{"id":52098,"date":"2026-02-14T10:10:32","date_gmt":"2026-02-14T10:10:32","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=52098"},"modified":"2026-02-20T09:22:34","modified_gmt":"2026-02-20T09:22:34","slug":"will-keratoplasty-for-keratoconus-still-be-needed-in-2040","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/will-keratoplasty-for-keratoconus-still-be-needed-in-2040\/","title":{"rendered":"A ceratoplastia para o ceratocone ainda ser\u00e1 necess\u00e1ria em 2040?"},"content":{"rendered":"
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Durante d\u00e9cadas, a ceratoplastia definiu a fase final do tratamento do ceratocone. No 10\u00ba Congresso da Academia Su\u00ed\u00e7a de Oftalmologia<\/a> (SAoO), realizada no KKL Luzern, essa hip\u00f3tese foi examinada de forma cr\u00edtica - e com algum desconforto. A quest\u00e3o colocada foi deliberadamente direta: ser\u00e1 que a ceratoplastia para o ceratocone ainda ser\u00e1 necess\u00e1ria em 2040?<\/p>\n

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Esta quest\u00e3o enquadrou uma apresenta\u00e7\u00e3o cient\u00edfica do cirurgi\u00e3o de c\u00f3rnea, catarata e refra\u00e7\u00e3o ELZA,\u00a0Emilio Torres-Netto, MD, PhD, FEBO, FWCRS<\/a>. Em vez de defender o desaparecimento do transplante, a palestra explorou a forma como o seu papel j\u00e1 come\u00e7ou a contrair-se e a especializar-se \u00e0 medida que as interven\u00e7\u00f5es anteriores e menos invasivas amadureceram. A ceratoplastia para ceratocone ainda ser\u00e1 necess\u00e1ria em 2040? Historicamente, a ceratoplastia penetrante e, mais tarde, a ceratoplastia lamelar eram inevit\u00e1veis para muitos doentes com ectasia progressiva.<\/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

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Nas \u00faltimas duas d\u00e9cadas, no entanto, a trajet\u00f3ria cl\u00ednica do ceratocone mudou. O diagn\u00f3stico precoce atrav\u00e9s de tomografia avan\u00e7ada, a ado\u00e7\u00e3o generalizada de CXL e a utiliza\u00e7\u00e3o crescente de estrat\u00e9gias de regulariza\u00e7\u00e3o da c\u00f3rnea deslocaram a interven\u00e7\u00e3o para fases muito mais precoces da doen\u00e7a. Como resultado, menos pacientes agora progridem para o n\u00edvel de falha da c\u00f3rnea que antes tornava o transplante inevit\u00e1vel.<\/p>

Na sua apresenta\u00e7\u00e3o da SAoO, o Dr. Torres-Netto analisou estes desenvolvimentos atrav\u00e9s da perspetiva dos resultados cl\u00ednicos a longo prazo. Salientou que, embora a ceratoplastia se tenha tornado menos frequente, n\u00e3o se tornou redundante. A cicatriza\u00e7\u00e3o avan\u00e7ada, a apresenta\u00e7\u00e3o tardia, o colapso biomec\u00e2nico e a intoler\u00e2ncia \u00e0s lentes de contacto continuam a definir um subgrupo de doentes para os quais o transplante continua a ser adequado. O que mudou foi o contexto: a ceratoplastia \u00e9 cada vez mais uma interven\u00e7\u00e3o selectiva em vez de um ponto final predefinido.<\/p>

A palestra tamb\u00e9m abordou a forma como as t\u00e9cnicas lamelares e as abordagens de preserva\u00e7\u00e3o de tecidos aperfei\u00e7oaram as indica\u00e7\u00f5es cir\u00fargicas e os resultados quando o transplante \u00e9 necess\u00e1rio. Paralelamente, a expans\u00e3o do repert\u00f3rio de interven\u00e7\u00f5es sem transplante levantou uma quest\u00e3o mais matizada - n\u00e3o se a ceratoplastia ir\u00e1 desaparecer, mas qu\u00e3o raramente poder\u00e1 ser necess\u00e1ria se a progress\u00e3o da doen\u00e7a for identificada e estabilizada suficientemente cedo.<\/p>

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No \u00e2mbito mais alargado do congresso da SAoO, que este ano celebrou a sua d\u00e9cima edi\u00e7\u00e3o com um programa clinicamente centrado e virado para o futuro, a apresenta\u00e7\u00e3o serviu para recordar que o progresso no tratamento do ceratocone tem sido incremental, baseado em provas e cumulativo. Em 2040, \u00e9 prov\u00e1vel que a ceratoplastia continue a fazer parte do panorama terap\u00eautico - mas para menos doentes e por raz\u00f5es mais claras do que nunca.<\/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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No 10\u00ba Congresso da SAoO em Lucerna, o Dr. Emilio Torres-Netto analisou a forma como os avan\u00e7os no tratamento do ceratocone podem reduzir ainda mais a necessidade de ceratoplastia at\u00e9 2040<\/p>","protected":false},"author":4,"featured_media":52104,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[243,1,97],"tags":[352,725,679,123,161,1597,1598],"class_list":["post-52098","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emilio-torres","category-general-news","category-podium-power","tag-corneal-cross-linking","tag-corneal-surgery","tag-elza-institute","tag-keratoconus","tag-keratoplasty","tag-lamellar-keratoplasty","tag-saoo-congress"],"acf":[],"yoast_head":"\nWill Keratoplasty for Keratoconus Still Be Needed in 2040? - The ELZA Institute<\/title>\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\/will-keratoplasty-for-keratoconus-still-be-needed-in-2040\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Will Keratoplasty for Keratoconus Still Be Needed in 2040? 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