{"id":1218,"date":"2021-06-14T09:29:34","date_gmt":"2021-06-14T08:29:34","guid":{"rendered":"http:\/\/profmunteanu.ro\/?p=1218"},"modified":"2023-09-05T09:02:52","modified_gmt":"2023-09-05T08:02:52","slug":"stenoza-congenitala-de-canal-lacrimo-nazal","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/de\/stenoza-congenitala-de-canal-lacrimo-nazal\/","title":{"rendered":"Stenoza congenital\u0103 de canal lacrimo-nazal"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Stenoza congenital\u0103 de canal lacrimo-nazal reprezint\u0103 o afec\u021biune \u00een care canalul lacrimo-nazal este \u00eengustat \u00eenc\u0103 de la na\u0219tere. Tratamentul pentru stenoza congenital\u0103 de canal lacrimo-nazal poate include dilatarea sau deschiderea chirurgical\u0103 a canalului pentru a permite drenajul normal al lacrimilor. \u00cen absen\u021ba unui tratament adecvat, pot ap\u0103rea complicatii, precum infec\u021bii repetate ale ochiului \u0219i inflama\u021bii cronice. Printre simptomele specifice se num\u0103r\u0103 episoadele frecvente de lacrimare excesiv\u0103, secre\u021bie ocular\u0103 persistent\u0103 \u0219i irita\u021bii ale ochiului. Este important s\u0103 se recunoasc\u0103 \u0219i s\u0103 se trateze prompt stenoza congenital\u0103 de canal lacrimo-nazal pentru a preveni poten\u021bialele complica\u021bii \u0219i pentru a asigura o func\u021bionalitate ocular\u0103 adecvat\u0103.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Semne de alarma<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Stenoza congenital\u0103 de canal\nlacrimo-nazal este o afec\u021biune oftalmologic\u0103 reg\u0103sit\u0103 la 2-4% dintre\nnou-n\u0103scu\u021bi. Cauza principal\u0103 este prezen\u021ba unei membrane (valva Hasner) care\n\u00eempiedic\u0103 scurgerea corespunz\u0103toare a lacrimilor. Acest obstacol asociat cu\nstagnarea lacrimilor, scade ap\u0103rarea antiinfec\u021bioas\u0103 local\u0103 cu aparatia\nsecundar\u0103 a conjunctivitelor. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Semnele de alarm\u0103<\/em><\/strong>&nbsp;sugestive pentru diagnosticul de stenoz\u0103 congenital\u0103 de canal lacrimo-nazal sunt urm\u0103toarele: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prezen\u021ba la na\u0219tere sau \u00een perioada imediat urm\u0103toare a unor secre\u021bii g\u0103lbui persistente; <\/li>\n\n\n\n<li>diminea\u021ba, la trezire, reg\u0103sim la nivelul pleoapelor cojite care sugereaz\u0103 aspectul de ,,ochi lipit\u2019\u2019;<\/li>\n\n\n\n<li>dac\u0103 stenoza afecteaz\u0103 doar unul dintre cei 2 ochi, vom observa c\u0103 ochiul \u00een cauz\u0103 este mai l\u0103crimos comparativ cu congenerul.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Simptomatologia men\u021bionat\u0103 mai sus\npoate fi reg\u0103sit\u0103 \u0219i la v\u00e2rste mai mari, fapt care sugereaz\u0103 prezen\u021ba unui\ncanal lacrimo-nazal \u00eengust. Infec\u021biile respiratorii superioare, conjunctivitele,\nexpunerea la v\u00e2nt, determin\u0103 blocajul canalului lacrimo-nazal prin secre\u021bii \u0219i\ninflama\u021bie local\u0103.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"397\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/stenoza-congenitala-canal-lacrimal-oftalmologie-1024x397.png\" alt=\"Stenoza congenitala de canal lacrimo-nazal reprezinta o afectiune in care canalul lacrimo-nazal este ingustat inca de la nastere\" class=\"wp-image-6405\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/stenoza-congenitala-canal-lacrimal-oftalmologie-1024x397.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/stenoza-congenitala-canal-lacrimal-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/stenoza-congenitala-canal-lacrimal-oftalmologie-768x297.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/stenoza-congenitala-canal-lacrimal-oftalmologie-18x7.png 18w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/stenoza-congenitala-canal-lacrimal-oftalmologie.png 1402w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Tratament stenoza congenitala de canal lacrimal<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Tratamentul ini\u021bial<\/em><\/strong>&nbsp;const\u0103 \u00een:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>igien\u0103 riguroas\u0103 a zonei perioculare cu ajutorul \u0219erve\u021belelor sterile de uz ocular;<\/li>\n\n\n\n<li>administrarea corect\u0103 a antibioterapiei sub form\u0103 de colir, \u00een cazul secretiilor purulente;<\/li>\n\n\n\n<li>masaj \u00een unghiul intern al orbitei, de sus \u00een jos, de 3-5 ori pe zi.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen aproximativ 80-90 % dintre cazuri,\n\u00een urma efectu\u0103rii corecte a masajului local, se va ob\u021bine desfundarea canalului\nlacrimo-nazal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen cazurile rezistente la masaj local,\nse recomand\u0103&nbsp;<strong><em>sondajul de cai lacrimale<\/em><\/strong>&nbsp;cu o rat\u0103 de\nsucces de 95%. &nbsp;Eficient\u0103 acestui tip de tratament scade cu v\u00e2rsta\npacientului \u0219i num\u0103rul de sondaje efectuate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen caz de&nbsp;<strong><em>recidiv\u0103<\/em><\/strong>,\nse indic\u0103 implantarea unui tub siliconic cu scopul de a men\u021bine\npermeabilitatea.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O&nbsp;<strong><em>complica\u021bie<\/em><\/strong>&nbsp;de temut a stenozei de canal lacrimo-nazal este dacriocistita acut\u0103 definit\u0103 prin prezen\u021ba unui nodul rosietic, dureros la palpare, asociat cu febr\u0103 \u0219i stare general\u0103 alterat\u0103.&nbsp;<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de <a href=\"https:\/\/www.youtube.com\/@profmunteanu\">YouTube<\/a>.<\/em><\/h3>\n\n\n\n<div style=\"height:99px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Asist. Univ. Dr. Valeria Mocanu<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> Prim\u00e4rer Ophthalmologe <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2019\/06\/Asist.Univ_.Dr_.-Valeria-Mocanu-e1560155860830-150x150.jpg\" alt=\"\" class=\"wp-image-392\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Bibliographie:<\/em><\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Moscato EE, Kelly JP,\nWeiss A. Developmental anatomy of the nasolacrimal duct: implications for\ncongenital obstruction.&nbsp;<em>Ophthalmology<\/em><em>.<\/em>\n2010 Dec. 117(12):2430-4<\/li>\n\n\n\n<li>Salmon JF. Lacrimal\ndrainage system. In: Salmon JF, ed.&nbsp;<em>Kanski&#8217;s Clinical Ophthalmology<\/em>. 9th ed. Philadelphia, PA:\nElsevier; 2020:3.<\/li>\n\n\n\n<li><a href=\"http:\/\/slu.adam.com\/content.aspx?productId=117&amp;pid=1&amp;gid=001016\">http:\/\/slu.adam.com\/content.aspx?productId=117&amp;pid=1&amp;gid=001016<\/a><\/li>\n\n\n\n<li>https:\/\/eyerounds.org\/cases\/166-dacryocystocele.htm<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Stenoza congenital\u0103 de canal lacrimo-nazal reprezint\u0103 o afec\u021biune \u00een care canalul lacrimo-nazal este \u00eengustat \u00eenc\u0103 de la na\u0219tere. Tratamentul pentru stenoza congenital\u0103 de canal lacrimo-nazal poate include dilatarea sau deschiderea chirurgical\u0103 a canalului pentru a permite drenajul normal al lacrimilor. \u00cen absen\u021ba unui tratament adecvat, pot ap\u0103rea complicatii, precum infec\u021bii repetate ale ochiului \u0219i inflama\u021bii [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-1218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stenoza congenital\u0103 de canal lacrimo-nazal - Clinica Oftalmologica Dr. Munteanu<\/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:\/\/profmunteanu.ro\/de\/stenoza-congenitala-de-canal-lacrimo-nazal\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stenoza congenital\u0103 de canal lacrimo-nazal - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Stenoza congenital\u0103 de canal lacrimo-nazal reprezint\u0103 o afec\u021biune \u00een care canalul lacrimo-nazal este \u00eengustat \u00eenc\u0103 de la na\u0219tere. Tratamentul pentru stenoza congenital\u0103 de canal lacrimo-nazal poate include dilatarea sau deschiderea chirurgical\u0103 a canalului pentru a permite drenajul normal al lacrimilor. \u00cen absen\u021ba unui tratament adecvat, pot ap\u0103rea complicatii, precum infec\u021bii repetate ale ochiului \u0219i inflama\u021bii [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/profmunteanu.ro\/de\/stenoza-congenitala-de-canal-lacrimo-nazal\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"article:published_time\" content=\"2021-06-14T08:29:34+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-05T08:02:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/04\/Munteanu_Featured-image_blog-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"430\" \/>\n\t<meta property=\"og:image:height\" content=\"540\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin_drmunteanu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin_drmunteanu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"3\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/\"},\"author\":{\"name\":\"admin_drmunteanu\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/#\\\/schema\\\/person\\\/e23334026cffd718b0e842de6dc33331\"},\"headline\":\"Stenoza congenital\u0103 de canal lacrimo-nazal\",\"datePublished\":\"2021-06-14T08:29:34+00:00\",\"dateModified\":\"2023-09-05T08:02:52+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/\"},\"wordCount\":542,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/profmunteanu.ro\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Munteanu_Featured-image_blog-2.png\",\"articleSection\":[\"Articole\"],\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/\",\"url\":\"https:\\\/\\\/profmunteanu.ro\\\/stenoza-congenitala-de-canal-lacrimo-nazal\\\/\",\"name\":\"Stenoza congenital\u0103 de canal lacrimo-nazal - 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