{"id":180,"date":"2018-11-30T11:25:35","date_gmt":"2018-11-30T11:25:35","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/?p=180"},"modified":"2019-02-22T10:27:27","modified_gmt":"2019-02-22T10:27:27","slug":"com-detectar-el-glaucoma","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/com-detectar-el-glaucoma\/","title":{"rendered":"Com detectar el glaucoma?"},"content":{"rendered":"<p class=\"boto2\" align=\"left\"><a class=\"button\" href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/category\/elena-milla\/\" target=\"_blank&amp;\">POST DEL DRA. ELENA MILLA<\/a><\/p>\n<p><span class=\"notranslate\">La\u00a0<strong>detecci\u00f3 primerenca del\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/glaucoma\/\">glaucoma<\/a><\/strong>, mitjan\u00e7ant ex\u00e0mens oculars habituals i complets, \u00e9s la clau per protegir la visi\u00f3 del mal que provoca aquesta malaltia.<\/span>\u00a0<span class=\"notranslate\">Desafortunadament, en l&#8217;actualitat se sap que\u00a0<strong>un 50% de casos de glaucoma estan encara per diagnosticar i d&#8217;ells, un 10% estan ja cecs d&#8217;un ull quan es detecta.<\/strong><\/span>\u00a0<span class=\"notranslate\">S&#8217;estima que\u00a0<strong>l&#8217;any 2020 el glaucoma afectar\u00e0 gaireb\u00e9 80 milions de persones a tot el m\u00f3n<\/strong>. Per tant, \u00e9s un problema de gran repercussi\u00f3 socioecon\u00f2mica ja que\u00a0<strong>\u00e9s la segona causa de ceguesa mundial<\/strong>\u00a0(i la primera causa irreversible).<\/span>\u00a0<span class=\"notranslate\">Vegem doncs qu\u00e8 cal fer per al seu\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/estudi-genetic-del-glaucoma\/\">diagn\u00f2stic preco\u00e7<\/a>: com\u00a0<strong>detectar el glaucoma.<\/strong><\/span><span id=\"more-163\"><\/span><!--more--><\/p>\n<h2><span class=\"notranslate\"><strong>LA PRIMERA MESURA PER DETECTAR EL GLAUCOMA: L&#8217;EXAMEN OFTALMOL\u00d2GIC REGULAR<\/strong><\/span><\/h2>\n<p><span class=\"notranslate\"><strong>\u00c9s important que tota persona es realitzi un\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/nou-pack-de-salut-visual\/\" target=\"_blank\" rel=\"noopener noreferrer\">examen d&#8217;ulls regularment<\/a><\/strong>.<\/span>\u00a0<span class=\"notranslate\">Les persones no solen acudir a l&#8217;oftalm\u00f2leg si no presenten algun tipus de simptomatologia o s\u00f3n usuaris d&#8217;ulleres.<\/span>\u00a0<span class=\"notranslate\"><strong>El\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/tipus-glaucoma-caracteristiques-simptomes-i-causes\/\">glaucoma cr\u00f2nic<\/a>\u00a0\u00e9s una malaltia que no ocasiona cap simptomatologia fins a etapes avan\u00e7ades<\/strong>\u00a0en qu\u00e8 la p\u00e8rdua de camp visual \u00e9s severa.<\/span>\u00a0<span class=\"notranslate\">Per aquest motiu,\u00a0<strong>\u00e9s de vital import\u00e0ncia que totes les persones a partir dels 40 anys acudeixin al seu oftalm\u00f2leg a fer un\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/nou-pack-de-salut-visual\/\" target=\"_blank\" rel=\"noopener noreferrer\">examen oftalmol\u00f2gic b\u00e0sic<\/a>\u00a0que inclogui presa de pressi\u00f3 intraocular i examen del nervi \u00f2ptic.<\/strong><\/span>\u00a0<span class=\"notranslate\">I davant\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/glaucoma-hereditari-genetica-del-glaucoma\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>antecedents familiars de glaucoma<\/strong><\/a>\u00a0\u00e9s imperatiu realitzar aquest examen en edats m\u00e9s primerenques de la vida.<\/span><\/p>\n<blockquote>\n<h4><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/335\/elena-milla-grino\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-56\" src=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/05\/elena-milla.png\" alt=\"\" width=\"120\" height=\"120\" \/><\/a><\/h4>\n<h4><span class=\"notranslate\"><strong>&#8220;\u00c9s de vital import\u00e0ncia que totes les persones a partir dels 40 anys acudeixin al seu oftalm\u00f2leg a fer un\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/nou-pack-de-salut-visual\/\" target=\"_blank\" rel=\"noopener noreferrer\">examen oftalmol\u00f2gic b\u00e0sic<\/a>\u00a0que inclogui presa de pressi\u00f3 intraocular i examen del nervi \u00f2ptic&#8221;<\/strong><\/span><\/h4>\n<p>Dra.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/335\/elena\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Elena Milla<\/strong><\/a><\/p><\/blockquote>\n<h2><strong>PROVES PER DETECTAR EL GLAUCOMA<\/strong><\/h2>\n<p><span class=\"notranslate\">L&#8217;exploraci\u00f3 oftalmol\u00f2gica destinada al\u00a0<strong>diagn\u00f2stic de glaucoma<\/strong>\u00a0inclou una s\u00e8rie de proves que\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/335\/elena\" target=\"_blank\" rel=\"noopener noreferrer\">l&#8217;oftalm\u00f2leg<\/a>\u00a0avalua en el seu conjunt.<\/span>\u00a0<span class=\"notranslate\">Aquestes proves s\u00f3n:<\/span><\/p>\n<ul>\n<li>\n<h5><strong>Tonometria<\/strong><\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">La\u00a0<strong>tonometria<\/strong>\u00a0mesura la pressi\u00f3 de l&#8217;interior de l&#8217;ull.<\/span>\u00a0<span class=\"notranslate\">Durant la tonometria, s&#8217;usen gotes oft\u00e0lmiques per anestesiar l&#8217;ull.<\/span>\u00a0<span class=\"notranslate\">A continuaci\u00f3, l&#8217;oftalm\u00f2leg fa servir un instrument anomenat ton\u00f2metre per mesurar la pressi\u00f3 interior de l&#8217;ull.<\/span>\u00a0<span class=\"notranslate\">El ton\u00f2metre aplica una petita quantitat de pressi\u00f3 a l&#8217;ull de forma completament indolora.<\/span>\u00a0<span class=\"notranslate\">Tamb\u00e9 \u00e9s possible\u00a0<strong>mesurar la pressi\u00f3 intraocular<\/strong>\u00a0mitjan\u00e7ant un aparell que emet un petit raig d&#8217;aire sobre la superf\u00edcie ocular, encara que aquest test no \u00e9s tan fiable com la tonometria anteriorment descrita.<\/span><\/p>\n<ul>\n<li>\n<h5><strong>Oftalmosc\u00f2pia<\/strong><\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">La\u00a0<strong>oftalmoscopia<\/strong>\u00a0\u00e9s un procediment encaminat a\u00a0<strong>examinar el nervi \u00f2ptic per detectar danys a\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/glaucoma\/\" target=\"_blank\" rel=\"noopener noreferrer\">causa del glaucoma<\/a><\/strong>.<\/span>\u00a0<span class=\"notranslate\">S&#8217;utilitzen gotes oft\u00e0lmiques per dilatar la pupil\u00b7la de manera que el metge pugui observar a trav\u00e9s de l&#8217;ull mitjan\u00e7ant una font lluminosa i examinar la forma i el color del nervi \u00f2ptic.<\/span>\u00a0<span class=\"notranslate\">Observant el nervi \u00f2ptic es pot verificar si ja ha comen\u00e7at el dany glaucomat\u00f3s en forma de p\u00e8rdua de fibres nervioses i augment de la zona atr\u00f2fica central del nervi, pres\u00e8ncia d&#8217;anormalitats vasculars, zones d&#8217;atr\u00f2fia voltant del nervi, pres\u00e8ncia d&#8217;hemorr\u00e0gies etc.<\/span>\u00a0<span class=\"notranslate\">\u00c9s possible que el seu metge li faci una fotografia del nervi \u00f2ptic per tal de poder comparar aquesta imatge en les successives visites del pacient.<\/span><\/p>\n<ul>\n<li>\n<h5><strong>Perimetria<\/strong><\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">La\u00a0<strong>perimetria<\/strong>\u00a0\u00e9s una prova del camp visual que\u00a0<strong>genera un mapa de la totalitat del camp de visi\u00f3 que presenta el pacient.<\/strong><\/span>\u00a0<span class=\"notranslate\">Aquesta prova ajudar\u00e0 al metge a\u00a0<strong>determinar si el glaucoma ha afectat a la seva vista,<\/strong>\u00a0la qual cosa s&#8217;evidencia\u00a0a trav\u00e9s de l&#8217;aparici\u00f3 de zones fosques en el camp visual o escotomes.<\/span>\u00a0<span class=\"notranslate\">Durant la prova, se li demanar\u00e0 que fixi la vista cap al front i, despr\u00e9s, indiqui quan una llum en moviment passi per la seva visi\u00f3 perif\u00e8rica (o lateral).<\/span>\u00a0<span class=\"notranslate\">Aix\u00f2 ajuda a tra\u00e7ar un &#8220;mapa&#8221; de la seva vista, en el qual, en aquelles zones\u00a0on no s&#8217;ha vist l&#8217;est\u00edmul llumin\u00f3s, apareixer\u00e0 un escotoma (taca negra) en el camp visual.<\/span>\u00a0<span class=\"notranslate\">En primer lloc, s&#8217;examina un ull ocloent l&#8217;altre, i viceversa.<\/span>\u00a0<span class=\"notranslate\">Aquesta prova sol durar uns 3 a 5 minuts per cada ull.<\/span>\u00a0<span class=\"notranslate\">\u00c9s una prova que requereix un cert grau d&#8217;aprenentatge, pel que \u00e9s normal que la primera o primeres vegades que es realitza no es faci de manera correcta i sorgeixin errors que el camp\u00edmetre detecta com d&#8217;execuci\u00f3 (que no per lesi\u00f3 del nervi).<\/span>\u00a0<span class=\"notranslate\">Per tant, at\u00e8s que aquesta prova requereix que el pacient tingui un cert grau d&#8217;atenci\u00f3 i col\u00b7laboraci\u00f3, es procuri fer en condicions favorables de tranquil\u00b7litat i bona disposici\u00f3 per part del pacient i evitar-la si est\u00e0 molt cansat o presenta algun motiu pel qual no va poder col\u00b7laborar b\u00e9 en la seva execuci\u00f3.<\/span>\u00a0<span class=\"notranslate\">\u00c9s possible que el metge vulgui repetir la prova per observar si els resultats s\u00f3n iguals la propera ocasi\u00f3 en qu\u00e8 es realitzi.\u00a0<\/span><span class=\"notranslate\">Un cop confirmat el\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/estudi-genetic-del-glaucoma\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>diagn\u00f2stic de glaucoma<\/strong><\/a>, generalment es realitzen proves de camp visual entre una i dues vegades l&#8217;any per verificar si es produeix un empitjorament.<\/span><\/p>\n<hr \/>\n<div id=\"attachment_165\" style=\"width: 160px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-165\" class=\"wp-image-165 size-thumbnail\" src=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/11\/detectar-glaucoma-02-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/11\/detectar-glaucoma-02-150x150.jpg 150w, https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/11\/detectar-glaucoma-02.jpg 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><p id=\"caption-attachment-165\" class=\"wp-caption-text\"><i><small>Figura que mostra un t\u00edpic defecte glaucomat\u00f3s en el camp visual en forma de escotoma perif\u00e8ric, o taca fosca que ocupa la zona perif\u00e8rica superior del camp de visi\u00f3 de l&#8217;esmentat pacient<\/small><\/i><\/p><\/div>\n<div id=\"attachment_164\" style=\"width: 160px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-164\" class=\"wp-image-164 size-thumbnail\" src=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/11\/detectar-glaucoma-01-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/11\/detectar-glaucoma-01-150x150.jpg 150w, https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/11\/detectar-glaucoma-01.jpg 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><p id=\"caption-attachment-164\" class=\"wp-caption-text\"><i><small>Figura que mostra un camp visual normal<\/small><\/i><\/p><\/div>\n<hr \/>\n<ul>\n<li>\n<h5><strong>Gonioscopia<\/strong><\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">Aquest examen de diagn\u00f2stic ajuda a determinar si l&#8217;angle on l&#8217;iris es troba amb la c\u00f2rnia \u00e9s obert i ampli o estret i tancat.<\/span>\u00a0<span class=\"notranslate\">Durant l&#8217;examen, s&#8217;usen gotes oft\u00e0lmiques per anestesiar l&#8217;ull.<\/span>\u00a0<span class=\"notranslate\">Es col\u00b7loca suaument a l&#8217;ull una lent de contacte port\u00e0til.<\/span>\u00a0<span class=\"notranslate\">Aquesta lent de contacte t\u00e9 un mirall que li indica al metge si l&#8217;angle entre l&#8217;iris i la c\u00f2rnia est\u00e0 tancat i bloquejat (possible indici de\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/tipus-glaucoma-caracteristiques-simptomes-i-causes\/\" target=\"_blank\" rel=\"noopener noreferrer\">glaucoma d&#8217;angle tancat o agut<\/a>\u00a0) o ampli i obert (possible indici de\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/tipus-glaucoma-caracteristiques-simptomes-i-causes\/\" target=\"_blank\" rel=\"noopener noreferrer\">glaucoma d&#8217;angle obert o cr\u00f2nic\u00a0<\/a>).<\/span>\u00a0<span class=\"notranslate\">Com ja es va explicar\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/tipus-glaucoma-caracteristiques-simptomes-i-causes\/\" target=\"_blank\" rel=\"noopener noreferrer\">en un post anterior<\/a>\u00a0, en el cas que l&#8217;angle es trobi tancat es valorar\u00e0 la realitzaci\u00f3 d&#8217;una iridotomia perif\u00e8rica amb l\u00e0ser YAG per tal de crear un pas addicional per a l&#8217;humor aqu\u00f3s, o l\u00edquid intraocular i evitar la seva acumulaci\u00f3 brusc a l&#8217;interior de l&#8217;ull desencadenant una temuda\u00a0<strong>crisi de glaucoma agut.<\/strong><\/span><\/p>\n<ul>\n<li>\n<h5><strong>Paquimetria<\/strong><\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">La\u00a0<strong>paquimetria<\/strong>\u00a0\u00e9s una prova simple i indolora que mesura el\u00a0<strong>gruix de la c\u00f2rnia<\/strong>\u00a0(la finestra transparent que es troba a la part frontal de l&#8217;ull).<\/span>\u00a0<span class=\"notranslate\">Es col\u00b7loca suaument una sonda anomenada paqu\u00edmetre a la part frontal de l&#8217;ull (la c\u00f2rnia) per mesurar el seu gruix despr\u00e9s instil\u00b7lar unes gotes anest\u00e8siques.<\/span>\u00a0<span class=\"notranslate\">La paquimetria ajuda al diagn\u00f2stic ja que hi ha la possibilitat que el gruix de la c\u00f2rnia influeixi en les lectures de pressi\u00f3 ocular, ja que, si la c\u00f2rnia \u00e9s de gruix elevat (m\u00e9s de 600 micres), es poden obtenir lectures de pressi\u00f3 artificialment m\u00e9s elevades;<\/span>\u00a0<span class=\"notranslate\">i viceversa, davant paquimetries baixes o c\u00f2rnies fines (menors de 500 micres) es poden obtenir lectures falsament m\u00e9s baixes.<\/span>\u00a0<span class=\"notranslate\">A m\u00e9s, el fet de tenir una Paquimetria fina es considera un\u00a0<strong>factor de risc per al desenvolupament de glaucoma,\u00a0<\/strong>per la qual cosa, \u00e9s de gran inter\u00e8s tenir recollit aquesta dada.<\/span><\/p>\n<ul>\n<li>\n<h5><span class=\"notranslate\"><strong>Tomografia \u00f2ptica de coher\u00e8ncia (OCT)<\/strong><\/span><\/h5>\n<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">La\u00a0<strong>OCT de glaucoma<\/strong>\u00a0(les sigles provenen de la denominaci\u00f3 de la t\u00e8cnica en angl\u00e8s <a href=\"https:\/\/en.wikipedia.org\/wiki\/Optical_coherence_tomography\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Optic Coherence Tomography<\/em><\/a>)\u00a0<span class=\"notranslate\">\u00e9s una prova no invasiva del fons d&#8217;ull, que aporta imatges tipus esc\u00e0ner de les capes de la retina amb una gran resoluci\u00f3 i s&#8217;usa en el diagn\u00f2stic i seguiment de diverses neuropaties com:\u00a0<strong>glaucoma<\/strong>, neuritis, druses del nervi, etc.<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">La\u00a0<strong>OCT de glaucoma<\/strong>\u00a0mesura la regi\u00f3 de retina que est\u00e0 molt a prop del nervi \u00f2ptic (capa de fibres nervioses peripapilares) i la compara amb una base de dades de persones de la mateixa edat que no tenen glaucoma.<\/span>\u00a0<span class=\"notranslate\">Una aplicaci\u00f3 molt \u00fatil de\u00a0<strong>l&#8217;OCT en el glaucoma,<\/strong>\u00a0\u00e9s la possibilitat de valorar la progressi\u00f3 de la malaltia mitjan\u00e7ant estudis peri\u00f2dics amb els programes de programari incorporats d&#8217;an\u00e0lisi de canvi entre exploracions.<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span class=\"notranslate\">L&#8217;OCT representa una eina molt \u00fatil per descobrir defectes molt petits en el nervi \u00f2ptic i aix\u00ed\u00a0<strong>detectar el glaucoma<\/strong>\u00a0en fases molt incipients, abans que aparegui una afectaci\u00f3 del camp visual (el que anomenem\u00a0<strong>glaucoma preperim\u00e9trico).<\/strong><\/span><\/p>\n<h2><span class=\"notranslate\">PER DETECTAR EL GLAUCOMA, VISITEU L&#8217;OFTALM\u00d2LEG REGULARMENT<\/span><\/h2>\n<p><span class=\"notranslate\">L&#8217;\u00fanica manera de\u00a0<strong>diagnosticar i detectar el glaucoma<\/strong>\u00a0\u00e9s <a href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=335\" target=\"_blank\" rel=\"noopener noreferrer\">acudint a l&#8217;oftalm\u00f2leg<\/a> per realitzar un\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/nou-pack-de-salut-visual\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>examen b\u00e0sic d&#8217;oftalmologia<\/strong><\/a>.<\/span>\u00a0<span class=\"notranslate\">Tota persona a partir dels 40 anys hauria d&#8217;acudir al seu oftalm\u00f2leg a realitzar aquest examen i, davant\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/glaucoma-hereditari-genetica-del-glaucoma\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>antecedents familiars de glaucoma<\/strong><\/a>, conv\u00e9 fer aquesta visita en edats anteriors de la vida.<\/span><\/p>\n<p><span class=\"notranslate\">La\u00a0<strong><a href=\"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/nou-pack-de-salut-visual\/\" target=\"_blank\" rel=\"noopener noreferrer\">exploraci\u00f3 oftalmol\u00f2gica<\/a>\u00a0per diagnosticar i detectar el glaucoma<\/strong>\u00a0inclou exploracions senzilles i no invasives.<\/span>\u00a0<span class=\"notranslate\">La realitzaci\u00f3 de totes elles \u00e9s fonamental perqu\u00e8 l&#8217;oftalm\u00f2leg pugui avaluar-les conjuntament i buscar la correlaci\u00f3 entre elles per tal de descartar el\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/estudi-genetic-del-glaucoma\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>diagn\u00f2stic de glaucoma<\/strong><\/a>.<\/span><\/p>\n<p><span class=\"notranslate\">Un cop realitzat aquest diagn\u00f2stic conv\u00e9 anar realitzant <a href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=335\" target=\"_blank\" rel=\"noopener noreferrer\">visites peri\u00f2diques a l&#8217;oftalm\u00f2leg<\/a>, en una freq\u00fc\u00e8ncia d&#8217;acord amb el grau de severitat de la malaltia en cada pacient.<\/span>\u00a0<span class=\"notranslate\">A cada visita,\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/335\/elena\" target=\"_blank\" rel=\"noopener noreferrer\">l&#8217;oftalm\u00f2leg<\/a>\u00a0realitzar\u00e0 una presa de pressi\u00f3 intraocular i alguna de les proves anteriorment esmentades per descartar una possible progressi\u00f3 de la malaltia.<\/span><\/p>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<div class=\"row\">\n<div class=\"medium-8 columns title content\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"padding-left: 20px; padding-right: 10px; padding-top: 20px;\" src=\"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/wp-content\/uploads\/sites\/12\/2018\/05\/elena-milla.png\" width=\"90\" height=\"90\" \/><\/p>\n<h1 style=\"padding-left: 15px; padding-right: 15px;\" align=\"LEFT\"><span style=\"color: white;\">VOL CONTACTAR AMB LA DRA. ELENA MILLA?<\/span><\/h1>\n<p class=\"boto\" style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=335\" target=\"_blank&amp;\">DEMANAR CITA<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><small>Featured photo by: <a href=\"https:\/\/www.moody.af.mil\/News\/Photos\/igphoto\/2001016071\/\">Airman st Class Ceaira TinsleyReleased<\/a><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>POST DEL DRA. ELENA MILLA La\u00a0detecci\u00f3 primerenca del\u00a0glaucoma, mitjan\u00e7ant ex\u00e0mens oculars habituals i complets, \u00e9s la clau per protegir la visi\u00f3 del mal que provoca aquesta malaltia.\u00a0Desafortunadament, en l&#8217;actualitat se sap que\u00a0un 50% de casos de glaucoma estan encara per diagnosticar i d&#8217;ells, un 10% estan ja cecs d&#8217;un ull quan es detecta.\u00a0S&#8217;estima que\u00a0l&#8217;any 2020 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":177,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[76,81,77],"class_list":["post-180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-ca","tag-diagnostic","tag-diagnostic-del-glaucoma","tag-pressio-intraocular"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Com detectar el glaucoma? - Post de la Dra. 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