{"id":1187,"date":"2021-02-02T10:19:03","date_gmt":"2021-02-02T10:19:03","guid":{"rendered":"http:\/\/profmunteanu.ro\/?p=1187"},"modified":"2023-09-05T08:57:23","modified_gmt":"2023-09-05T07:57:23","slug":"nistagmusul","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/en\/nistagmusul\/","title":{"rendered":"Nystagmus"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><br>Nistagmusul este o tulburare ocular\u0103 caracterizat\u0103 prin mi\u0219c\u0103ri involuntare ritmice ale globilor oculari. Cauzele nistagmusului pot varia, incluz\u00e2nd afec\u021biuni congenitale, traumatisme sau probleme neurologice. Tratamentul pentru nistagmus depinde de cauza subiacent\u0103 \u0219i poate include terapia ocupa\u021bional\u0103, ochelari specializa\u021bi sau interven\u021bii chirurgicale. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><em>Introducere<\/em><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nistagmusul&nbsp;reprezinta&nbsp;o&nbsp;miscare &nbsp;involuntara,&nbsp;ritmica,&nbsp;sincrona si&nbsp;in&nbsp;aceeasi&nbsp;directie&nbsp;a&nbsp;globilor&nbsp;oculari.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Miscarea&nbsp;are&nbsp;doua&nbsp;componente:&nbsp;una&nbsp;lenta&nbsp;si&nbsp;alta&nbsp;rapida&nbsp;(de&nbsp;readucere&nbsp;a&nbsp;globilor&nbsp;oculari&nbsp;la&nbsp;pozitia&nbsp;normala).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nistagmusul&nbsp;poate&nbsp;avea&nbsp;mai&nbsp;multe&nbsp;cauze:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>fixatia&nbsp;laterala&nbsp;extrema (este normal).<\/li>\n\n\n\n<li>optochinetic:&nbsp;apare&nbsp;in&nbsp;mod&nbsp;normal&nbsp;atunci&nbsp;cand&nbsp;un&nbsp;pasager,&nbsp;aflat&nbsp;intr-un&nbsp;tren&nbsp;in&nbsp;miscare,&nbsp;priveste&nbsp;obiectele&nbsp;aflate&nbsp;de-a&nbsp;lungul caii&nbsp;ferate.<\/li>\n\n\n\n<li>congenital&nbsp;si al&nbsp;amauroticilor:&nbsp;apare&nbsp;la&nbsp;privirea&nbsp;inainte&nbsp;si are&nbsp;caracter&nbsp;pendular,&nbsp;continuu.<\/li>\n\n\n\n<li>paralitic:&nbsp;apare&nbsp;in&nbsp;paralizia&nbsp;unui&nbsp;muschi&nbsp;oculo-motor, la&nbsp;fixarea privirii&nbsp;in&nbsp;directia&nbsp;de&nbsp;actiune&nbsp;a&nbsp;muschiului&nbsp;respectiv.<\/li>\n\n\n\n<li>vestibular:&nbsp;apare&nbsp;prin&nbsp;afectarea&nbsp;conexiunilor&nbsp;vestibulo-oculomotorii&nbsp;din&nbsp;bandeleta&nbsp;longitudinal-posterioara.<\/li>\n\n\n\n<li>oculo-velo-faringo-laringian: in&nbsp;sindroamele&nbsp;de&nbsp;trunchicerebral.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the direction in which the nystagmus beats, it can be horizontal, vertical or rotational.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pacientul&nbsp;poate&nbsp;percepe&nbsp;aceasta&nbsp;miscare&nbsp;anormala&nbsp;a&nbsp;globilor oculari&nbsp;ca&nbsp;pe&nbsp;o&nbsp;fixatie&nbsp;dificila&nbsp;a&nbsp;imaginilor, care&nbsp;,,joaca&#8221; in fata&nbsp;ochilor.&nbsp;Alteori,&nbsp;miscarea&nbsp;este&nbsp;complet&nbsp;ignorata,&nbsp;ea&nbsp;neputand&nbsp;fi&nbsp;perceputa&nbsp;nici&nbsp;macar&nbsp;in&nbsp;oglinda.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In&nbsp;anumite&nbsp;forme&nbsp;de&nbsp;nistagmus,&nbsp;pacientul&nbsp;poate&nbsp;observa&nbsp;o&nbsp;diminuare&nbsp;a&nbsp;miscarilor&nbsp;oculare&nbsp;in&nbsp;anumite&nbsp;pozitii&nbsp;ale&nbsp;capului&nbsp;sau ochilor&nbsp;(de&nbsp;exemplu&nbsp;cu&nbsp;capul&nbsp;intors&nbsp;intr-o parte&nbsp;sau&nbsp;privirea extrema&nbsp;intr-o parte).<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\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\/nistagmus-oftalmologie-1024x397.png\" alt=\"Nistagmusul este o tulburare oculara caracterizata prin miscari involuntare ritmice ale globilor oculari\" class=\"wp-image-6399\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/nistagmus-oftalmologie-1024x397.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/nistagmus-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/nistagmus-oftalmologie-768x297.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/nistagmus-oftalmologie-18x7.png 18w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/nistagmus-oftalmologie.png 1402w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><em>Examination<\/em><em>&nbsp;<\/em><em>nystagmus<\/em><em>.<\/em><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Examinatorul&nbsp;sta&nbsp;in fata&nbsp;pacientului&nbsp;si&nbsp;deplaseaza&nbsp;indexul&nbsp;in&nbsp;diferite&nbsp;directii&nbsp;(&nbsp;orizontal, vertical),&nbsp;iar&nbsp;pacientul&nbsp;va&nbsp;urmari degetul&nbsp;doar&nbsp;cu&nbsp;privirea,&nbsp;capul&nbsp;ramanand&nbsp;in&nbsp;pozitie&nbsp;fixa. Se&nbsp;noteaza&nbsp;directia&nbsp;in care se produce&nbsp;miscarea&nbsp;rapida&nbsp;a&nbsp;globiloroculari.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/profmunteanu.ro\/en\/afectiuni-oftalmologice\/\" target=\"_blank\" rel=\"noreferrer noopener\">Bolile&nbsp;oculare<\/a>&nbsp;asociate&nbsp;cu&nbsp;nistagmusul&nbsp;sunt:&nbsp;degenerescenteleretiniene,&nbsp;<a href=\"https:\/\/profmunteanu.ro\/en\/totul-despre-cataracta\/\" target=\"_blank\" rel=\"noreferrer noopener\">cataractele<\/a>,&nbsp;unele&nbsp;strabisme.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In&nbsp;aceste&nbsp;cazuri,&nbsp;examinarea&nbsp;presupune&nbsp;si&nbsp;masurarea&nbsp;refractiei&nbsp;si&nbsp;obtinerea&nbsp;unei&nbsp;corectii&nbsp;optice&nbsp;cat mai&nbsp;bune,&nbsp;vizualizarea&nbsp;fundului de&nbsp;ochi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pentru&nbsp;ameliorarea&nbsp;acuitatii&nbsp;vizuale&nbsp;se pot&nbsp;folosi&nbsp;si&nbsp;corectii&nbsp;cu prisme, care pot&nbsp;bloca&nbsp;miscarile&nbsp;nistagmice&nbsp;si pot&nbsp;contribui&nbsp;la o&nbsp;fixatie&nbsp;mai buna.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tot&nbsp;in&nbsp;scopul&nbsp;blocarii&nbsp;miscarilor&nbsp;anormale&nbsp;oculare,&nbsp;se&nbsp;poate interveni&nbsp;chirurgical&nbsp;pe&nbsp;musculatura&nbsp;oculomotorie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nistagmusul&nbsp;se&nbsp;poate&nbsp;asocia&nbsp;cu&nbsp;vertij,&nbsp;tulburari&nbsp;de&nbsp;ortostatism&nbsp;si de mers,&nbsp;tulburari&nbsp;vegetative, (greturi,&nbsp;varsaturi),&nbsp;modificari&nbsp;de tonus&nbsp;muscular.<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><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><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Silviana&nbsp;Nina Jianu<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> Medic&nbsp;primar&nbsp;oftalmolog,&nbsp;Doctor&nbsp;\u00een&nbsp;medicin\u0103 <\/p>","protected":false},"excerpt":{"rendered":"<p>Nistagmusul este o tulburare ocular\u0103 caracterizat\u0103 prin mi\u0219c\u0103ri involuntare ritmice ale globilor oculari. Cauzele nistagmusului pot varia, incluz\u00e2nd afec\u021biuni congenitale, traumatisme sau probleme neurologice. Tratamentul pentru nistagmus depinde de cauza subiacent\u0103 \u0219i poate include terapia ocupa\u021bional\u0103, ochelari specializa\u021bi sau interven\u021bii chirurgicale. Introducere Nistagmusul&nbsp;reprezinta&nbsp;o&nbsp;miscare &nbsp;involuntara,&nbsp;ritmica,&nbsp;sincrona si&nbsp;in&nbsp;aceeasi&nbsp;directie&nbsp;a&nbsp;globilor&nbsp;oculari. Miscarea&nbsp;are&nbsp;doua&nbsp;componente:&nbsp;una&nbsp;lenta&nbsp;si&nbsp;alta&nbsp;rapida&nbsp;(de&nbsp;readucere&nbsp;a&nbsp;globilor&nbsp;oculari&nbsp;la&nbsp;pozitia&nbsp;normala).&nbsp; Nistagmusul&nbsp;poate&nbsp;avea&nbsp;mai&nbsp;multe&nbsp;cauze: Dupa&nbsp;directia&nbsp;in care bate&nbsp;nistagmusul&nbsp;,&nbsp;acesta&nbsp;poate&nbsp;fi&nbsp;orizontal, vertical&nbsp;sau&nbsp;rotator. Pacientul&nbsp;poate&nbsp;percepe&nbsp;aceasta&nbsp;miscare&nbsp;anormala&nbsp;a&nbsp;globilor oculari&nbsp;ca&nbsp;pe&nbsp;o&nbsp;fixatie&nbsp;dificila&nbsp;a&nbsp;imaginilor, care&nbsp;,,joaca&#8221; in [&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-1187","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>Nistagmusul - 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\/nistagmusul\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nistagmusul - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Nistagmusul este o tulburare ocular\u0103 caracterizat\u0103 prin mi\u0219c\u0103ri involuntare ritmice ale globilor oculari. Cauzele nistagmusului pot varia, incluz\u00e2nd afec\u021biuni congenitale, traumatisme sau probleme neurologice. Tratamentul pentru nistagmus depinde de cauza subiacent\u0103 \u0219i poate include terapia ocupa\u021bional\u0103, ochelari specializa\u021bi sau interven\u021bii chirurgicale. Introducere Nistagmusul&nbsp;reprezinta&nbsp;o&nbsp;miscare &nbsp;involuntara,&nbsp;ritmica,&nbsp;sincrona si&nbsp;in&nbsp;aceeasi&nbsp;directie&nbsp;a&nbsp;globilor&nbsp;oculari. Miscarea&nbsp;are&nbsp;doua&nbsp;componente:&nbsp;una&nbsp;lenta&nbsp;si&nbsp;alta&nbsp;rapida&nbsp;(de&nbsp;readucere&nbsp;a&nbsp;globilor&nbsp;oculari&nbsp;la&nbsp;pozitia&nbsp;normala).&nbsp; Nistagmusul&nbsp;poate&nbsp;avea&nbsp;mai&nbsp;multe&nbsp;cauze: Dupa&nbsp;directia&nbsp;in care bate&nbsp;nistagmusul&nbsp;,&nbsp;acesta&nbsp;poate&nbsp;fi&nbsp;orizontal, vertical&nbsp;sau&nbsp;rotator. 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Cauzele nistagmusului pot varia, incluz\u00e2nd afec\u021biuni congenitale, traumatisme sau probleme neurologice. Tratamentul pentru nistagmus depinde de cauza subiacent\u0103 \u0219i poate include terapia ocupa\u021bional\u0103, ochelari specializa\u021bi sau interven\u021bii chirurgicale. Introducere Nistagmusul&nbsp;reprezinta&nbsp;o&nbsp;miscare &nbsp;involuntara,&nbsp;ritmica,&nbsp;sincrona si&nbsp;in&nbsp;aceeasi&nbsp;directie&nbsp;a&nbsp;globilor&nbsp;oculari. Miscarea&nbsp;are&nbsp;doua&nbsp;componente:&nbsp;una&nbsp;lenta&nbsp;si&nbsp;alta&nbsp;rapida&nbsp;(de&nbsp;readucere&nbsp;a&nbsp;globilor&nbsp;oculari&nbsp;la&nbsp;pozitia&nbsp;normala).&nbsp; Nistagmusul&nbsp;poate&nbsp;avea&nbsp;mai&nbsp;multe&nbsp;cauze: Dupa&nbsp;directia&nbsp;in care bate&nbsp;nistagmusul&nbsp;,&nbsp;acesta&nbsp;poate&nbsp;fi&nbsp;orizontal, vertical&nbsp;sau&nbsp;rotator. 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