{"id":3309,"date":"2020-08-20T15:45:00","date_gmt":"2020-08-20T18:45:00","guid":{"rendered":"https:\/\/www.pretieyeinstitute.com.br\/?p=3309"},"modified":"2020-08-25T00:16:34","modified_gmt":"2020-08-25T03:16:34","slug":"degeneracao-macular-por-que-injecao-todo-mes","status":"publish","type":"post","link":"https:\/\/www.pretieyeinstitute.com.br\/degeneracao-macular-por-que-injecao-todo-mes\/","title":{"rendered":"Degenera\u00e7\u00e3o macular, por que inje\u00e7\u00e3o todo m\u00eas?"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.pretieyeinstitute.com.br\/especialidades\/especialista-em-degeneracao-macular\/\" target=\"_blank\" rel=\"noreferrer noopener\">Degenera\u00e7\u00e3o macular <\/a>\u00e9 uma doen\u00e7a que acomete \u00e1 m\u00e1cula, regi\u00e3o da retina situada no fundo do olho, que \u00e9 respons\u00e1vel pela vis\u00e3o de cores e detalhes. Sendo assim, o paciente passa a ter perda visual, associada a manchas e at\u00e9 vis\u00e3o &#8220;torta&#8221;.<\/p>\n\n\n\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#56b8b8\">Classifica\u00e7\u00e3o da degenera\u00e7\u00e3o macular<\/h2>\n\n\n\n<ul><li>Forma seca quando h\u00e1 somente a presen\u00e7a de drusas.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image is-style-rounded\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"226\" src=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2019\/02\/1.jpg\" alt=\"\" class=\"wp-image-2953\"\/><figcaption><strong>Drusas, regi\u00f5es amareladas no centro da figura.<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>Forma \u00famida, quando h\u00e1 a presen\u00e7a de neovasculariza\u00e7\u00e3o, que \u00e0s vezes \u00e9 acompanhada de sangramento, regi\u00e3o avermelhada no centro da figura abaixo. \u00c9 a forma \u00famida que \u00e9 tratada com inje\u00e7\u00f5es de medica\u00e7\u00f5es dentro do olho. Dentre elas temos hoje: Avastin, Lucentis e Eylea.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image is-style-rounded\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"313\" height=\"312\" src=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2019\/02\/2.jpg\" alt=\"\" class=\"wp-image-2954\" srcset=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2019\/02\/2.jpg 313w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2019\/02\/2-150x150.jpg 150w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2019\/02\/2-300x300.jpg 300w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2019\/02\/2-60x60.jpg 60w\" sizes=\"(max-width: 313px) 100vw, 313px\" \/><figcaption><strong>sangramento na regi\u00e3o macular no centro da figura<\/strong>.<\/figcaption><\/figure><\/div>\n\n\n\n<p>Importante que o principal exame hoje para o diagn\u00f3stico e tratamento da degenera\u00e7\u00e3o macular \u00e9 a <a href=\"https:\/\/www.pretieyeinstitute.com.br\/tudo-o-que-voce-precisa-saber-sobre-o-exame-oct-tomografia-de-coerencia-optica\/\" target=\"_blank\" rel=\"noreferrer noopener\">tomografia de coer\u00eancia \u00f3ptica<\/a>. Leia mais sobre!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#56b8b8\" class=\"tadv-color\">Forma  como a inje\u00e7\u00e3o intraocular \u00e9 realizada<\/span><\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"491\" height=\"389\" src=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2018\/07\/degeneracao-macular-3.jpg\" alt=\"\" class=\"wp-image-656\" srcset=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2018\/07\/degeneracao-macular-3.jpg 491w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2018\/07\/degeneracao-macular-3-300x238.jpg 300w\" sizes=\"(max-width: 491px) 100vw, 491px\" \/><\/figure><\/div>\n\n\n\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#56b8b8\">Por que tenho que fazer inje\u00e7\u00e3o todos os meses?<\/h2>\n\n\n\n<p>Porque o tratamento com inje\u00e7\u00f5es dentro do olho n\u00e3o cura a degenera\u00e7\u00e3o macular relacionada \u00e0 idade. <\/p>\n\n\n\n<p>O tratamento somente interrompe o vazamento de l\u00edquido dos vasos anormais (neovasculariza\u00e7\u00e3o) para dentro da retina. <\/p>\n\n\n\n<p>Como os rem\u00e9dios de hoje, tem dura\u00e7\u00e3o de aproximadamente 1 a 2 meses dentro do olho, quando o rem\u00e9dio \u00e9 absorvido os vaso voltam a extravasar liquido para dentro da retina. Por isso que o tratamento deve ser mensal ou bimestral.<\/p>\n\n\n\n<p>Abaixo a sua esquerda a presen\u00e7a de vasos anormais antes do tratamento em 2017. \u00c0 sua direita os vasos anormais ainda presentes mesmo ap\u00f3s 21 aplica\u00e7\u00f5es. <\/p>\n\n\n\n<p>Como podem notar, o rem\u00e9dio n\u00e3o faz o vaso anormal desaparecer, na degenera\u00e7\u00e3o macular, pelo contr\u00e1rio, eles ficaram maior. N\u00e3o se assustem, porque este aumento ocorre em cerca de 80% dos casos tratados.<\/p>\n\n\n\n<figure class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"1015\" height=\"1024\" src=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017-1015x1024.jpg\" alt=\"\" data-id=\"3319\" class=\"wp-image-3319\" srcset=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017-1015x1024.jpg 1015w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017-297x300.jpg 297w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017-150x150.jpg 150w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017-768x775.jpg 768w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017-60x60.jpg 60w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2017.jpg 1145w\" sizes=\"(max-width: 1015px) 100vw, 1015px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"1013\" height=\"1024\" src=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019-1013x1024.jpg\" alt=\"\" data-id=\"3320\" data-full-url=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019.jpg\" data-link=\"https:\/\/www.pretieyeinstitute.com.br\/?attachment_id=3320\" class=\"wp-image-3320\" srcset=\"https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019-1013x1024.jpg 1013w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019-297x300.jpg 297w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019-768x776.jpg 768w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019-60x60.jpg 60w, https:\/\/www.pretieyeinstitute.com.br\/wp-content\/uploads\/2020\/08\/degeneracao-macular-2019.jpg 1153w\" sizes=\"(max-width: 1013px) 100vw, 1013px\" \/><\/figure><\/li><\/ul><\/figure>\n\n\n\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#56b8b8\">Existe limite para o n\u00famero de aplica\u00e7\u00f5es?<\/h2>\n\n\n\n<p>N\u00e3o existe limite para o n\u00famero de aplica\u00e7\u00e3o, por isto o paciente deve aderir ao tratamento e comparecer \u00e0s consultas agendadas. <\/p>\n\n\n\n<p>Muitas vezes o paciente &#8220;relaxa&#8221; e n\u00e3o retorna no tempo certo. Geralmente, \u00e9 neste momento que o paciente corre o maior risco de perder a vis\u00e3o.<\/p>\n\n\n\n<p>Por fim, o Prof. Rony explica que o tratamento tem por objetivo estabilizar uma complica\u00e7\u00e3o da <a rel=\"noreferrer noopener\" href=\"https:\/\/www.institutoderetina.com.br\/home\/degeneracao-macular-2\/\" target=\"_blank\">degenera\u00e7\u00e3o macular<\/a> e n\u00e3o cur\u00e1-la. <\/p>\n\n\n\n<p>O especialista em retina deve estudar, detalhadamente, a tomografia de cada caso, a fim de ter conhecimento da doen\u00e7a de cada paciente, porque assim, ele pode espa\u00e7ar o tempo de aplica\u00e7\u00f5es com seguran\u00e7a. A doen\u00e7a se comporta diferente em cada paciente.<\/p>\n\n\n\n<p>Abaixo as publica\u00e7\u00f5es em que o <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pretieyeinstitute.com.br\/oftalmologista-em-sao-paulo\/\" target=\"_blank\">Prof. Rony<\/a> participou com rela\u00e7\u00e3o a degenera\u00e7\u00e3o macular.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28837535\">OPTICAL COHERENCE TOMOGRAPHY ANALYSIS OF OUTER RETINAL TUBULATIONS: Sequential Evolution and Pathophysiological Insights.<\/a>Rony Carlos Preti,&nbsp;<\/strong>Govetto A, Filho RGA, Cabral Zacharias L, Gianotti Pimentel S, Takahashi WY, Monteiro MLR, Hubschman JP, Sarraf D. Retina. 2017 Aug 23. doi: 10.1097\/IAE.0000000000001810.<\/h5>\n\n\n\n<h5 class=\"wp-block-heading\"><strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28129217\">A New Method of Subretinal Injection of Tissue Plasminogen Activator and Air in Patients With Submacular Hemorrhage.<\/a><\/strong>&nbsp;Novelli FJD,&nbsp;<strong>Rony Carlos Preti<\/strong>, Monteiro MLR, N\u00f3brega MJ, Takahashi WY. Retina. 2017 Aug;37(8):1607-1611. doi: 10.1097\/IAE.0000000000001491.<\/h5>\n\n\n\n<h5 class=\"wp-block-heading\"><strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27847624\">Prevalence of outer retinal tubulation in eyes with choroidal neovascularization.<\/a><\/strong>&nbsp;Giachetti Filho RG, Zacharias LC, Monteiro MLR,&nbsp;<strong>Rony Carlos Preti<\/strong>, Pimentel SG. Int J Retina Vitreous. 2016 Mar 1;2:6. doi: 10.1186\/s40942-016-0029-8. eCollection 2016.<\/h5>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Degenera\u00e7\u00e3o macular \u00e9 uma doen\u00e7a que acomete \u00e1 m\u00e1cula, regi\u00e3o da retina situada no fundo do olho, que \u00e9 respons\u00e1vel pela vis\u00e3o de cores e detalhes. Sendo assim, o paciente passa a ter per","protected":false},"author":7,"featured_media":3372,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_acf_changed":false,"pgc_meta":"","footnotes":""},"categories":[19,1],"tags":[],"yst_prominent_words":[989,511,991,136,221,980,111,984,338,986,987,985,988,261,200,508,506,517,244,977],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v14.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Degenera\u00e7\u00e3o macular, por que inje\u00e7\u00e3o todo m\u00eas? - Prof. Dr. Rony C. 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P\\u00f3s-Gradua\\u00e7\\u00e3o da Faculdade de Medicina da USP Membro da International Retinal Imaging Society (IntRIS) Doutor pela Faculdade de Medicina da USP Visiting Scientist of the University of California, Los Angeles (Los Angeles, U.S.A) P\\u00f3s-Doutorado pela Faculdade de Medicina da USP Especialista em Oftalmologia pelo Conselho Brasileiro de Oftalmologia (CBO) Membro da Sociedade Brasileira de Retina e V\\u00edtreo M\\u00e9dico do corpo cl\\u00ednico do Hospital S\\u00edrio Liban\\u00eas e Hospital Albert Einstein Professor assessor da FAPESP Web of Science ResearcherID N-4584-2013 Al\\u00e9m de excelente cirurgi\\u00e3o, com mais de 20.000 cirurgias oculares realizadas entre catarata, retina, c\\u00f3rnea e etc, o Prof. Rony tamb\\u00e9m possui in\\u00fameros artigos cient\\u00edficos publicados em grandes revistas de oftalmologia, conforme listados 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