{"id":1648,"date":"2017-10-18T14:27:15","date_gmt":"2017-10-18T14:27:15","guid":{"rendered":"http:\/\/inof.es\/glaucoma\/"},"modified":"2022-07-17T19:12:06","modified_gmt":"2022-07-17T19:12:06","slug":"diagnostic-i-tractament-del-glaucoma","status":"publish","type":"page","link":"https:\/\/inof.es\/ca\/diagnostic-i-tractament-del-glaucoma\/","title":{"rendered":"Glaucoma"},"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_1577967313929{background-image: url(https:\/\/inof.es\/wp-content\/uploads\/2019\/12\/tratamiento-glaucoma.jpg?id=3361) !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_69dc2de32bd80{color:#ffffff;font-size:60px;font-family:'Titillium Web';font-weight:600;}@media (max-width:1024px){.vcex-heading.vcex_69dc2de32bd80{font-size:50px;}}@media (max-width:959px){.vcex-heading.vcex_69dc2de32bd80{font-size:50px;}}@media (max-width:767px){.vcex-heading.vcex_69dc2de32bd80{font-size:40px;}}@media (max-width:479px){.vcex-heading.vcex_69dc2de32bd80{font-size:40px;}}<\/style><div class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl wpex-text-left vcex_69dc2de32bd80\"><span class=\"vcex-heading-inner wpex-inline-block\">GLAUCOMA<\/span><\/div>[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 text_align=&#8221;left&#8221; font_weight=&#8221;300&#8243;]<span style=\"font-size: 28px; color: #99ccff;\">Lluitem amb vost\u00e9 per prevenir la p\u00e8rdua visual secundaria al glaucoma.<\/span>[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div><style>.vcex-button.vcex_69dc2de32fef9{background:#5884ca;color:#ffffff!important;padding-inline:20px;font-size:18px;font-weight:600;}.vcex-button.vcex_69dc2de32fef9:hover{background:#1c5ec9!important;}.vcex-button.vcex_69dc2de32fef9 .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_69dc2de32fef9\"><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 full_width=&#8221;stretch_row&#8221; parallax=&#8221;content-moving&#8221; css=&#8221;.vc_custom_1510528854081{background-position: 0 0;background-repeat: no-repeat !important;}&#8221; visibility=&#8221;hidden-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row visibility=&#8221;visible-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;]<style>.vcex-heading.vcex_69dc2de3309a8{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_69dc2de3309a8\"><span class=\"vcex-heading-inner wpex-inline-block\">ESPECIALITATS<\/span><\/div>[vc_empty_space height=&#8221;20px&#8221;]<style>.vcex-heading.vcex_69dc2de331089{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1508334869210 vcex_69dc2de331089\"><span class=\"vcex-heading-inner wpex-inline-block\">Glaucoma<\/span><\/h2>[\/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 es?&#8221; tab_id=&#8221;1508251362686-4ac9fce9-13f72f4e-ba8b&#8221;]<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 el glaucoma?<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]El glaucoma \u00e9s una malaltia caracteritzada per una lesi\u00f3 progressiva que atr\u00f2fia el nervi \u00f2ptic i provoca una disminuci\u00f3 del camp visual perif\u00e8ric que pot portar a la ceguesa si no es diagnostica i tracta correctament.<\/p>\n<p>Afecta a m\u00e9s d&#8217;1 mili\u00f3 de persones a Espanya, i es calcula que el 50% est\u00e0 sense diagnosticar. Aix\u00f2 fa que les revisions peri\u00f2diques cobrin una gran import\u00e0ncia.[\/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;1589&#8243;][vc_column_text]\n<blockquote><p>El 50% dels afectats de glaucoma no estan diagnosticats. En les revisions peri\u00f2diques es pot detectar aquesta malaltia.<\/p><\/blockquote>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Causes&#8221; tab_id=&#8221;1508256089541-8b045f78-48a22f4e-ba8b&#8221;]<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 del glaucoma<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]A l&#8217;ull es produeix un l\u00edquid, l&#8217;humor aqu\u00f3s, que d\u00f3na forma a l&#8217;ull. Quan hi ha alguna cosa que evita o obstrueix la seva sortida, es pot acumular, fent augmentar la pressi\u00f3 interna de l&#8217;ull, anomenada <strong>pressi\u00f3 intraocular<\/strong> (PIO). Aquesta PIO afecta sobretot a les fibres del nervi \u00f2ptic, provocant mala irrigaci\u00f3, que porta a deteriorament i atr\u00f2fia progressiva del mateix.<\/p>\n<p>Entre els factors de risc, el m\u00e9s important \u00e9s la pressi\u00f3 intraocular alta, encara que no l&#8217;\u00fanic. Altres factors de risc s\u00f3n l&#8217;edat (major de 40 anys), miopia, diabetis, cataractes o antecedents familiars (pot ser hereditari).[\/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;1507&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]L&#8217;augment de la pressi\u00f3 intraocular degenera les fibres del nervi \u00f2ptic i redueix el flux sanguini.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Tipus&#8221; tab_id=&#8221;1508256790280-6cca5488-e3c62f4e-ba8b&#8221;]<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 de glaucoma<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]L&#8217;angle de c\u00e0mera anterior \u00e9s la zona entre l&#8217;iris i el comen\u00e7ament de c\u00f2rnia, per on surt l&#8217;humor aqu\u00f3s (\u00e9s el \u00abdesgu\u00e0s\u00bb de l&#8217;ull). Pot ser obert o tancat, o directament n\u00e9ixer sense ell, com en el cas del glaucoma cong\u00e8nit. Es defineix el glaucoma a la base d&#8217;aquest angle.<\/p>\n<p>Els tipus de glaucoma m\u00e9s freq\u00fcents s\u00f3n:<\/p>\n<ul>\n<li><strong> Glaucoma d&#8217;angle obert (cr\u00f2nic):<\/strong> \u00c9s el tipus m\u00e9s com\u00fa. Les seves causes no estan clares. La pressi\u00f3 ocular t\u00e9 valors moderadament alts. La seva evoluci\u00f3 \u00e9s lenta i indolora. No d\u00f3na s\u00edmptomes fins que est\u00e0 avan\u00e7at.<\/li>\n<li><strong> Glaucoma d&#8217;angle tancat (agut):<\/strong> Del fet del seu angle tancat, es bloqueja de cop la sortida de l&#8217;humor aqu\u00f3s amb l&#8217;iris despr\u00e9s d&#8217;una dilataci\u00f3 pupil\u00b7lar (farmacol\u00f2gica o no). Produeix una gran elevaci\u00f3 de la PIO i \u00e9s molt dolorosa, el que ho fa una situaci\u00f3 d&#8217;emerg\u00e8ncia.<\/li>\n<li><strong>Glaucoma cong\u00e8nit:<\/strong> Apareix des del naixement pel desenvolupament ocular anormal durant la gestaci\u00f3. Requereix cirurgia.<\/li>\n<li><strong> Glaucoma secundari, <\/strong>la causa no est\u00e0 en l&#8217;obertura de l&#8217;angle:<\/li>\n<\/ul>\n<ul>\n<li>Teixits que taponen la sortida de l&#8217;humor aqu\u00f3s, com c\u00e8l\u00b7lules de l&#8217;iris o vasos sanguinis en l&#8217;angle.<\/li>\n<li>F\u00e0rmacs que augmenten la PIO, com els corticoides.<\/li>\n<li>Infeccions de virus que inflamen l&#8217;iris.<\/li>\n<li>Traumatismes (cops).<\/li>\n<li>Malalties sist\u00e8miques, com diabetis, hipertiro\u00efdisme, algunes malalties cardiovasculars i diferents s\u00edndromes oculars.<\/li>\n<\/ul>\n[\/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;1623&#8243; alignment=&#8221;center&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Glaucoma secundari pseudoexfoliatiu. S&#8217;observa un material blanquin\u00f3s amb vores irregulars (material de pseudoexfoliaci\u00f3) sobre el cristal\u00b7l\u00ed.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Avaluaci\u00f3&#8221; tab_id=&#8221;1508258154839-35b76ff9-306e2f4e-ba8b&#8221;]<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<ul>\n<li><strong>Tonometria (mesura de PIO) de Goldmann:<\/strong> L&#8217;oftalm\u00f2leg mesura la pressi\u00f3 intraocular directament sobre l&#8217;ull.<\/li>\n<li>Avaluaci\u00f3 del nervi \u00f2ptic amb <strong>lent d&#8217;augment<\/strong>, en qu\u00e8 l&#8217;oftalm\u00f2leg valora el color, mida i les seves caracter\u00edstiques t\u00edpiques.<\/li>\n<li>Avaluaci\u00f3 de l&#8217;angle mitjan\u00e7ant <strong>lent de tres miralls<\/strong>.<\/li>\n<\/ul>\n<p><span style=\"font-size: 21px;\">Tecnologia instrumental<\/span><\/p>\n<ul>\n<li><strong>Tomografia de coher\u00e8ncia \u00f2ptica (OCT):<\/strong> avalua el dany real de la capa de fibres del nervi \u00f2ptic. Ens pot informar preco\u00e7ment de danys en el nervi \u00f2ptic que encara no es veuen en camp visual.<\/li>\n<li><strong>Campimetria o mesurament del camp visual:<\/strong> \u00c9s la prova que avalua l&#8217;afectaci\u00f3 visual de la malaltia. En el glaucoma t\u00e9 un patr\u00f3 caracter\u00edstic.<\/li>\n<\/ul>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div><style>.vcex-image-slider.vcex_69dc2de334012 .wpex-slider-caption{font-size:16px;padding:10px;}<\/style><div class=\"wpex-slider-preloaderimg wpex-relative\"><img width=\"350\" height=\"263\" src=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-normal.jpg\" class=\"skip-lazy\" alt=\"Exemple de camp visual normal.\" data-no-lazy=\"1\" srcset=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-normal.jpg 350w, https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-normal-300x225.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/div><div class=\"vcex-image-slider vcex-module wpex-slider slider-pro wpex-clr vcex_69dc2de334012\" data-loop=\"true\" data-auto-play-delay=\"3000\" data-animation-speed=\"400\" data-height-animation-duration=\"500\" data-thumbnail-height=\"70\" data-thumbnail-width=\"70\"><div class=\"wpex-slider-slides sp-slides\"><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media wpex-relative\"><img width=\"350\" height=\"263\" src=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-normal.jpg\" class=\"skip-lazy\" alt=\"Exemple de camp visual normal.\" data-no-lazy=\"1\" srcset=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-normal.jpg 350w, https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-normal-300x225.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><div class=\"wpex-slider-caption sp-black sp-layer\"data-position=\"bottomLeft\" data-show-delay=\"500\" data-show-transition=\"up\" data-hide-transition=\"down\" data-width=\"\"><p>Camp visual normal d'un ull sa.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media wpex-relative\"><img width=\"350\" height=\"263\" src=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-glaucoma.jpg\" class=\"skip-lazy\" alt=\"Exemple de camp visual amb inici de glaucoma\" data-no-lazy=\"1\" srcset=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-glaucoma.jpg 350w, https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-glaucoma-300x225.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><div class=\"wpex-slider-caption sp-black sp-layer\"data-position=\"bottomLeft\" data-show-delay=\"500\" data-show-transition=\"up\" data-hide-transition=\"down\" data-width=\"\"><p>Afectaci\u00f3 del camp visual produ\u00efda pel glaucoma.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media wpex-relative\"><img width=\"350\" height=\"263\" src=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-glaucoma-avancada.jpg\" class=\"skip-lazy\" alt=\"Visi\u00f3 d&#039;un ull amb glaucoma avan\u00e7ada.\" data-no-lazy=\"1\" srcset=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-glaucoma-avancada.jpg 350w, https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/camp-visual-glaucoma-avancada-300x225.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><div class=\"wpex-slider-caption sp-black sp-layer\"data-position=\"bottomLeft\" data-show-delay=\"500\" data-show-transition=\"up\" data-hide-transition=\"down\" data-width=\"\"><p>Afectaci\u00f3 avan\u00e7ada del camp visual pel glaucoma.<\/p>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:50px;\"><\/div>[vc_single_image image=&#8221;1509&#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]Mesura de la pressi\u00f3 intraocular mitjan\u00e7ant la tonometria de Goldman.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_single_image image=&#8221;1511&#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]OCT de nervi \u00f2ptic.[\/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 color=&#8221;#ffffff&#8221; font_weight=&#8221;500&#8243; css=&#8221;.vc_custom_1577967528238{padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #5884ca !important;}&#8221;]\n<p style=\"text-align: center;\"><span class=\"white-text\" style=\"font-size: 14px;\">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_69dc2de337b09 a.vcex-navbar-link{color:#5884ca;background:#eaeaea;}.vcex-navbar.vcex_69dc2de337b09 a.vcex-navbar-link:is(:hover,.active){color:#ffffff;background:#5884ca;}.vcex-navbar.vcex_69dc2de337b09{font-size:14px;}<\/style><nav class=\"vcex-navbar vcex-navbar--expanded vcex-module vcex_69dc2de337b09\"><div class=\"vcex-navbar-inner wpex-clr\"><a href=\"https:\/\/inof.es\/estrabismo-infantil-y-de-adultos\/\" class=\"vcex-navbar-link vcex-navbar-link--663 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\">ESTRABISMO<\/span><\/a><a href=\"https:\/\/inof.es\/diagnostico-y-tratamiento-de-la-ambliopia\/\" class=\"vcex-navbar-link vcex-navbar-link--666 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\">AMBLIOP\u00cdA<\/span><\/a><a href=\"https:\/\/inof.es\/diagnostico-y-tratamiento-de-la-diplopia\/\" class=\"vcex-navbar-link vcex-navbar-link--4019 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\">DIPLOP\u00cdA<\/span><\/a><a href=\"https:\/\/inof.es\/diagnostico-y-tratamiento-de-las-cataratas\/\" class=\"vcex-navbar-link vcex-navbar-link--696 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\">CATARATAS<\/span><\/a><a href=\"https:\/\/inof.es\/cirugia-refractiva\/\" class=\"vcex-navbar-link vcex-navbar-link--705 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\">CIRUG\u00cdA REFRACTIVA<\/span><\/a><a href=\"https:\/\/inof.es\/estetica-ocular\/\" class=\"vcex-navbar-link vcex-navbar-link--3130 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\u00c9TICA OCULAR<\/span><\/a><a href=\"https:\/\/inof.es\/diagnostico-y-tratamiento-del-glaucoma\/\" class=\"vcex-navbar-link vcex-navbar-link--716 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\/neurooftalmologia\/\" class=\"vcex-navbar-link vcex-navbar-link--745 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 OFTALMOLG\u00cdA<\/span><\/a><a href=\"https:\/\/inof.es\/diagnostico-y-tratamiento-de-enfermedades-de-la-retina\/\" class=\"vcex-navbar-link vcex-navbar-link--753 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\/tratamienots-de-la-superficie-ocular\/\" class=\"vcex-navbar-link vcex-navbar-link--778 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\">SUPERFICIE OCULAR<\/span><\/a><a href=\"https:\/\/inof.es\/parpados-orbita-y-vias-lagrimales\/\" class=\"vcex-navbar-link vcex-navbar-link--795 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\">P\u00c1RPADOS, \u00d3RBITA Y V\u00cdAS LAGRIMALES<\/span><\/a><a href=\"https:\/\/inof.es\/optometria-clinica\/\" class=\"vcex-navbar-link vcex-navbar-link--808 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\">OPTOMETR\u00cdA CL\u00cdNICA<\/span><\/a><\/div><\/nav>[\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc2de344f9c{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1523277240212 vcex_69dc2de344f9c\"><span class=\"vcex-heading-inner wpex-inline-block\">Tractament del glaucoma<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_column_text]L&#8217;objectiu del tractament sempre ser\u00e0 reduir la PIO a valors que no resultin perillosos. Aquests valors de PIO poden diferir entre persones, ja que encara que hi hagi valors normalitzats, no tothom es comporta igual. Es busca la \u00abpressi\u00f3 objectiu\u00bb que \u00e9s aquella PIO que no produeix dany al nervi \u00f2ptic. S\u00f3n de dos tipus:<\/p>\n<ul>\n<li>M\u00e8todes farmacol\u00f2gics (col\u00b7liris).<\/li>\n<li>M\u00e8todes quir\u00fargics, en els casos que no s\u00f3n suficient els col\u00b7liris.<\/li>\n<\/ul>\n<p>A vegades es fa necessari combinar tots dos.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;1591&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc2de3455a2{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1523277276720 vcex_69dc2de3455a2\"><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;Qu\u00e8 passa si tinc angle tancat?&#8221; tab_id=&#8221;1508266816826-246aed61-1e012f4e-ba8b&#8221;][vc_column_text]Si es descobreix en consulta que t\u00e9 un angle estret en un ull, s&#8217;est\u00e0 en risc i \u00e9s probable que el metge li recomani un tractament preventiu en consulta. Es basa en uns impactes de l\u00e0ser per obrir una via alternativa a l&#8217;humor aqu\u00f3s. No requereix quir\u00f2fan.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Quines precaucions he de prendre per prevenir el glaucoma?&#8221; tab_id=&#8221;1508266862409-d10de19a-04ab2f4e-ba8b&#8221;][vc_column_text]\n<ul>\n<li>Passar revisions oftalmol\u00f2giques peri\u00f2diques (m\u00ednim un cop l&#8217;any).<\/li>\n<li>Els pacients de risc (antecedents familiars, miops, diab\u00e8tics) han de seguir controls peri\u00f2dics de la PIO cada 6 mesos al costat de OCT i camp visual.<\/li>\n<li>En persones de m\u00e9s de 40 anys, la pressi\u00f3 intraocular s&#8217;ha de controlar com a m\u00ednim un cop l&#8217;any, a m\u00e9s de OCT i camp visual.<\/li>\n<li>Les persones majors de 60 anys necessiten revisi\u00f3 cada sis mesos.<\/li>\n<li>Si ja est\u00e0 diagnosticat de glaucoma i se li ha receptat tractament, \u00e9s molt important complir-ho escrupolosament.<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc2de345c14{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1577968032224 vcex_69dc2de345c14\"><span class=\"vcex-heading-inner wpex-inline-block\">Entrada relacionada<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"vcex-module vcex-post-type-grid-wrap wpex-clr\"><div class=\"wpex-row vcex-post-type-grid entries wpex-clr match-height-grid\"><div class=\"vcex-post-type-entry vcex-grid-item wpex-clr col span_1_of_2 col-1 entry post-1720 type-post has-media cat-97 post_tag-78 post_tag-98 post_tag-99 post_tag-100 post_tag-101 post_tag-102 translation_priority-229\"><div class=\"vcex-post-type-entry-inner entry-inner wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"vcex-post-type-entry-media entry-media wpex-relative\"><a href=\"https:\/\/inof.es\/ca\/glaucoma-la-malaltia-silenciosa\/\" title=\"Glaucoma, la malaltia silenciosa\"><img width=\"487\" height=\"313\" src=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/tonometria-de-goldman.png\" class=\"vcex-blog-entry-img wpex-align-middle\" alt=\"\" loading=\"lazy\" decoding=\"async\" \/><\/a><\/div><div class=\"vcex-post-type-entry-details entry-details wpex-bordered wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"match-height-content\"><h2 class=\"vcex-post-type-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/inof.es\/ca\/glaucoma-la-malaltia-silenciosa\/\">Glaucoma, la malaltia silenciosa<\/a><\/h2 ><div class=\"vcex-post-type-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Quan els s\u00edmptomes del glaucoma apareixen, ja \u00e9s tard i la malaltia, en general, est\u00e0 avan\u00e7ada. Per aix\u00f2, prop de&hellip;<\/p><\/div><div class=\"vcex-post-type-entry-readmore-wrap entry-readmore-wrap wpex-my-15 wpex-clr\"><a href=\"https:\/\/inof.es\/ca\/glaucoma-la-malaltia-silenciosa\/\" class=\"entry-readmore theme-button\" aria-label=\"Read more about Glaucoma, la malaltia silenciosa\">Read more<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/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_1577967313929{background-image: url(https:\/\/inof.es\/wp-content\/uploads\/2019\/12\/tratamiento-glaucoma.jpg?id=3361) !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_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 text_align=&#8221;left&#8221; font_weight=&#8221;300&#8243;]Lluitem amb vost\u00e9 per prevenir la p\u00e8rdua visual secundaria al glaucoma.[\/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 full_width=&#8221;stretch_row&#8221; parallax=&#8221;content-moving&#8221; css=&#8221;.vc_custom_1510528854081{background-position: 0 0;background-repeat: no-repeat !important;}&#8221; visibility=&#8221;hidden-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][\/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][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&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-1648","page","type-page","status-publish","hentry","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Glaucoma - Inof | Centro de investigaci\u00f3n y cirug\u00eda ocular<\/title>\n<meta name=\"description\" content=\"Diagn\u00f2stic i tractament del glaucoma: lluitem amb vost\u00e8 per prevenir la p\u00e8rdua visual. 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