodation كافي انه يتغلب على ايش؟ على القراءة
+
+335
+00:27:48,780 --> 00:27:56,700
+او هذا، فبتلاقي الأعراض بتظهر هذه له واضح؟
+
+336
+00:27:56,700 --> 00:28:01,860
+طبعا
+
+337
+00:28:01,860 --> 00:28:04,240
+حكينا ايش معناة السينوبيا؟
+
+338
+00:28:06,990 --> 00:28:17,770
+أيفا تي بالظبط انه إجهاد العين الاسم
+
+339
+00:28:17,770 --> 00:28:29,670
+نوبيا معناها ال ايفا تي كتب طبعا
+
+340
+00:28:29,670 --> 00:28:32,830
+أوبيا معناها vision في اللاتيني
+
+341
+00:28:37,720 --> 00:28:45,360
+زي مثلا أفاكيا، كلها معناها not أسنوبيا
+
+342
+00:28:45,360 --> 00:28:51,460
+لأ مش nothing، بس دايما مثلا عندنا أفاكيا، أفاكيا
+
+343
+00:28:51,460 --> 00:28:56,760
+بمعنى absent of the lens، غياب العدسة، يعني دايما
+
+344
+00:28:56,760 --> 00:29:02,000
+ال F عندنا تعتبر زي مثلا Ametropia، Ametropia
+
+345
+00:29:02,000 --> 00:29:04,560
+تعتبر not يعني معناها
+
+346
+00:29:08,030 --> 00:29:11,630
+طب شو ال principle تعالي ال visual acuity؟ what is
+
+347
+00:29:11,630 --> 00:29:20,450
+the principle of visual acuity؟
+
+348
+00:29:20,450 --> 00:29:23,730
+مش
+
+349
+00:29:23,730 --> 00:29:28,730
+حاجة ان ارفع يدي كمان بتكلمت what
+
+350
+00:29:28,730 --> 00:29:32,050
+is the principle of a snail in visual acuity؟ شو
+
+351
+00:29:32,050 --> 00:29:34,630
+المبدأ تعالي ال snail in visual acuity؟
+
+352
+00:29:37,580 --> 00:29:43,040
+طيب سهل كتير اعتبروني انه ماشرحتوش اول حاجة في
+
+353
+00:29:43,040 --> 00:29:46,820
+عندنا حاجة بنسميها ال minute وفي حاجة اسمها ايه ال
+
+354
+00:29:46,820 --> 00:29:54,460
+degree الان كل حرف ال E بتلاقي له خمس pieces يعني
+
+355
+00:29:54,460 --> 00:30:01,600
+خمس قطع okay كل واحد piece بيمثل واحد minuteأخدنا
+
+356
+00:30:01,600 --> 00:30:05,920
+في ال math ال واحد minute بتمثل ايه؟ واحد degree،
+
+357
+00:30:05,920 --> 00:30:10,580
+okay؟ اذا ال five pieces اكم degree بتمثل؟five
+
+358
+00:30:10,580 --> 00:30:14,340
+degree ال five degree بتمثل five minutes إذا كل
+
+359
+00:30:14,340 --> 00:30:20,720
+خمسة pieces بتمثل خمسة degree okay الآن إيش بتمثل
+
+360
+00:30:20,720 --> 00:30:24,680
+هذه ال minimum angle resolution هي عبارة عن
+
+361
+00:30:24,680 --> 00:30:28,740
+الزاوية ال smallest retinal image اللي بتكونها وين
+
+362
+00:30:28,740 --> 00:30:33,020
+في ال normal eye في العين الطبيعية يعني أصغر صورة
+
+363
+00:30:33,020 --> 00:30:37,380
+بتشكل على الشبكية يما يكون ال normal vision أي
+
+364
+00:30:37,380 --> 00:30:43,820
+بمعنى إن الصورة واقعةعلى الشبكية فالان ليش مثلا في
+
+365
+00:30:43,820 --> 00:30:47,960
+ال snail and shark بتكون الأحرف كلها متواجدة لكن
+
+366
+00:30:47,960 --> 00:30:52,080
+المسافة أشمالها ثابتة يعني بمعنى انه ستة ع ستين،
+
+367
+00:30:52,080 --> 00:30:55,600
+ستة ع ستة و تلاتين، ستة على أربع و عشرين يعني
+
+368
+00:30:55,600 --> 00:31:03,880
+بيكون شكلها شكل هذا ان ال size of optotype متغير
+
+369
+00:31:03,880 --> 00:31:10,550
+لكن الحجم أشماله أو عفوا المسافة بتكون ثابتةيعني
+
+370
+00:31:10,550 --> 00:31:16,610
+لو فرضنا هاي
+
+371
+00:31:16,610 --> 00:31:20,530
+العين تلاقي
+
+372
+00:31:20,530 --> 00:31:29,710
+hand مثلا ايه؟ او ايه؟ بعدين ايه؟ بتكبر، لحد دي ما
+
+373
+00:31:29,710 --> 00:31:35,700
+بتصل handفهان مثلا بتكون ستة على ستة، هان بتكون
+
+374
+00:31:35,700 --> 00:31:40,040
+ستة على ستين، الستة هذه المسافة إيش مالها؟ ثابتة،
+
+375
+00:31:40,040 --> 00:31:44,180
+يعني constant،
+
+376
+00:31:44,180 --> 00:31:52,560
+distant، okay ال size of optotype بيكون إيه؟ متغير
+
+377
+00:31:57,120 --> 00:32:02,120
+فالان انا كل ما وضعت مثلا ستة ع ستين لو حطيت ال
+
+378
+00:32:02,120 --> 00:32:06,140
+optotype الستة ع ستين اللي هو largest letter حطيته
+
+379
+00:32:06,140 --> 00:32:10,200
+على مسافة ستين متر انا هشوفه ايش؟ ستة ع ستة كأنه
+
+380
+00:32:10,200 --> 00:32:16,100
+ستة ع ستة لو ستة و تلاتين هشوفه على مسافة ستة و
+
+381
+00:32:16,100 --> 00:32:20,260
+تلاتين اربع عشرين تمانت عاش و هكذا فالان لو واحد
+
+382
+00:32:20,260 --> 00:32:23,820
+مثلا بيشوف ال line اتنعش كداش ال visual acuity
+
+383
+00:32:23,820 --> 00:32:27,860
+بتاعه؟أي بمعنى الـ optotype 12، كداش ال visual
+
+384
+00:32:27,860 --> 00:32:33,000
+acuity؟ 6 ع 12، 8 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6،
+
+385
+00:32:33,000 --> 00:32:35,520
+6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6
+
+386
+00:32:35,520 --> 00:32:36,900
+ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+387
+00:32:36,900 --> 00:32:38,300
+6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+388
+00:32:38,300 --> 00:32:42,080
+6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+389
+00:32:42,080 --> 00:32:49,380
+6، 6 ع 6، 6 ع
+
+390
+00:32:49,380 --> 00:32:53,920
+6كداش المسافة بينهم؟ اربعة من الف مليميتر او اربع
+
+391
+00:32:53,920 --> 00:32:57,740
+مايكرون واضح؟ هذه بتمثل ايش؟ ال smallest retinal
+
+392
+00:32:57,740 --> 00:33:05,580
+image in the normal eye ال diameter،
+
+393
+00:33:05,580 --> 00:33:13,980
+القطر، اه قطر الكون، اربعة من الف مليميتر او اربع
+
+394
+00:33:13,980 --> 00:33:14,440
+مايكرون
+
+395
+00:33:18,370 --> 00:33:21,350
+أنا ممكن أكون سؤال، what is the principle of smell
+
+396
+00:33:21,350 --> 00:33:27,370
+and visual acuity؟ يعني
+
+397
+00:33:27,370 --> 00:33:31,910
+شو المبدأ بتاعها؟ يعني حتى ممكن أنه .. يعني و أنت
+
+398
+00:33:31,910 --> 00:33:35,210
+بتقيس ال visual acuity لأي مريض، يقولك كيف بنيت
+
+399
+00:33:35,210 --> 00:33:39,370
+هذه؟ انه إيش المبدأ بتاعها؟ بتاع ال visual acuity؟
+
+400
+00:33:43,850 --> 00:33:47,730
+طبعا ال measurement notation واضحة حوالي من سنلن ل
+
+401
+00:33:47,730 --> 00:33:52,730
+feet عفوا من meter ل feet من decimal ل mark من
+
+402
+00:33:52,730 --> 00:34:02,570
+mark ل log mark اعتقد هذه كلها واضحة عندنا بالنسبة
+
+403
+00:34:02,570 --> 00:34:05,350
+لل goal of retinascope او ال aims الهدف من ال
+
+404
+00:34:05,350 --> 00:34:11,370
+retinascope ايضا واضح شو الهدف منه؟ what is the
+
+405
+00:34:11,370 --> 00:34:12,730
+aim of retinascope؟
+
+406
+00:34:17,540 --> 00:34:21,660
+What is the aim of retinascope? Determine the
+
+407
+00:34:21,660 --> 00:34:28,840
+refractive error of the patient's eye Determining
+
+408
+00:34:28,840 --> 00:34:30,500
+of the refractive error of the patient's eye
+
+409
+00:34:30,500 --> 00:34:33,540
+Determining of the refractive error of the
+
+410
+00:34:33,540 --> 00:34:35,600
+patient's eye Determining of the refractive error
+
+411
+00:34:35,600 --> 00:34:36,060
+of the patient's eye Determining of the refractive
+
+412
+00:34:36,060 --> 00:34:37,960
+error of the patient's eye Determining of the
+
+413
+00:34:37,960 --> 00:34:39,240
+refractive error of the patient's eye Determining
+
+414
+00:34:39,240 --> 00:34:40,640
+of the refractive error of the patient's eye
+
+415
+00:34:40,640 --> 00:34:42,880
+Determining of the refractive error of the
+
+416
+00:34:42,880 --> 00:34:43,020
+patient's eye
+
+417
+00:34:47,060 --> 00:34:50,780
+قال approximate of the lens power and improve لل
+
+418
+00:34:50,780 --> 00:34:56,640
+vision لأنه بيعمل تحسين للنظر من خلاله يعني في
+
+419
+00:34:56,640 --> 00:35:00,340
+كمان أسئلة؟ طيب بالنسبة لل near vision شو تعريف ال
+
+420
+00:35:00,340 --> 00:35:04,060
+near vision؟
+
+421
+00:35:11,500 --> 00:35:14,580
+طيب بالنسبة لل near vision testing فحص ال near
+
+422
+00:35:14,580 --> 00:35:19,120
+vision اول اشي انه بيحدث على مسافة كدهش؟ من تلاتين
+
+423
+00:35:19,120 --> 00:35:23,960
+لاربعين سنتميتر وهذا بنسميه ال working distance او
+
+424
+00:35:23,960 --> 00:35:28,500
+ال reading distance طب شو الفرق ما بين ال working
+
+425
+00:35:28,500 --> 00:35:32,320
+distance لل near و ال working distance لل length
+
+426
+00:35:32,320 --> 00:35:33,040
+R؟
+
+427
+00:35:37,940 --> 00:35:44,500
+سهلة، طيب، او
+
+428
+00:35:44,500 --> 00:35:46,000
+ال examiner I؟
+
+429
+00:35:48,980 --> 00:35:52,880
+و هذه المسافة ما بين ال book ال text book و ال
+
+430
+00:35:52,880 --> 00:35:55,580
+patient eye طيب شو ال main difference ما بين ال
+
+431
+00:35:55,580 --> 00:36:01,480
+HOTF test و ال Sheridian Gardner test؟ فضلوا ال
+
+432
+00:36:01,480 --> 00:36:06,140
+HOTF test هي اللي عندها ال crowding phenomenon
+
+433
+00:36:06,140 --> 00:36:13,300
+لإنها بتعمل شهر و ملتقى of the mind فبظهر ان ال
+
+434
+00:36:13,300 --> 00:36:16,320
+eye زي اللي عندي انا ان هو ام اليوم يحتفظ بال
+
+435
+00:36:16,320 --> 00:36:23,370
+school صحيحمين واضحها اكتر؟ هال gate الهوتف تيسك
+
+436
+00:36:23,370 --> 00:36:26,610
+بيكون عبارة عن مجموعة من ايه؟ من ال letter، اي
+
+437
+00:36:26,610 --> 00:36:32,130
+بمعنى عدة optotype مصففة جنب بعض، okay؟ بيكون
+
+438
+00:36:32,130 --> 00:36:36,790
+مافيش مسافة ما بين كل optotype والاخر، لنفهم فهم،
+
+439
+00:36:36,790 --> 00:36:40,450
+الآن مدام الoptotype مصففة جنب بعض
+
+440
+00:36:43,450 --> 00:36:47,590
+من ايه مصفّطة؟ المريضة ما بيشوفها، إيش بيلاحظ؟ إن
+
+441
+00:36:47,590 --> 00:36:51,710
+الـ optotype متداخل، فإذا كان عنده amblyopia،
+
+442
+00:36:51,710 --> 00:36:55,490
+بتلاحظ إن الحرفين اللي في ال center شايفهم، لكن
+
+443
+00:36:55,490 --> 00:36:59,310
+اللي على ال peripheral بيكونوا مش واضحينلكن في
+
+444
+00:36:59,310 --> 00:37:03,890
+الشيردين جاردنر تسك بيكون one optotype هي الواضحة
+
+445
+00:37:03,890 --> 00:37:08,330
+فهو بالنسبة للهوتف تسك بيكون more accurate to
+
+446
+00:37:08,330 --> 00:37:12,290
+amblyobic eye بين جثين ال crowding phenomenon اللي
+
+447
+00:37:12,290 --> 00:37:17,050
+هي ظاهرة التزاحم يعني more accurate to amblyobic
+
+448
+00:37:17,050 --> 00:37:21,090
+eye or lazy eye بين جثين ايه؟ ال crowding
+
+449
+00:37:21,090 --> 00:37:26,370
+phenomenon اللي هي ظاهرة التزاحم هذا ال main
+
+450
+00:37:26,370 --> 00:37:27,470
+difference ما بينهم
+
+451
+00:37:30,530 --> 00:37:33,990
+الـ Sheridian Gardner Test بتكون one optotype،
+
+452
+00:37:33,990 --> 00:37:38,650
+يعني حرف واحد، فالحرف الواحد ممكن أنه المريض
+
+453
+00:37:38,650 --> 00:37:43,410
+يشوفه، لكن ما بيكشف ال amblyobic eye، ليش؟ لأن
+
+454
+00:37:43,410 --> 00:37:48,140
+مافيش تداخل معاها، حرف آخرفهذا بيدل ان المريض انه
+
+455
+00:37:48,140 --> 00:37:52,440
+عنده انبليوبيا او لا من خلال مين الهوتف تيست
+
+456
+00:37:52,440 --> 00:37:56,500
+فالهوتف تيست يعتبر more accurate in amblyobic eye
+
+457
+00:37:56,500 --> 00:38:01,700
+او lazy eye two bracket clouding phenomenon ظاهرة
+
+458
+00:38:01,700 --> 00:38:05,880
+التزاحم طبعا بالنسبة للبرر ال light rays و
+
+459
+00:38:05,880 --> 00:38:10,060
+الconvergent light rays و ال divergence يعني الطوق
+
+460
+00:38:10,060 --> 00:38:16,920
+له تلت يعني الطوق اما بيكونDivergent أو Convergent
+
+461
+00:38:16,920 --> 00:38:20,920
+أو Parallel، بل هو مش رابع، يعني واحدة من تلات
+
+462
+00:38:20,920 --> 00:38:24,620
+الحلال، يا إما بيكون Divergent، يا إما Convergent،
+
+463
+00:38:24,620 --> 00:38:27,500
+يا إما Parallel بالنسبالي ال Convergent إن ال
+
+464
+00:38:27,500 --> 00:38:30,680
+light rays toward to each other، ال Parallels
+
+465
+00:38:30,680 --> 00:38:34,960
+بتكون أيه متوازية، إنه have zero divergence، ال
+
+466
+00:38:34,960 --> 00:38:39,020
+Divergent بتكون إيش ما لها متشتتة أو متفرقة
+
+467
+00:38:42,640 --> 00:38:48,600
+طبعا اية real image يعني او اية real target يما
+
+468
+00:38:48,600 --> 00:38:52,780
+انت بتطلع عليه بتكون الأشعة ايش؟ divergent لأنه
+
+469
+00:38:52,780 --> 00:38:56,280
+الآن هاي الضوء انت شايفه متشتت و انا شايفه و
+
+470
+00:38:56,280 --> 00:38:59,240
+زمايلي كلهم شايفينه لو هذا الضوء parallel او
+
+471
+00:38:59,240 --> 00:39:03,300
+convergent انا ايه؟ بس انا بقدر اشوفه او انت واحد
+
+472
+00:39:03,300 --> 00:39:10,900
+و هي نفس فكرة مين ال sunlight نعم مش دايما، مافي
+
+473
+00:39:10,900 --> 00:39:11,840
+حاجة اسمها دايما
+
+474
+00:39:15,020 --> 00:39:18,260
+أه ال real image دايما انه لازم تكون divergent
+
+475
+00:39:18,260 --> 00:39:22,740
+عشان هيك احنا بنستخدم مين ال sleeve down في حالة
+
+476
+00:39:22,740 --> 00:39:26,620
+اللي هو ال retinascope عشان تكون الأشعة slightly
+
+477
+00:39:26,620 --> 00:39:30,400
+divergent nearly parallel طب هيك مافيش سؤال خلاص
+
+478
+00:39:30,400 --> 00:39:35,000
+طب يعطيكم العافية بتمنى ان شاء الله منكم التوفيق
+
+479
+00:39:35,000 --> 00:39:38,120
+الله يوفقكم ان شاء الله ان شاء الله الامتحان زي ما
+
+480
+00:39:38,120 --> 00:39:43,160
+اتفقنا انه هيكون سهل بس ركزوا في الامتحان بده
+
+481
+00:39:43,160 --> 00:39:43,740
+تركيز
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..e6185390120d50d7e644933dee7c437c7a537a9f
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4896, "start": 21.14, "end": 48.96, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته طبعا اليوم هتكون المحاضرة مراجعة لمادة ال refraction للامتحان النصفي الموافق 2.11.2016 ان شاء الله طبعا بداية بسبب اللي هو اتأخر مع بداية الفصل بدي اديكم ال clinical optometry refraction one ال syllabus بتاعه", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 23032, 3555, 3615, 995, 45595, 20498, 8032, 2655, 30544, 9673, 5016, 46958, 25720, 3714, 2288, 26108, 27884, 32767, 18513, 3660, 2423, 1895, 26766, 24976, 10943, 2655, 5016, 7649, 28239, 9381, 41185, 9673, 14407, 5172, 4587, 568, 13, 5348, 13, 41103, 16472, 13412, 16606, 21984, 23032, 3555, 3615, 995, 4724, 28259, 10632, 4724, 35457, 3555, 13672, 1829, 31439, 1975, 2655, 10721, 34740, 20449, 4724, 28259, 10632, 27188, 36520, 4724, 16254, 1975, 16254, 24793, 2423, 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{"start": 143.18, "end": 143.38, "word": " is", "probability": 0.9326171875}, {"start": 143.38, "end": 143.6, "word": " a", "probability": 0.98291015625}, {"start": 143.6, "end": 144.08, "word": " measurement", "probability": 0.80322265625}, {"start": 144.08, "end": 144.6, "word": " of", "probability": 0.97607421875}, {"start": 144.6, "end": 145.38, "word": " spatial", "probability": 0.29443359375}, {"start": 145.38, "end": 146.28, "word": " resolving", "probability": 0.72314453125}, {"start": 146.28, "end": 146.92, "word": " capacity", "probability": 0.92919921875}, {"start": 146.92, "end": 147.5, "word": " and", "probability": 0.9091796875}, {"start": 147.5, "end": 147.76, "word": " is", "probability": 0.6796875}, {"start": 147.76, "end": 148.2, "word": " applied", "probability": 0.806640625}, {"start": 148.2, "end": 148.48, "word": " to", "probability": 0.97802734375}, {"start": 148.48, "end": 148.9, "word": " central", "probability": 0.779296875}, {"start": 148.9, "end": 149.54, 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{"start": 183.12, "end": 183.6, "word": " الرؤية", "probability": 0.9625651041666666}, {"start": 183.6, "end": 184.54, "word": " المركزية", "probability": 0.9901123046875}, {"start": 184.54, "end": 185.4, "word": " رغم", "probability": 0.91796875}, {"start": 185.4, "end": 185.88, "word": " أنه", "probability": 0.625244140625}, {"start": 185.88, "end": 186.38, "word": " عددها", "probability": 0.9764404296875}, {"start": 186.38, "end": 186.74, "word": " بيكون", "probability": 0.9396158854166666}, {"start": 186.74, "end": 187.12, "word": " أقل", "probability": 0.9430338541666666}, {"start": 187.12, "end": 187.32, "word": " من", "probability": 0.98779296875}, {"start": 187.32, "end": 187.6, "word": " مين", "probability": 0.97021484375}, {"start": 187.6, "end": 187.88, "word": " من", "probability": 0.8955078125}, {"start": 187.88, "end": 188.02, "word": " ال", "probability": 0.98291015625}, {"start": 188.02, "end": 188.3, "word": " road", "probability": 0.9609375}, {"start": 188.3, "end": 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"probability": 0.61962890625}, {"start": 199.04, "end": 199.14, "word": " ال", "probability": 0.67333984375}], "temperature": 1.0}, {"id": 8, "seek": 21898, "start": 200.08, "end": 218.98, "text": "أو في أي تشارت أو لاندلت بروكل رينج دايما بجيس ال visual acuity لمين لحالة ال ال central vision okay هان في عنا it is determined انه ال visual acuity بتحدث by the smallest retinal image", "tokens": [10721, 2407, 8978, 36632, 6055, 8592, 9640, 2655, 34051, 5296, 7649, 3215, 1211, 2655, 4724, 32887, 4117, 1211, 12602, 9957, 7435, 11778, 47302, 15042, 4724, 7435, 1829, 3794, 2423, 5056, 696, 21757, 32767, 9957, 5296, 5016, 6027, 3660, 2423, 2423, 5777, 5201, 1392, 8032, 7649, 8978, 6225, 8315, 309, 307, 9540, 16472, 3224, 2423, 5056, 696, 21757, 39894, 24401, 12984, 538, 264, 16998, 1533, 2071, 3256], "avg_logprob": -0.3416511238510929, "compression_ratio": 1.4245810055865922, "no_speech_prob": 0.0, "words": [{"start": 200.08, "end": 200.38, "word": "أو", "probability": 0.56072998046875}, 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0.906982421875}, {"start": 279.74, "end": 279.94, "word": " أيه", "probability": 0.80029296875}, {"start": 279.94, "end": 280.38, "word": " المقصود", "probability": 0.992431640625}, {"start": 280.38, "end": 282.76, "word": " فيها؟", "probability": 0.8450520833333334}, {"start": 282.76, "end": 284.98, "word": " مقدار", "probability": 0.8966471354166666}, {"start": 284.98, "end": 286.28, "word": " وضوح", "probability": 0.98779296875}, {"start": 286.28, "end": 287.22, "word": " الصورة", "probability": 0.9933268229166666}, {"start": 287.22, "end": 287.46, "word": " أو", "probability": 0.80859375}, {"start": 287.46, "end": 287.8, "word": " وقوع", "probability": 0.9783528645833334}, {"start": 287.8, "end": 288.22, "word": " الصورة", "probability": 0.9921875}, {"start": 288.22, "end": 288.34, "word": " على", "probability": 0.93603515625}, {"start": 288.34, "end": 289.0, "word": " الشبكية", "probability": 0.997314453125}], "temperature": 1.0}, {"id": 12, "seek": 30898, "start": 289.86, "end": 308.98, "text": "عشان من خلالها اني بقدر اشوف الصورة بوضوح طبعا البنات اللي اجوا اجداد سألة سؤال عن ال visual acuity حدة الأبصار حكينا بالنسبة لل visual acuity انه بقيس قداش ال special resolving capacity of the eye و ال central vision", "tokens": [3615, 8592, 7649, 9154, 16490, 1211, 6027, 11296, 16472, 1829, 4724, 28543, 2288, 1975, 8592, 38688, 31767, 13063, 3660, 4724, 2407, 11242, 2407, 5016, 23032, 3555, 3615, 995, 29739, 8315, 2655, 13672, 1829, 1975, 7435, 14407, 1975, 7435, 3215, 18513, 8608, 10721, 37977, 8608, 33604, 6027, 18871, 2423, 5056, 696, 21757, 11331, 41891, 16247, 3555, 9381, 9640, 11331, 4117, 1829, 8315, 20666, 1863, 35457, 3660, 24976, 5056, 696, 21757, 16472, 3224, 4724, 38436, 3794, 12174, 3215, 33599, 2423, 2121, 49940, 6042, 295, 264, 3313, 4032, 2423, 5777, 5201], "avg_logprob": -0.12816011905670166, "compression_ratio": 1.5162790697674418, "no_speech_prob": 0.0, "words": [{"start": 289.86, "end": 290.3, "word": "عشان", "probability": 0.9752604166666666}, 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"end": 297.54, "word": " سألة", "probability": 0.7430013020833334}, {"start": 297.54, "end": 298.12, "word": " سؤال", "probability": 0.9521484375}, {"start": 298.12, "end": 298.6, "word": " عن", "probability": 0.97802734375}, {"start": 298.6, "end": 298.84, "word": " ال", "probability": 0.96923828125}, {"start": 298.84, "end": 299.1, "word": " visual", "probability": 0.88427734375}, {"start": 299.1, "end": 299.68, "word": " acuity", "probability": 0.898193359375}, {"start": 299.68, "end": 300.04, "word": " حدة", "probability": 0.658203125}, {"start": 300.04, "end": 300.7, "word": " الأبصار", "probability": 0.9093017578125}, {"start": 300.7, "end": 301.42, "word": " حكينا", "probability": 0.970703125}, {"start": 301.42, "end": 301.88, "word": " بالنسبة", "probability": 0.98828125}, {"start": 301.88, "end": 302.02, "word": " لل", "probability": 0.85791015625}, {"start": 302.02, "end": 302.32, "word": " visual", "probability": 0.9755859375}, {"start": 302.32, "end": 303.02, "word": " acuity", "probability": 0.954345703125}, {"start": 303.02, "end": 303.5, "word": " انه", "probability": 0.912841796875}, {"start": 303.5, "end": 304.08, "word": " بقيس", "probability": 0.8204752604166666}, {"start": 304.08, "end": 305.0, "word": " قداش", "probability": 0.6463216145833334}, {"start": 305.0, "end": 305.22, "word": " ال", "probability": 0.94677734375}, {"start": 305.22, "end": 305.66, "word": " special", "probability": 0.7109375}, {"start": 305.66, "end": 306.38, "word": " resolving", "probability": 0.73779296875}, {"start": 306.38, "end": 306.92, "word": " capacity", "probability": 0.91357421875}, {"start": 306.92, "end": 307.18, "word": " of", "probability": 0.98388671875}, {"start": 307.18, "end": 307.36, "word": " the", "probability": 0.90478515625}, {"start": 307.36, "end": 307.6, "word": " eye", "probability": 0.9267578125}, {"start": 307.6, "end": 308.0, "word": " و", "probability": 0.9140625}, {"start": 308.0, "end": 308.22, "word": " ال", "probability": 0.892578125}, {"start": 308.22, "end": 308.56, "word": " central", "probability": 0.88720703125}, {"start": 308.56, "end": 308.98, "word": " vision", "probability": 0.9560546875}], "temperature": 1.0}, {"id": 13, "seek": 33937, "start": 310.29, "end": 339.37, "text": "الان فى عندنا ال smallest retinal image يعني قداش أصغر صورة ممكن تتكون وين على الشبكية الان مين اللى بتحكم فيها هذه ال visual acuity بكون مسئول عن قداش الرؤية اللى بتسقط وين على الشبكية واضح ال retinal image فقداش مقدار وضوحة هذه من خلالها بقدر أحدد ال visual acuity و اللى بكون مسئول عنها ال central vision اللى هو الكون", "tokens": [6027, 7649, 6156, 7578, 43242, 8315, 2423, 16998, 1533, 2071, 3256, 37495, 22653, 12174, 3215, 33599, 5551, 9381, 17082, 2288, 20328, 13063, 3660, 3714, 43020, 6055, 2655, 30544, 4032, 9957, 15844, 25124, 3555, 4117, 10632, 2423, 7649, 3714, 9957, 13672, 7578, 39894, 5016, 24793, 8978, 11296, 29538, 2423, 5056, 696, 21757, 4724, 30544, 47524, 19986, 12610, 18871, 12174, 3215, 33599, 34892, 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{"start": 332.03, "end": 332.37, "word": " هذه", "probability": 0.923828125}, {"start": 332.37, "end": 332.81, "word": " من", "probability": 0.84375}, {"start": 332.81, "end": 333.15, "word": " خلالها", "probability": 0.98876953125}, {"start": 333.15, "end": 333.63, "word": " بقدر", "probability": 0.9923502604166666}, {"start": 333.63, "end": 334.43, "word": " أحدد", "probability": 0.85107421875}, {"start": 334.43, "end": 334.61, "word": " ال", "probability": 0.93408203125}, {"start": 334.61, "end": 334.87, "word": " visual", "probability": 0.98974609375}, {"start": 334.87, "end": 335.47, "word": " acuity", "probability": 0.9248046875}, {"start": 335.47, "end": 336.37, "word": " و", "probability": 0.64794921875}, {"start": 336.37, "end": 336.47, "word": " اللى", "probability": 0.824951171875}, {"start": 336.47, "end": 336.75, "word": " بكون", "probability": 0.8671875}, {"start": 336.75, "end": 337.13, "word": " مسئول", "probability": 0.98974609375}, {"start": 337.13, "end": 337.43, 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355.66, "end": 355.82, "word": " is", "probability": 0.9384765625}, {"start": 355.82, "end": 356.0, "word": " a", "probability": 0.9853515625}, {"start": 356.0, "end": 356.38, "word": " measurement", "probability": 0.82568359375}, {"start": 356.38, "end": 356.7, "word": " of", "probability": 0.97998046875}, {"start": 356.7, "end": 357.26, "word": " spatial", "probability": 0.5458984375}, {"start": 357.26, "end": 357.76, "word": " resolving", "probability": 0.80419921875}, {"start": 357.76, "end": 358.38, "word": " capacity", "probability": 0.92822265625}, {"start": 358.38, "end": 358.78, "word": " and", "probability": 0.9404296875}, {"start": 358.78, "end": 359.0, "word": " is", "probability": 0.6875}, {"start": 359.0, "end": 359.38, "word": " applied", "probability": 0.794921875}, {"start": 359.38, "end": 359.66, "word": " to", "probability": 0.97998046875}, {"start": 359.66, "end": 360.1, "word": " central", "probability": 0.77783203125}, {"start": 360.1, "end": 360.52, "word": " 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"probability": 0.778564453125}, {"start": 383.66, "end": 383.96, "word": " بعض", "probability": 0.990478515625}, {"start": 383.96, "end": 384.36, "word": " الكتب", "probability": 0.9930013020833334}, {"start": 384.36, "end": 384.9, "word": " بيكتبوا", "probability": 0.9476725260416666}, {"start": 384.9, "end": 385.26, "word": " عشرين", "probability": 0.9596354166666666}, {"start": 385.26, "end": 385.68, "word": " بريزم", "probability": 0.9805908203125}, {"start": 385.68, "end": 386.84, "word": " ديوبتر،", "probability": 0.949462890625}, {"start": 386.84, "end": 387.3, "word": " انه", "probability": 0.771240234375}, {"start": 387.3, "end": 387.9, "word": " therefore", "probability": 0.78466796875}, {"start": 387.9, "end": 388.48, "word": " يعني", "probability": 0.831787109375}, {"start": 388.48, "end": 388.82, "word": " أنا", "probability": 0.62646484375}, {"start": 388.82, "end": 389.66, "word": " أجبر", "probability": 0.8961588541666666}, {"start": 389.66, "end": 390.3, "word": " 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testing in verbal children في عندنا ال teller card و في عندنا ال card of card نبدأ في ال card of card زي ما حكينا أن هو بناء على جامعة في بريطانيا سموا ال test هذا عبارة عن صور طبعا ان شاء الله هديكم إياها في العملية الصور في من ستة ع ستين لستة ع ستة okay", "tokens": [9566, 1829, 3555, 8978, 43242, 8315, 8717, 45367, 9957, 9154, 2423, 4386, 2423, 4386, 2423, 24781, 2227, 5056, 696, 21757, 4997, 294, 24781, 2227, 8978, 43242, 8315, 2423, 980, 260, 2920, 4032, 8978, 43242, 8315, 2423, 2920, 295, 2920, 8717, 44510, 10721, 8978, 2423, 2920, 295, 2920, 30767, 1829, 19446, 11331, 4117, 1829, 8315, 14739, 31439, 44945, 16606, 15844, 10874, 10943, 27884, 8978, 4724, 16572, 9566, 7649, 25528, 8608, 2304, 14407, 2423, 1500, 23758, 6225, 3555, 9640, 3660, 18871, 20328, 13063, 23032, 3555, 3615, 995, 16472, 13412, 16606, 21984, 8032, 16254, 24793, 11933, 25528, 11296, 8978, 18863, 42213, 10632, 31767, 13063, 8978, 9154, 8608, 2655, 3660, 6225, 8608, 2655, 9957, 5296, 14851, 3660, 6225, 8608, 2655, 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إيه و لازم أنا دايما ال head تعي مش مبين للطفل عشان هو مايركزش إيه مع ال head تعي طبعا بالنسبة لل examiner العين بتاعته بس هي اللي مبينة في عين الطفل", "tokens": [3555, 8592, 38688, 4032, 9957, 21542, 31747, 3660, 50113, 15040, 11933, 15730, 25961, 2655, 8978, 2423, 3056, 4724, 32887, 5016, 50113, 15040, 5551, 5016, 2288, 4587, 30767, 1829, 11933, 1829, 3224, 4032, 5296, 31377, 2304, 41850, 11778, 47302, 15042, 2423, 1378, 37279, 1829, 37893, 3714, 3555, 9957, 24976, 9566, 5172, 1211, 6225, 8592, 7649, 31439, 19446, 13546, 4117, 11622, 8592, 11933, 1829, 3224, 20449, 2423, 1378, 37279, 1829, 23032, 3555, 3615, 995, 20666, 1863, 35457, 3660, 24976, 1139, 4564, 18863, 9957, 39894, 995, 34268, 3224, 4724, 3794, 39896, 13672, 1829, 3714, 3555, 9957, 3660, 8978, 6225, 9957, 41950, 5172, 1211], "avg_logprob": -0.1306466536946816, "compression_ratio": 1.69377990430622, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 890.75, "end": 891.19, "word": "بشوف", "probability": 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"word": " هال", "probability": 0.850341796875}, {"start": 1441.43, "end": 1441.59, "word": " gate", "probability": 0.470458984375}, {"start": 1441.59, "end": 1441.89, "word": " أهم", "probability": 0.9609375}, {"start": 1441.89, "end": 1442.45, "word": " حاجة", "probability": 0.9962565104166666}], "temperature": 1.0}, {"id": 58, "seek": 147003, "start": 1445.49, "end": 1470.03, "text": "أهم شيء في ال visual أول حاجة ال history باخد ال history يعني taking history for patient لما باخد ال history للمريض أنا وصلت ل half of diagnostic لنص التشخيص الخطوة التانية إيش بستخدم ال visual acuity ال visual acuity بحدد قداش ال central vision للمريض", "tokens": [10721, 16095, 44049, 38207, 8978, 2423, 5056, 5551, 12610, 11331, 26108, 3660, 2423, 2503, 4724, 47283, 3215, 2423, 2503, 37495, 22653, 1940, 2503, 337, 4537, 5296, 15042, 4724, 47283, 3215, 2423, 2503, 5296, 19528, 16572, 11242, 41850, 4032, 36520, 2655, 5296, 1922, 295, 27897, 5296, 1863, 9381, 16712, 8592, 9778, 1829, 9381, 33962, 9566, 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"end": 1449.81, "word": " history", "probability": 0.888671875}, {"start": 1449.81, "end": 1450.37, "word": " باخد", "probability": 0.91748046875}, {"start": 1450.37, "end": 1450.49, "word": " ال", "probability": 0.9658203125}, {"start": 1450.49, "end": 1450.89, "word": " history", "probability": 0.86181640625}, {"start": 1450.89, "end": 1451.73, "word": " يعني", "probability": 0.853759765625}, {"start": 1451.73, "end": 1452.33, "word": " taking", "probability": 0.75927734375}, {"start": 1452.33, "end": 1453.41, "word": " history", "probability": 0.84912109375}, {"start": 1453.41, "end": 1453.67, "word": " for", "probability": 0.84521484375}, {"start": 1453.67, "end": 1454.07, "word": " patient", "probability": 0.67626953125}, {"start": 1454.07, "end": 1455.15, "word": " لما", "probability": 0.602783203125}, {"start": 1455.15, "end": 1455.53, "word": " باخد", "probability": 0.984375}, {"start": 1455.53, "end": 1455.65, "word": " ال", "probability": 0.97216796875}, {"start": 1455.65, "end": 1455.97, "word": " history", "probability": 0.8369140625}, {"start": 1455.97, "end": 1456.65, "word": " للمريض", "probability": 0.9632568359375}, {"start": 1456.65, "end": 1457.83, "word": " أنا", "probability": 0.67431640625}, {"start": 1457.83, "end": 1458.55, "word": " وصلت", "probability": 0.97021484375}, {"start": 1458.55, "end": 1458.81, "word": " ل", "probability": 0.83837890625}, {"start": 1458.81, "end": 1459.41, "word": " half", "probability": 0.8134765625}, {"start": 1459.41, "end": 1459.87, "word": " of", "probability": 0.9697265625}, {"start": 1459.87, "end": 1460.57, "word": " diagnostic", "probability": 0.361083984375}, {"start": 1460.57, "end": 1461.15, "word": " لنص", "probability": 0.8868815104166666}, {"start": 1461.15, "end": 1461.87, "word": " التشخيص", "probability": 0.953515625}, {"start": 1461.87, "end": 1463.13, "word": " الخطوة", "probability": 0.9791259765625}, {"start": 1463.13, "end": 1463.49, "word": " التانية", "probability": 0.92578125}, {"start": 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3224, 12399, 20328, 5016, 22807], "avg_logprob": -0.14619140960276128, "compression_ratio": 1.518348623853211, "no_speech_prob": 0.0, "words": [{"start": 1470.89, "end": 1471.41, "word": "لكن", "probability": 0.869384765625}, {"start": 1471.41, "end": 1471.65, "word": " ال", "probability": 0.95556640625}, {"start": 1471.65, "end": 1471.89, "word": " written", "probability": 0.4052734375}, {"start": 1471.89, "end": 1472.41, "word": " scope", "probability": 0.92724609375}, {"start": 1472.41, "end": 1472.71, "word": " أو", "probability": 0.66455078125}, {"start": 1472.71, "end": 1472.87, "word": " ال", "probability": 0.9482421875}, {"start": 1472.87, "end": 1473.09, "word": " auto", "probability": 0.64794921875}, {"start": 1473.09, "end": 1473.89, "word": " refractometer", "probability": 0.73974609375}, {"start": 1473.89, "end": 1474.41, "word": " الجهاز", "probability": 0.9300130208333334}, {"start": 1474.41, "end": 1475.19, "word": " الكمبيوتر", "probability": 0.92158203125}, {"start": 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0.86572265625}, {"start": 1482.35, "end": 1483.69, "word": " واضح؟", "probability": 0.9677734375}, {"start": 1483.69, "end": 1484.03, "word": " لكن", "probability": 0.90087890625}, {"start": 1484.03, "end": 1484.27, "word": " لو", "probability": 0.99365234375}, {"start": 1484.27, "end": 1484.55, "word": " واحد", "probability": 0.987060546875}, {"start": 1484.55, "end": 1484.83, "word": " مثلا", "probability": 0.990966796875}, {"start": 1484.83, "end": 1485.39, "word": " سالج", "probability": 0.8352864583333334}, {"start": 1485.39, "end": 1486.01, "word": " في", "probability": 0.87158203125}, {"start": 1486.01, "end": 1486.09, "word": " ال", "probability": 0.79833984375}, {"start": 1486.09, "end": 1486.31, "word": " written", "probability": 0.93994140625}, {"start": 1486.31, "end": 1486.71, "word": " scope", "probability": 0.92138671875}, {"start": 1486.71, "end": 1487.09, "word": " قداش", "probability": 0.88232421875}, {"start": 1487.09, "end": 1487.23, "word": " ال", "probability": 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"probability": 0.99365234375}, {"start": 1493.53, "end": 1493.85, "word": " خلال", "probability": 0.978515625}, {"start": 1493.85, "end": 1494.33, "word": " مين؟", "probability": 0.9368489583333334}, {"start": 1494.33, "end": 1494.51, "word": " ال", "probability": 0.84326171875}, {"start": 1494.51, "end": 1494.83, "word": " smelling", "probability": 0.1458740234375}, {"start": 1494.83, "end": 1495.27, "word": " أو", "probability": 0.802734375}, {"start": 1495.27, "end": 1495.41, "word": " ال", "probability": 0.89697265625}, {"start": 1495.41, "end": 1495.57, "word": " E", "probability": 0.70556640625}, {"start": 1495.57, "end": 1495.95, "word": " chart", "probability": 0.40087890625}, {"start": 1495.95, "end": 1496.27, "word": " أو", "probability": 0.912109375}, {"start": 1496.27, "end": 1496.43, "word": " ال", "probability": 0.93603515625}, {"start": 1496.43, "end": 1496.57, "word": " C", "probability": 0.89599609375}, {"start": 1496.57, "end": 1497.35, "word": " chart،", "probability": 0.836669921875}, {"start": 1497.35, "end": 1497.63, "word": " ال", "probability": 0.94921875}, {"start": 1497.63, "end": 1498.15, "word": " different", "probability": 0.81884765625}, {"start": 1498.15, "end": 1499.07, "word": " chart،", "probability": 0.5804443359375}, {"start": 1499.07, "end": 1500.13, "word": " okay؟", "probability": 0.6494140625}, {"start": 1500.13, "end": 1500.35, "word": " لكن", "probability": 0.951171875}, {"start": 1500.35, "end": 1500.57, "word": " ال", "probability": 0.97119140625}, {"start": 1500.57, "end": 1500.87, "word": " retina", "probability": 0.773681640625}, {"start": 1500.87, "end": 1501.29, "word": " scope", "probability": 0.85693359375}, {"start": 1501.29, "end": 1502.43, "word": " بيحدد", "probability": 0.989013671875}, {"start": 1502.43, "end": 1502.89, "word": " ال", "probability": 0.927734375}, {"start": 1502.89, "end": 1504.41, "word": " refractive", "probability": 0.9541015625}, {"start": 1504.41, "end": 1504.75, "word": " error", "probability": 0.95458984375}, {"start": 1504.75, "end": 1506.27, "word": " للعين،", "probability": 0.6611328125}, {"start": 1506.27, "end": 1507.59, "word": " determining", "probability": 0.9453125}, {"start": 1507.59, "end": 1507.85, "word": " the", "probability": 0.84228515625}, {"start": 1507.85, "end": 1508.35, "word": " refractive", "probability": 0.9794921875}, {"start": 1508.35, "end": 1508.61, "word": " error", "probability": 0.94091796875}, {"start": 1508.61, "end": 1508.87, "word": " of", "probability": 0.98291015625}, {"start": 1508.87, "end": 1509.91, "word": " the", "probability": 0.9013671875}, {"start": 1509.91, "end": 1510.85, "word": " patient", "probability": 0.9033203125}, {"start": 1510.85, "end": 1511.33, "word": " or", "probability": 0.5791015625}, {"start": 1511.33, "end": 1511.57, "word": " of", "probability": 0.97998046875}, {"start": 1511.57, "end": 1511.73, "word": " the", "probability": 0.9384765625}, {"start": 1511.73, "end": 1511.93, "word": " 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71, "seek": 180964, "start": 1801.08, "end": 1809.64, "text": "أخدنا في ال math ال واحد minute بتمثل ايه؟ واحد degree، okay؟ اذا ال five pieces اكم degree بتمثل؟", "tokens": [10721, 9778, 3215, 8315, 8978, 2423, 5221, 2423, 36764, 24401, 3456, 39894, 2304, 12984, 1211, 1975, 1829, 3224, 22807, 36764, 24401, 4314, 12399, 1392, 22807, 1975, 15730, 2423, 1732, 3755, 1975, 24793, 4314, 39894, 2304, 12984, 1211, 22807], "avg_logprob": -0.22856570436404303, "compression_ratio": 1.2136752136752136, "no_speech_prob": 0.0, "words": [{"start": 1801.08, "end": 1801.6, "word": "أخدنا", "probability": 0.901123046875}, {"start": 1801.6, "end": 1801.72, "word": " في", "probability": 0.98095703125}, {"start": 1801.72, "end": 1801.84, "word": " ال", "probability": 0.92236328125}, {"start": 1801.84, "end": 1802.18, "word": " math", "probability": 0.53662109375}, {"start": 1802.18, "end": 1802.52, "word": " ال", "probability": 0.9169921875}, {"start": 1802.52, "end": 1802.88, "word": " واحد", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8fcfee80278ddc4801d8bd44bb050854a750768c
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/dJud5OG49dM_raw.srt
@@ -0,0 +1,1948 @@
+1
+00:00:21,140 --> 00:00:24,480
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,480 --> 00:00:29,660
+وبركاته طبعا اليوم هتكون المحاضرة مراجعة لمادة ال
+
+3
+00:00:29,660 --> 00:00:35,860
+refraction للامتحان النصفي الموافق 2.11.2016 ان
+
+4
+00:00:35,860 --> 00:00:43,000
+شاء الله طبعا بداية بسبب اللي هو اتأخر مع بداية
+
+5
+00:00:43,000 --> 00:00:47,420
+الفصل بدي اديكم ال clinical optometry refraction
+
+6
+00:00:47,420 --> 00:00:52,870
+one ال syllabus بتاعهفهذه عبارة عن اللي هتكون
+
+7
+00:00:52,870 --> 00:00:57,150
+المادة بتاعتنا ست شباتر احنا تقريبا خلصنا تلت
+
+8
+00:00:57,150 --> 00:01:01,850
+شباتر تقريبا هيبقى معناه اللي هو chapter طبعا هذه
+
+9
+00:01:01,850 --> 00:01:05,670
+تعتبر ال syllabus او مفردات المساء لمادة ال
+
+10
+00:01:05,670 --> 00:01:11,050
+reflection النظري بالنسبة لنموذج الامتحان هيكون
+
+11
+00:01:11,050 --> 00:01:16,450
+السؤال الاول زي ما اتفقنا ان true و false السؤال
+
+12
+00:01:16,450 --> 00:01:23,200
+التاني هيكون mentionالسؤال الثالث examine السؤال
+
+13
+00:01:23,200 --> 00:01:28,380
+الرابع difference ما بين شغلتين الخامس هيكون why
+
+14
+00:01:28,380 --> 00:01:33,800
+السادس كمان why والسبع match okay هاي نمط الامتحان
+
+15
+00:01:33,800 --> 00:01:41,280
+طبعا امتحان من تلاتين امتحان سهل جدا للدارس اكيد
+
+16
+00:01:41,280 --> 00:01:44,760
+معظمه من اللي حكيناه إذا ما كان كله
+
+17
+00:01:47,710 --> 00:01:51,130
+أنا بتمنى انه يكونوا اليوم درسين عشان تكون
+
+18
+00:01:51,130 --> 00:01:57,010
+المحاضرة فيها فائدة من ناحية الأسئلة والإجابة
+
+19
+00:01:57,010 --> 00:02:03,210
+بتاعتها نبدأ من شجة اليمين ايه
+
+20
+00:02:03,210 --> 00:02:08,410
+اي سؤال؟ بفضلك بالتجارة الاخر كده، هدرس فقط
+
+21
+00:02:08,410 --> 00:02:10,550
+شهرانة، ما تدرس كمية؟
+
+22
+00:02:15,840 --> 00:02:19,280
+طيب أول حاجة بالنسبة لل visual acuity، حدة
+
+23
+00:02:19,280 --> 00:02:24,600
+الإبصار، حدة الإبصار it is a measurement of
+
+24
+00:02:24,600 --> 00:02:28,480
+spatial resolving capacity and is applied to
+
+25
+00:02:28,480 --> 00:02:34,480
+central vision، okay؟ إذا بيحدد قداش الرؤية اللي
+
+26
+00:02:34,480 --> 00:02:40,860
+بتستخدمهاانه ال central vision يعني دايما ليش احنا
+
+27
+00:02:40,860 --> 00:02:44,580
+في .. لو بتعرفوا في ال .. ال written up في عندنا
+
+28
+00:02:44,580 --> 00:02:48,280
+ال photo receptor ال photo receptor اللي هي فيها
+
+29
+00:02:48,280 --> 00:02:52,980
+ال rods و ال cone ليش ال cone بتكون مسئول عن ال
+
+30
+00:02:52,980 --> 00:02:58,360
+central vision؟ يعني ..
+
+31
+00:02:58,400 --> 00:03:02,460
+هي بتكون ال responsible بتاعها عن ال central
+
+32
+00:03:02,460 --> 00:03:07,120
+vision عن الرؤية المركزية رغم أنه عددها بيكون أقل
+
+33
+00:03:07,120 --> 00:03:10,560
+من مين من ال road اللي هي تقريبا من ستة لسبعة
+
+34
+00:03:10,560 --> 00:03:15,240
+مليون فانا دايما ال visual acuity بقيس حدة الإبصار
+
+35
+00:03:15,240 --> 00:03:19,040
+لمين لل central vision يعني الآن إما أنا بعمل في
+
+36
+00:03:19,040 --> 00:03:25,320
+الأو في أي تشارت أو لاندلت بروكل رينج دايما بجيس
+
+37
+00:03:25,320 --> 00:03:30,240
+ال visual acuity لمين لحالة ال ال central vision
+
+38
+00:03:30,240 --> 00:03:35,440
+okay هان في عنا it is determined انه ال visual
+
+39
+00:03:35,440 --> 00:03:39,810
+acuity بتحدث by the smallest retinal imageلو
+
+40
+00:03:39,810 --> 00:03:42,710
+تذكروا في ال principle بتاع ال smelling visual
+
+41
+00:03:42,710 --> 00:03:48,850
+acuity أنه بيحدد قداش أصغر صورة ممكن تتكون وين على
+
+42
+00:03:48,850 --> 00:03:53,310
+الشبكية، صح؟ فهنا هي بتحدد ال smallest retinal
+
+43
+00:03:53,310 --> 00:03:58,510
+image أن أصغر صورة ممكن تتكون على الشبكيةthe form
+
+44
+00:03:58,510 --> 00:04:01,710
+of which can be appreciated أنه هذه الصورة ممكن
+
+45
+00:04:01,710 --> 00:04:06,690
+أنه تقدر and it is measured ابتقاص by the smallest
+
+46
+00:04:06,690 --> 00:04:10,490
+object which can be clearly seen at a certain
+
+47
+00:04:10,490 --> 00:04:14,470
+distance بمعنى الآن أنا أمامي target، أنا محدد
+
+48
+00:04:14,470 --> 00:04:18,590
+اللي هو ال target هذا، في عندى ال visual axis اللي
+
+49
+00:04:18,590 --> 00:04:22,670
+هي بيكون ما بين ال vuvia و ما بين ال target هذا
+
+50
+00:04:23,200 --> 00:04:27,420
+فجدتش ال visual acuity بتاعي بتحدد بالنسبة لمين
+
+51
+00:04:27,420 --> 00:04:34,320
+لسقوط الصورة على الشبكية، واضح؟ يعني مقدار سقوط
+
+52
+00:04:34,320 --> 00:04:38,080
+الصورة على الشبكية عشان أقدر أنه أشوف هذا الجسم
+
+53
+00:04:38,080 --> 00:04:47,460
+إيه بوضوح، أيه المقصود فيها؟ مقدار وضوح الصورة أو
+
+54
+00:04:47,460 --> 00:04:51,780
+وقوع الصورة على الشبكيةعشان من خلالها اني بقدر
+
+55
+00:04:51,780 --> 00:04:57,540
+اشوف الصورة بوضوح طبعا البنات اللي اجوا اجداد سألة
+
+56
+00:04:57,540 --> 00:05:01,880
+سؤال عن ال visual acuity حدة الأبصار حكينا بالنسبة
+
+57
+00:05:01,880 --> 00:05:05,660
+لل visual acuity انه بقيس قداش ال special
+
+58
+00:05:05,660 --> 00:05:08,980
+resolving capacity of the eye و ال central vision
+
+59
+00:05:10,290 --> 00:05:14,090
+الان فى عندنا ال smallest retinal image يعني قداش
+
+60
+00:05:14,090 --> 00:05:18,430
+أصغر صورة ممكن تتكون وين على الشبكية الان مين اللى
+
+61
+00:05:18,430 --> 00:05:24,150
+بتحكم فيها هذه ال visual acuity بكون مسئول عن قداش
+
+62
+00:05:24,150 --> 00:05:28,510
+الرؤية اللى بتسقط وين على الشبكية واضح ال retinal
+
+63
+00:05:28,510 --> 00:05:34,610
+image فقداش مقدار وضوحة هذه من خلالها بقدر أحدد ال
+
+64
+00:05:34,610 --> 00:05:37,850
+visual acuity و اللى بكون مسئول عنها ال central
+
+65
+00:05:37,850 --> 00:05:50,000
+vision اللى هو الكونواضح؟ سؤال تاني شجهها يعني
+
+66
+00:05:50,000 --> 00:05:52,540
+أهم حاجة بدي أعرف ال definition بتاع ال visual
+
+67
+00:05:52,540 --> 00:05:57,260
+acuity مهم جدا انه it is a measurement of spatial
+
+68
+00:05:57,260 --> 00:06:00,100
+resolving capacity and is applied to central
+
+69
+00:06:00,100 --> 00:06:09,220
+vision another question؟ طيب ناخد النص؟ اه تفضلالـ
+
+70
+00:06:09,220 --> 00:06:13,100
+fixation test لما استخدرنا ستاشر بريزم كوتوكز،
+
+71
+00:06:13,100 --> 00:06:15,800
+حكيت عشان قوة العين تتلال الريزم، طب ليش ما اختار
+
+72
+00:06:15,800 --> 00:06:19,040
+نغير الستاشر؟ عشان هو بيذاكر بالظبط هو عشان
+
+73
+00:06:19,040 --> 00:06:22,840
+الكلام؟ آه، الآن أنا مابستخدم الستاشر بريزم
+
+74
+00:06:22,840 --> 00:06:26,840
+ديوبتر، وفي بعض الكتب بيكتبوا عشرين بريزم ديوبتر،
+
+75
+00:06:26,840 --> 00:06:31,500
+انه therefore يعني أنا أجبر العين انه تعمل fixate
+
+76
+00:06:31,500 --> 00:06:36,140
+uptherefore to fixate up of the eye يعني عشان أعمل
+
+77
+00:06:36,140 --> 00:06:41,020
+إجبار للعين أنه تعمل إيش؟ fixate up أنه تركز لفوق
+
+78
+00:06:41,020 --> 00:06:45,300
+لأنه دايما الصورة باتجاه مين؟ ال apex في الprism
+
+79
+00:06:45,300 --> 00:06:52,840
+صح؟ والشعاع باتجاه الbase طيب
+
+80
+00:06:52,840 --> 00:06:57,100
+السؤال التاني؟
+
+81
+00:06:57,100 --> 00:07:03,800
+الفضللو المريض عنده full نظر بس فاتنلهوش عدسة plus
+
+82
+00:07:03,800 --> 00:07:08,240
+حمصها هاي بالمضطراب؟ اه لأ اه لكن بس لو كان معاها
+
+83
+00:07:08,240 --> 00:07:13,100
+تدمير بس فاتنلهو معاكسها في حالة ايش؟ ان انت بتاني
+
+84
+00:07:13,100 --> 00:07:17,560
+بهدر انا اهأه في عندنا ال three methods يما انا
+
+85
+00:07:17,560 --> 00:07:21,300
+يكون عندى مريض عنده latent nystagmus يعني بمعنى
+
+86
+00:07:21,300 --> 00:07:27,320
+انه حركة للعين لكن ايش بتكون خفية ففي تلات طرق اما
+
+87
+00:07:27,320 --> 00:07:31,300
+اول طريقة بستخدم occlusion of one eye انه بغطي عين
+
+88
+00:07:31,300 --> 00:07:35,330
+هذا الطريقة اللي هي ال common الشائعةفالطريقة
+
+89
+00:07:35,330 --> 00:07:39,890
+التانية انه بستخدم plus خمسة ديوبتر، طبعا في حالة
+
+90
+00:07:39,890 --> 00:07:43,810
+انه ما يكون المريض hypermetrop أو presbyop لو انا
+
+91
+00:07:43,810 --> 00:07:47,310
+حطيت ال plus خمسة ايش هعمل؟ هعمل improve لل vision
+
+92
+00:07:47,310 --> 00:07:50,530
+صح؟ فهذه الحالة بستثنيها اذا كان المريض
+
+93
+00:07:50,530 --> 00:07:54,650
+hypermetrop او presbyop والحالة التالتة هي ال
+
+94
+00:07:54,650 --> 00:07:58,790
+forested lens العدسة الثلجية طبعا اما انا بستخدم
+
+95
+00:07:58,790 --> 00:08:02,830
+العدسة الثلجية هتسمح للطوق انه يمر لكن الصورة ايش
+
+96
+00:08:02,830 --> 00:08:04,590
+مالها ماهتكونش واضحة
+
+97
+00:08:11,410 --> 00:08:17,230
+شجّه هذه؟ مش
+
+98
+00:08:17,230 --> 00:08:26,450
+هي أسئلة؟ أنا سألت طبعا
+
+99
+00:08:26,450 --> 00:08:30,610
+هو سؤال عبارة عن mention أو short notice يعني يعني
+
+100
+00:08:30,610 --> 00:08:36,990
+أنه توضح أو تصف أو يعني تعدد مثلا شغلة و تشوف مين
+
+101
+00:08:36,990 --> 00:08:43,520
+فيهم ال which more accurateمع أي كيف؟ يعني .. انا
+
+102
+00:08:43,520 --> 00:08:49,740
+مستخدمها عكس الناس خنزة .. اه في حالة
+
+103
+00:08:49,740 --> 00:08:53,220
+الميوم .. اه طب انا ليش اعمل هيك؟ انا في فحص يعني
+
+104
+00:08:53,220 --> 00:08:55,180
+.. بل الآن في عندي latent
+
+105
+00:09:01,190 --> 00:09:06,150
+فانا بدي اكشفها ان هو عنده رقراك فكيف؟ بستخدم علصة
+
+106
+00:09:06,150 --> 00:09:10,790
+plus 5 فهذه ال plus 5 هتكشف ان المريض عنده latent
+
+107
+00:09:10,790 --> 00:09:17,990
+stagmas لأ،
+
+108
+00:09:17,990 --> 00:09:25,630
+هتبين الرقراك بتاعت العين في ال other eye ال other
+
+109
+00:09:25,630 --> 00:09:26,990
+eye بيكون مافيش فيها
+
+110
+00:09:34,120 --> 00:09:37,360
+بنصنع ال normal eye، بغطيش العين اللي فيها
+
+111
+00:09:37,360 --> 00:09:40,300
+المشكلة، لأنه أنا بدأ أكشف في العين اللي فيها
+
+112
+00:09:40,300 --> 00:09:44,360
+المشكلة، واضح كده؟ يعني ال .. يعني الآن يما أنا
+
+113
+00:09:44,360 --> 00:09:47,280
+بحط ال occluder، بحطه للعين ال normal ولا ال
+
+114
+00:09:47,280 --> 00:09:51,180
+abnormal؟ ال normal عشان أكشف مين؟ ال abnormal أو
+
+115
+00:09:51,180 --> 00:09:53,940
+ال forested lens، بحطها لل normal ولا ال abnormal؟
+
+116
+00:09:53,940 --> 00:10:00,300
+دايما لل normal في العين
+
+117
+00:10:00,300 --> 00:10:01,900
+التانية، اللي هي ال abnormal
+
+118
+00:10:14,030 --> 00:10:20,830
+أه تفضلي حاضر
+
+119
+00:10:20,830 --> 00:10:26,570
+هلجيت ال circle of least confusion في عندنا أيضه
+
+120
+00:10:26,570 --> 00:10:30,730
+الآن أنا بشوفه فيله divergence و فيله convergence
+
+121
+00:10:30,730 --> 00:10:35,790
+صح؟ يعني ما الآن مثلا انا ال risk بشكل عام الشعاع
+
+122
+00:10:35,790 --> 00:10:38,790
+ممكن انه يكون convergence و ممكن انه يكون
+
+123
+00:10:38,790 --> 00:10:42,780
+divergenceبالإضافة إنه ممكن يكون horizontal أو
+
+124
+00:10:42,780 --> 00:10:46,960
+vertical، يما تكون الأشعة اللي جاية vertical
+
+125
+00:10:46,960 --> 00:10:51,800
+والأشعة ال horizontal متساويات exactly equal، هذه
+
+126
+00:10:51,800 --> 00:10:55,880
+بقول عنها إنه بصل أنا لنقطة ال circle of least
+
+127
+00:10:55,880 --> 00:11:00,320
+confusion، يعني أفضل رؤية ممكن يشوفها ال patient،
+
+128
+00:11:00,320 --> 00:11:06,140
+يعني هذه كمفهوم لهاو من خلالها انه بيجي موضوع الـ
+
+129
+00:11:06,140 --> 00:11:11,440
+stramconoid انه ال divergence لالاشعة ال vertical
+
+130
+00:11:11,440 --> 00:11:19,440
+و .. طيب
+
+131
+00:11:19,440 --> 00:11:24,580
+ل ال preverbal ولا ال verbal؟ اول حاجة ال
+
+132
+00:11:24,580 --> 00:11:27,900
+occlusion of one eye مابدناش احنا نحفظ ال
+
+133
+00:11:27,900 --> 00:11:32,840
+occlusion of one eye measure the visual acuityيعني
+
+134
+00:11:32,840 --> 00:11:37,260
+بمعنى انه بدين ال visual acuity اما بكون poor او
+
+135
+00:11:37,260 --> 00:11:42,200
+بكون good، اذا هذا ايش بشيرله؟ اذا يعتبر
+
+136
+00:11:42,200 --> 00:11:46,640
+equalitative، كم؟ لأنه ما بيحدد لجديش ال visual
+
+137
+00:11:46,640 --> 00:11:51,060
+acuity، صح؟ ال fixation test بدين ال visual acuity
+
+138
+00:11:51,060 --> 00:11:54,960
+واحد ع ستين، اربع ستين، تلاتة ع ستين، اذا يعتبر
+
+139
+00:11:54,960 --> 00:11:58,810
+equalitativeفي عندنا rotation task، ال rotation
+
+140
+00:11:58,810 --> 00:12:02,990
+task بستخدمه لمين؟ لل both eyes و بلف الطفل، إذا
+
+141
+00:12:02,990 --> 00:12:06,490
+ما بيحدد اللي هو جديش ال visual acuity للطفل، إذا
+
+142
+00:12:06,490 --> 00:12:10,850
+هو يعتبر qualitative ال optokinetic nystagmus
+
+143
+00:12:10,850 --> 00:12:15,730
+drum، في عندنا جنة بيكون standardized drum و مختلف
+
+144
+00:12:15,730 --> 00:12:21,630
+إيش الحجم، يعني ال .. ال strip بتاعته مختلفة، فهو
+
+145
+00:12:21,630 --> 00:12:25,310
+يعتبر إيش؟ يعني بين اربعة و ستين، ستة و ستين، إذا
+
+146
+00:12:25,310 --> 00:12:30,220
+هو quantitativeفي عندنا كمان ال force choice
+
+147
+00:12:30,220 --> 00:12:33,900
+preferational looking test يعتبر quantitative ليش؟
+
+148
+00:12:33,900 --> 00:12:39,360
+لأن في صور متعددة ستة ع ستين ال allencabeg chart
+
+149
+00:12:39,360 --> 00:12:44,300
+أو ال force choice preferational looking test أيضا
+
+150
+00:12:44,300 --> 00:12:50,400
+يعتبر ايه؟ quantitativeالـ sweet test بيحدد مقداش
+
+151
+00:12:50,400 --> 00:12:53,580
+ال visual acuity ممكن يكون more than or equal 6
+
+152
+00:12:53,580 --> 00:12:57,960
+over 24 إذا المريض إيش عمل back up لهم، إذا كان
+
+153
+00:12:57,960 --> 00:13:02,240
+أقل بيكون ال visual acuity less than 6 over 24،
+
+154
+00:13:02,240 --> 00:13:08,400
+okay؟ ال quantitative،
+
+155
+00:13:08,400 --> 00:13:14,790
+لأنه بيحدد جدية، أي تقةأه بس بحدد visual acuity
+
+156
+00:13:14,790 --> 00:13:20,030
+يعني أنا بذكر كتابة هان كيف أنا بكتب ال method
+
+157
+00:13:20,030 --> 00:13:23,270
+بتاعة ال visual acuity في حالة ال .. ال .. ال
+
+158
+00:13:23,270 --> 00:13:33,870
+sweet test أنه مثلا باخد لل right و لل left هذا
+
+159
+00:13:33,870 --> 00:13:38,810
+مش مش عظيم اقتلر ابل دي card و دي card ديطيب في
+
+160
+00:13:38,810 --> 00:13:43,370
+عندنا نوعين من ال .. ال .. ال verbal children
+
+161
+00:13:43,370 --> 00:13:47,090
+visual acuity testing in verbal children في عندنا
+
+162
+00:13:47,090 --> 00:13:51,350
+ال teller card و في عندنا ال card of card نبدأ في
+
+163
+00:13:51,350 --> 00:13:55,770
+ال card of card زي ما حكينا أن هو بناء على جامعة
+
+164
+00:13:55,770 --> 00:14:01,210
+في بريطانيا سموا ال test هذا عبارة عن صور طبعا ان
+
+165
+00:14:01,210 --> 00:14:05,530
+شاء الله هديكم إياها في العملية الصور في من ستة ع
+
+166
+00:14:05,530 --> 00:14:10,740
+ستين لستة ع ستة okayمثلاً ستة ع ستين زي ال largest
+
+167
+00:14:10,740 --> 00:14:14,500
+optotype اللي هو أكبر حرف، بتكون واضحة كتير، يعني
+
+168
+00:14:14,500 --> 00:14:18,280
+الطفل لازم يشوفها، ممكن تكون في ال center الصورة
+
+169
+00:14:18,280 --> 00:14:23,300
+يعني أو بتكون up, down, right or left، okay؟ الستة
+
+170
+00:14:23,300 --> 00:14:27,840
+ع ستة و تلاتين بتخف، يعني الوضوح بتاعك بتكون faint
+
+171
+00:14:28,200 --> 00:14:32,500
+Compare to win to six over sixty يعني بتكون أفتح
+
+172
+00:14:32,500 --> 00:14:37,760
+من الستة ع ستين اتجاهها ممكن يكون متغير بمعنى انه
+
+173
+00:14:37,760 --> 00:14:41,280
+لو فرضنا الستة ع ستين في ال center التاني هتكون up
+
+174
+00:14:41,280 --> 00:14:45,480
+او down فانا بشوف بطلع على وين ال movement ال eye
+
+175
+00:14:45,480 --> 00:14:49,940
+movement ل children للطفل انه بعرض الصورة بالشكل
+
+176
+00:14:49,940 --> 00:14:54,470
+هذابشوف وين الحركة مثلا إذا كانت في ال center بروح
+
+177
+00:14:54,470 --> 00:14:57,730
+مثلا أحرق زي إيه و لازم أنا دايما ال head تعي مش
+
+178
+00:14:57,730 --> 00:15:02,750
+مبين للطفل عشان هو مايركزش إيه مع ال head تعي طبعا
+
+179
+00:15:02,750 --> 00:15:06,630
+بالنسبة لل examiner العين بتاعته بس هي اللي مبينة
+
+180
+00:15:06,630 --> 00:15:11,930
+في عين الطفلو دايما لازم يكون ورا ال chart في حاجة
+
+181
+00:15:11,930 --> 00:15:15,130
+انه مثلا hand up hand down ان الصورة يحددله
+
+182
+00:15:15,130 --> 00:15:18,930
+الاتجاه مش اروح انا مثلا اشوف الصورة هذي up اروح
+
+183
+00:15:18,930 --> 00:15:23,650
+اعرضها للطفل، هيك الطفل هو يتطلع على وين يعني فهم
+
+184
+00:15:23,650 --> 00:15:28,670
+لغة العين بتاعته، فهو هيتطلع برضه up ال tiller
+
+185
+00:15:28,670 --> 00:15:32,810
+card if card عبارة عن خطوط نفس فكرة ال optokainety
+
+186
+00:15:33,620 --> 00:15:39,040
+خطوط برضه مختلفة ايه الحجم مثلا ال 6 ع 60 بيكون ال
+
+187
+00:15:39,040 --> 00:15:44,480
+thickness السماكه بتاعتهم اكتر مثلا من ال 6 ع 36،
+
+188
+00:15:44,480 --> 00:15:49,140
+ال 6 ع 24، ال 6 ع 6، و هكذا، بيكونوا مختلفات الحجم
+
+189
+00:15:49,140 --> 00:15:52,820
+نفس فكرة ال optokina thickness diagram و بيكون
+
+190
+00:15:52,820 --> 00:15:56,940
+الصور يعني مرة right, left, up, down مختلفة برضه
+
+191
+00:15:56,940 --> 00:16:01,000
+ايه الحجم حاضر
+
+192
+00:16:02,310 --> 00:16:07,630
+الـ .. بالنسبة لـ Snilling visual acuity نفس فكرة
+
+193
+00:16:07,630 --> 00:16:10,970
+الـ visual ac .. ال snilling اللي عندنالكن في
+
+194
+00:16:10,970 --> 00:16:14,610
+الطفل مش معقولة انه استخدم مين ال smelling chart
+
+195
+00:16:14,610 --> 00:16:18,570
+لان الطفل مايعرفش حدد الفتحة انه right, left, up,
+
+196
+00:16:18,630 --> 00:16:24,490
+down فانا ايش بستخدم صورة مثلا مطابقة للصورة الستة
+
+197
+00:16:24,490 --> 00:16:29,490
+ع ستين فهو مثلا اكبر صورة بقوللي هادي ع ستة ع ستين
+
+198
+00:16:29,490 --> 00:16:34,190
+يعني بعمل عملية match توصيل يعني مين اكبر صورة
+
+199
+00:16:34,190 --> 00:16:38,550
+بوصلهاطبعا هدى مش معقول انا استخدمها لطفل مايكونش
+
+200
+00:16:38,550 --> 00:16:42,590
+intelligent ذكى، يعني واحد طفل مش .. uncoperative
+
+201
+00:16:42,590 --> 00:16:47,710
+مش صح انه استخدم معاه مين؟ ال .. ال snail .. ال
+
+202
+00:16:47,710 --> 00:16:51,530
+snail and chart او ال familiar ايه؟ tumbling chart
+
+203
+00:16:51,530 --> 00:16:54,030
+يعني حجم الصورة مايكون نفس حجم الاطل طيب الواحد؟
+
+204
+00:16:54,030 --> 00:17:00,010
+بالظبط، نفس الحجم بتاعه، اه وبيعمل عملية match،
+
+205
+00:17:00,010 --> 00:17:03,550
+توصيل لهدى الصورة، وهى تعتبر a quantitative برضه
+
+206
+00:17:04,360 --> 00:17:12,660
+يعني نفس فكرة ال snail in each يعني في سؤال
+
+207
+00:17:12,660 --> 00:17:20,660
+يعني مفهوم المادة ولا إيش هفهم دي مش صعبة
+
+208
+00:17:20,660 --> 00:17:28,120
+ولا صعبة الحمد لله لا
+
+209
+00:17:28,120 --> 00:17:33,380
+بدهاش حفظ امتحان مافيش فيه ولا حاجة حفظ نعم
+
+210
+00:17:34,650 --> 00:17:39,110
+لأ أنا جبته match عشان أنا عارف شوية التعريفات من
+
+211
+00:17:39,110 --> 00:17:45,250
+ناحية اللغة أصلا نعم
+
+212
+00:17:45,250 --> 00:17:52,500
+مانا بناء على ال quiz بنيت الامتحانفي ناحية ال
+
+213
+00:17:52,500 --> 00:17:56,840
+spelling شوية عندكم .. طبعا .. اه في المناسبة ال
+
+214
+00:17:56,840 --> 00:18:00,420
+spelling لازم يكون صح في الكلمات ال .. ال .. في ال
+
+215
+00:18:00,420 --> 00:18:03,240
+optometry يعني ال hypermetroid, ال myopia, ال
+
+216
+00:18:03,240 --> 00:18:07,380
+astigmatism اي معلومة مش عارفاها اكتبيها في العربي
+
+217
+00:18:07,380 --> 00:18:12,460
+انا بمشيها ان شاء الله بس مش كل الجملة تكون عربي
+
+218
+00:18:12,460 --> 00:18:15,040
+او كل الكلام يكون عربي يعني لو كلمة مثلا
+
+219
+00:18:15,040 --> 00:18:18,500
+ماعرفتيهاش اكتب بين قصير بالعربي طب و ساحنا
+
+220
+00:18:18,500 --> 00:18:26,860
+انتصاراتبس هكون اعرف الاختصارة نعم عادي
+
+221
+00:18:26,860 --> 00:18:30,400
+اه بالعكس انا بدي .. انا هديكم ان شاء الله ورقة ال
+
+222
+00:18:30,400 --> 00:18:33,680
+abbreviation في المعمل لكل الاختصارات بتاعة ال
+
+223
+00:18:33,680 --> 00:18:43,860
+optometric او clinical refraction خاين جوا في
+
+224
+00:18:43,860 --> 00:18:44,920
+اي سؤال كمان؟
+
+225
+00:18:50,120 --> 00:18:52,740
+طيب شو الفرق ما بين ال spherical lens و ال
+
+226
+00:18:52,740 --> 00:19:00,880
+cylindrical lens؟ ال cylindrical لليوم
+
+227
+00:19:00,880 --> 00:19:06,040
+وصلنا ل ال mid term فضل
+
+228
+00:19:06,040 --> 00:19:16,520
+مرة
+
+229
+00:19:16,520 --> 00:19:18,760
+تانية تقدر ترسميها
+
+230
+00:19:21,660 --> 00:19:25,840
+شو الفرق ما بين ال spherical lens و ال cylindrical
+
+231
+00:19:25,840 --> 00:19:37,320
+lens؟ ال spherical يكون محاول متساوية أما
+
+232
+00:19:37,320 --> 00:19:42,400
+ال cylindrical يكون واحد منه فش علي بوار و تن علي
+
+233
+00:19:42,400 --> 00:19:49,390
+ثاني صحيحيعني بمعنى ان ال spherical lens بتكون all
+
+234
+00:19:49,390 --> 00:19:54,170
+the meridian have the same power، ال cylinder lens
+
+235
+00:19:54,170 --> 00:19:57,370
+بيكون one meridian، والpower بيكون ايه؟
+
+236
+00:19:57,370 --> 00:20:00,810
+perpendicular to the axis عمودي على ال axis طيب شو
+
+237
+00:20:00,810 --> 00:20:03,390
+الفرق ما بين ال spherical error و ال spherical
+
+238
+00:20:03,390 --> 00:20:10,570
+lens؟ ال spherical
+
+239
+00:20:10,570 --> 00:20:11,750
+lens هو عرفناها
+
+240
+00:20:17,660 --> 00:20:21,160
+يعني you have the same refractive error in whole
+
+241
+00:20:21,160 --> 00:20:22,660
+the meridian صح؟
+
+242
+00:20:24,840 --> 00:20:28,340
+الـ spherical lens have the same refractive power
+
+243
+00:20:28,340 --> 00:20:33,060
+in all meridian يعني بور قوة يعني plus واحد على ال
+
+244
+00:20:33,060 --> 00:20:35,880
+vertical بتكون نفسها plus واحد على ال horizontal
+
+245
+00:20:35,880 --> 00:20:39,720
+على كل المحاور لكن بالنسبة لل spherical error
+
+246
+00:20:39,720 --> 00:20:44,620
+بتكون have the same refractive error in all the
+
+247
+00:20:44,620 --> 00:20:49,140
+meridian بمعنى إذا كان عنده في ال horizontal minus
+
+248
+00:20:49,140 --> 00:20:54,550
+في ال vertical برضه بيكون minusبلاس أي بمعنى hyper
+
+249
+00:20:54,550 --> 00:20:58,750
+metroid hyper metroid ميوب ميوب انه كله بيكون ايه؟
+
+250
+00:20:58,750 --> 00:21:01,910
+have the same refractive error in all the meridian
+
+251
+00:21:01,910 --> 00:21:08,350
+طيب
+
+252
+00:21:08,350 --> 00:21:11,250
+شو الفرق ما بين ال objective و ال subjective
+
+253
+00:21:11,250 --> 00:21:13,850
+refraction؟ up to you
+
+254
+00:21:19,650 --> 00:21:22,690
+الobjective refraction اللي هو يعني إنه الإنسان
+
+255
+00:21:22,690 --> 00:21:26,630
+غارب يشتغل بدون أنه ساعات تمارين أما without ..
+
+256
+00:21:26,630 --> 00:21:31,090
+دول ما يتدخل، لكن ال subjective بتدخل طيب مين ممكن
+
+257
+00:21:31,090 --> 00:21:34,690
+أنه يعرفها باللغة الإنقليزية، الفرق ما بين ال
+
+258
+00:21:34,690 --> 00:21:37,150
+objective و ال subjective refraction؟ ال
+
+259
+00:21:37,150 --> 00:21:42,850
+preliminary
+
+260
+00:21:44,670 --> 00:21:53,830
+ممكن اكتب initial preliminary
+
+261
+00:21:53,830 --> 00:22:12,430
+او
+
+262
+00:22:12,430 --> 00:22:16,470
+initial examinationإذا الفرق ما بين ال objective
+
+263
+00:22:16,470 --> 00:22:19,630
+refraction وال subjective refraction ال objective
+
+264
+00:22:19,630 --> 00:22:23,050
+refraction it is a preliminary or initial
+
+265
+00:22:23,050 --> 00:22:27,070
+examination of the refractive error without a
+
+266
+00:22:27,070 --> 00:22:31,450
+response from the patient بمعنى هو عبارة عن فحص
+
+267
+00:22:31,450 --> 00:22:38,220
+أولي بتم للمريض دون تدخل من الفاحصدون تدخل المريض
+
+268
+00:22:38,220 --> 00:22:41,440
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+269
+00:22:41,440 --> 00:22:41,500
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+270
+00:22:41,500 --> 00:22:41,500
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+271
+00:22:41,500 --> 00:22:41,500
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+272
+00:22:41,500 --> 00:22:41,640
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+273
+00:22:41,640 --> 00:22:41,640
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+274
+00:22:41,640 --> 00:22:46,120
+دون تدخل المريض دون تدخل المريض دون تدخل المريض
+
+275
+00:22:46,120 --> 00:22:52,880
+دون تدخل المريض دون تدخل المريض دون
+
+276
+00:22:52,880 --> 00:22:57,320
+تدخل
+
+277
+00:22:57,320 --> 00:22:59,080
+المري
+
+278
+00:23:01,770 --> 00:23:05,370
+أبو سيد بصراحة إحنا نحكي ال object هو تحس أولي و
+
+279
+00:23:05,370 --> 00:23:08,630
+ال subject بتأكيده، يعني أنا في ال objective بعمل
+
+280
+00:23:08,630 --> 00:23:11,430
+bulletin و التأكيد طب كانت بتكون علينا التأكيد في
+
+281
+00:23:11,430 --> 00:23:14,990
+ال subject هو في ال verification لو أنت لحظة في
+
+282
+00:23:14,990 --> 00:23:19,460
+المفردات بتاعة المساءفي في شبتر خمسة، لأ شبتر أربع
+
+283
+00:23:19,460 --> 00:23:23,720
+ال subjective verification of refraction للسفير و
+
+284
+00:23:23,720 --> 00:23:27,300
+للسليندا، بمعنى الآن انا طلعت ال final objective
+
+285
+00:23:27,300 --> 00:23:30,220
+refraction في ال retinascope اللي هو موضوع ال
+
+286
+00:23:30,220 --> 00:23:34,180
+trial يعني عندما نعمل ال trial انه كيف نعمل ان
+
+287
+00:23:34,180 --> 00:23:37,780
+مريض مثلا يكون myopic او hyper metropic كيف نصلح
+
+288
+00:23:37,780 --> 00:23:41,730
+الخطأ الانكساري؟بعدها بنعمل verification في عدة
+
+289
+00:23:41,730 --> 00:23:44,610
+اللي هو طرق إما ال biochrome test أو ال pin hole
+
+290
+00:23:44,610 --> 00:23:48,610
+أو .. بس الآن اه لسه أنا ماتخناش فيه، الآن تعرفي
+
+291
+00:23:48,610 --> 00:23:51,490
+بشكل عام إيش الفرق ما بين ال objective و ال
+
+292
+00:23:51,490 --> 00:23:58,850
+subjective method okay؟ لأ
+
+293
+00:23:58,850 --> 00:24:02,450
+كل واحد يعني هال gate أهم حاجة
+
+294
+00:24:05,490 --> 00:24:10,490
+أهم شيء في ال visual أول حاجة ال history باخد ال
+
+295
+00:24:10,490 --> 00:24:15,530
+history يعني taking history for patient لما باخد
+
+296
+00:24:15,530 --> 00:24:20,570
+ال history للمريض أنا وصلت ل half of diagnostic
+
+297
+00:24:20,570 --> 00:24:25,070
+لنص التشخيص الخطوة التانية إيش بستخدم ال visual
+
+298
+00:24:25,070 --> 00:24:29,050
+acuity ال visual acuity بحدد قداش ال central
+
+299
+00:24:29,050 --> 00:24:33,090
+vision للمريضلكن ال written scope أو ال auto
+
+300
+00:24:33,090 --> 00:24:37,310
+refractometer الجهاز الكمبيوتر هذا بيحدد يعني
+
+301
+00:24:37,310 --> 00:24:40,890
+determining the refractive error يعني قداش القوة
+
+302
+00:24:40,890 --> 00:24:46,010
+الانكسارية للعين، واضح؟ لكن لو واحد مثلا سالج في
+
+303
+00:24:46,010 --> 00:24:48,930
+ال written scope قداش ال visual acuity بتاعه، صح؟
+
+304
+00:24:49,990 --> 00:24:53,370
+لأنه بيحددش إيه؟ ال visual acuity، visual acuity
+
+305
+00:24:53,370 --> 00:24:56,570
+من خلال مين؟ ال smelling أو ال E chart أو ال C
+
+306
+00:24:56,570 --> 00:25:00,870
+chart، ال different chart، okay؟ لكن ال retina
+
+307
+00:25:00,870 --> 00:25:07,590
+scope بيحدد ال refractive error للعين، determining
+
+308
+00:25:07,590 --> 00:25:11,930
+the refractive error of the patient or of the eye
+
+309
+00:25:25,330 --> 00:25:34,050
+كمان في أسئلة؟ طيب شو ال benefit of refraction؟ ال
+
+310
+00:25:34,050 --> 00:25:38,870
+benefit of refraction هو
+
+311
+00:25:38,870 --> 00:25:44,550
+determining of the refractive condition of the eye
+
+312
+00:25:44,550 --> 00:25:46,710
+من مجموعة ومجموعة ومجموعة واسمة ومجموعة واسمة
+
+313
+00:25:46,710 --> 00:25:48,510
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+314
+00:25:48,510 --> 00:25:50,270
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+315
+00:25:50,270 --> 00:25:50,630
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+316
+00:25:50,630 --> 00:25:50,630
+ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة ومجموعة
+
+317
+00:25:50,630 --> 00:25:52,700
+ومجموعة ومجموعة ومجمو provide clear and
+
+318
+00:25:52,700 --> 00:26:00,560
+comfortable vision طيب
+
+319
+00:26:00,560 --> 00:26:05,340
+شو الفرق ما بين defective vision و ال eye strain؟
+
+320
+00:26:27,810 --> 00:26:32,610
+ممتازة بس ممكن انا يعني بالنسبة ل ال defective
+
+321
+00:26:32,610 --> 00:26:36,990
+vision انه يعتبر one of the refractive error or
+
+322
+00:26:36,990 --> 00:26:40,210
+one of the optical state of the eye ميوب،
+
+323
+00:26:40,210 --> 00:26:43,410
+هيبرمتروب، استجمتزم انا بالنسبة لل defective
+
+324
+00:26:43,410 --> 00:26:50,150
+vision يعني خلل بصري صح؟النقطة التانية ال .. ال ..
+
+325
+00:26:50,150 --> 00:26:54,330
+ال eye strain، هذا بنتج نتيجة إيش؟ إن واحد مثلا
+
+326
+00:26:54,330 --> 00:27:00,130
+عنده deficiency في ال accommodation، صح؟ فبيعمللي
+
+327
+00:27:00,130 --> 00:27:03,090
+ال headache و ال eye strain، يعني مش نتيجة ال
+
+328
+00:27:03,090 --> 00:27:08,010
+visual symptom، نتيجة ال ocular symptom، صح؟
+
+329
+00:27:08,010 --> 00:27:12,880
+بالنسبة ل eye strainيعني ال eye strain زي بالظبط
+
+330
+00:27:12,880 --> 00:27:17,680
+واحد عنده واحد hyper metrop أو breast biome okay؟
+
+331
+00:27:17,680 --> 00:27:21,180
+الآن بيستخدم القريب عنده مشكلة في القريب يعني
+
+332
+00:27:21,180 --> 00:27:24,800
+بييجي بقرا بيحس حاله انه ايه في عنده trouble انه
+
+333
+00:27:24,800 --> 00:27:29,680
+بتعب فهذا ايش الخلل اللي عنده هيصير؟ هيصير عنده
+
+334
+00:27:29,680 --> 00:27:33,540
+headache وعنده eye strain إجهاد للعين فهذا المريض
+
+335
+00:27:33,540 --> 00:27:37,800
+نتيجة ايش الإجهاد والخلل؟ انه عنده deficiency في
+
+336
+00:27:37,800 --> 00:27:42,160
+ال accommodationما لهاش علاقة في ال vision انه
+
+337
+00:27:42,160 --> 00:27:44,760
+عنده نقص في ال accommodation فهو ماعندهوش
+
+338
+00:27:44,760 --> 00:27:48,780
+accommodation كافي انه يتغلب على ايش؟ على القراءة
+
+339
+00:27:48,780 --> 00:27:56,700
+او هذا، فبتلاقي الأعراض بتظهر هذه له واضح؟
+
+340
+00:27:56,700 --> 00:28:01,860
+طبعا
+
+341
+00:28:01,860 --> 00:28:04,240
+حكينا ايش معناة السينوبيا؟
+
+342
+00:28:06,990 --> 00:28:17,770
+أيفا تي بالظبط انه إجهاد العين الاسم
+
+343
+00:28:17,770 --> 00:28:29,670
+نوبيا معناها ال ايفا تي كتب طبعا
+
+344
+00:28:29,670 --> 00:28:32,830
+أوبيا معناها vision في اللاتيني
+
+345
+00:28:37,720 --> 00:28:45,360
+زي مثلا أفاكيا، كلها معناها not أسنوبيا
+
+346
+00:28:45,360 --> 00:28:51,460
+لأ مش nothing، بس دايما مثلا عندنا أفاكيا، أفاكيا
+
+347
+00:28:51,460 --> 00:28:56,760
+بمعنى absent of the lens، غياب العدسة، يعني دايما
+
+348
+00:28:56,760 --> 00:29:02,000
+ال F عندنا تعتبر زي مثلا Ametropia، Ametropia
+
+349
+00:29:02,000 --> 00:29:04,560
+تعتبر not يعني معناها
+
+350
+00:29:08,030 --> 00:29:11,630
+طب شو ال principle تعالي ال visual acuity؟ what is
+
+351
+00:29:11,630 --> 00:29:20,450
+the principle of visual acuity؟
+
+352
+00:29:20,450 --> 00:29:23,730
+مش
+
+353
+00:29:23,730 --> 00:29:28,730
+حاجة ان ارفع يدي كمان بتكلمت what
+
+354
+00:29:28,730 --> 00:29:32,050
+is the principle of a snail in visual acuity؟ شو
+
+355
+00:29:32,050 --> 00:29:34,630
+المبدأ تعالي ال snail in visual acuity؟
+
+356
+00:29:37,580 --> 00:29:43,040
+طيب سهل كتير اعتبروني انه ماشرحتوش اول حاجة في
+
+357
+00:29:43,040 --> 00:29:46,820
+عندنا حاجة بنسميها ال minute وفي حاجة اسمها ايه ال
+
+358
+00:29:46,820 --> 00:29:54,460
+degree الان كل حرف ال E بتلاقي له خمس pieces يعني
+
+359
+00:29:54,460 --> 00:30:01,600
+خمس قطع okay كل واحد piece بيمثل واحد minuteأخدنا
+
+360
+00:30:01,600 --> 00:30:05,920
+في ال math ال واحد minute بتمثل ايه؟ واحد degree،
+
+361
+00:30:05,920 --> 00:30:10,580
+okay؟ اذا ال five pieces اكم degree بتمثل؟five
+
+362
+00:30:10,580 --> 00:30:14,340
+degree ال five degree بتمثل five minutes إذا كل
+
+363
+00:30:14,340 --> 00:30:20,720
+خمسة pieces بتمثل خمسة degree okay الآن إيش بتمثل
+
+364
+00:30:20,720 --> 00:30:24,680
+هذه ال minimum angle resolution هي عبارة عن
+
+365
+00:30:24,680 --> 00:30:28,740
+الزاوية ال smallest retinal image اللي بتكونها وين
+
+366
+00:30:28,740 --> 00:30:33,020
+في ال normal eye في العين الطبيعية يعني أصغر صورة
+
+367
+00:30:33,020 --> 00:30:37,380
+بتشكل على الشبكية يما يكون ال normal vision أي
+
+368
+00:30:37,380 --> 00:30:43,820
+بمعنى إن الصورة واقعةعلى الشبكية فالان ليش مثلا في
+
+369
+00:30:43,820 --> 00:30:47,960
+ال snail and shark بتكون الأحرف كلها متواجدة لكن
+
+370
+00:30:47,960 --> 00:30:52,080
+المسافة أشمالها ثابتة يعني بمعنى انه ستة ع ستين،
+
+371
+00:30:52,080 --> 00:30:55,600
+ستة ع ستة و تلاتين، ستة على أربع و عشرين يعني
+
+372
+00:30:55,600 --> 00:31:03,880
+بيكون شكلها شكل هذا ان ال size of optotype متغير
+
+373
+00:31:03,880 --> 00:31:10,550
+لكن الحجم أشماله أو عفوا المسافة بتكون ثابتةيعني
+
+374
+00:31:10,550 --> 00:31:16,610
+لو فرضنا هاي
+
+375
+00:31:16,610 --> 00:31:20,530
+العين تلاقي
+
+376
+00:31:20,530 --> 00:31:29,710
+hand مثلا ايه؟ او ايه؟ بعدين ايه؟ بتكبر، لحد دي ما
+
+377
+00:31:29,710 --> 00:31:35,700
+بتصل handفهان مثلا بتكون ستة على ستة، هان بتكون
+
+378
+00:31:35,700 --> 00:31:40,040
+ستة على ستين، الستة هذه المسافة إيش مالها؟ ثابتة،
+
+379
+00:31:40,040 --> 00:31:44,180
+يعني constant،
+
+380
+00:31:44,180 --> 00:31:52,560
+distant، okay ال size of optotype بيكون إيه؟ متغير
+
+381
+00:31:57,120 --> 00:32:02,120
+فالان انا كل ما وضعت مثلا ستة ع ستين لو حطيت ال
+
+382
+00:32:02,120 --> 00:32:06,140
+optotype الستة ع ستين اللي هو largest letter حطيته
+
+383
+00:32:06,140 --> 00:32:10,200
+على مسافة ستين متر انا هشوفه ايش؟ ستة ع ستة كأنه
+
+384
+00:32:10,200 --> 00:32:16,100
+ستة ع ستة لو ستة و تلاتين هشوفه على مسافة ستة و
+
+385
+00:32:16,100 --> 00:32:20,260
+تلاتين اربع عشرين تمانت عاش و هكذا فالان لو واحد
+
+386
+00:32:20,260 --> 00:32:23,820
+مثلا بيشوف ال line اتنعش كداش ال visual acuity
+
+387
+00:32:23,820 --> 00:32:27,860
+بتاعه؟أي بمعنى الـ optotype 12، كداش ال visual
+
+388
+00:32:27,860 --> 00:32:33,000
+acuity؟ 6 ع 12، 8 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6،
+
+389
+00:32:33,000 --> 00:32:35,520
+6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6
+
+390
+00:32:35,520 --> 00:32:36,900
+ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+391
+00:32:36,900 --> 00:32:38,300
+6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+392
+00:32:38,300 --> 00:32:38,300
+6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+393
+00:32:38,300 --> 00:32:38,300
+6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+394
+00:32:38,300 --> 00:32:42,080
+6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع 6، 6 ع
+
+395
+00:32:42,080 --> 00:32:49,380
+6، 6 ع 6، 6 ع
+
+396
+00:32:49,380 --> 00:32:53,920
+6كداش المسافة بينهم؟ اربعة من الف مليميتر او اربع
+
+397
+00:32:53,920 --> 00:32:57,740
+مايكرون واضح؟ هذه بتمثل ايش؟ ال smallest retinal
+
+398
+00:32:57,740 --> 00:33:05,580
+image in the normal eye ال diameter،
+
+399
+00:33:05,580 --> 00:33:13,980
+القطر، اه قطر الكون، اربعة من الف مليميتر او اربع
+
+400
+00:33:13,980 --> 00:33:14,440
+مايكرون
+
+401
+00:33:18,370 --> 00:33:21,350
+أنا ممكن أكون سؤال، what is the principle of smell
+
+402
+00:33:21,350 --> 00:33:27,370
+and visual acuity؟ يعني
+
+403
+00:33:27,370 --> 00:33:31,910
+شو المبدأ بتاعها؟ يعني حتى ممكن أنه .. يعني و أنت
+
+404
+00:33:31,910 --> 00:33:35,210
+بتقيس ال visual acuity لأي مريض، يقولك كيف بنيت
+
+405
+00:33:35,210 --> 00:33:39,370
+هذه؟ انه إيش المبدأ بتاعها؟ بتاع ال visual acuity؟
+
+406
+00:33:43,850 --> 00:33:47,730
+طبعا ال measurement notation واضحة حوالي من سنلن ل
+
+407
+00:33:47,730 --> 00:33:52,730
+feet عفوا من meter ل feet من decimal ل mark من
+
+408
+00:33:52,730 --> 00:34:02,570
+mark ل log mark اعتقد هذه كلها واضحة عندنا بالنسبة
+
+409
+00:34:02,570 --> 00:34:05,350
+لل goal of retinascope او ال aims الهدف من ال
+
+410
+00:34:05,350 --> 00:34:11,370
+retinascope ايضا واضح شو الهدف منه؟ what is the
+
+411
+00:34:11,370 --> 00:34:12,730
+aim of retinascope؟
+
+412
+00:34:17,540 --> 00:34:21,660
+What is the aim of retinascope? Determine the
+
+413
+00:34:21,660 --> 00:34:28,840
+refractive error of the patient's eye Determining
+
+414
+00:34:28,840 --> 00:34:30,500
+of the refractive error of the patient's eye
+
+415
+00:34:30,500 --> 00:34:33,540
+Determining of the refractive error of the
+
+416
+00:34:33,540 --> 00:34:35,600
+patient's eye Determining of the refractive error
+
+417
+00:34:35,600 --> 00:34:36,060
+of the patient's eye Determining of the refractive
+
+418
+00:34:36,060 --> 00:34:37,960
+error of the patient's eye Determining of the
+
+419
+00:34:37,960 --> 00:34:39,240
+refractive error of the patient's eye Determining
+
+420
+00:34:39,240 --> 00:34:40,640
+of the refractive error of the patient's eye
+
+421
+00:34:40,640 --> 00:34:42,880
+Determining of the refractive error of the
+
+422
+00:34:42,880 --> 00:34:43,020
+patient's eye
+
+423
+00:34:47,060 --> 00:34:50,780
+قال approximate of the lens power and improve لل
+
+424
+00:34:50,780 --> 00:34:56,640
+vision لأنه بيعمل تحسين للنظر من خلاله يعني في
+
+425
+00:34:56,640 --> 00:35:00,340
+كمان أسئلة؟ طيب بالنسبة لل near vision شو تعريف ال
+
+426
+00:35:00,340 --> 00:35:04,060
+near vision؟
+
+427
+00:35:11,500 --> 00:35:14,580
+طيب بالنسبة لل near vision testing فحص ال near
+
+428
+00:35:14,580 --> 00:35:19,120
+vision اول اشي انه بيحدث على مسافة كدهش؟ من تلاتين
+
+429
+00:35:19,120 --> 00:35:23,960
+لاربعين سنتميتر وهذا بنسميه ال working distance او
+
+430
+00:35:23,960 --> 00:35:28,500
+ال reading distance طب شو الفرق ما بين ال working
+
+431
+00:35:28,500 --> 00:35:32,320
+distance لل near و ال working distance لل length
+
+432
+00:35:32,320 --> 00:35:33,040
+R؟
+
+433
+00:35:37,940 --> 00:35:44,500
+سهلة، طيب، او
+
+434
+00:35:44,500 --> 00:35:46,000
+ال examiner I؟
+
+435
+00:35:48,980 --> 00:35:52,880
+و هذه المسافة ما بين ال book ال text book و ال
+
+436
+00:35:52,880 --> 00:35:55,580
+patient eye طيب شو ال main difference ما بين ال
+
+437
+00:35:55,580 --> 00:36:01,480
+HOTF test و ال Sheridian Gardner test؟ فضلوا ال
+
+438
+00:36:01,480 --> 00:36:06,140
+HOTF test هي اللي عندها ال crowding phenomenon
+
+439
+00:36:06,140 --> 00:36:13,300
+لإنها بتعمل شهر و ملتقى of the mind فبظهر ان ال
+
+440
+00:36:13,300 --> 00:36:16,320
+eye زي اللي عندي انا ان هو ام اليوم يحتفظ بال
+
+441
+00:36:16,320 --> 00:36:23,370
+school صحيحمين واضحها اكتر؟ هال gate الهوتف تيسك
+
+442
+00:36:23,370 --> 00:36:26,610
+بيكون عبارة عن مجموعة من ايه؟ من ال letter، اي
+
+443
+00:36:26,610 --> 00:36:32,130
+بمعنى عدة optotype مصففة جنب بعض، okay؟ بيكون
+
+444
+00:36:32,130 --> 00:36:36,790
+مافيش مسافة ما بين كل optotype والاخر، لنفهم فهم،
+
+445
+00:36:36,790 --> 00:36:40,450
+الآن مدام الoptotype مصففة جنب بعض
+
+446
+00:36:43,450 --> 00:36:47,590
+من ايه مصفّطة؟ المريضة ما بيشوفها، إيش بيلاحظ؟ إن
+
+447
+00:36:47,590 --> 00:36:51,710
+الـ optotype متداخل، فإذا كان عنده amblyopia،
+
+448
+00:36:51,710 --> 00:36:55,490
+بتلاحظ إن الحرفين اللي في ال center شايفهم، لكن
+
+449
+00:36:55,490 --> 00:36:59,310
+اللي على ال peripheral بيكونوا مش واضحينلكن في
+
+450
+00:36:59,310 --> 00:37:03,890
+الشيردين جاردنر تسك بيكون one optotype هي الواضحة
+
+451
+00:37:03,890 --> 00:37:08,330
+فهو بالنسبة للهوتف تسك بيكون more accurate to
+
+452
+00:37:08,330 --> 00:37:12,290
+amblyobic eye بين جثين ال crowding phenomenon اللي
+
+453
+00:37:12,290 --> 00:37:17,050
+هي ظاهرة التزاحم يعني more accurate to amblyobic
+
+454
+00:37:17,050 --> 00:37:21,090
+eye or lazy eye بين جثين ايه؟ ال crowding
+
+455
+00:37:21,090 --> 00:37:26,370
+phenomenon اللي هي ظاهرة التزاحم هذا ال main
+
+456
+00:37:26,370 --> 00:37:27,470
+difference ما بينهم
+
+457
+00:37:30,530 --> 00:37:33,990
+الـ Sheridian Gardner Test بتكون one optotype،
+
+458
+00:37:33,990 --> 00:37:38,650
+يعني حرف واحد، فالحرف الواحد ممكن أنه المريض
+
+459
+00:37:38,650 --> 00:37:43,410
+يشوفه، لكن ما بيكشف ال amblyobic eye، ليش؟ لأن
+
+460
+00:37:43,410 --> 00:37:48,140
+مافيش تداخل معاها، حرف آخرفهذا بيدل ان المريض انه
+
+461
+00:37:48,140 --> 00:37:52,440
+عنده انبليوبيا او لا من خلال مين الهوتف تيست
+
+462
+00:37:52,440 --> 00:37:56,500
+فالهوتف تيست يعتبر more accurate in amblyobic eye
+
+463
+00:37:56,500 --> 00:38:01,700
+او lazy eye two bracket clouding phenomenon ظاهرة
+
+464
+00:38:01,700 --> 00:38:05,880
+التزاحم طبعا بالنسبة للبرر ال light rays و
+
+465
+00:38:05,880 --> 00:38:10,060
+الconvergent light rays و ال divergence يعني الطوق
+
+466
+00:38:10,060 --> 00:38:16,920
+له تلت يعني الطوق اما بيكونDivergent أو Convergent
+
+467
+00:38:16,920 --> 00:38:20,920
+أو Parallel، بل هو مش رابع، يعني واحدة من تلات
+
+468
+00:38:20,920 --> 00:38:24,620
+الحلال، يا إما بيكون Divergent، يا إما Convergent،
+
+469
+00:38:24,620 --> 00:38:27,500
+يا إما Parallel بالنسبالي ال Convergent إن ال
+
+470
+00:38:27,500 --> 00:38:30,680
+light rays toward to each other، ال Parallels
+
+471
+00:38:30,680 --> 00:38:34,960
+بتكون أيه متوازية، إنه have zero divergence، ال
+
+472
+00:38:34,960 --> 00:38:39,020
+Divergent بتكون إيش ما لها متشتتة أو متفرقة
+
+473
+00:38:42,640 --> 00:38:48,600
+طبعا اية real image يعني او اية real target يما
+
+474
+00:38:48,600 --> 00:38:52,780
+انت بتطلع عليه بتكون الأشعة ايش؟ divergent لأنه
+
+475
+00:38:52,780 --> 00:38:56,280
+الآن هاي الضوء انت شايفه متشتت و انا شايفه و
+
+476
+00:38:56,280 --> 00:38:59,240
+زمايلي كلهم شايفينه لو هذا الضوء parallel او
+
+477
+00:38:59,240 --> 00:39:03,300
+convergent انا ايه؟ بس انا بقدر اشوفه او انت واحد
+
+478
+00:39:03,300 --> 00:39:10,900
+و هي نفس فكرة مين ال sunlight نعم مش دايما، مافي
+
+479
+00:39:10,900 --> 00:39:11,840
+حاجة اسمها دايما
+
+480
+00:39:15,020 --> 00:39:18,260
+أه ال real image دايما انه لازم تكون divergent
+
+481
+00:39:18,260 --> 00:39:22,740
+عشان هيك احنا بنستخدم مين ال sleeve down في حالة
+
+482
+00:39:22,740 --> 00:39:26,620
+اللي هو ال retinascope عشان تكون الأشعة slightly
+
+483
+00:39:26,620 --> 00:39:30,400
+divergent nearly parallel طب هيك مافيش سؤال خلاص
+
+484
+00:39:30,400 --> 00:39:35,000
+طب يعطيكم العافية بتمنى ان شاء الله منكم التوفيق
+
+485
+00:39:35,000 --> 00:39:38,120
+الله يوفقكم ان شاء الله ان شاء الله الامتحان زي ما
+
+486
+00:39:38,120 --> 00:39:43,160
+اتفقنا انه هيكون سهل بس ركزوا في الامتحان بده
+
+487
+00:39:43,160 --> 00:39:43,740
+تركيز
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..14cc453e988d99247af54d25231ab51743dd6da7
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc.srt
@@ -0,0 +1,2102 @@
+1
+00:00:20,990 --> 00:00:24,030
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,030 --> 00:00:28,930
+وبركاته اليوم هنبدأ في موضوع ال visual acuity
+
+3
+00:00:28,930 --> 00:00:35,790
+testing in verbal children. Before we start in this
+
+4
+00:00:35,790 --> 00:00:39,150
+subject, I want to give you an answer for the
+
+5
+00:00:39,150 --> 00:00:43,730
+definition of the card of card بداية ال card of card
+
+6
+00:00:43,730 --> 00:00:51,830
+المريض بيكون عنده attention، okay؟ يعني دائما ال
+
+7
+00:00:51,830 --> 00:00:56,850
+patient أو الطفل بيعمل attention، انتباه، وال
+
+8
+00:00:56,850 --> 00:01:01,710
+examiner عنده صور مختلفة. بمعنى آخر، الآن أنا
+
+9
+00:01:01,710 --> 00:01:05,690
+مثلاً، ال card of card هل يعتبر quantitative ولا
+
+10
+00:01:05,690 --> 00:01:09,410
+qualitative؟ Quantitative
+
+11
+00:01:09,410 --> 00:01:15,600
+بمعنى عددي، يعني ستة على ستين، ستة على أربع وعشرين، ستة على
+
+12
+00:01:15,600 --> 00:01:20,060
+ثلاثين، واضح؟ هذا بمعنى اللي هو إيه؟ quantitative،
+
+13
+00:01:20,060 --> 00:01:26,200
+عددي. Qualitative بمعنى كم؟ يعني... كم؟ كم؟
+
+14
+00:01:26,200 --> 00:01:30,280
+Qualitative يعني بمعنى أنه بتدين ال visual acuity
+
+15
+00:01:30,280 --> 00:01:34,580
+هل هو good ولا poor؟ يعني زي مثلاً ال rotation test،
+
+16
+00:01:35,040 --> 00:01:38,440
+occlusion of one eye. هدول كلهم يعتبر إيه؟
+
+17
+00:01:38,440 --> 00:01:43,500
+qualitative، صح؟ Okay؟ الآن ال card، في card، ال
+
+18
+00:01:43,500 --> 00:01:47,960
+examiner بيكون عنده مجموعة من الصور، بيعرض مثلاً
+
+19
+00:01:47,960 --> 00:01:52,300
+ستة على ستين، ستة على ستة وثلاثين، ستة على أربع وعشرين،
+
+20
+00:01:52,300 --> 00:01:57,680
+وهكذا، Okay؟ طبعاً كل ما ماشي ال... ال... ال...
+
+21
+00:01:57,680 --> 00:02:04,230
+examiner، ال... ال... يعني الصورة بيصير أقل وضوحاً،
+
+22
+00:02:04,230 --> 00:02:07,090
+بتكون في اتجاه مختلف. طبعاً هو ال card of card من
+
+23
+00:02:07,090 --> 00:02:11,150
+أكثر ما يستخدم عندنا في ال... يعني معظم ال clinics،
+
+24
+00:02:11,150 --> 00:02:15,800
+ال medical clinics بيستخدموا ال card of card. فال card
+
+25
+00:02:15,800 --> 00:02:19,980
+of card، لو مثلاً مثلنا الصورة هذه، طبعاً أنا بكون ك
+
+26
+00:02:19,980 --> 00:02:24,180
+examiner، ماسك الصورة هذه، okay؟ الآن في الاتجاه
+
+27
+00:02:24,180 --> 00:02:30,000
+الثاني. حكينا دائماً أي تفحص فيه اللي هو اتجاه حركة
+
+28
+00:02:30,000 --> 00:02:34,620
+الصورة، لازم ال examiner مايعرفش وين اتجاه الصورة،
+
+29
+00:02:34,620 --> 00:02:39,850
+okay؟ فهو مثلاً، الصورة كانت up، بيكون مكتوب هنا يا إما
+
+30
+00:02:39,850 --> 00:02:44,750
+سهم أو بيكون up، okay؟ الآن مثلاً أنا عرضت هذه ستة على
+
+31
+00:02:44,750 --> 00:02:48,950
+ستين، كانت up، okay؟ الصورة بعدها ستة على ستة و
+
+32
+00:02:48,950 --> 00:02:55,430
+ثلاثين، هتكون أقل، فانت مثلاً right، okay؟ فبيكون كاتب لي
+
+33
+00:02:55,430 --> 00:03:00,650
+right. ستة على ستين، كلها بيكون مكتوب، بتكون أقل فين؟
+
+34
+00:03:00,650 --> 00:03:05,030
+الستة على أربع وعشرين برضه أقل، وهكذا. طبعاً إذا حسيت
+
+35
+00:03:05,030 --> 00:03:08,490
+أنا كل هيشوفهم في ال center، ك examiner لازم أكون
+
+36
+00:03:08,490 --> 00:03:12,690
+منتبه، أنه خلاص الطفل ممكن يحفظ الاتجاه، فإيش بروح؟
+
+37
+00:03:12,690 --> 00:03:17,190
+بروِح أبدّل، مثلاً مرة هنا، مرة هنا، مرة up، down، right،
+
+38
+00:03:17,190 --> 00:03:21,770
+left، بشكل أنه يفهم، اللي هو الطفل، أنه أشوف اللي هو
+
+39
+00:03:21,770 --> 00:03:26,820
+ال eye movement للطفل، okay؟ طيب، هل بالنسبة لل Cardiff
+
+40
+00:03:26,820 --> 00:03:33,740
+card، another question؟ ال Teller
+
+41
+00:03:33,740 --> 00:03:39,960
+card، بيكون مقارنة في ال Cardiff، الصورة اللي فيه
+
+42
+00:03:39,960 --> 00:03:45,180
+أوسع، يعني بمعنى أن الحجم بتاعه أوسع، وبيكون اللي
+
+43
+00:03:45,180 --> 00:03:51,160
+هو خطوط، عبارة عن خطوط بالشكل هذه، أنه يا إما خطوط
+
+44
+00:03:51,160 --> 00:03:58,360
+vertical، زي هيك، أو بتكون خطوط إيش مالها؟ horizontal،
+
+45
+00:03:58,360 --> 00:04:03,720
+وبيكون يعني بينهم اللي هو زي ما قلنا ال white وال
+
+46
+00:04:03,720 --> 00:04:08,880
+black strip. واضح أن الطفل بيشوف، يعني بيعتمد على
+
+47
+00:04:08,880 --> 00:04:13,460
+حركة عين الطفل، إن وين هتكون الحركة بتاعته. فمثلاً،
+
+48
+00:04:13,460 --> 00:04:17,480
+إذا كانت right، هيحرك ال eye movement باتجاه ال
+
+49
+00:04:17,480 --> 00:04:20,700
+right. إذا كانت left، هتكون باتجاه ال left. فهي
+
+50
+00:04:20,700 --> 00:04:25,540
+بتعتمد على حركة اللي هو عين الطفل، لل vertical ولل
+
+51
+00:04:25,540 --> 00:04:31,780
+horizontal. طبعاً،
+
+52
+00:04:31,780 --> 00:04:37,460
+لو في أي سؤال في المادة من أول ما بدأنا، يعني أي
+
+53
+00:04:37,460 --> 00:04:39,300
+نقطة مش واضحة، ممكن تسأله.
+
+54
+00:04:48,630 --> 00:04:52,810
+الآن، لما تكون الصورة معروضة up، مش الواحد بيطلع هيك
+
+55
+00:04:52,810 --> 00:04:57,710
+up، برفع رأسه شوية، اللي هي ال neck بتتحرك. لو down،
+
+56
+00:04:57,710 --> 00:05:01,750
+بنزل... يعني حركة ال eye movement مرتبطة بحركة
+
+57
+00:05:01,750 --> 00:05:07,970
+ال neck، okay؟ Another question؟
+
+58
+00:05:07,970 --> 00:05:13,450
+finish.
+
+59
+00:05:13,450 --> 00:05:20,030
+Okay، testing visual acuity in verbal children، إنه
+
+60
+00:05:20,030 --> 00:05:25,910
+قياس حدة الإبصار للأطفال إيه الناطقين. طبعاً ال
+
+61
+00:05:25,910 --> 00:05:31,010
+verbal children، الأطفال الناطقين، بيكونوا من سنتين
+
+62
+00:05:31,010 --> 00:05:35,030
+ونصف لخمس
+
+63
+00:05:35,030 --> 00:05:40,150
+سنوات. هذا المقصود فيه أن ال verbal children من
+
+64
+00:05:40,150 --> 00:05:46,910
+سنتين ونصف لخمس سنوات. في عندنا ال test الأول Allen
+
+65
+00:05:46,910 --> 00:05:52,950
+picture card أو K pictures. بالنسبة لل Allen
+
+66
+00:05:52,950 --> 00:05:58,030
+picture card أو ال K pictures، near test cards are
+
+67
+00:05:58,030 --> 00:06:04,330
+easier for younger children. ال Allen picture دائماً
+
+68
+00:06:04,330 --> 00:06:11,070
+أي تفحصات للأطفال، ال Allen اللي هو اسم ال... ال... يعني
+
+69
+00:06:11,070 --> 00:06:16,650
+ال designer، المصمم لهذا ال... الفحص، ال test، okay؟
+
+70
+00:06:16,650 --> 00:06:21,810
+فزي مثلاً Cardiff، Cardiff اللي هي جامعة مشهورة في
+
+71
+00:06:21,810 --> 00:06:27,590
+بريطانيا، فال test هذا على اسم الجامعة، okay؟ فعندنا ال
+
+72
+00:06:27,590 --> 00:06:32,610
+... ال Allen picture card. دائماً أي تفحص للأطفال يجب
+
+73
+00:06:32,610 --> 00:06:36,410
+أن تكون المسافة ما بين ال examiner وما بين الطفل
+
+74
+00:06:36,410 --> 00:06:41,150
+قريبة. ليش؟ لأن الطفل دائماً ما بيحبش يعمل attention،
+
+75
+00:06:41,150 --> 00:06:44,810
+انتباه، فأنا الآن لو بدي أعمل على مسافة ستة متر،
+
+76
+00:06:44,810 --> 00:06:48,430
+مستحيل هيكون إيش؟ أعمل اللي هو attention معاه، آه،
+
+77
+00:06:48,430 --> 00:06:52,730
+فدائماً المسافة لازم تكون قريبة، فبالأقل in Cape
+
+78
+00:06:52,730 --> 00:06:57,790
+Town، أنه عندنا near، يعني المسافة ما بين ال
+
+79
+00:06:57,790 --> 00:07:02,430
+examiner وما بين ال patient أو الطفل بتكون إيه؟
+
+80
+00:07:02,430 --> 00:07:07,130
+مالها؟ قريبة، okay؟ طبعاً ال Allen picture فيه له
+
+81
+00:07:07,130 --> 00:07:13,110
+disadvantages، يعني فيه له عيوب. Number one، pictures
+
+82
+00:07:13,110 --> 00:07:18,490
+are not constructed according to Snellen's form. Each
+
+83
+00:07:18,490 --> 00:07:22,330
+element in the target subtends one minute of visual angle.
+
+84
+00:07:22,330 --> 00:07:28,590
+في ال principle، مبدأ ال visual acuity، اللي هي ال E.
+
+85
+00:07:28,590 --> 00:07:30,790
+الآن، لو احنا أخذنا ال E،
+
+86
+00:07:46,440 --> 00:07:53,320
+الآن، كل واحد degree بيساوي واحد minute angle، يعني ال
+
+87
+00:07:53,320 --> 00:07:57,120
+visual angle بتاعتها، كل واحدة بيساوي أنه بيكون
+
+88
+00:07:57,120 --> 00:08:01,780
+الواحد minute angle، وواحد اللي هو degree، okay؟ فهذه ال
+
+89
+00:08:01,780 --> 00:08:06,760
+... ال Allen K-picture هي مش مصممة زي مين؟ زي ال K
+
+90
+00:08:06,760 --> 00:08:12,910
+-picture. عفواً، ال K-picture، مش مصممة زي مين؟ زي ال E،
+
+91
+00:08:12,910 --> 00:08:17,110
+chart. يعني بتكونش الواحد minute angle بيساوي واحد degree.
+
+92
+00:08:17,110 --> 00:08:22,110
+هاد المقصود فيه، أنه أول حاجة أنه ما بتكونش ال big
+
+93
+00:08:22,110 --> 00:08:25,810
+charts are not constructed according to a Snellen
+
+94
+00:08:25,810 --> 00:08:29,970
+form، أنه ما بتكون مصممة زي مين؟ ال visual acuity
+
+95
+00:08:29,970 --> 00:08:36,950
+بتاع ال Snellen chart، من ناحية ال size، الحجم. النقطة
+
+96
+00:08:36,950 --> 00:08:40,190
+الثانية، some pictures are not familiar to the
+
+97
+00:08:40,190 --> 00:08:43,890
+child. For example، التليفون. أنه هذه الصور غير
+
+98
+00:08:43,890 --> 00:08:48,150
+معروفة للطفل، قد تكون للطفل، زي مثلاً التليفون، زي مثلاً
+
+99
+00:08:48,150 --> 00:08:54,870
+الدفتر. يعني أي صورة بتكونش غير مألوفة للطفل، فهذه
+
+100
+00:08:54,870 --> 00:08:59,430
+إيش؟ تعتبر برضه من ال disadvantages لل Allen picture،
+
+101
+00:09:07,740 --> 00:09:12,100
+ممكن هذه الصور تكون أكبر، أكبر من مين؟ من ال Snellen
+
+102
+00:09:12,100 --> 00:09:17,600
+chart. يعني الحجم بتاعها، ال size، ال smallest one،
+
+103
+00:09:17,600 --> 00:09:23,120
+20/30، اللي هي 6/9. يعني شوف
+
+104
+00:09:23,120 --> 00:09:27,640
+أصغر واحدة في ال K picture، ستة على تسعة. طبعاً الستة
+
+105
+00:09:27,640 --> 00:09:31,820
+على تسعة، احنا بنعتبرها ك optometry، أنه في عنده
+
+106
+00:09:31,820 --> 00:09:38,400
+defective vision، صح؟ أنه ما يعتبر normal، but most
+
+107
+00:09:38,400 --> 00:09:42,620
+children respond to this test. لكن معظم الأطفال
+
+108
+00:09:42,620 --> 00:09:47,360
+إيش؟ بيستجيبوا لهذا. ليش؟ لأنه بيكون دائماً الطفل بيحب
+
+109
+00:09:47,360 --> 00:09:51,000
+اللي هو ال toys، الألعاب، وهذا ال Allen chart فيه
+
+110
+00:09:51,000 --> 00:09:55,700
+اللي هو ألعاب، بتكون مثلاً apple، بتكون مثلاً
+
+111
+00:09:55,700 --> 00:10:01,340
+chicken، يعني اللي هو أشياء مختلفة، وعبارة عن toys،
+
+112
+00:10:01,340 --> 00:10:05,740
+فالطفل بيكون attention لها، okay؟ فدائماً هو بيكون
+
+113
+00:10:05,740 --> 00:10:10,340
+response لهذا ال test. طبعاً المسافة اللي احنا
+
+114
+00:10:10,340 --> 00:10:14,060
+بنستخدمها، معظمنا، ال Allen chart بتكون على
+
+115
+00:10:14,060 --> 00:10:19,040
+مسافة ثلاثة متر. يعني في الغالب بتستخدم على مسافة
+
+116
+00:10:19,040 --> 00:10:19,940
+ثلاثة متر.
+
+117
+00:10:24,760 --> 00:10:28,600
+طبعاً هي مثلاً، زي ما أنتو شايفين في الصورة، هي الطفل،
+
+118
+00:10:28,600 --> 00:10:33,260
+وهي بالنسبة لل examiner. طبعاً هذه مجموعة الصور اللي
+
+119
+00:10:33,260 --> 00:10:37,440
+بتكون موجودة في ال Allen picture. فالطفل مثلاً شاف
+
+120
+00:10:37,440 --> 00:10:41,800
+اللي هو ال fish، وأشر عندها على الصورة الموجودة
+
+121
+00:10:41,800 --> 00:10:48,450
+عنده، okay؟ طبعاً هنا من الصعب أنه مثلاً تدّي الطفل
+
+122
+00:10:48,450 --> 00:10:53,370
+اللي هي الصور، وتحكيله مثلاً شو هدي، أو شو هدي، احنا
+
+123
+00:10:53,370 --> 00:10:57,890
+عندنا شو بنعمل؟ مثلاً هنا أنا ال examiner بكون واقف هنا،
+
+124
+00:10:57,890 --> 00:11:02,670
+وهنا الطفل، وال here، or his mom، بتكون واقفة هنا.
+
+125
+00:11:02,670 --> 00:11:11,350
+فمثلاً بتعرض الصورة الأولى، حاضر، هيك شايفين، طيب، هي
+
+126
+00:11:11,350 --> 00:11:15,920
+مثلاً ال examiner، okay؟ طبعاً ال examiner هو اللي
+
+127
+00:11:15,920 --> 00:11:20,560
+بيعرض الصور، إنه بتكون مثلاً سمكة، أو بتكون مثلاً
+
+128
+00:11:20,560 --> 00:11:28,580
+دجاجة، etc. ال examiner هو بيعرض، ال M بتكون في منتصف
+
+129
+00:11:28,580 --> 00:11:34,180
+ال... ما بين الطفل وما بين مين؟ الفاحص. مثلاً، الطفل
+
+130
+00:11:34,770 --> 00:11:38,890
+بتعرضيله الصورة الأولى، بيحكي مثلاً سمكة، okay؟ تمشي،
+
+131
+00:11:38,890 --> 00:11:42,890
+الثانية، الثالثة. طبعاً ال M هي إيش؟ بتكون... بتنقل
+
+132
+00:11:42,890 --> 00:11:47,090
+لمين؟ لل examiner، يعني هي الوسيط ما بين الطفل وما
+
+133
+00:11:47,090 --> 00:11:51,510
+بين ال examiner، واضح؟ المسافة هنا برضه تقريباً
+
+134
+00:11:51,510 --> 00:11:55,810
+ثلاثة متر، يعني في ال test هذا مصمم على أنه ثلاثة
+
+135
+00:11:55,810 --> 00:11:56,110
+متر.
+
+136
+00:12:01,400 --> 00:12:05,100
+طبعاً برضه في ال... في ال... في ال K picture أو ال
+
+137
+00:12:05,100 --> 00:12:08,480
+Allen picture، مش معقول أنه مثلاً تكون كل الصور ال
+
+138
+00:12:08,480 --> 00:12:15,240
+6/6، ال 6/36، ال 6/24، نفس الصور، لأ! لازم أنه تكون مختلفة.
+
+139
+00:12:15,240 --> 00:12:19,820
+يعني مثلاً، عرضت أول صورة fish، الثانية لازم مثلاً تكون
+
+140
+00:12:19,820 --> 00:12:23,340
+chicken، الثالثة مثلاً apple، يعني لازم أنه... أنه
+
+141
+00:12:23,340 --> 00:12:30,060
+يكون منوع في الصور، وهذه نقطة مهمة، okay؟ في نقطة
+
+142
+00:12:30,060 --> 00:12:34,120
+ثانية في ال Allen K-picture، الآن مثلاً الطفل حسيتُه
+
+143
+00:12:34,120 --> 00:12:38,080
+أنه يعني very active، وحسيتُه أنه ال response بتاعه
+
+144
+00:12:38,080 --> 00:12:41,700
+عالي، زي ما بتفحصه ال visual acuity، الآن لما بشوف
+
+145
+00:12:41,700 --> 00:12:46,680
+الكبير بشكل سهل، وبعدين بشوف ال 6/36، بروح أطول
+
+146
+00:12:46,680 --> 00:12:50,360
+مثلاً 6/18، عشان ما يصيرش عند الطفل نوع من ال
+
+147
+00:12:50,360 --> 00:12:55,600
+boring. يعني ممكن أنتقل من ستة على ستين لستة على ثمانية عشر،
+
+148
+00:12:55,600 --> 00:12:59,600
+إذا جيت له response ده، الطفل إيش ماله؟ شايف، يعني
+
+149
+00:12:59,600 --> 00:13:07,680
+إن هو شايف هذا، إنه مش شرط إنه أمشي تدريجي، okay؟ طيب،
+
+150
+00:13:07,680 --> 00:13:13,040
+في عندنا ال HOTV test أو ال sun-skenned silver
+
+151
+00:13:13,040 --> 00:13:18,500
+test. Requires pattern recognition and matching of
+
+152
+00:13:18,500 --> 00:13:22,400
+progressively smaller optotypes with those on a
+
+153
+00:13:22,400 --> 00:13:28,240
+handheld chart. الآن هذا بتطلب تنظيم للأشكال، pattern
+
+154
+00:13:28,240 --> 00:13:29,200
+recognition،
+
+155
+00:13:32,610 --> 00:13:36,810
+hand matching، توصيل بشكل تدريجي لل smaller
+
+156
+00:13:36,810 --> 00:13:41,510
+optotypes، للصور الصغيرة. طبعاً من خلال أن ال hand هي
+
+157
+00:13:41,510 --> 00:13:46,050
+ال card، أنه يكون hand، أنه ماسك بيده، كل اللي هي إيه؟
+
+158
+00:13:46,050 --> 00:13:47,490
+الصور، للطفل.
+
+159
+00:13:50,150 --> 00:13:55,670
+Okay، الآن الطفل بيكون ماسك كل الصور، وبيعمل عملية
+
+160
+00:13:55,670 --> 00:14:00,010
+matching، توصيل للصورة. مثلاً الصورة الأولى بتنعرض، هو
+
+161
+00:14:00,010 --> 00:14:04,230
+بيعمل إيش؟ تأشير، مثلاً سمكة، بيعمل اللي هو التأشير
+
+162
+00:14:04,230 --> 00:14:05,190
+إليها، okay؟
+
+163
+00:14:07,820 --> 00:14:12,480
+يعني هاي مجموعة الصور، okay؟ مثلاً حرف ال H، إن عرضه
+
+164
+00:14:12,480 --> 00:14:16,440
+الطفل، حرف ال H هذه بتكون في إيده، هو بيشير على حرف
+
+165
+00:14:16,440 --> 00:14:21,020
+ال H، بعدين بنعرضه مثلاً حرف ال V، بيشير، يعني عملية
+
+166
+00:14:21,020 --> 00:14:25,940
+اللي هو matching، okay؟ في
+
+167
+00:14:25,940 --> 00:14:29,960
+ال K picture بتكون صورة واحدة، بيعرض صورة واحدة، وال
+
+168
+00:14:29,960 --> 00:14:33,580
+طفل ممكن أنه يمسك صورة واحدة، لكن في ال HOTV
+
+169
+00:14:33,580 --> 00:14:33,980
+test،
+
+170
+00:14:37,940 --> 00:14:42,480
+مجموعة صور، لكن إيش؟ واللي بيشير له برضه مجموعة صور،
+
+171
+00:14:42,480 --> 00:14:48,340
+بمعنى آخر، يعني بيكون في عندك a, b, c, d، مجموعة من
+
+172
+00:14:48,340 --> 00:14:54,280
+الأحرف عند الطفل في إيده مع بعض، وبتعرض مجموعة اللي
+
+173
+00:14:54,280 --> 00:14:59,720
+هو إيه؟ أحرف. فهو الطفل، مثلاً بنعرض له حرف ال a، بيقول له
+
+174
+00:14:59,720 --> 00:15:03,920
+مثلاً ال examiner، هذا إيش؟ a، الطفل، نفس هذا موجود
+
+175
+00:15:03,920 --> 00:15:06,280
+عنده، فهو بده يقشر، okay؟
+
+176
+00:15:10,640 --> 00:15:14,900
+لأ، طبيعي، ممكن صورة بس. هاد ال... ال HOT
+
+223
+00:20:15,110 --> 00:20:19,190
+عندنا في قطاع غزة بشكل كبير وهو بيكون دائما مع
+
+224
+00:20:19,190 --> 00:20:23,870
+الأطفال فأنتم إن شاء الله يعني أمهات المستقبل أنه
+
+225
+00:20:23,870 --> 00:20:29,470
+لازم كل يعني طفل قبل اللي هو سن الخمس سنوات أن يكون
+
+226
+00:20:29,470 --> 00:20:34,410
+الطفل عامل visual acuity measurement يعني قياس حدة
+
+227
+00:20:34,410 --> 00:20:39,230
+الإبصار ليش؟ لأن مشكلة الـ amblyopia بعد ما الطفل
+
+228
+00:20:39,230 --> 00:20:44,940
+يصير عمره تسع سنوات خلاص ما له علاج يعني ليس لها
+
+229
+00:20:44,940 --> 00:20:49,480
+علاج، واضح؟ مثل بالضبط الآن أنا أستخدم الـ .. الـ ..
+
+230
+00:20:49,480 --> 00:20:52,960
+اليد اليسرى، واليد اليمنى خلاص، التي هي تعتبر
+
+231
+00:20:52,960 --> 00:20:56,680
+lazy،  لا يستطيع أنه بعد ذلك أن يكون نشيطا فيها، وأنت مثلاً لو
+
+232
+00:20:56,680 --> 00:20:59,820
+كانت واحدة تستخدم الـ right، لا تستخدم ماذا؟ الـ
+
+233
+00:20:59,820 --> 00:21:05,990
+left، okay؟ فالـ amblyopia لفترة معينة إذا العين الـ
+
+234
+00:21:05,990 --> 00:21:10,410
+visual acuity  لم تُجرَ لها عملية stimulation تحفيز
+
+235
+00:21:10,410 --> 00:21:14,730
+يبقى الـ visual acuity ثابتاً سواء بنظارة، ببعد
+
+236
+00:21:14,730 --> 00:21:20,030
+بسلّم، بعملية، خلاص ما في تحسن للنظر okay؟
+
+237
+00:21:21,990 --> 00:21:26,390
+فبالنسبة لهوتيف تيست يكون more accurate أنه دقيق
+
+238
+00:21:26,390 --> 00:21:30,470
+جداً في حالات من الـ amblyopia كسل العين أو الـ lazy
+
+239
+00:21:30,470 --> 00:21:35,090
+eye  لأنه يُظهر لمن؟ للـ crowding
+
+240
+00:21:35,090 --> 00:21:39,190
+phenomena why هوتيف تيست is more accurate compared
+
+241
+00:21:39,190 --> 00:21:47,330
+to Allen chart اه
+
+242
+00:21:47,330 --> 00:21:52,630
+ممكن هذا السؤال مثلاً أجيب عليه أنه why Hot if test is
+
+243
+00:21:52,630 --> 00:21:59,930
+more accurate compared to Allen Chart Why Hot if
+
+244
+00:21:59,930 --> 00:22:07,910
+test is more accurate compared to Allen Chart أهم
+
+245
+00:22:07,910 --> 00:22:13,170
+نقطة الـ crowding phenomenon التي هي ظاهرة التزاحم هذه
+
+246
+00:22:13,170 --> 00:22:17,330
+أول ما نبدأ فيها أهم نقطة نريد أن نفهمها أن ظاهرة
+
+247
+00:22:17,330 --> 00:22:22,670
+التزاحم أنها تعمل عملية كشف يعني الآن يكشف ظاهرة
+
+248
+00:22:22,670 --> 00:22:26,410
+التزاحم ليش؟ لأنه يعرض أكثر من optotype مع بعض
+
+249
+00:22:26,410 --> 00:22:30,570
+فهو ما دام يعرض أكثر من optotype يكشف إذا كان
+
+250
+00:22:30,570 --> 00:22:36,650
+المريض عنده amblyopia  ولا لأ okay mash one
+
+251
+00:22:36,650 --> 00:22:41,330
+optotype with multiple optotypes إذا المريض سيعمل
+
+252
+00:22:41,330 --> 00:22:45,870
+مش توصيل لوحدة optotype مع مجموعة من ماذا؟ من
+
+253
+00:22:45,870 --> 00:22:52,660
+الـ optotypes exact correspondence to a graded snail
+
+254
+00:22:52,660 --> 00:22:58,840
+optotype يعني هو الـ .. الـ HOTIF test يُعتبر قريباً
+
+255
+00:22:58,840 --> 00:23:03,020
+بالنسبة لـ .. يعني الحجم الـ size of optotype تُعتبر
+
+256
+00:23:03,020 --> 00:23:09,360
+قريبة مقارنة في من؟ في الـ snail  snail optotype
+
+257
+00:23:09,360 --> 00:23:09,920
+okay
+
+258
+00:23:17,970 --> 00:23:22,210
+يكون قريباً لمن؟ للـ Snellen الذي نحن نشتغل عليه
+
+259
+00:23:22,210 --> 00:23:26,130
+الـ visual acuity مقارنة بمن؟ بالـ Allen chart
+
+260
+00:23:26,130 --> 00:23:30,090
+الـ Allen chart قلنا أن الحجم بتاعه ما يكونش
+
+261
+00:23:30,090 --> 00:23:38,170
+نفس حجم من؟ الـ E test  طيب
+
+262
+00:23:38,170 --> 00:23:45,670
+في عندنا الـ Sheridan Gardiner test requires
+
+263
+00:23:45,670 --> 00:23:51,470
+children to match familiar object pattern viewed at
+
+264
+00:23:51,470 --> 00:23:56,210
+distance with those on a near card لو تلاحظون أن
+
+265
+00:23:56,210 --> 00:24:01,370
+المسافة في الـ .. ضحك .. المسافة بين الـ
+
+266
+00:24:01,370 --> 00:24:05,930
+examiner وما بين الـ children في حالة الـ Sheridan
+
+267
+00:24:05,930 --> 00:24:11,090
+Gardiner test أقل أنه يُستخدم للنير يعني تقريباً من
+
+268
+00:24:11,090 --> 00:24:15,890
+عشرين إلى ثلاثين سنتيمتر في الـ Sheridan Gardiner test
+
+269
+00:24:17,140 --> 00:24:20,280
+يعني هي نفس المبدأ بتاع الـ الـ الـ الـ الـ الـ الـ الـ
+
+270
+00:24:20,280 --> 00:24:21,080
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+271
+00:24:21,080 --> 00:24:23,240
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+272
+00:24:23,240 --> 00:24:26,280
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+273
+00:24:26,280 --> 00:24:30,600
+الـ
+
+274
+00:24:30,600 --> 00:24:30,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+275
+00:24:30,880 --> 00:24:31,080
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+276
+00:24:31,080 --> 00:24:31,300
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+277
+00:24:31,300 --> 00:24:31,420
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+278
+00:24:31,420 --> 00:24:32,540
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+279
+00:24:32,540 --> 00:24:32,560
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+280
+00:24:46,770 --> 00:24:51,870
+أه أنه near target okay لكن في الحالة الـ انكيبيك
+
+281
+00:24:51,870 --> 00:24:55,790
+شرط زي ما قلنا أنه ثلاثة أمتار okay هنا تكون من
+
+282
+00:24:55,790 --> 00:25:01,270
+عشرين إلى ثلاثين سنتيمتر أيضاً
+
+283
+00:25:01,270 --> 00:25:02,010
+ثلاثة أمتار
+
+284
+00:25:08,320 --> 00:25:14,280
+هنا which is better هنا في comparison بين مقارنة
+
+285
+00:25:14,280 --> 00:25:19,720
+بين الـ HOTIF test والـ Sheridan Gardiner test
+
+286
+00:25:19,720 --> 00:25:24,880
+okay الآن شو الفرق بين الاثنين؟ زي ما قلنا الفرق
+
+287
+00:25:24,880 --> 00:25:28,400
+أول شيء المسافة  بس أهم شيء الذي هو من
+
+288
+00:25:28,400 --> 00:25:32,660
+crowding phenomenon التي هي ظاهرة التساحب the main
+
+289
+00:25:32,660 --> 00:25:37,850
+difference الاختلاف الرئيسي وهو Sheridan Gardiner
+
+290
+00:25:37,850 --> 00:25:44,950
+test و HOTIF test هو أنه لا يوجد phenomenon في Sheridan
+
+291
+00:25:44,950 --> 00:25:48,430
+Gardiner test ليش ما فيش .. ليش ظاهرة التزاحم مش
+
+292
+00:25:48,430 --> 00:25:54,700
+موجودة؟ لأنه one optotype، only one optotype دائماً
+
+293
+00:25:54,700 --> 00:25:59,480
+في مادة الانكسار نستخدم مصطلحات بصرية أن
+
+294
+00:25:59,480 --> 00:26:04,880
+only one optotype we apply only one optotype في الـ
+
+295
+00:26:04,880 --> 00:26:08,240
+test we apply multiple optotypes
+
+296
+00:26:14,160 --> 00:26:19,280
+because it shows a single optotype in each card, so
+
+297
+00:26:19,280 --> 00:26:22,760
+it is not accurate to test an amblyopic child with
+
+298
+00:26:22,760 --> 00:26:27,140
+the Sheridan Gardiner. إذا الآن لما أنا أُقارن ما
+
+299
+00:26:27,140 --> 00:26:31,420
+بين الـ Allen Chart مع الـ HOTIF test أو الـ
+
+300
+00:26:31,420 --> 00:26:36,180
+HOTIF test مع الـ Sheridan Gardiner test الفرق
+
+301
+00:26:36,180 --> 00:26:42,590
+بينهم أنه ما فيش ظاهرة التزاحم في من؟ في الذي هو
+
+302
+00:26:42,590 --> 00:26:47,710
+الـ Sheridan أو الـ Allen chart لأنه يُعرض one only one
+
+303
+00:26:47,710 --> 00:26:51,930
+optotype لكن في الـ HOTIF test multiple optotypes
+
+304
+00:26:51,930 --> 00:26:57,910
+okay؟ because the crowding phenomena is the
+
+305
+00:26:57,910 --> 00:27:02,810
+hallmark يعني بالسبب أن ظاهرة التزاحم أنها تُعتبر
+
+306
+00:27:02,810 --> 00:27:08,470
+قوية جداً to the presence في عرض الـ amblyopia كسل
+
+307
+00:27:08,470 --> 00:27:14,440
+العين So it is very important مهم جداً لذلك مهم جداً
+
+308
+00:27:14,440 --> 00:27:20,220
+to use these two tests in the correct way and on
+
+309
+00:27:20,220 --> 00:27:25,140
+the suitable patients in the HOTIF test إذا الأفضل
+
+310
+00:27:25,140 --> 00:27:30,100
+بالنسبة للأطفال أنه نستخدم ماذا؟ الـ two tests نستخدم
+
+311
+00:27:30,100 --> 00:27:34,780
+الـ HOTIF  و الـ Gardiner أو الـ Allen chart لكن
+
+312
+00:27:34,780 --> 00:27:39,880
+طبعاً هذا it depends on the culture، يعتمد على
+
+313
+00:27:39,880 --> 00:27:44,140
+الثقافة، ثقافتنا في مجتمعنا هنا لا تسمح أن طفل
+
+314
+00:27:44,140 --> 00:27:47,740
+أنا أعمله two tests، بعدين أعمله رتينيسكوب، هذا
+
+315
+00:27:47,740 --> 00:27:52,480
+صعب علينا نحن دائماً أفضل الـ more accurate من هو الـ
+
+316
+00:27:52,480 --> 00:27:56,340
+more accurate test؟ آخذ الذي هو الـ HOTIF test ليه
+
+317
+00:27:56,340 --> 00:27:59,820
+الـ HOTIF test more accurate؟ الآن أنت .. يعني أنت
+
+318
+00:27:59,820 --> 00:28:03,180
+الآن كـ examiner أو كـ optometrist professional
+
+319
+00:28:03,180 --> 00:28:07,720
+optometrist دائماً من يختار الـ .. الأفضل الذي هو
+
+320
+00:28:07,720 --> 00:28:10,360
+test؟ الـ HOTIF okay why?
+
+321
+00:28:13,820 --> 00:28:17,560
+because .. because it discovers a crowding
+
+322
+00:28:17,560 --> 00:28:24,580
+phenomena okay في عندنا it .. it shows multiple
+
+323
+00:28:24,580 --> 00:28:30,200
+optotypes compared to what if .. compared to Allen
+
+324
+00:28:30,200 --> 00:28:33,420
+or Gardiner test okay
+
+325
+00:28:39,240 --> 00:28:45,540
+طبعاً الـ Landolt C test التي نحن نراها في
+
+326
+00:28:45,540 --> 00:28:49,740
+غرف الانكسار التي هي الـ C test التي هي النظام
+
+327
+00:28:49,740 --> 00:28:57,400
+الأمريكي the child points to a similar ring on a
+
+328
+00:28:57,400 --> 00:29:03,940
+handheld chart إذا الطفل يريد أن يحدد اتجاه الحركة
+
+329
+00:29:03,940 --> 00:29:09,480
+يعني اتجاه الفتحة مثلاً الـ .. الـ break أين اتجاهها
+
+330
+00:29:09,480 --> 00:29:14,220
+مثلاً right left up or down some children are
+
+331
+00:29:14,220 --> 00:29:18,080
+confused بعض الأطفال يصير لهم عملية ماذا؟ ارتباك
+
+332
+00:29:18,080 --> 00:29:23,390
+confused okay can be used in illiterate adults أن
+
+333
+00:29:23,390 --> 00:29:28,060
+هذه تُستخدم في الناس الأميين It does have the
+
+334
+00:29:28,060 --> 00:29:32,080
+advantages of corresponding directly to the
+
+335
+00:29:32,080 --> 00:29:36,800
+Snellen chart وهي يعني نحن قلنا أن دائماً في الـ
+
+336
+00:29:36,800 --> 00:29:40,560
+visual acuity  there are two methods في عندنا الـ
+
+337
+00:29:40,560 --> 00:29:43,640
+British method والـ American method الـ British
+
+338
+00:29:43,640 --> 00:29:46,820
+method هو عبارة عن الـ Snellen visual acuity chart
+
+339
+00:29:46,820 --> 00:29:50,580
+الـ American method هو عبارة عن الـ Landolt ring
+
+340
+00:29:50,580 --> 00:29:55,780
+test طيب الـ Landolt ring هل هي تُعتبر quantitative
+
+341
+00:29:55,780 --> 00:30:03,840
+ولا qualitative؟ quantitative why؟ لأنه يُعطيني ستة
+
+342
+00:30:03,840 --> 00:30:09,360
+على ستين، ستة على أربعة وعشرين، okay؟
+
+343
+00:30:09,360 --> 00:30:15,860
+طيب في عندنا الـ familiar tumbling E test requires
+
+344
+00:30:15,860 --> 00:30:16,800
+matching
+
+345
+00:30:21,950 --> 00:30:25,950
+its major advantage is the direct correspondence
+
+346
+00:30:25,950 --> 00:30:31,450
+to a graded Snellen optotypes الآن الطفل مثلاً يُعرض
+
+347
+00:30:31,450 --> 00:30:36,510
+الـ E test ويُعرض مثلاً أحرفاً أنه يُسهل عملية الذي هو
+
+348
+00:30:36,510 --> 00:30:41,030
+عملية التوصيل لكن هي أسهل طريقة من ناحية الـ
+
+349
+00:30:41,030 --> 00:30:45,410
+measurement of visual acuity الآن أجيب الطفل أُعلمه
+
+350
+00:30:45,410 --> 00:30:50,460
+أقول له من ناحية الذي هو الـ near على لوحة الإشارات
+
+351
+00:30:50,460 --> 00:30:55,280
+هذه أين؟ هذه أين؟ إذا لم يعرف الطفل يعني لا تحاولي
+
+352
+00:30:55,280 --> 00:30:58,840
+أن تستخدمي الـ Snellen chart لابد أن تجدي لها
+
+353
+00:30:58,840 --> 00:31:02,640
+بديلاً سواء الـ Allen chart أو الـ HOTIF test
+
+354
+00:31:02,640 --> 00:31:10,020
+يعني هي ما تُعتبر الـ E test  لا يُعتبر هو الأفضل لأ
+
+355
+00:31:10,020 --> 00:31:14,380
+يعني ممكن الـ HOTIF test في حالات أفضل هنا مثلاً
+
+356
+00:31:14,380 --> 00:31:18,960
+يأتي الذي هو الـ professional optometrist في اختيار
+
+357
+00:31:18,960 --> 00:31:23,180
+الـ test الأفضل يعني الآن أنا مثلاً عرفت كل الـ tests
+
+358
+00:31:23,180 --> 00:31:27,240
+لتحديد pre-verbal والـ verbal children الآن دوري
+
+359
+00:31:27,240 --> 00:31:32,180
+أريد أن أُحدد استخدام الـ test في المكان المناسب أين أنا
+
+360
+00:31:32,180 --> 00:31:36,300
+ممكن أستخدمه يعني مثلاً طفل غير متجاوب معي لا يعرف
+
+361
+00:31:36,300 --> 00:31:40,960
+الذي هو اتجاه الفتحة أين؟ أنا لا أحاول أن
+
+362
+00:31:40,960 --> 00:31:44,760
+أستخدم الـ E test أو لا أحاول أن أستخدم الـ C test
+
+363
+00:31:44,760 --> 00:31:48,800
+أحاول أن أستخدم مثلاً الـ HOTIF test الـ Gardiner
+
+364
+00:31:48,800 --> 00:31:52,900
+test الـ Allen chart ممكن الـ Sweep test يعني
+
+365
+00:31:52,900 --> 00:31:58,420
+ممكن نصل لمرحلة لطفل خمس سنوات مثلاً يعني عنده هكذا
+
+366
+00:31:58,420 --> 00:32:03,860
+مثلاً lazy هو أو ليس عنده الذي هو response عالي
+
+367
+00:32:03,860 --> 00:32:06,980
+ممكن أستخدم الـ الـ الـ Sweep test okay
+
+368
+00:32:13,540 --> 00:32:21,020
+Okay في عندنا important notice ملاحظات هامة in
+
+369
+00:32:21,020 --> 00:32:25,880
+some cases or in some patients في بعض الحالات the
+
+370
+00:32:25,880 --> 00:32:30,360
+patient may have a latent nystagmus أن المريض
+
+371
+00:32:30,360 --> 00:32:33,840
+يكون عنده رَقْرَقَة في العين لكن الرَقْرَقَة هذه ماذا تكون
+
+372
+00:32:33,840 --> 00:32:42,660
+خفية latent بمعنى خفي latent معناها
+
+373
+00:32:42,660 --> 00:32:50,870
+خفي خفي خفي يعني غير ظاهر غير واضح نعم latent
+
+374
+00:32:50,870 --> 00:32:57,290
+nystagmus okay which appears when the other eye is
+
+375
+00:32:57,290 --> 00:33:02,550
+occluded في بعض الناس أو بعض المرضى يكون عنده
+
+376
+00:33:02,550 --> 00:33:10,180
+nystagmus nystagmus معناها رَقْرَقَة العين هي مرض سببها
+
+377
+00:33:10,180 --> 00:33:15,000
+أنه يكون عنده خلل في عضلات العين، okay؟ و .. و
+
+378
+00:33:15,000 --> 00:33:18,480
+يكون أيضاً الذي هو سببه يكون عنده مشاكل في
+
+379
+00:33:18,480 --> 00:33:22,060
+العصب، فتجد دائماً عنده ماذا؟ رَقْرَقَة في العين،
+
+380
+00:33:22,060 --> 00:33:26,960
+تكون شائعة في الناس الألبينو، الناس البيض جداً أو
+
+381
+00:33:26,960 --> 00:33:31,360
+الحمر نحن نقول عنهم، هؤلاء يكون عندهم يعني شائع
+
+382
+00:33:31,360 --> 00:33:34,780
+بشكل كبير، الذي هو الناس دائماً، دائماً العين فيها
+
+383
+00:33:34,780 --> 00:33:38,820
+لها ماذا؟ رَقْرَقَة طبعاً الإنسان الذي يكون عنده رَقْرَقَة
+
+384
+00:33:38,820 --> 00:33:42,760
+في العين، تكون الرؤية مُصابة بها غير واضحة، لأنه
+
+385
+00:33:42,760 --> 00:33:47,640
+لا تكون تعمل  fixation لمن؟ للـ target طيب
+
+386
+00:33:47,640 --> 00:33:52,160
+في ناس مثلاً يكون عنده latent nystagmus، يعني رَقْرَقَة
+
+387
+00:33:52,160 --> 00:33:57,360
+في العين لكن خفية، هدف الوضع الطبيعي الـ latent
+
+388
+00:33:57,360 --> 00:34:02,370
+nystagmus لا تكون واضحة يعني يكون المريض عنده
+
+389
+00:34:02,370 --> 00:34:06,630
+null point، null point ماذا معناها؟ الآن هو لما هو
+
+390
+00:34:06,630 --> 00:34:12,090
+يأتي يقرأ، يُحدد له نقطة معينة، يركز فيها بحيث
+
+391
+00:34:12,090 --> 00:34:17,270
+أنه يُلغي الـ nystagmus التي هي رَقْرَقَة العين، لكن
+
+392
+00:34:17,270 --> 00:34:21,790
+هؤلاء كيف ممكن أكشفهم؟ أُغطي فقط عين، أكشف الذي هو الـ
+
+393
+00:34:21,790 --> 00:34:27,140
+nystagmus يعني يصير عنده الـ manifest طبعاً الـ
+
+394
+00:34:27,140 --> 00:34:39,360
+latent عكسها manifest الذي هو واضح أو ظاهر طبعاً
+
+395
+00:34:39,360 --> 00:34:42,480
+هنا نأخذ الـ manifest والـ latent من ناحية الذي هو
+
+396
+00:34:42,480 --> 00:34:44,020
+الـ hypermetropia، والـ myopia
+
+397
+00:34:47,400 --> 00:34:52,340
+فأول طريقة لكشف الـ nystagmus أنه ماذا أعمل الـ
+
+398
+00:34:52,340 --> 00:34:55,420
+latent nystagmus أنه أعمل occlusion of one eye
+
+399
+00:34:55,420 --> 00:
+
+445
+00:38:11,110 --> 00:38:15,430
+عن التشخيص، المريض ما أخذ تشخيص منها، يعني هو قال
+
+446
+00:38:15,430 --> 00:38:18,300
+معايا رقرا في العين، بس ما كانش أفضل. أنا ما بكتب
+
+447
+00:38:18,300 --> 00:38:22,280
+nystagmus في الـ history، بكتب مثلا movement of the
+
+448
+00:38:22,280 --> 00:38:26,420
+both eyes okay. يعني movement of the both eyes، خلاص
+
+449
+00:38:26,420 --> 00:38:30,320
+بأعرف أن هو مثلا ممكن أكتب بين قوسين لأنه الـ
+
+450
+00:38:30,320 --> 00:38:34,400
+nystagmus مالهاش مثلا تفسير. يعني movement of the
+
+451
+00:38:34,400 --> 00:38:42,280
+both eyes okay بين قوسين nystagmus. طيب
+
+452
+00:38:42,280 --> 00:38:46,340
+بس هو عنده nystagmus. واحد حكى أنه أنا عندي رقرة في
+
+453
+00:38:46,340 --> 00:38:50,150
+العين. يعني هو حتى اللي عنده رقرة في العين دائما
+
+454
+00:38:50,150 --> 00:38:53,470
+بييجي، يا أما بتاخد الـ history بيحكي لك أنا عنده رقرة
+
+455
+00:38:53,470 --> 00:38:56,990
+في العين، زي ما بييجي واحد بيحكي أنا عنده صداع، زي
+
+456
+00:38:56,990 --> 00:39:00,330
+هيك بياخد الـ history، okay. فأنا بفهم إيش هذا
+
+457
+00:39:00,330 --> 00:39:03,730
+indicate to the visual... indicate to reduce
+
+458
+00:39:03,730 --> 00:39:09,470
+visual acuity. لأ
+
+459
+00:39:09,470 --> 00:39:13,990
+الـ deviation اللي هي الحول أو الـ squint، أن العين
+
+460
+00:39:13,990 --> 00:39:16,670
+بيكون يا إما مهدّ إيزو
+
+461
+00:39:19,550 --> 00:39:24,590
+أو بتكون مثلا في إلها... بيكون الـ squint up or
+
+462
+00:39:24,590 --> 00:39:28,410
+down. هذا بالنسبة للـ deviation أو الـ squint، لكن الـ
+
+463
+00:39:28,410 --> 00:39:32,810
+nystagmus، البُقْبُق ده بيجيب يتحرك، زي هي، مش معقولة، مش
+
+464
+00:39:32,810 --> 00:39:38,990
+شايفين واحد عنده nystagmus، رقرا الآن في اللي هو
+
+465
+00:39:38,990 --> 00:39:45,110
+عمليات إلها، بيعملوا عملية اللي هو recession و
+
+466
+00:39:45,110 --> 00:39:52,810
+resection. يعني بيعمل اللي هو تقليص و بيطول، يعني زي
+
+467
+00:39:52,810 --> 00:39:56,070
+اللي هو بيطول العضلات و بيصغر العضلات، يعني بيعمل
+
+468
+00:39:56,070 --> 00:39:59,550
+عملية بالظبط balance، اللي هو توازن ما بين العضلات
+
+469
+00:39:59,550 --> 00:40:04,410
+هي الـ... الـ stigma's one، المشكلة، المشكلة اللي فيها
+
+470
+00:40:04,410 --> 00:40:07,890
+أن المريض بيكونش عنده null point، أنه يعمل fixate
+
+471
+00:40:07,890 --> 00:40:11,450
+يعني زي ما أنا الآن مركز على الكاميرا، ما عنديش أ...
+
+472
+00:40:11,450 --> 00:40:15,730
+أنا عندي مثلا fixate target، اللي هو الكاميرا هذاك
+
+473
+00:40:15,730 --> 00:40:20,030
+عنده إيش؟ زي بالظبط أنت يا أما تتحرك راسك زي هيك، ظلّك
+
+474
+00:40:20,030 --> 00:40:24,010
+تحرك راسك هيك، ما فيش اللي هو target ثابت، صح؟ فهذه
+
+475
+00:40:24,010 --> 00:40:30,230
+بنتج اللي هو الـ nystagmus. طبعا هم دائما يا أما بيقرأ
+
+476
+00:40:30,230 --> 00:40:33,970
+فيهم واحد بيحاول أنه يعرف وين الـ null point بتاعته
+
+477
+00:40:33,970 --> 00:40:38,370
+فبركز اللي هو الـ null point بتاعته، فبتلاقي أنه
+
+478
+00:40:38,370 --> 00:40:43,890
+بيقرأ طبيعي، normal. طبعا هذه إذا كانت الـ nystagmus
+
+479
+00:40:43,890 --> 00:40:47,730
+اللي عنده خفيف، يعني mild، مش اللي هو severe
+
+480
+00:40:47,730 --> 00:40:48,390
+nystagmus
+
+481
+00:40:51,330 --> 00:40:55,090
+in these cases, when testing visual acuity, we must
+
+482
+00:40:55,090 --> 00:40:59,190
+occlude the eye in a way that's to prevent the
+
+483
+00:40:59,190 --> 00:41:02,710
+latent nystagmus to occur. برضه في حالات، يا أما أنا
+
+484
+00:41:02,710 --> 00:41:07,730
+أعمل فحص للـ visual acuity، بغطي عين، أنا يعني، لحظة ما
+
+485
+00:41:07,730 --> 00:41:12,390
+أغطي اللي هي العين، هيكون اللي هو إيش؟ reduce the
+
+486
+00:41:12,390 --> 00:41:16,870
+visual acuity in the other eye. يعني بمعنى آخر، أنه
+
+487
+00:41:16,870 --> 00:41:23,330
+دائما الـ visual acuity in the nystagmus eye، بيكون
+
+488
+00:41:23,330 --> 00:41:37,930
+دائما بيكون، بيكون الـ visual acuity there
+
+489
+00:41:37,930 --> 00:41:43,890
+are methods to perform that. في طرق أنه ممكن أُكشف
+
+490
+00:41:44,620 --> 00:41:51,160
+كمان الـ nystagmus. يعني بمعنى آخر، الآن،  في ناس
+
+491
+00:41:51,160 --> 00:41:55,760
+بييجي عنده nystagmus، غطينا عين الـ nystagmus هذا
+
+492
+00:41:55,760 --> 00:42:00,620
+ما ظهرش، فشو اللي هي الطرق الأخرى اللي ممكن أُكشف
+
+493
+00:42:00,620 --> 00:42:06,180
+فيها الـ nystagmus؟ أول حاجة ممكن أنه أستخدم عدسة
+
+494
+00:42:06,180 --> 00:42:13,040
+plus 5 أو plus 10.  انه using a plus 5 diopter in
+
+495
+00:42:13,040 --> 00:42:17,370
+front of the eye, it will reduce the vision. يعني
+
+496
+00:42:17,370 --> 00:42:21,930
+الآن أنا ستة على ستة normal، يا أما أحط عدسة plus أمام
+
+497
+00:42:21,930 --> 00:42:26,130
+عيني، إيش بيصير الـ visual acuity؟ reduce، بيصير
+
+498
+00:42:26,130 --> 00:42:29,510
+blurred vision، صح؟ بيقل الـ visual acuity
+
+499
+00:42:32,140 --> 00:42:35,880
+it will reduce the vision in a marked limit and in
+
+500
+00:42:35,880 --> 00:43:02,000
+the same time it will not produce nystagmus
+
+501
+00:43:02,680 --> 00:43:07,620
+Okay، لش
+
+502
+00:43:07,620 --> 00:43:13,340
+أنا بأستخدم عدسة plus خمسة في مرضى بيكون عندهم
+
+503
+00:43:13,340 --> 00:43:17,540
+nystagmus. أو لش، بتستخدمي اللي هو العدسة الـ plus
+
+504
+00:43:17,540 --> 00:43:25,120
+خمسة، to reduce visual acuity and to appear of the
+
+505
+00:43:25,120 --> 00:43:31,000
+nystagmus. It is an important exception that the
+
+506
+00:43:31,000 --> 00:43:35,560
+patient doesn't be hypermetropic. طبعا في مشكلة لو
+
+507
+00:43:35,560 --> 00:43:39,900
+كان المريض hypermetropic، و حطيت له plus خمسة، سير الـ
+
+508
+00:43:39,900 --> 00:43:45,220
+vision إيش؟ ممتاز عنده، آه. فهذا بدي آخد بالي أنه
+
+509
+00:43:45,220 --> 00:43:48,320
+ما يكونش المريض hypermetropic، أنه ما يكونش عنده طول
+
+510
+00:43:48,320 --> 00:43:52,340
+نظر، لأنه في الـ plus خمسة أو في الـ plus عشرة، هيتحسن
+
+511
+00:43:52,340 --> 00:43:53,600
+عنده إيش؟ النظر
+
+512
+00:43:56,920 --> 00:44:01,360
+إذا، الـ number one، إنه بحط عدسة plus خمسة، قوتها
+
+513
+00:44:01,360 --> 00:44:07,300
+خمسة، in front of the eye، فوق العين، هتعمل reduce للـ
+
+514
+00:44:07,300 --> 00:44:13,080
+visual acuity، زائد إنه هتعمل appear للـ nystagmus، okay.
+
+515
+00:44:13,080 --> 00:44:17,840
+طبعا هذه باستثناء من الناس اللي بيكون عندهم hyper
+
+516
+00:44:17,840 --> 00:44:26,510
+metropia أو... هاي الخطوة الثانية، by putting the
+
+517
+00:44:26,510 --> 00:44:30,550
+occluder in front of the eye at a distance nearly
+
+518
+00:44:30,550 --> 00:44:34,710
+10 cm
+
+519
+00:44:34,710 --> 00:44:39,790
+الـ
+
+520
+00:44:39,790 --> 00:44:42,850
+back
+
+521
+00:44:42,850 --> 00:44:49,390
+vertex distance. In this way, we occluded the eye
+
+522
+00:44:49,390 --> 00:44:54,140
+and prevent the nystagmus. النقطة الثانية، إذا مثلا
+
+523
+00:44:54,140 --> 00:44:58,500
+زي ما حكت زميلتكم، كان عندها أو كان عنده
+
+524
+00:44:58,500 --> 00:45:03,300
+hypermetropia. الآن أنا لما بحط عدسة plus 5 أو plus
+
+525
+00:45:03,300 --> 00:45:09,200
+10، بتحسن النظر، فبستخدمش إيش؟ بعمل ignore للطريقة
+
+526
+00:45:09,200 --> 00:45:14,220
+الأولى. يعني الآن عند مريض عنده طول نظر، ما بستخدم
+
+527
+00:45:14,220 --> 00:45:18,080
+معه plus 5 أو plus 10، فإيش بأستخدم معه؟ occluder،
+
+528
+00:45:18,080 --> 00:45:22,880
+بغطي، بغطي العين السليمة، فبنكشف الـ nystagmus في العين
+
+529
+00:45:22,880 --> 00:45:30,040
+اللي مش سليمة، okay؟ يعني الآن بعمل occluder لمين؟
+
+530
+00:45:30,040 --> 00:45:33,920
+العين اللي بتكون سليمة، فعطولي إن الـ nystagmus بيظهر في
+
+531
+00:45:33,920 --> 00:45:35,780
+العين الأخرى، okay؟
+
+532
+00:45:38,490 --> 00:45:43,550
+By using the frosted lens, this is the best method
+
+533
+00:45:43,550 --> 00:45:48,390
+هذه أفضل طريقة، أنه بأستخدم العدسة الـ frosted lens
+
+534
+00:45:48,390 --> 00:45:55,550
+العدسة هذه بيسموها العدسة الثلجية. هذه بتسمى العدسة
+
+535
+00:45:55,550 --> 00:46:03,600
+الثلجية، okay. هي تعتبر، يعني عدسة مساعدة زي الـ pinhole
+
+536
+00:46:03,600 --> 00:46:08,040
+زي Maddox rod، زي الـ stenopæic،  هي عدسة مساعدة
+
+537
+00:46:08,040 --> 00:46:14,280
+okay، which present in some trial cases. موجودة في
+
+538
+00:46:14,280 --> 00:46:21,100
+بعض من الـ trial set، okay. This lens permits some
+
+539
+00:46:21,100 --> 00:46:24,780
+light to enter the eye, but it also excludes the eye
+
+540
+00:46:24,780 --> 00:46:29,100
+from seeing anything, and so no nystagmus will occur
+
+541
+00:46:30,030 --> 00:46:35,930
+هذه العدسة شو وظيفتها؟ الـ frosted lens، أنه بتسمح
+
+542
+00:46:35,930 --> 00:46:41,530
+للضوء أنه يدخل، لكن بتمنع الرؤية، واضح؟
+
+543
+00:46:45,700 --> 00:46:51,120
+عبارة عن عدسة بتسمح بدخول الضوء. عندنا طريقة ثالثة
+
+544
+00:46:51,120 --> 00:46:57,140
+لكشف الـ latent nystagmus، هي عبارة عن الـ frosted
+
+545
+00:46:57,140 --> 00:47:02,200
+lens، العدسة الثلجية. طبعا العدسة الثلجية الـ
+
+546
+00:47:02,200 --> 00:47:08,700
+function بتاعها بتسمح للضوء أنه يمر، لكن بيكون ما
+
+547
+00:47:08,700 --> 00:47:13,700
+بتسمحش بالرؤية، أو بمعنى آخر، أنه بتكون رؤية ضبابية
+
+548
+00:47:15,370 --> 00:47:19,270
+رؤية، يا أما أنا بدي أحطها أمام عيني، بتكون رؤية
+
+549
+00:47:19,270 --> 00:47:24,390
+الإنسان أمامي، رؤية ضبابية، أو الـ target. طبعا هذه
+
+550
+00:47:24,390 --> 00:47:28,770
+من وظيفتها، أنه بتعمل إيه؟ بتكشف الـ latent nystagmus
+
+551
+00:47:28,770 --> 00:47:34,590
+في طريقة أخرى برضه، يعني لاستخدام الـ frosted lens
+
+552
+00:47:34,590 --> 00:47:40,950
+ممكن تستخدموها، أضعها أمام العين، طلع كيف الرؤية
+
+553
+00:47:42,610 --> 00:47:46,970
+ضبابية، لكن إيش؟ بتسمح للضوء أنه يمر. فهذه يا أما أنا...
+
+554
+00:47:46,970 --> 00:47:51,330
+يا أما يكون في عنده latent nystagmus، بحطها أمام العين
+
+555
+00:47:51,330 --> 00:47:55,790
+اللي فيها الـ... الـ normal eye، فبيكشف اللي هو مين؟
+
+556
+00:47:55,790 --> 00:47:57,370
+الـ nystagmus للـ other eye
+
+557
+00:48:03,080 --> 00:48:08,520
+بتدعي أنه عنده reduce للـ visual acuity، بمعنى آخر
+
+558
+00:48:08,520 --> 00:48:13,300
+أنه يا أما بيصير اللي هو مشاكل عائلية، في بعض الناس
+
+559
+00:48:13,300 --> 00:48:18,660
+بيقول أنه مثلا أكل مثلا blunt، أو يعني ضربة أو غيره
+
+560
+00:48:18,660 --> 00:48:23,740
+trauma، وعملت اللي هو reduce للـ visual acuity. الآن
+
+561
+00:48:23,740 --> 00:48:27,000
+بيجي للمستشفى أو clinic، بيكون الـ visual acuity
+
+562
+00:48:27,000 --> 00:48:31,520
+بتاعته ستة على ستين، بيقول أنا مش شايف، فبروح إيش؟
+
+563
+00:48:31,520 --> 00:48:35,440
+بأستخدم الـ frosted lens قدام العين، بقول له هيك شايف؟
+
+564
+00:48:35,440 --> 00:48:38,780
+بيقول آه، هيك صارت الرؤية مية في المية. هي فعليا
+
+565
+00:48:38,780 --> 00:48:42,840
+إيش؟ عاملة السماح للضوء أنه يمر، لكن هو إيش؟ مش
+
+566
+00:48:42,840 --> 00:48:47,440
+شايف حاجة، واضح؟ فأنا بأعرف أنه malignant، okay؟
+
+567
+00:48:51,340 --> 00:48:54,940
+هذه يعني طريقة أنه بنكشف الناس اللي عندهم يعني
+
+568
+00:48:54,940 --> 00:48:58,280
+بتدعي أنه عنده reduce للـ visual acuity. إذا الـ
+
+569
+00:48:58,280 --> 00:49:02,540
+function للـ frosted lens، أول حاجة to discover
+
+570
+00:49:02,540 --> 00:49:07,080
+latent nystagmus. Number two، أنه للناس اللي بيكون
+
+571
+00:49:07,080 --> 00:49:11,220
+عنده ادعاء في الـ reduced visual acuity، بتظهره، يعني
+
+572
+00:49:11,220 --> 00:49:15,520
+بتظهر أنه جدّيش هو عنده، أنه الـ visual acuity
+
+573
+00:49:15,520 --> 00:49:17,080
+الحقيقي بتاعه، okay.
+
+574
+00:49:20,670 --> 00:49:27,170
+في عندنا the principles of a Snellen chart، الـ E
+
+575
+00:49:27,170 --> 00:49:31,610
+اللي هي الـ largest optotype، أو الـ E اللي هي الـ E
+
+576
+00:49:31,610 --> 00:49:35,710
+test، okay؟ في لها principle، في لها مبدأ، علي إيش
+
+577
+00:49:35,710 --> 00:49:37,590
+انبنت؟ دائما أنا حكيت
+
+578
+00:49:42,170 --> 00:49:47,950
+في نظرية في الـ optometry بتاخدوها، دائما حط مبادئ
+
+579
+00:49:47,950 --> 00:49:53,210
+لها، ما تحفظيش، ما تحاوليش أنك تحفظي، حاولي أنه دائما
+
+580
+00:49:53,210 --> 00:49:57,970
+تفهمي كفهم. ونفس الحاجة، الناس اللي حطوا الـ E test
+
+581
+00:49:57,970 --> 00:50:02,990
+لهم مبادئ، مبادئ، يعني كيف حطوا الـ E test، كيف كونها
+
+582
+00:50:02,990 --> 00:50:07,230
+okay، in order to، لأجل
+
+583
+00:50:13,770 --> 00:50:19,530
+تمييز أي، تا، اللي هو جسم مُشكّل. it is several parts
+
+584
+00:50:19,530 --> 00:50:24,610
+must be differentiated. أنه في مجموعة من الأجسام
+
+585
+00:50:24,610 --> 00:50:29,750
+بتكون، أي شمالها مميزة. الآن
+
+586
+00:50:29,750 --> 00:50:38,370
+each two separate cones in the macula. في عندنا
+
+587
+00:50:38,370 --> 00:50:39,630
+اللي هو two separate
+
+588
+00:50:48,310 --> 00:50:52,790
+Okay، ماشيين ولا كيف الآن؟ هل جينا للـ principle
+
+589
+00:50:52,790 --> 00:50:57,590
+مبادئ الـ E-test أو الـ E-chart اللي إحنا أخدناها في
+
+590
+00:50:57,590 --> 00:51:01,450
+المعمل، اللي جسدوا عليها الـ visual acuity، شو المبدأ
+
+591
+00:51:01,450 --> 00:51:04,870
+بتاعها؟ يعني هل هي إلها مبدأ ولا...
+
+592
+00:51:12,920 --> 00:51:18,260
+أنه النقطة الأولى، لازم أنا عشان أعمل تمييز للـ
+
+593
+00:51:18,260 --> 00:51:22,820
+optotype هذه، في عندنا أنه يكون differentiated، اللي
+
+594
+00:51:22,820 --> 00:51:27,520
+هو تمييز ما بينها. أول نقطة، أنه في عندنا two
+
+595
+00:51:27,520 --> 00:51:33,240
+separate cones in the macula، في مخروطين، okay
+
+596
+00:51:33,240 --> 00:51:40,420
+منفصلين في الـ macula، are stimulated، أنه مُحفّزين بإيش؟
+
+597
+00:51:40,420 --> 00:51:48,440
+بالـ on. بمعنى آخر، هالـ gate، هي الـ macula، في عندنا two
+
+598
+00:51:48,440 --> 00:51:59,080
+عندنا هي الـ cone، المخروط عندنا on off، و هدي on، يعني
+
+599
+00:51:59,080 --> 00:52:05,660
+كل إثنين cone on، في واحد بينهم إيش؟ separate، اللي
+
+600
+00:52:05,660 --> 00:52:11,830
+هو off. الحجم ما بين كل cone قد إيش؟ zero point zero
+
+601
+00:52:11,830 --> 00:52:17,510
+zero four micron، أو أربعة ميكرومتر
+
+602
+00:52:32,540 --> 00:52:36,160
+ستة ونص لسبعة مليون، وفي عندي الـ rods اللي هم الـ مئة
+
+603
+00:52:36,160 --> 00:52:40,940
+وخمسة وعشرين مليون. الـ cones مسئول عن إيش؟ الـ central
+
+604
+00:52:40,940 --> 00:52:44,780
+vision، مسئول عن الـ central vision، ومسئول عن اللي
+
+605
+00:52:44,780 --> 00:52:50,040
+هو الرؤية النهارية، okay. الآن هذا الـ rods... عفواً
+
+606
+00:52:50,040 --> 00:52:56,340
+الـ cones، في stimulation، تحفيز. يعني في عندنا one one
+
+607
+00:52:56,340 --> 00:52:56,660
+cone
+
+608
+00:53:02,300 --> 00:53:06,240
+الـ two cones on، واحد بينهم اللي هو separate، إيش
+
+609
+00:53:06,240 --> 00:53:11,860
+بيكون off، okay. The
+
+610
+00:53:11,860 --> 00:53:15,860
+average diameter of the macular cone is zero point
+
+611
+00:53:15,860 --> 00:53:21,380
+zero zero four millimeter، four microns. This forms
+
+612
+00:53:21,380 --> 00:53:26,450
+the smallest distance stimulated cones. إذا المسافة
+
+613
+00:53:26,450 --> 00:53:31,010
+ما بين كل cone هي عبارة عن zero point zero zero
+
+614
+00:53:31,010 --> 00:53:37,130
+four millimeter، اللي هي four micron، okay. هذه
+
+615
+00:53:37,130 --> 00:53:43,190
+المسافة ما بين كل cone والآخر. طيب شو فايدتها؟
+
+616
+00:53:43,190 --> 00:53:47,730
+الفايدة بتاعتها أنه بتشكل أفضل اللي هو صورة الـ
+
+617
+00:53:47,730 --> 00:53:52,150
+smallest distance stimulated cone،
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bf544ec10c13acef4a28ed15af863d347c2dc14e
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_postprocess.srt
@@ -0,0 +1,2488 @@
+1
+00:00:20,990 --> 00:00:24,030
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,030 --> 00:00:28,930
+وبركاته اليوم هنبدأ في موضوع ال visual acuity
+
+3
+00:00:28,930 --> 00:00:35,790
+testing in verbal children before we start in this
+
+4
+00:00:35,790 --> 00:00:39,150
+subject I want to give you answer for the
+
+5
+00:00:39,150 --> 00:00:43,730
+definition of card of cardبداية ال card of card
+
+6
+00:00:43,730 --> 00:00:51,830
+المريض بيكون عنده attention okay يعني دايما ال
+
+7
+00:00:51,830 --> 00:00:56,850
+patient او الطفل بيعمل attention انتباه و ال
+
+8
+00:00:56,850 --> 00:01:01,710
+examiner في عنده صور مختلفة بمعنى اخر الان انا
+
+9
+00:01:01,710 --> 00:01:05,690
+مثلا ال card of card هل يعتبر quantitative ولا
+
+10
+00:01:05,690 --> 00:01:09,410
+qualitative quantitative
+
+11
+00:01:09,410 --> 00:01:15,600
+بمعنى عددييعني ستة ع ستين، ستة ع اربع عشرين، ستة ع
+
+12
+00:01:15,600 --> 00:01:20,060
+تلاتين، واضح؟ هذا بمعنى اللي هو ايه؟ quantitative،
+
+13
+00:01:20,060 --> 00:01:26,200
+عددي qualitative بمعنى كم؟ يعني .. كم؟ كم؟
+
+14
+00:01:26,200 --> 00:01:30,280
+qualitative يعني بمعنى انه بتدين ال visual acuity
+
+15
+00:01:30,280 --> 00:01:34,580
+هل هو good ولا poor يعني زي مثلا ال rotation test,
+
+16
+00:01:35,040 --> 00:01:38,440
+occlusion of one eye هدول كلهم يعتبر ايه؟
+
+17
+00:01:38,440 --> 00:01:43,500
+qualitative، صح؟Okay؟ الآن ال card في card ال
+
+18
+00:01:43,500 --> 00:01:47,960
+examiner بيكون عنده مجموعة من الصور، بيعرض مثلا
+
+19
+00:01:47,960 --> 00:01:52,300
+ستة ع ستين، ستة على ستة و تلاتين، ستة عارفة و
+
+20
+00:01:52,300 --> 00:01:57,680
+عشرين، و هكذا Okay؟ طبعا كل ما ماشي ال .. ال .. ال
+
+21
+00:01:57,680 --> 00:02:04,230
+examiner ال .. ال .. يعني الصورة بيصير أقل وضوحو
+
+22
+00:02:04,230 --> 00:02:07,090
+بتكون في اتجاه مختلف طبعا هو ال card of card من
+
+23
+00:02:07,090 --> 00:02:11,150
+أكتر ما يستخدم عندنا في ال .. يعني معظم ال clinic
+
+24
+00:02:11,150 --> 00:02:15,800
+ال medical clinic بيستخدموا ال card of cardفالcard
+
+25
+00:02:15,800 --> 00:02:19,980
+of card لو مثلا مثلنا الصورة هذه طبعا انا بكون ك
+
+26
+00:02:19,980 --> 00:02:24,180
+examiner ماسك الصورة هذه okay الان في الاتجاه
+
+27
+00:02:24,180 --> 00:02:30,000
+التاني حكينا دايما اي تفحص فيه اللي هو اتجاه لحركة
+
+28
+00:02:30,000 --> 00:02:34,620
+الصورة لازم ال examiner مايعرفش وين اتجاه الصورة
+
+29
+00:02:34,620 --> 00:02:39,850
+okayفهو مثلا الصورة كانت up بيكون مكتوب هنا يا إما
+
+30
+00:02:39,850 --> 00:02:44,750
+سهم أو بيكون up okay؟ الآن مثلا أنا عرضت هذه ستة ع
+
+31
+00:02:44,750 --> 00:02:48,950
+ستين كانت up okay؟ الصورة البعدة ستة ع ستة و
+
+32
+00:02:48,950 --> 00:02:55,430
+تلاتين هتكون أقل فانت مثلا rightOkay فبكون كاتبلي
+
+33
+00:02:55,430 --> 00:03:00,650
+right ستة ع ستين كلهان بكون مكتوب بتكون اقل فين؟
+
+34
+00:03:00,650 --> 00:03:05,030
+الستة اربع عشرين برضه اقل و هكذا طبعا اذا حاسيت
+
+35
+00:03:05,030 --> 00:03:08,490
+انا كل هيتهم في ال center ك examiner لازم اكون
+
+36
+00:03:08,490 --> 00:03:12,690
+منتبه انه خلاص الطفل ممكن يحفظ الاتجاه فإيش بروح؟
+
+37
+00:03:12,690 --> 00:03:17,190
+بروح ابدل مثلا مرة هان مرة هان مرة up down right
+
+38
+00:03:17,190 --> 00:03:21,770
+left بشكل انه يفهم اللي هو الطفل انه اشوف اللي هو
+
+39
+00:03:21,770 --> 00:03:26,820
+ال eye movement للطفلOkay طيب هل بالنسبة ل cardiff
+
+40
+00:03:26,820 --> 00:03:33,740
+card another question؟ ال tiller
+
+41
+00:03:33,740 --> 00:03:39,960
+card بيكون مقارنة في ال cardiff الصورة اللي فيه
+
+42
+00:03:39,960 --> 00:03:45,180
+أوسع يعني بمعنى انه الحجم بتاعه أوسع و بيكون اللي
+
+43
+00:03:45,180 --> 00:03:51,160
+هو خطوط عبارة عن خطوط بالشكل هذه انه يا اما خطوط
+
+44
+00:03:51,160 --> 00:03:58,360
+vertical زي هيكأو بتكون خطوط ايش مالها؟ horizontal
+
+45
+00:03:58,360 --> 00:04:03,720
+وبيكون يعني بينهم اللي هو زي ما قلنا ال white و ال
+
+46
+00:04:03,720 --> 00:04:08,880
+black strip واضح انه الطفل بيشوف يعني بيعتمد على
+
+47
+00:04:08,880 --> 00:04:13,460
+حركة عين الطفل ان وين هتكون الحركة بتاعته فمثلا
+
+48
+00:04:13,460 --> 00:04:17,480
+إذا كانت right هيحرك ال eye movement باتجاه ال
+
+49
+00:04:17,480 --> 00:04:20,700
+right إذا كانت left هتكون باتجاه ال left فهي
+
+50
+00:04:20,700 --> 00:04:25,540
+بتعتمد على حركة اللي هو عين الطفللل vertical و لل
+
+51
+00:04:25,540 --> 00:04:31,780
+horizontal طبعا
+
+52
+00:04:31,780 --> 00:04:37,460
+لو في أي سؤال في المادة من أول ما بدأنا يعني أي
+
+53
+00:04:37,460 --> 00:04:39,300
+نقطة مش واضحة ممكن تسأله
+
+54
+00:04:48,630 --> 00:04:52,810
+الان لما تكون الصورة معروضة up مش الواحد بطلع هيك
+
+55
+00:04:52,810 --> 00:04:57,710
+up برفع رأسه شوية اللي هي ال neck بتتحرك لو down
+
+56
+00:04:57,710 --> 00:05:01,750
+بنزل .. يعني حركة ال eye movement مرتبطة بال
+
+57
+00:05:01,750 --> 00:05:07,970
+movement بتاعة ال neck okay another question
+
+58
+00:05:07,970 --> 00:05:13,450
+finish
+
+59
+00:05:13,450 --> 00:05:20,030
+okaytesting visual acuity in verbal children انه
+
+60
+00:05:20,030 --> 00:05:25,910
+قياس حدة الإبصار للأطفال إيه الناطقين طبعا ال
+
+61
+00:05:25,910 --> 00:05:31,010
+verbal children الأطفال الناطقين بيكونوا من اتنين
+
+62
+00:05:31,010 --> 00:05:35,030
+و نص لخمس
+
+63
+00:05:35,030 --> 00:05:40,150
+سنوات هذا المقصود فيه ان ال verbal children من
+
+64
+00:05:40,150 --> 00:05:46,910
+اتنين و نص لخمس سنواتفي عندنا ال test الأول Allen
+
+65
+00:05:46,910 --> 00:05:52,950
+picture card or K pictures بالنسبة لل Allen
+
+66
+00:05:52,950 --> 00:05:58,030
+picture card or ال K pictures near test cards are
+
+67
+00:05:58,030 --> 00:06:04,330
+easier for younger children ال Allen picture دايما
+
+68
+00:06:04,330 --> 00:06:11,070
+أي تفحصات للأطفالالين اللى هو اسم ال .. ال .. يعني
+
+69
+00:06:11,070 --> 00:06:16,650
+ال designer المصمم لهذا ال .. الفحص ال test okay
+
+70
+00:06:16,650 --> 00:06:21,810
+فزي مثلا Cardiff Cardiff اللى هى جامعة مشهورة فى
+
+71
+00:06:21,810 --> 00:06:27,590
+بريطانيا فال test هذا على اسم الجامعة okay فعنا ال
+
+72
+00:06:27,590 --> 00:06:32,610
+.. ال الين picture card دايما اى تفحص للأطفال يجب
+
+73
+00:06:32,610 --> 00:06:36,410
+انه يكون المسافة ما بين ال examiner و ما بين الطفل
+
+74
+00:06:36,410 --> 00:06:41,150
+القريبةليش؟ لأن الطفل دايما مابحبش يعمل attention،
+
+75
+00:06:41,150 --> 00:06:44,810
+انتباه، فانا الآن لو بدي أعمل على مسافة ستة متر،
+
+76
+00:06:44,810 --> 00:06:48,430
+مستحيل هيكون ايش؟ أعمل اللي هو attention معاه، اه
+
+77
+00:06:48,430 --> 00:06:52,730
+فدايما المسافة لازم تكون قريبة، فبالأقل in Cape
+
+78
+00:06:52,730 --> 00:06:57,790
+Town أنه عندنا near، يعني المسافة ما بين ال
+
+79
+00:06:57,790 --> 00:07:02,430
+examiner و ما بين ال patient أو الطفل بتكون إيه
+
+80
+00:07:02,430 --> 00:07:07,130
+شمالها؟ قريبة، okay؟طبعا ال الين بيكشار فيه له
+
+81
+00:07:07,130 --> 00:07:13,110
+disadvantages يعني فيه له عيوب number one pictures
+
+82
+00:07:13,110 --> 00:07:18,490
+are not constructed according to Snellen form each
+
+83
+00:07:18,490 --> 00:07:22,330
+element in the target subtend one of visual angle
+
+84
+00:07:22,330 --> 00:07:28,590
+في ال principle مبدأ ال visual acuity اللي هي ال E
+
+85
+00:07:28,590 --> 00:07:30,790
+الآن لو احنا أخدنا ال E
+
+86
+00:07:46,440 --> 00:07:53,320
+الان كل واحد degree بيساوي واحد angle، يعني ال
+
+87
+00:07:53,320 --> 00:07:57,120
+visual angle بتاعتها كل واحدة بيساوي انه بيكون
+
+88
+00:07:57,120 --> 00:08:01,780
+الواحد angle و واحد اللي هو degree، okay؟ فهذه ال
+
+89
+00:08:01,780 --> 00:08:06,760
+.. ال allen k-picture هي مش مصممة زي مين زي ال k
+
+90
+00:08:06,760 --> 00:08:12,910
+-pictureعفوا الكي بيك شارد مش مصممة زي مين زي ال E
+
+91
+00:08:12,910 --> 00:08:17,110
+شارد يعني بتكونش الواحد angle بساوي واحد degree
+
+92
+00:08:17,110 --> 00:08:22,110
+هاد المقصود فيها انه اول حاجة انه مابتكونش ال big
+
+93
+00:08:22,110 --> 00:08:25,810
+shards are not constructed according to a snail
+
+94
+00:08:25,810 --> 00:08:29,970
+form انه مابتكون مصممة زي مين ال visual acuity
+
+95
+00:08:29,970 --> 00:08:36,950
+بتاع ال snail chart من ناحية ال size الحجمالنقطة
+
+96
+00:08:36,950 --> 00:08:40,190
+التانية some pictures are not familiar to the
+
+97
+00:08:40,190 --> 00:08:43,890
+child for example التليفون انه هذه الصور غير
+
+98
+00:08:43,890 --> 00:08:48,150
+معروفة قد تكون للطفل زي مثلا التليفون زي مثلا
+
+99
+00:08:48,150 --> 00:08:54,870
+الدفتر يعني اي تصورة بتكونش غير مقلوفة للطفل فهذه
+
+100
+00:08:54,870 --> 00:08:59,430
+ايش تعتبر برضه من ال disadvantage لل Ellen picture
+
+101
+00:09:07,740 --> 00:09:12,100
+ممكن هذه الصور تكون اكبر اكبر من مين من ال snail
+
+102
+00:09:12,100 --> 00:09:17,600
+chart يعني الحجم بتاعها ال size ال smallest one
+
+103
+00:09:17,600 --> 00:09:23,120
+twenty over thirty اللي هي six over nine يعني شوف
+
+104
+00:09:23,120 --> 00:09:27,640
+اصغر واحدة في ال key picture ستة اتسعة طبعا الستة
+
+105
+00:09:27,640 --> 00:09:31,820
+اتسعة احنا بنعتبرها ك optometry انه في عنده
+
+106
+00:09:31,820 --> 00:09:38,400
+defective vision صح انه ما يعتبر normalbut most
+
+107
+00:09:38,400 --> 00:09:42,620
+children respond to this taste لكن معظم الأطفال
+
+108
+00:09:42,620 --> 00:09:47,360
+ايش؟ بيستجيب لهذا ليش؟ لأنه بيكون دايما الطفل بيحب
+
+109
+00:09:47,360 --> 00:09:51,000
+اللي هو ال toy الألعاب و هذا ال allencabegshire
+
+110
+00:09:51,000 --> 00:09:55,700
+فيه اللي هو ألعاب بتكون مثلا apple بتكون مثلا
+
+111
+00:09:55,700 --> 00:10:01,340
+chicken يعني اللي هو أشياء مختلفة و عبارة عن toy
+
+112
+00:10:01,340 --> 00:10:05,740
+فالطفل بيكون attention لها okay؟فدائما هو بيكون
+
+113
+00:10:05,740 --> 00:10:10,340
+response لهذا ال test طبعا المسافة اللي احنا
+
+114
+00:10:10,340 --> 00:10:14,060
+بنستخدمها معظمنا ال allencabin chart بتكون على
+
+115
+00:10:14,060 --> 00:10:19,040
+مسافة تلاتة متر يعني في الغالب بتستخدم على مسافة
+
+116
+00:10:19,040 --> 00:10:19,940
+تلاتة متر
+
+117
+00:10:24,760 --> 00:10:28,600
+طبعا هي مثلا زي ما انتوا شايفين في الصورة هي الطفل
+
+118
+00:10:28,600 --> 00:10:33,260
+وهي بالنسبة لل examiner طبعا هذه مجموعة الصور اللي
+
+119
+00:10:33,260 --> 00:10:37,440
+بتكون موجودة في ال Ellen picture فالطفل مثلا شاف
+
+120
+00:10:37,440 --> 00:10:41,800
+اللي هو ال fish و أشر عنده على الصورة الموجودة
+
+121
+00:10:41,800 --> 00:10:48,450
+عنده okay؟طبعا هان من الصعب انه مثلا تدي الطفل
+
+122
+00:10:48,450 --> 00:10:53,370
+اللى هى الصور و تحكيله مثلا شو هدى او شو هدى احنا
+
+123
+00:10:53,370 --> 00:10:57,890
+عنا شو بنعمل مثلا هان انا ال examiner بكون واقف و
+
+124
+00:10:57,890 --> 00:11:02,670
+هان الطفل و ال here or his mom بتكون واقفة هان
+
+125
+00:11:02,670 --> 00:11:11,350
+فمثلا بتعرض الصورة الاولى حاضر هيك شايفين طيب هى
+
+126
+00:11:11,350 --> 00:11:15,920
+مثلا ال examiner okayطبعا ال examiner هو اللي
+
+127
+00:11:15,920 --> 00:11:20,560
+بيعرض الصور انه بتكون مثلا سمكة او بتكون مثلا
+
+128
+00:11:20,560 --> 00:11:28,580
+دجاجة etc ال examiner هو بيعرض ال M بتكون في منتصف
+
+129
+00:11:28,580 --> 00:11:34,180
+ال .. ما بين الطفل و ما بين مين الفاحص مثلا الطفل
+
+130
+00:11:34,770 --> 00:11:38,890
+تعرضيله الصورة الأولى، بيحكي مثلا سمكة، okay تمشي،
+
+131
+00:11:38,890 --> 00:11:42,890
+التانية، التالتة، طبعا ال M هي إيش؟ بتكون .. بتنقل
+
+132
+00:11:42,890 --> 00:11:47,090
+لمين؟ ل ال examiner، يعني هي الوسيط ما بين الطفل و
+
+133
+00:11:47,090 --> 00:11:51,510
+ما بين ال examiner واضح؟ المسافة هان برضه تقريبا
+
+134
+00:11:51,510 --> 00:11:55,810
+تلاتة متر، يعني في ال test هذا مصمم على أنه تلاتة
+
+135
+00:11:55,810 --> 00:11:56,110
+متر
+
+136
+00:12:01,400 --> 00:12:05,100
+طبعا برضه في ال .. في ال .. في ال K picture او ال
+
+137
+00:12:05,100 --> 00:12:08,480
+elite picture مش معقول انه مثلا تكون كل الصور ال
+
+138
+00:12:08,480 --> 00:12:15,240
+66 ال 36 ال 24 نفس الصور لأ لازم انه تكون مختلفة
+
+139
+00:12:15,240 --> 00:12:19,820
+يعني مثلا عرضت اول صورة fish التاني لازم مثلا تكون
+
+140
+00:12:19,820 --> 00:12:23,340
+chicken التالتة مثلا apple يعني لازم انه .. انه
+
+141
+00:12:23,340 --> 00:12:30,060
+يكون منوع في الصور و هذه نقطة مهمة okayفي نقطة
+
+142
+00:12:30,060 --> 00:12:34,120
+تانية في ال الين كي بيكشار، الآن مثلا الطفل حاسيته
+
+143
+00:12:34,120 --> 00:12:38,080
+أنه يعني very active وحاسيته أنه ال response بتاعه
+
+144
+00:12:38,080 --> 00:12:41,700
+عالي، زي ما بتفحصه ال visual acuity، الآن لما بشوف
+
+145
+00:12:41,700 --> 00:12:46,680
+الكبير بشكل سهل و بعدين شوف ال 6 ع 36 بروح أطول
+
+146
+00:12:46,680 --> 00:12:50,360
+مثلا 6 ع 18 عشان مايصارش عند الطفل نوع من ال
+
+147
+00:12:50,360 --> 00:12:55,600
+boringيعني ممكن أنتقل من ستة ع ستين لستة ع تمانتاش
+
+148
+00:12:55,600 --> 00:12:59,600
+إذا لجيت له response ده الطفل إيه شماله شايف يعني
+
+149
+00:12:59,600 --> 00:13:07,680
+إن هو شايف هذا إنه مش شرط إنه أمشي تدريج okay طيب
+
+150
+00:13:07,680 --> 00:13:13,040
+في عندنا ال hotef test أو ال sun-sickened silver
+
+151
+00:13:13,040 --> 00:13:18,500
+testrequire pattern recognition and matching of
+
+152
+00:13:18,500 --> 00:13:22,400
+progressively smaller optotypes with those on a
+
+153
+00:13:22,400 --> 00:13:28,240
+handheld cart.الان هذا بتطلب تنظيم للأشكال pattern
+
+154
+00:13:28,240 --> 00:13:29,200
+recognition
+
+155
+00:13:32,610 --> 00:13:36,810
+hand mashing توصيل بشكل تدريجي لل smaller
+
+156
+00:13:36,810 --> 00:13:41,510
+optotypes للصور الصغيرة طبعا من خلال ان ال hand هي
+
+157
+00:13:41,510 --> 00:13:46,050
+ال card انه يكون hand انه ماسك بيده كل اللي هي ايه
+
+158
+00:13:46,050 --> 00:13:47,490
+الصور الطفل
+
+159
+00:13:50,150 --> 00:13:55,670
+Okay الآن الطفل بيكون ماسك كل الصور و بيعمل عملية
+
+160
+00:13:55,670 --> 00:14:00,010
+mash توصيل للصورة مثلا الصورة الأولى بتنعرض هو
+
+161
+00:14:00,010 --> 00:14:04,230
+بيعمل إيش تأشير مثلا سمكة بيعمل اللي هو التأشير
+
+162
+00:14:04,230 --> 00:14:05,190
+إليها okay
+
+163
+00:14:07,820 --> 00:14:12,480
+يعني هاي مجموع الصور okay مثلا حرف ال H ان عرضه
+
+164
+00:14:12,480 --> 00:14:16,440
+الطفل حرف ال H هذه بتكون في ايده هو بيقشر على حرف
+
+165
+00:14:16,440 --> 00:14:21,020
+ال H بعدين بنعرضه مثلا حرف ال V بيقشر يعني عملية
+
+166
+00:14:21,020 --> 00:14:25,940
+اللي هو ماشي okay في
+
+167
+00:14:25,940 --> 00:14:29,960
+ال K picture بتكون صورة واحدة بيعرض صورة واحدة و
+
+168
+00:14:29,960 --> 00:14:33,580
+الطفل ممكن انه يمسك صورة واحدة لكن في ال Hottest
+
+169
+00:14:33,580 --> 00:14:33,980
+Test
+
+170
+00:14:37,940 --> 00:14:42,480
+مجموع الصور لكن ايش واللي بيقشرله برضه مجموع الصور
+
+171
+00:14:42,480 --> 00:14:48,340
+بمعنى اخر يعني بيكون في عندك a,b,c,d مجموعة من
+
+172
+00:14:48,340 --> 00:14:54,280
+الأحرف عند الطفل في يده مع بعض وبتنعرض مجموعة اللي
+
+173
+00:14:54,280 --> 00:14:59,720
+هو ايه أحرف فهو الطفل مثلا بنعرضله حرف ال a بيقوله
+
+174
+00:14:59,720 --> 00:15:03,920
+مثلا ال examiner هذا ايش a الطفل نفس هذي موجود
+
+175
+00:15:03,920 --> 00:15:06,280
+عنده فهو بده يقشر okay
+
+176
+00:15:10,640 --> 00:15:14,900
+لأ طبيعي ممكن صورة بس هاد ال .. ال هتف بيكون العمر
+
+177
+00:15:14,900 --> 00:15:18,340
+بتاعه كنت جيت متأخرها من اتنين و نص لخمس سنوات
+
+178
+00:15:18,340 --> 00:15:22,640
+واضح طبعا هو هان بتكلم احنا مثلا كعرب نستخدم اللغة
+
+179
+00:15:22,640 --> 00:15:29,060
+العربية أحرف اللغة العربية okay تصميم يعني
+
+180
+00:15:29,060 --> 00:15:34,160
+these letters are chosen to be of a very ..
+
+181
+00:15:42,370 --> 00:15:46,870
+مهمة بتكون vertical بشكل عمودي او بتكون ايش ممكن
+
+182
+00:15:46,870 --> 00:15:53,310
+horizontal و بتكون متماثلة سيمتري بشكل متماثل more
+
+183
+00:15:53,310 --> 00:15:57,270
+accurate in amblyopia a crowding phenomena هذه
+
+184
+00:15:57,270 --> 00:16:03,590
+نقطة مهمة انه دايما ال hotel test اللي بيكون مهم
+
+185
+00:16:03,590 --> 00:16:07,890
+جدا في حالة ال amblyopia اللي هي كسل العين شو
+
+186
+00:16:07,890 --> 00:16:13,140
+معناه كسل العين؟أنا أقوم بالبطارية مش هم نفسي إيه
+
+187
+00:16:15,910 --> 00:16:20,870
+الامبيوبي معناها lazy eye انه reduce visual acuity
+
+188
+00:16:20,870 --> 00:16:25,490
+in both eyes with uncorrected by glasses or
+
+189
+00:16:25,490 --> 00:16:29,370
+contact lens يعني ال visual acuity بيقل للمريض
+
+190
+00:16:29,370 --> 00:16:33,530
+بالنضارة أو بالعدسة اللاصقة without any
+
+191
+00:16:33,530 --> 00:16:37,730
+pathological or structural anomalies يعني دون أية
+
+192
+00:16:37,730 --> 00:16:44,430
+مشاكل في المرضية للمريض يعني مافيش أية مشكلة بتكون
+
+193
+00:16:44,430 --> 00:16:50,620
+عنده مرضيةOkay ف ال Hottest test هذا الفحص بيكون
+
+194
+00:16:50,620 --> 00:16:55,840
+مهم جدا يما يكون واحد عنده Amblyopia ليش؟ لأنه
+
+195
+00:16:55,840 --> 00:16:59,080
+بيصير عنده crowding phenomena اللي هي ظاهرة
+
+196
+00:16:59,080 --> 00:17:04,540
+التزاحم انه ظاهرة التزاحم اللي هو بتظهر عنده ان
+
+197
+00:17:04,540 --> 00:17:09,300
+الأحرف أشمالها بتكون متداخلة مع بعض okay يعني
+
+198
+00:17:11,870 --> 00:17:15,490
+شو الفرق ما بين ال Ellen picture و ال Hottest
+
+199
+00:17:15,490 --> 00:17:19,730
+test؟ دايما ال Hottest test بكشف لو كان واحد عنده
+
+200
+00:17:19,730 --> 00:17:25,050
+أمبيليوبيا، ليش؟ طيب لأنه
+
+201
+00:17:25,050 --> 00:17:29,930
+انا بعرض اكتر .. اه بالظبط، انه بعرض اكتر من صورة،
+
+202
+00:17:29,930 --> 00:17:31,150
+بتكون في ال Hottest test
+
+203
+00:17:39,750 --> 00:17:43,590
+صورة ايش؟ صورة واحدة، فالصورة الواحدة يا اما يعني
+
+204
+00:17:43,590 --> 00:17:47,070
+الطفل مابصرش عنده ظاهرة التزاحم، فلو كان عنده
+
+205
+00:17:47,070 --> 00:17:53,030
+amblyopia ماهيظهرش عنده، واضح؟ فهنا تعريف اللي هو
+
+206
+00:17:53,030 --> 00:17:53,750
+ال amblyopia
+
+207
+00:18:09,620 --> 00:18:14,420
+أو ال lazy eye ا
+
+208
+00:18:14,420 --> 00:18:20,800
+reduce
+
+209
+00:18:20,800 --> 00:18:24,120
+visual
+
+210
+00:18:24,120 --> 00:18:32,660
+acuity in both eyes
+
+211
+00:18:32,660 --> 00:18:36,440
+with
+
+212
+00:18:44,910 --> 00:18:53,970
+corrected by glasses or
+
+213
+00:18:53,970 --> 00:18:57,030
+contact lens طبعا هذه اختصار لل contact lens
+
+214
+00:18:57,030 --> 00:19:00,890
+without
+
+215
+00:19:00,890 --> 00:19:05,670
+any
+
+216
+00:19:31,980 --> 00:19:36,340
+إذا الأمبيوبيا كسل العين a reduce visual acuity
+
+217
+00:19:36,340 --> 00:19:41,780
+أنه تقليل لحدة الإبصار في كلتل عينتين with
+
+218
+00:19:41,780 --> 00:19:46,660
+uncorrected ما هيصلحش بواسطة النضارة أو ال contact
+
+219
+00:19:46,660 --> 00:19:55,820
+lens العدسة اللاصقة contact lens
+
+220
+00:19:55,820 --> 00:20:01,750
+okay without any pathological orderAnomalies
+
+221
+00:20:01,750 --> 00:20:07,890
+structure or structural anomalies بدون أي أمراض في
+
+222
+00:20:07,890 --> 00:20:15,110
+داخل اللي هو العين طبعا كسل العين يعتبر مرض شائع
+
+223
+00:20:15,110 --> 00:20:19,190
+عندنا في قطاع غزة بشكل كبير وهو بيكون دايما مع
+
+224
+00:20:19,190 --> 00:20:23,870
+الأطفال فانتوا ان شاء الله يعني أمهات المستقبل انه
+
+225
+00:20:23,870 --> 00:20:29,470
+لازم كل يعني أمقبل اللي هو سن الخمس سنوات ان يكون
+
+226
+00:20:29,470 --> 00:20:34,410
+الطفل عامل visual acuity measurement يعني قايص حدة
+
+227
+00:20:34,410 --> 00:20:39,230
+الإبصار ليش؟ لأن مشكلة ال amblyopia بعد ما الطفل
+
+228
+00:20:39,230 --> 00:20:44,940
+يصير عمره تسع سنوات خلاص ملهوش علاجيعني فيش إلها
+
+229
+00:20:44,940 --> 00:20:49,480
+علاج، واضح؟ زي بالظبط الآن أنا بستخدم ال .. ال ..
+
+230
+00:20:49,480 --> 00:20:52,960
+الإيد اليسار، والإيد اليمين خلاص، اللي هي تعتبر
+
+231
+00:20:52,960 --> 00:20:56,680
+lazy، ماهيقدر إنه بعد هيك أكتف فيها، وانت مثلا لو
+
+232
+00:20:56,680 --> 00:20:59,820
+كان واحدة بتستخدم ال right، مابتستخدمش إيش؟ ال
+
+233
+00:20:59,820 --> 00:21:05,990
+left، okay؟فال amblyopia لفترة معينة إذا العين ال
+
+234
+00:21:05,990 --> 00:21:10,410
+visual acuity ما بصرلهاش عملية stimulation تحفيز
+
+235
+00:21:10,410 --> 00:21:14,730
+بظل ال visual acuity ثابت سواء بنضارة، ابعادة
+
+236
+00:21:14,730 --> 00:21:20,030
+سلاسقة، بعملية، خلاص مافيش تحسن للنظر okay؟
+
+237
+00:21:21,990 --> 00:21:26,390
+فبالنسبة لهوتيف تيست بيكون more accurate انه دقيق
+
+238
+00:21:26,390 --> 00:21:30,470
+جدا في حالات من ال amblyopia كسل العين او ال lazy
+
+239
+00:21:30,470 --> 00:21:35,090
+eye عشان بيعمل اللي هو اظهار لمين لل crowding
+
+240
+00:21:35,090 --> 00:21:39,190
+phenomena why هوتيف تيست is more accurate compared
+
+241
+00:21:39,190 --> 00:21:47,330
+to allen kabachar اه
+
+242
+00:21:47,330 --> 00:21:52,630
+ممكن هذا السؤال مثلا اجيبه انه whyHot if test is
+
+243
+00:21:52,630 --> 00:21:59,930
+more accurate compared to Ellen Bixler Why Hot if
+
+244
+00:21:59,930 --> 00:22:07,910
+test is more accurate compared to Ellen Bixler أهم
+
+245
+00:22:07,910 --> 00:22:13,170
+نقطة ال crowd phenomenon اللي هي ظاهرة التزاحم هذه
+
+246
+00:22:13,170 --> 00:22:17,330
+أول ما تبدى فيها أهم نقطة بدنا نفهم فهم أن ظاهرة
+
+247
+00:22:17,330 --> 00:22:22,670
+التزاحمإنه بيعمل عملية كشف يعني الآن بيكشف ظاهرة
+
+248
+00:22:22,670 --> 00:22:26,410
+التزاحم ليش؟ لأنه بيعرض أكتر من optotype مع بعض
+
+249
+00:22:26,410 --> 00:22:30,570
+فهو مدام بيعرض أكتر من optotype بيكشف إذا كان
+
+250
+00:22:30,570 --> 00:22:36,650
+المريض عنده amblyopia ولا لأ okay mash one
+
+251
+00:22:36,650 --> 00:22:41,330
+optotype with multiple optotypes إذا المريض هيعمل
+
+252
+00:22:41,330 --> 00:22:45,870
+mash توصيل لوحدة optotype مع مجموعة من إيش؟ من
+
+253
+00:22:45,870 --> 00:22:52,660
+الoptotypesexact correspondence to a graded snail
+
+254
+00:22:52,660 --> 00:22:58,840
+optotype يعني هو ال .. ال hotel test يعتبر قريب
+
+255
+00:22:58,840 --> 00:23:03,020
+بالنسبة ل .. يعني الحجم ال size of optotype تعتبر
+
+256
+00:23:03,020 --> 00:23:09,360
+قريبة مقارنة في مين في ال snail snail optotype
+
+257
+00:23:09,360 --> 00:23:09,920
+okay
+
+258
+00:23:17,970 --> 00:23:22,210
+بكون قريب لمين؟ لل Snellen اللي احنا بنشتغل عليه
+
+259
+00:23:22,210 --> 00:23:26,130
+ال visual acuity مقارنة بمين؟ بال allencabexcher
+
+260
+00:23:26,130 --> 00:23:30,090
+ال allencabexcher قلنا ان ال size بتاعه مايكونش
+
+261
+00:23:30,090 --> 00:23:38,170
+نفس حجم مين ال E test طيب
+
+262
+00:23:38,170 --> 00:23:45,670
+في عندنا ال Sheridan gardener test require
+
+263
+00:23:45,670 --> 00:23:51,470
+childrento match familiar object pattern viewed at
+
+264
+00:23:51,470 --> 00:23:56,210
+distance with those on a near curve لو بتلاحظوا ان
+
+265
+00:23:56,210 --> 00:24:01,370
+المسافة في ال .. وضحك .. المسافة ما بين ال
+
+266
+00:24:01,370 --> 00:24:05,930
+examiner و ما بين ال children في حالة ال Sheridian
+
+267
+00:24:05,930 --> 00:24:11,090
+garden artist أقل انه بيستخدم للنير يعني تقريبا من
+
+268
+00:24:11,090 --> 00:24:15,890
+عشرين لتلاتين صنتي في ال Sheridian garden artist
+
+269
+00:24:17,140 --> 00:24:20,280
+يعني هي نفس المبدأ بتاع ال ال ال ال ال ال ال ال ال
+
+270
+00:24:20,280 --> 00:24:21,080
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+271
+00:24:21,080 --> 00:24:23,240
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+272
+00:24:23,240 --> 00:24:26,280
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+273
+00:24:26,280 --> 00:24:30,600
+ال
+
+274
+00:24:30,600 --> 00:24:30,880
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+275
+00:24:30,880 --> 00:24:31,080
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+276
+00:24:31,080 --> 00:24:31,300
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+277
+00:24:31,300 --> 00:24:31,420
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+278
+00:24:31,420 --> 00:24:32,540
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+279
+00:24:32,540 --> 00:24:32,560
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+280
+00:24:46,770 --> 00:24:51,870
+اه انه near target okay لكن في الحالة ال الانكيبيك
+
+281
+00:24:51,870 --> 00:24:55,790
+شرط زي ما قلنا انه تلاتة متر okay هان بتكون من
+
+282
+00:24:55,790 --> 00:25:01,270
+عشرين لتلاتين سانتي برضه
+
+283
+00:25:01,270 --> 00:25:02,010
+تلاتة متر
+
+284
+00:25:08,320 --> 00:25:14,280
+هنا which is better هنا فيه comparison بين مقارنة
+
+285
+00:25:14,280 --> 00:25:19,720
+ما بين ال hotef test و ال sheridan gardener test
+
+286
+00:25:19,720 --> 00:25:24,880
+okay الآن شو الفرق بين التانين؟ زي ما قلنا الفرق
+
+287
+00:25:24,880 --> 00:25:28,400
+أول حاجة المسافة بس أهم شيء اللي هي مين ال
+
+288
+00:25:28,400 --> 00:25:32,660
+crowding phenomenon اللي هي ظاهرة التساحب the main
+
+289
+00:25:32,660 --> 00:25:37,850
+difference الاختلاف الرئيسيوهو شريديان جاردينر
+
+290
+00:25:37,850 --> 00:25:44,950
+تيست وهوتف تيست هو أنه لا يوجد فنومنا في شريديان
+
+291
+00:25:44,950 --> 00:25:48,430
+جاردينر تيست ليش مافيش .. ليش ظاهرة التزاحم مش
+
+292
+00:25:48,430 --> 00:25:54,700
+موجودة؟ لأنه one optotype، only one optotypeدايما
+
+293
+00:25:54,700 --> 00:25:59,480
+في مادة ال refraction بدنا نستخدم مصطلحات بصرية ان
+
+294
+00:25:59,480 --> 00:26:04,880
+only one optotype we apply only one optotype في ال
+
+295
+00:26:04,880 --> 00:26:08,240
+test we apply multiple optotypes
+
+296
+00:26:14,160 --> 00:26:19,280
+because it show a single optotype in each card, so
+
+297
+00:26:19,280 --> 00:26:22,760
+it is not accurate to test an amblyopic child with
+
+298
+00:26:22,760 --> 00:26:27,140
+the Sheridian Gardener. إذا الأن لما أنا بقارن ما
+
+299
+00:26:27,140 --> 00:26:31,420
+بين ال Ellen Kebischer مع ال Hottif test أو ال
+
+300
+00:26:31,420 --> 00:26:36,180
+Hottif test مع ال Sheridian Gardener test الفرق
+
+301
+00:26:36,180 --> 00:26:42,590
+بينهم أنه مافيش ظاهرة التزاحم في مينفى اللى هو
+
+302
+00:26:42,590 --> 00:26:47,710
+الشرديان او ال الين كيبكشاف لأنه بعرض one only one
+
+303
+00:26:47,710 --> 00:26:51,930
+optotype لكن فى الهوتف تيست multiple optotype
+
+304
+00:26:51,930 --> 00:26:57,910
+okay؟ because the crowding phenomena is the
+
+305
+00:26:57,910 --> 00:27:02,810
+hallmark يعني بالسبب ان ظاهرة التزاحم انه تعتبر
+
+306
+00:27:02,810 --> 00:27:08,470
+قوية جدا to the presence في عرض الamblyopia كسل
+
+307
+00:27:08,470 --> 00:27:14,440
+العينSo it is very important مهم جدا لذلك مهم جدا
+
+308
+00:27:14,440 --> 00:27:20,220
+to use these two tests in the correct way and on
+
+309
+00:27:20,220 --> 00:27:25,140
+the suitable patients in the HOTIF test إذا الأفضل
+
+310
+00:27:25,140 --> 00:27:30,100
+بالنسبة للأطفال أنه نستخدم إيش ال two testsنستخدم
+
+311
+00:27:30,100 --> 00:27:34,780
+ال hotel و ال gardener أو ال allencabegshire لكن
+
+312
+00:27:34,780 --> 00:27:39,880
+طبعا هذه it depends on the culture، بتعتمد على
+
+313
+00:27:39,880 --> 00:27:44,140
+الثقافة، ثقافة عندنا المجتمع هان مابتسمحش ان طفل
+
+314
+00:27:44,140 --> 00:27:47,740
+انا اعمله two tests، بعدين اعمله ريتينيسكوب، هذه
+
+315
+00:27:47,740 --> 00:27:52,480
+صعبة عندنافانا دايما بفضل ال more accurate مين ال
+
+316
+00:27:52,480 --> 00:27:56,340
+more accurate test؟ باخد اللي هو ال hotel test ليه
+
+317
+00:27:56,340 --> 00:27:59,820
+ال hotel test more accurate؟ الان انت .. يعني انت
+
+318
+00:27:59,820 --> 00:28:03,180
+الان ك examiner أو ك optometrist professional
+
+319
+00:28:03,180 --> 00:28:07,720
+optometrist دايما مين بختار ال .. الأفضل اللي هو
+
+320
+00:28:07,720 --> 00:28:10,360
+test؟ ال hotel okay why?
+
+321
+00:28:13,820 --> 00:28:17,560
+because .. because it discover a crowding
+
+322
+00:28:17,560 --> 00:28:24,580
+phenomena okayفي عندنا it .. it show multiple
+
+323
+00:28:24,580 --> 00:28:30,200
+optotype compared to what if .. compared to allen
+
+324
+00:28:30,200 --> 00:28:33,420
+or gardener test okay
+
+325
+00:28:39,240 --> 00:28:45,540
+طبعا الlandolt rings C test اللي احنا بنشوفها في
+
+326
+00:28:45,540 --> 00:28:49,740
+غرف ال refraction اللي هي ال C test اللي هي النظام
+
+327
+00:28:49,740 --> 00:28:57,400
+الأمريكيthe child points to a similar ring on a
+
+328
+00:28:57,400 --> 00:29:03,940
+handheld cart إذا الطفل بده يحدد اتجاه من الحركة
+
+329
+00:29:03,940 --> 00:29:09,480
+يعني اتجاه الفتحة مثلا ال .. ال break وين اتجاهها
+
+330
+00:29:09,480 --> 00:29:14,220
+مثلا right left up or down some children are
+
+331
+00:29:14,220 --> 00:29:18,080
+confused بعض الأطفال بصير لهم عملية إيش ارتباك
+
+332
+00:29:18,080 --> 00:29:23,390
+confused okaycan be used in illiterate adults ان
+
+333
+00:29:23,390 --> 00:29:28,060
+هذه بتستخدم في الناس الأميينIt does have the
+
+334
+00:29:28,060 --> 00:29:32,080
+advantages of corresponding directly to the
+
+335
+00:29:32,080 --> 00:29:36,800
+Snellen chart و هي يعني احنا قلنا انه دايما في ال
+
+336
+00:29:36,800 --> 00:29:40,560
+visual acuity there are two methods في عندنا ال
+
+337
+00:29:40,560 --> 00:29:43,640
+British method و ال American method ال British
+
+338
+00:29:43,640 --> 00:29:46,820
+method هو عبارة عن ال Snellen visual acuity chart
+
+339
+00:29:46,820 --> 00:29:50,580
+ال American method هو عبارة عن ال Landolt ring
+
+340
+00:29:50,580 --> 00:29:55,780
+testطيب ال handle ring هل هي تعتبر quantitative
+
+341
+00:29:55,780 --> 00:30:03,840
+ولا qualitative؟ quantitative why؟ لأنه بديني ستة
+
+342
+00:30:03,840 --> 00:30:09,360
+ع ستين، ستة أربع عشرين، okay؟
+
+343
+00:30:09,360 --> 00:30:15,860
+طيب في عندنا ال familiar tumbling E test requires
+
+344
+00:30:15,860 --> 00:30:16,800
+mashing
+
+345
+00:30:21,950 --> 00:30:25,950
+it's major advantage is the direct correspondence
+
+346
+00:30:25,950 --> 00:30:31,450
+to a graded Snellen optotypes الان الطفل مثلا بعرض
+
+347
+00:30:31,450 --> 00:30:36,510
+ال E-test و بعرض مثلا أحرف انه بخلي عملية اللي هو
+
+348
+00:30:36,510 --> 00:30:41,030
+ماشي توصيل لكن هي أسهل طريقة من ناحية ال
+
+349
+00:30:41,030 --> 00:30:45,410
+measurement of visual acuity الان بجيب الطفل بعلمه
+
+350
+00:30:45,410 --> 00:30:50,460
+بقوله من ناحية اللي هو ال nearعلى لوحة الإشارات
+
+351
+00:30:50,460 --> 00:30:55,280
+هذي وين هذي وين إذا ماعرفش الطفل يعني ماتحاوليش
+
+352
+00:30:55,280 --> 00:30:58,840
+أنه تستخدم ال smelling chart لازم تشوف إيه لها
+
+353
+00:30:58,840 --> 00:31:02,640
+بديل سواء ال allencabin chart أو ال hotel test
+
+354
+00:31:02,640 --> 00:31:10,020
+يعني هي ما تعتبر ال E test مايعتبرش هو ال best لأ
+
+355
+00:31:10,020 --> 00:31:14,380
+يعني ممكن ال hotel test في حالات أفضلفهنا مثلا
+
+356
+00:31:14,380 --> 00:31:18,960
+بيجي اللي هو ال professional optometrist في اختيار
+
+357
+00:31:18,960 --> 00:31:23,180
+ال test الأفضل يعني الآن انا مثلا اعرفت كل ال test
+
+358
+00:31:23,180 --> 00:31:27,240
+تاعت ال pre verbal و ال verbal children الآن دوري
+
+359
+00:31:27,240 --> 00:31:32,180
+بدي احدد استخدام ال test في المكان المناسب وين انا
+
+360
+00:31:32,180 --> 00:31:36,300
+ممكن استخدمه يعني مثلا طفل مش متجاوب معايا مش عارف
+
+361
+00:31:36,300 --> 00:31:40,960
+اللي هو اتجاه الفاتحة وينفانا ما بحاول أنه إيش
+
+362
+00:31:40,960 --> 00:31:44,760
+أستخدم ال E test أو ما بحاول أستخدم ال C test
+
+363
+00:31:44,760 --> 00:31:48,800
+بحاول أنه أستخدم مثلا ال Hotif test ال Gardner
+
+364
+00:31:48,800 --> 00:31:52,900
+test ال Alan kubik chart ممكن ال sweet test يعني
+
+365
+00:31:52,900 --> 00:31:58,420
+ممكن نصل لمرحلة لطفل خمس سنوات مثلا يعني عنده هيك
+
+366
+00:31:58,420 --> 00:32:03,860
+مثلا lazy هو أو ماعندهوش اللي هو response عالي
+
+367
+00:32:03,860 --> 00:32:06,980
+ممكن أستخدم ال ال ال sweet test okay
+
+368
+00:32:13,540 --> 00:32:21,020
+Okay في عندنا important notice ملاحظات هامة in
+
+369
+00:32:21,020 --> 00:32:25,880
+some cases or in some patients في بعض الحالات the
+
+370
+00:32:25,880 --> 00:32:30,360
+patient may have a latent nystagmus ان المريض
+
+371
+00:32:30,360 --> 00:32:33,840
+بيكون عنده رقرة في العين لكن الرقرة هذه ايش بتكون
+
+372
+00:32:33,840 --> 00:32:42,660
+خفية latent بمعنى خفي latent معناها
+
+373
+00:32:42,660 --> 00:32:50,870
+خفيخفي خفي يعني مش ظاهر مش واضح نعم latent
+
+374
+00:32:50,870 --> 00:32:57,290
+nystagmus okay which appears when the other eye is
+
+375
+00:32:57,290 --> 00:33:02,550
+occluded في بعض الناس أو بعض المرضى بيكون عنده
+
+376
+00:33:02,550 --> 00:33:10,180
+nystagmus nystagmus معناها رأرة العين هي مرضسببه
+
+377
+00:33:10,180 --> 00:33:15,000
+انه بيكون في عنده خلل في عضلات العين، okay؟ و .. و
+
+378
+00:33:15,000 --> 00:33:18,480
+بيكون كمان اللي هو سببه بيكون عنده مشاكل في
+
+379
+00:33:18,480 --> 00:33:22,060
+العصابة، فبتلاقي دايما عنده إيش؟ رقراة في العين،
+
+380
+00:33:22,060 --> 00:33:26,960
+بتكون شائعة في الناس الألبينو، الناس البيض جدا أو
+
+381
+00:33:26,960 --> 00:33:31,360
+الحمر احنا بنقول عنهم، هدول بيكون عندهم يعني شائع
+
+382
+00:33:31,360 --> 00:33:34,780
+بشكل كبير، اللي هو الناس دايما، دايما العين في
+
+383
+00:33:34,780 --> 00:33:38,820
+إلها إيه؟ رقراةطبعا الإنسان اللي بيكون عنده رقرة
+
+384
+00:33:38,820 --> 00:33:42,760
+في العين، يكون الرؤية يشملها مش واضحة، لأنه
+
+385
+00:33:42,760 --> 00:33:47,640
+مابتكونش أعمل الهو fixation لمين، لال target طيب
+
+386
+00:33:47,640 --> 00:33:52,160
+في ناس مثلا بيكون عنده latent nystagmus، يعني رقرة
+
+387
+00:33:52,160 --> 00:33:57,360
+في العين لكن خفية، هدف الوضع الطبيعي ال latent
+
+388
+00:33:57,360 --> 00:34:02,370
+nystagmus مابتكونش واضحةيعني بيكون المريض عنده
+
+389
+00:34:02,370 --> 00:34:06,630
+null point، null point شو معناها؟ الآن أنا يما هو
+
+390
+00:34:06,630 --> 00:34:12,090
+بيجي بيقرأ، بيحدد له نقطة معينة، بيركز فيها بحيث
+
+391
+00:34:12,090 --> 00:34:17,270
+انه يلغي ال nostagmus اللي هي رأرات العين، لكن
+
+392
+00:34:17,270 --> 00:34:21,790
+هدول كيف ممكن اكشفهم؟ غطي بس عين، بنكشف اللي هو ال
+
+393
+00:34:21,790 --> 00:34:27,140
+nostagmusيعني بيصير عنده ال manifest طبعا ال
+
+394
+00:34:27,140 --> 00:34:39,360
+latent تعكسها manifest اللي هو واضح أو ظاهر طبعا
+
+395
+00:34:39,360 --> 00:34:42,480
+هناخدهم ال manifest و ال latent من ناحية اللي هو
+
+396
+00:34:42,480 --> 00:34:44,020
+ال hyper, metrop, و الميوب
+
+397
+00:34:47,400 --> 00:34:52,340
+فأول طريقة لكشف ال stagnance أنه إيش أعمل ال
+
+398
+00:34:52,340 --> 00:34:55,420
+latent stagnance أنه أعمل occlusion of one eye
+
+399
+00:34:55,420 --> 00:34:59,800
+okay؟
+
+400
+00:34:59,800 --> 00:35:04,320
+انه كيف يكون مثلا عنده stagnanceالان انا مثلا فحصت
+
+401
+00:35:04,320 --> 00:35:07,520
+ال visual acuity الان انت مابتفحص ال visual acuity
+
+402
+00:35:07,520 --> 00:35:11,840
+بتقول للمريض غطي مثلا ال right او ال left صح؟ لما
+
+403
+00:35:11,840 --> 00:35:15,260
+بغطي المريض ال right بيبين الناس تاجمص فانا بعرف
+
+404
+00:35:15,260 --> 00:35:19,580
+ان هذا المريض انه عنده ايش ناس تاجمص او مثلا باجي
+
+405
+00:35:19,580 --> 00:35:21,600
+في ال objective refraction اللي هو ال written
+
+406
+00:35:21,600 --> 00:35:24,860
+score لما باجي مثلا اشتغل على ال written score
+
+407
+00:35:24,860 --> 00:35:29,720
+مافيش عنده اللي هو قدرة على يعمل انه fixation لما
+
+408
+00:35:29,720 --> 00:35:33,440
+تقوليله تطلع بعيدعندهوش قدرة فبتلاقي العين إيه
+
+409
+00:35:33,440 --> 00:35:38,200
+شمال، هالبقبق متحرك، فيه رقرا، هاي مثلا من الطرق
+
+410
+00:35:38,200 --> 00:35:42,120
+اللي هو يعني لكشف الناس اللي عندهم نستاج، فأول
+
+411
+00:35:42,120 --> 00:35:45,540
+حاجة اللي عنده latent nystagmus كيف ممكن أكشفه؟
+
+412
+00:35:45,540 --> 00:35:49,520
+أنه أغطي عين، أنه occlusion of one eye، طب أغطي
+
+413
+00:35:49,520 --> 00:35:52,740
+العين السليمة ولا اللي فيها ال nystagmus؟ السليمة
+
+414
+00:35:52,740 --> 00:35:59,880
+عشان تبين، عشان تبين، سليمةفي الغالب ال nystagmus
+
+415
+00:35:59,880 --> 00:36:04,300
+بتكون في ال both eyes يعني غالبا أو في معظم
+
+416
+00:36:04,300 --> 00:36:08,180
+الحالات انه بيكون في ال both eyes ال amblyopia
+
+417
+00:36:08,180 --> 00:36:12,640
+العكس ال amblyopia ده يعني غالبا ما بيكون في عين
+
+418
+00:36:12,640 --> 00:36:18,560
+واحدة وبعض الأحيان بيكون إيش؟ في العينتين إذا ال
+
+419
+00:36:18,560 --> 00:36:22,500
+nystagmus غالبا ما بيكون في ال both eyes ال
+
+420
+00:36:22,500 --> 00:36:25,340
+amblyopia غالبا بيكون إيه؟ في عين واحدة
+
+421
+00:36:28,260 --> 00:36:32,400
+the latent nystagmus reduces the visual acuity due
+
+422
+00:36:32,400 --> 00:36:37,020
+to the inability to fixate the target أنه دايما
+
+423
+00:36:37,020 --> 00:36:41,880
+هذول عندهم reduce visual acuity الآن يما بيجي مريض
+
+424
+00:36:41,880 --> 00:36:45,060
+و بيحكي مثلا أنا عندي رقرة في العين فأنا
+
+425
+00:36:45,060 --> 00:36:49,620
+كoptometry شو بعرف يما باخد ال history؟ إذا المريض
+
+426
+00:36:49,620 --> 00:36:53,880
+عنده رقرة في العين عنده nystagmus okay إذا بعرف
+
+427
+00:36:53,880 --> 00:36:57,940
+أنه هيكون عنده reduce لل visual acuityطب لو واحد
+
+428
+00:36:57,940 --> 00:37:02,240
+مثلا كان عنده stack bus و عنده good visual
+
+429
+00:37:02,240 --> 00:37:07,900
+acuity،كون أنا عندي إيش؟ اللي هو تناقض، يعني عندي
+
+430
+00:37:07,900 --> 00:37:11,820
+تناقض ما بين فحص ال visual acuity و ما بين ال
+
+431
+00:37:11,820 --> 00:37:19,550
+history، okay؟الان واحد عنده nystagmus يعني ايجى
+
+432
+00:37:19,550 --> 00:37:23,630
+مثلا مريض انا مش كاشفه هل عنده nystagmus ولا لأ و
+
+433
+00:37:23,630 --> 00:37:26,390
+قال انا عندي رقرة فى العين يعني ال history بتاعه
+
+434
+00:37:26,390 --> 00:37:28,690
+ياما انا خدت ال history هى .. هى واحدة من ال
+
+435
+00:37:28,690 --> 00:37:31,690
+benefit لل history قال عندي nystagmus انا ك
+
+436
+00:37:31,690 --> 00:37:35,150
+optometر ايش بقول انه اكيد انه عنده ايش reduce
+
+437
+00:37:35,150 --> 00:37:39,530
+visual acuity طيب افرطلع ال visual acuity 6 ع 6
+
+438
+00:37:39,530 --> 00:37:44,170
+بكون انا عندى ايش مشكلة فى ال test بتاعى okay
+
+439
+00:37:48,230 --> 00:37:51,250
+ممكن يكون latent، إذا كان latent لازم مثلا أضغط
+
+440
+00:37:51,250 --> 00:37:54,470
+عين، مش واضحة، مابتكون واضحة، لكن في بعض الناس
+
+441
+00:37:54,470 --> 00:37:57,950
+بتكون manifest، ظاهرة، يعني أي واحد بيشوفه خلاص
+
+442
+00:37:57,950 --> 00:38:03,150
+هذا عنده manifest زي مثلا الناس ال albino okay؟ ال
+
+443
+00:38:03,150 --> 00:38:07,070
+albino يعني البيض اللي هم الشجر، بيكونوا، هدول
+
+444
+00:38:07,070 --> 00:38:11,110
+بتكون واضحة، إنه عنده رقرا في العين عشان ما حكينا
+
+445
+00:38:11,110 --> 00:38:15,430
+عن التشخيص، المريض ماخش تشخيص منها، يعني هو قال
+
+446
+00:38:15,430 --> 00:38:18,300
+معايا رقرا في العين، بس ماكانش أفضلأنا ما بكتب
+
+447
+00:38:18,300 --> 00:38:22,280
+nystagmus في ال history بكتب مثلا movement of the
+
+448
+00:38:22,280 --> 00:38:26,420
+both eyes okay يعني movement of the both eyes خلاص
+
+449
+00:38:26,420 --> 00:38:30,320
+بعرف أن هو مثلا ممكن أكتب بين قصين لأنه ال
+
+450
+00:38:30,320 --> 00:38:34,400
+nystagmus مالهاش مثلا تفسير يعني movement of the
+
+451
+00:38:34,400 --> 00:38:42,280
+both eyes okay بين قصين nystagmus طيب
+
+452
+00:38:42,280 --> 00:38:46,340
+بس هو عنده nystagmus واحد حكى أنه أنا عندي رقرة في
+
+453
+00:38:46,340 --> 00:38:50,150
+العينيعني هو حتى اللي عنده رقرة في العين دايما
+
+454
+00:38:50,150 --> 00:38:53,470
+بييجي ياما بتاخد ال history بيحكي لك أنا عنده رقرة
+
+455
+00:38:53,470 --> 00:38:56,990
+في العين زي ما بييجي واحد بيحكي أنا عنده صداع زي
+
+456
+00:38:56,990 --> 00:39:00,330
+هيك بياخد ال history okay فانا بفهم إيش هذا
+
+457
+00:39:00,330 --> 00:39:03,730
+indicate to the visual .. indicate to reduce
+
+458
+00:39:03,730 --> 00:39:09,470
+visual acuity لأ
+
+459
+00:39:09,470 --> 00:39:13,990
+ال deviation اللي هي الحوال أو ال squint أن العين
+
+460
+00:39:13,990 --> 00:39:16,670
+بيكون يا إما مهد إيزو
+
+461
+00:39:19,550 --> 00:39:24,590
+أو بتكون مثلا في إلها .. بيكون ال squint up or
+
+462
+00:39:24,590 --> 00:39:28,410
+down هذا بالنسبة لل deviation أو ال squint لكن ال
+
+463
+00:39:28,410 --> 00:39:32,810
+nystagmus البقبق ده يجيب يتحرك زي هي مش معقولة مش
+
+464
+00:39:32,810 --> 00:39:38,990
+شايفين واحد عنده nystagmus رقراء الآن في اللي هو
+
+465
+00:39:38,990 --> 00:39:45,110
+عمليات إلها بيعملوا عملية اللي هو recession و
+
+466
+00:39:45,110 --> 00:39:52,810
+resection يعني بيعمل اللي هوتقلص و بيطول يعني زي
+
+467
+00:39:52,810 --> 00:39:56,070
+اللي هو بيطول العضلات و بيصغر العضلات يعني بيعمل
+
+468
+00:39:56,070 --> 00:39:59,550
+عملية بالظبط balance اللي هو توازن ما بين العضلات
+
+469
+00:39:59,550 --> 00:40:04,410
+هي ال .. ال stigma's one المشكلة المشكلة اللي فيها
+
+470
+00:40:04,410 --> 00:40:07,890
+ان المريض بيكونش عنده null point انه يعمل fixate
+
+471
+00:40:07,890 --> 00:40:11,450
+يعني زي ما انا الآن مركز على الكاميرا ماعنديش ا ..
+
+472
+00:40:11,450 --> 00:40:15,730
+انا عندي مثلا fixate target اللي هو الكاميرا هداك
+
+473
+00:40:15,730 --> 00:40:20,030
+عنده ايش زي بالظبط انت ياما اتحرك راسك زي هيكظلّك
+
+474
+00:40:20,030 --> 00:40:24,010
+حاركي راسك هيك مافيش اللي هو target ثابت صح؟ فهذه
+
+475
+00:40:24,010 --> 00:40:30,230
+بننتج اللي هو ال nestagmas طبعا هم دائما يما بيقرأ
+
+476
+00:40:30,230 --> 00:40:33,970
+فيهم واحد بيحاول انه يعرف وين ال null point بتاعته
+
+477
+00:40:33,970 --> 00:40:38,370
+فبركز اللي هو ال null point بتاعته فبتلاقي انه
+
+478
+00:40:38,370 --> 00:40:43,890
+بيقرأ طبيعي normal طبعا هذه إذا كانت ال nestagmas
+
+479
+00:40:43,890 --> 00:40:47,730
+اللي عنده خفيف يعني mild مش اللي هو severe
+
+480
+00:40:47,730 --> 00:40:48,390
+nestagmas
+
+481
+00:40:51,330 --> 00:40:55,090
+in these cases when testing visual acuity we must
+
+482
+00:40:55,090 --> 00:40:59,190
+occlude the eye in a way that's a prevent the
+
+483
+00:40:59,190 --> 00:41:02,710
+latent nystagmus to occur برضه في حالات اما انا
+
+484
+00:41:02,710 --> 00:41:07,730
+اعمل فحص لل visual acuity بغط عين انا يعني لحظة ما
+
+485
+00:41:07,730 --> 00:41:12,390
+اغطي اللي هي العين هيكون اللي هو ايش reduce the
+
+486
+00:41:12,390 --> 00:41:16,870
+visual acuity in the other eye يعني بمعنى اخر انه
+
+487
+00:41:16,870 --> 00:41:23,330
+دايما ال visual acuity in the nystagmus eyeبور انه
+
+488
+00:41:23,330 --> 00:41:37,930
+دايما بكون بور انه ال visual acuity there
+
+489
+00:41:37,930 --> 00:41:43,890
+are methods to perform that في طرق انه ممكن اكشف
+
+490
+00:41:44,620 --> 00:41:51,160
+كمان ال nystagmus يعني بمعنى آخر الآن صين من الناس
+
+491
+00:41:51,160 --> 00:41:55,760
+إيجا عنده nystagmus غطينا عين ال nystagmus هذا
+
+492
+00:41:55,760 --> 00:42:00,620
+ماظهرش فشو اللي هي الطرق الأخرى اللي ممكن أكشف
+
+493
+00:42:00,620 --> 00:42:06,180
+فيها ال nystagmus أول حاجة ممكن أنه أستخدم عدسة
+
+494
+00:42:06,180 --> 00:42:13,040
+plus 5 أو plus 10 انه using a plus 5 diopter in
+
+495
+00:42:13,040 --> 00:42:17,370
+front of the eyeit will reduce the vision يعني
+
+496
+00:42:17,370 --> 00:42:21,930
+الآن أنا ستة ع ستة normal، يمّا أحط عدسة plus أمام
+
+497
+00:42:21,930 --> 00:42:26,130
+عيني، إيش بيصير ال visual acuity؟ reduce، بيصير
+
+498
+00:42:26,130 --> 00:42:29,510
+blooded vision صح؟ بقل ال visual acuity
+
+499
+00:42:32,140 --> 00:42:35,880
+it will reduce the vision in a marked limit and in
+
+500
+00:42:35,880 --> 00:43:02,000
+the same time it will not produce nystagmus
+
+501
+00:43:02,680 --> 00:43:07,620
+Okay لش
+
+502
+00:43:07,620 --> 00:43:13,340
+أنا بستخدم عدسة plus خمسة في مرضى بيكون عندهم
+
+503
+00:43:13,340 --> 00:43:17,540
+nystagmus او لش بتستخدمي اللي هو العدسة ال plus
+
+504
+00:43:17,540 --> 00:43:25,120
+خمسة to reduce visual acuity and to appear of the
+
+505
+00:43:25,120 --> 00:43:31,000
+nystagmusIt is an important exception that the
+
+506
+00:43:31,000 --> 00:43:35,560
+patient doesn't be hypermetropic طبعا في مشكلة لو
+
+507
+00:43:35,560 --> 00:43:39,900
+كان المريض hypermetropic و حطيتله plus خمسة سير ال
+
+508
+00:43:39,900 --> 00:43:45,220
+vision ايش؟ ممتاز عنده، اه فهذا بدي اخد بالي انه
+
+509
+00:43:45,220 --> 00:43:48,320
+مايكنش المريض hypermetropic انه مايكنش عنده طول
+
+510
+00:43:48,320 --> 00:43:52,340
+نظر لأنه في ال plus خمسة او في ال plus عشرة هيتحسن
+
+511
+00:43:52,340 --> 00:43:53,600
+عنده ايش؟ النظر
+
+512
+00:43:56,920 --> 00:44:01,360
+إذا ال number one إنه بحط عدسة plus خمسة قوتها
+
+513
+00:44:01,360 --> 00:44:07,300
+خمسة in front of the eye فوق العين هتعمل reduce لل
+
+514
+00:44:07,300 --> 00:44:13,080
+visual acuity زائد إنه هتعمل appear لانستاجمص okay
+
+515
+00:44:13,080 --> 00:44:17,840
+طبعا هذه باستثنى من الناس اللي بيكون عندهم hyper
+
+516
+00:44:17,840 --> 00:44:26,510
+metroid أو .. هاي الخطوة التانيةby putting the
+
+517
+00:44:26,510 --> 00:44:30,550
+occluder in front of the eye at a distance nearly
+
+518
+00:44:30,550 --> 00:44:34,710
+10 cm
+
+519
+00:44:34,710 --> 00:44:39,790
+ال
+
+520
+00:44:39,790 --> 00:44:42,850
+back
+
+521
+00:44:42,850 --> 00:44:49,390
+vertex distance in this way we occluded the eye
+
+522
+00:44:49,390 --> 00:44:54,140
+and prevent the nystagmusالنقطة التانية إذا مثلا
+
+523
+00:44:54,140 --> 00:44:58,500
+زي ما حكت زملتكم كان عندها أو كان عنده
+
+524
+00:44:58,500 --> 00:45:03,300
+hypermetropia الآن أنا لما بحط عدسة plus 5 أو plus
+
+525
+00:45:03,300 --> 00:45:09,200
+10 بتحسن النظر فبستخدمش إيش بعمل ignore للطريقة
+
+526
+00:45:09,200 --> 00:45:14,220
+الأولى، يعني الآن عند مريض عنده طول نظرما بستخدم
+
+527
+00:45:14,220 --> 00:45:18,080
+معه plus 5 أو plus 10، فإيش بستخدم معه؟ occluder،
+
+528
+00:45:18,080 --> 00:45:22,880
+غطى، بغطي العين السليمة، فبنكشف إن استجمس في العين
+
+529
+00:45:22,880 --> 00:45:30,040
+اللي مش سليمة، okay؟ يعني الآن بعمل occluder لمين؟
+
+530
+00:45:30,040 --> 00:45:33,920
+العين اللي بتكون سليمة، فعطولي إن استجمس، بيظهر في
+
+531
+00:45:33,920 --> 00:45:35,780
+العين الأخرى، okay؟
+
+532
+00:45:38,490 --> 00:45:43,550
+by using the frosted lens this is the best method
+
+533
+00:45:43,550 --> 00:45:48,390
+هذه أفضل طريقة أنه بستخدم العدسة ال frosted lens
+
+534
+00:45:48,390 --> 00:45:55,550
+العدسة هذه بيسموها العدسة الثلجية هذه بتسمى العدسة
+
+535
+00:45:55,550 --> 00:46:03,600
+الثلجية okay هي تعتبريعني عدسة مساعدة زي البنهول
+
+536
+00:46:03,600 --> 00:46:08,040
+زي مادوكس رود زي الستينوبيهستات انه عدسة مساعدة
+
+537
+00:46:08,040 --> 00:46:14,280
+okay which present in some trial cases موجودة في
+
+538
+00:46:14,280 --> 00:46:21,100
+بعض من ال trial set okay this lens permits some
+
+539
+00:46:21,100 --> 00:46:24,780
+light to enter the eye but it also exclude the eye
+
+540
+00:46:24,780 --> 00:46:29,100
+from seeing anything and so non-stigmas will occur
+
+541
+00:46:30,030 --> 00:46:35,930
+هذه العدسة شو وظفتها ال frosted lens انه بتسمح
+
+542
+00:46:35,930 --> 00:46:41,530
+للضوء انه يدخل لكن بتمنع الرؤية، واضح؟
+
+543
+00:46:45,700 --> 00:46:51,120
+عبارة عن عدسة بتسمح بدخول الضوء عندنا طريقة تالتة
+
+544
+00:46:51,120 --> 00:46:57,140
+لكشف ال latent nystagmus هي عبارة عن ال frosted
+
+545
+00:46:57,140 --> 00:47:02,200
+lens العدسة الثلجية طبعا العدسة الثلجية ال
+
+546
+00:47:02,200 --> 00:47:08,700
+function بتاعها بتسمح للضوء انه يمر لكن بيكون ما
+
+547
+00:47:08,700 --> 00:47:13,700
+بتسمحش بالرؤية او بمعنى اخر انه بتكون رؤية ضبابية
+
+548
+00:47:15,370 --> 00:47:19,270
+رؤية اما انا بدى احطها امام عينى انه بتكون رؤية
+
+549
+00:47:19,270 --> 00:47:24,390
+الانسان الامامى رؤية ضبابية او ال target طبعا هذه
+
+550
+00:47:24,390 --> 00:47:28,770
+من وظيفتها انه بتعمل ايه تكشف ال latent nystagmus
+
+551
+00:47:28,770 --> 00:47:34,590
+في طريقة اخرى برضه يعني لاستخدام ال frosted lens
+
+552
+00:47:34,590 --> 00:47:40,950
+ممكن تستخدموها اضعها امام العين طلعي كيف الرؤية
+
+553
+00:47:42,610 --> 00:47:46,970
+ضباب لكن ايش؟ تسمح للضوء انه يمر، فهذه اما انا ..
+
+554
+00:47:46,970 --> 00:47:51,330
+اما يكون في عنده latent nystagmus بحطها امام العين
+
+555
+00:47:51,330 --> 00:47:55,790
+اللي فيها ال .. ال normal eye فبيكشف اللي هو مين
+
+556
+00:47:55,790 --> 00:47:57,370
+ال nystagmus لل other eye
+
+557
+00:48:03,080 --> 00:48:08,520
+بتدعي انه عنده reduce لل visual acuity بمعنى اخر
+
+558
+00:48:08,520 --> 00:48:13,300
+انه يما بيصير اللي هو مشاكل عائلية في بعض الناس
+
+559
+00:48:13,300 --> 00:48:18,660
+بيقول انه مثلا اكل مثلا blunt او يعني ضربة او غيره
+
+560
+00:48:18,660 --> 00:48:23,740
+trauma وعملت اللي هو reduce لل visual acuityالان
+
+561
+00:48:23,740 --> 00:48:27,000
+بيجعل مستشفى او clinic بيكون ال visual acuity
+
+562
+00:48:27,000 --> 00:48:31,520
+بتاعته ستة ع ستين، بيقول انا مش شايف، فبروح ايش؟
+
+563
+00:48:31,520 --> 00:48:35,440
+بستخدم ال frosted lens قدام العين، بقوله هيك شايف؟
+
+564
+00:48:35,440 --> 00:48:38,780
+بقول اه هيك صارت الرؤية مية في المية، هي فعليا
+
+565
+00:48:38,780 --> 00:48:42,840
+ايش؟ عاملة السماحة للضوء انه يمر، لكن هو ايش؟ مش
+
+566
+00:48:42,840 --> 00:48:47,440
+شايف حاجة، واضح؟ فانا بعرف ان هو malignant، okay؟
+
+567
+00:48:51,340 --> 00:48:54,940
+هذه يعني طريقة انه منكشف الناس اللي عنده يعني
+
+568
+00:48:54,940 --> 00:48:58,280
+بتدعي انه عنده reduce لل visual acuity اذا ال
+
+569
+00:48:58,280 --> 00:49:02,540
+function ل ال frosted lens اول حاجة to discover
+
+570
+00:49:02,540 --> 00:49:07,080
+latent stigmas number two انه للناس اللي بيكون
+
+571
+00:49:07,080 --> 00:49:11,220
+عنده ادعاء في ال reduce visual acuity بتظهره يعني
+
+572
+00:49:11,220 --> 00:49:15,520
+بتظهر انه جديش هو عنده انه ال visual acuity
+
+573
+00:49:15,520 --> 00:49:17,080
+الحقيقي بتاعه okay
+
+574
+00:49:20,670 --> 00:49:27,170
+في عندنا the principles of a Snellen chart، ال E
+
+575
+00:49:27,170 --> 00:49:31,610
+اللي هي ال largest optotype أو ال E اللي هي ال E
+
+576
+00:49:31,610 --> 00:49:35,710
+test، okay؟ في لها principle، في لها مبدأ، علي إيش
+
+577
+00:49:35,710 --> 00:49:37,590
+انبنت؟ دايما أنا حكيت
+
+578
+00:49:42,170 --> 00:49:47,950
+في نظرية في الoptometer بتاخدوها دايما حط مبادئ
+
+579
+00:49:47,950 --> 00:49:53,210
+لها ماتحفظيش ماتحاوليش انك تحفظي حاولي انه دايما
+
+580
+00:49:53,210 --> 00:49:57,970
+تفهمي كفهم و نفس الحاجة الناس اللي حطوا ال E test
+
+581
+00:49:57,970 --> 00:50:02,990
+لهم مبادئ مبادئ يعني كيف حط ال E test كيف كونها
+
+582
+00:50:02,990 --> 00:50:07,230
+okay in order to لأجل
+
+583
+00:50:13,770 --> 00:50:19,530
+ميز اي تا اللي هو جسم مشكل it is several parts
+
+584
+00:50:19,530 --> 00:50:24,610
+must be differentiated انه في مجموعة من الأجسام
+
+585
+00:50:24,610 --> 00:50:29,750
+بتكون اي شمالها مميزة الان
+
+586
+00:50:29,750 --> 00:50:38,370
+each two separate cones in the macula في عندنا
+
+587
+00:50:38,370 --> 00:50:39,630
+اللي هو two separate
+
+588
+00:50:48,310 --> 00:50:52,790
+Okay ماشيين ولا كيف الآن؟ هل جيت ال principle
+
+589
+00:50:52,790 --> 00:50:57,590
+مبادئ ال E-test او ال E-chart اللي احنا أخدناها في
+
+590
+00:50:57,590 --> 00:51:01,450
+المعمل اللي جسدوا عليها ال visual acuity شو المبدأ
+
+591
+00:51:01,450 --> 00:51:04,870
+بتاعها؟ يعني هل هي إلها مبدأ ولا ..
+
+592
+00:51:12,920 --> 00:51:18,260
+انه النقطة الاولى لازم انا عشان اعمل تمييز ل ال
+
+593
+00:51:18,260 --> 00:51:22,820
+optotype هذه في عندنا انه يكون differentiated اللى
+
+594
+00:51:22,820 --> 00:51:27,520
+هو تمييز ما بينها اول نقطة انه في عندنا two
+
+595
+00:51:27,520 --> 00:51:33,240
+separate cones in the macula في مخرطين okay
+
+596
+00:51:33,240 --> 00:51:40,420
+منفصلين في ال maculaare stimulated انه محفزين بإيش
+
+597
+00:51:40,420 --> 00:51:48,440
+بال on بمعنى آخر هال gate هي الماكولا في عندنا two
+
+598
+00:51:48,440 --> 00:51:59,080
+عندنا هي ال cone المخروض عندنا on off وهدي on يعني
+
+599
+00:51:59,080 --> 00:52:05,660
+كل اتنين cone on في واحد بينهم ايش separate اللي
+
+600
+00:52:05,660 --> 00:52:11,830
+هو offالحجم ما بين كل كون قداش zero point zero
+
+601
+00:52:11,830 --> 00:52:17,510
+zero four micron او اربعة ملي ميتر
+
+602
+00:52:32,540 --> 00:52:36,160
+ست و نص لسبعة مليون و في عندى الرد اللى هم ال مية
+
+603
+00:52:36,160 --> 00:52:40,940
+و خمسة و عشرين مليون الكون مسئول عن ايش ال central
+
+604
+00:52:40,940 --> 00:52:44,780
+vision مسئول عن ال central vision و مسئول عن اللى
+
+605
+00:52:44,780 --> 00:52:50,040
+هو الرؤية النهارية okay الان هذا ال رد .. عفوا
+
+606
+00:52:50,040 --> 00:52:56,340
+الكون في stimulation تحفيز يعني في عندنا one one
+
+607
+00:52:56,340 --> 00:52:56,660
+cone
+
+608
+00:53:02,300 --> 00:53:06,240
+الـ two cones on واحد بينهم اللي هو separate ايش
+
+609
+00:53:06,240 --> 00:53:11,860
+بيكون off okay the
+
+610
+00:53:11,860 --> 00:53:15,860
+average diameter of the macular cone is zero point
+
+611
+00:53:15,860 --> 00:53:21,380
+zero zero four millimeter four microns this forms
+
+612
+00:53:21,380 --> 00:53:26,450
+the smallest distance stimulated conesإذا المسافة
+
+613
+00:53:26,450 --> 00:53:31,010
+ما بين كل cone هي عبارة عن zero point zero zero
+
+614
+00:53:31,010 --> 00:53:37,130
+four millimeter اللي هي four micron okay هذه
+
+615
+00:53:37,130 --> 00:53:43,190
+المسافة ما بين كل cone و الآخر طيب شو فايدتها؟
+
+616
+00:53:43,190 --> 00:53:47,730
+الفايدة بتاعتها أنه تشكل أفضل اللي هو صورة ال
+
+617
+00:53:47,730 --> 00:53:52,150
+smallest distance stimulated cone يعني أفضل صورة
+
+618
+00:53:52,150 --> 00:53:58,890
+ممكن أن الإنسان يشوفهاOkay؟ طيب في المحاضرة هذه
+
+619
+00:53:58,890 --> 00:54:03,710
+بنقف لهان اتناولنا اليوم موضوع ال visual acuity
+
+620
+00:54:03,710 --> 00:54:08,030
+testing in verbal children ان شاء الله في المحاضرة
+
+621
+00:54:08,030 --> 00:54:12,830
+القادمة هنبدأ في ال principles of visual acuity
+
+622
+00:54:12,830 --> 00:54:17,470
+test okay؟ or الاسمين ال visual acuity test
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..32793b70a5be453c3e04564a892e1265a35c9d48
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4147, "start": 20.99, "end": 41.47, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته اليوم هنبدأ في موضوع ال visual acuity testing in verbal children before we start in this subject I want to give you answer for the definition of card of card", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 45595, 20498, 8032, 1863, 44510, 10721, 8978, 3714, 2407, 11242, 45367, 2423, 5056, 696, 21757, 4997, 294, 24781, 2227, 949, 321, 722, 294, 341, 3983, 286, 528, 281, 976, 291, 1867, 337, 264, 7123, 295, 2920, 295, 2920], "avg_logprob": -0.1149639423076923, "compression_ratio": 1.4129353233830846, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 20.99, "end": 21.25, "word": "طيب", "probability": 0.7763671875}, {"start": 21.25, "end": 21.49, "word": " بسم", "probability": 0.935791015625}, {"start": 21.49, "end": 21.65, "word": " الله", "probability": 0.9765625}, {"start": 21.65, "end": 21.93, "word": " الرحمن", "probability": 0.9573567708333334}, {"start": 21.93, "end": 22.41, "word": " الرحيم", "probability": 0.9895833333333334}, {"start": 22.41, "end": 22.83, "word": " السلام", "probability": 0.744384765625}, {"start": 22.83, "end": 23.35, "word": " عليكم", "probability": 0.94921875}, {"start": 23.35, "end": 23.85, "word": " ورحمة", "probability": 0.7725830078125}, {"start": 23.85, "end": 24.03, "word": " الله", "probability": 0.9755859375}, {"start": 24.03, "end": 24.75, "word": " وبركاته", "probability": 0.99150390625}, {"start": 24.75, "end": 26.21, "word": " اليوم", "probability": 0.8671875}, {"start": 26.21, "end": 26.79, "word": " هنبدأ", "probability": 0.9658203125}, {"start": 26.79, "end": 26.99, "word": " في", "probability": 0.92724609375}, {"start": 26.99, "end": 27.55, "word": " موضوع", "probability": 0.9732666015625}, {"start": 27.55, "end": 28.11, "word": " ال", 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"temperature": 1.0}, {"id": 2, "seek": 7127, "start": 42.27, "end": 71.27, "text": "بداية ال card of card المريض بيكون عنده attention okay يعني دايما ال patient او الطفل بيعمل attention انتباه و ال examiner في عنده صور مختلفة بمعنى اخر الان انا مثلا ال card of card هل يعتبر quantitative ولا qualitative quantitative بمعنى عددي", "tokens": [3555, 28259, 10632, 2423, 2920, 295, 2920, 9673, 16572, 11242, 4724, 1829, 30544, 43242, 3224, 3202, 1392, 37495, 22653, 11778, 47302, 15042, 2423, 4537, 1975, 2407, 41950, 5172, 1211, 4724, 1829, 25957, 1211, 3202, 16472, 2655, 3555, 40294, 4032, 2423, 1139, 4564, 8978, 43242, 3224, 20328, 13063, 3714, 46456, 46538, 3660, 4724, 2304, 3615, 1863, 7578, 1975, 34740, 2423, 7649, 1975, 8315, 50113, 15040, 2423, 2920, 295, 2920, 8032, 1211, 7251, 34268, 26890, 27778, 49429, 31312, 27778, 4724, 2304, 3615, 1863, 7578, 6225, 3215, 16254], "avg_logprob": -0.14371366435012153, "compression_ratio": 1.7254901960784315, "no_speech_prob": 0.0, "words": [{"start": 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في ال key picture ستة اتسعة طبعا الستة اتسعة احنا بنعتبرها ك optometry انه في عنده defective vision صح انه ما يعتبر normal", "tokens": [2304, 43020, 29538, 31767, 13063, 6055, 30544, 1975, 4117, 26890, 1975, 4117, 26890, 9154, 3714, 9957, 9154, 2423, 2406, 864, 6927, 37495, 22653, 21542, 7435, 2304, 39894, 45761, 11296, 2423, 2744, 2423, 16998, 472, 7699, 670, 11790, 13672, 1829, 39896, 2309, 670, 4949, 37495, 22653, 13412, 38688, 1975, 9381, 17082, 2288, 36764, 24401, 3660, 8978, 2423, 2141, 3036, 8608, 2655, 3660, 1975, 2655, 3794, 27884, 23032, 3555, 3615, 995, 21136, 2655, 3660, 1975, 2655, 3794, 27884, 1975, 5016, 8315, 44945, 34268, 26890, 11296, 9122, 2427, 34730, 16472, 3224, 8978, 43242, 3224, 16445, 488, 5201, 20328, 5016, 16472, 3224, 19446, 7251, 34268, 26890, 2710], "avg_logprob": -0.23182090901984617, "compression_ratio": 1.6299212598425197, "no_speech_prob": 7.152557373046875e-07, "words": [{"start": 547.74, "end": 548.54, "word": "ممكن", "probability": 0.5709228515625}, 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الطفل حاسيته أنه يعني very active وحاسيته أنه ال response بتاعه عالي، زي ما بتفحصه ال visual acuity، الآن لما بشوف الكبير بشكل سهل و بعدين شوف ال 6 ع 36 بروح أطول مثلا 6 ع 18 عشان مايصارش عند الطفل نوع من ال boring", "tokens": [41185, 8717, 47432, 3660, 6055, 7649, 10632, 8978, 2423, 2423, 9957, 9122, 1829, 4724, 1829, 4117, 8592, 9640, 12399, 6024, 48506, 50113, 15040, 41950, 5172, 1211, 11331, 32277, 36081, 3224, 14739, 3224, 37495, 22653, 588, 4967, 4032, 5016, 32277, 36081, 3224, 14739, 3224, 2423, 4134, 39894, 45761, 3224, 6225, 6027, 1829, 12399, 30767, 1829, 19446, 39894, 5172, 5016, 9381, 3224, 2423, 5056, 696, 21757, 12399, 6024, 48506, 5296, 15042, 4724, 8592, 38688, 33251, 3555, 13546, 4724, 8592, 28820, 8608, 3224, 1211, 4032, 39182, 9957, 13412, 38688, 2423, 1386, 6225, 8652, 4724, 32887, 5016, 5551, 9566, 12610, 50113, 15040, 1386, 6225, 2443, 6225, 8592, 7649, 19446, 1829, 9381, 9640, 8592, 43242, 41950, 5172, 1211, 8717, 45367, 9154, 2423, 9989], "avg_logprob": 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اللي هو التأشير إليها okay", "tokens": [8297, 6024, 48506, 41950, 5172, 1211, 4724, 1829, 30544, 19446, 3794, 4117, 28242, 31767, 13063, 4032, 4724, 1829, 25957, 1211, 6225, 42213, 10632, 31344, 33427, 9381, 26895, 24976, 9381, 13063, 3660, 50113, 15040, 31767, 13063, 3660, 16247, 12610, 7578, 39894, 1863, 3615, 43042, 31439, 4724, 1829, 25957, 1211, 11933, 1829, 8592, 6055, 10721, 8592, 13546, 50113, 15040, 8608, 2304, 4117, 3660, 4724, 1829, 25957, 1211, 13672, 1829, 31439, 16712, 10721, 8592, 13546, 11933, 20292, 11296, 1392], "avg_logprob": -0.12357954468045916, "compression_ratio": 1.6875, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 830.15, "end": 830.49, "word": "Okay", "probability": 0.875}, {"start": 830.49, "end": 831.69, "word": " الآن", "probability": 0.64892578125}, {"start": 831.69, "end": 832.37, "word": " الطفل", "probability": 0.9934895833333334}, {"start": 832.37, "end": 832.97, "word": " بيكون", "probability": 0.96240234375}, {"start": 832.97, "end": 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okay", "probability": 0.712890625}], "temperature": 1.0}, {"id": 34, "seek": 87398, "start": 847.82, "end": 873.98, "text": "يعني هاي مجموع الصور okay مثلا حرف ال H ان عرضه الطفل حرف ال H هذه بتكون في ايده هو بيقشر على حرف ال H بعدين بنعرضه مثلا حرف ال V بيقشر يعني عملية اللي هو ماشي okay في ال K picture بتكون صورة واحدة بيعرض صورة واحدة و الطفل ممكن انه يمسك صورة واحدة لكن في ال Hottest Test", "tokens": [40228, 22653, 8032, 47302, 3714, 7435, 2304, 45367, 31767, 13063, 1392, 50113, 15040, 11331, 28480, 2423, 389, 16472, 6225, 43042, 3224, 41950, 5172, 1211, 11331, 28480, 2423, 389, 29538, 39894, 30544, 8978, 1975, 25708, 3224, 31439, 4724, 1829, 4587, 46309, 15844, 11331, 28480, 2423, 389, 39182, 9957, 44945, 3615, 43042, 3224, 50113, 15040, 11331, 28480, 2423, 691, 4724, 1829, 4587, 46309, 37495, 22653, 6225, 42213, 10632, 13672, 1829, 31439, 3714, 33599, 1829, 1392, 8978, 2423, 591, 3036, 39894, 30544, 20328, 13063, 3660, 36764, 24401, 3660, 4724, 40228, 43042, 20328, 13063, 3660, 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1232.67, "end": 1233.33, "word": " يعني", "probability": 0.83544921875}, {"start": 1233.33, "end": 1234.11, "word": " قايص", "probability": 0.85205078125}, {"start": 1234.11, "end": 1234.41, "word": " حدة", "probability": 0.7198486328125}, {"start": 1234.41, "end": 1235.11, "word": " الإبصار", "probability": 0.970458984375}, {"start": 1235.11, "end": 1235.93, "word": " ليش؟", "probability": 0.81298828125}, {"start": 1235.93, "end": 1236.13, "word": " لأن", "probability": 0.84814453125}, {"start": 1236.13, "end": 1236.85, "word": " مشكلة", "probability": 0.9015299479166666}, {"start": 1236.85, "end": 1237.03, "word": " ال", "probability": 0.875}, {"start": 1237.03, "end": 1237.85, "word": " amblyopia", "probability": 0.728271484375}, {"start": 1237.85, "end": 1238.53, "word": " بعد", "probability": 0.93505859375}, {"start": 1238.53, "end": 1238.69, "word": " ما", "probability": 0.94384765625}, {"start": 1238.69, "end": 1239.23, "word": " الطفل", "probability": 0.98974609375}, {"start": 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22807, 30767, 1829, 20666, 19913, 3555, 9566, 6024, 48506, 41850, 4724, 14851, 9778, 40448, 2423, 4386, 2423, 4386, 33688, 25708, 45595, 3794, 9640, 12399, 16070, 28814, 25708, 2423, 32640, 9957, 16490, 1211, 33546, 12399, 13672, 1829, 39896, 6055, 34268, 26890, 14847, 12399, 19446, 3224, 1829, 28543, 2288, 36145, 3224, 39182, 39896, 4117, 5551, 4117, 2655, 5172, 8978, 11296, 12399, 4032, 7649, 2655, 50113, 15040, 45164, 25961, 36764, 24401, 3660, 39894, 14851, 9778, 40448, 2423, 558, 12399, 3714, 16758, 2655, 14851, 9778, 40448, 8592, 11933, 1829, 8592, 22807, 2423, 1411, 12399, 1392, 22807], "avg_logprob": -0.15072228843873403, "compression_ratio": 1.726027397260274, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 1244.16, "end": 1244.44, "word": "يعني", "probability": 0.96240234375}, {"start": 1244.44, "end": 1244.68, "word": " فيش", "probability": 0.7149658203125}, {"start": 1244.68, "end": 1244.94, "word": " إلها", "probability": 0.6688639322916666}, {"start": 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{"start": 1254.8, "end": 1255.16, "word": " أكتف", "probability": 0.8834228515625}, {"start": 1255.16, "end": 1255.98, "word": " فيها،", "probability": 0.87451171875}, {"start": 1255.98, "end": 1256.2, "word": " وانت", "probability": 0.8102213541666666}, {"start": 1256.2, "end": 1256.52, "word": " مثلا", "probability": 0.6986083984375}, {"start": 1256.52, "end": 1256.68, "word": " لو", "probability": 0.99462890625}, {"start": 1256.68, "end": 1256.92, "word": " كان", "probability": 0.99462890625}, {"start": 1256.92, "end": 1257.18, "word": " واحدة", "probability": 0.9892578125}, {"start": 1257.18, "end": 1257.78, "word": " بتستخدم", "probability": 0.9779052734375}, {"start": 1257.78, "end": 1257.9, "word": " ال", "probability": 0.99169921875}, {"start": 1257.9, "end": 1258.44, "word": " right،", "probability": 0.6993408203125}, {"start": 1258.44, "end": 1259.26, "word": " مابتستخدمش", "probability": 0.96728515625}, {"start": 1259.26, "end": 1259.66, "word": " إيش؟", "probability": 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مثلا اجيبه انه why", "tokens": [5172, 3555, 6027, 1863, 35457, 3660, 46740, 2407, 31371, 5172, 6055, 1829, 14851, 4724, 1829, 30544, 544, 8559, 16472, 3224, 11778, 38436, 4587, 10874, 28259, 8978, 11331, 6027, 9307, 9154, 2423, 3913, 356, 22376, 9122, 3794, 1211, 18863, 9957, 1975, 2407, 2423, 14847, 3313, 6225, 8592, 7649, 4724, 1829, 25957, 1211, 13672, 1829, 31439, 1975, 19913, 3224, 9640, 32767, 9957, 24976, 6401, 3584, 22004, 983, 31439, 31371, 5172, 6055, 1829, 14851, 307, 544, 8559, 5347, 281, 18440, 350, 455, 608, 289, 1975, 3224, 3714, 43020, 23758, 21136, 33604, 6027, 50113, 15040, 1975, 7435, 1829, 3555, 3224, 16472, 3224, 983], "avg_logprob": -0.2768750113248825, "compression_ratio": 1.5352697095435686, "no_speech_prob": 0.0, "words": [{"start": 1281.9899999999998, "end": 1282.87, "word": "فبالنسبة", "probability": 0.96533203125}, {"start": 1282.87, "end": 1283.61, "word": " لهوتيف", "probability": 0.510650634765625}, {"start": 1283.61, "end": 1283.99, "word": " تيست", 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أول ما تبدى فيها أهم نقطة بدنا نفهم فهم أن ظاهرة التزاحم", "tokens": [39, 310, 498, 1500, 307, 544, 8559, 5347, 281, 20306, 363, 970, 1918, 1545, 9423, 498, 1500, 307, 544, 8559, 5347, 281, 20306, 363, 970, 1918, 5551, 16095, 8717, 47432, 3660, 2423, 6919, 14029, 13672, 1829, 39896, 1357, 116, 40294, 25720, 16712, 11622, 995, 35571, 29538, 5551, 12610, 19446, 6055, 44510, 7578, 8978, 11296, 5551, 16095, 8717, 47432, 3660, 47525, 8315, 8717, 5172, 16095, 6156, 16095, 14739, 1357, 116, 40294, 25720, 16712, 11622, 995, 35571], "avg_logprob": -0.29235195956732096, "compression_ratio": 1.722543352601156, "no_speech_prob": 0.0, "words": [{"start": 1311.47, "end": 1311.79, "word": "Hot", "probability": 0.3253173828125}, {"start": 1311.79, "end": 1311.97, "word": " if", "probability": 0.6376953125}, {"start": 1311.97, "end": 1312.31, "word": " test", "probability": 0.6748046875}, {"start": 1312.31, "end": 1312.63, "word": " is", "probability": 0.939453125}, {"start": 1312.63, "end": 1312.91, 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correspondence to a graded snail optotype يعني هو ال .. ال hotel test يعتبر قريب بالنسبة ل .. يعني الحجم ال size of optotype تعتبر قريبة مقارنة في مين في ال snail snail optotype okay", "tokens": [3121, 578, 38135, 281, 257, 2771, 292, 2406, 864, 2427, 13108, 37495, 22653, 31439, 2423, 4386, 2423, 7622, 1500, 7251, 34268, 26890, 12174, 16572, 3555, 20666, 1863, 35457, 3660, 5296, 4386, 37495, 22653, 21542, 7435, 2304, 2423, 2744, 295, 2427, 13108, 6055, 34268, 26890, 12174, 16572, 49401, 3714, 4587, 9640, 1863, 3660, 8978, 3714, 9957, 8978, 2423, 2406, 864, 2406, 864, 2427, 13108, 1392], "avg_logprob": -0.16887019230769232, "compression_ratio": 1.539877300613497, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1368.48, "end": 1369.2, "word": "exact", "probability": 0.802978515625}, {"start": 1369.2, "end": 1370.42, "word": " correspondence", "probability": 0.90380859375}, {"start": 1370.42, "end": 1371.28, "word": " to", "probability": 0.982421875}, {"start": 1371.28, 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Ellen Kebischer مع ال Hottif test أو ال Hottif test مع ال Sheridian Gardener test الفرق بينهم أنه مافيش ظاهرة التزاحم في مين", "tokens": [17566, 309, 855, 257, 2167, 2427, 13108, 294, 1184, 2920, 11, 370, 309, 307, 406, 8559, 281, 1500, 364, 3913, 356, 40216, 1440, 365, 264, 11789, 327, 952, 12882, 7971, 13, 11933, 15730, 16247, 1863, 5296, 15042, 41850, 4724, 4587, 9640, 1863, 19446, 49374, 2423, 20306, 3189, 65, 19674, 20449, 2423, 389, 1521, 351, 1500, 34051, 2423, 389, 1521, 351, 1500, 20449, 2423, 11789, 327, 952, 12882, 7971, 1500, 27188, 2288, 4587, 49374, 16095, 14739, 3224, 19446, 41185, 8592, 1357, 116, 40294, 25720, 16712, 11622, 39319, 2304, 8978, 3714, 9957], "avg_logprob": -0.3859890064040383, "compression_ratio": 1.5106382978723405, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1574.16, "end": 1575.0, "word": "because", "probability": 0.051055908203125}, {"start": 1575.0, "end": 1575.56, "word": " it", "probability": 0.95751953125}, {"start": 1575.56, 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1719.64, "end": 1720.52, "word": " الlandolt", "probability": 0.7130533854166666}, {"start": 1720.52, "end": 1721.24, "word": " rings", "probability": 0.74560546875}, {"start": 1721.24, "end": 1722.08, "word": " C", "probability": 0.43310546875}, {"start": 1722.08, "end": 1722.88, "word": " test", "probability": 0.8076171875}, {"start": 1722.88, "end": 1723.22, "word": " اللي", "probability": 0.741943359375}, {"start": 1723.22, "end": 1723.46, "word": " احنا", "probability": 0.8285319010416666}, {"start": 1723.46, "end": 1724.24, "word": " بنشوفها", "probability": 0.8455810546875}, {"start": 1724.24, "end": 1725.54, "word": " في", "probability": 0.8984375}, {"start": 1725.54, "end": 1725.88, "word": " غرف", "probability": 0.971923828125}, {"start": 1725.88, "end": 1726.18, "word": " ال", "probability": 0.97607421875}, {"start": 1726.18, "end": 1726.82, "word": " refraction", "probability": 0.6181640625}, {"start": 1726.82, "end": 1727.36, "word": " اللي", "probability": 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confused okay", "tokens": [3322, 1440, 2793, 281, 257, 2531, 4875, 322, 257, 1011, 18063, 67, 5467, 11933, 15730, 41950, 5172, 1211, 47525, 3224, 7251, 24401, 3215, 1975, 2655, 7435, 40294, 9154, 21542, 31747, 3660, 37495, 22653, 1975, 2655, 7435, 40294, 27188, 2655, 5016, 3660, 50113, 15040, 2423, 4386, 2423, 1821, 4032, 9957, 1975, 2655, 7435, 40294, 11296, 50113, 15040, 558, 1411, 493, 420, 760, 512, 2227, 366, 9019, 45030, 11242, 16247, 9566, 5172, 6027, 4724, 9381, 13546, 5296, 16095, 6225, 42213, 10632, 11933, 1829, 8592, 1975, 43500, 3555, 995, 4117, 9019, 1392], "avg_logprob": -0.16215277595652475, "compression_ratio": 1.4718614718614718, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1732.64, "end": 1732.94, "word": "the", "probability": 0.3515625}, {"start": 1732.94, "end": 1733.64, "word": " child", "probability": 0.88037109375}, {"start": 1733.64, "end": 1734.4, "word": " points", "probability": 0.9287109375}, {"start": 1734.4, "end": 1734.96, "word": " to", 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عندنا ال familiar tumbling E test requires mashing", "tokens": [9566, 1829, 3555, 2423, 4813, 4875, 8032, 1211, 39896, 6055, 34268, 26890, 27778, 49429, 31312, 22807, 27778, 983, 22807, 5296, 33456, 3224, 47525, 9957, 1829, 8608, 2655, 3660, 6225, 8608, 2655, 9957, 12399, 8608, 2655, 3660, 5551, 25513, 3615, 6225, 46309, 9957, 12399, 1392, 22807, 23032, 1829, 3555, 8978, 43242, 8315, 2423, 4963, 256, 14188, 462, 1500, 7029, 2300, 571], "avg_logprob": -0.28560451796797454, "compression_ratio": 1.3942857142857144, "no_speech_prob": 0.0, "words": [{"start": 1792.26, "end": 1792.62, "word": "طيب", "probability": 0.9348958333333334}, {"start": 1792.62, "end": 1792.84, "word": " ال", "probability": 0.88818359375}, {"start": 1792.84, "end": 1793.1, "word": " handle", "probability": 0.40234375}, {"start": 1793.1, "end": 1793.82, "word": " ring", "probability": 0.8759765625}, {"start": 1793.82, "end": 1794.12, "word": " هل", "probability": 0.9453125}, {"start": 1794.12, "end": 1794.26, "word": 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1899.14, "end": 1926.98, "text": "فانا ما بحاول أنه إيش أستخدم ال E test أو ما بحاول أستخدم ال C test بحاول أنه أستخدم مثلا ال Hotif test ال Gardner test ال Alan kubik chart ممكن ال sweet test يعني ممكن نصل لمرحلة لطفل خمس سنوات مثلا يعني عنده هيك مثلا lazy هو أو ماعندهوش اللي هو response عالي ممكن أستخدم ال ال ال sweet test okay", "tokens": [5172, 7649, 995, 19446, 4724, 5016, 995, 12610, 14739, 3224, 11933, 1829, 8592, 5551, 14851, 9778, 40448, 2423, 462, 1500, 34051, 19446, 4724, 5016, 995, 12610, 5551, 14851, 9778, 40448, 2423, 383, 1500, 4724, 5016, 995, 12610, 14739, 3224, 5551, 14851, 9778, 40448, 50113, 15040, 2423, 9423, 351, 1500, 2423, 12882, 1193, 1500, 2423, 16442, 350, 836, 1035, 6927, 3714, 43020, 2423, 3844, 1500, 37495, 22653, 3714, 43020, 8717, 36520, 5296, 29973, 5016, 37977, 5296, 9566, 5172, 1211, 16490, 2304, 3794, 8608, 1863, 2407, 9307, 50113, 15040, 37495, 22653, 43242, 3224, 39896, 4117, 50113, 15040, 14847, 31439, 34051, 19446, 3615, 41260, 3224, 2407, 8592, 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"word": " مثلا", "probability": 0.982421875}, {"start": 1919.44, "end": 1919.78, "word": " lazy", "probability": 0.8896484375}, {"start": 1919.78, "end": 1920.18, "word": " هو", "probability": 0.99072265625}, {"start": 1920.18, "end": 1920.86, "word": " أو", "probability": 0.69580078125}, {"start": 1920.86, "end": 1922.54, "word": " ماعندهوش", "probability": 0.8529459635416666}, {"start": 1922.54, "end": 1922.7, "word": " اللي", "probability": 0.76220703125}, {"start": 1922.7, "end": 1922.86, "word": " هو", "probability": 0.9951171875}, {"start": 1922.86, "end": 1923.38, "word": " response", "probability": 0.8125}, {"start": 1923.38, "end": 1923.86, "word": " عالي", "probability": 0.9646809895833334}, {"start": 1923.86, "end": 1924.26, "word": " ممكن", "probability": 0.982177734375}, {"start": 1924.26, "end": 1924.76, "word": " أستخدم", "probability": 0.947998046875}, {"start": 1924.76, "end": 1925.2, "word": " ال", "probability": 0.98974609375}, {"start": 1925.2, "end": 1925.34, 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"خفي خفي يعني مش ظاهر مش واضح نعم latent nystagmus okay which appears when the other eye is occluded في بعض الناس أو بعض المرضى بيكون عنده nystagmus nystagmus معناها رأرة العين هي مرض", "tokens": [9778, 41185, 16490, 41185, 37495, 22653, 37893, 1357, 116, 40294, 2288, 37893, 4032, 46958, 5016, 8717, 25957, 48994, 18052, 37077, 18761, 1392, 597, 7038, 562, 264, 661, 3313, 307, 2678, 44412, 8978, 45030, 11242, 2423, 8315, 3794, 34051, 45030, 11242, 9673, 43042, 7578, 4724, 1829, 30544, 43242, 3224, 18052, 37077, 18761, 18052, 37077, 18761, 20449, 8315, 11296, 12602, 10721, 25720, 18863, 9957, 39896, 3714, 43042], "avg_logprob": -0.13115530438495404, "compression_ratio": 1.4438202247191012, "no_speech_prob": 0.0, "words": [{"start": 1964.43, "end": 1964.79, "word": "خفي", "probability": 0.8056640625}, {"start": 1964.79, "end": 1965.15, "word": " خفي", "probability": 0.827392578125}, {"start": 1965.15, "end": 1966.47, "word": " يعني", "probability": 0.88720703125}, {"start": 1966.47, 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"start": 2552.14, "end": 2582.0, "text": "it will reduce the vision in a marked limit and in the same time it will not produce nystagmus", "tokens": [270, 486, 5407, 264, 5201, 294, 257, 12658, 4948, 293, 294, 264, 912, 565, 309, 486, 406, 5258, 18052, 37077, 18761], "avg_logprob": -0.15074573254043405, "compression_ratio": 1.205128205128205, "no_speech_prob": 0.00621795654296875, "words": [{"start": 2552.14, "end": 2552.4, "word": "it", "probability": 0.443359375}, {"start": 2552.4, "end": 2552.6, "word": " will", "probability": 0.91748046875}, {"start": 2552.6, "end": 2553.16, "word": " reduce", "probability": 0.9111328125}, {"start": 2553.16, "end": 2553.52, "word": " the", "probability": 0.90234375}, {"start": 2553.52, "end": 2553.8, "word": " vision", "probability": 0.94482421875}, {"start": 2553.8, "end": 2554.12, "word": " in", "probability": 0.955078125}, {"start": 2554.12, "end": 2554.32, "word": " a", "probability": 0.95068359375}, {"start": 2554.32, "end": 2554.64, "word": " 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2728.76, "word": " occluder", "probability": 0.9239908854166666}, {"start": 2728.76, "end": 2730.04, "word": " لمين؟", "probability": 0.71771240234375}, {"start": 2730.04, "end": 2730.52, "word": " العين", "probability": 0.988037109375}, {"start": 2730.52, "end": 2730.74, "word": " اللي", "probability": 0.989013671875}, {"start": 2730.74, "end": 2731.1, "word": " بتكون", "probability": 0.98779296875}, {"start": 2731.1, "end": 2732.0, "word": " سليمة،", "probability": 0.9595947265625}, {"start": 2732.0, "end": 2732.46, "word": " فعطولي", "probability": 0.890234375}, {"start": 2732.46, "end": 2732.58, "word": " إن", "probability": 0.9384765625}, {"start": 2732.58, "end": 2733.32, "word": " استجمس،", "probability": 0.930859375}, {"start": 2733.32, "end": 2733.8, "word": " بيظهر", "probability": 0.9662109375}, {"start": 2733.8, "end": 2733.92, "word": " في", "probability": 0.98828125}, {"start": 2733.92, "end": 2734.26, "word": " العين", "probability": 0.9921875}, {"start": 2734.26, "end": 2735.2, "word": " الأخرى،", "probability": 0.937744140625}, {"start": 2735.2, "end": 2735.78, "word": " okay؟", "probability": 0.883544921875}], "temperature": 1.0}, {"id": 106, "seek": 275927, "start": 2738.49, "end": 2759.27, "text": "by using the frosted lens this is the best method هذه أفضل طريقة أنه بستخدم العدسة ال frosted lens العدسة هذه بيسموها العدسة الثلجية هذه بتسمى العدسة الثلجية okay هي تعتبر", "tokens": [2322, 1228, 264, 19623, 292, 6765, 341, 307, 264, 1151, 3170, 29538, 5551, 5172, 11242, 1211, 23032, 16572, 28671, 14739, 3224, 4724, 14851, 9778, 40448, 18863, 3215, 3794, 3660, 2423, 19623, 292, 6765, 18863, 3215, 3794, 3660, 29538, 4724, 1829, 38251, 2407, 11296, 18863, 3215, 3794, 3660, 6024, 104, 1211, 7435, 10632, 29538, 39894, 38251, 7578, 18863, 3215, 3794, 3660, 6024, 104, 1211, 7435, 10632, 1392, 39896, 6055, 34268, 26890], "avg_logprob": -0.15459946973223082, "compression_ratio": 1.6369426751592357, "no_speech_prob": 1.0132789611816406e-06, "words": [{"start": 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"word": " this", "probability": 0.80712890625}, {"start": 2778.88, "end": 2779.36, "word": " lens", "probability": 0.93994140625}, {"start": 2779.36, "end": 2780.52, "word": " permits", "probability": 0.9248046875}, {"start": 2780.52, "end": 2781.1, "word": " some", "probability": 0.74609375}, {"start": 2781.1, "end": 2781.38, "word": " light", "probability": 0.90234375}, {"start": 2781.38, "end": 2781.6, "word": " to", "probability": 0.9794921875}, {"start": 2781.6, "end": 2781.92, "word": " enter", "probability": 0.8935546875}, {"start": 2781.92, "end": 2782.16, "word": " the", "probability": 0.93310546875}, {"start": 2782.16, "end": 2782.4, "word": " eye", "probability": 0.916015625}, {"start": 2782.4, "end": 2783.02, "word": " but", "probability": 0.81787109375}, {"start": 2783.02, "end": 2783.26, "word": " it", "probability": 0.9697265625}, {"start": 2783.26, "end": 2783.74, "word": " also", "probability": 0.875}, {"start": 2783.74, "end": 2784.22, "word": " exclude", 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"end": 2801.53, "text": "هذه العدسة شو وظفتها ال frosted lens انه بتسمح للضوء انه يدخل لكن بتمنع الرؤية، واضح؟", "tokens": [3224, 24192, 18863, 3215, 3794, 3660, 13412, 2407, 4032, 19913, 5172, 2655, 11296, 2423, 19623, 292, 6765, 16472, 3224, 39894, 38251, 5016, 24976, 11242, 2407, 38207, 16472, 3224, 7251, 3215, 9778, 1211, 44381, 39894, 27842, 3615, 34892, 33604, 10632, 12399, 4032, 46958, 5016, 22807], "avg_logprob": -0.16770833730697632, "compression_ratio": 1.2100840336134453, "no_speech_prob": 0.0, "words": [{"start": 2790.03, "end": 2790.41, "word": "هذه", "probability": 0.9365234375}, {"start": 2790.41, "end": 2791.07, "word": " العدسة", "probability": 0.8973388671875}, {"start": 2791.07, "end": 2791.43, "word": " شو", "probability": 0.73095703125}, {"start": 2791.43, "end": 2792.13, "word": " وظفتها", "probability": 0.94169921875}, {"start": 2792.13, "end": 2792.91, "word": " ال", "probability": 0.787109375}, {"start": 2792.91, "end": 2794.19, "word": " frosted", "probability": 0.6231689453125}, {"start": 2794.19, "end": 2794.55, "word": " lens", "probability": 0.904296875}, {"start": 2794.55, "end": 2795.31, "word": " انه", "probability": 0.611572265625}, {"start": 2795.31, "end": 2795.93, "word": " بتسمح", "probability": 0.94189453125}, {"start": 2795.93, "end": 2796.71, "word": " للضوء", "probability": 0.9857177734375}, {"start": 2796.71, "end": 2796.97, "word": " انه", "probability": 0.81689453125}, {"start": 2796.97, "end": 2797.49, "word": " يدخل", "probability": 0.9967041015625}, {"start": 2797.49, "end": 2798.05, "word": " لكن", "probability": 0.82861328125}, {"start": 2798.05, "end": 2798.61, "word": " بتمنع", "probability": 0.91162109375}, {"start": 2798.61, "end": 2800.95, "word": " الرؤية،", "probability": 0.8021240234375}, {"start": 2800.95, "end": 2801.53, "word": " واضح؟", "probability": 0.9620361328125}], "temperature": 1.0}, {"id": 109, "seek": 283370, "start": 2805.7, "end": 2833.7, "text": "عبارة عن عدسة بتسمح بدخول الضوء عندنا طريقة تالتة لكشف ال latent nystagmus هي عبارة عن ال frosted lens العدسة الثلجية طبعا العدسة الثلجية ال function بتاعها بتسمح للضوء انه يمر لكن بيكون ما بتسمحش بالرؤية او بمعنى اخر انه بتكون رؤية ضبابية", "tokens": [3615, 3555, 9640, 3660, 18871, 6225, 3215, 3794, 3660, 39894, 38251, 5016, 47525, 9778, 12610, 6024, 114, 2407, 38207, 43242, 8315, 23032, 16572, 28671, 6055, 6027, 2655, 3660, 5296, 4117, 8592, 5172, 2423, 48994, 18052, 37077, 18761, 39896, 6225, 3555, 9640, 3660, 18871, 2423, 19623, 292, 6765, 18863, 3215, 3794, 3660, 6024, 104, 1211, 7435, 10632, 23032, 3555, 3615, 995, 18863, 3215, 3794, 3660, 6024, 104, 1211, 7435, 10632, 2423, 2445, 39894, 45761, 11296, 39894, 38251, 5016, 24976, 11242, 2407, 38207, 16472, 3224, 7251, 29973, 44381, 4724, 1829, 30544, 19446, 39894, 38251, 5016, 8592, 20666, 2288, 33604, 10632, 1975, 2407, 4724, 2304, 3615, 1863, 7578, 1975, 34740, 16472, 3224, 39894, 30544, 12602, 33604, 10632, 48812, 3555, 16758, 10632], "avg_logprob": 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2977.59, "text": "في عندنا the principles of a Snellen chart، ال E اللي هي ال largest optotype أو ال E اللي هي ال E test، okay؟ في لها principle، في لها مبدأ، علي إيش انبنت؟ دايما أنا حكيت", "tokens": [41185, 43242, 8315, 264, 9156, 295, 257, 318, 8903, 268, 6927, 12399, 2423, 462, 13672, 1829, 39896, 2423, 6443, 2427, 13108, 34051, 2423, 462, 13672, 1829, 39896, 2423, 462, 1500, 12399, 1392, 22807, 8978, 5296, 11296, 8665, 12399, 8978, 5296, 11296, 3714, 44510, 10721, 12399, 25894, 11933, 1829, 8592, 16472, 3555, 29399, 22807, 11778, 47302, 15042, 41850, 11331, 4117, 36081], "avg_logprob": -0.2812499882744961, "compression_ratio": 1.4404761904761905, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2960.67, "end": 2961.19, "word": "في", "probability": 0.65771484375}, {"start": 2961.19, "end": 2961.75, "word": " عندنا", "probability": 0.912841796875}, {"start": 2961.75, "end": 2962.15, "word": " the", "probability": 0.72216796875}, {"start": 2962.15, "end": 2963.63, "word": 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"text": "الحجم ما بين كل كون قداش zero point zero zero four micron او اربعة ملي ميتر", "tokens": [6027, 5016, 7435, 2304, 19446, 49374, 28242, 9122, 11536, 12174, 3215, 33599, 4018, 935, 4018, 4018, 1451, 45094, 1975, 2407, 1975, 25513, 27884, 3714, 20292, 3714, 36081, 2288], "avg_logprob": -0.34482759442822686, "compression_ratio": 1.125, "no_speech_prob": 0.0, "words": [{"start": 3127.79, "end": 3128.79, "word": "الحجم", "probability": 0.8275146484375}, {"start": 3128.79, "end": 3128.99, "word": " ما", "probability": 0.56396484375}, {"start": 3128.99, "end": 3129.19, "word": " بين", "probability": 0.98388671875}, {"start": 3129.19, "end": 3129.49, "word": " كل", "probability": 0.9560546875}, {"start": 3129.49, "end": 3129.85, "word": " كون", "probability": 0.8828125}, {"start": 3129.85, "end": 3130.57, "word": " قداش", "probability": 0.661865234375}, {"start": 3130.57, "end": 3131.15, "word": " zero", "probability": 0.2117919921875}, {"start": 3131.15, "end": 3131.49, "word": " 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"temperature": 1.0}, {"id": 124, "seek": 323405, "start": 3205.49, "end": 3234.05, "text": "إذا المسافة ما بين كل cone هي عبارة عن zero point zero zero four millimeter اللي هي four micron okay هذه المسافة ما بين كل cone و الآخر طيب شو فايدتها؟ الفايدة بتاعتها أنه تشكل أفضل اللي هو صورة ال smallest distance stimulated cone يعني أفضل صورة ممكن أن الإنسان يشوفها", "tokens": [28814, 15730, 9673, 3794, 31845, 3660, 19446, 49374, 28242, 19749, 39896, 6225, 3555, 9640, 3660, 18871, 4018, 935, 4018, 4018, 1451, 17942, 13672, 1829, 39896, 1451, 45094, 1392, 29538, 9673, 3794, 31845, 3660, 19446, 49374, 28242, 19749, 4032, 6024, 95, 34740, 23032, 1829, 3555, 13412, 2407, 6156, 995, 25708, 2655, 11296, 22807, 27188, 995, 25708, 3660, 39894, 995, 34268, 11296, 14739, 3224, 6055, 8592, 28820, 5551, 5172, 11242, 1211, 13672, 1829, 31439, 20328, 13063, 3660, 2423, 16998, 4560, 8983, 6987, 19749, 37495, 22653, 5551, 5172, 11242, 1211, 20328, 13063, 3660, 3714, 43020, 14739, 33688, 1863, 3794, 7649, 7251, 8592, 38688, 11296], "avg_logprob": -0.14981617793148638, "compression_ratio": 1.6875, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3205.49, "end": 3205.79, "word": "إذا", "probability": 0.6612548828125}, {"start": 3205.79, "end": 3206.45, "word": " المسافة", "probability": 0.9730224609375}, {"start": 3206.45, "end": 3206.63, "word": " ما", "probability": 0.77880859375}, {"start": 3206.63, "end": 3206.91, "word": " بين", "probability": 0.9931640625}, {"start": 3206.91, "end": 3207.39, "word": " كل", "probability": 0.9814453125}, {"start": 3207.39, "end": 3207.67, "word": " cone", "probability": 0.4267578125}, {"start": 3207.67, "end": 3208.01, "word": " هي", "probability": 0.92822265625}, {"start": 3208.01, "end": 3208.55, "word": " عبارة", "probability": 0.9886474609375}, {"start": 3208.55, "end": 3208.85, "word": " عن", "probability": 0.98583984375}, {"start": 3208.85, "end": 3209.73, "word": " zero", "probability": 0.255859375}, {"start": 3209.73, "end": 3210.11, "word": " point", "probability": 0.97509765625}, {"start": 3210.11, "end": 3210.65, "word": " zero", "probability": 0.8837890625}, {"start": 3210.65, "end": 3211.01, "word": " zero", "probability": 0.822265625}, {"start": 3211.01, "end": 3211.43, "word": " four", "probability": 0.90087890625}, {"start": 3211.43, "end": 3212.33, "word": " millimeter", "probability": 0.4951171875}, {"start": 3212.33, "end": 3213.47, "word": " اللي", "probability": 0.781005859375}, {"start": 3213.47, "end": 3213.67, "word": " هي", "probability": 0.91015625}, {"start": 3213.67, "end": 3214.11, "word": " four", "probability": 0.8798828125}, {"start": 3214.11, "end": 3214.97, "word": " micron", "probability": 0.6650390625}, {"start": 3214.97, "end": 3216.45, "word": " okay", "probability": 0.28564453125}, {"start": 3216.45, "end": 3217.13, "word": " هذه", "probability": 0.391357421875}, {"start": 3217.13, "end": 3217.67, "word": " المسافة", "probability": 0.9810791015625}, {"start": 3217.67, "end": 3217.85, "word": " ما", "probability": 0.974609375}, {"start": 3217.85, "end": 3218.05, "word": " بين", "probability": 0.98828125}, {"start": 3218.05, "end": 3218.33, "word": " كل", "probability": 0.98388671875}, {"start": 3218.33, "end": 3218.53, "word": " cone", "probability": 0.94873046875}, {"start": 3218.53, "end": 3218.67, "word": " و", "probability": 0.76513671875}, {"start": 3218.67, "end": 3219.09, "word": " الآخر", "probability": 0.8709309895833334}, {"start": 3219.09, "end": 3221.21, "word": " طيب", "probability": 0.9755859375}, {"start": 3221.21, "end": 3221.59, "word": " شو", "probability": 0.809326171875}, {"start": 3221.59, "end": 3223.19, "word": " فايدتها؟", "probability": 0.7862955729166666}, {"start": 3223.19, "end": 3223.75, "word": " الفايدة", "probability": 0.9459228515625}, {"start": 3223.75, "end": 3224.23, "word": " بتاعتها", "probability": 0.93603515625}, {"start": 3224.23, "end": 3224.61, "word": " أنه", "probability": 0.7041015625}, {"start": 3224.61, "end": 3225.25, "word": " تشكل", "probability": 0.8041178385416666}, {"start": 3225.25, "end": 3226.39, "word": " أفضل", "probability": 0.9674072265625}, {"start": 3226.39, "end": 3226.63, "word": " اللي", "probability": 0.956787109375}, {"start": 3226.63, "end": 3226.87, "word": " هو", "probability": 0.99267578125}, {"start": 3226.87, "end": 3227.33, "word": " صورة", "probability": 0.9415690104166666}, {"start": 3227.33, "end": 3227.73, "word": " ال", "probability": 0.70751953125}, {"start": 3227.73, "end": 3228.31, "word": " smallest", "probability": 0.990234375}, {"start": 3228.31, "end": 3229.37, "word": " distance", "probability": 0.91064453125}, {"start": 3229.37, "end": 3230.25, "word": " stimulated", "probability": 0.934326171875}, {"start": 3230.25, "end": 3230.63, "word": " cone", "probability": 0.9384765625}, {"start": 3230.63, "end": 3231.33, "word": " يعني", "probability": 0.951904296875}, {"start": 3231.33, "end": 3231.81, "word": " أفضل", "probability": 0.9920654296875}, {"start": 3231.81, "end": 3232.15, "word": " صورة", "probability": 0.9928385416666666}, {"start": 3232.15, "end": 3232.51, "word": " ممكن", "probability": 0.975830078125}, {"start": 3232.51, "end": 3232.75, "word": " أن", "probability": 0.67724609375}, {"start": 3232.75, "end": 3233.33, "word": " الإنسان", "probability": 0.9693603515625}, {"start": 3233.33, "end": 3234.05, "word": " يشوفها", "probability": 0.9864501953125}], "temperature": 1.0}, {"id": 125, "seek": 325747, "start": 3235.05, "end": 3257.47, "text": "Okay؟ طيب في المحاضرة هذه بنقف لهان اتناولنا اليوم موضوع ال visual acuity testing in verbal children ان شاء الله في المحاضرة القادمة هنبدأ في ال principles of visual acuity test okay؟ or الاسمين ال visual acuity test", "tokens": [8297, 22807, 23032, 1829, 3555, 8978, 9673, 5016, 46958, 25720, 29538, 4724, 1863, 4587, 5172, 46740, 7649, 1975, 2655, 8315, 12610, 8315, 45595, 20498, 3714, 2407, 11242, 45367, 2423, 5056, 696, 21757, 4997, 294, 24781, 2227, 16472, 13412, 16606, 21984, 8978, 9673, 5016, 46958, 25720, 25062, 18513, 46007, 8032, 1863, 44510, 10721, 8978, 2423, 9156, 295, 5056, 696, 21757, 1500, 1392, 22807, 420, 2423, 32277, 2304, 9957, 2423, 5056, 696, 21757, 1500], "avg_logprob": -0.230736303002867, "compression_ratio": 1.59375, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 3235.05, "end": 3236.01, "word": "Okay؟", "probability": 0.57568359375}, {"start": 3236.01, "end": 3237.71, "word": " طيب", "probability": 0.8743489583333334}, {"start": 3237.71, "end": 3238.05, "word": " في", "probability": 0.60205078125}, {"start": 3238.05, "end": 3238.51, "word": " المحاضرة", "probability": 0.991455078125}, {"start": 3238.51, "end": 3238.89, "word": " هذه", "probability": 0.74365234375}, {"start": 3238.89, "end": 3239.41, "word": " بنقف", "probability": 0.56817626953125}, {"start": 3239.41, "end": 3239.93, "word": " لهان", "probability": 0.644287109375}, {"start": 3239.93, "end": 3240.97, "word": " اتناولنا", "probability": 0.834619140625}, {"start": 3240.97, "end": 3241.45, "word": " اليوم", "probability": 0.94921875}, {"start": 3241.45, "end": 3242.55, "word": " موضوع", "probability": 0.9725341796875}, {"start": 3242.55, "end": 3242.89, "word": " ال", "probability": 0.94873046875}, {"start": 3242.89, "end": 3243.15, "word": " visual", "probability": 0.87255859375}, {"start": 3243.15, "end": 3243.71, "word": " acuity", "probability": 0.9375}, {"start": 3243.71, "end": 3244.31, "word": " testing", "probability": 0.78564453125}, {"start": 3244.31, "end": 3244.77, "word": " in", "probability": 0.955078125}, {"start": 3244.77, "end": 3245.41, "word": " verbal", "probability": 0.869140625}, {"start": 3245.41, "end": 3246.09, "word": " children", "probability": 0.89208984375}, {"start": 3246.09, "end": 3247.11, "word": " ان", "probability": 0.82275390625}, {"start": 3247.11, "end": 3247.31, "word": " شاء", "probability": 0.95654296875}, {"start": 3247.31, "end": 3247.37, "word": " الله", "probability": 0.95166015625}, {"start": 3247.37, "end": 3247.53, "word": " في", "probability": 0.91943359375}, {"start": 3247.53, "end": 3248.03, "word": " المحاضرة", "probability": 0.9964599609375}, {"start": 3248.03, "end": 3248.55, "word": " القادمة", "probability": 0.9915364583333334}, {"start": 3248.55, "end": 3249.15, "word": " هنبدأ", "probability": 0.927734375}, {"start": 3249.15, "end": 3249.43, "word": " في", "probability": 0.974609375}, {"start": 3249.43, "end": 3249.71, "word": " ال", "probability": 0.89453125}, {"start": 3249.71, "end": 3250.33, "word": " principles", "probability": 0.63916015625}, {"start": 3250.33, "end": 3251.07, "word": " of", "probability": 0.98193359375}, {"start": 3251.07, "end": 3252.23, "word": " visual", "probability": 0.97314453125}, {"start": 3252.23, "end": 3252.83, "word": " acuity", "probability": 0.969970703125}, {"start": 3252.83, "end": 3253.55, "word": " test", "probability": 0.8642578125}, {"start": 3253.55, "end": 3255.29, "word": " okay؟", "probability": 0.3389892578125}, {"start": 3255.29, "end": 3255.55, "word": " or", "probability": 0.44287109375}, {"start": 3255.55, "end": 3256.05, "word": " الاسمين", "probability": 0.58770751953125}, {"start": 3256.05, "end": 3256.17, "word": " ال", "probability": 0.31103515625}, {"start": 3256.17, "end": 3256.41, "word": " visual", "probability": 0.98583984375}, {"start": 3256.41, "end": 3256.97, "word": " acuity", "probability": 0.970703125}, {"start": 3256.97, "end": 3257.47, "word": " test", "probability": 0.92529296875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3257.8989375, "duration_after_vad": 2953.298749999987}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..742765cb554ba01c08c084fb3f0ee8ca387109e4
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/j8j180QYVuc_raw.srt
@@ -0,0 +1,2504 @@
+1
+00:00:20,990 --> 00:00:24,030
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:24,030 --> 00:00:28,930
+وبركاته اليوم هنبدأ في موضوع ال visual acuity
+
+3
+00:00:28,930 --> 00:00:35,790
+testing in verbal children before we start in this
+
+4
+00:00:35,790 --> 00:00:39,150
+subject I want to give you answer for the
+
+5
+00:00:39,150 --> 00:00:43,730
+definition of card of cardبداية ال card of card
+
+6
+00:00:43,730 --> 00:00:51,830
+المريض بيكون عنده attention okay يعني دايما ال
+
+7
+00:00:51,830 --> 00:00:56,850
+patient او الطفل بيعمل attention انتباه و ال
+
+8
+00:00:56,850 --> 00:01:01,710
+examiner في عنده صور مختلفة بمعنى اخر الان انا
+
+9
+00:01:01,710 --> 00:01:05,690
+مثلا ال card of card هل يعتبر quantitative ولا
+
+10
+00:01:05,690 --> 00:01:09,410
+qualitative quantitative
+
+11
+00:01:09,410 --> 00:01:15,600
+بمعنى عددييعني ستة ع ستين، ستة ع اربع عشرين، ستة ع
+
+12
+00:01:15,600 --> 00:01:20,060
+تلاتين، واضح؟ هذا بمعنى اللي هو ايه؟ quantitative،
+
+13
+00:01:20,060 --> 00:01:26,200
+عددي qualitative بمعنى كم؟ يعني .. كم؟ كم؟
+
+14
+00:01:26,200 --> 00:01:30,280
+qualitative يعني بمعنى انه بتدين ال visual acuity
+
+15
+00:01:30,280 --> 00:01:34,580
+هل هو good ولا poor يعني زي مثلا ال rotation test,
+
+16
+00:01:35,040 --> 00:01:38,440
+occlusion of one eye هدول كلهم يعتبر ايه؟
+
+17
+00:01:38,440 --> 00:01:43,500
+qualitative، صح؟Okay؟ الآن ال card في card ال
+
+18
+00:01:43,500 --> 00:01:47,960
+examiner بيكون عنده مجموعة من الصور، بيعرض مثلا
+
+19
+00:01:47,960 --> 00:01:52,300
+ستة ع ستين، ستة على ستة و تلاتين، ستة عارفة و
+
+20
+00:01:52,300 --> 00:01:57,680
+عشرين، و هكذا Okay؟ طبعا كل ما ماشي ال .. ال .. ال
+
+21
+00:01:57,680 --> 00:02:04,230
+examiner ال .. ال .. يعني الصورة بيصير أقل وضوحو
+
+22
+00:02:04,230 --> 00:02:07,090
+بتكون في اتجاه مختلف طبعا هو ال card of card من
+
+23
+00:02:07,090 --> 00:02:11,150
+أكتر ما يستخدم عندنا في ال .. يعني معظم ال clinic
+
+24
+00:02:11,150 --> 00:02:15,800
+ال medical clinic بيستخدموا ال card of cardفالcard
+
+25
+00:02:15,800 --> 00:02:19,980
+of card لو مثلا مثلنا الصورة هذه طبعا انا بكون ك
+
+26
+00:02:19,980 --> 00:02:24,180
+examiner ماسك الصورة هذه okay الان في الاتجاه
+
+27
+00:02:24,180 --> 00:02:30,000
+التاني حكينا دايما اي تفحص فيه اللي هو اتجاه لحركة
+
+28
+00:02:30,000 --> 00:02:34,620
+الصورة لازم ال examiner مايعرفش وين اتجاه الصورة
+
+29
+00:02:34,620 --> 00:02:39,850
+okayفهو مثلا الصورة كانت up بيكون مكتوب هنا يا إما
+
+30
+00:02:39,850 --> 00:02:44,750
+سهم أو بيكون up okay؟ الآن مثلا أنا عرضت هذه ستة ع
+
+31
+00:02:44,750 --> 00:02:48,950
+ستين كانت up okay؟ الصورة البعدة ستة ع ستة و
+
+32
+00:02:48,950 --> 00:02:55,430
+تلاتين هتكون أقل فانت مثلا rightOkay فبكون كاتبلي
+
+33
+00:02:55,430 --> 00:03:00,650
+right ستة ع ستين كلهان بكون مكتوب بتكون اقل فين؟
+
+34
+00:03:00,650 --> 00:03:05,030
+الستة اربع عشرين برضه اقل و هكذا طبعا اذا حاسيت
+
+35
+00:03:05,030 --> 00:03:08,490
+انا كل هيتهم في ال center ك examiner لازم اكون
+
+36
+00:03:08,490 --> 00:03:12,690
+منتبه انه خلاص الطفل ممكن يحفظ الاتجاه فإيش بروح؟
+
+37
+00:03:12,690 --> 00:03:17,190
+بروح ابدل مثلا مرة هان مرة هان مرة up down right
+
+38
+00:03:17,190 --> 00:03:21,770
+left بشكل انه يفهم اللي هو الطفل انه اشوف اللي هو
+
+39
+00:03:21,770 --> 00:03:26,820
+ال eye movement للطفلOkay طيب هل بالنسبة ل cardiff
+
+40
+00:03:26,820 --> 00:03:33,740
+card another question؟ ال tiller
+
+41
+00:03:33,740 --> 00:03:39,960
+card بيكون مقارنة في ال cardiff الصورة اللي فيه
+
+42
+00:03:39,960 --> 00:03:45,180
+أوسع يعني بمعنى انه الحجم بتاعه أوسع و بيكون اللي
+
+43
+00:03:45,180 --> 00:03:51,160
+هو خطوط عبارة عن خطوط بالشكل هذه انه يا اما خطوط
+
+44
+00:03:51,160 --> 00:03:58,360
+vertical زي هيكأو بتكون خطوط ايش مالها؟ horizontal
+
+45
+00:03:58,360 --> 00:04:03,720
+وبيكون يعني بينهم اللي هو زي ما قلنا ال white و ال
+
+46
+00:04:03,720 --> 00:04:08,880
+black strip واضح انه الطفل بيشوف يعني بيعتمد على
+
+47
+00:04:08,880 --> 00:04:13,460
+حركة عين الطفل ان وين هتكون الحركة بتاعته فمثلا
+
+48
+00:04:13,460 --> 00:04:17,480
+إذا كانت right هيحرك ال eye movement باتجاه ال
+
+49
+00:04:17,480 --> 00:04:20,700
+right إذا كانت left هتكون باتجاه ال left فهي
+
+50
+00:04:20,700 --> 00:04:25,540
+بتعتمد على حركة اللي هو عين الطفللل vertical و لل
+
+51
+00:04:25,540 --> 00:04:31,780
+horizontal طبعا
+
+52
+00:04:31,780 --> 00:04:37,460
+لو في أي سؤال في المادة من أول ما بدأنا يعني أي
+
+53
+00:04:37,460 --> 00:04:39,300
+نقطة مش واضحة ممكن تسأله
+
+54
+00:04:48,630 --> 00:04:52,810
+الان لما تكون الصورة معروضة up مش الواحد بطلع هيك
+
+55
+00:04:52,810 --> 00:04:57,710
+up برفع رأسه شوية اللي هي ال neck بتتحرك لو down
+
+56
+00:04:57,710 --> 00:05:01,750
+بنزل .. يعني حركة ال eye movement مرتبطة بال
+
+57
+00:05:01,750 --> 00:05:07,970
+movement بتاعة ال neck okay another question
+
+58
+00:05:07,970 --> 00:05:13,450
+finish
+
+59
+00:05:13,450 --> 00:05:20,030
+okaytesting visual acuity in verbal children انه
+
+60
+00:05:20,030 --> 00:05:25,910
+قياس حدة الإبصار للأطفال إيه الناطقين طبعا ال
+
+61
+00:05:25,910 --> 00:05:31,010
+verbal children الأطفال الناطقين بيكونوا من اتنين
+
+62
+00:05:31,010 --> 00:05:35,030
+و نص لخمس
+
+63
+00:05:35,030 --> 00:05:40,150
+سنوات هذا المقصود فيه ان ال verbal children من
+
+64
+00:05:40,150 --> 00:05:46,910
+اتنين و نص لخمس سنواتفي عندنا ال test الأول Allen
+
+65
+00:05:46,910 --> 00:05:52,950
+picture card or K pictures بالنسبة لل Allen
+
+66
+00:05:52,950 --> 00:05:58,030
+picture card or ال K pictures near test cards are
+
+67
+00:05:58,030 --> 00:06:04,330
+easier for younger children ال Allen picture دايما
+
+68
+00:06:04,330 --> 00:06:11,070
+أي تفحصات للأطفالالين اللى هو اسم ال .. ال .. يعني
+
+69
+00:06:11,070 --> 00:06:16,650
+ال designer المصمم لهذا ال .. الفحص ال test okay
+
+70
+00:06:16,650 --> 00:06:21,810
+فزي مثلا Cardiff Cardiff اللى هى جامعة مشهورة فى
+
+71
+00:06:21,810 --> 00:06:27,590
+بريطانيا فال test هذا على اسم الجامعة okay فعنا ال
+
+72
+00:06:27,590 --> 00:06:32,610
+.. ال الين picture card دايما اى تفحص للأطفال يجب
+
+73
+00:06:32,610 --> 00:06:36,410
+انه يكون المسافة ما بين ال examiner و ما بين الطفل
+
+74
+00:06:36,410 --> 00:06:41,150
+القريبةليش؟ لأن الطفل دايما مابحبش يعمل attention،
+
+75
+00:06:41,150 --> 00:06:44,810
+انتباه، فانا الآن لو بدي أعمل على مسافة ستة متر،
+
+76
+00:06:44,810 --> 00:06:48,430
+مستحيل هيكون ايش؟ أعمل اللي هو attention معاه، اه
+
+77
+00:06:48,430 --> 00:06:52,730
+فدايما المسافة لازم تكون قريبة، فبالأقل in Cape
+
+78
+00:06:52,730 --> 00:06:57,790
+Town أنه عندنا near، يعني المسافة ما بين ال
+
+79
+00:06:57,790 --> 00:07:02,430
+examiner و ما بين ال patient أو الطفل بتكون إيه
+
+80
+00:07:02,430 --> 00:07:07,130
+شمالها؟ قريبة، okay؟طبعا ال الين بيكشار فيه له
+
+81
+00:07:07,130 --> 00:07:13,110
+disadvantages يعني فيه له عيوب number one pictures
+
+82
+00:07:13,110 --> 00:07:18,490
+are not constructed according to Snellen form each
+
+83
+00:07:18,490 --> 00:07:22,330
+element in the target subtend one of visual angle
+
+84
+00:07:22,330 --> 00:07:28,590
+في ال principle مبدأ ال visual acuity اللي هي ال E
+
+85
+00:07:28,590 --> 00:07:30,790
+الآن لو احنا أخدنا ال E
+
+86
+00:07:46,440 --> 00:07:53,320
+الان كل واحد degree بيساوي واحد angle، يعني ال
+
+87
+00:07:53,320 --> 00:07:57,120
+visual angle بتاعتها كل واحدة بيساوي انه بيكون
+
+88
+00:07:57,120 --> 00:08:01,780
+الواحد angle و واحد اللي هو degree، okay؟ فهذه ال
+
+89
+00:08:01,780 --> 00:08:06,760
+.. ال allen k-picture هي مش مصممة زي مين زي ال k
+
+90
+00:08:06,760 --> 00:08:12,910
+-pictureعفوا الكي بيك شارد مش مصممة زي مين زي ال E
+
+91
+00:08:12,910 --> 00:08:17,110
+شارد يعني بتكونش الواحد angle بساوي واحد degree
+
+92
+00:08:17,110 --> 00:08:22,110
+هاد المقصود فيها انه اول حاجة انه مابتكونش ال big
+
+93
+00:08:22,110 --> 00:08:25,810
+shards are not constructed according to a snail
+
+94
+00:08:25,810 --> 00:08:29,970
+form انه مابتكون مصممة زي مين ال visual acuity
+
+95
+00:08:29,970 --> 00:08:36,950
+بتاع ال snail chart من ناحية ال size الحجمالنقطة
+
+96
+00:08:36,950 --> 00:08:40,190
+التانية some pictures are not familiar to the
+
+97
+00:08:40,190 --> 00:08:43,890
+child for example التليفون انه هذه الصور غير
+
+98
+00:08:43,890 --> 00:08:48,150
+معروفة قد تكون للطفل زي مثلا التليفون زي مثلا
+
+99
+00:08:48,150 --> 00:08:54,870
+الدفتر يعني اي تصورة بتكونش غير مقلوفة للطفل فهذه
+
+100
+00:08:54,870 --> 00:08:59,430
+ايش تعتبر برضه من ال disadvantage لل Ellen picture
+
+101
+00:09:07,740 --> 00:09:12,100
+ممكن هذه الصور تكون اكبر اكبر من مين من ال snail
+
+102
+00:09:12,100 --> 00:09:17,600
+chart يعني الحجم بتاعها ال size ال smallest one
+
+103
+00:09:17,600 --> 00:09:23,120
+twenty over thirty اللي هي six over nine يعني شوف
+
+104
+00:09:23,120 --> 00:09:27,640
+اصغر واحدة في ال key picture ستة اتسعة طبعا الستة
+
+105
+00:09:27,640 --> 00:09:31,820
+اتسعة احنا بنعتبرها ك optometry انه في عنده
+
+106
+00:09:31,820 --> 00:09:38,400
+defective vision صح انه ما يعتبر normalbut most
+
+107
+00:09:38,400 --> 00:09:42,620
+children respond to this taste لكن معظم الأطفال
+
+108
+00:09:42,620 --> 00:09:47,360
+ايش؟ بيستجيب لهذا ليش؟ لأنه بيكون دايما الطفل بيحب
+
+109
+00:09:47,360 --> 00:09:51,000
+اللي هو ال toy الألعاب و هذا ال allencabegshire
+
+110
+00:09:51,000 --> 00:09:55,700
+فيه اللي هو ألعاب بتكون مثلا apple بتكون مثلا
+
+111
+00:09:55,700 --> 00:10:01,340
+chicken يعني اللي هو أشياء مختلفة و عبارة عن toy
+
+112
+00:10:01,340 --> 00:10:05,740
+فالطفل بيكون attention لها okay؟فدائما هو بيكون
+
+113
+00:10:05,740 --> 00:10:10,340
+response لهذا ال test طبعا المسافة اللي احنا
+
+114
+00:10:10,340 --> 00:10:14,060
+بنستخدمها معظمنا ال allencabin chart بتكون على
+
+115
+00:10:14,060 --> 00:10:19,040
+مسافة تلاتة متر يعني في الغالب بتستخدم على مسافة
+
+116
+00:10:19,040 --> 00:10:19,940
+تلاتة متر
+
+117
+00:10:24,760 --> 00:10:28,600
+طبعا هي مثلا زي ما انتوا شايفين في الصورة هي الطفل
+
+118
+00:10:28,600 --> 00:10:33,260
+وهي بالنسبة لل examiner طبعا هذه مجموعة الصور اللي
+
+119
+00:10:33,260 --> 00:10:37,440
+بتكون موجودة في ال Ellen picture فالطفل مثلا شاف
+
+120
+00:10:37,440 --> 00:10:41,800
+اللي هو ال fish و أشر عنده على الصورة الموجودة
+
+121
+00:10:41,800 --> 00:10:48,450
+عنده okay؟طبعا هان من الصعب انه مثلا تدي الطفل
+
+122
+00:10:48,450 --> 00:10:53,370
+اللى هى الصور و تحكيله مثلا شو هدى او شو هدى احنا
+
+123
+00:10:53,370 --> 00:10:57,890
+عنا شو بنعمل مثلا هان انا ال examiner بكون واقف و
+
+124
+00:10:57,890 --> 00:11:02,670
+هان الطفل و ال here or his mom بتكون واقفة هان
+
+125
+00:11:02,670 --> 00:11:11,350
+فمثلا بتعرض الصورة الاولى حاضر هيك شايفين طيب هى
+
+126
+00:11:11,350 --> 00:11:15,920
+مثلا ال examiner okayطبعا ال examiner هو اللي
+
+127
+00:11:15,920 --> 00:11:20,560
+بيعرض الصور انه بتكون مثلا سمكة او بتكون مثلا
+
+128
+00:11:20,560 --> 00:11:28,580
+دجاجة etc ال examiner هو بيعرض ال M بتكون في منتصف
+
+129
+00:11:28,580 --> 00:11:34,180
+ال .. ما بين الطفل و ما بين مين الفاحص مثلا الطفل
+
+130
+00:11:34,770 --> 00:11:38,890
+تعرضيله الصورة الأولى، بيحكي مثلا سمكة، okay تمشي،
+
+131
+00:11:38,890 --> 00:11:42,890
+التانية، التالتة، طبعا ال M هي إيش؟ بتكون .. بتنقل
+
+132
+00:11:42,890 --> 00:11:47,090
+لمين؟ ل ال examiner، يعني هي الوسيط ما بين الطفل و
+
+133
+00:11:47,090 --> 00:11:51,510
+ما بين ال examiner واضح؟ المسافة هان برضه تقريبا
+
+134
+00:11:51,510 --> 00:11:55,810
+تلاتة متر، يعني في ال test هذا مصمم على أنه تلاتة
+
+135
+00:11:55,810 --> 00:11:56,110
+متر
+
+136
+00:12:01,400 --> 00:12:05,100
+طبعا برضه في ال .. في ال .. في ال K picture او ال
+
+137
+00:12:05,100 --> 00:12:08,480
+elite picture مش معقول انه مثلا تكون كل الصور ال
+
+138
+00:12:08,480 --> 00:12:15,240
+66 ال 36 ال 24 نفس الصور لأ لازم انه تكون مختلفة
+
+139
+00:12:15,240 --> 00:12:19,820
+يعني مثلا عرضت اول صورة fish التاني لازم مثلا تكون
+
+140
+00:12:19,820 --> 00:12:23,340
+chicken التالتة مثلا apple يعني لازم انه .. انه
+
+141
+00:12:23,340 --> 00:12:30,060
+يكون منوع في الصور و هذه نقطة مهمة okayفي نقطة
+
+142
+00:12:30,060 --> 00:12:34,120
+تانية في ال الين كي بيكشار، الآن مثلا الطفل حاسيته
+
+143
+00:12:34,120 --> 00:12:38,080
+أنه يعني very active وحاسيته أنه ال response بتاعه
+
+144
+00:12:38,080 --> 00:12:41,700
+عالي، زي ما بتفحصه ال visual acuity، الآن لما بشوف
+
+145
+00:12:41,700 --> 00:12:46,680
+الكبير بشكل سهل و بعدين شوف ال 6 ع 36 بروح أطول
+
+146
+00:12:46,680 --> 00:12:50,360
+مثلا 6 ع 18 عشان مايصارش عند الطفل نوع من ال
+
+147
+00:12:50,360 --> 00:12:55,600
+boringيعني ممكن أنتقل من ستة ع ستين لستة ع تمانتاش
+
+148
+00:12:55,600 --> 00:12:59,600
+إذا لجيت له response ده الطفل إيه شماله شايف يعني
+
+149
+00:12:59,600 --> 00:13:07,680
+إن هو شايف هذا إنه مش شرط إنه أمشي تدريج okay طيب
+
+150
+00:13:07,680 --> 00:13:13,040
+في عندنا ال hotef test أو ال sun-sickened silver
+
+151
+00:13:13,040 --> 00:13:18,500
+testrequire pattern recognition and matching of
+
+152
+00:13:18,500 --> 00:13:22,400
+progressively smaller optotypes with those on a
+
+153
+00:13:22,400 --> 00:13:28,240
+handheld cart.الان هذا بتطلب تنظيم للأشكال pattern
+
+154
+00:13:28,240 --> 00:13:29,200
+recognition
+
+155
+00:13:32,610 --> 00:13:36,810
+hand mashing توصيل بشكل تدريجي لل smaller
+
+156
+00:13:36,810 --> 00:13:41,510
+optotypes للصور الصغيرة طبعا من خلال ان ال hand هي
+
+157
+00:13:41,510 --> 00:13:46,050
+ال card انه يكون hand انه ماسك بيده كل اللي هي ايه
+
+158
+00:13:46,050 --> 00:13:47,490
+الصور الطفل
+
+159
+00:13:50,150 --> 00:13:55,670
+Okay الآن الطفل بيكون ماسك كل الصور و بيعمل عملية
+
+160
+00:13:55,670 --> 00:14:00,010
+mash توصيل للصورة مثلا الصورة الأولى بتنعرض هو
+
+161
+00:14:00,010 --> 00:14:04,230
+بيعمل إيش تأشير مثلا سمكة بيعمل اللي هو التأشير
+
+162
+00:14:04,230 --> 00:14:05,190
+إليها okay
+
+163
+00:14:07,820 --> 00:14:12,480
+يعني هاي مجموع الصور okay مثلا حرف ال H ان عرضه
+
+164
+00:14:12,480 --> 00:14:16,440
+الطفل حرف ال H هذه بتكون في ايده هو بيقشر على حرف
+
+165
+00:14:16,440 --> 00:14:21,020
+ال H بعدين بنعرضه مثلا حرف ال V بيقشر يعني عملية
+
+166
+00:14:21,020 --> 00:14:25,940
+اللي هو ماشي okay في
+
+167
+00:14:25,940 --> 00:14:29,960
+ال K picture بتكون صورة واحدة بيعرض صورة واحدة و
+
+168
+00:14:29,960 --> 00:14:33,580
+الطفل ممكن انه يمسك صورة واحدة لكن في ال Hottest
+
+169
+00:14:33,580 --> 00:14:33,980
+Test
+
+170
+00:14:37,940 --> 00:14:42,480
+مجموع الصور لكن ايش واللي بيقشرله برضه مجموع الصور
+
+171
+00:14:42,480 --> 00:14:48,340
+بمعنى اخر يعني بيكون في عندك a,b,c,d مجموعة من
+
+172
+00:14:48,340 --> 00:14:54,280
+الأحرف عند الطفل في يده مع بعض وبتنعرض مجموعة اللي
+
+173
+00:14:54,280 --> 00:14:59,720
+هو ايه أحرف فهو الطفل مثلا بنعرضله حرف ال a بيقوله
+
+174
+00:14:59,720 --> 00:15:03,920
+مثلا ال examiner هذا ايش a الطفل نفس هذي موجود
+
+175
+00:15:03,920 --> 00:15:06,280
+عنده فهو بده يقشر okay
+
+176
+00:15:10,640 --> 00:15:14,900
+لأ طبيعي ممكن صورة بس هاد ال .. ال هتف بيكون العمر
+
+177
+00:15:14,900 --> 00:15:18,340
+بتاعه كنت جيت متأخرها من اتنين و نص لخمس سنوات
+
+178
+00:15:18,340 --> 00:15:22,640
+واضح طبعا هو هان بتكلم احنا مثلا كعرب نستخدم اللغة
+
+179
+00:15:22,640 --> 00:15:29,060
+العربية أحرف اللغة العربية okay تصميم يعني
+
+180
+00:15:29,060 --> 00:15:34,160
+these letters are chosen to be of a very ..
+
+181
+00:15:42,370 --> 00:15:46,870
+مهمة بتكون vertical بشكل عمودي او بتكون ايش ممكن
+
+182
+00:15:46,870 --> 00:15:53,310
+horizontal و بتكون متماثلة سيمتري بشكل متماثل more
+
+183
+00:15:53,310 --> 00:15:57,270
+accurate in amblyopia a crowding phenomena هذه
+
+184
+00:15:57,270 --> 00:16:03,590
+نقطة مهمة انه دايما ال hotel test اللي بيكون مهم
+
+185
+00:16:03,590 --> 00:16:07,890
+جدا في حالة ال amblyopia اللي هي كسل العين شو
+
+186
+00:16:07,890 --> 00:16:13,140
+معناه كسل العين؟أنا أقوم بالبطارية مش هم نفسي إيه
+
+187
+00:16:15,910 --> 00:16:20,870
+الامبيوبي معناها lazy eye انه reduce visual acuity
+
+188
+00:16:20,870 --> 00:16:25,490
+in both eyes with uncorrected by glasses or
+
+189
+00:16:25,490 --> 00:16:29,370
+contact lens يعني ال visual acuity بيقل للمريض
+
+190
+00:16:29,370 --> 00:16:33,530
+بالنضارة أو بالعدسة اللاصقة without any
+
+191
+00:16:33,530 --> 00:16:37,730
+pathological or structural anomalies يعني دون أية
+
+192
+00:16:37,730 --> 00:16:44,430
+مشاكل في المرضية للمريض يعني مافيش أية مشكلة بتكون
+
+193
+00:16:44,430 --> 00:16:50,620
+عنده مرضيةOkay ف ال Hottest test هذا الفحص بيكون
+
+194
+00:16:50,620 --> 00:16:55,840
+مهم جدا يما يكون واحد عنده Amblyopia ليش؟ لأنه
+
+195
+00:16:55,840 --> 00:16:59,080
+بيصير عنده crowding phenomena اللي هي ظاهرة
+
+196
+00:16:59,080 --> 00:17:04,540
+التزاحم انه ظاهرة التزاحم اللي هو بتظهر عنده ان
+
+197
+00:17:04,540 --> 00:17:09,300
+الأحرف أشمالها بتكون متداخلة مع بعض okay يعني
+
+198
+00:17:11,870 --> 00:17:15,490
+شو الفرق ما بين ال Ellen picture و ال Hottest
+
+199
+00:17:15,490 --> 00:17:19,730
+test؟ دايما ال Hottest test بكشف لو كان واحد عنده
+
+200
+00:17:19,730 --> 00:17:25,050
+أمبيليوبيا، ليش؟ طيب لأنه
+
+201
+00:17:25,050 --> 00:17:29,930
+انا بعرض اكتر .. اه بالظبط، انه بعرض اكتر من صورة،
+
+202
+00:17:29,930 --> 00:17:31,150
+بتكون في ال Hottest test
+
+203
+00:17:39,750 --> 00:17:43,590
+صورة ايش؟ صورة واحدة، فالصورة الواحدة يا اما يعني
+
+204
+00:17:43,590 --> 00:17:47,070
+الطفل مابصرش عنده ظاهرة التزاحم، فلو كان عنده
+
+205
+00:17:47,070 --> 00:17:53,030
+amblyopia ماهيظهرش عنده، واضح؟ فهنا تعريف اللي هو
+
+206
+00:17:53,030 --> 00:17:53,750
+ال amblyopia
+
+207
+00:18:09,620 --> 00:18:14,420
+أو ال lazy eye ا
+
+208
+00:18:14,420 --> 00:18:20,800
+reduce
+
+209
+00:18:20,800 --> 00:18:24,120
+visual
+
+210
+00:18:24,120 --> 00:18:32,660
+acuity in both eyes
+
+211
+00:18:32,660 --> 00:18:36,440
+with
+
+212
+00:18:44,910 --> 00:18:53,970
+corrected by glasses or
+
+213
+00:18:53,970 --> 00:18:57,030
+contact lens طبعا هذه اختصار لل contact lens
+
+214
+00:18:57,030 --> 00:19:00,890
+without
+
+215
+00:19:00,890 --> 00:19:05,670
+any
+
+216
+00:19:31,980 --> 00:19:36,340
+إذا الأمبيوبيا كسل العين a reduce visual acuity
+
+217
+00:19:36,340 --> 00:19:41,780
+أنه تقليل لحدة الإبصار في كلتل عينتين with
+
+218
+00:19:41,780 --> 00:19:46,660
+uncorrected ما هيصلحش بواسطة النضارة أو ال contact
+
+219
+00:19:46,660 --> 00:19:55,820
+lens العدسة اللاصقة contact lens
+
+220
+00:19:55,820 --> 00:20:01,750
+okay without any pathological orderAnomalies
+
+221
+00:20:01,750 --> 00:20:07,890
+structure or structural anomalies بدون أي أمراض في
+
+222
+00:20:07,890 --> 00:20:15,110
+داخل اللي هو العين طبعا كسل العين يعتبر مرض شائع
+
+223
+00:20:15,110 --> 00:20:19,190
+عندنا في قطاع غزة بشكل كبير وهو بيكون دايما مع
+
+224
+00:20:19,190 --> 00:20:23,870
+الأطفال فانتوا ان شاء الله يعني أمهات المستقبل انه
+
+225
+00:20:23,870 --> 00:20:29,470
+لازم كل يعني أمقبل اللي هو سن الخمس سنوات ان يكون
+
+226
+00:20:29,470 --> 00:20:34,410
+الطفل عامل visual acuity measurement يعني قايص حدة
+
+227
+00:20:34,410 --> 00:20:39,230
+الإبصار ليش؟ لأن مشكلة ال amblyopia بعد ما الطفل
+
+228
+00:20:39,230 --> 00:20:44,940
+يصير عمره تسع سنوات خلاص ملهوش علاجيعني فيش إلها
+
+229
+00:20:44,940 --> 00:20:49,480
+علاج، واضح؟ زي بالظبط الآن أنا بستخدم ال .. ال ..
+
+230
+00:20:49,480 --> 00:20:52,960
+الإيد اليسار، والإيد اليمين خلاص، اللي هي تعتبر
+
+231
+00:20:52,960 --> 00:20:56,680
+lazy، ماهيقدر إنه بعد هيك أكتف فيها، وانت مثلا لو
+
+232
+00:20:56,680 --> 00:20:59,820
+كان واحدة بتستخدم ال right، مابتستخدمش إيش؟ ال
+
+233
+00:20:59,820 --> 00:21:05,990
+left، okay؟فال amblyopia لفترة معينة إذا العين ال
+
+234
+00:21:05,990 --> 00:21:10,410
+visual acuity ما بصرلهاش عملية stimulation تحفيز
+
+235
+00:21:10,410 --> 00:21:14,730
+بظل ال visual acuity ثابت سواء بنضارة، ابعادة
+
+236
+00:21:14,730 --> 00:21:20,030
+سلاسقة، بعملية، خلاص مافيش تحسن للنظر okay؟
+
+237
+00:21:21,990 --> 00:21:26,390
+فبالنسبة لهوتيف تيست بيكون more accurate انه دقيق
+
+238
+00:21:26,390 --> 00:21:30,470
+جدا في حالات من ال amblyopia كسل العين او ال lazy
+
+239
+00:21:30,470 --> 00:21:35,090
+eye عشان بيعمل اللي هو اظهار لمين لل crowding
+
+240
+00:21:35,090 --> 00:21:39,190
+phenomena why هوتيف تيست is more accurate compared
+
+241
+00:21:39,190 --> 00:21:47,330
+to allen kabachar اه
+
+242
+00:21:47,330 --> 00:21:52,630
+ممكن هذا السؤال مثلا اجيبه انه whyHot if test is
+
+243
+00:21:52,630 --> 00:21:59,930
+more accurate compared to Ellen Bixler Why Hot if
+
+244
+00:21:59,930 --> 00:22:07,910
+test is more accurate compared to Ellen Bixler أهم
+
+245
+00:22:07,910 --> 00:22:13,170
+نقطة ال crowd phenomenon اللي هي ظاهرة التزاحم هذه
+
+246
+00:22:13,170 --> 00:22:17,330
+أول ما تبدى فيها أهم نقطة بدنا نفهم فهم أن ظاهرة
+
+247
+00:22:17,330 --> 00:22:22,670
+التزاحمإنه بيعمل عملية كشف يعني الآن بيكشف ظاهرة
+
+248
+00:22:22,670 --> 00:22:26,410
+التزاحم ليش؟ لأنه بيعرض أكتر من optotype مع بعض
+
+249
+00:22:26,410 --> 00:22:30,570
+فهو مدام بيعرض أكتر من optotype بيكشف إذا كان
+
+250
+00:22:30,570 --> 00:22:36,650
+المريض عنده amblyopia ولا لأ okay mash one
+
+251
+00:22:36,650 --> 00:22:41,330
+optotype with multiple optotypes إذا المريض هيعمل
+
+252
+00:22:41,330 --> 00:22:45,870
+mash توصيل لوحدة optotype مع مجموعة من إيش؟ من
+
+253
+00:22:45,870 --> 00:22:52,660
+الoptotypesexact correspondence to a graded snail
+
+254
+00:22:52,660 --> 00:22:58,840
+optotype يعني هو ال .. ال hotel test يعتبر قريب
+
+255
+00:22:58,840 --> 00:23:03,020
+بالنسبة ل .. يعني الحجم ال size of optotype تعتبر
+
+256
+00:23:03,020 --> 00:23:09,360
+قريبة مقارنة في مين في ال snail snail optotype
+
+257
+00:23:09,360 --> 00:23:09,920
+okay
+
+258
+00:23:17,970 --> 00:23:22,210
+بكون قريب لمين؟ لل Snellen اللي احنا بنشتغل عليه
+
+259
+00:23:22,210 --> 00:23:26,130
+ال visual acuity مقارنة بمين؟ بال allencabexcher
+
+260
+00:23:26,130 --> 00:23:30,090
+ال allencabexcher قلنا ان ال size بتاعه مايكونش
+
+261
+00:23:30,090 --> 00:23:38,170
+نفس حجم مين ال E test طيب
+
+262
+00:23:38,170 --> 00:23:45,670
+في عندنا ال Sheridan gardener test require
+
+263
+00:23:45,670 --> 00:23:51,470
+childrento match familiar object pattern viewed at
+
+264
+00:23:51,470 --> 00:23:56,210
+distance with those on a near curve لو بتلاحظوا ان
+
+265
+00:23:56,210 --> 00:24:01,370
+المسافة في ال .. وضحك .. المسافة ما بين ال
+
+266
+00:24:01,370 --> 00:24:05,930
+examiner و ما بين ال children في حالة ال Sheridian
+
+267
+00:24:05,930 --> 00:24:11,090
+garden artist أقل انه بيستخدم للنير يعني تقريبا من
+
+268
+00:24:11,090 --> 00:24:15,890
+عشرين لتلاتين صنتي في ال Sheridian garden artist
+
+269
+00:24:17,140 --> 00:24:20,280
+يعني هي نفس المبدأ بتاع ال ال ال ال ال ال ال ال ال
+
+270
+00:24:20,280 --> 00:24:21,080
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+271
+00:24:21,080 --> 00:24:23,240
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+272
+00:24:23,240 --> 00:24:26,280
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+273
+00:24:26,280 --> 00:24:30,600
+ال
+
+274
+00:24:30,600 --> 00:24:30,880
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+275
+00:24:30,880 --> 00:24:31,080
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+276
+00:24:31,080 --> 00:24:31,300
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+277
+00:24:31,300 --> 00:24:31,420
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+278
+00:24:31,420 --> 00:24:32,540
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+279
+00:24:32,540 --> 00:24:32,540
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+280
+00:24:32,540 --> 00:24:32,540
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+281
+00:24:32,540 --> 00:24:32,540
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+282
+00:24:32,540 --> 00:24:32,560
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+283
+00:24:32,560 --> 00:24:32,560
+ال ال ال
+
+284
+00:24:46,770 --> 00:24:51,870
+اه انه near target okay لكن في الحالة ال الانكيبيك
+
+285
+00:24:51,870 --> 00:24:55,790
+شرط زي ما قلنا انه تلاتة متر okay هان بتكون من
+
+286
+00:24:55,790 --> 00:25:01,270
+عشرين لتلاتين سانتي برضه
+
+287
+00:25:01,270 --> 00:25:02,010
+تلاتة متر
+
+288
+00:25:08,320 --> 00:25:14,280
+هنا which is better هنا فيه comparison بين مقارنة
+
+289
+00:25:14,280 --> 00:25:19,720
+ما بين ال hotef test و ال sheridan gardener test
+
+290
+00:25:19,720 --> 00:25:24,880
+okay الآن شو الفرق بين التانين؟ زي ما قلنا الفرق
+
+291
+00:25:24,880 --> 00:25:28,400
+أول حاجة المسافة بس أهم شيء اللي هي مين ال
+
+292
+00:25:28,400 --> 00:25:32,660
+crowding phenomenon اللي هي ظاهرة التساحب the main
+
+293
+00:25:32,660 --> 00:25:37,850
+difference الاختلاف الرئيسيوهو شريديان جاردينر
+
+294
+00:25:37,850 --> 00:25:44,950
+تيست وهوتف تيست هو أنه لا يوجد فنومنا في شريديان
+
+295
+00:25:44,950 --> 00:25:48,430
+جاردينر تيست ليش مافيش .. ليش ظاهرة التزاحم مش
+
+296
+00:25:48,430 --> 00:25:54,700
+موجودة؟ لأنه one optotype، only one optotypeدايما
+
+297
+00:25:54,700 --> 00:25:59,480
+في مادة ال refraction بدنا نستخدم مصطلحات بصرية ان
+
+298
+00:25:59,480 --> 00:26:04,880
+only one optotype we apply only one optotype في ال
+
+299
+00:26:04,880 --> 00:26:08,240
+test we apply multiple optotypes
+
+300
+00:26:14,160 --> 00:26:19,280
+because it show a single optotype in each card, so
+
+301
+00:26:19,280 --> 00:26:22,760
+it is not accurate to test an amblyopic child with
+
+302
+00:26:22,760 --> 00:26:27,140
+the Sheridian Gardener. إذا الأن لما أنا بقارن ما
+
+303
+00:26:27,140 --> 00:26:31,420
+بين ال Ellen Kebischer مع ال Hottif test أو ال
+
+304
+00:26:31,420 --> 00:26:36,180
+Hottif test مع ال Sheridian Gardener test الفرق
+
+305
+00:26:36,180 --> 00:26:42,590
+بينهم أنه مافيش ظاهرة التزاحم في مينفى اللى هو
+
+306
+00:26:42,590 --> 00:26:47,710
+الشرديان او ال الين كيبكشاف لأنه بعرض one only one
+
+307
+00:26:47,710 --> 00:26:51,930
+optotype لكن فى الهوتف تيست multiple optotype
+
+308
+00:26:51,930 --> 00:26:57,910
+okay؟ because the crowding phenomena is the
+
+309
+00:26:57,910 --> 00:27:02,810
+hallmark يعني بالسبب ان ظاهرة التزاحم انه تعتبر
+
+310
+00:27:02,810 --> 00:27:08,470
+قوية جدا to the presence في عرض الamblyopia كسل
+
+311
+00:27:08,470 --> 00:27:14,440
+العينSo it is very important مهم جدا لذلك مهم جدا
+
+312
+00:27:14,440 --> 00:27:20,220
+to use these two tests in the correct way and on
+
+313
+00:27:20,220 --> 00:27:25,140
+the suitable patients in the HOTIF test إذا الأفضل
+
+314
+00:27:25,140 --> 00:27:30,100
+بالنسبة للأطفال أنه نستخدم إيش ال two testsنستخدم
+
+315
+00:27:30,100 --> 00:27:34,780
+ال hotel و ال gardener أو ال allencabegshire لكن
+
+316
+00:27:34,780 --> 00:27:39,880
+طبعا هذه it depends on the culture، بتعتمد على
+
+317
+00:27:39,880 --> 00:27:44,140
+الثقافة، ثقافة عندنا المجتمع هان مابتسمحش ان طفل
+
+318
+00:27:44,140 --> 00:27:47,740
+انا اعمله two tests، بعدين اعمله ريتينيسكوب، هذه
+
+319
+00:27:47,740 --> 00:27:52,480
+صعبة عندنافانا دايما بفضل ال more accurate مين ال
+
+320
+00:27:52,480 --> 00:27:56,340
+more accurate test؟ باخد اللي هو ال hotel test ليه
+
+321
+00:27:56,340 --> 00:27:59,820
+ال hotel test more accurate؟ الان انت .. يعني انت
+
+322
+00:27:59,820 --> 00:28:03,180
+الان ك examiner أو ك optometrist professional
+
+323
+00:28:03,180 --> 00:28:07,720
+optometrist دايما مين بختار ال .. الأفضل اللي هو
+
+324
+00:28:07,720 --> 00:28:10,360
+test؟ ال hotel okay why?
+
+325
+00:28:13,820 --> 00:28:17,560
+because .. because it discover a crowding
+
+326
+00:28:17,560 --> 00:28:24,580
+phenomena okayفي عندنا it .. it show multiple
+
+327
+00:28:24,580 --> 00:28:30,200
+optotype compared to what if .. compared to allen
+
+328
+00:28:30,200 --> 00:28:33,420
+or gardener test okay
+
+329
+00:28:39,240 --> 00:28:45,540
+طبعا الlandolt rings C test اللي احنا بنشوفها في
+
+330
+00:28:45,540 --> 00:28:49,740
+غرف ال refraction اللي هي ال C test اللي هي النظام
+
+331
+00:28:49,740 --> 00:28:57,400
+الأمريكيthe child points to a similar ring on a
+
+332
+00:28:57,400 --> 00:29:03,940
+handheld cart إذا الطفل بده يحدد اتجاه من الحركة
+
+333
+00:29:03,940 --> 00:29:09,480
+يعني اتجاه الفتحة مثلا ال .. ال break وين اتجاهها
+
+334
+00:29:09,480 --> 00:29:14,220
+مثلا right left up or down some children are
+
+335
+00:29:14,220 --> 00:29:18,080
+confused بعض الأطفال بصير لهم عملية إيش ارتباك
+
+336
+00:29:18,080 --> 00:29:23,390
+confused okaycan be used in illiterate adults ان
+
+337
+00:29:23,390 --> 00:29:28,060
+هذه بتستخدم في الناس الأميينIt does have the
+
+338
+00:29:28,060 --> 00:29:32,080
+advantages of corresponding directly to the
+
+339
+00:29:32,080 --> 00:29:36,800
+Snellen chart و هي يعني احنا قلنا انه دايما في ال
+
+340
+00:29:36,800 --> 00:29:40,560
+visual acuity there are two methods في عندنا ال
+
+341
+00:29:40,560 --> 00:29:43,640
+British method و ال American method ال British
+
+342
+00:29:43,640 --> 00:29:46,820
+method هو عبارة عن ال Snellen visual acuity chart
+
+343
+00:29:46,820 --> 00:29:50,580
+ال American method هو عبارة عن ال Landolt ring
+
+344
+00:29:50,580 --> 00:29:55,780
+testطيب ال handle ring هل هي تعتبر quantitative
+
+345
+00:29:55,780 --> 00:30:03,840
+ولا qualitative؟ quantitative why؟ لأنه بديني ستة
+
+346
+00:30:03,840 --> 00:30:09,360
+ع ستين، ستة أربع عشرين، okay؟
+
+347
+00:30:09,360 --> 00:30:15,860
+طيب في عندنا ال familiar tumbling E test requires
+
+348
+00:30:15,860 --> 00:30:16,800
+mashing
+
+349
+00:30:21,950 --> 00:30:25,950
+it's major advantage is the direct correspondence
+
+350
+00:30:25,950 --> 00:30:31,450
+to a graded Snellen optotypes الان الطفل مثلا بعرض
+
+351
+00:30:31,450 --> 00:30:36,510
+ال E-test و بعرض مثلا أحرف انه بخلي عملية اللي هو
+
+352
+00:30:36,510 --> 00:30:41,030
+ماشي توصيل لكن هي أسهل طريقة من ناحية ال
+
+353
+00:30:41,030 --> 00:30:45,410
+measurement of visual acuity الان بجيب الطفل بعلمه
+
+354
+00:30:45,410 --> 00:30:50,460
+بقوله من ناحية اللي هو ال nearعلى لوحة الإشارات
+
+355
+00:30:50,460 --> 00:30:55,280
+هذي وين هذي وين إذا ماعرفش الطفل يعني ماتحاوليش
+
+356
+00:30:55,280 --> 00:30:58,840
+أنه تستخدم ال smelling chart لازم تشوف إيه لها
+
+357
+00:30:58,840 --> 00:31:02,640
+بديل سواء ال allencabin chart أو ال hotel test
+
+358
+00:31:02,640 --> 00:31:10,020
+يعني هي ما تعتبر ال E test مايعتبرش هو ال best لأ
+
+359
+00:31:10,020 --> 00:31:14,380
+يعني ممكن ال hotel test في حالات أفضلفهنا مثلا
+
+360
+00:31:14,380 --> 00:31:18,960
+بيجي اللي هو ال professional optometrist في اختيار
+
+361
+00:31:18,960 --> 00:31:23,180
+ال test الأفضل يعني الآن انا مثلا اعرفت كل ال test
+
+362
+00:31:23,180 --> 00:31:27,240
+تاعت ال pre verbal و ال verbal children الآن دوري
+
+363
+00:31:27,240 --> 00:31:32,180
+بدي احدد استخدام ال test في المكان المناسب وين انا
+
+364
+00:31:32,180 --> 00:31:36,300
+ممكن استخدمه يعني مثلا طفل مش متجاوب معايا مش عارف
+
+365
+00:31:36,300 --> 00:31:40,960
+اللي هو اتجاه الفاتحة وينفانا ما بحاول أنه إيش
+
+366
+00:31:40,960 --> 00:31:44,760
+أستخدم ال E test أو ما بحاول أستخدم ال C test
+
+367
+00:31:44,760 --> 00:31:48,800
+بحاول أنه أستخدم مثلا ال Hotif test ال Gardner
+
+368
+00:31:48,800 --> 00:31:52,900
+test ال Alan kubik chart ممكن ال sweet test يعني
+
+369
+00:31:52,900 --> 00:31:58,420
+ممكن نصل لمرحلة لطفل خمس سنوات مثلا يعني عنده هيك
+
+370
+00:31:58,420 --> 00:32:03,860
+مثلا lazy هو أو ماعندهوش اللي هو response عالي
+
+371
+00:32:03,860 --> 00:32:06,980
+ممكن أستخدم ال ال ال sweet test okay
+
+372
+00:32:13,540 --> 00:32:21,020
+Okay في عندنا important notice ملاحظات هامة in
+
+373
+00:32:21,020 --> 00:32:25,880
+some cases or in some patients في بعض الحالات the
+
+374
+00:32:25,880 --> 00:32:30,360
+patient may have a latent nystagmus ان المريض
+
+375
+00:32:30,360 --> 00:32:33,840
+بيكون عنده رقرة في العين لكن الرقرة هذه ايش بتكون
+
+376
+00:32:33,840 --> 00:32:42,660
+خفية latent بمعنى خفي latent معناها
+
+377
+00:32:42,660 --> 00:32:50,870
+خفيخفي خفي يعني مش ظاهر مش واضح نعم latent
+
+378
+00:32:50,870 --> 00:32:57,290
+nystagmus okay which appears when the other eye is
+
+379
+00:32:57,290 --> 00:33:02,550
+occluded في بعض الناس أو بعض المرضى بيكون عنده
+
+380
+00:33:02,550 --> 00:33:10,180
+nystagmus nystagmus معناها رأرة العين هي مرضسببه
+
+381
+00:33:10,180 --> 00:33:15,000
+انه بيكون في عنده خلل في عضلات العين، okay؟ و .. و
+
+382
+00:33:15,000 --> 00:33:18,480
+بيكون كمان اللي هو سببه بيكون عنده مشاكل في
+
+383
+00:33:18,480 --> 00:33:22,060
+العصابة، فبتلاقي دايما عنده إيش؟ رقراة في العين،
+
+384
+00:33:22,060 --> 00:33:26,960
+بتكون شائعة في الناس الألبينو، الناس البيض جدا أو
+
+385
+00:33:26,960 --> 00:33:31,360
+الحمر احنا بنقول عنهم، هدول بيكون عندهم يعني شائع
+
+386
+00:33:31,360 --> 00:33:34,780
+بشكل كبير، اللي هو الناس دايما، دايما العين في
+
+387
+00:33:34,780 --> 00:33:38,820
+إلها إيه؟ رقراةطبعا الإنسان اللي بيكون عنده رقرة
+
+388
+00:33:38,820 --> 00:33:42,760
+في العين، يكون الرؤية يشملها مش واضحة، لأنه
+
+389
+00:33:42,760 --> 00:33:47,640
+مابتكونش أعمل الهو fixation لمين، لال target طيب
+
+390
+00:33:47,640 --> 00:33:52,160
+في ناس مثلا بيكون عنده latent nystagmus، يعني رقرة
+
+391
+00:33:52,160 --> 00:33:57,360
+في العين لكن خفية، هدف الوضع الطبيعي ال latent
+
+392
+00:33:57,360 --> 00:34:02,370
+nystagmus مابتكونش واضحةيعني بيكون المريض عنده
+
+393
+00:34:02,370 --> 00:34:06,630
+null point، null point شو معناها؟ الآن أنا يما هو
+
+394
+00:34:06,630 --> 00:34:12,090
+بيجي بيقرأ، بيحدد له نقطة معينة، بيركز فيها بحيث
+
+395
+00:34:12,090 --> 00:34:17,270
+انه يلغي ال nostagmus اللي هي رأرات العين، لكن
+
+396
+00:34:17,270 --> 00:34:21,790
+هدول كيف ممكن اكشفهم؟ غطي بس عين، بنكشف اللي هو ال
+
+397
+00:34:21,790 --> 00:34:27,140
+nostagmusيعني بيصير عنده ال manifest طبعا ال
+
+398
+00:34:27,140 --> 00:34:39,360
+latent تعكسها manifest اللي هو واضح أو ظاهر طبعا
+
+399
+00:34:39,360 --> 00:34:42,480
+هناخدهم ال manifest و ال latent من ناحية اللي هو
+
+400
+00:34:42,480 --> 00:34:44,020
+ال hyper, metrop, و الميوب
+
+401
+00:34:47,400 --> 00:34:52,340
+فأول طريقة لكشف ال stagnance أنه إيش أعمل ال
+
+402
+00:34:52,340 --> 00:34:55,420
+latent stagnance أنه أعمل occlusion of one eye
+
+403
+00:34:55,420 --> 00:34:59,800
+okay؟
+
+404
+00:34:59,800 --> 00:35:04,320
+انه كيف يكون مثلا عنده stagnanceالان انا مثلا فحصت
+
+405
+00:35:04,320 --> 00:35:07,520
+ال visual acuity الان انت مابتفحص ال visual acuity
+
+406
+00:35:07,520 --> 00:35:11,840
+بتقول للمريض غطي مثلا ال right او ال left صح؟ لما
+
+407
+00:35:11,840 --> 00:35:15,260
+بغطي المريض ال right بيبين الناس تاجمص فانا بعرف
+
+408
+00:35:15,260 --> 00:35:19,580
+ان هذا المريض انه عنده ايش ناس تاجمص او مثلا باجي
+
+409
+00:35:19,580 --> 00:35:21,600
+في ال objective refraction اللي هو ال written
+
+410
+00:35:21,600 --> 00:35:24,860
+score لما باجي مثلا اشتغل على ال written score
+
+411
+00:35:24,860 --> 00:35:29,720
+مافيش عنده اللي هو قدرة على يعمل انه fixation لما
+
+412
+00:35:29,720 --> 00:35:33,440
+تقوليله تطلع بعيدعندهوش قدرة فبتلاقي العين إيه
+
+413
+00:35:33,440 --> 00:35:38,200
+شمال، هالبقبق متحرك، فيه رقرا، هاي مثلا من الطرق
+
+414
+00:35:38,200 --> 00:35:42,120
+اللي هو يعني لكشف الناس اللي عندهم نستاج، فأول
+
+415
+00:35:42,120 --> 00:35:45,540
+حاجة اللي عنده latent nystagmus كيف ممكن أكشفه؟
+
+416
+00:35:45,540 --> 00:35:49,520
+أنه أغطي عين، أنه occlusion of one eye، طب أغطي
+
+417
+00:35:49,520 --> 00:35:52,740
+العين السليمة ولا اللي فيها ال nystagmus؟ السليمة
+
+418
+00:35:52,740 --> 00:35:59,880
+عشان تبين، عشان تبين، سليمةفي الغالب ال nystagmus
+
+419
+00:35:59,880 --> 00:36:04,300
+بتكون في ال both eyes يعني غالبا أو في معظم
+
+420
+00:36:04,300 --> 00:36:08,180
+الحالات انه بيكون في ال both eyes ال amblyopia
+
+421
+00:36:08,180 --> 00:36:12,640
+العكس ال amblyopia ده يعني غالبا ما بيكون في عين
+
+422
+00:36:12,640 --> 00:36:18,560
+واحدة وبعض الأحيان بيكون إيش؟ في العينتين إذا ال
+
+423
+00:36:18,560 --> 00:36:22,500
+nystagmus غالبا ما بيكون في ال both eyes ال
+
+424
+00:36:22,500 --> 00:36:25,340
+amblyopia غالبا بيكون إيه؟ في عين واحدة
+
+425
+00:36:28,260 --> 00:36:32,400
+the latent nystagmus reduces the visual acuity due
+
+426
+00:36:32,400 --> 00:36:37,020
+to the inability to fixate the target أنه دايما
+
+427
+00:36:37,020 --> 00:36:41,880
+هذول عندهم reduce visual acuity الآن يما بيجي مريض
+
+428
+00:36:41,880 --> 00:36:45,060
+و بيحكي مثلا أنا عندي رقرة في العين فأنا
+
+429
+00:36:45,060 --> 00:36:49,620
+كoptometry شو بعرف يما باخد ال history؟ إذا المريض
+
+430
+00:36:49,620 --> 00:36:53,880
+عنده رقرة في العين عنده nystagmus okay إذا بعرف
+
+431
+00:36:53,880 --> 00:36:57,940
+أنه هيكون عنده reduce لل visual acuityطب لو واحد
+
+432
+00:36:57,940 --> 00:37:02,240
+مثلا كان عنده stack bus و عنده good visual
+
+433
+00:37:02,240 --> 00:37:07,900
+acuity،كون أنا عندي إيش؟ اللي هو تناقض، يعني عندي
+
+434
+00:37:07,900 --> 00:37:11,820
+تناقض ما بين فحص ال visual acuity و ما بين ال
+
+435
+00:37:11,820 --> 00:37:19,550
+history، okay؟الان واحد عنده nystagmus يعني ايجى
+
+436
+00:37:19,550 --> 00:37:23,630
+مثلا مريض انا مش كاشفه هل عنده nystagmus ولا لأ و
+
+437
+00:37:23,630 --> 00:37:26,390
+قال انا عندي رقرة فى العين يعني ال history بتاعه
+
+438
+00:37:26,390 --> 00:37:28,690
+ياما انا خدت ال history هى .. هى واحدة من ال
+
+439
+00:37:28,690 --> 00:37:31,690
+benefit لل history قال عندي nystagmus انا ك
+
+440
+00:37:31,690 --> 00:37:35,150
+optometر ايش بقول انه اكيد انه عنده ايش reduce
+
+441
+00:37:35,150 --> 00:37:39,530
+visual acuity طيب افرطلع ال visual acuity 6 ع 6
+
+442
+00:37:39,530 --> 00:37:44,170
+بكون انا عندى ايش مشكلة فى ال test بتاعى okay
+
+443
+00:37:48,230 --> 00:37:51,250
+ممكن يكون latent، إذا كان latent لازم مثلا أضغط
+
+444
+00:37:51,250 --> 00:37:54,470
+عين، مش واضحة، مابتكون واضحة، لكن في بعض الناس
+
+445
+00:37:54,470 --> 00:37:57,950
+بتكون manifest، ظاهرة، يعني أي واحد بيشوفه خلاص
+
+446
+00:37:57,950 --> 00:38:03,150
+هذا عنده manifest زي مثلا الناس ال albino okay؟ ال
+
+447
+00:38:03,150 --> 00:38:07,070
+albino يعني البيض اللي هم الشجر، بيكونوا، هدول
+
+448
+00:38:07,070 --> 00:38:11,110
+بتكون واضحة، إنه عنده رقرا في العين عشان ما حكينا
+
+449
+00:38:11,110 --> 00:38:15,430
+عن التشخيص، المريض ماخش تشخيص منها، يعني هو قال
+
+450
+00:38:15,430 --> 00:38:18,300
+معايا رقرا في العين، بس ماكانش أفضلأنا ما بكتب
+
+451
+00:38:18,300 --> 00:38:22,280
+nystagmus في ال history بكتب مثلا movement of the
+
+452
+00:38:22,280 --> 00:38:26,420
+both eyes okay يعني movement of the both eyes خلاص
+
+453
+00:38:26,420 --> 00:38:30,320
+بعرف أن هو مثلا ممكن أكتب بين قصين لأنه ال
+
+454
+00:38:30,320 --> 00:38:34,400
+nystagmus مالهاش مثلا تفسير يعني movement of the
+
+455
+00:38:34,400 --> 00:38:42,280
+both eyes okay بين قصين nystagmus طيب
+
+456
+00:38:42,280 --> 00:38:46,340
+بس هو عنده nystagmus واحد حكى أنه أنا عندي رقرة في
+
+457
+00:38:46,340 --> 00:38:50,150
+العينيعني هو حتى اللي عنده رقرة في العين دايما
+
+458
+00:38:50,150 --> 00:38:53,470
+بييجي ياما بتاخد ال history بيحكي لك أنا عنده رقرة
+
+459
+00:38:53,470 --> 00:38:56,990
+في العين زي ما بييجي واحد بيحكي أنا عنده صداع زي
+
+460
+00:38:56,990 --> 00:39:00,330
+هيك بياخد ال history okay فانا بفهم إيش هذا
+
+461
+00:39:00,330 --> 00:39:03,730
+indicate to the visual .. indicate to reduce
+
+462
+00:39:03,730 --> 00:39:09,470
+visual acuity لأ
+
+463
+00:39:09,470 --> 00:39:13,990
+ال deviation اللي هي الحوال أو ال squint أن العين
+
+464
+00:39:13,990 --> 00:39:16,670
+بيكون يا إما مهد إيزو
+
+465
+00:39:19,550 --> 00:39:24,590
+أو بتكون مثلا في إلها .. بيكون ال squint up or
+
+466
+00:39:24,590 --> 00:39:28,410
+down هذا بالنسبة لل deviation أو ال squint لكن ال
+
+467
+00:39:28,410 --> 00:39:32,810
+nystagmus البقبق ده يجيب يتحرك زي هي مش معقولة مش
+
+468
+00:39:32,810 --> 00:39:38,990
+شايفين واحد عنده nystagmus رقراء الآن في اللي هو
+
+469
+00:39:38,990 --> 00:39:45,110
+عمليات إلها بيعملوا عملية اللي هو recession و
+
+470
+00:39:45,110 --> 00:39:52,810
+resection يعني بيعمل اللي هوتقلص و بيطول يعني زي
+
+471
+00:39:52,810 --> 00:39:56,070
+اللي هو بيطول العضلات و بيصغر العضلات يعني بيعمل
+
+472
+00:39:56,070 --> 00:39:59,550
+عملية بالظبط balance اللي هو توازن ما بين العضلات
+
+473
+00:39:59,550 --> 00:40:04,410
+هي ال .. ال stigma's one المشكلة المشكلة اللي فيها
+
+474
+00:40:04,410 --> 00:40:07,890
+ان المريض بيكونش عنده null point انه يعمل fixate
+
+475
+00:40:07,890 --> 00:40:11,450
+يعني زي ما انا الآن مركز على الكاميرا ماعنديش ا ..
+
+476
+00:40:11,450 --> 00:40:15,730
+انا عندي مثلا fixate target اللي هو الكاميرا هداك
+
+477
+00:40:15,730 --> 00:40:20,030
+عنده ايش زي بالظبط انت ياما اتحرك راسك زي هيكظلّك
+
+478
+00:40:20,030 --> 00:40:24,010
+حاركي راسك هيك مافيش اللي هو target ثابت صح؟ فهذه
+
+479
+00:40:24,010 --> 00:40:30,230
+بننتج اللي هو ال nestagmas طبعا هم دائما يما بيقرأ
+
+480
+00:40:30,230 --> 00:40:33,970
+فيهم واحد بيحاول انه يعرف وين ال null point بتاعته
+
+481
+00:40:33,970 --> 00:40:38,370
+فبركز اللي هو ال null point بتاعته فبتلاقي انه
+
+482
+00:40:38,370 --> 00:40:43,890
+بيقرأ طبيعي normal طبعا هذه إذا كانت ال nestagmas
+
+483
+00:40:43,890 --> 00:40:47,730
+اللي عنده خفيف يعني mild مش اللي هو severe
+
+484
+00:40:47,730 --> 00:40:48,390
+nestagmas
+
+485
+00:40:51,330 --> 00:40:55,090
+in these cases when testing visual acuity we must
+
+486
+00:40:55,090 --> 00:40:59,190
+occlude the eye in a way that's a prevent the
+
+487
+00:40:59,190 --> 00:41:02,710
+latent nystagmus to occur برضه في حالات اما انا
+
+488
+00:41:02,710 --> 00:41:07,730
+اعمل فحص لل visual acuity بغط عين انا يعني لحظة ما
+
+489
+00:41:07,730 --> 00:41:12,390
+اغطي اللي هي العين هيكون اللي هو ايش reduce the
+
+490
+00:41:12,390 --> 00:41:16,870
+visual acuity in the other eye يعني بمعنى اخر انه
+
+491
+00:41:16,870 --> 00:41:23,330
+دايما ال visual acuity in the nystagmus eyeبور انه
+
+492
+00:41:23,330 --> 00:41:37,930
+دايما بكون بور انه ال visual acuity there
+
+493
+00:41:37,930 --> 00:41:43,890
+are methods to perform that في طرق انه ممكن اكشف
+
+494
+00:41:44,620 --> 00:41:51,160
+كمان ال nystagmus يعني بمعنى آخر الآن صين من الناس
+
+495
+00:41:51,160 --> 00:41:55,760
+إيجا عنده nystagmus غطينا عين ال nystagmus هذا
+
+496
+00:41:55,760 --> 00:42:00,620
+ماظهرش فشو اللي هي الطرق الأخرى اللي ممكن أكشف
+
+497
+00:42:00,620 --> 00:42:06,180
+فيها ال nystagmus أول حاجة ممكن أنه أستخدم عدسة
+
+498
+00:42:06,180 --> 00:42:13,040
+plus 5 أو plus 10 انه using a plus 5 diopter in
+
+499
+00:42:13,040 --> 00:42:17,370
+front of the eyeit will reduce the vision يعني
+
+500
+00:42:17,370 --> 00:42:21,930
+الآن أنا ستة ع ستة normal، يمّا أحط عدسة plus أمام
+
+501
+00:42:21,930 --> 00:42:26,130
+عيني، إيش بيصير ال visual acuity؟ reduce، بيصير
+
+502
+00:42:26,130 --> 00:42:29,510
+blooded vision صح؟ بقل ال visual acuity
+
+503
+00:42:32,140 --> 00:42:35,880
+it will reduce the vision in a marked limit and in
+
+504
+00:42:35,880 --> 00:43:02,000
+the same time it will not produce nystagmus
+
+505
+00:43:02,680 --> 00:43:07,620
+Okay لش
+
+506
+00:43:07,620 --> 00:43:13,340
+أنا بستخدم عدسة plus خمسة في مرضى بيكون عندهم
+
+507
+00:43:13,340 --> 00:43:17,540
+nystagmus او لش بتستخدمي اللي هو العدسة ال plus
+
+508
+00:43:17,540 --> 00:43:25,120
+خمسة to reduce visual acuity and to appear of the
+
+509
+00:43:25,120 --> 00:43:31,000
+nystagmusIt is an important exception that the
+
+510
+00:43:31,000 --> 00:43:35,560
+patient doesn't be hypermetropic طبعا في مشكلة لو
+
+511
+00:43:35,560 --> 00:43:39,900
+كان المريض hypermetropic و حطيتله plus خمسة سير ال
+
+512
+00:43:39,900 --> 00:43:45,220
+vision ايش؟ ممتاز عنده، اه فهذا بدي اخد بالي انه
+
+513
+00:43:45,220 --> 00:43:48,320
+مايكنش المريض hypermetropic انه مايكنش عنده طول
+
+514
+00:43:48,320 --> 00:43:52,340
+نظر لأنه في ال plus خمسة او في ال plus عشرة هيتحسن
+
+515
+00:43:52,340 --> 00:43:53,600
+عنده ايش؟ النظر
+
+516
+00:43:56,920 --> 00:44:01,360
+إذا ال number one إنه بحط عدسة plus خمسة قوتها
+
+517
+00:44:01,360 --> 00:44:07,300
+خمسة in front of the eye فوق العين هتعمل reduce لل
+
+518
+00:44:07,300 --> 00:44:13,080
+visual acuity زائد إنه هتعمل appear لانستاجمص okay
+
+519
+00:44:13,080 --> 00:44:17,840
+طبعا هذه باستثنى من الناس اللي بيكون عندهم hyper
+
+520
+00:44:17,840 --> 00:44:26,510
+metroid أو .. هاي الخطوة التانيةby putting the
+
+521
+00:44:26,510 --> 00:44:30,550
+occluder in front of the eye at a distance nearly
+
+522
+00:44:30,550 --> 00:44:34,710
+10 cm
+
+523
+00:44:34,710 --> 00:44:39,790
+ال
+
+524
+00:44:39,790 --> 00:44:42,850
+back
+
+525
+00:44:42,850 --> 00:44:49,390
+vertex distance in this way we occluded the eye
+
+526
+00:44:49,390 --> 00:44:54,140
+and prevent the nystagmusالنقطة التانية إذا مثلا
+
+527
+00:44:54,140 --> 00:44:58,500
+زي ما حكت زملتكم كان عندها أو كان عنده
+
+528
+00:44:58,500 --> 00:45:03,300
+hypermetropia الآن أنا لما بحط عدسة plus 5 أو plus
+
+529
+00:45:03,300 --> 00:45:09,200
+10 بتحسن النظر فبستخدمش إيش بعمل ignore للطريقة
+
+530
+00:45:09,200 --> 00:45:14,220
+الأولى، يعني الآن عند مريض عنده طول نظرما بستخدم
+
+531
+00:45:14,220 --> 00:45:18,080
+معه plus 5 أو plus 10، فإيش بستخدم معه؟ occluder،
+
+532
+00:45:18,080 --> 00:45:22,880
+غطى، بغطي العين السليمة، فبنكشف إن استجمس في العين
+
+533
+00:45:22,880 --> 00:45:30,040
+اللي مش سليمة، okay؟ يعني الآن بعمل occluder لمين؟
+
+534
+00:45:30,040 --> 00:45:33,920
+العين اللي بتكون سليمة، فعطولي إن استجمس، بيظهر في
+
+535
+00:45:33,920 --> 00:45:35,780
+العين الأخرى، okay؟
+
+536
+00:45:38,490 --> 00:45:43,550
+by using the frosted lens this is the best method
+
+537
+00:45:43,550 --> 00:45:48,390
+هذه أفضل طريقة أنه بستخدم العدسة ال frosted lens
+
+538
+00:45:48,390 --> 00:45:55,550
+العدسة هذه بيسموها العدسة الثلجية هذه بتسمى العدسة
+
+539
+00:45:55,550 --> 00:46:03,600
+الثلجية okay هي تعتبريعني عدسة مساعدة زي البنهول
+
+540
+00:46:03,600 --> 00:46:08,040
+زي مادوكس رود زي الستينوبيهستات انه عدسة مساعدة
+
+541
+00:46:08,040 --> 00:46:14,280
+okay which present in some trial cases موجودة في
+
+542
+00:46:14,280 --> 00:46:21,100
+بعض من ال trial set okay this lens permits some
+
+543
+00:46:21,100 --> 00:46:24,780
+light to enter the eye but it also exclude the eye
+
+544
+00:46:24,780 --> 00:46:29,100
+from seeing anything and so non-stigmas will occur
+
+545
+00:46:30,030 --> 00:46:35,930
+هذه العدسة شو وظفتها ال frosted lens انه بتسمح
+
+546
+00:46:35,930 --> 00:46:41,530
+للضوء انه يدخل لكن بتمنع الرؤية، واضح؟
+
+547
+00:46:45,700 --> 00:46:51,120
+عبارة عن عدسة بتسمح بدخول الضوء عندنا طريقة تالتة
+
+548
+00:46:51,120 --> 00:46:57,140
+لكشف ال latent nystagmus هي عبارة عن ال frosted
+
+549
+00:46:57,140 --> 00:47:02,200
+lens العدسة الثلجية طبعا العدسة الثلجية ال
+
+550
+00:47:02,200 --> 00:47:08,700
+function بتاعها بتسمح للضوء انه يمر لكن بيكون ما
+
+551
+00:47:08,700 --> 00:47:13,700
+بتسمحش بالرؤية او بمعنى اخر انه بتكون رؤية ضبابية
+
+552
+00:47:15,370 --> 00:47:19,270
+رؤية اما انا بدى احطها امام عينى انه بتكون رؤية
+
+553
+00:47:19,270 --> 00:47:24,390
+الانسان الامامى رؤية ضبابية او ال target طبعا هذه
+
+554
+00:47:24,390 --> 00:47:28,770
+من وظيفتها انه بتعمل ايه تكشف ال latent nystagmus
+
+555
+00:47:28,770 --> 00:47:34,590
+في طريقة اخرى برضه يعني لاستخدام ال frosted lens
+
+556
+00:47:34,590 --> 00:47:40,950
+ممكن تستخدموها اضعها امام العين طلعي كيف الرؤية
+
+557
+00:47:42,610 --> 00:47:46,970
+ضباب لكن ايش؟ تسمح للضوء انه يمر، فهذه اما انا ..
+
+558
+00:47:46,970 --> 00:47:51,330
+اما يكون في عنده latent nystagmus بحطها امام العين
+
+559
+00:47:51,330 --> 00:47:55,790
+اللي فيها ال .. ال normal eye فبيكشف اللي هو مين
+
+560
+00:47:55,790 --> 00:47:57,370
+ال nystagmus لل other eye
+
+561
+00:48:03,080 --> 00:48:08,520
+بتدعي انه عنده reduce لل visual acuity بمعنى اخر
+
+562
+00:48:08,520 --> 00:48:13,300
+انه يما بيصير اللي هو مشاكل عائلية في بعض الناس
+
+563
+00:48:13,300 --> 00:48:18,660
+بيقول انه مثلا اكل مثلا blunt او يعني ضربة او غيره
+
+564
+00:48:18,660 --> 00:48:23,740
+trauma وعملت اللي هو reduce لل visual acuityالان
+
+565
+00:48:23,740 --> 00:48:27,000
+بيجعل مستشفى او clinic بيكون ال visual acuity
+
+566
+00:48:27,000 --> 00:48:31,520
+بتاعته ستة ع ستين، بيقول انا مش شايف، فبروح ايش؟
+
+567
+00:48:31,520 --> 00:48:35,440
+بستخدم ال frosted lens قدام العين، بقوله هيك شايف؟
+
+568
+00:48:35,440 --> 00:48:38,780
+بقول اه هيك صارت الرؤية مية في المية، هي فعليا
+
+569
+00:48:38,780 --> 00:48:42,840
+ايش؟ عاملة السماحة للضوء انه يمر، لكن هو ايش؟ مش
+
+570
+00:48:42,840 --> 00:48:47,440
+شايف حاجة، واضح؟ فانا بعرف ان هو malignant، okay؟
+
+571
+00:48:51,340 --> 00:48:54,940
+هذه يعني طريقة انه منكشف الناس اللي عنده يعني
+
+572
+00:48:54,940 --> 00:48:58,280
+بتدعي انه عنده reduce لل visual acuity اذا ال
+
+573
+00:48:58,280 --> 00:49:02,540
+function ل ال frosted lens اول حاجة to discover
+
+574
+00:49:02,540 --> 00:49:07,080
+latent stigmas number two انه للناس اللي بيكون
+
+575
+00:49:07,080 --> 00:49:11,220
+عنده ادعاء في ال reduce visual acuity بتظهره يعني
+
+576
+00:49:11,220 --> 00:49:15,520
+بتظهر انه جديش هو عنده انه ال visual acuity
+
+577
+00:49:15,520 --> 00:49:17,080
+الحقيقي بتاعه okay
+
+578
+00:49:20,670 --> 00:49:27,170
+في عندنا the principles of a Snellen chart، ال E
+
+579
+00:49:27,170 --> 00:49:31,610
+اللي هي ال largest optotype أو ال E اللي هي ال E
+
+580
+00:49:31,610 --> 00:49:35,710
+test، okay؟ في لها principle، في لها مبدأ، علي إيش
+
+581
+00:49:35,710 --> 00:49:37,590
+انبنت؟ دايما أنا حكيت
+
+582
+00:49:42,170 --> 00:49:47,950
+في نظرية في الoptometer بتاخدوها دايما حط مبادئ
+
+583
+00:49:47,950 --> 00:49:53,210
+لها ماتحفظيش ماتحاوليش انك تحفظي حاولي انه دايما
+
+584
+00:49:53,210 --> 00:49:57,970
+تفهمي كفهم و نفس الحاجة الناس اللي حطوا ال E test
+
+585
+00:49:57,970 --> 00:50:02,990
+لهم مبادئ مبادئ يعني كيف حط ال E test كيف كونها
+
+586
+00:50:02,990 --> 00:50:07,230
+okay in order to لأجل
+
+587
+00:50:13,770 --> 00:50:19,530
+ميز اي تا اللي هو جسم مشكل it is several parts
+
+588
+00:50:19,530 --> 00:50:24,610
+must be differentiated انه في مجموعة من الأجسام
+
+589
+00:50:24,610 --> 00:50:29,750
+بتكون اي شمالها مميزة الان
+
+590
+00:50:29,750 --> 00:50:38,370
+each two separate cones in the macula في عندنا
+
+591
+00:50:38,370 --> 00:50:39,630
+اللي هو two separate
+
+592
+00:50:48,310 --> 00:50:52,790
+Okay ماشيين ولا كيف الآن؟ هل جيت ال principle
+
+593
+00:50:52,790 --> 00:50:57,590
+مبادئ ال E-test او ال E-chart اللي احنا أخدناها في
+
+594
+00:50:57,590 --> 00:51:01,450
+المعمل اللي جسدوا عليها ال visual acuity شو المبدأ
+
+595
+00:51:01,450 --> 00:51:04,870
+بتاعها؟ يعني هل هي إلها مبدأ ولا ..
+
+596
+00:51:12,920 --> 00:51:18,260
+انه النقطة الاولى لازم انا عشان اعمل تمييز ل ال
+
+597
+00:51:18,260 --> 00:51:22,820
+optotype هذه في عندنا انه يكون differentiated اللى
+
+598
+00:51:22,820 --> 00:51:27,520
+هو تمييز ما بينها اول نقطة انه في عندنا two
+
+599
+00:51:27,520 --> 00:51:33,240
+separate cones in the macula في مخرطين okay
+
+600
+00:51:33,240 --> 00:51:40,420
+منفصلين في ال maculaare stimulated انه محفزين بإيش
+
+601
+00:51:40,420 --> 00:51:48,440
+بال on بمعنى آخر هال gate هي الماكولا في عندنا two
+
+602
+00:51:48,440 --> 00:51:59,080
+عندنا هي ال cone المخروض عندنا on off وهدي on يعني
+
+603
+00:51:59,080 --> 00:52:05,660
+كل اتنين cone on في واحد بينهم ايش separate اللي
+
+604
+00:52:05,660 --> 00:52:11,830
+هو offالحجم ما بين كل كون قداش zero point zero
+
+605
+00:52:11,830 --> 00:52:17,510
+zero four micron او اربعة ملي ميتر
+
+606
+00:52:32,540 --> 00:52:36,160
+ست و نص لسبعة مليون و في عندى الرد اللى هم ال مية
+
+607
+00:52:36,160 --> 00:52:40,940
+و خمسة و عشرين مليون الكون مسئول عن ايش ال central
+
+608
+00:52:40,940 --> 00:52:44,780
+vision مسئول عن ال central vision و مسئول عن اللى
+
+609
+00:52:44,780 --> 00:52:50,040
+هو الرؤية النهارية okay الان هذا ال رد .. عفوا
+
+610
+00:52:50,040 --> 00:52:56,340
+الكون في stimulation تحفيز يعني في عندنا one one
+
+611
+00:52:56,340 --> 00:52:56,660
+cone
+
+612
+00:53:02,300 --> 00:53:06,240
+الـ two cones on واحد بينهم اللي هو separate ايش
+
+613
+00:53:06,240 --> 00:53:11,860
+بيكون off okay the
+
+614
+00:53:11,860 --> 00:53:15,860
+average diameter of the macular cone is zero point
+
+615
+00:53:15,860 --> 00:53:21,380
+zero zero four millimeter four microns this forms
+
+616
+00:53:21,380 --> 00:53:26,450
+the smallest distance stimulated conesإذا المسافة
+
+617
+00:53:26,450 --> 00:53:31,010
+ما بين كل cone هي عبارة عن zero point zero zero
+
+618
+00:53:31,010 --> 00:53:37,130
+four millimeter اللي هي four micron okay هذه
+
+619
+00:53:37,130 --> 00:53:43,190
+المسافة ما بين كل cone و الآخر طيب شو فايدتها؟
+
+620
+00:53:43,190 --> 00:53:47,730
+الفايدة بتاعتها أنه تشكل أفضل اللي هو صورة ال
+
+621
+00:53:47,730 --> 00:53:52,150
+smallest distance stimulated cone يعني أفضل صورة
+
+622
+00:53:52,150 --> 00:53:58,890
+ممكن أن الإنسان يشوفهاOkay؟ طيب في المحاضرة هذه
+
+623
+00:53:58,890 --> 00:54:03,710
+بنقف لهان اتناولنا اليوم موضوع ال visual acuity
+
+624
+00:54:03,710 --> 00:54:08,030
+testing in verbal children ان شاء الله في المحاضرة
+
+625
+00:54:08,030 --> 00:54:12,830
+القادمة هنبدأ في ال principles of visual acuity
+
+626
+00:54:12,830 --> 00:54:17,470
+test okay؟ or الاسمين ال visual acuity test
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bc66959c0a10b9a5d3a925b4602fd409150a41ae
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY.srt
@@ -0,0 +1,1405 @@
+1
+00:00:21,020 --> 00:00:24,580
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله و
+
+2
+00:00:24,580 --> 00:00:33,080
+بركاته، وأهلاً جميعاً بكم. اليوم سنبدأ في موضوع الـ
+
+3
+00:00:33,080 --> 00:00:38,560
+Subjective Verification for Refraction. طبعاً، تكلمنا
+
+4
+00:00:38,560 --> 00:00:45,620
+من ناحية عملية. اليوم سنبدأ، لو من ناحية الترجمة، كـ
+
+5
+00:00:45,620 --> 00:00:49,540
+Diachrome test Verification for spherical power.
+
+6
+00:00:49,540 --> 00:00:57,290
+تأكيد للقوة الكروية (الاسفير). okay. Verification or
+
+7
+00:00:57,290 --> 00:01:01,710
+refinement for spherical power. أي بمعنى تأكيد
+
+8
+00:01:01,710 --> 00:01:08,310
+للقوة الانكسارية الكروية.  في عندنا الـ biochrome
+
+9
+00:01:08,310 --> 00:01:17,030
+test or red green test. الـ two side، green side و
+
+10
+00:01:17,030 --> 00:01:21,990
+red side. okay. Typical wavelength of colors, typical
+
+11
+00:01:21,990 --> 00:01:26,650
+characteristics. أي بمعنى خواص الطول
+
+12
+00:01:26,650 --> 00:01:32,790
+الموجي للألوان. يعني شو هي الـ typical أو الـ
+
+13
+00:01:32,790 --> 00:01:38,940
+characteristics، الخواص، للأطوال الموجية للألوان. في
+
+14
+00:01:38,940 --> 00:01:43,800
+عندنا، لو بدأنا من الـ short wavelength إلى الـ long
+
+15
+00:01:43,800 --> 00:01:50,540
+wavelength، بنبدأ بالـ violet، اللون البنفسجي، عندنا
+
+16
+00:01:50,540 --> 00:01:56,620
+indigo، then blue، أزرق، green، أخضر، yellow، أصفر،
+
+17
+00:01:56,620 --> 00:02:03,040
+orange، برتقالي، red، أحمر. okay. هذه بالنسبة
+
+18
+00:02:03,040 --> 00:02:07,060
+لأطوال الموجية المختلفة. إيش الـ wavelength؟ الطول
+
+19
+00:02:07,060 --> 00:02:11,850
+الموجي. طبعاً، وحدة القياس بتكون إيه؟ بالنانومتر.
+
+20
+00:02:11,850 --> 00:02:19,110
+النانومتر بيمثل عشرة أس minus تسعة. okay. Dio-
+
+21
+00:02:19,110 --> 00:02:24,550
+كروم تست. The index of refraction، معامل الانكسار،
+
+22
+00:02:24,550 --> 00:02:30,530
+okay، varies for different wavelengths of light. إذاً،
+
+23
+00:02:30,530 --> 00:02:35,410
+المعامل الانكسار بيتغير مع تغير الأطوال
+
+24
+00:02:38,130 --> 00:02:42,930
+الموجية. بحيث إذا كان معامل الانكسار عالي، بيكون الـ
+
+25
+00:02:42,930 --> 00:02:47,930
+wavelength بتاعه قليل. يعني الـ red color بيمتلك
+
+26
+00:02:47,930 --> 00:02:52,270
+طول موجي عالي، صح؟ إذاً، الـ refractive index بتاعه هيكون
+
+27
+00:02:52,270 --> 00:02:56,870
+قليل. okay. The
+
+28
+00:02:56,870 --> 00:03:00,390
+index of refraction is greater for short
+
+29
+00:03:00,390 --> 00:03:04,670
+wavelength light rays than for longer ones. إذاً،
+
+30
+00:03:04,670 --> 00:03:11,850
+المعامل الانكسار، كل ما قلّ طول الموجة، كل ما زاد
+
+31
+00:03:11,850 --> 00:03:18,570
+معامل الانكسار.  إيه علاقة طول الموجة؟ نعم، العلاقة
+
+32
+00:03:18,570 --> 00:03:24,230
+هتكون علاقة عكسية. الـ
+
+33
+00:03:24,230 --> 00:03:29,850
+green light، الضوء الأخضر، أو الـ blue light، الضوء
+
+34
+00:03:29,850 --> 00:03:36,940
+الأزرق، الاثنين يعني الطول الموجي متقارب من بعض. okay.
+
+35
+00:03:36,940 --> 00:03:41,860
+فبعض المراجع هتشوفها كاتبة green light، وبعض المراجع
+
+36
+00:03:41,860 --> 00:03:47,200
+بتكتب blue light. okay. إذاً، الـ green light، الضوء
+
+37
+00:03:47,200 --> 00:03:52,080
+الأخضر، is refracted to a greater degree than yellow
+
+38
+00:03:52,080 --> 00:03:57,140
+light. إذاً، بينكسر أكثر من الضوء الأصفر. عشان هيك، في
+
+39
+00:03:57,140 --> 00:04:00,900
+الـ normal patient أو في الـ emmetrope، وين هيتركز
+
+40
+00:04:05,260 --> 00:04:08,260
+yellow color أو الـ yellow light؟ وين هيتركز؟ On the
+
+41
+00:04:08,260 --> 00:04:12,400
+retina، which is refracted to a greater degree than
+
+42
+00:04:12,400 --> 00:04:16,420
+red light and so on. و الـ red light وين هيتركز؟
+
+43
+00:04:16,420 --> 00:04:22,640
+Behind the retina. Incoming
+
+44
+00:04:22,640 --> 00:04:28,940
+rays، أي بمعنى external rays، الأشعة الخارجية، of
+
+45
+00:04:28,940 --> 00:04:33,940
+white light، للضوء الأبيض، are dispersed، أي بمعنى
+
+46
+00:04:33,940 --> 00:04:34,900
+بتشتت.
+
+47
+00:04:39,210 --> 00:04:45,990
+Why؟ طيب؟ لأن معامل الانكسار في الضوء الأزرق هيكون
+
+48
+00:04:45,990 --> 00:04:50,850
+أكثر من مين؟ من معامل الانكسار في الضوء الأحمر. لأن
+
+49
+00:04:50,850 --> 00:04:57,510
+الـ wavelength، العلاقة بينهم إيه؟ عكسية، طبعاً.
+
+50
+00:04:57,510 --> 00:05:01,330
+وهي بتعتمد على مبدأ الـ chromatic aberration، الزيغ
+
+51
+00:05:01,330 --> 00:05:08,430
+اللوني. in an emmetropic eye، في عين طبيعية، normal
+
+52
+00:05:08,430 --> 00:05:13,850
+eye. Therefore or so، لذلك، yellow light is focused
+
+53
+00:05:13,850 --> 00:05:18,590
+الضوء الأصفر، هيتركز on the retina. إذاً، وين هيكون
+
+54
+00:05:18,590 --> 00:05:24,590
+تركيز الضوء الأصفر؟ على الشبكية. لأنه هيكون الضوء
+
+55
+00:05:24,590 --> 00:05:29,270
+الأصفر، الطول الموجي بتاعه middle، يعني في منتصف ما بين
+
+56
+00:05:29,270 --> 00:05:34,710
+الأحمر وما بين الـ green، صح؟ إذاً، الـ red هيكون إيش؟
+
+57
+00:05:34,710 --> 00:05:38,430
+أطول طول موجي، و الـ blue أو الـ green هيكون أقل من
+
+58
+00:05:38,430 --> 00:05:43,150
+مين؟ الـ yellow، كطول موجي، صح؟ فمعامل الانكسار هيكون
+
+59
+00:05:43,150 --> 00:05:49,230
+إيه بينهم؟ بين الـ red وبين الـ blue. in an
+
+60
+00:05:49,230 --> 00:05:52,970
+emmetropic eye، في عين طبيعية. Therefore or so،
+
+61
+00:05:52,970 --> 00:05:57,010
+لذلك، yellow light، الضوء الأصفر، is focused on the
+
+62
+00:05:57,010 --> 00:06:02,170
+retina، هيتركز على الشبكية. okay. A green light
+
+63
+00:06:06,490 --> 00:06:13,050
+أو خلف الشبكية. إذاً، ضوء الأحمر، وين هيتركز؟ خلف
+
+64
+00:06:13,050 --> 00:06:19,150
+الشبكية. هتفضل هذه
+
+65
+00:06:19,150 --> 00:06:24,450
+النقطة. من ناحية أنه يتركز خلف الشبكية أو أمام الشبكية.
+
+66
+00:06:33,150 --> 00:06:37,850
+قاعد في الـ right side، وفي مثلاً Z قاعد في الـ left
+
+67
+00:06:37,850 --> 00:06:42,210
+side، وأنا مثلاً قاعد هنا في المنتصف. كله نحن بنشوف
+
+68
+00:06:42,210 --> 00:06:46,510
+الأشعة إيش مالها؟ متفارقة، صح؟ الآن، الـ chromatic
+
+69
+00:06:46,510 --> 00:06:50,570
+aberration، عبارة عن white light. أنا جبت الرسمة
+
+70
+00:06:50,570 --> 00:06:55,050
+بتاعتها. الـ white light، هتبدأ اللي هو الضوء، هيمر في
+
+71
+00:06:55,050 --> 00:06:59,370
+optical system، أي بمعنى نظام بصري، سواء كانت lens
+
+72
+00:06:59,370 --> 00:07:02,810
+أو mirror. بعدها، هيديني من الـ blue light أو الـ
+
+73
+00:07:02,810 --> 00:07:06,340
+green، الـ yellow light، و الـ red light، حسب طول
+
+74
+00:07:06,340 --> 00:07:10,880
+الموجة بتاعه. وين هيتركز؟ هل behind ولا in front ولا
+
+75
+00:07:10,880 --> 00:07:14,220
+on the retina؟ يعني according to the wavelength،
+
+76
+00:07:14,220 --> 00:07:21,600
+حسب طول الموجة بتاعه. okay. الـ
+
+77
+00:07:21,600 --> 00:07:25,140
+myopic eye، طبعاً، الـ light rays وين هيتركز في
+
+78
+00:07:25,140 --> 00:07:29,880
+الـ myopia؟ In front of the retina. في الـ red light، في الـ
+
+79
+00:07:29,880 --> 00:07:33,500
+myopic eye، هيتركز الـ light rays in front of the
+
+80
+00:07:33,500 --> 00:07:38,880
+retina. Red is closer to the retina. okay. While in
+
+81
+00:07:38,880 --> 00:07:43,460
+hypermetropic eye، green is closer. إذن، في حالة
+
+82
+00:07:43,460 --> 00:07:48,040
+الـ myopia، الـ red light، الضوء الأحمر، هيتركز على
+
+83
+00:07:48,040 --> 00:07:50,700
+الشبكية. في حالة الـ hypermetropia،
+
+84
+00:07:56,730 --> 00:08:01,690
+عشان هيك، في حالة الـ myopia، بتلاحظ أن المريض بيشوف
+
+85
+00:08:01,690 --> 00:08:07,490
+الـ red side أفضل من مين؟ من الأخضر أو الـ
+
+86
+00:08:07,490 --> 00:08:14,090
+green، والعكس في حالة الـ hypermetropia.
+
+87
+00:08:14,090 --> 00:08:19,650
+If the red green test، إذا اختبار اللون الأحمر
+
+88
+00:08:23,550 --> 00:08:29,130
+و كان هذا المريض عنده قصر نظر، and insufficiently
+
+89
+00:08:29,130 --> 00:08:33,290
+corrected، أي بمعنى الـ correction اللي أنا مدّيه له
+
+90
+00:08:33,290 --> 00:08:37,990
+غير كافي. insufficiently، بمعنى غير كافي. okay. Then,
+
+91
+00:08:37,990 --> 00:08:41,990
+the letters on the right side will stand out
+
+92
+00:09:00,980 --> 00:09:05,800
+أعتقد أن sharper بيكون حاد، يعني هيكون واضح بشكل
+
+93
+00:09:05,800 --> 00:09:10,060
+أكبر. أن الـ red color compared to the green
+
+94
+00:09:10,060 --> 00:09:13,940
+color. هذا في حالة من؟ الـ myopia.
+
+95
+00:09:17,130 --> 00:09:20,430
+They will require more minus power for the green
+
+96
+00:09:20,430 --> 00:09:26,270
+to be as distinct as the red. عشان هيك، بنطلب إضافة
+
+97
+00:09:26,270 --> 00:09:30,830
+minus power، عشان نصل إلى حالة أن التساوي ما بين الـ
+
+98
+00:09:30,830 --> 00:09:36,330
+red وما بين الـ green color. يعني،
+
+99
+00:09:36,330 --> 00:09:40,670
+الآن، لو اجانا مريض ميوب، هيشوف الـ red ولا الـ green
+
+100
+00:09:40,670 --> 00:09:46,930
+أوضح؟ بنبدأ أن نزيد بالـ minus لحد ما يصير الـ red و
+
+101
+00:09:46,930 --> 00:09:51,130
+الـ green إيش مالهم؟ equally، متساويين. هاي السؤال
+
+102
+00:09:51,130 --> 00:09:58,730
+هتفضلي، اه.
+
+103
+00:09:58,730 --> 00:10:03,250
+اللونان بتركزا على الشبكية، يعني زي الـ emmetrope، كيف هيصير
+
+104
+00:10:03,250 --> 00:10:06,370
+الـ emmetrope؟ كيف هيصير
+
+105
+00:10:11,360 --> 00:10:14,500
+الـ red هيتركز خلف الـ retina، وإذا كان هناك yellow
+
+106
+00:10:14,500 --> 00:10:18,360
+هيتركز على الـ retina. حسناً؟ هنا لدينا الـ long
+
+107
+00:10:18,360 --> 00:10:22,540
+trigonal، أي بمعنى طولي، axial chromatic aberration.
+
+108
+00:10:22,900 --> 00:10:27,260
+هناك نوع من أنواع الزيغ اللوني يسمى long
+
+109
+00:10:27,260 --> 00:10:31,940
+trigonal أو axial chromatic aberration، بمعنى طولي.
+
+110
+00:10:53,210 --> 00:10:57,170
+إذاً، الـ blue one هيتركز in front of the retina، و الـ
+
+111
+00:10:57,170 --> 00:11:00,550
+red one هيتركز behind the retina، in the emmetropic
+
+112
+00:11:00,550 --> 00:11:07,550
+eye. On the
+
+113
+00:11:07,550 --> 00:11:13,610
+other hand، من ناحية أخرى، if the same myope is over
+
+114
+00:11:13,610 --> 00:11:18,950
+corrected and made over-corrected or artificially
+
+115
+00:11:18,950 --> 00:11:24,560
+hypermetropic، يعني بمعنى طول نظر كاذب. Okay, then,
+
+116
+00:11:24,560 --> 00:11:28,520
+the letter against the green background appear
+
+117
+00:11:28,520 --> 00:11:34,160
+blacker, clearer and sharper. من ناحية أخرى، لو الآن
+
+118
+00:11:34,160 --> 00:11:39,480
+أنا مثلاً صلحت patient ميوب، واديته under
+
+119
+00:11:39,480 --> 00:11:43,420
+correction، يعني بمعنى هو كان عنده minus 2.5، اديته minus 2، هيشوف الـ red أوضح ولا الـ
+
+120
+00:11:43,420 --> 00:11:47,040
+green؟ الـ red. ليش؟ لأنه under correction. طيب، لو فرضنا
+
+121
+00:11:51,560 --> 00:11:55,720
+اديته minus 3، هيصير over correction. فمين
+
+122
+00:11:55,720 --> 00:12:02,340
+هيشوف أفضل؟ الـ green. okay. The sphere is adjusted
+
+123
+00:12:02,340 --> 00:12:02,800
+until
+
+124
+00:12:08,660 --> 00:12:13,400
+بإضافة العدسة الكروية، سواء الـ plus أو الـ minus،
+
+125
+00:12:13,400 --> 00:12:18,260
+لحد ما نصل إلى إيه؟ إلى التساوي ما بين الـ red و الـ
+
+126
+00:12:18,260 --> 00:12:23,840
+green side. okay؟ Adjust، بمعنى ضبط، أو بمعنى
+
+127
+00:12:23,840 --> 00:12:30,040
+معايرة. الـ
+
+128
+00:12:30,040 --> 00:12:35,720
+diachrome test، الفحص هذا، is useful، بيستخدم only
+
+129
+00:12:35,720 --> 00:12:37,640
+في refining، فقط في تأكيد
+
+130
+00:12:49,310 --> 00:12:53,730
+مالوش مساهمة في مين؟ في السيلندر، سواء كان الـ
+
+131
+00:12:53,730 --> 00:12:58,790
+axis أو الـ power. أعتقد معظمكم طبق في المعمل الـ
+
+132
+00:12:58,790 --> 00:13:00,570
+diachrome test، وبدأ
+
+133
+00:13:08,780 --> 00:13:16,630
+بحيث أنه ممكن أضيف 0.12. في عندنا هنا refractive
+
+134
+00:13:16,630 --> 00:13:22,230
+state، أي بمعنى الحالة الانكسارية. الـ color scene،
+
+135
+00:13:22,230 --> 00:13:27,410
+طبعاً هذه لخصت الأمور، كملخص لـ diochrome test، بحيث أن
+
+136
+00:13:27,410 --> 00:13:31,930
+المريض، لو كان emmetrope، هيشوف الـ red و الـ green بنفس
+
+137
+00:13:31,930 --> 00:13:35,870
+الوضوح. لو كان corrected myope، يعني صلحنا الـ myopia،
+
+138
+00:13:35,870 --> 00:13:40,230
+ممكن أن يكون الـ red بتاعه slightly، يعني بشيء بسيط،
+
+139
+00:13:40,230 --> 00:13:44,540
+أوضح من مين؟ من الـ green. لو كان under correction
+
+140
+00:13:44,540 --> 00:13:48,520
+myope، حيشوف الـ red. over corrected myope، الـ green. أي
+
+141
+00:13:48,520 --> 00:13:52,380
+بمعنى under corrected، زي المثال اللي استعرضناه.
+
+142
+00:13:52,380 --> 00:13:56,920
+الآن، أنه لو كان عنده مريض minus 2.5، واديته minus
+
+143
+00:13:56,920 --> 00:14:01,640
+2، مين حيشوف أفضل؟ الـ red. الـ over corrected، اديته
+
+144
+00:14:01,640 --> 00:14:03,320
+minus 3، حيشوف الـ green.
+
+145
+00:14:27,320 --> 00:14:33,380
+لو اجاني مريض، صلحت له الـ addition، بمعنى الـ near
+
+146
+00:14:33,380 --> 00:14:42,500
+vision، ممكن أستخدم الـ test for near ولا لأ؟ و why؟
+
+147
+00:14:42,500 --> 00:14:47,760
+فهمت السؤال؟ الآن، عملت واحد اجاني breast biop،
+
+148
+00:14:47,760 --> 00:14:53,100
+وعملنا، كان مثلاً عنده plus 2، breast biop، وصلحنا
+
+149
+00:14:53,100 --> 00:14:57,540
+له إياه. بدنا نعمل verification للـ breast biop، ممكن
+
+150
+00:14:57,540 --> 00:15:01,520
+أستخدم الـ diachrome test ولا لأ؟ اتفضلي. اه. بسبب
+
+151
+00:15:01,520 --> 00:15:04,760
+أن مثلاً ضعفت الـ cytokine بتاعة بالشميلة.
+
+152
+00:15:07,180 --> 00:15:11,040
+لأ، قصدي هل ممكن أن نستخدم الـ dichrome test كـ card
+
+153
+00:15:11,040 --> 00:15:18,580
+ولا لأ؟ مش في عليها أقسام 3 أو 4 أو 4 أو 3 أو 2 ..
+
+154
+00:15:18,580 --> 00:15:25,000
+why؟ ممكن لو سائل ثاني نستخدمه، يعني قدرت يكون أقل
+
+155
+00:15:26,230 --> 00:15:31,230
+هو موجود، الـ Dichrome Card Test موجود. الفحص هذا يتم
+
+156
+00:15:31,230 --> 00:15:34,810
+استخدامه، ونفس الـ principle بتاع الـ Dichrome Test،
+
+157
+00:15:34,810 --> 00:15:42,000
+for distance، يعني يتم استخدامه للقريب أيضاً. لأنه هو
+
+158
+00:15:42,000 --> 00:15:45,100
+بيعتمد على مين؟ الـ chromatic aberration، الزيغ
+
+159
+00:15:45,100 --> 00:15:49,740
+اللوني. فهو الآن، واحد hypermetropic، إذا كان عنده
+
+160
+00:15:49,740 --> 00:15:53,520
+breast myope، واديته الـ correction كامل، هيشوف
+
+161
+00:15:53,520 --> 00:15:57,340
+الاثنين equal، صح ولا لا؟ أنا ما بهمنيش المسافة، هان
+
+162
+00:15:57,340 --> 00:16:02,080
+بهمني أنه هل هو الـ refractive state، الحالة
+
+163
+00:16:02,080 --> 00:16:05,460
+الانكسارية للعين، هل هو myopic ولا hypermetropic
+
+164
+00:16:05,460 --> 00:16:09,880
+ولا astigmatism. okay. فإذا مثلاً كان الـ green أوضح،
+
+165
+00:16:09,990 --> 00:16:13,050
+هيقول لي لأ. ولما شاف الـ green أوضح، بعرف أنه بده
+
+166
+00:16:13,050 --> 00:16:16,970
+كمان correction. إذا شاف الـ red أوضح، بعرف أنه بده
+
+167
+00:16:16,970 --> 00:16:20,730
+أعمل under correction، أنزل شوية في الـ power. إذا، هل
+
+168
+00:16:20,730 --> 00:16:25,550
+بيستخدم للنير؟ ممكن استخدامه للنير. طيب، لو واحد عنده
+
+169
+00:16:25,550 --> 00:16:31,270
+color vision defect، ممكن أستخدمه ولا لأ؟ ليه؟ ليش
+
+170
+00:16:31,270 --> 00:16:35,330
+لأ؟ لأنّه بعتمد على الـ chromatic aberration،
+
+171
+00:16:35,330 --> 00:16:37,530
+لكن الـ color vision إيش بعتمد؟
+
+172
+00:16:39,880 --> 00:16:43,040
+على الـ color discrimination. ممتاز، على التمييز
+
+173
+00:16:43,040 --> 00:16:43,660
+اللوني.
+
+174
+00:16:47,940 --> 00:16:54,300
+Trial and error، بمعنى، يعني كأن واحد بيعمل مثلاً، أكيد هذا
+
+175
+00:16:54,300 --> 00:16:59,260
+الـ test كلكم عملته، اللي هي جثة الملك والعشرة، انه
+
+176
+00:16:5
+
+223
+00:20:43,940 --> 00:20:49,280
+بمعنى الآن أنا طلعت عنده قوة plus two ديوبتر للسفير
+
+224
+00:20:49,280 --> 00:20:55,220
+روحت جبت plus two point five و المريض صار عنده
+
+225
+00:20:55,220 --> 00:21:00,100
+تحسن، معناه أنه في improvement، okay، شو بدي أعمل
+
+226
+00:21:00,100 --> 00:21:05,410
+بهذه الحالة؟ بزود كمان الـ power، بجيب مثلاً two point
+
+227
+00:21:05,410 --> 00:21:09,790
+five، اتحسن النظر، بجيب two point seven five، بجيب
+
+228
+00:21:09,790 --> 00:21:13,250
+ثلاثة، لحد ما المريض يقول لي أنه مافيش improvement
+
+229
+00:21:13,250 --> 00:21:17,990
+مافيش تحسن، okay، فهذه النقطة يعني زي بالضبط الـ
+
+230
+00:21:17,990 --> 00:21:21,670
+neutral point، يعني نقطة التعادل أو الـ end point
+
+231
+00:21:21,670 --> 00:21:28,250
+يعني عندها مش ممكن أنه يتحسن من النظر، ما أنا بوصل
+
+232
+00:21:28,250 --> 00:21:32,330
+للمرحلة هذه، إيش بتكون؟ إنه هذه وصفة المريض، الـ
+
+233
+00:21:32,330 --> 00:21:38,450
+final prescription. If the
+
+234
+00:21:38,450 --> 00:21:43,130
+patient responds that vision is worse, remove plus
+
+235
+00:21:43,130 --> 00:21:49,270
+0.25 diopter sphere or prepare to add minus 0.25,
+
+236
+00:21:49,770 --> 00:21:52,930
+ask the patient if the letters are sharper and
+
+237
+00:21:52,930 --> 00:21:59,100
+clearer or not. إذا المريض لما أضفنا الـ plus ربع، شعر
+
+238
+00:21:59,100 --> 00:22:02,740
+أنه إيش الـ vision صار فيه impaired أو قل الـ
+
+239
+00:22:02,740 --> 00:22:06,960
+vision، في هذه الحالة إيش بعمل؟ remove، إزالة للـ
+
+240
+00:22:06,960 --> 00:22:11,960
+plus ربع، و بضيف إيش؟ الـ minus، و بستمر في مين؟ في الـ
+
+241
+00:22:11,960 --> 00:22:12,660
+minus
+
+242
+00:22:17,710 --> 00:22:20,450
+إذا كان الأمر أفضل، استمر في إضافة إضافة إضافة
+
+243
+00:22:20,450 --> 00:22:21,750
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+244
+00:22:21,750 --> 00:22:23,310
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+245
+00:22:23,310 --> 00:22:26,410
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+246
+00:22:26,410 --> 00:22:33,750
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+247
+00:22:33,750 --> 00:22:35,670
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+248
+00:22:35,670 --> 00:22:41,750
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+249
+00:22:41,750 --> 00:22:45,370
+إضافة
+
+250
+00:22:49,400 --> 00:22:53,600
+this method of verification completely يعني بيعمل
+
+251
+00:22:53,600 --> 00:22:58,500
+عملية completely، بمعنى totally، يعني بشكل كامل، أنه
+
+252
+00:22:58,500 --> 00:23:04,300
+بيعمل تأكيد بشكل كامل. Depends on patients answer
+
+253
+00:23:04,300 --> 00:23:10,860
+يعتمد على إجابة المريض. So the accuracy لذلك أن
+
+254
+00:23:10,860 --> 00:23:18,100
+الدقة ستكون محددة according to the patient
+
+255
+00:23:18,100 --> 00:23:22,360
+observation، يعني بناءً على ملاحظة من المريض
+
+256
+00:23:29,600 --> 00:23:35,980
+number three، الـ pinhole، بمعنى small aperture، يعني
+
+257
+00:23:35,980 --> 00:23:42,680
+فتحة صغيرة. طيب قبل ما نبدأ في الـ pinhole، شو هي الـ
+
+258
+00:23:42,680 --> 00:23:47,400
+cases no improvement with pinhole؟
+
+259
+00:24:09,700 --> 00:24:14,460
+الحالات اللي ما بتحسنش مع الـ pinhole: number one، high
+
+260
+00:24:27,890 --> 00:24:33,150
+number three، obesity، media، سواء كان عندنا corneal
+
+261
+00:24:33,150 --> 00:24:39,610
+scar أو immature cataract، أنه cataract غير ناضجة
+
+262
+00:24:39,610 --> 00:24:45,110
+okay، هدول الثلاث حالات اللي ما بتحسنش فيهم النظر مع
+
+263
+00:24:45,110 --> 00:24:50,510
+الـ pinhole، طبعاً شو السبب؟ لأن فيه بيكون problem غير
+
+264
+00:24:50,510 --> 00:24:52,250
+الـ vision، صح؟
+
+265
+00:24:59,570 --> 00:25:06,510
+عدسة الثقب الصغير is a lens، عدسة، that has a hole
+
+266
+00:25:06,510 --> 00:25:12,310
+ثقب in the center of the lens، عبارة عن عدسة بتمتلك ثقب
+
+267
+00:25:12,310 --> 00:25:20,130
+في المنتصف، كما في الشكل في الفيجارة. This hole has
+
+268
+00:25:20,130 --> 00:25:21,730
+the effect of reducing
+
+269
+00:25:34,940 --> 00:25:42,360
+هو بيعمل عملية تجميع للأشعة الداخلة، و بيعمل تقليل
+
+270
+00:25:42,360 --> 00:25:48,020
+لعرض هذه الأشعة، بحيث أنه تدخل عبارة عن pencil of
+
+271
+00:25:48,020 --> 00:25:53,880
+light، يعني عبارة عن حزم ضوئية. طبعاً من وين بتكون هذه
+
+272
+00:25:53,880 --> 00:26:00,940
+جاية، coming، آتية from each point، من أي نقطة on the
+
+273
+00:26:00,940 --> 00:26:05,540
+viewed object، يعني من أي جسم، إيش ماله؟ حقيقي، لأنه
+
+274
+00:26:05,540 --> 00:26:09,300
+زي ما اتكلمنا، أنه أي جسم حقيقي بتكون الأشعة
+
+275
+00:26:09,300 --> 00:26:13,580
+الخارجة منه divergent، وإلا لو الأشعة كانت
+
+276
+00:26:13,580 --> 00:26:18,080
+parallel أو convergent، بالضبط، إنه بيكون يعني فقط
+
+277
+00:26:18,080 --> 00:26:20,740
+في الـ position اللي هو فيه، بيكون إيش؟ شايفة
+
+278
+00:26:23,970 --> 00:26:29,670
+Normally، طبيعيًا، the full opening، أي بمعنى الفتحة
+
+279
+00:26:29,670 --> 00:26:34,370
+بتاعة الـ pupil، of the pupil، admits light، أنه بتسمح
+
+280
+00:26:34,370 --> 00:26:40,010
+بدخول الضوء، يعني بالوضع الطبيعي، okay، بالوضع
+
+281
+00:26:40,010 --> 00:26:47,750
+الطبيعي، الـ pinhole بيسمح بتمرير الضوء، okay، لوين؟
+
+282
+00:26:47,750 --> 00:26:53,050
+للـ pupil، لأن الضوء بدخل عن طريق مين؟ الـ pupil، okay
+
+283
+00:26:57,750 --> 00:27:03,830
+It is the improper، أي بمعنى من الخطأ، bending، أي
+
+284
+00:27:03,830 --> 00:27:10,670
+أنه ميلان أو انحناء of the outermost rays، أنه
+
+285
+00:27:10,670 --> 00:27:15,670
+الأشعة الخارجية in that pencil of light which
+
+286
+00:27:15,670 --> 00:27:21,370
+causes refractive errors، بمعنى الآن لو كان المريض
+
+287
+00:27:21,370 --> 00:27:27,150
+ميوب، يدخل الضوء divergent، للـ pinhole، إذا الضوء
+
+288
+00:27:27,150 --> 00:27:31,950
+هذا وين هيتجمع؟ خلف... sorry، in front of the
+
+289
+00:27:31,950 --> 00:27:36,310
+retina، صح؟ في حالة الـ hypermetropic، هيتركز behind
+
+290
+00:27:36,310 --> 00:27:41,230
+the retina، الـ astigmatism، okay، هيتركز كأنه إيش؟
+
+291
+00:27:41,230 --> 00:27:46,970
+عبارة عن line، بمعنى أن الـ pinhole بيعمل عملية تحسين
+
+292
+00:27:46,970 --> 00:27:51,910
+للرؤية في كل الحالات هذه، في حالة الـ myopia، الـ
+
+293
+00:27:51,910 --> 00:27:56,550
+hypermetropia، الـ astigmatism، و الـ presbyopia، إذا
+
+294
+00:27:56,550 --> 00:28:00,850
+الثلاث حالات إيش بيعمل لهم؟ improvement، إذا الآن لو
+
+295
+00:28:00,850 --> 00:28:06,230
+جاء الـ case، حالة، و كان مثلاً عنده astigmatism، هل
+
+296
+00:28:06,230 --> 00:28:09,830
+بستخدم معه الـ pinhole ولا لأ؟ ممكن أستخدم معه
+
+297
+00:28:11,450 --> 00:28:15,570
+إيجاليك، بيشان كان عنده مثلاً أبلاينة، على ماينص ثلاثة
+
+298
+00:28:15,570 --> 00:28:19,650
+اكس تسعين، هل هذا المريض ممكن يستخدم معه الـ
+
+299
+00:28:19,650 --> 00:28:24,290
+pinhole؟ نعم ممكن، ليش؟ لأن الـ pinhole بيعمل عملية
+
+300
+00:28:24,290 --> 00:28:28,110
+الـ pinhole can bring، يعني ممكن أنه يجلب
+
+301
+00:28:28,110 --> 00:28:32,610
+improvement of the vision، يعني تحسين للرؤية، في
+
+302
+00:28:32,610 --> 00:28:36,930
+حالة مين؟ myopia، hypermetropia، presbyopia، and
+
+303
+00:28:36,930 --> 00:28:41,430
+astigmatism، أي بمعنى كل الحالات الانكسارية للعين
+
+304
+00:28:41,530 --> 00:28:46,390
+Okay, to
+
+305
+00:28:46,390 --> 00:28:50,530
+be noticeable، أي بمعنى تكون ملاحظة، يعني الحالات
+
+306
+00:28:50,530 --> 00:28:54,010
+هذه الانكسارية، الـ myopia، و الـ hypermetropia، و الـ
+
+307
+00:28:54,010 --> 00:28:57,350
+presbyopia، و الـ astigmatism، بتكون إيش؟ ملاحظة
+
+308
+00:28:57,350 --> 00:29:02,610
+من خلال الـ pinhole. Pinhole can bring about a
+
+309
+00:29:02,610 --> 00:29:06,430
+clearer vision in all these conditions، إذا بيعمل
+
+310
+00:29:06,430 --> 00:29:09,950
+عملية تحسين للرؤية في كل الحالات
+
+311
+00:29:14,950 --> 00:29:28,670
+by blocking these peripheral rays،  الديوبتر
+
+312
+00:29:28,670 --> 00:29:34,070
+للوسفير، يعتبر trial and error للوسفير، و
+
+313
+00:29:34,070 --> 00:29:39,170
+للـ cylinder، ممكن minus ربع، ازود للـ cylinder أيضاً، أجيل الـ
+
+314
+00:29:39,170 --> 00:29:45,320
+minus ربع، أو ازود في الـ cylinder، لكن الـ pinhole also
+
+315
+00:29:45,320 --> 00:29:49,060
+for all the refractive errors، لكل الأخطاء
+
+316
+00:29:49,060 --> 00:29:53,420
+الانكسارية، لأنه بيعمل المبدأ بتاعه بالضبط بتاع الـ
+
+317
+00:29:53,420 --> 00:29:57,580
+pinhole، أنه عبارة عن aberration، center aberration
+
+318
+00:29:57,580 --> 00:30:03,000
+of the lens، فتحة في منتصف العدسة بتسمح بتمرير
+
+319
+00:30:03,000 --> 00:30:08,780
+الضوء للعين، إذا كان المريض ميوب، الأشعة هتتركز
+
+320
+00:30:10,540 --> 00:30:15,180
+هيبرمتروب، behind the retina، ميوب، on the retina، الـ
+
+321
+00:30:15,180 --> 00:30:20,920
+astigmatism هتتركز عبارة عن إيش؟ line، okay، الآن في حالة
+
+322
+00:30:20,920 --> 00:30:27,880
+يكون مثلاً عندي مريض بدي أستخدم له midriatic قطرة
+
+323
+00:30:27,880 --> 00:30:33,260
+قطرة، إيش بتعمل الـ midriatic؟ dilation للـ pupil، طيب هل
+
+324
+00:30:33,260 --> 00:30:36,100
+بينفع بعدها أستخدم الـ pinhole؟
+
+325
+00:30:42,850 --> 00:30:45,750
+لازم يكون الـ pupil برضه صغيرة، يعني أول حاجة معالجة
+
+326
+00:30:45,750 --> 00:30:49,130
+عشان تقدر تشوف الأشياء، أما لو كان الـ pupil واسع، تدخل
+
+327
+00:30:49,130 --> 00:30:56,190
+من منطقة أو منطقة، لأ، مش هتشوف كده، يعني بينفع
+
+328
+00:30:56,190 --> 00:30:59,370
+ولا ما بنفعش أول؟ بس الـ 6 دقائق بس اللي هتتلقى
+
+329
+00:30:59,370 --> 00:31:03,610
+خلالها، يعني محتاج تنتظر، ما عندي بنفع يعني، ما أشتغلش
+
+330
+00:31:03,610 --> 00:31:04,070
+يعني، بقى و بقى
+
+331
+00:31:07,820 --> 00:31:14,660
+الآن السؤال، لو طفل قطرنا له cycloplegia أو مثلاً
+
+332
+00:31:14,660 --> 00:31:21,580
+بيشان أربعين سنة، قطرنا له cyclopentolate، okay، يعني
+
+333
+00:31:21,580 --> 00:31:26,280
+عملنا عملية midriatic، توسيع للـ pupil، هل بعديها، بعد
+
+334
+00:31:26,280 --> 00:31:29,820
+الـ midriatic ممكن أستخدم معه الـ pinhole لتحسين
+
+335
+00:31:29,820 --> 00:31:30,780
+الرؤية أو لا؟
+
+336
+00:31:36,340 --> 00:31:41,160
+فـ pinhole بتقلل عدد الأشعة اللي بتدخل للعين، بتنفعش، okay،
+
+337
+00:31:41,160 --> 00:31:45,500
+another answer، تفضلي، لأ مش هينفع، لأن الأشعة بس
+
+338
+00:31:45,500 --> 00:31:49,520
+هتفوت في جزء، و تتنفعش، لأ، فلما هي اللي بتستخدم الـ
+
+339
+00:31:49,520 --> 00:31:53,880
+pinhole هي مصر على هتفيد، لو رجع الـ pupil تاني، يعني
+
+340
+00:31:53,880 --> 00:32:00,080
+فهي محدودة الموضوع، okay، answer
+
+341
+00:32:00,080 --> 00:32:05,280
+لأ، طيب هو صح كلامكم، أنه بعد ما نعمل الـ...
+
+342
+00:32:20,350 --> 00:32:23,190
+أنه cyclopentolate، يعني المريض بده إيش؟ قطرة
+
+343
+00:32:23,190 --> 00:32:27,870
+توسيع، بعدها أحياناً بقول لك الدكتور اعملي له
+
+344
+00:32:27,870 --> 00:32:32,310
+pinhole، وهذا خطأ، لأنه الآن بعد الـ... الـ midriatic
+
+345
+00:32:32,310 --> 00:32:36,590
+إيش بيصير؟ dilation للـ pupil، فكمية الضوء اللي
+
+346
+00:32:36,590 --> 00:32:42,290
+بتكون داخلة للـ pupil كميتها كبيرة، okay؟ الآن صح الـ
+
+347
+00:32:42,290 --> 00:32:42,950
+pinhole
+
+348
+00:32:51,970 --> 00:32:58,070
+يعني حزم ضوئية، بيعمل، إذا استخدمنا الـ pinhole في
+
+349
+00:32:58,070 --> 00:33:02,130
+حالة الـ midriatic، شو بيعمل؟ striking للـ vision، يعني
+
+350
+00:33:02,130 --> 00:33:03,830
+بمعنى خلل بالرؤية
+
+351
+00:33:12,720 --> 00:33:16,880
+يعني ما بتدخلش الأشعة من وين؟ من الأطراف، فعشان هيك
+
+352
+00:33:16,880 --> 00:33:22,260
+لا يمكن استخدام الـ pinhole بعد ما أستخدم الـ cyclo
+
+353
+00:33:22,260 --> 00:33:24,920
+pentolate أو الـ cycloplegia
+
+354
+00:33:39,310 --> 00:33:43,430
+and only letting into the eye those rays which
+
+355
+00:33:43,430 --> 00:33:47,990
+pass through the central portion of the pupil, any
+
+356
+00:33:47,990 --> 00:33:51,530
+refractive error in the lens or cornea is not
+
+357
+00:33:51,530 --> 00:33:56,730
+noticed as much. نفس فكرة الـ midriatic، فكرة لما
+
+358
+00:33:56,730 --> 00:34:00,890
+يكون المريض عنده corneal scar أو يكون عنده مثلاً
+
+359
+00:34:00,890 --> 00:34:04,770
+immature cataract، الآن الـ immature cataract وين
+
+360
+00:34:04,770 --> 00:34:10,810
+هتكون؟ في منتصف العدسة، المياه البيضاء هتتركز في
+
+361
+00:34:10,810 --> 00:34:15,230
+منتصف العدسة، فالآن الـ pinhole، كل الضوء من وين
+
+362
+00:34:15,230 --> 00:34:20,350
+بدخل من المنتصف، لما أستخدم الـ pinhole، هيمنع
+
+363
+00:34:20,350 --> 00:34:24,190
+تمرير وين الضوء، فهتلاحظ أن الـ patient
+
+364
+00:34:40,160 --> 00:34:47,800
+ونفس فكرة استخدام الـ midriatic، قطرة التوسيع،
+
+365
+00:34:47,800 --> 00:34:52,060
+أنه بيعمل إيش؟ يعني زي كأنه border، حاجز لتدخيل
+
+366
+00:34:52,060 --> 00:34:55,920
+الضوء فقط، أنه بدخل الضوء من المنتصف، والـ
+
+367
+00:34:55,920 --> 00:34:59,880
+peripheral، إيش بيعمل؟ ignore، يعني تجاهل، لأنه كأنه
+
+368
+00:34:59,880 --> 00:35:01,120
+border، حاجز له
+
+369
+00:35:07,600 --> 00:35:11,500
+في بعض الناس حتى بيكون عندهم pupil واسع، ويمكن اللي
+
+370
+00:35:11,500 --> 00:35:14,760
+حطوه في الـ written scope، during the written scope
+
+371
+00:35:14,760 --> 00:35:18,920
+method، but only the central portion، فقط اللي هي
+
+372
+00:35:18,920 --> 00:35:24,380
+منطقة المنتصف is receiving light، هو اللي هيستقبل
+
+373
+00:35:24,380 --> 00:35:30,370
+الضوء. The improvement in visual acuity can
+
+374
+00:35:30,370 --> 00:35:34,930
+be striking، إذا التحسن في الرؤية البصرية إيش ممكن
+
+375
+00:35:34,930 --> 00:35:39,370
+أنه striking، أي ينضرب أو أنه يصير لها impaired،
+
+376
+00:35:39,370 --> 00:35:44,810
+يعني اتقل، في حالة لما يكون الـ pupil dilated، يعني
+
+377
+00:35:44,810 --> 00:35:49,270
+ممكن هذه الحالة نضيفها، أنه من الـ cases no improvement
+
+378
+00:35:49,270 --> 00:35:49,950
+with pinhole
+
+379
+00:36:03,960 --> 00:36:08,560
+center، هيدخل الضوء بشكل كثيف، okay، فهيعمل إيش؟ no
+
+380
+00:36:08,560 --> 00:36:12,960
+improvement للـ vision، أو هيعمل impaired للـ vision
+
+381
+00:36:12,960 --> 00:36:16,880
+أو striking، أنه للـ visual acuity
+
+382
+00:36:20,940 --> 00:36:25,920
+So، لذلك if the vision is improved، لذلك إذا النظر
+
+383
+00:36:25,920 --> 00:36:30,580
+اتحسن، when looking through the pinhole lens، خلال
+
+384
+00:36:30,580 --> 00:36:35,620
+ما بننظر إلى عدسة الـ pinhole، that's mean the
+
+385
+00:36:35,620 --> 00:36:40,020
+prescription is not accurate، بمعنى الآن احنا حطينا
+
+386
+00:36:44,310 --> 00:36:49,290
+بعد ما حطينا الـ pinhole، شعرنا أن النظر إيش ماله؟ اتحسن،
+
+387
+00:36:49,290 --> 00:36:53,970
+معناه الوصفة بتاعتك إيش؟ مش صحيحة، أنه بدنا نضيف
+
+388
+00:36:53,970 --> 00:37:00,570
+كمان power، إذا so، لذلك if the vision، إذا الرؤية
+
+389
+00:37:00,570 --> 00:37:07,010
+is improved، اتحسنت، when looking، خلال ما ينظر خلال
+
+390
+00:37:07,010 --> 00:37:11,150
+عدسة الـ pinhole، that's mean، معناه أن الـ
+
+391
+00:37:11,150 --> 00:37:12,550
+prescription، أن الوصفة
+
+392
+00:37:20,630 --> 00:37:26,090
+إذا، عملية تأكيد الـ power بكون هنا إيش ماله؟ ضروري
+
+393
+00:37:26,090 --> 00:37:31,670
+للمريض، okay؟ إذا بمعنى، الآن أنا كان عند المريض
+
+394
+00:37:31,670 --> 00:37:37,630
+في minus two ديوبتر، حطينا العدسة للـ right eye،
+
+395
+00:37:37,630 --> 00:37:40,870
+شعرنا لما حطينا الـ pinhole في تحسن في الرؤية، شو
+
+396
+00:37:40,870 --> 00:37:45,360
+معناها؟ أنه ب... اه معناه أنه في improvement في الـ
+
+397
+00:37:45,360 --> 00:37:49,360
+visual acuity، يعني الـ minus two is not enough for
+
+398
+00:37:49
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4481589df58fca28407e7b651be2b737ae7f23f2
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY_postprocess.srt
@@ -0,0 +1,1716 @@
+1
+00:00:21,020 --> 00:00:24,580
+بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و
+
+2
+00:00:24,580 --> 00:00:33,080
+بركاته و أهلاً جميعاً لكم اليوم هنبدأ في موضوع الـ
+
+3
+00:00:33,080 --> 00:00:38,560
+Subjective Verification for Refractionطبعا اتكلمنا
+
+4
+00:00:38,560 --> 00:00:45,620
+من ناحية عملية، اليوم هنبدأ لو من ناحية الترجمة ك
+
+5
+00:00:45,620 --> 00:00:49,540
+Diachrome test Verification for spherical power
+
+6
+00:00:49,540 --> 00:00:57,290
+تأكيد للقوة الكروية الاسفير okayVerification or
+
+7
+00:00:57,290 --> 00:01:01,710
+refinement for spherical power أي بمعنى تأكيد
+
+8
+00:01:01,710 --> 00:01:08,310
+للقوة الإنكسارية الكروية في عندنا ال biochrome
+
+9
+00:01:08,310 --> 00:01:17,030
+test or red green testالـ two side، green side و
+
+10
+00:01:17,030 --> 00:01:21,990
+red side okay typical wavelength of colors typical
+
+11
+00:01:21,990 --> 00:01:26,650
+بمعنى ال characteristics أي بمعنى خواص الطول
+
+12
+00:01:26,650 --> 00:01:32,790
+الموجة للألوان يعني شو هي ال typical او ال
+
+13
+00:01:32,790 --> 00:01:38,940
+characteristics الخواص للأطوال الموجية للألوانفي
+
+14
+00:01:38,940 --> 00:01:43,800
+عندنا لو بدأنا من ال short wavelength ل ال long
+
+15
+00:01:43,800 --> 00:01:50,540
+wavelength بنبدأ ال violet اللون الأزرق عندنا
+
+16
+00:01:50,540 --> 00:01:56,620
+indigo ليني blue أزرق green أخضر yellow أصفر
+
+17
+00:01:56,620 --> 00:02:03,040
+orange برتقالي red أصفر okay أحمر هذه بالنسبة
+
+18
+00:02:03,040 --> 00:02:07,060
+لأطوال الموجية المختلفة ايش ال wavelength الطول
+
+19
+00:02:07,060 --> 00:02:11,850
+الموجيطبعا وحدة القياس بتكون ايه؟ بالنانو ميتر
+
+20
+00:02:11,850 --> 00:02:19,110
+النانو ميتر بيمثل عشرة اقصى minus تسعة okay ديو
+
+21
+00:02:19,110 --> 00:02:24,550
+كروم تست the index of refraction معامل الانكسار
+
+22
+00:02:24,550 --> 00:02:30,530
+okay varies for different wavelengths of light اذا
+
+23
+00:02:30,530 --> 00:02:35,410
+المعامل الانكسار بيتغير مع تغير الاطلاق
+
+24
+00:02:38,130 --> 00:02:42,930
+بحيث إذا كان معامل الانكسار عالي بيكون ال
+
+25
+00:02:42,930 --> 00:02:47,930
+wavelength أشماله قليل يعني ال red color بيمتلك
+
+26
+00:02:47,930 --> 00:02:52,270
+طول موجي عالي صح إذا ال refractive index لها هيكون
+
+27
+00:02:52,270 --> 00:02:56,870
+جليل okay the
+
+28
+00:02:56,870 --> 00:03:00,390
+index of refraction is a creator for short
+
+29
+00:03:00,390 --> 00:03:04,670
+wavelength light rays than for longer ones إذا
+
+30
+00:03:04,670 --> 00:03:11,850
+المعامل الانكسار لو قررناطول الموجة كل ما زاد
+
+31
+00:03:11,850 --> 00:03:18,570
+معامل الانكسار بقل ايه الطول الموجة نعم العلاقة
+
+32
+00:03:18,570 --> 00:03:24,230
+هتكون علاقة عكسية ال
+
+33
+00:03:24,230 --> 00:03:29,850
+green light الضوء الأخضر أو ال blue light الضوء
+
+34
+00:03:29,850 --> 00:03:36,940
+الأزرقالاتنين يعني الطول الموجي متقارب من بعض okay
+
+35
+00:03:36,940 --> 00:03:41,860
+فبعض المراجع هشوفه كاتبين green light وبعض المراجع
+
+36
+00:03:41,860 --> 00:03:47,200
+بيكتبوا blue light okay إذا ال green light الضوء
+
+37
+00:03:47,200 --> 00:03:52,080
+الأخضر is refracted to greater degree than yellow
+
+38
+00:03:52,080 --> 00:03:57,140
+light إذا بينكسر أكتر من الضوء الأصفر عشان هيك في
+
+39
+00:03:57,140 --> 00:04:00,900
+ال normal patient أو في ال emetrope وين هيتركز
+
+40
+00:04:05,260 --> 00:04:08,260
+Yellow color او ال yellow light وين هيتركز؟ On the
+
+41
+00:04:08,260 --> 00:04:12,400
+retina which is refracted to a greater degree than
+
+42
+00:04:12,400 --> 00:04:16,420
+red light and so on و ال red light وين هيتركز؟
+
+43
+00:04:16,420 --> 00:04:22,640
+Behind the retina Incoming
+
+44
+00:04:22,640 --> 00:04:28,940
+rays أي بمعنى external rays الأشعة الخارجية of
+
+45
+00:04:28,940 --> 00:04:33,940
+white light للضوء الأبيض are dispersed أي بمعنى
+
+46
+00:04:33,940 --> 00:04:34,900
+بتشتت
+
+47
+00:04:39,210 --> 00:04:45,990
+Why طيب؟ لأن معامل الإنكسار في الضوء الأزرق هيكون
+
+48
+00:04:45,990 --> 00:04:50,850
+أكتر من مين من معامل الإنكسار في الضوء الأحمر لأن
+
+49
+00:04:50,850 --> 00:04:57,510
+ال wavelength العلاقة بينهم إيه عكسية طبعا
+
+50
+00:04:57,510 --> 00:05:01,330
+وهي بتعتمد على مبدأ ال chromatic aberration الذيوغ
+
+51
+00:05:01,330 --> 00:05:08,430
+اللونيin an emetropic eye في أي تعين طبيعية normal
+
+52
+00:05:08,430 --> 00:05:13,850
+eye therefore or so لذلك yellow light is focused
+
+53
+00:05:13,850 --> 00:05:18,590
+الضوء الأصفر هيتركز on the retina، اذا وين هيكون
+
+54
+00:05:18,590 --> 00:05:24,590
+تركيز الضوء الأصفر؟ على الشبكية لأنه هيكون الضوء
+
+55
+00:05:24,590 --> 00:05:29,270
+الأصفر الطول الموجي middle يعني في منتصف ما بين
+
+56
+00:05:29,270 --> 00:05:34,710
+الأحمر و ما بين ال green صح؟إذا ال red هيكون ايش؟
+
+57
+00:05:34,710 --> 00:05:38,430
+أطول طول موجة و ال blue أو ال green هيكون أقل من
+
+58
+00:05:38,430 --> 00:05:43,150
+مين؟ ال yellow كطول موجة صح؟ فمعامل الانكسار هيكون
+
+59
+00:05:43,150 --> 00:05:49,230
+ايه بينهم؟ بين ال red و بين ال blue in an
+
+60
+00:05:49,230 --> 00:05:52,970
+emetropic eye في أي تعين طبيعي therefore or so
+
+61
+00:05:52,970 --> 00:05:57,010
+لذلك yellow light الضوء الأصفر is focused on the
+
+62
+00:05:57,010 --> 00:06:02,170
+retina هيتركز على الشبكية okay a green light
+
+63
+00:06:06,490 --> 00:06:13,050
+أو خلف الشبكية إذا نضوه الأحمر وين هيتركز خلف
+
+64
+00:06:13,050 --> 00:06:19,150
+الشبكية هتفضل هذا
+
+65
+00:06:19,150 --> 00:06:24,450
+من ناحية انه اتركز خلف الشبكية او خلف الشبكية
+
+66
+00:06:33,150 --> 00:06:37,850
+قاعد في ال right side وفي مثلا Z قاعد في ال left
+
+67
+00:06:37,850 --> 00:06:42,210
+side وانا مثلا قاعد هنا في المنتصف كله نحن نشوف
+
+68
+00:06:42,210 --> 00:06:46,510
+الأشعة إيش مالها متفارقة صح؟ الآن ال chromatic
+
+69
+00:06:46,510 --> 00:06:50,570
+aberration عبارة عن white light أنا جبت الرسمة
+
+70
+00:06:50,570 --> 00:06:55,050
+بتاعتها ال white light هتبدأ اللي هو الضوء هيمر في
+
+71
+00:06:55,050 --> 00:06:59,370
+optical system أي بمعنى نظام بصري سواء كانت lens
+
+72
+00:06:59,370 --> 00:07:02,810
+أو mirror بعدها هيديني من ال blue light أو ال
+
+73
+00:07:02,810 --> 00:07:06,340
+greenالـ yellow light و الـ red light حسب طول
+
+74
+00:07:06,340 --> 00:07:10,880
+الموجة تاعه وين هيتركز هل behind و لا in front و
+
+75
+00:07:10,880 --> 00:07:14,220
+لا on the retina يعني according to the wavelength
+
+76
+00:07:14,220 --> 00:07:21,600
+حسب طول الموجة لكله okay الـ
+
+77
+00:07:21,600 --> 00:07:25,140
+myopic eye طبعا ال light rays وين هيتركز في
+
+78
+00:07:25,140 --> 00:07:29,880
+الميوب؟In front the retina فى ال red light فى ال
+
+79
+00:07:29,880 --> 00:07:33,500
+myopic eye هيتركز ال light rays in front the
+
+80
+00:07:33,500 --> 00:07:38,880
+retina Red is closer to the retina okay while in
+
+81
+00:07:38,880 --> 00:07:43,460
+hypermetropic eye green is closer إذن فى حالة
+
+82
+00:07:43,460 --> 00:07:48,040
+الميوب ال red light الضوء الأحمر هيتركز على
+
+83
+00:07:48,040 --> 00:07:50,700
+الشبكية فى حالة ال hypermetrop
+
+84
+00:07:56,730 --> 00:08:01,690
+عشان هيك في حالة الميوب بتلاحظ ان المريض بيشوف
+
+85
+00:08:01,690 --> 00:08:07,490
+الأحمر ال red side أفضل من مين من الأخضر أو ال
+
+86
+00:08:07,490 --> 00:08:14,090
+green و العكس في حالة ال hypermetropia
+
+87
+00:08:14,090 --> 00:08:19,650
+if the red green test اذا اختبار اللون الأحمر
+
+88
+00:08:23,550 --> 00:08:29,130
+وكان هذا المريض عنده قصر نظر and insufficiently
+
+89
+00:08:29,130 --> 00:08:33,290
+corrected اي بمعنى ال correction اللي انا مديله يا
+
+90
+00:08:33,290 --> 00:08:37,990
+غير كافي insufficiently بمعنى غير كافي okay then
+
+91
+00:08:37,990 --> 00:08:41,990
+the letters on the right side will stand out
+
+92
+00:09:00,980 --> 00:09:05,800
+أنا أعتقد أن شاربر بيكون حاد يعني هيكون واضح بشكل
+
+93
+00:09:05,800 --> 00:09:10,060
+ايش كبير ان ال red color compared to the green
+
+94
+00:09:10,060 --> 00:09:13,940
+color هذا في حالة من؟ الميوب
+
+95
+00:09:17,130 --> 00:09:20,430
+They will require more minus power for the green
+
+96
+00:09:20,430 --> 00:09:26,270
+to be as distinct as the red عشان هيك بنطلب إضافة
+
+97
+00:09:26,270 --> 00:09:30,830
+minus power عشان نصل لحدية A ان التساوي ما بين ال
+
+98
+00:09:30,830 --> 00:09:36,330
+red و ما بين ال green color يعني
+
+99
+00:09:36,330 --> 00:09:40,670
+الآن لو اجانا مريض ميوب هيشوف ال red ولا ال green
+
+100
+00:09:40,670 --> 00:09:46,930
+أوضح؟ببدأ انه ازود بال minus لحد ما يصير ال red و
+
+101
+00:09:46,930 --> 00:09:51,130
+ال green ايش معله equally متساويين هاي السؤال
+
+102
+00:09:51,130 --> 00:09:58,730
+هتفضلي اه
+
+103
+00:09:58,730 --> 00:10:03,250
+اللونان بتركزوا على الشبكية يعني زي لأ هيصيروا زي
+
+104
+00:10:03,250 --> 00:10:06,370
+ال emetrap كيف هيصير
+
+105
+00:10:11,360 --> 00:10:14,500
+الريتينال سيتركز خلف الريتينال، وإذا كان هناك يلو
+
+106
+00:10:14,500 --> 00:10:18,360
+سيتركز على الريتينال. حسنا؟ هنا لدينا الـ long
+
+107
+00:10:18,360 --> 00:10:22,540
+trigonal أي بمعنى طولي اكزيال اكروماتيك ابراشن.
+
+108
+00:10:22,900 --> 00:10:27,260
+هناك نوع من أنواع الزيوغ اللوني بيسمى long
+
+109
+00:10:27,260 --> 00:10:31,940
+trigonal او اكزيال اكروماتيك ابراشن بمعنى طولي.
+
+110
+00:10:53,210 --> 00:10:57,170
+إذا ال blue one هيتركز in front of the retina و ال
+
+111
+00:10:57,170 --> 00:11:00,550
+red one هيتركز behind the retina in the emetropic
+
+112
+00:11:00,550 --> 00:11:07,550
+eye on the
+
+113
+00:11:07,550 --> 00:11:13,610
+other hand من ناحية أخرى if the same mayor is over
+
+114
+00:11:13,610 --> 00:11:18,950
+corrected and made over corrected or artificially
+
+115
+00:11:18,950 --> 00:11:24,560
+hyper metropic يعني بمعنى طول نظر كاذبOkay then
+
+116
+00:11:24,560 --> 00:11:28,520
+the letter against the green background appear
+
+117
+00:11:28,520 --> 00:11:34,160
+blacker, clearer and sharper من ناحية أخرى لو الآن
+
+118
+00:11:34,160 --> 00:11:39,480
+أنا مثلا صلحت patient ميوب و اديته under
+
+119
+00:11:39,480 --> 00:11:43,420
+correction يعني بمعنى هو كان عنده minus two point
+
+120
+00:11:43,420 --> 00:11:47,040
+five اديته minus two، هيشوف ال red أوضح ولا ال
+
+121
+00:11:47,040 --> 00:11:51,560
+green؟الرد ليش؟ لأنه under correction طيب لو فرضنا
+
+122
+00:11:51,560 --> 00:11:55,720
+ال data minus تلاتة هيصير over correction فمين
+
+123
+00:11:55,720 --> 00:12:02,340
+هيشوف أفضل؟ اللي green okay ال sphere is adjusted
+
+124
+00:12:02,340 --> 00:12:02,800
+until
+
+125
+00:12:08,660 --> 00:12:13,400
+بإضافة العدسة الاسفير سواء الـ plus أو ال minus
+
+126
+00:12:13,400 --> 00:12:18,260
+لحد ما نصل إلى إيه؟ إلى التساوي ما بين ال red و ال
+
+127
+00:12:18,260 --> 00:12:23,840
+green side okay؟ adjust بمعنى ضبط أو بمعنى
+
+128
+00:12:23,840 --> 00:12:30,040
+calibration معايرة الـ
+
+129
+00:12:30,040 --> 00:12:35,720
+diachrome test الفحص هذا is useful بيستخدم only ال
+
+130
+00:12:35,720 --> 00:12:37,640
+refining فقط في تأكيد
+
+131
+00:12:49,310 --> 00:12:53,730
+مالهوش مساهمة في مين في السيلندر سواء كان ال
+
+132
+00:12:53,730 --> 00:12:58,790
+access او ال power اعتقد معظمكم طبق في المعمل ال
+
+133
+00:12:58,790 --> 00:13:00,570
+diachrome test و بدأ
+
+134
+00:13:08,780 --> 00:13:16,630
+بحيث انه ممكن اقيت 0.12في عندنا هنا Refractive
+
+135
+00:13:16,630 --> 00:13:22,230
+state أي بمعنى الحالة الانكسارية ال color scene
+
+136
+00:13:22,230 --> 00:13:27,410
+طبعا هذه لخصت الفمياه كملخص لديو كروم تست بحيث ان
+
+137
+00:13:27,410 --> 00:13:31,930
+المريض لو كان امتراب هيشوف ال red و ال green بنفس
+
+138
+00:13:31,930 --> 00:13:35,870
+الوضوح لو كان corrected ميوب يعني صلحنا الميوب
+
+139
+00:13:35,870 --> 00:13:40,230
+ممكن ان يكون ال red اشمله slightly يعني بشيء بسيط
+
+140
+00:13:40,230 --> 00:13:44,540
+أوضح من مين من ال greenلو كان under correction
+
+141
+00:13:44,540 --> 00:13:48,520
+ميوب حيشوف ال red over corrected ميوب ال green أي
+
+142
+00:13:48,520 --> 00:13:52,380
+بمعنى under corrected زي المثال اللي استعرضناه
+
+143
+00:13:52,380 --> 00:13:56,920
+الآن انه لو كان عنده مريض minus 2.5 و اديته minus
+
+144
+00:13:56,920 --> 00:14:01,640
+2 مين حيشوف افضل؟ ال red ال over corrected اديته
+
+145
+00:14:01,640 --> 00:14:03,320
+minus 3 حيشوف ال green
+
+146
+00:14:27,320 --> 00:14:33,380
+لو اجاني مريض صلحتله لل addition بمعنى ال near
+
+147
+00:14:33,380 --> 00:14:42,500
+vision ممكن استخدم ال test for nearوالا لأ؟ و why؟
+
+148
+00:14:42,500 --> 00:14:47,760
+فهمت السؤال؟ الان اعملت واحد اجالك breast biop
+
+149
+00:14:47,760 --> 00:14:53,100
+وعملنا كان مثلا عنده plus two breast biop وصلحنا
+
+150
+00:14:53,100 --> 00:14:57,540
+له اياه بدنا نعمل verification لل breast biop ممكن
+
+151
+00:14:57,540 --> 00:15:01,520
+استخدم ال diachrome test و لا لأ؟ اتفضلي اه بسبب
+
+152
+00:15:01,520 --> 00:15:04,760
+ان مثلا فضعته ال cytokine بتاعة بالشميلة
+
+153
+00:15:07,180 --> 00:15:11,040
+لأ قصدي هل ممكن أن نستخدم ال Decrom test ك card
+
+154
+00:15:11,040 --> 00:15:18,580
+ولا لأ؟ مش في عليها أقام 3 أو 4 أو 4 أو 3 او 2 ..
+
+155
+00:15:18,580 --> 00:15:25,000
+why؟ ممكن لو سائل ثاني نستخدمه يعني فدلت يكون أقل
+
+156
+00:15:26,230 --> 00:15:31,230
+هو موجود الـ Dichrome Car Test موجود الفحص هذا بتم
+
+157
+00:15:31,230 --> 00:15:34,810
+استخدامه و نفس ال principle بتاع ال Dichrome Test
+
+158
+00:15:34,810 --> 00:15:42,000
+for distance يعني بتم استخدامه للقريب أيضالأنه هو
+
+159
+00:15:42,000 --> 00:15:45,100
+بيعتمد على مين ال chromatic aberration الزيوغ
+
+160
+00:15:45,100 --> 00:15:49,740
+اللوني فهو الان واحد hyper metropic إذا كان عنده
+
+161
+00:15:49,740 --> 00:15:53,520
+breast myopic وديته ال correction كامل هيشوف
+
+162
+00:15:53,520 --> 00:15:57,340
+التنين equal صح ولا لا أنا بهمنيش المسافة هان
+
+163
+00:15:57,340 --> 00:16:02,080
+بهمني انه هل هو ال refractive state الحالة
+
+164
+00:16:02,080 --> 00:16:05,460
+الانكسارية للعين هل هو myopic ولا hyper metropic
+
+165
+00:16:05,460 --> 00:16:09,880
+ولا astigmatism okay فإذا مثلا كان ال green أوضح
+
+166
+00:16:09,990 --> 00:16:13,050
+هيقول لي لأ و لما شاف ال green اوضح باعرف انه بده
+
+167
+00:16:13,050 --> 00:16:16,970
+كمان correction اذا شاف ال red اوضح باعرف انه بدى
+
+168
+00:16:16,970 --> 00:16:20,730
+اعمل under correction انازل شوية فى البواب اذا هل
+
+169
+00:16:20,730 --> 00:16:25,550
+بيستخدم للنير ممكن استخدامه للنير طيب لو واحد عنده
+
+170
+00:16:25,550 --> 00:16:31,270
+color vision defect ممكن استخدمه ولا لأ؟ ليه؟ ليش
+
+171
+00:16:31,270 --> 00:16:35,330
+ا .. ا لا؟ لأنه بعتمد على ال chromatic aberration
+
+172
+00:16:35,330 --> 00:16:37,530
+لكن ال color vision ايش بعتمد؟
+
+173
+00:16:39,880 --> 00:16:43,040
+على ال color discrimination ممتاز على التمييز
+
+174
+00:16:43,040 --> 00:16:43,660
+اللوني
+
+175
+00:16:47,940 --> 00:16:54,300
+and error بمعنى يعني كيثما واحد بعمل مثلا اكيد هذا
+
+176
+00:16:54,300 --> 00:16:59,260
+ال test كلكم عملته اللي هي جثة الملك و العشرة انه
+
+177
+00:16:59,260 --> 00:17:03,740
+في العملة في ال cones okay هذه اللي بتستخدم ك
+
+178
+00:17:03,740 --> 00:17:07,780
+common في ال subjective verification بمعنى اني
+
+179
+00:17:07,780 --> 00:17:12,480
+بزود ربع او بجلر ربع okay او بدونها
+
+180
+00:17:14,910 --> 00:17:19,290
+Trial and error this method is simply adding a
+
+181
+00:17:19,290 --> 00:17:25,490
+plus 0.25 diopter sphere and minus 0.25 diopter
+
+182
+00:17:25,490 --> 00:17:29,090
+sphere in a monocular fashion يعني هو عبارة عن
+
+183
+00:17:29,090 --> 00:17:34,970
+منهج بسيط بتم استخدام عدسة قوتها plus ربع او minus
+
+184
+00:17:34,970 --> 00:17:40,210
+ربع امام مين العين طبعا انا بستخدمه monocular يعني
+
+185
+00:17:40,210 --> 00:17:45,310
+دايمابأكد عليكم ان ال verification دايما لازم يكون
+
+186
+00:17:45,310 --> 00:17:50,550
+monocular ممنوع تعمليه عملية verification و
+
+187
+00:17:50,550 --> 00:17:54,770
+تعمليها binocular بعد ما انا بعمل كل عين على حدة
+
+188
+00:17:54,770 --> 00:17:59,290
+برفع ال occluder و بستخدمه ك binocular
+
+189
+00:18:01,480 --> 00:18:06,860
+and asking fashion بمعنى هان اللي هو طراز style أو
+
+190
+00:18:06,860 --> 00:18:11,760
+بمعنى مثلا اللي هو كادسة واحدة انه بيستخدم ك
+
+191
+00:18:11,760 --> 00:18:15,300
+fashion monocular fashion يعني فقط اللي هو كطراز
+
+192
+00:18:15,300 --> 00:18:21,960
+واحد يعني only one eye فقط العين واحدةand asking
+
+193
+00:18:21,960 --> 00:18:26,400
+the patient انه بسأل المريض if the vision is
+
+194
+00:18:26,400 --> 00:18:32,780
+better or worse يعني هل انه النظر بتحسن او بسيء
+
+195
+00:18:32,780 --> 00:18:39,660
+اذا بمعنى انه بضيف عدسة plus او minus و بشوف ردة
+
+196
+00:18:39,660 --> 00:18:45,280
+فعل من المريض هل النظر بتحسن ولا ايه بصير impaired
+
+197
+00:18:45,280 --> 00:18:45,840
+لل vision
+
+198
+00:18:49,950 --> 00:18:55,590
+إذا المريض بيان إنه
+
+199
+00:18:55,590 --> 00:19:00,370
+بدون عدسة أفضل، إذا المريض بيان إنه بدون عدسة
+
+200
+00:19:00,370 --> 00:19:07,230
+أفضل، إذا المريض بيان إنه بدون عدسة أفضل، إذا
+
+201
+00:19:07,230 --> 00:19:09,030
+المريض بيان إنه بدون عدسة أفضل، إذا المريض بيان
+
+202
+00:19:09,030 --> 00:19:12,950
+إنه بدون عدسة أفضل، إذا المريض بيان إنه بدون عدسة
+
+203
+00:19:12,950 --> 00:19:14,250
+أفضل، إذا المريض بيان إنه بدون عدسة أفضل، إذا
+
+204
+00:19:14,250 --> 00:19:15,310
+المريض بيان إنه بدون عدسة أفضل، إذا المريض بيان
+
+205
+00:19:15,310 --> 00:19:16,630
+إنه بدون عدسة أفضل، إذا المريض بيان إنه بدون عدسة
+
+206
+00:19:16,630 --> 00:19:25,000
+أفضل، إذا المريض بيان إنه بدون عدبالظبط طيب
+
+207
+00:19:25,000 --> 00:19:32,720
+اذا بيشان رابط انه أفضل ان اضافة الـ plus 0.25
+
+208
+00:19:32,720 --> 00:19:37,920
+تابع اضافة الـ plus حتى لا يتم افتحة أفضلإذا
+
+209
+00:19:37,920 --> 00:19:41,980
+المريض بيان لما أنا ضفت plus ربع صار improvement
+
+210
+00:19:41,980 --> 00:19:48,000
+تحسن للنظر بستمر بإضافة ال plus لحد ما أصل إلى
+
+211
+00:19:48,000 --> 00:19:55,730
+حالة no improvement مافيش تحسنفبضيف plus ربع شاف
+
+212
+00:19:55,730 --> 00:20:00,710
+ان المريض اتحسن شعرت انه مثلا شاف سطر 6 على 12
+
+213
+00:20:00,710 --> 00:20:05,450
+بعدها شاف 6 على 9 بعمل ايش؟ زيادة لل line يعني
+
+214
+00:20:05,450 --> 00:20:09,770
+بزود القوة لحد ما يصل انه no improvement مافيش
+
+215
+00:20:09,770 --> 00:20:10,690
+تحسن
+
+216
+00:20:15,660 --> 00:20:19,100
+then add the new addition power for his previous
+
+217
+00:20:19,100 --> 00:20:25,040
+prescription يعني بعمل عملية إضافة للعدسة الجديدة
+
+218
+00:20:25,040 --> 00:20:29,580
+previous prescription للوصفة القديمة يعني بعمل
+
+219
+00:20:29,580 --> 00:20:33,820
+الإضافة هذه على مين ال previous prescription يعني
+
+220
+00:20:33,820 --> 00:20:36,980
+الوصفة القديمة سواء اللي عملتيها في ال objective
+
+221
+00:20:36,980 --> 00:20:39,600
+refraction في ال ريتنسكوب أو في ال auto
+
+222
+00:20:39,600 --> 00:20:41,000
+refractometer
+
+223
+00:20:43,940 --> 00:20:49,280
+بمعنى الان انا طلع عنده قوة plus two ليبتر السفير
+
+224
+00:20:49,280 --> 00:20:55,220
+روحت جبت plus two point five و المريض صار عنده
+
+225
+00:20:55,220 --> 00:21:00,100
+تحسن معناه انه في ايه improvement okay شو بدي اعمل
+
+226
+00:21:00,100 --> 00:21:05,410
+بهذه الحالة؟بزود كمان ال power بجيب مثلا two point
+
+227
+00:21:05,410 --> 00:21:09,790
+five اتحسن النظر بجيب two point seven five بجيب
+
+228
+00:21:09,790 --> 00:21:13,250
+تلاتة لحد ما المريض يقول ليه انه مافيش improvement
+
+229
+00:21:13,250 --> 00:21:17,990
+مافيش تحسن okay فهذه النقطة يعني زي بالظبط ال
+
+230
+00:21:17,990 --> 00:21:21,670
+neutral point يعني نقطة التعادل او ال end point
+
+231
+00:21:21,670 --> 00:21:28,250
+يعني عندها مش ممكن انه يتحسن من النظرما أنا بصل
+
+232
+00:21:28,250 --> 00:21:32,330
+للمرحلة هادى، إيش بتكون؟ إنه هادى وصفة المريض، الـ
+
+233
+00:21:32,330 --> 00:21:38,450
+final prescription If the
+
+234
+00:21:38,450 --> 00:21:43,130
+patient responds that vision is worse, remove plus
+
+235
+00:21:43,130 --> 00:21:49,270
+0.25 dioptersphere or prepare to add minus 0.25,
+
+236
+00:21:49,770 --> 00:21:52,930
+ask the patient if the letters are sharper and
+
+237
+00:21:52,930 --> 00:21:59,100
+clearer or notإذا المريض يما أضفنا ال plus ربع شعر
+
+238
+00:21:59,100 --> 00:22:02,740
+أنه إيه ال vision صار فيه impaired أو جل ال
+
+239
+00:22:02,740 --> 00:22:06,960
+vision، في هذه الحالة إيش بعمل؟ remove، إزالة لل
+
+240
+00:22:06,960 --> 00:22:11,960
+plus ربع و بضيف إيه؟ ال minus و بستمر في مين؟ في
+
+241
+00:22:11,960 --> 00:22:12,660
+ال minus
+
+242
+00:22:17,710 --> 00:22:20,450
+إذا كان الأمر أفضل، إستمر في إضافة إضافة إضافة
+
+243
+00:22:20,450 --> 00:22:21,750
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+244
+00:22:21,750 --> 00:22:23,310
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+245
+00:22:23,310 --> 00:22:26,410
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+246
+00:22:26,410 --> 00:22:33,750
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+247
+00:22:33,750 --> 00:22:35,670
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+248
+00:22:35,670 --> 00:22:41,750
+إضافة إضافة إضافة إضافة إضافة إضافة إضافة إضافة
+
+249
+00:22:41,750 --> 00:22:45,370
+إضافة
+
+250
+00:22:49,400 --> 00:22:53,600
+this method of verification completely يعني بيعمل
+
+251
+00:22:53,600 --> 00:22:58,500
+عملية completely بمعنى totally يعني بشكل كامل أنه
+
+252
+00:22:58,500 --> 00:23:04,300
+بيعمل تأكيد بشكل كاملDepends on patients answer
+
+253
+00:23:04,300 --> 00:23:10,860
+بيعتمد على إجابة المريض So the accuracy لذلك أن
+
+254
+00:23:10,860 --> 00:23:18,100
+الدقة ستكون محددة according to the patient
+
+255
+00:23:18,100 --> 00:23:22,360
+observation يعني بناء على ملاحظة من المريض
+
+256
+00:23:29,600 --> 00:23:35,980
+number three ال pinhole بمعنى small aperture يعني
+
+257
+00:23:35,980 --> 00:23:42,680
+فتحة صغيرة طيب قبل ما نبدأ في ال pinhole شو هي ال
+
+258
+00:23:42,680 --> 00:23:47,400
+cases no improvement with pinhole؟
+
+259
+00:24:09,700 --> 00:24:14,460
+الحالات اللي مابتحسنش مع البن هول number one high
+
+260
+00:24:27,890 --> 00:24:33,150
+number three obesity media سواء كان عندنا corneal
+
+261
+00:24:33,150 --> 00:24:39,610
+scar or immature cataract انه cataract غير ناضجة
+
+262
+00:24:39,610 --> 00:24:45,110
+okay هدول التلات حالات اللى مابتحسنش فيهم النظر مع
+
+263
+00:24:45,110 --> 00:24:50,510
+البن هون طبعا شو السبب؟ لأن فيه بيكون problem غير
+
+264
+00:24:50,510 --> 00:24:52,250
+ال vision صح؟
+
+265
+00:24:59,570 --> 00:25:06,510
+عدسة الثقب الصغير is a lens عدسة that has a hole
+
+266
+00:25:06,510 --> 00:25:12,310
+ثقب in the center of lens عبارة عن عدسة بتمتلك ثقب
+
+267
+00:25:12,310 --> 00:25:20,130
+في المنتصف كما في الشكل في الفيجارة this hole has
+
+268
+00:25:20,130 --> 00:25:21,730
+the effect of reducing
+
+269
+00:25:34,940 --> 00:25:42,360
+هو يعمل عملية تجميع للأشعة الداخلة وبعمل تقليل
+
+270
+00:25:42,360 --> 00:25:48,020
+لعرض هذه الأشعة بحيث أنه تدخل عبارة عن بنسل of
+
+271
+00:25:48,020 --> 00:25:53,880
+light يعني عبارة عن حزم ضوئيطبعا من وين بتكون هذه
+
+272
+00:25:53,880 --> 00:26:00,940
+جاية coming آتيه from each point من أي نقطة on the
+
+273
+00:26:00,940 --> 00:26:05,540
+viewed object يعني من أي جسم إيش ماله حقيقي لإنه
+
+274
+00:26:05,540 --> 00:26:09,300
+زي ما اتكلمنا إنه أي جسم حقيقي بتكون الأشعة
+
+275
+00:26:09,300 --> 00:26:13,580
+الخارجة منه divergence وإلا لو الأشعة كانت
+
+276
+00:26:13,580 --> 00:26:18,080
+parallel أو conversion بالظبط إنه بيكون يعني فقط
+
+277
+00:26:18,080 --> 00:26:20,740
+في ال position اللي هو فيه بيكون إيه شايفة
+
+278
+00:26:23,970 --> 00:26:29,670
+Normally طبيعيًا the full opening أي بمعنى الفتحة
+
+279
+00:26:29,670 --> 00:26:34,370
+بتاعة ال pupil of the pupil admits light أنه بتسمح
+
+280
+00:26:34,370 --> 00:26:40,010
+بدخول الضوء يعني بالوضع الطبيعي okay بالوضع
+
+281
+00:26:40,010 --> 00:26:47,750
+الطبيعي ال pinhole بيسمح بتمرير الضوء okay لوين؟
+
+282
+00:26:47,750 --> 00:26:53,050
+لال pupil لأن الضوء بدخل عن طريق مين؟ البقبق okay
+
+283
+00:26:57,750 --> 00:27:03,830
+It is the improper أي بمعنى من الخطأ bending أي
+
+284
+00:27:03,830 --> 00:27:10,670
+انه ميلان او انحناء of the outermost rays انه
+
+285
+00:27:10,670 --> 00:27:15,670
+الأشعة الخارجة in that pencil of light which
+
+286
+00:27:15,670 --> 00:27:21,370
+causes refractive errors بمعنى الآن لو كان المريض
+
+287
+00:27:21,370 --> 00:27:27,150
+ميوبودخل الضوء divergent لل bin hole، إذا الضوء
+
+288
+00:27:27,150 --> 00:27:31,950
+هذا وين هيتجمع؟ خلف .. sorry in front of the
+
+289
+00:27:31,950 --> 00:27:36,310
+retina، صح؟ في حالة ال hypermetroid، هيتركز behind
+
+290
+00:27:36,310 --> 00:27:41,230
+the retina، الastigmatism okay، هيتركز كأنه إيه؟
+
+291
+00:27:41,230 --> 00:27:46,970
+عبارة عن lineبمعنى ان ال pinhole بعمل عملية تحسين
+
+292
+00:27:46,970 --> 00:27:51,910
+للرؤية في كل الحالات هدول، في حالة ال myop, ال
+
+293
+00:27:51,910 --> 00:27:56,550
+hypermetrop, ال astigmatism و ال presbyopia إذا
+
+294
+00:27:56,550 --> 00:28:00,850
+التلت حالات إيش بيعمللهم؟ improvement إذا الآن لو
+
+295
+00:28:00,850 --> 00:28:06,230
+اجال ال case حالة و كان مثلا عنده astigmatism هل
+
+296
+00:28:06,230 --> 00:28:09,830
+بستخدم معه ال pinhole ولا لأ؟ ممكن أستخدم معه
+
+297
+00:28:11,450 --> 00:28:15,570
+إيجاليك بيشان كان عنده مثلا ابلانه ع ماينوس تلاتة
+
+298
+00:28:15,570 --> 00:28:19,650
+اكسس تسعين، هل هذا المريض ممكن يستخدم معه ال
+
+299
+00:28:19,650 --> 00:28:24,290
+pinhole؟ نعم ممكن، ليش؟ لأن ال pinhole بعمل عملية
+
+300
+00:28:24,290 --> 00:28:28,110
+ال pinhole can bring، يعني ممكن أنه يجلب
+
+301
+00:28:28,110 --> 00:28:32,610
+improvement of the vision، يعني تحسين للرؤية، في
+
+302
+00:28:32,610 --> 00:28:36,930
+حالة مين؟ بيوب، hypermetrop, breast biop and
+
+303
+00:28:36,930 --> 00:28:41,430
+astigmatism، أي بمعنى كل الحالات الانكسارية للعين
+
+304
+00:28:41,530 --> 00:28:46,390
+Okay to
+
+305
+00:28:46,390 --> 00:28:50,530
+be noticeable أي بمعنى تكون ملاحظة يعني الحالات
+
+306
+00:28:50,530 --> 00:28:54,010
+هذه الإنكسارية ال myopia و ال hypermetropia و ال
+
+307
+00:28:54,010 --> 00:28:57,350
+breast myopia و ال astigmatism بتكون أيه؟ ملاحظة
+
+308
+00:28:57,350 --> 00:29:02,610
+من خلال ال pinhole pinhole can bring about a
+
+309
+00:29:02,610 --> 00:29:06,430
+clearer vision in all these conditions إذا بيعمل
+
+310
+00:29:06,430 --> 00:29:09,950
+عملية تحسين للرؤية في كل الحالات
+
+311
+00:29:14,950 --> 00:29:28,670
+by blocking these peripheral rays الديوكروم
+
+312
+00:29:28,670 --> 00:29:34,070
+تست يعتبر للسفير ال trial and error للسفير و
+
+313
+00:29:34,070 --> 00:29:39,170
+للسلندر ممكن minus ربع ازود للسلندر ايضا اجلل ال
+
+314
+00:29:39,170 --> 00:29:45,320
+minus ربع او ازود في السلندرلكن ال penhole also
+
+315
+00:29:45,320 --> 00:29:49,060
+for all the refractive errors لكل الأخطاء
+
+316
+00:29:49,060 --> 00:29:53,420
+الإنكسارية لأنه بيعمل المبدأ بتاعه بالظبط بتاع ال
+
+317
+00:29:53,420 --> 00:29:57,580
+penhole أنه عبارة عن aberration center aberration
+
+318
+00:29:57,580 --> 00:30:03,000
+of the lens فاتحة في منتصف العدسة بتسمح بتمرير
+
+319
+00:30:03,000 --> 00:30:08,780
+الضوء للعين إذا كان المريض ميوب الأشعة هتتركز
+
+320
+00:30:10,540 --> 00:30:15,180
+هيبرمتروب behind the retina ميوب on the retina ال
+
+321
+00:30:15,180 --> 00:30:20,920
+stigma هتتركز عبارة عن ايه؟ line okay الآن في حالة
+
+322
+00:30:20,920 --> 00:30:27,880
+يكون مثلا عندي مريض بدى استخدمله مدرامايد قطرة
+
+323
+00:30:27,880 --> 00:30:33,260
+قطرة ايش بتعمل المدرامايد؟ ديليت للبيوبل طيب هل
+
+324
+00:30:33,260 --> 00:30:36,100
+بنفع بعدها استخدم البنهول؟
+
+325
+00:30:42,850 --> 00:30:45,750
+لازم يكون البيوت برضه صغيرة، يعني أول حاجة معاهدة
+
+326
+00:30:45,750 --> 00:30:49,130
+عشان تقدر ترفن الأشياء، اما لو كانك بيت عارف تدخل
+
+327
+00:30:49,130 --> 00:30:56,190
+من منطقة أو منطقة، لأ مش عارف كده يعني بنفع
+
+328
+00:30:56,190 --> 00:30:59,370
+ولا بنفعاش أول؟ بس ال 6 دقيقة بس اللي هتتلقى
+
+329
+00:30:59,370 --> 00:31:03,610
+خلالها، يعني محتاج تنتصف، ماعندي بنفع يعني، ماشتغل
+
+330
+00:31:03,610 --> 00:31:04,070
+يعني، بقى و بقى
+
+331
+00:31:07,820 --> 00:31:14,660
+الان السؤال لو طفل قطرناله Cycloblegia او مثلا
+
+332
+00:31:14,660 --> 00:31:21,580
+بيشان اربعين سنة قطرناله Cyclobentilate okay يعني
+
+333
+00:31:21,580 --> 00:31:26,280
+عملنا عملية Medramide توصيع للبؤبه هل بعديها بعد
+
+334
+00:31:26,280 --> 00:31:29,820
+ال Medramide ممكن استخدم معه ال Benhol لتحسين
+
+335
+00:31:29,820 --> 00:31:30,780
+الرؤية او لا؟
+
+336
+00:31:36,340 --> 00:31:41,160
+فالبنهار بتقلل عده الأشعار ده فالسنة تتنفعش okay
+
+337
+00:31:41,160 --> 00:31:45,500
+another answer تفضلي لا مش هيفه لإن الأشعار بس
+
+338
+00:31:45,500 --> 00:31:49,520
+هتفوت في سنة تلت او تتنفع لا فلما هاللي بيستخدم ال
+
+339
+00:31:49,520 --> 00:31:53,880
+paint hall هو مصر هتفرق لو رجع البقبق تاني يعني
+
+340
+00:31:53,880 --> 00:32:00,080
+فهي محقق الموضوع okay answer
+
+341
+00:32:00,080 --> 00:32:05,280
+لأ طيب هو صح كلامكم أنه بعد ما نعمل ال ..
+
+342
+00:32:20,350 --> 00:32:23,190
+انه Cycloventilate يعني المريض بده ايه؟ قطر
+
+343
+00:32:23,190 --> 00:32:27,870
+التوسيع بعدها بعض الأحيان بقولك الدكتور اعمليله
+
+344
+00:32:27,870 --> 00:32:32,310
+Penhole وهذا خطأ لأنه الآن بعد ال .. ال Medramide
+
+345
+00:32:32,310 --> 00:32:36,590
+ايش بيصير؟ Dialate ل ال pupil فكمية الضوء اللي
+
+346
+00:32:36,590 --> 00:32:42,290
+بتكون داخلة للبقبق اشمالها كبيرة okay؟ الان صح ال
+
+347
+00:32:42,290 --> 00:32:42,950
+Penhole
+
+348
+00:32:51,970 --> 00:32:58,070
+يعني حزم ضوئية بيعمل إذا استخدمنا ال pinhole في
+
+349
+00:32:58,070 --> 00:33:02,130
+حالة المدرمايشو بيعمله striking لل vision يعني
+
+350
+00:33:02,130 --> 00:33:03,830
+بمعنى خلل بالرؤية
+
+351
+00:33:12,720 --> 00:33:16,880
+يعني مابتدخلش الأشعة من وين؟ من الأسرار، فعشان هيك
+
+352
+00:33:16,880 --> 00:33:22,260
+لا يمكن استخدام ال pen hole بعد ما بستخدم ال cycle
+
+353
+00:33:22,260 --> 00:33:24,920
+pentulate أو ال cycle Ebligia
+
+354
+00:33:39,310 --> 00:33:43,430
+and only lettering into the eye those rays which
+
+355
+00:33:43,430 --> 00:33:47,990
+pass through the central portion of the pupil, any
+
+356
+00:33:47,990 --> 00:33:51,530
+refractive error in the lens or cornea is not
+
+357
+00:33:51,530 --> 00:33:56,730
+noticed as much نفس فكرة ال mid ramite فكرة يما
+
+358
+00:33:56,730 --> 00:34:00,890
+يكون المريض عنده corneal scar او يكون عنده مثلا
+
+359
+00:34:00,890 --> 00:34:04,770
+immature cataract الآن ال immature cataract وين
+
+360
+00:34:04,770 --> 00:34:10,810
+هتكون؟ في منتصف العدسةالمياه البيضاء هتتركز في
+
+361
+00:34:10,810 --> 00:34:15,230
+منتصف العدسة فالان ال pin hole كل الضوء من وين
+
+362
+00:34:15,230 --> 00:34:20,350
+بدخل من المنتصف لما بستخدم ال pin hole هيمنع
+
+363
+00:34:20,350 --> 00:34:24,190
+التمرير وين الضوء فهتلاحظ ان ال patient
+
+364
+00:34:40,160 --> 00:34:47,800
+و نفس الفكرة استخدام ال mid ramide قطرة التوسيع
+
+365
+00:34:47,800 --> 00:34:52,060
+انه بيعمل ايه يعني زي كأنه border حاجز لتدخيل
+
+366
+00:34:52,060 --> 00:34:55,920
+الضوء فقط انه بدخل الضوء من المنتصف و ال
+
+367
+00:34:55,920 --> 00:34:59,880
+peripheral ايش بيعمله ignore يعني تجاهل لانه كأنه
+
+368
+00:34:59,880 --> 00:35:01,120
+border حاجز له
+
+369
+00:35:07,600 --> 00:35:11,500
+في بعض الناس حتى بيكون عندهم بقبق واسع ويمكن اللي
+
+370
+00:35:11,500 --> 00:35:14,760
+حطوه في ال written scope during the written scope
+
+371
+00:35:14,760 --> 00:35:18,920
+method but only the central portion فقط اللي هي
+
+372
+00:35:18,920 --> 00:35:24,380
+منطقة المنتصف is receiving light هو اللي هي stop
+
+373
+00:35:24,380 --> 00:35:30,370
+بالمين الضوءThe improvement in visual acuity can
+
+374
+00:35:30,370 --> 00:35:34,930
+be striking اذا التحسن في الرؤية البصرية ايش ممكن
+
+375
+00:35:34,930 --> 00:35:39,370
+انه striking اي تنضرب او انه يصير لها impaired
+
+376
+00:35:39,370 --> 00:35:44,810
+يعني اتقل في حال يما يكون ال pupil dilate يعني
+
+377
+00:35:44,810 --> 00:35:49,270
+ممكن هذه الحالة نضيفها انه من ال cases no improve
+
+378
+00:35:49,270 --> 00:35:49,950
+with بينهم
+
+379
+00:36:03,960 --> 00:36:08,560
+سينتر هيدخل الضوء بشكل كثيف okay فهيعمل ايه؟ no
+
+380
+00:36:08,560 --> 00:36:12,960
+improvement لل vision او هيعمل impaired لل vision
+
+381
+00:36:12,960 --> 00:36:16,880
+او striking انه لل visual acuity
+
+382
+00:36:20,940 --> 00:36:25,920
+So لذلك if the vision is improved لذلك إذا النظر
+
+383
+00:36:25,920 --> 00:36:30,580
+اتحسن when looking through the pinhole lens خلال
+
+384
+00:36:30,580 --> 00:36:35,620
+ما بننظر إلى عدسة ال pinhole that's mean the
+
+385
+00:36:35,620 --> 00:36:40,020
+prescription is not accurate بمعنى الآن احنا حطينا
+
+386
+00:36:44,310 --> 00:36:49,290
+بعد حطينا ال pinhole شعرنا ان النظر ايش ماله اتحسن
+
+387
+00:36:49,290 --> 00:36:53,970
+معناه الوصفة بتاعتك ايه مش صحيحة انه بدنا نضيف
+
+388
+00:36:53,970 --> 00:37:00,570
+كمان كpower اذا so لذلك if the vision اذا الرؤية
+
+389
+00:37:00,570 --> 00:37:07,010
+is improved اتحسنت when looking خلال ما ينظر خلال
+
+390
+00:37:07,010 --> 00:37:11,150
+عدسة ال pinhole that's mean معناه ان ال
+
+391
+00:37:11,150 --> 00:37:12,550
+prescription ان الوصفة
+
+392
+00:37:20,630 --> 00:37:26,090
+إذا العملية تأكيد ال power بكون هان إيش ماله ضروري
+
+393
+00:37:26,090 --> 00:37:31,670
+للمريض، okay؟ إذا بمعنى، الآن أنا كان عند المريض
+
+394
+00:37:31,670 --> 00:37:37,630
+في minus two، ديوبتر، حطينا العدسة لل right eye،
+
+395
+00:37:37,630 --> 00:37:40,870
+شعرنا لما حطينا ال pinhole في تحسن في الرؤية، شو
+
+396
+00:37:40,870 --> 00:37:45,360
+معناها؟إنه ب .. اه معناه إنه في improvement في ال
+
+397
+00:37:45,360 --> 00:37:49,360
+visual acuity يعني ال minus two is not enough for
+
+398
+00:37:49,360 --> 00:37:52,660
+the patient غير كافية أو ماعملتش ال correction
+
+399
+00:37:52,660 --> 00:37:59,040
+الكافة لمين للمريض okay النقطة الأخيرة إنه الآن
+
+400
+00:37:59,040 --> 00:38:05,200
+أنا مريض عنده minus two عنده minus two
+
+401
+00:38:05,200 --> 00:38:08,300
+dioptersphere okay
+
+402
+00:38:12,910 --> 00:38:18,770
+ضفنا ال minus 2 أمام العين بعدها لاحظنا في ال
+
+403
+00:38:18,770 --> 00:38:25,910
+minus 2 ال visual acuity كان 6 على 12 يما حطيت ال
+
+404
+00:38:25,910 --> 00:38:31,470
+pin hole صار فيه تحسن للمريض شو معناها؟ ان ال
+
+405
+00:38:31,470 --> 00:38:35,190
+minus 2 هذه أشمالها is not enough for the patient
+
+406
+00:38:35,190 --> 00:38:37,310
+يعني هذه in
+
+407
+00:38:46,180 --> 00:38:52,780
+لمن؟ for the patient نحنا
+
+408
+00:38:52,780 --> 00:38:56,540
+استخدمنا ال pinhole ال pinhole فوق ال minus two
+
+409
+00:38:56,540 --> 00:39:01,580
+لكن no improvement أو الحالة التانية أنه ماصارش
+
+410
+00:39:01,580 --> 00:39:06,640
+تحسن الحالة الأولى هان صار فيه تحسن okay إذا مدام
+
+411
+00:39:06,640 --> 00:39:10,500
+فيه تحسن إذا بدي أعمل إيش إضافة لل power بدي أجيب
+
+412
+00:39:10,500 --> 00:39:17,220
+مثلاأو minus two point five و هكذا طيب لو ماصارش
+
+413
+00:39:17,220 --> 00:39:20,680
+تحسن حطينا ال minus two و ماصارش تحسن في ال pin
+
+414
+00:39:20,680 --> 00:39:33,460
+hole شو معناها؟ ان الوصفة صحيحة مرة
+
+415
+00:39:33,460 --> 00:39:36,700
+تانية يعني حطينا ال .. عجبنا نعمل ال subject
+
+416
+00:39:50,730 --> 00:39:55,030
+لأن المريض بحب ال minus، يعني الآن مريض عنده minus
+
+417
+00:39:55,030 --> 00:39:59,930
+واحد و نص، لما هطلله minus اتنين، بكون الرؤية عنده
+
+418
+00:39:59,930 --> 00:40:03,530
+ايه؟ ممتازة، بقولك هذه هي العدسة اللي بدي إياها،
+
+419
+00:40:03,530 --> 00:40:08,110
+لكن مع الوقت إيش بتحدث له؟ تديه ال ice train، تديه
+
+420
+00:40:08,110 --> 00:40:08,730
+ال eye fatigue
+
+421
+00:40:12,380 --> 00:40:16,320
+يعني بيحب اللي عنده ميوب انه يزود في الميوب ال
+
+422
+00:40:16,320 --> 00:40:19,560
+hyper metrop دايما بيحب اقل يعني اذا مالبس plus
+
+423
+00:40:19,560 --> 00:40:23,700
+واحد بيحب يلبس plus zero point seven five او zero
+
+424
+00:40:23,700 --> 00:40:27,940
+point five فحسب المريض عشان هيك بدخل موضوع من ال
+
+425
+00:40:27,940 --> 00:40:32,220
+verification وافضل test من هذه بعد ما يصل ال
+
+426
+00:40:32,220 --> 00:40:35,280
+visual acuity ستة ع ستة ال diachrome test
+
+427
+00:40:40,820 --> 00:40:45,240
+لو ال green equal يعرف انه ايه انه الوصفة بتاعته
+
+428
+00:40:45,240 --> 00:40:54,960
+correct okay another answer another question طيب
+
+429
+00:40:54,960 --> 00:40:56,900
+خليني جف ل ال verification for
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..8ede245df188c07a3802a22c760faf0f415aacaf
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/jKoWhOTxEsY_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3584, "start": 21.02, "end": 35.84, "text": "بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و بركاته و أهلاً جميعاً لكم اليوم هنبدأ في موضوع الـ Subjective Verification for Refraction", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 4032, 5551, 3224, 15040, 14111, 10874, 2304, 40228, 995, 14111, 5296, 24793, 45595, 20498, 8032, 1863, 44510, 10721, 8978, 3714, 2407, 11242, 45367, 2423, 39184, 8511, 1020, 488, 4281, 3774, 337, 16957, 26766], "avg_logprob": -0.24643640769155403, "compression_ratio": 1.4193548387096775, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 21.02, "end": 21.5, "word": "بسم", "probability": 0.831787109375}, {"start": 21.5, "end": 21.68, "word": " الله", "probability": 0.9755859375}, {"start": 21.68, "end": 22.04, "word": " الرحمن", "probability": 0.9747721354166666}, {"start": 22.04, "end": 22.58, "word": " الرحيم", "probability": 0.9939778645833334}, {"start": 22.58, "end": 23.18, "word": " السلام", "probability": 0.7010498046875}, {"start": 23.18, "end": 23.7, "word": " عليكم", "probability": 0.951171875}, {"start": 23.7, "end": 23.94, "word": " و", "probability": 0.94921875}, {"start": 23.94, "end": 24.2, "word": " رحمة", "probability": 0.8292643229166666}, {"start": 24.2, "end": 24.38, "word": " الله", "probability": 0.982421875}, {"start": 24.38, "end": 24.58, "word": " و", "probability": 0.9716796875}, {"start": 24.58, "end": 25.26, "word": " بركاته", "probability": 0.883056640625}, {"start": 25.26, "end": 26.08, "word": " و", "probability": 0.66162109375}, {"start": 26.08, "end": 27.66, "word": " أهلاً", "probability": 0.606414794921875}, {"start": 27.66, "end": 27.66, "word": " جميعاً", "probability": 0.619970703125}, {"start": 27.66, "end": 28.5, "word": " لكم", "probability": 0.695068359375}, {"start": 28.5, "end": 30.94, "word": " اليوم", "probability": 0.934814453125}, {"start": 30.94, "end": 31.56, "word": " هنبدأ", "probability": 0.8251953125}, {"start": 31.56, "end": 31.76, "word": " في", "probability": 0.8955078125}, {"start": 31.76, "end": 32.48, "word": " موضوع", "probability": 0.9482421875}, {"start": 32.48, "end": 33.08, "word": " الـ", "probability": 0.534423828125}, {"start": 33.08, "end": 33.98, "word": " Subjective", "probability": 0.7718098958333334}, {"start": 33.98, "end": 34.74, "word": " Verification", "probability": 0.836181640625}, {"start": 34.74, "end": 35.22, "word": " for", "probability": 0.84716796875}, {"start": 35.22, "end": 35.84, "word": " Refraction", "probability": 0.916259765625}], "temperature": 1.0}, {"id": 2, "seek": 5492, "start": 36.82, "end": 54.92, "text": "طبعا اتكلمنا من ناحية عملية، اليوم هنبدأ لو من ناحية الترجمة ك Diachrome test Verification for spherical power تأكيد للقوة الكروية الاسفير okay", "tokens": [9566, 3555, 3615, 995, 1975, 2655, 4117, 19528, 8315, 9154, 8717, 39319, 10632, 6225, 42213, 10632, 12399, 45595, 20498, 8032, 1863, 44510, 10721, 45164, 9154, 8717, 39319, 10632, 16712, 47341, 46007, 9122, 8789, 608, 11505, 1500, 4281, 3774, 337, 37300, 1347, 6055, 10721, 4117, 25708, 24976, 4587, 2407, 3660, 33251, 32887, 10632, 2423, 32277, 5172, 13546, 1392], "avg_logprob": -0.17268318991208897, "compression_ratio": 1.3374233128834356, "no_speech_prob": 0.0, "words": [{"start": 36.82, "end": 37.24, "word": "طبعا", "probability": 0.9893798828125}, {"start": 37.24, "end": 38.56, "word": " اتكلمنا", "probability": 0.96201171875}, {"start": 38.56, "end": 39.64, "word": " من", "probability": 0.99267578125}, {"start": 39.64, "end": 39.98, "word": " ناحية", "probability": 0.9853515625}, {"start": 39.98, "end": 41.34, "word": " عملية،", "probability": 0.81500244140625}, {"start": 41.34, "end": 41.7, "word": " اليوم", "probability": 0.9794921875}, {"start": 41.7, "end": 42.3, "word": " هنبدأ", "probability": 0.9461669921875}, {"start": 42.3, "end": 42.62, "word": " لو", 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الإنكسار في الضوء الأحمر لأن ال wavelength العلاقة بينهم إيه عكسية طبعا وهي بتعتمد على مبدأ ال chromatic aberration الذيوغ اللوني", "tokens": [8429, 23032, 1829, 3555, 22807, 5296, 33456, 20449, 10943, 1211, 33688, 1863, 4117, 3794, 9640, 8978, 6024, 114, 2407, 38207, 16247, 11622, 2288, 4587, 39896, 30544, 5551, 4117, 2655, 2288, 9154, 3714, 9957, 9154, 20449, 10943, 1211, 33688, 1863, 4117, 3794, 9640, 8978, 6024, 114, 2407, 38207, 16247, 5016, 29973, 5296, 33456, 2423, 22907, 18863, 15040, 28671, 49374, 16095, 11933, 1829, 3224, 6225, 4117, 3794, 10632, 23032, 3555, 3615, 995, 37037, 1829, 39894, 34268, 2304, 3215, 15844, 3714, 44510, 10721, 2423, 16209, 2399, 4340, 2405, 32545, 1829, 2407, 17082, 13672, 11536, 1829], "avg_logprob": -0.18313171914828721, "compression_ratio": 1.6372549019607843, "no_speech_prob": 1.7881393432617188e-06, "words": [{"start": 279.21000000000004, "end": 280.29, "word": "Why", "probability": 0.030487060546875}, {"start": 280.29, "end": 281.37, "word": " 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{"start": 496.77, "end": 497.31, "word": " اذا", "probability": 0.750732421875}, {"start": 497.31, "end": 497.95, "word": " اختبار", "probability": 0.9736328125}, {"start": 497.95, "end": 498.75, "word": " اللون", "probability": 0.98486328125}, {"start": 498.75, "end": 499.65, "word": " الأحمر", "probability": 0.9755859375}], "temperature": 1.0}, {"id": 19, "seek": 52199, "start": 503.55, "end": 521.99, "text": "وكان هذا المريض عنده قصر نظر and insufficiently corrected اي بمعنى ال correction اللي انا مديله يا غير كافي insufficiently بمعنى غير كافي okay then the letters on the right side will stand out", "tokens": [2407, 41361, 23758, 9673, 16572, 11242, 43242, 3224, 12174, 9381, 2288, 8717, 19913, 2288, 293, 41709, 356, 31687, 1975, 1829, 4724, 2304, 3615, 1863, 7578, 2423, 19984, 13672, 1829, 1975, 8315, 3714, 16254, 43761, 35186, 32771, 13546, 9122, 31845, 1829, 41709, 356, 4724, 2304, 3615, 1863, 7578, 32771, 13546, 9122, 31845, 1829, 1392, 550, 264, 7825, 322, 264, 558, 1252, 486, 1463, 484], "avg_logprob": -0.30224608490243554, "compression_ratio": 1.494186046511628, "no_speech_prob": 1.8596649169921875e-05, "words": [{"start": 503.54999999999995, "end": 504.59, "word": "وكان", "probability": 0.402099609375}, {"start": 504.59, "end": 504.95, "word": " هذا", "probability": 0.5556640625}, {"start": 504.95, "end": 505.53, "word": " المريض", "probability": 0.9886067708333334}, {"start": 505.53, "end": 506.23, "word": " عنده", "probability": 0.923828125}, {"start": 506.23, "end": 506.57, "word": " قصر", "probability": 0.9842122395833334}, {"start": 506.57, "end": 507.41, "word": " نظر", "probability": 0.9913736979166666}, {"start": 507.41, "end": 507.97, "word": " and", "probability": 0.07440185546875}, {"start": 507.97, "end": 509.13, "word": " insufficiently", "probability": 0.913330078125}, {"start": 509.13, "end": 509.81, "word": " corrected", "probability": 0.96826171875}, {"start": 509.81, "end": 510.25, "word": " اي", "probability": 0.489959716796875}, {"start": 510.25, "end": 510.85, "word": " بمعنى", "probability": 0.96162109375}, {"start": 510.85, "end": 511.45, "word": " ال", "probability": 0.4775390625}, {"start": 511.45, "end": 511.95, "word": " correction", "probability": 0.8828125}, {"start": 511.95, "end": 512.43, "word": " اللي", "probability": 0.784423828125}, {"start": 512.43, "end": 512.65, "word": " انا", "probability": 0.78955078125}, {"start": 512.65, "end": 513.07, "word": " مديله", "probability": 0.7793782552083334}, {"start": 513.07, "end": 513.29, "word": " يا", "probability": 0.144775390625}, {"start": 513.29, "end": 513.61, "word": " غير", "probability": 0.941162109375}, {"start": 513.61, "end": 514.13, "word": " كافي", "probability": 0.9560546875}, {"start": 514.13, "end": 515.05, "word": " insufficiently", "probability": 0.5618896484375}, {"start": 515.05, "end": 515.45, "word": " بمعنى", "probability": 0.97783203125}, {"start": 515.45, "end": 515.71, "word": " غير", "probability": 0.994873046875}, {"start": 515.71, "end": 516.47, "word": " كافي", "probability": 0.9918619791666666}, {"start": 516.47, "end": 517.03, "word": " okay", "probability": 0.49755859375}, {"start": 517.03, "end": 517.99, "word": " then", "probability": 0.78515625}, {"start": 517.99, "end": 518.49, "word": " the", "probability": 0.8310546875}, {"start": 518.49, "end": 518.97, "word": " letters", "probability": 0.8330078125}, {"start": 518.97, "end": 519.53, "word": " on", "probability": 0.94287109375}, {"start": 519.53, "end": 519.69, "word": " the", "probability": 0.8984375}, {"start": 519.69, "end": 519.85, "word": " right", "probability": 0.51171875}, {"start": 519.85, "end": 520.27, "word": " side", "probability": 0.80712890625}, {"start": 520.27, "end": 520.89, "word": " will", "probability": 0.88671875}, {"start": 520.89, "end": 521.41, "word": " stand", "probability": 0.86474609375}, {"start": 521.41, "end": 521.99, "word": " out", "probability": 0.892578125}], "temperature": 1.0}, {"id": 20, "seek": 55394, "start": 540.98, "end": 553.94, "text": "أنا أعتقد أن شاربر بيكون حاد يعني هيكون واضح بشكل ايش كبير ان ال red color compared to the green color هذا في حالة من؟ الميوب", "tokens": [10721, 8315, 5551, 34268, 28543, 14739, 13412, 9640, 26890, 4724, 1829, 30544, 11331, 18513, 37495, 22653, 39896, 30544, 4032, 46958, 5016, 4724, 8592, 28820, 1975, 1829, 8592, 9122, 3555, 13546, 16472, 2423, 2182, 2017, 5347, 281, 264, 3092, 2017, 23758, 8978, 11331, 6027, 3660, 9154, 22807, 9673, 1829, 37746], "avg_logprob": -0.3809374862909317, "compression_ratio": 1.3287671232876712, "no_speech_prob": 2.9206275939941406e-06, "words": [{"start": 540.98, "end": 540.98, "word": "أنا", "probability": 0.2142333984375}, {"start": 540.98, "end": 541.24, "word": " أعتقد", "probability": 0.5418701171875}, {"start": 541.24, "end": 541.48, "word": " أن", "probability": 0.54296875}, {"start": 541.48, "end": 541.98, "word": " شاربر", "probability": 0.5025227864583334}, {"start": 541.98, "end": 542.46, "word": " بيكون", "probability": 0.7831217447916666}, {"start": 542.46, "end": 542.96, "word": " حاد", "probability": 0.91162109375}, {"start": 542.96, "end": 544.4, "word": " يعني", "probability": 0.746337890625}, {"start": 544.4, "end": 544.86, "word": " هيكون", "probability": 0.869384765625}, {"start": 544.86, "end": 545.26, "word": " واضح", "probability": 0.9368489583333334}, {"start": 545.26, "end": 545.8, "word": " بشكل", "probability": 0.9899088541666666}, {"start": 545.8, "end": 546.18, "word": " ايش", "probability": 0.6603190104166666}, {"start": 546.18, "end": 546.76, "word": " كبير", "probability": 0.9851888020833334}, {"start": 546.76, "end": 547.34, "word": " ان", "probability": 0.51025390625}, {"start": 547.34, "end": 547.46, "word": " ال", "probability": 0.6123046875}, {"start": 547.46, "end": 547.64, "word": " red", "probability": 0.568359375}, {"start": 547.64, "end": 548.04, "word": " color", "probability": 0.904296875}, {"start": 548.04, "end": 548.62, "word": " compared", "probability": 0.75390625}, {"start": 548.62, "end": 549.04, "word": " to", "probability": 0.9755859375}, {"start": 549.04, "end": 549.48, "word": " the", "probability": 0.86767578125}, {"start": 549.48, "end": 550.06, "word": " green", "probability": 0.92529296875}, {"start": 550.06, "end": 551.0, "word": " color", "probability": 0.919921875}, {"start": 551.0, "end": 551.72, "word": " هذا", "probability": 0.217041015625}, {"start": 551.72, "end": 551.84, "word": " في", "probability": 0.9501953125}, {"start": 551.84, "end": 552.22, "word": " حالة", "probability": 0.9967447916666666}, {"start": 552.22, "end": 553.4, "word": " من؟", "probability": 0.5625}, {"start": 553.4, "end": 553.94, "word": " الميوب", "probability": 0.7814127604166666}], "temperature": 1.0}, {"id": 21, "seek": 58149, "start": 557.13, "end": 581.49, "text": "They will require more minus power for the green to be as distinct as the red عشان هيك بنطلب إضافة minus power عشان نصل لحدية A ان التساوي ما بين ال red و ما بين ال green color يعني الآن لو اجانا مريض ميوب هيشوف ال red ولا ال green أوضح؟", "tokens": [51, 17230, 486, 3651, 544, 3175, 1347, 337, 264, 3092, 281, 312, 382, 10644, 382, 264, 2182, 6225, 8592, 7649, 39896, 4117, 44945, 9566, 46152, 11933, 11242, 31845, 3660, 3175, 1347, 6225, 8592, 7649, 8717, 36520, 5296, 24401, 10632, 316, 16472, 16712, 3794, 995, 45865, 19446, 49374, 2423, 2182, 4032, 19446, 49374, 2423, 3092, 2017, 37495, 22653, 6024, 48506, 45164, 1975, 7435, 7649, 995, 3714, 16572, 11242, 3714, 1829, 37746, 39896, 8592, 38688, 2423, 2182, 49429, 2423, 3092, 34051, 11242, 5016, 22807], "avg_logprob": -0.22458584265536571, "compression_ratio": 1.5566037735849056, "no_speech_prob": 0.0, "words": [{"start": 557.13, "end": 557.43, "word": "They", "probability": 0.5067596435546875}, {"start": 557.43, "end": 557.73, "word": " will", "probability": 0.8916015625}, {"start": 557.73, "end": 558.35, "word": " require", "probability": 0.91748046875}, {"start": 558.35, "end": 558.71, "word": " more", "probability": 0.943359375}, {"start": 558.71, "end": 559.05, "word": " minus", "probability": 0.869140625}, {"start": 559.05, "end": 559.45, "word": " power", "probability": 0.91259765625}, {"start": 559.45, "end": 559.95, "word": " for", "probability": 0.91064453125}, {"start": 559.95, "end": 560.17, "word": " the", "probability": 0.90087890625}, {"start": 560.17, "end": 560.43, "word": " green", "probability": 0.8837890625}, {"start": 560.43, "end": 560.69, "word": " to", "probability": 0.9638671875}, {"start": 560.69, "end": 560.95, "word": " be", "probability": 0.92919921875}, {"start": 560.95, "end": 561.41, "word": " as", "probability": 0.8974609375}, {"start": 561.41, "end": 562.57, "word": " distinct", "probability": 0.66259765625}, {"start": 562.57, "end": 563.05, "word": " as", "probability": 0.93115234375}, {"start": 563.05, "end": 563.21, "word": " the", "probability": 0.90576171875}, {"start": 563.21, "end": 563.43, "word": " red", "probability": 0.9345703125}, {"start": 563.43, "end": 564.27, "word": " عشان", "probability": 0.8265787760416666}, {"start": 564.27, "end": 564.51, "word": " هيك", "probability": 0.92041015625}, {"start": 564.51, "end": 565.09, "word": " بنطلب", "probability": 0.794921875}, {"start": 565.09, "end": 566.27, "word": " إضافة", "probability": 0.9447021484375}, {"start": 566.27, "end": 566.71, "word": " minus", "probability": 0.97705078125}, {"start": 566.71, "end": 567.15, "word": " power", "probability": 0.9345703125}, {"start": 567.15, "end": 567.87, "word": " عشان", "probability": 0.9798177083333334}, {"start": 567.87, "end": 568.27, "word": " نصل", "probability": 0.985107421875}, {"start": 568.27, "end": 568.85, "word": " لحدية", "probability": 0.7755533854166666}, {"start": 568.85, "end": 569.13, "word": " A", "probability": 0.44091796875}, {"start": 569.13, "end": 569.67, "word": " ان", "probability": 0.274658203125}, {"start": 569.67, "end": 570.27, "word": " التساوي", "probability": 0.8992919921875}, {"start": 570.27, "end": 570.45, "word": " ما", "probability": 0.9296875}, {"start": 570.45, "end": 570.69, "word": " بين", "probability": 0.99169921875}, {"start": 570.69, "end": 570.83, "word": " ال", "probability": 0.92529296875}, {"start": 570.83, "end": 571.05, "word": " red", "probability": 0.7626953125}, {"start": 571.05, "end": 571.31, "word": " و", "probability": 0.97412109375}, {"start": 571.31, "end": 571.43, "word": " ما", "probability": 0.57763671875}, {"start": 571.43, "end": 571.67, "word": " بين", "probability": 0.99072265625}, {"start": 571.67, "end": 571.79, "word": " ال", "probability": 0.9228515625}, {"start": 571.79, "end": 572.13, "word": " green", "probability": 0.96337890625}, {"start": 572.13, "end": 572.71, "word": " color", "probability": 0.78173828125}, {"start": 572.71, "end": 576.33, "word": " يعني", "probability": 0.923095703125}, {"start": 576.33, "end": 576.69, "word": " الآن", "probability": 0.7236328125}, {"start": 576.69, "end": 577.19, "word": " لو", "probability": 0.9482421875}, {"start": 577.19, "end": 577.61, "word": " اجانا", "probability": 0.6898193359375}, {"start": 577.61, "end": 578.05, "word": " مريض", "probability": 0.9943033854166666}, {"start": 578.05, "end": 578.69, "word": " ميوب", "probability": 0.7223307291666666}, {"start": 578.69, "end": 579.75, "word": " هيشوف", "probability": 0.7560221354166666}, {"start": 579.75, "end": 579.91, "word": " ال", "probability": 0.97900390625}, {"start": 579.91, "end": 580.11, "word": " red", "probability": 0.9306640625}, {"start": 580.11, "end": 580.29, "word": " ولا", "probability": 0.57421875}, {"start": 580.29, "end": 580.45, "word": " ال", "probability": 0.8935546875}, {"start": 580.45, "end": 580.67, "word": " green", "probability": 0.96337890625}, {"start": 580.67, "end": 581.49, "word": " أوضح؟", "probability": 0.8504638671875}], "temperature": 1.0}, {"id": 22, "seek": 60637, "start": 583.43, "end": 606.37, "text": "ببدأ انه ازود بال minus لحد ما يصير ال red و ال green ايش معله equally متساويين هاي السؤال هتفضلي اه اللونان بتركزوا على الشبكية يعني زي لأ هيصيروا زي ال emetrap كيف هيصير", "tokens": [3555, 44510, 10721, 16472, 3224, 1975, 11622, 23328, 20666, 3175, 5296, 24401, 19446, 7251, 9381, 13546, 2423, 2182, 4032, 2423, 3092, 1975, 1829, 8592, 20449, 43761, 12309, 44650, 3794, 995, 45865, 9957, 8032, 47302, 21136, 33604, 6027, 8032, 2655, 5172, 11242, 20292, 1975, 3224, 13672, 11536, 7649, 39894, 31747, 11622, 14407, 15844, 25124, 3555, 4117, 10632, 37495, 22653, 30767, 1829, 5296, 10721, 8032, 1829, 9381, 13546, 14407, 30767, 1829, 2423, 846, 302, 4007, 9122, 33911, 8032, 1829, 9381, 13546], "avg_logprob": -0.34121093712747097, "compression_ratio": 1.540983606557377, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 583.43, "end": 583.77, "word": "ببدأ", "probability": 0.5031331380208334}, {"start": 583.77, "end": 584.09, "word": " انه", "probability": 0.3330078125}, {"start": 584.09, "end": 584.55, "word": " ازود", "probability": 0.9075520833333334}, {"start": 584.55, "end": 584.77, "word": " بال", "probability": 0.98095703125}, {"start": 584.77, "end": 585.29, "word": " minus", "probability": 0.47412109375}, {"start": 585.29, "end": 586.03, "word": " لحد", "probability": 0.953125}, {"start": 586.03, "end": 586.13, "word": " ما", "probability": 0.99072265625}, {"start": 586.13, "end": 586.49, "word": " يصير", "probability": 0.9851888020833334}, {"start": 586.49, "end": 586.61, "word": " ال", "probability": 0.91259765625}, {"start": 586.61, "end": 586.79, "word": " red", "probability": 0.72998046875}, {"start": 586.79, "end": 586.93, "word": " و", "probability": 0.671875}, {"start": 586.93, "end": 586.99, "word": " ال", "probability": 0.71923828125}, {"start": 586.99, "end": 587.25, "word": " green", "probability": 0.9697265625}, {"start": 587.25, "end": 587.53, "word": " ايش", "probability": 0.8453776041666666}, {"start": 587.53, "end": 587.89, "word": " معله", "probability": 0.690185546875}, {"start": 587.89, "end": 588.67, "word": " equally", "probability": 0.31787109375}, {"start": 588.67, "end": 589.61, "word": " متساويين", "probability": 0.81826171875}, {"start": 589.61, "end": 590.49, "word": " هاي", "probability": 0.4918212890625}, {"start": 590.49, "end": 591.13, "word": " السؤال", "probability": 0.98974609375}, {"start": 591.13, "end": 591.89, "word": " هتفضلي", "probability": 0.793408203125}, {"start": 591.89, "end": 598.73, "word": " اه", "probability": 0.5556640625}, {"start": 598.73, "end": 599.23, "word": " اللونان", "probability": 0.7981770833333334}, {"start": 599.23, "end": 599.81, "word": " بتركزوا", "probability": 0.9033203125}, {"start": 599.81, "end": 599.95, "word": " على", "probability": 0.701171875}, {"start": 599.95, "end": 600.61, "word": " الشبكية", "probability": 0.9833984375}, {"start": 600.61, "end": 601.03, "word": " يعني", "probability": 0.783935546875}, {"start": 601.03, "end": 601.37, "word": " زي", "probability": 0.96826171875}, {"start": 601.37, "end": 602.37, "word": " لأ", "probability": 0.7110595703125}, {"start": 602.37, "end": 602.99, "word": " هيصيروا", "probability": 0.83466796875}, {"start": 602.99, "end": 603.25, "word": " زي", "probability": 0.990234375}, {"start": 603.25, "end": 603.39, "word": " ال", "probability": 0.974609375}, {"start": 603.39, "end": 604.35, "word": " emetrap", "probability": 0.2793782552083333}, {"start": 604.35, "end": 605.83, "word": " كيف", "probability": 0.559326171875}, {"start": 605.83, "end": 606.37, "word": " هيصير", "probability": 0.82489013671875}], "temperature": 1.0}, {"id": 23, "seek": 63194, "start": 611.36, "end": 631.94, "text": "الريتينال سيتركز خلف الريتينال، وإذا كان هناك يلو سيتركز على الريتينال. حسنا؟ هنا لدينا الـ long trigonal أي بمعنى طولي اكزيال اكروماتيك ابراشن. هناك نوع من أنواع الزيوغ اللوني بيسمى long trigonal او اكزيال اكروماتيك ابراشن بمعنى طولي.", "tokens": [6027, 16572, 2655, 9957, 6027, 8608, 36081, 31747, 11622, 16490, 46538, 2423, 16572, 2655, 9957, 6027, 12399, 4032, 28814, 15730, 25961, 34105, 4117, 7251, 1211, 2407, 8608, 36081, 31747, 11622, 15844, 2423, 16572, 2655, 9957, 6027, 13, 11331, 3794, 8315, 22807, 34105, 5296, 16254, 8315, 2423, 39184, 938, 35386, 21523, 36632, 4724, 2304, 3615, 1863, 7578, 23032, 12610, 1829, 1975, 4117, 11622, 1829, 6027, 1975, 37983, 20498, 9307, 1829, 4117, 1975, 26890, 33599, 1863, 13, 34105, 4117, 8717, 45367, 9154, 14739, 14407, 3615, 6024, 110, 1829, 2407, 17082, 13672, 11536, 1829, 4724, 1829, 38251, 7578, 938, 35386, 21523, 1975, 2407, 1975, 4117, 11622, 1829, 6027, 1975, 37983, 20498, 9307, 1829, 4117, 1975, 26890, 33599, 1863, 4724, 2304, 3615, 1863, 7578, 23032, 12610, 1829, 13], "avg_logprob": -0.34650000953674315, "compression_ratio": 2.03, "no_speech_prob": 2.2649765014648438e-06, "words": [{"start": 611.36, "end": 611.72, "word": "الريتينال", "probability": 0.40704345703125}, {"start": 611.72, "end": 612.52, "word": " سيتركز", "probability": 0.79296875}, {"start": 612.52, "end": 613.0, "word": " 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"probability": 0.8147786458333334}, {"start": 624.58, "end": 625.16, "word": " الزيوغ", "probability": 0.852880859375}, {"start": 625.16, "end": 625.76, "word": " اللوني", "probability": 0.92626953125}, {"start": 625.76, "end": 626.9, "word": " بيسمى", "probability": 0.81048583984375}, {"start": 626.9, "end": 627.26, "word": " long", "probability": 0.873046875}, {"start": 627.26, "end": 627.8, "word": " trigonal", "probability": 0.876220703125}, {"start": 627.8, "end": 628.16, "word": " او", "probability": 0.8193359375}, {"start": 628.16, "end": 628.88, "word": " اكزيال", "probability": 0.9564453125}, {"start": 628.88, "end": 629.8, "word": " اكروماتيك", "probability": 0.9815266927083334}, {"start": 629.8, "end": 630.48, "word": " ابراشن", "probability": 0.91015625}, {"start": 630.48, "end": 631.52, "word": " بمعنى", "probability": 0.9701171875}, {"start": 631.52, "end": 631.94, "word": " طولي.", "probability": 0.9860026041666666}], "temperature": 1.0}, {"id": 24, "seek": 68225, "start": 653.21, "end": 682.25, "text": "إذا ال blue one هيتركز in front of the retina و ال red one هيتركز behind the retina in the emetropic eye on the other hand من ناحية أخرى if the same mayor is over corrected and made over corrected or artificially hyper metropic يعني بمعنى طول نظر كاذب", "tokens": [28814, 15730, 2423, 3344, 472, 8032, 36081, 31747, 11622, 294, 1868, 295, 264, 1533, 1426, 4032, 2423, 2182, 472, 8032, 36081, 31747, 11622, 2261, 264, 1533, 1426, 294, 264, 846, 302, 39173, 3313, 322, 264, 661, 1011, 9154, 8717, 39319, 10632, 5551, 34740, 7578, 498, 264, 912, 10120, 307, 670, 31687, 293, 1027, 670, 31687, 420, 39905, 2270, 9848, 1131, 39173, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 23032, 12610, 8717, 19913, 2288, 9122, 45636, 3555], "avg_logprob": -0.24350649118423462, "compression_ratio": 1.505, "no_speech_prob": 0.0, "words": [{"start": 653.21, "end": 653.43, "word": "إذا", "probability": 0.721923828125}, {"start": 653.43, "end": 653.61, "word": " ال", "probability": 0.85107421875}, {"start": 653.61, "end": 653.77, "word": " blue", "probability": 0.6650390625}, {"start": 653.77, "end": 653.97, "word": " one", "probability": 0.54443359375}, {"start": 653.97, "end": 654.75, "word": " هيتركز", "probability": 0.8470458984375}, {"start": 654.75, "end": 655.89, "word": " in", "probability": 0.3330078125}, {"start": 655.89, "end": 656.15, "word": " front", "probability": 0.93994140625}, {"start": 656.15, "end": 656.31, "word": " of", "probability": 0.728515625}, {"start": 656.31, "end": 656.37, "word": " the", "probability": 0.57421875}, {"start": 656.37, "end": 656.71, "word": " retina", "probability": 0.9873046875}, {"start": 656.71, "end": 657.09, "word": " و", "probability": 0.55712890625}, {"start": 657.09, "end": 657.17, "word": " ال", "probability": 0.86376953125}, {"start": 657.17, "end": 657.31, "word": " red", "probability": 0.9228515625}, {"start": 657.31, "end": 657.47, "word": " one", "probability": 0.93994140625}, {"start": 657.47, "end": 658.25, "word": " هيتركز", "probability": 0.966796875}, {"start": 658.25, "end": 658.87, "word": " behind", "probability": 0.93505859375}, {"start": 658.87, "end": 659.09, "word": " the", "probability": 0.87353515625}, {"start": 659.09, "end": 659.43, "word": " retina", "probability": 0.98291015625}, {"start": 659.43, "end": 659.95, "word": " in", "probability": 0.6474609375}, {"start": 659.95, "end": 660.01, "word": " the", "probability": 0.272216796875}, {"start": 660.01, "end": 660.55, "word": " emetropic", "probability": 0.5563151041666666}, {"start": 660.55, "end": 661.75, "word": " eye", "probability": 0.8203125}, {"start": 661.75, "end": 662.21, "word": " on", "probability": 0.19921875}, {"start": 662.21, "end": 667.55, "word": " the", "probability": 0.93310546875}, {"start": 667.55, "end": 667.83, "word": " other", "probability": 0.8896484375}, {"start": 667.83, "end": 668.31, "word": " hand", "probability": 0.931640625}, {"start": 668.31, "end": 668.83, "word": " من", "probability": 0.7431640625}, {"start": 668.83, "end": 669.21, "word": " ناحية", "probability": 0.97509765625}, {"start": 669.21, "end": 669.89, "word": " أخرى", "probability": 0.9698893229166666}, {"start": 669.89, "end": 671.67, "word": " if", "probability": 0.6845703125}, {"start": 671.67, "end": 671.89, "word": " the", "probability": 0.92822265625}, {"start": 671.89, "end": 672.25, "word": " same", "probability": 0.9169921875}, {"start": 672.25, "end": 672.61, "word": " mayor", "probability": 0.337158203125}, {"start": 672.61, "end": 673.23, "word": " is", "probability": 0.94287109375}, {"start": 673.23, "end": 673.61, "word": " over", "probability": 0.91796875}, {"start": 673.61, "end": 674.21, "word": " corrected", "probability": 0.84423828125}, {"start": 674.21, "end": 675.05, "word": " and", "probability": 0.88623046875}, {"start": 675.05, "end": 675.71, "word": " made", "probability": 0.8955078125}, {"start": 675.71, "end": 676.31, "word": " over", "probability": 0.92626953125}, {"start": 676.31, "end": 676.89, "word": " corrected", "probability": 0.89990234375}, {"start": 676.89, "end": 677.97, "word": " or", "probability": 0.845703125}, {"start": 677.97, "end": 678.95, "word": " artificially", "probability": 0.944091796875}, {"start": 678.95, "end": 679.37, "word": " hyper", "probability": 0.84765625}, {"start": 679.37, "end": 679.87, "word": " metropic", "probability": 0.29180908203125}, {"start": 679.87, "end": 680.37, "word": " يعني", "probability": 0.860595703125}, {"start": 680.37, "end": 680.85, "word": " بمعنى", "probability": 0.987890625}, {"start": 680.85, "end": 681.13, "word": " طول", "probability": 0.984619140625}, {"start": 681.13, "end": 681.57, "word": " نظر", "probability": 0.9864908854166666}, {"start": 681.57, "end": 682.25, "word": " كاذب", "probability": 0.9583333333333334}], "temperature": 1.0}, {"id": 25, "seek": 70734, "start": 682.86, "end": 707.34, "text": "Okay then the letter against the green background appear blacker, clearer and sharper من ناحية أخرى لو الآن أنا مثلا صلحت patient ميوب و اديته under correction يعني بمعنى هو كان عنده minus two point five اديته minus two، هيشوف ال red أوضح ولا ال green؟", "tokens": [8297, 550, 264, 5063, 1970, 264, 3092, 3678, 4204, 2211, 260, 11, 26131, 293, 44670, 9154, 8717, 39319, 10632, 5551, 34740, 7578, 45164, 6024, 48506, 41850, 50113, 15040, 20328, 1211, 33753, 4537, 3714, 1829, 37746, 4032, 1975, 16254, 47395, 833, 19984, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 31439, 25961, 43242, 3224, 3175, 732, 935, 1732, 1975, 16254, 47395, 3175, 732, 12399, 39896, 8592, 38688, 2423, 2182, 34051, 11242, 5016, 49429, 2423, 3092, 22807], "avg_logprob": -0.1985416595141093, "compression_ratio": 1.3966244725738397, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 682.86, "end": 683.28, "word": "Okay", "probability": 0.72509765625}, {"start": 683.28, "end": 684.56, "word": " then", "probability": 0.5576171875}, {"start": 684.56, "end": 685.14, "word": " the", "probability": 0.88916015625}, {"start": 685.14, "end": 685.46, "word": " letter", "probability": 0.60498046875}, {"start": 685.46, "end": 686.36, "word": " against", "probability": 0.95751953125}, {"start": 686.36, "end": 686.82, "word": " the", "probability": 0.927734375}, {"start": 686.82, "end": 687.12, "word": " green", "probability": 0.9375}, {"start": 687.12, "end": 687.8, "word": " background", "probability": 0.95166015625}, {"start": 687.8, "end": 688.52, "word": " appear", "probability": 0.48974609375}, {"start": 688.52, "end": 689.58, "word": " blacker,", "probability": 0.832763671875}, {"start": 689.82, "end": 690.2, "word": " clearer", "probability": 0.70263671875}, {"start": 690.2, "end": 690.92, "word": " and", "probability": 0.75634765625}, {"start": 690.92, "end": 691.48, "word": " sharper", "probability": 0.9462890625}, {"start": 691.48, "end": 692.26, "word": " من", "probability": 0.8056640625}, {"start": 692.26, "end": 692.64, "word": " ناحية", "probability": 0.97705078125}, {"start": 692.64, "end": 693.3, "word": " أخرى", "probability": 0.9580078125}, {"start": 693.3, "end": 693.8, "word": " لو", "probability": 0.64306640625}, {"start": 693.8, "end": 694.16, "word": " الآن", "probability": 0.7034912109375}, {"start": 694.16, "end": 694.44, "word": " أنا", "probability": 0.77001953125}, {"start": 694.44, "end": 694.8, "word": " مثلا", "probability": 0.991943359375}, {"start": 694.8, "end": 695.66, "word": " صلحت", "probability": 0.9488932291666666}, {"start": 695.66, "end": 696.42, "word": " patient", "probability": 0.53564453125}, {"start": 696.42, "end": 697.46, "word": " ميوب", "probability": 0.7431640625}, {"start": 697.46, "end": 698.86, "word": " و", "probability": 0.8125}, {"start": 698.86, "end": 699.2, "word": " اديته", "probability": 0.62890625}, {"start": 699.2, "end": 699.48, "word": " under", "probability": 0.8974609375}, {"start": 699.48, "end": 700.06, "word": " correction", "probability": 0.94580078125}, {"start": 700.06, "end": 700.72, "word": " يعني", "probability": 0.910888671875}, {"start": 700.72, "end": 701.16, "word": " بمعنى", "probability": 0.98076171875}, {"start": 701.16, "end": 701.38, "word": " هو", "probability": 0.91796875}, {"start": 701.38, "end": 701.68, "word": " كان", "probability": 0.99755859375}, {"start": 701.68, "end": 702.2, "word": " عنده", "probability": 0.994873046875}, {"start": 702.2, "end": 702.84, "word": " minus", "probability": 0.8310546875}, {"start": 702.84, "end": 703.12, "word": " two", "probability": 0.5888671875}, {"start": 703.12, "end": 703.42, "word": " point", "probability": 0.984375}, {"start": 703.42, "end": 703.9, "word": " five", "probability": 0.95556640625}, {"start": 703.9, "end": 704.52, "word": " اديته", "probability": 0.9205729166666666}, {"start": 704.52, "end": 704.82, "word": " minus", "probability": 0.98779296875}, {"start": 704.82, "end": 705.54, "word": " two،", "probability": 0.56158447265625}, {"start": 705.54, "end": 706.02, "word": " هيشوف", "probability": 0.80419921875}, {"start": 706.02, "end": 706.18, "word": " ال", "probability": 0.96484375}, {"start": 706.18, "end": 706.34, "word": " red", "probability": 0.86865234375}, {"start": 706.34, "end": 706.72, "word": " أوضح", "probability": 0.8824869791666666}, {"start": 706.72, "end": 706.9, "word": " ولا", "probability": 0.8212890625}, {"start": 706.9, "end": 707.04, "word": " ال", "probability": 0.90576171875}, {"start": 707.04, "end": 707.34, "word": " green؟", "probability": 0.933837890625}], "temperature": 1.0}, {"id": 26, "seek": 72280, "start": 708.16, "end": 722.8, "text": "الرد ليش؟ لأنه under correction طيب لو فرضنا ال data minus تلاتة هيصير over correction فمين هيشوف أفضل؟ اللي green okay ال sphere is adjusted until", "tokens": [6027, 2288, 3215, 32239, 8592, 22807, 5296, 33456, 3224, 833, 19984, 23032, 1829, 3555, 45164, 6156, 43042, 8315, 2423, 1412, 3175, 6055, 1211, 9307, 3660, 39896, 9381, 13546, 670, 19984, 6156, 2304, 9957, 39896, 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"text": "and error بمعنى يعني كيثما واحد بعمل مثلا اكيد هذا ال test كلكم عملته اللي هي جثة الملك و العشرة انه في العملة في ال cones okay هذه اللي بتستخدم ك common في ال subjective verification بمعنى اني بزود ربع او بجلر ربع okay او بدونها", "tokens": [474, 6713, 4724, 2304, 3615, 1863, 7578, 37495, 22653, 9122, 1829, 12984, 15042, 36764, 24401, 4724, 25957, 1211, 50113, 15040, 1975, 4117, 25708, 23758, 2423, 1500, 28242, 24793, 6225, 42213, 47395, 13672, 1829, 39896, 10874, 12984, 3660, 9673, 23275, 4032, 18863, 8592, 25720, 16472, 3224, 8978, 18863, 2304, 37977, 8978, 2423, 40548, 1392, 29538, 13672, 1829, 39894, 14851, 9778, 40448, 9122, 2689, 8978, 2423, 25972, 30206, 4724, 2304, 3615, 1863, 7578, 16472, 1829, 4724, 11622, 23328, 12602, 3555, 3615, 1975, 2407, 4724, 7435, 1211, 2288, 12602, 3555, 3615, 1392, 1975, 2407, 47525, 11536, 11296], "avg_logprob": -0.16496710494944924, "compression_ratio": 1.6744186046511629, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 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"end": 1027.48, "word": " بمعنى", "probability": 0.98681640625}, {"start": 1027.48, "end": 1027.78, "word": " اني", "probability": 0.820068359375}, {"start": 1027.78, "end": 1028.22, "word": " بزود", "probability": 0.9495442708333334}, {"start": 1028.22, "end": 1028.62, "word": " ربع", "probability": 0.9736328125}, {"start": 1028.62, "end": 1029.02, "word": " او", "probability": 0.888916015625}, {"start": 1029.02, "end": 1029.5, "word": " بجلر", "probability": 0.9066162109375}, {"start": 1029.5, "end": 1029.88, "word": " ربع", "probability": 0.99365234375}, {"start": 1029.88, "end": 1030.74, "word": " okay", "probability": 0.7265625}, {"start": 1030.74, "end": 1031.84, "word": " او", "probability": 0.955810546875}, {"start": 1031.84, "end": 1032.48, "word": " بدونها", "probability": 0.9962565104166666}], "temperature": 1.0}, {"id": 40, "seek": 106067, "start": 1034.91, "end": 1060.67, "text": "Trial and error this method is simply adding a plus 0.25 diopter sphere and minus 0.25 diopter sphere in a monocular fashion يعني هو عبارة عن منهج بسيط بتم استخدام عدسة قوتها plus ربع او minus ربع امام مين العين طبعا انا بستخدمه monocular يعني دايما", "tokens": [51, 7111, 293, 6713, 341, 3170, 307, 2935, 5127, 257, 1804, 1958, 13, 6074, 1026, 404, 391, 16687, 293, 3175, 1958, 13, 6074, 1026, 404, 391, 16687, 294, 257, 1108, 905, 1040, 6700, 37495, 22653, 31439, 6225, 3555, 9640, 3660, 18871, 9154, 3224, 7435, 4724, 3794, 1829, 9566, 4724, 39237, 44713, 9778, 3215, 10943, 6225, 3215, 3794, 3660, 12174, 35473, 11296, 1804, 12602, 3555, 3615, 1975, 2407, 3175, 12602, 3555, 3615, 1975, 2304, 10943, 3714, 9957, 18863, 9957, 23032, 3555, 3615, 995, 1975, 8315, 4724, 14851, 9778, 40448, 3224, 1108, 905, 1040, 37495, 22653, 11778, 47302, 15042], "avg_logprob": -0.15250318634266757, "compression_ratio": 1.5299539170506913, "no_speech_prob": 0.0, "words": [{"start": 1034.91, "end": 1035.41, "word": "Trial", "probability": 0.552398681640625}, {"start": 1035.41, "end": 1035.99, "word": " and", "probability": 0.94775390625}, {"start": 1035.99, "end": 1036.35, "word": " error", "probability": 0.72509765625}, {"start": 1036.35, "end": 1037.03, "word": " this", "probability": 0.0682373046875}, {"start": 1037.03, "end": 1037.53, "word": " method", "probability": 0.9560546875}, {"start": 1037.53, "end": 1037.91, "word": " is", "probability": 0.92333984375}, {"start": 1037.91, "end": 1038.33, "word": " simply", "probability": 0.8642578125}, {"start": 1038.33, "end": 1038.85, "word": " adding", "probability": 0.8818359375}, {"start": 1038.85, "end": 1039.29, "word": " a", "probability": 0.312744140625}, {"start": 1039.29, "end": 1039.49, "word": " plus", "probability": 0.1339111328125}, {"start": 1039.49, "end": 1039.83, "word": " 0", "probability": 0.86669921875}, {"start": 1039.83, "end": 1040.75, "word": ".25", "probability": 0.98876953125}, {"start": 1040.75, "end": 1041.43, "word": " diopter", "probability": 0.69873046875}, {"start": 1041.43, "end": 1041.91, 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"text": "بأكد عليكم ان ال verification دايما لازم يكون monocular ممنوع تعمليه عملية verification و تعمليها binocular بعد ما انا بعمل كل عين على حدة برفع ال occluder و بستخدمه ك binocular", "tokens": [3555, 10721, 4117, 3215, 25894, 24793, 16472, 2423, 30206, 11778, 47302, 15042, 5296, 31377, 2304, 7251, 30544, 1108, 905, 1040, 3714, 27842, 45367, 6055, 25957, 20292, 3224, 6225, 42213, 10632, 30206, 4032, 6055, 25957, 20292, 11296, 5171, 905, 1040, 39182, 19446, 1975, 8315, 4724, 25957, 1211, 28242, 6225, 9957, 15844, 11331, 41891, 4724, 28480, 3615, 2423, 2678, 1471, 260, 4032, 4724, 14851, 9778, 40448, 3224, 9122, 5171, 905, 1040], "avg_logprob": -0.16227678741727555, "compression_ratio": 1.5588235294117647, "no_speech_prob": 0.0, "words": [{"start": 1061.13, "end": 1061.69, "word": "بأكد", "probability": 0.9088134765625}, {"start": 1061.69, "end": 1062.23, "word": " عليكم", "probability": 0.965576171875}, {"start": 1062.23, "end": 1062.53, "word": " ان", "probability": 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is worse, remove plus 0.25 dioptersphere or prepare to add minus 0.25, ask the patient if the letters are sharper and clearer or not", "tokens": [15042, 41850, 4724, 36520, 5296, 19528, 2288, 5016, 37977, 8032, 18513, 7578, 12399, 11933, 1829, 8592, 39894, 30544, 22807, 36145, 3224, 8032, 18513, 7578, 4032, 9381, 5172, 3660, 9673, 16572, 11242, 12399, 2423, 39184, 2572, 22456, 759, 264, 4537, 27331, 300, 5201, 307, 5324, 11, 4159, 1804, 1958, 13, 6074, 1026, 404, 1559, 6605, 420, 5940, 281, 909, 3175, 1958, 13, 6074, 11, 1029, 264, 4537, 498, 264, 7825, 366, 44670, 293, 26131, 420, 406], "avg_logprob": -0.26891448191906275, "compression_ratio": 1.365296803652968, "no_speech_prob": 0.0, "words": [{"start": 1286.91, "end": 1287.73, "word": "ما", "probability": 0.0604248046875}, {"start": 1287.73, "end": 1287.95, "word": " أنا", "probability": 0.407470703125}, {"start": 1287.95, "end": 1288.25, "word": " بصل", "probability": 0.92529296875}, {"start": 1288.25, "end": 1288.83, "word": " 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"text": "الحالات اللي مابتحسنش مع البن هول number one high", "tokens": [6027, 5016, 6027, 9307, 13672, 1829, 3714, 16758, 2655, 5016, 3794, 1863, 8592, 20449, 29739, 1863, 8032, 12610, 1230, 472, 1090], "avg_logprob": -0.44034090773625806, "compression_ratio": 1.0405405405405406, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1449.7, "end": 1450.7, "word": "الحالات", "probability": 0.7377662658691406}, {"start": 1450.7, "end": 1451.02, "word": " اللي", "probability": 0.76611328125}, {"start": 1451.02, "end": 1451.84, "word": " مابتحسنش", "probability": 0.8676060267857143}, {"start": 1451.84, "end": 1452.02, "word": " مع", "probability": 0.978515625}, {"start": 1452.02, "end": 1452.34, "word": " البن", "probability": 0.5404052734375}, {"start": 1452.34, "end": 1452.7, "word": " هول", "probability": 0.7236328125}, {"start": 1452.7, "end": 1453.32, "word": " number", "probability": 0.394775390625}, {"start": 1453.32, "end": 1453.82, "word": " one", "probability": 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الastigmatism okay، هيتركز كأنه إيه؟ عبارة عن line", "tokens": [23328, 9778, 1211, 6024, 114, 2407, 38207, 3414, 260, 6930, 24976, 5171, 5458, 12399, 11933, 15730, 6024, 114, 2407, 38207, 23758, 4032, 9957, 39896, 2655, 7435, 2304, 3615, 22807, 16490, 46538, 4386, 2597, 294, 1868, 295, 264, 1533, 1426, 12399, 20328, 5016, 22807, 8978, 11331, 6027, 3660, 2423, 9848, 5537, 6490, 12399, 39896, 2655, 31747, 11622, 2261, 264, 1533, 1426, 12399, 2423, 525, 46496, 1434, 1392, 12399, 39896, 2655, 31747, 11622, 9122, 33456, 3224, 11933, 1829, 3224, 22807, 6225, 3555, 9640, 3660, 18871, 1622], "avg_logprob": -0.26764706864076504, "compression_ratio": 1.3823529411764706, "no_speech_prob": 0.0, "words": [{"start": 1642.71, "end": 1643.33, "word": "ودخل", "probability": 0.9104817708333334}, {"start": 1643.33, "end": 1643.89, "word": " الضوء", "probability": 0.9122314453125}, {"start": 1643.89, "end": 1645.03, "word": " divergent", "probability": 0.6304728190104166}, {"start": 1645.03, "end": 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1925.28, "word": " ..", "probability": 0.916015625}], "temperature": 1.0}, {"id": 74, "seek": 196295, "start": 1940.35, "end": 1962.95, "text": "انه Cycloventilate يعني المريض بده ايه؟ قطر التوسيع بعدها بعض الأحيان بقولك الدكتور اعمليله Penhole وهذا خطأ لأنه الآن بعد ال .. ال Medramide ايش بيصير؟ Dialate ل ال pupil فكمية الضوء اللي بتكون داخلة للبقبق اشمالها كبيرة okay؟ الان صح ال Penhole", "tokens": [7649, 3224, 10295, 66, 752, 2475, 48104, 37495, 22653, 9673, 16572, 11242, 47525, 3224, 1975, 1829, 3224, 22807, 12174, 9566, 2288, 16712, 41779, 40228, 39182, 11296, 45030, 11242, 16247, 5016, 1829, 7649, 4724, 39648, 4117, 32748, 4117, 2655, 13063, 1975, 25957, 20292, 43761, 10571, 14094, 37037, 15730, 16490, 9566, 10721, 5296, 33456, 3224, 6024, 48506, 39182, 2423, 4386, 2423, 3982, 2356, 482, 1975, 1829, 8592, 4724, 1829, 9381, 13546, 22807, 29658, 473, 5296, 2423, 44533, 6156, 24793, 10632, 6024, 114, 2407, 38207, 13672, 1829, 39894, 30544, 11778, 47283, 37977, 24976, 3555, 4587, 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1956.41, "end": 1956.59, "word": " اللي", "probability": 0.80517578125}, {"start": 1956.59, "end": 1957.03, "word": " بتكون", "probability": 0.984619140625}, {"start": 1957.03, "end": 1957.49, "word": " داخلة", "probability": 0.8390299479166666}, {"start": 1957.49, "end": 1958.15, "word": " للبقبق", "probability": 0.7591796875}, {"start": 1958.15, "end": 1958.87, "word": " اشمالها", "probability": 0.81142578125}, {"start": 1958.87, "end": 1959.55, "word": " كبيرة", "probability": 0.9869791666666666}, {"start": 1959.55, "end": 1961.05, "word": " okay؟", "probability": 0.522705078125}, {"start": 1961.05, "end": 1961.37, "word": " الان", "probability": 0.652099609375}, {"start": 1961.37, "end": 1961.75, "word": " صح", "probability": 0.98583984375}, {"start": 1961.75, "end": 1962.29, "word": " ال", "probability": 0.96337890625}, {"start": 1962.29, "end": 1962.95, "word": " Penhole", "probability": 0.893310546875}], "temperature": 1.0}, {"id": 75, "seek": 198383, "start": 1971.97, "end": 1983.83, "text": "يعني حزم ضوئية بيعمل إذا استخدمنا ال pinhole في حالة المدرمايشو بيعمله striking لل vision يعني بمعنى خلل بالرؤية", "tokens": [40228, 22653, 11331, 11622, 2304, 48812, 2407, 19986, 10632, 4724, 1829, 25957, 1211, 11933, 15730, 44713, 9778, 40448, 8315, 2423, 5447, 14094, 8978, 11331, 6027, 3660, 9673, 3215, 2288, 15042, 1829, 8592, 2407, 4724, 1829, 25957, 43761, 18559, 24976, 5201, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 16490, 1211, 1211, 20666, 2288, 33604, 10632], "avg_logprob": -0.31647726514122704, "compression_ratio": 1.3503649635036497, "no_speech_prob": 0.000576019287109375, "words": [{"start": 1971.97, "end": 1973.09, "word": "يعني", "probability": 0.5313720703125}, {"start": 1973.09, "end": 1973.67, "word": " حزم", "probability": 0.791015625}, {"start": 1973.67, "end": 1974.47, "word": " ضوئية", "probability": 0.8466796875}, {"start": 1974.47, "end": 1976.61, "word": " بيعمل", "probability": 0.732147216796875}, {"start": 1976.61, "end": 1976.79, "word": 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"probability": 0.984375}, {"start": 2115.22, "end": 2116.2, "word": " but", "probability": 0.351318359375}, {"start": 2116.2, "end": 2116.58, "word": " only", "probability": 0.908203125}, {"start": 2116.58, "end": 2116.8, "word": " the", "probability": 0.89990234375}, {"start": 2116.8, "end": 2117.24, "word": " central", "probability": 0.91845703125}, {"start": 2117.24, "end": 2117.88, "word": " portion", "probability": 0.91650390625}, {"start": 2117.88, "end": 2118.46, "word": " فقط", "probability": 0.98974609375}, {"start": 2118.46, "end": 2118.7, "word": " اللي", "probability": 0.96728515625}, {"start": 2118.7, "end": 2118.92, "word": " هي", "probability": 0.927734375}, {"start": 2118.92, "end": 2119.44, "word": " منطقة", "probability": 0.9899088541666666}, {"start": 2119.44, "end": 2120.54, "word": " المنتصف", "probability": 0.916259765625}, {"start": 2120.54, "end": 2121.38, "word": " is", "probability": 0.90478515625}, {"start": 2121.38, "end": 2122.02, "word": " receiving", "probability": 0.91650390625}, {"start": 2122.02, "end": 2122.66, "word": " light", "probability": 0.90478515625}, {"start": 2122.66, "end": 2123.24, "word": " هو", "probability": 0.92333984375}, {"start": 2123.24, "end": 2123.82, "word": " اللي", "probability": 0.990478515625}, {"start": 2123.82, "end": 2124.0, "word": " هي", "probability": 0.61669921875}, {"start": 2124.0, "end": 2124.38, "word": " stop", "probability": 0.37060546875}, {"start": 2124.38, "end": 2124.86, "word": " بالمين", "probability": 0.6731770833333334}, {"start": 2124.86, "end": 2125.96, "word": " الضوء", "probability": 0.9154052734375}], "temperature": 1.0}, {"id": 81, "seek": 214994, "start": 2127.75, "end": 2149.95, "text": "The improvement in visual acuity can be striking اذا التحسن في الرؤية البصرية ايش ممكن انه striking اي تنضرب او انه يصير لها impaired يعني اتقل في حال يما يكون ال pupil dilate يعني ممكن هذه الحالة نضيفها انه من ال cases no improve with بينهم", "tokens": [2278, 10444, 294, 5056, 696, 21757, 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"end": 2130.01, "word": " acuity", "probability": 0.870361328125}, {"start": 2130.01, "end": 2130.37, "word": " can", "probability": 0.93408203125}, {"start": 2130.37, "end": 2130.71, "word": " be", "probability": 0.96484375}, {"start": 2130.71, "end": 2131.43, "word": " striking", "probability": 0.80126953125}, {"start": 2131.43, "end": 2131.99, "word": " اذا", "probability": 0.51806640625}, {"start": 2131.99, "end": 2132.85, "word": " التحسن", "probability": 0.9140625}, {"start": 2132.85, "end": 2133.07, "word": " في", "probability": 0.92138671875}, {"start": 2133.07, "end": 2133.69, "word": " الرؤية", "probability": 0.9479166666666666}, {"start": 2133.69, "end": 2134.25, "word": " البصرية", "probability": 0.927001953125}, {"start": 2134.25, "end": 2134.51, "word": " ايش", "probability": 0.7018229166666666}, {"start": 2134.51, "end": 2134.93, "word": " ممكن", "probability": 0.99072265625}, {"start": 2134.93, "end": 2135.63, "word": " انه", "probability": 0.92529296875}, {"start": 2135.63, "end": 2136.23, "word": " striking", "probability": 0.64013671875}, {"start": 2136.23, "end": 2136.61, "word": " اي", "probability": 0.769775390625}, {"start": 2136.61, "end": 2137.25, "word": " تنضرب", "probability": 0.8646240234375}, {"start": 2137.25, "end": 2137.69, "word": " او", "probability": 0.959228515625}, {"start": 2137.69, "end": 2138.27, "word": " انه", "probability": 0.6885986328125}, {"start": 2138.27, "end": 2138.51, "word": " يصير", "probability": 0.87646484375}, {"start": 2138.51, "end": 2138.79, "word": " لها", "probability": 0.7406005859375}, {"start": 2138.79, "end": 2139.37, "word": " impaired", "probability": 0.87548828125}, {"start": 2139.37, "end": 2139.81, "word": " يعني", "probability": 0.862548828125}, {"start": 2139.81, "end": 2140.23, "word": " اتقل", "probability": 0.86419677734375}, {"start": 2140.23, "end": 2141.19, "word": " في", "probability": 0.7685546875}, {"start": 2141.19, "end": 2141.49, "word": " حال", "probability": 0.991455078125}, {"start": 2141.49, "end": 2141.63, "word": " يما", "probability": 0.669189453125}, {"start": 2141.63, "end": 2142.03, "word": " يكون", "probability": 0.993408203125}, {"start": 2142.03, "end": 2142.27, "word": " ال", "probability": 0.91357421875}, {"start": 2142.27, "end": 2142.59, "word": " pupil", "probability": 0.7529296875}, {"start": 2142.59, "end": 2143.27, "word": " dilate", "probability": 0.79296875}, {"start": 2143.27, "end": 2144.81, "word": " يعني", "probability": 0.6937255859375}, {"start": 2144.81, "end": 2145.13, "word": " ممكن", "probability": 0.95947265625}, {"start": 2145.13, "end": 2145.45, "word": " هذه", "probability": 0.80908203125}, {"start": 2145.45, "end": 2146.03, "word": " الحالة", "probability": 0.98828125}, {"start": 2146.03, "end": 2146.81, "word": " نضيفها", "probability": 0.952880859375}, {"start": 2146.81, "end": 2147.41, "word": " انه", "probability": 0.96337890625}, {"start": 2147.41, "end": 2147.53, "word": " من", "probability": 0.9833984375}, {"start": 2147.53, "end": 2147.71, "word": " ال", "probability": 0.94775390625}, {"start": 2147.71, "end": 2148.19, "word": " cases", "probability": 0.8916015625}, {"start": 2148.19, "end": 2148.67, "word": " no", "probability": 0.48486328125}, {"start": 2148.67, "end": 2149.27, "word": " improve", "probability": 0.5849609375}, {"start": 2149.27, "end": 2149.51, "word": " with", "probability": 0.81640625}, {"start": 2149.51, "end": 2149.95, "word": " بينهم", "probability": 0.495849609375}], "temperature": 1.0}, {"id": 82, "seek": 217688, "start": 2163.96, "end": 2176.88, "text": "سينتر هيدخل الضوء بشكل كثيف okay فهيعمل ايه؟ no improvement لل vision او هيعمل impaired لل vision او striking انه لل visual acuity", "tokens": [3794, 9957, 2655, 2288, 39896, 3215, 9778, 1211, 6024, 114, 2407, 38207, 4724, 8592, 28820, 9122, 12984, 33911, 1392, 6156, 3224, 1829, 25957, 1211, 1975, 1829, 3224, 22807, 572, 10444, 24976, 5201, 1975, 2407, 39896, 25957, 1211, 36762, 24976, 5201, 1975, 2407, 18559, 16472, 3224, 24976, 5056, 696, 21757], "avg_logprob": -0.2484374910593033, "compression_ratio": 1.3211678832116789, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 2163.96, "end": 2164.26, "word": "سينتر", "probability": 0.6233978271484375}, {"start": 2164.26, "end": 2164.68, "word": " هيدخل", "probability": 0.8345947265625}, {"start": 2164.68, "end": 2165.0, "word": " الضوء", "probability": 0.933349609375}, {"start": 2165.0, "end": 2165.5, "word": " بشكل", "probability": 0.9934895833333334}, {"start": 2165.5, "end": 2166.3, "word": " كثيف", "probability": 0.9713541666666666}, {"start": 2166.3, "end": 2166.96, "word": " okay", "probability": 0.1781005859375}, {"start": 2166.96, "end": 2167.88, "word": " فهيعمل", "probability": 0.89091796875}, {"start": 2167.88, "end": 2168.34, "word": " ايه؟", "probability": 0.868408203125}, {"start": 2168.34, "end": 2168.56, "word": " no", "probability": 0.6181640625}, {"start": 2168.56, "end": 2169.18, "word": " improvement", "probability": 0.89892578125}, {"start": 2169.18, "end": 2170.02, "word": " لل", "probability": 0.6796875}, {"start": 2170.02, "end": 2170.6, "word": " vision", "probability": 0.67626953125}, {"start": 2170.6, "end": 2171.26, "word": " او", "probability": 0.75}, {"start": 2171.26, "end": 2171.84, "word": " هيعمل", "probability": 0.84765625}, {"start": 2171.84, "end": 2172.36, "word": " impaired", "probability": 0.91455078125}, {"start": 2172.36, "end": 2172.56, "word": " لل", "probability": 0.94580078125}, {"start": 2172.56, "end": 2172.96, "word": " vision", "probability": 0.94287109375}, {"start": 2172.96, "end": 2173.5, "word": " او", "probability": 0.906982421875}, {"start": 2173.5, "end": 2174.22, "word": " striking", "probability": 0.88818359375}, {"start": 2174.22, "end": 2175.18, "word": " انه", "probability": 0.84521484375}, {"start": 2175.18, "end": 2175.6, "word": " لل", "probability": 0.4765625}, {"start": 2175.6, "end": 2176.04, "word": " visual", "probability": 0.96533203125}, {"start": 2176.04, "end": 2176.88, "word": " acuity", "probability": 0.82421875}], "temperature": 1.0}, {"id": 83, "seek": 220002, "start": 2180.94, "end": 2200.02, "text": "So لذلك if the vision is improved لذلك إذا النظر اتحسن when looking through the pinhole lens خلال ما بننظر إلى عدسة ال pinhole that's mean the prescription is not accurate بمعنى الآن احنا حطينا", "tokens": [6455, 5296, 8848, 23275, 498, 264, 5201, 307, 9689, 5296, 8848, 23275, 11933, 15730, 28239, 19913, 2288, 1975, 2655, 5016, 3794, 1863, 562, 1237, 807, 264, 5447, 14094, 6765, 16490, 1211, 6027, 19446, 44945, 1863, 19913, 2288, 30731, 6225, 3215, 3794, 3660, 2423, 5447, 14094, 300, 311, 914, 264, 22456, 307, 406, 8559, 4724, 2304, 3615, 1863, 7578, 6024, 48506, 1975, 5016, 8315, 11331, 9566, 1829, 8315], "avg_logprob": -0.15797334865612142, "compression_ratio": 1.3548387096774193, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2180.94, "end": 2181.42, "word": "So", "probability": 0.40576171875}, {"start": 2181.42, "end": 2182.14, "word": " لذلك", "probability": 0.9640299479166666}, {"start": 2182.14, "end": 2182.56, "word": " if", "probability": 0.288818359375}, {"start": 2182.56, "end": 2182.72, "word": " the", "probability": 0.91748046875}, {"start": 2182.72, "end": 2183.04, "word": " vision", "probability": 0.9560546875}, {"start": 2183.04, "end": 2183.6, "word": " is", "probability": 0.96435546875}, {"start": 2183.6, "end": 2184.3, "word": " improved", "probability": 0.90966796875}, {"start": 2184.3, "end": 2185.24, "word": " لذلك", "probability": 0.8450520833333334}, {"start": 2185.24, "end": 2185.48, "word": " إذا", "probability": 0.905517578125}, {"start": 2185.48, "end": 2185.92, "word": " النظر", "probability": 0.9873046875}, {"start": 2185.92, "end": 2186.72, "word": " اتحسن", "probability": 0.9541015625}, {"start": 2186.72, "end": 2187.58, "word": " when", "probability": 0.736328125}, {"start": 2187.58, "end": 2188.22, "word": " looking", "probability": 0.94091796875}, {"start": 2188.22, "end": 2188.78, "word": " through", "probability": 0.91064453125}, {"start": 2188.78, "end": 2189.02, "word": " the", "probability": 0.8935546875}, {"start": 2189.02, "end": 2189.44, "word": " pinhole", "probability": 0.723388671875}, {"start": 2189.44, "end": 2189.92, "word": " lens", "probability": 0.91552734375}, {"start": 2189.92, "end": 2190.58, "word": " خلال", "probability": 0.9777018229166666}, {"start": 2190.58, "end": 2190.94, "word": " ما", "probability": 0.91796875}, {"start": 2190.94, "end": 2191.44, "word": " بننظر", "probability": 0.9698486328125}, {"start": 2191.44, "end": 2191.62, "word": " إلى", "probability": 0.5087890625}, {"start": 2191.62, "end": 2192.12, "word": " عدسة", "probability": 0.982666015625}, {"start": 2192.12, "end": 2192.34, "word": " ال", "probability": 0.9306640625}, {"start": 2192.34, "end": 2192.84, "word": " pinhole", "probability": 0.64453125}, {"start": 2192.84, "end": 2194.24, "word": " that's", "probability": 0.558349609375}, {"start": 2194.24, "end": 2194.58, "word": " mean", "probability": 0.904296875}, {"start": 2194.58, "end": 2195.62, "word": " the", "probability": 0.7880859375}, {"start": 2195.62, "end": 2196.38, "word": " prescription", "probability": 0.93701171875}, {"start": 2196.38, "end": 2196.84, "word": " is", "probability": 0.96337890625}, {"start": 2196.84, "end": 2197.06, "word": " not", "probability": 0.955078125}, {"start": 2197.06, "end": 2197.64, "word": " accurate", "probability": 0.884765625}, {"start": 2197.64, "end": 2198.72, "word": " بمعنى", "probability": 0.958203125}, {"start": 2198.72, "end": 2199.08, "word": " الآن", "probability": 0.772216796875}, {"start": 2199.08, "end": 2199.42, "word": " احنا", "probability": 0.85107421875}, {"start": 2199.42, "end": 2200.02, "word": " حطينا", "probability": 0.9158935546875}], "temperature": 1.0}, {"id": 84, "seek": 223255, "start": 2204.31, "end": 2232.55, "text": "بعد حطينا ال pinhole شعرنا ان النظر ايش ماله اتحسن معناه الوصفة بتاعتك ايه مش صحيحة انه بدنا نضيف كمان كpower اذا so لذلك if the vision اذا الرؤية is improved اتحسنت when looking خلال ما ينظر خلال عدسة ال pinhole that's mean معناه ان ال prescription ان الوصفة", "tokens": [3555, 22488, 11331, 9566, 1829, 8315, 2423, 5447, 14094, 13412, 3615, 2288, 8315, 16472, 28239, 19913, 2288, 1975, 1829, 8592, 3714, 6027, 3224, 1975, 2655, 5016, 3794, 1863, 20449, 8315, 3224, 2423, 2407, 9381, 5172, 3660, 39894, 995, 34268, 4117, 1975, 1829, 3224, 37893, 20328, 5016, 1829, 5016, 3660, 16472, 3224, 47525, 8315, 8717, 11242, 33911, 9122, 2304, 7649, 9122, 9513, 1975, 15730, 370, 5296, 8848, 23275, 498, 264, 5201, 1975, 15730, 34892, 33604, 10632, 307, 9689, 1975, 2655, 5016, 3794, 29399, 562, 1237, 16490, 1211, 6027, 19446, 7251, 1863, 19913, 2288, 16490, 1211, 6027, 6225, 3215, 3794, 3660, 2423, 5447, 14094, 300, 311, 914, 20449, 8315, 3224, 16472, 2423, 22456, 16472, 2423, 2407, 9381, 5172, 3660], "avg_logprob": -0.17213982394186117, "compression_ratio": 1.6322314049586777, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 2204.31, "end": 2204.79, "word": "بعد", "probability": 0.94970703125}, {"start": 2204.79, "end": 2205.33, "word": " حطينا", "probability": 0.78326416015625}, {"start": 2205.33, "end": 2205.43, "word": " ال", "probability": 0.89404296875}, {"start": 2205.43, "end": 2205.85, "word": " pinhole", "probability": 0.5311279296875}, {"start": 2205.85, "end": 2207.21, "word": " شعرنا", "probability": 0.9664306640625}, {"start": 2207.21, "end": 2207.47, "word": " ان", "probability": 0.4287109375}, {"start": 2207.47, "end": 2207.89, "word": " النظر", "probability": 0.87841796875}, {"start": 2207.89, "end": 2208.13, "word": " ايش", "probability": 0.7701822916666666}, {"start": 2208.13, "end": 2208.55, "word": " ماله", "probability": 0.9117838541666666}, {"start": 2208.55, "end": 2209.29, "word": " اتحسن", "probability": 0.96025390625}, {"start": 2209.29, "end": 2210.17, 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{"start": 2281.14, "end": 2283.22, "word": " عنده", "probability": 0.969970703125}, {"start": 2283.22, "end": 2283.74, "word": " minus", "probability": 0.994140625}, {"start": 2283.74, "end": 2285.2, "word": " two", "probability": 0.95703125}, {"start": 2285.2, "end": 2287.64, "word": " dioptersphere", "probability": 0.63458251953125}, {"start": 2287.64, "end": 2288.3, "word": " okay", "probability": 0.900390625}], "temperature": 1.0}, {"id": 87, "seek": 231731, "start": 2292.91, "end": 2317.31, "text": "ضفنا ال minus 2 أمام العين بعدها لاحظنا في ال minus 2 ال visual acuity كان 6 على 12 يما حطيت ال pin hole صار فيه تحسن للمريض شو معناها؟ ان ال minus 2 هذه أشمالها is not enough for the patient يعني هذه in", "tokens": [11242, 5172, 8315, 2423, 3175, 568, 5551, 2304, 10943, 18863, 9957, 39182, 11296, 20193, 5016, 19913, 8315, 8978, 2423, 3175, 568, 2423, 5056, 696, 21757, 25961, 1386, 15844, 2272, 7251, 15042, 11331, 9566, 36081, 2423, 5447, 5458, 20328, 9640, 8978, 3224, 6055, 5016, 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2423.22, "word": " five", "probability": 0.9228515625}, {"start": 2423.22, "end": 2423.48, "word": " او", "probability": 0.885009765625}, {"start": 2423.48, "end": 2423.7, "word": " zero", "probability": 0.73681640625}, {"start": 2423.7, "end": 2424.02, "word": " point", "probability": 0.97216796875}, {"start": 2424.02, "end": 2424.4, "word": " five", "probability": 0.9599609375}, {"start": 2424.4, "end": 2425.2, "word": " فحسب", "probability": 0.9505208333333334}, {"start": 2425.2, "end": 2425.78, "word": " المريض", "probability": 0.9552408854166666}, {"start": 2425.78, "end": 2426.42, "word": " عشان", "probability": 0.9513346354166666}, {"start": 2426.42, "end": 2426.66, "word": " هيك", "probability": 0.974853515625}, {"start": 2426.66, "end": 2426.98, "word": " بدخل", "probability": 0.8136393229166666}, {"start": 2426.98, "end": 2427.38, "word": " موضوع", "probability": 0.92431640625}, {"start": 2427.38, "end": 2427.6, "word": " من", "probability": 0.53955078125}, {"start": 2427.6, "end": 2427.94, "word": " ال", "probability": 0.80322265625}, {"start": 2427.94, "end": 2428.56, "word": " verification", "probability": 0.990234375}, {"start": 2428.56, "end": 2429.8, "word": " وافضل", "probability": 0.8193359375}, {"start": 2429.8, "end": 2430.28, "word": " test", "probability": 0.9560546875}, {"start": 2430.28, "end": 2430.66, "word": " من", "probability": 0.97412109375}, {"start": 2430.66, "end": 2430.92, "word": " هذه", "probability": 0.7958984375}, {"start": 2430.92, "end": 2431.24, "word": " بعد", "probability": 0.97412109375}, {"start": 2431.24, "end": 2431.52, "word": " ما", "probability": 0.88037109375}, {"start": 2431.52, "end": 2432.04, "word": " يصل", "probability": 0.951904296875}, {"start": 2432.04, "end": 2432.22, "word": " ال", "probability": 0.444091796875}, {"start": 2432.22, "end": 2432.52, "word": " visual", "probability": 0.97412109375}, {"start": 2432.52, "end": 2433.12, "word": " acuity", "probability": 0.84130859375}, {"start": 2433.12, "end": 2433.48, "word": " ستة", "probability": 0.813720703125}, {"start": 2433.48, "end": 2433.56, "word": " ع", "probability": 0.2340087890625}, {"start": 2433.56, "end": 2434.06, "word": " ستة", "probability": 0.9645182291666666}, {"start": 2434.06, "end": 2434.4, "word": " ال", "probability": 0.86328125}, {"start": 2434.4, "end": 2434.86, "word": " diachrome", "probability": 0.6234537760416666}, {"start": 2434.86, "end": 2435.28, "word": " test", "probability": 0.9521484375}], "temperature": 1.0}, {"id": 92, "seek": 245690, "start": 2440.82, "end": 2456.9, "text": "لو ال green equal يعرف انه ايه انه الوصفة بتاعته correct okay another answer another question طيب خليني جف ل ال verification for", "tokens": [1211, 2407, 2423, 3092, 2681, 37495, 28480, 16472, 3224, 1975, 1829, 3224, 16472, 3224, 2423, 2407, 9381, 5172, 3660, 39894, 995, 34268, 3224, 3006, 1392, 1071, 1867, 1071, 1168, 23032, 1829, 3555, 16490, 1211, 9957, 1829, 10874, 5172, 5296, 2423, 30206, 337], "avg_logprob": -0.4276889521022176, "compression_ratio": 1.25, "no_speech_prob": 1.33514404296875e-05, "words": [{"start": 2440.82, "end": 2440.82, "word": "لو", "probability": 0.3802947998046875}, {"start": 2440.82, "end": 2440.94, "word": " ال", "probability": 0.328857421875}, {"start": 2440.94, "end": 2441.12, "word": " green", "probability": 0.359619140625}, {"start": 2441.12, "end": 2441.66, "word": " equal", "probability": 0.7294921875}, {"start": 2441.66, "end": 2442.42, "word": " يعرف", "probability": 0.715576171875}, {"start": 2442.42, "end": 2442.74, "word": " انه", "probability": 0.539794921875}, {"start": 2442.74, "end": 2443.26, "word": " ايه", "probability": 0.8321940104166666}, {"start": 2443.26, "end": 2444.22, "word": " انه", "probability": 0.6339111328125}, {"start": 2444.22, "end": 2444.74, "word": " الوصفة", "probability": 0.9748046875}, {"start": 2444.74, "end": 2445.24, "word": " بتاعته", "probability": 0.67822265625}, {"start": 2445.24, "end": 2445.8, "word": " correct", "probability": 0.88623046875}, {"start": 2445.8, "end": 2447.02, "word": " okay", "probability": 0.293701171875}, {"start": 2447.02, "end": 2448.6, "word": " another", "probability": 0.84912109375}, {"start": 2448.6, "end": 2449.14, "word": " answer", "probability": 0.95263671875}, {"start": 2449.14, "end": 2450.18, "word": " another", "probability": 0.634765625}, {"start": 2450.18, "end": 2450.72, "word": " question", "probability": 0.9560546875}, {"start": 2450.72, "end": 2454.96, "word": " طيب", "probability": 0.816650390625}, {"start": 2454.96, "end": 2455.28, "word": " خليني", "probability": 0.77935791015625}, {"start": 2455.28, "end": 2455.42, "word": " جف", "probability": 0.7314453125}, {"start": 2455.42, "end": 2455.6, "word": " ل", "probability": 0.62451171875}, {"start": 2455.6, "end": 2455.86, "word": " ال", "probability": 0.5556640625}, {"start": 2455.86, "end": 2456.3, "word": " verification", "probability": 0.99365234375}, {"start": 2456.3, "end": 2456.9, "word": " for", "probability": 0.94482421875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2460.014875, "duration_after_vad": 2120.2093749999926}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fcb2840de5f5a9c3f797ba84d30bebca27d0c968
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs.srt
@@ -0,0 +1,1913 @@
+1
+00:00:20,620 --> 00:00:23,760
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,760 --> 00:00:28,300
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:28,300 --> 00:00:33,760
+اليوم إن شاء الله هنبدأ بداية المحاضرة what is the
+
+4
+00:00:33,760 --> 00:00:39,380
+difference between presbyopia and ametropia أي
+
+5
+00:00:39,380 --> 00:00:43,160
+بمعنى شو الفرق ما بين العين الطبيعية و العين التي
+
+6
+00:00:43,160 --> 00:00:48,760
+بيكون عندها قصر نظر الشيخوخي، طيب، ال ametropia
+
+7
+00:00:56,840 --> 00:01:01,900
+ممتازة، إذا الـ ametropia, incident light rays are
+
+8
+00:01:01,900 --> 00:01:07,320
+brought to focus on the retina. presbyopia كـ
+
+9
+00:01:07,320 --> 00:01:14,640
+definition, okay.
+
+10
+00:01:14,640 --> 00:01:15,940
+Another answer.
+
+11
+00:01:34,770 --> 00:01:42,070
+الـ presbyopia هي عدم قدرة عدسة الكريستالين
+
+12
+00:01:44,930 --> 00:01:49,970
+to change its shape، يعني عدم قدرة العدسة على تغيير
+
+13
+00:01:49,970 --> 00:01:57,390
+شكلها by converging power to focus any objects
+
+14
+00:01:57,390 --> 00:01:59,610
+behind the retina.
+
+15
+00:02:15,120 --> 00:02:27,040
+It is an inability of
+
+16
+00:02:27,040 --> 00:02:30,220
+the
+
+17
+00:02:30,220 --> 00:02:33,580
+crystalline
+
+18
+00:02:33,580 --> 00:02:38,200
+lens
+
+19
+00:02:38,200 --> 00:02:43,320
+to change
+
+20
+00:02:51,280 --> 00:02:58,800
+Its shape is determined by
+
+21
+00:02:58,800 --> 00:03:06,020
+converging power
+
+22
+00:03:06,020 --> 00:03:14,100
+and
+
+23
+00:03:14,100 --> 00:03:19,600
+the incident
+
+24
+00:03:25,080 --> 00:03:34,740
+light rays are
+
+25
+00:03:34,740 --> 00:03:41,300
+brought to
+
+26
+00:03:41,300 --> 00:03:44,800
+focus where?
+
+27
+00:03:45,360 --> 00:03:45,780
+behind
+
+28
+00:03:59,280 --> 00:04:06,320
+إذا عدم قدرة العدسة على تغيير شكلها، أي ما بتقدر
+
+29
+00:04:06,320 --> 00:04:10,360
+العدسة أن تعمل accommodation وبالتالي هي ما بتكون
+
+30
+00:04:10,360 --> 00:04:12,400
+قادرة على عمل ال converging
+
+31
+00:04:14,930 --> 00:04:19,210
+وتركيز الـ light rays وين بيصير؟ behind the retina.
+
+32
+00:04:19,210 --> 00:04:25,950
+إذا الأشعة الضوئية الساقطة بتتجمع خلف الشبكية، إذا
+
+33
+00:04:25,950 --> 00:04:32,670
+عدم قدرة العدسة على تغيير شكلها، يعني
+
+34
+00:04:32,670 --> 00:04:37,050
+مابتقدرش تعمل converging power، زائد أن الأشعة
+
+35
+00:04:37,050 --> 00:04:40,230
+الضوئية الساقطة وين بتتركز؟ خلف الشبكية.
+
+36
+00:04:43,060 --> 00:04:49,260
+هذا كـ definition of presbyopia. طيب،
+
+37
+00:04:49,260 --> 00:04:52,740
+في حالة الـ presbyopia، why you apply a glass
+
+38
+00:04:52,740 --> 00:04:57,100
+lens؟ ليش إحنا بنستخدم العدسة الموجبة؟ عشان...
+
+39
+00:04:57,100 --> 00:05:03,320
+عشان تعمل... تعمل... تعمل... تعمل... تعمل... تعمل
+
+40
+00:05:03,320 --> 00:05:04,080
+... تعمل... تعمل... تعمل... تعمل... تعمل... تعمل...
+
+41
+00:05:04,080 --> 00:05:04,260
+تعمل... تعمل... تعمل... تعمل... تعمل... تعمل...
+
+42
+00:05:04,260 --> 00:05:06,920
+تعمل... تعمل... تعمل... تعمل... تعمل... تعمل...
+
+43
+00:05:06,920 --> 00:05:12,970
+تعمل... Okay، وين هيجمع الأشعة؟ on the retina الآن.
+
+44
+00:05:12,970 --> 00:05:16,250
+في حالة الـ presbyopia، الـ incident light rays
+
+45
+00:05:16,250 --> 00:05:19,370
+are brought to focus behind the retina when you
+
+46
+00:05:19,370 --> 00:05:23,310
+apply a plus lens or convex lens. Incident light rays
+
+47
+00:05:23,310 --> 00:05:27,270
+are brought to focus on the retina. Okay، إذا why
+
+48
+00:05:27,270 --> 00:05:32,670
+you apply a plus lens in a presbyopia case or
+
+49
+00:05:32,670 --> 00:05:34,830
+in a presbyopia condition؟
+
+50
+00:05:37,010 --> 00:05:46,290
+To focus light rays on the retina، عشان
+
+51
+00:05:46,290 --> 00:05:49,010
+نركز الأشعة الضوئية على الشبكية.
+
+52
+00:05:57,660 --> 00:06:02,340
+presbyopia. الـ normal eye, incident light rays are
+
+53
+00:06:02,340 --> 00:06:06,880
+brought to focus on the retina. Presbyopia, incident
+
+54
+00:06:06,880 --> 00:06:11,220
+light rays are brought to focus behind the retina.
+
+55
+00:06:23,090 --> 00:06:26,710
+Light rays are brought to focus on the retina، أي
+
+56
+00:06:26,710 --> 00:06:31,810
+بمعنى أن الأشعة الضوئية الساقطة على العين بتتركز
+
+57
+00:06:31,810 --> 00:06:37,090
+وين؟ على الشبكية. In ametropes, presbyopia occurs
+
+58
+00:06:37,090 --> 00:06:43,050
+between 40 and 45 years. قصر النظر الشيخوخي في
+
+59
+00:06:43,050 --> 00:06:47,290
+الناس الطبيعيين، متى بتحدث؟ ما بين سن الأربعين
+
+60
+00:06:47,290 --> 00:06:48,870
+والخمسة والأربعين سنة.
+
+61
+00:06:54,260 --> 00:06:58,100
+على الرغم من وجود اختلاف جغرافي
+
+62
+00:07:24,500 --> 00:07:31,220
+نلاحظ أن قصر النظر الشيخوخي بيكون مبكراً مقارنةً في
+
+63
+00:07:31,220 --> 00:07:36,440
+المناطق الأخرى، أي بمعنى في المناطق الحارة دائماً
+
+64
+00:07:36,440 --> 00:07:41,340
+قصر النظر الشيخوخي بيكون أكثر شيوعاً من وين؟ من
+
+65
+00:07:41,340 --> 00:07:46,700
+المناطق الباردة. This is my question.
+
+66
+00:07:59,860 --> 00:08:04,960
+الـ presbyopia
+
+67
+00:08:04,960 --> 00:08:09,500
+هو عبارة عن definition، تعريف يتعلق بعدة
+
+68
+00:08:09,500 --> 00:08:13,100
+عوامل، من ضمن هذه العوامل اللي هو مفهوم الـ weather.
+
+69
+00:08:13,100 --> 00:08:17,940
+Okay، according to previous studies، بناءً على دراسات
+
+70
+00:08:17,940 --> 00:08:23,420
+سابقة، تبين أن المناطق الحارة بيكون فيها العدسة
+
+71
+00:08:23,420 --> 00:08:28,950
+العين متصلبة أكثر من المناطق الباردة. Okay، لأنه في
+
+72
+00:08:28,950 --> 00:08:32,710
+حالة الـ presbyopia، العدسة إيش بتصير؟ عدسة العين
+
+73
+00:08:32,710 --> 00:08:38,850
+صلبة، صح؟ أنها بتتصلب، يعني بتصير العدسة كأنها flat.
+
+74
+00:08:38,850 --> 00:08:44,250
+Okay، فتّبين أنه في هذه المناطق بتكون العدسة أكثر
+
+75
+00:08:44,250 --> 00:08:49,130
+تصلباً مقارنةً في وين؟ في المناطق الباردة، عشان هيك
+
+76
+00:08:49,130 --> 00:08:53,150
+الـ presbyopia is more common in hot weather
+
+77
+00:08:53,150 --> 00:08:54,690
+compared to cold.
+
+78
+00:09:03,250 --> 00:09:07,990
+طيب، زي ما اتفقنا أنه في حالة الـ presbyopia، قصر
+
+79
+00:09:07,990 --> 00:09:13,210
+النظر الشيخوخي، بنستخدم الـ convex lens أو الـ plus
+
+80
+00:09:13,210 --> 00:09:17,210
+lens، العدسة الموجبة، to focus light rays on the
+
+81
+00:09:17,210 --> 00:09:22,470
+retina، عشان نعمل تركيز للأشعة الضوئية على الشبكية.
+
+82
+00:09:24,690 --> 00:09:29,250
+A hypermetrope starts his life with a near point
+
+83
+00:09:29,250 --> 00:09:34,110
+considerably farther away from the eyes. بمعنى أنه
+
+84
+00:09:34,110 --> 00:09:38,610
+الـ near point بتاعته بتكون بعيدة. Okay، فبيكون الـ
+
+85
+00:09:38,610 --> 00:09:45,850
+presbyopia مالها؟ مبكراً، يعني لو الآن سؤال
+
+86
+00:09:45,850 --> 00:09:51,750
+ليش دائماً الناس اللي عندهم hypermetropia بتلاقي اللي
+
+87
+00:09:51,750 --> 00:09:58,250
+بريسبيوبيا بتيجي مبكراً مقارنةً في الـ ametropes؟
+
+88
+00:09:58,250 --> 00:10:02,050
+إذا الـ near point is closer, is farther away from
+
+89
+00:10:02,050 --> 00:10:06,880
+the eye، أنه بتكون بعيدة دائماً وين؟ عن العين. بمعنى
+
+90
+00:10:06,880 --> 00:10:11,480
+أنه دائماً الناس اللي عندهم طول نظر بيعانوا من
+
+91
+00:10:11,480 --> 00:10:16,640
+الـ presbyopia أكثر من الناس الـ ametropes، أو بتيجي مبكراً
+
+92
+00:10:16,640 --> 00:10:20,660
+أكثر. يعني إحنا قلنا أن الـ presbyopia، قصر النظر
+
+93
+00:10:20,660 --> 00:10:25,180
+الشيخوخي، ما بين الأربعين والخمسة والأربعين سنة. في حالة الـ
+
+94
+00:10:25,180 --> 00:10:29,520
+hypermetropia بيجي مبكراً، يعني خمسة وثلاثين، أربعة و
+
+95
+00:10:29,520 --> 00:10:33,420
+ثلاثين. Okay، ليش؟ لأنه دائماً الـ near point بتاعته
+
+96
+00:10:33,420 --> 00:10:39,830
+مالها؟ الـ near point بتاعته بتكون بعيدة، يعني هو
+
+97
+00:10:39,830 --> 00:10:43,170
+farther away. يعني دائماً الـ near point إيش هو
+
+98
+00:10:43,170 --> 00:10:48,890
+تعريفها؟ هي الـ nearest point، أقرب نقطة التي
+
+99
+00:10:48,890 --> 00:10:52,970
+بتتركز وين؟ على الشبكية. فدائماً في حالة الـ hyper
+
+100
+00:10:52,970 --> 00:10:57,210
+metropia بتكون إيش مالها؟ بعيدة. لو قارنا بينها وبين
+
+101
+00:10:57,210 --> 00:11:00,930
+مين؟ الـ ametropia، الـ normal. Okay؟
+
+102
+00:11:03,970 --> 00:11:08,310
+Thus, a hypermetrope with plus three diopters، لو
+
+103
+00:11:08,310 --> 00:11:11,850
+فرضنا أنه مريض عنده hypermetropia with three
+
+104
+00:11:11,850 --> 00:11:16,050
+diopters correction for distance vision. دائماً
+
+105
+00:11:16,050 --> 00:11:19,530
+حكينا الناس اللي بتعاني من hypermetropia بيكون
+
+106
+00:11:19,530 --> 00:11:22,950
+المشكلة عنده في الـ near وفي الـ distance، صح؟ أنه
+
+107
+00:11:22,950 --> 00:11:25,610
+بمعنى عنده blurred vision for distance and near.
+
+108
+00:11:26,100 --> 00:11:30,080
+الآن هو عنده plus 3 ديوبتر، صلحنا مين؟ اللي بعيد.
+
+109
+00:11:30,080 --> 00:11:36,760
+عملنا اللي هو correction لـ الـ distance. Okay، must
+
+110
+00:11:36,760 --> 00:11:40,320
+use addition of convex lenses for reading suitable
+
+111
+00:11:40,320 --> 00:11:44,080
+for his near refraction. أنه لازم يعمل إيش؟ تصحيح
+
+112
+00:11:44,080 --> 00:11:48,460
+للقريب، عشان أنه يوفر الـ suitable vision، يعني رؤية
+
+113
+00:11:48,460 --> 00:11:54,170
+واضحة كمان لمين؟ للقريب. بمعنى، patient عنده plus 3
+
+114
+00:11:54,170 --> 00:11:58,830
+ديوبتر hypermetropia، إذا شو الشكوى بتاعته حتكون؟
+
+115
+00:11:58,830 --> 00:12:03,570
+Blurred vision for distance and near. الآن أنا عملت
+
+116
+00:12:03,570 --> 00:12:08,330
+الـ distance، صلّحت البعيد. Okay، بيجي إيش؟ القريب، الـ
+
+117
+00:12:08,330 --> 00:12:12,910
+near. إذا بضيف عدسة plus، كـ convex lens، عشان يجمع
+
+118
+00:12:12,910 --> 00:12:17,590
+الأشياء على الشبكية، وبالتالي أنه يشوف الـ suitable
+
+119
+00:12:17,590 --> 00:12:24,160
+near vision، رؤية واضحة للقريبة. Okay، طيب في حالة الـ
+
+120
+00:12:24,160 --> 00:12:27,960
+myopes، اللي يما بيكون واحد عنده قصر نظر، سؤال إلى
+
+121
+00:12:27,960 --> 00:12:33,800
+أنه دائماً بيكون بتأخر الـ presbyopia، ليش؟ لأنه الـ
+
+122
+00:12:33,800 --> 0:12:43,100
+near point بتاعته إيش مالها؟ قريبة. إذا السؤال، why
+
+123
+00:12:43,100 --> 00:12:47,920
+presbyopia is
+
+124
+00:12:47,920 --> 00:13:04,070
+late in myopes? why presbyopia؟
+
+125
+00:13:04,070 --> 00:13:11,130
+Why presby
+
+126
+00:13:11,130 --> 00:13:14,830
+opia?
+
+127
+00:13:22,980 --> 00:13:38,600
+is late and
+
+128
+00:13:38,600 --> 00:13:50,620
+early in hypermetropia compared to
+
+129
+00:14:01,900 --> 00:14:10,380
+بسبب أن presbyopia قريب من myopia في الـ hypermetropia
+
+130
+00:14:10,380 --> 00:14:15,160
+وأبعد من myopia في الـ hypermetropia مقارنةً مع عيون عادية
+
+131
+00:14:15,160 --> 00:14:19,940
+أو مقارنةً مع الـ hypermetropia، لأن في الـ hypermetropia المقرب
+
+132
+00:14:19,940 --> 00:14:20,960
+هو المقارنة
+
+133
+00:14:23,980 --> 00:14:31,740
+Compare to؟ أنا بأقول بقى في الـ myopia، near point
+
+134
+00:14:31,740 --> 00:14:38,500
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+135
+00:14:38,500 --> 00:14:38,640
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+136
+00:14:38,640 --> 00:14:39,400
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+137
+00:14:39,400 --> 00:14:40,140
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+138
+00:14:40,140 --> 00:14:41,280
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+139
+00:14:41,280 --> 00:14:43,680
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+140
+00:14:43,680 --> 00:14:45,340
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+141
+00:14:45,340 --> 00:14:47,720
+is closer. أنا بأقول بقى في الـ myopia، near point
+
+142
+00:14:47,720 --> 00:14:50,550
+is closer. الآن في حالة الـ ametropia بتكون الـ near
+
+143
+00:14:50,550 --> 00:14:56,550
+point طبيعية. طيب، في حالة الـ myopia الـ near point
+
+144
+00:14:56,550 --> 00:15:00,190
+بتكون قريبة. طيب، في حالة الـ hypermetropia، بما نقارن
+
+145
+00:15:00,190 --> 00:15:08,830
+بينهم، بتكون بعيدة. presbyopia
+
+146
+00:15:08,830 --> 00:15:13,650
+كمصطلح، كـ definition، is thus a relative term. هو
+
+147
+00:15:13,650 --> 00:15:19,210
+يعتبر definition أو مصطلح علمي depending on. أي
+
+148
+00:15:19,210 --> 00:15:24,350
+بمعنى أنه بيعتمد على: number one، age، العمر، زي ما
+
+149
+00:15:24,350 --> 00:15:28,710
+قلنا أنه بيحدث في حالة الـ ametropia ما بين سن
+
+150
+00:15:28,710 --> 00:15:34,890
+الأربعين والخمسة والأربعين سنة. في الـ hypermetropia، في
+
+151
+00:15:34,890 --> 00:15:38,410
+الـ hypermetropia، أنه دائماً بيكون مبكراً، early compared to
+
+152
+00:15:38,410 --> 00:15:42,030
+ametropia. في الـ myopia، إيش بيكون؟ متأخراً، late compared to that.
+
+153
+00:15:47,380 --> 00:15:50,840
+هل هو المريض ametrope؟ هل هو hypermetrope أو
+
+154
+00:15:50,840 --> 00:15:56,040
+astigmatic؟ number three، الـ near work، أي بمعنى
+
+155
+00:15:56,040 --> 00:16:00,260
+واحد يما بيقرأ من قريب، أنه بيقرب الكتاب بتاعه،
+
+156
+00:16:00,260 --> 00:16:04,120
+بيختلف عن واحد مثلاً بيحط الكتاب وين؟ على رجله، و
+
+157
+00:16:04,120 --> 00:16:08,900
+بيقرأ على ركبه، okay؟ هذه كلها بتختلف، من حيث
+
+158
+00:16:08,900 --> 00:16:15,660
+الـ definition of presbyopia, okay? types
+
+159
+00:16:15,660 --> 00:16:19,500
+of near work، نوع العمل اللي هو اللي بيقوم فيه برضه
+
+160
+00:16:19,500 --> 00:16:24,900
+إذا واحد مثلاً driver، سائق، بيختلف عن واحد مثلاً إيه
+
+161
+00:16:24,900 --> 00:16:29,880
+دكتور. Okay، ليش؟ لأنه دائماً بيستخدم... الدكتور
+
+162
+00:16:29,880 --> 00:16:32,660
+دائماً بيستخدم الـ near vision، لكن الـ driver دائماً
+
+163
+00:16:32,660 --> 00:16:37,930
+بيستخدم الـ distance. Okay، والـ weather، الطقس، زي ما
+
+164
+00:16:37,930 --> 00:16:42,410
+اتفقنا أنه دائماً في المناطق الحارة بيكون أكثر من
+
+165
+00:16:42,410 --> 00:16:43,770
+المناطق الباردة.
+
+166
+00:17:17,990 --> 00:17:22,510
+مقارنةً في واحد إيه بيقرأ من مسافة مثلاً خمسة سنتي
+
+167
+00:17:22,510 --> 00:17:29,950
+أو عشرة سنتي. طيب،
+
+168
+00:17:29,950 --> 00:17:33,230
+عندنا
+
+169
+00:17:33,230 --> 00:17:39,370
+الـ symptoms، بمعنى إيش الأعراض؟ يعني بمعنى اللي
+
+170
+00:17:39,370 --> 00:17:43,970
+بيشكيها مين؟ المريض، الـ patient. الـ signs، العلامات
+
+171
+00:17:43,970 --> 00:17:47,510
+اللي دائماً الـ examiner هو اللي بيشوفها. هاي الفرق
+
+172
+00:17:47,510 --> 00:17:51,990
+ما بين الـ symptoms والـ signs. إذا الـ symptoms بمعنى
+
+173
+00:17:51,990 --> 00:17:57,590
+كل الأعراض اللي بيشكيها مين؟ الـ patient. Okay، الـ
+
+174
+00:17:57,590 --> 00:18:04,010
+signs اللي أنت بتشوفه كـ examiner، فاحص. الـ symptoms
+
+175
+00:18:04,010 --> 00:18:07,470
+والـ signs. symptoms بمعنى العلامات
+
+176
+00:18:10,970 --> 00:18:14,590
+هو الاتنين بيسموهم علامات وأعراض، لكن الـ symptoms
+
+177
+00:18:14,590 --> 00:18:18,830
+من حيث المريض اللي بيشكيه المريض، لكن الـ signs إيه
+
+178
+00:18:18,830 --> 00:18:24,030
+اللي أنت بتشوفه كـ examiner، كفاحص. طيب، عندنا الـ
+
+179
+00:18:24,030 --> 00:18:27,970
+symptoms of failure of accommodation، يعني شو هي
+
+180
+00:18:27,970 --> 00:18:33,010
+الأعراض اللي بيشكيها المريض لما بيكون عنده خلل في
+
+181
+00:18:33,010 --> 00:18:37,750
+الـ accommodation، يعني خلل في عملية التكيف. Okay؟
+
+182
+00:18:39,690 --> 00:18:45,090
+Number one، small print becomes indistinct، أي بمعنى
+
+183
+00:18:45,090 --> 00:18:50,170
+الخطوط الصغيرة إيش مالها؟ أو الخطوط بشكل عام in
+
+1
+
+223
+00:22:33,740 --> 00:22:38,900
+عنده إيش diffusion، أي بمعنى غبش من ناحية الرؤية،
+
+224
+00:22:38,900 --> 00:22:42,000
+okay؟
+
+225
+00:22:53,470 --> 00:22:58,290
+الغرفة معتمة والبؤبؤ أشماله بصير دياليت وكمية الضوء
+
+226
+00:22:58,290 --> 00:23:02,490
+أشماله بتكون كبيرة فبتعمل اللي هو diffusion لمين
+
+227
+00:23:02,490 --> 00:23:07,910
+للـ light difficulties
+
+228
+00:23:07,910 --> 00:23:12,530
+الصعوبات arise easily after a long day of fatigue
+
+229
+00:23:12,530 --> 00:23:16,450
+يعني هذه الصعوبات بتزيد بعد يوم طويل من العمل
+
+230
+00:23:16,450 --> 00:23:20,890
+okay number
+
+231
+00:23:20,890 --> 00:23:26,740
+five، a presbyopic likes illumination and he
+
+232
+00:23:26,740 --> 00:23:30,000
+tries to get that light between his eyes and the
+
+233
+00:23:30,000 --> 00:23:32,880
+book or to read in sunlight to make the pupils to
+
+234
+00:23:32,880 --> 00:23:37,980
+constrict، دائما المرضى اللي عندهم presbyopia
+
+235
+00:23:37,980 --> 00:23:43,740
+بيحبوا أنه يقرؤوا تحت أشعة الشمس أو تحت اللي هو
+
+236
+00:23:43,740 --> 00:23:47,700
+brilliant light، أي بمعنى ضوء ساطع، ليش؟ عشان الـ
+
+237
+00:23:47,700 --> 00:23:51,980
+pupil بيصير له إيش؟ constriction، أنه بتضيق، ودائما
+
+238
+00:23:51,980 --> 00:23:54,140
+حكينا في تلات شغلات بيكونوا
+
+239
+00:23:58,780 --> 00:24:02,040
+convergence, accommodation and miosis، بيتلاقي
+
+240
+00:24:02,040 --> 00:24:06,180
+دائما بيفضل أنه إيش؟ أنه عنده constriction للـ pupil
+
+241
+00:24:06,180 --> 00:24:11,360
+أي بمعنى miosis، يعني بتصغر الـ pupil بتاعه، okay
+
+242
+00:24:11,360 --> 00:24:14,900
+okay
+
+243
+00:24:14,900 --> 00:24:19,800
+مرة تانية، دائما الناس اللي عندهم قصر نظر شيخوخي
+
+244
+00:24:19,800 --> 00:24:23,420
+بيفضلوا فين؟ أنه يقروا في ضوء ساطع
+
+245
+00:24:25,850 --> 00:24:30,630
+بمعنى ضوء ساطع أو تحت أشعة الشمس، ليش؟ لأنه دائما
+
+246
+00:24:30,630 --> 00:24:34,790
+لما يكونوا في الضوء بيصير عندهم إيش؟ constriction ..
+
+247
+00:24:34,790 --> 00:24:38,810
+أي بمعنى constriction لمين؟ للـ pupil، عشان هي كده
+
+248
+00:24:38,810 --> 00:24:43,090
+بتكون الدنيا عتمة وبتيجي الكهربا مرة واحدة فجأة
+
+249
+00:24:43,090 --> 00:24:46,770
+إيش بيصير للواحد؟ بيغمض عينه، ليش؟ لأنه بيكون في وضع
+
+250
+00:24:46,770 --> 00:24:51,450
+الـ dilatation، sorry، dilatation وبعدين بيصير إيش؟
+
+251
+00:24:51,450 --> 00:24:54,250
+constriction، okay، أو العكس
+
+252
+00:24:59,580 --> 00:25:03,560
+in senility .. senility بمعنى الناس الكبار ..
+
+253
+00:25:03,560 --> 00:25:08,060
+senile بمعنى الناس الكبار، in senility when the
+
+254
+00:25:08,060 --> 00:25:14,120
+pupils become small، يعني مثلا واحد سألك شو .. شو
+
+255
+00:25:14,120 --> 00:25:17,560
+الحالات اللي بيكون فيها small pupil، من ضمنهم واحد
+
+256
+00:25:17,560 --> 00:25:22,040
+رجل كبير، okay، دائما بيصغر البؤبؤ عنده، أنه بيصغر الـ
+
+257
+00:25:22,040 --> 00:25:26,820
+pupil، okay، in senility when the pupils become
+
+258
+00:25:26,820 --> 00:25:31,380
+small، أي بمعنى عندما يصبح البؤبؤ صغير، and old
+
+259
+00:25:31,380 --> 00:25:35,520
+person، أي بمعنى رجل كبير، without accommodation
+
+260
+00:25:35,520 --> 00:25:39,500
+ماعندوش accommodation، لأن إحنا بنعرف أنه كل ما
+
+261
+00:25:39,500 --> 00:25:43,820
+الإنسان بيتقدم في العمر بيصير elimination، أي بمعنى
+
+262
+00:25:43,820 --> 00:25:49,680
+إزالة لمين؟ للـ accommodation، and old person without
+
+263
+00:25:49,680 --> 00:25:50,720
+accommodation
+
+264
+00:25:56,850 --> 00:26:01,670
+التفاصيل بتصبح صعبة عنده، يعني دائما الإنسان كل ما
+
+265
+00:26:01,670 --> 00:26:05,350
+تقدم في العمر الـ accommodation إيش ماله؟ بيقل
+
+266
+00:26:05,350 --> 00:26:12,270
+فبالرؤية التفاصيل بتلاقيها إيه؟ صعبة بالنسباله، okay
+
+267
+00:26:24,920 --> 00:26:29,680
+الـ accommodation بيهدي إلى eye strain، بمعنى إجهاد
+
+268
+00:26:29,680 --> 00:26:37,100
+في العين، طيب الإجهاد ده للعين بيعمل إيه؟ النتائج
+
+269
+00:26:37,100 --> 00:26:42,220
+بتاعته؟ the eye strain will result in number one
+
+270
+00:26:42,220 --> 00:26:47,280
+headache، صداع، number two tiredness of eyes، بمعنى
+
+271
+00:26:47,280 --> 00:26:51,360
+تعب في العينين، redness، أي احمرار
+
+272
+00:26:56,640 --> 00:27:01,720
+زيادة في الدموع، on efforts, inability to do more
+
+273
+00:27:01,720 --> 00:27:07,040
+useful near work، يعني بيقدرش أنه يستمر بعمل قريب
+
+274
+00:27:07,040 --> 00:27:14,620
+لمدة طويلة، okay، هذه بالنسبة للـ symptoms of failure
+
+275
+00:27:14,620 --> 00:27:19,660
+of accommodation، يعني إيه هي الأعراض اللي بيشكيها
+
+276
+00:27:19,660 --> 00:27:23,280
+المريض لما يكون عنده خلل فين؟ في الـ accommodation
+
+277
+00:27:28,310 --> 00:27:32,590
+الآن الـ classification للـ anomalies of accommodation
+
+278
+00:27:32,590 --> 00:27:39,990
+anomalies بمعنى خلل في عملية التكيف، الآن لما بتاخد
+
+279
+00:27:39,990 --> 00:27:46,070
+مثلا الـ history من المريض، تقعد مثلا تفكر شوية، ممكن
+
+280
+00:27:46,070 --> 00:27:50,790
+أن يكون الحالة special difficult، يعني حالة خاصة
+
+281
+00:27:50,790 --> 00:27:54,900
+صعبة، باجي بين وبين نفسي ممكن أعمل classification
+
+282
+00:27:54,900 --> 00:27:58,940
+كتصنيف، أقول ممكن هو يكون عنده anomalies للـ
+
+283
+00:27:58,940 --> 00:28:02,040
+accommodation، okay، طيب الـ anomalies للـ
+
+284
+00:28:02,040 --> 00:28:06,380
+accommodation، أي بمعنى خلل في عملية التكيف، ممكن
+
+285
+00:28:06,380 --> 00:28:11,180
+يكون increase، زيادة، أو ممكن يكون diminished or
+
+286
+00:28:11,180 --> 00:28:15,840
+decreased، اللي هو تقليل في الـ accommodation، طيب لما
+
+287
+00:28:15,840 --> 00:28:19,520
+يكون increase، ممكن يكون عنده spasm of
+
+288
+00:28:19,520 --> 00:28:23,720
+accommodation، spasm بمعنى شد، أنه بيشد الـ
+
+289
+00:28:23,720 --> 00:28:28,160
+accommodation عنده، أو بيكون excess of
+
+290
+00:28:28,160 --> 00:28:32,060
+accommodation، طيب إيه الفرق ما بين spasm و excess
+
+291
+00:28:32,060 --> 00:28:33,320
+of accommodation؟
+
+292
+00:28:54,870 --> 00:28:59,650
+الـ spasm of accommodation مابيكونش فيه سبب، يعني
+
+293
+00:28:59,650 --> 00:29:02,330
+بيصير عملية الشد لكن بدون سبب
+
+294
+00:29:05,210 --> 00:29:09,330
+زي ما إحنا عارفين، الآن الأطفال بنديهم الـ cycle of
+
+295
+00:29:09,330 --> 00:29:14,410
+ventilation، ليش؟ عشان بيعمل شلل للـ ciliary muscle،
+
+296
+00:29:14,410 --> 00:29:21,130
+إذا هذا إيش؟ يعتبر هذه القطرة من السبب، صح؟ يعني
+
+297
+00:29:21,130 --> 00:29:26,670
+أنت إديت يعني شغلة، فهي هذا الأمر، الـ drop هي اللي
+
+298
+00:29:26,670 --> 00:29:31,430
+عملت إيش؟ اللي paralyzed للـ ciliary muscle، okay؟ لكن
+
+299
+00:29:31,430 --> 00:29:34,590
+في حالة الـ excessive accommodation فيه reason، فيه
+
+300
+00:29:34,590 --> 00:29:39,430
+سبب، هو اللي عمل إيش؟ الـ contraction، الانقباض
+
+301
+00:29:39,430 --> 00:29:43,490
+لمين؟ للـ ciliary muscle، أو الـ fail للـ ciliary
+
+302
+00:29:43,490 --> 00:29:48,490
+muscle، okay؟ فدائما بالنسبة للـ excess of
+
+303
+00:29:48,490 --> 00:29:53,970
+accommodation بيكون شد بوجود سبب، لكن في الـ spasm
+
+304
+00:29:53,970 --> 00:29:58,490
+of accommodation شد بدون سبب، ليش بدون سبب؟ لأنه
+
+305
+00:29:58,490 --> 00:30:03,150
+بيكون أنه في الزنيول، يعني واحد مثلا أديته قطرة
+
+306
+00:30:03,150 --> 00:30:08,990
+ضيقت مثلا البؤبؤ، عملت اللي هو miosis للبؤبؤ، أو
+
+307
+00:30:08,990 --> 00:30:12,970
+الآن هناخد الـ reason أو الـ causes، الأسباب بتاعت
+
+308
+00:30:12,970 --> 00:30:17,750
+مين؟ الـ spasm of accommodation، طيب، increase
+
+309
+00:30:17,750 --> 00:30:25,340
+زيادة، فهمناها الآن؟ الـ increase أما بتعمل spasm
+
+310
+00:30:25,340 --> 00:30:29,580
+للـ accommodation أو excessive accommodation، طيب
+
+311
+00:30:29,580 --> 00:30:33,040
+واحد عنده decrease، يعني قليل الـ accommodation اللي
+
+312
+00:30:33,040 --> 00:30:37,420
+عنده مش كافي، ممكن يكون insufficient، أي بمعنى غير
+
+313
+00:30:37,420 --> 00:30:45,560
+كافي، أو paralyzed، شلل لمين؟ للـ accommodation، إذا
+
+314
+00:30:45,560 --> 00:30:48,520
+دائما بالصنف ده الـ anomalies أو
+
+315
+00:30:52,690 --> 00:30:57,150
+زيادة أو نقصان، زيادة عندنا نوعين، يا إما بيكون
+
+316
+00:30:57,150 --> 00:31:03,090
+excessive، يعني بمعنى شد بوجود سبب، أو spasm شد بدون
+
+317
+00:31:03,090 --> 00:31:07,150
+سبب، الـ decreased accommodation يا insufficient أي
+
+318
+00:31:07,150 --> 00:31:10,410
+بمعنى نقص في الـ accommodation، أو paralyzed للـ
+
+319
+00:31:10,410 --> 00:31:13,370
+accommodation، شلل للـ accommodation، وهذا بيكون من
+
+320
+00:31:13,370 --> 00:31:19,370
+خلال مين؟ الـ cycloplegics، أو الـ eye drops، طيب
+
+321
+00:31:19,370 --> 00:31:25,590
+الـ excessive accommodation، أي بمعنى أنه بيصير شد
+
+322
+00:31:25,590 --> 00:31:33,210
+بوجود إيه؟ سبب، ناخد الـ causes، الأسباب، إذا الـ causes
+
+323
+00:31:33,210 --> 00:31:37,070
+بمعنى أسبابه، أنه إيه الأسباب لزيادة الـ
+
+324
+00:31:37,070 --> 00:31:40,370
+accommodation، الـ excessive accommodation، أي بمعنى
+
+325
+00:31:40,370 --> 00:31:44,490
+شد بوجود سبب، الـ causes، أسبابه، number one
+
+326
+00:31:49,270 --> 00:31:54,430
+a sustained increase in accommodation، أي درجة محددة
+
+327
+00:31:54,430 --> 00:31:59,370
+من زيادة فين؟ في عملية التكييف، طيب فين دي بتكون
+
+328
+00:31:59,370 --> 00:32:04,090
+frequently، فين شائعة؟ إذا الآن إحنا قلنا الـ
+
+329
+00:32:04,090 --> 00:32:09,770
+excessive accommodation، أنه صار شد بوجود سبب، مدام
+
+330
+00:32:09,770 --> 00:32:14,270
+increase، إذا في عندي زيادة في الـ accommodation، لو
+
+331
+00:32:14,270 --> 00:32:16,130
+بتلاحظوا في بعض الحالات
+
+332
+00:32:20,590 --> 00:32:25,150
+تعمليها كمان شوية against، فممكن أنه يكون عنده إيش
+
+333
+00:32:25,150 --> 00:32:28,770
+كنت أقول لكم excessive accommodation، إذا اللي بيكون
+
+334
+00:32:28,770 --> 00:32:34,330
+عنده a certain degree، أي بمعنى درجة محددة من الـ
+
+335
+00:32:34,330 --> 00:32:36,730
+accommodation، لكن ده إيش؟ بيكون الـ accommodation
+
+336
+00:32:36,730 --> 00:32:42,310
+زايد، okay، طيب ده فين بيكون frequently، فين common
+
+337
+00:32:42,310 --> 00:32:44,010
+أي بمعنى فين شائع
+
+338
+00:32:49,140 --> 00:32:55,520
+وهو أيضًا  hypermetropic، والتي كانت تعتبر استخدام
+
+339
+00:32:55,520 --> 00:33:01,000
+الـ ciliary muscle في محاولة رؤية واضحة، واحد hyper
+
+340
+00:33:01,000 --> 00:33:06,360
+metropic، لكن ما بين عمره بيكون خمس عشر لخمس
+
+341
+00:33:06,360 --> 00:33:10,400
+و عشرين سنة، okay، عنده hypermetropic، إذا الـ
+
+342
+00:33:10,400 --> 00:33:13,860
+incident light rays are brought to focus behind
+
+343
+00:33:13,860 --> 00:33:18,540
+the retina، بيحاول أنه إيش؟ أنه يستخدم الـ ciliary muscle
+
+344
+00:33:18,540 --> 00:33:23,240
+بتاعته بشكل طبيعي عشان يعمل إيش؟ clear للـ vision
+
+345
+00:33:27,530 --> 00:33:32,950
+So، يعمل الـ ciliary muscle بشكل طبيعي، بيؤدي لإيش؟ للـ
+
+346
+00:33:32,950 --> 00:33:37,230
+excessive للـ accommodation، يعني بيصير شد لمين؟ للـ
+
+347
+00:33:37,230 --> 00:33:44,070
+ciliary muscle، okay، again، الآن إحنا جهلنا الـ hyper
+
+348
+00:33:44,070 --> 00:33:49,570
+metropic، okay، كان عمره من خمس عشر لخمس وعشرين سنة
+
+349
+00:33:51,260 --> 00:33:55,560
+دائما عنده blurred vision للـ distance وللـ near،
+
+350
+00:33:55,560 --> 00:34:00,880
+okay؟ بده يحاول هذا المريض أنه يشوف القريب بشكل
+
+351
+00:34:00,880 --> 00:34:06,180
+واضح، فإيش بيحاول؟ دائما يزود الـ accommodation
+
+352
+00:34:06,180 --> 00:34:12,810
+بتاعه، فزيادة الـ accommodation هتعمل إيه؟ أنها هتعمل لـ
+
+353
+00:34:12,810 --> 00:34:16,930
+contraction للـ ciliary muscle، انقباض، هذا إيش
+
+354
+00:34:16,930 --> 00:34:21,330
+الانقباض هيكون زائد مقارنة في الناس الطبيعيين، فهذا
+
+355
+00:34:21,330 --> 00:34:26,690
+فين هيروح؟ للـ excessive accommodation، مضحكة
+
+356
+00:34:26,690 --> 00:34:27,430
+الفكرة؟
+
+357
+00:34:29,870 --> 00:34:33,630
+number two، in myopes، في الأشخاص اللي بيكون عندهم
+
+358
+00:34:33,630 --> 00:34:38,410
+myopia، لكن الـ myopia ده إيش؟ بيكون قصر نظر بسيط، okay
+
+359
+00:34:38,410 --> 00:34:43,610
+in myopes، especially in young subjects doing much
+
+360
+00:34:43,610 --> 00:34:48,330
+near work، أي بمعنى in simple myopia، يعني myopia خفيف
+
+361
+00:34:48,330 --> 00:34:53,590
+عنده قصر نظر لكن بسيط وبيعمل عمل قريب بشكل إيه؟
+
+362
+00:34:53,590 --> 00:34:59,620
+كثير، طويل، يعني much work، يعني أه، أنه بيكون فترات
+
+363
+00:34:59,620 --> 00:35:04,480
+طويلة، يعني مثلا بيشتغل على جهاز الحاسوب، أو مثلا على
+
+364
+00:35:04,480 --> 00:35:10,340
+الـ smart phone، أو أو أه، يعني بشكل إيه؟ طويل، فهذا الـ
+
+365
+00:35:10,340 --> 00:35:13,900
+near work، دائما يعني هو معندوش مشكلة فين؟ في الـ
+
+366
+00:35:13,900 --> 00:35:16,840
+القريب، لأن الـ near point بتاعته قريبة جدا
+
+367
+00:35:16,840 --> 00:35:21,520
+فبتلاقي ده بيؤدي لمين؟ للـ excessive accommodation
+
+368
+00:35:21,520 --> 00:35:24,180
+إذا number one، في الـ young
+
+369
+00:35:29,740 --> 00:35:34,260
+فبيعمل زيادة للـ ciliary muscle، فبيؤدي ده لمين؟
+
+370
+00:35:34,260 --> 00:35:39,180
+إلى الـ excessive accommodation، number two، في الـ simple
+
+371
+00:35:39,180 --> 00:35:45,320
+myopia اللي بيعمل عمل قريب بفترات طويلة، number
+
+372
+00:35:45,320 --> 00:35:50,380
+three، in astigmatic errors doing much near work، نفس
+
+373
+00:35:50,380 --> 00:35:55,910
+الـ myopia، إذا عنده astigmatism، لكن إيش بيعمل للقريب
+
+374
+00:35:55,910 --> 00:36:00,690
+لفترة طويلة أيضا، هذا بيؤدي لمين؟ للـ excessive
+
+375
+00:36:00,690 --> 00:36:06,850
+accommodation، بمعنى زيادة في الـ accommodation، in
+
+376
+00:36:06,850 --> 00:36:11,230
+excessive convergence، دائما حكينا، أي زيادة في الـ
+
+377
+00:36:11,230 --> 00:36:14,250
+convergence بتؤدي لزيادة فين؟ في الـ
+
+378
+00:36:14,250 --> 00:36:19,430
+accommodation، وبتؤدي لإيش؟ للمiosis، لأن التلاتة
+
+379
+00:36:19,430 --> 00:36:24,910
+associated together، أنه بيعملوا إيه؟ مع بعض، طيب
+
+380
+00:36:24,910 --> 00:36:29,850
+number five، in all patients، في كل المرضى، trying to
+
+381
+00:36:29,850 --> 00:36:34,730
+gain، اللي بيحاولوا يكتسبوا clear near vision، رؤية
+
+382
+00:36:34,730 --> 00:36:39,250
+قريبة واضحة، in spite of refractive errors، برغم من
+
+383
+00:36:39,250 --> 00:36:41,750
+وجود إيه؟ الأخطاء الانكسارية
+
+384
+00:36:56,820 --> 00:37:04,880
+Number two، a large amount of near work، من العمل
+
+385
+00:37:04,880 --> 00:37:11,940
+القريب، is an important factor in the
+
+386
+00:37:11,940 --> 00:37:14,780
+causation of accommodative strain
+
+387
+00:37:23,160 --> 00:37:27,700
+عشرة ساعات يكون مثلا إقبال الكمبيوتر، okay، فهذا إيش
+
+388
+00:37:27,700 --> 00:37:32,760
+يعتبر a large amount of near work، يعني كمية كبيرة
+
+389
+00:37:32,760 --> 00:37:38,120
+من العمل القريب، ده كله إيش بيؤدي للـ
+
+390
+00:37:38,120 --> 00:37:43,200
+accommodative strain، بمعنى إجهاد لعملية التكيف، فين
+
+391
+00:37:43,200 --> 00:37:45,080
+ده بيحدث، especially فين؟
+
+392
+00:37:47,860 --> 00:37:51,800
+work is habitually undertaken in deficient or
+
+393
+00:37:51,800 --> 00:37:56,180
+excessive illumination، بتلاقي مثلا بيشتغل لفترات
+
+394
+00:37:56,180 --> 00:38:01,740
+عمل طويلة تحت إضاءة قليلة أو إضاءة كثيرة، ده
+
+395
+00:38:01,740 --> 00:38:06,820
+بيعمله إيش؟ excessive للـ accommodation، إذا is
+
+396
+00:38:06,820 --> 00:38:10,200
+undertaken in deficient or excessive illumination
+
+397
+00:38:10,200 --> 00:38:14,340
+يعني تحت إضاءة قليلة أو إضاءة كبيرة
+
+398
+00:38:22,130 --> 00:38:24,950
+الخطأ الانكساري في العين وغير مصلح
+
+399
+00:38:32,450 --> 00:38:35,270
+other causes of excessive illumination، excessive
+
+400
+00:38:35,270 --> 00:38:39,6
+
+445
+00:42:32,120 --> 00:42:39,640
+ميوب، okay؟ at risk position، hypermetrope، okay؟
+
+446
+00:42:39,640 --> 00:42:44,820
+but after strain لكن بعد إجهاد is myopia and more
+
+447
+00:42:44,820 --> 00:42:51,000
+and more myopia with more effort بمعنى
+
+448
+00:42:51,000 --> 00:42:55,500
+أنه كل ما زاد ال near work هيزيد عنده من ال myopia
+
+449
+00:42:55,500 --> 00:42:59,120
+طيب why؟
+
+450
+00:42:59,120 --> 00:43:03,520
+الآن هو السؤال كيف؟ يبدأ المريض بيكون عنده في وضع
+
+451
+00:43:03,520 --> 00:43:09,520
+الراحة hypermetropic وهذا طبيعي، صح؟ لكن بعد ما
+
+452
+00:43:09,520 --> 00:43:15,150
+بيشتغل للقريب إيش ماله؟ بيصير artificial myopia، وكل
+
+453
+00:43:15,150 --> 00:43:20,950
+ما زاد العمل القريب بيزيد ال myopia، آه تفضلي عشان هو
+
+454
+00:43:20,950 --> 00:43:25,130
+لما هيعمل excessive accommodation هيزيد ال power
+
+455
+00:43:25,130 --> 00:43:29,450
+بتاعة العدسة، هيصير تجمع الأشعة شوي شوي هتصير مثلا زي ال
+
+456
+00:43:29,450 --> 00:43:32,610
+ampere، وبعدين هتصير تجمع الأشعة in front of that
+
+457
+00:43:32,610 --> 00:43:36,810
+يعني هتصير زي ال myopia لأن ال power بتاعة العدسة
+
+458
+00:43:36,810 --> 00:43:37,230
+زادة
+
+459
+00:43:39,940 --> 00:43:44,760
+هو صح الكلام، بس بدنا more detail، أكثر تفصيل، ال
+
+460
+00:43:44,760 --> 00:43:49,680
+near point، لما هيعمل near work بتصير أقرب، فبتصير
+
+461
+00:43:49,680 --> 00:43:54,760
+عنده ... طب ما هو؟ هو بالأصل اللي هيعمل near work،
+
+462
+00:43:54,760 --> 00:43:57,480
+بس لما هيعمل near work بتصير عنده ال ... ال near
+
+463
+00:43:57,480 --> 00:44:01,620
+point أقرب، فبتصير أقرب لليه؟ هو أقرب إجابة، صح، أنه
+
+464
+00:44:01,620 --> 00:44:07,430
+ال near point بتاعته إيه شمالها؟ بتجرب انه near
+
+465
+00:44:07,430 --> 00:44:12,650
+point precedes، يعني بتكون أقرب، okay، فدايما بتجرب ال
+
+466
+00:44:12,650 --> 00:44:16,530
+near point، فهو كل ما زاد العمل القريب هيدخل إيش في
+
+467
+00:44:16,530 --> 00:44:21,950
+الميوبيا، فيصير artificial إيه؟ ميوبيا، okay، لكن هو لو
+
+468
+00:44:21,950 --> 00:44:26,030
+عملتيله سايكلوبنتوليت قطرة هيكون إيش؟
+
+469
+00:44:26,030 --> 00:44:31,910
+hypermetropic، okay، number
+
+470
+00:44:31,910 --> 00:44:38,250
+two، both far point، ال far point هي أبعد نقطة بتتركز
+
+471
+00:44:38,250 --> 00:44:43,210
+على الشبكية، and near point أقرب نقطة بتتركز على
+
+472
+00:44:43,210 --> 00:44:47,350
+الشبكية، become closer to the eye، إنه هيصبحوا
+
+473
+00:44:47,350 --> 00:44:51,790
+قريبين على مين؟ على العين، ال near و ال far point
+
+474
+00:45:05,550 --> 00:45:10,510
+أي بمعنى إن ال examiner هو اللي هيكتشفها، صح؟ يعني
+
+475
+00:45:10,510 --> 00:45:14,610
+الآن المريض مش هيعرف إنه عنده artificial myopia،
+
+476
+00:45:14,610 --> 00:45:17,910
+بعدين هيصير hypermetrope، أو مثلا ال near point و
+
+477
+00:45:17,910 --> 00:45:20,750
+ال far point بتاعته قريبات، فهدول إيش؟ عبارة عن
+
+478
+00:45:20,750 --> 00:45:25,090
+clinical picture، أي بمعنى إن ال examiner هو اللي
+
+479
+00:45:25,090 --> 00:45:31,270
+هيشوفها أو هو اللي هيكتشفها، okay؟ الآن النقطة
+
+480
+00:45:31,270 --> 00:45:35,810
+التالتة هذه تعتبر إيش؟ symptoms، لأن ال distant
+
+481
+00:45:35,810 --> 00:45:42,130
+vision هتصير إيه؟ blurred، إذا number three، distant
+
+482
+00:45:42,130 --> 00:45:46,790
+vision becomes blurred، يعني الرؤية من بعيد هتصبح
+
+483
+00:45:46,790 --> 00:45:51,790
+مغبشة، distant vision is therefore can be improved
+
+484
+00:45:51,790 --> 00:45:56,470
+by concave lens، عشان هيك هنستخدم عدسة إيش؟ minus
+
+485
+00:45:56,470 --> 00:46:05,690
+بالظبط، إذا هنستخدم عدسة minus لتحسين الرؤية، Okay؟
+
+486
+00:46:05,690 --> 00:46:09,610
+لأنه بيحصل ... إنه بيصير Artificial myopia، يعني دايما
+
+487
+00:46:09,610 --> 00:46:13,030
+ليه في ال Artificial myopia بنستخدم concave lens؟
+
+488
+00:46:13,030 --> 00:46:17,410
+عشان نركز الأشعة الضوئية وين؟ على الشبكية، هي
+
+489
+00:46:17,410 --> 00:46:20,270
+بتكون وين الأشعة في ال Artificial myopia؟ In front
+
+490
+00:46:20,270 --> 00:46:23,690
+of the retina، فأنا بستخدم ال concave lens، كل الأشعة
+
+491
+00:46:23,690 --> 00:46:30,230
+وين بتتركز؟ On the retina، Okay؟
+
+492
+00:46:30,230 --> 00:46:32,990
+In a more marked degree، أي بمعنى ...
+
+493
+00:46:41,520 --> 00:46:47,200
+يعني برضه بيصير الرؤية مغبشة، مع ارتباك of
+
+494
+00:46:47,200 --> 00:46:51,280
+printed pages، which is relieved by temporary rest،
+
+495
+00:46:51,280 --> 00:46:56,080
+وهدا كله هيصير إزالته لما المريض يصير في حالة
+
+496
+00:46:56,080 --> 00:47:01,050
+ال at risk position، يعني في حالة راحة مؤقتة، يعني الآن
+
+497
+00:47:01,050 --> 00:47:05,710
+يما بيزيد العمل للقريب بيصير أيضا رؤية مغبشة لوين؟
+
+498
+00:47:05,710 --> 00:47:12,290
+للقريب، طيب وقت إيش هذا بيروح؟ بال temporary أو بال
+
+499
+00:47:12,290 --> 00:47:16,070
+at risk position، في وضع الراحة، كل هذه إيش مالها؟
+
+500
+00:47:16,070 --> 00:47:21,210
+تتلاشى، طيب
+
+501
+00:47:21,210 --> 00:47:25,050
+هذا تعتبر number four، تعتبر symptom ولا sign؟
+
+502
+00:47:25,050 --> 00:47:27,310
+symptom، صحيح
+
+503
+00:47:29,020 --> 00:47:32,720
+There are typical symptoms of accommodative
+
+504
+00:47:32,720 --> 00:47:38,280
+asthenopia، يعني بمعنى أن الأعراض اللي هيشكيها
+
+505
+00:47:38,280 --> 00:47:43,780
+المريض في حالة ال excessive accommodation أو إجهاد
+
+506
+00:47:43,780 --> 00:47:47,320
+ال eye fatigue، و ال accommodation، Including
+
+507
+00:47:47,320 --> 00:47:52,140
+number one، headache، صداع، number two، feeling of
+
+508
+00:47:52,140 --> 00:47:57,020
+fatigue، بيشعر بالتعب، okay، and discomfort، أنه غير
+
+509
+00:47:57,020 --> 00:47:58,320
+مرتاح، in the
+
+510
+00:48:09,050 --> 00:48:16,510
+طبيعي أنه بعد الإنسليلة، يعني طبيعي بعد أن أنا
+
+511
+00:48:16,510 --> 00:48:21,790
+ما أقطر، إنسليلة أي تقطير of atropine، الأتروبين
+
+512
+00:48:21,790 --> 00:48:23,850
+drops in the patients
+
+513
+00:48:40,670 --> 00:48:46,030
+زي ما اتفقنا، أنه نتيجة الإجهاد و نتيجة العمل
+
+514
+00:48:46,030 --> 00:48:46,770
+القريب
+
+515
+00:48:58,800 --> 00:49:05,020
+The diagnosis، بمعنى التشخيص، is observed، أي يلاحظ
+
+516
+00:49:05,020 --> 00:49:09,280
+by finding a great difference between the
+
+517
+00:49:09,280 --> 00:49:13,800
+pre-cycloplegic and post-cycloplegic refraction، أي
+
+518
+00:49:13,800 --> 00:49:18,660
+بمعنى قبل و بعد إيش؟ القطرة، يعني بتلاقي فحص قبل
+
+519
+00:49:18,660 --> 00:49:24,190
+القطرة مختلف عن إيه؟ بعد القطرة، حتى في الأطفال، يعني
+
+520
+00:49:24,190 --> 00:49:28,610
+يكون الطفل cooperative، متعاون، دايما قبل القطرة
+
+521
+00:49:28,610 --> 00:49:33,310
+بعمله test، فحص، وبعد القطرة برضه بعمله إيش ال test؟
+
+522
+00:49:33,310 --> 00:49:35,890
+تعالي ال retinoscope أو ال autorefractometer،
+
+523
+00:49:35,890 --> 00:49:40,210
+whatever، هتلاقي فيه فرق ما بين ال pre و ال post،
+
+524
+00:49:40,210 --> 00:49:46,950
+أنه قبل و بعد، okay، ال
+
+525
+00:49:46,950 --> 00:49:51,590
+prescription، أي بمعنى الانطباع، of such
+
+526
+00:50:05,120 --> 00:50:09,720
+cycloplegic refraction for cycloplegic correction،
+
+527
+00:50:09,720 --> 00:50:13,960
+أي بمعنى إنه العلاج أو النضارة اللي هوصفها للمريض
+
+528
+00:50:13,960 --> 00:50:19,120
+بعد إيش؟ التقطير، بعد فحص التقطير، يعني الآن أي تطفل،
+
+529
+00:50:19,120 --> 00:50:24,440
+وقت إيش؟ بتديله النضارة بعد القطرة، ممنوع تديه قبل
+
+530
+00:50:24,440 --> 00:50:29,320
+القطرة، صح؟ ليش؟ لأن لو أنا مثلا أعطيته قبل القطرة
+
+531
+00:50:29,320 --> 00:50:33,820
+هيكون في difference، اختلاف، ما بين قبل و بعد القطرة
+
+532
+00:50:36,330 --> 00:50:41,670
+إذا الآن لو سألتك شو ال symptoms لواحد عنده
+
+533
+00:50:41,670 --> 00:50:48,870
+excessive accommodation، number
+
+534
+00:50:48,870 --> 00:50:56,370
+one، headache، number two، eye fatigue، number three، a
+
+535
+00:50:56,370 --> 00:51:02,760
+blurred vision، four، distance، okay، وهذا اللي بيؤثر
+
+536
+00:51:02,760 --> 00:51:06,160
+على ال vision، بيزيد مع near work، مع زيادة
+
+537
+00:51:06,160 --> 00:51:11,360
+العمل، و discomfort، عدم راحة، هذه كلها تعتبر من مين؟
+
+538
+00:51:11,360 --> 00:51:17,080
+من ال symptoms، لأ أنا سألت بس ال symptoms، يعني شو
+
+539
+00:51:17,080 --> 00:51:20,740
+الشكوى اللي هيجي المريض يحكيلك إياها، يعني واحد
+
+540
+00:51:20,740 --> 00:51:24,240
+عنده excessive accommodation، اكتب هون
+
+541
+00:53:16,830 --> 00:53:20,190
+هدول ال symptoms ل ال excessive of accommodation،
+
+542
+00:53:20,190 --> 00:53:24,950
+okay؟ بدنا نقفل إن شاء الله ل ال spasm of
+
+543
+00:53:24,950 --> 00:53:30,350
+accommodation، بس حابب أتكلم في موضوعين، ابتداء من
+
+544
+00:53:30,350 --> 00:53:34,070
+المحاضرة القادمة، إن شاء الله، هنبدأ النص ساعة
+
+545
+00:53:34,070 --> 00:53:38,250
+الأخيرة نعمل فيها ال presentation، طبعا تم اختيار
+
+546
+00:53:38,250 --> 00:53:44,110
+two groups، للمرة الجاية هتكون مجموعة آية ومجموعة
+
+547
+00:53:44,110 --> 00:53:46,170
+dream، okay؟
+
+548
+00:53:49,450 --> 00:53:53,610
+طبعا مدة ال presentation هتكون fifteen minutes،
+
+549
+00:53:53,610 --> 00:54:01,170
+okay، لأ كله overall طبعا ال fifteen minutes with
+
+550
+00:54:01,170 --> 00:54:05,890
+questions and answers، questions and answers،
+
+551
+00:54:05,890 --> 00:54:11,330
+okay، هذه نقطة، النقطة التانية إن شاء الله هعمل
+
+552
+00:54:17,580 --> 00:54:21,120
+هي حاضرة، إنه كيف ممكن تجاوبي الأسئلة في
+
+553
+00:54:21,120 --> 00:54:24,800
+الامتحانات، بمعنى يما واحد مثلا يقولك mention،
+
+554
+00:54:24,800 --> 00:54:27,100
+واحد يقولك describe، واحد يقولك ال
+
+555
+00:54:27,100 --> 00:54:31,300
+characteristics، كيف تفهم السؤال؟ يما شو الفرق بين
+
+556
+00:54:31,300 --> 00:54:35,780
+mention، واحد يقولك مثلا describe، واحد مثلا what
+
+557
+00:54:35,780 --> 00:54:40,200
+are the characteristics، واحد مثلا بيقول compare، كل
+
+558
+00:54:40,200 --> 00:54:43,500
+هذا، الفرق إن هو إيش الفرق بين صيغة السؤال والتانية؟
+
+559
+00:54:43,500 --> 00:54:47,600
+هالشيء إن شاء الله ممكن نديها نص ساعة أو ربع الساعة،
+
+560
+00:54:47,600 --> 00:54:52,960
+whatever، إنه تكونوا ك evaluation ل ال final exam،
+
+561
+00:54:52,960 --> 00:54:54,940
+إن شاء الله، يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1631e49a44df4aee95126e2558cbbd741cc937d2
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_postprocess.srt
@@ -0,0 +1,2244 @@
+1
+00:00:20,620 --> 00:00:23,760
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,760 --> 00:00:28,300
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:28,300 --> 00:00:33,760
+اليوم ان شاء الله هنبدأ بداية المحاضرة what is the
+
+4
+00:00:33,760 --> 00:00:39,380
+difference between a presbyopia and ametropois أي
+
+5
+00:00:39,380 --> 00:00:43,160
+بمعنى شو الفرق ما بين العين الطبيعية و العين اللى
+
+6
+00:00:43,160 --> 00:00:48,760
+بيكون عندها قصه النظر الشيخ وخد طيب ال ametropois
+
+7
+00:00:56,840 --> 00:01:01,900
+ممتازة إذا الامتروب I incident light rays are
+
+8
+00:01:01,900 --> 00:01:07,320
+brought to focus on the retina بريسبيوبيا ك
+
+9
+00:01:07,320 --> 00:01:14,640
+definition okay
+
+10
+00:01:14,640 --> 00:01:15,940
+another answer
+
+11
+00:01:34,770 --> 00:01:42,070
+الابريس بيوبيا هي عدم قدرة من عدسة الكريستالين
+
+12
+00:01:44,930 --> 00:01:49,970
+to change its shape يعني عدم قدرة العدسة في تغيير
+
+13
+00:01:49,970 --> 00:01:57,390
+شكلها by converging power to focus any objects
+
+14
+00:01:57,390 --> 00:01:59,610
+behind the retina
+
+15
+00:02:15,120 --> 00:02:27,040
+It is an ability of
+
+16
+00:02:27,040 --> 00:02:30,220
+the
+
+17
+00:02:30,220 --> 00:02:33,580
+crystalline
+
+18
+00:02:33,580 --> 00:02:38,200
+lens
+
+19
+00:02:38,200 --> 00:02:43,320
+to change
+
+20
+00:02:51,280 --> 00:02:58,800
+It is shaped by
+
+21
+00:02:58,800 --> 00:03:06,020
+converging power
+
+22
+00:03:06,020 --> 00:03:14,100
+and
+
+23
+00:03:14,100 --> 00:03:19,600
+the incident
+
+24
+00:03:25,080 --> 00:03:34,740
+light rays are
+
+25
+00:03:34,740 --> 00:03:41,300
+brought to
+
+26
+00:03:41,300 --> 00:03:44,800
+focus where?
+
+27
+00:03:45,360 --> 00:03:45,780
+behind
+
+28
+00:03:59,280 --> 00:04:06,320
+إذا عدم قدرة العدسة على تغيير شكلها أي ما بتقدر
+
+29
+00:04:06,320 --> 00:04:10,360
+العدسة ان تعمل accommodation وبالتالي هي ما بتكون
+
+30
+00:04:10,360 --> 00:04:12,400
+قادرة على عمل ال converging
+
+31
+00:04:14,930 --> 00:04:19,210
+و تركيز ال light rays وين بيصير behind the retina
+
+32
+00:04:19,210 --> 00:04:25,950
+اذا الأشعة الضوئية الساقطة بتتجمع خلف الشبكية اذا
+
+33
+00:04:25,950 --> 00:04:32,670
+عدم قدرة العدسة على تغيير شكلها انه
+
+34
+00:04:32,670 --> 00:04:37,050
+مابتقدرش تعمل convergence power زائد ان الأشعة
+
+35
+00:04:37,050 --> 00:04:40,230
+الضوئية الساقطة وين بتتركز خلف الشبكية
+
+36
+00:04:43,060 --> 00:04:49,260
+هذا ك definition of a brass biopia طيب
+
+37
+00:04:49,260 --> 00:04:52,740
+في حالة ال brass biopia why you apply a glass
+
+38
+00:04:52,740 --> 00:04:57,100
+lens؟ ليش احنا بنستخدم العدسة الموجبة؟ عشان ..
+
+39
+00:04:57,100 --> 00:05:03,320
+عشان تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل
+
+40
+00:05:03,320 --> 00:05:04,080
+.. تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+41
+00:05:04,080 --> 00:05:04,260
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+42
+00:05:04,260 --> 00:05:06,920
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+43
+00:05:06,920 --> 00:05:12,970
+تعمل .. تOkay وين هيجمع الأشعة؟ on the retina الان
+
+44
+00:05:12,970 --> 00:05:16,250
+في حالة ال breast biopia ال incident light rays
+
+45
+00:05:16,250 --> 00:05:19,370
+are brought to focus behind the retina when you
+
+46
+00:05:19,370 --> 00:05:23,310
+apply plus lens or convex lens incident light rays
+
+47
+00:05:23,310 --> 00:05:27,270
+are brought to focus on the retina okay اذا why
+
+48
+00:05:27,270 --> 00:05:32,670
+you apply a plus lens in a breast biopia case or
+
+49
+00:05:32,670 --> 00:05:34,830
+in a breast biopia condition؟
+
+50
+00:05:37,010 --> 00:05:46,290
+to focus light rays on the retina عشان
+
+51
+00:05:46,290 --> 00:05:49,010
+نركز الأشعة الضوئية على الشبكية
+
+52
+00:05:57,660 --> 00:06:02,340
+بريسبيوبيا الـ normal eye incident light rays are
+
+53
+00:06:02,340 --> 00:06:06,880
+brought to focus on the retina بريسبيوبيا incident
+
+54
+00:06:06,880 --> 00:06:11,220
+light rays are brought to focus behind the retina
+
+55
+00:06:23,090 --> 00:06:26,710
+Light rays are brought to focus on the retina أي
+
+56
+00:06:26,710 --> 00:06:31,810
+بمعنى أن الأشعة الضوئية الساقطة على العين بتتركز
+
+57
+00:06:31,810 --> 00:06:37,090
+وين؟ على الشبكية In ametropes, presbyopia occurs
+
+58
+00:06:37,090 --> 00:06:43,050
+between 40 and 45 years قصوا النظر الشيخوخي في
+
+59
+00:06:43,050 --> 00:06:47,290
+الناس الطبيعيين متى بتحدث؟ ما بين سن الأربعين
+
+60
+00:06:47,290 --> 00:06:48,870
+والخمس واربعين سنة
+
+61
+00:06:54,260 --> 00:06:58,100
+الرغم من وجود اختلاف جغرافي
+
+62
+00:07:24,500 --> 00:07:31,220
+بنلاحظ أنه قصه النظر الشيخوخي بيكون مبكر مقارنة في
+
+63
+00:07:31,220 --> 00:07:36,440
+المناطق الأخرى أي بمعنى في المناطق الحارة دائما
+
+64
+00:07:36,440 --> 00:07:41,340
+قصه النظر الشيخوخي بيكون أكثر شيوع من وين من
+
+65
+00:07:41,340 --> 00:07:46,700
+المناطق الباردة this is my question
+
+66
+00:07:59,860 --> 00:08:04,960
+الـ Y الاناليبرس
+
+67
+00:08:04,960 --> 00:08:09,500
+بيوبيا هو عبارة عن definition تعريف بتعلق بعدة
+
+68
+00:08:09,500 --> 00:08:13,100
+عوامل من ضمن هذه العوامل اللي هو مفهوم ال weather
+
+69
+00:08:13,100 --> 00:08:17,940
+okay according to previous studies بناء على دراسات
+
+70
+00:08:17,940 --> 00:08:23,420
+سابقة تبين ان المناطق الحارة بيكون فيها العدسة
+
+71
+00:08:23,420 --> 00:08:28,950
+العين متصلبة أكثر من المناطق الباردةOkay لأنه في
+
+72
+00:08:28,950 --> 00:08:32,710
+حالة ال breast biopia العدسة إيش بتصير عدسة العين
+
+73
+00:08:32,710 --> 00:08:38,850
+صلبة صح أنها بتتصلب يعني بتصير العدسة كأنها flat
+
+74
+00:08:38,850 --> 00:08:44,250
+okay فتبين إنه في هذه المناطق بتكون العدسة أكثر
+
+75
+00:08:44,250 --> 00:08:49,130
+تصلبا مقارنة في وين؟ في المناطق الباردة عشان هيك
+
+76
+00:08:49,130 --> 00:08:53,150
+ال breast biopia is more common in hot weather
+
+77
+00:08:53,150 --> 00:08:54,690
+compared to cold
+
+78
+00:09:03,250 --> 00:09:07,990
+طيب زي ما اتفقنا انه في حالة ال breast biopia قص
+
+79
+00:09:07,990 --> 00:09:13,210
+النظر الشيخوخي بنستخدم ال convex lens او ال plus
+
+80
+00:09:13,210 --> 00:09:17,210
+lens العلسة الموجبة to focus light rays on the
+
+81
+00:09:17,210 --> 00:09:22,470
+retina عشان نعمل تركيز للاشعة الضوئية على الشبكية
+
+82
+00:09:24,690 --> 00:09:29,250
+A hypermetrophe starts his life with near point
+
+83
+00:09:29,250 --> 00:09:34,110
+considerably farther away from the eyes بمعنى انه
+
+84
+00:09:34,110 --> 00:09:38,610
+ال near point بتاعته بتكون بعيدة okay فبيكون ال
+
+85
+00:09:38,610 --> 00:09:45,850
+press biopia مالها early مبكرايعني لو الآن سؤال
+
+86
+00:09:45,850 --> 00:09:51,750
+ليش دايما الناس اللي عندهم hypermetrop بتلاقي اللي
+
+87
+00:09:51,750 --> 00:09:58,250
+برسبة يومي بتيجي مبكر مقارنة في الimetrop؟
+
+88
+00:09:58,250 --> 00:10:02,050
+اذا ال near point is a closure is far away from
+
+89
+00:10:02,050 --> 00:10:06,880
+the eye، انه بتكون بعيدة دايما وين عن العينبمعنى
+
+90
+00:10:06,880 --> 00:10:11,480
+انه دايما الناس اللى عندهم طول نظر بيعانوا من
+
+91
+00:10:11,480 --> 00:10:16,640
+البريس بيوب اكتر من الناس ال امتروب او بتيجي مبكرا
+
+92
+00:10:16,640 --> 00:10:20,660
+اكتر يعنى احنا قلنا ان البريس بيوب قصوا النظر
+
+93
+00:10:20,660 --> 00:10:25,180
+الشيخوخي ما بين اربعين وخمس واربعين سنة في حالة ال
+
+94
+00:10:25,180 --> 00:10:29,520
+hyper metrobe بيجي مبكر يعني خمسة و تلاتين اربعة و
+
+95
+00:10:29,520 --> 00:10:33,420
+تلاتين okay ليش؟ لأنه دايما ال near point بتاعته
+
+96
+00:10:33,420 --> 00:10:39,830
+اشمالهاال near point بتاعته بتكون بعيدة ان هو
+
+97
+00:10:39,830 --> 00:10:43,170
+farther away يعني دايما ال near point ايش هو
+
+98
+00:10:43,170 --> 00:10:48,890
+تعريفها؟ هي ال nearest point انه اقرب نقطة اللى
+
+99
+00:10:48,890 --> 00:10:52,970
+بتتركز وين على الشبكية فدايما في حالة ال hyper
+
+100
+00:10:52,970 --> 00:10:57,210
+metrop بتكون ايش مالها؟ بعيدة لو قررنا بينها وبين
+
+101
+00:10:57,210 --> 00:11:00,930
+مين؟ ال metrop ال normal okay؟
+
+102
+00:11:03,970 --> 00:11:08,310
+thus a hypermetrophe with plus three diopters لو
+
+103
+00:11:08,310 --> 00:11:11,850
+فرضنا انه مريض عنده hypermetrophe with three
+
+104
+00:11:11,850 --> 00:11:16,050
+diopters correction for distance vision دايما
+
+105
+00:11:16,050 --> 00:11:19,530
+حكينا الناس اللي بتعاني من hypermetrophe بيكون
+
+106
+00:11:19,530 --> 00:11:22,950
+المشكلة عنده في ال near و في ال distance صح؟ انه
+
+107
+00:11:22,950 --> 00:11:25,610
+بمعنى عنده blurred vision for distance and near
+
+108
+00:11:26,100 --> 00:11:30,080
+الان هو عنده plus 3 ديوبتر صلحنا مين اللي بعيد
+
+109
+00:11:30,080 --> 00:11:36,760
+عملنا اللي هو correction ل ال distance okay must
+
+110
+00:11:36,760 --> 00:11:40,320
+use addition of convex lenses for reading suitable
+
+111
+00:11:40,320 --> 00:11:44,080
+for his near refraction انه لازم يعمل ايش تصحيح
+
+112
+00:11:44,080 --> 00:11:48,460
+للقريب عشان انه يوفر ال suitable vision انه رؤية
+
+113
+00:11:48,460 --> 00:11:54,170
+واضحة كمان لمين للقريببمعنى patient عنده plus 3
+
+114
+00:11:54,170 --> 00:11:58,830
+ديوبتر hyper metroid اذا شو الشكوه بتاعته هتكون
+
+115
+00:11:58,830 --> 00:12:03,570
+blurred vision for distance and near الان انا عملت
+
+116
+00:12:03,570 --> 00:12:08,330
+ال distance صلحت البعيد okay بيجي ايش القريب ال
+
+117
+00:12:08,330 --> 00:12:12,910
+near اذا بضيف عدسة plus ك convex lens عشان يجمع
+
+118
+00:12:12,910 --> 00:12:17,590
+الأشياء على الشبكية و بالتالي انه يشوف ال suitable
+
+119
+00:12:17,590 --> 00:12:24,160
+near visionرؤية واضحة للقريبة okay طيب في حالة ال
+
+120
+00:12:24,160 --> 00:12:27,960
+myopes اللي يما بيكون واحد عنده قصر نظر سؤال إلى
+
+121
+00:12:27,960 --> 00:12:33,800
+انه دايما بيكون بتأخر ال press biop ليش؟ لأنه ال
+
+122
+00:12:33,800 --> 00:12:43,100
+near point بتاعته إيش بقالها قريبة إذا السؤال why
+
+123
+00:12:43,100 --> 00:12:47,920
+press biop is
+
+124
+00:12:47,920 --> 00:13:04,070
+late in myopewhy إبرس بياب؟
+
+125
+00:13:04,070 --> 00:13:11,130
+why إبرس
+
+126
+00:13:11,130 --> 00:13:14,830
+بيابية؟
+
+127
+00:13:22,980 --> 00:13:38,600
+is late and
+
+128
+00:13:38,600 --> 00:13:50,620
+early in high band metro compared to
+
+129
+00:14:01,900 --> 00:14:10,380
+بسبب أن برسفيوب قريب من ميوب في الهيبرمتروب
+
+130
+00:14:10,380 --> 00:14:15,160
+و آخر من ميوب في الهيبرمتروب مقارنة مع عيون عادية
+
+131
+00:14:15,160 --> 00:14:19,940
+أو مقارنة مع الهيبرمتروب لأن في الهيبرمتروب المقرب
+
+132
+00:14:19,940 --> 00:14:20,960
+هو المقارنة
+
+133
+00:14:23,980 --> 00:14:31,740
+compare to؟ انا بتقول بقى بقى في المياب دنيا point
+
+134
+00:14:31,740 --> 00:14:38,500
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+135
+00:14:38,500 --> 00:14:38,640
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+136
+00:14:38,640 --> 00:14:39,400
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+137
+00:14:39,400 --> 00:14:40,140
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+138
+00:14:40,140 --> 00:14:41,280
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+139
+00:14:41,280 --> 00:14:43,680
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+140
+00:14:43,680 --> 00:14:45,340
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+141
+00:14:45,340 --> 00:14:47,720
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+142
+00:14:47,720 --> 00:14:50,550
+is chosenالان فى حالة ال emetrop بتكون ال near
+
+143
+00:14:50,550 --> 00:14:56,550
+point طبيعية طيب فى حالة الميوب ال near point
+
+144
+00:14:56,550 --> 00:15:00,190
+بتكون قريبة طيب فى حالة ال hypermetrop بما قارن
+
+145
+00:15:00,190 --> 00:15:08,830
+بينهم بتكون بعيدة برسميوبيا
+
+146
+00:15:08,830 --> 00:15:13,650
+كمصطلح ك definition is thus a relative term هو
+
+147
+00:15:13,650 --> 00:15:19,210
+يعتبر definition أو مصطلح علمىdepending on أي
+
+148
+00:15:19,210 --> 00:15:24,350
+بمعنى إنه بيعتمد على number one age العمر زي ما
+
+149
+00:15:24,350 --> 00:15:28,710
+قلنا إنه بيحدث في حالة ال emetrop بما بين سن
+
+150
+00:15:28,710 --> 00:15:34,890
+الأربعين والخمسة واربعين سنة في ال hyper metrop في
+
+151
+00:15:34,890 --> 00:15:38,410
+ال hyper metrop إنه دايما بيكون early compared to
+
+152
+00:15:38,410 --> 00:15:42,030
+emetrop في الميوب إيش بيكون late compared to that
+
+153
+00:15:47,380 --> 00:15:50,840
+هل هو المريض إمتروب؟ هل هو hypermetrob أو
+
+154
+00:15:50,840 --> 00:15:56,040
+astigmatism؟ number three الهبس العداد، أي بمعنى
+
+155
+00:15:56,040 --> 00:16:00,260
+واحد يما بيقرأ من قريب، انه بيقرب الكتاب بتاعه،
+
+156
+00:16:00,260 --> 00:16:04,120
+بيختلف عن واحد مثلا بيحط الكتاب وين؟ ع جله، و
+
+157
+00:16:04,120 --> 00:16:08,900
+بيقرأ على ال needs ركبه، okay؟ هذه كلها بتختلف من
+
+158
+00:16:08,900 --> 00:16:15,660
+حيث ال definition of a breast biopia, okay؟types
+
+159
+00:16:15,660 --> 00:16:19,500
+of near work نوع العمل اللي هو اللي بيقوم فيه برضه
+
+160
+00:16:19,500 --> 00:16:24,900
+إذا واحد مثلا driver سائق بختلف عن واحد مثلا ايه
+
+161
+00:16:24,900 --> 00:16:29,880
+دكتور okay ليش؟ لأنه دايما بيستخدم .. الدكتور
+
+162
+00:16:29,880 --> 00:16:32,660
+دايما بيستخدم ال near vision لكن ال driver دايما
+
+163
+00:16:32,660 --> 00:16:37,930
+بيستخدم ال distance okayو ال weather الطقس زي ما
+
+164
+00:16:37,930 --> 00:16:42,410
+اتفقنا انه دايما في المناطق الحارة بيكون اكتر من
+
+165
+00:16:42,410 --> 00:16:43,770
+المناطق الباردة
+
+166
+00:17:17,990 --> 00:17:22,510
+مقارنة في واحد ايه بيقرأ من مسافة مثلا خمسة سانتي
+
+167
+00:17:22,510 --> 00:17:29,950
+أو عشرة سانتي طيب
+
+168
+00:17:29,950 --> 00:17:33,230
+عندنا
+
+169
+00:17:33,230 --> 00:17:39,370
+ال symptoms بمعنى إيش الأعراضيعني بمعنى اللي
+
+170
+00:17:39,370 --> 00:17:43,970
+بيشكيها مين؟ المريض ال patient ال signs العلامات
+
+171
+00:17:43,970 --> 00:17:47,510
+اللي دايما ال examiner هو اللي بيشوفها هاي الفرق
+
+172
+00:17:47,510 --> 00:17:51,990
+ما بين ال symptoms و ال sign إذا ال symptoms بمعنى
+
+173
+00:17:51,990 --> 00:17:57,590
+كل الأعراف اللي بيشكيها مين ال patient okay ال
+
+174
+00:17:57,590 --> 00:18:04,010
+signs اللي انت بيشوفيه ك examiner فاحص ال symptoms
+
+175
+00:18:04,010 --> 00:18:07,470
+و ال signs symptoms بمعنى العلامات
+
+176
+00:18:10,970 --> 00:18:14,590
+هو التنتين بيسموهم علامات و أعراض لكن ال symptoms
+
+177
+00:18:14,590 --> 00:18:18,830
+من حيث المريض اللي بيشكيه المريض لكن ال signs ايه
+
+178
+00:18:18,830 --> 00:18:24,030
+اللي انت بيشوفيه ك examiner كفاحص طيب عندنا ال
+
+179
+00:18:24,030 --> 00:18:27,970
+symptoms of failure of accommodation يعني شو هي
+
+180
+00:18:27,970 --> 00:18:33,010
+الأعراض اللي بيشكيها المريض لما بيكون عنده خلل في
+
+181
+00:18:33,010 --> 00:18:37,750
+ال accommodation يعني خلل في عملية التكيف okay؟
+
+182
+00:18:39,690 --> 00:18:45,090
+number one small print becomes indistinct أي بمعنى
+
+183
+00:18:45,090 --> 00:18:50,170
+الخطوط الصغيرة إيش مالها أو الخطوط بشكل عام in
+
+184
+00:18:50,170 --> 00:18:54,110
+general لكن ال small print يعني الخط الصغير بيصبح
+
+185
+00:18:54,110 --> 00:18:58,970
+غير مميز يعني ما بيقدر يميز الخط الصغير دايما
+
+186
+00:18:58,970 --> 00:19:04,090
+بقولك يا مباجي أقرأ خط صغير ببعد عن إيش ببعد مسافة
+
+187
+00:19:04,090 --> 00:19:08,630
+إيك okay فدايما الخط الصغير إيش بيكون بالنسبة له؟
+
+188
+00:19:09,470 --> 00:19:17,010
+غير واضح أو غير مميز okay number two near point زي
+
+189
+00:19:17,010 --> 00:19:22,370
+ما اتفقنا ال near point هي عبارة عن اقرب نقطة اللي
+
+190
+00:19:22,370 --> 00:19:28,590
+بتكون واقع على الشبكية near point recedes بمعنى
+
+191
+00:19:28,590 --> 00:19:34,750
+ابتبعد okay and the patient و المريض tends to hold
+
+192
+00:19:34,750 --> 00:19:38,630
+his head backward بتلاحظ دايما المريض بيحاول انه
+
+193
+00:19:43,860 --> 00:19:47,840
+الكتاب دايما ايش يقدموله قدام فبصير مسافة ما بين
+
+194
+00:19:47,840 --> 00:19:52,040
+الكتاب و ما بين ايه رأسه صح؟ دايما تلاحظوا الناس
+
+195
+00:19:52,040 --> 00:19:56,880
+اللي عندهم برسمة يوم تقرأ بالشكل هذا okay فبتلاقي
+
+196
+00:19:56,880 --> 00:20:01,520
+الرأس دايما برجع لورا و الكتاب ايش بيقدم لحد ما
+
+197
+00:20:01,520 --> 00:20:05,780
+يجعل المسافة ما بين .. بالظبط انه ال suitable
+
+198
+00:20:05,780 --> 00:20:10,540
+distance between the patient eye and the bookطبعا
+
+199
+00:20:10,540 --> 00:20:16,440
+هذه كيف بتنحسب المسافة؟ اللي هي المقلوب مية على دي
+
+200
+00:20:16,440 --> 00:20:20,340
+يعني مثلا لو كان عنده أربعة ديوبتر مية على أربعة
+
+201
+00:20:20,340 --> 00:20:26,400
+okay and
+
+202
+00:20:26,400 --> 00:20:30,220
+his book forwards until the distance in between is
+
+203
+00:20:30,220 --> 00:20:34,100
+reached when a clear vision in any circumstances
+
+204
+00:20:34,100 --> 00:20:34,480
+is
+
+205
+00:20:48,600 --> 00:20:52,100
+و تقريب للكتاب، ليش؟ لإن ال near point بتاعته إيش
+
+206
+00:20:52,100 --> 00:20:57,520
+دايما بتبعد، okay؟ يعني why the breast biopatient
+
+207
+00:20:57,520 --> 00:21:03,520
+بيحاول إنه دايما يبعد الكتاب عنه لإن ال near point
+
+208
+00:21:03,520 --> 00:21:08,780
+بتاعته إيش مالها؟ بعيدة، okay؟ compared to the
+
+209
+00:21:08,780 --> 00:21:09,860
+normal patient
+
+210
+00:21:21,000 --> 00:21:24,980
+أيضًا هذه المشاكل وين بتظهر في الليل؟ ليش طيب؟
+
+211
+00:21:24,980 --> 00:21:28,300
+بالظبط
+
+212
+00:21:28,300 --> 00:21:32,360
+أنه في عنده I-fatigue زائد أنه في الليل إيش بيصير
+
+213
+00:21:32,360 --> 00:21:37,960
+البيوبل؟ dilate أنه بتوسع البقبة مقارنة في in the
+
+214
+00:21:37,960 --> 00:21:44,300
+morning صحيح؟ إذا ال troubles أي بمعنى المشاكل
+
+215
+00:21:50,090 --> 00:21:54,090
+تظهر عند الناس اللي عندهم breast biopia في المساء
+
+216
+00:21:54,090 --> 00:22:00,750
+okay when the light is dim يعني مايكون المعتمد ان
+
+217
+00:22:00,750 --> 00:22:05,150
+مافيش ضوء and the pupils are dilated أي بمعنى
+
+218
+00:22:05,150 --> 00:22:11,090
+البقبق موسع permitting diffusion circles to
+
+219
+00:22:11,090 --> 00:22:14,510
+develop احنا أخدنا ال circle of least confusion
+
+220
+00:22:19,400 --> 00:22:25,960
+بتكون أقل غباشة، صح؟ فالان يما بيصير الدنيا عتامة
+
+221
+00:22:25,960 --> 00:22:30,020
+في الليل، البؤبو إيش ماله؟ بيصير موسع، فبيسمح
+
+222
+00:22:30,020 --> 00:22:33,740
+لأكبر كمية من الضوء إنه إيش يدخل، فبالتالي بيصير
+
+223
+00:22:33,740 --> 00:22:38,900
+عنده إيش diffusion، أي بمعنى غبش من ناحية الرؤية،
+
+224
+00:22:38,900 --> 00:22:42,000
+okay؟
+
+225
+00:22:53,470 --> 00:22:58,290
+الغرفة معتمة والبقب اشماله بصيب دياليت وكمية الضوء
+
+226
+00:22:58,290 --> 00:23:02,490
+اشمالها بتكون كبيرة فبتعمل اللي هو diffusion لمين
+
+227
+00:23:02,490 --> 00:23:07,910
+ل ال light difficulties
+
+228
+00:23:07,910 --> 00:23:12,530
+الصعوبات arise easily after a long day of fatigue
+
+229
+00:23:12,530 --> 00:23:16,450
+يعني هذه الصعوبات بالزيت بعد يوم طويل من العمل
+
+230
+00:23:16,450 --> 00:23:20,890
+okay number
+
+231
+00:23:20,890 --> 00:23:26,740
+five a breast biopia likesillumination and he
+
+232
+00:23:26,740 --> 00:23:30,000
+tries to get that light between his eyes and the
+
+233
+00:23:30,000 --> 00:23:32,880
+book or to read in sunlight to make the pupils to
+
+234
+00:23:32,880 --> 00:23:37,980
+constrict دايما المرضى اللى عندهم presbyopia
+
+235
+00:23:37,980 --> 00:23:43,740
+بيحبوا انه يقرؤوا تحت أشعة الشمس أو تحت اللى هو
+
+236
+00:23:43,740 --> 00:23:47,700
+brilliant light أي بمعنى ضوء ساطع ليش؟ عشان ال
+
+237
+00:23:47,700 --> 00:23:51,980
+pupil بيصيرله ايش؟ Constrict انه بتضيق ودايما
+
+238
+00:23:51,980 --> 00:23:54,140
+حكينا في تلت شغلات بيكونوا
+
+239
+00:23:58,780 --> 00:24:02,040
+convergence, accommodation and biosin بيتلاقي
+
+240
+00:24:02,040 --> 00:24:06,180
+دايما بيفضل انه ايش انه عنده construct ل ال pupil
+
+241
+00:24:06,180 --> 00:24:11,360
+اي بمعنى meiosis يعني بتزغر ال pupil بتاعه okay
+
+242
+00:24:11,360 --> 00:24:14,900
+okay
+
+243
+00:24:14,900 --> 00:24:19,800
+مرة تانية دايما الناس اللي عندهم قصه نظر شيخوخي
+
+244
+00:24:19,800 --> 00:24:23,420
+بيفضل وين انه يقرا ابضوه ساطع
+
+245
+00:24:25,850 --> 00:24:30,630
+بمعنى ضوء ساطع أو تحت أشعة الشمس ليش؟ لأنه دايما
+
+246
+00:24:30,630 --> 00:24:34,790
+انت ما تكوني في الضوء بيصير عندك إيش؟ Constrict ..
+
+247
+00:24:34,790 --> 00:24:38,810
+أي بمعنى constriction لمين؟ للبيوبل عشان هي كما
+
+248
+00:24:38,810 --> 00:24:43,090
+بتكون الدنيا عتمة و بتيجي الكهربا مرة واحدة فجأة
+
+249
+00:24:43,090 --> 00:24:46,770
+إيش بيصير الواحد؟ بغمض عينه ليش؟ لأنه بيكون في وضع
+
+250
+00:24:46,770 --> 00:24:51,450
+ال constriction sorry dilatation وبعدين بيصير إيش؟
+
+251
+00:24:51,450 --> 00:24:54,250
+constriction okay أو العكس
+
+252
+00:24:59,580 --> 00:25:03,560
+in senility .. senility بمعنى الناس الكبار ..
+
+253
+00:25:03,560 --> 00:25:08,060
+senile بمعنى الناس الكبار in senility when the
+
+254
+00:25:08,060 --> 00:25:14,120
+pupils become small يعني مثلا واحد سألك شو .. شو
+
+255
+00:25:14,120 --> 00:25:17,560
+الحالات اللي بيكون فيها small pupil من ضمنهم واحد
+
+256
+00:25:17,560 --> 00:25:22,040
+رجل كبير okay دائما بصغر البقب عنده انه بصغير ال
+
+257
+00:25:22,040 --> 00:25:26,820
+senile okayin senility when the pupils become
+
+258
+00:25:26,820 --> 00:25:31,380
+small أي بمعنى عندما يصبح البقبق صغير and old
+
+259
+00:25:31,380 --> 00:25:35,520
+person أي بمعنى رجل كبير without accommodation
+
+260
+00:25:35,520 --> 00:25:39,500
+ماعندهوش accommodation لأن احنا بنعرف أنه كل ما
+
+261
+00:25:39,500 --> 00:25:43,820
+الإنسان بتقدم في العمر بصير elimination أي بمعنى
+
+262
+00:25:43,820 --> 00:25:49,680
+إزالة لمين لل accommodation and old person without
+
+263
+00:25:49,680 --> 00:25:50,720
+accommodation
+
+264
+00:25:56,850 --> 00:26:01,670
+التفاصيل بتصبح صعبة عنده يعني دايما الانسان كل ما
+
+265
+00:26:01,670 --> 00:26:05,350
+تقدم في العمر ال accommodation ايش ماله بقل
+
+266
+00:26:05,350 --> 00:26:12,270
+فبالرؤية التفاصيل بتلاقيها ايه صعبة بالنسباله okay
+
+267
+00:26:24,920 --> 00:26:29,680
+ال accommodation بيهدى الى eye strain بمعنى إجهاد
+
+268
+00:26:29,680 --> 00:26:37,100
+في العين طيب الإجهاد هذا للعين بيعمل ان شو النتائج
+
+269
+00:26:37,100 --> 00:26:42,220
+بتاعته؟ the eye strain will result in number one
+
+270
+00:26:42,220 --> 00:26:47,280
+headache صداع number two tiredness of eyes بمعنى
+
+271
+00:26:47,280 --> 00:26:51,360
+تعب في العينتين redness أي إحمرار
+
+272
+00:26:56,640 --> 00:27:01,720
+زيادة في الدموع on efforts, inability to do more
+
+273
+00:27:01,720 --> 00:27:07,040
+useful near work يعني بيقدرش أنه يستمر بعمل قريب
+
+274
+00:27:07,040 --> 00:27:14,620
+لمدة طويلة okay هذه بالنسبة لل symptoms of failure
+
+275
+00:27:14,620 --> 00:27:19,660
+of accommodation يعني شو هي الأعراض اللي بيشكيها
+
+276
+00:27:19,660 --> 00:27:23,280
+المريض لما يكون عنده خلل وين في ال accommodation
+
+277
+00:27:28,310 --> 00:27:32,590
+الان ال classification لانوماليز of accommodation
+
+278
+00:27:32,590 --> 00:27:39,990
+انوماليز بمعنى خلل في عملية التكيف الان يما بتاخد
+
+279
+00:27:39,990 --> 00:27:46,070
+مثلا ال history من المريض تقعد مثلا تفكر شوية ممكن
+
+280
+00:27:46,070 --> 00:27:50,790
+ان يكون الحالة special difficult يعني حالة خاصة
+
+281
+00:27:50,790 --> 00:27:54,900
+صعبةباجي بين و بين نفسي ممكن اعمل ك classification
+
+282
+00:27:54,900 --> 00:27:58,940
+كتصنيف انه اقول ممكن هو يكون عنده anomalies لل
+
+283
+00:27:58,940 --> 00:28:02,040
+accommodation okay طيب ال anomalies لل
+
+284
+00:28:02,040 --> 00:28:06,380
+accommodation اي بمعنى خلل في عملية التكيف ممكن
+
+285
+00:28:06,380 --> 00:28:11,180
+يكون increase زيادة او ممكن يكون diminished or
+
+286
+00:28:11,180 --> 00:28:15,840
+decreased اللي هو تقليل في ال accommodation طيبيما
+
+287
+00:28:15,840 --> 00:28:19,520
+يكون increase ممكن يكون عنده spasm of
+
+288
+00:28:19,520 --> 00:28:23,720
+accommodation، spasm بمعنى شد، انه بشد ال
+
+289
+00:28:23,720 --> 00:28:28,160
+accommodation عنده أو بيكون excess of
+
+290
+00:28:28,160 --> 00:28:32,060
+accommodation طيب شو الفرق ما بين spasm و excess
+
+291
+00:28:32,060 --> 00:28:33,320
+of accommodation؟
+
+292
+00:28:54,870 --> 00:28:59,650
+الـ Spasm of accommodation مابيكونش فيه سبب، يعني
+
+293
+00:28:59,650 --> 00:29:02,330
+بصير عملية الشد لكن بدون سبب
+
+294
+00:29:05,210 --> 00:29:09,330
+زي ما احنا عارفين الان الأطفال بنديه ال cycle of
+
+295
+00:29:09,330 --> 00:29:14,410
+ventilation ليش؟ عشان بيعمل شلل لل celery muscle،
+
+296
+00:29:14,410 --> 00:29:21,130
+اذا هذا ايش؟ يعتبر هذه القطرة من السبب، صح؟ يعني
+
+297
+00:29:21,130 --> 00:29:26,670
+انت ديتي يعني شغلة فهي هذا الأمر ال drop هي اللي
+
+298
+00:29:26,670 --> 00:29:31,430
+عملت ايش؟اللي paralyzed لل celery muscle okay؟ لكن
+
+299
+00:29:31,430 --> 00:29:34,590
+في حالة ال excessive accommodation فيه reason، فيه
+
+300
+00:29:34,590 --> 00:29:39,430
+سبب، هو اللي عمل إيش؟ ال contraction، الانقباض
+
+301
+00:29:39,430 --> 00:29:43,490
+لمين؟ لل celery muscle أو ال fail ل ال celery
+
+302
+00:29:43,490 --> 00:29:48,490
+muscle okay؟ فدائما بالنسبة ل ال excess of
+
+303
+00:29:48,490 --> 00:29:53,970
+accommodation بيكون شد بوجود سببلكن في الـ Spasm
+
+304
+00:29:53,970 --> 00:29:58,490
+of accommodation شد بدون سبب، ليش بدون سبب؟ لأنه
+
+305
+00:29:58,490 --> 00:30:03,150
+بيكون إنه في الزنيول، يعني واحد مثلا أديته قطرة
+
+306
+00:30:03,150 --> 00:30:08,990
+ضيقت مثلا البؤبؤ، عملت اللي هو ميازز للبؤبؤ أو
+
+307
+00:30:08,990 --> 00:30:12,970
+الآن هناخد ال reason أو ال causes، الأسباب بتاعت
+
+308
+00:30:12,970 --> 00:30:17,750
+مين؟ ال Spasm of accommodation طيب، increase
+
+309
+00:30:17,750 --> 00:30:25,340
+زيادة، فهمناها الآن؟ ال increaseأما بتعمل اسبازم
+
+310
+00:30:25,340 --> 00:30:29,580
+لل accommodation او excessive accommodation طيب
+
+311
+00:30:29,580 --> 00:30:33,040
+واحد عنده decrease يعني قليل ال accommodation اللي
+
+312
+00:30:33,040 --> 00:30:37,420
+عنده مش كافي ممكن يكون insufficient أي بمعنى غير
+
+313
+00:30:37,420 --> 00:30:45,560
+كافي او paralyzed شلل لمين لل accommodation اذا
+
+314
+00:30:45,560 --> 00:30:48,520
+دايما بالصنفة ال animals او
+
+315
+00:30:52,690 --> 00:30:57,150
+زيادة أو نقصان، زيادة عندنا نوعين، يا إما بيكون
+
+316
+00:30:57,150 --> 00:31:03,090
+excessive يعني بمعنى شد بوجود سبب أو spasm شد بدون
+
+317
+00:31:03,090 --> 00:31:07,150
+سبب ال decrease accommodation يا insufficient أي
+
+318
+00:31:07,150 --> 00:31:10,410
+بمعنى نقص في ال accommodation أو paralyzed لل
+
+319
+00:31:10,410 --> 00:31:13,370
+accommodation، شلل لل accommodation وهذا بيكون من
+
+320
+00:31:13,370 --> 00:31:19,370
+خلال مين؟ ال cyclo, الventilate أو ال eye dropsطيب
+
+321
+00:31:19,370 --> 00:31:25,590
+ال excessive accommodation أي بمعنى أنه بصير شد
+
+322
+00:31:25,590 --> 00:31:33,210
+بوجود إيه سبب ناخد ال causes الأسباب إذا ال causes
+
+323
+00:31:33,210 --> 00:31:37,070
+بمعنى أسبابه أنه شو الأسباب لزيادة ال
+
+324
+00:31:37,070 --> 00:31:40,370
+accommodation ال excessive accommodation أي بمعنى
+
+325
+00:31:40,370 --> 00:31:44,490
+شد بوجود سبب ال causes أسبابه number one
+
+326
+00:31:49,270 --> 00:31:54,430
+of sustained increase accommodation أي درجة محددة
+
+327
+00:31:54,430 --> 00:31:59,370
+من زيادة في مين في عملية التكييف طيب وين هذي بتكون
+
+328
+00:31:59,370 --> 00:32:04,090
+frequently وين شائعة؟ إذا الآن احنا قلنا ال
+
+329
+00:32:04,090 --> 00:32:09,770
+excessive accommodation انه صار شد بوجود سبب مدام
+
+330
+00:32:09,770 --> 00:32:14,270
+increase إذا في عندى زيادة في ال accommodation لو
+
+331
+00:32:14,270 --> 00:32:16,130
+بتلاحظوا في بعض الحالات
+
+332
+00:32:20,590 --> 00:32:25,150
+تعمليها كمان شوية against فممكن أنه يكون عنده إيش
+
+333
+00:32:25,150 --> 00:32:28,770
+كنت أقولكم excessive accommodation إذا اللي بيكون
+
+334
+00:32:28,770 --> 00:32:34,330
+عنده certain degree أي بمعنى درجة محددة من ال
+
+335
+00:32:34,330 --> 00:32:36,730
+accommodation لكن هذا إيش بيكون ال accommodation
+
+336
+00:32:36,730 --> 00:32:42,310
+زايد okay طيب هذا وين بيكون frequently وين common
+
+337
+00:32:42,310 --> 00:32:44,010
+أي بمعنى وين شائع
+
+338
+00:32:49,140 --> 00:32:55,520
+وهو أيضًا Metropolitan، والتي كانت تعتبر استخدام
+
+339
+00:32:55,520 --> 00:33:01,000
+السلري المتوسط في مهتمة رؤية واضحةواحد hyper
+
+340
+00:33:01,000 --> 00:33:06,360
+metropic لكن مالوش مابين عمره بيكون خمس عشر لخمس
+
+341
+00:33:06,360 --> 00:33:10,400
+وعشرين سنة okay عنده hyper metropic اذا ال
+
+342
+00:33:10,400 --> 00:33:13,860
+incident light rays are brought to focus behind
+
+343
+00:33:13,860 --> 00:33:18,540
+the retina بيحاول انه ايش انه يستخدم السلري مصل
+
+344
+00:33:18,540 --> 00:33:23,240
+بتاعته بشكل طبيعي عشان يعمل ايش clear لل vision
+
+345
+00:33:27,530 --> 00:33:32,950
+So يعمل ال celery muscle بشكل طبيعي بيقدي لإيش؟ ال
+
+346
+00:33:32,950 --> 00:33:37,230
+excessive ل ال accommodation يعني بيصير شد لمين لل
+
+347
+00:33:37,230 --> 00:33:44,070
+celery muscle okay again الآن إجهلنا ال hyper
+
+348
+00:33:44,070 --> 00:33:49,570
+metroid okay كان عمره من خمس عشر لخمس و عشرين سنة
+
+349
+00:33:51,260 --> 00:33:55,560
+دايما عنده blurred vision لال distance و لل near،
+
+350
+00:33:55,560 --> 00:34:00,880
+okay؟ بده يحاول هذا المريض انه يشوف القريب بشكل
+
+351
+00:34:00,880 --> 00:34:06,180
+واضح، فإيش بيحاول دايما يزود ال accommodation
+
+352
+00:34:06,180 --> 00:34:12,810
+بتاعه؟ فزيادة ال accommodation هتعمل؟إنه هتعمل ل
+
+353
+00:34:12,810 --> 00:34:16,930
+contraction لل celery muscle انقباض هذا إيش
+
+354
+00:34:16,930 --> 00:34:21,330
+الانقباض هيكون زائد مقارنة في الناس الطبيعيين فهذا
+
+355
+00:34:21,330 --> 00:34:26,690
+وين هيروح ل ال excessive accommodation مضحك
+
+356
+00:34:26,690 --> 00:34:27,430
+الفكرة؟
+
+357
+00:34:29,870 --> 00:34:33,630
+number two in myopes في الأشخاص اللي بيكون عندهم
+
+358
+00:34:33,630 --> 00:34:38,410
+myope لكن ال myope هذا إيش بيكون قصر نظر بسيط okay
+
+359
+00:34:38,410 --> 00:34:43,610
+in myopes especially in young subjects doing much
+
+360
+00:34:43,610 --> 00:34:48,330
+near work أي بمعنى in simple myope يعني myope جليل
+
+361
+00:34:48,330 --> 00:34:53,590
+عنده قصر نظر لكن بسيط وبيعمل عمل قريب بشكل إيه
+
+362
+00:34:53,590 --> 00:34:59,620
+شمالهطويل يعني much work يعني اه انه بيكون فترات
+
+363
+00:34:59,620 --> 00:35:04,480
+طويلة يعني مثلا بيشتغل على جهاز الحسوب او مثلا على
+
+364
+00:35:04,480 --> 00:35:10,340
+ال smile phone او او اه يعني بشكل ايش طويل فهذا ال
+
+365
+00:35:10,340 --> 00:35:13,900
+near work دايما يعني هو ماعندهوش مشكلة وين في
+
+366
+00:35:13,900 --> 00:35:16,840
+الجريب لأن ال near point بتاعته الشمالها جريبة
+
+367
+00:35:16,840 --> 00:35:21,520
+فبتلاقي هذا بيقدى الى مين excessive accommodation
+
+368
+00:35:21,520 --> 00:35:24,180
+اذا number one في ال young
+
+369
+00:35:29,740 --> 00:35:34,260
+فبيعمل زيادة لل celery muscle فبيدّي هذا إلى مين؟
+
+370
+00:35:34,260 --> 00:35:39,180
+إلى ال excessive accommodation number two في السمب
+
+371
+00:35:39,180 --> 00:35:45,320
+الميوب اللي بيعمل عمل قريب بفترات طويلة number
+
+372
+00:35:45,320 --> 00:35:50,380
+three in astigmatic errors doing much work نفس
+
+373
+00:35:50,380 --> 00:35:55,910
+الميوب إذا عنده astigmatismلكن ايش بيعمل للقريب
+
+374
+00:35:55,910 --> 00:36:00,690
+لفترة طويلة ايضا هذا بيقدي لمين؟ لل excessive
+
+375
+00:36:00,690 --> 00:36:06,850
+accommodation بمعنى زيادة في ال accommodation in
+
+376
+00:36:06,850 --> 00:36:11,230
+excessive convergence دايما حكينا اي زيادة في ال
+
+377
+00:36:11,230 --> 00:36:14,250
+convergence بتقدي لزيادة في مين؟ في ال
+
+378
+00:36:14,250 --> 00:36:19,430
+accommodation و بتبحة ايش؟ الميوزلز لان التلاتة
+
+379
+00:36:19,430 --> 00:36:24,910
+associated together انه بيعملوا ايش معاهمطيب
+
+380
+00:36:24,910 --> 00:36:29,850
+number five in all patients في كل المرضى trying to
+
+381
+00:36:29,850 --> 00:36:34,730
+gain اللي بيحاولوا اكتسب clear near vision رؤية
+
+382
+00:36:34,730 --> 00:36:39,250
+قريبة واضحة in spite of refractive errors برغم من
+
+383
+00:36:39,250 --> 00:36:41,750
+وجود ايه الأخطاء الانكسارية
+
+384
+00:36:56,820 --> 00:37:04,880
+Number two a large amount of near work من العمل
+
+385
+00:37:04,880 --> 00:37:11,940
+القريب is an important factor in the
+
+386
+00:37:11,940 --> 00:37:14,780
+causation of accommodative strength
+
+387
+00:37:23,160 --> 00:37:27,700
+عشرة ساعة تكون مثلا إقبال الكمبيوتر okay فهذا إيش
+
+388
+00:37:27,700 --> 00:37:32,760
+يعتبر a large amount of near work يعني كمية كبيرة
+
+389
+00:37:32,760 --> 00:37:38,120
+من العمل القريب هذا كله إيش بيقده ل ال
+
+390
+00:37:38,120 --> 00:37:43,200
+accommodative strain بمعنى إجهاد لعملية التكيف وين
+
+391
+00:37:43,200 --> 00:37:45,080
+هذا بيحدث especially وين؟
+
+392
+00:37:47,860 --> 00:37:51,800
+work is habitually undertaken in deficient or
+
+393
+00:37:51,800 --> 00:37:56,180
+excessive illumination بتلاقي مثلا بيشتغل لفترات
+
+394
+00:37:56,180 --> 00:38:01,740
+عمل طويلة تحت إضاءة قليلة أو إضاءة كتيرة هذا
+
+395
+00:38:01,740 --> 00:38:06,820
+بيعمله إيش؟ excessive ل ال accommodation إذا is
+
+396
+00:38:06,820 --> 00:38:10,200
+undertaken deficient or excessive illumination
+
+397
+00:38:10,200 --> 00:38:14,340
+يعني تحت إضاءة قليلة أو إضاءة كبيرة
+
+398
+00:38:22,130 --> 00:38:24,950
+الخطأ الإنكساري في العين و غير مصلح
+
+399
+00:38:32,450 --> 00:38:35,270
+other causes of excessive illumination excessive
+
+400
+00:38:35,270 --> 00:38:39,690
+accommodation أي بمعنى إنه لابس نضارة لكن هذه إيش
+
+401
+00:38:39,690 --> 00:38:44,710
+مالها خاطئة النضارة أو واحد عمله تصحيح للنضارة و
+
+402
+00:38:44,710 --> 00:38:49,350
+التصحيح هذا خاطئ أي بمعنى نضارة غير مناسبة له هذا
+
+403
+00:38:49,350 --> 00:38:55,010
+ممكن إنه يؤدي إيش لل excessive accommodation okay
+
+404
+00:38:55,010 --> 00:38:58,810
+other causes especially
+
+405
+00:39:03,020 --> 00:39:07,640
+عنده ضعف عام في الجسم and ill health either
+
+406
+00:39:07,640 --> 00:39:11,560
+physical or mental او مثلا مشاكل في الجسم امراض
+
+407
+00:39:11,560 --> 00:39:27,840
+systemic diseases او mental امراض عقلية في كتير
+
+408
+00:39:27,840 --> 00:39:34,100
+ناس بلبس نضارات و بتنعمل في مراكزو المريض هلا
+
+409
+00:39:34,100 --> 00:39:37,700
+بيروح على صاحب المركز و بيقوله بتتعود عليها،
+
+410
+00:39:37,700 --> 00:39:44,640
+سمعتوا فيها؟ اه
+
+411
+00:39:44,640 --> 00:39:47,720
+فبيقوله اتعود عليها و هصير النضارة كويسة
+
+412
+00:39:53,030 --> 00:39:56,470
+مش هيتحمل النضارة الخطأ فهو بيقولوا بتتعود عليها
+
+413
+00:39:56,470 --> 00:40:00,430
+فهذه كلها هتدخله في مين في موضوع ال ice train
+
+414
+00:40:00,430 --> 00:40:04,370
+وهيكون من ضمنهم ال excessive ل ال accommodation
+
+415
+00:40:04,370 --> 00:40:09,250
+عشان هيك ال professional optometrist الناس معظمها
+
+416
+00:40:09,250 --> 00:40:12,990
+بتفكر ان موضوع النضارة شيء بسيط وسهل يعني اي
+
+417
+00:40:12,990 --> 00:40:16,970
+اتواحد بيصف نضارة و اي واحد مثلا بيقدر يعمل نضارة
+
+418
+00:40:18,120 --> 00:40:22,320
+هذا الموضوع يعتبر صعب جدا لانه دايما انا حكيتلكم
+
+419
+00:40:22,320 --> 00:40:25,660
+انه كل patient مختلف عن التاني
+
+420
+00:40:30,400 --> 00:40:34,620
+الحالات هتمار معاكم بيرح small يعني ستة ع ستين لكن
+
+421
+00:40:34,620 --> 00:40:38,480
+عندها ايش small refractive error صح حتى البنات
+
+422
+00:40:38,480 --> 00:40:41,320
+كانوا شغالين فى الوريتونسكوب صح اتفاجوا انه كيف ال
+
+423
+00:40:41,320 --> 00:40:46,780
+visual acuity مقارنة فيها فكل حالة تعتبر ايه
+
+424
+00:40:46,780 --> 00:40:51,720
+مختلفة عن التانية
+
+425
+00:40:51,720 --> 00:40:57,180
+okay symptoms
+
+426
+00:40:57,180 --> 00:41:02,550
+أي بمعنى الاعراضالعلامات of excessive
+
+427
+00:41:02,550 --> 00:41:06,630
+accommodation حكينا ال symptoms اللي بيشكيها مين
+
+428
+00:41:06,630 --> 00:41:11,930
+المريض و ال patients اللي بيراها يعني ال clinical
+
+429
+00:41:11,930 --> 00:41:15,110
+pictures زي مثلا انتوا بيشوفوا ال red reflex okay
+
+430
+00:41:15,110 --> 00:41:18,790
+هذه عبارة عن clinical sign يما شوفوا الجهاز ال
+
+431
+00:41:18,790 --> 00:41:21,490
+direct ophthalmoscope او ال citlamp او ال indirect
+
+432
+00:41:21,490 --> 00:41:25,450
+ophthalmoscope او ال keratometer ان كله تعتبر ايش؟
+
+433
+00:41:26,070 --> 00:41:33,750
+Sign يعني كل حاجة انت بتشوفيها ك examiner كفاحص
+
+434
+00:41:33,750 --> 00:41:39,090
+فعنا ال symptoms و ال signs ل ال excessive
+
+435
+00:41:39,090 --> 00:41:45,290
+accommodation number one the condition الحالة
+
+436
+00:41:45,290 --> 00:41:50,890
+involves بتشمل production إنتاج artificial myopia
+
+437
+00:41:50,890 --> 00:41:57,250
+أي بمعنى قصر نظر إشماله كاذب أو صناعيwhich varies
+
+438
+00:41:57,250 --> 00:42:01,350
+هذا هيختلف from time to time يعني هيكون مختلف من
+
+439
+00:42:01,350 --> 00:42:05,850
+وقت إلى وقت آخر according to the amount of near
+
+440
+00:42:05,850 --> 00:42:10,450
+work بناء على جديش أنت بتستخدم مين ال near work
+
+441
+00:42:10,450 --> 00:42:15,910
+العمل القريب ال rest يعني بالراحة يعني لإنسان يكون
+
+442
+00:42:15,910 --> 00:42:22,250
+في وضع انه risk position يعني وضع الراحة okay the
+
+443
+00:42:22,250 --> 00:42:26,840
+refraction is hypermetropشايفة كيف؟ في الأول كان
+
+444
+00:42:26,840 --> 00:42:32,120
+.. يعني عمل excessive accommodation كان artificial
+
+445
+00:42:32,120 --> 00:42:39,640
+ميوب، okay؟ at risk position، hyper metro، okay؟
+
+446
+00:42:39,640 --> 00:42:44,820
+but after strain لكن بعد إجهادis myopia and more
+
+447
+00:42:44,820 --> 00:42:51,000
+and more myopia with more effort بمعنى
+
+448
+00:42:51,000 --> 00:42:55,500
+إنه كل ما زاد ال near word هزيد عنده مين ال myopia
+
+449
+00:42:55,500 --> 00:42:59,120
+طيب why؟
+
+450
+00:42:59,120 --> 00:43:03,520
+الآن هو السؤال كيف؟ ببدأ المريض بيكون عنده في وضع
+
+451
+00:43:03,520 --> 00:43:09,520
+الراحة hyper metropic وهذا طبيعي صح؟ لكن بعد ما
+
+452
+00:43:09,520 --> 00:43:15,150
+بيشتغل للقريب إيش ماله؟بصير artificial mayob و كل
+
+453
+00:43:15,150 --> 00:43:20,950
+ما زاد العمل القريب بزيد ال mayob اه تفضلي عشان هو
+
+454
+00:43:20,950 --> 00:43:25,130
+لما هيعمل excessive accommodation هزيد ال power
+
+455
+00:43:25,130 --> 00:43:29,450
+تبع الناس هيصير جمل اشعة شوي شوي هتصير مثلا زي ال
+
+456
+00:43:29,450 --> 00:43:32,610
+ampere و بعدين هتصير جمل اشعة in front of that
+
+457
+00:43:32,610 --> 00:43:36,810
+يعني هتصير زي ال mayob لإن ال power تبع العدسة
+
+458
+00:43:36,810 --> 00:43:37,230
+زادة
+
+459
+00:43:39,940 --> 00:43:44,760
+هو صح الكلام بس بدنا more detail أكثر تفصيل ال
+
+460
+00:43:44,760 --> 00:43:49,680
+near point لما هيعمل near walk بتصير أقرب فبتصير
+
+461
+00:43:49,680 --> 00:43:54,760
+عنده .. طب ما هو؟ هو بالأصل اللي هيعمل near walk،
+
+462
+00:43:54,760 --> 00:43:57,480
+بس لما هيعمل near walk بتصير عنده ال .. ال near
+
+463
+00:43:57,480 --> 00:44:01,620
+point أقرب فبتصير أقرب لليه؟ هو أقرب إجابة صح، أنه
+
+464
+00:44:01,620 --> 00:44:07,430
+ال near point بتاعته إيه شمالها؟بتجرب انه near
+
+465
+00:44:07,430 --> 00:44:12,650
+point precede يعني بتكون اقرب okay فدايما بتجرب ال
+
+466
+00:44:12,650 --> 00:44:16,530
+near point فهو كل ما زاد العمل الجريب هيدخل ايش في
+
+467
+00:44:16,530 --> 00:44:21,950
+الميوب فهيصير artificial ايه؟ ميوب okay لكن هو لو
+
+468
+00:44:21,950 --> 00:44:26,030
+عملتيله سايكلو بنتوليت قطرة هيكون ايش؟
+
+469
+00:44:26,030 --> 00:44:31,910
+hypermetroid okay number
+
+470
+00:44:31,910 --> 00:44:38,250
+two both far pointال far point هي أبعد نقطة بتتركز
+
+471
+00:44:38,250 --> 00:44:43,210
+على الشبكية and near point أقرب نقطة بتتركز على
+
+472
+00:44:43,210 --> 00:44:47,350
+الشبكية become a closure to the eye إنه هيصبحوا
+
+473
+00:44:47,350 --> 00:44:51,790
+قريبين على مين؟ على العين، ال near و ال far point
+
+474
+00:45:05,550 --> 00:45:10,510
+أي بمعنى إن ال examiner هو اللي هيكتشفها صح؟ يعني
+
+475
+00:45:10,510 --> 00:45:14,610
+الآن المريض مش هيعرف إنه عنده artificial ميوب،
+
+476
+00:45:14,610 --> 00:45:17,910
+بعدين هيصير hyper metrop أو مثلا ال near point و
+
+477
+00:45:17,910 --> 00:45:20,750
+ال far point بتاعته قريبات، فهدول إيش؟ عبارة عن
+
+478
+00:45:20,750 --> 00:45:25,090
+clinical picture، أي بمعنى إن ال examiner هو اللي
+
+479
+00:45:25,090 --> 00:45:31,270
+هيشوفها أو هو اللي هيكتشفها، okay؟ الآن النقطة
+
+480
+00:45:31,270 --> 00:45:35,810
+التالتة هذه تعتبر إيش؟symptoms لان ال distant
+
+481
+00:45:35,810 --> 00:45:42,130
+vision هصير ايه blurred اذا number three distant
+
+482
+00:45:42,130 --> 00:45:46,790
+vision becomes blurred يعني الرؤية من بعيد هتصبح
+
+483
+00:45:46,790 --> 00:45:51,790
+مغبشة distant vision is therefore can be improved
+
+484
+00:45:51,790 --> 00:45:56,470
+by concavelance عشان هيك هنستخدم عدسة ايش minus
+
+485
+00:45:56,470 --> 00:46:05,690
+بالظبط اذا هنستخدم عدسة minus لتحسين الرؤيةOkay؟
+
+486
+00:46:05,690 --> 00:46:09,610
+لأنه بيحصل .. انه بصير Artificial Mayob يعني دايما
+
+487
+00:46:09,610 --> 00:46:13,030
+ليش في ال Artificial Mayob بنستخدم Concavelance
+
+488
+00:46:13,030 --> 00:46:17,410
+عشان نركز الأشعة الضوئية وين؟ على الشبكية، هي
+
+489
+00:46:17,410 --> 00:46:20,270
+بتكون وين الأشعة في ال Artificial Mayob؟ In front
+
+490
+00:46:20,270 --> 00:46:23,690
+the retina فانا بستخدم ال Concavelance كل الأشعة
+
+491
+00:46:23,690 --> 00:46:30,230
+وين بتتركز؟ On the retina Okay؟
+
+492
+00:46:30,230 --> 00:46:32,990
+In more marked degree أي بمعنى ..
+
+493
+00:46:41,520 --> 00:46:47,200
+يعني برضه بيصير الرؤية مغبشة مع ارتباك of a
+
+494
+00:46:47,200 --> 00:46:51,280
+printed pages which is relieved by temporary rest
+
+495
+00:46:51,280 --> 00:46:56,080
+وهدى كلها هيصيرلها إزالة لما المريض أصير في حالة
+
+496
+00:46:56,080 --> 00:47:01,050
+ال risk position يعني في حالة راحة مؤقتةيعني الآن
+
+497
+00:47:01,050 --> 00:47:05,710
+يما بيزود العمل للقريب بصير أيضا رؤية مغبشة لوين؟
+
+498
+00:47:05,710 --> 00:47:12,290
+للقريب طيب وقت إيش هذا بتروح؟ بال temporary أو بال
+
+499
+00:47:12,290 --> 00:47:16,070
+risk position في وضع الراحة كل هذه إيش مالها؟
+
+500
+00:47:16,070 --> 00:47:21,210
+تتلاشى طيب
+
+501
+00:47:21,210 --> 00:47:25,050
+هذا تعتبر number four تعتبر symptoms ولا sign؟
+
+502
+00:47:25,050 --> 00:47:27,310
+symptom صحيح
+
+503
+00:47:29,020 --> 00:47:32,720
+There are typical symptoms of accommodative
+
+504
+00:47:32,720 --> 00:47:38,280
+asthenopia يعني بمعنى أن الأعراض اللي هيشكيها
+
+505
+00:47:38,280 --> 00:47:43,780
+المريض في حالة ال excessive accommodation أو إجهاد
+
+506
+00:47:43,780 --> 00:47:47,320
+ال eye fatigue لا ال accommodation Including
+
+507
+00:47:47,320 --> 00:47:52,140
+number one headache صداع number two feeling of
+
+508
+00:47:52,140 --> 00:47:57,020
+fatigue هيشعر بالتعب okay and discomfort أنه غير
+
+509
+00:47:57,020 --> 00:47:58,320
+مرتاح in the
+
+510
+00:48:09,050 --> 00:48:16,510
+طبيعي أنه بعد الانستلياش، يعني طبيعي بعد أن أنا
+
+511
+00:48:16,510 --> 00:48:21,790
+مابقطر، انستلياش أي تقطير of أتروبين، الأتروبين
+
+512
+00:48:21,790 --> 00:48:23,850
+drop in the patients
+
+513
+00:48:40,670 --> 00:48:46,030
+زي ما اتفقنا انه نتيجة الإجهاد و نتيجة العمل
+
+514
+00:48:46,030 --> 00:48:46,770
+القريب
+
+515
+00:48:58,800 --> 00:49:05,020
+The diagnosis بمعنى التشخيص is approved أي يلاحظ
+
+516
+00:49:05,020 --> 00:49:09,280
+by finding a great difference between the
+
+517
+00:49:09,280 --> 00:49:13,800
+precycloblegic and postcycloblegic refraction أي
+
+518
+00:49:13,800 --> 00:49:18,660
+بمعنى قبل و بعد إيش القطرة، يعني بتلاقي فحص قبل
+
+519
+00:49:18,660 --> 00:49:24,190
+القطرة مختلف عن إيه بعد القطرة، حتى في الأطفاليعني
+
+520
+00:49:24,190 --> 00:49:28,610
+يكون الطفل cooperative متعاون دايما قبل القطرة
+
+521
+00:49:28,610 --> 00:49:33,310
+بعمله test فحص و بعد القطرة برضه بعمله ايش ال test
+
+522
+00:49:33,310 --> 00:49:35,890
+تعالي ال retroscope او ال autorefractometer
+
+523
+00:49:35,890 --> 00:49:40,210
+whatever هتلاقي فيه فرق ما بين ال pre و ال post
+
+524
+00:49:40,210 --> 00:49:46,950
+انه قبل و بعد okay ال
+
+525
+00:49:46,950 --> 00:49:51,590
+prediction أي بمعنى الانطباع of such
+
+526
+00:50:05,120 --> 00:50:09,720
+cycloblegic refraction for cycloblegic correction
+
+527
+00:50:09,720 --> 00:50:13,960
+أي بمعنى إنه العلاج أو النضارة اللي هوصفها للمريض
+
+528
+00:50:13,960 --> 00:50:19,120
+بعد إيش التقطير بعد فحص التقطير يعني الآن أي تطفل
+
+529
+00:50:19,120 --> 00:50:24,440
+وقت إيش بتديله النضارة بعد القطرة ممنوع تديه قبل
+
+530
+00:50:24,440 --> 00:50:29,320
+القطرة صح؟ ليش؟ لإن لو أنا مثلا اعطيته قبل القطرة
+
+531
+00:50:29,320 --> 00:50:33,820
+هيكون في difference اختلاف ما بين قبل و بعد القطرة
+
+532
+00:50:36,330 --> 00:50:41,670
+إذا الأن لو سألتك شو ال symptoms لواحد عنده
+
+533
+00:50:41,670 --> 00:50:48,870
+excessive accommodation number
+
+534
+00:50:48,870 --> 00:50:56,370
+one headache number two eye fatigue number three a
+
+535
+00:50:56,370 --> 00:51:02,760
+blurred vision four distance okayو هذا اللي بلرت
+
+536
+00:51:02,760 --> 00:51:06,160
+لل vision بزيت لنية مع ال match work مع زيادة
+
+537
+00:51:06,160 --> 00:51:11,360
+العمل و discomfort عدم راحة هذه كلها تعتبر من مين؟
+
+538
+00:51:11,360 --> 00:51:17,080
+من ال symptoms لأ أنا سألت بس ال symptoms يعني شو
+
+539
+00:51:17,080 --> 00:51:20,740
+الشكوه اللي هيجي المريض يحكيلك إياها يعني واحد
+
+540
+00:51:20,740 --> 00:51:24,240
+عنده excessive accommodation اكتب هون
+
+541
+00:53:16,830 --> 00:53:20,190
+هدول ال symptoms ل ال excessive of accommodation
+
+542
+00:53:20,190 --> 00:53:24,950
+okay؟ بدنا نقفل ان شاء الله ل ال spasm of
+
+543
+00:53:24,950 --> 00:53:30,350
+accommodation بس حابب اتكلم في موضوعين ابتداء من
+
+544
+00:53:30,350 --> 00:53:34,070
+المحاضرة القادمة ان شاء الله هنبدأ النص ساعة
+
+545
+00:53:34,070 --> 00:53:38,250
+الأخيرة نعمل فيها ال presentation طبعا تم اختيار
+
+546
+00:53:38,250 --> 00:53:44,110
+two groups للمرة الجاية هتكون مجموعة آية و مجموعة
+
+547
+00:53:44,110 --> 00:53:46,170
+dream okay؟
+
+548
+00:53:49,450 --> 00:53:53,610
+طبعا مدة ال presentation هتكون fifteen minutes
+
+549
+00:53:53,610 --> 00:54:01,170
+okay لأ كله overall طبعا ال fifteen minutes with
+
+550
+00:54:01,170 --> 00:54:05,890
+answer answer and question question and answer
+
+551
+00:54:05,890 --> 00:54:11,330
+okay هذه نقطة النقطة التانية ان شاء الله هعمل
+
+552
+00:54:17,580 --> 00:54:21,120
+هي حاضرة انه كيف ممكن تجاوبي الأسئلة في
+
+553
+00:54:21,120 --> 00:54:24,800
+الامتحانات، بمعنى يما واحد مثلا يقولك mention،
+
+554
+00:54:24,800 --> 00:54:27,100
+واحد يقولك describe، واحد يقولك ال
+
+555
+00:54:27,100 --> 00:54:31,300
+characteristics، كيف تفهم السؤال؟ يما شو الفرق بين
+
+556
+00:54:31,300 --> 00:54:35,780
+mention، واحد يقولك مثلا describe، واحد مثلا what
+
+557
+00:54:35,780 --> 00:54:40,200
+is the characteristics، واحد مثلا بيقول compareكل
+
+558
+00:54:40,200 --> 00:54:43,500
+هذا الفرق ان هو ايش الفرق بين صيغة السؤال و تانية
+
+559
+00:54:43,500 --> 00:54:47,600
+هال ان شاء الله ممكن نديها نص ساعة او ربع الساعة
+
+560
+00:54:47,600 --> 00:54:52,960
+whatever انه تكونوا ك evaluation ل ال final exam
+
+561
+00:54:52,960 --> 00:54:54,940
+ان شاء الله يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..1e6d95ff0df6ee633c807e04b00bca752ce56d4c
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4876, "start": 20.62, "end": 48.76, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته and a very good afternoon to all of you اليوم ان شاء الله هنبدأ بداية المحاضرة what is the difference between a presbyopia and ametropois أي بمعنى شو الفرق ما بين العين الطبيعية و العين اللى بيكون عندها قصه النظر الشيخ وخد طيب ال ametropois", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 293, 257, 588, 665, 6499, 281, 439, 295, 291, 45595, 20498, 16472, 13412, 16606, 21984, 8032, 1863, 44510, 10721, 4724, 28259, 10632, 9673, 5016, 46958, 25720, 437, 307, 264, 2649, 1296, 257, 1183, 2322, 22376, 293, 669, 302, 1513, 7376, 36632, 4724, 2304, 3615, 1863, 7578, 13412, 2407, 27188, 2288, 4587, 19446, 49374, 18863, 9957, 41950, 21292, 3615, 10632, 4032, 18863, 9957, 13672, 7578, 4724, 1829, 30544, 43242, 11296, 12174, 9381, 3224, 28239, 19913, 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0.81884765625}, {"start": 327.27, "end": 327.49, "word": " you", "probability": 0.95166015625}, {"start": 327.49, "end": 328.01, "word": " apply", "probability": 0.923828125}, {"start": 328.01, "end": 328.53, "word": " a", "probability": 0.77197265625}, {"start": 328.53, "end": 328.89, "word": " plus", "probability": 0.9541015625}, {"start": 328.89, "end": 329.55, "word": " lens", "probability": 0.94384765625}, {"start": 329.55, "end": 330.71, "word": " in", "probability": 0.966796875}, {"start": 330.71, "end": 330.83, "word": " a", "probability": 0.73046875}, {"start": 330.83, "end": 331.07, "word": " breast", "probability": 0.9560546875}, {"start": 331.07, "end": 331.59, "word": " biopia", "probability": 0.903564453125}, {"start": 331.59, "end": 332.27, "word": " case", "probability": 0.96044921875}, {"start": 332.27, "end": 332.67, "word": " or", "probability": 0.853515625}, {"start": 332.67, "end": 332.89, "word": " in", "probability": 0.88818359375}, {"start": 332.89, "end": 332.99, "word": " a", "probability": 0.9541015625}, {"start": 332.99, "end": 333.19, "word": " breast", "probability": 0.94677734375}, {"start": 333.19, "end": 333.71, "word": " biopia", "probability": 0.918212890625}, {"start": 333.71, "end": 334.83, "word": " condition؟", "probability": 0.737548828125}], "temperature": 1.0}, {"id": 12, "seek": 34901, "start": 337.01, "end": 349.01, "text": "to focus light rays on the retina عشان نركز الأشعة الضوئية على الشبكية", "tokens": [1353, 1879, 1442, 24417, 322, 264, 1533, 1426, 6225, 8592, 7649, 8717, 31747, 11622, 16247, 8592, 27884, 6024, 114, 2407, 19986, 10632, 15844, 25124, 3555, 4117, 10632], "avg_logprob": -0.1830357201397419, "compression_ratio": 1.074468085106383, "no_speech_prob": 0.0, "words": [{"start": 337.01, "end": 337.25, "word": "to", "probability": 0.2109375}, {"start": 337.25, "end": 338.83, "word": " focus", "probability": 0.9716796875}, {"start": 338.83, "end": 339.21, "word": " light", "probability": 0.5576171875}, 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بريسبيوبيا incident light rays are brought to focus behind the retina", "tokens": [3555, 16572, 3794, 21292, 2407, 21292, 995, 2423, 39184, 2710, 3313, 9348, 1442, 24417, 366, 3038, 281, 1879, 322, 264, 1533, 1426, 4724, 16572, 3794, 21292, 2407, 21292, 995, 9348, 1442, 24417, 366, 3038, 281, 1879, 2261, 264, 1533, 1426], "avg_logprob": -0.28296493902439024, "compression_ratio": 1.6018518518518519, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 357.66, "end": 358.58, "word": "بريسبيوبيا", "probability": 0.6328648158482143}, {"start": 358.58, "end": 359.3, "word": " الـ", "probability": 0.2958984375}, {"start": 359.3, "end": 359.66, "word": " normal", "probability": 0.466064453125}, {"start": 359.66, "end": 360.08, "word": " eye", "probability": 0.83984375}, {"start": 360.08, "end": 360.82, "word": " incident", "probability": 0.8193359375}, {"start": 360.82, "end": 361.56, "word": " light", "probability": 0.9091796875}, {"start": 361.56, "end": 361.98, "word": " rays", 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"word": " العين", "probability": 0.98681640625}, {"start": 390.95, "end": 391.81, "word": " بتتركز", "probability": 0.9090576171875}, {"start": 391.81, "end": 392.29, "word": " وين؟", "probability": 0.7799479166666666}, {"start": 392.29, "end": 392.47, "word": " على", "probability": 0.77001953125}, {"start": 392.47, "end": 393.09, "word": " الشبكية", "probability": 0.962158203125}, {"start": 393.09, "end": 393.87, "word": " In", "probability": 0.52490234375}, {"start": 393.87, "end": 394.79, "word": " ametropes,", "probability": 0.4704132080078125}, {"start": 395.23, "end": 396.19, "word": " presbyopia", "probability": 0.6617838541666666}, {"start": 396.19, "end": 397.09, "word": " occurs", "probability": 0.9296875}, {"start": 397.09, "end": 397.79, "word": " between", "probability": 0.9248046875}, {"start": 397.79, "end": 398.45, "word": " 40", "probability": 0.69677734375}, {"start": 398.45, "end": 398.85, "word": " and", "probability": 0.91748046875}, {"start": 398.85, "end": 399.43, "word": " 45", "probability": 0.974609375}, {"start": 399.43, "end": 400.11, "word": " years", "probability": 0.935546875}, {"start": 400.11, "end": 401.31, "word": " قصوا", "probability": 0.7433268229166666}, {"start": 401.31, "end": 401.89, "word": " النظر", "probability": 0.97119140625}, {"start": 401.89, "end": 402.83, "word": " الشيخوخي", "probability": 0.931884765625}, {"start": 402.83, "end": 403.05, "word": " في", "probability": 0.94775390625}, {"start": 403.05, "end": 403.43, "word": " الناس", "probability": 0.98583984375}, {"start": 403.43, "end": 404.51, "word": " الطبيعيين", "probability": 0.96435546875}, {"start": 404.51, "end": 404.89, "word": " متى", "probability": 0.860107421875}, {"start": 404.89, "end": 405.95, "word": " بتحدث؟", "probability": 0.9407958984375}, {"start": 405.95, "end": 406.09, "word": " ما", "probability": 0.56591796875}, {"start": 406.09, "end": 406.33, "word": " بين", "probability": 0.99072265625}, {"start": 406.33, "end": 406.65, "word": " سن", "probability": 0.977294921875}, {"start": 406.65, "end": 407.29, "word": " الأربعين", "probability": 0.9334716796875}, {"start": 407.29, "end": 407.93, "word": " والخمس", "probability": 0.896728515625}, {"start": 407.93, "end": 408.27, "word": " واربعين", "probability": 0.86044921875}, {"start": 408.27, "end": 408.87, "word": " سنة", "probability": 0.9890950520833334}], "temperature": 1.0}, {"id": 15, "seek": 41810, "start": 414.26, "end": 418.1, "text": "الرغم من وجود اختلاف جغرافي", "tokens": [6027, 2288, 17082, 2304, 9154, 49610, 23328, 1975, 46456, 15040, 5172, 10874, 17082, 23557, 41185], "avg_logprob": -0.26538086123764515, "compression_ratio": 0.9090909090909091, "no_speech_prob": 0.0, "words": [{"start": 414.26, "end": 415.62, "word": "الرغم", "probability": 0.61907958984375}, {"start": 415.62, "end": 415.74, "word": " من", "probability": 0.98681640625}, {"start": 415.74, "end": 416.3, "word": " وجود", "probability": 0.984619140625}, {"start": 416.3, "end": 416.98, "word": " اختلاف", "probability": 0.9283447265625}, {"start": 416.98, "end": 418.1, "word": " جغرافي", "probability": 0.843994140625}], "temperature": 1.0}, {"id": 16, "seek": 46670, "start": 444.5, "end": 466.7, "text": "بنلاحظ أنه قصه النظر الشيخوخي بيكون مبكر مقارنة في المناطق الأخرى أي بمعنى في المناطق الحارة دائما قصه النظر الشيخوخي بيكون أكثر شيوع من وين من المناطق الباردة this is my question", "tokens": [3555, 1863, 15040, 5016, 19913, 14739, 3224, 12174, 9381, 3224, 28239, 19913, 2288, 25124, 1829, 9778, 2407, 9778, 1829, 4724, 1829, 30544, 3714, 3555, 37983, 3714, 4587, 9640, 1863, 3660, 8978, 9673, 1863, 41193, 4587, 16247, 34740, 7578, 36632, 4724, 2304, 3615, 1863, 7578, 8978, 9673, 1863, 41193, 4587, 21542, 9640, 3660, 11778, 16373, 15042, 12174, 9381, 3224, 28239, 19913, 2288, 25124, 1829, 9778, 2407, 9778, 1829, 4724, 1829, 30544, 5551, 4117, 49115, 13412, 1829, 45367, 9154, 4032, 9957, 9154, 9673, 1863, 41193, 4587, 29739, 9640, 41891, 341, 307, 452, 1168], "avg_logprob": 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"probability": 0.9833984375}, {"start": 452.52, "end": 453.02, "word": " أي", "probability": 0.274169921875}, {"start": 453.02, "end": 453.62, "word": " بمعنى", "probability": 0.98232421875}, {"start": 453.62, "end": 454.08, "word": " في", "probability": 0.9169921875}, {"start": 454.08, "end": 454.72, "word": " المناطق", "probability": 0.9942626953125}, {"start": 454.72, "end": 455.62, "word": " الحارة", "probability": 0.9912109375}, {"start": 455.62, "end": 456.44, "word": " دائما", "probability": 0.8995768229166666}, {"start": 456.44, "end": 457.0, "word": " قصه", "probability": 0.9918619791666666}, {"start": 457.0, "end": 457.68, "word": " النظر", "probability": 0.990234375}, {"start": 457.68, "end": 458.68, "word": " الشيخوخي", "probability": 0.9938151041666666}, {"start": 458.68, "end": 459.38, "word": " بيكون", "probability": 0.9488932291666666}, {"start": 459.38, "end": 459.94, "word": " أكثر", "probability": 0.9484049479166666}, {"start": 459.94, "end": 460.4, "word": " شيوع", 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studies بناء على دراسات سابقة تبين ان المناطق الحارة بيكون فيها العدسة العين متصلبة أكثر من المناطق الباردة", "tokens": [6027, 39184, 398, 2423, 7649, 6027, 1829, 26890, 3794, 4724, 1829, 2407, 21292, 995, 31439, 6225, 3555, 9640, 3660, 18871, 7123, 37279, 16572, 5172, 39894, 30241, 4587, 45030, 41891, 6225, 2407, 10943, 1211, 9154, 48812, 27842, 29538, 18863, 2407, 10943, 1211, 13672, 1829, 31439, 3714, 5172, 3224, 20498, 2423, 5503, 1392, 4650, 281, 3894, 5313, 44945, 16606, 15844, 11778, 23557, 3794, 9307, 8608, 16758, 28671, 6055, 3555, 9957, 16472, 9673, 1863, 41193, 4587, 21542, 9640, 3660, 4724, 1829, 30544, 8978, 11296, 18863, 3215, 3794, 3660, 18863, 9957, 44650, 36520, 49401, 5551, 4117, 49115, 9154, 9673, 1863, 41193, 4587, 29739, 9640, 41891], "avg_logprob": -0.16574755311012268, "compression_ratio": 1.6370967741935485, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 479.86, "end": 480.16, "word": "الـ", "probability": 0.529632568359375}, {"start": 480.16, 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"probability": 0.981201171875}, {"start": 503.88, "end": 504.8, "word": " متصلبة", "probability": 0.8194173177083334}, {"start": 504.8, "end": 505.3, "word": " أكثر", "probability": 0.78173828125}, {"start": 505.3, "end": 505.62, "word": " من", "probability": 0.9931640625}, {"start": 505.62, "end": 506.2, "word": " المناطق", "probability": 0.9906005859375}, {"start": 506.2, "end": 506.74, "word": " الباردة", "probability": 0.92529296875}], "temperature": 1.0}, {"id": 18, "seek": 53469, "start": 507.43, "end": 534.69, "text": "Okay لأنه في حالة ال breast biopia العدسة إيش بتصير عدسة العين صلبة صح أنها بتتصلب يعني بتصير العدسة كأنها flat okay فتبين إنه في هذه المناطق بتكون العدسة أكثر تصلبا مقارنة في وين؟ في المناطق الباردة عشان هيك ال breast biopia is more common in hot weather compared to cold", "tokens": [8297, 5296, 33456, 3224, 8978, 11331, 6027, 3660, 2423, 9934, 3228, 22376, 18863, 3215, 3794, 3660, 11933, 1829, 8592, 39894, 9381, 13546, 6225, 3215, 3794, 3660, 18863, 9957, 20328, 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الشيخوخي بنستخدم ال convex lens او ال plus lens العلسة الموجبة to focus light rays on the retina عشان نعمل تركيز للاشعة الضوئية على الشبكية", "tokens": [9566, 1829, 3555, 30767, 1829, 19446, 1975, 2655, 5172, 4587, 8315, 16472, 3224, 8978, 11331, 6027, 3660, 2423, 9934, 3228, 22376, 12174, 9381, 28239, 19913, 2288, 25124, 1829, 9778, 2407, 9778, 1829, 44945, 14851, 9778, 40448, 2423, 42432, 6765, 1975, 2407, 2423, 1804, 6765, 18863, 1211, 3794, 3660, 9673, 29245, 49401, 281, 1879, 1442, 24417, 322, 264, 1533, 1426, 6225, 8592, 7649, 8717, 25957, 1211, 6055, 31747, 1829, 11622, 24976, 33599, 27884, 6024, 114, 2407, 19986, 10632, 15844, 25124, 3555, 4117, 10632], "avg_logprob": -0.20011294498501053, "compression_ratio": 1.4390243902439024, "no_speech_prob": 7.748603820800781e-07, "words": [{"start": 543.25, "end": 544.21, "word": "طيب", "probability": 0.6698404947916666}, {"start": 544.21, "end": 544.79, "word": " زي", "probability": 0.734375}, {"start": 544.79, "end": 544.87, "word": " 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farther away from the eyes بمعنى انه ال near point بتاعته بتكون بعيدة okay فبيكون ال press biopia مالها early مبكرا", "tokens": [32, 9848, 5537, 1513, 675, 3719, 702, 993, 365, 2651, 935, 31308, 20344, 1314, 490, 264, 2575, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 2423, 2651, 935, 39894, 995, 34268, 3224, 39894, 30544, 45030, 25708, 3660, 1392, 6156, 21292, 30544, 2423, 1886, 3228, 22376, 3714, 6027, 11296, 2440, 3714, 3555, 4117, 23557], "avg_logprob": -0.3089622731478709, "compression_ratio": 1.3173652694610778, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 564.69, "end": 564.85, "word": "A", "probability": 0.21142578125}, {"start": 564.85, "end": 566.41, "word": " hypermetrophe", "probability": 0.6163330078125}, {"start": 566.41, "end": 567.17, "word": " starts", "probability": 0.86474609375}, {"start": 567.17, "end": 567.63, "word": " his", "probability": 0.96728515625}, {"start": 567.63, "end": 568.07, "word": " life", "probability": 0.94189453125}, {"start": 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794.83, "text": "why إبرس بياب؟ why إبرس بيابية؟", "tokens": [22628, 11933, 26890, 3794, 4724, 1829, 16758, 22807, 983, 11933, 26890, 3794, 4724, 1829, 16758, 10632, 22807], "avg_logprob": -0.3057725760671828, "compression_ratio": 1.275, "no_speech_prob": 0.0, "words": [{"start": 771.35, "end": 771.85, "word": "why", "probability": 0.5615234375}, {"start": 771.85, "end": 772.37, "word": " إبرس", "probability": 0.6638997395833334}, {"start": 772.37, "end": 784.07, "word": " بياب؟", "probability": 0.71405029296875}, {"start": 784.07, "end": 785.87, "word": " why", "probability": 0.7021484375}, {"start": 785.87, "end": 791.13, "word": " إبرس", "probability": 0.9532877604166666}, {"start": 791.13, "end": 794.83, "word": " بيابية؟", "probability": 0.844775390625}], "temperature": 1.0}, {"id": 29, "seek": 83062, "start": 802.98, "end": 830.62, "text": "is late and early in high band metro compared to", "tokens": [271, 3469, 293, 2440, 294, 1090, 4116, 27334, 5347, 281], "avg_logprob": 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ميوب في الهيبرمتروب و آخر من ميوب في الهيبرمتروب مقارنة مع عيون عادية أو مقارنة مع الهيبرمتروب لأن في الهيبرمتروب المقرب هو المقارنة", "tokens": [3555, 35457, 3555, 14739, 4724, 2288, 3794, 5172, 1829, 37746, 12174, 16572, 3555, 9154, 3714, 1829, 37746, 8978, 2423, 3224, 1829, 26890, 2304, 2655, 32887, 3555, 4032, 19753, 34740, 9154, 3714, 1829, 37746, 8978, 2423, 3224, 1829, 26890, 2304, 2655, 32887, 3555, 3714, 4587, 9640, 1863, 3660, 20449, 6225, 1829, 11536, 6225, 18513, 10632, 34051, 3714, 4587, 9640, 1863, 3660, 20449, 2423, 3224, 1829, 26890, 2304, 2655, 32887, 3555, 5296, 33456, 8978, 2423, 3224, 1829, 26890, 2304, 2655, 32887, 3555, 9673, 4587, 25513, 31439, 9673, 4587, 9640, 1863, 3660], "avg_logprob": -0.5861110892560747, "compression_ratio": 2.3360655737704916, "no_speech_prob": 0.0, "words": [{"start": 841.9, "end": 843.0, "word": "بسبب", "probability": 0.5150553385416666}, {"start": 843.0, "end": 844.1, "word": " أن", "probability": 0.093505859375}, {"start": 844.1, 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why the breast biopatient بيحاول إنه دايما يبعد الكتاب عنه لإن ال near point بتاعته إيش مالها؟ بعيدة، okay؟ compared to the normal patient", "tokens": [2407, 6055, 4587, 16572, 3555, 24976, 4117, 2655, 16758, 12399, 32239, 8592, 22807, 5296, 28814, 1863, 2423, 2651, 935, 39894, 995, 34268, 3224, 11933, 1829, 8592, 11778, 47302, 15042, 39894, 3555, 22488, 12399, 1392, 22807, 37495, 22653, 983, 264, 9934, 3228, 404, 267, 1196, 4724, 1829, 5016, 995, 12610, 36145, 3224, 11778, 47302, 15042, 7251, 3555, 22488, 33251, 2655, 16758, 18871, 3224, 5296, 28814, 1863, 2423, 2651, 935, 39894, 995, 34268, 3224, 11933, 1829, 8592, 3714, 6027, 11296, 22807, 45030, 25708, 3660, 12399, 1392, 22807, 5347, 281, 264, 2710, 4537], "avg_logprob": -0.17367788232289827, "compression_ratio": 1.691891891891892, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 1248.6, "end": 1248.8, "word": "و", "probability": 0.74267578125}, {"start": 1248.8, "end": 1249.34, "word": " تقريب", "probability": 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هذه بالنسبة لل symptoms of failure of accommodation يعني شو هي الأعراض اللي بيشكيها المريض لما يكون عنده خلل وين في ال accommodation", "tokens": [11622, 1829, 18513, 3660, 8978, 32748, 2304, 45367, 322, 6484, 11, 33162, 281, 360, 544, 4420, 2651, 589, 37495, 22653, 4724, 1829, 28543, 2288, 8592, 14739, 3224, 7251, 14851, 29973, 4724, 25957, 1211, 12174, 16572, 3555, 32767, 41891, 23032, 2407, 26895, 3660, 1392, 29538, 20666, 1863, 35457, 3660, 24976, 8332, 295, 7763, 295, 27363, 37495, 22653, 13412, 2407, 39896, 16247, 3615, 2288, 46958, 13672, 1829, 4724, 1829, 8592, 4117, 1829, 11296, 9673, 16572, 11242, 5296, 15042, 7251, 30544, 43242, 3224, 16490, 1211, 1211, 4032, 9957, 8978, 2423, 27363], "avg_logprob": -0.14984199973974335, "compression_ratio": 1.4896265560165975, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 1616.64, "end": 1617.38, "word": "زيادة", "probability": 0.820556640625}, {"start": 1617.38, "end": 1617.62, "word": " في", "probability": 0.95458984375}, 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إلى مين؟ إلى ال excessive accommodation number two في السمب الميوب اللي بيعمل عمل قريب بفترات طويلة number three in astigmatic errors doing much work نفس الميوب إذا عنده astigmatism", "tokens": [5172, 21292, 25957, 1211, 30767, 1829, 18513, 3660, 24976, 37643, 8679, 6156, 21292, 3215, 11703, 1829, 23758, 30731, 3714, 9957, 22807, 30731, 2423, 22704, 27363, 1230, 732, 8978, 2423, 38251, 3555, 9673, 1829, 37746, 13672, 1829, 4724, 1829, 25957, 1211, 6225, 42213, 12174, 16572, 3555, 4724, 5172, 2655, 2288, 9307, 23032, 2407, 26895, 3660, 1230, 1045, 294, 5357, 20181, 2399, 13603, 884, 709, 589, 8717, 36178, 9673, 1829, 37746, 11933, 15730, 43242, 3224, 5357, 46496, 1434], "avg_logprob": -0.29261363791180894, "compression_ratio": 1.5072463768115942, "no_speech_prob": 1.3709068298339844e-06, "words": [{"start": 2129.74, "end": 2130.72, "word": "فبيعمل", "probability": 0.73291015625}, {"start": 2130.72, "end": 2131.32, "word": " زيادة", "probability": 0.98388671875}, {"start": 2131.32, 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237102, "start": 2343.02, "end": 2371.02, "text": "عنده ضعف عام في الجسم and ill health either physical or mental او مثلا مشاكل في الجسم امراض systemic diseases او mental امراض عقلية في كتير ناس بلبس نضارات و بتنعمل في مراكز", "tokens": [3615, 41260, 3224, 48812, 3615, 5172, 6225, 10943, 8978, 25724, 38251, 293, 3171, 1585, 2139, 4001, 420, 4973, 1975, 2407, 50113, 15040, 37893, 995, 28820, 8978, 25724, 38251, 1975, 29973, 46958, 23789, 11044, 1975, 2407, 4973, 1975, 29973, 46958, 6225, 4587, 1211, 10632, 8978, 9122, 2655, 13546, 8717, 32277, 4724, 46152, 3794, 8717, 11242, 9640, 9307, 4032, 39894, 1863, 25957, 1211, 8978, 3714, 23557, 4117, 11622], "avg_logprob": -0.15461754398559457, "compression_ratio": 1.4827586206896552, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 2343.02, "end": 2343.48, "word": "عنده", "probability": 0.7906087239583334}, {"start": 2343.48, "end": 2343.92, "word": " ضعف", "probability": 0.88818359375}, {"start": 2343.92, "end": 2344.34, "word": " 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بالأصل اللي هيعمل near walk، بس لما هيعمل near walk بتصير عنده ال .. ال near point أقرب فبتصير أقرب لليه؟ هو أقرب إجابة صح، أنه ال near point بتاعته إيه شمالها؟", "tokens": [3224, 2407, 20328, 5016, 2423, 28820, 10943, 4724, 3794, 47525, 8315, 544, 2607, 5551, 4117, 49115, 6055, 5172, 9381, 26895, 2423, 2651, 935, 5296, 15042, 39896, 25957, 1211, 2651, 1792, 39894, 9381, 13546, 5551, 4587, 25513, 6156, 3555, 2655, 9381, 13546, 43242, 3224, 4386, 23032, 3555, 19446, 31439, 22807, 31439, 20666, 10721, 36520, 13672, 1829, 39896, 25957, 1211, 2651, 1792, 12399, 4724, 3794, 5296, 15042, 39896, 25957, 1211, 2651, 1792, 39894, 9381, 13546, 43242, 3224, 2423, 4386, 2423, 2651, 935, 5551, 4587, 25513, 6156, 3555, 2655, 9381, 13546, 5551, 4587, 25513, 5296, 20292, 3224, 22807, 31439, 5551, 4587, 25513, 11933, 7435, 16758, 3660, 20328, 5016, 12399, 14739, 3224, 2423, 2651, 935, 39894, 995, 34268, 3224, 11933, 1829, 3224, 13412, 2304, 6027, 11296, 22807], "avg_logprob": -0.23613910941827682, 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290385, "start": 2889.05, "end": 2903.85, "text": "طبيعي أنه بعد الانستلياش، يعني طبيعي بعد أن أنا مابقطر، انستلياش أي تقطير of أتروبين، الأتروبين drop in the patients", "tokens": [9566, 21292, 3615, 1829, 14739, 3224, 39182, 2423, 7649, 14851, 20292, 33599, 12399, 37495, 22653, 23032, 21292, 3615, 1829, 39182, 14739, 41850, 3714, 16758, 47432, 2288, 12399, 16472, 14851, 20292, 33599, 36632, 6055, 47432, 13546, 295, 5551, 2655, 32887, 3555, 9957, 12399, 16247, 2655, 32887, 3555, 9957, 3270, 294, 264, 4209], "avg_logprob": -0.4891826814183822, "compression_ratio": 1.4809160305343512, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 2889.0499999999997, "end": 2890.35, "word": "طبيعي", "probability": 0.70416259765625}, {"start": 2890.35, "end": 2891.07, "word": " أنه", "probability": 0.504638671875}, {"start": 2891.07, "end": 2892.63, "word": " بعد", "probability": 0.81005859375}, {"start": 2892.63, "end": 2894.81, "word": " الانستلياش،", "probability": 0.4336344401041667}, 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{"id": 107, "seek": 299159, "start": 2964.01, "end": 2991.59, "text": "يعني يكون الطفل cooperative متعاون دايما قبل القطرة بعمله test فحص و بعد القطرة برضه بعمله ايش ال test تعالي ال retroscope او ال autorefractometer whatever هتلاقي فيه فرق ما بين ال pre و ال post انه قبل و بعد okay ال prediction أي بمعنى الانطباع of such", "tokens": [40228, 22653, 7251, 30544, 41950, 5172, 1211, 31772, 44650, 3615, 995, 11536, 11778, 47302, 15042, 12174, 36150, 25062, 9566, 25720, 4724, 25957, 43761, 1500, 6156, 5016, 9381, 4032, 39182, 25062, 9566, 25720, 4724, 43042, 3224, 4724, 25957, 43761, 1975, 1829, 8592, 2423, 1500, 37279, 6027, 1829, 2423, 1533, 2635, 13960, 1975, 2407, 2423, 1476, 418, 69, 1897, 13606, 2035, 8032, 2655, 15040, 38436, 8978, 3224, 6156, 2288, 4587, 19446, 49374, 2423, 659, 4032, 2423, 2183, 16472, 3224, 12174, 36150, 4032, 39182, 1392, 2423, 17630, 36632, 4724, 2304, 3615, 1863, 7578, 2423, 7649, 9566, 3555, 45761, 295, 1270], "avg_logprob": -0.21683673286924557, 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{"id": 109, "seek": 305951, "start": 3036.33, "end": 3059.51, "text": "إذا الأن لو سألتك شو ال symptoms لواحد عنده excessive accommodation number one headache number two eye fatigue number three a blurred vision four distance okay", "tokens": [28814, 15730, 16247, 1863, 45164, 8608, 10721, 1211, 2655, 4117, 13412, 2407, 2423, 8332, 5296, 14407, 24401, 43242, 3224, 22704, 27363, 1230, 472, 23520, 1230, 732, 3313, 20574, 1230, 1045, 257, 43525, 5201, 1451, 4560, 1392], "avg_logprob": -0.21484375322187269, "compression_ratio": 1.2483221476510067, "no_speech_prob": 0.0, "words": [{"start": 3036.33, "end": 3036.55, "word": "إذا", "probability": 0.7548828125}, {"start": 3036.55, "end": 3036.97, "word": " الأن", "probability": 0.6724853515625}, {"start": 3036.97, "end": 3037.27, "word": " لو", "probability": 0.9912109375}, {"start": 3037.27, "end": 3038.07, "word": " سألتك", "probability": 0.89443359375}, {"start": 3038.07, "end": 3038.43, "word": " شو", "probability": 0.9853515625}, 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سألت بس ال symptoms يعني شو الشكوه اللي هيجي المريض يحكيلك إياها يعني واحد عنده excessive accommodation اكتب هون", "tokens": [2407, 23758, 13672, 1829, 4724, 1211, 43500, 24976, 5201, 4724, 11622, 1829, 2655, 5296, 1863, 10632, 20449, 2423, 2995, 589, 20449, 30767, 1829, 18513, 3660, 18863, 2304, 1211, 4032, 28552, 6225, 40448, 12602, 39319, 3660, 29538, 28242, 11296, 6055, 34268, 26890, 9154, 3714, 9957, 22807, 9154, 2423, 8332, 5296, 10721, 41850, 8608, 10721, 1211, 2655, 4724, 3794, 2423, 8332, 37495, 22653, 13412, 2407, 25124, 4117, 2407, 3224, 13672, 1829, 39896, 7435, 1829, 9673, 16572, 11242, 7251, 5016, 4117, 1829, 23275, 11933, 25528, 11296, 37495, 22653, 36764, 24401, 43242, 3224, 22704, 27363, 1975, 4117, 2655, 3555, 8032, 11536], "avg_logprob": -0.21635841927966293, "compression_ratio": 1.5737704918032787, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 3060.62, "end": 3061.0, "word": "و", "probability": 0.9521484375}, {"start": 3061.0, "end": 3062.1, "word": 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"word": " ال", "probability": 0.94140625}, {"start": 3072.02, "end": 3072.5, "word": " symptoms", "probability": 0.97314453125}, {"start": 3072.5, "end": 3074.3, "word": " لأ", "probability": 0.813232421875}, {"start": 3074.3, "end": 3074.5, "word": " أنا", "probability": 0.76171875}, {"start": 3074.5, "end": 3074.86, "word": " سألت", "probability": 0.8170166015625}, {"start": 3074.86, "end": 3075.1, "word": " بس", "probability": 0.9912109375}, {"start": 3075.1, "end": 3075.24, "word": " ال", "probability": 0.98193359375}, {"start": 3075.24, "end": 3075.76, "word": " symptoms", "probability": 0.97802734375}, {"start": 3075.76, "end": 3076.68, "word": " يعني", "probability": 0.9111328125}, {"start": 3076.68, "end": 3077.08, "word": " شو", "probability": 0.972412109375}, {"start": 3077.08, "end": 3078.16, "word": " الشكوه", "probability": 0.832763671875}, {"start": 3078.16, "end": 3078.44, "word": " اللي", "probability": 0.900390625}, {"start": 3078.44, "end": 3078.76, "word": " هيجي", "probability": 0.83740234375}, {"start": 3078.76, "end": 3079.18, "word": " المريض", "probability": 0.9747721354166666}, {"start": 3079.18, "end": 3079.64, "word": " يحكيلك", "probability": 0.95771484375}, {"start": 3079.64, "end": 3080.14, "word": " إياها", "probability": 0.8899739583333334}, {"start": 3080.14, "end": 3080.4, "word": " يعني", "probability": 0.8837890625}, {"start": 3080.4, "end": 3080.74, "word": " واحد", "probability": 0.888427734375}, {"start": 3080.74, "end": 3081.5, "word": " عنده", "probability": 0.99072265625}, {"start": 3081.5, "end": 3081.98, "word": " excessive", "probability": 0.92724609375}, {"start": 3081.98, "end": 3082.78, "word": " accommodation", "probability": 0.935546875}, {"start": 3082.78, "end": 3083.98, "word": " اكتب", "probability": 0.876220703125}, {"start": 3083.98, "end": 3084.24, "word": " هون", "probability": 0.5946044921875}], "temperature": 1.0}, {"id": 111, "seek": 322617, "start": 3196.83, "end": 3226.17, "text": "هدول ال symptoms ل ال excessive of accommodation okay؟ بدنا نقفل ان شاء الله ل ال spasm of accommodation بس حابب اتكلم في موضوعين ابتداء من المحاضرة القادمة ان شاء الله هنبدأ النص ساعة الأخيرة نعمل فيها ال presentation طبعا تم اختيار two groups للمرة الجاية هتكون مجموعة آية و مجموعة dream okay؟", "tokens": [3224, 3215, 12610, 2423, 8332, 5296, 2423, 22704, 295, 27363, 1392, 22807, 47525, 8315, 8717, 4587, 5172, 1211, 16472, 13412, 16606, 21984, 5296, 2423, 637, 14774, 295, 27363, 4724, 3794, 11331, 16758, 3555, 1975, 2655, 4117, 19528, 8978, 3714, 2407, 11242, 45367, 9957, 48127, 2655, 3215, 16606, 9154, 9673, 5016, 46958, 25720, 25062, 18513, 46007, 16472, 13412, 16606, 21984, 8032, 1863, 44510, 10721, 28239, 9381, 8608, 995, 27884, 16247, 9778, 48923, 8717, 25957, 1211, 8978, 11296, 2423, 5860, 23032, 3555, 3615, 995, 46811, 1975, 9778, 31371, 9640, 732, 3935, 5296, 19528, 25720, 25724, 995, 10632, 8032, 2655, 30544, 3714, 7435, 2304, 2407, 27884, 19753, 10632, 4032, 3714, 7435, 2304, 2407, 27884, 3055, 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"start": 3279.44, "end": 3294.94, "text": "كل هذا الفرق ان هو ايش الفرق بين صيغة السؤال و تانية هال ان شاء الله ممكن نديها نص ساعة او ربع الساعة whatever انه تكونوا ك evaluation ل ال final exam ان شاء الله يعطيكم العافية", "tokens": [28820, 23758, 27188, 2288, 4587, 16472, 31439, 1975, 1829, 8592, 27188, 2288, 4587, 49374, 20328, 1829, 17082, 3660, 21136, 33604, 6027, 4032, 6055, 7649, 10632, 8032, 6027, 16472, 13412, 16606, 21984, 3714, 43020, 8717, 16254, 11296, 8717, 9381, 8608, 995, 27884, 1975, 2407, 12602, 3555, 3615, 21136, 995, 27884, 2035, 16472, 3224, 6055, 30544, 14407, 9122, 13344, 5296, 2423, 2572, 1139, 16472, 13412, 16606, 21984, 37495, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.1764768900936597, "compression_ratio": 1.6077348066298343, "no_speech_prob": 3.331899642944336e-05, "words": [{"start": 3279.4399999999996, "end": 3280.2, "word": "كل", "probability": 0.280517578125}, {"start": 3280.2, "end": 3280.48, "word": " هذا", "probability": 0.6220703125}, 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"duration_after_vad": 2767.796249999992}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..258b34c21fb8cbb43c7c02cef898bf9ff50807b4
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/lzkwz7mYsZs_raw.srt
@@ -0,0 +1,2264 @@
+1
+00:00:20,620 --> 00:00:23,760
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:23,760 --> 00:00:28,300
+وبركاته and a very good afternoon to all of you
+
+3
+00:00:28,300 --> 00:00:33,760
+اليوم ان شاء الله هنبدأ بداية المحاضرة what is the
+
+4
+00:00:33,760 --> 00:00:39,380
+difference between a presbyopia and ametropois أي
+
+5
+00:00:39,380 --> 00:00:43,160
+بمعنى شو الفرق ما بين العين الطبيعية و العين اللى
+
+6
+00:00:43,160 --> 00:00:48,760
+بيكون عندها قصه النظر الشيخ وخد طيب ال ametropois
+
+7
+00:00:56,840 --> 00:01:01,900
+ممتازة إذا الامتروب I incident light rays are
+
+8
+00:01:01,900 --> 00:01:07,320
+brought to focus on the retina بريسبيوبيا ك
+
+9
+00:01:07,320 --> 00:01:14,640
+definition okay
+
+10
+00:01:14,640 --> 00:01:15,940
+another answer
+
+11
+00:01:34,770 --> 00:01:42,070
+الابريس بيوبيا هي عدم قدرة من عدسة الكريستالين
+
+12
+00:01:44,930 --> 00:01:49,970
+to change its shape يعني عدم قدرة العدسة في تغيير
+
+13
+00:01:49,970 --> 00:01:57,390
+شكلها by converging power to focus any objects
+
+14
+00:01:57,390 --> 00:01:59,610
+behind the retina
+
+15
+00:02:15,120 --> 00:02:27,040
+It is an ability of
+
+16
+00:02:27,040 --> 00:02:30,220
+the
+
+17
+00:02:30,220 --> 00:02:33,580
+crystalline
+
+18
+00:02:33,580 --> 00:02:38,200
+lens
+
+19
+00:02:38,200 --> 00:02:43,320
+to change
+
+20
+00:02:51,280 --> 00:02:58,800
+It is shaped by
+
+21
+00:02:58,800 --> 00:03:06,020
+converging power
+
+22
+00:03:06,020 --> 00:03:14,100
+and
+
+23
+00:03:14,100 --> 00:03:19,600
+the incident
+
+24
+00:03:25,080 --> 00:03:34,740
+light rays are
+
+25
+00:03:34,740 --> 00:03:41,300
+brought to
+
+26
+00:03:41,300 --> 00:03:44,800
+focus where?
+
+27
+00:03:45,360 --> 00:03:45,780
+behind
+
+28
+00:03:59,280 --> 00:04:06,320
+إذا عدم قدرة العدسة على تغيير شكلها أي ما بتقدر
+
+29
+00:04:06,320 --> 00:04:10,360
+العدسة ان تعمل accommodation وبالتالي هي ما بتكون
+
+30
+00:04:10,360 --> 00:04:12,400
+قادرة على عمل ال converging
+
+31
+00:04:14,930 --> 00:04:19,210
+و تركيز ال light rays وين بيصير behind the retina
+
+32
+00:04:19,210 --> 00:04:25,950
+اذا الأشعة الضوئية الساقطة بتتجمع خلف الشبكية اذا
+
+33
+00:04:25,950 --> 00:04:32,670
+عدم قدرة العدسة على تغيير شكلها انه
+
+34
+00:04:32,670 --> 00:04:37,050
+مابتقدرش تعمل convergence power زائد ان الأشعة
+
+35
+00:04:37,050 --> 00:04:40,230
+الضوئية الساقطة وين بتتركز خلف الشبكية
+
+36
+00:04:43,060 --> 00:04:49,260
+هذا ك definition of a brass biopia طيب
+
+37
+00:04:49,260 --> 00:04:52,740
+في حالة ال brass biopia why you apply a glass
+
+38
+00:04:52,740 --> 00:04:57,100
+lens؟ ليش احنا بنستخدم العدسة الموجبة؟ عشان ..
+
+39
+00:04:57,100 --> 00:05:03,320
+عشان تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل
+
+40
+00:05:03,320 --> 00:05:04,080
+.. تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+41
+00:05:04,080 --> 00:05:04,260
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+42
+00:05:04,260 --> 00:05:06,920
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+43
+00:05:06,920 --> 00:05:06,920
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+44
+00:05:06,920 --> 00:05:06,920
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+45
+00:05:06,920 --> 00:05:06,920
+تعمل .. تعمل .. تعمل .. تعمل .. تعمل .. تعمل ..
+
+46
+00:05:06,920 --> 00:05:12,970
+تعمل .. تOkay وين هيجمع الأشعة؟ on the retina الان
+
+47
+00:05:12,970 --> 00:05:16,250
+في حالة ال breast biopia ال incident light rays
+
+48
+00:05:16,250 --> 00:05:19,370
+are brought to focus behind the retina when you
+
+49
+00:05:19,370 --> 00:05:23,310
+apply plus lens or convex lens incident light rays
+
+50
+00:05:23,310 --> 00:05:27,270
+are brought to focus on the retina okay اذا why
+
+51
+00:05:27,270 --> 00:05:32,670
+you apply a plus lens in a breast biopia case or
+
+52
+00:05:32,670 --> 00:05:34,830
+in a breast biopia condition؟
+
+53
+00:05:37,010 --> 00:05:46,290
+to focus light rays on the retina عشان
+
+54
+00:05:46,290 --> 00:05:49,010
+نركز الأشعة الضوئية على الشبكية
+
+55
+00:05:57,660 --> 00:06:02,340
+بريسبيوبيا الـ normal eye incident light rays are
+
+56
+00:06:02,340 --> 00:06:06,880
+brought to focus on the retina بريسبيوبيا incident
+
+57
+00:06:06,880 --> 00:06:11,220
+light rays are brought to focus behind the retina
+
+58
+00:06:23,090 --> 00:06:26,710
+Light rays are brought to focus on the retina أي
+
+59
+00:06:26,710 --> 00:06:31,810
+بمعنى أن الأشعة الضوئية الساقطة على العين بتتركز
+
+60
+00:06:31,810 --> 00:06:37,090
+وين؟ على الشبكية In ametropes, presbyopia occurs
+
+61
+00:06:37,090 --> 00:06:43,050
+between 40 and 45 years قصوا النظر الشيخوخي في
+
+62
+00:06:43,050 --> 00:06:47,290
+الناس الطبيعيين متى بتحدث؟ ما بين سن الأربعين
+
+63
+00:06:47,290 --> 00:06:48,870
+والخمس واربعين سنة
+
+64
+00:06:54,260 --> 00:06:58,100
+الرغم من وجود اختلاف جغرافي
+
+65
+00:07:24,500 --> 00:07:31,220
+بنلاحظ أنه قصه النظر الشيخوخي بيكون مبكر مقارنة في
+
+66
+00:07:31,220 --> 00:07:36,440
+المناطق الأخرى أي بمعنى في المناطق الحارة دائما
+
+67
+00:07:36,440 --> 00:07:41,340
+قصه النظر الشيخوخي بيكون أكثر شيوع من وين من
+
+68
+00:07:41,340 --> 00:07:46,700
+المناطق الباردة this is my question
+
+69
+00:07:59,860 --> 00:08:04,960
+الـ Y الاناليبرس
+
+70
+00:08:04,960 --> 00:08:09,500
+بيوبيا هو عبارة عن definition تعريف بتعلق بعدة
+
+71
+00:08:09,500 --> 00:08:13,100
+عوامل من ضمن هذه العوامل اللي هو مفهوم ال weather
+
+72
+00:08:13,100 --> 00:08:17,940
+okay according to previous studies بناء على دراسات
+
+73
+00:08:17,940 --> 00:08:23,420
+سابقة تبين ان المناطق الحارة بيكون فيها العدسة
+
+74
+00:08:23,420 --> 00:08:28,950
+العين متصلبة أكثر من المناطق الباردةOkay لأنه في
+
+75
+00:08:28,950 --> 00:08:32,710
+حالة ال breast biopia العدسة إيش بتصير عدسة العين
+
+76
+00:08:32,710 --> 00:08:38,850
+صلبة صح أنها بتتصلب يعني بتصير العدسة كأنها flat
+
+77
+00:08:38,850 --> 00:08:44,250
+okay فتبين إنه في هذه المناطق بتكون العدسة أكثر
+
+78
+00:08:44,250 --> 00:08:49,130
+تصلبا مقارنة في وين؟ في المناطق الباردة عشان هيك
+
+79
+00:08:49,130 --> 00:08:53,150
+ال breast biopia is more common in hot weather
+
+80
+00:08:53,150 --> 00:08:54,690
+compared to cold
+
+81
+00:09:03,250 --> 00:09:07,990
+طيب زي ما اتفقنا انه في حالة ال breast biopia قص
+
+82
+00:09:07,990 --> 00:09:13,210
+النظر الشيخوخي بنستخدم ال convex lens او ال plus
+
+83
+00:09:13,210 --> 00:09:17,210
+lens العلسة الموجبة to focus light rays on the
+
+84
+00:09:17,210 --> 00:09:22,470
+retina عشان نعمل تركيز للاشعة الضوئية على الشبكية
+
+85
+00:09:24,690 --> 00:09:29,250
+A hypermetrophe starts his life with near point
+
+86
+00:09:29,250 --> 00:09:34,110
+considerably farther away from the eyes بمعنى انه
+
+87
+00:09:34,110 --> 00:09:38,610
+ال near point بتاعته بتكون بعيدة okay فبيكون ال
+
+88
+00:09:38,610 --> 00:09:45,850
+press biopia مالها early مبكرايعني لو الآن سؤال
+
+89
+00:09:45,850 --> 00:09:51,750
+ليش دايما الناس اللي عندهم hypermetrop بتلاقي اللي
+
+90
+00:09:51,750 --> 00:09:58,250
+برسبة يومي بتيجي مبكر مقارنة في الimetrop؟
+
+91
+00:09:58,250 --> 00:10:02,050
+اذا ال near point is a closure is far away from
+
+92
+00:10:02,050 --> 00:10:06,880
+the eye، انه بتكون بعيدة دايما وين عن العينبمعنى
+
+93
+00:10:06,880 --> 00:10:11,480
+انه دايما الناس اللى عندهم طول نظر بيعانوا من
+
+94
+00:10:11,480 --> 00:10:16,640
+البريس بيوب اكتر من الناس ال امتروب او بتيجي مبكرا
+
+95
+00:10:16,640 --> 00:10:20,660
+اكتر يعنى احنا قلنا ان البريس بيوب قصوا النظر
+
+96
+00:10:20,660 --> 00:10:25,180
+الشيخوخي ما بين اربعين وخمس واربعين سنة في حالة ال
+
+97
+00:10:25,180 --> 00:10:29,520
+hyper metrobe بيجي مبكر يعني خمسة و تلاتين اربعة و
+
+98
+00:10:29,520 --> 00:10:33,420
+تلاتين okay ليش؟ لأنه دايما ال near point بتاعته
+
+99
+00:10:33,420 --> 00:10:39,830
+اشمالهاال near point بتاعته بتكون بعيدة ان هو
+
+100
+00:10:39,830 --> 00:10:43,170
+farther away يعني دايما ال near point ايش هو
+
+101
+00:10:43,170 --> 00:10:48,890
+تعريفها؟ هي ال nearest point انه اقرب نقطة اللى
+
+102
+00:10:48,890 --> 00:10:52,970
+بتتركز وين على الشبكية فدايما في حالة ال hyper
+
+103
+00:10:52,970 --> 00:10:57,210
+metrop بتكون ايش مالها؟ بعيدة لو قررنا بينها وبين
+
+104
+00:10:57,210 --> 00:11:00,930
+مين؟ ال metrop ال normal okay؟
+
+105
+00:11:03,970 --> 00:11:08,310
+thus a hypermetrophe with plus three diopters لو
+
+106
+00:11:08,310 --> 00:11:11,850
+فرضنا انه مريض عنده hypermetrophe with three
+
+107
+00:11:11,850 --> 00:11:16,050
+diopters correction for distance vision دايما
+
+108
+00:11:16,050 --> 00:11:19,530
+حكينا الناس اللي بتعاني من hypermetrophe بيكون
+
+109
+00:11:19,530 --> 00:11:22,950
+المشكلة عنده في ال near و في ال distance صح؟ انه
+
+110
+00:11:22,950 --> 00:11:25,610
+بمعنى عنده blurred vision for distance and near
+
+111
+00:11:26,100 --> 00:11:30,080
+الان هو عنده plus 3 ديوبتر صلحنا مين اللي بعيد
+
+112
+00:11:30,080 --> 00:11:36,760
+عملنا اللي هو correction ل ال distance okay must
+
+113
+00:11:36,760 --> 00:11:40,320
+use addition of convex lenses for reading suitable
+
+114
+00:11:40,320 --> 00:11:44,080
+for his near refraction انه لازم يعمل ايش تصحيح
+
+115
+00:11:44,080 --> 00:11:48,460
+للقريب عشان انه يوفر ال suitable vision انه رؤية
+
+116
+00:11:48,460 --> 00:11:54,170
+واضحة كمان لمين للقريببمعنى patient عنده plus 3
+
+117
+00:11:54,170 --> 00:11:58,830
+ديوبتر hyper metroid اذا شو الشكوه بتاعته هتكون
+
+118
+00:11:58,830 --> 00:12:03,570
+blurred vision for distance and near الان انا عملت
+
+119
+00:12:03,570 --> 00:12:08,330
+ال distance صلحت البعيد okay بيجي ايش القريب ال
+
+120
+00:12:08,330 --> 00:12:12,910
+near اذا بضيف عدسة plus ك convex lens عشان يجمع
+
+121
+00:12:12,910 --> 00:12:17,590
+الأشياء على الشبكية و بالتالي انه يشوف ال suitable
+
+122
+00:12:17,590 --> 00:12:24,160
+near visionرؤية واضحة للقريبة okay طيب في حالة ال
+
+123
+00:12:24,160 --> 00:12:27,960
+myopes اللي يما بيكون واحد عنده قصر نظر سؤال إلى
+
+124
+00:12:27,960 --> 00:12:33,800
+انه دايما بيكون بتأخر ال press biop ليش؟ لأنه ال
+
+125
+00:12:33,800 --> 00:12:43,100
+near point بتاعته إيش بقالها قريبة إذا السؤال why
+
+126
+00:12:43,100 --> 00:12:47,920
+press biop is
+
+127
+00:12:47,920 --> 00:13:04,070
+late in myopewhy إبرس بياب؟
+
+128
+00:13:04,070 --> 00:13:11,130
+why إبرس
+
+129
+00:13:11,130 --> 00:13:14,830
+بيابية؟
+
+130
+00:13:22,980 --> 00:13:38,600
+is late and
+
+131
+00:13:38,600 --> 00:13:50,620
+early in high band metro compared to
+
+132
+00:14:01,900 --> 00:14:10,380
+بسبب أن برسفيوب قريب من ميوب في الهيبرمتروب
+
+133
+00:14:10,380 --> 00:14:15,160
+و آخر من ميوب في الهيبرمتروب مقارنة مع عيون عادية
+
+134
+00:14:15,160 --> 00:14:19,940
+أو مقارنة مع الهيبرمتروب لأن في الهيبرمتروب المقرب
+
+135
+00:14:19,940 --> 00:14:20,960
+هو المقارنة
+
+136
+00:14:23,980 --> 00:14:31,740
+compare to؟ انا بتقول بقى بقى في المياب دنيا point
+
+137
+00:14:31,740 --> 00:14:38,500
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+138
+00:14:38,500 --> 00:14:38,500
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+139
+00:14:38,500 --> 00:14:38,500
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+140
+00:14:38,500 --> 00:14:38,640
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+141
+00:14:38,640 --> 00:14:39,400
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+142
+00:14:39,400 --> 00:14:40,140
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+143
+00:14:40,140 --> 00:14:41,280
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+144
+00:14:41,280 --> 00:14:43,680
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+145
+00:14:43,680 --> 00:14:45,340
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+146
+00:14:45,340 --> 00:14:47,720
+is chosen انا بتقول بقى بقى في المياب دنيا point
+
+147
+00:14:47,720 --> 00:14:50,550
+is chosenالان فى حالة ال emetrop بتكون ال near
+
+148
+00:14:50,550 --> 00:14:56,550
+point طبيعية طيب فى حالة الميوب ال near point
+
+149
+00:14:56,550 --> 00:15:00,190
+بتكون قريبة طيب فى حالة ال hypermetrop بما قارن
+
+150
+00:15:00,190 --> 00:15:08,830
+بينهم بتكون بعيدة برسميوبيا
+
+151
+00:15:08,830 --> 00:15:13,650
+كمصطلح ك definition is thus a relative term هو
+
+152
+00:15:13,650 --> 00:15:19,210
+يعتبر definition أو مصطلح علمىdepending on أي
+
+153
+00:15:19,210 --> 00:15:24,350
+بمعنى إنه بيعتمد على number one age العمر زي ما
+
+154
+00:15:24,350 --> 00:15:28,710
+قلنا إنه بيحدث في حالة ال emetrop بما بين سن
+
+155
+00:15:28,710 --> 00:15:34,890
+الأربعين والخمسة واربعين سنة في ال hyper metrop في
+
+156
+00:15:34,890 --> 00:15:38,410
+ال hyper metrop إنه دايما بيكون early compared to
+
+157
+00:15:38,410 --> 00:15:42,030
+emetrop في الميوب إيش بيكون late compared to that
+
+158
+00:15:47,380 --> 00:15:50,840
+هل هو المريض إمتروب؟ هل هو hypermetrob أو
+
+159
+00:15:50,840 --> 00:15:56,040
+astigmatism؟ number three الهبس العداد، أي بمعنى
+
+160
+00:15:56,040 --> 00:16:00,260
+واحد يما بيقرأ من قريب، انه بيقرب الكتاب بتاعه،
+
+161
+00:16:00,260 --> 00:16:04,120
+بيختلف عن واحد مثلا بيحط الكتاب وين؟ ع جله، و
+
+162
+00:16:04,120 --> 00:16:08,900
+بيقرأ على ال needs ركبه، okay؟ هذه كلها بتختلف من
+
+163
+00:16:08,900 --> 00:16:15,660
+حيث ال definition of a breast biopia, okay؟types
+
+164
+00:16:15,660 --> 00:16:19,500
+of near work نوع العمل اللي هو اللي بيقوم فيه برضه
+
+165
+00:16:19,500 --> 00:16:24,900
+إذا واحد مثلا driver سائق بختلف عن واحد مثلا ايه
+
+166
+00:16:24,900 --> 00:16:29,880
+دكتور okay ليش؟ لأنه دايما بيستخدم .. الدكتور
+
+167
+00:16:29,880 --> 00:16:32,660
+دايما بيستخدم ال near vision لكن ال driver دايما
+
+168
+00:16:32,660 --> 00:16:37,930
+بيستخدم ال distance okayو ال weather الطقس زي ما
+
+169
+00:16:37,930 --> 00:16:42,410
+اتفقنا انه دايما في المناطق الحارة بيكون اكتر من
+
+170
+00:16:42,410 --> 00:16:43,770
+المناطق الباردة
+
+171
+00:17:17,990 --> 00:17:22,510
+مقارنة في واحد ايه بيقرأ من مسافة مثلا خمسة سانتي
+
+172
+00:17:22,510 --> 00:17:29,950
+أو عشرة سانتي طيب
+
+173
+00:17:29,950 --> 00:17:33,230
+عندنا
+
+174
+00:17:33,230 --> 00:17:39,370
+ال symptoms بمعنى إيش الأعراضيعني بمعنى اللي
+
+175
+00:17:39,370 --> 00:17:43,970
+بيشكيها مين؟ المريض ال patient ال signs العلامات
+
+176
+00:17:43,970 --> 00:17:47,510
+اللي دايما ال examiner هو اللي بيشوفها هاي الفرق
+
+177
+00:17:47,510 --> 00:17:51,990
+ما بين ال symptoms و ال sign إذا ال symptoms بمعنى
+
+178
+00:17:51,990 --> 00:17:57,590
+كل الأعراف اللي بيشكيها مين ال patient okay ال
+
+179
+00:17:57,590 --> 00:18:04,010
+signs اللي انت بيشوفيه ك examiner فاحص ال symptoms
+
+180
+00:18:04,010 --> 00:18:07,470
+و ال signs symptoms بمعنى العلامات
+
+181
+00:18:10,970 --> 00:18:14,590
+هو التنتين بيسموهم علامات و أعراض لكن ال symptoms
+
+182
+00:18:14,590 --> 00:18:18,830
+من حيث المريض اللي بيشكيه المريض لكن ال signs ايه
+
+183
+00:18:18,830 --> 00:18:24,030
+اللي انت بيشوفيه ك examiner كفاحص طيب عندنا ال
+
+184
+00:18:24,030 --> 00:18:27,970
+symptoms of failure of accommodation يعني شو هي
+
+185
+00:18:27,970 --> 00:18:33,010
+الأعراض اللي بيشكيها المريض لما بيكون عنده خلل في
+
+186
+00:18:33,010 --> 00:18:37,750
+ال accommodation يعني خلل في عملية التكيف okay؟
+
+187
+00:18:39,690 --> 00:18:45,090
+number one small print becomes indistinct أي بمعنى
+
+188
+00:18:45,090 --> 00:18:50,170
+الخطوط الصغيرة إيش مالها أو الخطوط بشكل عام in
+
+189
+00:18:50,170 --> 00:18:54,110
+general لكن ال small print يعني الخط الصغير بيصبح
+
+190
+00:18:54,110 --> 00:18:58,970
+غير مميز يعني ما بيقدر يميز الخط الصغير دايما
+
+191
+00:18:58,970 --> 00:19:04,090
+بقولك يا مباجي أقرأ خط صغير ببعد عن إيش ببعد مسافة
+
+192
+00:19:04,090 --> 00:19:08,630
+إيك okay فدايما الخط الصغير إيش بيكون بالنسبة له؟
+
+193
+00:19:09,470 --> 00:19:17,010
+غير واضح أو غير مميز okay number two near point زي
+
+194
+00:19:17,010 --> 00:19:22,370
+ما اتفقنا ال near point هي عبارة عن اقرب نقطة اللي
+
+195
+00:19:22,370 --> 00:19:28,590
+بتكون واقع على الشبكية near point recedes بمعنى
+
+196
+00:19:28,590 --> 00:19:34,750
+ابتبعد okay and the patient و المريض tends to hold
+
+197
+00:19:34,750 --> 00:19:38,630
+his head backward بتلاحظ دايما المريض بيحاول انه
+
+198
+00:19:43,860 --> 00:19:47,840
+الكتاب دايما ايش يقدموله قدام فبصير مسافة ما بين
+
+199
+00:19:47,840 --> 00:19:52,040
+الكتاب و ما بين ايه رأسه صح؟ دايما تلاحظوا الناس
+
+200
+00:19:52,040 --> 00:19:56,880
+اللي عندهم برسمة يوم تقرأ بالشكل هذا okay فبتلاقي
+
+201
+00:19:56,880 --> 00:20:01,520
+الرأس دايما برجع لورا و الكتاب ايش بيقدم لحد ما
+
+202
+00:20:01,520 --> 00:20:05,780
+يجعل المسافة ما بين .. بالظبط انه ال suitable
+
+203
+00:20:05,780 --> 00:20:10,540
+distance between the patient eye and the bookطبعا
+
+204
+00:20:10,540 --> 00:20:16,440
+هذه كيف بتنحسب المسافة؟ اللي هي المقلوب مية على دي
+
+205
+00:20:16,440 --> 00:20:20,340
+يعني مثلا لو كان عنده أربعة ديوبتر مية على أربعة
+
+206
+00:20:20,340 --> 00:20:26,400
+okay and
+
+207
+00:20:26,400 --> 00:20:30,220
+his book forwards until the distance in between is
+
+208
+00:20:30,220 --> 00:20:34,100
+reached when a clear vision in any circumstances
+
+209
+00:20:34,100 --> 00:20:34,480
+is
+
+210
+00:20:48,600 --> 00:20:52,100
+و تقريب للكتاب، ليش؟ لإن ال near point بتاعته إيش
+
+211
+00:20:52,100 --> 00:20:57,520
+دايما بتبعد، okay؟ يعني why the breast biopatient
+
+212
+00:20:57,520 --> 00:21:03,520
+بيحاول إنه دايما يبعد الكتاب عنه لإن ال near point
+
+213
+00:21:03,520 --> 00:21:08,780
+بتاعته إيش مالها؟ بعيدة، okay؟ compared to the
+
+214
+00:21:08,780 --> 00:21:09,860
+normal patient
+
+215
+00:21:21,000 --> 00:21:24,980
+أيضًا هذه المشاكل وين بتظهر في الليل؟ ليش طيب؟
+
+216
+00:21:24,980 --> 00:21:28,300
+بالظبط
+
+217
+00:21:28,300 --> 00:21:32,360
+أنه في عنده I-fatigue زائد أنه في الليل إيش بيصير
+
+218
+00:21:32,360 --> 00:21:37,960
+البيوبل؟ dilate أنه بتوسع البقبة مقارنة في in the
+
+219
+00:21:37,960 --> 00:21:44,300
+morning صحيح؟ إذا ال troubles أي بمعنى المشاكل
+
+220
+00:21:50,090 --> 00:21:54,090
+تظهر عند الناس اللي عندهم breast biopia في المساء
+
+221
+00:21:54,090 --> 00:22:00,750
+okay when the light is dim يعني مايكون المعتمد ان
+
+222
+00:22:00,750 --> 00:22:05,150
+مافيش ضوء and the pupils are dilated أي بمعنى
+
+223
+00:22:05,150 --> 00:22:11,090
+البقبق موسع permitting diffusion circles to
+
+224
+00:22:11,090 --> 00:22:14,510
+develop احنا أخدنا ال circle of least confusion
+
+225
+00:22:19,400 --> 00:22:25,960
+بتكون أقل غباشة، صح؟ فالان يما بيصير الدنيا عتامة
+
+226
+00:22:25,960 --> 00:22:30,020
+في الليل، البؤبو إيش ماله؟ بيصير موسع، فبيسمح
+
+227
+00:22:30,020 --> 00:22:33,740
+لأكبر كمية من الضوء إنه إيش يدخل، فبالتالي بيصير
+
+228
+00:22:33,740 --> 00:22:38,900
+عنده إيش diffusion، أي بمعنى غبش من ناحية الرؤية،
+
+229
+00:22:38,900 --> 00:22:42,000
+okay؟
+
+230
+00:22:53,470 --> 00:22:58,290
+الغرفة معتمة والبقب اشماله بصيب دياليت وكمية الضوء
+
+231
+00:22:58,290 --> 00:23:02,490
+اشمالها بتكون كبيرة فبتعمل اللي هو diffusion لمين
+
+232
+00:23:02,490 --> 00:23:07,910
+ل ال light difficulties
+
+233
+00:23:07,910 --> 00:23:12,530
+الصعوبات arise easily after a long day of fatigue
+
+234
+00:23:12,530 --> 00:23:16,450
+يعني هذه الصعوبات بالزيت بعد يوم طويل من العمل
+
+235
+00:23:16,450 --> 00:23:20,890
+okay number
+
+236
+00:23:20,890 --> 00:23:26,740
+five a breast biopia likesillumination and he
+
+237
+00:23:26,740 --> 00:23:30,000
+tries to get that light between his eyes and the
+
+238
+00:23:30,000 --> 00:23:32,880
+book or to read in sunlight to make the pupils to
+
+239
+00:23:32,880 --> 00:23:37,980
+constrict دايما المرضى اللى عندهم presbyopia
+
+240
+00:23:37,980 --> 00:23:43,740
+بيحبوا انه يقرؤوا تحت أشعة الشمس أو تحت اللى هو
+
+241
+00:23:43,740 --> 00:23:47,700
+brilliant light أي بمعنى ضوء ساطع ليش؟ عشان ال
+
+242
+00:23:47,700 --> 00:23:51,980
+pupil بيصيرله ايش؟ Constrict انه بتضيق ودايما
+
+243
+00:23:51,980 --> 00:23:54,140
+حكينا في تلت شغلات بيكونوا
+
+244
+00:23:58,780 --> 00:24:02,040
+convergence, accommodation and biosin بيتلاقي
+
+245
+00:24:02,040 --> 00:24:06,180
+دايما بيفضل انه ايش انه عنده construct ل ال pupil
+
+246
+00:24:06,180 --> 00:24:11,360
+اي بمعنى meiosis يعني بتزغر ال pupil بتاعه okay
+
+247
+00:24:11,360 --> 00:24:14,900
+okay
+
+248
+00:24:14,900 --> 00:24:19,800
+مرة تانية دايما الناس اللي عندهم قصه نظر شيخوخي
+
+249
+00:24:19,800 --> 00:24:23,420
+بيفضل وين انه يقرا ابضوه ساطع
+
+250
+00:24:25,850 --> 00:24:30,630
+بمعنى ضوء ساطع أو تحت أشعة الشمس ليش؟ لأنه دايما
+
+251
+00:24:30,630 --> 00:24:34,790
+انت ما تكوني في الضوء بيصير عندك إيش؟ Constrict ..
+
+252
+00:24:34,790 --> 00:24:38,810
+أي بمعنى constriction لمين؟ للبيوبل عشان هي كما
+
+253
+00:24:38,810 --> 00:24:43,090
+بتكون الدنيا عتمة و بتيجي الكهربا مرة واحدة فجأة
+
+254
+00:24:43,090 --> 00:24:46,770
+إيش بيصير الواحد؟ بغمض عينه ليش؟ لأنه بيكون في وضع
+
+255
+00:24:46,770 --> 00:24:51,450
+ال constriction sorry dilatation وبعدين بيصير إيش؟
+
+256
+00:24:51,450 --> 00:24:54,250
+constriction okay أو العكس
+
+257
+00:24:59,580 --> 00:25:03,560
+in senility .. senility بمعنى الناس الكبار ..
+
+258
+00:25:03,560 --> 00:25:08,060
+senile بمعنى الناس الكبار in senility when the
+
+259
+00:25:08,060 --> 00:25:14,120
+pupils become small يعني مثلا واحد سألك شو .. شو
+
+260
+00:25:14,120 --> 00:25:17,560
+الحالات اللي بيكون فيها small pupil من ضمنهم واحد
+
+261
+00:25:17,560 --> 00:25:22,040
+رجل كبير okay دائما بصغر البقب عنده انه بصغير ال
+
+262
+00:25:22,040 --> 00:25:26,820
+senile okayin senility when the pupils become
+
+263
+00:25:26,820 --> 00:25:31,380
+small أي بمعنى عندما يصبح البقبق صغير and old
+
+264
+00:25:31,380 --> 00:25:35,520
+person أي بمعنى رجل كبير without accommodation
+
+265
+00:25:35,520 --> 00:25:39,500
+ماعندهوش accommodation لأن احنا بنعرف أنه كل ما
+
+266
+00:25:39,500 --> 00:25:43,820
+الإنسان بتقدم في العمر بصير elimination أي بمعنى
+
+267
+00:25:43,820 --> 00:25:49,680
+إزالة لمين لل accommodation and old person without
+
+268
+00:25:49,680 --> 00:25:50,720
+accommodation
+
+269
+00:25:56,850 --> 00:26:01,670
+التفاصيل بتصبح صعبة عنده يعني دايما الانسان كل ما
+
+270
+00:26:01,670 --> 00:26:05,350
+تقدم في العمر ال accommodation ايش ماله بقل
+
+271
+00:26:05,350 --> 00:26:12,270
+فبالرؤية التفاصيل بتلاقيها ايه صعبة بالنسباله okay
+
+272
+00:26:24,920 --> 00:26:29,680
+ال accommodation بيهدى الى eye strain بمعنى إجهاد
+
+273
+00:26:29,680 --> 00:26:37,100
+في العين طيب الإجهاد هذا للعين بيعمل ان شو النتائج
+
+274
+00:26:37,100 --> 00:26:42,220
+بتاعته؟ the eye strain will result in number one
+
+275
+00:26:42,220 --> 00:26:47,280
+headache صداع number two tiredness of eyes بمعنى
+
+276
+00:26:47,280 --> 00:26:51,360
+تعب في العينتين redness أي إحمرار
+
+277
+00:26:56,640 --> 00:27:01,720
+زيادة في الدموع on efforts, inability to do more
+
+278
+00:27:01,720 --> 00:27:07,040
+useful near work يعني بيقدرش أنه يستمر بعمل قريب
+
+279
+00:27:07,040 --> 00:27:14,620
+لمدة طويلة okay هذه بالنسبة لل symptoms of failure
+
+280
+00:27:14,620 --> 00:27:19,660
+of accommodation يعني شو هي الأعراض اللي بيشكيها
+
+281
+00:27:19,660 --> 00:27:23,280
+المريض لما يكون عنده خلل وين في ال accommodation
+
+282
+00:27:28,310 --> 00:27:32,590
+الان ال classification لانوماليز of accommodation
+
+283
+00:27:32,590 --> 00:27:39,990
+انوماليز بمعنى خلل في عملية التكيف الان يما بتاخد
+
+284
+00:27:39,990 --> 00:27:46,070
+مثلا ال history من المريض تقعد مثلا تفكر شوية ممكن
+
+285
+00:27:46,070 --> 00:27:50,790
+ان يكون الحالة special difficult يعني حالة خاصة
+
+286
+00:27:50,790 --> 00:27:54,900
+صعبةباجي بين و بين نفسي ممكن اعمل ك classification
+
+287
+00:27:54,900 --> 00:27:58,940
+كتصنيف انه اقول ممكن هو يكون عنده anomalies لل
+
+288
+00:27:58,940 --> 00:28:02,040
+accommodation okay طيب ال anomalies لل
+
+289
+00:28:02,040 --> 00:28:06,380
+accommodation اي بمعنى خلل في عملية التكيف ممكن
+
+290
+00:28:06,380 --> 00:28:11,180
+يكون increase زيادة او ممكن يكون diminished or
+
+291
+00:28:11,180 --> 00:28:15,840
+decreased اللي هو تقليل في ال accommodation طيبيما
+
+292
+00:28:15,840 --> 00:28:19,520
+يكون increase ممكن يكون عنده spasm of
+
+293
+00:28:19,520 --> 00:28:23,720
+accommodation، spasm بمعنى شد، انه بشد ال
+
+294
+00:28:23,720 --> 00:28:28,160
+accommodation عنده أو بيكون excess of
+
+295
+00:28:28,160 --> 00:28:32,060
+accommodation طيب شو الفرق ما بين spasm و excess
+
+296
+00:28:32,060 --> 00:28:33,320
+of accommodation؟
+
+297
+00:28:54,870 --> 00:28:59,650
+الـ Spasm of accommodation مابيكونش فيه سبب، يعني
+
+298
+00:28:59,650 --> 00:29:02,330
+بصير عملية الشد لكن بدون سبب
+
+299
+00:29:05,210 --> 00:29:09,330
+زي ما احنا عارفين الان الأطفال بنديه ال cycle of
+
+300
+00:29:09,330 --> 00:29:14,410
+ventilation ليش؟ عشان بيعمل شلل لل celery muscle،
+
+301
+00:29:14,410 --> 00:29:21,130
+اذا هذا ايش؟ يعتبر هذه القطرة من السبب، صح؟ يعني
+
+302
+00:29:21,130 --> 00:29:26,670
+انت ديتي يعني شغلة فهي هذا الأمر ال drop هي اللي
+
+303
+00:29:26,670 --> 00:29:31,430
+عملت ايش؟اللي paralyzed لل celery muscle okay؟ لكن
+
+304
+00:29:31,430 --> 00:29:34,590
+في حالة ال excessive accommodation فيه reason، فيه
+
+305
+00:29:34,590 --> 00:29:39,430
+سبب، هو اللي عمل إيش؟ ال contraction، الانقباض
+
+306
+00:29:39,430 --> 00:29:43,490
+لمين؟ لل celery muscle أو ال fail ل ال celery
+
+307
+00:29:43,490 --> 00:29:48,490
+muscle okay؟ فدائما بالنسبة ل ال excess of
+
+308
+00:29:48,490 --> 00:29:53,970
+accommodation بيكون شد بوجود سببلكن في الـ Spasm
+
+309
+00:29:53,970 --> 00:29:58,490
+of accommodation شد بدون سبب، ليش بدون سبب؟ لأنه
+
+310
+00:29:58,490 --> 00:30:03,150
+بيكون إنه في الزنيول، يعني واحد مثلا أديته قطرة
+
+311
+00:30:03,150 --> 00:30:08,990
+ضيقت مثلا البؤبؤ، عملت اللي هو ميازز للبؤبؤ أو
+
+312
+00:30:08,990 --> 00:30:12,970
+الآن هناخد ال reason أو ال causes، الأسباب بتاعت
+
+313
+00:30:12,970 --> 00:30:17,750
+مين؟ ال Spasm of accommodation طيب، increase
+
+314
+00:30:17,750 --> 00:30:25,340
+زيادة، فهمناها الآن؟ ال increaseأما بتعمل اسبازم
+
+315
+00:30:25,340 --> 00:30:29,580
+لل accommodation او excessive accommodation طيب
+
+316
+00:30:29,580 --> 00:30:33,040
+واحد عنده decrease يعني قليل ال accommodation اللي
+
+317
+00:30:33,040 --> 00:30:37,420
+عنده مش كافي ممكن يكون insufficient أي بمعنى غير
+
+318
+00:30:37,420 --> 00:30:45,560
+كافي او paralyzed شلل لمين لل accommodation اذا
+
+319
+00:30:45,560 --> 00:30:48,520
+دايما بالصنفة ال animals او
+
+320
+00:30:52,690 --> 00:30:57,150
+زيادة أو نقصان، زيادة عندنا نوعين، يا إما بيكون
+
+321
+00:30:57,150 --> 00:31:03,090
+excessive يعني بمعنى شد بوجود سبب أو spasm شد بدون
+
+322
+00:31:03,090 --> 00:31:07,150
+سبب ال decrease accommodation يا insufficient أي
+
+323
+00:31:07,150 --> 00:31:10,410
+بمعنى نقص في ال accommodation أو paralyzed لل
+
+324
+00:31:10,410 --> 00:31:13,370
+accommodation، شلل لل accommodation وهذا بيكون من
+
+325
+00:31:13,370 --> 00:31:19,370
+خلال مين؟ ال cyclo, الventilate أو ال eye dropsطيب
+
+326
+00:31:19,370 --> 00:31:25,590
+ال excessive accommodation أي بمعنى أنه بصير شد
+
+327
+00:31:25,590 --> 00:31:33,210
+بوجود إيه سبب ناخد ال causes الأسباب إذا ال causes
+
+328
+00:31:33,210 --> 00:31:37,070
+بمعنى أسبابه أنه شو الأسباب لزيادة ال
+
+329
+00:31:37,070 --> 00:31:40,370
+accommodation ال excessive accommodation أي بمعنى
+
+330
+00:31:40,370 --> 00:31:44,490
+شد بوجود سبب ال causes أسبابه number one
+
+331
+00:31:49,270 --> 00:31:54,430
+of sustained increase accommodation أي درجة محددة
+
+332
+00:31:54,430 --> 00:31:59,370
+من زيادة في مين في عملية التكييف طيب وين هذي بتكون
+
+333
+00:31:59,370 --> 00:32:04,090
+frequently وين شائعة؟ إذا الآن احنا قلنا ال
+
+334
+00:32:04,090 --> 00:32:09,770
+excessive accommodation انه صار شد بوجود سبب مدام
+
+335
+00:32:09,770 --> 00:32:14,270
+increase إذا في عندى زيادة في ال accommodation لو
+
+336
+00:32:14,270 --> 00:32:16,130
+بتلاحظوا في بعض الحالات
+
+337
+00:32:20,590 --> 00:32:25,150
+تعمليها كمان شوية against فممكن أنه يكون عنده إيش
+
+338
+00:32:25,150 --> 00:32:28,770
+كنت أقولكم excessive accommodation إذا اللي بيكون
+
+339
+00:32:28,770 --> 00:32:34,330
+عنده certain degree أي بمعنى درجة محددة من ال
+
+340
+00:32:34,330 --> 00:32:36,730
+accommodation لكن هذا إيش بيكون ال accommodation
+
+341
+00:32:36,730 --> 00:32:42,310
+زايد okay طيب هذا وين بيكون frequently وين common
+
+342
+00:32:42,310 --> 00:32:44,010
+أي بمعنى وين شائع
+
+343
+00:32:49,140 --> 00:32:55,520
+وهو أيضًا Metropolitan، والتي كانت تعتبر استخدام
+
+344
+00:32:55,520 --> 00:33:01,000
+السلري المتوسط في مهتمة رؤية واضحةواحد hyper
+
+345
+00:33:01,000 --> 00:33:06,360
+metropic لكن مالوش مابين عمره بيكون خمس عشر لخمس
+
+346
+00:33:06,360 --> 00:33:10,400
+وعشرين سنة okay عنده hyper metropic اذا ال
+
+347
+00:33:10,400 --> 00:33:13,860
+incident light rays are brought to focus behind
+
+348
+00:33:13,860 --> 00:33:18,540
+the retina بيحاول انه ايش انه يستخدم السلري مصل
+
+349
+00:33:18,540 --> 00:33:23,240
+بتاعته بشكل طبيعي عشان يعمل ايش clear لل vision
+
+350
+00:33:27,530 --> 00:33:32,950
+So يعمل ال celery muscle بشكل طبيعي بيقدي لإيش؟ ال
+
+351
+00:33:32,950 --> 00:33:37,230
+excessive ل ال accommodation يعني بيصير شد لمين لل
+
+352
+00:33:37,230 --> 00:33:44,070
+celery muscle okay again الآن إجهلنا ال hyper
+
+353
+00:33:44,070 --> 00:33:49,570
+metroid okay كان عمره من خمس عشر لخمس و عشرين سنة
+
+354
+00:33:51,260 --> 00:33:55,560
+دايما عنده blurred vision لال distance و لل near،
+
+355
+00:33:55,560 --> 00:34:00,880
+okay؟ بده يحاول هذا المريض انه يشوف القريب بشكل
+
+356
+00:34:00,880 --> 00:34:06,180
+واضح، فإيش بيحاول دايما يزود ال accommodation
+
+357
+00:34:06,180 --> 00:34:12,810
+بتاعه؟ فزيادة ال accommodation هتعمل؟إنه هتعمل ل
+
+358
+00:34:12,810 --> 00:34:16,930
+contraction لل celery muscle انقباض هذا إيش
+
+359
+00:34:16,930 --> 00:34:21,330
+الانقباض هيكون زائد مقارنة في الناس الطبيعيين فهذا
+
+360
+00:34:21,330 --> 00:34:26,690
+وين هيروح ل ال excessive accommodation مضحك
+
+361
+00:34:26,690 --> 00:34:27,430
+الفكرة؟
+
+362
+00:34:29,870 --> 00:34:33,630
+number two in myopes في الأشخاص اللي بيكون عندهم
+
+363
+00:34:33,630 --> 00:34:38,410
+myope لكن ال myope هذا إيش بيكون قصر نظر بسيط okay
+
+364
+00:34:38,410 --> 00:34:43,610
+in myopes especially in young subjects doing much
+
+365
+00:34:43,610 --> 00:34:48,330
+near work أي بمعنى in simple myope يعني myope جليل
+
+366
+00:34:48,330 --> 00:34:53,590
+عنده قصر نظر لكن بسيط وبيعمل عمل قريب بشكل إيه
+
+367
+00:34:53,590 --> 00:34:59,620
+شمالهطويل يعني much work يعني اه انه بيكون فترات
+
+368
+00:34:59,620 --> 00:35:04,480
+طويلة يعني مثلا بيشتغل على جهاز الحسوب او مثلا على
+
+369
+00:35:04,480 --> 00:35:10,340
+ال smile phone او او اه يعني بشكل ايش طويل فهذا ال
+
+370
+00:35:10,340 --> 00:35:13,900
+near work دايما يعني هو ماعندهوش مشكلة وين في
+
+371
+00:35:13,900 --> 00:35:16,840
+الجريب لأن ال near point بتاعته الشمالها جريبة
+
+372
+00:35:16,840 --> 00:35:21,520
+فبتلاقي هذا بيقدى الى مين excessive accommodation
+
+373
+00:35:21,520 --> 00:35:24,180
+اذا number one في ال young
+
+374
+00:35:29,740 --> 00:35:34,260
+فبيعمل زيادة لل celery muscle فبيدّي هذا إلى مين؟
+
+375
+00:35:34,260 --> 00:35:39,180
+إلى ال excessive accommodation number two في السمب
+
+376
+00:35:39,180 --> 00:35:45,320
+الميوب اللي بيعمل عمل قريب بفترات طويلة number
+
+377
+00:35:45,320 --> 00:35:50,380
+three in astigmatic errors doing much work نفس
+
+378
+00:35:50,380 --> 00:35:55,910
+الميوب إذا عنده astigmatismلكن ايش بيعمل للقريب
+
+379
+00:35:55,910 --> 00:36:00,690
+لفترة طويلة ايضا هذا بيقدي لمين؟ لل excessive
+
+380
+00:36:00,690 --> 00:36:06,850
+accommodation بمعنى زيادة في ال accommodation in
+
+381
+00:36:06,850 --> 00:36:11,230
+excessive convergence دايما حكينا اي زيادة في ال
+
+382
+00:36:11,230 --> 00:36:14,250
+convergence بتقدي لزيادة في مين؟ في ال
+
+383
+00:36:14,250 --> 00:36:19,430
+accommodation و بتبحة ايش؟ الميوزلز لان التلاتة
+
+384
+00:36:19,430 --> 00:36:24,910
+associated together انه بيعملوا ايش معاهمطيب
+
+385
+00:36:24,910 --> 00:36:29,850
+number five in all patients في كل المرضى trying to
+
+386
+00:36:29,850 --> 00:36:34,730
+gain اللي بيحاولوا اكتسب clear near vision رؤية
+
+387
+00:36:34,730 --> 00:36:39,250
+قريبة واضحة in spite of refractive errors برغم من
+
+388
+00:36:39,250 --> 00:36:41,750
+وجود ايه الأخطاء الانكسارية
+
+389
+00:36:56,820 --> 00:37:04,880
+Number two a large amount of near work من العمل
+
+390
+00:37:04,880 --> 00:37:11,940
+القريب is an important factor in the
+
+391
+00:37:11,940 --> 00:37:14,780
+causation of accommodative strength
+
+392
+00:37:23,160 --> 00:37:27,700
+عشرة ساعة تكون مثلا إقبال الكمبيوتر okay فهذا إيش
+
+393
+00:37:27,700 --> 00:37:32,760
+يعتبر a large amount of near work يعني كمية كبيرة
+
+394
+00:37:32,760 --> 00:37:38,120
+من العمل القريب هذا كله إيش بيقده ل ال
+
+395
+00:37:38,120 --> 00:37:43,200
+accommodative strain بمعنى إجهاد لعملية التكيف وين
+
+396
+00:37:43,200 --> 00:37:45,080
+هذا بيحدث especially وين؟
+
+397
+00:37:47,860 --> 00:37:51,800
+work is habitually undertaken in deficient or
+
+398
+00:37:51,800 --> 00:37:56,180
+excessive illumination بتلاقي مثلا بيشتغل لفترات
+
+399
+00:37:56,180 --> 00:38:01,740
+عمل طويلة تحت إضاءة قليلة أو إضاءة كتيرة هذا
+
+400
+00:38:01,740 --> 00:38:06,820
+بيعمله إيش؟ excessive ل ال accommodation إذا is
+
+401
+00:38:06,820 --> 00:38:10,200
+undertaken deficient or excessive illumination
+
+402
+00:38:10,200 --> 00:38:14,340
+يعني تحت إضاءة قليلة أو إضاءة كبيرة
+
+403
+00:38:22,130 --> 00:38:24,950
+الخطأ الإنكساري في العين و غير مصلح
+
+404
+00:38:32,450 --> 00:38:35,270
+other causes of excessive illumination excessive
+
+405
+00:38:35,270 --> 00:38:39,690
+accommodation أي بمعنى إنه لابس نضارة لكن هذه إيش
+
+406
+00:38:39,690 --> 00:38:44,710
+مالها خاطئة النضارة أو واحد عمله تصحيح للنضارة و
+
+407
+00:38:44,710 --> 00:38:49,350
+التصحيح هذا خاطئ أي بمعنى نضارة غير مناسبة له هذا
+
+408
+00:38:49,350 --> 00:38:55,010
+ممكن إنه يؤدي إيش لل excessive accommodation okay
+
+409
+00:38:55,010 --> 00:38:58,810
+other causes especially
+
+410
+00:39:03,020 --> 00:39:07,640
+عنده ضعف عام في الجسم and ill health either
+
+411
+00:39:07,640 --> 00:39:11,560
+physical or mental او مثلا مشاكل في الجسم امراض
+
+412
+00:39:11,560 --> 00:39:27,840
+systemic diseases او mental امراض عقلية في كتير
+
+413
+00:39:27,840 --> 00:39:34,100
+ناس بلبس نضارات و بتنعمل في مراكزو المريض هلا
+
+414
+00:39:34,100 --> 00:39:37,700
+بيروح على صاحب المركز و بيقوله بتتعود عليها،
+
+415
+00:39:37,700 --> 00:39:44,640
+سمعتوا فيها؟ اه
+
+416
+00:39:44,640 --> 00:39:47,720
+فبيقوله اتعود عليها و هصير النضارة كويسة
+
+417
+00:39:53,030 --> 00:39:56,470
+مش هيتحمل النضارة الخطأ فهو بيقولوا بتتعود عليها
+
+418
+00:39:56,470 --> 00:40:00,430
+فهذه كلها هتدخله في مين في موضوع ال ice train
+
+419
+00:40:00,430 --> 00:40:04,370
+وهيكون من ضمنهم ال excessive ل ال accommodation
+
+420
+00:40:04,370 --> 00:40:09,250
+عشان هيك ال professional optometrist الناس معظمها
+
+421
+00:40:09,250 --> 00:40:12,990
+بتفكر ان موضوع النضارة شيء بسيط وسهل يعني اي
+
+422
+00:40:12,990 --> 00:40:16,970
+اتواحد بيصف نضارة و اي واحد مثلا بيقدر يعمل نضارة
+
+423
+00:40:18,120 --> 00:40:22,320
+هذا الموضوع يعتبر صعب جدا لانه دايما انا حكيتلكم
+
+424
+00:40:22,320 --> 00:40:25,660
+انه كل patient مختلف عن التاني
+
+425
+00:40:30,400 --> 00:40:34,620
+الحالات هتمار معاكم بيرح small يعني ستة ع ستين لكن
+
+426
+00:40:34,620 --> 00:40:38,480
+عندها ايش small refractive error صح حتى البنات
+
+427
+00:40:38,480 --> 00:40:41,320
+كانوا شغالين فى الوريتونسكوب صح اتفاجوا انه كيف ال
+
+428
+00:40:41,320 --> 00:40:46,780
+visual acuity مقارنة فيها فكل حالة تعتبر ايه
+
+429
+00:40:46,780 --> 00:40:51,720
+مختلفة عن التانية
+
+430
+00:40:51,720 --> 00:40:57,180
+okay symptoms
+
+431
+00:40:57,180 --> 00:41:02,550
+أي بمعنى الاعراضالعلامات of excessive
+
+432
+00:41:02,550 --> 00:41:06,630
+accommodation حكينا ال symptoms اللي بيشكيها مين
+
+433
+00:41:06,630 --> 00:41:11,930
+المريض و ال patients اللي بيراها يعني ال clinical
+
+434
+00:41:11,930 --> 00:41:15,110
+pictures زي مثلا انتوا بيشوفوا ال red reflex okay
+
+435
+00:41:15,110 --> 00:41:18,790
+هذه عبارة عن clinical sign يما شوفوا الجهاز ال
+
+436
+00:41:18,790 --> 00:41:21,490
+direct ophthalmoscope او ال citlamp او ال indirect
+
+437
+00:41:21,490 --> 00:41:25,450
+ophthalmoscope او ال keratometer ان كله تعتبر ايش؟
+
+438
+00:41:26,070 --> 00:41:33,750
+Sign يعني كل حاجة انت بتشوفيها ك examiner كفاحص
+
+439
+00:41:33,750 --> 00:41:39,090
+فعنا ال symptoms و ال signs ل ال excessive
+
+440
+00:41:39,090 --> 00:41:45,290
+accommodation number one the condition الحالة
+
+441
+00:41:45,290 --> 00:41:50,890
+involves بتشمل production إنتاج artificial myopia
+
+442
+00:41:50,890 --> 00:41:57,250
+أي بمعنى قصر نظر إشماله كاذب أو صناعيwhich varies
+
+443
+00:41:57,250 --> 00:42:01,350
+هذا هيختلف from time to time يعني هيكون مختلف من
+
+444
+00:42:01,350 --> 00:42:05,850
+وقت إلى وقت آخر according to the amount of near
+
+445
+00:42:05,850 --> 00:42:10,450
+work بناء على جديش أنت بتستخدم مين ال near work
+
+446
+00:42:10,450 --> 00:42:15,910
+العمل القريب ال rest يعني بالراحة يعني لإنسان يكون
+
+447
+00:42:15,910 --> 00:42:22,250
+في وضع انه risk position يعني وضع الراحة okay the
+
+448
+00:42:22,250 --> 00:42:26,840
+refraction is hypermetropشايفة كيف؟ في الأول كان
+
+449
+00:42:26,840 --> 00:42:32,120
+.. يعني عمل excessive accommodation كان artificial
+
+450
+00:42:32,120 --> 00:42:39,640
+ميوب، okay؟ at risk position، hyper metro، okay؟
+
+451
+00:42:39,640 --> 00:42:44,820
+but after strain لكن بعد إجهادis myopia and more
+
+452
+00:42:44,820 --> 00:42:51,000
+and more myopia with more effort بمعنى
+
+453
+00:42:51,000 --> 00:42:55,500
+إنه كل ما زاد ال near word هزيد عنده مين ال myopia
+
+454
+00:42:55,500 --> 00:42:59,120
+طيب why؟
+
+455
+00:42:59,120 --> 00:43:03,520
+الآن هو السؤال كيف؟ ببدأ المريض بيكون عنده في وضع
+
+456
+00:43:03,520 --> 00:43:09,520
+الراحة hyper metropic وهذا طبيعي صح؟ لكن بعد ما
+
+457
+00:43:09,520 --> 00:43:15,150
+بيشتغل للقريب إيش ماله؟بصير artificial mayob و كل
+
+458
+00:43:15,150 --> 00:43:20,950
+ما زاد العمل القريب بزيد ال mayob اه تفضلي عشان هو
+
+459
+00:43:20,950 --> 00:43:25,130
+لما هيعمل excessive accommodation هزيد ال power
+
+460
+00:43:25,130 --> 00:43:29,450
+تبع الناس هيصير جمل اشعة شوي شوي هتصير مثلا زي ال
+
+461
+00:43:29,450 --> 00:43:32,610
+ampere و بعدين هتصير جمل اشعة in front of that
+
+462
+00:43:32,610 --> 00:43:36,810
+يعني هتصير زي ال mayob لإن ال power تبع العدسة
+
+463
+00:43:36,810 --> 00:43:37,230
+زادة
+
+464
+00:43:39,940 --> 00:43:44,760
+هو صح الكلام بس بدنا more detail أكثر تفصيل ال
+
+465
+00:43:44,760 --> 00:43:49,680
+near point لما هيعمل near walk بتصير أقرب فبتصير
+
+466
+00:43:49,680 --> 00:43:54,760
+عنده .. طب ما هو؟ هو بالأصل اللي هيعمل near walk،
+
+467
+00:43:54,760 --> 00:43:57,480
+بس لما هيعمل near walk بتصير عنده ال .. ال near
+
+468
+00:43:57,480 --> 00:44:01,620
+point أقرب فبتصير أقرب لليه؟ هو أقرب إجابة صح، أنه
+
+469
+00:44:01,620 --> 00:44:07,430
+ال near point بتاعته إيه شمالها؟بتجرب انه near
+
+470
+00:44:07,430 --> 00:44:12,650
+point precede يعني بتكون اقرب okay فدايما بتجرب ال
+
+471
+00:44:12,650 --> 00:44:16,530
+near point فهو كل ما زاد العمل الجريب هيدخل ايش في
+
+472
+00:44:16,530 --> 00:44:21,950
+الميوب فهيصير artificial ايه؟ ميوب okay لكن هو لو
+
+473
+00:44:21,950 --> 00:44:26,030
+عملتيله سايكلو بنتوليت قطرة هيكون ايش؟
+
+474
+00:44:26,030 --> 00:44:31,910
+hypermetroid okay number
+
+475
+00:44:31,910 --> 00:44:38,250
+two both far pointال far point هي أبعد نقطة بتتركز
+
+476
+00:44:38,250 --> 00:44:43,210
+على الشبكية and near point أقرب نقطة بتتركز على
+
+477
+00:44:43,210 --> 00:44:47,350
+الشبكية become a closure to the eye إنه هيصبحوا
+
+478
+00:44:47,350 --> 00:44:51,790
+قريبين على مين؟ على العين، ال near و ال far point
+
+479
+00:45:05,550 --> 00:45:10,510
+أي بمعنى إن ال examiner هو اللي هيكتشفها صح؟ يعني
+
+480
+00:45:10,510 --> 00:45:14,610
+الآن المريض مش هيعرف إنه عنده artificial ميوب،
+
+481
+00:45:14,610 --> 00:45:17,910
+بعدين هيصير hyper metrop أو مثلا ال near point و
+
+482
+00:45:17,910 --> 00:45:20,750
+ال far point بتاعته قريبات، فهدول إيش؟ عبارة عن
+
+483
+00:45:20,750 --> 00:45:25,090
+clinical picture، أي بمعنى إن ال examiner هو اللي
+
+484
+00:45:25,090 --> 00:45:31,270
+هيشوفها أو هو اللي هيكتشفها، okay؟ الآن النقطة
+
+485
+00:45:31,270 --> 00:45:35,810
+التالتة هذه تعتبر إيش؟symptoms لان ال distant
+
+486
+00:45:35,810 --> 00:45:42,130
+vision هصير ايه blurred اذا number three distant
+
+487
+00:45:42,130 --> 00:45:46,790
+vision becomes blurred يعني الرؤية من بعيد هتصبح
+
+488
+00:45:46,790 --> 00:45:51,790
+مغبشة distant vision is therefore can be improved
+
+489
+00:45:51,790 --> 00:45:56,470
+by concavelance عشان هيك هنستخدم عدسة ايش minus
+
+490
+00:45:56,470 --> 00:46:05,690
+بالظبط اذا هنستخدم عدسة minus لتحسين الرؤيةOkay؟
+
+491
+00:46:05,690 --> 00:46:09,610
+لأنه بيحصل .. انه بصير Artificial Mayob يعني دايما
+
+492
+00:46:09,610 --> 00:46:13,030
+ليش في ال Artificial Mayob بنستخدم Concavelance
+
+493
+00:46:13,030 --> 00:46:17,410
+عشان نركز الأشعة الضوئية وين؟ على الشبكية، هي
+
+494
+00:46:17,410 --> 00:46:20,270
+بتكون وين الأشعة في ال Artificial Mayob؟ In front
+
+495
+00:46:20,270 --> 00:46:23,690
+the retina فانا بستخدم ال Concavelance كل الأشعة
+
+496
+00:46:23,690 --> 00:46:30,230
+وين بتتركز؟ On the retina Okay؟
+
+497
+00:46:30,230 --> 00:46:32,990
+In more marked degree أي بمعنى ..
+
+498
+00:46:41,520 --> 00:46:47,200
+يعني برضه بيصير الرؤية مغبشة مع ارتباك of a
+
+499
+00:46:47,200 --> 00:46:51,280
+printed pages which is relieved by temporary rest
+
+500
+00:46:51,280 --> 00:46:56,080
+وهدى كلها هيصيرلها إزالة لما المريض أصير في حالة
+
+501
+00:46:56,080 --> 00:47:01,050
+ال risk position يعني في حالة راحة مؤقتةيعني الآن
+
+502
+00:47:01,050 --> 00:47:05,710
+يما بيزود العمل للقريب بصير أيضا رؤية مغبشة لوين؟
+
+503
+00:47:05,710 --> 00:47:12,290
+للقريب طيب وقت إيش هذا بتروح؟ بال temporary أو بال
+
+504
+00:47:12,290 --> 00:47:16,070
+risk position في وضع الراحة كل هذه إيش مالها؟
+
+505
+00:47:16,070 --> 00:47:21,210
+تتلاشى طيب
+
+506
+00:47:21,210 --> 00:47:25,050
+هذا تعتبر number four تعتبر symptoms ولا sign؟
+
+507
+00:47:25,050 --> 00:47:27,310
+symptom صحيح
+
+508
+00:47:29,020 --> 00:47:32,720
+There are typical symptoms of accommodative
+
+509
+00:47:32,720 --> 00:47:38,280
+asthenopia يعني بمعنى أن الأعراض اللي هيشكيها
+
+510
+00:47:38,280 --> 00:47:43,780
+المريض في حالة ال excessive accommodation أو إجهاد
+
+511
+00:47:43,780 --> 00:47:47,320
+ال eye fatigue لا ال accommodation Including
+
+512
+00:47:47,320 --> 00:47:52,140
+number one headache صداع number two feeling of
+
+513
+00:47:52,140 --> 00:47:57,020
+fatigue هيشعر بالتعب okay and discomfort أنه غير
+
+514
+00:47:57,020 --> 00:47:58,320
+مرتاح in the
+
+515
+00:48:09,050 --> 00:48:16,510
+طبيعي أنه بعد الانستلياش، يعني طبيعي بعد أن أنا
+
+516
+00:48:16,510 --> 00:48:21,790
+مابقطر، انستلياش أي تقطير of أتروبين، الأتروبين
+
+517
+00:48:21,790 --> 00:48:23,850
+drop in the patients
+
+518
+00:48:40,670 --> 00:48:46,030
+زي ما اتفقنا انه نتيجة الإجهاد و نتيجة العمل
+
+519
+00:48:46,030 --> 00:48:46,770
+القريب
+
+520
+00:48:58,800 --> 00:49:05,020
+The diagnosis بمعنى التشخيص is approved أي يلاحظ
+
+521
+00:49:05,020 --> 00:49:09,280
+by finding a great difference between the
+
+522
+00:49:09,280 --> 00:49:13,800
+precycloblegic and postcycloblegic refraction أي
+
+523
+00:49:13,800 --> 00:49:18,660
+بمعنى قبل و بعد إيش القطرة، يعني بتلاقي فحص قبل
+
+524
+00:49:18,660 --> 00:49:24,190
+القطرة مختلف عن إيه بعد القطرة، حتى في الأطفاليعني
+
+525
+00:49:24,190 --> 00:49:28,610
+يكون الطفل cooperative متعاون دايما قبل القطرة
+
+526
+00:49:28,610 --> 00:49:33,310
+بعمله test فحص و بعد القطرة برضه بعمله ايش ال test
+
+527
+00:49:33,310 --> 00:49:35,890
+تعالي ال retroscope او ال autorefractometer
+
+528
+00:49:35,890 --> 00:49:40,210
+whatever هتلاقي فيه فرق ما بين ال pre و ال post
+
+529
+00:49:40,210 --> 00:49:46,950
+انه قبل و بعد okay ال
+
+530
+00:49:46,950 --> 00:49:51,590
+prediction أي بمعنى الانطباع of such
+
+531
+00:50:05,120 --> 00:50:09,720
+cycloblegic refraction for cycloblegic correction
+
+532
+00:50:09,720 --> 00:50:13,960
+أي بمعنى إنه العلاج أو النضارة اللي هوصفها للمريض
+
+533
+00:50:13,960 --> 00:50:19,120
+بعد إيش التقطير بعد فحص التقطير يعني الآن أي تطفل
+
+534
+00:50:19,120 --> 00:50:24,440
+وقت إيش بتديله النضارة بعد القطرة ممنوع تديه قبل
+
+535
+00:50:24,440 --> 00:50:29,320
+القطرة صح؟ ليش؟ لإن لو أنا مثلا اعطيته قبل القطرة
+
+536
+00:50:29,320 --> 00:50:33,820
+هيكون في difference اختلاف ما بين قبل و بعد القطرة
+
+537
+00:50:36,330 --> 00:50:41,670
+إذا الأن لو سألتك شو ال symptoms لواحد عنده
+
+538
+00:50:41,670 --> 00:50:48,870
+excessive accommodation number
+
+539
+00:50:48,870 --> 00:50:56,370
+one headache number two eye fatigue number three a
+
+540
+00:50:56,370 --> 00:51:02,760
+blurred vision four distance okayو هذا اللي بلرت
+
+541
+00:51:02,760 --> 00:51:06,160
+لل vision بزيت لنية مع ال match work مع زيادة
+
+542
+00:51:06,160 --> 00:51:11,360
+العمل و discomfort عدم راحة هذه كلها تعتبر من مين؟
+
+543
+00:51:11,360 --> 00:51:17,080
+من ال symptoms لأ أنا سألت بس ال symptoms يعني شو
+
+544
+00:51:17,080 --> 00:51:20,740
+الشكوه اللي هيجي المريض يحكيلك إياها يعني واحد
+
+545
+00:51:20,740 --> 00:51:24,240
+عنده excessive accommodation اكتب هون
+
+546
+00:53:16,830 --> 00:53:20,190
+هدول ال symptoms ل ال excessive of accommodation
+
+547
+00:53:20,190 --> 00:53:24,950
+okay؟ بدنا نقفل ان شاء الله ل ال spasm of
+
+548
+00:53:24,950 --> 00:53:30,350
+accommodation بس حابب اتكلم في موضوعين ابتداء من
+
+549
+00:53:30,350 --> 00:53:34,070
+المحاضرة القادمة ان شاء الله هنبدأ النص ساعة
+
+550
+00:53:34,070 --> 00:53:38,250
+الأخيرة نعمل فيها ال presentation طبعا تم اختيار
+
+551
+00:53:38,250 --> 00:53:44,110
+two groups للمرة الجاية هتكون مجموعة آية و مجموعة
+
+552
+00:53:44,110 --> 00:53:46,170
+dream okay؟
+
+553
+00:53:49,450 --> 00:53:53,610
+طبعا مدة ال presentation هتكون fifteen minutes
+
+554
+00:53:53,610 --> 00:54:01,170
+okay لأ كله overall طبعا ال fifteen minutes with
+
+555
+00:54:01,170 --> 00:54:05,890
+answer answer and question question and answer
+
+556
+00:54:05,890 --> 00:54:11,330
+okay هذه نقطة النقطة التانية ان شاء الله هعمل
+
+557
+00:54:17,580 --> 00:54:21,120
+هي حاضرة انه كيف ممكن تجاوبي الأسئلة في
+
+558
+00:54:21,120 --> 00:54:24,800
+الامتحانات، بمعنى يما واحد مثلا يقولك mention،
+
+559
+00:54:24,800 --> 00:54:27,100
+واحد يقولك describe، واحد يقولك ال
+
+560
+00:54:27,100 --> 00:54:31,300
+characteristics، كيف تفهم السؤال؟ يما شو الفرق بين
+
+561
+00:54:31,300 --> 00:54:35,780
+mention، واحد يقولك مثلا describe، واحد مثلا what
+
+562
+00:54:35,780 --> 00:54:40,200
+is the characteristics، واحد مثلا بيقول compareكل
+
+563
+00:54:40,200 --> 00:54:43,500
+هذا الفرق ان هو ايش الفرق بين صيغة السؤال و تانية
+
+564
+00:54:43,500 --> 00:54:47,600
+هال ان شاء الله ممكن نديها نص ساعة او ربع الساعة
+
+565
+00:54:47,600 --> 00:54:52,960
+whatever انه تكونوا ك evaluation ل ال final exam
+
+566
+00:54:52,960 --> 00:54:54,940
+ان شاء الله يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d7269c08e4737ff1817823378dbf0c198e8b5048
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM.srt
@@ -0,0 +1,2090 @@
+1
+00:00:21,160 --> 00:00:23,720
+طيب بسم الله الرحمن الرحيم السلام عليكم ورحمة
+
+2
+00:00:23,720 --> 00:00:30,460
+الله وبركاته، بدايةً، أتمنى أن تكونوا جميعًا بخير. هنبدأ في
+
+3
+00:00:30,460 --> 00:00:36,060
+مادة البصريات، الرؤية، والانكسار. طبعًا، بدأنا نحن في
+
+4
+00:00:36,060 --> 00:00:41,240
+المحاضرة السابقة، وتكلمنا عن موضوع الـ refraction
+
+5
+00:00:41,240 --> 00:00:46,820
+clinical importance of refraction. بتمنى من كل
+
+6
+00:00:46,820 --> 00:00:52,920
+واحدة أن تُسَكِّرَ الدفتر. عندنا سؤال كـ quiz، نوع من الـ
+
+7
+00:00:52,920 --> 00:01:00,820
+quiz. سكري الدفتر، يبقى ورقة
+
+8
+00:01:00,820 --> 00:01:13,300
+صغيرة تكتب عليها اسمك. يلا
+
+9
+00:01:13,300 --> 00:01:14,420
+عشان نبدأ في المحاضرة.
+
+10
+00:01:35,170 --> 00:01:41,870
+السؤال: what is
+
+11
+00:01:41,870 --> 00:01:48,630
+the importance
+
+12
+00:01:48,630 --> 00:01:54,350
+of
+
+13
+00:01:54,350 --> 00:02:03,930
+refraction in
+
+14
+00:02:03,930 --> 00:02:04,510
+clinical
+
+15
+00:02:25,850 --> 00:02:29,270
+ممكن تسيختي السؤال: what is the benefit of
+
+16
+00:02:29,270 --> 00:02:34,630
+refraction in a clinical of ophthalmology؟ مع 5 دقائق
+
+17
+00:02:34,630 --> 00:02:37,370
+رجاءً، المَلزمة سَأُكرِّرها.
+
+18
+00:02:47,080 --> 00:02:52,840
+واضح السؤال؟ يعني ما هي الأهمية الإكلينيكية للانكسار
+
+19
+00:02:52,840 --> 00:02:57,100
+من ناحية clinical ophthalmology، من ناحية طبية، أو
+
+20
+00:02:57,100 --> 00:03:01,000
+من ناحية البصريات
+
+21
+00:03:01,000 --> 00:03:02,520
+أو من ناحية طب العيون.
+
+22
+00:03:27,050 --> 00:03:32,830
+في عندنا سؤال. كل واحدة تطلع ورقة، ورقة صغيرة.
+
+23
+00:03:32,830 --> 00:03:44,050
+السؤال: what is the importance؟ لأ، ما حدّ يتكلّم، اكتبوا
+
+24
+00:03:44,050 --> 00:03:49,550
+الاسم. what is
+
+25
+00:03:49,550 --> 00:03:54,030
+the importance؟ ماذا يعني مفيد في طب العيون؟
+
+26
+00:03:54,030 --> 00:03:58,110
+أو ماذا يعني مفيد في طب العيون؟
+
+27
+00:04:25,910 --> 00:04:26,590
+أتكلم بسرعة.
+
+28
+00:05:04,910 --> 00:05:11,310
+الكل كاتب اسمها؟ شُغِلَتْ.
+
+29
+00:05:11,310 --> 00:05:25,550
+دي كلها سَلَّمْتُها صح؟ آه، آه، okay. in
+
+30
+00:05:25,550 --> 00:05:31,130
+clinical ophthalmology، في طب العيون يعني شو
+
+31
+00:05:31,130 --> 00:05:34,290
+الأهمية الإنكسار في طب العيون؟
+
+32
+00:05:44,810 --> 00:05:46,210
+واضح؟
+
+33
+00:06:42,570 --> 00:06:57,070
+خلصنا هي كده طبعًا.
+
+34
+00:06:57,070 --> 00:07:06,770
+لو أخذنا ورق عشوائية، خلصتها.
+
+35
+00:07:06,770 --> 00:07:07,190
+هيك.
+
+36
+00:07:26,740 --> 00:07:30,300
+طيب، what is the importance or benefits of
+
+37
+00:07:30,300 --> 00:07:33,610
+refraction in clinical ophthalmology؟ طيب،
+
+38
+00:07:33,610 --> 00:07:38,650
+number one: examination of the refractive error. Number
+
+39
+00:07:38,650 --> 00:07:44,790
+two: provide a clear and comfortable vision. طيب،
+
+40
+00:07:44,790 --> 00:07:46,770
+number one.
+
+41
+00:07:59,140 --> 00:08:03,440
+واحدة بس، خلينا نقطة واحدة. شو حكيتي أنتِ أول نقطة؟
+
+42
+00:08:03,440 --> 00:08:07,800
+تفضلي.
+
+43
+00:08:07,800 --> 00:08:12,480
+اتفضلي طبعًا.
+
+44
+00:08:12,480 --> 00:08:16,450
+اللي كتبت: determining of the refractive error of
+
+45
+00:08:16,450 --> 00:08:20,610
+the eye؟ لأ، هي مش... احنا معاها حكينا الـ
+
+46
+00:08:20,610 --> 00:08:24,130
+determining of the refractive error. أول واحدة اللي
+
+47
+00:08:24,130 --> 00:08:27,370
+هي determining of the optical condition of the eye.
+
+48
+00:08:27,370 --> 00:08:32,010
+ممكن تكون قبل كده
+
+49
+00:08:32,010 --> 00:08:37,150
+refractive
+
+50
+00:08:37,150 --> 00:08:42,230
+condition أو الـ optical state of the eye. شوف
+
+51
+00:08:42,230 --> 00:08:42,510
+كتابتي.
+
+52
+00:08:46,960 --> 00:08:49,540
+Determining the refractive error. ممكن تبيني الميوب
+
+53
+00:08:49,540 --> 00:08:53,160
+والهايبرمتروبيا، ولا الـ astigmatism؟ الـrefraction هي ممكن
+
+54
+00:08:53,160 --> 00:08:56,100
+اللي هو determining of the refractive error أو الـ
+
+55
+00:08:56,100 --> 00:08:59,860
+optical state للـ eye. لأنه لازم أنا أوضح أنه هل عنده
+
+56
+00:08:59,860 --> 00:09:04,540
+ميوبيا ولا هايبرمتروبيا ولا أستيجماتيزم. هي ما في واحدة
+
+57
+00:09:04,540 --> 00:09:05,500
+حتى صحيحة.
+
+58
+00:09:10,560 --> 00:09:13,680
+الـ Optical Condition، الميوبيا، والـ Hypermetropia
+
+59
+00:09:13,680 --> 00:09:21,720
+والـ Astigmatism، أو
+
+60
+00:09:21,720 --> 00:09:25,320
+ممكن أنه Determining of the Refractive Error، بس
+
+61
+00:09:25,320 --> 00:09:29,920
+بدي أذكر الأمراض، أمراض. ما فيش حاجة نكتب اللي هو
+
+62
+00:09:29,920 --> 00:09:30,280
+اللي...
+
+63
+00:09:39,940 --> 00:09:44,740
+بالنسبة لها، عشان يكون الحل الصحيح تاعهم. أول
+
+64
+00:09:44,740 --> 00:09:47,800
+حاجة: determining of the refractive condition of
+
+65
+00:09:47,800 --> 00:09:52,560
+the eye. يعني بيحدد الحالة الانكسارية للعين. واضح؟
+
+66
+00:09:52,560 --> 00:09:55,880
+اتنين: measuring of the refractive error. يعني بيشوف
+
+67
+00:09:55,880 --> 00:10:00,460
+هل هو عنده ميوبيا ولا hypermetropia، or أستيجماتيزم. زيادة
+
+68
+00:10:00,460 --> 00:10:03,300
+أنه إيش بيعمل؟ أنه بيقرب الأجسام.
+
+69
+00:10:05,880 --> 00:10:10,060
+مثلًا، أنا الآن كان عندي ميوبيا. واضح؟ الميوبيا إيش
+
+70
+00:10:10,060 --> 00:10:14,200
+بمعنى؟ أنه بيكون عنده مشكلة في البعيد، فهو بيعمل
+
+71
+00:10:14,200 --> 00:10:17,580
+تصحيح للبعيد. أو الـ hypermetropia، بيكون عنده مشكلة في
+
+72
+00:10:17,580 --> 00:10:21,880
+القريب، فبيصلح للقريب. والثالث هو اللي provide
+
+73
+00:10:21,880 --> 00:10:24,720
+clear and comfortable vision. هكتبه مرة ثانية.
+
+74
+00:10:24,720 --> 00:10:26,380
+number one.
+
+75
+00:10:39,090 --> 00:10:41,590
+آه، بس هين، كنت واضح في الـ optical... الـ refractive
+
+76
+00:10:41,590 --> 00:10:44,810
+error أو الـ refractive condition: ميوبيا،
+
+77
+00:10:44,810 --> 00:10:47,750
+هايبرمتروبيا، أستيجماتيزم، أو الميتروبيا. بس أنتم
+
+78
+00:10:47,750 --> 00:10:50,330
+مش واضحين هنا. أنتِ... أنتم كتبتنّها على اللوح؟ لأ، مش
+
+79
+00:10:50,330 --> 00:10:56,950
+حطيت اللي هو الـ optical condition. موجودة. أنا بذكر
+
+80
+00:10:56,950 --> 00:11:00,890
+حطيت أيّ إضافات، حكيت أنه... أنه حكيت refractive
+
+81
+00:11:00,890 --> 00:11:04,350
+error. دائمًا أنه بتعمل يسهم. صح ولا لأ؟ أنا هذا شغلي
+
+82
+00:11:04,350 --> 00:11:07,530
+أولًا... طيب... آخرين ثانية ما حطّيناش مجال كده، اللي
+
+83
+00:11:07,530 --> 00:11:11,200
+هتقعدون كده، اللي هتقولوا. يعني أول حاجة إيش؟
+
+84
+00:11:11,200 --> 00:11:13,680
+Determining of the refractive condition of the
+
+85
+00:11:13,680 --> 00:11:21,480
+eye، صحيح؟ Determining
+
+86
+00:11:21,480 --> 00:11:25,940
+of
+
+87
+00:11:25,940 --> 00:11:30,280
+the... طبعًا الـ refractive error ممكن أكتبه اختصارًا،
+
+88
+00:11:30,280 --> 00:11:34,640
+refractive error of
+
+89
+00:11:34,640 --> 00:11:39,520
+the... أو الـ optical condition.
+
+90
+00:11:44,310 --> 00:11:47,790
+الـ refractive error أو الـ optical state هي واحدة،
+
+91
+00:11:47,790 --> 00:11:48,870
+يعني نفس المصطلح.
+
+92
+00:12:30,990 --> 00:12:34,510
+عشان هي الصح أن تكتب الـ optical state أو الـ
+
+93
+00:12:34,510 --> 00:12:39,040
+refractive error. واحد، نفس المصطلح. واضح؟ يعني الـ
+
+94
+00:12:39,040 --> 00:12:42,400
+optical state هو بيشمل الـ emmetrope والـ ametropes.
+
+95
+00:12:42,400 --> 00:12:46,060
+الـ ametropes عبارة عن الـ hypermetrope، الميوبيا، والـ
+
+96
+00:12:46,060 --> 00:12:49,120
+astigmatism. الـ emmetrope اللي هو الـ normal case.
+
+97
+00:12:49,120 --> 00:12:52,220
+Number
+
+98
+00:12:52,220 --> 00:12:57,320
+two: measurement of
+
+99
+00:12:57,320 --> 00:13:07,360
+the refractive error. Number three: provide a
+
+100
+00:13:07,360 --> 00:13:07,760
+clear
+
+101
+00:13:20,530 --> 00:13:29,690
+و vision. واضح؟ احنا
+
+102
+00:13:29,690 --> 00:13:35,390
+قدّمنا request وكل واحدة كتبت... كتبت... مش عارفة إيش
+
+103
+00:13:35,390 --> 00:13:41,930
+كاتبين. طيب؟ واحدة بس خليها تحكي. واحدة صحيحة، correct
+
+104
+00:13:41,930 --> 00:13:44,430
+and correct and correct and correct and correct
+
+105
+00:13:44,430 --> 00:13:47,690
+and correct and correct and correct and correct
+
+106
+00:13:47,690 --> 00:13:49,110
+and correct and correct and correct and correct
+
+107
+00:13:49,110 --> 00:13:49,950
+and correct and correct and correct and correct
+
+108
+00:13:49,950 --> 00:13:52,090
+and correct and correct and correct and correct
+
+109
+00:13:52,090 --> 00:13:52,230
+and correct and correct and correct and correct
+
+110
+00:13:52,230 --> 00:13:52,350
+and correct and correct and correct and correct
+
+111
+00:13:52,350 --> 00:13:52,750
+and correct and correct and correct and correct
+
+112
+00:13:52,750 --> 00:13:52,970
+and correct and correct and correct and correct
+
+113
+00:13:52,970 --> 00:13:53,210
+and correct and correct and correct and correct
+
+114
+00:13:53,210 --> 00:13:55,070
+and correct and correct and correct and correct
+
+115
+00:13:55,070 --> 00:13:55,610
+and correct and correct and correct and correct
+
+116
+00:13:55,610 --> 00:13:58,510
+and correct and
+
+117
+00:14:03,340 --> 00:14:10,960
+واضح السؤال؟ خلصناه؟ طيب، طيب، طيب، طيب.
+
+118
+00:14:10,960 --> 00:14:13,440
+طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب.
+
+119
+00:14:13,440 --> 00:14:14,640
+طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب.
+
+120
+00:14:14,640 --> 00:14:14,700
+طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب.
+
+121
+00:14:14,700 --> 00:14:14,800
+طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب.
+
+122
+00:14:14,800 --> 00:14:15,640
+طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب، طيب.
+
+123
+00:14:15,640 --> 00:14:30,180
+طيب، طيب، طيب، طيب، طيب.
+
+124
+00:14:30,180 --> 00:14:34,960
+طيب. In high degrees of refractive errors, the main
+
+125
+00:14:34,960 --> 00:14:39,380
+symptom is defective vision. الآن، الـ high degrees
+
+126
+00:14:39,380 --> 00:14:45,620
+according to Duke-Elder book. يعني بناءً على الكتاب
+
+127
+00:14:45,620 --> 00:14:49,480
+اللي إحنا بندرس منه، المرجع. في عندنا refractive
+
+128
+00:14:49,480 --> 00:14:53,540
+error. ثلاثة أنواع. ممكن أن يكون الـ refractive error
+
+129
+00:14:53,540 --> 00:14:59,600
+mild refractive error. ممكن mild، شو معناها؟ خفيف
+
+130
+00:14:59,600 --> 00:15:03,960
+يعني، أو قليل. ممكن أنه يكون moderate، متوسط، وممكن
+
+131
+00:15:03,960 --> 00:15:08,660
+أنه يكون إيش؟ severe. في تصنيف آخر، ممكن يكون high،
+
+132
+00:15:08,660 --> 00:15:13,120
+أنه عالي، يعني عنده أخطاء انكسارية عالية. ممكن يكون
+
+133
+00:15:13,120 --> 00:15:17,400
+moderate، متوسط، وممكن يكون إيش؟ low، اللي هو منخفض.
+
+134
+00:15:17,400 --> 00:15:22,140
+فالآن، يكون المريض عنده high، high refractive errors.
+
+135
+00:15:22,140 --> 00:15:24,160
+الـ high refractive error.
+
+136
+00:15:34,960 --> 00:15:40,720
+فعند الميوبيا، minus
+
+137
+00:15:40,720 --> 00:15:51,420
+6 or more. كتصنيف
+
+138
+00:15:51,420 --> 00:15:55,420
+للميوبيا أن high refractive error. ممكن يكون من minus
+
+139
+00:15:55,420 --> 00:16:02,080
+6 أو أكثر. واضح؟ طبعًا هذا إيش؟ according، يعني بناءً
+
+140
+00:16:02,080 --> 00:16:02,460
+على
+
+141
+00:16:15,270 --> 00:16:26,530
+بناءً على المرجع بتاعنا. الـ hypermetropia plus
+
+142
+00:16:26,530 --> 00:16:30,190
+5.25 or more.
+
+143
+00:16:34,610 --> 00:16:45,650
+والـ astigmatism 1
+
+144
+00:16:45,650 --> 00:16:52,230
+ربع أو أكثر. ليش ما حطّيتِ الإشارة؟ لنقول أنه plus
+
+145
+00:16:52,230 --> 00:16:57,510
+or minus. فعندنا بالنسبة للـ high refractive error
+
+146
+00:16:57,510 --> 00:17:01,870
+بنقسم إلى ثلاثة أقسام: إما أنه يكون high myopia أو high
+
+147
+00:17:01,870 --> 00:17:06,040
+hypermetropia أو high astigmatism. الـ high myopia minus
+
+148
+00:17:06,040 --> 00:17:10,140
+six or more. معناه minus six. يعني العدسة اللي هحطها
+
+149
+00:17:10,140 --> 00:17:15,180
+للمريض عشان يشوف ستة. minus ستة أو أكثر.
+
+150
+00:17:15,180 --> 00:17:20,380
+واضح؟ يعني minus ستة أو أكثر، يعني ممكن يكون minus
+
+151
+00:17:20,380 --> 00:17:25,200
+twenty، أو minus مثلًا thirty، أو minus forty. فهذا
+
+152
+00:17:25,200 --> 00:17:28,880
+كله بنسميه إيش؟ high refractive error أو high myopia.
+
+153
+00:17:28,880 --> 00:17:35,640
+مش إحنا قلنا العدسة اللي بنحطها convex بيبقى plus،
+
+154
+00:17:35,640 --> 00:17:41,500
+concave minus. يمّا
+
+155
+00:17:41,500 --> 00:17:45,440
+يكون مريض عندنا ميوبيا، إيش بدنا نحط عدسة؟ concave. آه،
+
+156
+00:17:45,440 --> 00:17:48,580
+اللي هي minus. عدسة minus. نفس الهدف يعني، عدسة آه،
+
+157
+00:17:48,580 --> 00:17:52,840
+هدف النظارة آه. يمّا يكون اللي هو hypermetropia
+
+158
+00:17:52,840 --> 00:17:57,220
+convex، اللي هو convex. بدنا نحط اللي هو عدسة موجبة،
+
+159
+00:17:57,220 --> 00:18:01,870
+plus خمسة وربع. يمّا يكون astigmatism واحد ربع أو
+
+160
+00:18:01,870 --> 00:18:06,750
+أكثر. طب هنا إيش؟ ما حطّيتش... ما حطّيتش sign، إشارة plus
+
+161
+00:18:06,750 --> 00:18:12,870
+or minus. واضح؟ In high degrees of refractive
+
+162
+00:18:12,870 --> 00:18:16,910
+errors, the main symptom is defective vision. يعني
+
+163
+00:18:16,910 --> 00:18:21,750
+لما يكون المريض عنده high، يعني درجات عالية، سواء
+
+164
+00:18:21,750 --> 00:18:25,490
+myopia أو hypermetropia أو astigmatism، أنه بيكون
+
+165
+00:18:25,490 --> 00:18:29,590
+الخلل إيش؟ عنده خلل في الرؤية، يعني خلل بصري.
+
+166
+00:18:29,800 --> 00:18:36,760
+defective vision. اختصار للخلل البصري. الـ
+
+167
+00:18:36,760 --> 00:18:39,920
+low degrees of refractive errors, the defective
+
+168
+00:18:39,920 --> 00:18:43,260
+vision is only one of his symptoms. طيب، لو واحد
+
+169
+00:18:43,260 --> 00:18:47,280
+مثلًا كان عنده low refractive error. طبعًا low myopia أو
+
+170
+00:18:47,280 --> 00:18:52,660
+low hypermetropia أو low astigmatism. هذا المريض إيش
+
+171
+00:18:52,660 --> 00:18:56,820
+بيكون عنده الـ defective vision هي واحدة من هذه
+
+172
+00:18:56,820 --> 00:19:00,830
+الأعراض. يعني بيكون عنده أعراض أخرى، لكن الـ defective
+
+173
+00:19:00,830 --> 00:19:04,470
+vision، الخلل البصري، هي واحدة من هذه الأعراض. واضح؟
+
+174
+00:19:04,470 --> 00:19:16,970
+فعندنا الـ low refractive error، الـ
+
+175
+00:19:16,970 --> 00:19:22,310
+low
+
+176
+00:19:22,310 --> 00:19:25,810
+refractive
+
+177
+00:19:25,810 --> 00:19:32,990
+error. ممكن يكون low myopia،
+
+178
+00:19:34,830 --> 00:19:43,510
+low hypermetropia. طبعًا الـ hypermetropia، بالآن، نعتمد
+
+179
+00:19:43,510 --> 00:19:47,450
+الاختصار، لأن إحنا هنتعلّم كل شغلة، يعني هنكتب معظم
+
+180
+00:19:47,450 --> 00:19:52,530
+الأشياء في اختصار. زي refractive error، RE، أو low
+
+181
+00:19:52,530 --> 00:19:55,190
+astigmatism.
+
+182
+00:20:02,430 --> 00:20:10,330
+طبعًا الـ low myopia هيكون من minus ربع لـ minus ثلاثة.
+
+183
+00:20:10,330 --> 00:20:19,950
+الـ low hypermetropia من plus ربع لإثنين. الـ
+
+184
+00:20:19,950 --> 00:20:28,430
+astigmatism هيكون من minus ربع لـ plus
+
+185
+00:20:28,430 --> 00:20:36,230
+أو minus لخمسة وسبعين. طيب، ممكن واحد يس
+
+223
+00:23:14,320 --> 00:23:18,080
+payot ك definition له؟
+
+224
+00:23:22,330 --> 00:23:25,890
+Presbyopia is an inability to focus the light on the
+
+225
+00:23:25,890 --> 00:23:30,710
+retina by loss of flexibility of the crystalline
+
+226
+00:23:30,710 --> 00:23:34,150
+lens لو كان المريض عنده hypermetropia أو كان عنده
+
+227
+00:23:34,150 --> 00:23:38,390
+مثلا Presbyopia لما بيجي باستخدام القريب بيكون
+
+228
+00:23:38,390 --> 00:23:41,930
+في عنده إيش مشكلة ليش؟ لأنه ماعندهوش accommodation
+
+229
+00:23:41,930 --> 00:23:49,490
+كافي  يقدّر العدسة تتكيّف  يشوف الصورة بشكل
+
+230
+00:23:49,490 --> 00:23:53,380
+واضح. بتلاقي دايما بقرب اللي هو الجوال أو بتلاقي
+
+231
+00:23:53,380 --> 00:23:57,380
+مثلا بقرب اللابتوب أكثر له أو ببعده حسب اللي هو
+
+232
+00:23:57,380 --> 00:24:03,260
+إيه التكييف بتاعه. فهذا المريض اللي بيستخدم ال
+
+233
+00:24:03,260 --> 00:24:07,140
+accommodation التكييف بشكل مستمر سواء كان hyper
+
+234
+00:24:07,140 --> 00:24:12,020
+metropia عنده طول نظر أو عنده presbyopia قصر نظر
+
+235
+00:24:12,020 --> 00:24:17,080
+شيخوخة، هذا المريض أنه هيعاني من إيش؟ من أعراض أخرى
+
+236
+00:24:17,080 --> 00:24:21,270
+غير النظر زي مثلا،  شهد الأعراض، الـ eye pain اللي هو
+
+237
+00:24:21,270 --> 00:24:25,470
+ألم في العين، زائد الـ headache اللي هو الصداع. واضح؟
+
+238
+00:24:25,470 --> 00:24:30,090
+واضح؟ يعني الآن لو أنا مثلا أجيب السؤال شو مثلا الـ
+
+239
+00:24:30,090 --> 00:24:36,110
+symptoms لإنسان عنده hypermetropia أو presbyopia؟
+
+240
+00:24:36,110 --> 00:24:43,150
+أول حاجة إيش؟ eye pain أول حاجة أول
+
+241
+00:24:43,150 --> 00:24:47,110
+حاجة اللي هو defective vision دي أول شغلة. تاني
+
+242
+00:24:47,110 --> 00:24:51,810
+حاجة اللي هي بيكون عنده Either زي الـ headache الـ
+
+243
+00:24:51,810 --> 00:24:58,130
+symptoms طبعا.
+
+244
+00:24:58,130 --> 00:25:01,230
+الـ symptoms مين هيشوفها المريض ولا الـ examiner؟
+
+245
+00:25:01,230 --> 00:25:13,050
+المريض. إذا الـ symptoms of
+
+246
+00:25:13,050 --> 00:25:24,980
+hypermetropia or Presbyopia Number
+
+247
+00:25:24,980 --> 00:25:32,660
+one Defective Vision
+
+248
+00:25:32,660 --> 00:25:38,140
+Number
+
+249
+00:25:38,140 --> 00:25:41,380
+two
+
+250
+00:25:41,380 --> 00:25:43,080
+Eye pain
+
+251
+00:25:47,400 --> 00:25:56,760
+number three Headache واضح؟
+
+252
+00:25:56,760 --> 00:26:00,000
+طب
+
+253
+00:26:00,000 --> 00:26:05,500
+شو تعريف الـ presbyopia؟ الـ presbyopia كمفهوم إله
+
+254
+00:26:05,500 --> 00:26:09,040
+أنه عدم قدرة العين على إيش
+
+255
+00:26:11,750 --> 00:26:17,690
+عدم قدرة العين على تركيز الصورة وين؟ على الشبكية
+
+256
+00:26:17,690 --> 00:26:24,910
+نتيجة إيش؟ by loss of flexibility of the lens بسبب
+
+257
+00:26:24,910 --> 00:26:30,090
+فقدان مرونة العدسة. طبعا هي تعتبر ظاهرة في السينيولوجيا
+
+258
+00:26:30,090 --> 00:26:35,010
+يعني لو حكينا مثلا presbyopia is a pathological
+
+259
+00:26:35,010 --> 00:26:40,590
+factor اللي هي إيش تعتبر؟ يعني عامل في السينيولوجيا،
+
+260
+00:26:40,590 --> 00:26:45,550
+واضح؟ The fact that the pathological basis of these
+
+261
+00:26:45,550 --> 00:26:49,470
+symptoms depends on fatigue of extraocular muscles
+
+262
+00:26:49,470 --> 00:26:53,610
+and intraocular muscles like ciliary muscles has
+
+263
+00:26:53,610 --> 00:26:57,250
+led to the mechanical concept of the strain that
+
+264
+00:26:57,250 --> 00:27:02,710
+named eye strain. الآن شو سبب الـ eye fatigue؟ ليش
+
+265
+00:27:02,710 --> 00:27:10,890
+بيصير عند الإنسان إجهاد في العين؟ معاكم؟ في اللي
+
+266
+00:27:10,890 --> 00:27:15,450
+هو عضلات الـ extraocular muscles العضلات الخارجية
+
+267
+00:27:15,450 --> 00:27:19,930
+للعين، وفي intraocular muscles عضلات داخلية للعين
+
+268
+00:27:19,930 --> 00:27:24,550
+إذن العضلات الخارجية للعين ستة اللي هي الـ
+
+269
+00:27:24,550 --> 00:27:29,370
+extraocular muscles ست عضلات خارجية للعين، وفي ثلاث
+
+270
+00:27:29,370 --> 00:27:33,770
+عضلات داخلية للعين. فالـ eye fatigue .. بعدين بنكتب؟
+
+271
+00:27:33,770 --> 00:27:38,310
+أُلخص لكم إياها، الـ eye fatigue بصير عملية إجهاد
+
+272
+00:27:38,310 --> 00:27:43,810
+للعضلات الخارجية والداخلية للعين، فهذا إيش بيسبب الـ
+
+273
+00:27:43,810 --> 00:27:48,130
+eye strain؟ يعني لو حكيت شو تعريف الـ eye strain؟
+
+274
+00:27:48,130 --> 00:27:52,070
+شو
+
+275
+00:27:52,070 --> 00:27:56,850
+بيصير؟ إجهاد، اللي هو إيش؟ fatigue of the
+
+276
+00:27:56,850 --> 00:28:00,630
+extraocular muscles and intraocular muscles that
+
+277
+00:28:00,630 --> 00:28:05,970
+produce a concept of eye strain. يعني إجهاد للعضلات
+
+278
+00:28:05,970 --> 00:28:10,210
+الخارجية للعين والعضلات الداخلية للعين، هذا بينتج
+
+279
+00:28:10,210 --> 00:28:14,850
+مفهوم بيسمى إجهاد العين. إذا الآن في عندنا الـ
+
+280
+00:28:14,850 --> 00:28:19,790
+extraocular muscles العضلات الخارجية للعين، مين
+
+281
+00:28:19,790 --> 00:28:27,850
+بيعرف كم واحدة؟ ستة. طيب شو هم العضلات الستة؟ ما
+
+282
+00:28:27,850 --> 00:28:31,270
+أخدتهم أه؟ طيب الـ intraocular muscles العضلات
+
+283
+00:28:31,270 --> 00:28:35,810
+الخارجية، الداخلية، ثلاث، شو هما؟ أكيد أخدتهم في
+
+284
+00:28:35,810 --> 00:28:40,230
+الـ anatomy of the eye. خدتوا
+
+285
+00:28:40,230 --> 00:28:44,870
+الـ ciliary muscle صح؟ طيب هو في الـ ciliary muscle،
+
+286
+00:28:44,870 --> 00:28:50,350
+آه الـ ciliary muscle، وإيش كمان؟ الـ sphincter,
+
+287
+00:28:50,370 --> 00:28:54,910
+pupillae muscle اللي بتعمل .. و الـ dilator,
+
+288
+00:28:55,010 --> 00:29:00,120
+pupillae muscle فأكيد أخدتوهم. نعرف الـ Extra
+
+289
+00:29:00,120 --> 00:29:12,100
+ocular muscle number one superior rectus
+
+290
+00:29:12,100 --> 00:29:15,520
+muscle
+
+291
+00:29:15,520 --> 00:29:22,360
+طبعا معناها أن العضلة المستقيمة العلوية أو
+
+292
+00:29:22,360 --> 00:29:28,970
+المرتفعة. superior rectus muscle اختصارا هي العضلة
+
+293
+00:29:28,970 --> 00:29:35,030
+الثانية inferior rectus
+
+294
+00:29:35,030 --> 00:29:40,070
+muscle عضلة
+
+295
+00:29:40,070 --> 00:29:44,010
+مستقيمة
+
+296
+00:29:44,010 --> 00:29:48,090
+سفلية
+
+297
+00:29:48,090 --> 00:29:55,010
+muscle  ابنَع
+
+298
+00:29:55,010 --> 00:29:55,830
+الكلام لو سمحت
+
+299
+00:30:06,380 --> 00:30:19,580
+العضلة الجانبية. خمسة superior oblique
+
+300
+00:30:19,580 --> 00:30:25,140
+muscle العضلة
+
+301
+00:30:25,140 --> 00:30:27,620
+المائلة
+
+302
+00:30:31,620 --> 00:30:39,480
+العلوية. ستة inferior oblique
+
+303
+00:30:39,480 --> 00:30:43,460
+muscle العضلة
+
+304
+00:30:43,460 --> 00:30:47,120
+المائلة السفلية. طبعا في بعض الكتب بيكتبوا كمان
+
+305
+00:30:47,120 --> 00:30:50,040
+عضلة اللي هي سابعة الـ levator palpebrae superioris
+
+306
+00:30:50,040 --> 00:30:53,860
+muscle هذا اللي بترفع الجفن. آه يعني أنا أكون نايم
+
+307
+00:30:53,860 --> 00:30:56,960
+وأصحى اللي بترفع الجفن هذا بيسموها الـ levator
+
+308
+00:30:56,960 --> 00:30:59,920
+palpebrae superioris muscle. مش مهم احنا الآن
+
+309
+00:31:03,290 --> 00:31:08,710
+هدول الست عضلات الخارجية للعين. فالآن أنا لو حكيت
+
+310
+00:31:08,710 --> 00:31:13,770
+شو تعريف الـ eye strain؟ إجهاد العين بـ fatigue of
+
+311
+00:31:13,770 --> 00:31:16,910
+the extraocular muscles اللي هم الستة، and
+
+312
+00:31:16,910 --> 00:31:22,030
+intraocular muscles اللي هم ثلاث، الـ sphincter,
+
+313
+00:31:22,170 --> 00:31:25,550
+pupillae muscle, dilator pupillae muscle and
+
+314
+00:31:25,550 --> 00:31:29,430
+ciliary muscle that produce a concept يعني هذا
+
+315
+00:31:29,430 --> 00:31:36,420
+بينتج مفهوم بيسمى إجهاد العين، واضح؟ كتبتوا هدول؟
+
+316
+00:31:36,420 --> 00:31:43,760
+خلصنا؟ طيب الـ intraocular muscle
+
+317
+00:31:43,760 --> 00:31:49,160
+number one الـ ciliary muscle اختصارها .. خليني أكمل
+
+318
+00:31:49,160 --> 00:31:55,460
+الـ ciliary
+
+319
+00:31:55,460 --> 00:31:55,720
+muscle
+
+320
+00:32:04,580 --> 00:32:09,380
+number two sphincter
+
+321
+00:32:09,380 --> 00:32:14,560
+pupillae
+
+322
+00:32:14,560 --> 00:32:18,480
+muscle
+
+323
+00:32:18,480 --> 00:32:21,800
+number
+
+324
+00:32:21,800 --> 00:32:24,200
+three dilator
+
+325
+00:32:32,370 --> 00:32:39,250
+pupillae muscle في
+
+326
+00:32:39,250 --> 00:32:54,170
+عندنا مفهوم الـ eye strain إجهاد
+
+327
+00:32:54,170 --> 00:32:56,710
+العين
+
+328
+00:32:59,500 --> 00:33:05,960
+extraocular muscles and intraocular
+
+329
+00:33:05,960 --> 00:33:14,900
+muscles to produce a
+
+330
+00:33:14,900 --> 00:33:22,860
+concept. Concept معناها مفهوم. called بيسمى هذا
+
+331
+00:33:22,860 --> 00:33:25,580
+المفهوم eye
+
+332
+00:33:37,320 --> 00:33:42,700
+الّفعل أن مبادئ السينيولوجيا لهذه الشّطانات تعتمد على
+
+333
+00:33:42,700 --> 00:33:48,560
+إجهاد عضلات إكستراأوكولر، وإجهاد عضلات إنتراأوكولر مثل
+
+334
+00:33:48,560 --> 00:33:53,100
+العضلة السيلري. لديه مفهوم ميكانيكي للجذع يسمى eye
+
+335
+00:33:53,100 --> 00:33:57,230
+strain. يعني إجهاد هذه العضلات الداخلية للعين و
+
+336
+00:33:57,230 --> 00:34:02,050
+الخارجية للعين، بينتج عنه مفهوم بيسمى إجهاد العين
+
+337
+00:34:02,050 --> 00:34:08,070
+واضح؟ طيب symptoms، خلصنا كتابة
+
+338
+00:34:27,670 --> 00:34:32,890
+symptoms of eye strain أعراض إجهاد العين، الآن
+
+339
+00:34:32,890 --> 00:34:38,150
+إجهاد العين في عدة أعراض لها. ممكن number one أن
+
+340
+00:34:38,150 --> 00:34:43,510
+تكون visual symptoms يعني أعراض بصرية. okay number
+
+341
+00:34:43,510 --> 00:34:47,770
+two ocular symptoms ممكن أن تكون أعراض إيش؟ عينية
+
+342
+00:34:47,770 --> 00:34:51,930
+يعني في العين نفسها زي إيش مثلا الـ orbit المحجر
+
+343
+00:34:51,930 --> 00:34:56,710
+العين. ممكن أن تكون referred symptoms يعني
+
+344
+00:34:56,710 --> 00:35:01,870
+أعراض أخرى في الجسم زي مثلا سوء الهضم أو مثلا صداع
+
+345
+00:35:01,870 --> 00:35:08,770
+أعراض غير مرتبطة في العين. واضح؟ في الـ visual
+
+346
+00:35:08,770 --> 00:35:13,890
+symptoms أعراض بصرية اللي هي متعلقة بالعين
+
+347
+00:35:18,840 --> 00:35:23,340
+الـ ocular symptoms أعراض عينية زي مثلا بتكون لها
+
+348
+00:35:23,340 --> 00:35:27,040
+علاقة في محجر العين. يعني مثلا حوالين العين أو مثلا
+
+349
+00:35:27,040 --> 00:35:31,900
+لها علاقة في الـ eyelid في الـ .. الـ eyelid اللي هو
+
+350
+00:35:31,900 --> 00:35:36,740
+الجفن بتاع العين أو مثلا في الـ eyelash كل هذه اللي
+
+351
+00:35:36,740 --> 00:35:40,780
+هي رموش تحت العين. فهذه بيسموها الـ ocular symptoms
+
+352
+00:35:40,780 --> 00:35:43,620
+لكن أهم شيء هذه الأعراض بيكون لها علاقة في الـ
+
+353
+00:35:43,620 --> 00:35:48,810
+orbit اللي هي المحجر. orbit معناها محجر العين. نكتب
+
+354
+00:35:48,810 --> 00:35:54,970
+هيك، قارئ هو
+
+355
+00:35:54,970 --> 00:36:00,450
+مش محجر العين. الـ referred symptoms الأعراض الأخرى زي
+
+356
+00:36:00,450 --> 00:36:05,930
+مثلا الـ headache أو مثلا واحد عنده سوء هضم، هذا
+
+357
+00:36:05,930 --> 00:36:10,390
+بيسميها أعراض غير متعلقة بالعين، متعلقة بالجسم ككل
+
+358
+00:36:10,390 --> 00:36:12,550
+واضح؟
+
+359
+00:36:15,760 --> 00:36:22,160
+visual symptoms أعراض بصرية. these symptoms are
+
+360
+00:36:22,160 --> 00:36:27,660
+intermittent. شو معنى intermittent؟ متقطعة. يعني هذه
+
+361
+00:36:27,660 --> 00:36:32,900
+الأعراض أنّه بتكون متقطعة مش دائمية. in a small
+
+362
+00:36:32,900 --> 00:36:39,500
+refractive error في الخطأ الانكساري الصغير. ممكن
+
+363
+00:36:39,500 --> 00:36:43,820
+الأعراض مثلا الـ ocular symptoms شوية هناخدها كم
+
+364
+00:36:43,820 --> 00:36:48,520
+شوية، إنّه هتكون إيش؟ constant اللي هي ثابتة. إذا نعكس
+
+365
+00:36:48,520 --> 00:36:52,300
+intermittent اللي هو إيش؟ constant. يعني ممكن في المعمل
+
+366
+00:36:52,300 --> 00:36:55,360
+نستخدم اللي هو كلمة intermittent. دايما المريض بيقول
+
+367
+00:36:55,360 --> 00:36:59,560
+أنا عندي صداع لكن بيجي مثلا في وقت الصباح أو مثلا
+
+368
+00:36:59,560 --> 00:37:03,360
+في وقت المساء. إيش بكتب؟ intermittent headache. إنّه
+
+369
+00:37:03,360 --> 00:37:05,020
+صداع إيش؟ متقطع.
+
+370
+00:37:24,100 --> 00:37:27,540
+طبعا شوية شوية احنا بدنا نتقدم في كتابة الـ history
+
+371
+00:37:27,540 --> 00:37:31,820
+يعني كيف إنّي أنا أكتب الـ history بشكل صحيح مش مثلا
+
+372
+00:37:31,820 --> 00:37:36,100
+إنّو نبقى نكتب مثلا blurred vision for distance or
+
+373
+00:37:36,100 --> 00:37:40,760
+near. لأ بنصير more advanced يعني أكثر اللي هو ندخل
+
+374
+00:37:40,760 --> 00:37:45,080
+يعني deeper أكثر إنّه في عملية أخذ الـ history للمريض
+
+375
+00:37:45,080 --> 00:37:49,120
+فأنا ممكن لو كان المريض عنده صداع دائم، يعني في أي
+
+376
+00:37:49,120 --> 00:37:50,900
+وقت بكتب constant
+
+377
+00:38:00,910 --> 00:38:08,070
+هدي إنّه بيكون عنده صداع إيش؟ دائم. وعكسه intermittent
+
+378
+00:38:20,500 --> 00:38:23,360
+الـ intermittent لها كتابتين في اللي هو الـ
+
+379
+00:38:23,360 --> 00:38:27,080
+American وفي الـ British.  الـ British هنعني إن احنا
+
+380
+00:38:27,080 --> 00:38:31,240
+الـ American الـ pronunciation أو الـ spelling بتاعنا
+
+381
+00:38:31,240 --> 00:38:34,880
+these symptoms are intermittent in a small
+
+382
+00:38:34,880 --> 00:38:39,400
+refractive error like 0.50 astigmatism actual
+
+383
+00:38:39,400 --> 00:38:43,360
+visual acuity forms little or no of the symptoms
+
+384
+00:38:43,360 --> 00:38:48,300
+in normal condition. هذا الحالات بتاعة الـ patient
+
+385
+00:38:48,300 --> 00:38:53,600
+المرضى بيكون عندهم يعني خطأ انكساري إيش؟ بسيط، فهو
+
+386
+00:38:53,600 --> 00:38:57,620
+يعتبر لما أنا أعمله حدة الإبصار الـ visual acuity
+
+387
+00:38:57,620 --> 00:39:02,480
+هتلاقيها إيش؟ normal patient يعني إنسان طبيعي، لأن
+
+388
+00:39:02,480 --> 00:39:06,700
+لو واحد كان عنده مثلا minus ربع أو minus نص أو
+
+389
+00:39:06,700 --> 00:39:11,340
+plus نص كلّنا معظمنا عندنا plus أو minus نص لأن
+
+390
+00:39:11,340 --> 00:39:15,230
+هذا إيش؟ أمر في السينيولوجيا طبيعي. واضح؟ يعني ممكن
+
+391
+00:39:15,230 --> 00:39:19,330
+واحد يكون عنده plus نص وهو إيش؟ normal وكلّنا
+
+392
+00:39:19,330 --> 00:39:23,270
+هتلاحظوا بكرا لما نشتغل على الـ autorefractometer أو
+
+393
+00:39:23,270 --> 00:39:26,590
+على الـ retinoscope هيكون عندنا إيش؟ اللي هم الأجهزة
+
+394
+00:39:26,590 --> 00:39:31,910
+اللي بقييسوا قياس الخطأ الانكساري للعين بيكون عندنا
+
+395
+00:39:31,910 --> 00:39:39,900
+في plus or minus نص يعني يا ربع أو نص، واضح؟ this
+
+396
+00:39:39,900 --> 00:39:43,120
+defect can be compensated by the ciliary muscle
+
+397
+00:39:43,120 --> 00:39:46,720
+effort and accommodation in normal conditions. يعني
+
+398
+00:39:46,720 --> 00:39:51,000
+هذا الخلل البصري ممكن أنا إيش؟ compensated يعني
+
+399
+00:39:51,000 --> 00:39:57,040
+أعوضه بواسطة العضلة الهدبية. بس إيش؟ بنصير اللي هو
+
+400
+00:39:57,040 --> 00:40:00,600
+عملية إجهاد للعضلة الهدبية. يعني الـ ciliary muscle
+
+401
+00:40:00,600 --> 00:40:03,700
+effort. يقولوا احنا الـ intraocular muscle ثلاث صح؟
+
+402
+00:40:03,700 --> 00:40:06,800
+واحدة منهم الـ ciliary muscle. الـ ciliary muscle
+
+403
+00:40:06,800 --> 00:40:11,290
+مسؤولة عن إيش؟ الـ accommodation هي القراءة. بس الـ
+
+404
+00:40:11,290 --> 00:40:15,250
+accommodation يعني بكرا لما أقول الـ ciliary muscle
+
+405
+00:40:15,250 --> 00:40:19,390
+مسؤولة عن إيش؟ اللي هي الـ accommodation. ciliary
+
+406
+00:40:19,390 --> 00:40:24,210
+muscle is responsible for accommodation. لأنه إيش؟
+
+407
+00:40:24,210 --> 00:4
+
+445
+00:43:21,240 --> 00:43:25,280
+بيقدر مثلاً يكتب أو ما بيقدر يستخدم الجوال، ليش؟ لأن
+
+446
+00:43:25,280 --> 00:43:28,740
+بتلاقي العينين فيهم اللي هو strain زي إجهاد
+
+447
+00:43:28,740 --> 00:43:31,920
+fatigue
+
+448
+00:43:31,920 --> 00:43:37,480
+comes on both eyes and vision fails يعني إجهاد
+
+449
+00:43:37,480 --> 00:43:43,000
+لكلتا العينين، وهذا بيؤدي إلى إيش كمان؟ أن الرؤية
+
+450
+00:43:43,000 --> 00:43:47,240
+ما بتكون واضحة، يعني failed، يعني عنده bad vision
+
+451
+00:43:47,240 --> 00:43:49,160
+رؤية غير واضحة
+
+452
+00:43:51,960 --> 00:43:56,320
+especially occurs in persons who use their eyes much for
+
+453
+00:43:56,320 --> 00:44:00,560
+reading or studying small prints for a long time, or
+
+454
+00:44:00,560 --> 00:44:04,920
+swinging or watching TV for a long time, driving in
+
+455
+00:44:04,920 --> 00:44:07,960
+difficult circumstances, and all conditions
+
+456
+00:44:07,960 --> 00:44:13,020
+associated with attention and anxiety. يعني هذه
+
+457
+00:44:13,020 --> 00:44:17,680
+بتكون خاصة في الأشخاص اللي بيستخدموا الأشياء القريبة، زي
+
+458
+00:44:17,680 --> 00:44:24,560
+لما أنا مثلاً باجي أقرأ، أو مثلاً بستخدم الـ... أو مثلاً
+
+459
+00:44:24,560 --> 00:44:30,760
+أنا لو كنت خياطاً، أو مثلاً بشاهد التلفاز لوقت طويل، أو
+
+460
+00:44:30,760 --> 00:44:34,540
+بسوق بشكلٍ، زي السائقين، يعني دائماً بسوق، أنه بده
+
+461
+00:44:34,540 --> 00:44:38,600
+attention، انتباه، هذه الحالات كلها بيكون مصاحبة
+
+462
+00:44:38,600 --> 00:44:43,200
+إيش اللي هي anxiety، أنه بيكون إجهاد، وأيضاً بيكون
+
+463
+00:44:43,200 --> 00:44:47,720
+anxiety معناها اللي هو قلق أو إجهاد، وبيكون إيش
+
+464
+00:44:47,720 --> 00:44:52,350
+كمان عنده attention، انتباه، يعني دائماً ممكن يوماً
+
+465
+00:44:52,350 --> 00:44:56,610
+تطلع في السيارة، السائق يسألك أنه لو عرف مثلاً شو
+
+466
+00:44:56,610 --> 00:45:02,010
+تخصصك، بيقول لك أنا دائماً عندي إجهاد في العين، ليش؟
+
+467
+00:45:02,010 --> 00:45:07,010
+لأنه بيكون عنده إيش؟ attention عالي، الـ attention
+
+468
+00:45:07,010 --> 00:45:11,910
+العالي إيش بيعمل؟ بيعمل اللي هو الـ eye fatigue، الـ
+
+469
+00:45:11,910 --> 00:45:15,750
+eye fatigue إيش بيكون؟ eye strain، و الـ eye strain
+
+470
+00:45:15,750 --> 00:45:18,910
+أنه بيعمل اللي هو زيادة في استخدام الـ
+
+471
+00:45:18,910 --> 00:45:31,030
+accommodation للعين، واضح؟ واضح، details
+
+472
+00:45:31,030 --> 00:45:37,450
+of visual symptoms، تفاصيل الأعراض البصرية، يعني شو
+
+473
+00:45:37,450 --> 00:45:42,110
+التفاصيل؟ أن المريض الآن يكون عنده الـ visual
+
+474
+00:45:42,110 --> 00:45:47,360
+symptoms، من شو؟ بشكل هذا المريض، number one: sensation
+
+475
+00:45:47,360 --> 00:45:52,040
+of confusion، أول حاجة بيشعر بالارتباك، دائماً مرتبك
+
+476
+00:45:52,040 --> 00:45:58,320
+يعني تلاقي مثلاً الامتحان أمامه، بينسى مثلاً السؤال من
+
+477
+00:45:58,320 --> 00:46:01,660
+الامتحان، كون دائماً بيشعر بالارتباك، ليش؟ لأن الرؤية
+
+478
+00:46:01,660 --> 00:46:06,620
+مش واضحة، واضح؟ إذا number one: sensation of
+
+479
+00:46:06,620 --> 00:46:11,600
+confusion، for sensation of confusion، number two:
+
+480
+00:46:11,600 --> 00:46:15,740
+temporary blurring، عنده غباش، لكن إيش هذا الغباش؟
+
+481
+00:46:15,870 --> 00:46:23,910
+مؤقتة، tiredness of the eyes، معناها اللي هو إجهاد
+
+482
+00:46:23,910 --> 00:46:29,090
+أو تعب في العينين، heaviness of eyelids، أنه بيكون
+
+483
+00:46:29,090 --> 00:46:33,870
+عنده ثقل في الجفن، دائماً الشفاه بتكون يعني متعبة، و
+
+484
+00:46:33,870 --> 00:46:39,130
+مجهدة، فبتكون ثقيلة، sensation of weariness and
+
+485
+00:46:39,130 --> 00:46:44,040
+drowsiness، أنه بيشعر هذا المريض باللي هو دائماً عنده
+
+486
+00:46:44,040 --> 00:46:49,340
+خمول، ودائماً عنده تعب، وعنده نعاس في اللي هو
+
+487
+00:46:49,340 --> 00:46:54,180
+الأعراض بتاعته، These symptoms are relieved by rest
+
+488
+00:46:54,180 --> 00:46:57,720
+by rest required, in continuation of the work، يعني هذه
+
+489
+00:46:57,720 --> 00:47:03,300
+الأعراض لما الإنسان يرتاح كلها بتروح،  يعود للعمل
+
+490
+00:47:03,300 --> 00:47:07,160
+بتاعه من جديد، يعني اللي هو مثلاً إذا كان خياط، رجع
+
+491
+00:47:07,160 --> 00:47:10,840
+يخيط، إذا كان قارئ، رجع يقرأ، كل هذه الأعراض إيش
+
+492
+00:47:10,840 --> 00:47:11,920
+بتعود مرة أخرى
+
+493
+00:47:15,320 --> 00:47:20,240
+واضح؟ Indeed, the ciliary muscle can compensate by
+
+494
+00:47:20,240 --> 00:47:24,440
+exerting extra accommodation until a time will come
+
+495
+00:47:24,440 --> 00:47:27,880
+where the ciliary muscle will fail to compensate.
+
+496
+00:47:28,680 --> 00:47:32,180
+Decompensation and the symptoms couldn't be
+
+497
+00:47:32,180 --> 00:47:34,860
+relieved easily until the patient decides to seek
+
+498
+00:47:34,860 --> 00:47:38,740
+for treatment. الآن لما المريض بيستخدم القريب، إيش
+
+499
+00:47:38,740 --> 00:47:44,160
+بيعمل؟ إجهاد العين، بيعمل accommodation، لما يزيد الـ
+
+500
+00:47:44,160 --> 00:47:47,360
+accommodation تاع العين، بيصير اللي هو eye fatigue
+
+501
+00:47:47,360 --> 00:47:52,060
+صح؟ طبعاً الـ eye fatigue، العين بتحاول أنه تعوّض هذا
+
+502
+00:47:52,060 --> 00:47:57,220
+الإجهاد، طيب كيف العين بتحاول أنه تعوّض الإجهاد هذا؟
+
+503
+00:47:57,220 --> 00:48:00,780
+بتلاقي أنه دائماً عنده convergence، يعني أن العينين
+
+504
+00:48:00,780 --> 00:48:05,720
+داخلتين للداخل، و accommodation كبير للعينين، فبتلاقي
+
+505
+00:48:05,720 --> 00:48:09,420
+الإنسان بيحاول أنه يعوّض هذا، فبتلاقي عنده دائماً eye
+
+506
+00:48:09,420 --> 00:48:14,810
+fatigue، إجهاد، أو eye strain، يعني أنه العين متعبة،
+
+507
+00:48:14,810 --> 00:48:19,170
+مجهدة، طبعاً هذه الأعراض كلها بتروح متى؟ لما الإنسان
+
+508
+00:48:19,170 --> 00:48:23,750
+بيبدأ أنه يبحث عن مين؟ العلاج، يعني نضارة للقريب
+
+509
+00:48:23,750 --> 00:48:26,690
+بتراعيه، خلاص، أنه لو كان مثلاً breast pain، شو
+
+510
+00:48:26,690 --> 00:48:32,750
+علاجها؟ أنه glasses for reading، نضارة للقريب، أو
+
+511
+00:48:32,750 --> 00:48:39,390
+للقراءة، When he reads small letters, the patient sees
+
+512
+00:48:39,390 --> 00:48:44,080
+the letters running together، بيجي مثلاً يقرأ القريب
+
+513
+00:48:44,080 --> 00:48:47,900
+بتلاقي الكلمات إيه؟  داخلة ببعض، شوف الامتحان
+
+514
+00:48:47,900 --> 00:48:51,400
+كأنه اثنين، أو بتلاقي الكلمات كلها داخلة ببعض
+
+515
+00:48:51,400 --> 00:48:55,280
+طيب،
+
+516
+00:48:55,840 --> 00:49:02,020
+ocular symptoms، بقولنا أعراض إيش مالها؟ عينية،
+
+517
+00:49:02,020 --> 00:49:05,360
+يعني خلصنا إحنا الـ visual symptoms، number two: الـ
+
+518
+00:49:05,360 --> 00:49:11,490
+ocular symptoms، These together are called Asthenopia
+
+519
+00:49:11,490 --> 00:49:16,350
+شو معناه Asthenopia؟ اللي بتعرف الـ Asthenopia، اللي
+
+520
+00:49:16,350 --> 00:49:20,030
+بتعرف الـ Asthenopia
+
+521
+00:49:20,030 --> 00:49:21,130
+اللي بتعرف الـ Asthenopia، اللي بتعرف الـ Asthenopia، اللي
+
+522
+00:49:21,130 --> 00:49:21,590
+بتعرف الـ Asthenopia، اللي بتعرف الـ Asthenopia، اللي
+
+523
+00:49:21,590 --> 00:49:22,730
+بتعرف الـ Asthenopia، اللي بتعرف الـ Asthenopia، اللي
+
+524
+00:49:22,730 --> 00:49:26,750
+بتعرف الـ Asthenopia، اللي بتعرف الـ Asthenopia، اللي
+
+525
+00:49:26,750 --> 00:49:35,790
+بتعرف الـ Asthenopia
+
+526
+00:49:35,790 --> 00:49:40,160
+اللي هو هذا الإجهاد للعين، that leads to the eye strain
+
+527
+00:49:40,160 --> 00:49:46,320
+سمعت
+
+528
+00:49:46,320 --> 00:49:55,920
+إنت؟ شو حكيت؟ that leads to eye strain
+
+529
+00:50:08,210 --> 00:50:12,330
+أستينوبيا، eye fatigue that leads to eye strain
+
+530
+00:50:12,330 --> 00:50:16,150
+واضح؟
+
+531
+00:50:16,150 --> 00:50:24,190
+طبعاً
+
+532
+00:50:24,190 --> 00:50:31,410
+لو أنا أجي أفسر الكلمة، إيش معناها هنا؟ هذه عبارة
+
+533
+00:50:31,410 --> 00:50:31,970
+عن prefix
+
+534
+00:50:36,420 --> 00:50:44,160
+الـ أوبيا، هي معناها vision
+
+535
+00:50:44,160 --> 00:50:53,360
+suffix
+
+536
+00:50:53,360 --> 00:51:01,140
+معناها كثير، إذا
+
+537
+00:51:01,140 --> 00:51:04,100
+الأستينوبيا eye
+
+538
+00:51:08,430 --> 00:51:27,990
+Fatigue that leads to eye strain. These
+
+539
+00:51:27,990 --> 00:51:32,410
+symptoms arise from excessive work of eye
+
+540
+00:51:32,410 --> 00:51:37,330
+muscles in the presence of a refractive error where
+
+541
+00:51:37,330 --> 00:51:42,950
+muscle fatigue results. أن هذه الأعراض بتزيد مع
+
+542
+00:51:42,950 --> 00:51:48,210
+زيادة العمل للقريب، يعني مع زيادة القراءة، أو زيادة
+
+543
+00:51:48,210 --> 00:51:54,950
+مثلاً الـ attention، الانتباه، أو مثلاً مع الخياطة، في
+
+544
+00:51:54,950 --> 00:51:58,730
+وجود إيش؟ الـ refractive error، الخطأ الانكساري للعين
+
+545
+00:51:58,730 --> 00:52:03,670
+وهذا بيؤدي إلى إيش؟ إلى إجهاد، يعني إجهاد للعين
+
+546
+00:52:06,360 --> 00:52:11,840
+الـ long period of close work, the eyes feel أنه
+
+547
+00:52:11,840 --> 00:52:17,520
+لما الواحد يعمل عمل مثلاً قريب، ويكون هذا في وقت
+
+548
+00:52:17,520 --> 00:52:22,360
+كبير مثلاً، شو ممكن يصير له؟ يعني العين بشو بتشعر؟
+
+549
+00:52:22,360 --> 00:52:27,340
+أول حاجة بتشعر فيه tiredness، تعب، number two:
+
+550
+00:52:27,340 --> 00:52:33,940
+hotness، احمرار، uncomfortable، إجهاد، أو مش مرتاح
+
+551
+00:52:33,940 --> 00:52:37,820
+هو يعني ما بيقدر أنه يوفر provide، أو clear vision
+
+552
+00:52:37,820 --> 00:52:46,100
+واضح، الرابع: أنه temporary relief by rest، أنه بيشعر
+
+553
+00:52:46,100 --> 00:52:51,100
+يعني براحة، وقت ما هو إيش؟ يرتاح، يعني فقط في حالة
+
+554
+00:52:51,100 --> 00:52:56,260
+اللي هو لما يكون relaxed، بيشعر براحة، واضح؟ الـ
+
+555
+00:52:56,260 --> 00:52:59,900
+return to near work again, the above symptoms
+
+556
+00:52:59,900 --> 00:53:04,370
+develop into eye pain، يعني بس يعيد مرة ثانية العمل
+
+557
+00:53:04,370 --> 00:53:09,430
+القريب، بترجع كل الأعراض، الآن لو... شو أعراض الـ
+
+558
+00:53:09,430 --> 00:53:14,870
+ocular symptoms؟ number one: tiredness، number two:
+
+559
+00:53:15,590 --> 00:53:22,570
+hotness، number three: uncomfortable، وإنه temporary
+
+560
+00:53:22,570 --> 00:53:30,780
+relief by rest، the pain of the eyes due to eye
+
+561
+00:53:30,780 --> 00:53:35,040
+strain is mild and aching, but occasionally becomes
+
+562
+00:53:35,040 --> 00:53:39,760
+severe and acute، يعني هذا الألم بتاع العين ثانية
+
+563
+00:53:39,760 --> 00:53:44,360
+سببه إجهاد للعين، وممكن هذا الإجهاد أنه يكون mild،
+
+564
+00:53:44,360 --> 00:53:49,440
+يعني بسيط أو خفيف، ممكن أنه يكون aching، أنه يعمل
+
+565
+00:53:49,440 --> 00:53:53,760
+مثلاً حكّة، أو يعمل مثلاً ألم، aching معناها اللي هو زي
+
+566
+00:53:53,760 --> 00:53:59,220
+صداع أو ألم، but occasionally، لكن غالباً بيكون إيش؟
+
+567
+00:54:00,300 --> 00:54:07,040
+severe، يعني حاد، و acute، يعني مزمن، يعني
+
+568
+00:54:07,040 --> 00:54:10,980
+occasionally، اللي هو rarely، نادراً ما يكون حاد، أو
+
+569
+00:54:10,980 --> 00:54:20,460
+يكون acute، مزمن، واضح؟ دائماً الـ pain، الـ eye pain
+
+570
+00:54:20,460 --> 00:54:23,940
+والـ headache مرتبط في الـ visual symptoms، يعني أنت
+
+571
+00:54:23,940 --> 00:54:28,310
+الآن كـ optometrist، دائماً اربطي الـ refractive error
+
+572
+00:54:28,310 --> 00:54:31,970
+بالـ eye pain، والـ headache، الـ ocular symptoms
+
+573
+00:54:31,970 --> 00:54:37,150
+دائماً اربطيها بالـ uncomfortable، عدم الراحة، بالـ
+
+574
+00:54:37,150 --> 00:54:41,650
+tiredness، الإجهاد أو التعب، في الـ hotness،
+
+575
+00:54:41,650 --> 00:54:43,010
+الاحمرار، واضح؟
+
+576
+00:54:49,390 --> 00:54:53,910
+The pain may be situated in the eyes, or extended
+
+577
+00:54:53,910 --> 00:54:58,410
+and referred to the orbit, or even to the head in the form of
+
+578
+00:54:58,410 --> 00:55:02,990
+headache، يعني ممكن هذا موقع الألم، ممكن يكون في
+
+579
+00:55:02,990 --> 00:55:06,310
+العينين، أو ممكن يكون حول العين، في الـ orbit
+
+580
+00:55:06,310 --> 00:55:12,510
+واضح؟ these eyes have a characteristic appearance
+
+581
+00:55:12,510 --> 00:55:17,650
+طيب، كيف أنا بعرف أن مريض عندة الـ ocular symptoms
+
+582
+00:55:17,650 --> 00:55:22,030
+الأعراض العينية؟ هذه بتلاقي أن هذه الأعراض ملحوظة
+
+583
+00:55:22,030 --> 00:55:26,470
+عند المريض، زي مثلاً إيش؟ أول حاجة بيكون redness،
+
+584
+00:55:26,470 --> 00:55:30,510
+احمرار، يعني أول ما تطلعي في عينه، أو في عينها، تكون
+
+585
+00:55:30,510 --> 00:55:33,270
+عندها احمرار في الـ sclera، هذه المنطقة البيضاء
+
+586
+00:55:33,270 --> 00:55:37,850
+بتلاقي أنه في عندها إيش؟ احمرار فيها، زيادة، أنه بيكون
+
+587
+00:55:37,850 --> 00:55:44,270
+عندها الـ congestion، احتقان، continued rubbing of
+
+588
+00:55:44,270 --> 00:55:50,050
+the eyes، أنه دائماً مستمر حكّ في العينين، the eyes
+
+589
+00:55:50,050 --> 00:55:54,290
+are watery، في العينين بيكون ماء، يعني بتلاقي
+
+590
+00:55:54,290 --> 00:55:58,450
+دائماً مدمع، أنه عنده دمع في العين، and maybe
+
+591
+00:55:58,450 --> 00:56:03,890
+infected، ممكن أنه تكون عدوى، infected، this is
+
+592
+00:56:03,890 --> 00:56:06,930
+more noticed، هذه بتلاحظها أكثر وقت إيش؟ عند
+
+593
+00:56:06,930 --> 00:56:10,770
+الأطفال، ليش؟ لأنه دائماً بتلاقي إيده مش نظيفة، وهو
+
+594
+00:56:10,770 --> 00:56:12,250
+إيش؟ بيعمل حكّ إليها
+
+595
+00:56:16,470 --> 00:56:20,830
+طبعاً إحنا رح نوقف عند الـ repair symptoms، في
+
+596
+00:56:20,830 --> 00:56:24,750
+المحاضرة القادمة، إن شاء الله، سوف نبدأ في الـ repair
+
+597
+00:56:24,750 --> 00:56:25,210
+symptoms
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_postprocess.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5dc1a57bdfe289468ba85793de0de01e27e451c4
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_postprocess.srt
@@ -0,0 +1,2388 @@
+1
+00:00:21,160 --> 00:00:23,720
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:23,720 --> 00:00:30,460
+الله و بركاته بداية ان كونوا عامة بخير هنبدأ في
+
+3
+00:00:30,460 --> 00:00:36,060
+مادة البصريات الرؤية و الانكسار طبعا بدأنا احنا في
+
+4
+00:00:36,060 --> 00:00:41,240
+المحاضرة السابقة اتكلمنا عن موضوع ال refraction
+
+5
+00:00:41,240 --> 00:00:46,820
+clinical importance of refraction بتمنى من كل
+
+6
+00:00:46,820 --> 00:00:52,920
+واحدة تسكر الدفترفي عندنا سؤال ك quiz نوع من ال
+
+7
+00:00:52,920 --> 00:01:00,820
+quiz سكن الدفتر يبقى ورقة
+
+8
+00:01:00,820 --> 00:01:13,300
+صغيرة تكتب عليها اسمك يلا
+
+9
+00:01:13,300 --> 00:01:14,420
+عشان نبدأ في المحاضرة
+
+10
+00:01:35,170 --> 00:01:41,870
+السؤال what is
+
+11
+00:01:41,870 --> 00:01:48,630
+the importance
+
+12
+00:01:48,630 --> 00:01:54,350
+of
+
+13
+00:01:54,350 --> 00:02:03,930
+refraction in
+
+14
+00:02:03,930 --> 00:02:04,510
+clinical
+
+15
+00:02:25,850 --> 00:02:29,270
+ممكن تسيخت السؤال what is the benefit of
+
+16
+00:02:29,270 --> 00:02:34,630
+refraction in a clinical of thalamology مع 5 دقائق
+
+17
+00:02:34,630 --> 00:02:37,370
+رجاء الملزمة ساكريها
+
+18
+00:02:47,080 --> 00:02:52,840
+واضح السؤال؟ يعني ما هي الأهمية الكليكية للانكسار
+
+19
+00:02:52,840 --> 00:02:57,100
+من ناحية clinical ophthalmology، من ناحية طبية أو
+
+20
+00:02:57,100 --> 00:03:01,000
+من ناحية البصريات
+
+21
+00:03:01,000 --> 00:03:02,520
+أو من ناحية طب العيون
+
+22
+00:03:27,050 --> 00:03:32,830
+في عندنا سؤال كل واحدة تطلع ورقة، ورقة صغيرة
+
+23
+00:03:32,830 --> 00:03:44,050
+السؤال what is the importance؟ لأ ماحدة نتكلم اكتب
+
+24
+00:03:44,050 --> 00:03:49,550
+الاسم what is
+
+25
+00:03:49,550 --> 00:03:54,030
+the importance?ماذا يعني مفيد في مدرسة تلمولوجيا؟
+
+26
+00:03:54,030 --> 00:03:58,110
+او ماذا يعني مفيد في مدرسة تلمولوجيا؟
+
+27
+00:04:25,910 --> 00:04:26,590
+أتكلم بسرعة
+
+28
+00:05:04,910 --> 00:05:11,310
+الكل كاتب اسمها؟ شجها
+
+29
+00:05:11,310 --> 00:05:25,550
+دي كله سلم صح؟ اه اه okay in
+
+30
+00:05:25,550 --> 00:05:31,130
+clinical ophthalmology في طب العيون يعني شو
+
+31
+00:05:31,130 --> 00:05:34,290
+الأهمية الإنكسار في طب العيون
+
+32
+00:05:44,810 --> 00:05:46,210
+واضح؟
+
+33
+00:06:42,570 --> 00:06:57,070
+خلصنا هي كده طبعا
+
+34
+00:06:57,070 --> 00:07:06,770
+لو أخدنا ورق عشوية خلصته
+
+35
+00:07:06,770 --> 00:07:07,190
+هيك
+
+36
+00:07:26,740 --> 00:07:30,300
+طيب، what is the importance for benefits of
+
+37
+00:07:30,300 --> 00:07:33,610
+refraction in clinical of the hemorrhages؟طيب
+
+38
+00:07:33,610 --> 00:07:38,650
+number one examination the error diffracted number
+
+39
+00:07:38,650 --> 00:07:44,790
+two provide a clear and confirm طيب
+
+40
+00:07:44,790 --> 00:07:46,770
+number one
+
+41
+00:07:59,140 --> 00:08:03,440
+وحدة بس خلينا نقطة واحدة شو حكيت انت اول نقطة
+
+42
+00:08:03,440 --> 00:08:07,800
+اتفضلي
+
+43
+00:08:07,800 --> 00:08:12,480
+اتفضلي طبعا
+
+44
+00:08:12,480 --> 00:08:16,450
+اللي كتبت determining of the refractive errorof
+
+45
+00:08:16,450 --> 00:08:20,610
+the eye؟ لأ، هي مش .. احنا معاها حكينا ال
+
+46
+00:08:20,610 --> 00:08:24,130
+determining of the refractive error أول واحدة اللي
+
+47
+00:08:24,130 --> 00:08:27,370
+هي determining of the optical condition of the eye
+
+48
+00:08:27,370 --> 00:08:32,010
+ممكن تكون قبل كده
+
+49
+00:08:32,010 --> 00:08:37,150
+refractive
+
+50
+00:08:37,150 --> 00:08:42,230
+condition او ال optical state of the eye شوف
+
+51
+00:08:42,230 --> 00:08:42,510
+كتابتي
+
+52
+00:08:46,960 --> 00:08:49,540
+Determining the refractive error ممكن تبنى المياب
+
+53
+00:08:49,540 --> 00:08:53,160
+والهايبرمتراب ولا الastigmatism؟الrefract هى ممكن
+
+54
+00:08:53,160 --> 00:08:56,100
+اللى هو determining of the refractive error او ال
+
+55
+00:08:56,100 --> 00:08:59,860
+optical state للeye لانه لازم انا اوضح انه هل عنده
+
+56
+00:08:59,860 --> 00:09:04,540
+امتراب ولا هيبرمتراب ولا استigmatism هى مافي واحدة
+
+57
+00:09:04,540 --> 00:09:05,500
+حتى جثية
+
+58
+00:09:10,560 --> 00:09:13,680
+الـ Optical Condition الميوب والـ Hypermetroid
+
+59
+00:09:13,680 --> 00:09:21,720
+والـ Stigmatism أو
+
+60
+00:09:21,720 --> 00:09:25,320
+ممكن انه Determining of the Refractive Error بس
+
+61
+00:09:25,320 --> 00:09:29,920
+بدى اذكر الامتراض، امتراض مافيش حاجة نكتب اللى هو
+
+62
+00:09:29,920 --> 00:09:30,280
+اللى ..
+
+63
+00:09:39,940 --> 00:09:44,740
+بالنسبة لها عشان انه يكون الحل الصحيح تاعهم اول
+
+64
+00:09:44,740 --> 00:09:47,800
+حاجة determining of the refractive condition of
+
+65
+00:09:47,800 --> 00:09:52,560
+the eye يعني بيحدد الحالة الانكسارية للعين واضح؟
+
+66
+00:09:52,560 --> 00:09:55,880
+اتنين measuring of the refractive error يعني بيشوف
+
+67
+00:09:55,880 --> 00:10:00,460
+هل هو عنده ميوب ولا hypermetrop or استيغمتزم زاد
+
+68
+00:10:00,460 --> 00:10:03,300
+انه ايش بيعمل؟ انه بيقرب الأجسام
+
+69
+00:10:05,880 --> 00:10:10,060
+مثلا الان انا كان عندي ميوب واضح؟ الميوب ايش
+
+70
+00:10:10,060 --> 00:10:14,200
+بيعني؟ انه بيكون عنده مشكلة في البعيد فهو بيعمل
+
+71
+00:10:14,200 --> 00:10:17,580
+تصحيح للبعيد او ال hyper metro بيكون عنده مشكلة في
+
+72
+00:10:17,580 --> 00:10:21,880
+القريب فبصليح لي القريب و التالت هو اللي provide
+
+73
+00:10:21,880 --> 00:10:24,720
+clear and comfortable vision هكتبه مرة تانية
+
+74
+00:10:24,720 --> 00:10:26,380
+number one
+
+75
+00:10:39,090 --> 00:10:41,590
+أه بس هين كنت واضحى ال optical .. ال refractive
+
+76
+00:10:41,590 --> 00:10:44,810
+error أو ال refractive condition ميوب،
+
+77
+00:10:44,810 --> 00:10:47,750
+hypermetropia، astigmatism أو ال metropia بس انتوا
+
+78
+00:10:47,750 --> 00:10:50,330
+مش واضحين هنا انت .. انت كتبتيننا على اللوح لأ مش
+
+79
+00:10:50,330 --> 00:10:56,950
+حطيت اللي هو ال optical condition موجودة انا بذكر
+
+80
+00:10:56,950 --> 00:11:00,890
+حطيت اي اتحاجي حكيت انه .. انه حكيت refractive
+
+81
+00:11:00,890 --> 00:11:04,350
+error دايما انه بتعمل يسهم صح ولا لأ؟ انا هادى شغل
+
+82
+00:11:04,350 --> 00:11:07,530
+اولا .. طيب .. اخرين تانية ماحطيناش مجالي كده اللي
+
+83
+00:11:07,530 --> 00:11:11,200
+هتقعدون كده اللي هتقولونيعني اول حاجة ايش؟
+
+84
+00:11:11,200 --> 00:11:13,680
+Determining of the refractive condition of the
+
+85
+00:11:13,680 --> 00:11:21,480
+eye، صحيح؟ Determining
+
+86
+00:11:21,480 --> 00:11:25,940
+of
+
+87
+00:11:25,940 --> 00:11:30,280
+the .. طبعا ال refractive error ممكن اكتبه اختصار،
+
+88
+00:11:30,280 --> 00:11:34,640
+refractive error of
+
+89
+00:11:34,640 --> 00:11:39,520
+the .. او ال optical condition
+
+90
+00:11:44,310 --> 00:11:47,790
+الـ refractive error أو الـ optical state هي واحد،
+
+91
+00:11:47,790 --> 00:11:48,870
+يعني نفس المصطلح
+
+92
+00:12:30,990 --> 00:12:34,510
+عشان هي الصح ان تكتب ال optical state او ال
+
+93
+00:12:34,510 --> 00:12:39,040
+refractive error واحد نفس المصطلح واضح؟يعني ال
+
+94
+00:12:39,040 --> 00:12:42,400
+optical state هو بيشمل ال emetrope و ال emetrope
+
+95
+00:12:42,400 --> 00:12:46,060
+ال emetrope عبارة عن ال hypermetrope الميوب و ال
+
+96
+00:12:46,060 --> 00:12:49,120
+astigmatism ال emetrope اللي هو ال normal case
+
+97
+00:12:49,120 --> 00:12:52,220
+number
+
+98
+00:12:52,220 --> 00:12:57,320
+two measurement of
+
+99
+00:12:57,320 --> 00:13:07,360
+the refractive error number three a provide a
+
+100
+00:13:07,360 --> 00:13:07,760
+clear
+
+101
+00:13:20,530 --> 00:13:29,690
+وvision واضح؟ احنا
+
+102
+00:13:29,690 --> 00:13:35,390
+قدمنا request و كل واحدة كتبت كتبت مش عارفإيش
+
+103
+00:13:35,390 --> 00:13:41,930
+كاتبين طيب؟ واحدة بس خليها تحكي واحدة صح correct
+
+104
+00:13:41,930 --> 00:13:44,430
+and correct and correct and correct and correct
+
+105
+00:13:44,430 --> 00:13:47,690
+and correct and correct and correct and correct
+
+106
+00:13:47,690 --> 00:13:49,110
+and correct and correct and correct and correct
+
+107
+00:13:49,110 --> 00:13:49,950
+and correct and correct and correct and correct
+
+108
+00:13:49,950 --> 00:13:52,090
+and correct and correct and correct and correct
+
+109
+00:13:52,090 --> 00:13:52,230
+and correct and correct and correct and correct
+
+110
+00:13:52,230 --> 00:13:52,350
+and correct and correct and correct and correct
+
+111
+00:13:52,350 --> 00:13:52,750
+and correct and correct and correct and correct
+
+112
+00:13:52,750 --> 00:13:52,970
+and correct and correct and correct and correct
+
+113
+00:13:52,970 --> 00:13:53,210
+and correct and correct and correct and correct
+
+114
+00:13:53,210 --> 00:13:55,070
+and correct and correct and correct and correct
+
+115
+00:13:55,070 --> 00:13:55,610
+and correct and correct and correct and correct
+
+116
+00:13:55,610 --> 00:13:58,510
+and correct and
+
+117
+00:14:03,340 --> 00:14:10,960
+واضح السؤال؟ خلصناه؟ طيب طيب طيب طيب طيب
+
+118
+00:14:10,960 --> 00:14:13,440
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+119
+00:14:13,440 --> 00:14:14,640
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+120
+00:14:14,640 --> 00:14:14,700
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+121
+00:14:14,700 --> 00:14:14,800
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+122
+00:14:14,800 --> 00:14:15,640
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+123
+00:14:15,640 --> 00:14:30,180
+طيب طيب طيب طيب طيب
+
+124
+00:14:30,180 --> 00:14:34,960
+طIn high degrees of refractive errors, the main
+
+125
+00:14:34,960 --> 00:14:39,380
+symptom is defective vision الآن ال high degrees
+
+126
+00:14:39,380 --> 00:14:45,620
+according to Duke Elder book يعني بناء على الكتاب
+
+127
+00:14:45,620 --> 00:14:49,480
+اللي احنا بندرس منه المرجع في عندنا refractive
+
+128
+00:14:49,480 --> 00:14:53,540
+error تلت أنواع ممكن ان يكون ال refractive error
+
+129
+00:14:53,540 --> 00:14:59,600
+mild refractive errorممكن mind شو معناها؟ خفيف
+
+130
+00:14:59,600 --> 00:15:03,960
+يعني او قليل ممكن انه يكون moderate متوسط وممكن
+
+131
+00:15:03,960 --> 00:15:08,660
+انه يكون ايش severe في تصنيف اخر ممكن يكون high
+
+132
+00:15:08,660 --> 00:15:13,120
+انه عالي يعني عنده اخطاء انكسرية عالية ممكن يكون
+
+133
+00:15:13,120 --> 00:15:17,400
+moderate متوسط وممكن يكون ايش low اللي هو منخفض
+
+134
+00:15:17,400 --> 00:15:22,140
+فالان يكون المريض عنده high high refractive errors
+
+135
+00:15:22,140 --> 00:15:24,160
+ال high refractive error
+
+136
+00:15:34,960 --> 00:15:40,720
+فعن للميوف minus
+
+137
+00:15:40,720 --> 00:15:51,420
+6 or more كتصنيف
+
+138
+00:15:51,420 --> 00:15:55,420
+للميوف ان هاي refractive error ممكن يكون من minus
+
+139
+00:15:55,420 --> 00:16:02,080
+6 او اكتر واضح طبعا هذا ايش according يعني بناء
+
+140
+00:16:02,080 --> 00:16:02,460
+على
+
+141
+00:16:15,270 --> 00:16:26,530
+بناء على المرجع بتاعنا ال hybrid metro plus
+
+142
+00:16:26,530 --> 00:16:30,190
+5.25 four more
+
+143
+00:16:34,610 --> 00:16:45,650
+و ال astigmatism واحد
+
+144
+00:16:45,650 --> 00:16:52,230
+ربع or more عليش محطت الشهان إشارة لنقول انه plus
+
+145
+00:16:52,230 --> 00:16:57,510
+or minus فعندنا بالنسبة لل high refractive error
+
+146
+00:16:57,510 --> 00:17:01,870
+بنقسم إلى تلت أقسام إما أنه يكون high mayo أو high
+
+147
+00:17:01,870 --> 00:17:06,040
+hypermetro أو high astigmatismالـ high ميوغ minus
+
+148
+00:17:06,040 --> 00:17:10,140
+six or more معناه minus six يعني العدسة اللى هحطها
+
+149
+00:17:10,140 --> 00:17:15,180
+للمريض عشان يشوف ستة ع ستة جداش minus ستة او اكثر
+
+150
+00:17:15,180 --> 00:17:20,380
+واضح يعني minus ستة او اكثر يعني ممكن يكون minus
+
+151
+00:17:20,380 --> 00:17:25,200
+twenty او minus مثلا thirty او minus forty فهذا
+
+152
+00:17:25,200 --> 00:17:28,880
+كله بنسميه ايش high refractive error or high ميوغ
+
+153
+00:17:28,880 --> 00:17:35,640
+مش احنا قولنا العدسة اللى بنحطهاconvex بيبقى plus
+
+154
+00:17:35,640 --> 00:17:41,500
+concave minus يما
+
+155
+00:17:41,500 --> 00:17:45,440
+يكون مريض عندنا ميوك ايش بدنا نحط عدسة؟ concave اه
+
+156
+00:17:45,440 --> 00:17:48,580
+اللي هي minus عدسة minus نفس الهدف يعني عدسة اه
+
+157
+00:17:48,580 --> 00:17:52,840
+هدف النضارة اه يما يكون اللي هو hyper metroid
+
+158
+00:17:52,840 --> 00:17:57,220
+convex اللي هو convex بدنا نحط اللي هو عدسة موجبة
+
+159
+00:17:57,220 --> 00:18:01,870
+plus خمسة و ربع يما يكون astigmatismواحد ربع او
+
+160
+00:18:01,870 --> 00:18:06,750
+اكتر طب هان ايش ماحطتش .. ماحطتش sign اشارة plus
+
+161
+00:18:06,750 --> 00:18:12,870
+or minus واضح؟ in high degrees of refractive
+
+162
+00:18:12,870 --> 00:18:16,910
+errors, the main symptom is defective mediums يعني
+
+163
+00:18:16,910 --> 00:18:21,750
+لما يكون المريض عنده high يعني درجات عالية سواء
+
+164
+00:18:21,750 --> 00:18:25,490
+myopia او hypermetropia او astigmatism انه بيكون
+
+165
+00:18:25,490 --> 00:18:29,590
+الخلل ايش؟ عنده خلل في الرؤية يعني خلل بصري
+
+166
+00:18:29,800 --> 00:18:36,760
+defective vision اختصار للخلل البصري ال
+
+167
+00:18:36,760 --> 00:18:39,920
+low degrees of refractive errors the defective
+
+168
+00:18:39,920 --> 00:18:43,260
+vision is only one of his symptoms طيب لو واحد
+
+169
+00:18:43,260 --> 00:18:47,280
+مثلا كان عنده low refractive error طبعا low myo أو
+
+170
+00:18:47,280 --> 00:18:52,660
+low hypermetro أو low astigmatism هذا المريض ايش
+
+171
+00:18:52,660 --> 00:18:56,820
+بيكون عنده ال defective vision هي واحدة من هذه
+
+172
+00:18:56,820 --> 00:19:00,830
+الأعراضيعني بيكون عنده أعراض أخرى لكن ال defective
+
+173
+00:19:00,830 --> 00:19:04,470
+vision الخلل البصري هي واحدة من هذه الأعراض واضح
+
+174
+00:19:04,470 --> 00:19:16,970
+فعندنا ال low refractive error ال
+
+175
+00:19:16,970 --> 00:19:22,310
+low
+
+176
+00:19:22,310 --> 00:19:25,810
+refractive
+
+177
+00:19:25,810 --> 00:19:32,990
+errorممكن يكون low, meiwot,
+
+178
+00:19:34,830 --> 00:19:43,510
+low, hyper, metro طبعا ال hyper, metro بالان نعتمد
+
+179
+00:19:43,510 --> 00:19:47,450
+الاختصار لان احنا هنتعلم كل شغلة يعني هنكتب معظم
+
+180
+00:19:47,450 --> 00:19:52,530
+الأشياء في اختصار زي refractive error RE او low
+
+181
+00:19:52,530 --> 00:19:55,190
+astigmatism
+
+182
+00:20:02,430 --> 00:20:10,330
+طبعا ال low major هيكون من minus ربع ل minus ثلاثة
+
+183
+00:20:10,330 --> 00:20:19,950
+ال low hypermetro من plus ربع ل اتنين ال
+
+184
+00:20:19,950 --> 00:20:28,430
+astigmatism هيكون من minus ربع ل plus
+
+185
+00:20:28,430 --> 00:20:36,230
+or minus لخمس و سبعينطيب ممكن واحد يسأل سؤال طيب
+
+186
+00:20:36,230 --> 00:20:39,550
+الباقي من تلاتة لستة وين راح؟ مدرد، اي مدرد، مدرد
+
+187
+00:20:39,550 --> 00:20:43,790
+انه هيكون ايش؟ مدرد ميوب او مدرد هايفر متروب او
+
+188
+00:20:43,790 --> 00:20:50,850
+مدرد استجماتيزم، واضح؟ اه، الان ال low ميوب هيكون
+
+189
+00:20:50,850 --> 00:20:56,290
+من minus ربع ل minus تلاتة، واضح؟ ال high ميوب من
+
+190
+00:20:56,290 --> 00:21:01,130
+minus ستة او اكتر، طيب اللي بينهم هذا بتسمى مدرد
+
+191
+00:21:01,130 --> 00:21:06,730
+ميوبالـ hypermetrophe من الـ plus ربع لإتنين الـ
+
+192
+00:21:06,730 --> 00:21:10,270
+high hypermetrophe ال plus two point five or more
+
+193
+00:21:10,270 --> 00:21:14,710
+فبالبينهم إيش بالزميل؟ moderate يعني متوسط يعني
+
+194
+00:21:14,710 --> 00:21:19,290
+مثلا عنده بيكون متوسط اللي هو طول نظر أو متوسط قصر
+
+195
+00:21:19,290 --> 00:21:23,690
+نظر ال
+
+196
+00:21:23,690 --> 00:21:26,870
+low degrees of refractive errors the defective
+
+197
+00:21:26,870 --> 00:21:30,170
+vision is only one of his symptoms يعني لما يكون
+
+198
+00:21:30,170 --> 00:21:34,430
+عندهدرجة جليلة من ال refractive error تعتبر الخلل
+
+199
+00:21:34,430 --> 00:21:37,990
+البصري هي واحدة من هذه الأعراض لكن هل هما كلهم؟
+
+200
+00:21:37,990 --> 00:21:41,610
+هذا ممكن true or false اللي هو degrees of
+
+201
+00:21:41,610 --> 00:21:45,070
+refractive error the defective vision is one of
+
+202
+00:21:45,070 --> 00:21:49,790
+his symptoms صح ولا خطأ؟ صح صح صح صح صح صح صح صح
+
+203
+00:21:49,790 --> 00:21:52,150
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+204
+00:21:52,150 --> 00:21:52,490
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+205
+00:21:52,490 --> 00:21:52,710
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+206
+00:21:52,710 --> 00:22:01,560
+صح صحother symptoms like afford to see clearly in
+
+207
+00:22:01,560 --> 00:22:04,360
+spite of the presence of the refractive error
+
+208
+00:22:04,360 --> 00:22:08,920
+المريض هذا عنده خلال بصري لكن ممكن أن يكون أعراض
+
+209
+00:22:08,920 --> 00:22:13,440
+أخرى زي مثلا عنده ألم في العين أو مثلا عنده صداع
+
+210
+00:22:13,440 --> 00:22:18,120
+سواء frontal أو مثلا occipital أو مثلا temporal أو
+
+211
+00:22:18,120 --> 00:22:23,640
+nasal يعني يكون عنده أيش أعراض أخرى واضح؟ frontal
+
+212
+00:22:23,640 --> 00:22:27,270
+معناها من الأمام يعني صداع أماميوكسبت الخلفية
+
+213
+00:22:27,270 --> 00:22:34,770
+temporal من الطرف، نزل من هناك condition of
+
+214
+00:22:34,770 --> 00:22:37,990
+sustained use of accommodation in hyperuvic
+
+215
+00:22:37,990 --> 00:22:41,510
+persons and presbyopic persons in near work are
+
+216
+00:22:41,510 --> 00:22:44,090
+typical circumstances that produce non visual
+
+217
+00:22:44,090 --> 00:22:47,910
+symptoms like eye pain and headache الان لو انا
+
+218
+00:22:47,910 --> 00:22:52,310
+مثلا عندي مريض عنده hypermetroid اللي هو طول نظر
+
+219
+00:22:52,310 --> 00:22:55,150
+شو معناه hypermetroid تعريف ال hypermetroid
+
+220
+00:22:58,980 --> 00:23:04,380
+انصدار رايدريت انصدار رايدريت are brought to focus
+
+221
+00:23:04,380 --> 00:23:10,660
+behind the regime لو واحد مثلا كان عنده hyper
+
+222
+00:23:10,660 --> 00:23:14,320
+metro بطول نظر او عنده bris payot شو معناته bris
+
+223
+00:23:14,320 --> 00:23:18,080
+payot ك definition له؟
+
+224
+00:23:22,330 --> 00:23:25,890
+Ibris biopia in ability to focus the light on the
+
+225
+00:23:25,890 --> 00:23:30,710
+retina by loss of flexibility of the crystalline
+
+226
+00:23:30,710 --> 00:23:34,150
+lens لو كان المريض عنده hyper metroid أو كان عنده
+
+227
+00:23:34,150 --> 00:23:38,390
+مثلا Ibris biopia يما بيجي باستخدام القريب بيكون
+
+228
+00:23:38,390 --> 00:23:41,930
+في عنده إيش مشكلة ليش؟ لأنه ماعندهوش accommodation
+
+229
+00:23:41,930 --> 00:23:49,490
+كافي انه يقدر العدسة تتكيّب انه يشوف الصورة بشكل
+
+230
+00:23:49,490 --> 00:23:53,380
+واضحفبتلاقي دايما بقرب اللي هو الجوال او بتلاقي
+
+231
+00:23:53,380 --> 00:23:57,380
+مثلا بقرب اللابتوب اكثر له او ببعده حسب اللي هو
+
+232
+00:23:57,380 --> 00:24:03,260
+ايه التكييف بتاعه فهذا المريض اللي بيستخدم ال
+
+233
+00:24:03,260 --> 00:24:07,140
+accommodation التكييف بشكل مستمر سواء كان hyper
+
+234
+00:24:07,140 --> 00:24:12,020
+metro عنده طول نظر او عنده breast biop قصه نظر
+
+235
+00:24:12,020 --> 00:24:17,080
+شيخوخة هذا المريض انه هيعاني من ايش؟ من أعراض أخرى
+
+236
+00:24:17,080 --> 00:24:21,270
+غير النظر زي مثلا شهد الأعراضال eye pain اللي هو
+
+237
+00:24:21,270 --> 00:24:25,470
+ألم في العين زائد ال headache اللي هو الصدع واضح؟
+
+238
+00:24:25,470 --> 00:24:30,090
+واضح يعني الآن لو أنا مثلا أجيب السؤال شو مثلا ال
+
+239
+00:24:30,090 --> 00:24:36,110
+symptoms لإنسان عنده hypermetropia او presbyopia
+
+240
+00:24:36,110 --> 00:24:43,150
+اول حاجة ايش؟ eye pain اول حاجة اول
+
+241
+00:24:43,150 --> 00:24:47,110
+حاجة اللي هو defective vision دي اول شغلة تاني
+
+242
+00:24:47,110 --> 00:24:51,810
+حاجة اللي هي بيكون عندهEither زي ال headache ال
+
+243
+00:24:51,810 --> 00:24:58,130
+symptoms طبعا
+
+244
+00:24:58,130 --> 00:25:01,230
+ال symptoms مين هيش فيها المريض ولا ال examiner؟
+
+245
+00:25:01,230 --> 00:25:13,050
+المريض اذا ال symptoms of
+
+246
+00:25:13,050 --> 00:25:24,980
+either metro orDepressed Payoff Number
+
+247
+00:25:24,980 --> 00:25:32,660
+one Defective Vision
+
+248
+00:25:32,660 --> 00:25:38,140
+Number
+
+249
+00:25:38,140 --> 00:25:41,380
+two
+
+250
+00:25:41,380 --> 00:25:43,080
+IBM
+
+251
+00:25:47,400 --> 00:25:56,760
+number three headache واضح؟
+
+252
+00:25:56,760 --> 00:26:00,000
+طب
+
+253
+00:26:00,000 --> 00:26:05,500
+شو تعريف ال press biop؟ ال press biop كمفهوم إله
+
+254
+00:26:05,500 --> 00:26:09,040
+إنه عدم قدرة العين على إيش
+
+255
+00:26:11,750 --> 00:26:17,690
+عدم قدرة العين على تركيز الصورة وين على الشبكية
+
+256
+00:26:17,690 --> 00:26:24,910
+نتيجة ايش؟ by loss of flexibility of the lens بسبب
+
+257
+00:26:24,910 --> 00:26:30,090
+فقدان مرد العدسة طبعا هي تعتبر ظاهرة في السيورجية
+
+258
+00:26:30,090 --> 00:26:35,010
+يعني لو حكينا مثلا breast biopia is pathological
+
+259
+00:26:35,010 --> 00:26:40,590
+factor اللي هي ايش تعتبر؟ يعني عامل في السيورجية،
+
+260
+00:26:40,590 --> 00:26:45,550
+واضح؟The fact that the pathological basis of these
+
+261
+00:26:45,550 --> 00:26:49,470
+symptoms depends on fatigue of extraocular muscles
+
+262
+00:26:49,470 --> 00:26:53,610
+and intraocular muscles like ciliary muscles has
+
+263
+00:26:53,610 --> 00:26:57,250
+led to the mechanical concept of the strain that
+
+264
+00:26:57,250 --> 00:27:02,710
+named eye strain الآن شو سبب ال eye fatigue؟ ليش
+
+265
+00:27:02,710 --> 00:27:10,890
+بيصير عند الإنسان إجهاد في العين؟ معاكم؟ في اللي
+
+266
+00:27:10,890 --> 00:27:15,450
+هو عضلاتالـ Extraocular muscles العضلات الخارجية
+
+267
+00:27:15,450 --> 00:27:19,930
+للعين وفي Intraocular muscles عضلات داخلية للعين
+
+268
+00:27:19,930 --> 00:27:24,550
+جداش العضلات الخارجية للعين سكتة اللي هي الـ
+
+269
+00:27:24,550 --> 00:27:29,370
+Extraocular muscle ست عضلات خارجية للعين وفي تلت
+
+270
+00:27:29,370 --> 00:27:33,770
+عضلات داخلية للعين فال I fatigue .. بعدين بنكتب؟
+
+271
+00:27:33,770 --> 00:27:38,310
+هلخصلكم إياها ال I fatigue بصير عملية إجهاد
+
+272
+00:27:38,310 --> 00:27:43,810
+للعضلات الخارجية و الداخلية للعينفهذا ايش بيسبب ال
+
+273
+00:27:43,810 --> 00:27:48,130
+eye strain؟ يعني لو حكيت شو تعريف ال eye strain؟
+
+274
+00:27:48,130 --> 00:27:52,070
+شو
+
+275
+00:27:52,070 --> 00:27:56,850
+بيصير؟ اشهد، اللي هو ايش؟ fatigue of the
+
+276
+00:27:56,850 --> 00:28:00,630
+extraocular muscles and intraocular muscles that
+
+277
+00:28:00,630 --> 00:28:05,970
+produce a concept of eye strainيعني إجهاد للعضلات
+
+278
+00:28:05,970 --> 00:28:10,210
+الخارجية للعين والعضلات الداخلية للعين هذا بينتج
+
+279
+00:28:10,210 --> 00:28:14,850
+مفهوم بيسمى إجهاد العين إذا الآن في عندنا ال
+
+280
+00:28:14,850 --> 00:28:19,790
+extraocular muscles العضلات الخارجية للعين مين
+
+281
+00:28:19,790 --> 00:28:27,850
+بيعرف أكم واحدة؟ ستة طيب شو هم العضلات الستة؟ ما
+
+282
+00:28:27,850 --> 00:28:31,270
+أخدتهم أه؟طيب ال intraocular muscles العضلات
+
+283
+00:28:31,270 --> 00:28:35,810
+الخارجية، الداخلية، تلاتة، شو هما؟ أكيد أخدتهم في
+
+284
+00:28:35,810 --> 00:28:40,230
+ال anatomy of the eye خدتوا
+
+285
+00:28:40,230 --> 00:28:44,870
+ال ciliary muscle صح؟ طيب هو في ال ciliary muscle،
+
+286
+00:28:44,870 --> 00:28:50,350
+اه ال ciliary muscle، واش كمان؟ ال sphenecter,
+
+287
+00:28:50,370 --> 00:28:54,910
+ipopilla muscle اللي بتعمل .. و ال dilator,
+
+288
+00:28:55,010 --> 00:29:00,120
+ipopilla muscle فأكيد أخدتوه، نعرفالـ Extra
+
+289
+00:29:00,120 --> 00:29:12,100
+Cochlear muscle number one superior rectus
+
+290
+00:29:12,100 --> 00:29:15,520
+muscle
+
+291
+00:29:15,520 --> 00:29:22,360
+طبعا معناها أن العضلة المعتدلة الأمامية أو
+
+292
+00:29:22,360 --> 00:29:28,970
+المرتفعة superior rectus muscle اختصارا هيالعضلة
+
+293
+00:29:28,970 --> 00:29:35,030
+التانية inferior rectus
+
+294
+00:29:35,030 --> 00:29:40,070
+muscle عضلة
+
+295
+00:29:40,070 --> 00:29:44,010
+median
+
+296
+00:29:44,010 --> 00:29:48,090
+rectus
+
+297
+00:29:48,090 --> 00:29:55,010
+muscle ابنع
+
+298
+00:29:55,010 --> 00:29:55,830
+الكلام لو سمحت
+
+299
+00:30:06,380 --> 00:30:19,580
+العضلة الجانبية خمسة superior oblique
+
+300
+00:30:19,580 --> 00:30:25,140
+muscle العضلة
+
+301
+00:30:25,140 --> 00:30:27,620
+المائلة
+
+302
+00:30:31,620 --> 00:30:39,480
+الامامية سبعة inferior .. ستة inferior oblique
+
+303
+00:30:39,480 --> 00:30:43,460
+muscle العضلة
+
+304
+00:30:43,460 --> 00:30:47,120
+الماهلة الخلفية طبعا في بعض الكتب بيكتبوا كمان
+
+305
+00:30:47,120 --> 00:30:50,040
+عضلة اللي هي سابعة ال elevator palpebral superior
+
+306
+00:30:50,040 --> 00:30:53,860
+muscle هذا اللي بترفع الجفن اه يعني انا اكون نايم
+
+307
+00:30:53,860 --> 00:30:56,960
+واصحى اللي بترفع الجفن هذا بيسموها ال elevator
+
+308
+00:30:56,960 --> 00:30:59,920
+palpebral superior muscle مش مهم احنا الآن
+
+309
+00:31:03,290 --> 00:31:08,710
+هدول ال 6 عضلات الخارجية للعين فالان انا لو حكيت
+
+310
+00:31:08,710 --> 00:31:13,770
+شو تعريف ال eye strain إجهاد العين ب fatigue of
+
+311
+00:31:13,770 --> 00:31:16,910
+the extraocular muscles اللي هم ال septa and
+
+312
+00:31:16,910 --> 00:31:22,030
+intraocular muscles اللي هم تلاتة ال spinectrum,
+
+313
+00:31:22,170 --> 00:31:25,550
+pupilla muscle, dilator, pupilla muscle and
+
+314
+00:31:25,550 --> 00:31:29,430
+ciliary muscle that produce a concept يعني هذا
+
+315
+00:31:29,430 --> 00:31:36,420
+بينتج مفهوم بيسمى إجهاد العين، واضح؟كتبتوا هدول؟
+
+316
+00:31:36,420 --> 00:31:43,760
+كلصنا؟ طيب ال inferior .. ال intraocular muscle
+
+317
+00:31:43,760 --> 00:31:49,160
+number one ال celery muscle اختصارها .. خليني اكمل
+
+318
+00:31:49,160 --> 00:31:55,460
+ال celery
+
+319
+00:31:55,460 --> 00:31:55,720
+muscle
+
+320
+00:32:04,580 --> 00:32:09,380
+number two sphincter
+
+321
+00:32:09,380 --> 00:32:14,560
+pupilla
+
+322
+00:32:14,560 --> 00:32:18,480
+muscle
+
+323
+00:32:18,480 --> 00:32:21,800
+number
+
+324
+00:32:21,800 --> 00:32:24,200
+three dilator
+
+325
+00:32:32,370 --> 00:32:39,250
+في بيوبيلا مصر في
+
+326
+00:32:39,250 --> 00:32:54,170
+عندنا مفهوم ال ice cream فتيه
+
+327
+00:32:54,170 --> 00:32:56,710
+قبضة
+
+328
+00:32:59,500 --> 00:33:05,960
+extrapopular muscles and intrapopular
+
+329
+00:33:05,960 --> 00:33:14,900
+muscles ت produce a
+
+330
+00:33:14,900 --> 00:33:22,860
+concept concept معناها مفهوم called بيسمى هذا
+
+331
+00:33:22,860 --> 00:33:25,580
+المفهوم I
+
+332
+00:33:37,320 --> 00:33:42,700
+الفعل أن مبادئ الهيوغوبية لهذه الشيطانات تعتمد على
+
+333
+00:33:42,700 --> 00:33:48,560
+صعوبة جذعين اكتراوكولار و جذعين انتراوكولار مثل
+
+334
+00:33:48,560 --> 00:33:53,100
+الجذع السلري لديه نوع ميكانيكالي لجذع يسمى I
+
+335
+00:33:53,100 --> 00:33:57,230
+-strainيعني إجهاد هذه العضلات الداخلية للعين و
+
+336
+00:33:57,230 --> 00:34:02,050
+الخارجية للعين بينتج إليه مفهوم بيسمى إجهاد العين
+
+337
+00:34:02,050 --> 00:34:08,070
+واضح؟ طيب symptoms، خلصنا كتابة
+
+338
+00:34:27,670 --> 00:34:32,890
+symptoms of ice cream أعراض إجهاد العين، الآن
+
+339
+00:34:32,890 --> 00:34:38,150
+إجهاد العين في عدة أعراض إلها ممكن number one أن
+
+340
+00:34:38,150 --> 00:34:43,510
+تكون visual symptoms يعني أعراض بصرية okay number
+
+341
+00:34:43,510 --> 00:34:47,770
+two ocular symptoms ممكن أن تكون أعراض أيش عينية
+
+342
+00:34:47,770 --> 00:34:51,930
+يعني في العين نفسها زي أيش مثلا ال orbit المحجر
+
+343
+00:34:51,930 --> 00:34:56,710
+المحجر العينو ممكن أن تكون refer symptoms يعني
+
+344
+00:34:56,710 --> 00:35:01,870
+أعراض أخرى في الجسم زي مثلا سوء الغضب أو مثلا صداع
+
+345
+00:35:01,870 --> 00:35:08,770
+أعراض غير مرتبطة في العين واضح؟ في ال visual
+
+346
+00:35:08,770 --> 00:35:13,890
+symptoms أعراض بصرية اللي هي متعلقة بالعين
+
+347
+00:35:18,840 --> 00:35:23,340
+الـ ocular symptoms أعراف عينية زي مثلا بتكون لها
+
+348
+00:35:23,340 --> 00:35:27,040
+علاقة في محجر العين يعني مثلا حوالين العين أو مثلا
+
+349
+00:35:27,040 --> 00:35:31,900
+لها علاقة في ال eyelid في ال .. ال eyelid اللي هو
+
+350
+00:35:31,900 --> 00:35:36,740
+الجفن بتاع العين أو مثلا في ال eyelash كل هذه اللي
+
+351
+00:35:36,740 --> 00:35:40,780
+هي رموش تحت العين فهذه بيسموها ال ocular symptoms
+
+352
+00:35:40,780 --> 00:35:43,620
+لكن أهم شيء هذه الأعراف بيكون لها علاقة في ال
+
+353
+00:35:43,620 --> 00:35:48,810
+orbit اللي هي المحجر orbit معناها محجر العينيكتب
+
+354
+00:35:48,810 --> 00:35:54,970
+هيك قارئ هو
+
+355
+00:35:54,970 --> 00:36:00,450
+مشجع العين ال refer symptoms الأعراض الأخرى زي
+
+356
+00:36:00,450 --> 00:36:05,930
+مثلا ال headache أو مثلا واحد عنده سوء خضم هذا
+
+357
+00:36:05,930 --> 00:36:10,390
+بيسميها أعراض غير متعلقة بالعين متعلقة بالجسم ككل
+
+358
+00:36:10,390 --> 00:36:12,550
+واضح؟
+
+359
+00:36:15,760 --> 00:36:22,160
+visual symptoms أعراض بصرية these symptoms are
+
+360
+00:36:22,160 --> 00:36:27,660
+intermittent شو معنى intermittent متقطعة يعني هذه
+
+361
+00:36:27,660 --> 00:36:32,900
+الأعراض انه بتكون متقطعة مش دائمية in a small
+
+362
+00:36:32,900 --> 00:36:39,500
+refractive error في الخطأ الانكساري الصغير ممكن
+
+363
+00:36:39,500 --> 00:36:43,820
+الأعراض مثلا ال ocular symptoms شوية هناخدها كم
+
+364
+00:36:43,820 --> 00:36:48,520
+شويةإنه هتكون إيش؟ constant اللي هي ثابتة إذا نعكس
+
+365
+00:36:48,520 --> 00:36:52,300
+intermitt اللي هو إيش constant يعني ممكن في المعمل
+
+366
+00:36:52,300 --> 00:36:55,360
+نستخدم اللي هو كلمة intermitt دايما المريض بيقول
+
+367
+00:36:55,360 --> 00:36:59,560
+أنا عنده صداع لكن بيجي مثلا في وقت الصباح أو مثلا
+
+368
+00:36:59,560 --> 00:37:03,360
+في وقت المسافة إيش بكتب intermittent headache؟ إنه
+
+369
+00:37:03,360 --> 00:37:05,020
+صداع إيش متقطر
+
+370
+00:37:24,100 --> 00:37:27,540
+طبعا شويه شويه احنا بدنا نتقدم في كتابة ال history
+
+371
+00:37:27,540 --> 00:37:31,820
+يعني كيف انه انا اكتب ال history بشكل صحيح مش مثلا
+
+372
+00:37:31,820 --> 00:37:36,100
+انه نبقى نكتب مثلا blurred vision for distance or
+
+373
+00:37:36,100 --> 00:37:40,760
+near لأ بنصير more advanced يعني اكتر اللي هو ندخل
+
+374
+00:37:40,760 --> 00:37:45,080
+يعني deep اكتر انه في عملية اخذ ال history للمريض
+
+375
+00:37:45,080 --> 00:37:49,120
+فانا ممكن لو كان المريض عنده صداع دائمة يعني في اي
+
+376
+00:37:49,120 --> 00:37:50,900
+وقت بكتب كل سنة
+
+377
+00:38:00,910 --> 00:38:08,070
+هدي انه بيكون عنده صداع ايش دائم و عكسه انت متن
+
+378
+00:38:20,500 --> 00:38:23,360
+الـ Intermittent لها كتابتين في اللي هو ال
+
+379
+00:38:23,360 --> 00:38:27,080
+American و في ال British هد British هنعنى ان احنا
+
+380
+00:38:27,080 --> 00:38:31,240
+ال American ال pronunciation او ال spelling بتاعنا
+
+381
+00:38:31,240 --> 00:38:34,880
+these symptoms are intermittent in a small
+
+382
+00:38:34,880 --> 00:38:39,400
+refractive error like 0.50 astigmatism actual
+
+383
+00:38:39,400 --> 00:38:43,360
+visual acuity forms little or no of the symptoms
+
+384
+00:38:43,360 --> 00:38:48,300
+in normal conditionهذا الحالات بتاعة ال patient
+
+385
+00:38:48,300 --> 00:38:53,600
+المرضى بيكون عندهم يعني خطأ انكساري ايش بسيط فهو
+
+386
+00:38:53,600 --> 00:38:57,620
+يعتبر لما انا اعمله حدة الإبصار ال visual acuity
+
+387
+00:38:57,620 --> 00:39:02,480
+هلاجيه انه ايش normal patient يعني انسان طبيعي لان
+
+388
+00:39:02,480 --> 00:39:06,700
+لو واحد كان عنده مثلا minus ربع او minus نص او
+
+389
+00:39:06,700 --> 00:39:11,340
+plus نص كل هيتنا معظمنا عندنا plus او minus نص لان
+
+390
+00:39:11,340 --> 00:39:15,230
+هذا ايش امر في السيولوجيا طبيعيواضح؟ يعني ممكن
+
+391
+00:39:15,230 --> 00:39:19,330
+واحد يكون عنده plus نص وهو إيش normal وكل هيتنا
+
+392
+00:39:19,330 --> 00:39:23,270
+هتلاحظ بكرا ما نشتغل على ال auto refractometer أو
+
+393
+00:39:23,270 --> 00:39:26,590
+على ال retinoscope هيكون عندنا إيش اللي هم الأجهزة
+
+394
+00:39:26,590 --> 00:39:31,910
+اللي بيقيصوا حدث الخطأ الانكساري للعين بيكون عندنا
+
+395
+00:39:31,910 --> 00:39:39,900
+في plus or minus نص يعني يا ربع أو نص، واضح؟this
+
+396
+00:39:39,900 --> 00:39:43,120
+defect can be compensated by the ciliary muscle
+
+397
+00:39:43,120 --> 00:39:46,720
+effort and accommodation in normal conditions يعني
+
+398
+00:39:46,720 --> 00:39:51,000
+هذا الخلل البصري ممكن انا ايش compensated يعني
+
+399
+00:39:51,000 --> 00:39:57,040
+اعوضه بواسطة العضلة الهتبية بس ايش بنصير اللي هو
+
+400
+00:39:57,040 --> 00:40:00,600
+عملية اجهاد للعضلة الهتبية يعني ال ciliary muscle
+
+401
+00:40:00,600 --> 00:40:03,700
+effort يقولون احنا ال intraocular muscle تلاتة صح
+
+402
+00:40:03,700 --> 00:40:06,800
+واحدة منهم ال ciliary muscle ال ciliary muscle
+
+403
+00:40:06,800 --> 00:40:11,290
+مسئول عن ايشال accommodation هي القراة بس ال
+
+404
+00:40:11,290 --> 00:40:15,250
+accommodation يعني بكرا لما أقول ال celery muscle
+
+405
+00:40:15,250 --> 00:40:19,390
+مسئول عن إيش اللي هي ال accommodation celery
+
+406
+00:40:19,390 --> 00:40:24,210
+muscle is responsible for accommodation لأنه إيش
+
+407
+00:40:24,210 --> 00:40:29,830
+بيصير لعملية relaxation this
+
+408
+00:40:29,830 --> 00:40:33,730
+defect can be compensated يعني ممكن هذا التأثير
+
+409
+00:40:33,730 --> 00:40:39,030
+يعوضبواسطة الـ ciliary muscle العضلة الهدبية إجهاد
+
+410
+00:40:39,030 --> 00:40:42,670
+للعضلة الهدبية and accommodation in normal
+
+411
+00:40:42,670 --> 00:40:47,150
+conditions أو في حالات التكيف في الحالات الطبيعية
+
+412
+00:40:47,150 --> 00:40:53,810
+لما يكون الشخص عيش طبيعي but in conditions of long
+
+413
+00:40:53,810 --> 00:40:58,510
+near work and effort of study this small
+
+414
+00:40:58,510 --> 00:41:03,280
+refractive error may result in marked symptomsبعض
+
+415
+00:41:03,280 --> 00:41:07,520
+الناس بيكون عنده مثلا plus ربع أو minus ربع أو
+
+416
+00:41:07,520 --> 00:41:11,420
+plus نص أو minus نص لكن إيش؟ بتلاقي مثلا دايما
+
+417
+00:41:11,420 --> 00:41:18,060
+بقرا أو دايما مثلا مهتم في ال .. ال smile phone أو
+
+418
+00:41:18,060 --> 00:41:22,040
+على ال laptop فهذا المريض الأعراض بتاعة الرؤية
+
+419
+00:41:22,040 --> 00:41:26,820
+هتظهر عنده و هيكون عنده يعني خلل بصري ليش؟ لأنه
+
+420
+00:41:26,820 --> 00:41:31,320
+عنده بيستخدم ال accommodation إيش؟ بشكل كبير،
+
+421
+00:41:31,320 --> 00:41:34,910
+واضح؟يعني بيستخدم العين بشكل كتير، فالآن هو ما
+
+422
+00:41:34,910 --> 00:41:38,210
+بيستخدم العين، بيده accommodation اللي هو تكيّف،
+
+423
+00:41:38,210 --> 00:41:42,050
+التكيّف هذا إيش بيقدّه؟ إنه الشخص اللي هو بيعمل
+
+424
+00:41:42,050 --> 00:41:45,650
+eye fatigue إجهاد للعين، وزي ما عرفنا بيقدّي إلى
+
+425
+00:41:45,650 --> 00:41:56,690
+إيش؟ ال eye strain إلى إجهاد للعين بشكل عام Very
+
+426
+00:41:56,690 --> 00:42:01,920
+frequently comes and periods ofإنه هذه الأعراض
+
+427
+00:42:01,920 --> 00:42:07,920
+بتكون أكثر شيوع أو بتأتي وقتيش في أوقات يعني الآن
+
+428
+00:42:07,920 --> 00:42:11,840
+لو أنا يعني أجيبلك في الامتحان سؤال إنه ال visual
+
+429
+00:42:11,840 --> 00:42:17,420
+symptoms الأعراض البصرية بتكون شائعة متى؟ أول حاجة
+
+430
+00:42:17,420 --> 00:42:23,140
+في ال excessive visual strain يعني زيادة في إجهاد
+
+431
+00:42:23,140 --> 00:42:28,260
+العين لما الإنسان يجهد العين أكتر من اللازم بتظهر
+
+432
+00:42:28,260 --> 00:42:32,250
+هذه الأعراضيعني هذه الأعراض دايما بتكون شائعة ال
+
+433
+00:42:32,250 --> 00:42:35,170
+eye fatigue أو ال eye strain أو ال visual symptoms
+
+434
+00:42:35,170 --> 00:42:39,510
+كله مصطلح واحد يعني ممكن أقولك ال eye strain أو ال
+
+435
+00:42:39,510 --> 00:42:42,930
+eye fatigue أو ال visual symptoms عبارة عن مصطلح
+
+436
+00:42:42,930 --> 00:42:47,370
+واحد فهذه الأعراض بيزيد متى؟ لما واحد عنده
+
+437
+00:42:47,370 --> 00:42:51,650
+excessive visual strain إنه زيادة في إجهاد العين
+
+438
+00:42:51,650 --> 00:42:56,390
+number two during temporary deterioration of the
+
+439
+00:42:56,390 --> 00:43:00,880
+general health like fluواحد عنده تدهور في الصحة
+
+440
+00:43:00,880 --> 00:43:05,040
+العامة بتاعته، صحة الجسم، لكن هذا التدهور مش دائم،
+
+441
+00:43:05,040 --> 00:43:10,460
+مؤقت، temporary معناها مؤقت، واضح؟ يعني عنده تدهور
+
+442
+00:43:10,460 --> 00:43:14,440
+مؤقت في صحة العين، زي مثلا عندنا ال flow، ال flow
+
+443
+00:43:14,440 --> 00:43:17,720
+معناه انفلوانزا، يعني احنا الآن لما بيصير مرضا
+
+444
+00:43:17,720 --> 00:43:21,240
+عندنا انفلوانزا، تلاقي الواحد ما بيقدر يقرأ أو ما
+
+445
+00:43:21,240 --> 00:43:25,280
+بيقدر مثلا يكتبأو ما بيقدر يستخدم الجوال، ليش؟ لإن
+
+446
+00:43:25,280 --> 00:43:28,740
+بتلاقي العينين فيهم اللي هو strain زي إجهاد
+
+447
+00:43:28,740 --> 00:43:31,920
+fatigue
+
+448
+00:43:31,920 --> 00:43:37,480
+comes on both eyes and vision fails يعني إجهاد
+
+449
+00:43:37,480 --> 00:43:43,000
+لكلتا العينتين وهذا بيأد إلى إيش كمان؟ إنه الرؤية
+
+450
+00:43:43,000 --> 00:43:47,240
+ما بتكون واضحة، يعني failed يعني عنده bad vision
+
+451
+00:43:47,240 --> 00:43:49,160
+رؤية غير واضحة
+
+452
+00:43:51,960 --> 00:43:56,320
+especially occurs in persons who use eyes much for
+
+453
+00:43:56,320 --> 00:44:00,560
+reading or study of small prints for long time or
+
+454
+00:44:00,560 --> 00:44:04,920
+swinging or watching TV for long time driving in
+
+455
+00:44:04,920 --> 00:44:07,960
+difficult circumstances and all conditions
+
+456
+00:44:07,960 --> 00:44:13,020
+associated with attention and anxiety يعني هذه
+
+457
+00:44:13,020 --> 00:44:17,680
+بتكون خاصة في الأشخاص اللي بيستخدموا إيش القريب زي
+
+458
+00:44:17,680 --> 00:44:24,560
+لما أنا مثلا باجي أقرأاو مثلا بستخدم ال .. او مثلا
+
+459
+00:44:24,560 --> 00:44:30,760
+انا لو كنت خيات او مثلا بشاهد التلفاز لوقت طويل او
+
+460
+00:44:30,760 --> 00:44:34,540
+بسوق بشكل زي السواجين يعني دائم بسوق انه بده
+
+461
+00:44:34,540 --> 00:44:38,600
+attention انتباه، هذه الحالات كلها بيكون مصاحبة
+
+462
+00:44:38,600 --> 00:44:43,200
+ايش اللي هي anxiety انه بيكون إجهاد و ايضا بيكون
+
+463
+00:44:43,200 --> 00:44:47,720
+anxiety معناها اللي هو قلق او إجهاد و بيكون ايش
+
+464
+00:44:47,720 --> 00:44:52,350
+كمان عنده attentionانتباه يعني دايما ممكن يوما
+
+465
+00:44:52,350 --> 00:44:56,610
+تطلعي في السيارة السواج يسألك انه لو عرف مثلا شو
+
+466
+00:44:56,610 --> 00:45:02,010
+تخصصك بيقولك انا دايما عندي إجهاد في العين ليش؟
+
+467
+00:45:02,010 --> 00:45:07,010
+لأنه بيكون عنده ايش؟ attention عالي ال attention
+
+468
+00:45:07,010 --> 00:45:11,910
+العالي ايش بيعمل؟ بيعمل اللي هو ال eye fatigue ال
+
+469
+00:45:11,910 --> 00:45:15,750
+eye fatigue ايش بيكون؟ eye strain و ال eye strain
+
+470
+00:45:15,750 --> 00:45:18,910
+انه بيعمل اللي هو زيادة في استخدام ال
+
+471
+00:45:18,910 --> 00:45:31,030
+accommodation للعينواضح؟ واضح details
+
+472
+00:45:31,030 --> 00:45:37,450
+of visual symptoms تفاصيل الأعراض البصرية يعني شو
+
+473
+00:45:37,450 --> 00:45:42,110
+التفاصيل أن المريض الآن يكون عنده ال visual
+
+474
+00:45:42,110 --> 00:45:47,360
+symptoms من شو بشكل هذا المريض number onesensation
+
+475
+00:45:47,360 --> 00:45:52,040
+of confusion أول حاجة بيشعر بالارتباك دايما مرتبك
+
+476
+00:45:52,040 --> 00:45:58,320
+يعني تلاقي مثلا الامتحان أمامه بنسى مثلا السؤال من
+
+477
+00:45:58,320 --> 00:46:01,660
+الامتحان كون دايما بيشعر بالارتباك ليش؟ لأن الرؤية
+
+478
+00:46:01,660 --> 00:46:06,620
+مش واضحة، واضح؟ إذا number one sensation of
+
+479
+00:46:06,620 --> 00:46:11,600
+confusion for sensation of confusion number two
+
+480
+00:46:11,600 --> 00:46:15,740
+temporary blurring عنده غباش لكن إيش هذا الغباش؟
+
+481
+00:46:15,870 --> 00:46:23,910
+موقّطة tiredness of the eyes معناها اللي هو اجهاد
+
+482
+00:46:23,910 --> 00:46:29,090
+او تعب في العنتين heaviness of eyelids انه بيكون
+
+483
+00:46:29,090 --> 00:46:33,870
+عنده ثقل في الجفن دايما الشفونه بتكون يعني متعبة و
+
+484
+00:46:33,870 --> 00:46:39,130
+مجهد فبتكون ثقيلة sensation of weariness and
+
+485
+00:46:39,130 --> 00:46:44,040
+drowsiness انه بيشعر هذا المريض باللي هودائما عنده
+
+486
+00:46:44,040 --> 00:46:49,340
+خمول و دائما عنده تعب و عنده نعاس في اللي هو
+
+487
+00:46:49,340 --> 00:46:54,180
+الأعراض بتاعته These symptoms are relieved by risk
+
+488
+00:46:54,180 --> 00:46:57,720
+by required in continuation of the work يعني هذه
+
+489
+00:46:57,720 --> 00:47:03,300
+الأعراض لما الإنسان يرتاح كلها بتروح عاد العمل
+
+490
+00:47:03,300 --> 00:47:07,160
+بتاعه من جديد يعني اللي هو مثلا إذا كان خياط رجع
+
+491
+00:47:07,160 --> 00:47:10,840
+يخيط، إذا كان قارئ رجع يقرأ، كل هذه الأعراض إيش
+
+492
+00:47:10,840 --> 00:47:11,920
+ترجع مرة أخرى
+
+493
+00:47:15,320 --> 00:47:20,240
+واضح؟ Indeed, the ciliary muscle can compensate by
+
+494
+00:47:20,240 --> 00:47:24,440
+exerting extra accommodation till a time will come
+
+495
+00:47:24,440 --> 00:47:27,880
+where the ciliary muscle will fail to compensate.
+
+496
+00:47:28,680 --> 00:47:32,180
+Decompensation and the symptoms couldn't be
+
+497
+00:47:32,180 --> 00:47:34,860
+relieved easily until the patient decides to seek
+
+498
+00:47:34,860 --> 00:47:38,740
+for treatment.الان يما المريض بيستخدم القريب، إيش
+
+499
+00:47:38,740 --> 00:47:44,160
+بيعمل؟ إجهاد العلم، بيعمل accommodationلما يزيد ال
+
+500
+00:47:44,160 --> 00:47:47,360
+accommodation تاع العين بيصير اللي هو I fatigue
+
+501
+00:47:47,360 --> 00:47:52,060
+صح؟ طبعا ال I fatigue العين بتحاول أنه تعوض هذا
+
+502
+00:47:52,060 --> 00:47:57,220
+الإجهاد طب كيف العين بتحاول أنه تعوض الإجهاد هذا؟
+
+503
+00:47:57,220 --> 00:48:00,780
+بتلاقي أنه دايما عنده convergence يعني أن العنتين
+
+504
+00:48:00,780 --> 00:48:05,720
+دخلين للداخل و accommodation كبير للعنتين فبتلاقي
+
+505
+00:48:05,720 --> 00:48:09,420
+الإنسان بيحاول أنه يعوض هذا فبتلاقي عنده دايما I
+
+506
+00:48:09,420 --> 00:48:14,810
+fatigue إجهاد أو I strainيعني انه العين متعدة،
+
+507
+00:48:14,810 --> 00:48:19,170
+مجهدة طبعا هذه الأعراض كلها بتروح متى؟ لما الإنسان
+
+508
+00:48:19,170 --> 00:48:23,750
+بيبدأ انه يبحث عن مين العلاج يعني نضارة للقريب
+
+509
+00:48:23,750 --> 00:48:26,690
+بترايحه خلاص انه لو كان مثلا breast pain شو
+
+510
+00:48:26,690 --> 00:48:32,750
+علاجها؟ انه glasses for reading، نضارة للقريب أو
+
+511
+00:48:32,750 --> 00:48:39,390
+للقراءة When reads small letters, the patient sees
+
+512
+00:48:39,390 --> 00:48:44,080
+the letters running togetherبيجي مثلا يقرا القريب
+
+513
+00:48:44,080 --> 00:48:47,900
+بتلاقي الكلمات إيه في الداخل لبعض، شوف الامتحان
+
+514
+00:48:47,900 --> 00:48:51,400
+كإنه اتنين أو بتلاقي الكلمات كلها من الداخل لبعض
+
+515
+00:48:51,400 --> 00:48:55,280
+طيب,
+
+516
+00:48:55,840 --> 00:49:02,020
+ocular symptoms بقولنا أعراض إيش مالها؟ عينية،
+
+517
+00:49:02,020 --> 00:49:05,360
+يعني خلصنا احنا ال visual symptoms، number two ال
+
+518
+00:49:05,360 --> 00:49:11,490
+ocular symptomsThese together are called Asinopia
+
+519
+00:49:11,490 --> 00:49:16,350
+شو معناه Asinopia اللي بتعرف ال Asinopia اللي
+
+520
+00:49:16,350 --> 00:49:20,030
+بتعرف ال Asinopia
+
+521
+00:49:20,030 --> 00:49:21,130
+اللي بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+522
+00:49:21,130 --> 00:49:21,590
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+523
+00:49:21,590 --> 00:49:22,730
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+524
+00:49:22,730 --> 00:49:26,750
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+525
+00:49:26,750 --> 00:49:35,790
+بتعرف ال Asinopia
+
+526
+00:49:35,790 --> 00:49:40,160
+الليهذا الإجهاض للعين that lead to the eye strain
+
+527
+00:49:40,160 --> 00:49:46,320
+سمعت
+
+528
+00:49:46,320 --> 00:49:55,920
+انت؟ شو حكيت؟ that lead to eye strain
+
+529
+00:50:08,210 --> 00:50:12,330
+أستنوفيا eye fatigue that leads to eye strain
+
+530
+00:50:12,330 --> 00:50:16,150
+واضح؟
+
+531
+00:50:16,150 --> 00:50:24,190
+طبعا
+
+532
+00:50:24,190 --> 00:50:31,410
+لو أنا أجي أفسر الكلمة أيه معناها هنا؟ هذه عبارة
+
+533
+00:50:31,410 --> 00:50:31,970
+عن prefix
+
+534
+00:50:36,420 --> 00:50:44,160
+ال أوبيا هي معناها vision
+
+535
+00:50:44,160 --> 00:50:53,360
+suffix
+
+536
+00:50:53,360 --> 00:51:01,140
+معناها كثير إذا
+
+537
+00:51:01,140 --> 00:51:04,100
+الأسم نوفيا I
+
+538
+00:51:08,430 --> 00:51:27,990
+Fatigue that leads to eye strain These
+
+539
+00:51:27,990 --> 00:51:32,410
+symptoms arising from excessive work of eye
+
+540
+00:51:32,410 --> 00:51:37,330
+musclesin the presence of refractive error where
+
+541
+00:51:37,330 --> 00:51:42,950
+muscles fatigue results ان هذه الأعراض بتزيد مع
+
+542
+00:51:42,950 --> 00:51:48,210
+زيادة العمل للقريب يعني مع زيادة القراءة أو زيادة
+
+543
+00:51:48,210 --> 00:51:54,950
+مثلا ال attention الانتباه أو مثلا مع الخياطة في
+
+544
+00:51:54,950 --> 00:51:58,730
+وجود إيش ال refractive error الخطأ الانكساري للعين
+
+545
+00:51:58,730 --> 00:52:03,670
+وهذا بيقود إلى إيش إلى إجهاد يعني إجهاد للعين
+
+546
+00:52:06,360 --> 00:52:11,840
+الـ long period of a close work the eyes feel أنه
+
+547
+00:52:11,840 --> 00:52:17,520
+لما الواحد يعمل عمل مثلا قريب و يكون هذا في وقت
+
+548
+00:52:17,520 --> 00:52:22,360
+كبير مثلا، شو ممكن يصيرله؟ يعني العين بشو بتشعر؟
+
+549
+00:52:22,360 --> 00:52:27,340
+أول حاجة بتشعر في tiredness، تعب، number two
+
+550
+00:52:27,340 --> 00:52:33,940
+hotness، احمرار، uncomfortable، إجهاد أو مش مرتاح
+
+551
+00:52:33,940 --> 00:52:37,820
+هويعني ما بيقدر انه يوفر provide أو clear vision
+
+552
+00:52:37,820 --> 00:52:46,100
+واضح الرابع انه temporary relief virus انه بيشعر
+
+553
+00:52:46,100 --> 00:52:51,100
+يعني براحة وقت ما هو إيش يرتاح يعني فقط في حالة
+
+554
+00:52:51,100 --> 00:52:56,260
+اللي هو يما يكون relaxed بيشعر براحة واضح ال
+
+555
+00:52:56,260 --> 00:52:59,900
+return to near word again the above symptoms
+
+556
+00:52:59,900 --> 00:53:04,370
+developed to eye painيعني بس يعيد مرة تانية العمل
+
+557
+00:53:04,370 --> 00:53:09,430
+القريب بترجع كل الأعراض الآن لو .. شو أعراض ال
+
+558
+00:53:09,430 --> 00:53:14,870
+ocular symptoms؟ number one, tiredness number two,
+
+559
+00:53:15,590 --> 00:53:22,570
+fatness number three, uncomfortable وإنه temporary
+
+560
+00:53:22,570 --> 00:53:30,780
+relief by rest the pain of the eyes due toeye
+
+561
+00:53:30,780 --> 00:53:35,040
+strain is mild and aching but occasionally becomes
+
+562
+00:53:35,040 --> 00:53:39,760
+severe and acute يعني هذا الألم بتاع العين تاني
+
+563
+00:53:39,760 --> 00:53:44,360
+سببه إجهاد للعين و ممكن هذا الإجهاد أنه يكون mild
+
+564
+00:53:44,360 --> 00:53:49,440
+يعني بسيط أو خفيف ممكن أنه يكون aching أنه يعمل
+
+565
+00:53:49,440 --> 00:53:53,760
+مثلا حكا أو يعمل مثلا ألم aching معناها اللي هو زي
+
+566
+00:53:53,760 --> 00:53:59,220
+صداع أو ألم but occasionally لكن غالبا بيكون إيش؟
+
+567
+00:54:00,300 --> 00:54:07,040
+severe يعني حاد و acute يعني مزمن يعني
+
+568
+00:54:07,040 --> 00:54:10,980
+occasionally اللي هو rarely، نادرا ما يكون حاد او
+
+569
+00:54:10,980 --> 00:54:20,460
+يكون acute، مزمن، واضح؟ دايما ال pain، ال eye pain
+
+570
+00:54:20,460 --> 00:54:23,940
+و ال headache مرتبط في ال visual symptoms يعني انت
+
+571
+00:54:23,940 --> 00:54:28,310
+الآن ك optometristدايما اربطي ال refractive error
+
+572
+00:54:28,310 --> 00:54:31,970
+بال eye pain و ال headache، ال ocular symptoms
+
+573
+00:54:31,970 --> 00:54:37,150
+دايما اربطيها بال uncomfortable، عدم الراحة، بال
+
+574
+00:54:37,150 --> 00:54:41,650
+tiredness، الإجهاد أو التعب، في ال hotness،
+
+575
+00:54:41,650 --> 00:54:43,010
+الحمراء، واضح؟
+
+576
+00:54:49,390 --> 00:54:53,910
+the pain may be situated to eyes or extended
+
+577
+00:54:53,910 --> 00:54:58,410
+referred to the orbit or even to hit in a form of
+
+578
+00:54:58,410 --> 00:55:02,990
+headache يعني ممكن هذا موقع الألم ممكن يكون في
+
+579
+00:55:02,990 --> 00:55:06,310
+العينتين أو ممكن يكون حوالين العين في ال orbit
+
+580
+00:55:06,310 --> 00:55:12,510
+واضح؟ these eyes have a characteristic appearance
+
+581
+00:55:12,510 --> 00:55:17,650
+طيب كيف أنا بعرف أن مريضعنده ال ocular symptoms
+
+582
+00:55:17,650 --> 00:55:22,030
+الاعراض العينية هذه بتلاقي انه هذه الاعراض ملاحظة
+
+583
+00:55:22,030 --> 00:55:26,470
+عند المريض زي مثلا ايش؟ اول حاجة بيكون redness
+
+584
+00:55:26,470 --> 00:55:30,510
+احمرار يعني اول ما تطلعي في عينه او في عينها تكون
+
+585
+00:55:30,510 --> 00:55:33,270
+عندها احمرار في ال sclera هذه المنطقة البيضاء
+
+586
+00:55:33,270 --> 00:55:37,850
+بتلاقي انه في عندها ايش؟ احمرار فيها زاد انه بيكون
+
+587
+00:55:37,850 --> 00:55:44,270
+عندها ال congestion احتقال continued rubbing of
+
+588
+00:55:44,270 --> 00:55:50,050
+the eyesانه دايما مستمر حكا في العينتين، the eyes
+
+589
+00:55:50,050 --> 00:55:54,290
+are watery، في العينتين بيكون مية، يعني بتلاقي
+
+590
+00:55:54,290 --> 00:55:58,450
+دايما مدمع، انه عنده تدميع في العين، and maybe
+
+591
+00:55:58,450 --> 00:56:03,890
+infected، ممكن انه تكون عدوى infected، this is
+
+592
+00:56:03,890 --> 00:56:06,930
+more noticed، هذه بتلاحظها أكتر وقت إيش عند
+
+593
+00:56:06,930 --> 00:56:10,770
+الأطفال، ليش؟ لأنه دايما بتلاقي إيده مش نظيفة، وهو
+
+594
+00:56:10,770 --> 00:56:12,250
+إيش؟ بيعمل حكا إليها
+
+595
+00:56:16,470 --> 00:56:20,830
+طبعا احنا روحنا نقف عند ال repair symptoms في
+
+596
+00:56:20,830 --> 00:56:24,750
+المحاضرة القادمة ان شاء الله سوف نبدأ في ال repair
+
+597
+00:56:24,750 --> 00:56:25,210
+symptoms
+
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_raw.json b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..7ddc6d7ce086a3caff52c6567a5c0f20fc27c267
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4862, "start": 21.16, "end": 48.62, "text": "طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و بركاته بداية ان كونوا عامة بخير هنبدأ في مادة البصريات الرؤية و الانكسار طبعا بدأنا احنا في المحاضرة السابقة اتكلمنا عن موضوع ال refraction clinical importance of refraction بتمنى من كل واحدة تسكر الدفتر", "tokens": [9566, 1829, 3555, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 4724, 28259, 10632, 16472, 9122, 11536, 14407, 6225, 10943, 3660, 4724, 9778, 13546, 8032, 1863, 44510, 10721, 8978, 3714, 18513, 3660, 29739, 9381, 16572, 9307, 34892, 33604, 10632, 4032, 2423, 7649, 4117, 3794, 9640, 23032, 3555, 3615, 995, 47525, 10721, 8315, 1975, 5016, 8315, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 1975, 2655, 4117, 19528, 8315, 18871, 3714, 2407, 11242, 45367, 2423, 1895, 26766, 9115, 7379, 295, 1895, 26766, 39894, 27842, 7578, 9154, 28242, 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"probability": 0.992431640625}, {"start": 1133.46, "end": 1134.2, "word": " ال", "probability": 0.7451171875}, {"start": 1134.2, "end": 1134.96, "word": " defective", "probability": 0.97900390625}, {"start": 1134.96, "end": 1135.34, "word": " vision", "probability": 0.9521484375}, {"start": 1135.34, "end": 1135.7, "word": " هي", "probability": 0.92333984375}, {"start": 1135.7, "end": 1136.28, "word": " واحدة", "probability": 0.96142578125}, {"start": 1136.28, "end": 1136.54, "word": " من", "probability": 0.9931640625}, {"start": 1136.54, "end": 1136.82, "word": " هذه", "probability": 0.9375}, {"start": 1136.82, "end": 1137.34, "word": " الأعراض", "probability": 0.723876953125}], "temperature": 1.0}, {"id": 37, "seek": 116736, "start": 1137.71, "end": 1167.37, "text": "يعني بيكون عنده أعراض أخرى لكن ال defective vision الخلل البصري هي واحدة من هذه الأعراض واضح فعندنا ال low refractive error ال low refractive error", "tokens": [40228, 22653, 4724, 1829, 30544, 43242, 3224, 5551, 3615, 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{"start": 1335.0, "end": 1335.44, "word": " مثلا", "probability": 0.85888671875}, {"start": 1335.44, "end": 1336.28, "word": " occipital", "probability": 0.68408203125}, {"start": 1336.28, "end": 1336.52, "word": " أو", "probability": 0.88134765625}, {"start": 1336.52, "end": 1336.92, "word": " مثلا", "probability": 0.89599609375}, {"start": 1336.92, "end": 1337.72, "word": " temporal", "probability": 0.98095703125}, {"start": 1337.72, "end": 1338.12, "word": " أو", "probability": 0.90576171875}, {"start": 1338.12, "end": 1338.52, "word": " nasal", "probability": 0.99560546875}, {"start": 1338.52, "end": 1339.06, "word": " يعني", "probability": 0.943115234375}, {"start": 1339.06, "end": 1339.34, "word": " يكون", "probability": 0.88525390625}, {"start": 1339.34, "end": 1339.68, "word": " عنده", "probability": 0.9912109375}, {"start": 1339.68, "end": 1339.92, "word": " أيش", "probability": 0.7044677734375}, {"start": 1339.92, "end": 1340.38, "word": " أعراض", "probability": 0.9146728515625}, {"start": 1340.38, "end": 1341.5, "word": " أخرى", "probability": 0.9817708333333334}, {"start": 1341.5, "end": 1342.86, "word": " واضح؟", "probability": 0.7835693359375}, {"start": 1342.86, "end": 1343.64, "word": " frontal", "probability": 0.8037109375}, {"start": 1343.64, "end": 1344.12, "word": " معناها", "probability": 0.97900390625}, {"start": 1344.12, "end": 1344.26, "word": " من", "probability": 0.9833984375}, {"start": 1344.26, "end": 1344.68, "word": " الأمام", "probability": 0.9637044270833334}, {"start": 1344.68, "end": 1344.86, "word": " يعني", "probability": 0.9443359375}, {"start": 1344.86, "end": 1345.3, "word": " صداع", "probability": 0.9765625}, {"start": 1345.3, "end": 1345.78, "word": " أمامي", "probability": 0.9381103515625}], "temperature": 1.0}, {"id": 44, "seek": 137515, "start": 1345.97, "end": 1375.15, "text": "وكسبت الخلفية temporal من الطرف، نزل من هناك condition of sustained use of accommodation in hyperuvic persons and presbyopic persons in near work are typical circumstances that produce non visual symptoms like eye pain and headache الان لو انا مثلا عندي مريض عنده hypermetroid اللي هو طول نظر شو معناه hypermetroid تعريف ال hypermetroid", "tokens": [2407, 4117, 35457, 2655, 33962, 46538, 10632, 30881, 9154, 41950, 28480, 12399, 8717, 11622, 1211, 9154, 34105, 4117, 4188, 295, 23389, 764, 295, 27363, 294, 9848, 84, 25537, 14453, 293, 1183, 2322, 40216, 14453, 294, 2651, 589, 366, 7476, 9121, 300, 5258, 2107, 5056, 8332, 411, 3313, 1822, 293, 23520, 2423, 7649, 45164, 1975, 8315, 50113, 15040, 18871, 16254, 3714, 16572, 11242, 43242, 3224, 9848, 5537, 6490, 13672, 1829, 31439, 23032, 12610, 8717, 19913, 2288, 13412, 2407, 20449, 8315, 3224, 9848, 5537, 6490, 37279, 16572, 5172, 2423, 9848, 5537, 6490], "avg_logprob": -0.3289835171385126, "compression_ratio": 1.546468401486989, "no_speech_prob": 0.0, "words": [{"start": 1345.97, "end": 1346.61, "word": "وكسبت", "probability": 0.65740966796875}, {"start": 1346.61, "end": 1347.27, "word": " الخلفية", "probability": 0.8424479166666666}, {"start": 1347.27, "end": 1347.85, "word": " temporal", "probability": 0.52197265625}, {"start": 1347.85, "end": 1348.31, "word": " من", "probability": 0.9658203125}, {"start": 1348.31, "end": 1349.25, "word": " الطرف،", "probability": 0.7108561197916666}, {"start": 1349.25, "end": 1350.21, "word": " نزل", "probability": 0.6412760416666666}, {"start": 1350.21, "end": 1350.47, "word": " من", "probability": 0.97802734375}, {"start": 1350.47, "end": 1352.47, "word": " هناك", "probability": 0.508575439453125}, {"start": 1352.47, "end": 1354.29, "word": " condition", "probability": 0.386962890625}, {"start": 1354.29, "end": 1354.77, "word": " of", "probability": 0.94921875}, {"start": 1354.77, "end": 1355.57, "word": " sustained", "probability": 0.84228515625}, {"start": 1355.57, "end": 1356.09, "word": " use", "probability": 0.8818359375}, {"start": 1356.09, "end": 1356.35, "word": " of", "probability": 0.96826171875}, {"start": 1356.35, "end": 1356.99, "word": " accommodation", "probability": 0.791015625}, {"start": 1356.99, "end": 1357.35, "word": " in", "probability": 0.94775390625}, {"start": 1357.35, "end": 1357.99, "word": " hyperuvic", "probability": 0.3994140625}, {"start": 1357.99, "end": 1358.63, "word": " persons", "probability": 0.83837890625}, {"start": 1358.63, "end": 1359.07, "word": " and", "probability": 0.92333984375}, {"start": 1359.07, "end": 1359.79, "word": " presbyopic", "probability": 0.5721028645833334}, {"start": 1359.79, "end": 1360.43, "word": " persons", "probability": 0.91845703125}, {"start": 1360.43, "end": 1360.79, "word": " in", "probability": 0.94580078125}, {"start": 1360.79, "end": 1361.03, "word": " near", "probability": 0.9091796875}, {"start": 1361.03, "end": 1361.31, "word": " work", "probability": 0.423583984375}, {"start": 1361.31, "end": 1361.51, "word": " are", "probability": 0.95166015625}, {"start": 1361.51, "end": 1361.87, "word": " typical", "probability": 0.84814453125}, {"start": 1361.87, "end": 1362.79, "word": " circumstances", "probability": 0.9140625}, {"start": 1362.79, "end": 1363.13, "word": " that", "probability": 0.94287109375}, {"start": 1363.13, "end": 1363.63, "word": " produce", "probability": 0.85400390625}, {"start": 1363.63, "end": 1363.89, "word": " non", "probability": 0.9736328125}, {"start": 1363.89, "end": 1364.09, "word": " visual", "probability": 0.398193359375}, {"start": 1364.09, "end": 1364.75, "word": " symptoms", "probability": 0.89794921875}, {"start": 1364.75, "end": 1365.51, "word": " like", "probability": 0.8505859375}, {"start": 1365.51, "end": 1365.83, "word": " eye", "probability": 0.2230224609375}, {"start": 1365.83, "end": 1366.01, "word": " pain", "probability": 0.8427734375}, {"start": 1366.01, "end": 1366.29, "word": " and", "probability": 0.93896484375}, {"start": 1366.29, "end": 1367.13, "word": " headache", "probability": 0.93115234375}, {"start": 1367.13, "end": 1367.55, "word": " الان", "probability": 0.5860595703125}, {"start": 1367.55, "end": 1367.73, "word": " لو", "probability": 0.89111328125}, {"start": 1367.73, "end": 1367.91, "word": " انا", "probability": 0.779052734375}, {"start": 1367.91, "end": 1368.17, "word": " مثلا", "probability": 0.92236328125}, {"start": 1368.17, "end": 1368.49, "word": " عندي", "probability": 0.6622314453125}, {"start": 1368.49, "end": 1368.91, "word": " مريض", "probability": 0.98046875}, {"start": 1368.91, "end": 1369.69, "word": " عنده", "probability": 0.955810546875}, {"start": 1369.69, "end": 1370.53, "word": " hypermetroid", "probability": 0.6199544270833334}, {"start": 1370.53, "end": 1371.29, "word": " اللي", "probability": 0.865234375}, {"start": 1371.29, "end": 1371.51, "word": " هو", "probability": 0.9921875}, {"start": 1371.51, "end": 1371.75, "word": " طول", "probability": 0.966796875}, {"start": 1371.75, "end": 1372.31, "word": " نظر", "probability": 0.97216796875}, {"start": 1372.31, "end": 1372.71, "word": " شو", "probability": 0.7032470703125}, {"start": 1372.71, "end": 1373.01, "word": " معناه", "probability": 0.9148763020833334}, {"start": 1373.01, "end": 1373.79, "word": " hypermetroid", "probability": 0.9072265625}, {"start": 1373.79, "end": 1374.35, "word": " تعريف", "probability": 0.9365234375}, {"start": 1374.35, "end": 1374.45, "word": " ال", "probability": 0.81591796875}, {"start": 1374.45, "end": 1375.15, "word": " hypermetroid", "probability": 0.9134114583333334}], "temperature": 1.0}, {"id": 45, "seek": 139808, "start": 1378.98, "end": 1398.08, "text": "انصدار رايدريت انصدار رايدريت are brought to focus behind the regime لو واحد مثلا كان عنده hyper metro بطول نظر او عنده bris payot شو معناته bris payot ك definition له؟", "tokens": [7649, 9381, 3215, 9640, 12602, 995, 25708, 16572, 2655, 16472, 9381, 3215, 9640, 12602, 995, 25708, 16572, 2655, 366, 3038, 281, 1879, 2261, 264, 13120, 45164, 36764, 24401, 50113, 15040, 25961, 43242, 3224, 9848, 27334, 4724, 9566, 12610, 8717, 19913, 2288, 1975, 2407, 43242, 3224, 738, 271, 1689, 310, 13412, 2407, 20449, 8315, 47395, 738, 271, 1689, 310, 9122, 7123, 46740, 22807], "avg_logprob": -0.4578372902340359, "compression_ratio": 1.4390243902439024, "no_speech_prob": 0.0, "words": [{"start": 1378.98, "end": 1379.82, "word": "انصدار", "probability": 0.512969970703125}, {"start": 1379.82, "end": 1380.54, "word": " رايدريت", "probability": 0.5071533203125}, {"start": 1380.54, "end": 1381.38, "word": " انصدار", "probability": 0.877197265625}, {"start": 1381.38, "end": 1381.98, "word": " رايدريت", "probability": 0.968359375}, {"start": 1381.98, "end": 1382.16, "word": " are", "probability": 0.3955078125}, {"start": 1382.16, "end": 1383.36, "word": " brought", "probability": 0.5390625}, {"start": 1383.36, "end": 1383.78, "word": " to", "probability": 0.94384765625}, {"start": 1383.78, "end": 1384.38, "word": " focus", "probability": 0.9609375}, {"start": 1384.38, "end": 1385.28, "word": " behind", "probability": 0.9541015625}, {"start": 1385.28, "end": 1385.54, "word": " the", "probability": 0.685546875}, {"start": 1385.54, "end": 1385.84, "word": " regime", "probability": 0.2239990234375}, {"start": 1385.84, "end": 1388.52, "word": " لو", "probability": 0.2724609375}, {"start": 1388.52, "end": 1389.52, "word": " واحد", "probability": 0.980712890625}, {"start": 1389.52, "end": 1389.8, "word": " مثلا", "probability": 0.857666015625}, {"start": 1389.8, "end": 1390.04, "word": " كان", "probability": 0.994140625}, {"start": 1390.04, "end": 1390.36, "word": " عنده", "probability": 0.98388671875}, {"start": 1390.36, "end": 1390.66, "word": " hyper", "probability": 0.78857421875}, {"start": 1390.66, "end": 1391.18, "word": " metro", "probability": 0.294921875}, {"start": 1391.18, "end": 1391.6, "word": " بطول", "probability": 0.5198974609375}, {"start": 1391.6, "end": 1391.98, "word": " نظر", "probability": 0.95751953125}, {"start": 1391.98, "end": 1392.44, "word": " او", "probability": 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on the retina by loss of flexibility of the crystalline lens لو كان المريض عنده hyper metroid أو كان عنده مثلا Ibris biopia يما بيجي باستخدام القريب بيكون في عنده إيش مشكلة ليش؟ لأنه ماعندهوش accommodation كافي انه يقدر العدسة تتكيّب انه يشوف الصورة بشكل واضح", "tokens": [40, 1443, 271, 3228, 22376, 294, 3485, 281, 1879, 264, 1442, 322, 264, 1533, 1426, 538, 4470, 295, 12635, 295, 264, 31924, 533, 6765, 45164, 25961, 9673, 16572, 11242, 43242, 3224, 9848, 1131, 6490, 34051, 25961, 43242, 3224, 50113, 15040, 286, 1443, 271, 3228, 22376, 7251, 15042, 4724, 1829, 7435, 1829, 4724, 995, 14851, 9778, 3215, 10943, 25062, 16572, 3555, 4724, 1829, 30544, 8978, 43242, 3224, 11933, 1829, 8592, 37893, 28820, 3660, 32239, 8592, 22807, 5296, 33456, 3224, 19446, 3615, 41260, 3224, 2407, 8592, 27363, 9122, 31845, 1829, 16472, 3224, 7251, 28543, 2288, 18863, 3215, 3794, 3660, 6055, 2655, 4117, 1829, 11703, 3555, 16472, 3224, 7251, 8592, 38688, 31767, 13063, 3660, 4724, 8592, 28820, 4032, 46958, 5016], 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2793.87, "word": " و", "probability": 0.99072265625}, {"start": 2793.87, "end": 2794.35, "word": " مجهد", "probability": 0.836181640625}, {"start": 2794.35, "end": 2795.01, "word": " فبتكون", "probability": 0.9215087890625}, {"start": 2795.01, "end": 2796.69, "word": " ثقيلة", "probability": 0.9447021484375}, {"start": 2796.69, "end": 2797.69, "word": " sensation", "probability": 0.8916015625}, {"start": 2797.69, "end": 2798.19, "word": " of", "probability": 0.970703125}, {"start": 2798.19, "end": 2798.81, "word": " weariness", "probability": 0.69091796875}, {"start": 2798.81, "end": 2799.13, "word": " and", "probability": 0.92236328125}, {"start": 2799.13, "end": 2799.99, "word": " drowsiness", "probability": 0.78955078125}, {"start": 2799.99, "end": 2800.49, "word": " انه", "probability": 0.879150390625}, {"start": 2800.49, "end": 2800.89, "word": " بيشعر", "probability": 0.986328125}, {"start": 2800.89, "end": 2801.13, "word": " هذا", "probability": 0.919921875}, {"start": 2801.13, 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2824.34, "word": " جديد", "probability": 0.9939778645833334}, {"start": 2824.34, "end": 2824.68, "word": " يعني", "probability": 0.8779296875}, {"start": 2824.68, "end": 2824.96, "word": " اللي", "probability": 0.964599609375}, {"start": 2824.96, "end": 2825.16, "word": " هو", "probability": 0.97119140625}, {"start": 2825.16, "end": 2825.5, "word": " مثلا", "probability": 0.990234375}, {"start": 2825.5, "end": 2826.1, "word": " إذا", "probability": 0.927001953125}, {"start": 2826.1, "end": 2826.36, "word": " كان", "probability": 0.994140625}, {"start": 2826.36, "end": 2826.86, "word": " خياط", "probability": 0.8390299479166666}, {"start": 2826.86, "end": 2827.16, "word": " رجع", "probability": 0.9723307291666666}, {"start": 2827.16, "end": 2827.94, "word": " يخيط،", "probability": 0.79423828125}, {"start": 2827.94, "end": 2828.1, "word": " إذا", "probability": 0.958740234375}, {"start": 2828.1, "end": 2828.4, "word": " كان", "probability": 0.99462890625}, {"start": 2828.4, "end": 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where the ciliary muscle will fail to compensate. Decompensation and the symptoms couldn't be relieved easily until the patient decides to seek for treatment.الان يما المريض بيستخدم القريب، إيش بيعمل؟ إجهاد العلم، بيعمل accommodation", "tokens": [2407, 46958, 5016, 22807, 15061, 11, 264, 269, 38550, 8679, 393, 29458, 538, 454, 27187, 2857, 27363, 4288, 257, 565, 486, 808, 689, 264, 269, 38550, 8679, 486, 3061, 281, 29458, 13, 1346, 21541, 35292, 293, 264, 8332, 2809, 380, 312, 27972, 3612, 1826, 264, 4537, 14898, 281, 8075, 337, 5032, 13, 6027, 7649, 7251, 15042, 9673, 16572, 11242, 4724, 1829, 14851, 9778, 40448, 25062, 16572, 3555, 12399, 11933, 1829, 8592, 4724, 1829, 25957, 1211, 22807, 11933, 7435, 3224, 18513, 18863, 19528, 12399, 4724, 1829, 25957, 1211, 27363], "avg_logprob": -0.21980337480480752, "compression_ratio": 1.53125, "no_speech_prob": 0.0, "words": [{"start": 2835.3199999999997, "end": 2836.2, "word": "واضح؟", "probability": 0.7706298828125}, {"start": 2836.2, "end": 2836.5, "word": " Indeed,", "probability": 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{"start": 3347.17, "end": 3349.39, "word": " العينتين،", "probability": 0.69638671875}, {"start": 3349.39, "end": 3349.55, "word": " the", "probability": 0.59521484375}, {"start": 3349.55, "end": 3350.05, "word": " eyes", "probability": 0.88720703125}, {"start": 3350.05, "end": 3350.45, "word": " are", "probability": 0.96240234375}, {"start": 3350.45, "end": 3351.67, "word": " watery،", "probability": 0.667236328125}, {"start": 3351.67, "end": 3351.75, "word": " في", "probability": 0.7763671875}, {"start": 3351.75, "end": 3352.21, "word": " العينتين", "probability": 0.94677734375}, {"start": 3352.21, "end": 3352.67, "word": " بيكون", "probability": 0.9376627604166666}, {"start": 3352.67, "end": 3353.87, "word": " مية،", "probability": 0.6770833333333334}, {"start": 3353.87, "end": 3353.99, "word": " يعني", "probability": 0.897216796875}, {"start": 3353.99, "end": 3354.29, "word": " بتلاقي", "probability": 0.9261067708333334}, {"start": 3354.29, "end": 3354.97, "word": " دايما", "probability": 0.8767903645833334}, {"start": 3354.97, "end": 3355.77, "word": " مدمع،", "probability": 0.8280029296875}, {"start": 3355.77, "end": 3356.01, "word": " انه", "probability": 0.82763671875}, {"start": 3356.01, "end": 3356.27, "word": " عنده", "probability": 0.992919921875}, {"start": 3356.27, "end": 3356.71, "word": " تدميع", "probability": 0.9503580729166666}, {"start": 3356.71, "end": 3356.87, "word": " في", "probability": 0.970703125}, {"start": 3356.87, "end": 3357.81, "word": " العين،", "probability": 0.8229166666666666}, {"start": 3357.81, "end": 3358.13, "word": " and", "probability": 0.94091796875}, {"start": 3358.13, "end": 3358.45, "word": " maybe", "probability": 0.84375}, {"start": 3358.45, "end": 3359.31, "word": " infected،", "probability": 0.854736328125}, {"start": 3359.31, "end": 3359.57, "word": " ممكن", "probability": 0.98291015625}, {"start": 3359.57, "end": 3359.77, "word": " انه", "probability": 0.842041015625}, {"start": 3359.77, "end": 3360.03, "word": " تكون", "probability": 0.969970703125}, {"start": 3360.03, "end": 3360.59, "word": " عدوى", "probability": 0.9071044921875}, {"start": 3360.59, "end": 3362.87, "word": " infected،", "probability": 0.573974609375}, {"start": 3362.87, "end": 3363.69, "word": " this", "probability": 0.94287109375}, {"start": 3363.69, "end": 3363.89, "word": " is", "probability": 0.96337890625}, {"start": 3363.89, "end": 3364.19, "word": " more", "probability": 0.9423828125}, {"start": 3364.19, "end": 3364.91, "word": " noticed،", "probability": 0.6414794921875}, {"start": 3364.91, "end": 3365.07, "word": " هذه", "probability": 0.4501953125}, {"start": 3365.07, "end": 3365.77, "word": " بتلاحظها", "probability": 0.97900390625}, {"start": 3365.77, "end": 3366.17, "word": " أكتر", "probability": 0.846435546875}, {"start": 3366.17, "end": 3366.43, "word": " وقت", "probability": 0.869384765625}, {"start": 3366.43, "end": 3366.67, "word": " إيش", "probability": 0.7784016927083334}, {"start": 3366.67, "end": 3366.93, "word": " عند", "probability": 0.97900390625}, {"start": 3366.93, "end": 3367.87, "word": " الأطفال،", "probability": 0.96982421875}, {"start": 3367.87, "end": 3368.23, "word": " ليش؟", "probability": 0.95263671875}, {"start": 3368.23, "end": 3368.49, "word": " لأنه", "probability": 0.822265625}, {"start": 3368.49, "end": 3368.81, "word": " دايما", "probability": 0.9567057291666666}, {"start": 3368.81, "end": 3369.23, "word": " بتلاقي", "probability": 0.9568684895833334}, {"start": 3369.23, "end": 3369.55, "word": " إيده", "probability": 0.8304036458333334}, {"start": 3369.55, "end": 3369.71, "word": " مش", "probability": 0.99609375}, {"start": 3369.71, "end": 3370.41, "word": " نظيفة،", "probability": 0.90400390625}, {"start": 3370.41, "end": 3370.77, "word": " وهو", "probability": 0.6751708984375}, {"start": 3370.77, "end": 3371.23, "word": " إيش؟", "probability": 0.7904052734375}, {"start": 3371.23, "end": 3371.57, "word": " بيعمل", "probability": 0.876708984375}, {"start": 3371.57, "end": 3371.93, "word": " حكا", "probability": 0.98046875}, {"start": 3371.93, "end": 3372.25, "word": " إليها", "probability": 0.5238850911458334}], "temperature": 1.0}, {"id": 115, "seek": 338521, "start": 3376.47, "end": 3385.21, "text": "طبعا احنا روحنا نقف عند ال repair symptoms في المحاضرة القادمة ان شاء الله سوف نبدأ في ال repair symptoms", "tokens": [9566, 3555, 3615, 995, 1975, 5016, 8315, 12602, 2407, 5016, 8315, 8717, 4587, 5172, 43242, 2423, 10535, 8332, 8978, 9673, 5016, 46958, 25720, 25062, 18513, 46007, 16472, 13412, 16606, 21984, 8608, 38688, 8717, 44510, 10721, 8978, 2423, 10535, 8332], "avg_logprob": -0.2015624988824129, "compression_ratio": 1.4051724137931034, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3376.47, "end": 3377.23, "word": "طبعا", "probability": 0.8873291015625}, {"start": 3377.23, "end": 3377.41, "word": " احنا", "probability": 0.88427734375}, {"start": 3377.41, "end": 3377.67, "word": " روحنا", "probability": 0.589599609375}, {"start": 3377.67, "end": 3377.91, "word": " نقف", "probability": 0.9690755208333334}, {"start": 3377.91, "end": 3378.23, "word": " عند", "probability": 0.978515625}, {"start": 3378.23, "end": 3378.71, "word": " ال", "probability": 0.97900390625}, {"start": 3378.71, "end": 3379.21, "word": " repair", "probability": 0.1678466796875}, {"start": 3379.21, "end": 3379.89, "word": " symptoms", "probability": 0.88330078125}, {"start": 3379.89, "end": 3380.83, "word": " في", "probability": 0.5439453125}, {"start": 3380.83, "end": 3381.41, "word": " المحاضرة", "probability": 0.98681640625}, {"start": 3381.41, "end": 3381.85, "word": " القادمة", "probability": 0.9925130208333334}, {"start": 3381.85, "end": 3382.01, "word": " ان", "probability": 0.71728515625}, {"start": 3382.01, "end": 3382.17, "word": " شاء", "probability": 0.982666015625}, {"start": 3382.17, "end": 3382.33, "word": " الله", "probability": 0.9658203125}, {"start": 3382.33, "end": 3383.19, "word": " سوف", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_raw.srt b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..31f717dad1f777c595c1e6ab46a0bc1f8d13e86c
--- /dev/null
+++ b/PL9fwy3NUQKwaBhVI6LPr803vc5wWl9Iy_/wCKGOVZk7OM_raw.srt
@@ -0,0 +1,2464 @@
+1
+00:00:21,160 --> 00:00:23,720
+طيب بسم الله الرحمن الرحيم السلام عليكم و رحمة
+
+2
+00:00:23,720 --> 00:00:30,460
+الله و بركاته بداية ان كونوا عامة بخير هنبدأ في
+
+3
+00:00:30,460 --> 00:00:36,060
+مادة البصريات الرؤية و الانكسار طبعا بدأنا احنا في
+
+4
+00:00:36,060 --> 00:00:41,240
+المحاضرة السابقة اتكلمنا عن موضوع ال refraction
+
+5
+00:00:41,240 --> 00:00:46,820
+clinical importance of refraction بتمنى من كل
+
+6
+00:00:46,820 --> 00:00:52,920
+واحدة تسكر الدفترفي عندنا سؤال ك quiz نوع من ال
+
+7
+00:00:52,920 --> 00:01:00,820
+quiz سكن الدفتر يبقى ورقة
+
+8
+00:01:00,820 --> 00:01:13,300
+صغيرة تكتب عليها اسمك يلا
+
+9
+00:01:13,300 --> 00:01:14,420
+عشان نبدأ في المحاضرة
+
+10
+00:01:35,170 --> 00:01:41,870
+السؤال what is
+
+11
+00:01:41,870 --> 00:01:48,630
+the importance
+
+12
+00:01:48,630 --> 00:01:54,350
+of
+
+13
+00:01:54,350 --> 00:02:03,930
+refraction in
+
+14
+00:02:03,930 --> 00:02:04,510
+clinical
+
+15
+00:02:25,850 --> 00:02:29,270
+ممكن تسيخت السؤال what is the benefit of
+
+16
+00:02:29,270 --> 00:02:34,630
+refraction in a clinical of thalamology مع 5 دقائق
+
+17
+00:02:34,630 --> 00:02:37,370
+رجاء الملزمة ساكريها
+
+18
+00:02:47,080 --> 00:02:52,840
+واضح السؤال؟ يعني ما هي الأهمية الكليكية للانكسار
+
+19
+00:02:52,840 --> 00:02:57,100
+من ناحية clinical ophthalmology، من ناحية طبية أو
+
+20
+00:02:57,100 --> 00:03:01,000
+من ناحية البصريات
+
+21
+00:03:01,000 --> 00:03:02,520
+أو من ناحية طب العيون
+
+22
+00:03:27,050 --> 00:03:32,830
+في عندنا سؤال كل واحدة تطلع ورقة، ورقة صغيرة
+
+23
+00:03:32,830 --> 00:03:44,050
+السؤال what is the importance؟ لأ ماحدة نتكلم اكتب
+
+24
+00:03:44,050 --> 00:03:49,550
+الاسم what is
+
+25
+00:03:49,550 --> 00:03:54,030
+the importance?ماذا يعني مفيد في مدرسة تلمولوجيا؟
+
+26
+00:03:54,030 --> 00:03:58,110
+او ماذا يعني مفيد في مدرسة تلمولوجيا؟
+
+27
+00:04:25,910 --> 00:04:26,590
+أتكلم بسرعة
+
+28
+00:05:04,910 --> 00:05:11,310
+الكل كاتب اسمها؟ شجها
+
+29
+00:05:11,310 --> 00:05:25,550
+دي كله سلم صح؟ اه اه okay in
+
+30
+00:05:25,550 --> 00:05:31,130
+clinical ophthalmology في طب العيون يعني شو
+
+31
+00:05:31,130 --> 00:05:34,290
+الأهمية الإنكسار في طب العيون
+
+32
+00:05:44,810 --> 00:05:46,210
+واضح؟
+
+33
+00:06:42,570 --> 00:06:57,070
+خلصنا هي كده طبعا
+
+34
+00:06:57,070 --> 00:07:06,770
+لو أخدنا ورق عشوية خلصته
+
+35
+00:07:06,770 --> 00:07:07,190
+هيك
+
+36
+00:07:26,740 --> 00:07:30,300
+طيب، what is the importance for benefits of
+
+37
+00:07:30,300 --> 00:07:33,610
+refraction in clinical of the hemorrhages؟طيب
+
+38
+00:07:33,610 --> 00:07:38,650
+number one examination the error diffracted number
+
+39
+00:07:38,650 --> 00:07:44,790
+two provide a clear and confirm طيب
+
+40
+00:07:44,790 --> 00:07:46,770
+number one
+
+41
+00:07:59,140 --> 00:08:03,440
+وحدة بس خلينا نقطة واحدة شو حكيت انت اول نقطة
+
+42
+00:08:03,440 --> 00:08:07,800
+اتفضلي
+
+43
+00:08:07,800 --> 00:08:12,480
+اتفضلي طبعا
+
+44
+00:08:12,480 --> 00:08:16,450
+اللي كتبت determining of the refractive errorof
+
+45
+00:08:16,450 --> 00:08:20,610
+the eye؟ لأ، هي مش .. احنا معاها حكينا ال
+
+46
+00:08:20,610 --> 00:08:24,130
+determining of the refractive error أول واحدة اللي
+
+47
+00:08:24,130 --> 00:08:27,370
+هي determining of the optical condition of the eye
+
+48
+00:08:27,370 --> 00:08:32,010
+ممكن تكون قبل كده
+
+49
+00:08:32,010 --> 00:08:37,150
+refractive
+
+50
+00:08:37,150 --> 00:08:42,230
+condition او ال optical state of the eye شوف
+
+51
+00:08:42,230 --> 00:08:42,510
+كتابتي
+
+52
+00:08:46,960 --> 00:08:49,540
+Determining the refractive error ممكن تبنى المياب
+
+53
+00:08:49,540 --> 00:08:53,160
+والهايبرمتراب ولا الastigmatism؟الrefract هى ممكن
+
+54
+00:08:53,160 --> 00:08:56,100
+اللى هو determining of the refractive error او ال
+
+55
+00:08:56,100 --> 00:08:59,860
+optical state للeye لانه لازم انا اوضح انه هل عنده
+
+56
+00:08:59,860 --> 00:09:04,540
+امتراب ولا هيبرمتراب ولا استigmatism هى مافي واحدة
+
+57
+00:09:04,540 --> 00:09:05,500
+حتى جثية
+
+58
+00:09:10,560 --> 00:09:13,680
+الـ Optical Condition الميوب والـ Hypermetroid
+
+59
+00:09:13,680 --> 00:09:21,720
+والـ Stigmatism أو
+
+60
+00:09:21,720 --> 00:09:25,320
+ممكن انه Determining of the Refractive Error بس
+
+61
+00:09:25,320 --> 00:09:29,920
+بدى اذكر الامتراض، امتراض مافيش حاجة نكتب اللى هو
+
+62
+00:09:29,920 --> 00:09:30,280
+اللى ..
+
+63
+00:09:39,940 --> 00:09:44,740
+بالنسبة لها عشان انه يكون الحل الصحيح تاعهم اول
+
+64
+00:09:44,740 --> 00:09:47,800
+حاجة determining of the refractive condition of
+
+65
+00:09:47,800 --> 00:09:52,560
+the eye يعني بيحدد الحالة الانكسارية للعين واضح؟
+
+66
+00:09:52,560 --> 00:09:55,880
+اتنين measuring of the refractive error يعني بيشوف
+
+67
+00:09:55,880 --> 00:10:00,460
+هل هو عنده ميوب ولا hypermetrop or استيغمتزم زاد
+
+68
+00:10:00,460 --> 00:10:03,300
+انه ايش بيعمل؟ انه بيقرب الأجسام
+
+69
+00:10:05,880 --> 00:10:10,060
+مثلا الان انا كان عندي ميوب واضح؟ الميوب ايش
+
+70
+00:10:10,060 --> 00:10:14,200
+بيعني؟ انه بيكون عنده مشكلة في البعيد فهو بيعمل
+
+71
+00:10:14,200 --> 00:10:17,580
+تصحيح للبعيد او ال hyper metro بيكون عنده مشكلة في
+
+72
+00:10:17,580 --> 00:10:21,880
+القريب فبصليح لي القريب و التالت هو اللي provide
+
+73
+00:10:21,880 --> 00:10:24,720
+clear and comfortable vision هكتبه مرة تانية
+
+74
+00:10:24,720 --> 00:10:26,380
+number one
+
+75
+00:10:39,090 --> 00:10:41,590
+أه بس هين كنت واضحى ال optical .. ال refractive
+
+76
+00:10:41,590 --> 00:10:44,810
+error أو ال refractive condition ميوب،
+
+77
+00:10:44,810 --> 00:10:47,750
+hypermetropia، astigmatism أو ال metropia بس انتوا
+
+78
+00:10:47,750 --> 00:10:50,330
+مش واضحين هنا انت .. انت كتبتيننا على اللوح لأ مش
+
+79
+00:10:50,330 --> 00:10:56,950
+حطيت اللي هو ال optical condition موجودة انا بذكر
+
+80
+00:10:56,950 --> 00:11:00,890
+حطيت اي اتحاجي حكيت انه .. انه حكيت refractive
+
+81
+00:11:00,890 --> 00:11:04,350
+error دايما انه بتعمل يسهم صح ولا لأ؟ انا هادى شغل
+
+82
+00:11:04,350 --> 00:11:07,530
+اولا .. طيب .. اخرين تانية ماحطيناش مجالي كده اللي
+
+83
+00:11:07,530 --> 00:11:11,200
+هتقعدون كده اللي هتقولونيعني اول حاجة ايش؟
+
+84
+00:11:11,200 --> 00:11:13,680
+Determining of the refractive condition of the
+
+85
+00:11:13,680 --> 00:11:21,480
+eye، صحيح؟ Determining
+
+86
+00:11:21,480 --> 00:11:25,940
+of
+
+87
+00:11:25,940 --> 00:11:30,280
+the .. طبعا ال refractive error ممكن اكتبه اختصار،
+
+88
+00:11:30,280 --> 00:11:34,640
+refractive error of
+
+89
+00:11:34,640 --> 00:11:39,520
+the .. او ال optical condition
+
+90
+00:11:44,310 --> 00:11:47,790
+الـ refractive error أو الـ optical state هي واحد،
+
+91
+00:11:47,790 --> 00:11:48,870
+يعني نفس المصطلح
+
+92
+00:12:30,990 --> 00:12:34,510
+عشان هي الصح ان تكتب ال optical state او ال
+
+93
+00:12:34,510 --> 00:12:39,040
+refractive error واحد نفس المصطلح واضح؟يعني ال
+
+94
+00:12:39,040 --> 00:12:42,400
+optical state هو بيشمل ال emetrope و ال emetrope
+
+95
+00:12:42,400 --> 00:12:46,060
+ال emetrope عبارة عن ال hypermetrope الميوب و ال
+
+96
+00:12:46,060 --> 00:12:49,120
+astigmatism ال emetrope اللي هو ال normal case
+
+97
+00:12:49,120 --> 00:12:52,220
+number
+
+98
+00:12:52,220 --> 00:12:57,320
+two measurement of
+
+99
+00:12:57,320 --> 00:13:07,360
+the refractive error number three a provide a
+
+100
+00:13:07,360 --> 00:13:07,760
+clear
+
+101
+00:13:20,530 --> 00:13:29,690
+وvision واضح؟ احنا
+
+102
+00:13:29,690 --> 00:13:35,390
+قدمنا request و كل واحدة كتبت كتبت مش عارفإيش
+
+103
+00:13:35,390 --> 00:13:41,930
+كاتبين طيب؟ واحدة بس خليها تحكي واحدة صح correct
+
+104
+00:13:41,930 --> 00:13:44,430
+and correct and correct and correct and correct
+
+105
+00:13:44,430 --> 00:13:47,690
+and correct and correct and correct and correct
+
+106
+00:13:47,690 --> 00:13:49,110
+and correct and correct and correct and correct
+
+107
+00:13:49,110 --> 00:13:49,950
+and correct and correct and correct and correct
+
+108
+00:13:49,950 --> 00:13:49,950
+and correct and correct and correct and correct
+
+109
+00:13:49,950 --> 00:13:49,950
+and correct and correct and correct and correct
+
+110
+00:13:49,950 --> 00:13:49,950
+and correct and correct and correct and correct
+
+111
+00:13:49,950 --> 00:13:52,090
+and correct and correct and correct and correct
+
+112
+00:13:52,090 --> 00:13:52,090
+and correct and correct and correct and correct
+
+113
+00:13:52,090 --> 00:13:52,090
+and correct and correct and correct and correct
+
+114
+00:13:52,090 --> 00:13:52,230
+and correct and correct and correct and correct
+
+115
+00:13:52,230 --> 00:13:52,350
+and correct and correct and correct and correct
+
+116
+00:13:52,350 --> 00:13:52,350
+and correct and correct and correct and correct
+
+117
+00:13:52,350 --> 00:13:52,350
+and correct and correct and correct and correct
+
+118
+00:13:52,350 --> 00:13:52,350
+and correct and correct and correct and correct
+
+119
+00:13:52,350 --> 00:13:52,350
+and correct and correct and correct and correct
+
+120
+00:13:52,350 --> 00:13:52,750
+and correct and correct and correct and correct
+
+121
+00:13:52,750 --> 00:13:52,970
+and correct and correct and correct and correct
+
+122
+00:13:52,970 --> 00:13:53,210
+and correct and correct and correct and correct
+
+123
+00:13:53,210 --> 00:13:53,210
+and correct and correct and correct and correct
+
+124
+00:13:53,210 --> 00:13:55,070
+and correct and correct and correct and correct
+
+125
+00:13:55,070 --> 00:13:55,070
+and correct and correct and correct and correct
+
+126
+00:13:55,070 --> 00:13:55,070
+and correct and correct and correct and correct
+
+127
+00:13:55,070 --> 00:13:55,610
+and correct and correct and correct and correct
+
+128
+00:13:55,610 --> 00:13:58,510
+and correct and
+
+129
+00:14:03,340 --> 00:14:10,960
+واضح السؤال؟ خلصناه؟ طيب طيب طيب طيب طيب
+
+130
+00:14:10,960 --> 00:14:13,440
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+131
+00:14:13,440 --> 00:14:14,640
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+132
+00:14:14,640 --> 00:14:14,700
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+133
+00:14:14,700 --> 00:14:14,800
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+134
+00:14:14,800 --> 00:14:15,640
+طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب طيب
+
+135
+00:14:15,640 --> 00:14:30,180
+طيب طيب طيب طيب طيب
+
+136
+00:14:30,180 --> 00:14:34,960
+طIn high degrees of refractive errors, the main
+
+137
+00:14:34,960 --> 00:14:39,380
+symptom is defective vision الآن ال high degrees
+
+138
+00:14:39,380 --> 00:14:45,620
+according to Duke Elder book يعني بناء على الكتاب
+
+139
+00:14:45,620 --> 00:14:49,480
+اللي احنا بندرس منه المرجع في عندنا refractive
+
+140
+00:14:49,480 --> 00:14:53,540
+error تلت أنواع ممكن ان يكون ال refractive error
+
+141
+00:14:53,540 --> 00:14:59,600
+mild refractive errorممكن mind شو معناها؟ خفيف
+
+142
+00:14:59,600 --> 00:15:03,960
+يعني او قليل ممكن انه يكون moderate متوسط وممكن
+
+143
+00:15:03,960 --> 00:15:08,660
+انه يكون ايش severe في تصنيف اخر ممكن يكون high
+
+144
+00:15:08,660 --> 00:15:13,120
+انه عالي يعني عنده اخطاء انكسرية عالية ممكن يكون
+
+145
+00:15:13,120 --> 00:15:17,400
+moderate متوسط وممكن يكون ايش low اللي هو منخفض
+
+146
+00:15:17,400 --> 00:15:22,140
+فالان يكون المريض عنده high high refractive errors
+
+147
+00:15:22,140 --> 00:15:24,160
+ال high refractive error
+
+148
+00:15:34,960 --> 00:15:40,720
+فعن للميوف minus
+
+149
+00:15:40,720 --> 00:15:51,420
+6 or more كتصنيف
+
+150
+00:15:51,420 --> 00:15:55,420
+للميوف ان هاي refractive error ممكن يكون من minus
+
+151
+00:15:55,420 --> 00:16:02,080
+6 او اكتر واضح طبعا هذا ايش according يعني بناء
+
+152
+00:16:02,080 --> 00:16:02,460
+على
+
+153
+00:16:15,270 --> 00:16:26,530
+بناء على المرجع بتاعنا ال hybrid metro plus
+
+154
+00:16:26,530 --> 00:16:30,190
+5.25 four more
+
+155
+00:16:34,610 --> 00:16:45,650
+و ال astigmatism واحد
+
+156
+00:16:45,650 --> 00:16:52,230
+ربع or more عليش محطت الشهان إشارة لنقول انه plus
+
+157
+00:16:52,230 --> 00:16:57,510
+or minus فعندنا بالنسبة لل high refractive error
+
+158
+00:16:57,510 --> 00:17:01,870
+بنقسم إلى تلت أقسام إما أنه يكون high mayo أو high
+
+159
+00:17:01,870 --> 00:17:06,040
+hypermetro أو high astigmatismالـ high ميوغ minus
+
+160
+00:17:06,040 --> 00:17:10,140
+six or more معناه minus six يعني العدسة اللى هحطها
+
+161
+00:17:10,140 --> 00:17:15,180
+للمريض عشان يشوف ستة ع ستة جداش minus ستة او اكثر
+
+162
+00:17:15,180 --> 00:17:20,380
+واضح يعني minus ستة او اكثر يعني ممكن يكون minus
+
+163
+00:17:20,380 --> 00:17:25,200
+twenty او minus مثلا thirty او minus forty فهذا
+
+164
+00:17:25,200 --> 00:17:28,880
+كله بنسميه ايش high refractive error or high ميوغ
+
+165
+00:17:28,880 --> 00:17:35,640
+مش احنا قولنا العدسة اللى بنحطهاconvex بيبقى plus
+
+166
+00:17:35,640 --> 00:17:41,500
+concave minus يما
+
+167
+00:17:41,500 --> 00:17:45,440
+يكون مريض عندنا ميوك ايش بدنا نحط عدسة؟ concave اه
+
+168
+00:17:45,440 --> 00:17:48,580
+اللي هي minus عدسة minus نفس الهدف يعني عدسة اه
+
+169
+00:17:48,580 --> 00:17:52,840
+هدف النضارة اه يما يكون اللي هو hyper metroid
+
+170
+00:17:52,840 --> 00:17:57,220
+convex اللي هو convex بدنا نحط اللي هو عدسة موجبة
+
+171
+00:17:57,220 --> 00:18:01,870
+plus خمسة و ربع يما يكون astigmatismواحد ربع او
+
+172
+00:18:01,870 --> 00:18:06,750
+اكتر طب هان ايش ماحطتش .. ماحطتش sign اشارة plus
+
+173
+00:18:06,750 --> 00:18:12,870
+or minus واضح؟ in high degrees of refractive
+
+174
+00:18:12,870 --> 00:18:16,910
+errors, the main symptom is defective mediums يعني
+
+175
+00:18:16,910 --> 00:18:21,750
+لما يكون المريض عنده high يعني درجات عالية سواء
+
+176
+00:18:21,750 --> 00:18:25,490
+myopia او hypermetropia او astigmatism انه بيكون
+
+177
+00:18:25,490 --> 00:18:29,590
+الخلل ايش؟ عنده خلل في الرؤية يعني خلل بصري
+
+178
+00:18:29,800 --> 00:18:36,760
+defective vision اختصار للخلل البصري ال
+
+179
+00:18:36,760 --> 00:18:39,920
+low degrees of refractive errors the defective
+
+180
+00:18:39,920 --> 00:18:43,260
+vision is only one of his symptoms طيب لو واحد
+
+181
+00:18:43,260 --> 00:18:47,280
+مثلا كان عنده low refractive error طبعا low myo أو
+
+182
+00:18:47,280 --> 00:18:52,660
+low hypermetro أو low astigmatism هذا المريض ايش
+
+183
+00:18:52,660 --> 00:18:56,820
+بيكون عنده ال defective vision هي واحدة من هذه
+
+184
+00:18:56,820 --> 00:19:00,830
+الأعراضيعني بيكون عنده أعراض أخرى لكن ال defective
+
+185
+00:19:00,830 --> 00:19:04,470
+vision الخلل البصري هي واحدة من هذه الأعراض واضح
+
+186
+00:19:04,470 --> 00:19:16,970
+فعندنا ال low refractive error ال
+
+187
+00:19:16,970 --> 00:19:22,310
+low
+
+188
+00:19:22,310 --> 00:19:25,810
+refractive
+
+189
+00:19:25,810 --> 00:19:32,990
+errorممكن يكون low, meiwot,
+
+190
+00:19:34,830 --> 00:19:43,510
+low, hyper, metro طبعا ال hyper, metro بالان نعتمد
+
+191
+00:19:43,510 --> 00:19:47,450
+الاختصار لان احنا هنتعلم كل شغلة يعني هنكتب معظم
+
+192
+00:19:47,450 --> 00:19:52,530
+الأشياء في اختصار زي refractive error RE او low
+
+193
+00:19:52,530 --> 00:19:55,190
+astigmatism
+
+194
+00:20:02,430 --> 00:20:10,330
+طبعا ال low major هيكون من minus ربع ل minus ثلاثة
+
+195
+00:20:10,330 --> 00:20:19,950
+ال low hypermetro من plus ربع ل اتنين ال
+
+196
+00:20:19,950 --> 00:20:28,430
+astigmatism هيكون من minus ربع ل plus
+
+197
+00:20:28,430 --> 00:20:36,230
+or minus لخمس و سبعينطيب ممكن واحد يسأل سؤال طيب
+
+198
+00:20:36,230 --> 00:20:39,550
+الباقي من تلاتة لستة وين راح؟ مدرد، اي مدرد، مدرد
+
+199
+00:20:39,550 --> 00:20:43,790
+انه هيكون ايش؟ مدرد ميوب او مدرد هايفر متروب او
+
+200
+00:20:43,790 --> 00:20:50,850
+مدرد استجماتيزم، واضح؟ اه، الان ال low ميوب هيكون
+
+201
+00:20:50,850 --> 00:20:56,290
+من minus ربع ل minus تلاتة، واضح؟ ال high ميوب من
+
+202
+00:20:56,290 --> 00:21:01,130
+minus ستة او اكتر، طيب اللي بينهم هذا بتسمى مدرد
+
+203
+00:21:01,130 --> 00:21:06,730
+ميوبالـ hypermetrophe من الـ plus ربع لإتنين الـ
+
+204
+00:21:06,730 --> 00:21:10,270
+high hypermetrophe ال plus two point five or more
+
+205
+00:21:10,270 --> 00:21:14,710
+فبالبينهم إيش بالزميل؟ moderate يعني متوسط يعني
+
+206
+00:21:14,710 --> 00:21:19,290
+مثلا عنده بيكون متوسط اللي هو طول نظر أو متوسط قصر
+
+207
+00:21:19,290 --> 00:21:23,690
+نظر ال
+
+208
+00:21:23,690 --> 00:21:26,870
+low degrees of refractive errors the defective
+
+209
+00:21:26,870 --> 00:21:30,170
+vision is only one of his symptoms يعني لما يكون
+
+210
+00:21:30,170 --> 00:21:34,430
+عندهدرجة جليلة من ال refractive error تعتبر الخلل
+
+211
+00:21:34,430 --> 00:21:37,990
+البصري هي واحدة من هذه الأعراض لكن هل هما كلهم؟
+
+212
+00:21:37,990 --> 00:21:41,610
+هذا ممكن true or false اللي هو degrees of
+
+213
+00:21:41,610 --> 00:21:45,070
+refractive error the defective vision is one of
+
+214
+00:21:45,070 --> 00:21:49,790
+his symptoms صح ولا خطأ؟ صح صح صح صح صح صح صح صح
+
+215
+00:21:49,790 --> 00:21:52,150
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+216
+00:21:52,150 --> 00:21:52,490
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+217
+00:21:52,490 --> 00:21:52,710
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+218
+00:21:52,710 --> 00:21:52,710
+صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح صح
+
+219
+00:21:52,710 --> 00:22:01,560
+صح صحother symptoms like afford to see clearly in
+
+220
+00:22:01,560 --> 00:22:04,360
+spite of the presence of the refractive error
+
+221
+00:22:04,360 --> 00:22:08,920
+المريض هذا عنده خلال بصري لكن ممكن أن يكون أعراض
+
+222
+00:22:08,920 --> 00:22:13,440
+أخرى زي مثلا عنده ألم في العين أو مثلا عنده صداع
+
+223
+00:22:13,440 --> 00:22:18,120
+سواء frontal أو مثلا occipital أو مثلا temporal أو
+
+224
+00:22:18,120 --> 00:22:23,640
+nasal يعني يكون عنده أيش أعراض أخرى واضح؟ frontal
+
+225
+00:22:23,640 --> 00:22:27,270
+معناها من الأمام يعني صداع أماميوكسبت الخلفية
+
+226
+00:22:27,270 --> 00:22:34,770
+temporal من الطرف، نزل من هناك condition of
+
+227
+00:22:34,770 --> 00:22:37,990
+sustained use of accommodation in hyperuvic
+
+228
+00:22:37,990 --> 00:22:41,510
+persons and presbyopic persons in near work are
+
+229
+00:22:41,510 --> 00:22:44,090
+typical circumstances that produce non visual
+
+230
+00:22:44,090 --> 00:22:47,910
+symptoms like eye pain and headache الان لو انا
+
+231
+00:22:47,910 --> 00:22:52,310
+مثلا عندي مريض عنده hypermetroid اللي هو طول نظر
+
+232
+00:22:52,310 --> 00:22:55,150
+شو معناه hypermetroid تعريف ال hypermetroid
+
+233
+00:22:58,980 --> 00:23:04,380
+انصدار رايدريت انصدار رايدريت are brought to focus
+
+234
+00:23:04,380 --> 00:23:10,660
+behind the regime لو واحد مثلا كان عنده hyper
+
+235
+00:23:10,660 --> 00:23:14,320
+metro بطول نظر او عنده bris payot شو معناته bris
+
+236
+00:23:14,320 --> 00:23:18,080
+payot ك definition له؟
+
+237
+00:23:22,330 --> 00:23:25,890
+Ibris biopia in ability to focus the light on the
+
+238
+00:23:25,890 --> 00:23:30,710
+retina by loss of flexibility of the crystalline
+
+239
+00:23:30,710 --> 00:23:34,150
+lens لو كان المريض عنده hyper metroid أو كان عنده
+
+240
+00:23:34,150 --> 00:23:38,390
+مثلا Ibris biopia يما بيجي باستخدام القريب بيكون
+
+241
+00:23:38,390 --> 00:23:41,930
+في عنده إيش مشكلة ليش؟ لأنه ماعندهوش accommodation
+
+242
+00:23:41,930 --> 00:23:49,490
+كافي انه يقدر العدسة تتكيّب انه يشوف الصورة بشكل
+
+243
+00:23:49,490 --> 00:23:53,380
+واضحفبتلاقي دايما بقرب اللي هو الجوال او بتلاقي
+
+244
+00:23:53,380 --> 00:23:57,380
+مثلا بقرب اللابتوب اكثر له او ببعده حسب اللي هو
+
+245
+00:23:57,380 --> 00:24:03,260
+ايه التكييف بتاعه فهذا المريض اللي بيستخدم ال
+
+246
+00:24:03,260 --> 00:24:07,140
+accommodation التكييف بشكل مستمر سواء كان hyper
+
+247
+00:24:07,140 --> 00:24:12,020
+metro عنده طول نظر او عنده breast biop قصه نظر
+
+248
+00:24:12,020 --> 00:24:17,080
+شيخوخة هذا المريض انه هيعاني من ايش؟ من أعراض أخرى
+
+249
+00:24:17,080 --> 00:24:21,270
+غير النظر زي مثلا شهد الأعراضال eye pain اللي هو
+
+250
+00:24:21,270 --> 00:24:25,470
+ألم في العين زائد ال headache اللي هو الصدع واضح؟
+
+251
+00:24:25,470 --> 00:24:30,090
+واضح يعني الآن لو أنا مثلا أجيب السؤال شو مثلا ال
+
+252
+00:24:30,090 --> 00:24:36,110
+symptoms لإنسان عنده hypermetropia او presbyopia
+
+253
+00:24:36,110 --> 00:24:43,150
+اول حاجة ايش؟ eye pain اول حاجة اول
+
+254
+00:24:43,150 --> 00:24:47,110
+حاجة اللي هو defective vision دي اول شغلة تاني
+
+255
+00:24:47,110 --> 00:24:51,810
+حاجة اللي هي بيكون عندهEither زي ال headache ال
+
+256
+00:24:51,810 --> 00:24:58,130
+symptoms طبعا
+
+257
+00:24:58,130 --> 00:25:01,230
+ال symptoms مين هيش فيها المريض ولا ال examiner؟
+
+258
+00:25:01,230 --> 00:25:13,050
+المريض اذا ال symptoms of
+
+259
+00:25:13,050 --> 00:25:24,980
+either metro orDepressed Payoff Number
+
+260
+00:25:24,980 --> 00:25:32,660
+one Defective Vision
+
+261
+00:25:32,660 --> 00:25:38,140
+Number
+
+262
+00:25:38,140 --> 00:25:41,380
+two
+
+263
+00:25:41,380 --> 00:25:43,080
+IBM
+
+264
+00:25:47,400 --> 00:25:56,760
+number three headache واضح؟
+
+265
+00:25:56,760 --> 00:26:00,000
+طب
+
+266
+00:26:00,000 --> 00:26:05,500
+شو تعريف ال press biop؟ ال press biop كمفهوم إله
+
+267
+00:26:05,500 --> 00:26:09,040
+إنه عدم قدرة العين على إيش
+
+268
+00:26:11,750 --> 00:26:17,690
+عدم قدرة العين على تركيز الصورة وين على الشبكية
+
+269
+00:26:17,690 --> 00:26:24,910
+نتيجة ايش؟ by loss of flexibility of the lens بسبب
+
+270
+00:26:24,910 --> 00:26:30,090
+فقدان مرد العدسة طبعا هي تعتبر ظاهرة في السيورجية
+
+271
+00:26:30,090 --> 00:26:35,010
+يعني لو حكينا مثلا breast biopia is pathological
+
+272
+00:26:35,010 --> 00:26:40,590
+factor اللي هي ايش تعتبر؟ يعني عامل في السيورجية،
+
+273
+00:26:40,590 --> 00:26:45,550
+واضح؟The fact that the pathological basis of these
+
+274
+00:26:45,550 --> 00:26:49,470
+symptoms depends on fatigue of extraocular muscles
+
+275
+00:26:49,470 --> 00:26:53,610
+and intraocular muscles like ciliary muscles has
+
+276
+00:26:53,610 --> 00:26:57,250
+led to the mechanical concept of the strain that
+
+277
+00:26:57,250 --> 00:27:02,710
+named eye strain الآن شو سبب ال eye fatigue؟ ليش
+
+278
+00:27:02,710 --> 00:27:10,890
+بيصير عند الإنسان إجهاد في العين؟ معاكم؟ في اللي
+
+279
+00:27:10,890 --> 00:27:15,450
+هو عضلاتالـ Extraocular muscles العضلات الخارجية
+
+280
+00:27:15,450 --> 00:27:19,930
+للعين وفي Intraocular muscles عضلات داخلية للعين
+
+281
+00:27:19,930 --> 00:27:24,550
+جداش العضلات الخارجية للعين سكتة اللي هي الـ
+
+282
+00:27:24,550 --> 00:27:29,370
+Extraocular muscle ست عضلات خارجية للعين وفي تلت
+
+283
+00:27:29,370 --> 00:27:33,770
+عضلات داخلية للعين فال I fatigue .. بعدين بنكتب؟
+
+284
+00:27:33,770 --> 00:27:38,310
+هلخصلكم إياها ال I fatigue بصير عملية إجهاد
+
+285
+00:27:38,310 --> 00:27:43,810
+للعضلات الخارجية و الداخلية للعينفهذا ايش بيسبب ال
+
+286
+00:27:43,810 --> 00:27:48,130
+eye strain؟ يعني لو حكيت شو تعريف ال eye strain؟
+
+287
+00:27:48,130 --> 00:27:52,070
+شو
+
+288
+00:27:52,070 --> 00:27:56,850
+بيصير؟ اشهد، اللي هو ايش؟ fatigue of the
+
+289
+00:27:56,850 --> 00:28:00,630
+extraocular muscles and intraocular muscles that
+
+290
+00:28:00,630 --> 00:28:05,970
+produce a concept of eye strainيعني إجهاد للعضلات
+
+291
+00:28:05,970 --> 00:28:10,210
+الخارجية للعين والعضلات الداخلية للعين هذا بينتج
+
+292
+00:28:10,210 --> 00:28:14,850
+مفهوم بيسمى إجهاد العين إذا الآن في عندنا ال
+
+293
+00:28:14,850 --> 00:28:19,790
+extraocular muscles العضلات الخارجية للعين مين
+
+294
+00:28:19,790 --> 00:28:27,850
+بيعرف أكم واحدة؟ ستة طيب شو هم العضلات الستة؟ ما
+
+295
+00:28:27,850 --> 00:28:31,270
+أخدتهم أه؟طيب ال intraocular muscles العضلات
+
+296
+00:28:31,270 --> 00:28:35,810
+الخارجية، الداخلية، تلاتة، شو هما؟ أكيد أخدتهم في
+
+297
+00:28:35,810 --> 00:28:40,230
+ال anatomy of the eye خدتوا
+
+298
+00:28:40,230 --> 00:28:44,870
+ال ciliary muscle صح؟ طيب هو في ال ciliary muscle،
+
+299
+00:28:44,870 --> 00:28:50,350
+اه ال ciliary muscle، واش كمان؟ ال sphenecter,
+
+300
+00:28:50,370 --> 00:28:54,910
+ipopilla muscle اللي بتعمل .. و ال dilator,
+
+301
+00:28:55,010 --> 00:29:00,120
+ipopilla muscle فأكيد أخدتوه، نعرفالـ Extra
+
+302
+00:29:00,120 --> 00:29:12,100
+Cochlear muscle number one superior rectus
+
+303
+00:29:12,100 --> 00:29:15,520
+muscle
+
+304
+00:29:15,520 --> 00:29:22,360
+طبعا معناها أن العضلة المعتدلة الأمامية أو
+
+305
+00:29:22,360 --> 00:29:28,970
+المرتفعة superior rectus muscle اختصارا هيالعضلة
+
+306
+00:29:28,970 --> 00:29:35,030
+التانية inferior rectus
+
+307
+00:29:35,030 --> 00:29:40,070
+muscle عضلة
+
+308
+00:29:40,070 --> 00:29:44,010
+median
+
+309
+00:29:44,010 --> 00:29:48,090
+rectus
+
+310
+00:29:48,090 --> 00:29:55,010
+muscle ابنع
+
+311
+00:29:55,010 --> 00:29:55,830
+الكلام لو سمحت
+
+312
+00:30:06,380 --> 00:30:19,580
+العضلة الجانبية خمسة superior oblique
+
+313
+00:30:19,580 --> 00:30:25,140
+muscle العضلة
+
+314
+00:30:25,140 --> 00:30:27,620
+المائلة
+
+315
+00:30:31,620 --> 00:30:39,480
+الامامية سبعة inferior .. ستة inferior oblique
+
+316
+00:30:39,480 --> 00:30:43,460
+muscle العضلة
+
+317
+00:30:43,460 --> 00:30:47,120
+الماهلة الخلفية طبعا في بعض الكتب بيكتبوا كمان
+
+318
+00:30:47,120 --> 00:30:50,040
+عضلة اللي هي سابعة ال elevator palpebral superior
+
+319
+00:30:50,040 --> 00:30:53,860
+muscle هذا اللي بترفع الجفن اه يعني انا اكون نايم
+
+320
+00:30:53,860 --> 00:30:56,960
+واصحى اللي بترفع الجفن هذا بيسموها ال elevator
+
+321
+00:30:56,960 --> 00:30:59,920
+palpebral superior muscle مش مهم احنا الآن
+
+322
+00:31:03,290 --> 00:31:08,710
+هدول ال 6 عضلات الخارجية للعين فالان انا لو حكيت
+
+323
+00:31:08,710 --> 00:31:13,770
+شو تعريف ال eye strain إجهاد العين ب fatigue of
+
+324
+00:31:13,770 --> 00:31:16,910
+the extraocular muscles اللي هم ال septa and
+
+325
+00:31:16,910 --> 00:31:22,030
+intraocular muscles اللي هم تلاتة ال spinectrum,
+
+326
+00:31:22,170 --> 00:31:25,550
+pupilla muscle, dilator, pupilla muscle and
+
+327
+00:31:25,550 --> 00:31:29,430
+ciliary muscle that produce a concept يعني هذا
+
+328
+00:31:29,430 --> 00:31:36,420
+بينتج مفهوم بيسمى إجهاد العين، واضح؟كتبتوا هدول؟
+
+329
+00:31:36,420 --> 00:31:43,760
+كلصنا؟ طيب ال inferior .. ال intraocular muscle
+
+330
+00:31:43,760 --> 00:31:49,160
+number one ال celery muscle اختصارها .. خليني اكمل
+
+331
+00:31:49,160 --> 00:31:55,460
+ال celery
+
+332
+00:31:55,460 --> 00:31:55,720
+muscle
+
+333
+00:32:04,580 --> 00:32:09,380
+number two sphincter
+
+334
+00:32:09,380 --> 00:32:14,560
+pupilla
+
+335
+00:32:14,560 --> 00:32:18,480
+muscle
+
+336
+00:32:18,480 --> 00:32:21,800
+number
+
+337
+00:32:21,800 --> 00:32:24,200
+three dilator
+
+338
+00:32:32,370 --> 00:32:39,250
+في بيوبيلا مصر في
+
+339
+00:32:39,250 --> 00:32:54,170
+عندنا مفهوم ال ice cream فتيه
+
+340
+00:32:54,170 --> 00:32:56,710
+قبضة
+
+341
+00:32:59,500 --> 00:33:05,960
+extrapopular muscles and intrapopular
+
+342
+00:33:05,960 --> 00:33:14,900
+muscles ت produce a
+
+343
+00:33:14,900 --> 00:33:22,860
+concept concept معناها مفهوم called بيسمى هذا
+
+344
+00:33:22,860 --> 00:33:25,580
+المفهوم I
+
+345
+00:33:37,320 --> 00:33:42,700
+الفعل أن مبادئ الهيوغوبية لهذه الشيطانات تعتمد على
+
+346
+00:33:42,700 --> 00:33:48,560
+صعوبة جذعين اكتراوكولار و جذعين انتراوكولار مثل
+
+347
+00:33:48,560 --> 00:33:53,100
+الجذع السلري لديه نوع ميكانيكالي لجذع يسمى I
+
+348
+00:33:53,100 --> 00:33:57,230
+-strainيعني إجهاد هذه العضلات الداخلية للعين و
+
+349
+00:33:57,230 --> 00:34:02,050
+الخارجية للعين بينتج إليه مفهوم بيسمى إجهاد العين
+
+350
+00:34:02,050 --> 00:34:08,070
+واضح؟ طيب symptoms، خلصنا كتابة
+
+351
+00:34:27,670 --> 00:34:32,890
+symptoms of ice cream أعراض إجهاد العين، الآن
+
+352
+00:34:32,890 --> 00:34:38,150
+إجهاد العين في عدة أعراض إلها ممكن number one أن
+
+353
+00:34:38,150 --> 00:34:43,510
+تكون visual symptoms يعني أعراض بصرية okay number
+
+354
+00:34:43,510 --> 00:34:47,770
+two ocular symptoms ممكن أن تكون أعراض أيش عينية
+
+355
+00:34:47,770 --> 00:34:51,930
+يعني في العين نفسها زي أيش مثلا ال orbit المحجر
+
+356
+00:34:51,930 --> 00:34:56,710
+المحجر العينو ممكن أن تكون refer symptoms يعني
+
+357
+00:34:56,710 --> 00:35:01,870
+أعراض أخرى في الجسم زي مثلا سوء الغضب أو مثلا صداع
+
+358
+00:35:01,870 --> 00:35:08,770
+أعراض غير مرتبطة في العين واضح؟ في ال visual
+
+359
+00:35:08,770 --> 00:35:13,890
+symptoms أعراض بصرية اللي هي متعلقة بالعين
+
+360
+00:35:18,840 --> 00:35:23,340
+الـ ocular symptoms أعراف عينية زي مثلا بتكون لها
+
+361
+00:35:23,340 --> 00:35:27,040
+علاقة في محجر العين يعني مثلا حوالين العين أو مثلا
+
+362
+00:35:27,040 --> 00:35:31,900
+لها علاقة في ال eyelid في ال .. ال eyelid اللي هو
+
+363
+00:35:31,900 --> 00:35:36,740
+الجفن بتاع العين أو مثلا في ال eyelash كل هذه اللي
+
+364
+00:35:36,740 --> 00:35:40,780
+هي رموش تحت العين فهذه بيسموها ال ocular symptoms
+
+365
+00:35:40,780 --> 00:35:43,620
+لكن أهم شيء هذه الأعراف بيكون لها علاقة في ال
+
+366
+00:35:43,620 --> 00:35:48,810
+orbit اللي هي المحجر orbit معناها محجر العينيكتب
+
+367
+00:35:48,810 --> 00:35:54,970
+هيك قارئ هو
+
+368
+00:35:54,970 --> 00:36:00,450
+مشجع العين ال refer symptoms الأعراض الأخرى زي
+
+369
+00:36:00,450 --> 00:36:05,930
+مثلا ال headache أو مثلا واحد عنده سوء خضم هذا
+
+370
+00:36:05,930 --> 00:36:10,390
+بيسميها أعراض غير متعلقة بالعين متعلقة بالجسم ككل
+
+371
+00:36:10,390 --> 00:36:12,550
+واضح؟
+
+372
+00:36:15,760 --> 00:36:22,160
+visual symptoms أعراض بصرية these symptoms are
+
+373
+00:36:22,160 --> 00:36:27,660
+intermittent شو معنى intermittent متقطعة يعني هذه
+
+374
+00:36:27,660 --> 00:36:32,900
+الأعراض انه بتكون متقطعة مش دائمية in a small
+
+375
+00:36:32,900 --> 00:36:39,500
+refractive error في الخطأ الانكساري الصغير ممكن
+
+376
+00:36:39,500 --> 00:36:43,820
+الأعراض مثلا ال ocular symptoms شوية هناخدها كم
+
+377
+00:36:43,820 --> 00:36:48,520
+شويةإنه هتكون إيش؟ constant اللي هي ثابتة إذا نعكس
+
+378
+00:36:48,520 --> 00:36:52,300
+intermitt اللي هو إيش constant يعني ممكن في المعمل
+
+379
+00:36:52,300 --> 00:36:55,360
+نستخدم اللي هو كلمة intermitt دايما المريض بيقول
+
+380
+00:36:55,360 --> 00:36:59,560
+أنا عنده صداع لكن بيجي مثلا في وقت الصباح أو مثلا
+
+381
+00:36:59,560 --> 00:37:03,360
+في وقت المسافة إيش بكتب intermittent headache؟ إنه
+
+382
+00:37:03,360 --> 00:37:05,020
+صداع إيش متقطر
+
+383
+00:37:24,100 --> 00:37:27,540
+طبعا شويه شويه احنا بدنا نتقدم في كتابة ال history
+
+384
+00:37:27,540 --> 00:37:31,820
+يعني كيف انه انا اكتب ال history بشكل صحيح مش مثلا
+
+385
+00:37:31,820 --> 00:37:36,100
+انه نبقى نكتب مثلا blurred vision for distance or
+
+386
+00:37:36,100 --> 00:37:40,760
+near لأ بنصير more advanced يعني اكتر اللي هو ندخل
+
+387
+00:37:40,760 --> 00:37:45,080
+يعني deep اكتر انه في عملية اخذ ال history للمريض
+
+388
+00:37:45,080 --> 00:37:49,120
+فانا ممكن لو كان المريض عنده صداع دائمة يعني في اي
+
+389
+00:37:49,120 --> 00:37:50,900
+وقت بكتب كل سنة
+
+390
+00:38:00,910 --> 00:38:08,070
+هدي انه بيكون عنده صداع ايش دائم و عكسه انت متن
+
+391
+00:38:20,500 --> 00:38:23,360
+الـ Intermittent لها كتابتين في اللي هو ال
+
+392
+00:38:23,360 --> 00:38:27,080
+American و في ال British هد British هنعنى ان احنا
+
+393
+00:38:27,080 --> 00:38:31,240
+ال American ال pronunciation او ال spelling بتاعنا
+
+394
+00:38:31,240 --> 00:38:34,880
+these symptoms are intermittent in a small
+
+395
+00:38:34,880 --> 00:38:39,400
+refractive error like 0.50 astigmatism actual
+
+396
+00:38:39,400 --> 00:38:43,360
+visual acuity forms little or no of the symptoms
+
+397
+00:38:43,360 --> 00:38:48,300
+in normal conditionهذا الحالات بتاعة ال patient
+
+398
+00:38:48,300 --> 00:38:53,600
+المرضى بيكون عندهم يعني خطأ انكساري ايش بسيط فهو
+
+399
+00:38:53,600 --> 00:38:57,620
+يعتبر لما انا اعمله حدة الإبصار ال visual acuity
+
+400
+00:38:57,620 --> 00:39:02,480
+هلاجيه انه ايش normal patient يعني انسان طبيعي لان
+
+401
+00:39:02,480 --> 00:39:06,700
+لو واحد كان عنده مثلا minus ربع او minus نص او
+
+402
+00:39:06,700 --> 00:39:11,340
+plus نص كل هيتنا معظمنا عندنا plus او minus نص لان
+
+403
+00:39:11,340 --> 00:39:15,230
+هذا ايش امر في السيولوجيا طبيعيواضح؟ يعني ممكن
+
+404
+00:39:15,230 --> 00:39:19,330
+واحد يكون عنده plus نص وهو إيش normal وكل هيتنا
+
+405
+00:39:19,330 --> 00:39:23,270
+هتلاحظ بكرا ما نشتغل على ال auto refractometer أو
+
+406
+00:39:23,270 --> 00:39:26,590
+على ال retinoscope هيكون عندنا إيش اللي هم الأجهزة
+
+407
+00:39:26,590 --> 00:39:31,910
+اللي بيقيصوا حدث الخطأ الانكساري للعين بيكون عندنا
+
+408
+00:39:31,910 --> 00:39:39,900
+في plus or minus نص يعني يا ربع أو نص، واضح؟this
+
+409
+00:39:39,900 --> 00:39:43,120
+defect can be compensated by the ciliary muscle
+
+410
+00:39:43,120 --> 00:39:46,720
+effort and accommodation in normal conditions يعني
+
+411
+00:39:46,720 --> 00:39:51,000
+هذا الخلل البصري ممكن انا ايش compensated يعني
+
+412
+00:39:51,000 --> 00:39:57,040
+اعوضه بواسطة العضلة الهتبية بس ايش بنصير اللي هو
+
+413
+00:39:57,040 --> 00:40:00,600
+عملية اجهاد للعضلة الهتبية يعني ال ciliary muscle
+
+414
+00:40:00,600 --> 00:40:03,700
+effort يقولون احنا ال intraocular muscle تلاتة صح
+
+415
+00:40:03,700 --> 00:40:06,800
+واحدة منهم ال ciliary muscle ال ciliary muscle
+
+416
+00:40:06,800 --> 00:40:11,290
+مسئول عن ايشال accommodation هي القراة بس ال
+
+417
+00:40:11,290 --> 00:40:15,250
+accommodation يعني بكرا لما أقول ال celery muscle
+
+418
+00:40:15,250 --> 00:40:19,390
+مسئول عن إيش اللي هي ال accommodation celery
+
+419
+00:40:19,390 --> 00:40:24,210
+muscle is responsible for accommodation لأنه إيش
+
+420
+00:40:24,210 --> 00:40:29,830
+بيصير لعملية relaxation this
+
+421
+00:40:29,830 --> 00:40:33,730
+defect can be compensated يعني ممكن هذا التأثير
+
+422
+00:40:33,730 --> 00:40:39,030
+يعوضبواسطة الـ ciliary muscle العضلة الهدبية إجهاد
+
+423
+00:40:39,030 --> 00:40:42,670
+للعضلة الهدبية and accommodation in normal
+
+424
+00:40:42,670 --> 00:40:47,150
+conditions أو في حالات التكيف في الحالات الطبيعية
+
+425
+00:40:47,150 --> 00:40:53,810
+لما يكون الشخص عيش طبيعي but in conditions of long
+
+426
+00:40:53,810 --> 00:40:58,510
+near work and effort of study this small
+
+427
+00:40:58,510 --> 00:41:03,280
+refractive error may result in marked symptomsبعض
+
+428
+00:41:03,280 --> 00:41:07,520
+الناس بيكون عنده مثلا plus ربع أو minus ربع أو
+
+429
+00:41:07,520 --> 00:41:11,420
+plus نص أو minus نص لكن إيش؟ بتلاقي مثلا دايما
+
+430
+00:41:11,420 --> 00:41:18,060
+بقرا أو دايما مثلا مهتم في ال .. ال smile phone أو
+
+431
+00:41:18,060 --> 00:41:22,040
+على ال laptop فهذا المريض الأعراض بتاعة الرؤية
+
+432
+00:41:22,040 --> 00:41:26,820
+هتظهر عنده و هيكون عنده يعني خلل بصري ليش؟ لأنه
+
+433
+00:41:26,820 --> 00:41:31,320
+عنده بيستخدم ال accommodation إيش؟ بشكل كبير،
+
+434
+00:41:31,320 --> 00:41:34,910
+واضح؟يعني بيستخدم العين بشكل كتير، فالآن هو ما
+
+435
+00:41:34,910 --> 00:41:38,210
+بيستخدم العين، بيده accommodation اللي هو تكيّف،
+
+436
+00:41:38,210 --> 00:41:42,050
+التكيّف هذا إيش بيقدّه؟ إنه الشخص اللي هو بيعمل
+
+437
+00:41:42,050 --> 00:41:45,650
+eye fatigue إجهاد للعين، وزي ما عرفنا بيقدّي إلى
+
+438
+00:41:45,650 --> 00:41:56,690
+إيش؟ ال eye strain إلى إجهاد للعين بشكل عام Very
+
+439
+00:41:56,690 --> 00:42:01,920
+frequently comes and periods ofإنه هذه الأعراض
+
+440
+00:42:01,920 --> 00:42:07,920
+بتكون أكثر شيوع أو بتأتي وقتيش في أوقات يعني الآن
+
+441
+00:42:07,920 --> 00:42:11,840
+لو أنا يعني أجيبلك في الامتحان سؤال إنه ال visual
+
+442
+00:42:11,840 --> 00:42:17,420
+symptoms الأعراض البصرية بتكون شائعة متى؟ أول حاجة
+
+443
+00:42:17,420 --> 00:42:23,140
+في ال excessive visual strain يعني زيادة في إجهاد
+
+444
+00:42:23,140 --> 00:42:28,260
+العين لما الإنسان يجهد العين أكتر من اللازم بتظهر
+
+445
+00:42:28,260 --> 00:42:32,250
+هذه الأعراضيعني هذه الأعراض دايما بتكون شائعة ال
+
+446
+00:42:32,250 --> 00:42:35,170
+eye fatigue أو ال eye strain أو ال visual symptoms
+
+447
+00:42:35,170 --> 00:42:39,510
+كله مصطلح واحد يعني ممكن أقولك ال eye strain أو ال
+
+448
+00:42:39,510 --> 00:42:42,930
+eye fatigue أو ال visual symptoms عبارة عن مصطلح
+
+449
+00:42:42,930 --> 00:42:47,370
+واحد فهذه الأعراض بيزيد متى؟ لما واحد عنده
+
+450
+00:42:47,370 --> 00:42:51,650
+excessive visual strain إنه زيادة في إجهاد العين
+
+451
+00:42:51,650 --> 00:42:56,390
+number two during temporary deterioration of the
+
+452
+00:42:56,390 --> 00:43:00,880
+general health like fluواحد عنده تدهور في الصحة
+
+453
+00:43:00,880 --> 00:43:05,040
+العامة بتاعته، صحة الجسم، لكن هذا التدهور مش دائم،
+
+454
+00:43:05,040 --> 00:43:10,460
+مؤقت، temporary معناها مؤقت، واضح؟ يعني عنده تدهور
+
+455
+00:43:10,460 --> 00:43:14,440
+مؤقت في صحة العين، زي مثلا عندنا ال flow، ال flow
+
+456
+00:43:14,440 --> 00:43:17,720
+معناه انفلوانزا، يعني احنا الآن لما بيصير مرضا
+
+457
+00:43:17,720 --> 00:43:21,240
+عندنا انفلوانزا، تلاقي الواحد ما بيقدر يقرأ أو ما
+
+458
+00:43:21,240 --> 00:43:25,280
+بيقدر مثلا يكتبأو ما بيقدر يستخدم الجوال، ليش؟ لإن
+
+459
+00:43:25,280 --> 00:43:28,740
+بتلاقي العينين فيهم اللي هو strain زي إجهاد
+
+460
+00:43:28,740 --> 00:43:31,920
+fatigue
+
+461
+00:43:31,920 --> 00:43:37,480
+comes on both eyes and vision fails يعني إجهاد
+
+462
+00:43:37,480 --> 00:43:43,000
+لكلتا العينتين وهذا بيأد إلى إيش كمان؟ إنه الرؤية
+
+463
+00:43:43,000 --> 00:43:47,240
+ما بتكون واضحة، يعني failed يعني عنده bad vision
+
+464
+00:43:47,240 --> 00:43:49,160
+رؤية غير واضحة
+
+465
+00:43:51,960 --> 00:43:56,320
+especially occurs in persons who use eyes much for
+
+466
+00:43:56,320 --> 00:44:00,560
+reading or study of small prints for long time or
+
+467
+00:44:00,560 --> 00:44:04,920
+swinging or watching TV for long time driving in
+
+468
+00:44:04,920 --> 00:44:07,960
+difficult circumstances and all conditions
+
+469
+00:44:07,960 --> 00:44:13,020
+associated with attention and anxiety يعني هذه
+
+470
+00:44:13,020 --> 00:44:17,680
+بتكون خاصة في الأشخاص اللي بيستخدموا إيش القريب زي
+
+471
+00:44:17,680 --> 00:44:24,560
+لما أنا مثلا باجي أقرأاو مثلا بستخدم ال .. او مثلا
+
+472
+00:44:24,560 --> 00:44:30,760
+انا لو كنت خيات او مثلا بشاهد التلفاز لوقت طويل او
+
+473
+00:44:30,760 --> 00:44:34,540
+بسوق بشكل زي السواجين يعني دائم بسوق انه بده
+
+474
+00:44:34,540 --> 00:44:38,600
+attention انتباه، هذه الحالات كلها بيكون مصاحبة
+
+475
+00:44:38,600 --> 00:44:43,200
+ايش اللي هي anxiety انه بيكون إجهاد و ايضا بيكون
+
+476
+00:44:43,200 --> 00:44:47,720
+anxiety معناها اللي هو قلق او إجهاد و بيكون ايش
+
+477
+00:44:47,720 --> 00:44:52,350
+كمان عنده attentionانتباه يعني دايما ممكن يوما
+
+478
+00:44:52,350 --> 00:44:56,610
+تطلعي في السيارة السواج يسألك انه لو عرف مثلا شو
+
+479
+00:44:56,610 --> 00:45:02,010
+تخصصك بيقولك انا دايما عندي إجهاد في العين ليش؟
+
+480
+00:45:02,010 --> 00:45:07,010
+لأنه بيكون عنده ايش؟ attention عالي ال attention
+
+481
+00:45:07,010 --> 00:45:11,910
+العالي ايش بيعمل؟ بيعمل اللي هو ال eye fatigue ال
+
+482
+00:45:11,910 --> 00:45:15,750
+eye fatigue ايش بيكون؟ eye strain و ال eye strain
+
+483
+00:45:15,750 --> 00:45:18,910
+انه بيعمل اللي هو زيادة في استخدام ال
+
+484
+00:45:18,910 --> 00:45:31,030
+accommodation للعينواضح؟ واضح details
+
+485
+00:45:31,030 --> 00:45:37,450
+of visual symptoms تفاصيل الأعراض البصرية يعني شو
+
+486
+00:45:37,450 --> 00:45:42,110
+التفاصيل أن المريض الآن يكون عنده ال visual
+
+487
+00:45:42,110 --> 00:45:47,360
+symptoms من شو بشكل هذا المريض number onesensation
+
+488
+00:45:47,360 --> 00:45:52,040
+of confusion أول حاجة بيشعر بالارتباك دايما مرتبك
+
+489
+00:45:52,040 --> 00:45:58,320
+يعني تلاقي مثلا الامتحان أمامه بنسى مثلا السؤال من
+
+490
+00:45:58,320 --> 00:46:01,660
+الامتحان كون دايما بيشعر بالارتباك ليش؟ لأن الرؤية
+
+491
+00:46:01,660 --> 00:46:06,620
+مش واضحة، واضح؟ إذا number one sensation of
+
+492
+00:46:06,620 --> 00:46:11,600
+confusion for sensation of confusion number two
+
+493
+00:46:11,600 --> 00:46:15,740
+temporary blurring عنده غباش لكن إيش هذا الغباش؟
+
+494
+00:46:15,870 --> 00:46:23,910
+موقّطة tiredness of the eyes معناها اللي هو اجهاد
+
+495
+00:46:23,910 --> 00:46:29,090
+او تعب في العنتين heaviness of eyelids انه بيكون
+
+496
+00:46:29,090 --> 00:46:33,870
+عنده ثقل في الجفن دايما الشفونه بتكون يعني متعبة و
+
+497
+00:46:33,870 --> 00:46:39,130
+مجهد فبتكون ثقيلة sensation of weariness and
+
+498
+00:46:39,130 --> 00:46:44,040
+drowsiness انه بيشعر هذا المريض باللي هودائما عنده
+
+499
+00:46:44,040 --> 00:46:49,340
+خمول و دائما عنده تعب و عنده نعاس في اللي هو
+
+500
+00:46:49,340 --> 00:46:54,180
+الأعراض بتاعته These symptoms are relieved by risk
+
+501
+00:46:54,180 --> 00:46:57,720
+by required in continuation of the work يعني هذه
+
+502
+00:46:57,720 --> 00:47:03,300
+الأعراض لما الإنسان يرتاح كلها بتروح عاد العمل
+
+503
+00:47:03,300 --> 00:47:07,160
+بتاعه من جديد يعني اللي هو مثلا إذا كان خياط رجع
+
+504
+00:47:07,160 --> 00:47:10,840
+يخيط، إذا كان قارئ رجع يقرأ، كل هذه الأعراض إيش
+
+505
+00:47:10,840 --> 00:47:11,920
+ترجع مرة أخرى
+
+506
+00:47:15,320 --> 00:47:20,240
+واضح؟ Indeed, the ciliary muscle can compensate by
+
+507
+00:47:20,240 --> 00:47:24,440
+exerting extra accommodation till a time will come
+
+508
+00:47:24,440 --> 00:47:27,880
+where the ciliary muscle will fail to compensate.
+
+509
+00:47:28,680 --> 00:47:32,180
+Decompensation and the symptoms couldn't be
+
+510
+00:47:32,180 --> 00:47:34,860
+relieved easily until the patient decides to seek
+
+511
+00:47:34,860 --> 00:47:38,740
+for treatment.الان يما المريض بيستخدم القريب، إيش
+
+512
+00:47:38,740 --> 00:47:44,160
+بيعمل؟ إجهاد العلم، بيعمل accommodationلما يزيد ال
+
+513
+00:47:44,160 --> 00:47:47,360
+accommodation تاع العين بيصير اللي هو I fatigue
+
+514
+00:47:47,360 --> 00:47:52,060
+صح؟ طبعا ال I fatigue العين بتحاول أنه تعوض هذا
+
+515
+00:47:52,060 --> 00:47:57,220
+الإجهاد طب كيف العين بتحاول أنه تعوض الإجهاد هذا؟
+
+516
+00:47:57,220 --> 00:48:00,780
+بتلاقي أنه دايما عنده convergence يعني أن العنتين
+
+517
+00:48:00,780 --> 00:48:05,720
+دخلين للداخل و accommodation كبير للعنتين فبتلاقي
+
+518
+00:48:05,720 --> 00:48:09,420
+الإنسان بيحاول أنه يعوض هذا فبتلاقي عنده دايما I
+
+519
+00:48:09,420 --> 00:48:14,810
+fatigue إجهاد أو I strainيعني انه العين متعدة،
+
+520
+00:48:14,810 --> 00:48:19,170
+مجهدة طبعا هذه الأعراض كلها بتروح متى؟ لما الإنسان
+
+521
+00:48:19,170 --> 00:48:23,750
+بيبدأ انه يبحث عن مين العلاج يعني نضارة للقريب
+
+522
+00:48:23,750 --> 00:48:26,690
+بترايحه خلاص انه لو كان مثلا breast pain شو
+
+523
+00:48:26,690 --> 00:48:32,750
+علاجها؟ انه glasses for reading، نضارة للقريب أو
+
+524
+00:48:32,750 --> 00:48:39,390
+للقراءة When reads small letters, the patient sees
+
+525
+00:48:39,390 --> 00:48:44,080
+the letters running togetherبيجي مثلا يقرا القريب
+
+526
+00:48:44,080 --> 00:48:47,900
+بتلاقي الكلمات إيه في الداخل لبعض، شوف الامتحان
+
+527
+00:48:47,900 --> 00:48:51,400
+كإنه اتنين أو بتلاقي الكلمات كلها من الداخل لبعض
+
+528
+00:48:51,400 --> 00:48:55,280
+طيب,
+
+529
+00:48:55,840 --> 00:49:02,020
+ocular symptoms بقولنا أعراض إيش مالها؟ عينية،
+
+530
+00:49:02,020 --> 00:49:05,360
+يعني خلصنا احنا ال visual symptoms، number two ال
+
+531
+00:49:05,360 --> 00:49:11,490
+ocular symptomsThese together are called Asinopia
+
+532
+00:49:11,490 --> 00:49:16,350
+شو معناه Asinopia اللي بتعرف ال Asinopia اللي
+
+533
+00:49:16,350 --> 00:49:20,030
+بتعرف ال Asinopia
+
+534
+00:49:20,030 --> 00:49:21,130
+اللي بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+535
+00:49:21,130 --> 00:49:21,130
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+536
+00:49:21,130 --> 00:49:21,130
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+537
+00:49:21,130 --> 00:49:21,130
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+538
+00:49:21,130 --> 00:49:21,590
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+539
+00:49:21,590 --> 00:49:21,590
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+540
+00:49:21,590 --> 00:49:21,590
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+541
+00:49:21,590 --> 00:49:21,590
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+542
+00:49:21,590 --> 00:49:22,730
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+543
+00:49:22,730 --> 00:49:26,750
+بتعرف ال Asinopia اللي بتعرف ال Asinopia اللي
+
+544
+00:49:26,750 --> 00:49:35,790
+بتعرف ال Asinopia
+
+545
+00:49:35,790 --> 00:49:40,160
+الليهذا الإجهاض للعين that lead to the eye strain
+
+546
+00:49:40,160 --> 00:49:46,320
+سمعت
+
+547
+00:49:46,320 --> 00:49:55,920
+انت؟ شو حكيت؟ that lead to eye strain
+
+548
+00:50:08,210 --> 00:50:12,330
+أستنوفيا eye fatigue that leads to eye strain
+
+549
+00:50:12,330 --> 00:50:16,150
+واضح؟
+
+550
+00:50:16,150 --> 00:50:24,190
+طبعا
+
+551
+00:50:24,190 --> 00:50:31,410
+لو أنا أجي أفسر الكلمة أيه معناها هنا؟ هذه عبارة
+
+552
+00:50:31,410 --> 00:50:31,970
+عن prefix
+
+553
+00:50:36,420 --> 00:50:44,160
+ال أوبيا هي معناها vision
+
+554
+00:50:44,160 --> 00:50:53,360
+suffix
+
+555
+00:50:53,360 --> 00:51:01,140
+معناها كثير إذا
+
+556
+00:51:01,140 --> 00:51:04,100
+الأسم نوفيا I
+
+557
+00:51:08,430 --> 00:51:27,990
+Fatigue that leads to eye strain These
+
+558
+00:51:27,990 --> 00:51:32,410
+symptoms arising from excessive work of eye
+
+559
+00:51:32,410 --> 00:51:37,330
+musclesin the presence of refractive error where
+
+560
+00:51:37,330 --> 00:51:42,950
+muscles fatigue results ان هذه الأعراض بتزيد مع
+
+561
+00:51:42,950 --> 00:51:48,210
+زيادة العمل للقريب يعني مع زيادة القراءة أو زيادة
+
+562
+00:51:48,210 --> 00:51:54,950
+مثلا ال attention الانتباه أو مثلا مع الخياطة في
+
+563
+00:51:54,950 --> 00:51:58,730
+وجود إيش ال refractive error الخطأ الانكساري للعين
+
+564
+00:51:58,730 --> 00:52:03,670
+وهذا بيقود إلى إيش إلى إجهاد يعني إجهاد للعين
+
+565
+00:52:06,360 --> 00:52:11,840
+الـ long period of a close work the eyes feel أنه
+
+566
+00:52:11,840 --> 00:52:17,520
+لما الواحد يعمل عمل مثلا قريب و يكون هذا في وقت
+
+567
+00:52:17,520 --> 00:52:22,360
+كبير مثلا، شو ممكن يصيرله؟ يعني العين بشو بتشعر؟
+
+568
+00:52:22,360 --> 00:52:27,340
+أول حاجة بتشعر في tiredness، تعب، number two
+
+569
+00:52:27,340 --> 00:52:33,940
+hotness، احمرار، uncomfortable، إجهاد أو مش مرتاح
+
+570
+00:52:33,940 --> 00:52:37,820
+هويعني ما بيقدر انه يوفر provide أو clear vision
+
+571
+00:52:37,820 --> 00:52:46,100
+واضح الرابع انه temporary relief virus انه بيشعر
+
+572
+00:52:46,100 --> 00:52:51,100
+يعني براحة وقت ما هو إيش يرتاح يعني فقط في حالة
+
+573
+00:52:51,100 --> 00:52:56,260
+اللي هو يما يكون relaxed بيشعر براحة واضح ال
+
+574
+00:52:56,260 --> 00:52:59,900
+return to near word again the above symptoms
+
+575
+00:52:59,900 --> 00:53:04,370
+developed to eye painيعني بس يعيد مرة تانية العمل
+
+576
+00:53:04,370 --> 00:53:09,430
+القريب بترجع كل الأعراض الآن لو .. شو أعراض ال
+
+577
+00:53:09,430 --> 00:53:14,870
+ocular symptoms؟ number one, tiredness number two,
+
+578
+00:53:15,590 --> 00:53:22,570
+fatness number three, uncomfortable وإنه temporary
+
+579
+00:53:22,570 --> 00:53:30,780
+relief by rest the pain of the eyes due toeye
+
+580
+00:53:30,780 --> 00:53:35,040
+strain is mild and aching but occasionally becomes
+
+581
+00:53:35,040 --> 00:53:39,760
+severe and acute يعني هذا الألم بتاع العين تاني
+
+582
+00:53:39,760 --> 00:53:44,360
+سببه إجهاد للعين و ممكن هذا الإجهاد أنه يكون mild
+
+583
+00:53:44,360 --> 00:53:49,440
+يعني بسيط أو خفيف ممكن أنه يكون aching أنه يعمل
+
+584
+00:53:49,440 --> 00:53:53,760
+مثلا حكا أو يعمل مثلا ألم aching معناها اللي هو زي
+
+585
+00:53:53,760 --> 00:53:59,220
+صداع أو ألم but occasionally لكن غالبا بيكون إيش؟
+
+586
+00:54:00,300 --> 00:54:07,040
+severe يعني حاد و acute يعني مزمن يعني
+
+587
+00:54:07,040 --> 00:54:10,980
+occasionally اللي هو rarely، نادرا ما يكون حاد او
+
+588
+00:54:10,980 --> 00:54:20,460
+يكون acute، مزمن، واضح؟ دايما ال pain، ال eye pain
+
+589
+00:54:20,460 --> 00:54:23,940
+و ال headache مرتبط في ال visual symptoms يعني انت
+
+590
+00:54:23,940 --> 00:54:28,310
+الآن ك optometristدايما اربطي ال refractive error
+
+591
+00:54:28,310 --> 00:54:31,970
+بال eye pain و ال headache، ال ocular symptoms
+
+592
+00:54:31,970 --> 00:54:37,150
+دايما اربطيها بال uncomfortable، عدم الراحة، بال
+
+593
+00:54:37,150 --> 00:54:41,650
+tiredness، الإجهاد أو التعب، في ال hotness،
+
+594
+00:54:41,650 --> 00:54:43,010
+الحمراء، واضح؟
+
+595
+00:54:49,390 --> 00:54:53,910
+the pain may be situated to eyes or extended
+
+596
+00:54:53,910 --> 00:54:58,410
+referred to the orbit or even to hit in a form of
+
+597
+00:54:58,410 --> 00:55:02,990
+headache يعني ممكن هذا موقع الألم ممكن يكون في
+
+598
+00:55:02,990 --> 00:55:06,310
+العينتين أو ممكن يكون حوالين العين في ال orbit
+
+599
+00:55:06,310 --> 00:55:12,510
+واضح؟ these eyes have a characteristic appearance
+
+600
+00:55:12,510 --> 00:55:17,650
+طيب كيف أنا بعرف أن مريضعنده ال ocular symptoms
+
+601
+00:55:17,650 --> 00:55:22,030
+الاعراض العينية هذه بتلاقي انه هذه الاعراض ملاحظة
+
+602
+00:55:22,030 --> 00:55:26,470
+عند المريض زي مثلا ايش؟ اول حاجة بيكون redness
+
+603
+00:55:26,470 --> 00:55:30,510
+احمرار يعني اول ما تطلعي في عينه او في عينها تكون
+
+604
+00:55:30,510 --> 00:55:33,270
+عندها احمرار في ال sclera هذه المنطقة البيضاء
+
+605
+00:55:33,270 --> 00:55:37,850
+بتلاقي انه في عندها ايش؟ احمرار فيها زاد انه بيكون
+
+606
+00:55:37,850 --> 00:55:44,270
+عندها ال congestion احتقال continued rubbing of
+
+607
+00:55:44,270 --> 00:55:50,050
+the eyesانه دايما مستمر حكا في العينتين، the eyes
+
+608
+00:55:50,050 --> 00:55:54,290
+are watery، في العينتين بيكون مية، يعني بتلاقي
+
+609
+00:55:54,290 --> 00:55:58,450
+دايما مدمع، انه عنده تدميع في العين، and maybe
+
+610
+00:55:58,450 --> 00:56:03,890
+infected، ممكن انه تكون عدوى infected، this is
+
+611
+00:56:03,890 --> 00:56:06,930
+more noticed، هذه بتلاحظها أكتر وقت إيش عند
+
+612
+00:56:06,930 --> 00:56:10,770
+الأطفال، ليش؟ لأنه دايما بتلاقي إيده مش نظيفة، وهو
+
+613
+00:56:10,770 --> 00:56:12,250
+إيش؟ بيعمل حكا إليها
+
+614
+00:56:16,470 --> 00:56:20,830
+طبعا احنا روحنا نقف عند ال repair symptoms في
+
+615
+00:56:20,830 --> 00:56:24,750
+المحاضرة القادمة ان شاء الله سوف نبدأ في ال repair
+
+616
+00:56:24,750 --> 00:56:25,210
+symptoms
+