{"id":16144,"date":"2018-08-22T13:58:18","date_gmt":"2018-08-22T13:58:18","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=13446"},"modified":"2020-10-02T15:51:27","modified_gmt":"2020-10-02T15:51:27","slug":"children_to_cross-link_or_not","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/children_to_cross-link_or_not\/","title":{"rendered":"Crian\u00e7as: cruzar ou n\u00e3o cruzar as liga\u00e7\u00f5es?"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">Crian\u00e7as: cruzar ou n\u00e3o cruzar as liga\u00e7\u00f5es?\u00a0<\/span><span class=\"s1\">Se uma pessoa vai desenvolver ceratocone, \u00e9 mais prov\u00e1vel que seja uma crian\u00e7a do que um adulto. E se uma crian\u00e7a tiver ceratocone, \u00e9 mais prov\u00e1vel que a doen\u00e7a progrida mais rapidamente nela do que nos adultos. Claramente, as crian\u00e7as com ceratocone t\u00eam uma necessidade ainda maior de tratamento r\u00e1pido e eficaz do que os seus hom\u00f3logos adultos. No entanto, a base de evid\u00eancias para o tratamento mais eficaz para o ceratocone, o cross-linking corneano (CXL) em crian\u00e7as, \u00e9 relativamente escassa em compara\u00e7\u00e3o com o que se sabe sobre o CXL em adultos.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Atualmente, o debate centra-se em torno de: qu\u00e3o seguro e eficaz \u00e9 o CXL em crian\u00e7as? Os procedimentos de reticula\u00e7\u00e3o menos eficazes (mas potencialmente menos dolorosos), como o epi-off ou o CXL transepitelial, s\u00e3o adequados para o tratamento do ceratocone pedi\u00e1trico? Qual \u00e9 a probabilidade de as crian\u00e7as necessitarem de novo tratamento com CXL se apresentarem uma forma agressiva da doen\u00e7a? Os oftalmologistas devem esperar pela progress\u00e3o da doen\u00e7a antes de efetuar o CXL em crian\u00e7as?<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Para tentar responder a esta quest\u00e3o, Georgios D. Panos da Universidade de Cambridge, Reino Unido, Nikolaos Kozeis e Miltiadis Balidis do Instituto Ophthalmica, Sal\u00f3nica, Gr\u00e9cia, Marilita M. Moschos da Universidade Nacional e Kapodistrian de Atenas, Gr\u00e9cia<\/span><span class=\"s2\">,<\/span><span class=\"s1\"> e o nosso Farhad Hafezi juntaram-se para analisar a literatura sobre a liga\u00e7\u00e3o cruzada de colag\u00e9nio para o ceratocone pedi\u00e1trico. <\/span><\/p>\n<figure id=\"attachment_13447\" aria-describedby=\"caption-attachment-13447\" style=\"width: 213px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2020\/10\/TOOPHTJ-11-211.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-13447 size-medium\" src=\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2020\/10\/CXL-in-children-review-2018-thumbnail-213x300-1.png\" alt=\"Imagem de pr\u00e9-visualiza\u00e7\u00e3o do artigo de revis\u00e3o da literatura The CXL for Pediatric Keratoconus na revista The Open Ophthalmology\" width=\"213\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-13447\" class=\"wp-caption-text translation-block\">Clique <a href=\"https:\/\/tvst.arvojournals.org\/article.aspx?articleid=2777913\" target=\"_self\">aqui<\/a> para ler o artigo.<\/figcaption><\/figure>","protected":false},"excerpt":{"rendered":"<p>Crian\u00e7as: fazer ou n\u00e3o fazer reticula\u00e7\u00e3o? Se uma pessoa vai desenvolver ceratocone, \u00e9 mais prov\u00e1vel que seja uma crian\u00e7a do que um adulto.<\/p>","protected":false},"author":4,"featured_media":16146,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"link","meta":{"_acf_changed":false,"footnotes":""},"categories":[214,95],"tags":[101,125,130,100,123,305,306,307,114],"class_list":["post-16144","post","type-post","status-publish","format-link","has-post-thumbnail","hentry","category-farhad-hafezi","category-scientific-article","tag-children","tag-cornea","tag-cross-linking","tag-cxl","tag-keratoconus","tag-keratokonus","tag-kinder","tag-padiatrisch","tag-pediatric","post_format-post-format-link"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Children with keratoconus: to cross-link or not to cross-link?<\/title>\n<meta name=\"description\" content=\"ELZA&#039;s medical director, Farhad Hafezi, co-reviews the pediatric (childhood) keratoconus literature on pediatric (childhood) corneal cross-linking.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.elza-institute.com\/pt\/cross_linking-bei-kindern-2018\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Children with keratoconus: to cross-link or not to cross-link?\" \/>\n<meta property=\"og:description\" content=\"ELZA&#039;s medical director, Farhad Hafezi, co-reviews the pediatric (childhood) keratoconus literature on pediatric (childhood) corneal cross-linking.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.elza-institute.com\/pt\/cross_linking-bei-kindern-2018\/\" \/>\n<meta property=\"og:site_name\" content=\"The ELZA Institute\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ELZA.Institute\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-22T13:58:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-10-02T15:51:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"479\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mark Hillen\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mark Hillen\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/\"},\"author\":{\"name\":\"Mark Hillen\",\"@id\":\"https:\/\/www.elza-institute.com\/#\/schema\/person\/e3929262886a5a60dd6965a6bc721d15\"},\"headline\":\"Children: to cross-link or not to cross-link?\",\"datePublished\":\"2018-08-22T13:58:18+00:00\",\"dateModified\":\"2020-10-02T15:51:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/\"},\"wordCount\":230,\"publisher\":{\"@id\":\"https:\/\/www.elza-institute.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg\",\"keywords\":[\"Children\",\"Cornea\",\"Cross-Linking\",\"CXL\",\"Keratoconus\",\"Keratokonus\",\"Kinder\",\"p\u00e4diatrisch\",\"Pediatric\"],\"articleSection\":[\"Farhad Hafezi\",\"Scientific article\"],\"inLanguage\":\"pt-PT\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/\",\"url\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/\",\"name\":\"Children with keratoconus: to cross-link or not to cross-link?\",\"isPartOf\":{\"@id\":\"https:\/\/www.elza-institute.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg\",\"datePublished\":\"2018-08-22T13:58:18+00:00\",\"dateModified\":\"2020-10-02T15:51:27+00:00\",\"description\":\"ELZA's medical director, Farhad Hafezi, co-reviews the pediatric (childhood) keratoconus literature on pediatric (childhood) corneal cross-linking.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#breadcrumb\"},\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage\",\"url\":\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg\",\"contentUrl\":\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg\",\"width\":800,\"height\":479},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.elza-institute.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Farhad Hafezi\",\"item\":\"https:\/\/www.elza-institute.com\/farhad-hafezi\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Children: to cross-link or not to cross-link?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.elza-institute.com\/#website\",\"url\":\"https:\/\/www.elza-institute.com\/\",\"name\":\"The ELZA Institute\",\"description\":\"Swiss EyeCare at its finest\",\"publisher\":{\"@id\":\"https:\/\/www.elza-institute.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.elza-institute.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-PT\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.elza-institute.com\/#organization\",\"name\":\"The ELZA Institute\",\"url\":\"https:\/\/www.elza-institute.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\/\/www.elza-institute.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2016\/04\/ELZA-logo-V4.jpg\",\"contentUrl\":\"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2016\/04\/ELZA-logo-V4.jpg\",\"width\":1181,\"height\":453,\"caption\":\"The ELZA Institute\"},\"image\":{\"@id\":\"https:\/\/www.elza-institute.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ELZA.Institute\/\",\"https:\/\/x.com\/ELZA_Institute\",\"https:\/\/www.linkedin.com\/company\/elza-institute?trk=top_nav_home\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.elza-institute.com\/#\/schema\/person\/e3929262886a5a60dd6965a6bc721d15\",\"name\":\"Mark Hillen\",\"url\":\"https:\/\/www.elza-institute.com\/pt\/author\/markhillen\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Crian\u00e7as com ceratocone: fazer ou n\u00e3o fazer reticula\u00e7\u00e3o?","description":"O diretor m\u00e9dico da ELZA, Farhad Hafezi, faz uma revis\u00e3o conjunta da literatura sobre ceratocone pedi\u00e1trico (infantil) e cross-linking corneano pedi\u00e1trico (infantil).","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.elza-institute.com\/pt\/cross_linking-bei-kindern-2018\/","og_locale":"pt_PT","og_type":"article","og_title":"Children with keratoconus: to cross-link or not to cross-link?","og_description":"ELZA's medical director, Farhad Hafezi, co-reviews the pediatric (childhood) keratoconus literature on pediatric (childhood) corneal cross-linking.","og_url":"https:\/\/www.elza-institute.com\/pt\/cross_linking-bei-kindern-2018\/","og_site_name":"The ELZA Institute","article_publisher":"https:\/\/www.facebook.com\/ELZA.Institute\/","article_published_time":"2018-08-22T13:58:18+00:00","article_modified_time":"2020-10-02T15:51:27+00:00","og_image":[{"width":800,"height":479,"url":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg","type":"image\/jpeg"}],"author":"Mark Hillen","twitter_misc":{"Escrito por":"Mark Hillen","Tempo estimado de leitura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#article","isPartOf":{"@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/"},"author":{"name":"Mark Hillen","@id":"https:\/\/www.elza-institute.com\/#\/schema\/person\/e3929262886a5a60dd6965a6bc721d15"},"headline":"Children: to cross-link or not to cross-link?","datePublished":"2018-08-22T13:58:18+00:00","dateModified":"2020-10-02T15:51:27+00:00","mainEntityOfPage":{"@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/"},"wordCount":230,"publisher":{"@id":"https:\/\/www.elza-institute.com\/#organization"},"image":{"@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage"},"thumbnailUrl":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg","keywords":["Children","Cornea","Cross-Linking","CXL","Keratoconus","Keratokonus","Kinder","p\u00e4diatrisch","Pediatric"],"articleSection":["Farhad Hafezi","Scientific article"],"inLanguage":"pt-PT"},{"@type":"WebPage","@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/","url":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/","name":"Crian\u00e7as com ceratocone: fazer ou n\u00e3o fazer reticula\u00e7\u00e3o?","isPartOf":{"@id":"https:\/\/www.elza-institute.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage"},"image":{"@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage"},"thumbnailUrl":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg","datePublished":"2018-08-22T13:58:18+00:00","dateModified":"2020-10-02T15:51:27+00:00","description":"O diretor m\u00e9dico da ELZA, Farhad Hafezi, faz uma revis\u00e3o conjunta da literatura sobre ceratocone pedi\u00e1trico (infantil) e cross-linking corneano pedi\u00e1trico (infantil).","breadcrumb":{"@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#breadcrumb"},"inLanguage":"pt-PT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/"]}]},{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#primaryimage","url":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg","contentUrl":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2018\/08\/child-eye-eyelid-small.jpg","width":800,"height":479},{"@type":"BreadcrumbList","@id":"https:\/\/www.elza-institute.com\/de-ch\/cross_linking-bei-kindern-2018\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.elza-institute.com\/"},{"@type":"ListItem","position":2,"name":"Farhad Hafezi","item":"https:\/\/www.elza-institute.com\/farhad-hafezi\/"},{"@type":"ListItem","position":3,"name":"Children: to cross-link or not to cross-link?"}]},{"@type":"WebSite","@id":"https:\/\/www.elza-institute.com\/#website","url":"https:\/\/www.elza-institute.com\/","name":"O Instituto ELZA","description":"Swiss EyeCare no seu melhor","publisher":{"@id":"https:\/\/www.elza-institute.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.elza-institute.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-PT"},{"@type":"Organization","@id":"https:\/\/www.elza-institute.com\/#organization","name":"O Instituto ELZA","url":"https:\/\/www.elza-institute.com\/","logo":{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/www.elza-institute.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2016\/04\/ELZA-logo-V4.jpg","contentUrl":"https:\/\/www.elza-institute.com\/wp-content\/uploads\/2016\/04\/ELZA-logo-V4.jpg","width":1181,"height":453,"caption":"The ELZA Institute"},"image":{"@id":"https:\/\/www.elza-institute.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ELZA.Institute\/","https:\/\/x.com\/ELZA_Institute","https:\/\/www.linkedin.com\/company\/elza-institute?trk=top_nav_home"]},{"@type":"Person","@id":"https:\/\/www.elza-institute.com\/#\/schema\/person\/e3929262886a5a60dd6965a6bc721d15","name":"Mark Hillen","url":"https:\/\/www.elza-institute.com\/pt\/author\/markhillen\/"}]}},"_links":{"self":[{"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/posts\/16144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/comments?post=16144"}],"version-history":[{"count":0,"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/posts\/16144\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/media\/16146"}],"wp:attachment":[{"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/media?parent=16144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/categories?post=16144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.elza-institute.com\/pt\/wp-json\/wp\/v2\/tags?post=16144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}