{"id":12754,"date":"2026-09-28T15:01:32","date_gmt":"2026-09-28T15:01:32","guid":{"rendered":"https:\/\/barcelonainternationalhospitals.com\/?p=12754"},"modified":"2026-09-28T15:09:10","modified_gmt":"2026-09-28T15:09:10","slug":"cirurgia-de-despreniment-de-retina-amb-quina-rapidesa-es-tracta","status":"publish","type":"post","link":"https:\/\/barcelonainternationalhospitals.com\/ca\/blog\/retinal-detachment-surgery-how-quickly-treated\/","title":{"rendered":"Cirurgia de despreniment de retina: amb quina rapidesa s'ha de tractar?"},"content":{"rendered":"

Un despreniment de retina es produeix quan la retina se separa dels teixits que la sostenen a la part posterior de l'ull. Com que la retina \u00e9s essencial per a la visi\u00f3, aquesta afecci\u00f3 requereix avaluaci\u00f3 oftalmol\u00f2gica urgent<\/strong> i, en molts casos, tractament quir\u00fargic.<\/p>\n\n

Una de les preguntes m\u00e9s importants per als pacients \u00e9s la rapidesa amb qu\u00e8 cirurgia de despreniment de retina<\/strong> s'ha de realitzar. No hi ha un termini \u00fanic per a cada cas. La urg\u00e8ncia dep\u00e8n del tipus i l'abast del despreniment, la ubicaci\u00f3 de l'esquin\u00e7ament de la retina i, en particular, de si la m\u00e0cula, la part central de la retina responsable de la visi\u00f3 detallada, encara est\u00e0 adherida.<\/p>\n\n

Aquesta guia explica els signes d'alerta del despreniment de retina, per qu\u00e8 no s'ha d'ajornar el tractament, les principals opcions quir\u00fargiques i qu\u00e8 poden esperar els pacients durant la recuperaci\u00f3.<\/p>\n\n

\n

El despreniment de retina \u00e9s una emerg\u00e8ncia?<\/p>\n

S\u00ed. Un sospit\u00f3s despreniment de retina requereix una avaluaci\u00f3 urgent per part d'un oftalm\u00f2leg.<\/strong> Un diagn\u00f2stic r\u00e0pid \u00e9s important perqu\u00e8 el despreniment pot progressar i afectar la m\u00e0cula, cosa que pot afectar la visi\u00f3 central. El moment exacte del tractament el determina un especialista en retina segons cada cas.<\/p>\n<\/div>\n\n

Qu\u00e8 \u00e9s el despreniment de retina?<\/h2>\n\n

La retina \u00e9s una capa fina de teixit sensible a la llum que es troba a la part posterior de l'ull i que juga un paper essencial en la visi\u00f3. A despreniment de retina<\/strong> es produeix quan aquesta capa se separa de la seva posici\u00f3 normal. La forma m\u00e9s comuna es desenvolupa quan un esquin\u00e7 o forat a la retina permet que el l\u00edquid passi per sota de la retina.<\/p>\n\n

Altres formes poden apar\u00e8ixer quan el teixit cicatricial estira la retina o quan s'acumula l\u00edquid a sota sense que es produeixi un esquin\u00e7ament retinal.<\/p>\n\n

Quins s\u00f3n els s\u00edmptomes del despreniment de retina?<\/h2>\n\n

S\u00edmptomes de despreniment de retina<\/strong> solen ser indolors i poden apar\u00e8ixer de sobte. Recon\u00e8ixer-les \u00e9s particularment important perqu\u00e8 la visi\u00f3 central pot romandre inicialment relativament normal.<\/p>\n\n

\n\n
\n

Mosques volants sobtades<\/p>\n

Un augment sobtat de punts, l\u00ednies o formes semblants a teranyines que es mouen pel camp de visi\u00f3.<\/p>\n <\/div>\n\n

\n

Flaixos de llum<\/p>\n

Breus flaixos, sovint observats al costat del camp visual, sobretot en condicions de poca llum.<\/p>\n <\/div>\n\n

\n

Ombra o cortina<\/p>\n

Una zona fosca o una ombra semblant a una cortina que sembla moure's per part del camp visual.<\/p>\n <\/div>\n\n

\n

P\u00e8rdua de la visi\u00f3 perif\u00e8rica<\/p>\n

Part de la visi\u00f3 lateral pot desapar\u00e8ixer a mesura que la zona despresa es fa m\u00e9s gran.<\/p>\n <\/div>\n\n

\n

Visi\u00f3 borrosa<\/p>\n

La visi\u00f3 pot tornar-se borrosa o distorsionada, sobretot si la retina central s'hi veu afectada.<\/p>\n <\/div>\n\n

\n

P\u00e8rdua visual sobtada<\/p>\n

Una disminuci\u00f3 significativa de la visi\u00f3 requereix una avaluaci\u00f3 oftalmol\u00f2gica immediata.<\/p>\n <\/div>\n\n<\/div>\n\n

Amb quina rapidesa s'ha de realitzar una cirurgia de despreniment de retina?<\/h2>\n\n

El moment de cirurgia de despreniment de retina<\/strong> es determina individualment. Una de les consideracions m\u00e9s importants \u00e9s si la m\u00e0cula encara est\u00e0 adherida.<\/p>\n\n

Si la m\u00e0cula roman adherida, el tractament pot ser particularment urgent, ja que un dels objectius \u00e9s reparar la retina abans que el despreniment progressi cap a la zona responsable de la visi\u00f3 central i detallada.<\/p>\n\n

Si la m\u00e0cula ja s'ha despres, generalment cal una cirurgia immediata. L'especialista en retina t\u00e9 en compte factors com ara quant de temps pot haver estat despresa la m\u00e0cula, la ubicaci\u00f3 i l'abast del despreniment, el nombre de trencaments retinians i l'estat general de l'ull.<\/p>\n\n

\n

Quant de temps pot passar sense tractament el despreniment de retina?<\/p>\n

No hi ha un per\u00edode universalment segur per deixar un despreniment de retina diagnosticat sense tractar. Alguns despreniments poden progressar r\u00e0pidament. Els pacients no han d'esperar que la visi\u00f3 central es deteriori abans de buscar atenci\u00f3 m\u00e8dica. El moment adequat per al tractament l'ha d'establir un especialista en retina.<\/p>\n<\/div>\n\n

Esquin\u00e7ament de retina vs despreniment de retina: s\u00f3n el mateix?<\/h2>\n\n

Un esquin\u00e7ament retinal \u00e9s una ruptura a la retina. Si el l\u00edquid passa a trav\u00e9s d'aquesta ruptura i s'acumula a sota, la retina es pot desprendre. Alguns esquin\u00e7aments retinals detectats abans que es desenvolupi un despreniment important es poden tractar amb fotocoagulaci\u00f3 l\u00e0ser o crioter\u00e0pia. Un cop s'ha desenvolupat un despreniment de retina important, normalment cal cirurgia per reposicionar la retina.<\/p>\n\n

Com es tracta el despreniment de retina?<\/h2>\n\n

Tractament del despreniment de retina<\/strong> dep\u00e8n del tipus de despreniment, la ubicaci\u00f3 i el nombre de trencaments de la retina, l'estat del vitri i altres caracter\u00edstiques de l'ull.<\/p>\n\n

\n\n
\n

Vitrectomia<\/p>\n

El gel vitri s'elimina per alleujar la tracci\u00f3 a la retina. Les ruptures retinianes es tracten i es pot utilitzar una bombolla de gas o oli de silicona per afavorir la curaci\u00f3.<\/p>\n <\/div>\n\n

\n

Sivella escleral<\/p>\n

Es col\u00b7loca una banda o element de silicona a la part exterior de l'ull per ajudar a tancar la ruptura retiniana i afavorir la reincorporaci\u00f3.<\/p>\n <\/div>\n\n

\n

Retinop\u00e8xia pneum\u00e0tica<\/p>\n

En casos seleccionats, s'injecta una bombolla de gas a l'ull per emp\u00e8nyer la retina a la seva posici\u00f3 mentre la ruptura retiniana es segella amb l\u00e0ser o crioter\u00e0pia.<\/p>\n <\/div>\n\n<\/div>\n\n

Vitrectomia per despreniment de retina<\/h2>\n\n

Vitrectomia<\/strong> s'utilitza amb freq\u00fc\u00e8ncia per reparar el despreniment de retina. El cirurgi\u00e0 retira el gel vitri, allibera la tracci\u00f3 que afecta la retina i tracta els esquin\u00e7aments retinals. Aleshores, es pot utilitzar una bombolla de gas o oli de silicona per donar suport a la retina durant la curaci\u00f3.<\/p>\n\n

Si s'utilitza una bombolla de gas, pot ser que calgui un posicionament espec\u00edfic del cap. Els viatges en avi\u00f3 generalment estan prohibits mentre hi hagi gas intraocular a l'ull.<\/strong> perqu\u00e8 els canvis de pressi\u00f3 atmosf\u00e8rica poden fer que la bombolla s'expandeixi perillosament.<\/p>\n\n

Cirurgia de sivella escleral<\/h2>\n\n

Cirurgia de sivella escleral<\/strong> utilitza un element de silicona col\u00b7locat a la part exterior de l'ull per reduir la tracci\u00f3 i ajudar a tancar la ruptura retiniana. En casos seleccionats o m\u00e9s complexos, es pot combinar amb vitrectomia.<\/p>\n\n

Com es selecciona la t\u00e8cnica quir\u00fargica?<\/h2>\n\n
\n\n
\n

Ubicaci\u00f3 i extensi\u00f3<\/p>\n

La posici\u00f3 i la mida del despreniment i si la m\u00e0cula est\u00e0 afectada influeixen en la planificaci\u00f3 del tractament.<\/p>\n <\/div>\n\n

\n

Nombre d'esquin\u00e7aments de la retina<\/p>\n

Les ruptures m\u00faltiples o de dif\u00edcil acc\u00e9s poden requerir una estrat\u00e8gia quir\u00fargica diferent.<\/p>\n <\/div>\n\n

\n

Estat del v\u00edtreu<\/p>\n

La tracci\u00f3 v\u00edtrea pot influir en si la vitrectomia \u00e9s adequada.<\/p>\n <\/div>\n\n

\n

Cirurgia ocular pr\u00e8via<\/p>\n

Els procediments previs de cataractes o retina poden afectar la planificaci\u00f3 quir\u00fargica.<\/p>\n <\/div>\n\n<\/div>\n\n

Com \u00e9s la recuperaci\u00f3 despr\u00e9s d'una cirurgia de despreniment de retina?<\/h2>\n\n

Recuperaci\u00f3 despr\u00e9s d'una cirurgia de despreniment de retina<\/strong> varia considerablement. La retina es pot tornar a fixar amb \u00e8xit mentre la visi\u00f3 continua millorant gradualment durant setmanes o mesos. Els pacients poden experimentar inicialment visi\u00f3 borrosa, mol\u00e8sties lleus o enrogiment, i se solen receptar gotes per als ulls.<\/p>\n\n

Quan s'ha col\u00b7locat gas dins l'ull, pot ser necess\u00e0ria una posici\u00f3 espec\u00edfica del cap. Els pacients han de seguir les instruccions del cirurgi\u00e0 i confirmar quan poden reprendre la conducci\u00f3, l'exercici, l'aixecament de pesos i els despla\u00e7aments amb seguretat.<\/p>\n\n

Quan es recuperar\u00e0 la visi\u00f3 despr\u00e9s d'una cirurgia de despreniment de retina?<\/h2>\n\n

La recuperaci\u00f3 visual dep\u00e8n particularment de si la m\u00e0cula estava desprendida i de quant de temps havia estat afectada. La visi\u00f3 pot millorar gradualment a mesura que l'ull es cura, tot i que alguns pacients poden tenir canvis persistents en l'agudesa visual o distorsi\u00f3 fins i tot despr\u00e9s d'una reinserci\u00f3 retiniana reeixida.<\/p>\n\n

Cirurgia de despreniment de retina a Barcelona<\/h2>\n\n

Els Hospitals Internacionals de Barcelona reuneixen hospitals amb serveis d'oftalmologia especialitzada per al diagn\u00f2stic i tractament d'afeccions retinianes complexes. L'acc\u00e9s a especialistes en retina, imatges avan\u00e7ades i cirurgia vitreoretinal pot ser particularment important quan el tractament \u00e9s urgent.<\/p>\n\n

Hospitals dins de Xarxa d'Hospitals Internacionals de Barcelona<\/strong> L'atenci\u00f3 oftalmol\u00f2gica especialitzada que ofereix inclou:<\/p>\n\n

\n\n
\n

\n barnacl\u00ednic+ (Grup Hospital Cl\u00ednic)<\/a>\n <\/p>\n

D\u00f3na acc\u00e9s a diagn\u00f2stic i tractament quir\u00fargic oftalmol\u00f2gic especialitzat dins del Grup Hospital Cl\u00ednic Barcelona.<\/p>\n <\/div>\n\n

\n

\n Hospital Universitari Dexeus<\/a>\n <\/p>\n

Ofereix atenci\u00f3 especialitzada per a afeccions de la retina i el v\u00edtreu, incl\u00f2s el tractament quir\u00fargic per al despreniment de retina.<\/p>\n <\/div>\n\n

\n

Teknon\nCentre M\u00e8dic<\/p>\n

Ofereix atenci\u00f3 oftalmol\u00f2gica especialitzada per a trastorns de la retina i la macular, amb el suport de tecnologia diagn\u00f2stica i quir\u00fargica avan\u00e7ada.<\/p>\n <\/div>\n\n

\n

\n Hospital Quir\u00f3nsalud Barcelona<\/a>\n <\/p>\n

\n Ofereix atenci\u00f3 oftalmol\u00f2gica especialitzada amb acc\u00e9s a instal\u00b7lacions diagn\u00f2stiques i quir\u00fargiques avan\u00e7ades. L'oftalmologia tamb\u00e9 hi \u00e9s representada. Els especialistes del BIH reconeguts entre els metges m\u00e9s destacats d'Espanya<\/a>.\n<\/p> <\/div>\n\n<\/div>\n\n

\n\n

Pacients internacionals que busquen tractament de retina a Barcelona<\/p>\n\n

\n Els Hospitals Internacionals de Barcelona poden ajudar els pacients internacionals a identificar un hospital i un equip d'especialistes adequats segons les seves necessitats cl\u00edniques. Els pacients que estiguin considerant atenci\u00f3 m\u00e8dica a la ciutat tamb\u00e9 poden consultar el nostre guia d'hospitals privats a Barcelona per a pacients internacionals<\/a>. Tanmateix, la sospita de despreniment de retina \u00e9s urgent. Els pacients que experimenten flaixos sobtats, noves miodes\u00f2psies, p\u00e8rdua de visi\u00f3 perif\u00e8rica o una ombra semblant a una cortina haurien de buscar una avaluaci\u00f3 oftalmol\u00f2gica urgent en lloc d'ajornar l'atenci\u00f3 mentre organitzen un viatge internacional.\n<\/p>\n\n

Quan el trasllat a Barcelona \u00e9s cl\u00ednicament apropiat, els informes oftalmol\u00f2gics previs i les imatges de la retina poden ajudar l'equip receptor a avaluar el cas. Despr\u00e9s de la cirurgia, els pacients amb una bombolla de gas intraocular no han de volar fins que el seu oftalm\u00f2leg confirmi que el viatge en avi\u00f3 \u00e9s segur.<\/p>\n\n<\/div>\n\n

\n

\n Av\u00eds d'informaci\u00f3 m\u00e8dica:<\/strong> Aquest article nom\u00e9s t\u00e9 finalitats informatives i no substitueix el consell, el diagn\u00f2stic o el tractament m\u00e8dic professional. Si experimenteu s\u00edmptomes que poden indicar un despreniment de retina, busqueu una avaluaci\u00f3 oftalmol\u00f2gica urgent.\n <\/p>\n<\/div>\n\n\n\n

Preguntes freq\u00fcents sobre la cirurgia de despreniment de retina<\/h2>\n\n\n\n

Un despreniment de retina sempre requereix cirurgia?<\/h4><\/div>
Un despreniment de retina important sol requerir un procediment per reconnectar la retina. Tanmateix, el tractament dep\u00e8n del tipus i l'abast del despreniment. Alguns esquin\u00e7aments de retina detectats abans que es desenvolupi el despreniment es poden tractar amb l\u00e0ser o crioter\u00e0pia.<\/div><\/div>\n\n\n\n

Quant de temps dura la cirurgia de despreniment de retina?<\/h4><\/div>
La durada varia segons el procediment i la complexitat del despreniment. L'equip quir\u00fargic pot proporcionar un temps operatori estimat un cop s'hagi avaluat l'ull i s'hagi seleccionat la t\u00e8cnica adequada.<\/div><\/div>\n\n\n\n

Puc conduir despr\u00e9s d'una cirurgia de despreniment de retina?<\/h4><\/div>
Els pacients no han de reprendre la conducci\u00f3 fins que el seu oftalm\u00f2leg confirmi que la visi\u00f3 i la recuperaci\u00f3 ho permeten de manera segura. El moment varia entre pacients i tamb\u00e9 pot dependre de si hi ha una bombolla de gas.<\/div><\/div>\n\n\n\n

Puc volar despr\u00e9s d'una cirurgia de despreniment de retina?<\/h4><\/div>
Si s'ha utilitzat una bombolla de gas intraocular, volar pot ser perill\u00f3s fins que el gas s'hagi absorbit prou b\u00e9. Els pacients han d'obtenir autoritzaci\u00f3 expl\u00edcita del seu oftalm\u00f2leg abans de viatjar en avi\u00f3.<\/div><\/div>\n\n\n\n

Quin \u00e9s l'\u00e8xit de la cirurgia de despreniment de retina?<\/h4><\/div>
Molts despreniments de retina es poden reinstal\u00b7lar amb \u00e8xit, tot i que alguns requereixen m\u00e9s d'un procediment. La recuperaci\u00f3 visual final dep\u00e8n de factors com l'extensi\u00f3 del despreniment, la afectaci\u00f3 de la m\u00e0cula i l'estat de la retina.<\/div><\/div>\n\n\n\n

Qu\u00e8 he de fer si de sobte veig flaixos, mosques volants o una cortina fosca?<\/h4><\/div>
Demaneu una avaluaci\u00f3 oftalmol\u00f2gica urgent. Aquests s\u00edmptomes poden estar associats amb un esquin\u00e7ament o despreniment de retina i no s'han d'esperar a veure si desapareixen sols.<\/div><\/div>","protected":false},"excerpt":{"rendered":"

El despreniment de retina requereix una avaluaci\u00f3 oftalmol\u00f2gica urgent i pot necessitar cirurgia. Informa't sobre els signes d'alerta, les opcions de tractament, el moment, la recuperaci\u00f3 i l'atenci\u00f3 retiniana especialitzada a Barcelona.<\/p>","protected":false},"author":1,"featured_media":12758,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"wpai_generated_summary":"","footnotes":""},"categories":[14],"tags":[138,137,135,136,134,133],"class_list":["post-12754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-treatments-and-specialties","tag-barcelona","tag-eye-surgery","tag-ophthalmology","tag-retinal-detachment","tag-retinal-surgery","tag-vitrectomy"],"yoast_head":"\nRetinal Detachment Surgery: How Quickly Is Treatment Needed?<\/title>\n<meta name=\"description\" content=\"Learn when retinal detachment surgery may be needed, warning symptoms, treatment options such as vitrectomy and scleral buckle, and what recovery involves.\" \/>\n<meta name=\"robots\" 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