pharmanews - μ. πιτσιλιδης α.ε.
pharmanews - μ. πιτσιλιδης α.ε.
pharmanews - μ. πιτσιλιδης α.ε.
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10 ΕΡΩΤΗΣΕΙΣ<br />
...στον Οφθ<strong>α</strong>λ<strong>μ</strong>ί<strong>α</strong>τρο<br />
γι<strong>α</strong> τον Κ<strong>α</strong>τ<strong>α</strong>ρράκτη<br />
Τι <strong>ε</strong>ίν<strong>α</strong>ι ο κ<strong>α</strong>τ<strong>α</strong>ρράκτης κ<strong>α</strong>ι πότ<strong>ε</strong> πρέπ<strong>ε</strong>ι ν<strong>α</strong> χ<strong>ε</strong>ιρουργ<strong>ε</strong>ίτ<strong>α</strong>ι; Πώς γίν<strong>ε</strong>τ<strong>α</strong>ι η <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση<br />
του κ<strong>α</strong>τ<strong>α</strong>ρράκτη; Ποι<strong>ε</strong>ς <strong>μ</strong>πορ<strong>ε</strong>ί ν<strong>α</strong> <strong>ε</strong>ίν<strong>α</strong>ι οι πιθ<strong>α</strong>νές <strong>ε</strong>πιπλοκές κ<strong>α</strong>τά την<br />
<strong>ε</strong>πέ<strong>μ</strong>β<strong>α</strong>ση; Τι πρέπ<strong>ε</strong>ι ν<strong>α</strong> γνωρίζ<strong>ε</strong>ι ο <strong>α</strong>σθ<strong>ε</strong>νής γι<strong>α</strong> την η<strong>μ</strong>έρ<strong>α</strong> της <strong>ε</strong>πέ<strong>μ</strong>β<strong>α</strong>σης,<br />
<strong>α</strong>λλά κ<strong>α</strong>ι <strong>μ</strong><strong>ε</strong>τά <strong>α</strong>πό <strong>α</strong>υτή; Τις <strong>α</strong>π<strong>α</strong>ντήσ<strong>ε</strong>ις δίν<strong>ε</strong>ι ο κ. Δρ. Νίκος Τσιού<strong>μ</strong><strong>α</strong>ς Χ<strong>ε</strong>ιρουργός<br />
Οφθ<strong>α</strong>λ<strong>μ</strong>ί<strong>α</strong>τρος.<br />
Της Έλ<strong>ε</strong>ν<strong>α</strong>ς Κιουρκτσή<br />
1 Τι<br />
<strong>ε</strong>ίν<strong>α</strong>ι ο κ<strong>α</strong>τ<strong>α</strong>ρράκτης κ<strong>α</strong>ι πού<br />
οφ<strong>ε</strong>ίλ<strong>ε</strong>τ<strong>α</strong>ι;<br />
Κ<strong>α</strong>τ<strong>α</strong>ρράκτης <strong>ε</strong>ίν<strong>α</strong>ι η θόλωση του<br />
φυσικού φ<strong>α</strong>κού του <strong>μ</strong><strong>α</strong>τιού, ο οποίος<br />
βρίσκ<strong>ε</strong>τ<strong>α</strong>ι πίσω <strong>α</strong>πό την ίριδ<strong>α</strong>, έχ<strong>ε</strong>ι<br />
το <strong>μ</strong>έγ<strong>ε</strong>θος φ<strong>α</strong>κής κ<strong>α</strong>ι φυσιολογικά<br />
<strong>ε</strong>ίν<strong>α</strong>ι δι<strong>α</strong>υγής. Πρόκ<strong>ε</strong>ιτ<strong>α</strong>ι γι<strong>α</strong> <strong>μ</strong>ι<strong>α</strong> πολύ<br />
συνηθισ<strong>μ</strong>ένη πάθηση κ<strong>α</strong>ι συνήθως<br />
π<strong>α</strong>ρουσιάζ<strong>ε</strong>τ<strong>α</strong>ι <strong>μ</strong><strong>ε</strong> την πάροδο της<br />
ηλικί<strong>α</strong>ς. Μ<strong>ε</strong>ρικές φορές <strong>μ</strong>πορ<strong>ε</strong>ί ν<strong>α</strong><br />
προκληθ<strong>ε</strong>ί <strong>α</strong>πό τρ<strong>α</strong>υ<strong>μ</strong><strong>α</strong>τισ<strong>μ</strong>ό, ορισ<strong>μ</strong>έν<strong>ε</strong>ς<br />
π<strong>α</strong>θήσ<strong>ε</strong>ις (π.χ. δι<strong>α</strong>βήτη, φλ<strong>ε</strong>γ<strong>μ</strong>ονές<br />
του <strong>μ</strong><strong>α</strong>τιού κλπ) ή φάρ<strong>μ</strong><strong>α</strong>κ<strong>α</strong> όπως<br />
η χρόνι<strong>α</strong> χρήση κορτιζόνης. Σ<strong>ε</strong> <strong>ε</strong>λάχιστ<strong>ε</strong>ς<br />
π<strong>ε</strong>ριπτώσ<strong>ε</strong>ις <strong>μ</strong>πορ<strong>ε</strong>ί κ<strong>α</strong>ι έν<strong>α</strong><br />
π<strong>α</strong>ιδί ν<strong>α</strong> γ<strong>ε</strong>ννηθ<strong>ε</strong>ί <strong>μ</strong><strong>ε</strong> κ<strong>α</strong>τ<strong>α</strong>ρράκτη<br />
(συγγ<strong>ε</strong>νής κ<strong>α</strong>τ<strong>α</strong>ρράκτης).<br />
2 Ποι<strong>α</strong><br />
<strong>ε</strong>ίν<strong>α</strong>ι τ<strong>α</strong> κύρι<strong>α</strong> συ<strong>μ</strong>πτώ<strong>μ</strong><strong>α</strong>τ<strong>α</strong>;<br />
Θά<strong>μ</strong>πω<strong>μ</strong><strong>α</strong> <strong>μ</strong><strong>ε</strong> προοδ<strong>ε</strong>υτική <strong>μ</strong><strong>ε</strong>ίωση<br />
της όρ<strong>α</strong>σης γι<strong>α</strong> <strong>μ</strong><strong>α</strong>κριά ή γι<strong>α</strong> κοντά.<br />
Η όρ<strong>α</strong>ση γίν<strong>ε</strong>τ<strong>α</strong>ι ολοέν<strong>α</strong> κ<strong>α</strong>ι λιγότ<strong>ε</strong>ρο<br />
σ<strong>α</strong>φής. Το άτο<strong>μ</strong>ο <strong>α</strong>ντιλ<strong>α</strong><strong>μ</strong>βάν<strong>ε</strong>τ<strong>α</strong>ι<br />
λά<strong>μ</strong>ψ<strong>ε</strong>ις κ<strong>α</strong>ι <strong>α</strong>ντ<strong>α</strong>ν<strong>α</strong>κλάσ<strong>ε</strong>ις γύρω<br />
<strong>α</strong>πό ορισ<strong>μ</strong>έν<strong>α</strong> <strong>α</strong>ντικ<strong>ε</strong>ί<strong>μ</strong><strong>ε</strong>ν<strong>α</strong>, <strong>ε</strong>νώ <strong>ε</strong><strong>μ</strong>φ<strong>α</strong>νίζ<strong>ε</strong>ι<br />
<strong>ε</strong>ξ<strong>α</strong>σθ<strong>ε</strong>νη<strong>μ</strong>ένη <strong>α</strong>ντίληψη χρω<strong>μ</strong>άτων<br />
κ<strong>α</strong>ι έντονη <strong>ε</strong>νόχληση στον<br />
ήλιο. Όλ<strong>α</strong> τ<strong>α</strong> π<strong>α</strong>ρ<strong>α</strong>πάνω συ<strong>μ</strong>πτώ<strong>μ</strong><strong>α</strong>τ<strong>α</strong><br />
<strong>μ</strong>πορούν ν<strong>α</strong> <strong>ε</strong>πηρ<strong>ε</strong>άσουν τις<br />
κ<strong>α</strong>θη<strong>μ</strong><strong>ε</strong>ρινές δρ<strong>α</strong>στηριότητές του,<br />
όπως την οδήγηση, <strong>ε</strong>ιδικά το βράδυ<br />
ή σ<strong>ε</strong> πολύ δυν<strong>α</strong>τό φως, το διάβ<strong>α</strong>σ<strong>μ</strong><strong>α</strong>,<br />
την π<strong>α</strong>ρ<strong>α</strong>κολούθηση τηλ<strong>ε</strong>όρ<strong>α</strong>σης<br />
ή άλλ<strong>ε</strong>ς <strong>α</strong>σχολί<strong>ε</strong>ς, π.χ. ράψι<strong>μ</strong>ο,<br />
που <strong>α</strong>π<strong>α</strong>ιτούν λ<strong>ε</strong>πτο<strong>μ</strong><strong>ε</strong>ρή π<strong>α</strong>ρ<strong>α</strong>τήρηση<br />
των <strong>α</strong>ντικ<strong>ε</strong>ι<strong>μ</strong>ένων.<br />
3 Πότ<strong>ε</strong><br />
46 PHARMANEWS > ΟΚΤΩΒΡΙΟΣ 2010 > ΤΕΥΧΟΣ 197<br />
πρέπ<strong>ε</strong>ι ν<strong>α</strong> χ<strong>ε</strong>ιρουργ<strong>ε</strong>ίτ<strong>α</strong>ι;<br />
Ότ<strong>α</strong>ν <strong>α</strong>ρχίζ<strong>ε</strong>ι ν<strong>α</strong> προκ<strong>α</strong>λ<strong>ε</strong>ί τέτοι<strong>α</strong> <strong>ε</strong>νόχληση<br />
στην ποιότητ<strong>α</strong> της όρ<strong>α</strong>σης<br />
του <strong>α</strong>τό<strong>μ</strong>ου, <strong>μ</strong><strong>ε</strong> συνέπ<strong>ε</strong>ι<strong>α</strong> τη δη<strong>μ</strong>ιουργί<strong>α</strong><br />
προβλη<strong>μ</strong>άτων στις κ<strong>α</strong>θη<strong>μ</strong><strong>ε</strong>ρινές<br />
δρ<strong>α</strong>στηριότητ<strong>ε</strong>ς του (<strong>α</strong>σφ<strong>α</strong>λής<br />
οδήγηση <strong>α</strong>υτοκινήτου, <strong>α</strong>νάγνωση,<br />
τηλ<strong>ε</strong>όρ<strong>α</strong>ση κλπ). Διότι έχ<strong>ε</strong>ι ξ<strong>ε</strong>π<strong>ε</strong>ρ<strong>α</strong>στ<strong>ε</strong>ί<br />
πλέον η <strong>α</strong>ντίληψη πως, ο κ<strong>α</strong>τ<strong>α</strong>ρράκτης<br />
πρέπ<strong>ε</strong>ι ν<strong>α</strong> <strong>ε</strong>ίν<strong>α</strong>ι «ώρι<strong>μ</strong>ος» γι<strong>α</strong><br />
ν' <strong>α</strong>φ<strong>α</strong>ιρ<strong>ε</strong>θ<strong>ε</strong>ί. Μ<strong>ε</strong> τις νέ<strong>ε</strong>ς χ<strong>ε</strong>ιρουργικές<br />
τ<strong>ε</strong>χνικές (φ<strong>α</strong>κοθρυψί<strong>α</strong>) <strong>α</strong>υτή η<br />
<strong>α</strong>ντι<strong>μ</strong><strong>ε</strong>τώπιση <strong>α</strong>ποτ<strong>ε</strong>λ<strong>ε</strong>ί πλέον π<strong>α</strong>ρ<strong>ε</strong>λθόν.<br />
Αντιθέτως, <strong>μ</strong>άλιστ<strong>α</strong>, η <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση<br />
<strong>ε</strong>νός υπ<strong>ε</strong>ρώρι<strong>μ</strong>ου σκληρού κ<strong>α</strong>τ<strong>α</strong>ρράκτη,<br />
κάν<strong>ε</strong>ι την <strong>ε</strong>πέ<strong>μ</strong>β<strong>α</strong>ση πιο<br />
δύσκολη.<br />
4 Πώς<br />
γίν<strong>ε</strong>τ<strong>α</strong>ι η <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση του<br />
κ<strong>α</strong>τ<strong>α</strong>ρράκτη;<br />
Πλέον <strong>μ</strong><strong>ε</strong> φ<strong>α</strong>κοθρυψί<strong>α</strong>, δηλ<strong>α</strong>δή <strong>μ</strong>έσ<strong>α</strong><br />
<strong>α</strong>πό <strong>μ</strong>ι<strong>α</strong> <strong>μ</strong>ικρή το<strong>μ</strong>ή 3-4 χιλ. όπου <strong>μ</strong><strong>ε</strong><br />
την βοήθ<strong>ε</strong>ι<strong>α</strong> υπ<strong>ε</strong>ρήχων που θρυ<strong>μ</strong><strong>μ</strong><strong>α</strong>τίζουν<br />
κ<strong>α</strong>ι <strong>α</strong>πορροφούν συγχρόνως<br />
τον φ<strong>α</strong>κό, γίν<strong>ε</strong>τ<strong>α</strong>ι η <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση του
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