{"id":215590,"date":"2023-01-25T16:47:14","date_gmt":"2023-01-25T14:47:14","guid":{"rendered":"https:\/\/laserlens.gr\/keratokonus\/"},"modified":"2023-03-10T12:58:43","modified_gmt":"2023-03-10T10:58:43","slug":"keratokonus","status":"publish","type":"page","link":"https:\/\/laserlens.gr\/sq\/keratokonus\/","title":{"rendered":"Keratokonus"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;About&#8221; _builder_version=&#8221;4.4.9&#8243; background_color_gradient_direction=&#8221;90deg&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;bottom_center&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;3px||3px|||&#8221; locked=&#8221;off&#8221;][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.4.9&#8243; custom_padding=&#8221;5px||4px|||&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.4.9&#8243;][et_pb_image src=&#8221;https:\/\/laserlens.gr\/wp-content\/uploads\/2023\/01\/vision-1.png&#8221; alt=&#8221;vision 1&#8243; title_text=&#8221;vision (1)&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.4.9&#8243; width=&#8221;35%&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.4.9&#8243;][et_pb_text _builder_version=&#8221;4.4.9&#8243; header_font=&#8221;Open Sans||||||||&#8221; header_text_color=&#8221;#216477&#8243; header_font_size=&#8221;32px&#8221; custom_margin=&#8221;0.5vw||||false|false&#8221; header_text_align_tablet=&#8221;center&#8221; header_text_align_phone=&#8221;center&#8221; header_text_align_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;30px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h1>Keratokonus<\/h1>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#216477&#8243; divider_weight=&#8221;1px&#8221; _builder_version=&#8221;4.4.9&#8243; width=&#8221;24%&#8221; custom_margin=&#8221;-1.5vw||||false|false&#8221; module_alignment_tablet=&#8221;center&#8221; module_alignment_phone=&#8221;center&#8221; module_alignment_last_edited=&#8221;on|phone&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.5.7&#8243;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.5.7&#8243;][et_pb_image src=&#8221;https:\/\/laserlens.gr\/wp-content\/uploads\/2023\/01\/ofthalmologiki-monada-ioannina-laserlens-keratokonos.jpg&#8221; alt=&#8221;ofthalmologiki monada ioannina laserlens keratokonos&#8221; title_text=&#8221;ofthalmologiki-monada-ioannina-laserlens-keratokonos&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.4.9&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.5.7&#8243;][et_pb_text _builder_version=&#8221;4.4.9&#8243; text_font=&#8221;Open Sans||||||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.8em&#8221; max_width=&#8221;700px&#8221; module_alignment=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;14px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221;]<\/p>\n<p style=\"text-align: justify;\">Kornea \u00ebsht\u00eb pjesa e p\u00ebrparme transparente e syrit. Si ind transparent q\u00eb \u00ebsht\u00eb ne mund t\u00eb shohim qart\u00eb p\u00ebrmes tij. Ka fuqin\u00eb m\u00eb t\u00eb madhe refraktive nga t\u00eb gjitha mediat e syrit. \u00cbsht\u00eb nj\u00eb s\u00ebmundje graduale, ngadal\u00eb progresive, mund t\u00eb p\u00ebrkeq\u00ebsohet me kalimin e disa viteve dhe ndalon rreth 40 vjet t\u00eb jet\u00ebs dhe shfaqet n\u00eb rreth 1 n\u00eb 2000 njer\u00ebz. Karakterizohet nga nj\u00eb hollim gradual i kornes\u00eb, si rezultat i s\u00eb cil\u00ebs deformohet p\u00ebrpara dhe merr form\u00ebn e nj\u00eb koni.<\/p>\n<p style=\"text-align: justify;\">Si pasoj\u00eb e k\u00ebtij deformimi, kryesisht zhvillohet astigmatizmi dhe zhvillohet miopia dhe shikimi reduktohet shum\u00eb. Kjo gjendje zakonisht fillon gjat\u00eb adoleshenc\u00ebs ose menj\u00ebher\u00eb pas saj dhe ka nj\u00eb kurs evolucionar q\u00eb ndryshon midis dy syve dhe nga pacienti n\u00eb pacient. Trajtimi fillestar \u00ebsht\u00eb me syze q\u00eb korrigjojn\u00eb astigmatizmin dhe miopin\u00eb ose thjerr\u00ebzat e forta t\u00eb kontaktit.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Info&#8221; _builder_version=&#8221;4.4.9&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#ffffff&#8221; background_color_gradient_end=&#8221;rgba(255,255,255,0.58)&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_image=&#8221;https:\/\/laserlens.gr\/wp-content\/uploads\/2023\/01\/family-doctor-035.png&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;bottom_center&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;3px|||||&#8221; locked=&#8221;off&#8221;][et_pb_row _builder_version=&#8221;4.4.9&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.5.7&#8243;][et_pb_accordion open_toggle_text_color=&#8221;#ffffff&#8221; open_toggle_background_color=&#8221;#216477&#8243; closed_toggle_text_color=&#8221;#216477&#8243; icon_color=&#8221;#216477&#8243; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;20px&#8221; _builder_version=&#8221;4.4.9&#8243; toggle_text_color=&#8221;#216477&#8243; toggle_level=&#8221;h3&#8243; toggle_font=&#8221;Open Sans|600|||||||&#8221; toggle_font_size=&#8221;16px&#8221; toggle_line_height=&#8221;1.8em&#8221; closed_toggle_font=&#8221;Open Sans|600|||||||&#8221; body_font=&#8221;Open Sans||||||||&#8221; body_text_color=&#8221;#ffffff&#8221; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;1.8em&#8221; custom_padding=&#8221;5px||||false|false&#8221; hover_enabled=&#8221;0&#8243; toggle_font_size_tablet=&#8221;16px&#8221; toggle_font_size_phone=&#8221;12px&#8221; toggle_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;14px&#8221; body_font_size_phone=&#8221;&#8221; body_font_size_last_edited=&#8221;on|tablet&#8221; border_radii=&#8221;on|12px|12px|12px|12px&#8221; border_width_all=&#8221;5px&#8221; border_color_all=&#8221;rgba(0,0,0,0)&#8221; border_width_all_tablet=&#8221;&#8221; border_width_all_phone=&#8221;0px&#8221; border_width_all_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221;][et_pb_accordion_item title=&#8221;Shkak&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.4.9&#8243; hover_enabled=&#8221;0&#8243; toggle_level=&#8221;h3&#8243; toggle_font=&#8221;Open Sans|600|||||||&#8221;]<\/p>\n<p style=\"text-align: justify;\">Shkaqet e keratokonusit nuk dihen. N\u00eb p\u00ebrgjith\u00ebsi konsiderohet nj\u00eb s\u00ebmundje e trash\u00ebguar dhe p\u00ebr shfaqjen e saj faj\u00ebsohen shum\u00eb faktor\u00eb, alergjit\u00eb nga f\u00ebrkimi i syve dhe kryesisht anomalit\u00eb e doz\u00ebs s\u00eb pjes\u00ebve t\u00eb ndryshme t\u00eb kornes\u00eb.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Simptomat dhe Ve\u00e7orit\u00eb&#8221; _builder_version=&#8221;4.4.9&#8243; hover_enabled=&#8221;0&#8243; open=&#8221;off&#8221;]<\/p>\n<ul>\n<li style=\"text-align: justify;\">N\u00eb fazat e hershme t\u00eb s\u00ebmundjes, ajo shkakton pak turbullim t\u00eb shikimit<\/li>\n<li style=\"text-align: justify;\">Ndjeshm\u00ebria ndaj drit\u00ebs s\u00eb ndritshme<\/li>\n<li style=\"text-align: justify;\">V\u00ebshtir\u00ebsi ngarje gjat\u00eb nat\u00ebs<\/li>\n<li style=\"text-align: justify;\">Anomalit\u00eb, astigmatizmi q\u00eb nuk korrigjohet me syze<\/li>\n<li style=\"text-align: justify;\">Diplopi Monokulare<\/li>\n<li style=\"text-align: justify;\">Dhimbje n\u00eb sy<\/li>\n<li style=\"text-align: justify;\">Irritim i syve, f\u00ebrkim i syve<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Diagnoza&#8221; _builder_version=&#8221;4.4.9&#8243; hover_enabled=&#8221;0&#8243; open=&#8221;off&#8221;]<\/p>\n<p style=\"text-align: justify;\">Diagnoza dhe testet diagnostike<\/p>\n<p style=\"text-align: justify;\">Diagnoza zakonisht vendoset n\u00ebp\u00ebrmjet nj\u00eb ekzaminimi okulistik t\u00eb kryer nga nj\u00eb okulist specialist. Simptomat klinike shpesh jan\u00eb t\u00eb mjaftueshme p\u00ebr t\u00eb dyshuar p\u00ebr ekzistenc\u00ebn e keratokonusit:<\/p>\n<p style=\"text-align: justify;\">\u2022 Shadowscopy: tregon anomalit\u00eb e reflektimit me g\u00ebrsh\u00ebr\u00eb.<\/p>\n<p style=\"text-align: justify;\">\u2022 Oftalmoskopia direkte: tregon nj\u00eb refleks, (Redreflex).<\/p>\n<p style=\"text-align: justify;\">\u2022 Keratometria e lart\u00eb: (Ks e leht\u00eb &lt;\u200b\u200b48 D, e moderuar 48-54 D, keratokonus i r\u00ebnd\u00eb, &gt;54 D)<\/p>\n<p style=\"text-align: justify;\">Diagnoza, megjithat\u00eb, verifikohet leht\u00ebsisht sot duke analizuar lakimin e sip\u00ebrfaqes s\u00eb p\u00ebrparme t\u00eb kornes\u00eb me topografi t\u00eb kompjuterizuar q\u00eb demonstron anomalin\u00eb n\u00eb sip\u00ebrfaqen e syrit. Sistemet m\u00eb t\u00eb reja topografike mund t\u00eb kontrollojn\u00eb nj\u00ebkoh\u00ebsisht lakimin e sip\u00ebrfaqes s\u00eb pasme t\u00eb kornes\u00eb, anomalit\u00eb e s\u00eb cil\u00ebs duket se i paraprijn\u00eb sip\u00ebrfaqes s\u00eb p\u00ebrparme. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, me t\u00eb nj\u00ebjtin ekzaminim, mund t\u00eb kontrollojm\u00eb me sakt\u00ebsi t\u00eb madhe trash\u00ebsin\u00eb e kornes\u00eb n\u00eb \u00e7do pik\u00eb. Trash\u00ebsia e kornes\u00eb \u00ebsht\u00eb nj\u00eb sasi thelb\u00ebsore p\u00ebr nd\u00ebrhyrjen ton\u00eb terapeutike.<\/p>\n<p style=\"text-align: justify;\">P\u00ebrs\u00ebritja e ekzaminimit n\u00eb intervale t\u00eb rregullta \u00ebsht\u00eb e nevojshme p\u00ebr t\u00eb kontrolluar n\u00eb m\u00ebnyr\u00eb objektive stabilitetin ose p\u00ebrkeq\u00ebsimin e gjendjes. Ky test zakonisht duhet t\u00eb p\u00ebrs\u00ebritet \u00e7do 4-12 muaj n\u00eb var\u00ebsi t\u00eb mosh\u00ebs s\u00eb pacientit.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Trajtimi&#8221; _builder_version=&#8221;4.4.9&#8243; hover_enabled=&#8221;0&#8243; open=&#8221;off&#8221;]<\/p>\n<p style=\"text-align: justify;\">Trajtimi i keratokonusit. N\u00eb fazat e tij fillestare, keratokoni \u00ebsht\u00eb n\u00eb thelb astigmatiz\u00ebm i leht\u00eb, ai mund t\u00eb trajtohet n\u00eb m\u00ebnyra t\u00eb ngjashme, si p.sh.<\/p>\n<p style=\"text-align: justify;\">Lentet e kontaktit (RGP ose GP) ose syzet mund t\u00eb p\u00ebrdoren p\u00ebr t\u00eb korrigjuar miopin\u00eb e leht\u00eb dhe astigmatizmin e shkaktuar nga keratokonusi n\u00eb faz\u00ebn par\u00ebsore, megjithat\u00eb n\u00eb nj\u00eb far\u00eb mase nj\u00eb lente kontakti e ngurt\u00eb e p\u00ebrshkueshme nga ajri (RGP) do t\u00eb korrigjoj\u00eb m\u00eb mir\u00eb shikimin keratokonik.<\/p>\n<p style=\"text-align: justify;\">Lentet e kontaktit t\u00eb p\u00ebrshkuesh\u00ebm nga ajri i ngurt\u00eb (RGP ose GP) mund t\u00eb korrigjojn\u00eb shikimin nd\u00ebrsa keratokoni p\u00ebrparon. Materiali i ngurt\u00eb i thjerr\u00ebz\u00ebs e lejon at\u00eb t\u00eb ushtroj\u00eb presion n\u00eb kornea, duke z\u00ebvend\u00ebsuar form\u00ebn e parregullt t\u00eb kornes\u00eb me nj\u00eb sip\u00ebrfaqe t\u00eb l\u00ebmuar, uniforme refraktive p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar shikimin.<\/p>\n<ul>\n<li style=\"text-align: justify;\">Nd\u00ebrlidhja e kornes\u00eb (CXL) ose metoda e nd\u00ebrlidhjes s\u00eb kolagjenit \u00ebsht\u00eb nj\u00eb nga metodat m\u00eb efektive p\u00ebr trajtimin e keratokonusit. Me k\u00ebt\u00eb metod\u00eb ne p\u00ebrpiqemi t\u00eb nd\u00ebrhyjm\u00eb n\u00eb kolagjenin e kornes\u00eb me p\u00ebrdorimin e vitamin\u00ebs ribiflavin B2 por edhe me p\u00ebrdorimin e duhur t\u00eb drit\u00ebs me gjat\u00ebsi vale specifike, UV-A, p\u00ebr t\u00eb prekur pronar\u00ebt elastik\u00eb t\u00eb kornes\u00eb, n\u00eb m\u00ebnyr\u00eb q\u00eb ai pushon s\u00eb qeni i lirsh\u00ebm si\u00e7 ndodh n\u00eb rastin kur vuan nga keratokoni, t\u00eb ngurt\u00ebsohet.<\/li>\n<li style=\"text-align: justify;\">Unaza intrakorneale. Trajtimi i keratokonusit me unazat intrakorneale keraring te reja eshte plotesisht i suksesshem, ne nje perqindje qe e kalon 95%, implantimi i tyre, ne kombinim me terapine crosslinking me kolagjen, ul ndjeshem perqindjen e pacienteve me keratokonus. Unazat intracorneal Kerarings jane produkt bioteknologjik dhe implantohen ne shtresa e kornes\u00eb, ato normalizojn\u00eb sip\u00ebrfaqen e p\u00ebrparme t\u00eb kornes\u00eb dhe zvog\u00eblojn\u00eb gabimin refraktiv p\u00ebr shkak t\u00eb keratokonusit dhe \u00e7rregullimeve t\u00eb tjera t\u00eb shtrirjes s\u00eb kornes\u00eb \u201cNdryshe nga implantet e tjera t\u00eb kornes\u00eb, kerarings jan\u00eb projektuar posa\u00e7\u00ebrisht p\u00ebr t\u00eb trajtuar keratosis pilaris, duke dh\u00ebn\u00eb zbutje m\u00eb t\u00eb mir\u00eb t\u00eb sip\u00ebrfaqes s\u00eb kornes\u00eb\u201d. P\u00ebr m\u00eb tep\u00ebr, q\u00ebllimi i unazave intrakorneale \u00ebsht\u00eb korrigjimi i astigmatizmit jonormal. Gabimet refraktive t\u00eb mbetura pas futjes s\u00eb Keraring zakonisht mund t\u00eb korrigjohen me syze korrigjuese ose lente kontakti.<\/li>\n<li style=\"text-align: justify;\">Kirurgjia e transplantit t\u00eb kornes\u00eb \u00ebsht\u00eb e nevojshme n\u00eb keratokonus n\u00eb nj\u00eb stad shum\u00eb t\u00eb avancuar p\u00ebr shkak t\u00eb dh\u00ebmb\u00ebve, hollimit t\u00eb gjer\u00eb ose intoleranc\u00ebs ndaj lenteve t\u00eb kontaktit. Transplantimi i kornes\u00eb \u00ebsht\u00eb opsioni yn\u00eb i fundit n\u00eb trajtimin e keratokonusit. K\u00ebto transplante kan\u00eb nj\u00eb sukses ve\u00e7an\u00ebrisht 92-95% p\u00ebr njer\u00ebzit e mosh\u00ebs 20-35 vje\u00e7.Z\u00ebvend\u00ebsimi i pjes\u00ebs qendrore t\u00eb kornes\u00eb me nj\u00eb transplant nga nj\u00eb dhurues i sh\u00ebndetsh\u00ebm quhet keratoplastik\u00eb ose transplantim i kornes\u00eb. N\u00eb var\u00ebsi t\u00eb faktit n\u00ebse transplantohet e gjith\u00eb pjesa qendrore apo vet\u00ebm shtresa e s\u00ebmur\u00eb e kornes\u00eb, operacioni quhet keratoplastik\u00eb dep\u00ebrtuese ose me trash\u00ebsi t\u00eb pjesshme.<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Karakterizohet nga nj\u00eb hollim gradual i kornes\u00eb, si rezultat i s\u00eb cil\u00ebs deformohet p\u00ebrpara dhe merr form\u00ebn e nj\u00eb koni.<\/p>\n","protected":false},"author":1,"featured_media":215845,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-215590","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/pages\/215590"}],"collection":[{"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/comments?post=215590"}],"version-history":[{"count":10,"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/pages\/215590\/revisions"}],"predecessor-version":[{"id":216803,"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/pages\/215590\/revisions\/216803"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/media\/215845"}],"wp:attachment":[{"href":"https:\/\/laserlens.gr\/sq\/wp-json\/wp\/v2\/media?parent=215590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}