{"id":8839,"date":"2021-10-07T11:46:33","date_gmt":"2021-10-07T14:46:33","guid":{"rendered":"https:\/\/phelcom.com\/?p=8839"},"modified":"2023-06-02T13:59:48","modified_gmt":"2023-06-02T16:59:48","slug":"nevus-de-coroide","status":"publish","type":"post","link":"https:\/\/phelcom.com\/pt-br\/blog\/saude\/nevus-de-coroide\/","title":{"rendered":"Como a retinografia auxilia no diagn\u00f3stico e acompanhamento do nevus de coroide"},"content":{"rendered":"

O nevus de coroide \u00e9 uma mancha escura que surge no fundo do olho e s\u00f3 pode ser detectado com exames de rotina, como o mapeamento da retina. Geralmente, o tratamento inclui apenas o acompanhamento anual.<\/p>\n

H\u00e1 tamb\u00e9m nevus na pele, que s\u00e3o acompanhados pelo dermatologista por meio de dermatoscopia para verifica\u00e7\u00e3o de poss\u00edveis mudan\u00e7as nas caracter\u00edsticas, como aumento. O mesmo acompanhamento ocorre com as machas no fundo do olho, por exemplo.<\/p>\n

Caso apresente crescimento, pode evoluir para est\u00e1gios muito avan\u00e7ados, como o melanoma de coroide, doen\u00e7a muito rara que atinge menos de 1% dos pacientes diagnosticados com o problema. Esse n\u00famero equivale a cinco pessoas a cada um milh\u00e3o.<\/p>\n

O melanoma (um tipo de c\u00e2ncer) \u00e9 assintom\u00e1tico na fase inicial. A estimativa \u00e9 que 85% dos casos surjam no trato uveal – \u00edris, corpo ciliar e coroide. Quando n\u00e3o identificado no in\u00edcio, pode se alastrar para o f\u00edgado como uma met\u00e1stase.<\/p>\n

Para a verifica\u00e7\u00e3o do tamanho do nevus de coroide, \u00e9 indicado o exame de retinografia. A seguir, veja como esse exame pode auxiliar no diagn\u00f3stico precoce e acompanhamento da doen\u00e7a.<\/p>\n

Nevus da coroide \u2013 diagn\u00f3stico<\/h2>\n

S\u00e3o nos exames de rotina que o oftalmologista pode identificar o nevus de coroide, j\u00e1 que o dist\u00farbio n\u00e3o \u00e9 visto a olho nu e, geralmente, n\u00e3o apresenta sintomas iniciais.<\/p>\n

O mapeamento de retina \u00e9 um deles. Ao observar o nevus, o m\u00e9dico pode realizar mais exames para fechar o diagn\u00f3stico, como tomografia de coer\u00eancia \u00f3ptica (OCT) e retinografia.<\/p>\n

A fotografia do fundo do olho \u00e9 fundamental na detec\u00e7\u00e3o e acompanhamento para verificar se a pinta apresenta crescimento. Atualmente, h\u00e1 aparelhos port\u00e1teis n\u00e3o midri\u00e1ticos que realizam o exame rapidamente e armazenam as imagens em uma plataforma on-line e funcional<\/a>. Com isso, \u00e9 poss\u00edvel comparar as fotografias ao longo dos anos. Al\u00e9m disso, permite o diagn\u00f3stico remoto por especialistas em qualquer lugar do mundo.<\/p>\n

\"nevus<\/a><\/p>\n

Caso o nevus cres\u00e7a, o primeiro diagn\u00f3stico pode ser de les\u00e3o melanoc\u00edtica indeterminada, que ter\u00e1 protocolo de exames e acompanhamento definidos pelo m\u00e9dico. Se for observado novo aumento, confirma-se o diagn\u00f3stico de melanoma de coroide.<\/p>\n

Melanoma de coroide – tratamento<\/h2>\n

De fato, o melanoma de coroide n\u00e3o tem cura, mas h\u00e1 tratamento e deve ser monitorado pelo resto da vida. Desse modo, a terapia ser\u00e1 estabelecida conforme o estado de vis\u00e3o e idade do paciente e a localiza\u00e7\u00e3o e extens\u00e3o do c\u00e2ncer. Se o diagn\u00f3stico ocorreu de forma precoce, h\u00e1 um melhor progn\u00f3stico, assim como de todas as doen\u00e7as.<\/p>\n

Em tamanhos pequenos e m\u00e9dios, a braquiterapia \u00e9 a mais recomendada. Essa cirurgia apresenta taxa de controle de aproximadamente 95% e mant\u00e9m o olho e, em algumas situa\u00e7\u00f5es, a capacidade de vis\u00e3o.<\/p>\n

Antigamente, o m\u00e9todo de controle era a retirada do globo ocular. A enuclea\u00e7\u00e3o ainda pode ocorrer se o tumor for grande e provocar sintomas como dor intensa, vis\u00e3o ruim e desorganiza\u00e7\u00e3o das estruturas internas. Em alguns casos, tamb\u00e9m \u00e9 indicada radioterapia, laserterapia e termoterapia transpupilar.<\/p>\n

Revisado por Paulo Schor, m\u00e9dico oftalmologista, professor livre docente e diretor de inova\u00e7\u00e3o da Universidade Federal de S\u00e3o Paulo (Unifesp) e colaborador da Faculdade de Medicina do Hospital Albert Einstein.<\/em><\/p>\n

Acompanhe o blog da Phelcom e fique por dentro das principais novidades sobre gest\u00e3o do consult\u00f3rio!<\/p>\n","protected":false},"excerpt":{"rendered":"

O nevus de coroide n\u00e3o \u00e9 visto a olho nu e, geralmente, n\u00e3o apresenta sintomas iniciais. Mancha pode evoluir para melanoma de coroide. <\/p>\n","protected":false},"author":3,"featured_media":8840,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[107],"tags":[],"class_list":["post-8839","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude"],"acf":[],"yoast_head":"\nComo a retinografia auxilia no diagn\u00f3stico e acompanhamento do nevus de coroide - PHELCOM Technologies<\/title>\n<meta name=\"description\" content=\"O nevus de coroide n\u00e3o \u00e9 visto a olho nu e, geralmente, n\u00e3o apresenta sintomas iniciais. 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