{"id":1635,"date":"2017-10-17T19:14:31","date_gmt":"2017-10-17T19:14:31","guid":{"rendered":"http:\/\/inof.es\/estrabismo-infantil-y-de-adultos\/"},"modified":"2024-05-22T17:19:17","modified_gmt":"2024-05-22T17:19:17","slug":"estrabisme-infantil-i-d-adults","status":"publish","type":"page","link":"https:\/\/inof.es\/ca\/estrabisme-infantil-i-d-adults\/","title":{"rendered":"Estrabisme infantil i d&#8217;adults"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;middle&#8221; parallax=&#8221;content-moving&#8221; wpex_bg_overlay=&#8221;color&#8221; css=&#8221;.vc_custom_1577962162462{background-image: url(https:\/\/inof.es\/wp-content\/uploads\/2019\/12\/tratamiento-estrabismo.jpg?id=3327) !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; min_height=&#8221;400&#8243; visibility=&#8221;hidden-phone&#8221; wpex_bg_overlay_color=&#8221;#000000&#8243;][vc_column][vc_empty_space height=&#8221;40px&#8221;]<style>.vcex-heading.vcex_69dc7f7630d91{color:#ffffff;font-size:60px;font-family:'Titillium Web';font-weight:600;}@media (max-width:1024px){.vcex-heading.vcex_69dc7f7630d91{font-size:50px;}}@media (max-width:959px){.vcex-heading.vcex_69dc7f7630d91{font-size:50px;}}@media (max-width:767px){.vcex-heading.vcex_69dc7f7630d91{font-size:40px;}}@media (max-width:479px){.vcex-heading.vcex_69dc7f7630d91{font-size:40px;}}<\/style><div class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl wpex-text-left vcex_69dc7f7630d91\"><span class=\"vcex-heading-inner wpex-inline-block\">ESTRABISME<\/span><\/div>[vc_column_text text_align=&#8221;left&#8221; font_weight=&#8221;300&#8243;]<span class=\"white-text\" style=\"font-size: 32px;\">Infantil i d&#8217;adults<\/span>[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221;][vc_row_inner content_placement=&#8221;middle&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text font_weight=&#8221;300&#8243;]<span style=\"font-size: 28px; color: #99ccff;\">Corregim l\u2019alineaci\u00f3 dels seus ulls per millorar la visi\u00f3 i la est\u00e8tica de la seva mirada.<\/span>[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div><style>.vcex-button.vcex_69dc7f763343f{background:#5884ca;color:#ffffff!important;padding-inline:20px;font-size:18px;font-weight:600;}.vcex-button.vcex_69dc7f763343f:hover{background:#1c5ec9!important;}.vcex-button.vcex_69dc7f763343f .theme-button-icon-left{padding-inline-end:20px;}<\/style><div class=\"theme-button-wrap theme-button-block-wrap wpex-block wpex-clear wpex-clr\"><a href=\"tel:933933156\" class=\"vcex-button theme-button align-left block vcex_69dc7f763343f\"><span class=\"vcex-button-inner theme-button-inner wpex-flex wpex-flex-wrap wpex-items-center wpex-justify-center\"><span class=\"vcex-button-icon vcex-icon-wrap theme-button-icon-left\"><span class=\"wpex-icon\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M164.9 24.6c-7.7-18.6-28-28.5-47.4-23.2l-88 24C12.1 30.2 0 46 0 64C0 311.4 200.6 512 448 512c18 0 33.8-12.1 38.6-29.5l24-88c5.3-19.4-4.6-39.7-23.2-47.4l-96-40c-16.3-6.8-35.2-2.1-46.3 11.6L304.7 368C234.3 334.7 177.3 277.7 144 207.3L193.3 167c13.7-11.2 18.4-30 11.6-46.3l-40-96z\"\/><\/svg><\/span><\/span>Demani cita pr\u00e8via 933 933 156<\/span><\/a><\/div> [\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row visibility=&#8221;visible-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;]<style>.vcex-heading.vcex_69dc7f7633b50{color:#6b6b6b;font-size:40px;font-family:'Titillium Web';font-weight:200;}<\/style><div class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl wpex-text-center vcex_69dc7f7633b50\"><span class=\"vcex-heading-inner wpex-inline-block\">ESPECIALITATS<\/span><\/div>[vc_empty_space height=&#8221;20px&#8221;]<style>.vcex-heading.vcex_69dc7f76341d4{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1553346166077 vcex_69dc7f76341d4\"><span class=\"vcex-heading-inner wpex-inline-block\">Estrabisme infantil i d'adults<\/span><\/h2>[\/vc_column][\/vc_row][vc_row visibility=&#8221;hidden-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;5\/6&#8243;][vc_tta_tabs shape=&#8221;square&#8221; spacing=&#8221;15&#8243; gap=&#8221;15&#8243; alignment=&#8221;center&#8221; active_section=&#8221;1&#8243; css=&#8221;.vc_custom_1508256027653{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;border-left-color: #cccccc !important;border-right-color: #cccccc !important;border-top-color: #cccccc !important;border-bottom-color: #cccccc !important;}&#8221;][vc_tta_section title=&#8221;Qu\u00e8 \u00e9s?&#8221; tab_id=&#8221;1508251362686-4ac9fce9-13f7ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Qu\u00e8 \u00e9s l'estrabisme?<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]L&#8217;estrabisme \u00e9s la p\u00e8rdua del paral\u00b7lelisme ocular. Un dels dos ulls est\u00e0 desviat i perd la seva coordinaci\u00f3 amb l&#8217;altre. El seu punt de mirada-objecte ja no \u00e9s el mateix i els ulls deixen d&#8217;estar alineats. Pot presentar-se tant en la inf\u00e0ncia com en l&#8217;edat adulta.<\/p>\n<p>Pot provocar visi\u00f3 doble (<strong>diplopia<\/strong>), confusi\u00f3 visual i p\u00e8rdua de la visi\u00f3 binocular, perdent percepci\u00f3 de profunditat. \u00c9s possible trobar signes com posicions del cap tortes (<strong>torticoli<\/strong>) o gestos de complicitat d&#8217;un dels ulls per evitar veure doble (diplopia).<\/p>\n<p>Si no es diagnostica i tracta a una edat primerenca poden apar\u00e8ixer alteracions sensorials com la supressi\u00f3 de l&#8217;ull desviat, que porta a l&#8217;<strong>ambliopia<\/strong> (o <strong>ull gandul<\/strong>).[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1473&#8243;][vc_column_text]\n<blockquote><p>El 5% de la poblaci\u00f3 infantil pateix estrabisme.<\/p><\/blockquote>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/APQ2FOSmEXw?t=7s&#8221; align=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Causes&#8221; tab_id=&#8221;1508256089541-8b045f78-48a2ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Causes de l'estrabisme<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]<strong>Idiop\u00e0tica:<\/strong> \u00c9s a dir, no t\u00e9 una causa coneguda. \u00c9s la m\u00e9s freq\u00fcent.<\/p>\n<p><strong>Acomodativa:<\/strong> Quan un nen fa esfor\u00e7 d&#8217;acomodaci\u00f3 per compensar una graduaci\u00f3 de hipermetropia, generalment cap a dins (endotropia).<\/p>\n<p><strong>Anisometr\u00f3pica<\/strong>: La difer\u00e8ncia del defecte de refracci\u00f3 entre els dos ulls facilita l&#8217;aparici\u00f3 d&#8217;estrabisme.<\/p>\n<p><strong>Ambliopia:<\/strong> El d\u00e8ficit visual en alguns tipus d&#8217;ambliopia pot derivar en que l&#8217;ull gandul es desvi\u00ef amb el temps.<\/p>\n<p><strong>Par\u00e0lisi musculars d&#8217;origen sist\u00e8mic o neurol\u00f2gic:<\/strong> La par\u00e0lisi d&#8217;un m\u00fascul extraocular per patologies neurol\u00f2giques o que afectin la innervaci\u00f3 del m\u00fascul per malalties sist\u00e8miques produir\u00e0 estrabisme.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/HgrHl3Ilc14&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Estrabisme compost amb component horitzontal (endotropia) i vertical (hipotropia).[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1475&#8243;][vc_column_text]\n<blockquote><p>L&#8217;estrabisme no sempre respon a una causa concreta.<\/p><\/blockquote>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/Zc5CVsJufPk&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Endotropia acomodativa.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Tipus&#8221; tab_id=&#8221;1508256790280-6cca5488-e3c6ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Tipus d'estrabisme<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]\u00c9s habitual classificar els estrabismes en funci\u00f3 de la direcci\u00f3 de la desviaci\u00f3:<\/p>\n<ul>\n<li><strong>Horitzontal:<\/strong> Podem trobar estrabismes divergents, on un dels ulls es desvia cap a fora, tamb\u00e9 anomenat exotropia. En canvi l&#8217;estrabisme convergent \u00e9s aquell en qu\u00e8 un dels ulls es desvia cap a dins, tamb\u00e9 anomenat endotropia.<\/li>\n<li><strong>Vertical:<\/strong> Quan un dels ulls es desvia cap amunt o cap avall (hipertropia o hipotropia).<\/li>\n<li><strong>Torsional:<\/strong> Quan l&#8217;ull desviat gira sobre l&#8217;eix visual. Tamb\u00e9 s\u00b4anomena ciclotropia.<\/li>\n<li><strong>Combinacions dels anteriors:<\/strong> De vegades es d\u00f3na el cas en qu\u00e8 coexisteixen desviacions de tipus horitzontal i vertical al mateix temps, fins i tot torsional.<\/li>\n<\/ul>\n<p>Hi ha altres tipus especials d&#8217;estrabisme com la <strong>s\u00edndrome de Duane, s\u00edndrome de Brown, par\u00e0lisi oculomotoras, nistagmus o fibrosi del recte inferior<\/strong>.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_media_grid element_width=&#8221;6&#8243; grid_id=&#8221;vc_gid:1716398335109-c66573d2-fb43-10&#8243; include=&#8221;1479,1481&#8243;][vc_column_text]Estrabisme convergent de l&#8217;ull esquerre i estrabisme divergent de l&#8217;ull dret.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear hidden-phone\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1343&#8243; alignment=&#8221;center&#8221; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/94LxXRz5Xik&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Exotropia: un dels ulls es desvia cap a fora.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Avaluaci\u00f3&#8221; tab_id=&#8221;1508258154839-35b76ff9-306eec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Avaluaci\u00f3<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]<span style=\"font-size: 21px;\">T\u00e8cniques diagn\u00f2stiques<\/span><\/p>\n<p><strong>Cover test<\/strong><\/p>\n<p>Prova que determina de manera objectiva la pres\u00e8ncia i la quantitat de desviaci\u00f3 ocular. D&#8217;aquesta manera, es pot detectar i mesurar la pres\u00e8ncia d&#8217;un estrabisme manifest, o tropia, o d&#8217;un estrabisme latent, o f\u00f2ria. Consisteix en dues parts diferenciades:<\/p>\n<ul>\n<li><strong>El cover-uncover<\/strong>, en el qual es cobreix i descobreix de manera continuada un ull i s&#8217;observen moviments de tots dos ulls (per valorar pres\u00e8ncia de tropia)<\/li>\n<li><strong>El cover alternant<\/strong>, en qu\u00e8 s&#8217;alterna l&#8217;ull que es cobreix i s&#8217;observen els moviments dels ulls quan es tapa i destapa l&#8217;altre (per mesurar trop\u00edas i valorar f\u00f2ries).<\/li>\n<\/ul>\n<p><span style=\"font-size: 21px;\">Tecnologia instrumental<\/span><\/p>\n<p><strong>Videoocul\u00f3graf Gazelab\u2122<\/strong><\/p>\n<p>El videoocul\u00f3graf Gazelab\u2122 est\u00e0 basat en la tecnologia de visi\u00f3 per computadora i un sistema de projecci\u00f3 subjecte en el propi cap del examinat, amb el qual vam aconseguim mesures objectives per a l&#8217;estudi de l&#8217;estrabisme, dels moviments oculars, el nistagmus, de les pupil\u00b7les i de les parpelles, amb una precisi\u00f3 molt superior a un altre tipus de videoocul\u00f3grafs.<\/p>\n<p>Gazelab \u2122 \u00e9s l&#8217;\u00fanic sistema que projecta i filma des d&#8217;un casc. Aix\u00f2 facilita enormement l&#8217;exploraci\u00f3 i obre la possibilitat d&#8217;examinar nens, que dif\u00edcilment aguantarien disciplinadament una exploraci\u00f3 amb mentonera.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/zvZTFe6D1Sc&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/Qy1INWIBTWs&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div>[vc_column_text]<strong>Sinopt\u00f2for<\/strong><\/p>\n<p>Es tracta d&#8217;un instrument utilitzat per avaluar i diagnosticar l&#8217;estrabisme. Tamb\u00e9 s&#8217;utilitza per a entrenament visual i estimulaci\u00f3 de l&#8217;ull gandul (ambliopia). A m\u00e9s el sinopt\u00f2for pot utilitzar-se per avaluar altres aspectes de la visi\u00f3 binocular com el grau de fusi\u00f3 binocular.<\/p>\n<p><strong>Pantalla de Hess Lancaster<\/strong><\/p>\n<p>El test d&#8217;Hess Lancaster (H-L) \u00e9s un test subjectiu-objectiu de valoraci\u00f3 motora que permet explorar la funci\u00f3 dels m\u00fasculs extraoculars, fent fixar un dels ulls mentre s&#8217;avalua l&#8217;altre. Pot ajudar a diferenciar un estrabisme par\u00e8tic causat per una lesi\u00f3 neurol\u00f2gica d&#8217;una restricci\u00f3 motora.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1581&#8243; alignment=&#8221;center&#8221; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]El cover test consisteix a tapar cadascun dels ulls de manera alterna o cont\u00ednua.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_single_image image=&#8221;1583&#8243; alignment=&#8221;center&#8221; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]El sinopt\u00f3foro ens permet avaluar i diagnosticar l&#8217;estrabisme.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_tabs][\/vc_column][vc_column visibility=&#8221;visible-desktop&#8221; width=&#8221;1\/6&#8243;][vc_column_text css=&#8221;.vc_custom_1716398354962{padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #5884ca !important;}&#8221; font_weight=&#8221;500&#8243;]\n<p style=\"text-align: center;\"><span class=\"white-text\" style=\"font-size: 14px; color: #ffffff;\">ALTRES ESPECIALITATS<\/span><\/p>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div><style>.vcex-navbar.vcex_69dc7f76383af a.vcex-navbar-link{color:#5884ca;background:#eaeaea;}.vcex-navbar.vcex_69dc7f76383af a.vcex-navbar-link:is(:hover,.active){color:#ffffff;background:#5884ca;}.vcex-navbar.vcex_69dc7f76383af{font-size:14px;}<\/style><nav class=\"vcex-navbar vcex-navbar--expanded vcex-module vcex_69dc7f76383af\"><div class=\"vcex-navbar-inner wpex-clr\"><a href=\"https:\/\/inof.es\/ca\/estrabisme-infantil-i-d-adults\/\" class=\"vcex-navbar-link vcex-navbar-link--1635 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">ESTRABISME<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/diagnostic-i-tractament-de-l-ambliopia\/\" class=\"vcex-navbar-link vcex-navbar-link--1632 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">AMBLIOPIA<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/diagnostic-i-tractament-de-la-diplopia\/\" class=\"vcex-navbar-link vcex-navbar-link--4047 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">DIPLOPIA<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/diagnostic-i-tractament-de-les-cataractes\/\" class=\"vcex-navbar-link vcex-navbar-link--1638 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">CATARACTES<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/cirurgia-refractiva\/\" class=\"vcex-navbar-link vcex-navbar-link--1645 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">CIRURGIA REFRACTIVA<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/estetica-ocular\/\" class=\"vcex-navbar-link vcex-navbar-link--3174 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">EST\u00c8TICA OCULAR<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/diagnostic-i-tractament-del-glaucoma\/\" class=\"vcex-navbar-link vcex-navbar-link--1648 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">GLAUCOMA<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/neurooftalmologia\/\" class=\"vcex-navbar-link vcex-navbar-link--1660 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">NEURO OFTALMOLOGIA<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/diagnostic-i-tractament-de-malalties-de-la-retina\/\" class=\"vcex-navbar-link vcex-navbar-link--1663 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">RETINA<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/tractaments-de-la-superficie-ocular\/\" class=\"vcex-navbar-link vcex-navbar-link--1666 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">SUPERF\u00cdCIE OCULAR<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/parpelles-orbita-i-vies-lacrimals\/\" class=\"vcex-navbar-link vcex-navbar-link--1677 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">PARPELLES, \u00d2RBITA I VIES LACRIMALS<\/span><\/a><a href=\"https:\/\/inof.es\/ca\/optometria-clinica\/\" class=\"vcex-navbar-link vcex-navbar-link--1690 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">OPTOMETRIA CL\u00cdNICA<\/span><\/a><\/div><\/nav>[\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f7642bcc{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1553347175094 vcex_69dc7f7642bcc\"><span class=\"vcex-heading-inner wpex-inline-block\">V\u00eddeos relacionats<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/FpNA5zQOTIo&#8221; align=&#8221;center&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]<span style=\"font-size: 21px;\">Casos d&#8217;estrabisme pre i postoperatori.<\/span>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/-TiyU_Twhio&#8221; align=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-callout.vcex_69dc7f764387d .vcex-callout-link{color:#ffffff;font-size:21px;}<\/style><div class=\"vcex-callout vcex-module wpex-boxed with-button wpex-text-center wpex-md-text-initial wpex-md-flex wpex-md-items-center vcex_69dc7f764387d\"><div class=\"vcex-callout-caption wpex-last-mb-0 wpex-text-md wpex-mb-20 wpex-md-w-75 wpex-md-pr-20 wpex-md-mb-0\"><p><span style=\"font-size: 21px\">Si voleu veure altres v\u00eddeos relacionats amb l&#8217;estrabisme i les proves diagn\u00f2stiques, visiteu el nostre canal.<\/span><\/p>\n<\/div><div class=\"vcex-callout-button wpex-md-w-25 wpex-md-text-right\"><a href=\"https:\/\/www.youtube.com\/channel\/UCOK86vawyDB209S0-i8dFDg\/playlists\" title=\"Veure m\u00e9s v\u00eddeos\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"vcex-callout-link theme-button flat full-width wpex-text-center wpex-text-base\">Veure m\u00e9s v\u00eddeos<\/a><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f76443c4{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1523271990855 vcex_69dc7f76443c4\"><span class=\"vcex-heading-inner wpex-inline-block\">Tractament de l'estrabisme<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_tabs shape=&#8221;square&#8221; spacing=&#8221;15&#8243; gap=&#8221;15&#8243; alignment=&#8221;center&#8221; active_section=&#8221;1&#8243; css=&#8221;.vc_custom_1508256027653{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;border-left-color: #cccccc !important;border-right-color: #cccccc !important;border-top-color: #cccccc !important;border-bottom-color: #cccccc !important;}&#8221;][vc_tta_section title=&#8221;En els adults&#8221; tab_id=&#8221;1508260684930-fbc8337b-4cc9ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">En els adults<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]En desviacions de baix grau o petits angles de desviaci\u00f3 la cirurgia \u00e9s el tractament escollit, juntament amb ulleres, prismes o ter\u00e0pia visual.<\/p>\n<blockquote><p>La cirurgia \u00e9s molt efica\u00e7 quant a resultats est\u00e8tics.<\/p><\/blockquote>\n<p>En estrabismes acomodatius, es compensa nom\u00e9s amb l&#8217;\u00fas d&#8217;ulleres o lents de contacte. La graduaci\u00f3 que provoca l&#8217;estrabisme es pot corregir amb <strong>cirurgia refractiva<\/strong>, eliminant de pas l&#8217;estrabisme sense necessitat de cirurgia.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear hidden-phone\" style=\"height:50px;\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/FpNA5zQOTIo&#8221; align=&#8221;center&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Adult amb estrabisme convergent, abans i despr\u00e9s de la cirurgia.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;En els nens&#8221; tab_id=&#8221;1508260680445-628c0f6d-99d9ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">En els nens<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]En el cas d&#8217;existir estrabisme convergent i hipermetropia es pot tractar amb correcci\u00f3 \u00f2ptica (ulleres o lents de contacte). En els altres casos es requereix cirurgia, a m\u00e9s de correcci\u00f3 \u00f2ptica. La cirurgia \u00e9s senzilla per\u00f2, en els nens, s&#8217;ha d&#8217;aplicar anest\u00e8sia general.<\/p>\n<p>En el cas d&#8217;estrabisme divergent de naixement, sol\u00b7licitem primer una exploraci\u00f3 neurol\u00f2gica, ja que aquest tipus d&#8217;estrabisme pot anar acompanyat d&#8217;una patologia pr\u00e8via.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear hidden-phone\" style=\"height:50px;\"><\/div>[vc_single_image image=&#8221;1483&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Amb ulleres o lents de contacte es pot corregir l&#8217;estrabisme convergent.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear hidden-phone\"><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear hidden-phone\" style=\"height:50px;\"><\/div>[vc_single_image image=&#8221;1485&#8243; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Nena amb estrabisme divergent, abans i despr\u00e9s de la cirurgia.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_tabs][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f76474cc{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1523272160272 vcex_69dc7f76474cc\"><span class=\"vcex-heading-inner wpex-inline-block\">Preguntes freq\u00fcents<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_accordion shape=&#8221;square&#8221; gap=&#8221;10&#8243; c_icon=&#8221;triangle&#8221; active_section=&#8221;1&#8243;][vc_tta_section title=&#8221;En pres\u00e8ncia d&#8217;estrabisme, quan acudir a l&#8217;oftalm\u00f2leg?&#8221; tab_id=&#8221;1508266816826-246aed61-1e01ec28-b431&#8243;][vc_column_text]Si en n\u00e9ixer la desviaci\u00f3 \u00e9s constant, s&#8217;han de visitar des del primer moment; si la desviaci\u00f3 \u00e9s intermitent, es poden visitar entre els 6-7 mesos. El diagn\u00f2stic preco\u00e7 d&#8217;aquesta patologia podria evitar problemes d&#8217;aprenentatge i, sobretot, podria prevenir una ambliopia o ull gandul, ja que l&#8217;estrabisme \u00e9s la principal causa. En el cas d&#8217;aparici\u00f3 en l&#8217;edat adulta, s&#8217;han de descartar causes d&#8217;origen neuro-oftalmol\u00f2gic.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Cal operar tots els estrabismes?&#8221; tab_id=&#8221;1508266862409-d10de19a-04abec28-b431&#8243;][vc_column_text]No. En molts casos l&#8217;estrabisme est\u00e0 associat a problemes refractius com la hipermetropia. I sabem que, quan es presenta en edats primerenques de la vida, pot provocar estrabisme convergent. Quan hem de corregir la hipermetropia mitjan\u00e7ant ulleres o lents de contacte, desapareix l&#8217;estrabisme parcialment o fins i tot pot ser que totalment. En els nens, la hipermetropia en ocasions tendeix a reduir-se amb el pas del temps, per aix\u00f2 pot arribar a desapar\u00e8ixer per si mateixa i amb ella, l&#8217;estrabisme.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;En qu\u00e8 consisteix la cirurgia d&#8217;estrabisme?&#8221; tab_id=&#8221;1508266907907-dd75489a-4347ec28-b431&#8243;][vc_column_text]Es tracta de la cirurgia dels m\u00fasculs que mouen els ulls. El procediment quir\u00fargic consisteix a actuar sobre els m\u00fasculs extraoculars encarregats de la motilitat ocular. Segons el tipus i intensitat de la desviaci\u00f3, s&#8217;actuar\u00e0 sobre un ull o els dos. La cirurgia es realitza debilitant el m\u00fascul o m\u00fasculs m\u00e9s actius juntament amb el refor\u00e7ament dels m\u00e9s febles, si cal.<\/p>\n<p>La cirurgia de l&#8217;estrabisme se sol realitzar de manera ambulat\u00f2ria, amb mol\u00e8sties lleus o moderades que s&#8217;alleugen amb analg\u00e8sics comuns. Els nens requereixen anest\u00e8sia general.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;El torticoli pot ser conseq\u00fc\u00e8ncia d&#8217;una patologia ocular?&#8221; tab_id=&#8221;1508266969929-a76dd542-fc50ec28-b431&#8243;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]En efecte. Els pacients s&#8217;inclinen o giren el cap per minimitzar-ne els s\u00edmptomes visuals derivats de la patologia ocular d&#8217;origen. Les causes habituals de torticoli d&#8217;origen ocular s\u00f3n la ptosis palpebral, par\u00e0lisi ocular, nistagmus i, el m\u00e9s freq\u00fcent, alguns estrabismes de tipus vertical.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1489&#8243; onclick=&#8221;img_link_large&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Qu\u00e8 \u00e9s el nistagmus?&#8221; tab_id=&#8221;1508267030903-3f559c00-cbbeec28-b431&#8243;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]Es parla de nistagmus (m\u00e9s cl\u00ednicament, nistagmus optocin\u00e9tic) quan hi ha un moviment de tots dos ulls, natural i fisiol\u00f2gic, que es realitza involunt\u00e0riament en tractar de fixar un est\u00edmul. La majoria de vegades no t\u00e9 origen determinat i est\u00e0 present des del naixement.<\/p>\n<p>Si t\u00e9 un origen adquirit o patol\u00f2gic, sol anar acompanyat de d\u00e8ficit en l&#8217;agudesa visual i en molts casos de torticoli (coll girat), cap a la posici\u00f3 de mirada on es minimitza o desapareix el nistagmus, anomenada posici\u00f3 de bloqueig.<\/p>\n<p>L&#8217;objectiu en el tractament del nistagmus \u00e9s el de millorar el confort visual, millorar l&#8217;agudesa visual i minimitzar el torticoli. Normalment es tracta amb ulleres, per\u00f2 en ocasions requereix cirurgia. Habitualment la cirurgia del nistagmus \u00e9s de caracter\u00edstiques semblants a la cirurgia d&#8217;estrabisme.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/n378pOAOSBo&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Qu\u00e8 \u00e9s el fals estrabisme?&#8221; tab_id=&#8221;1508267077080-cac4c1bc-c09dec28-b431&#8243;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]De vegades hi ha la percepci\u00f3 que hi ha estrabisme, quan no \u00e9s aix\u00ed. Parlar\u00edem en aquest cas de fals estrabisme (pseudoestrabisme). Les causes m\u00e9s freq\u00fcents de fals estrabisme s\u00f3n dos: epicantus, que simula un estrabisme convergent, i el hipertelorisme, que simula un estrabisme divergent.<\/p>\n<p>El hipertelorisme \u00e9s una dist\u00e0ncia exageradament gran entre els ulls, el que pot donar la sensaci\u00f3 d&#8217;estrabisme cap a fora. En el cas del epicantus, tenim la percepci\u00f3 que un dels ulls est\u00e0 desviat a causa del plec nasal en alguns nens (plecs cutanis verticals bilaterals que s&#8217;estenen des les parpelles superiors o inferiors fins al cant intern) percepci\u00f3 m\u00e9s gran si aquests plecs s\u00f3n asim\u00e8trics . El epicanto desapareix amb l&#8217;edat i no requereix cirurgia ni tractament.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1491&#8243; onclick=&#8221;img_link_large&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;middle&#8221; parallax=&#8221;content-moving&#8221; wpex_bg_overlay=&#8221;color&#8221; css=&#8221;.vc_custom_1577962162462{background-image: url(https:\/\/inof.es\/wp-content\/uploads\/2019\/12\/tratamiento-estrabismo.jpg?id=3327) !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; min_height=&#8221;400&#8243; visibility=&#8221;hidden-phone&#8221; wpex_bg_overlay_color=&#8221;#000000&#8243;][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text text_align=&#8221;left&#8221; font_weight=&#8221;300&#8243;]Infantil i d&#8217;adults[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221;][vc_row_inner content_placement=&#8221;middle&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text font_weight=&#8221;300&#8243;]Corregim l\u2019alineaci\u00f3 dels seus ulls per millorar la visi\u00f3 i la est\u00e8tica de la seva mirada.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row visibility=&#8221;visible-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row visibility=&#8221;hidden-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;5\/6&#8243;][vc_tta_tabs shape=&#8221;square&#8221; spacing=&#8221;15&#8243; gap=&#8221;15&#8243; alignment=&#8221;center&#8221; active_section=&#8221;1&#8243; css=&#8221;.vc_custom_1508256027653{border-top-width: 1px !important;border-right-width:&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-1635","page","type-page","status-publish","hentry","entry","no-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Estrabisme infantil i d&#039;adults<\/title>\n<meta name=\"description\" content=\"Tot all\u00f2 relacionat amb l&#039;estrabisme infantil i adults: qu\u00e8 \u00e9s, tipus, causes, avaluaci\u00f3, tractament, v\u00eddeos... 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