{"id":2931,"date":"2017-03-30T09:31:00","date_gmt":"2017-03-30T07:31:00","guid":{"rendered":"https:\/\/www.acotv.org\/?p=2931"},"modified":"2022-03-31T16:25:13","modified_gmt":"2022-03-31T14:25:13","slug":"ambliopia-binocular-anisometropica-no-estrabica","status":"publish","type":"post","link":"https:\/\/www.acotv.org\/ca\/ambliopia-binocular-anisometropica-no-estrabica\/","title":{"rendered":"AMBLIOPIA BINOCULAR ANISOMETR\u00d2PICA NO ESTR\u00c0BICA"},"content":{"rendered":"\n<p class=\"has-medium-font-size wp-block-paragraph\">Publicar els&nbsp;<strong>Casos Cl\u00ednics reals<\/strong>&nbsp;que es treballen a les consultes dels professionals especialitzats en&nbsp;<strong>Ter\u00e0pia Visual<\/strong>&nbsp;creiem que \u00e9s una bona manera d&#8217;apropar la qualitat i garantia de la tasca que desenvolupen els professionals que treballen dia a dia en aquesta especialitat<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per aix\u00f2, amb el perm\u00eds dels optometristes que formem part del&nbsp;<a href=\"http:\/\/www.acotv.org\/ca\/directori\/per-especialistes.html\">Directori de l&#8217;ACOTV<\/a>&nbsp;volem&nbsp;incloure als continguts ja coneguts d&#8217;aquest Blog (estudis, articles de divulgaci\u00f3 elaborats pels nostres socis optometristes, treballs fi de Grau o M\u00e0ster&nbsp;dels estudiants d&#8217;\u00d2ptica i Optometria&#8230;) un nou tipus de publicaci\u00f3 que pot ser diferent, i perqu\u00e8 no molt interessant, els&nbsp;<strong>Casos Cl\u00ednics,<\/strong>&nbsp;un testimoni dels grans avan\u00e7os que es poden aconseguir amb un bon tractament de Ter\u00e0pia Visual de la m\u00e0 sempre de professionals acreditats en formaci\u00f3 i experi\u00e8ncia que garanteixin la pr\u00e0ctica cl\u00ednica d&#8217;una Ter\u00e0pia Visual de qualitat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Us deixem el primer dels casos per gentilesa de la companya de l&#8217;associaci\u00f3&nbsp;<a href=\"http:\/\/www.nuriarisco.com\/\">N\u00faria Risco Subir\u00e0<\/a>&nbsp;que esperem us sigui d&#8217;utilitat!<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>INTRODUCCI\u00d3<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aquest cas demostra com la ter\u00e0pia visual no nom\u00e9s pot millorar el sistema visual sin\u00f3 tamb\u00e9 el rendiment escolar del nen i augmentar la seva autoestima aconseguint que el nen sigui m\u00e9s feli\u00e7.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>HIST\u00d2RIA DEL CAS<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nena de 8 anys, referida per la seva mestra; que veu malament a classe, s\u2019acosta molt al paper, dificultats en copiar de la pissarra, ganyotes amb els ulls, li costa llegir, rendiment escolar per sota de la norma, prem molt el llapis, comprensi\u00f3 baixa i es distreu molt. Diagnosticada de \u201cull gandul\u201d i no gateig.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>EXAMEN OPTOM\u00c8TRIC<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">UD: +2.00 AV: 0,7 +2 \/\/ UE: +5,00-1,50 a 180\u00ba AV:0,4 amb dificultat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Endof\u00f2rica lluny\/a prop.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Supressi\u00f3 en llunyUEi de vegades a prop.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Moviments oculars de seguiment i sac\u00e0dics per sota de la norma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Difer\u00e8ncies acomodatives entre el UD i el UE sent pitjors la del UE.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baixa estereopsis perif\u00e8rica.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fixaci\u00f3 central lleugerament inestable UD i lleugerament exc\u00e8ntrica en UE.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Problemes d\u2019equilibri.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Problemes en el seu neurodesenvolupament.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Proves de lectura molt per sota de la norma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Camps visuals molt estrets en els dos ulls.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>DIAGN\u00d2STIC<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ambliopia binocular anisometr\u00f2pica, m\u00e9s severa en el UE i problemes d\u2019aprenentatge conseq\u00fc\u00e8ncia de la seva &nbsp;ambliopia a m\u00e9s de problemes en el neurodesenvolupament.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>PRON\u00d2STIC<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bon pron\u00f2stic en la recuperaci\u00f3 de l\u2019agudesa visual i en la binocularitat que comporta una millora en les habilitats a nivell escolar i en la seva vida en general.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>TRACTAMENT<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Canvi de refracci\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tractament synt\u00f2nic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TMR passiva.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ter\u00e0pia Visual.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>FINALITZACI\u00d3 DEL CAS<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">UD: +1,75 AV: 1,2 \/\/ UE +3,25-1,25 a 180\u00ba AV: 1,2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Endof\u00f2rica lluny\/a prop.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No hi ha supressi\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Moviments oculars de seguiment i sac\u00e0dics puntuaci\u00f3 4 amb equilibri entre els dos ulls.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Acomodaci\u00f3 normal en ambd\u00f3s ulls.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Estere\u00f2psi 20\u201d arc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reflexos pr\u00e0cticament integrats.<\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#008ad0\"><strong>CONCLUSI\u00d3<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u2019han complert els objectius de la ter\u00e0pia marcats per la nena, mare, professora i optometrista.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Podeu consultar tot el detall del Cas en aquest document: <\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Nria-Risco-Caso_AMBLIOPIA-BINOCULAR-ANISOMETRPICA-NO-ESTRBICA.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Incrustaci\u00f3 del fitxer Incrustado de Nria-Risco-Caso_AMBLIOPIA-BINOCULAR-ANISOMETRPICA-NO-ESTRBICA..\"><\/object><a id=\"wp-block-file--media-d146230f-eb75-4fa0-9cba-2fe41330f52c\" href=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Nria-Risco-Caso_AMBLIOPIA-BINOCULAR-ANISOMETRPICA-NO-ESTRBICA.pdf\">Nria-Risco-Caso_AMBLIOPIA-BINOCULAR-ANISOMETRPICA-NO-ESTRBICA<\/a><a href=\"https:\/\/www.acotv.org\/wp-content\/uploads\/Nria-Risco-Caso_AMBLIOPIA-BINOCULAR-ANISOMETRPICA-NO-ESTRBICA.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-d146230f-eb75-4fa0-9cba-2fe41330f52c\">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>&nbsp;Rocio Villena Requena<\/strong><br>Diplomada en \u00d2ptica i Optometria<br>M\u00e0ster en Optometria i &nbsp;Ci\u00e8ncies de la Visi\u00f3<br>Membre de l&#8217;ACOTV<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Publicar els&nbsp;Casos Cl\u00ednics reals&nbsp;que es treballen a les consultes dels professionals especialitzats en&nbsp;Ter\u00e0pia Visual&nbsp;creiem que \u00e9s una bona manera d&#8217;apropar [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2932,"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":[24,9],"tags":[66,60,61,67],"class_list":["post-2931","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bloc","category-blog","tag-optometria-ca","tag-optometria","tag-terapiavisual","tag-terapiavisual-ca","entry","has-media"],"yoast_head":"<!-- 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