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href="https://ocularis.es/" rel="home"> <span class="screen-reader-text">Home</span><img width="500" height="119" src="https://ocularis.es/wp-content/uploads/2013/12/ocularislogo1.png" class="attachment-full size-full" alt="" loading="lazy" srcset="https://ocularis.es/wp-content/uploads/2013/12/ocularislogo1.png 500w, https://ocularis.es/wp-content/uploads/2013/12/ocularislogo1-300x71.png 300w" sizes="(max-width: 500px) 100vw, 500px" /></a> </div> </div> </header> <div id="content" class="site-content"> <div class="container"> <div id="primary" class="content-area"> <main id="main" class="site-main" role="main"> <article id="post-1253" class="entry post-1253 post type-post status-publish format-standard hentry category-inflamacion-ocular category-neurooftalmologia category-oftalmologia category-retina-y-segmento-posterior category-trivial"> <header class="entry-header"> <div class="entry-meta"> <span class="entry-date"> Ago 04, 2013 </span> </div> <h1 class="entry-title">Pregunta Trivial (XLVI)</h1> </header> <div class="entry-content"> <p>La pregunta de julio ha tenido una participaci贸n de 98 personas, y dec铆a as铆:</p> <blockquote><p>驴Qu茅 enfermedad produce p茅rdida visual irreversible?<br /> a) Glaucoma de 谩ngulo abierto (68%, 67 Votos)<br /> b) Neuritis 贸ptica retrobulbar (19%, 19 Votos)<br /> c) Pars planitis (2%, 1 Votos)<br /> d) Papilitis (7%, 7 Votos)<br /> e) Coroidopat铆a serosa central (4%, 4 Votos)</p></blockquote> <p>La inflamaci贸n del nervio 贸ptico (neuritis 贸ptica) tiene dos formas: cuando se inflama la parte anterior (papila) se denomina <strong>papilitis</strong>, y en la exploraci贸n de fondo de ojo la papila se ve alterada. Se acumula fluido en el tejido y la papila se encuentra sobreelevada, con los bordes borradas. Este aspecto se llama <em>edema de papila</em>, y no s贸lo ocurre en la inflamaci贸n o papilitis: nos lo encontramos cuando la papila ha sufrido un d茅ficit de sangre arterial (como si fuera un 芦infarto禄 del nervio 贸ptico), y este cuadro se llama <em>neuropat铆a 贸ptica isqu茅mica</em>. Tambi茅n hay edema de papila cuando hay un aumento presi贸n en el <a href="http://es.wikipedia.org/wiki/L%C3%ADquido_cefalorraqu%C3%ADdeo">l铆quido cefalorraqu铆deo</a>, y en este caso hablamos de <em>papiledema</em>.</p> <p>La segunda forma de inflamaci贸n del nervio 贸ptico afecta a su parte posterior, y se llama <strong>neuritis 贸ptica retrobulbar</strong>. En este caso no hay edema de papila, por lo que el diagn贸stico puede ser m谩s dif铆cil de realizar. Pero tanto la papilitis como la neuritis 贸ptica retrobulbar son diferentes formas de neuritis 贸ptica, y las caracter铆sticas b谩sicas son las mismas. Por ejemplo: se puede asociar a enfermedades neurol贸gicas, principalmente la esclerosis m煤ltiple. Suele haber dolor, aunque muchas veces no es lo m谩s relevante. Y la p茅rdida visual habitualmente es reversible. La inflamaci贸n aguda dura unos d铆as, y en las semanas y meses siguientes la norma es encontrar una recuperaci贸n visual evidente. Por lo tanto, tanto las opciones 芦b禄 como la 芦d禄 estar铆an descartadas.</p> <p>La <strong>pars planitis</strong> es un tipo de <a href="http://ocularis.es/?p=104">uve铆tis</a> intermedia, de causa desconocida, que cursa a brotes y suele aparecer en personas j贸venes. La p茅rdida visual puede tener diferentes causas: edema macular (se acumula fluido en la parte central de la retina, en este caso por las se帽ales inflamatorias que se propagan desde la parte inflamada del ojo), formaci贸n de catarata, etc. Con el tratamiento adecuado se suele recuperar la p茅rdida de visi贸n. Tambi茅n podemos descartar la opci贸n 芦c禄.</p> <p>Sobre la <a href="http://ocularis.es/?p=125">coroidopat铆a serosa central</a> ya hemos hablado. Se acumula fluido por debajo de la m谩cula y la p茅rdida visual tambi茅n es reversible, normalmente sin requerir tratamiento. Tambi茅n podemos eliminar la respuesta 芦e禄.</p> <p>Para hablar de la soluci贸n tenemos que volver al nervio 贸ptico. Hemos hablado de la patolog铆a inflamatoria, cuyo da帽o visual suele ser reversible. Sin embargo, la neuropat铆a 贸ptica m谩s frecuente, el <a href="http://ocularis.es/?p=44">glaucoma</a>, produce da帽os irreversibles. Concretamente el glaucoma de 谩ngulo abierto, el m谩s frecuente, produce una p茅rdida lenta de las fibras nerviosas. Eso produce una p茅rdida paulatina de campo visual, lo cual no puede repararse en la actualidad. Por lo tanto, la respuesta correcta es la 芦a禄.</p> <p>Enhorabuena a los acertantes. 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href="https://ocularis.es/category/superficie-ocular/" class="tag-cloud-link tag-link-12 tag-link-position-18" style="font-size: 12px;">Superficie ocular</a> <a href="https://ocularis.es/category/trivial/" class="tag-cloud-link tag-link-13 tag-link-position-19" style="font-size: 12px;">Trivial</a></div> </aside><aside id="srpw_widget-2" class="widget widget_smart_recent_entries smart_recent_posts"><h2 class="widget-title heading-strike">Entradas recientes</h2><div class="srpw-block srpw-default-style "><style>.srpw-thumbnail{ width: 60px; height: 60px; }</style><ul class="srpw-ul"><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/9-x-02-oclusiones-arteriales-de-la-retina/" target="_self">9 x 02 – Oclusiones arteriales de la retina</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/mir-2025-preguntas-de-oftalmologia/" target="_self">MIR 2025: preguntas de oftalmolog铆a</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/9-x-01-oclusiones-venosas/" target="_self">9 x 01 – Oclusiones venosas</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/8-x-12-coriorretinopatia-serosa-central/" target="_self">8 x 12 – Coriorretinopat铆a serosa central</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/8-x-11-retinopatia-del-prematuro/" target="_self">8 x 11 – Retinopat铆a del prematuro</a><div class="srpw-meta"></div></div></li></ul></div></aside><aside id="srpw_widget-3" class="widget widget_smart_recent_entries smart_recent_posts"><h2 class="widget-title heading-strike">Entradas al azar</h2><div class="srpw-block srpw-default-style "><style>.srpw-thumbnail{ width: 60px; height: 60px; }</style><ul class="srpw-ul"><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/8-x-08-trastornos-pupilares/" target="_self"># 8 x 08 – Trastornos pupilares</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/8-x-03-enfermedades-generales-en-el-ojo/" target="_self"># 8 x 03 – Enfermedades generales en el ojo</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/mesa-redonda-sobre-internet-y-redes-sociales/" target="_self">Mesa redonda sobre Internet y redes sociales</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/mirando-por-un-agujero/" target="_self">Mirando por un agujero</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/el-enfoque-de-los-colores-en-la-miopia-e-hipermetropia/" target="_self">El enfoque de los colores en la miop铆a e hipermetrop铆a</a><div class="srpw-meta"></div></div></li></ul></div></aside><aside id="srpw_widget-4" class="widget widget_smart_recent_entries smart_recent_posts"><h2 class="widget-title heading-strike">Entradas m谩s comentadas</h2><div class="srpw-block srpw-default-style "><style>.srpw-thumbnail{ width: 60px; height: 60px; }</style><ul class="srpw-ul"><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" href="https://ocularis.es/las-moscas-hilitos-y-manchas-negras/" target="_self">Las "moscas", "hilitos" y "manchas negras"</a><div class="srpw-meta"></div></div></li><li class="srpw-li srpw-clearfix"><div class="srpw-content"><a class="srpw-title" 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