{"id":2232,"date":"2021-01-15T11:11:01","date_gmt":"2021-01-15T11:11:01","guid":{"rendered":"https:\/\/adopticshop.ro\/?p=2232"},"modified":"2021-01-15T11:13:59","modified_gmt":"2021-01-15T11:13:59","slug":"screeningul-presbiopiei","status":"publish","type":"post","link":"https:\/\/adoptic.emera.digital\/en\/screeningul-presbiopiei\/","title":{"rendered":"SCREENINGUL PRESBIOPIEI"},"content":{"rendered":"
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\n\t\t\t\t\t\tSCREENINGUL PRESBIOPIEI\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\t\t\t\t\t
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<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n<\/div><\/div><\/div><\/div>
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40 ani este v\u00e2rsta care aduce cu sine instalarea presbiopiei. \u00cen jurul acestei v\u00e2rste, cititul, cusutul, lucrul la computer precum \u0219i alte activit\u0103\u021bi de aproape devin din ce \u00een ce mai dificile. Reflexul imediat este de a \u00eendep\u0103rta obiectul pe care \u00eel privim.
\nAcest fenomen se \u00eent\u00e2mpla tuturor, chiar \u0219i celor care nu au mai purtat ochelari \u0219i se nume\u0219te presbiopie<\/strong><\/em>.<\/p>\n<\/div>\n\t\t<\/div><\/div><\/div>

\t\t\t

Acesta este un fenomen fiziologic<\/em> ce presupune o sc\u0103dere progresiv\u0103 a puterii de acomodare a cristalinului (acesta nu \u00ee\u0219i mai poate modifica curbura pentru a ne permite focalizarea obiectelor aflate aproape, \u00ee\u0219i pierde din elasticitate<\/em>), corec\u021bia presbiopiei se face cu ochelari, cu lentile de contact, sau cu lentile progresive pentru purt\u0103torii de ochelari la distan\u021b\u0103 \u0219i aproape ( in cadrul consultului se stabile\u0219te ce variant\u0103 este mai bun\u0103 pentru pacient).<\/p>\n<\/div>\n\t\t<\/div><\/div><\/div>

\t\t\t

Tot in jurul v\u00e2rstei de 40 ani este nevoie de un screening pentru a elimina posibilitatea unui glaucom.<\/p>\n

Glaucomul<\/strong><\/em> reprezint\u0103 un grup de afec\u021biuni cronice<\/em><\/span>, ce afecteaz\u0103 fibrele nervului optic<\/em>, cu evolu\u021bie lent\u0103, duc\u00e2nd la pierderea progresiv\u0103 a vederii. Este o patologie cu evolu\u021bie silen\u021bioas\u0103<\/em>, cu men\u021binerea unei acuit\u0103\u021bi vizuale bune p\u00e2n\u0103 \u00een stadii avansate ale bolii, ce poate s\u0103 nu prezinte nici un simptom \u0219i de aceea nu aduce pacientul la medic.<\/p>\n

Exist\u0103 numeroase tipuri de glaucom, dar cel mai frecvent este glaucomul primitiv cu unghi deschis.<\/p>\n<\/div>\n\t\t<\/div><\/div>

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Glaucomul<\/strong><\/em> poate fi depistat in faza incipient\u0103<\/span><\/em> printr-un screening riguros<\/em>, ceea ce presupune evaluarea factorilor de risc, c\u00e2t si o examinare oftalmologic\u0103 complet\u0103<\/em>:<\/p>\n

    \n
  • evaluarea vederii,<\/li>\n
  • m\u0103surarea presiunii intraoculare,<\/li>\n
  • examinarea unghiului camerular (gonioscopie) si examenul fundului de ochi cu documentare prin fotografiere a nervului optic.<\/li>\n<\/ul>\n

    Un screening pentru glaucom<\/em> este recomandat tuturor persoanelor peste 40 ani<\/span><\/em>, in special celor ce au antecedente heredocolaterale (membri ai familiei ce au avut sau au aceasta boala), cu scopul detectarii cat mai precoce a factorilor de risc si stabilirii unei atitudini terapeutice si unei monitorizari corespunzatoare.<\/p>\n

    Cel mai frecvent, glaucomul apare la varste de peste 40-45 ani<\/em>, insa poate aparea si la copii sau nou-nascuti<\/em>. Are o componenta genetic\u0103, cei care au \u00een familie rude de s\u00e2nge cu glaucom, necesit\u0103 un set de investiga\u021bii de screening anual, pentru a pre\u00eent\u00e2mpina apari\u021bia bolii.<\/p>\n<\/div>\n\t\t<\/div><\/div><\/div>

    \t\t\t

    Un factor de risc extrem de important in patologia glaucomatoas\u0103<\/em> este presiunea intraoculara (TIO)<\/em> crescuta (mai mare de 21 mmHg); acesta este \u0219i principalul factor asupra caruia ac\u021bioneaz\u0103 tratamentul topic antiglaucomatos. Exista mai multe metode de m\u0103surare a presiunii intraoculare, gold-standardul fiind aplanotonometria Goldman pentru diagnostic si monitorizarea pe termen lung a glaucomului.<\/p>\n

    Alte metode de m\u0103surare a PIO<\/em> sunt tonometria non-contact<\/em> (cu jet de aer) si tonometria prin rebound<\/em> cu instrumentul ICare.<\/p>\n<\/div>\n\t\t<\/div><\/div>

    \"\"<\/div><\/div><\/div>
    \t\t\t

    Acest aparat e foarte util in screening-ul glaucomului si are avantajul utilizarii rapide, f\u0103r\u0103 a necesita anestezie topica si fara a produce disconfort pacientului.Foarte u\u0219or de folosit, acest aparat are succes in masurarea presiunii oculare si la copii in cazul suspiciunii unui glaucom congenital sau a glaucomului juvenil cu debut la varsta de 1- 3 ani.<\/p>\n<\/div>\n\t\t<\/div><\/div><\/div>

    \t\t\t

    Bolile asociate<\/strong> \u2013 cataracta, diabet zaharat, hipertensiune arteriala, miopie mare, dureri de cap cu caracter migrenos, fenomenul Raynaud<\/em> \u2013 pot contribui si ele la apari\u021bia sau dezvoltarea glaucomului. TIO crescut\u0103 peste normal sau modific\u0103ri ale capului nervului optic observate la un examen fund de ochi duc la suspectarea unui glaucom.<\/p>\n

    Dr.Ramona Bujac<\/em>
    \nMedic Specialist Oftalmolog<\/em><\/p>\n<\/div>\n\t\t<\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

    40 ani este v\u00e2rsta care aduce cu sine instalarea presbiopiei. \u00cen jurul acestei v\u00e2rste, cititul, cusutul, lucrul la computer precum \u0219i alte activit\u0103\u021bi de aproape devin din ce \u00een ce mai dificile. Reflexul imediat este de a \u00eendep\u0103rta obiectul pe care \u00eel privim. Acest fenomen se \u00eent\u00e2mpla tuturor, chiar \u0219i celor care nu au mai […]<\/p>\n","protected":false},"author":1,"featured_media":2233,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[458],"tags":[],"class_list":["post-2232","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"\nSCREENINGUL PRESBIOPIEI - A&D Optic Shop<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SCREENINGUL PRESBIOPIEI - A&D Optic Shop\" \/>\n<meta property=\"og:description\" content=\"40 ani este v\u00e2rsta care aduce cu sine instalarea presbiopiei. \u00cen jurul acestei v\u00e2rste, cititul, cusutul, lucrul la computer precum \u0219i alte activit\u0103\u021bi de aproape devin din ce \u00een ce mai dificile. Reflexul imediat este de a \u00eendep\u0103rta obiectul pe care \u00eel privim. 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