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Tratamento da ambliopia
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Resumo: A Ambliopia é uma doença oftalmológica que se desenvolve na infância, consequência duma experiência visual anormal (estrabismo, anisometropia e privação); é a causa mais comum de cegueira monocular a nível mundial. A oclusão continua a ser o principal tratamento, apesar de nem sempre ser eficaz e ser um tratamento com problemas de compliance e recorrência. Até ao momento, muita investigação tem sido feita sobre a Ambliopia, visando optimizar os tratamentos disponíveis e propor novos, tendo em conta os actuais avanços no conhecimento dos mecanismos neuronais. Nesta revisão, pretendo analisar os tratamentos actualmente utilizados, avaliar os seus resultados, compará-los, averiguar a concordância da sua utilização em casos seleccionados do Hospital de Santa Maria e sumariar uma abordagem terapêutica a esta doença, bem como expor as estratégias terapêuticas que estão a surgir devido aos conceitos actuais de plasticidade cerebral
Amblyopia is an ophthalmologic disease developed during childhood, as a consequence of abnormal visual experience (strabismus, anisometropia and deprivation); it is the most common cause of monocular blindness globally. Occlusion therapy is still the mainstay treatment, although it is not always effective, and there are also compliance and recurrence issues. Until now, a lot of investigation has been made about Amblyopia, in order to optimize the treatments available and propose new ones, taking into account the current advances in knowledge of neural mechanisms. In this review, I aim to address all available treatments, evaluate and compare their results, verify the consistency of its use in selected cases of Hospital de Santa Maria and summarize a therapeutic approach to this disease, as well as summarize emerging therapeutic strategies due to the current concepts of brain plasticity
Amblyopia is an ophthalmologic disease developed during childhood, as a consequence of abnormal visual experience (strabismus, anisometropia and deprivation); it is the most common cause of monocular blindness globally. Occlusion therapy is still the mainstay treatment, although it is not always effective, and there are also compliance and recurrence issues. Until now, a lot of investigation has been made about Amblyopia, in order to optimize the treatments available and propose new ones, taking into account the current advances in knowledge of neural mechanisms. In this review, I aim to address all available treatments, evaluate and compare their results, verify the consistency of its use in selected cases of Hospital de Santa Maria and summarize a therapeutic approach to this disease, as well as summarize emerging therapeutic strategies due to the current concepts of brain plasticity
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2015
Palavras-chave
Ambliopia Acuidade visual Estereoacuidade Oclusão Atropina Aprendizagem