{"id":5149,"date":"2025-05-05T16:21:07","date_gmt":"2025-05-05T19:21:07","guid":{"rendered":"https:\/\/sbrv.org\/paciente\/?post_type=doenca&#038;p=5149"},"modified":"2025-05-05T16:21:09","modified_gmt":"2025-05-05T19:21:09","slug":"stargardt","status":"publish","type":"doenca","link":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/","title":{"rendered":"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"},"content":{"rendered":"\n<p>\nA Doen\u00e7a de Stargardt \u00e9 a forma mais comum de degenera\u00e7\u00e3o macular heredit\u00e1ria em crian\u00e7as e adolescentes, caracterizada pelo ac\u00famulo de lipofuscina no epit\u00e9lio pigmentar da retina e degenera\u00e7\u00e3o precoce da m\u00e1cula.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O QUE \u00c9<\/h2>\n\n\n\n<p>\nDistrofia autoss\u00f4mica recessiva causada por muta\u00e7\u00f5es no gene <em>ABCA4<\/em>, levando ao ac\u00famulo t\u00f3xico de bis-retinoides no epit\u00e9lio pigmentar da retina (EPR), com consequente degenera\u00e7\u00e3o dos fotorreceptores.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CAUSAS E FATORES DE RISCO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Muta\u00e7\u00e3o bial\u00e9lica no gene <em>ABCA4<\/em>.<\/li>\n\n\n\n<li>In\u00edcio t\u00edpico entre 10 e 20 anos de idade.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SINTOMAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vis\u00e3o central borrada ou emba\u00e7ada.<\/li>\n\n\n\n<li>Dificuldade para leitura e reconhecimento de rostos ou detalhes.<\/li>\n\n\n\n<li>Fotofobia (sensibilidade \u00e0 luz).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">DIAGN\u00d3STICO<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Fundoscopia:<\/strong> les\u00f5es amareladas em formato de \u201crabo de peixe\u201d (flecks) na m\u00e1cula.<\/li>\n\n\n\n<li><strong>Autofluoresc\u00eancia:<\/strong> mostra flecks hiperautofluorescentes e \u00e1reas de atrofia hipoautofluorescentes.<\/li>\n\n\n\n<li><strong>Angiofluoresceinografia:<\/strong> padr\u00e3o t\u00edpico de \u201csil\u00eancio coroideano\u201d e defeitos em janela.<\/li>\n\n\n\n<li><strong>OCT:<\/strong> revela atrofia do EPR e perda das camadas de fotorreceptores.<\/li>\n\n\n\n<li><strong>Teste gen\u00e9tico:<\/strong> confirma muta\u00e7\u00f5es no gene <em>ABCA4<\/em>.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">TRATAMENTO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Evitar vitamina A em excesso:<\/strong> pode acelerar ac\u00famulo de lipofuscina.<\/li>\n\n\n\n<li><strong>Lute\u00edna e zeaxantina:<\/strong> podem ter efeito protetor (uso avaliado caso a caso).<\/li>\n\n\n\n<li><strong>Terapias em desenvolvimento:<\/strong> terapia g\u00eanica e modula\u00e7\u00e3o da cascata visual\u00b3.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PROGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perda visual progressiva, especialmente na vis\u00e3o central.<\/li>\n\n\n\n<li>Vis\u00e3o perif\u00e9rica tende a ser preservada.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PREVEN\u00c7\u00c3O E CUIDADOS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Aconselhamento gen\u00e9tico:<\/strong> essencial para pacientes e familiares.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PERGUNTAS FREQUENTES<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>A Doen\u00e7a de Stargardt \u00e9 infantil?<\/strong><br>\u2013 Frequentemente come\u00e7a na adolesc\u00eancia, mas pode surgir mais cedo.<\/li>\n\n\n\n<li><strong>Existe cura?<\/strong><br>\u2013 Ainda n\u00e3o, mas terapias g\u00eanicas est\u00e3o em estudo.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">REFER\u00caNCIAS<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Allikmets R, et al. <em>Nat Genet<\/em>. 1997;17(1):122\u2013123.<\/li>\n\n\n\n<li>Strauss O. <em>Prog Retin Eye Res<\/em>. 2005;24(3):239\u2013259.<\/li>\n\n\n\n<li>Cideciyan AV, et al. <em>Mol Ther<\/em>. 2011;19(2):391\u2013399.<\/li>\n<\/ol>\n","protected":false},"template":"","class_list":["post-5149","doenca","type-doenca","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente<\/title>\n<meta name=\"description\" content=\"Stargardt: conhe\u00e7a esta maculopatia juvenil, sintomas e manejo. Conte\u00fado SBRV para pacientes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente\" \/>\n<meta property=\"og:description\" content=\"Stargardt: conhe\u00e7a esta maculopatia juvenil, sintomas e manejo. Conte\u00fado SBRV para pacientes.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/\" \/>\n<meta property=\"og:site_name\" content=\"SBRV - \u00c1rea do Paciente\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/pt-br.facebook.com\/sbrv.retina\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-05T19:21:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sbrv.org\/paciente\/wp-content\/uploads\/sites\/3\/2024\/12\/imagem-yoast-seo.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@sbrv_retina\" \/>\n<meta name=\"twitter:label1\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/doencas-retina\\\/stargardt\\\/\",\"url\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/doencas-retina\\\/stargardt\\\/\",\"name\":\"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/#website\"},\"datePublished\":\"2025-05-05T19:21:07+00:00\",\"dateModified\":\"2025-05-05T19:21:09+00:00\",\"description\":\"Stargardt: conhe\u00e7a esta maculopatia juvenil, sintomas e manejo. Conte\u00fado SBRV para pacientes.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/doencas-retina\\\/stargardt\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/sbrv.org\\\/paciente\\\/doencas-retina\\\/stargardt\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/doencas-retina\\\/stargardt\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Gloss\u00e1rio de Doen\u00e7as\",\"item\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/doencas-retina\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/#website\",\"url\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/\",\"name\":\"SBRV - Sociedade Brasileira de Retina e Vitreo - \u00c1rea do Paciente\",\"description\":\"Portal da Sociedade Brasileira de Retina e Vitreo\",\"publisher\":{\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/#organization\"},\"alternateName\":\"SBRV\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/#organization\",\"name\":\"SBRV - Sociedade Brasileira de Retina e Vitreo\",\"alternateName\":\"SBRV\",\"url\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2024\\\/12\\\/thumbnail-default-1.png\",\"contentUrl\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/wp-content\\\/uploads\\\/sites\\\/3\\\/2024\\\/12\\\/thumbnail-default-1.png\",\"width\":600,\"height\":400,\"caption\":\"SBRV - Sociedade Brasileira de Retina e Vitreo\"},\"image\":{\"@id\":\"https:\\\/\\\/sbrv.org\\\/paciente\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/pt-br.facebook.com\\\/sbrv.retina\",\"https:\\\/\\\/x.com\\\/sbrv_retina\",\"https:\\\/\\\/www.instagram.com\\\/retina.sbrv\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente","description":"Stargardt: conhe\u00e7a esta maculopatia juvenil, sintomas e manejo. Conte\u00fado SBRV para pacientes.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/","og_locale":"pt_BR","og_type":"article","og_title":"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente","og_description":"Stargardt: conhe\u00e7a esta maculopatia juvenil, sintomas e manejo. Conte\u00fado SBRV para pacientes.","og_url":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/","og_site_name":"SBRV - \u00c1rea do Paciente","article_publisher":"https:\/\/pt-br.facebook.com\/sbrv.retina","article_modified_time":"2025-05-05T19:21:09+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/sbrv.org\/paciente\/wp-content\/uploads\/sites\/3\/2024\/12\/imagem-yoast-seo.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@sbrv_retina","twitter_misc":{"Est. tempo de leitura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/","url":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/","name":"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente","isPartOf":{"@id":"https:\/\/sbrv.org\/paciente\/#website"},"datePublished":"2025-05-05T19:21:07+00:00","dateModified":"2025-05-05T19:21:09+00:00","description":"Stargardt: conhe\u00e7a esta maculopatia juvenil, sintomas e manejo. Conte\u00fado SBRV para pacientes.","breadcrumb":{"@id":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/sbrv.org\/paciente\/doencas-retina\/stargardt\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/sbrv.org\/paciente\/"},{"@type":"ListItem","position":2,"name":"Gloss\u00e1rio de Doen\u00e7as","item":"https:\/\/sbrv.org\/paciente\/doencas-retina\/"},{"@type":"ListItem","position":3,"name":"Doen\u00e7a de Stargardt: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"}]},{"@type":"WebSite","@id":"https:\/\/sbrv.org\/paciente\/#website","url":"https:\/\/sbrv.org\/paciente\/","name":"SBRV - Sociedade Brasileira de Retina e Vitreo - \u00c1rea do Paciente","description":"Portal da Sociedade Brasileira de Retina e Vitreo","publisher":{"@id":"https:\/\/sbrv.org\/paciente\/#organization"},"alternateName":"SBRV","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/sbrv.org\/paciente\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/sbrv.org\/paciente\/#organization","name":"SBRV - Sociedade Brasileira de Retina e Vitreo","alternateName":"SBRV","url":"https:\/\/sbrv.org\/paciente\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/sbrv.org\/paciente\/#\/schema\/logo\/image\/","url":"https:\/\/sbrv.org\/paciente\/wp-content\/uploads\/sites\/3\/2024\/12\/thumbnail-default-1.png","contentUrl":"https:\/\/sbrv.org\/paciente\/wp-content\/uploads\/sites\/3\/2024\/12\/thumbnail-default-1.png","width":600,"height":400,"caption":"SBRV - Sociedade Brasileira de Retina e Vitreo"},"image":{"@id":"https:\/\/sbrv.org\/paciente\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/pt-br.facebook.com\/sbrv.retina","https:\/\/x.com\/sbrv_retina","https:\/\/www.instagram.com\/retina.sbrv\/"]}]}},"_links":{"self":[{"href":"https:\/\/sbrv.org\/paciente\/wp-json\/wp\/v2\/doenca\/5149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sbrv.org\/paciente\/wp-json\/wp\/v2\/doenca"}],"about":[{"href":"https:\/\/sbrv.org\/paciente\/wp-json\/wp\/v2\/types\/doenca"}],"wp:attachment":[{"href":"https:\/\/sbrv.org\/paciente\/wp-json\/wp\/v2\/media?parent=5149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}