{"id":24997,"date":"2023-09-20T14:35:41","date_gmt":"2023-09-20T12:35:41","guid":{"rendered":"https:\/\/new.astrea-apotheke.ch\/vision-trouble-la-cataracte\/"},"modified":"2024-12-29T19:27:39","modified_gmt":"2024-12-29T17:27:39","slug":"vision-trouble-la-cataracte","status":"publish","type":"post","link":"https:\/\/astrea-apotheke.ch\/fr\/vision-trouble-la-cataracte\/","title":{"rendered":"Vision trouble: La cataracte"},"content":{"rendered":"

Vision trouble: La cataracte<\/h1>\r\n\r\n\r\n

Une bonne vision ne va malheureusement pas toujours de soi. La cataracte fait partie des maladies oculaires les plus fr\u00e9quentes. Comment la reconna\u00eetre et la traiter? La r\u00e9ponse dans cet article.<\/em><\/p>\r\n\r\n\r\n

Text:<\/strong><\/p>

Christiane Schittny<\/a><\/p>

<\/p><\/div><\/div>\r\n\r\n\r\n

\"\"<\/figure><\/div><\/div>\r\n\r\n\r\n\r\n

Chez l\u2019\u00eatre humain, les yeux sont certainement l\u2019un des organes des sens les plus importants. Ils nous permettent de percevoir le monde qui nous entoure dans toute sa diversit\u00e9 et de nous orienter en toute s\u00e9curit\u00e9. Mais seule leur anatomie sp\u00e9ciale et l\u2019action coordonn\u00e9e de leurs nombreux composants nous permettent de bien voir!<\/p>\r\n\r\n\r\n\r\n

Le segment ant\u00e9rieur<\/strong> de l\u2019\u0153il se compose de la corn\u00e9e transparente, qui le prot\u00e8ge de l\u2019environnement ext\u00e9rieur, puis de la pupille, \u00e0 travers laquelle la lumi\u00e8re p\u00e9n\u00e8tre \u00e0 l\u2019int\u00e9rieur de l\u2019\u0153il. La pupille est capable de r\u00e9guler la quantit\u00e9 de lumi\u00e8re qui arrive jusqu\u2019au cristallin situ\u00e9 juste derri\u00e8re. Celui-ci peut, \u00e0 son tour, modifier sa r\u00e9fringence pour nous permettre de voir net aussi bien de loin que de pr\u00e8s.<\/p>\r\n\r\n\r\n\r\n

Dans le segment post\u00e9rieur<\/strong> de l\u2019\u0153il, la majeure partie de l\u2019organe de la vision est occup\u00e9e par le corps vitr\u00e9. Il sert en quelque sorte de \u00abmat\u00e9riau de remplissage\u00bb et donne \u00e0 l\u2019\u0153il sa forme et sa stabilit\u00e9. Le fond de l\u2019\u0153il est occup\u00e9 par la r\u00e9tine avec ses cellules sensibles \u00e0 la lumi\u00e8re: les c\u00f4nes (pour la vision des couleurs) et les b\u00e2tonnets (pour la vision dans la p\u00e9nombre). La \u00abtache aveugle\u00bb ou papille optique est le point o\u00f9 le nerf optique sort de l\u2019\u0153il. De l\u00e0, les fibres nerveuses conduisent les informations depuis la r\u00e9tine jusqu\u2019au cerveau.<\/p>\r\n\r\n\r\n\r\n

Dans l\u2019entretien ci-dessous, le Dr Peter Raak, m\u00e9decin sp\u00e9cialiste en ophtalmologie et m\u00e9decin-chef des Pallas Kliniken en Argovie, nous dit tout ce qu\u2019il faut savoir sur la cataracte.<\/p>\r\n\r\n\r\n\r\n

Dr Raak, qu\u2019appelle-t-on exactement \u00abcataracte\u00bb?
<\/strong>Dr m\u00e9d. Peter Raak: la cataracte est une opacification du cristallin le plus souvent li\u00e9e \u00e0 l\u2019\u00e2ge.<\/p>\r\n\r\n\r\n\r\n

Pourquoi le cristallin s\u2019opacifie-t-il?
<\/strong>Il contient beaucoup de prot\u00e9ines. Le processus de vieillissement de ces prot\u00e9ines entra\u00eene son opacification au fil du temps. Le plus souvent la cataracte est un signe de vieillissement qui touchera chacun et chacune d\u2019entre nous. Dans certains cas rares, elle peut aussi \u00eatre li\u00e9e \u00e0 un \u00e9v\u00e9nement traumatique comme un accident, une chute ou un coup sur la t\u00eate. Un traitement prolong\u00e9 par cortisone ou la chimioth\u00e9rapie peuvent \u00e9galement \u00eatre \u00e0 l\u2019origine de cette opacification du cristallin, m\u00eame chez des patients plus jeunes.<\/p>\r\n\r\n\r\n\r\n

Peut-on pr\u00e9venir la maladie?
<\/strong>Un mode de vie sain a un effet positif g\u00e9n\u00e9ral sur l\u2019ensemble du corps, y compris sur le cristallin, mais on ne peut malheureusement pas pr\u00e9venir la cataracte et il n\u2019existe pas de m\u00e9dicaments pour \u00e9viter son apparition ou ralentir son \u00e9volution.<\/p>\r\n\r\n\r\n\r\n

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\u00abLe traitement de la cataracte am\u00e9liore consid\u00e9rablement
la qualit\u00e9 de vie.\u00bb<\/p>\r\n<\/blockquote>\r\n<\/div><\/div>\r\n\r\n\r\n\r\n

Quels sont les premiers signes de la maladie?
<\/strong>\u00c7a d\u00e9pend des personnes. Chacun(e) la per\u00e7oit de mani\u00e8re diff\u00e9rente, mais elle commence g\u00e9n\u00e9ralement par une d\u00e9t\u00e9rioration de la vision et plus particuli\u00e8rement par une vision trouble. On est aussi vite \u00e9bloui(e), par exemple quand on conduit, et on remarque souvent une r\u00e9duction des contrastes.
Comme la r\u00e9fringence du cristallin augmente \u00e0 mesure que la cataracte progresse, les personnes hyperm\u00e9tropes voient provisoirement mieux de loin sans lunettes et celles qui ont une vue normale peuvent se passer un temps de lunettes pour lire. Mais, avec le temps, cette tendance conduit \u00e0 une d\u00e9t\u00e9rioration des performances visuelles qui ne peut plus \u00eatre corrig\u00e9e par des lunettes.<\/p>\r\n\r\n\r\n\r\n

Quand est-il temps d\u2019agir?
<\/strong>Tout d\u00e9pend de la g\u00eane ressentie par le\/la patient(e). L\u2019op\u00e9ration est indiqu\u00e9e quand il\/elle ressent une forte diminution de son acuit\u00e9 visuelle ou quand l\u2019acuit\u00e9 visuelle mesur\u00e9e ne suffit plus pour conduire.<\/p>\r\n\r\n\r\n\r\n

Comment traite-t-on la cataracte?
<\/strong>Le seul traitement possible passe par une intervention chirurgicale. Le proc\u00e9d\u00e9 utilis\u00e9 s\u2019appelle la \u00abphaco\u00e9mulsification\u00bb. Il consiste en l\u2019ablation du cristallin opacifi\u00e9 et en son remplacement par un implant choisi sur mesure avant l\u2019op\u00e9ration. Il n\u2019existe malheureusement pas de traitement m\u00e9dicamenteux.<\/p>\r\n\r\n\r\n\r\n

Comment l\u2019op\u00e9ration se d\u00e9roule-t-elle exactement?
<\/strong>Il s\u2019agit d\u2019une intervention mini-invasive, qui demande juste une toute petite incision. Apr\u00e8s l\u2019ouverture de la capsule du cristallin, le cristallin opacifi\u00e9 est fragment\u00e9 \u00e0 l\u2019aide d\u2019ultrasons, puis aspir\u00e9. Une fois la capsule nettoy\u00e9e, l\u2019implant est mis en place dans le sac capsulaire par l\u2019incision existante. L\u2019implant acrylique est parfaitement stable dans le sac capsulaire apr\u00e8s l\u2019op\u00e9ration. Comme l\u2019incision est tr\u00e8s petite, il n\u2019y a pas besoin de sutures pour refermer l\u2019\u0153il.<\/p>\r\n\r\n\r\n\r\n

Et quel suivi cette op\u00e9ration implique-t-elle?
<\/strong>Apr\u00e8s l\u2019intervention, l\u2019\u0153il op\u00e9r\u00e9 doit \u00eatre contr\u00f4l\u00e9 par l\u2019ophtalmologue. Le\/La patient(e) se voit prescrire un collyre anti-
inflammatoire qu\u2019il\/elle doit instiller dans l\u2019\u0153il trois \u00e0 quatre fois par jour pendant trois semaines. Quatre semaines apr\u00e8s l\u2019op\u00e9ration environ, la vision est stable et l\u2019ophtalmologue peut prescrire les lunettes d\u00e9finitives.<\/p>\r\n\r\n\r\n\r\n

Que peut-on esp\u00e9rer de l\u2019op\u00e9ration?
<\/strong>Apr\u00e8s une op\u00e9ration de la cataracte, l\u2019acuit\u00e9 visuelle s\u2019am\u00e9liore, de m\u00eame que la vision des contrastes et des couleurs. Avec bien s\u00fbr un impact positif sur la qualit\u00e9 de vie. Si le\/la patient(e) pr\u00e9sente une maladie oculaire pr\u00e9existante ou concomitante comme une d\u00e9g\u00e9n\u00e9rescence maculaire li\u00e9e \u00e0 l\u2019\u00e2ge, il est possible que l\u2019acuit\u00e9 visuelle ne s\u2019am\u00e9liore pas \u00e9norm\u00e9ment, mais la vision des contrastes et des couleurs si.<\/p>\r\n\r\n\r\n","protected":false},"excerpt":{"rendered":"

Une bonne vision ne va malheureusement pas toujours de soi. […]<\/p>\n","protected":false},"author":9,"featured_media":24994,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[770],"tags":[],"class_list":["post-24997","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-yeux-nez-oreilles"],"acf":[],"yoast_head":"\nVision trouble: La cataracte - Astrea Aptheke<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/astrea-apotheke.ch\/fr\/vision-trouble-la-cataracte\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vision trouble: La cataracte - Astrea Aptheke\" \/>\n<meta property=\"og:description\" content=\"Une bonne vision ne va malheureusement pas toujours de soi. 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