{"id":5587,"date":"2016-07-18T09:21:24","date_gmt":"2016-07-18T07:21:24","guid":{"rendered":"http:\/\/spital.sf.treime.md\/?p=5587"},"modified":"2016-07-18T10:06:47","modified_gmt":"2016-07-18T08:06:47","slug":"ce-este-degenerescenta-maculara-legata-de-varsta-dmlv","status":"publish","type":"post","link":"https:\/\/treime.md\/ru\/ce-este-degenerescenta-maculara-legata-de-varsta-dmlv\/","title":{"rendered":"Ce este degenerescen\u021ba macular\u0103 legat\u0103 de v\u00e2rst\u0103 (DMLV)?"},"content":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#187;5618,5610,5597,5596,5595,5594,5593,5592,5590&#8243; img_size=&#187;&#187; slides_per_view=&#187;4&#8243; autoplay=&#187;yes&#187; wrap=&#187;yes&#187; el_class=&#187;carusel_post&#187;][vc_empty_space][vc_column_text]Una dintre problemele de baz\u0103 de diagnostic \u015fi tratament \u00een medicina contemporan\u0103,  r\u0103m\u00e2ne a fi degenerescen\u0163a macular\u0103 legat\u0103 de v\u00e2rst\u0103. Problema profilaxiei \u015fi diagnostic\u0103rii timpurii a degenerescen\u0163ei maculare legate de v\u00e2rst\u0103 (DMLV) este determinat\u0103 de importan\u0163a major\u0103 a problemei \u015fi aten\u0163ia insuficient\u0103 a medicilor c\u0103tre aceast\u0103 patologie. Se manifest\u0103 prin alterarea acuit\u0103\u021bii vizuale centrale datorate distruc\u0163iei zonei de maxim\u0103 acuitate vizual\u0103 a retinei \u2013 macula (Figura 1.). <!--more--> Avanseaz\u0103 rapid \u015fi afecteaz\u0103 vederea ambelor ochi, iar uneori a\u015fa de lent \u00eenc\u00e2t persoana nu-\u015fi d\u0103 seama de alterarea vederii.  R\u0103m\u00e2ne a fi una din principalele cauze  grave a pierderii  ireversibile a vederii, deoarece nu mai poate citi, nu mai vedea bine  TV, nu mai poate privi fotografii.<a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7.png\" rel=\"attachment wp-att-5594\"><br \/>\n<\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula.jpg\" rel=\"attachment wp-att-5597\"><br \/>\n<img loading=\"lazy\" class=\" wp-image-5597 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula.jpg\" alt=\"macula\" width=\"121\" height=\"165\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula.jpg 275w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula-220x300.jpg 220w\" sizes=\"(max-width: 121px) 100vw, 121px\" \/><\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/9.jpg\" rel=\"attachment wp-att-5596\"><br \/>\n<\/a><br \/>\nFigura 1. Macula<\/p>\n<p><strong>Degenerescen\u0163a macular\u0103 legat\u0103 de v\u00e2rst\u0103 (DMLV)<\/strong> \u2013 este o patologie ce afecteaz\u0103 zona macular\u0103 (Figura 1), ce progreseaz\u0103 rapid \u015fi se manifest\u0103 prin procese degenerative cronice a retinei.  Este principala cauz\u0103 a pierderii  vederii centrale &#8212; cecitate legat\u0103 de vedere la popula\u0163ia peste 50 ani, \u00een \u0163\u0103rile dezvoltate c\u00e2t \u015fi cele \u00een curs de dezvoltare.<\/p>\n<p>Odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103, cre\u015fte morbiditatea, rata, frecven\u0163a, severitatea dezvolt\u0103rii DMLV \u015fi alte particularit\u0103\u0163i caracteristice patologiei. Studiile interna\u021bionale au demonstrat c\u0103 frecven\u0163a \u00eemboln\u0103virii cu DMLV constituie mai pu\u0163in de 10% la persoanele cuprinse \u00eentre 43-45 ani \u015fi aproximativ de trei ori mai frecvent la pacien\u0163ii cuprin\u015fi \u00eentre 75-85 ani.<\/p>\n<p>Tendin\u021ba de cre\u0219tere a duratei vie\u021bii popula\u021biei pe glob va duce la cre\u0219terea num\u0103rului pacien\u021bilor cu DMLV. Se presupune c\u0103 \u00een 2020 num\u0103rul pacien\u0163ilor cu DMLV se va dubla.<\/p>\n<p><strong>ACUZELE PACIEN\u021aILOR:<\/strong><\/p>\n<ul>\n<li>Sc\u0103derea acuit\u0103\u021bii vizuale centrale (AV) \u00een dep\u0103rtare \u0219i de aproape<\/li>\n<li>Scotom central<\/li>\n<li>Metamorfopsii<\/li>\n<li>Micropsii<\/li>\n<li>Macropsii<\/li>\n<\/ul>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/2.png\" rel=\"attachment wp-att-5589\"><img loading=\"lazy\" class=\" wp-image-5589 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/2.png\" alt=\"2\" width=\"174\" height=\"117\" \/><\/a>                  <a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1.jpg\" rel=\"attachment wp-att-5590\"><img loading=\"lazy\" class=\"wp-image-5590 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1.jpg\" alt=\"3\" width=\"127\" height=\"169\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1.jpg 1536w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-225x300.jpg 225w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-768x1024.jpg 768w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-500x667.jpg 500w\" sizes=\"(max-width: 127px) 100vw, 127px\" \/><\/a><\/p>\n<p>Scotoma central\u0103                                   Metamorfopsii<\/p>\n<p><strong>Dac\u0103 persoana acuz\u0103 cel pu\u021bin unul din aceste simptome este necesar\u0103 adresarea de urgen\u021b\u0103 la doctorul oftalmolog !!!<\/strong><\/p>\n<p><strong> <\/strong><strong>FORMELE CLINICE A DEGENERESCEN\u0162EI MACULARE LEGATE DE V\u00c2RST\u0102 (DMLV):<\/strong><\/p>\n<ol>\n<li>DMLV non-neovascular\u0103 (uscat\u0103, atrofic\u0103) &#8212; 85% din cazuri, determinat\u0103 de   distrugerea     fotoreceptorilor \u015fi a epiteliului pigmentar, cu atrofia lui, f\u0103r\u0103 vase neoformate (Figura 2).<\/li>\n<\/ol>\n<p>2.DMLV neovascular\u0103 (exsudativ\u0103, umed\u0103) &#8212; 15%, determin\u00e2nd pierderea vederii centrale \u00een 80% cazuri, rapid\u0103 si sever\u0103, prin apari\u0163ia de neovase fragile, permeabile, ce exsudeaz\u0103 (Figura 3).<\/p>\n<p><strong>              <a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/5.jpg\" rel=\"attachment wp-att-5592\"><img loading=\"lazy\" class=\" wp-image-5592 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/5.jpg\" alt=\"5\" width=\"195\" height=\"161\" \/><\/a>     <a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-2.jpg\" rel=\"attachment wp-att-5608\"><img loading=\"lazy\" class=\"alignleft wp-image-5608\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-2.jpg\" alt=\"4\" width=\"221\" height=\"168\" \/><\/a><br \/>\n<\/strong><\/p>\n<p>Figura 2. DMLV forma atrofic\u0103<\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-1.jpg\" rel=\"attachment wp-att-5610\"><img loading=\"lazy\" class=\" wp-image-5610 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-1.jpg\" alt=\"6\" width=\"227\" height=\"173\" \/><\/a><\/p>\n<p>Figura 3. DMLV forma exsudativ\u0103<\/p>\n<p><strong><u>Factorii de risc \u00een DMLV:<\/u><\/strong><\/p>\n<ul>\n<li>V\u00e2rsta<\/li>\n<li>Fumatul<\/li>\n<li>Hipertonia arterial\u0103<\/li>\n<li>Nivelul sc\u0103zut de antioxidan\u0163i \u00een organism<\/li>\n<li>Majorarea indicelui masei corporale<\/li>\n<li>Markerii inflama\u0163iei<\/li>\n<li>Factorului ereditar<\/li>\n<\/ul>\n<p><strong>Examenul clinic va include:<\/strong><\/p>\n<ol>\n<li>Examinarea AV (acuitatea vizual\u0103)<\/li>\n<li>Biomicroscopia stereoscopic\u0103 binocular\u0103 a zonei maculare cu lentila Volk 90D<\/li>\n<li>Testul Amsler (Figura 4)<\/li>\n<li>Examenul vederii cromatice<\/li>\n<li>Autorefractometria<\/li>\n<\/ol>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7.png\" rel=\"attachment wp-att-5594\"><img loading=\"lazy\" class=\" wp-image-5594 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7.png\" alt=\"7\" width=\"207\" height=\"207\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7.png 330w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-200x200.png 200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-300x300.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-96x96.png 96w\" sizes=\"(max-width: 207px) 100vw, 207px\" \/><\/a><\/p>\n<p>Figura 4. Test Amsler<\/p>\n<p><strong><em><u>Tehnici speciale de diagnostic:<\/u><\/em><\/strong><\/p>\n<ol>\n<li>Tomografia \u00een coeren\u021b\u0103 optic\u0103<\/li>\n<li>Perimetria computerizat\u0103 10 la grade<\/li>\n<li>Angiofluorografia retinei<\/li>\n<li>Fotografierea fundului de ochi<\/li>\n<\/ol>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8.jpg\" rel=\"attachment wp-att-5595\"><img loading=\"lazy\" class=\"wp-image-5595 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8.jpg\" alt=\"8\" width=\"268\" height=\"199\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8.jpg 762w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8-300x222.jpg 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8-500x371.jpg 500w\" sizes=\"(max-width: 268px) 100vw, 268px\" \/><\/a><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/9.jpg\" rel=\"attachment wp-att-5596\"><img loading=\"lazy\" class=\"size-full wp-image-5596 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/9.jpg\" alt=\"9\" width=\"270\" height=\"125\" \/><\/a><\/p>\n<p>Figura 5. Tomografie \u00een coeren\u021b\u0103 optic\u0103<\/p>\n<p><strong>Principiile de baz\u0103 \u00een tratamentul DMLV:<\/strong><\/p>\n<ul>\n<li>Timpul<\/li>\n<li>Patogenetic<\/li>\n<li>Diferen\u021bierea (stadiu, forma)<\/li>\n<li>Durata tratamentului (uneori toat\u0103 via\u021ba)<\/li>\n<li>Terapia mixt\u0103 (medicametoas\u0103, laser, chirurgical)<\/li>\n<\/ul>\n<p><strong><u>Tratamentul pacien\u021bilor cu DMLV va include:<\/u><\/strong><\/p>\n<p><strong>Medicamentos:<\/strong><\/p>\n<ul>\n<li>Preparate antioxidante, vitamine, complexe de minerale<\/li>\n<li>Bioreglatori peptidici<\/li>\n<li>Inhibitorii Anti-VEGF<\/li>\n<\/ul>\n<p><strong>Laser:<\/strong><\/p>\n<ul>\n<li>Terapia fotodinamic\u0103<\/li>\n<li>Laser termoterapia transpupilar\u0103<\/li>\n<li>Lasercoagularea<\/li>\n<\/ul>\n<p><strong>Chirurgical:<\/strong><\/p>\n<ul>\n<li>Translocarea maculei<\/li>\n<li>Transplantarea de epiteliu pigmentar a retinei (EPR)<\/li>\n<\/ul>\n<p>Tratamentul contemporan DMLV include monitorizarea, administrarea de antioxidante, adaosuri de  vitamine \u015fi minerale, injec\u0163ii intravitriene cu anti-VEGF, terapia fotodinamic\u0103 \u015fi lazercoagularea. Fum\u0103torilor li se recomand\u0103 abandonarea fumatului, din motivul corela\u0163iei dintre DMLV \u015fi fumat, care ar avea un efect benefic asupra s\u0103n\u0103t\u0103\u0163ii pacientului. Cercet\u0103rile au ar\u0103tat c\u0103 sfatul medicului de a abandona fumatul este o motiva\u0163ie serioas\u0103 pentru acest pas al  pacientului.<\/p>\n<p><strong>Concluzii:<\/strong><\/p>\n<ol>\n<li>Degenerescen\u021ba macular\u0103 legat\u0103 de v\u00e2rst\u0103 este o patologie ocular\u0103 ce  se manifest\u0103 prin sc\u0103derea acuit\u0103\u0163ii vizuale, ce afecteaz\u0103 zona macular\u0103 a retinei  fiind una din principalele  cauze a pierderii  vederii centrale  la popula\u0163ia  peste 50 ani,  poate fi tratat\u0103 cu antioxidan\u0163i \u015fi injec\u0163ii intravitriene cu Anti-VEGF (Avastin, Lucentis).<\/li>\n<li>Adresarea timpurie la doctorul oftalmolog va contribui la depistarea c\u00e2t mai precoce a patologiei date cu aplicarea tratamentului corespunz\u0103tor \u0219i mic\u0219orarea v\u0103dit\u0103 a riscului de progresare \u00een stadiile tardive \u0219i va contribui la men\u021binerea func\u021biilor vizuale.<\/li>\n<\/ol>\n<p><strong><em><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461.jpg\" rel=\"attachment wp-att-5618\"><img loading=\"lazy\" class=\"alignleft wp-image-5618\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461.jpg\" alt=\"IMG_6461\" width=\"251\" height=\"246\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461.jpg 3524w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-300x294.jpg 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-1024x1004.jpg 1024w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-500x490.jpg 500w\" sizes=\"(max-width: 251px) 100vw, 251px\" \/><\/a><\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>Andronic Sergiu<\/em><\/strong><\/p>\n<p><strong><em>Doctor oftalmolog<\/em><\/strong><\/p>\n<p><strong><em>Clinica oftalmologie nr.2<\/em><\/strong><\/p>\n<p><strong><em>IMSP SCM ,,S\u00e2ntaTreime\u201d<\/em><\/strong><\/p>\n<p><strong><em> <\/em><\/strong>[\/vc_column_text][vc_empty_space]<ul class=\"photostream clearfix page_margin_top_section\"><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-200x200.jpg 200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461-800x800.jpg 800w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/IMG_6461.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-1-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-1-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-1-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/6-1.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-2-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/4-2.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-1-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-1-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-1-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/4-1.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/macula-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/macula.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/9-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/9.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/8-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/8.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-96x96.png\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-96x96.png 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-200x200.png 200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7-300x300.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/7.png 330w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/7.png\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/6-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/6.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/5-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/5-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/5-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/5.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/4-200x200.jpg 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/4.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-96x96.jpg 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-200x200.jpg 200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/3-1-800x800.jpg 800w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/3-1.jpg\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"92\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/2-96x92.png\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/2.png\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><\/ul>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#187;5618,5610,5597,5596,5595,5594,5593,5592,5590&#8243; img_size=&#187;&#187; slides_per_view=&#187;4&#8243; autoplay=&#187;yes&#187; wrap=&#187;yes&#187; el_class=&#187;carusel_post&#187;][vc_empty_space][vc_column_text]Una dintre problemele de baz\u0103 de diagnostic \u015fi tratament \u00een medicina contemporan\u0103, r\u0103m\u00e2ne a fi degenerescen\u0163a macular\u0103 legat\u0103 de v\u00e2rst\u0103. Problema profilaxiei \u015fi diagnostic\u0103rii timpurii a degenerescen\u0163ei maculare legate de v\u00e2rst\u0103 (DMLV) este determinat\u0103 de importan\u0163a major\u0103 a problemei \u015fi aten\u0163ia insuficient\u0103 a medicilor c\u0103tre aceast\u0103 patologie. Se manifest\u0103<\/p>\n","protected":false},"author":2,"featured_media":5595,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[53,2],"tags":[],"_links":{"self":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/5587"}],"collection":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/comments?post=5587"}],"version-history":[{"count":8,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/5587\/revisions"}],"predecessor-version":[{"id":5649,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/5587\/revisions\/5649"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/media\/5595"}],"wp:attachment":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/media?parent=5587"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/categories?post=5587"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/tags?post=5587"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}