{"id":3633,"date":"2015-02-08T09:33:18","date_gmt":"2015-02-08T09:33:18","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=3633"},"modified":"2015-02-09T14:29:12","modified_gmt":"2015-02-09T14:29:12","slug":"retinopatia-de-prematuritate","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/","title":{"rendered":"Retinopatia de prematuritate"},"content":{"rendered":"

\"ileana Retinopatia de prematuritate este o boal\u0103 grav\u0103, care afecteaz\u0103 dezvoltarea vasculariza\u0163iei retiniene imature a nou n\u0103scutului prematur. \u00cen \u0163\u0103rile dezvoltate \u015fi \u00een cele cu dezvoltare medie se situeaz\u0103 pe primele locuri ca \u015fi cauz\u0103 de cecitate (orbire) la copil (\u00een SUA ocup\u0103 locul 2).<\/p>\n

Factorii de risc incrimina\u0163i \u00een apari\u0163ia bolii sunt: v\u00e2rsta gesta\u0163ional\u0103 \u015fi greutatea la na\u015ftere mici, administrarea de oxigen cu FiO2\u2265 40%, ventila\u0163ia mecanic\u0103 (prematurul este conectat la aparate care \u00eel ajut\u0103 s\u0103 respire), septicemia, anemia .<\/p>\n

\u00cen \u0163ara noastr\u0103 sunt examina\u0163i pentru depistarea retinopatiei de prematuritate, to\u0163i prematurii cu greutate la na\u015ftere \u2264 2000 g \u015fi \/sau v\u00e2rst\u0103 gesta\u0163ional\u0103 \u2264 34 s\u0103pt\u0103m\u00e2ni, dar \u015fi cei care dep\u0103\u015fesc aceste criterii av\u00e2nd o patologie peri \u015fi postnatal\u0103 \u00eenc\u0103rcat\u0103 ( nou n\u0103scu\u0163i cu adaptare dificil\u0103 dup\u0103 na\u015ftere).<\/p>\n

Examinarea oftalmologic\u0103 a prematurului se face la \u00eemplinirea v\u00e2rstei de 4-5 s\u0103pt\u0103m\u00e2ni, folosindu-se anestezia local\u0103 \u015fi oftalmoscopul indirect ( experien\u0163a medicului \u00een examinarea acestor copii face ca procedeul de evaluare a dezvolt\u0103rii vasculariza\u0163iei retinei s\u0103 fie c\u00e2t mai scurt \u015fi mai pu\u0163in stresant pentru micul pacient).<\/p>\n

Retinopatia de prematuritate se clasific\u0103 \u00een 5 stadii evolutive, primele 2 stadii fiind reversibile ( boala poate disp\u0103rea f\u0103r\u0103 nici o interven\u0163ie terapeutic\u0103 ), stadiul 3 + necesit\u0103 tratament pentru prevenirea dezlipirii de retin\u0103 (orbire), stadiile 4 \u015fi 5 sunt stadii cu dezlipire de retin\u0103 par\u0163ial\u0103 sau total\u0103 .<\/p>\n

Tratamentul bolii se realizeaz\u0103 prin fotocoagulare laser a retinei avasculare sau, \u00een unele forme, prin injec\u0163ie intravitrean\u0103 cu agen\u0163i anti-VEGF .<\/p>\n

Dr. Ileana V\u0103tavu<\/strong>, medic primar oftalmolog, coordonator al programului na\u0163ional de screening \u015fi tratament al retinopatiei de prematuritate – clinica Optimed Medical Bucuresti<\/p>\n","protected":false},"excerpt":{"rendered":"

Retinopatia de prematuritate este o boal\u0103 grav\u0103, care afecteaz\u0103 dezvoltarea vasculariza\u0163iei retiniene imature a nou n\u0103scutului prematur. \u00cen \u0163\u0103rile dezvoltate \u015fi \u00een cele cu dezvoltare medie se situeaz\u0103 pe primele […]<\/p>\n","protected":false},"author":2,"featured_media":3649,"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-3633","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-oftalmologie"],"yoast_head":"\nRetinopatia de prematuritate - 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\/retinopatia-de-prematuritate\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Retinopatia de prematuritate - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Retinopatia de prematuritate este o boal\u0103 grav\u0103, care afecteaz\u0103 dezvoltarea vasculariza\u0163iei retiniene imature a nou n\u0103scutului prematur. \u00cen \u0163\u0103rile dezvoltate \u015fi \u00een cele cu dezvoltare medie se situeaz\u0103 pe primele […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Medici\" \/>\n<meta property=\"article:published_time\" content=\"2015-02-08T09:33:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-02-09T14:29:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/retinopatia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\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=\"1 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/\"},\"author\":{\"name\":\"Marius N\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/94a37cadb9c6625b2a9d5f6a07f85d78\"},\"headline\":\"Retinopatia de prematuritate\",\"datePublished\":\"2015-02-08T09:33:18+00:00\",\"dateModified\":\"2015-02-09T14:29:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/\"},\"wordCount\":290,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/retinopatia.jpg\",\"articleSection\":[\"Articole\",\"Oftalmologie\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/\",\"url\":\"https:\/\/jurmed.ro\/medici\/retinopatia-de-prematuritate\/\",\"name\":\"Retinopatia de prematuritate - 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