{"id":2431,"date":"2018-01-31T11:41:00","date_gmt":"2018-01-31T10:41:00","guid":{"rendered":"https:\/\/www.acotv.org\/?p=2431"},"modified":"2022-03-31T23:00:29","modified_gmt":"2022-03-31T21:00:29","slug":"microestrabisme-problemes-daprenentatge-de-visio-binocular-i-desenvolupament","status":"publish","type":"post","link":"https:\/\/www.acotv.org\/ca\/microestrabisme-problemes-daprenentatge-de-visio-binocular-i-desenvolupament\/","title":{"rendered":"MICROESTRABISME, PROBLEMES D&#8217;APRENENTATGE, DE VISI\u00d3 BINOCULAR I DESENVOLUPAMENT\u00a0\u00a0"},"content":{"rendered":"\n<p class=\"has-medium-font-size wp-block-paragraph\">Us compartim un nou Cas Cl\u00ednic per gentilesa d&#8217;un dels especialistes del&nbsp;<a href=\"http:\/\/www.acotv.org\/ca\/directori\/per-centres.html\" target=\"_blank\" rel=\"noreferrer noopener\">Directori de l&#8217;ACOTV,<\/a>&nbsp;<strong>Eduardo Romo<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En el seg\u00fcent cas cl\u00ednic s&#8217;exposa el cas d&#8217;una nena de 10 anys derivada per l&#8217;oftalm\u00f2leg que presenta mal de cap i hipermetropia. Un cop feta l&#8217;anamnesi es troba que el seu rendiment escolar \u00e9s baix i t\u00e9 problemes d&#8217;actitud a casa i a l&#8217;aula. Es tracta d&#8217;una nena que evita les tasques de prop, li costa mantenir l&#8217;atenci\u00f3, t\u00e9 una pobra comprensi\u00f3 lectora, comet errors en copiar, recorda millor oralment que per escrit,&nbsp;a l&#8217;hora&nbsp;de realitzar els deures necessita molta estona per acabar-los.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"425\" src=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Imatge2-7.jpg\" alt=\"\" class=\"wp-image-2432\" srcset=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Imatge2-7.jpg 640w, https:\/\/www.acotv.org\/wp-content\/uploads\/Imatge2-7-300x199.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Despr\u00e9s de realitzar un examen complet d&#8217;efic\u00e0cia visual adequat per a estrabismes, es troba una&nbsp;microtropia&nbsp;amb component vertical i horitzontal, una supressi\u00f3 central de l&#8217;ull esquerre, problemes d&#8217;acomodaci\u00f3 i de motilitat. Es descobreix que la part cognitiva no est\u00e0 correctament. Es recepta unes ulleres de prismes bessons perqu\u00e8&nbsp;se&nbsp;centri millor en l&#8217;espai i millori la seva binocularitat, i en una segona visita es realitzen proves perceptives amb resultats per sota de la seva edat, pel que fa&nbsp;als reflexos&nbsp;primitius es troba que molts d&#8217;aquests no estan integrats i aix\u00f2 ha influ\u00eft en el seu desenvolupament.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Al cap de 44 sessions de ter\u00e0pia visual basada&nbsp;a&nbsp;aixecar la supressi\u00f3, solucionar l&#8217;estrabisme, on tamb\u00e9 s&#8217;han treballat aspectes&nbsp;motrius, de desenvolupament i&nbsp;els reflexos&nbsp;primitius; la nena ha millorat molt pel que fa al seu rendiment escolar, la seva actitud i&nbsp;la mateixa autoestima.&nbsp;La mateixa nena&nbsp;reconeix que ha fet un canvi a millor i se la veu m\u00e9s feli\u00e7.&nbsp;Aix\u00ed i tot, es recomana seguir realitzant les sessions durant cinc mesos m\u00e9s.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Imatge3-5.jpg\" alt=\"\" class=\"wp-image-2435\" srcset=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Imatge3-5.jpg 640w, https:\/\/www.acotv.org\/wp-content\/uploads\/Imatge3-5-300x200.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Un cas com aquest ens recorda que no nom\u00e9s una graduaci\u00f3 pot ser el problema visual a solucionar, aqu\u00ed hem vist com un nad\u00f3 que no realitza tot el seu desenvolupament en quant&nbsp;als reflexos&nbsp;primitius, entre altres aspectes pot influir en la seva etapa d&#8217;aprenentatge. Per tant \u00e9s una part de l&#8217;examen que haur\u00edem de tenir en compte quan se&#8217;ns presenta un cas de dificultat en el rendiment escolar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Llegir el Cas Complet:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-059c6f00-91d3-4eaa-a49d-5f244b13e617\" href=\"https:\/\/www.acotv.org\/wp-content\/uploads\/0Caso-Clnico-Especialista-Eduardo-Romo.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Caso-Cl\u00ednico-Eduardo-Romo<\/a><a href=\"https:\/\/www.acotv.org\/wp-content\/uploads\/0Caso-Clnico-Especialista-Eduardo-Romo.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-059c6f00-91d3-4eaa-a49d-5f244b13e617\">Descarga<\/a><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Presentaci\u00f3 elaborada per<strong>\u00a0Rocio Villena Requena<\/strong><br>Diplomada en \u00d2ptica i Optometria<br>M\u00e0ster en Optometria i Ci\u00e8ncies de la Visi\u00f3<br>Membre de l&#8217;ACOTV<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Us compartim un nou Cas Cl\u00ednic per gentilesa d&#8217;un dels especialistes del&nbsp;Directori de l&#8217;ACOTV,&nbsp;Eduardo Romo En el seg\u00fcent cas cl\u00ednic [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2441,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_front_end_style_editor":"no","ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[24],"tags":[84,83,66,85],"class_list":["post-2431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bloc","tag-estrabismes","tag-microestrabisme","tag-optometria-ca","tag-terapiavisual-2","entry","has-media"],"yoast_head":"<!-- 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