{"id":8125,"date":"2020-04-27T06:47:12","date_gmt":"2020-04-27T09:47:12","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/rosacea-ocular\/"},"modified":"2024-10-02T18:30:32","modified_gmt":"2024-10-02T21:30:32","slug":"rosacea-ocular","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/","title":{"rendered":"Ros\u00e1cea ocular"},"content":{"rendered":"<p>&nbsp;<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFQue-es-la-rosacea-ocular\" >\u00bfQu\u00e9 es la ros\u00e1cea ocular?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFQuien-contrae-rosacea-ocular\" >Quem contrai ros\u00e1cea ocular?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFCual-es-la-causa-de-la-rosacea-ocular\" >Qual \u00e9 a causa da ros\u00e1cea ocular?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFCuales-son-los-sintomas-de-la-rosacea-ocular\" >Quais s\u00e3o os sintomas da ros\u00e1cea ocular?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFCuales-son-los-signos-clinicos-de-la-rosacea-ocular\" >Quais s\u00e3o os sinais cl\u00ednicos da ros\u00e1cea ocular?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Parpado-y-conjuntiva\" >P\u00e1lpebra e conjuntiva<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Cornea\" >C\u00f3rnea<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Iris-y-esclerotica\" >\u00cdris e esclera<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Rosacea-ocular\" >Ros\u00e1cea ocular<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFComo-se-diagnostica-la-rosacea-ocular\" >Como a ros\u00e1cea ocular \u00e9 diagnosticada?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#%C2%BFCuales-son-las-opciones-de-tratamiento-para-la-rosacea-ocular\" >Quais s\u00e3o as op\u00e7\u00f5es de tratamento para a ros\u00e1cea ocular?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Tratamiento-conservador\" >Tratamento conservador<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Actual-antimicrobianos\" >Antimicrobianos atuais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Actual-antiinflamatorio-agentes\" >Agentes antiinflamat\u00f3rios atuais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Sistemico-antibioticos\" >Antibi\u00f3ticos sist\u00eamicos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Oral-retinoides\" >Retin\u00f3ides orais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Suplementos-de-acidos-grasos-omega-3\" >Suplementos de \u00e1cidos graxos \u00f4mega-3<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/rosacea-ocular\/#Intervencion-quirurgica\" >Interven\u00e7\u00e3o cir\u00fargica<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-rosacea-ocular\"><\/span>\u00bfQu\u00e9 es la ros\u00e1cea ocular?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A ros\u00e1cea \u00e9 um problema comum de pele em que h\u00e1 vermelhid\u00e3o no meio da face, rubor, vasculatura proeminente, incha\u00e7o, <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> mim <span class=\"term\" data-term-id=\"1016\">p\u00fastulas<\/span>. A ros\u00e1cea ocular \u00e9 uma forma de ros\u00e1cea que envolve as p\u00e1lpebras e a parte frontal do olho. A ros\u00e1cea ocular inclui:<\/p>\n<ul>\n<li>Blefarite<\/li>\n<li>Hiperemia conjuntival<\/li>\n<li>Associado \u00e0 ros\u00e1cea <span class=\"term\" data-term-id=\"1033\">ceratite<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-rosacea-ocular\"><\/span>Quem contrai ros\u00e1cea ocular?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A ros\u00e1cea ocular afeta igualmente homens e mulheres adultos, com um estudo relatando uma idade m\u00e9dia de apresenta\u00e7\u00e3o de 56 anos. \u00c9 raro em crian\u00e7as e geralmente come\u00e7a ap\u00f3s os 30 anos.<\/p>\n<p>Geralmente ocorre em pacientes com ros\u00e1cea existente, mas pode ser a primeira <span class=\"term\" data-term-id=\"899\">placa<\/span> da doen\u00e7a A ros\u00e1cea ocular tende a ocorrer em pacientes com vermelhid\u00e3o facial (1).<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-de-la-rosacea-ocular\"><\/span>Qual \u00e9 a causa da ros\u00e1cea ocular?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A causa exata da ros\u00e1cea ocular \u00e9 desconhecida. Por\u00e9m, <span class=\"term\" data-term-id=\"464\">imune <\/span>micro-fatores<span class=\"term\" data-term-id=\"883\">organismos<\/span> na superf\u00edcie da pele, e reativo <span class=\"term\" data-term-id=\"953\">vasos sangu\u00edneos<\/span> est\u00e3o envolvidos (1).<\/p>\n<ul>\n<li>Demodex <span class=\"term\" data-term-id=\"1312\">\u00c1caros<\/span>, habitantes normais de c\u00edlios <span class=\"term\" data-term-id=\"1301\">fol\u00edculos<\/span>, pode estimular <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span> na ros\u00e1cea ocular e <span class=\"term\" data-term-id=\"10\">anterior<\/span> blefarite<\/li>\n<li><span class=\"term\" data-term-id=\"935\">As bact\u00e9rias<\/span> pode desempenhar um papel, pois a ros\u00e1cea ocular melhora com antibi\u00f3ticos. Uma teoria \u00e9 que <span class=\"term\" data-term-id=\"937\">bacteriano<\/span> libera\u00e7\u00e3o de lipase <span class=\"term\" data-term-id=\"1159\">t\u00f3xico<\/span> \u00e1cidos graxos livres e glicer\u00eddeos de <span class=\"term\" data-term-id=\"1469\">lip\u00eddios<\/span> secretado pelas gl\u00e2ndulas meibominan.<\/li>\n<li>O pro-<span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> <span class=\"term\" data-term-id=\"433\">citocina<\/span> <span class=\"term\" data-term-id=\"915\">interleucina<\/span> 1-alfa (IL-1\u03b1) aumenta a prote\u00edna metalomatriz-9 (MMP-9) no fluido lacrimal. A regula\u00e7\u00e3o positiva de MMP-9 danifica os tecidos oculares.<\/li>\n<\/ul>\n<p>A obstru\u00e7\u00e3o das gl\u00e2ndulas meibomianas altera a composi\u00e7\u00e3o do filme lacrimal e leva a:<\/p>\n<ul>\n<li>Filme lacrimal reduzido <span class=\"term\" data-term-id=\"1468\">lip\u00eddico<\/span> capa<\/li>\n<li>Instabilidade do filme de rasgo<\/li>\n<li>Hiperosmolaridade lacrimal<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-sintomas-de-la-rosacea-ocular\"><\/span>Quais s\u00e3o os sintomas da ros\u00e1cea ocular?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A ros\u00e1cea ocular afeta principalmente as p\u00e1lpebras, <span class=\"term\" data-term-id=\"574\">conjuntiva<\/span> e <span class=\"term\" data-term-id=\"1032\">c\u00f3rnea<\/span>. Em casos raros, pode envolver a \u00edris e <span class=\"term\" data-term-id=\"596\">escler\u00f3tico<\/span>. Os sintomas podem incluir:<\/p>\n<ul>\n<li>Coceira<\/li>\n<li>Queimadura e dor<\/li>\n<li>L\u00e1grimas aumentadas<\/li>\n<li><span class=\"term\" data-term-id=\"973\">Fotofobia<\/span> (sensibilidade \u00e0 luz)<\/li>\n<li>Sensa\u00e7\u00e3o de corpo estranho.<\/li>\n<li>Olho seco<\/li>\n<li>P\u00e1pulas inflamadas<\/li>\n<li>C\u00f3rnea <span class=\"term\" data-term-id=\"1279\">\u00falceras<\/span><\/li>\n<li>olho vermelho<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-signos-clinicos-de-la-rosacea-ocular\"><\/span>Quais s\u00e3o os sinais cl\u00ednicos da ros\u00e1cea ocular?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Parpado-y-conjuntiva\"><\/span>P\u00e1lpebra e conjuntiva<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A blefarite anterior envolve a margem da p\u00e1lpebra e a linha dos c\u00edlios. Os sinais incluem:<\/p>\n<ul>\n<li>Edema e espessamento da margem palpebral.<\/li>\n<li>Vermelhid\u00e3o e vasos sangu\u00edneos dilatados.<\/li>\n<li><span class=\"term\" data-term-id=\"385\">Escamoso<\/span> detritos na base dos c\u00edlios<\/li>\n<li>Perda de c\u00edlios (<span class=\"term\" data-term-id=\"175\">madarose<\/span>) ou c\u00edlios mal direcionados.<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"239\">Mais tarde<\/span> A blefarite envolve a obstru\u00e7\u00e3o dos ductos e a perda das gl\u00e2ndulas meibomianas (2). Isto leva a:<\/p>\n<ul>\n<li>Hiperemia conjuntival (vasos conjuntivais dilatados)<\/li>\n<li>Secre\u00e7\u00f5es turvas<\/li>\n<li>Papilar e <span class=\"term\" data-term-id=\"107\">folicular<\/span> rea\u00e7\u00f5es da placa tarsal<\/li>\n<li>Cicatriz conjuntival<\/li>\n<li>Chalaziones (<span class=\"term\" data-term-id=\"1076\">granulomatoso<\/span> les\u00f5es inflamat\u00f3rias ao redor das gl\u00e2ndulas meibomianas)<\/li>\n<li>Hordeolum externum (chiqueiro, ou seja, c\u00edlios <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span> com Staphyloccocus aureus)<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Cornea\"><\/span>C\u00f3rnea<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Uma c\u00f3rnea inflamada (ceratite) \u00e9 uma complica\u00e7\u00e3o ocular rara, mas grave, da ros\u00e1cea e pode amea\u00e7ar a vis\u00e3o (1).<\/p>\n<ul>\n<li>A ceratite pode afetar um ou ambos os olhos.<\/li>\n<li>A c\u00f3rnea dilu\u00edda fica inflamada com pontilhado superficial. <span class=\"term\" data-term-id=\"536\">eros\u00f5es<\/span>, aumento dos vasos sangu\u00edneos e opacidades.<\/li>\n<li>A ceratite devido \u00e0 ros\u00e1cea ocular tende a come\u00e7ar em uma borda ou parte inferior do olho e, em seguida, se espalha para afetar a metade inferior de dois ter\u00e7os da c\u00f3rnea.<\/li>\n<li><span class=\"term\" data-term-id=\"805\">Recorrente<\/span> Os ataques causam afinamento da c\u00f3rnea, aumento da opacidade da c\u00f3rnea e invas\u00e3o de vasos.<\/li>\n<li>A doen\u00e7a ocular grave raramente pode resultar em descemetocele (profunda <span class=\"term\" data-term-id=\"290\">\u00falcera<\/span>) e c\u00f3rnea <span class=\"term\" data-term-id=\"1431\">perfura\u00e7\u00e3o<\/span>.<\/li>\n<li>A doen\u00e7a da c\u00f3rnea pode incluir a forma\u00e7\u00e3o de pannus (uma camada de <span class=\"term\" data-term-id=\"753\">vascular<\/span> tecido fibroso) e phlyctenules (c\u00f3rnea al\u00e9rgica <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span>)<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Iris-y-esclerotica\"><\/span>\u00cdris e esclera<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Irite: \u00edris inflamada<\/li>\n<li>Episclerite: inflama\u00e7\u00e3o da camada entre a conjuntiva e a c\u00f3rnea.<\/li>\n<li><span class=\"term\" data-term-id=\"977\">Esclerite<\/span>: inflama\u00e7\u00e3o do branco do olho<\/li>\n<\/ul>\n<p>Irite, episclerite e esclerite s\u00e3o raras na ros\u00e1cea ocular. Eles causam olhos vermelhos doloridos e lacrimejantes e podem afetar a vis\u00e3o.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Rosacea-ocular\"><\/span>Ros\u00e1cea ocular<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p><img decoding=\"async\" src=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ocular-rosacea__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4749708.jpg\" alt=\"ocular-rosacea__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4749708-2596680\" \/><\/p>\n<\/div>\n<p class=\"p-small\">Ros\u00e1cea ocular<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p><img decoding=\"async\" src=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/stye1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3045247.jpg\" alt=\"stye1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3045247-9529790\" \/><\/p>\n<\/div>\n<p class=\"p-small\">Chiqueiro<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p><img decoding=\"async\" src=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eyelid-04__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2524371.jpg\" alt=\"eyelid-04__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2524371-1344419\" \/><\/p>\n<\/div>\n<p class=\"p-small\">Chalation<\/p>\n<\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-rosacea-ocular\"><\/span>Como a ros\u00e1cea ocular \u00e9 diagnosticada?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ros\u00e1cea ocular pode ser suspeitada em um paciente com <span class=\"term\" data-term-id=\"47\">cut\u00e2neo<\/span> ros\u00e1cea que tem doen\u00e7a da p\u00e1lpebra ou dos olhos. Os sintomas e sinais s\u00e3o inespec\u00edficos, de modo que o diagn\u00f3stico \u00e9 mais dif\u00edcil na aus\u00eancia de ros\u00e1cea cut\u00e2nea.<\/p>\n<p>A blefarite tamb\u00e9m pode ser causada por <span class=\"term\" data-term-id=\"378\">seborreico<\/span> <span class=\"term\" data-term-id=\"53\">dermatite<\/span>, uma condi\u00e7\u00e3o de pele escamosa e p\u00e1pulas inflamat\u00f3rias nas p\u00e1lpebras e ao redor delas pode ser devido a <span class=\"term\" data-term-id=\"1559\">artificial<\/span> dermatite.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-opciones-de-tratamiento-para-la-rosacea-ocular\"><\/span>Quais s\u00e3o as op\u00e7\u00f5es de tratamento para a ros\u00e1cea ocular?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Tratamiento-conservador\"><\/span>Tratamento conservador<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Higiene da tampa: shampoo dilu\u00eddo para beb\u00eas, bicarbonato de s\u00f3dio dilu\u00eddo <span class=\"term\" data-term-id=\"1119\">solu\u00e7\u00e3o<\/span> ou a prepara\u00e7\u00e3o patenteada pode ser aplicada com um cotonete para limpar as margens da p\u00e1lpebra e remover <span class=\"term\" data-term-id=\"320\">escala<\/span> ao longo da linha do chicote.<\/li>\n<li>Compressas quentes nas p\u00e1lpebras fechadas por cinco a dez minutos por dia podem melhorar o fluxo de secre\u00e7\u00f5es da gl\u00e2ndula meibomiana, cal\u00e1zio e ter\u00e7ol.<\/li>\n<li>As l\u00e1grimas artificiais (lubrificantes para os olhos) reduzem os sintomas devido ao olho seco.<\/li>\n<li>Evite usar lentes de contato se irritarem o olho inflamado.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Actual-antimicrobianos\"><\/span><span class=\"term\" data-term-id=\"1330\">Atual<\/span> <span class=\"term\" data-term-id=\"1712\">antimicrobiano<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A blefarite anterior pode ser tratada com sucesso com v\u00e1rios antiss\u00e9pticos t\u00f3picos e antibi\u00f3ticos, incluindo:<\/p>\n<ul>\n<li>Eritromicina<\/li>\n<li>Metronidazol<\/li>\n<li>Azitromicina<\/li>\n<li>Bacitracina<\/li>\n<li>Polimixina B<\/li>\n<li>\u00c1cido fus\u00eddico<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Actual-antiinflamatorio-agentes\"><\/span>Atual <span class=\"term\" data-term-id=\"1413\">anti-inflamat\u00f3rio<\/span> agentes<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Agentes antiinflamat\u00f3rios n\u00e3o ester\u00f3ides t\u00f3picos, como o ibuprofeno, podem ser \u00fateis.<\/li>\n<li>Os ester\u00f3ides t\u00f3picos s\u00e3o usados a curto prazo para tratar a inflama\u00e7\u00e3o das p\u00e1lpebras ou ceratite ros\u00e1cea. O uso a longo prazo de ester\u00f3ides t\u00f3picos deve ser evitado, pois podem levar a <a href=\"https:\/\/unovision.com.ar\/cirugia-de-glaucoma\/\"><span class=\"term\" data-term-id=\"975\">glaucoma<\/span><\/a> e <span class=\"term\" data-term-id=\"927\">cachoeiras<\/span>.<\/li>\n<li>A ciclosporina t\u00f3pica \u00e9 geralmente usada para ros\u00e1cea ocular que n\u00e3o respondeu aos ester\u00f3ides t\u00f3picos.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Sistemico-antibioticos\"><\/span><span class=\"term\" data-term-id=\"380\">Sist\u00eamico<\/span> antibi\u00f3ticos<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Os seguintes antibi\u00f3ticos orais s\u00e3o usados para a ros\u00e1cea ocular:<\/p>\n<ul>\n<li>Tetraciclinas como a doxiciclina.<\/li>\n<li>Macrol\u00eddeos como eritromicina<\/li>\n<\/ul>\n<p>Eles reduzem as bact\u00e9rias, melhoram a estabilidade do filme lacrimal e normalizam as secre\u00e7\u00f5es das gl\u00e2ndulas meibonianas.<\/p>\n<p>Os antibi\u00f3ticos orais geralmente s\u00e3o continuados por 6 a 12 semanas, depois diminuindo gradualmente ao longo de um ou dois meses. Ciclos adicionais de antibi\u00f3ticos orais podem ser usados para surtos de doen\u00e7as.<\/p>\n<p>Os chiqueiros que n\u00e3o desaparecem com antibi\u00f3ticos t\u00f3picos s\u00e3o tratados com antibi\u00f3ticos antiestafiloc\u00f3cicos orais, como a flucloxacilina.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Oral-retinoides\"><\/span>Oral <span class=\"term\" data-term-id=\"762\">retin\u00f3ides<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A isoretino\u00edna oral pode ser usada em doses baixas para tratar a ros\u00e1cea ocular, mas com cautela porque seus efeitos adversos incluem aumento de infec\u00e7\u00f5es, olhos secos e outros efeitos oculares.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Suplementos-de-acidos-grasos-omega-3\"><\/span>Suplementos de \u00e1cidos graxos \u00f4mega-3<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Foi relatado que a suplementa\u00e7\u00e3o oral com \u00e1cidos graxos \u00f4mega-3 \u00e9 ben\u00e9fica para alguns pacientes com olhos secos.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Intervencion-quirurgica\"><\/span>Interven\u00e7\u00e3o cir\u00fargica<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A cirurgia pode ser necess\u00e1ria para reparar a opacifica\u00e7\u00e3o ou perfura\u00e7\u00e3o da c\u00f3rnea devido \u00e0 ceratite ros\u00e1cea. O procedimento \u00e9 denominado ceratoplastia.<\/p>\n<p>Hord\u00e9ola que n\u00e3o melhora com compressas quentes e antibioticoterapia pode ser removida.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>&nbsp; \u00bfQu\u00e9 es la ros\u00e1cea ocular? La ros\u00e1cea es un problema com\u00fan de la piel en el que hay enrojecimiento de la mitad de la cara, enrojecimiento, vasculatura prominente, hinchaz\u00f3n,&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8125","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=8125"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8125\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=8125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=8125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=8125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}