Neste artigo, nós vamos te explicar como funciona as duas principais cirurgias para tratar o ceratocone (Implante de Anel de Ferrara e Crosslinking), e te orientar sobre qual das duas é a melhor para o seu caso. Acompanhe!
O ceratocone é uma doença ocular que não tem cura e que deixa a córnea do olho curvada para a frente, ficando semelhante a um cone. Nos estágios iniciais da doença, é possível evitar a sua evolução com o uso de óculos ou lentes de contato.
No entanto, caso a doença progrida e atinja um estado mais avançado, a cirurgia passa a ser a opção mais recomendada como forma de tratamento.
Como funciona o Implante de Anel de Ferrara?
O Implante de Anel de Ferrara, também chamado de Implante de Anéis Intraestromais, é um método no qual o médico implanta um anel em acrílico na córnea do paciente, de modo a frear a sua curvatura. Essa é uma das formas de retardar ou mesmo estabilizar o ceratocone.
Esse anel é transparente, fino e não causa qualquer rejeição no olho. Todo o procedimento é realizado de forma simples, segura e indolor (com anestesia local). O paciente não sente qualquer dor ou desconforto durante o implante.
Como funciona o Crosslinking?
Já o Crosslinking da córnea é um método um pouco mais simples e menos invasivo que o Anel de Ferrara, e também pode ser altamente eficaz na estabilização do ceratocone.
O procedimento é feito da seguinte forma: o médico irá aplicar no olho algumas gotas de colírio de riboflavina (Vitamina B2), seguido da aplicação de luz ultravioleta A por cerca de 5 a 10 minutos.
O uso de riboflavina não altera em nada a transparência do cristalino e da córnea, e a luz que será aplicada nos olhos é totalmente segura e controlada. Além disso, assim como ocorre no Anel de Ferrara, o paciente também estará anestesiado durante todo o procedimento.
Ao final da operação do Crosslinking, o médico colocará uma lente terapêutica para ajudar a cicatrização do epitélio do olho. O paciente permanecerá com a lente por cerca de 7 dias e, então, poderá retirá-la.
O objetivo do Crosslinking é fortalecer as fibras do colágeno da córnea, a fim de endurecê-la e impedir que ela “entorte” para a frente. Desse modo, é possível retardar o avanço do ceratocone.
Anel de Ferrara x Crosslinking: qual escolher?
É importante ressaltar que, embora o Crosslinking seja menos invasivo, tanto ele quanto o Implante de Anel de Ferrara podem ser altamente eficazes para estabilizar o ceratocone.
A escolha de uma delas vai depender da análise clínica do paciente feita pelo médico, e da análise do estágio em que se encontra o ceratocone. Dependendo do caso, as duas cirurgias, inclusive, podem atuar de forma complementar.
Confira o quadro comparativo a seguir para entender melhor cada uma das cirurgias:
A indicação entre o Anel de Ferrara e o Crosslinking vai depender da indicação médica, com base em análise clínica e do estágio do ceratocone
Em outros casos mais avançados do ceratocone, o tratamento também poderá ser o transplante de córnea. Embora ele seja cada vez menos comum para pacientes com ceratocone, o procedimento é seguro e tem apresentado altas taxas de sucesso.
A cirurgia de ceratocone é segura?
Sim. Todas as opções cirúrgicas que listamos nesse artigo são seguras, rápidas, eficazes, e feita com anestesia local. O mais importante é entender que, o quanto antes você consultar o oftalmologista, mais simples poderá ser o tratamento, uma vez que o ceratocone pode avançar com o tempo, podendo dificultar a eficácia da cirurgia.
Mas se você ainda estiver inseguro em fazer a cirurgia, uma dica para se sentir mais confiante é se informar antes com o médico sobre como funciona a cirurgia, e conhecer bem o cirurgião e a clínica que você irá realizar o procedimento. Agende uma consulta agora e tire todas as suas dúvidas!
184 comentários em “Anel de Ferrara x Crosslinking: tratamentos para o ceratocone”
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