{"id":4359,"date":"2020-12-21T17:06:42","date_gmt":"2020-12-21T16:06:42","guid":{"rendered":"http:\/\/snqwrqo.cluster028.hosting.ovh.net\/admin3420\/?page_id=4359"},"modified":"2021-01-07T18:45:59","modified_gmt":"2021-01-07T17:45:59","slug":"le-diabete","status":"publish","type":"page","link":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/?page_id=4359","title":{"rendered":"Le diab\u00e8te"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4359\" class=\"elementor elementor-4359\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-276f6ec elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"276f6ec\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cd9c6ea\" data-id=\"cd9c6ea\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c2f8b49 elementor-widget elementor-widget-spacer\" data-id=\"c2f8b49\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8df419d elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"8df419d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-dc93475\" data-id=\"dc93475\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3373511\" data-id=\"3373511\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-06baff1 elementor-widget elementor-widget-heading\" data-id=\"06baff1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SUIVI DE PATHOLOGIES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-61de836 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"61de836\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2826754\" data-id=\"2826754\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f41a657 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"f41a657\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-277b4bf\" data-id=\"277b4bf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-557f610\" data-id=\"557f610\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c49d976 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c49d976\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c50a86a elementor-widget elementor-widget-image\" data-id=\"c50a86a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/wp-content\/uploads\/2020\/06\/shutterstock_685896304.jpg\" title=\"shutterstock_685896304\" alt=\"shutterstock_685896304\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-750e72e\" data-id=\"750e72e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ff7313 elementor-widget elementor-widget-heading\" data-id=\"4ff7313\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Le diab\u00e8te<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ff6ce4 elementor-widget elementor-widget-text-editor\" data-id=\"1ff6ce4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Le diab\u00e8te est une maladie chronique qui peut atteindre plusieurs organes dont les yeux. C\u2019est une cause importante de baisse d\u2019acuit\u00e9 visuelle dans nos pays, justifiant des examens de d\u00e9pistages r\u00e9guliers d\u00e8s le diagnostic, puis au minimum annuels en fonction de la gravit\u00e9.<\/strong><\/p><section class=\"av_textblock_section \"><div class=\"avia_textblock  \"><p>Au niveau de la r\u00e9tine, l\u2019hyperglyc\u00e9mie chronique va entrainer des alt\u00e9rations des petits vaisseaux r\u00e9tiniens et des occlusions des capillaires r\u00e9tiniens. La r\u00e9tinopathie diab\u00e9tique et l\u2019\u0153d\u00e8me maculaire vont survenir apr\u00e8s plusieurs ann\u00e9es d\u2019\u00e9volutions.<\/p><p>L\u2019anciennet\u00e9 du diab\u00e8te et un mauvais \u00e9quilibre du diab\u00e8te sont les facteurs principaux du d\u00e9veloppement de la R\u00e9tinopathie diab\u00e9tique, l\u2019hypertension art\u00e9rielle mal \u00e9quilibr\u00e9e et un bilan lipidique \u00e9lev\u00e9 sont des facteurs aggravants.<\/p><\/div><\/section>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1817d3 elementor-widget elementor-widget-heading\" data-id=\"d1817d3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00e9tinopathie diab\u00e9tique avec \u0153d\u00e8me maculaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eab5b23 elementor-widget elementor-widget-text-editor\" data-id=\"eab5b23\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<section class=\"av_textblock_section \"><div class=\"avia_textblock \"><p>L\u2019examen ophtalmologique :<\/p><p>La consultation ophtalmologique doit \u00eatre syst\u00e9matique, et r\u00e9alis\u00e9e d\u00e8s le diagnostic dans le diab\u00e8te. Le bilan comprendra un examen en lampe \u00e0 fente, prise de la tension oculaire, examen du fond d\u2019\u0153il, et si n\u00e9cessaire un OCT (Tomographie en Coh\u00e9rence Optique) pour \u00e9valuation de l\u2019\u0153d\u00e8me maculaire et si besoin angiographie \u00e0 la fluoresc\u00e9ine.<\/p><p>Ce bilan ophtalmologique est indiqu\u00e9 car les signes de la r\u00e9tinopathie diab\u00e9tique et de l\u2019\u0153d\u00e8me maculaire peuvent appara\u00eetre, m\u00eame en l\u2019absence de baisse d\u2019acuit\u00e9 visuelle.<br \/>Ce d\u00e9pistage permettra un traitement plus pr\u00e9coce pour \u00e9viter une d\u00e9gradation ult\u00e9rieure de la vision.<\/p><p>L\u2019\u0153d\u00e8me maculaire est souvent responsable d\u2019une baisse de l\u2019acuit\u00e9 visuelle. Le traitement consiste dans tous les cas en l\u2019\u00e9quilibration du diab\u00e8te, de la tension art\u00e9rielle. Parfois un traitement par injections intravitr\u00e9ennes peut \u00eatre propos\u00e9. Par ailleurs l\u2019examen ophtalmologique recherchera des pathologies associ\u00e9es telles cataracte ou glaucome.<\/p><p><a href=\"https:\/\/www.sfdiabete.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.sfdiabete.org\/<\/a><\/p><\/div><\/section>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fe89c86 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"fe89c86\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f6221b9\" data-id=\"f6221b9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dd17dfa elementor-widget elementor-widget-spacer\" data-id=\"dd17dfa\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6547589 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"6547589\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/?page_id=3167\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RENDEZ-VOUS<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd81308 elementor-widget elementor-widget-spacer\" data-id=\"fd81308\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>SUIVI DE PATHOLOGIES Le diab\u00e8te Le diab\u00e8te est une maladie chronique qui peut atteindre plusieurs organes dont les yeux. C\u2019est une cause importante de baisse d\u2019acuit\u00e9 visuelle dans nos pays, justifiant des examens de d\u00e9pistages r\u00e9guliers d\u00e8s le diagnostic, puis au minimum annuels en fonction de la gravit\u00e9. Au niveau de la r\u00e9tine, l\u2019hyperglyc\u00e9mie chronique [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"_links":{"self":[{"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=\/wp\/v2\/pages\/4359"}],"collection":[{"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4359"}],"version-history":[{"count":17,"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=\/wp\/v2\/pages\/4359\/revisions"}],"predecessor-version":[{"id":4943,"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=\/wp\/v2\/pages\/4359\/revisions\/4943"}],"wp:attachment":[{"href":"https:\/\/xn--dr-pierre-big-ophtalmologiste-nuc.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}