Youtor
Tratamento do edema macular
>> YOUR LINK HERE: ___ http://youtube.com/watch?v=SGS7eC0wOJI
Macular edema is a condition that affects the central area of the retina, called the macula, which is responsible for the sharp, detailed vision we use to read, recognize faces and perform activities that require visual precision. This eye health problem can be frightening, but with the right treatment, it is possible to control its symptoms and improve quality of life. In this article, we'll explore in detail what macular edema is, its causes and, above all, the treatment options available. • #### What is Macular Edema? • The macula is the most important part of the retina, located in the central region of the back of the eye. When the macula swells due to the accumulation of fluid, we have what is called macular edema. This swelling interferes with central vision, causing visual distortions such as blurred or wavy vision, and can eventually lead to loss of central vision if not treated effectively. • #### Main Causes of Macular Edema • There are several conditions that can lead to the development of macular edema, the most common of which are: • *Diabetic Retinopathy:* This is the most frequent cause of macular edema. In this condition, the blood vessels in the retina are damaged due to diabetes, resulting in fluid leaking into the macula. • • Retinal vein occlusion: When there is a blockage in the central vein or venous branches of the retina, the blood cannot circulate properly, leading to a build-up of fluid in the macula. • • Exudative Macular Degeneration:** Although less common, this form of macular degeneration can cause fluid to accumulate in the macula, resulting in edema. • #### Available Treatments • The treatment of macular edema has evolved significantly in recent decades. Today, the most effective options include: • ##### 1. *Intravitreal Antiangiogenic Injections* • Intravitreal antiangiogenic injections have revolutionized the treatment of macular edema. These medications are administered directly into the eye, into the vitreous cavity, via an injection into the white part of the eye. Anti-angiogenics block vascular endothelial growth factor (VEGF), which is responsible for the abnormal growth of blood vessels and the leakage of fluid into the macula. • Treatment regimen:** Generally, treatment begins with one injection a month for three consecutive months. As the patient responds to treatment, the interval between injections can be gradually increased. In some cases, patients are even able to stop treatment, although the condition requires continuous monitoring. • ##### 2. *Corticoid injections* • Another treatment option is the use of corticosteroids, such as triamcinolone. These medications help to reduce inflammation and the leakage of fluid into the macula. However, their use is less common than antiangiogenic drugs due to side effects such as increased intraocular pressure. • There are depot corticosteroids, such as the dexamethasone implant, which gradually releases the medication into the eye over several months, offering a long-term solution for patients with chronic macular edema. • ##### 3. **Laser treatment • Laser treatment is still used in some specific cases of macular edema. The focal laser can be applied to specific areas of leakage, especially in patients with microaneurysms in the retina. The micropulse laser is a more recent technique, with lower power, which can be applied even in the center of the macula, offering benefits for some patients. • #### Conclusion • Macular edema is a serious condition, but with modern treatment approaches, many patients are able to maintain or recover their vision. It is crucial that treatment is started as early as possible to maximize results. If you have been diagnosed with macular edema, talk to your doctor in detail about the treatment options available and strictly follow the prescribed treatment plan. Remember, successful treatment depends not only on medical interventions, but also on your commitment to continuous monitoring and control of underlying conditions, such as diabetes. • • This video and its comments are not a substitute for a medical consultation and are for educational purposes only. They should not be used for decision-making purposes, which requires a face-to-face consultation with a specialist doctor. • Author: • Dr. Mário César Bulla • Cremers 28120 • Ophthalmologist - Retinologist • www.clinicabulla.com.br • www.especialistaemretina.com.br • Instagram: @retina.bulla • Video URL: • Tratamento do edema macular. • @Retina e Vítreo • #retina • #ophthalmology • 0:00 How is macular edema treated? • 0:55 What is macula and macula edema? • 1:40 Causes of macular edema: diabetes and venous occlusion. • 2:45 Progress in the treatment of macular edema.
#############################
