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<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal"><span style="font-size:14.0pt">Glaucoma</span></b></p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal"><i style="mso-bidi-font-style:normal">O Glaucoma &eacute; a maior causa de cegueira irrevers&iacute;vel do mundo. A doen&ccedil;a &eacute; silenciosa e diagnosticada, na maioria das vezes, somente atrav&eacute;s de exame oftalmol&oacute;gico.</i></b></p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing">O Glaucoma &eacute; a obstru&ccedil;&atilde;o no sistema de drenagem dentro do olho, com consequente eleva&ccedil;&atilde;o da press&atilde;o intraocular nociva ao nervo &oacute;ptico. Com tratamento e acompanhamento adequado, a doen&ccedil;a pode ser controlada, garantindo a integridade da vis&atilde;o. A visita peri&oacute;dica ao oftalmologista garante o controle da doen&ccedil;a que &eacute; silenciosa, sem apresentar sintomas, na maioria dos casos.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Como diagnosticar?</b></p>
<p style="text-align:justify" class="MsoNoSpacing">O Glaucoma &eacute; diagnosticado por meio de exames que s&atilde;o solicitados pelo oftalmologista, tais como exame de Retinografia, Paquimetria, Gonioscopia e de Campo Visual.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Perda da vis&atilde;o</b></p>
<p style="text-align:justify" class="MsoNoSpacing">A perda visual em decorr&ecirc;ncia do Glaucoma &eacute; lenta e progressiva. Ocorre na periferia do campo de vis&atilde;o e, por isso, n&atilde;o &eacute; notada pelo paciente. Quando ele come&ccedil;a a perceber perturba&ccedil;&atilde;o visual &eacute; porque a perda de campo aproxima-se do centro e, quando isso ocorre, o nervo &oacute;ptico j&aacute; foi danificado de maneira irrevers&iacute;vel. Nesta fase, os sintomas s&atilde;o:</p>
<p style="text-align:justify" class="MsoNoSpacing">- Limita&ccedil;&atilde;o da &aacute;rea de vis&atilde;o: o paciente esbarra nos objetos, nas pessoas.</p>
<p style="text-align:justify" class="MsoNoSpacing">- Piora da vis&atilde;o em ambientes pouco iluminados.</p>
<p style="text-align:justify" class="MsoNoSpacing">- Nas fases finais, ocorre comprometimento tamb&eacute;m da vis&atilde;o central (vis&atilde;o de detalhes). O paciente mant&eacute;m apenas uma ilha de vis&atilde;o lateral de m&aacute; qualidade por algum tempo, antes da cegueira.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Tem cura?</b></p>
<p style="text-align:justify" class="MsoNoSpacing">O Glaucoma n&atilde;o tem cura, mas tem controle. Por isso &eacute; t&atilde;o importante que o paciente cumpra o tratamento &agrave; risca.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Fatores de Risco</b></p>
<p style="text-align:justify" class="MsoNoSpacing"><i style="mso-bidi-font-style:
normal">Hipertens&atilde;o ocular</i>: o aumento da press&atilde;o do olho (intraocular) &eacute; o principal fator de risco para o desenvolvimento do Glaucoma. Quanto mais alta, maior a chance de les&atilde;o do nervo &oacute;ptico.</p>
<p style="text-align:justify" class="MsoNoSpacing"><i style="mso-bidi-font-style:
normal">Idade</i>: o Glaucoma &eacute; uma doen&ccedil;a conectada ao processo de envelhecimento, sendo, portanto, mais comum a partir dos 40 anos.</p>
<p style="text-align:justify" class="MsoNoSpacing"><i style="mso-bidi-font-style:
normal">Ra&ccedil;a</i>: o Glaucoma &eacute; quatro vezes mais frequente nos indiv&iacute;duos de ra&ccedil;a negra.</p>
<p style="text-align:justify" class="MsoNoSpacing"><i style="mso-bidi-font-style:
normal">Hist&oacute;rico familiar</i>: a doen&ccedil;a tende a ser 10 vezes mais frequente nos parentes de primeiro grau do portador da doen&ccedil;a (pais, irm&atilde;os, filhos).</p>
<p style="text-align:justify" class="MsoNoSpacing">Outras condi&ccedil;&otilde;es que favorecem o surgimento do Glaucoma incluem <i style="mso-bidi-font-style:normal">diabetes</i>, <i style="mso-bidi-font-style:normal">doen&ccedil;as cardiovasculares</i>, <i style="mso-bidi-font-style:normal">enxaqueca</i>, <i style="mso-bidi-font-style:
normal">alta miopia</i> e <i style="mso-bidi-font-style:normal">cirurgias intraoculares</i>.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Tratamentos</b></p>
<p style="text-align:justify" class="MsoNoSpacing">Como n&atilde;o h&aacute; sintomas, a suspeita de Glaucoma somente ocorrer&aacute; ap&oacute;s um exame oftalmol&oacute;gico de rotina. A doen&ccedil;a pode ser tratada com o uso de col&iacute;rios, aplica&ccedil;&atilde;o de laser e cirurgia.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Tratamento com col&iacute;rios</b></p>
<p style="text-align:justify" class="MsoNoSpacing">O tratamento inicial do Glaucoma se d&aacute; pela aplica&ccedil;&atilde;o de col&iacute;rios. &Eacute; importante ter em mente que o objetivo do tratamento &eacute; impedir o avan&ccedil;o da doen&ccedil;a. Somente o acompanhamento com exames peri&oacute;dicos trar&aacute; a certeza de que a press&atilde;o segura foi conseguida e a doen&ccedil;a est&aacute; sob controle.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Tratamento com laser</b></p>
<p style="text-align:justify" class="MsoNoSpacing">Se o controle adequado n&atilde;o for obtido com col&iacute;rios, pode ser indicado o tratamento com laser, que atua como complemento e n&atilde;o um substituto do tratamento com uso de col&iacute;rios.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing"><b style="mso-bidi-font-weight:
normal">Tratamento cir&uacute;rgico</b></p>
<p style="text-align:justify" class="MsoNoSpacing">Finalmente, se a doen&ccedil;a continua avan&ccedil;ando mesmo com a aplica&ccedil;&atilde;o de col&iacute;rios e laser, a indica&ccedil;&atilde;o &eacute; de cirurgia. A mais indicada &eacute; a Trabeculectomia.</p>
<p style="text-align:justify" class="MsoNoSpacing">&nbsp;</p>
<p style="text-align:justify" class="MsoNoSpacing">Estes s&atilde;o os procedimentos que a Aracruz Ocular realiza no tratamento de Glaucoma:</p>
<p style="text-align:justify" class="MsoNoSpacing">Cirurgia (Trabeculectomia)</p>
<p style="text-align:justify" class="MsoNoSpacing">Exame de campo visual</p>
<p style="text-align:justify" class="MsoNoSpacing">Curva tensional di&aacute;ria</p>
<p style="text-align:justify" class="MsoNoSpacing">Gonioscopia</p>
<p style="text-align:justify" class="MsoNoSpacing">Paquimetria</p>
<p style="text-align:justify" class="MsoNoSpacing">Retinografia</p>