{"id":10996,"date":"2022-03-10T06:02:14","date_gmt":"2022-03-10T06:02:14","guid":{"rendered":"https:\/\/www.vision-clinic.es\/la-diplopia-o-visio-doble-per-que-passa\/"},"modified":"2023-08-29T06:36:51","modified_gmt":"2023-08-29T06:36:51","slug":"la-diplopia-o-visio-doble-per-que-passa","status":"publish","type":"post","link":"https:\/\/www.vision-clinic.es\/ca\/la-diplopia-o-visio-doble-per-que-passa\/","title":{"rendered":"La diplopia o visi\u00f3 doble: per qu\u00e8 passa?"},"content":{"rendered":"\t\t
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Alguna vegada has tingut la sensaci\u00f3 de veure doble algun objecte? Saps a qu\u00e8 es pot deure? El cas del motorista Marc M\u00e1rquez ha fet fam\u00f3s el terme diplopia que vol dir precisament aix\u00f2: veure doble. El Dr Bernardo S\u00e1nchez Dalmau<\/a>, especialista en els trastorns neurooftalmol\u00f2gics ens detalla les causes i tractaments d’aquesta alteraci\u00f3 visual. El m\u00e9s important per poder actuar a temps<\/span>: la detecci\u00f3 preco\u00e7. Quan ho notis, demana cita.<\/span><\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Qu\u00e8 \u00e9s la diplopia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La <\/span>diplopia<\/b><\/span> \u00e9s el nom t\u00e8cnic de la visi\u00f3 doble. \u00c9s una alteraci\u00f3 visual que consisteix en la percepci\u00f3 de dues imatges del mateix objecte. Depenent del lloc on es produeixi la superposici\u00f3 de les imatges, es pot donar de manera horitzontal, vertical o diagonal. Has de saber que pot passar de manera puntual o continuada. <\/span><\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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El m\u00e9s important per poder tractar a temps una diplopia \u00e9s acudir r\u00e0pidament a l'oftalm\u00f2leg quan la patim.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Hi ha diferents tipus de diplopia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La diplopia pot ser unilateral<\/b> (nom\u00e9s veus doble amb un ull) o binocular<\/b> (t’ocorre als dos ulls):<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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DIPLOPIA UNILATERAL O MONOCULAR. <\/b>Aquest tipus de visi\u00f3 doble sol estar causat per trastorns oculars, \u00e9s a dir, intr\u00ednsecs de l’ull, ja sigui a la c\u00f2rnia, el cristal\u00b7l\u00ed o la retina de l’ull afectat. No desapareix en tapar l’altre ull. Generalment, la segona imatge es veu com una ombra o un relleu.<\/span><\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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DIPLOPIA BILATERAL O BINOCULAR. <\/span>Bastant m\u00e9s freq\u00fcent \u00e9s la diplopia binocular, amb la visi\u00f3 de dues imatges separades del mateix objecte, que \u00e9s present amb els dos ulls oberts, i desapareix en cloure’n un. Depenent de la causa pot ser m\u00e9s gran en una zona de la mirada respecte a una altra. Es produeix per un desalineament entre tots dos ulls. Pot ser horitzontal, vertical, o obliqua (tamb\u00e9 torsional).<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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La diplopia binocular \u00e9s la m\u00e9s freq\u00fcent i es produeix per un desalineament entre tots dos ulls.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Quines s\u00f3n les causes de la visi\u00f3 doble? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Entre les causes hi ha els estrabismes descompensats, lesions orbit\u00e0ries \u2013incloent-hi l’oftalmopatia tiro\u00efdal\u2013, malalties neuromusculars \u2013com la miast\u00e8nia\u2013 i, sobretot, les par\u00e0lisis d’algun dels nervis que innerven els m\u00fasculs que mouen l’ull. Les causes de par\u00e0lisi daquests nervis s\u00f3n diverses: traumatismes, trastorns vasculars o b\u00e9 compressions tumorals. <\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Pot tenir a veure amb l'edat?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En joves, les causes solen ser traum\u00e0tiques o tumorals, mentre que en pacients m\u00e9s grans \u00e9s m\u00e9s freq\u00fcent la causa vascular. \u00c9s a dir, trastorn circulatori que provoca isqu\u00e8mia al nervi afectat.<\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Quin \u00e9s el proc\u00e9s de diagn\u00f2stic?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En primer lloc, caldria acudir de forma immediata a valoraci\u00f3 per un especialista en el tema. A partir d\u00b4una exploraci\u00f3 exhaustiva, es determina l\u00b4origen de la diplopia. L’especialista determinar\u00e0 la necessitat o no de fer proves complement\u00e0ries per con\u00e8ixer-ne la causa. El diagn\u00f2stic pot incloure prova de neuroimatge (resson\u00e0ncia magn\u00e8tica cerebral generalment), o algun tipus d’an\u00e0lisis espec\u00edfiques per descartar miast\u00e8nia ocular o trastorn tiro\u00efdal, si \u00e9s que se sospita a partir de l’exploraci\u00f3. <\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Bernardo\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
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Dr. S\u00e1nchez Dalmau<\/p>\n\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<\/div>\n\t\t\t\t

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\"El m\u00e9s important per poder tractar a temps una diplopia \u00e9s acudir r\u00e0pidament a l'oftalm\u00f2leg quan la patim. Una exploraci\u00f3 exhaustiva en determinar\u00e0 l'origen per poder tractar la causa\"
<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Com se soluciona la visi\u00f3 doble? Quins tractaments efectius hi ha?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dep\u00e8n de la causa. Si la causa \u00e9s extr\u00ednseca, \u00e9s a dir, compressi\u00f3 d’algun dels nervis per causa tumoral, primer cal veure si \u00e9s possible tractar el tumor. En casos de fractura orbit\u00e0ria, es pot precisar cirurgia correctora de la lesi\u00f3 \u00f2ssia amb car\u00e0cter immediat. \u200bConsulta els detalls 1.298 \/ 5.000 Resultats de traducci\u00f3 Resultat de traducci\u00f3 I, en aquells casos de par\u00e0lisi de nervi traum\u00e0tica o vascular, inicialment s’opta per una actitud inicial observadora<\/span>.<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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En cas de no apreciar-se millora espont\u00e0nia al cap de diverses setmanes o mesos (depenent del nervi afectat), es pot intentar compensar el d\u00e8ficit de moviment o la visi\u00f3 doble amb prismes \u00f2ptics, amb tractament amb toxina botul\u00ednica \u2013que s’injecta al m\u00fascul que fa l’efecte contrari al paralitzat\u2013, o optar per procediments quir\u00fargics de refor\u00e7ament del m\u00fascul afectat o debilitament del que fa l’efecte contrari.<\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Quins tractaments efectius hi ha?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dep\u00e8n del nervi paralitzat i els m\u00fasculs que inervi. De vegades, es pot necessitar m\u00e9s d’una intervenci\u00f3 sobre els m\u00fasculs per corregir el trastorn. <\/span>No en tots els casos, sempre \u00e9s possible corregir la diplopia en tots els camps de visi\u00f3. Dep\u00e8n de la causa i la resposta al tractament. <\/span><\/p>\n\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Bernardo\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
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Dr. S\u00e1nchez Dalmau<\/p>\n\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<\/div>\n\t\t\t\t

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\"El tractament de la diplopia dep\u00e8n del nervi paralitzat i els m\u00fasculs que inervi. De vegades, es pot necessitar m\u00e9s d'una intervenci\u00f3 sobre els m\u00fasculs per corregir el trastorn\"<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Alguna vegada has tingut la sensaci\u00f3 de veure doble algun objecte? Saps a qu\u00e8 es pot deure? El cas del motorista Marc M\u00e1rquez ha fet fam\u00f3s el terme diplopia que vol dir precisament aix\u00f2: veure doble. El Dr Bernardo S\u00e1nchez Dalmau, especialista en els trastorns neurooftalmol\u00f2gics, ens detalla les seves causes i tractaments.<\/p>\n","protected":false},"author":3,"featured_media":10298,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[171],"tags":[168,170,169],"autores":[36],"tipo_de_blog":[46],"class_list":["post-10996","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurooftalmologia-ca","tag-diplopia-ca","tag-neurooftalmologia-ca","tag-visio-doble","autores-dr-bernardo-sanchez","tipo_de_blog-visionblog","entry"],"acf":[],"yoast_head":"\nLa diplopia o visi\u00f3 doble: per qu\u00e8 passa? - visi\u00f5ncl\u00ednic<\/title>\n<meta name=\"description\" content=\"Alguna vegada has tingut la sensaci\u00f3 de veure doble? Saps a qu\u00e8 es pot deure? El motorista Marc M\u00e1rquez ha fet fam\u00f3s el terme diplopia.\" \/>\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.vision-clinic.es\/ca\/la-diplopia-o-visio-doble-per-que-passa\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La diplopia o visi\u00f3 doble: per qu\u00e8 passa? - visi\u00f5ncl\u00ednic\" \/>\n<meta property=\"og:description\" content=\"Alguna vegada has tingut la sensaci\u00f3 de veure doble? Saps a qu\u00e8 es pot deure? 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