{"id":3623,"date":"2015-02-07T08:49:57","date_gmt":"2015-02-07T08:49:57","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=3623"},"modified":"2015-04-01T11:37:50","modified_gmt":"2015-04-01T11:37:50","slug":"transplant-de-cornee-respingerea-grefei-de-cornee","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/","title":{"rendered":"Transplant de cornee  \u2013 Respingerea grefei de cornee"},"content":{"rendered":"<p>Prin transplant de cornee \u00een\u021belegem \u00eendep\u0103rtarea corneei bolnave \u0219i \u00eenlocuirea ei cu una nou\u0103, intact\u0103, neafectat\u0103.<\/p>\n<p>Bolile corneene, care diminueaz\u0103 vederea, afecteaz\u0103 sau pericliteaz\u0103 integritatea globului ocular. Sc\u0103derea vederii influen\u021beaz\u0103 \u00eentr-o mai mic\u0103 m\u0103sur\u0103 indica\u021bia chirurgical\u0103 &#8211; oper\u0103m boala cornean\u0103 nevascularizat\u0103 cu prognostic mai bun \u00een cazul acuit\u0103\u021bii vizuale mai bune, dec\u00e2t pe aceea apar\u021bi\u00e2nd grupului cu un prognostic mai r\u0103u.<\/p>\n<p>Tehnica transplantului de cornee a avut o dezvoltare rapid\u0103 \u00een ultimele decenii, de la transplantul corneelor \u00een grosimea lor integral\u0103 <strong>(Penetrating Ceratoplasty &#8211; PKP, transplant penetrant)<\/strong> p\u00e2n\u0103 la tehnica keratoplastiei lamelare, c\u00e2nd se \u00eendep\u0103rteaz\u0103 \u015fi se \u00eenlocuie\u015fte numai stratul patologic. Alegerea variantei de transplantare difer\u0103 de la caz la caz, de la patologie la patologie.<\/p>\n<p>Pe plan mondial, interven\u0163ia PKP este cel mai frecvent transplant de \u0163esut, ale c\u0103rui prime simptome sunt afec\u0163iunea keratokonus, diferitele terapii cheratocon, distrofie, infec\u0163ii \u015fi traume. Motivul lez\u0103rii alogrefei este respingerea imunitar\u0103 precoce \u015fi tardiv\u0103. \u00cen pofida tratamentului imuno-supresor, procesul imunologic poate cauza leziuni reversibile \u015fi ireversibile \u00een corneea transplantat\u0103. (<strong>Ple-Plakon &#038; Sthein<\/strong>, Curr Opin Ophthalmol. 2014 Jul,25(4):300-5.)<\/p>\n<p>Conform celor mai noi studii \u015ftiin\u0163ifice, prin aplicarea unui tratament nou putem \u00eempiedica, \u00een siguran\u0163\u0103 \u015fi \u00eentr-un mod eficient, respingerea transplantului, respectiv putem prelungi \u015fi asigura supravie\u0163uirea graftului chiar \u015fi \u00een cazul transplanturilor de mare risc <strong>(high risk PKP) (Yamazoe et al,<\/strong> Cornea, 2014 Nov:33(11):1157-63).<\/p>\n<p><strong>Centrul Oftalmologic Medsystem Oradea a format o echip\u0103 de cercet\u0103tori \u00een domeniul imunologiei-oftalmologiei pentru a r\u0103spunde la aceast\u0103 problem\u0103 medical\u0103.<\/strong><\/p>\n<p>\u00cen cadrul centrului se efectueaz\u0103 \u00een jur de 140-150 de opera\u0163ii anual, acesta fiind un num\u0103r foarte mare. Din p\u0103cate, nu exist\u0103 subven\u0163ie din partea Casei de Asigur\u0103ri, deci pacientul trebuie s\u0103 suporte integral aceste costuri. <\/p>\n<p>Pentru realizarea acestor interven\u0163ii se colaboreaz\u0103 cu Banca de Cornee din Budapesta.<br \/>\n\u00cen cadrul Medsytem, cea mai mare parte dintre opera\u0163ii sunt transplanturi penetrante, iar \u00eentr-o propor\u0163ie mai mic\u0103 sunt transplanturile lamelare.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/Czumbel-Norbert-29-200x300.jpg\" alt=\"Czumbel Norbert 29\" width=\"200\" height=\"300\" class=\"alignleft size-medium wp-image-3624\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/Czumbel-Norbert-29-200x300.jpg 200w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/Czumbel-Norbert-29.jpg 599w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/> Dr. <strong>Czumbel Norbert<\/strong>, medic primar oftalmolog, Spitalul <strong>Jahn Ferenc Budapesta<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prin transplant de cornee \u00een\u021belegem \u00eendep\u0103rtarea corneei bolnave \u0219i \u00eenlocuirea ei cu una nou\u0103, intact\u0103, neafectat\u0103. Bolile corneene, care diminueaz\u0103 vederea, afecteaz\u0103 sau pericliteaz\u0103 integritatea globului ocular. Sc\u0103derea vederii influen\u021beaz\u0103 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3928,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,78],"tags":[],"class_list":["post-3623","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-oftalmologie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Transplant de cornee \u2013 Respingerea grefei de cornee - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transplant de cornee \u2013 Respingerea grefei de cornee - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Prin transplant de cornee \u00een\u021belegem \u00eendep\u0103rtarea corneei bolnave \u0219i \u00eenlocuirea ei cu una nou\u0103, intact\u0103, neafectat\u0103. Bolile corneene, care diminueaz\u0103 vederea, afecteaz\u0103 sau pericliteaz\u0103 integritatea globului ocular. Sc\u0103derea vederii influen\u021beaz\u0103 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Medici\" \/>\n<meta property=\"article:published_time\" content=\"2015-02-07T08:49:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-04-01T11:37:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Marius N\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Marius N\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\"},\"author\":{\"name\":\"Marius N\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78\"},\"headline\":\"Transplant de cornee \u2013 Respingerea grefei de cornee\",\"datePublished\":\"2015-02-07T08:49:57+00:00\",\"dateModified\":\"2015-04-01T11:37:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\"},\"wordCount\":356,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg\",\"articleSection\":[\"Articole\",\"Oftalmologie\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\",\"url\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\",\"name\":\"Transplant de cornee \u2013 Respingerea grefei de cornee - Jurmed - Medici\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg\",\"datePublished\":\"2015-02-07T08:49:57+00:00\",\"dateModified\":\"2015-04-01T11:37:50+00:00\",\"author\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78\"},\"breadcrumb\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage\",\"url\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg\",\"contentUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg\",\"width\":800,\"height\":500},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/jurmed.ro\/medici\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Transplant de cornee \u2013 Respingerea grefei de cornee\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#website\",\"url\":\"https:\/\/jurmed.ro\/medici\/\",\"name\":\"Jurmed - Medici\",\"description\":\"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. Revista si site-ul au un continut bogat de articole si informatii cu adresabilitate catre publicul larg.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/jurmed.ro\/medici\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78\",\"name\":\"Marius N\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/4037fac47b64fad7c748126ecfeda1c4f6d1aa64e59820f6def02c5d5c2aa09c?s=96&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/4037fac47b64fad7c748126ecfeda1c4f6d1aa64e59820f6def02c5d5c2aa09c?s=96&r=g\",\"caption\":\"Marius N\"},\"url\":\"https:\/\/jurmed.ro\/medici\/author\/dreamwebdesign\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Transplant de cornee \u2013 Respingerea grefei de cornee - Jurmed - Medici","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/","og_locale":"ro_RO","og_type":"article","og_title":"Transplant de cornee \u2013 Respingerea grefei de cornee - Jurmed - Medici","og_description":"Prin transplant de cornee \u00een\u021belegem \u00eendep\u0103rtarea corneei bolnave \u0219i \u00eenlocuirea ei cu una nou\u0103, intact\u0103, neafectat\u0103. Bolile corneene, care diminueaz\u0103 vederea, afecteaz\u0103 sau pericliteaz\u0103 integritatea globului ocular. Sc\u0103derea vederii influen\u021beaz\u0103 [&hellip;]","og_url":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/","og_site_name":"Jurmed - Medici","article_published_time":"2015-02-07T08:49:57+00:00","article_modified_time":"2015-04-01T11:37:50+00:00","og_image":[{"width":800,"height":500,"url":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg","type":"image\/jpeg"}],"author":"Marius N","twitter_misc":{"Scris de":"Marius N","Timp estimat pentru citire":"2 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#article","isPartOf":{"@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/"},"author":{"name":"Marius N","@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78"},"headline":"Transplant de cornee \u2013 Respingerea grefei de cornee","datePublished":"2015-02-07T08:49:57+00:00","dateModified":"2015-04-01T11:37:50+00:00","mainEntityOfPage":{"@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/"},"wordCount":356,"commentCount":0,"image":{"@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage"},"thumbnailUrl":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg","articleSection":["Articole","Oftalmologie"],"inLanguage":"ro-RO","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/","url":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/","name":"Transplant de cornee \u2013 Respingerea grefei de cornee - Jurmed - Medici","isPartOf":{"@id":"https:\/\/jurmed.ro\/medici\/#website"},"primaryImageOfPage":{"@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage"},"image":{"@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage"},"thumbnailUrl":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg","datePublished":"2015-02-07T08:49:57+00:00","dateModified":"2015-04-01T11:37:50+00:00","author":{"@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78"},"breadcrumb":{"@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/"]}]},{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#primaryimage","url":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg","contentUrl":"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/transplat-cornee.jpg","width":800,"height":500},{"@type":"BreadcrumbList","@id":"https:\/\/jurmed.ro\/medici\/transplant-de-cornee-respingerea-grefei-de-cornee\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/jurmed.ro\/medici\/"},{"@type":"ListItem","position":2,"name":"Transplant de cornee \u2013 Respingerea grefei de cornee"}]},{"@type":"WebSite","@id":"https:\/\/jurmed.ro\/medici\/#website","url":"https:\/\/jurmed.ro\/medici\/","name":"Jurmed - Medici","description":"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. Revista si site-ul au un continut bogat de articole si informatii cu adresabilitate catre publicul larg.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/jurmed.ro\/medici\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Person","@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78","name":"Marius N","image":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/4037fac47b64fad7c748126ecfeda1c4f6d1aa64e59820f6def02c5d5c2aa09c?s=96&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/4037fac47b64fad7c748126ecfeda1c4f6d1aa64e59820f6def02c5d5c2aa09c?s=96&r=g","caption":"Marius N"},"url":"https:\/\/jurmed.ro\/medici\/author\/dreamwebdesign\/"}]}},"_links":{"self":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts\/3623","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/comments?post=3623"}],"version-history":[{"count":3,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts\/3623\/revisions"}],"predecessor-version":[{"id":3929,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/posts\/3623\/revisions\/3929"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/media\/3928"}],"wp:attachment":[{"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/media?parent=3623"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/categories?post=3623"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jurmed.ro\/medici\/wp-json\/wp\/v2\/tags?post=3623"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}