{"id":51737,"date":"2026-01-26T08:43:21","date_gmt":"2026-01-26T08:43:21","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=51737"},"modified":"2026-01-27T08:55:12","modified_gmt":"2026-01-27T08:55:12","slug":"acanthamoeba-keratitis-and-contact-lens-hygiene-elza-in-the-swiss-press","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/acanthamoeba-keratitis-and-contact-lens-hygiene-elza-in-the-swiss-press\/","title":{"rendered":"Queratite por Acanthamoeba e higiene das lentes de contacto - ELZA na imprensa su\u00ed\u00e7a"},"content":{"rendered":"
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ELZA em destaque nos meios de comunica\u00e7\u00e3o da TA: Cobertura nacional sobre a queratite por Acanthamoeba e a higiene das lentes de contacto<\/h4>\nHoje, a TA Media publicou um relat\u00f3rio aprofundado sobre os riscos associados ao uso de lentes de contacto e o desafio cl\u00ednico da queratite por Acanthamoeba nos seus principais jornais su\u00ed\u00e7os, incluindo Tages-Anzeiger<\/a><\/em>, O Bund<\/a><\/em>,\u00a0Basler Zeitung<\/em><\/a>e Berner Zeitung<\/em><\/a>. Escrito por um jornalista do sector da sa\u00fade Stefan Aerni<\/a>, O artigo chama a aten\u00e7\u00e3o a n\u00edvel nacional para uma infe\u00e7\u00e3o da c\u00f3rnea rara mas potencialmente mortal e destaca uma abordagem terap\u00eautica inovadora desenvolvida em Zurique.\n\n<\/section>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\tUma infe\u00e7\u00e3o rara, um diagn\u00f3stico tardio<\/span><\/a>\n\nO artigo de jornal centra-se em Philipp Gubler, um utilizador de lentes de contacto de longa dura\u00e7\u00e3o que desenvolveu uma ceratite grave por Acanthamoeba no olho esquerdo, na sequ\u00eancia de uma higiene inadequada das lentes. Conforme relatado, os sintomas iniciais eram subtis e facilmente ignorados. Gubler partiu do princ\u00edpio de que a sensa\u00e7\u00e3o de ardor se resolveria por si s\u00f3, uma vez que j\u00e1 antes tinha ocorrido uma pequena irrita\u00e7\u00e3o com o uso de lentes. Desta vez, por\u00e9m, a dor intensificou-se e a fun\u00e7\u00e3o visual deteriorou-se.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\tAp\u00f3s v\u00e1rios exames e uma falha inicial na identifica\u00e7\u00e3o da causa, uma zaragatoa da c\u00f3rnea revelou finalmente o diagn\u00f3stico: Ceratite por Acanthamoeba - uma infe\u00e7\u00e3o parasit\u00e1ria rara mas altamente agressiva da c\u00f3rnea. O artigo sublinha que estas infec\u00e7\u00f5es s\u00e3o notoriamente dif\u00edceis de diagnosticar precocemente e podem progredir rapidamente se o tratamento for adiado.\n

Um risco subestimado para a sa\u00fade p\u00fablica<\/h4>\nA TA Media insere o caso num contexto epidemiol\u00f3gico mais vasto. Cerca de dois milh\u00f5es de pessoas na Su\u00ed\u00e7a usam lentes de contacto, um n\u00famero que continua a aumentar. Embora a maioria dos casos de ceratite microbiana seja bacteriana, as infec\u00e7\u00f5es parasit\u00e1rias como a ceratite por Acanthamoeba, embora raras, s\u00e3o particularmente graves e dif\u00edceis de tratar.\n\nDe acordo com o artigo, a Su\u00ed\u00e7a regista aproximadamente 500 infec\u00e7\u00f5es graves da c\u00f3rnea por ano, sendo os parasitas respons\u00e1veis por uma pequena propor\u00e7\u00e3o, mas clinicamente significativa.\n\nO risco est\u00e1 fortemente associado a lapsos de higiene das lentes de contacto. O pr\u00f3prio Gubler reconhece este facto no relat\u00f3rio, admitindo que por vezes guardava as suas lentes durante demasiado tempo na mesma solu\u00e7\u00e3o, descrevendo-se a si pr\u00f3prio como \u201cprovavelmente um pouco descuidado\u201d.\u201d\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\u00a0<\/p>

Encaminhamento para Zurique e uma abordagem inovadora<\/h4>

Depois de as terapias t\u00f3picas convencionais numa cl\u00ednica oftalmol\u00f3gica universit\u00e1ria n\u00e3o terem conseguido controlar a infe\u00e7\u00e3o, o doente foi encaminhado para\u00a0Farhad Hafezi, MD, PhD, FARVO<\/a>, Hafezi, professor em v\u00e1rias universidades e nosso Diretor M\u00e9dico no Instituto ELZA. Hafezi no desenvolvimento do cross-linking da c\u00f3rnea, atualmente um procedimento estabelecido para estabilizar a doen\u00e7a ect\u00e1sica da c\u00f3rnea.<\/p>

No entanto, neste caso, a estrat\u00e9gia terap\u00eautica foi al\u00e9m dos protocolos padr\u00e3o. Hafezi combinou a reticula\u00e7\u00e3o de riboflavina-UV-A com uma t\u00e9cnica desenvolvida mais recentemente, a reticula\u00e7\u00e3o de rosa de bengala com luz verde.<\/p>

Descrevendo o racioc\u00ednio, ele \u00e9 citado no artigo:<\/p>

\u201cA combina\u00e7\u00e3o destas subst\u00e2ncias leva, sob irradia\u00e7\u00e3o, a um stress oxidativo na c\u00f3rnea, de modo que os parasitas s\u00e3o mortos\u201d.\u201d<\/p><\/blockquote>

Esta abordagem visava n\u00e3o s\u00f3 erradicar os agentes patog\u00e9nicos, mas tamb\u00e9m preservar o olho para um poss\u00edvel transplante de c\u00f3rnea no futuro - uma considera\u00e7\u00e3o cr\u00edtica na queratite infecciosa avan\u00e7ada.<\/p>

Doen\u00e7a grave, recupera\u00e7\u00e3o gradual<\/h4>

O artigo n\u00e3o subestima a gravidade da evolu\u00e7\u00e3o da doen\u00e7a. No seu pior momento, Gubler sentiu dores constantes, opacidade crescente da c\u00f3rnea e perda visual acentuada. Descreveu a sensa\u00e7\u00e3o de uma forma muito clara:<\/p>

\u201cParecia que algu\u00e9m me tinha atirado g\u00e1s pimenta para o olho.\u201d<\/p><\/blockquote>

Quando a primeira tentativa de tratamento n\u00e3o foi bem sucedida, ter\u00e1 estado perto de perder completamente a esperan\u00e7a. De acordo com o artigo, at\u00e9 cinco por cento dos doentes com ceratite por Acanthamoeba acabam por ter de remover o olho devido a dores incontrol\u00e1veis.<\/p>

No caso de Gubler, os tratamentos repetidos acabaram por se revelar eficazes e a infe\u00e7\u00e3o ficou sob controlo. O tratamento bem sucedido da sua queratite por Acanthamoeba foi mais tarde apresentado na revista especializada\u00a0Olho e vis\u00e3o<\/em>, tal como foi referido no jornal.<\/p>

Transplante de c\u00f3rnea e resultados<\/h4>

Apesar da erradica\u00e7\u00e3o da infe\u00e7\u00e3o, os danos parasit\u00e1rios na c\u00f3rnea j\u00e1 eram extensos. A acuidade visual no olho afetado tinha ca\u00eddo para cerca de dez por cento, tornando inevit\u00e1vel o transplante de c\u00f3rnea. O artigo explica que a ceratoplastia \u00e9 atualmente uma rotina na Su\u00ed\u00e7a, sendo a c\u00f3rnea a parte mais frequentemente transplantada<\/p>

Ap\u00f3s um procedimento de transplante sem complica\u00e7\u00f5es e acompanhamento subsequente, o resultado foi favor\u00e1vel. No seu exame mais recente, Gubler tinha recuperado cerca de 60% da acuidade visual do olho afetado e o olho estava clinicamente saud\u00e1vel. Reflectindo sobre o resultado, disse ao jornal:<\/p>

\u201cTive sorte no meu infort\u00fanio\u201d.\u201d<\/p><\/blockquote>

A higiene como preven\u00e7\u00e3o<\/h4>

O relat\u00f3rio da TA Media conclui com uma mensagem preventiva clara. As lentes de contacto oferecem vantagens importantes - \u00f3pticas, funcionais e at\u00e9 terap\u00eauticas - mas apenas quando os princ\u00edpios b\u00e1sicos de higiene s\u00e3o rigorosamente seguidos. O artigo reitera as recomenda\u00e7\u00f5es dos especialistas, incluindo a utiliza\u00e7\u00e3o exclusiva de solu\u00e7\u00f5es de conserva\u00e7\u00e3o aprovadas, a substitui\u00e7\u00e3o completa do l\u00edquido de conserva\u00e7\u00e3o ap\u00f3s cada utiliza\u00e7\u00e3o, a substitui\u00e7\u00e3o regular dos estojos das lentes e a preven\u00e7\u00e3o do contacto com a \u00e1gua da torneira.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Prof.\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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O Instituto ELZA e a participa\u00e7\u00e3o do p\u00fablico<\/h4>

A cobertura nacional em v\u00e1rios t\u00edtulos da TA Media destaca a import\u00e2ncia de traduzir a inova\u00e7\u00e3o cl\u00ednica e as doen\u00e7as oft\u00e1lmicas complexas em conscientiza\u00e7\u00e3o p\u00fablica. Na ELZA, o nosso foco continua a ser o tratamento da c\u00f3rnea baseado em evid\u00eancias, as tecnologias avan\u00e7adas de cross-linking e o tratamento de doen\u00e7as infecciosas e ect\u00e1sicas complexas da c\u00f3rnea.<\/p>

Para mais informa\u00e7\u00f5es sobre o historial cl\u00ednico e cient\u00edfico do Prof. Farhad Hafezi, consultar aqui<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Os jornais su\u00ed\u00e7os noticiam uma infe\u00e7\u00e3o ocular grave relacionada com lentes de contacto e a forma como um tratamento inovador no ELZA Institute ajudou a salvar a vis\u00e3o.<\/p>","protected":false},"author":4,"featured_media":51757,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[214,1,96],"tags":[144,924,1522,1525,1521,125,105,116,130,100,1523,104,669,1520],"class_list":["post-51737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-farhad-hafezi","category-general-news","category-popular-press","tag-acanthamoeba","tag-acanthamoeba-keratitis","tag-basler-zeitung","tag-bengalrosa","tag-berner-zeitung","tag-cornea","tag-corneal-infection","tag-corneal-ulcer","tag-cross-linking","tag-cxl","tag-der-bund","tag-pack-cxl","tag-rose-bengal","tag-tages-anzeiger"],"acf":[],"yoast_head":"\nAcanthamoeba Keratitis and Contact Lens Hygiene - 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