{"id":1711,"date":"2023-07-15T15:58:55","date_gmt":"2023-07-15T15:58:55","guid":{"rendered":"https:\/\/www.czechbankingnews.cz\/?p=1711"},"modified":"2023-07-15T15:58:55","modified_gmt":"2023-07-15T15:58:55","slug":"trendy-a-novinky-v-oftalmologii","status":"publish","type":"post","link":"https:\/\/www.czechbankingnews.cz\/?p=1711","title":{"rendered":"Trendy a novinky v oftalmologii"},"content":{"rendered":"

Novinek je v\u00a0oftalmologii cel\u00e1 \u0159ada a po\u0159\u00e1d se objevuj\u00ed nov\u00e9 v\u011bci \u2013 implant\u00e1ty, technologie, l\u00e9\u010div\u00e9 p\u0159\u00edpravky, postupy. <\/strong><\/p>\n

Obecn\u011b lze \u0159\u00edci, \u017ee obor oftalmologie je jedn\u00edm z nejdynami\u010dt\u011bj\u0161\u00edch obor\u016f medic\u00edny. I my v O\u010dn\u00edm centru Praha se neust\u00e1le sna\u017e\u00edme investovat do nejr\u016fzn\u011bj\u0161\u00edch inovac\u00ed a neust\u00e1le p\u0159in\u00e1\u0161et sv\u00fdm pacient\u016fm zdokonalen\u00ed a nov\u00e9 metody i technologie tak, abychom jim poskytovali skute\u010dn\u011b nejmodern\u011bj\u0161\u00ed l\u00e9\u010dbu.<\/p>\n

P\u0159edstavujeme nejnov\u011bj\u0161\u00ed novinky a trendy, kter\u00e9 jsou celosv\u011btov\u00e9 a z\u00e1rove\u0148 je ji\u017e nab\u00edz\u00edme i sv\u00fdm pacient\u016fm v O\u010dn\u00edm centru Praha (OCP).<\/p>\n

Revolu\u010dn\u00ed zobrazovac\u00ed metoda s\u00edtnice<\/strong><\/p>\n

Velk\u00fdm boomem posledn\u00edch let je OCT angiografie (angiografick\u00e1 optick\u00e1 koherentn\u00ed tomografie). Jedn\u00e1 se o revolu\u010dn\u00ed zobrazovac\u00ed metodu s\u00edtnice, kter\u00e1 dok\u00e1\u017ee zobrazit stav jednotliv\u00fdch vrstev s\u00edtnice a z\u00e1rove\u0148 i funk\u010dnost v\u0161ech jej\u00edch struktur.<\/p>\n

\u201eC\u00e9vy s\u00edtnice dok\u00e1\u017eeme zobrazit bez invazivn\u00edho z\u00e1kroku. Vy\u0161et\u0159en\u00ed d\u0159\u00edve prob\u00edhalo nebo p\u0159i ur\u010dit\u00fdch diagn\u00f3z\u00e1ch st\u00e1le prob\u00edh\u00e1 tak, \u017ee se pacientovi zavede do \u017e\u00edly kanyla, aplikuje se kontrastn\u00ed l\u00e1tka a n\u00e1sledn\u011b se speci\u00e1ln\u00ed kamerou fot\u00ed o\u010dn\u00ed pozad\u00ed. Nyn\u00ed toto vy\u0161et\u0159en\u00ed nahrazuje u mnoh\u00fdch diagn\u00f3z OCT angiografie, kde vid\u00edme c\u00e9vy a vrstvy s\u00edtnice jako takov\u00fd dort do hloubky pomoc\u00ed prost\u00fdch sken\u016f \u2013 pacient se jen d\u00edv\u00e1 do p\u0159\u00edstroje,\u201c <\/em>popisuje MUDr. Radan Zugar, prim\u00e1\u0159 O\u010dn\u00edho centra Praha.\u00a0<\/em><\/p>\n

Nov\u00e9, st\u00e1le dokonalej\u0161\u00ed um\u011bl\u00e9 nitroo\u010dn\u00ed \u010do\u010dky<\/strong><\/p>\n

D\u00edky neust\u00e1l\u00e9mu v\u00fdvoji p\u0159ich\u00e1zej\u00ed sv\u011btov\u00ed v\u00fdrobci nitroo\u010dn\u00edch \u010do\u010dek se st\u00e1le dokonalej\u0161\u00edmi um\u011bl\u00fdmi nitroo\u010dn\u00edmi \u010do\u010dkami.<\/p>\n

\u201eV O\u010dn\u00edm centru Praha se spolupod\u00edl\u00edme na v\u00fdvoji nitroo\u010dn\u00edch \u010do\u010dek. Konkr\u00e9tn\u011b jsme se pod\u00edleli na v\u00fdvoji dvou multifok\u00e1ln\u00edch \u010do\u010dek, kter\u00e9 jsou v sou\u010dasn\u00e9 dob\u011b implantov\u00e1ny po cel\u00e9m sv\u011bt\u011b a kter\u00e9 obdr\u017eely od americk\u00e9ho \u00da\u0159adu pro kontrolu potravin a l\u00e9\u010div tzv. FDA approval, tedy certifik\u00e1t pro u\u017e\u00edv\u00e1n\u00ed v\u00a0USA,\u201c <\/em>sd\u011bluje prim\u00e1\u0159 Zugar.<\/p>\n

V\u00edcefok\u00e1ln\u00ed \u010do\u010dky umo\u017e\u0148uj\u00ed pacientovi vid\u011bt na d\u00e1lku, st\u0159ed i na \u010dten\u00ed bez br\u00fdl\u00ed. D\u00edky torick\u00fdm nitroo\u010dn\u00edm \u010do\u010dk\u00e1m se pacient m\u016f\u017ee zbavit i astigmatismu (cylindrick\u00fdch dioptri\u00ed). Asf\u00e9rick\u00e9 nitroo\u010dn\u00ed \u010do\u010dky se speci\u00e1ln\u00edm \u017elut\u00fdm filtrem chr\u00e1n\u00ed s\u00edtnici p\u0159ed modr\u00fdm a ultrafialov\u00fdm z\u00e1\u0159en\u00edm a z\u00e1rove\u0148 zlep\u0161uj\u00ed vid\u011bn\u00ed za \u0161era a za sn\u00ed\u017een\u00fdch sv\u011bteln\u00fdch podm\u00ednek.<\/p>\n

Mikroimplant\u00e1t s obrovsk\u00fdm \u00fa\u010dinkem<\/strong><\/p>\n

Na na\u0161em pracovi\u0161ti jsme ned\u00e1vno v\u016fbec jako prvn\u00ed priv\u00e1tn\u00ed centrum provedli unik\u00e1tn\u00ed operaci glaukomu, p\u0159i kter\u00e9 jsme implantovali speci\u00e1ln\u00ed titanov\u00e9 stenty pacient\u016fm se zelen\u00fdm z\u00e1kalem. Jedn\u00e1 se o mikrostent, kter\u00fd je sice jedn\u00edm z nejmen\u0161\u00edch l\u00e9ka\u0159sk\u00fdch implant\u00e1t\u016f do lidsk\u00e9ho t\u011bla, ale p\u0159in\u00e1\u0161\u00ed obrovsk\u00fd \u00fa\u010dinek.<\/p>\n

Nov\u00e1 metoda l\u00e9\u010dby glaukomu pomoc\u00ed dvou unik\u00e1tn\u00edch titanov\u00fdch mikroimplant\u00e1t\u016f, tzv. stent\u016f \u201eiStent inject\u00ae W\u201c, pom\u00e1h\u00e1 pacient\u016fm obnovit p\u0159irozen\u00fd odtok tekutin z oka a \u0159\u00eddit tak jejich nitroo\u010dn\u00ed tlak.<\/p>\n

\u201eV \u010cR je naimplantov\u00e1no n\u011bkolik des\u00edtek iStent\u016f s\u00a0velmi dobr\u00fdm v\u00fdsledkem. U n\u011bkter\u00fdch pacient\u016f zcela odpadla pot\u0159eba kapat kapky na sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku a dle v\u00fdsledk\u016f u pacient\u016f operovan\u00fdch na na\u0161em pracovi\u0161ti pozorujeme dostate\u010dn\u00e9 sn\u00ed\u017een\u00ed nitroo\u010dn\u00edho tlaku<\/em>,\u201c<\/em> sd\u011bluje dosavadn\u00ed zku\u0161enosti s v\u00fdsledky u sv\u00fdch pacient\u016f MUDr. Andrea Janekov\u00e1, FEBO, kter\u00e1 tyto operace glaukomu v OCP prov\u00e1d\u00ed.<\/p>\n

Od leto\u0161n\u00edho roku jsme jednou ze dvou soukrom\u00fdch klinik, kde je tento z\u00e1krok pln\u011b hrazen ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

Dv\u011b operace v jedn\u00e9<\/strong><\/p>\n

Obrovskou v\u00fdhodou nov\u00e9 operace glaukomu pomoc\u00ed iStent inject\u00ae W je to, \u017ee lze operaci spojit s operac\u00ed \u0161ed\u00e9ho z\u00e1kalu. Prov\u00e1d\u00edme pak vlastn\u011b dv\u011b operace v jedn\u00e9. D\u00edky tomu dok\u00e1\u017eeme pomoci pacientovi vy\u0159e\u0161it dv\u011b odli\u0161n\u00e1 o\u010dn\u00ed onemocn\u011bn\u00ed v r\u00e1mci jednoho z\u00e1kroku, co\u017e je obrovsk\u00e1 v\u00fdhoda p\u0159edev\u0161\u00edm pro pacienta \u2013 m\u00edsto dvou operac\u00ed jde de facto jen \u201ena jednu\u201c.<\/p>\n

\u201eU pacient\u016f, kte\u0159\u00ed maj\u00ed v\u00a0pl\u00e1nu operaci katarakty (\u0161ed\u00e9ho z\u00e1kalu), je mo\u017en\u00e9 prov\u00e9st tzv. kombinovan\u00fd v\u00fdkon, kdy b\u011bhem jednoho z\u00e1kroku nejprve operujeme \u0161ed\u00fd z\u00e1kal a ihned n\u00e1sledn\u011b implantujeme i mikrostent,<\/em>\u201c<\/em> vysv\u011btluje pan\u00ed doktorka Janekov\u00e1.<\/p>\n

Nejmodern\u011bj\u0161\u00ed biologick\u00e1 l\u00e9\u010dba s\u00edtnice<\/strong><\/p>\n

O\u010dn\u00ed centrum Praha je tzv. centrov\u00fdm\u00a0pracovi\u0161t\u011bm v Praze a St\u0159edo\u010desk\u00e9m kraji, kter\u00e9 m\u016f\u017ee poskytovat biologickou l\u00e9\u010dbu s\u00edtnice pln\u011b hrazenou ze zdravotn\u00edho poji\u0161t\u011bn\u00ed. Jedn\u00e1 se o modern\u00ed mo\u017enost l\u00e9\u010dby v\u00e1\u017en\u00fdch onemocn\u011bn\u00ed s\u00edtnice pomoc\u00ed nitroo\u010dn\u00edch injekc\u00ed.\u00a0Biologick\u00e1 l\u00e9\u010dba je c\u00edlen\u00e1, maxim\u00e1ln\u011b efektivn\u00ed a jej\u00ed v\u010dasn\u00e1 aplikace m\u016f\u017ee zastavit \u010di v\u00fdznamn\u011b zpomalit postup onemocn\u011bn\u00ed.<\/p>\n

OCP pat\u0159\u00ed mezi prvn\u00ed centra v \u010cesk\u00e9 republice, kter\u00e1 v sou\u010dasn\u00e9 dob\u011b nov\u011b za\u010d\u00ednaj\u00ed aplikovat novou, nejmodern\u011bj\u0161\u00ed biologickou l\u00e9\u010dbu.<\/p>\n

\u201eV\u00fdhodou t\u00e9to l\u00e9\u010dby je dlouhodob\u00e1 stabilita a du\u00e1ln\u00ed efekt biologick\u00e9ho l\u00e9\u010diva. Z\u00e1rove\u0148 by d\u00edky t\u00e9to nov\u00e9 l\u00e9\u010db\u011b m\u011bli pacienti s onemocn\u011bn\u00edm s\u00edtnice absolvovat men\u0161\u00ed po\u010det nitroo\u010dn\u00edch injekc\u00ed ne\u017e u dosavadn\u00edch l\u00e9k\u016f,\u201c <\/em>vysv\u011btluje v\u00fdhody nov\u00e9 l\u00e9\u010dby MUDr. Dana Fillov\u00e1, vedouc\u00ed l\u00e9ka\u0159 aplika\u010dn\u00edho a vitreoretin\u00e1ln\u00edho centra OCP.<\/p>\n

Um\u011bl\u00e1 inteligence <\/strong><\/p>\n

Um\u011bl\u00e1 inteligence nyn\u00ed p\u0159ich\u00e1z\u00ed ze v\u0161ech stran a snad v\u00a0ka\u017ed\u00e9m oboru, a i v oftalmologii je velk\u00fdm trendem.<\/p>\n

\u201eV o\u010dn\u00edm l\u00e9ka\u0159stv\u00ed se um\u011bl\u00e1 inteligence vyu\u017e\u00edv\u00e1 sp\u00ed\u0161e jako screeningov\u00e1 metoda pro zachycen\u00ed patologi\u00ed s\u00edtnice, zejm\u00e9na diabetick\u00fdch zm\u011bn a zm\u011bn charakteru degenerac\u00ed makuly. Prozat\u00edm je tedy sp\u00ed\u0161e vyu\u017e\u00edv\u00e1na <\/em><\/p>\n

praktick\u00fdmi l\u00e9ka\u0159i nebo diabetology, m\u00e9n\u011b o\u010dn\u00edmi l\u00e9ka\u0159i. Jedn\u00e1 se o anal\u00fdzu fotky o\u010dn\u00edho pozad\u00ed pomoc\u00ed AI. Jako metoda screeningu se zd\u00e1 AI velice n\u00e1pomocn\u00e1 a spolehliv\u00e1 pro v\u010dasn\u00fd z\u00e1chyt patologi\u00ed. Byly ji\u017e publikov\u00e1ny i pr\u00e1ce na vyu\u017eit\u00ed AI pro sledov\u00e1n\u00ed patologi\u00ed s\u00edtnice v pr\u016fb\u011bhu terapie, k tomu v\u0161ak zat\u00edm b\u011b\u017en\u011b vyu\u017e\u00edv\u00e1na v klinick\u00e9 praxi AI nen\u00ed,<\/em>\u201c<\/em> vysv\u011btluje vyu\u017eit\u00ed um\u011bl\u00e9 inteligence v oftalmologii pan\u00ed doktorka Fillov\u00e1.<\/p>\n

V O\u010dn\u00edm centru Praha se spolupod\u00edl\u00edme na v\u00fdvoji Aireen, um\u011bl\u00e9 inteligence pro z\u00e1chyt patologi\u00ed s\u00edtnice: diabetick\u00e9 retinopatie a degenerace makuly.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Novinek je v\u00a0oftalmologii cel\u00e1 \u0159ada a po\u0159\u00e1d se objevuj\u00ed nov\u00e9 v\u011bci \u2013 implant\u00e1ty, technologie, l\u00e9\u010div\u00e9 p\u0159\u00edpravky, postupy.<\/p>\n<\/div>","protected":false},"author":2,"featured_media":1712,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/posts\/1711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1711"}],"version-history":[{"count":1,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/posts\/1711\/revisions"}],"predecessor-version":[{"id":1713,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/posts\/1711\/revisions\/1713"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=\/wp\/v2\/media\/1712"}],"wp:attachment":[{"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.czechbankingnews.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}