{"id":15044,"date":"2026-11-09T16:31:56","date_gmt":"2026-11-09T16:31:56","guid":{"rendered":"https:\/\/www.vision-clinic.es\/saps-quin-tipus-de-glaucoma-tens-la-gonioscopia-una-prova-clau\/"},"modified":"2026-11-09T16:31:57","modified_gmt":"2026-11-09T16:31:57","slug":"saps-quin-tipus-de-glaucoma-tens-la-gonioscopia-una-prova-clau","status":"publish","type":"post","link":"https:\/\/www.vision-clinic.es\/ca\/saps-quin-tipus-de-glaucoma-tens-la-gonioscopia-una-prova-clau\/","title":{"rendered":"Saps quin tipus de glaucoma tens? La goniosc\u00f2pia, una prova clau"},"content":{"rendered":"\t\t
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Saber que tens glaucoma no sempre \u00e9s suficient. Tamb\u00e9 \u00e9s important con\u00e8ixer quin tipus de glaucoma presentes, perqu\u00e8 d\u2019aix\u00f2 poden dependre el pron\u00f2stic i, en alguns casos, el tractament. El Dr. N\u00e9stor Ventura, especialista en glaucoma de Visi\u00f5ncl\u00ednic, explica per qu\u00e8 la goniosc\u00f2pia \u00e9s una de les proves fonamentals per obtenir aquesta informaci\u00f3.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Qu\u00e8 \u00e9s la goniosc\u00f2pia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La goniosc\u00f2pia \u00e9s una exploraci\u00f3 oftalmol\u00f2gica que permet observar directament l\u2019angle iridocorneal<\/strong>, la zona de l\u2019ull per on drena l\u2019humor aqu\u00f3s i que t\u00e9 un paper fonamental en la regulaci\u00f3 de la pressi\u00f3 intraocular.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Per realitzar-la, l\u2019oftalm\u00f2leg utilitza una lent especial amb miralls que es col\u00b7loca suaument sobre la superf\u00edcie ocular. \u00c9s una prova breu, indolora i que pot aportar informaci\u00f3 molt rellevant sobre el mecanisme del glaucoma.<\/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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Dr. N\u00e9stor Ventura<\/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<\/div>\n\t\t\t\t

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\"La goniosc\u00f2pia \u00e9s una prova fonamental per saber quin tipus de glaucoma t\u00e9 un pacient i comprendre millor el pron\u00f2stic de la malaltia. Ens permet veure una zona de l\u2019ull que no podem valorar correctament amb una exploraci\u00f3 convencional\"
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<\/div>\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
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Glaucoma d\u2019angle obert o tancat<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Un dels principals objectius de la goniosc\u00f2pia \u00e9s determinar si l\u2019angle de drenatge de l\u2019ull es troba obert o tancat<\/strong>.<\/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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Aquesta difer\u00e8ncia \u00e9s important perqu\u00e8 no tots els glaucomes es comporten de la mateixa manera. En alguns pacients, el sistema de drenatge continua sent accessible per\u00f2 funciona de manera insuficient; en d\u2019altres, l\u2019iris pot estr\u00e8nyer o bloquejar aquest angle, dificultant la sortida de l\u2019humor aqu\u00f3s i afavorint un augment de la pressi\u00f3 ocular.<\/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<\/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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Per qu\u00e8 con\u00e8ixer l\u2019angle pot canviar el tractament?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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L\u2019anatomia de l\u2019angle pot condicionar quins tractaments s\u00f3n m\u00e9s adequats per a cada pacient. La goniosc\u00f2pia ajuda l\u2019especialista a decidir si determinades opcions amb l\u00e0ser poden estar indicades i tamb\u00e9 pot influir en l\u2019elecci\u00f3 d\u2019una t\u00e8cnica quir\u00fargica.<\/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<\/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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Dr. N\u00e9stor Ventura<\/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<\/div>\n\t\t\t\t

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La informaci\u00f3 que obtenim amb la goniosc\u00f2pia ens pot ajudar a decidir quins tractaments pot rebre el pacient. En alguns casos, fins i tot ens permet valorar si es pot beneficiar de t\u00e8cniques quir\u00fargiques menys invasives desenvolupades en els darrers anys.<\/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
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Goniosc\u00f2pia i cirurgia m\u00ednimament invasiva del glaucoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En els darrers anys s\u2019han desenvolupat diferents t\u00e8cniques conegudes com a cirurgia m\u00ednimament invasiva del glaucoma o MIGS.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Algunes d\u2019aquestes intervencions actuen directament sobre les vies de drenatge de l\u2019ull i requereixen con\u00e8ixer amb precisi\u00f3 l\u2019anatomia de l\u2019angle iridocorneal. Mitjan\u00e7ant petits dispositius o t\u00e8cniques espec\u00edfiques, es busca facilitar la sortida de l\u2019humor aqu\u00f3s i reduir la pressi\u00f3 intraocular amb procediments menys invasius que algunes cirurgies tradicionals.<\/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<\/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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Una prova senzilla que aporta molta informaci\u00f3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Tot i que pot passar desapercebuda davant d\u2019altres proves m\u00e9s conegudes, com ara la mesura de la pressi\u00f3 intraocular o l\u2019estudi del nervi \u00f2ptic, la goniosc\u00f2pia continua sent una exploraci\u00f3 essencial en la valoraci\u00f3 completa del glaucoma.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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No serveix \u00fanicament per posar una etiqueta al diagn\u00f2stic. Tamb\u00e9 ajuda a entendre millor per qu\u00e8 s\u2019est\u00e0 produint la malaltia, valorar possibles riscos i personalitzar el seguiment i el tractament.<\/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<\/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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El glaucoma necessita un diagn\u00f2stic prec\u00eds<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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El glaucoma engloba diferents malalties que poden danyar progressivament el nervi \u00f2ptic. Per aix\u00f2, una valoraci\u00f3 completa ha de tenir en compte no nom\u00e9s la pressi\u00f3 ocular, sin\u00f3 tamb\u00e9 l\u2019estat del nervi \u00f2ptic, el camp visual i les caracter\u00edstiques anat\u00f2miques de l\u2019ull.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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A Visi\u00f5ncl\u00ednic, l\u2019estudi del glaucoma es realitza de manera individualitzada per determinar el tipus de malaltia i valorar les opcions de tractament m\u00e9s adequades en cada cas.<\/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<\/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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Saber que tens glaucoma no sempre \u00e9s suficient. Tamb\u00e9 \u00e9s important con\u00e8ixer quin tipus de glaucoma presentes, perqu\u00e8 d\u2019aix\u00f2 poden dependre el pron\u00f2stic i, en alguns casos, el tractament. El Dr. N\u00e9stor Ventura, especialista en glaucoma de Visi\u00f5ncl\u00ednic, explica per qu\u00e8 la goniosc\u00f2pia \u00e9s una de les proves fonamentals per obtenir aquesta informaci\u00f3.<\/p>\n","protected":false},"author":3,"featured_media":13800,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[148],"tags":[412,150,413,414],"autores":[239],"tipo_de_blog":[46],"class_list":["post-15044","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-glaucoma-ca","tag-diagnostic-de-glaucoma","tag-glaucoma-ca","tag-glaucoma-agut","tag-tractament-glaucoma","autores-dr-nestor-ventura","tipo_de_blog-visionblog","entry"],"acf":[],"yoast_head":"\nSaps quin tipus de glaucoma tens? La goniosc\u00f2pia, una prova clau - visi\u00f5ncl\u00ednic<\/title>\n<meta name=\"description\" content=\"La goniosc\u00f2pia \u00e9s una prova clau per saber si tens glaucoma i con\u00e8ixer el pron\u00f2stic de la malaltia.\" \/>\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\/saps-quin-tipus-de-glaucoma-tens-la-gonioscopia-una-prova-clau\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Saps quin tipus de glaucoma tens? 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