{"id":27363,"date":"2024-09-11T17:24:18","date_gmt":"2024-09-11T15:24:18","guid":{"rendered":"https:\/\/eyelaser.at\/epi-on-sau-epi-off-care-este-mai-bine\/"},"modified":"2025-08-07T23:06:25","modified_gmt":"2025-08-07T21:06:25","slug":"epi-on-sau-epi-off-care-este-mai-bine","status":"publish","type":"post","link":"https:\/\/eyelaser.at\/ro\/epi-on-sau-epi-off-care-este-mai-bine\/","title":{"rendered":"EPI-ON sau EPI-OFF &#8211; care este mai bine?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">EPI-ON \u0219i EPI-PFF sunt dou\u0103 metode diferite de realizare a crosslinking-ului. Pacien\u021bii no\u0219tri ne \u00eentreab\u0103 adesea care metod\u0103 credem c\u0103 este mai bun\u0103.   <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">EPI-OFF Crosslinking  <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">EPI-OFF &#8211; metoda clasic\u0103 \u0219i original\u0103 de crosslinking. Epiteliul cornean este \u00eendep\u0103rtat astfel \u00eenc\u00e2t riboflavina s\u0103 poat\u0103 p\u0103trunde mai bine \u00een straturile subiacente. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rata de succes este foarte ridicat\u0103, de peste 90 la sut\u0103. Cu toate acestea, din cauza \u00eendep\u0103rt\u0103rii ephitelului, procedura prezint\u0103 \u00eenc\u0103 unele dezavantaje: <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stratul superior al corneei trebuie s\u0103 se vindece &#8211; proces de vindecare mai lung<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risc crescut de durere, sensibilitate la lumin\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risc mai mare de infec\u021bie din cauza suprafe\u021bei corneene deschise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poate ap\u0103rea o u\u0219oar\u0103 opacitate \u0219i acuitatea vizual\u0103 se poate deteriora<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">EPI-ON Crosslinking  <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Versiunea avansat\u0103 a procedurii clasice CXL: EPI-ON Crosslinking. O metod\u0103 comparabil de eficient\u0103, cu o rat\u0103 de complica\u021bii mai sc\u0103zut\u0103. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cu EPI-ON crosslinking, epiteliul cornean nu este \u00eendep\u0103rtat. Restul procedurii este identic cu crosslinkingul clasic. Prin ajustarea solu\u021biei de rivoflavin\u0103 \u0219i aplicarea unui accelerator de absorb\u021bie, se poate ob\u021bine acela\u0219i efect. Cercetarea continu\u0103 a metodei a ar\u0103tat c\u0103 rata de succes cu EPI-ON este la fel de ridicat\u0103 ca \u0219i \u00een cazul procedurii clasice   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">EPI-OFF este acum utilizat doar rareori &#8211; de preferin\u021b\u0103 la pacien\u021bii cu ectasie cornean\u0103 foarte activ\u0103. \u00cendep\u0103rtarea ephitelului este menit\u0103 s\u0103 ob\u021bin\u0103 efectul maxim \u00een cazul ectasiei severe.   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Efect comparabil, dar un risc mai sc\u0103zut de cicatrici, infec\u021bii, mai pu\u021bin\u0103 durere \u0219i un proces de vindecare mai scurt &#8211; acestea sunt principalele motive pentru care lucr\u0103m de obicei cu metoda EPI-ON.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ce este keratoconusul? Dr. Victor Derhartunian explic\u0103 ce este keratoconusul \u0219i ce op\u021biuni de tratament sunt disponibile. Cite\u0219te mai mult&#8230;&#8230;<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[147],"tags":[148],"class_list":["post-27363","post","type-post","status-publish","format-standard","hentry","category-intrebari-frecvente","tag-glosar-crosslinking"],"acf":[],"_links":{"self":[{"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/posts\/27363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/comments?post=27363"}],"version-history":[{"count":0,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/posts\/27363\/revisions"}],"wp:attachment":[{"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/media?parent=27363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/categories?post=27363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/tags?post=27363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}