{"id":27383,"date":"2024-09-11T16:38:50","date_gmt":"2024-09-11T14:38:50","guid":{"rendered":"https:\/\/eyelaser.at\/crosslinking-cum-poate-fi-vindecat-keratoconusul-prin-crosslinking\/"},"modified":"2025-08-07T23:06:21","modified_gmt":"2025-08-07T21:06:21","slug":"crosslinking-cum-poate-fi-vindecat-keratoconusul-prin-crosslinking","status":"publish","type":"post","link":"https:\/\/eyelaser.at\/ro\/crosslinking-cum-poate-fi-vindecat-keratoconusul-prin-crosslinking\/","title":{"rendered":"Crosslinking: Cum poate fi vindecat keratoconusul prin crosslinking"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">Ce este reticularea?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Crosslinkingul cornean (CXL) este utilizat ca metod\u0103 de tratament pentru stoparea ectasiei corneene.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Crosslinking-ul este destinat stabiliz\u0103rii corneei prin reticularea acesteia. Acest lucru opre\u0219te ectasia progresiv\u0103 &#8211; cel mai frecvent tratament pentru keratoconusul progresiv. \u00cen cazul ectasiei, corneea se umfl\u0103 spre exterior \u0219i corneea devine mai sub\u021bire. Tratamentul cu CXL \u00eent\u0103re\u0219te corneea \u00een a\u0219a fel \u00eenc\u00e2t progresia bomb\u0103rii stagneaz\u0103 apoi.   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Reticulare &#8211; stabilizarea corneei printr-un proces fotochimic. Utilizarea luminii UV \u0219i a vitaminei B (riboflavin\u0103) pentru a ob\u021bine reticularea corneei. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lumina UV face ca riboflavina s\u0103 fie activat\u0103. Radicalii de oxigen sunt elibera\u021bi. Ace\u0219tia, la r\u00e2ndul lor, leag\u0103 grupurile de carbon \u0219i azot \u00eentre ele &#8211; reticularea. Aceast\u0103 reticulare asigur\u0103 rezisten\u021ba nou dob\u00e2ndit\u0103 a corneei.   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Stabilitatea previne bombarea corneei \u00een continuare &#8211; progresia bolii este oprit\u0103. Crosslinking-ul se dovede\u0219te a fi o metod\u0103 eficient\u0103 de tratament al ectasiei. \u00cen timp ce \u00eenainte doar transplanturile de cornee cu risc ridicat puteau ajuta, crosslinking-ul poate oferi acum un remediu. Exist\u0103 dou\u0103 tipuri de crosslinking:   <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EPI-OFF crosslinking &#8211; epiteliul este \u00eendep\u0103rtat \u00eenainte de aplicarea riboflavinei<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EPI-ON Crosslinking &#8211; epiteliul este sl\u0103bit doar \u00eenainte de aplicarea riboflavinei<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Cerin\u021be pentru reticulare  <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dac\u0103 decide\u021bi s\u0103 v\u0103 supune\u021bi tratamentului CXL, acuitatea vizual\u0103 corectat\u0103 trebuie s\u0103 fie mai mic\u0103 de 0,3. Corneea dumneavoastr\u0103 trebuie s\u0103 aib\u0103 o grosime minim\u0103 de 400 \u00b5m. Motivele pentru excluderea crosslinking-ului pot fi  <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">&gt;Curbur\u0103 cornean\u0103 de 55 dioptrii<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cicatrizarea corneei<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sarcina sau al\u0103ptarea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infec\u021bii oculare acute<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">C\u00e2nd este recomandat\u0103 reticularea?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">CXL este util pentru toate ectasiile corneene progresive &#8211; inclusiv keratonocus. At\u00e2t adul\u021bii, c\u00e2t \u0219i copiii pot fi trata\u021bi. Este important ca tratamentul s\u0103 fie \u00eenceput c\u00e2t mai cur\u00e2nd posibil. Crosslinking-ul nu poate inversa boala, dar asigur\u0103 oprirea progresiei ectasiei. Cu c\u00e2t se intervine mai devreme, cu at\u00e2t se poate p\u0103stra mai mult vederea. Prin urmare, CXL ar trebui s\u0103 fie \u00eentotdeauna luat \u00een considerare dac\u0103 exist\u0103 \u00eenc\u0103 o vedere utilizabil\u0103 care poate fi corectat\u0103 cu ajutorul mijloacelor vizuale.     <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Procedura de crosslinking  <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cenainte de procedura ambulatorie se aplic\u0103 pic\u0103turi anestezice pentru ochi, astfel \u00eenc\u00e2t crosslinking-ul s\u0103 fie nedureros. Urm\u0103torii pa\u0219i ai tratamentului cu ajutorul unui suport pentru pleoape: <\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cu Epi-Off: Epiteliul este \u00eendep\u0103rtat folosind o lamp\u0103 cu fant\u0103, un tampon de bumbac \u0219i o solu\u021bie.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Riboflavina este aplicat\u0103 pe ochi.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Timp de aplicare de p\u00e2n\u0103 la 30 de minute.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sursa de lumin\u0103 este \u00eendreptat\u0103 spre ochi timp de 10-15 minute.<\/span><\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400;\">Dup\u0103 opera\u021bie<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dup\u0103 procedur\u0103, unii pacien\u021bi simt o durere u\u0219oar\u0103, care poate fi atenuat\u0103 cu analgezice. De asemenea, se administreaz\u0103 pic\u0103turi antibiotice pentru ochi. Se introduce o lentil\u0103 de protec\u021bie pentru a proteja ochiul de influen\u021bele externe. Acest lucru previne orice perturbare a procesului de vindecare. De asemenea, trebuie s\u0103 \u021bine\u021bi cont de acest lucru:    <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">F\u0103r\u0103 frecarea ochilor<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">F\u0103r\u0103 contact cu apa \u00een prima s\u0103pt\u0103m\u00e2n\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Respecta\u021bi programul de administrare a medicamentelor \u0219i a pic\u0103turilor pentru ochi  <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participarea la controale<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dup\u0103 crosslinking pot ap\u0103rea, de asemenea, o u\u0219oar\u0103 opacitate, ro\u0219ea\u021b\u0103, ochi l\u0103crima\u021bi \u0219i vedere \u00eence\u021bo\u0219at\u0103. Aceste simptome nu sunt, de obicei, un motiv de \u00eengrijorare. Cu toate acestea, dac\u0103 ave\u021bi \u00eentreb\u0103ri sau nel\u0103muriri, ne pute\u021bi contacta oric\u00e2nd sau pute\u021bi face o alt\u0103 programare pentru un control. Trebuie s\u0103 consulta\u021bi \u00eentotdeauna un medic \u00een caz de deteriorare brusc\u0103.   <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Riscuri \u0219i efecte secundare ale crosslinkingului  <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Crosslinking-ul este considerat o metod\u0103 rentabil\u0103, eficient\u0103 \u0219i sigur\u0103, cu o rat\u0103 sc\u0103zut\u0103 de complica\u021bii, mai mic\u0103 de trei procente. \u00cen acela\u0219i timp, rata de succes a tratamentului este de 98-99%. Ca \u00een cazul oric\u0103rei proceduri medicale, complica\u021biile \u0219i efectele secundare nu pot fi complet excluse. \u00cen cazul \u00een care apar complica\u021bii rare, acestea sunt adesea cauzate de   <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Procese de vindecare prelungite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cicatrizarea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Durere<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inflama\u021bii \u0219i infec\u021bii ale corneei<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Complica\u021biile pot fi de obicei tratate bine cu medicamente sau pic\u0103turi pentru ochi. Leziunile permanente sau efectele secundare grave ale reticul\u0103rii nu sunt \u00eenc\u0103 cunoscute. <\/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-27383","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\/27383","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=27383"}],"version-history":[{"count":0,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/posts\/27383\/revisions"}],"wp:attachment":[{"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/media?parent=27383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/categories?post=27383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eyelaser.at\/ro\/wp-json\/wp\/v2\/tags?post=27383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}