{"id":267,"date":"2019-07-16T10:32:07","date_gmt":"2019-07-16T10:32:07","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/?p=267"},"modified":"2019-07-16T10:32:07","modified_gmt":"2019-07-16T10:32:07","slug":"cirurgia-laser-glaucoma-trabeculoplastia-laser-selectiva","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/ca\/cirurgia-laser-glaucoma-trabeculoplastia-laser-selectiva\/","title":{"rendered":"Cirurgia l\u00e0ser per al Glaucoma: La Trabeculopl\u00e0stia l\u00e0ser selectiva (SLT)"},"content":{"rendered":"

La\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva<\/strong>\u00a0(selective l\u00e0ser trabeculoplasty,<\/em>\u00a0SLT)<\/em>\u00a0\u00e9s una alternativa efica\u00e7 i segura per al\u00a0tractament del glaucoma<\/strong><\/a>.<\/span>\u00a0Aix\u00ed doncs, aquest tipus de\u00a0cirurgia l\u00e0ser per\u00a0al glaucoma<\/a><\/strong>, es pot oferir com a primera l\u00ednia de tractament a pacients amb aquesta patologia i \/ o amb\u00a0hipertensi\u00f3 ocular.<\/strong><\/span>\u00a0En lloc d’iniciar un tractament m\u00e8dic, els pacients amb intoler\u00e0ncia als\u00a0f\u00e0rmacs per al glaucoma<\/strong><\/a>, que presenten la\u00a0superf\u00edcie ocular danyada<\/a>\u00a0o b\u00e9 que no desitgen “dependre” d’un tractament t\u00f2pic diari, poden beneficiar-se de la\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva<\/strong>.<\/span><\/p>\n

<\/p>\n

\n
\n

ET POT\u00a0INTERESAR…<\/h4>\n

–\u00a0Tota la informaci\u00f3 sobre EL GLAUCOMA<\/a><\/h4>\n<\/blockquote>\n<\/div>\n

QUI POT BENEFICIAR-SE DE LA TRABECULOPL\u00c0STIA L\u00c0SER SELECTIVA PER AL GLAUCOMA?<\/strong><\/span><\/h2>\n

En primer lloc, els casos ja esmentats de pacients amb intoler\u00e0ncia al\u00a0tractament m\u00e8dic del glaucoma<\/strong><\/a>\u00a0o que, per diversos motius, no poden seguir la\u00a0ter\u00e0pia amb f\u00e0rmacs.<\/strong><\/span>\u00a0Aix\u00ed doncs, la\u00a0cirurgia l\u00e0ser per al glaucoma<\/a>\u00a0<\/strong>pot utilitzar-se en pacients que ja han iniciat un\u00a0tractament m\u00e8dic<\/strong>\u00a0amb una gota i aquesta no \u00e9s suficient.\u00a0<\/span>Finalment, aquells pacients que presenten un dif\u00edcil compliment del tractament i \/ o manca de control tensional amb el tractament m\u00e8dic inicial.<\/span><\/p>\n

\n
\n

ET POT INTERESSAR…<\/h4>\n

–\u00a0Tractament m\u00e8dic del glaucoma: F\u00e0rmacos per baixar la pressi\u00f3 intraocular<\/a><\/h4>\n<\/blockquote>\n<\/div>\n

COM FUNCIONA LA<\/strong>\u00a0TRABECULOPL\u00c0STIA L\u00c0SER SELECTIVA PER AL\u00a0GLAUCOMA?<\/strong><\/span><\/h2>\n

La\u00a0SLT<\/strong>\u00a0es realitza amb un l\u00e0ser\u00a0Q-switchd Nd-Yag,<\/strong>\u00a0a una longitud d’ona de 532 micres i en un espai molt curt de temps d’exposici\u00f3 (3 nanosegons).<\/span>\u00a0Gr\u00e0cies a aix\u00f2, produeix un efecte de\u00a0fototerm\u00f2lisi<\/em><\/a>\u00a0o escalfament selectiu de les c\u00e8l\u00b7lules pigmentades de la\u00a0xarxa trabecular<\/em><\/a>.<\/span>\u00a0El procediment genera una reacci\u00f3 inflamat\u00f2ria de neteja i estimulaci\u00f3 d’aquestes c\u00e8l\u00b7lules, millorant el seu funcionament i, per tant,\u00a0millorant la sortida de l’humor aqu\u00f3s del globus ocular.<\/strong><\/span><\/p>\n

\n

Qu\u00e8 \u00e9s la term\u00f2lisi selectiva?<\/strong><\/span><\/h4>\n

La term\u00f2lisi selectiva \u00e9s un escalfament intermitent que, en lloc de canviar l’estructura cel\u00b7lular, l’estimula.\u00a0<\/span>Per aquest motiu, no es troben alteracions anat\u00f2miques ni canvis permanents.<\/span>\u00a0Per aix\u00f2, la\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva<\/strong>\u00a0es pot repetir sempre que sigui necessari i no influeix en un possible futur\u00a0tractament quir\u00fargic del glaucoma,<\/strong>\u00a0en cas que es necessit\u00e9s.<\/span><\/span><\/p>\n

\n

EN QU\u00c8 CONSISTEIX LA CIRURGIA L\u00c0SER PER AL GLAUCOMA?<\/strong><\/span><\/h2>\n

Durant el\u00a0tractament amb l\u00e0ser del glaucoma,<\/strong>\u00a0el pacient no experimenta dolor.<\/span>\u00a0La\u00a0SLT<\/strong>\u00a0dura nom\u00e9s entre 15 i 20 minuts.<\/span>\u00a0Posteriorment, haur\u00e0 d’utilitzar un col\u00b7liri antiinflamatori suau durant unes setmanes, en les quals podr\u00e0 realitzar les seves activitats habituals.<\/span>\u00a0L’efecte del\u00a0tractament amb l\u00e0ser del glaucoma<\/strong>\u00a0no \u00e9s instantani.<\/span>\u00a0Aix\u00ed doncs, podr\u00e0 ser necessari mantenir el\u00a0tractament de la hipotensi\u00f3 ocular<\/strong><\/a>\u00a0previ fins a les 8 setmanes post-l\u00e0ser.<\/span>\u00a0A partir d’aquest moment, s’arriba al seu efecte m\u00e0xim i podem avaluar l’efic\u00e0cia completa de la\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva.<\/strong><\/span><\/p>\n

EFECTES SECUNDARIS DEL TRACTAMENT L\u00c0SER DEL GLAUCOMA<\/strong><\/span><\/h2>\n

Els\u00a0efectes secundaris de la cirurgia l\u00e0ser per al glaucoma solen ser m\u00ednims<\/strong>\u00a0o molt poc significatius.<\/span>\u00a0En alguns pacients (5%) pot produir-se una reacci\u00f3 inflamat\u00f2ria ocular lleu o b\u00e9 un pic\u00a0d’hipertensi\u00f3 ocular\u00a0<\/strong>immediatament despr\u00e9s de la\u00a0SLT.<\/strong><\/span>\u00a0No obstant aix\u00f2, aquests efectes secundaris seran controlables amb\u00a0medicaci\u00f3 hipotensora<\/strong><\/a>\u00a0.<\/span>\u00a0Per aquest motiu, \u00e9s important\u00a0mesurar la Pressi\u00f3 Intraocular<\/strong><\/a>\u00a0de manera peri\u00f2dica en els dies posteriors a la\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva.<\/strong><\/span><\/p>\n

<\/h2>\n

QUANT DUREN ELS EFECTES DE LA TRABECULOPL\u00c0STIA L\u00c0SER SELECTIVA?<\/strong><\/span><\/h2>\n

La\u00a0SLT<\/strong>\u00a0pot anar perdent efic\u00e0cia despr\u00e9s de un a cinc anys de la seva realitzaci\u00f3.<\/span>\u00a0No obstant aix\u00f2, en un 30% de pacients pot repetir-se i tornar a aconseguir un\u00a0descens en la<\/strong>\u00a0hipertensi\u00f3 ocular<\/strong>.<\/span>\u00a0Com hem dit, la\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva<\/strong>\u00a0no compromet la realitzaci\u00f3 d’una futura\u00a0cirurgia del glaucoma,<\/strong>\u00a0si aquesta es requereix.<\/span><\/p>\n

\n

\"Elena<\/a><\/h4>\n

“La<\/strong>\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva \u00e9s molt efectiva per a la Hipertensi\u00f3 Ocular i el\u00a0tractament del Glaucoma.<\/strong><\/span>\u00a0Amb la SLT<\/strong>\u00a0s’obt\u00e9 un\u00a0descens de la Pressi\u00f3 Intraocular\u00a0d’aproximadament un 30% (equiparable a l’aconseguit amb un col\u00b7liri hipotensor<\/a>) i l’efectivitat es constata en un 70% dels pacients tractats “<\/strong><\/span><\/h4>\n

Dra.\u00a0Elena Milla<\/strong><\/a><\/p><\/blockquote>\n

\n
\n

<\/p>\n

VOL\u00a0CONTACTAR\u00a0AMB LA DRA. ELENA MILLA?<\/span><\/h1>\n

DEMANAR CITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

La\u00a0Trabeculopl\u00e0stia L\u00e0ser selectiva\u00a0(selective l\u00e0ser trabeculoplasty,\u00a0SLT)\u00a0\u00e9s una alternativa efica\u00e7 i segura per al\u00a0tractament del glaucoma.\u00a0Aix\u00ed doncs, aquest tipus de\u00a0cirurgia l\u00e0ser per\u00a0al glaucoma, es pot oferir com a primera l\u00ednia de tractament a pacients amb aquesta patologia i \/ o amb\u00a0hipertensi\u00f3 ocular.\u00a0En lloc d’iniciar un tractament m\u00e8dic, els pacients amb intoler\u00e0ncia als\u00a0f\u00e0rmacs per al glaucoma, que presenten […]<\/p>\n","protected":false},"author":2,"featured_media":264,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,5],"tags":[101,102,95],"yoast_head":"\nCirurgia l\u00e0ser per al Glaucoma: La Trabeculopl\u00e0stia l\u00e0ser selectiva (SLT)<\/title>\n<meta name=\"description\" content=\"La Trabeculopl\u00e0stia L\u00e0ser selectiva (SLT) \u00e9s efica\u00e7 i segura per al tractament del glaucoma. 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