{"id":3004,"date":"2021-05-05T12:28:36","date_gmt":"2021-05-05T09:28:36","guid":{"rendered":"https:\/\/infosan.ro\/fara-categorie\/investigatii-de-ajutor-in-stabilirea-diagnosticului-corect-in-oftalmologie\/"},"modified":"2025-03-25T10:23:23","modified_gmt":"2025-03-25T08:23:23","slug":"investigatii-de-ajutor-in-stabilirea-diagnosticului-corect-in-oftalmologie","status":"publish","type":"post","link":"https:\/\/infosan.ro\/noutati\/investigatii-de-ajutor-in-stabilirea-diagnosticului-corect-in-oftalmologie\/","title":{"rendered":"Investiga\u021bii de ajutor \u00een stabilirea diagnosticului corect \u00een oftalmologie"},"content":{"rendered":"

Pentru stabilirea unui diagnostic de certitudine este foarte posibil ca medicii oftalmologi s\u0103 v\u0103 recomande o serie de investiga\u021bii sau teste. Mai jos, v\u0103 prezent\u0103m o parte din investiga\u021biile care se realizeaz\u0103 la noi \u0219i cu ajutorul c\u0103rora, medicii stabilesc un diagnostic de certitudine \u00een sfera oftamologic\u0103.<\/p>\n

Iat\u0103 ce investiga\u021bii se fac \u00een Spitalul de Oftalmologie Infosan:<\/strong><\/p>\n

Ce este keratometria?<\/strong><\/p>\n

            Keratometria este explorarea topografic\u0103 utilizat\u0103 pentru a m\u0103sura curbura corneei \u0219i a detecta diverse neregularit\u0103\u021bi ale formei acesteia. Este indicat\u0103 pentru evaluarea \u0219i urm\u0103rirea keratoconusului \u0219i a keratoglobusului, diagnosticul astigmatismului cornean, calcularea parametrilor lentilelor de contact.<\/p>\n

Ce este tonometria?<\/strong><\/p>\n

            Tonometria ocular\u0103 este un test care m\u0103soar\u0103 presiunea intraocular\u0103 \u0219i este utilizat pentru a detecta glaucomul. Prin utilizarea unui tonometru, presiunea intraocular\u0103 este m\u0103surat\u0103 indirect. Este important ca presiunea intraocular\u0103 s\u0103 r\u0103m\u00e2n\u0103 \u00een parametri normali. Cre\u0219terea sa poate provoca leziuni severe la nervul optic, care poate duce la pierderea vederii. Aceast\u0103 patologie este cunoscut\u0103 sub numele de glaucom.<\/p>\n

Ce este pahimetria?<\/strong><\/p>\n

            Pahimetria reprezint\u0103 valoarea grosimii corneene. Se realizeaz\u0103 cu aparate contact sau non-contact, \u00eentr-o serie de afec\u021biuni ale corneei (keratoconus, distrofii etc). Dac\u0103 se efectueaz\u0103 cu aparatul contact, se administreaz\u0103 \u00een prealabil un anestezist. Se efectueaz\u0103 preoperator \u00een cazul pacien\u021bilor care urmeaz\u0103 a fi selecta\u021bi pentru chirurgie refractiv\u0103 cornean\u0103. De asemenea este o investiga\u021bie potrivit\u0103 \u0219i pentru acei pacien\u021bi care deja au urmat o procedur\u0103 chirurgical\u0103 pentru corec\u021bia viciilor de refrac\u021bie \u00een glaucom, \u00een scopul ajust\u0103rii valorii tensiunii intraoculare \u00een func\u021bie de grosimea corneei.<\/p>\n

Ce este microscopia specular\u0103?<\/strong><\/p>\n

            Microscopia specular\u0103 evalueaz\u0103 num\u0103rul, densitatea \u0219i structura celulelor endoteliale ale corneei, adic\u0103 stratul cel mai profund al acesteia, cu rol foarte important \u00een men\u021binerea transparen\u021bei sale. Se efectueaz\u0103 \u00een cadrul diferitelor forme de patologie cornean\u0103, dar \u0219i \u00eenainte de opera\u021bia de cataract\u0103. Este foarte important s\u0103 cunoa\u0219tem starea \u0219i num\u0103rul lor preoperator, \u00eentruc\u00e2t la fiecare opera\u021bie de cataract\u0103 se pierde un anumit num\u0103r din aceste celule. Nu este dureroas\u0103 \u0219i nu presupune atingerea ochiului.<\/p>\n

Ce este topografia cornean\u0103?<\/strong><\/p>\n

            Topografia cornean\u0103 este un test de screening util pentru toat\u0103 lumea, este deosebit de potrivit pentru cei care sufer\u0103 de keratoconus (care permite s\u0103 se evalueze gravitatea). Dar \u0219i  pentru pacien\u021bii care au fost supu\u015fi unei interven\u0163ii chirurgicale de refrac\u0163ie sau care au avut deja o interven\u021bie cu ajutorul unui laser. Este, de asemenea, util pentru studierea efectelor lentilelor de contact pe cornee \u0219i de a construi acelea\u0219i lentile. Topografia cornean\u0103 este un test neinvaziv, nu se realizeaz\u0103 contact cu pacientul \u0219i nici m\u0103car nu necesit\u0103 utilizarea de pic\u0103turi pentru ochi.<\/p>\n

Ce este ecografia oculo-orbitar\u0103?<\/strong><\/p>\n

            Ecografia oculo-orbitar\u0103 este  o ecografie obi\u0219nuit\u0103 care permite evaluarea \u021besuturilor moi ale orbitei, ochiului ca un \u00eentreg, dar \u0219i diferitelor structuri oculare (cristalin, vitros, coroid\u0103, retin\u0103, nerv optic). Este indicat\u0103 \u00een traumatisme, tumori, s\u00e2nger\u0103ri intraoculare, \u00een decolarea de retin\u0103, pentru evaluarea corpului vitros (miodezopsii, hemoragii vitreene, decolare posterioar\u0103 de citros) \u0219i preoperator, \u00een opera\u021bia de cataract\u0103. Mai mult, este extrem de util\u0103 \u00een cataractele foarte avansate ce nu permit vizualizarea structurilor fundului de ochi, din cauza densit\u0103\u021bii cristaliniene foarte crescute. Investiga\u021bia nu este dureroas\u0103 \u0219i dureaz\u0103 c\u00e2teva minute.<\/p>\n

Ce este biometria ocular\u0103?<\/strong><\/p>\n

            Biometria ocular\u0103 este folosit\u0103 pentru a determina valoarea cristalinului artificial, ce urmeaz\u0103 a se implanta \u00een timpul opera\u021biei de cataract\u0103 sau \u00een cazul chirurgiei refractive cristaliniene. \u00cen func\u021bie de corectitudinea execu\u021biei depinde \u00een general, valoarea viciului de refrac\u021bie postoperator, \u00een cataract\u0103, fiind de asemenea posibil, tot cu ajutorul ei, ca pacientul s\u0103 aleag\u0103 dac\u0103 dore\u0219te s\u0103 poarte ochelari de citit sau de distan\u021b\u0103 dup\u0103 opera\u021bia de cataract\u0103 cu implant de cristalin monofocal. O biometrie efectuat\u0103 corect, \u00eempreun\u0103 cu o opera\u021bie corect efectuat\u0103, permite o vedere f\u0103r\u0103 ochelari la pacien\u021bii care opteaz\u0103 pentru cristaline artificiale multifocale. Biometria se poate realiza at\u00e2t prin contact, dup\u0103 anestezie cu pic\u0103turi, c\u00e2t \u0219i non-contact. Nu este dureroas\u0103.<\/p>\n

Ce este tomografia \u00een coeren\u021b\u0103 optic\u0103 – OCT?<\/strong><\/p>\n

            Tomografia \u00een coeren\u021b\u0103 optic\u0103 (OCT) este o investiga\u021bie oftalmologic\u0103 care permite aprecierea structurilor retinei ce nu pot fi evaluate prin nicio alt\u0103 metod\u0103 imagistic\u0103. Este extrem de util\u0103 \u00een cazul afec\u021biunilor retiniene, de tipul: edemului macular, degenerescen\u021bei maculare legate de v\u00e2rsta, retinopatiei diabetice, etc. De asemenea este util\u0103 \u00een glaucom \u0219i are rol \u00een aprecierea structurilor nervului optic. Este important\u0103 at\u00e2t \u00een detec\u021bia riscului de a dezvolta glaucom, c\u00e2t \u0219i \u00een diagnosticarea \u0219i urm\u0103rirea acestei boli grave, care dac\u0103 este depistat\u0103 la timp \u0219i tratat\u0103 corespunz\u0103tor, permite conservarea nervului optic \u0219i a vedereii pacientului. Investiga\u021bia este neinvaziv\u0103 \u0219i nedureroas\u0103.<\/p>\n

Ce este perimetria computerizat\u0103 sau c\u00e2mpul vizual?<\/strong><\/p>\n

            C\u00e2mpul vizual este reprezentat de \u00eentreaga arie vizual\u0103 (\u00eenainte, lateral st\u00e2nga\/dreapta \u0219i sus\/jos) care poate fi perceput\u0103 atunci c\u00e2nd ochii privesc \u00eenainte un punct fix. Testarea c\u00e2mpului vizual este o modalitate prin care medicul oftalmolog m\u0103soar\u0103 \u00eentinderea \u0219i distribu\u021bia c\u00e2mpului vizual. Determin\u0103 dac\u0103 ave\u021bi zone cu lips\u0103 de percep\u021bie (numite SCOTOAME) \u00een aria vizual\u0103 \u0219i unde se afl\u0103 aceastea. Explorarea c\u00e2mpului vizual se face cu ajutorul unor aparate numite perimetre. Afec\u0163iunile \u00een care explorarea c\u00e2mpului vizual este important\u0103 sunt \u00een primul r\u00e2nd glaucomul, afec\u0163iunile neurologice \u015fi unele afec\u0163iuni retiniene. \u00cen cazul glaucoamelor avansate, c\u00e2mpul vizual poate stabili  mult mai precis progresia bolii. Stabilirea progresiei este esen\u0163ial\u0103 pentru determinarea eficien\u0163ei tratamentului glaucomului. Este o investiga\u021bie complet nedureroas\u0103, care necesit\u0103 aten\u021bia pacientului.<\/p>\n","protected":false},"excerpt":{"rendered":"

Pentru stabilirea unui diagnostic de certitudine este foarte posibil ca medicii oftalmologi s\u0103 v\u0103 recomande o serie de investiga\u021bii sau teste. Mai jos, v\u0103 prezent\u0103m o parte din investiga\u021biile care se realizeaz\u0103 la noi \u0219i cu ajutorul c\u0103rora, medicii stabilesc un diagnostic de certitudine \u00een sfera oftamologic\u0103.<\/p>\n","protected":false},"author":2,"featured_media":3005,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[192,193,194,195,196],"class_list":["post-3004","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noutati","tag-investigatii-oftalmologice","tag-keratometria","tag-microscopie-speculara","tag-pahimetria","tag-tonometria"],"yoast_head":"\nInvestiga\u021bii de ajutor \u00een stabilirea diagnosticului corect \u00een oftalmologie \u00bb - Infosan.ro<\/title>\n<meta name=\"description\" content=\"Descopera mai multe despre \u279c Investiga\u021bii de ajutor \u00een stabilirea diagnosticului corect \u00een oftalmologie \u2705 Sfaturi & Recomandari de la specialisti \u27a4Citeste articolul pe Blogul Infosan\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/infosan.ro\/noutati\/investigatii-de-ajutor-in-stabilirea-diagnosticului-corect-in-oftalmologie\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Investiga\u021bii de ajutor \u00een stabilirea diagnosticului corect \u00een oftalmologie \u00bb - 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