Salute occhi – La macula senile porta alla cecita’ – ma si puo’ prevenire

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Italia 200 mila persone sono a rischio di cecità

MACULA SENILE E RISCHIO CECITA’

PREVENZIONE:

Solo con un apposito esame da chiedere al medico di famiglia dopo i 50 anni:

OCT – un esame da fare assolutamente – un nome da ricordare se avete passato i 50 anni !!!

COME ACCORGERCI CHE SOFFRIAMO DI MACULOPATIA?

MOLTO SEMPLICE  –  guardare un foglio a quadretti al centro (in Australia hanno messo dei quadretti su tutti i bus così la popolazione può controllare se sta avvicinandosi alla macula senile e curarsi per tempo)

se le righe non appaiono dritte ma si incurvano da qualche parte andate subito a fare un esme all’occhio che si chiama OCT IMPORTANTISSIMO PER ORGANIZZARE UNA CURA PREVENTIVA

La degenerazione maculare senile è sicuramente una malattia multifattoriale che comprende sia fattori di rischio accertati sia presunti tali.

La predisposizione genetica, l’esposizione alla luce solare, l’ipertensione, l’elevata assunzione di acidi grassi saturi e il fumo sono gli elementi più importanti tra i fattori di rischio.

Il 35,4% del campione è iperteso.

Come abbiamo detto anche la familiarità è un fattore predisponente alla maculopatia; il 33% dei pazienti visitati aveva almeno un parente stretto che soffre di questa patologia.

:::::::::::::::::::::::::::::::::::::::::

Fino a pochi anni fa non esistevano cure per questa malattia

Due prodotti per la cura della macula:

– Avastin costa 20 euro;

-Lucentis (della casa farmaceutica Novartis e clone di Avastin) costa 1200 euro

Avastin dopo anni di controversie, è tornato nella lista dei farmaci a carico del Ssl.

In Italia 200 mila persone sono a rischio di cecità o se andrà bene metà di loro potranno ancora vedere mentre il resto potrà solo sentire alla radio i commenti delle partite di calcio.

E’ questo l’allarme che la Società Oftalmologica Italiana lanciò in occasione della presentazione del libro bianco di denuncia sul trattamento della degenerazione maculare senile, una malattia che colpisce 1 persona su 3 dopo i 75 anni.

Fino a 8 anni fa non esistevano cure per questa malattia gravemente invalidante ma, improvvisamente e casualmente, si scoprì che un farmaco utilizzato per la cura del cancro del colon – l’Avastin – aveva effetti positivi sull’evoluzione della maculopatia nei pazienti che oltre alla presenza del tumore del colon soffrivano anche della impegnativa malattia oculare.

Da quel momento Avastin venne utilizzato in tutto il mondo. Ed ancora oggi viene utilizzato su milioni di pazienti.

SONO STATE FINALMENTE SUPERATE LE difficoltà di impiego di Avastin che si sono sorprendentemente venute a creare solo nel nostro Paese.

Matteo Piovella Presidente della Società Oftalmologica Italiana ha affermato:  “…è per questo che abbiamo redatto un documento di denuncia e di indicazioni che abbiamo sottoposto alle principali Associazioni di consumatori italiani quali Adiconsum e  Altroconsumo.

Il farmaco è tornato mutuabile in Italia

Appoggiamo l’iniziativa della SOI  a tutela dei pazienti affetti dalla maculopatia – dichiara Pietro Giordano, Segretario Generale Adiconsum – ha chiesto all’AIFA di attivarsi e di fare chiarezza; finalmente gli sforzi hanno avuto il loro frutto il farmaco Avastin è mutuabile.

La rilevanza scientifica dell’Avastin  ha indotto, addirittura, la FDA americana a ridurre il percorso temporale di osservazione normalmente adottato prima di poter utilizzare un farmaco, in modo da garantire alla popolazione l’accesso a questa cura in quanto unica ed insostituibile per efficacia terapeutica. Una recente survey di Retina la rivista scientifica più importante al mondo nel campo delle malattie oculari della retina conferma che 9 oculisti su 10 in tutto il mondo utilizzano normalmente Avastin.

Negli Stati Uniti, Avastin viene utilizzato nel 60% dei pazienti. In Inghilterra e Germania nel 40% in Spagna ed in Italia (fino ad oggi) nel 90% dei casi.

Invero l’unica differenza tra i due farmaci per la cura della maculopatia è che il Lucentis presenta un prezzo al pubblico 60 volte maggiore rispetto ad Avastin: a parità di quantità Avastin costa 20 euro mentre Lucentis ne costa 1200 euro. 

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