Macular Hole

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Macular Hole

This disease affects the central area of the retina, the macula.

The most accepted theory about the formation of macular hole (BM) is the tangential traction and anterior-posterior on the macular area. Slowly occur a thinning of the macular layer until the occurrence of a small opening.
The MH is rated in degrees of evolution and gravity. The diagnosis is confirmed through examination of OCT (picture below) and their treatment is surgical: Vitrectomy peeling and gas injection.
Important: The current surgical techniques guarantee a success rate above 80% closure of the MH, but that does not mean an improvement in vision in the same proportion. Therefore, operate as soon as diagnosed delivers better results.
Difficulty: The patient should stay looking down during the first 5 days after surgery to keep the gas injected into contact with the posterior retina.

Macular hole (fundus)
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Macular hole (take OCT)

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Importante: as técnicas cirurgicas atuais garantem uma taxa de sucesso acima de 80% de fechamento do BM, porém isso não significa uma melhora visual na mesma proporção. Portanto, operar assim que for diagnosticado proporciona melhores resultados.

Dificuldade: Na cirurgia de BM o paciente deverá permanecer olhando para baixo durante os 5 primeiros dias após a cirurgia para manter o gás injetado em contato com a retina.

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Buraco macular (retinografia)
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Buraco Macular (exame de OCT)

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.

Treatments

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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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