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Retinal Detachment

Retinal detachment is a serious eye disease and lead to several visual losses.

To understand the retinal detachment is necessary to know that the retina detached is the membrane formed by neuroglial cells (neuro-sensory retina) that cover inside the eyeball and adhered totally to the ocular wall, where are the other layers of the retina. (Photo 1).
When there is a rupture or formation of a hole in the neuro-sensory retina, begins the flowed of liquid from the globe cavity through the opening (rupture or hole) creating a new space between the sensory layer and pigmented epithelium retina (eye wall).
The treatment of retinal detachment is summarized in three steps:
1 - closing the rupture retina
2 – creating an adherence
3 – and removal of sub retinal fluid. Different techniques and equipment are used to achieve this goal.

The correct treatment of retinal detachment allows the recovery of visual function, but usually there are losses in relation to preview vision.

 

figure - superior retinal detachment

secaodoencas-images

Para entender o Descolamento de retina é necessário saber que a retina que descola é a membrana formada por células neurológicas (retina neuro-sensorial) que reveste o globo ocular mais internamente e está aderida totalmente a parede ocular, onde estão as demais camadas que constituem a retina. (foto 1).

Quando há uma ruptura ou formação de um buraco na retina neuro-sensorial, inicia-se a passagem de liquido da cavidade ocular através da abertura (ruptura ou buraco) criando um novo espaço, entre a retina neuro-sensorial e camada de epitélio pigmentado da retina (na parede ocular).

O tratamento do descolamento da retina se resume em três etapas:

1- fechamento da abertura retiniana

2- criação de uma aderência da abertura e

3- eliminação do liquido sub-retiniano. Diferentes técnicas e equipamentos são utilizados para atingir este objetivo.

O correto tratamento do descolamento de retina possibilita a recuperação da função visual, porém normalmente há perdas em relação a visão prévia ao descolamento.

 

 

A partir de 2012 os tratamentos da "Degeneração Macular (DMRI)" serão pagos pelos planos de saúde. Em Campinas a UNIMED estará disponibilizando os tratamentos com LUCENTIS®.

 

Terapia de células tronco nas doenças da retina

A Investigação de células tronco para o tratamento de doenças da retina já apresenta os primeiros resultados.A reposição celular estratégica, tem potencial para melhorar a visão em pacientes que foram anteriormente considerados incuráveis.

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GENERAL:

Eating better (fruits, vegetables, no fat, no sugar, etc.)..

Sleep well.

Practice some physical activity regularly.

Manage stress.

Prevent - not to delay in looking for help if you feel something wrong with your health.

SPECIFIC:
If you are myopic:

- Visit your eye doctor every year and ask to be examination of retina.

- In case you note floats in your field of vision, see a specialist.

- If fell flashes in your field of vision, usually in darker environments, looking for a specialist.

- Make simple visual tests: sometimes a month close one eye and see if there is any darker shade in your field of vision.

Remember that the greatest risk to a person with myopic is retinal detachment, but the surgical treatment of retinal detachment has high success rates.

If you have more than 60 years:

- Visit your eye doctor every year and ask to be examination of retina.

- Attention the appearance of distorted images.

- Pay attention: reduction of vision, often you not fell small decreases of view because they occur very slowly.

- Use sunglasses, lenses polarized with UV protection.

If you have any of the above symptoms contact a specialist.

If you are diabetic:

- Control their blood glucose levels (all uncontrolled blood sugar will cause you some eye problem). - Seen a retina specialist at least once a year and its clinical ophthalmologist regularly. - Do visual tests at home or at work.

Injuries caused by diabetes in the eyes are usually large and cause severe visual loss, so prevention is extremely important so that you never have problems in your eyes.

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