{"id":1828,"date":"2022-07-13T14:42:32","date_gmt":"2022-07-13T13:42:32","guid":{"rendered":"https:\/\/profmunteanu.ro\/?page_id=1828"},"modified":"2023-09-05T10:08:34","modified_gmt":"2023-09-05T09:08:34","slug":"trabeculectomia-sau-chirurgia-glaucomului","status":"publish","type":"page","link":"https:\/\/profmunteanu.ro\/en\/trabeculectomia-sau-chirurgia-glaucomului\/","title":{"rendered":"Glaucoma"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1828\" class=\"elementor elementor-1828\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-367dfa03 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"367dfa03\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1df6c01d\" data-id=\"1df6c01d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4998a0d elementor-widget elementor-widget-heading\" data-id=\"4998a0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Trabeculectomia sau chirurgia glaucomului<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a35c356 elementor-widget elementor-widget-spacer\" data-id=\"3a35c356\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7839fe9a elementor-widget elementor-widget-spacer\" data-id=\"7839fe9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-184460e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"184460e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d07d1c9\" data-id=\"d07d1c9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81720f0 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"81720f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Trabeculectomia este o procedur\u0103 chirurgical\u0103 eficient\u0103 pentru tratamentul glaucomului. Aceast\u0103 opera\u021bie glaucom vizeaz\u0103 sc\u0103derea presiunii intraoculare prin crearea unei noi c\u0103i de drenaj pentru fluidul ocular. Trabeculectomia este considerat\u0103 o metod\u0103 standard \u00een chirurgia glaucomului, oferind o op\u021biune viabil\u0103 pentru pacien\u021bii cu glaucom necontrolat prin terapia medicamentoas\u0103. \u00cen acest articol, vom explora \u00een detaliu ce este trabeculectomia \u0219i cum func\u021bioneaz\u0103 aceast\u0103 interven\u021bie chirurgical\u0103 \u00een tratarea glaucomului.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e73ab7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e73ab7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-05ecf07\" data-id=\"05ecf07\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-978ecc1 elementor-widget elementor-widget-spacer\" data-id=\"978ecc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f921603 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f921603\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8877287\" data-id=\"8877287\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ec6cc37 elementor-widget elementor-widget-heading\" data-id=\"ec6cc37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Introducere<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9b442d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9b442d5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a4287b5\" data-id=\"a4287b5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5083ff3 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"5083ff3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Glaucomul este un grup heterogen de afec\u021biuni oculare caracterizate prin afectarea nervului optic cu\u00a0modific\u0103ri structurale \u0219i func\u021bionale ale acestuia. Este a doua cauz\u0103 de orbire la nivel mondial produs\u0103 de\u00a0afec\u021biuni oftalmologice la popula\u021bia adult\u0103 (cu v\u00e2rste cuprinse \u00eentre 18 \u0219i 65 de ani), fiind \u00een acela\u0219i timp\u00a0prima cauz\u0103 a cecit\u0103\u021bii ireversibile. Caracteristica cea mai important\u0103 a glaucomului este debutul lent \u0219i\u00a0lipsa durerii, ceea ce duce la o diagnosticare tardiv\u0103.<\/p><p>Neuropatia optic\u0103 glaucomatoas\u0103 are multiple etiologii \u0219i se caracterizeaz\u0103 prin pierderea celulelor\u00a0ganglionare retiniene \u0219i a axonilor acesteia.<\/p><p>Presiunea intraocular\u0103 crescut\u0103 este cel mai important factor de risc pentru dezvoltarea glaucomului.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0929af4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0929af4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e78a8e1\" data-id=\"e78a8e1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ae6b462 elementor-widget elementor-widget-spacer\" data-id=\"ae6b462\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-442ea372 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"442ea372\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7d407fde\" data-id=\"7d407fde\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-78732722 elementor-widget elementor-widget-heading\" data-id=\"78732722\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Clasificarea glaucoamelor<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60ec2ad9 elementor-widget elementor-widget-text-editor\" data-id=\"60ec2ad9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Se va face \u00een primare \u0219i secundare, cu unghi deschis sau \u00eenchis, congenitale sau\u00a0ale adultului, criteriile de clasificare fiind:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2e20081b\" data-id=\"2e20081b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-503bd62e elementor-widget elementor-widget-spacer\" data-id=\"503bd62e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c1f08d7 elementor-widget__width-initial elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1c1f08d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">V\u00e2rsta apari\u021biei<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Gonioscopia<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/profmunteanu.ro\/en\/biomicroscopia-ultrasonica\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Biomicroscopia<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Oftalmoscopia<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Perimetria<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Prezen\u021ba pseudoexfolierii<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A dispersiei pigmentare sau a neovaselor<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-96aed7f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"96aed7f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-190f8ef6\" data-id=\"190f8ef6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6910aa64 elementor-widget elementor-widget-spacer\" data-id=\"6910aa64\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3bb2c141 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"3bb2c141\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-68136ffb\" data-id=\"68136ffb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2dba2e29 elementor-widget elementor-widget-heading\" data-id=\"2dba2e29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Tratamentul glaucomului<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2e005c3e\" data-id=\"2e005c3e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4e32350a elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"4e32350a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7ec6a5b1\" data-id=\"7ec6a5b1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70571e79 elementor-widget elementor-widget-text-editor\" data-id=\"70571e79\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Tratamentul antiglaucomatos va fi personalizat \u00een func\u021bie de stadiul bolii, de severitatea afect\u0103rii\u00a0func\u021bionale \u0219i de v\u00e2rsta pacientului. Scopul terapiei antiglaucomatoase este atingerea presiunii\u00a0intraoculare \u021bint\u0103. Exist\u0103 mai multe modalit\u0103\u021bi de tratare a glaucomului:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1301f07 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1301f07\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2c3be6d3\" data-id=\"2c3be6d3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a506710 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"a506710\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-508863aa\" data-id=\"508863aa\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-40745cfb elementor-widget elementor-widget-heading\" data-id=\"40745cfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Terapia medicamentoas\u0103<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ab7f09e elementor-widget elementor-widget-text-editor\" data-id=\"3ab7f09e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Agoni\u0219ti adrenergici alfa 2 selectivi: Brimonidin\u0103<\/p><p>Beta blocante<br \/><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/13.1.0\/svg\/25aa.svg\" alt=\"\u25aa\" \/> beta1 neselective: Betaxolol<br \/><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/13.1.0\/svg\/25aa.svg\" alt=\"\u25aa\" \/> beta2 neselective: Timolol<\/p><p>Inhibitori de anhidraz\u0103 carbonic\u0103<br \/><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/13.1.0\/svg\/25aa.svg\" alt=\"\u25aa\" \/> topici: Brinzolamid\u0103 \u0219i Dorzolamid\u0103<br \/><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/13.1.0\/svg\/25aa.svg\" alt=\"\u25aa\" \/> sistemici: Acetazolamid\u0103<\/p><p>Deriva\u021bi de prostaglandin\u0103: Bimatoprost, Latanoprost, Travoprost, Tafluprost<br \/>&#8211; agen\u021bi hiperosmotici sistemici indica\u021bi \u00een cre\u0219terea acut\u0103 a tensiunii intraoculare: Manitol<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-15fc4d6\" data-id=\"15fc4d6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f8976d5 elementor-widget elementor-widget-heading\" data-id=\"1f8976d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/profmunteanu.ro\/laser\/\">Terapia laser<\/a><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60c36e5a elementor-widget elementor-widget-text-editor\" data-id=\"60c36e5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/profmunteanu.ro\/iridotomia-laser-ce-este-si-cand-se-recomanda\/\">Iridotomie laser<\/a> Nd:Yag<\/p><p>&#8211; Iridoplastie laser<\/p><p>&#8211; Trabeculoplastia<\/p><p>&#8211; <a href=\"https:\/\/profmunteanu.ro\/ciclofotocoagularea-laser-transclerala-micropulsata\/\">Ciclofotocoagulare laser<\/a> transsclerala micropulsat\u0103<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-8f6206d\" data-id=\"8f6206d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-501aa3ba elementor-widget elementor-widget-heading\" data-id=\"501aa3ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Terapia chirurgical\u0103<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cc76699 elementor-widget elementor-widget-text-editor\" data-id=\"1cc76699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Chirurgia penetrant\u0103: <a href=\"https:\/\/profmunteanu.ro\/trabeculectomia-sau-chirurgia-glaucomului\/\">trabeculectomia<\/a> \u0219i trabeculotomia<\/p><p>Chirurgia nepenetrant\u0103: sclerectomia profund\u0103<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-79a34629 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"79a34629\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-62b9e0d7\" data-id=\"62b9e0d7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2847272d elementor-widget elementor-widget-spacer\" data-id=\"2847272d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02129d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02129d7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-548cd65\" data-id=\"548cd65\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66f3f44 elementor-widget elementor-widget-image\" data-id=\"66f3f44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"397\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/chirurgia-glaucomului-oftalmologie-1024x397.png\" class=\"attachment-large size-large wp-image-6491\" alt=\"Trabeculectomia este o procedura chirurgicala eficienta pentru tratamentul glaucomului, oftalmologie\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/chirurgia-glaucomului-oftalmologie-1024x397.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/chirurgia-glaucomului-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/chirurgia-glaucomului-oftalmologie-768x297.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/chirurgia-glaucomului-oftalmologie-18x7.png 18w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/chirurgia-glaucomului-oftalmologie.png 1402w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-224caec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"224caec\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3a498cd\" data-id=\"3a498cd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e569574 elementor-widget elementor-widget-spacer\" data-id=\"e569574\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-49df1c57 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49df1c57\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5ffa60b5\" data-id=\"5ffa60b5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9335207 elementor-widget elementor-widget-heading\" data-id=\"9335207\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-large\">3. Trabeculectomia<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e630542 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"e630542\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e0dbfc9\" data-id=\"e0dbfc9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-25525ade elementor-widget elementor-widget-text-editor\" data-id=\"25525ade\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Trabeculectomia este o interven\u021bie chirurgical\u0103 penetratant\u0103 efectuat\u0103 pentru a reduce presiunea\u00a0intraocular\u0103 la pacien\u021bii cu glaucom. Modalitatea de reducere a presiunii intraoculare este prin crearea\u00a0unei fistule protejate \u00eentre p\u0103r\u021bile interioare ale ochiului (camera anterioar\u0103) \u0219i spatiul subconjunctival,\u00a0form\u00e2nd o pern\u0103 de filtrare.<\/p><p>Rata de succes poate varia \u00een func\u021bie de tipul clinic al glaucomului. Astfel, glaucoamele care au cea mai\u00a0bun\u0103 rat\u0103 de succes sunt: glaucomul primar cu unghi deschis, glaucomul primar cu unghi \u00eenchis,\u00a0sindromul de pseudoexfoliere, glaucomul pigmentar, recesiunea de unghi, pseudofachia. Iar\u00a0glaucoamele cu cea mai slab\u0103 rat\u0103 de reu\u0219it\u0103 sunt: glaucomul neovasculat, glaucomul uveitic, glaucomul\u00a0congenital \u0219i mai mult de \u00a02 interven\u021bii de filtrare nereu\u0219ite.<\/p><p>Rata de success dup\u0103 trabeculectomia ce folose\u0219te antimetabli\u021bi intraoperator este de 74%, stabilizarea\u00a0acuit\u0103\u021bii vizuale este de 100% \u0219i aspectul stationar al c\u00e2mpului vizual de 94%.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e1a68d0 elementor-widget elementor-widget-spacer\" data-id=\"e1a68d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-77cff4ad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"77cff4ad\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-45790986\" data-id=\"45790986\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f3d67c2 elementor-widget elementor-widget-spacer\" data-id=\"f3d67c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-460229b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"460229b7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-443faf38\" data-id=\"443faf38\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f94863b elementor-widget elementor-widget-heading\" data-id=\"7f94863b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-large\">4. Indica\u021bii<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-168a8d61 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"168a8d61\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7ef79fd6\" data-id=\"7ef79fd6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4008e336 elementor-widget elementor-widget-text-editor\" data-id=\"4008e336\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Trabeculectomia este indicat\u0103 ca tratament al glaucomului c\u00e2nd terapia medicamentoas\u0103 \u0219i procedurile\u00a0laser au e\u0219uat \u00een a \u021bine sub control presiunea intraocular\u0103. Alte indica\u021bii pentru efectuarea interven\u021biei\u00a0sunt:<\/p><p><br \/>&#8211; C\u00e2nd complian\u021ba pacientului la terapia medicamentoas\u0103 este sc\u0103zut\u0103 sau reac\u021biile adverse sunt\u00a0inacceptabile<\/p><p><br \/>&#8211; Dac\u0103 este necesar\u0103 ob\u021binerea unei presiuni intraoculare \u021bint\u0103 care ar fi imposibil de atins prin\u00a0alte forme de terapie, la pacien\u021bi cu progresie rapid\u0103 a bolii<\/p><p><br \/>&#8211; Glaucom avansat cu tensiune intraocular\u0103 foarte mare la diagnosticare<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-17ea5237 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"17ea5237\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5fbb0e30\" data-id=\"5fbb0e30\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f925a0c elementor-widget elementor-widget-spacer\" data-id=\"5f925a0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20e072a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"20e072a4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c8274c9\" data-id=\"7c8274c9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2facfdc6 elementor-widget elementor-widget-heading\" data-id=\"2facfdc6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">5. Tehnica operatorie<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-221091ab elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"221091ab\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-28be5b9d\" data-id=\"28be5b9d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39fd64d7 elementor-widget elementor-widget-text-editor\" data-id=\"39fd64d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Preoperator, pacientul este informat de pa\u0219ii operatori, i se vor cere o serie de analize de s\u00e2nge \u0219i se va\u00a0stabili conduita terapeutic\u0103 \u00een cazul \u00een care pacientul este sub tratament cronic cu medicamente\u00a0anticoagulante sau antiagregante.<\/p><p>Procedura are loc \u00een sala de opera\u021bii. Anestezia poate fi locoregional\u0103, cu injec\u021bie parabulbar\u0103 sau\u00a0general\u0103, \u00een cazuri particulare (pacient necooperant sau copil).<\/p><p>Durata interven\u021biei este de aproximativ 45-60 min.<\/p><p>Descrierea interven\u021biei:<\/p><p>Ochiul va fi anesteziat, dezinfectat \u0219i acoperit cu un c\u00e2mp steril. \u00cen timpul opera\u021biei pacientul va sim\u021bi\u00a0mi\u0219c\u0103rile medicului, dar nu va sim\u021bi nicio durere.\u00a0Pupila este \u00een mioz\u0103. Se realizeaz\u0103 un flap\u00a0conjunctival \u00een por\u021biunea superioar\u0103 a ochiului cu baza la\u00a0limbul corneo-scleral.<\/p><p>Se cur\u0103\u021b\u0103 \u021besutul episcleral \u0219i se cauterizeaz\u0103 vasele sanguine. Se folosesc antimetaboli\u021bi (5 fluoro-uracil) sub flapul conjunctival, pentru a preveni fibrozarea pernei de filtrare \u0219i a\u00a0avea o rat\u0103 de succes mai mare \u0219i mai de lung\u0103 durat\u0103 trabeculectomiei. Se realizeaz\u0103 o trap\u0103 lamelar\u0103\u00a0scleral\u0103, apoi se practic\u0103 trabeculectomia si iridotomia periferic\u0103. Se sutureaz\u0103 trapa scleral\u0103 \u0219i apoiflapul conjunctivo-tenonian.<\/p><p>Ochiul se panseaz\u0103 \u0219i r\u0103mane a\u0219a p\u00e2n\u0103 a doua zi c\u00e2nd va fi primul consult\u00a0postoperator.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1bb3d7d4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1bb3d7d4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b783c74\" data-id=\"b783c74\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-62448c04 elementor-widget elementor-widget-spacer\" data-id=\"62448c04\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6592f42b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6592f42b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6b729d29\" data-id=\"6b729d29\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b77de0b elementor-widget elementor-widget-heading\" data-id=\"6b77de0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">6. Tratament postoperator<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-73a0b3f5 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"73a0b3f5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-798d05f9\" data-id=\"798d05f9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10ca38e9 elementor-widget elementor-widget-text-editor\" data-id=\"10ca38e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Tratamentul dup\u0103 trabeculectomie const\u0103 \u00een instila\u021bii oculare cu antibiotic \u0219i antiinflamator timp de o\u00a0lun\u0103 \u0219i continuarea tratamentului cu steroizi locali\u00a0p\u00e2n\u0103 la 3 luni, cu sc\u0103derea progresiv\u0103 a dozei.<br \/>Tratamentul cu cicloplegice se folose\u0219te \u00een anumite cazuri speciale cum ar fi camera anterioar\u0103 \u00eengust\u0103\u00a0sau hipotonie ocular\u0103.<\/p><p>Postoperator se indic\u0103 masaj la nivelul sclerei pentru a favoriza cre\u0219terea drenajului \u0219i a asigura\u00a0permeabilitatea opera\u021biei pentru formarea pernei de filtrare.<br \/>\u00cendep\u0103rtarea firelor se va face la 2 s\u0103pt\u0103m\u00e2ni postoperator, \u00een cabinet, dup\u0103 prealabila instilare cu\u00a0pic\u0103turi anestezice.<br \/>Se efectueaz\u0103 controale regulate la 4 zile, la o\u00a0s\u0103pt\u0103m\u00e2n\u0103 \u0219i la o lun\u0103 postoperator sub tratamentul<br \/>aplicat, pentru a verifica procesul de vindecare \u0219i a monitoriza presiunea intraocular\u0103.<\/p><p>\u00cen urma trabeculectomiei este posibil ca pacientul s\u0103 r\u0103m\u00e2n\u0103 cu un num\u0103r mai mic de coliruri\u00a0administrate pentru reducerea tensiunii intraoculare, sau, mai rar, f\u0103r\u0103 a necesita administrarea niciunui\u00a0colir antiglaucomatos.<\/p><p>Postoperator, unele activit\u0103\u021bi precum \u00eenotul \u0219i sporturile, \u00een general, ar trebui evitate.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b19613d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b19613d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-20b6fdc0\" data-id=\"20b6fdc0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f2d3e2c elementor-widget elementor-widget-spacer\" data-id=\"1f2d3e2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16dadd1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16dadd1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-748df70\" data-id=\"748df70\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a942dd4 elementor-widget elementor-widget-text-editor\" data-id=\"a942dd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><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\"><span style=\"text-decoration: underline;\">YouTube<\/span><\/a>.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9243f07 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9243f07\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d4666e2\" data-id=\"d4666e2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b34eaec elementor-widget elementor-widget-spacer\" data-id=\"b34eaec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-531a6644 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"531a6644\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-50926ac4\" data-id=\"50926ac4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b4a7197 elementor-widget elementor-widget-text-editor\" data-id=\"5b4a7197\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>[1] Tratat de Oftalmologie Marieta Dumitrache, Editura Universitar\u0103 \u201cCarol Davila \u201d Bucure\u0219ti 2012<\/em><br \/><em>[2] Kanski\u2019s clinical ophthalmology<\/em><br \/><em>[3] https:\/\/pubmed.ncbi.nlm.nih.gov\/11148811\/<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ff46582 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2ff46582\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div 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https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/08\/postare-patrata3-300x300.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/08\/postare-patrata3-150x150.png 150w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/08\/postare-patrata3-768x768.png 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/a>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-testimonial-details\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-testimonial-name\" href=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2019\/06\/CV-dr.-BUZESCU-MANUELA-.pdf\">Dr Buzescu Manuela<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-testimonial-job\" href=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2019\/06\/CV-dr.-BUZESCU-MANUELA-.pdf\">Medic Primar Oftalmolog<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14d219fc elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"14d219fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc5c5b7 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"dc5c5b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"https:\/\/profmunteanu.ro\/programare-online\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Programare Consult<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Trabeculectomia sau chirurgia glaucomului Trabeculectomia este o procedur\u0103 chirurgical\u0103 eficient\u0103 pentru tratamentul glaucomului. Aceast\u0103 opera\u021bie glaucom vizeaz\u0103 sc\u0103derea presiunii intraoculare prin crearea unei noi c\u0103i de drenaj pentru fluidul ocular. Trabeculectomia este considerat\u0103 o metod\u0103 standard \u00een chirurgia glaucomului, oferind o op\u021biune viabil\u0103 pentru pacien\u021bii cu glaucom necontrolat prin terapia medicamentoas\u0103. \u00cen acest articol, vom [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3670,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-1828","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Glaucomul - 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\/en\/trabeculectomia-sau-chirurgia-glaucomului\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Glaucomul - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Trabeculectomia sau chirurgia glaucomului Trabeculectomia este o procedur\u0103 chirurgical\u0103 eficient\u0103 pentru tratamentul glaucomului. Aceast\u0103 opera\u021bie glaucom vizeaz\u0103 sc\u0103derea presiunii intraoculare prin crearea unei noi c\u0103i de drenaj pentru fluidul ocular. 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