{"id":3148,"date":"2022-10-10T11:47:33","date_gmt":"2022-10-10T10:47:33","guid":{"rendered":"https:\/\/profmunteanu.ro\/?page_id=3148"},"modified":"2026-06-03T14:16:02","modified_gmt":"2026-06-03T13:16:02","slug":"keratoconus","status":"publish","type":"page","link":"https:\/\/profmunteanu.ro\/en\/keratoconus\/","title":{"rendered":"Keratoconus"},"content":{"rendered":"
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Keratoconus - ce este si care sunt
factorii de risc pentru aparitia acestuia?<\/h1>\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
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Keratoconus este o afec\u021biune ocular\u0103 progresiv\u0103, caracterizat\u0103 de sub\u021bierea \u0219i deformarea corneei. Cauzele keratoconusului nu sunt pe deplin \u00een\u021belese, \u00eens\u0103 se crede c\u0103 factorii genetici \u0219i ambientali pot juca un rol important. Simptomele keratoconusului pot varia de la vedere \u00eence\u021bo\u0219at\u0103 \u0219i distorsionat\u0103 la sensibilitate la lumin\u0103 \u0219i cre\u0219terea frecvent\u0103 a dioptriilor.<\/p>

Diagnosticul keratoconusului se bazeaz\u0103 pe examinarea detaliat\u0103 a corneei \u0219i m\u0103surarea curburii sale. \u00cen prezent, exist\u0103 mai multe op\u021biuni de tratament disponibile, cum ar fi lentilele de contact specializate, cross-linking-ul cornean \u0219i, \u00een cazuri severe, transplantul de cornee, care pot \u00eembun\u0103t\u0103\u021bi vederea \u0219i pot opri progresia bolii.<\/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

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1. Ce este keratoconusul?<\/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
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Aceast\u0103 patologie a fost descris\u0103 prima oar\u0103 \u00een anul 1854, denumirea deriv\u00e2nd din cuvintele grece\u0219ti ,,Kerato\u201d( cornee) \u0219i ,,Kanos\u201d(con). Keratoconusul este \u00eencadrat ca fiind o ectazie cornean\u0103, manifestat prin sub\u021bierea progresiv\u0103 a corneei, ce \u00ee\u0219i pierde forma sferic\u0103 , bomb\u00e2ndu-se de regul\u0103 paracentral inferior sub forma unui con. Se dezvolt\u0103  bilateral \u0219i asimetric. Aceast\u0103 modificare cornean\u0103 se asociaz\u0103 de regul\u0103 cu dezvoltarea astigmatismului miopic compus si sc\u0103derea progresiv\u0103 a vederii, \u00een cazul \u00een care nu este depistat la timp. <\/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

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2. Care este mecanismul de producere al keratoconusului?<\/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
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Responsabile pentru dezvoltarea keratoconului sunt de fapt fibrele de colagen din structura corneei, a c\u0103rei rezisten\u021b\u0103 \u0219i elasticitate se modific\u0103 , fibrele devenind mult mai laxe, friabile. Acest proces are loc prin sc\u0103derea concentra\u021biei de anti-oxidanti de la nivel cornean, responsabili de altfel de protec\u021bia fibrelor de colagen.<\/p>

De asemenea, printre cauzele apari\u021biei keratoconusului sunt men\u021biona\u021bi \u0219i factorii genetici asocia\u021bi cu modific\u0103ri calitative la nivelul fibrelor de colagen. \u00a0<\/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

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3. Care sunt factorii de risc pentru apari\u021bia keratoconusului?<\/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
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Cu excep\u021bia componentei genetice, riscul de apari\u021bie al keratoconusului \u00a0este crescut \u00een asociere cu anumite patologii tiroidiene, inflama\u021bii cronice la nivelul suprafe\u021bei oculare, sau \u00een cadrul unor boli sistemice ca \u0219i sindromul Down, sindromul Ehlers-Danlos, retinopatie pigmentar\u0103. Traumatismele oculare, terenul atopic ocular sau portul prelungit al lentilelor de contact pot duce, pe un teren cornean cu predispozi\u021bie, la dezvoltarea keratoconusului.<\/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

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4. Care sunt semnele \u0219i simptomele sugestive pentru keratoconus?<\/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
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Simptome sugestive pentru keratoconus pot fi<\/strong>:
\u2022 Vedere \u00eence\u021bo\u0219at\u0103 \u0219i distorsionat\u0103
\u2022 Sensibilitate crescut\u0103 la lumin\u0103, condus pe timp de noapte cu dificult\u0103\u021bi
\u2022 Nevoia de a schimba des ochelarii, datorit\u0103 modific\u0103rii progresive a dioptriilor
\u2022 Halouri \u00een jurul surselor de lumina<\/p>

Semnele clinice sugestive pentru keratoconus sunt<\/strong>:
\u2022 Astigmatism miopic progresiv , cu valori crescute
\u2022 Modificarea ,,\u00een foarfece\u201d a reflexului ro\u0219u la retinoscopie
\u2022 Semnul Rizutti -reprezint\u0103 o reflexie a corneei nazale ca un de v\u00e2rf de s\u0103geat\u0103 atunci c\u00e2nd limbul cornean temporal este iluminat cu un fascicul \u00eengust
\u2022 Inel Fleischer – depozite de fier, dispuse sub form\u0103 de inel, la baza conului cornean
\u2022 Striile Vogt – se observ\u0103 ni\u0219te linii stromale oblice sau verticale, ce dispar la presiunea pe glob. Acestea sunt de fapt falduri \u00een stroma cornean\u0103 profund\u0103 \u0219i membrana Descemet
\u2022 Semnul Munson reprezint\u0103 proeminen\u021ba produs\u0103 de conul cornean pe pleoapa inferioar\u0103 \u0219i se poate observa atunci c\u00e2nd pacientul prive\u0219te \u00een jos
\u2022 Hidrops cornean acut \u2013 reprezint\u0103 edemul cornean ap\u0103rut brusc, \u00een urma ruperii membranei Descemet, f\u0103r\u0103 tendint\u0103 de perforare
\u2022 Cicatrici stromale \u00een urma vindec\u0103rii hidropsului cornean acut<\/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

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5. Cum este diagnosticat keratoconusul?<\/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
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Suspiciunea de keratoconus se ridic\u0103 \u00een momentul prezen\u021bei unui astigmatism neregulat sau astigmatism miopic compus cu progresie evident\u0103, manifestate de la v\u00e2rsta adolescen\u021bei sau a adultului t\u00e2n\u0103r. De asemenea, pahimetria cornean\u0103 ce eviden\u021biaz\u0103 o cornee sub\u021bire sau keratometria pot ridica mari semne de \u00eentrebare cu privire la un posibil diagnostic.<\/p>

Diagnosticul de certitudine este stabilit doar pe baza unei topografii corneene<\/a>, ce eviden\u021biaz\u0103 harta cornean\u0103 cu orice modificare de structur\u0103 sau grosime ap\u0103rute la acest nivel. Prin topografia cornean\u0103 practic se va diagnostica, stadializa \u0219i evalua keratoconusul \u00een cauz\u0103.\u00a0 Din nefericire, topografia cornean\u0103 nu este o investiga\u021bie realizat\u0103 de rutin\u0103 la un consult oftalmologic uzual, din acest motiv multe cazuri de keratoconus sunt diagnosticate \u00een stadiu tardiv.<\/p>

\u00cen clinica noastr\u0103, beneficiem de unul din cele mai performante sisteme topografice, Schwind Sirius<\/strong>, care combin\u0103 topografia cu utilizarea unei camere 3D Scheimpflug pentru a oferi imagini rapide \u0219i tridimensionale complete a corneei \u0219i a segmentului anterior ocular.<\/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

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6. Ce metode de tratament exist\u0103 la ora actual\u0103, in func\u021bie de stadiul keratoconusului la momentul diagnostic\u0103rii?<\/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
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\u00cen func\u021bie de stadiul keratoconusului la momentul diagnostic\u0103rii, tratamentul va varia cu siguran\u021b\u0103.<\/p>

Pentru cazurile incipiente \u0219i moderate, se va opta pentru urm\u0103toarele:
\u2022 Corec\u021bie optic\u0103 pentru astigmatismul miopic compus, \u00eenc\u0103 f\u0103r\u0103 a ajunge \u00een stadiul de astigmatism neregulat
\u2022 Crosslinking cornean<\/a>, gold standard la ora actual\u0103 pentru a \u00eencetini sau chiar opri \u00een anumite cazuri progresia keratoconusului
\u2022 Lentile dure, hibride sau de tip ,,piggyback\u201d , \u00een cazul astigmatismului neregulat pentru a corecta din dioptrii \u0219i pentru a \u00eembun\u0103t\u0103\u021bi acuitatea vizual\u0103
\u2022 Tratamentul de sus\u021binere a suprafe\u021bei oculare, cu lacrimi artificiale, gel lubrifiant de sear\u0103 \u0219i Omega 3<\/p>

Pentru cazurile avansate , se va opta pentru urm\u0103toarele:
\u2022 Inelele corneene intrastromale folosite pentru remodelarea corneei, cu scopul aplatiz\u0103rii ei pentru a reduce astigmatismul, pentru a \u00eembun\u0103t\u0103\u021bi acuitatea vizual\u0103 \u0219i pentru a facilita portul lentilelor de contact dure<\/p>

\u2022 Keratoplastia perforant\u0103<\/p>

\u2022 Keratoplastia lamelar\u0103 anterioar\u0103 profund\u0103 (DALK)<\/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

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7. Care este prognosticul vizual \u00een cadrul acestei patologii?<\/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
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\u00cen marea majoritate a cazurilor, keratoconusul nu duce la orbire sau pierderea sever\u0103 a acuit\u0103\u021bii vizuale<\/a>. Descoperit la timp \u0219i tratat corespunz\u0103tor, se asociaz\u0103 cu acuit\u0103\u021bi vizuale destul de bune , corectate prin multitudinea de variante existente la ora actual\u0103 ca \u0219i op\u021biuni terapeutice validate \u0219i aprobate ca fiind utile \u00een tratamentul keratoconusului.<\/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

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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 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

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\"Oftalmologie<\/figure>

Dr Cristina Pac<\/h3>

Specialist in ophthalmology, with specialisation under the coordination of\nProf. Dr. Mihnea Munteanu, PhD student at UMF Victor Babes Timisoara.<\/p><\/div><\/div>\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

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tProgramming 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>","protected":false},"excerpt":{"rendered":"

Keratoconus – ce este si care sunt factorii de risc pentru aparitia acestuia? Keratoconus este o afec\u021biune ocular\u0103 progresiv\u0103, caracterizat\u0103 de sub\u021bierea \u0219i deformarea corneei. Cauzele keratoconusului nu sunt pe deplin \u00een\u021belese, \u00eens\u0103 se crede c\u0103 factorii genetici \u0219i ambientali pot juca un rol important. Simptomele keratoconusului pot varia de la vedere \u00eence\u021bo\u0219at\u0103 \u0219i distorsionat\u0103 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-3148","page","type-page","status-publish","hentry"],"yoast_head":"\nKeratoconus - 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=\"http:\/\/profmunteanu.ro\/en\/keratoconus\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Keratoconus - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Keratoconus – ce este si care sunt factorii de risc pentru aparitia acestuia? Keratoconus este o afec\u021biune ocular\u0103 progresiv\u0103, caracterizat\u0103 de sub\u021bierea \u0219i deformarea corneei. Cauzele keratoconusului nu sunt pe deplin \u00een\u021belese, \u00eens\u0103 se crede c\u0103 factorii genetici \u0219i ambientali pot juca un rol important. Simptomele keratoconusului pot varia de la vedere \u00eence\u021bo\u0219at\u0103 \u0219i distorsionat\u0103 […]\" \/>\n<meta property=\"og:url\" content=\"http:\/\/profmunteanu.ro\/en\/keratoconus\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-03T13:16:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/keratoconus-oftalmologie-1024x397.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/\",\"url\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/\",\"name\":\"Keratoconus - Clinica Oftalmologica Dr. Munteanu\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/#primaryimage\"},\"image\":{\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/profmunteanu.ro\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/keratoconus-oftalmologie-1024x397.png\",\"datePublished\":\"2022-10-10T10:47:33+00:00\",\"dateModified\":\"2026-06-03T13:16:02+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/#primaryimage\",\"url\":\"https:\\\/\\\/profmunteanu.ro\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/keratoconus-oftalmologie-1024x397.png\",\"contentUrl\":\"https:\\\/\\\/profmunteanu.ro\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/keratoconus-oftalmologie-1024x397.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/en\\\/keratoconus\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/profmunteanu.ro\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Keratoconus\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/#website\",\"url\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/\",\"name\":\"Clinica Oftalmologica Dr. Munteanu\",\"description\":\"Profesionalism, tehnologie de ultima generatie si un munte de experienta!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Keratoconus - Clinica Oftalmologica Dr. Munteanu","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":"http:\/\/profmunteanu.ro\/en\/keratoconus\/","og_locale":"en_US","og_type":"article","og_title":"Keratoconus - Clinica Oftalmologica Dr. Munteanu","og_description":"Keratoconus – ce este si care sunt factorii de risc pentru aparitia acestuia? Keratoconus este o afec\u021biune ocular\u0103 progresiv\u0103, caracterizat\u0103 de sub\u021bierea \u0219i deformarea corneei. Cauzele keratoconusului nu sunt pe deplin \u00een\u021belese, \u00eens\u0103 se crede c\u0103 factorii genetici \u0219i ambientali pot juca un rol important. 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