{"id":44807,"date":"2024-10-22T13:32:33","date_gmt":"2024-10-22T13:32:33","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=44807"},"modified":"2024-10-22T13:32:33","modified_gmt":"2024-10-22T13:32:33","slug":"ctk-syndrome-corneal-flattening-icrs","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/ctk-syndrome-corneal-flattening-icrs\/","title":{"rendered":"S\u00edndrome tipo CTK: Novos conhecimentos p\u00f3s-ICRS e CXL"},"content":{"rendered":"

Num relat\u00f3rio de caso recentemente publicado na revista Jornal Americano de Oftalmologia<\/em>\u00a0Relatos de casos<\/em><\/a>, a nossa equipa (Prof. Farhad Hafezi<\/a> e Dr. Emilio Torres-Netto<\/a>), em colabora\u00e7\u00e3o com os colegas brasileiros Drs. Ricardo Nos\u00e9 e Bruno Fontes, descreve um caso invulgar de uma \"s\u00edndrome semelhante ao CTK\" ap\u00f3s a implanta\u00e7\u00e3o sequencial de um segmento de anel intracorneano (ICRS) e de um cross-linking corneano (CXL) num jovem doente com ceratocone progressivo.<\/p>\n

Este caso fornece uma vis\u00e3o \u00fanica de como a combina\u00e7\u00e3o de ICRS e CXL pode levar a uma remodela\u00e7\u00e3o, achatamento e opacifica\u00e7\u00e3o significativa da c\u00f3rnea, levantando novas considera\u00e7\u00f5es para os cuidados cl\u00ednicos.<\/p>\n

Compreender o ICRS e o CXL<\/strong>
\nOs segmentos de anel intracorneano s\u00e3o pequenos implantes colocados no tecido da c\u00f3rnea para reduzir a curvatura irregular, melhorando assim a clareza visual nos casos de ceratocone. O reticulado da c\u00f3rnea, por outro lado, envolve riboflavina e luz UV-A para aumentar a estabilidade da c\u00f3rnea, o que impede a progress\u00e3o da doen\u00e7a ao refor\u00e7ar as fibras de colag\u00e9nio da c\u00f3rnea.<\/p>\n

S\u00edndrome CTK-like no tratamento do ceratocone<\/strong>
\nNeste caso, um jovem de 31 anos com ceratocone avan\u00e7ado apresentou altera\u00e7\u00f5es inesperadas na c\u00f3rnea - um achatamento marcado de at\u00e9 20,3 dioptrias (D), juntamente com opacifica\u00e7\u00e3o e afinamento central. Estas altera\u00e7\u00f5es imitavam a queratopatia t\u00f3xica central (CTK), uma condi\u00e7\u00e3o rara e n\u00e3o inflamat\u00f3ria anteriormente observada ap\u00f3s procedimentos a laser, mas agora observada ap\u00f3s o CXL. De notar que a CTK segue normalmente os procedimentos a laser, apresentando opacidade corneana, adelga\u00e7amento e um desvio hiper\u00f3ptico, todos eles documentados aqui.<\/p>\n

Implica\u00e7\u00f5es para o tratamento do ceratocone<\/strong>
\nNossos achados destacam a import\u00e2ncia de se considerar a seq\u00fc\u00eancia de procedimentos. Embora tanto o ICRS quanto o CXL ofere\u00e7am benef\u00edcios substanciais aos pacientes com ceratocone, a realiza\u00e7\u00e3o do ICRS antes do CXL pode aumentar o risco de altera\u00e7\u00f5es corneanas pronunciadas. Este caso sublinha a necessidade de uma monitoriza\u00e7\u00e3o diligente em tratamentos sequenciais para otimizar os resultados e a seguran\u00e7a dos pacientes. No futuro, a nossa equipa pretende investigar casos adicionais para avaliar melhor esta combina\u00e7\u00e3o de procedimentos e compreender melhor as respostas espec\u00edficas dos pacientes.<\/p>\n

Refer\u00eancia<\/strong>
\nB.M. Fontes, R.M. Nos\u00e9, F. Hafezi, E.A. Torres-Netto, CTK-like Syndrome: Opacidade e Achatamento da C\u00f3rnea Ap\u00f3s Implante Sequencial de Anel Intracorneano e Crosslinking Corneano, Relat\u00f3rios de casos do American Journal of Ophthalmology<\/em> (2014), ePub ahead of print. https:\/\/doi.org\/10.1016\/j.ajoc.2024.10219<\/a><\/p>\n

\"\"<\/a>
Clique na imagem para ler o artigo<\/figcaption><\/figure>","protected":false},"excerpt":{"rendered":"

Num relato de caso recentemente publicado no American Journal of Ophthalmology Case Reports, a nossa equipa, em colabora\u00e7\u00e3o com colegas brasileiros, descreve um caso invulgar de uma \"s\u00edndrome semelhante \u00e0 CTK\" ap\u00f3s a implanta\u00e7\u00e3o sequencial de um segmento de anel intracorneano (ICRS) e de um cross-linking corneano (CXL) num jovem doente com ceratocone progressivo.<\/p>","protected":false},"author":4,"featured_media":49180,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[243,214,1,95],"tags":[352,1001,1022,1023,1024,100,679,578,1025,975],"class_list":["post-44807","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emilio-torres","category-farhad-hafezi","category-general-news","category-scientific-article","tag-corneal-cross-linking","tag-corneal-flattening","tag-corneal-opacification","tag-corneal-remodeling","tag-ctk-like-syndrome","tag-cxl","tag-elza-institute","tag-icrs","tag-intracorneal-ring-segments","tag-keratoconus-treatment"],"acf":[],"yoast_head":"\nCTK-like Syndrome: New Insights Post-ICRS and CXL - 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