{"id":6230,"date":"2026-10-01T12:33:27","date_gmt":"2026-10-01T10:33:27","guid":{"rendered":"https:\/\/blog.inofinstitut.com\/espasme-acomodatiu-quan-lull-es-queda-enfocat-de-prop\/"},"modified":"2026-10-05T12:25:39","modified_gmt":"2026-10-05T10:25:39","slug":"espasme-acomodatiu-quan-lull-es-queda-enfocat-de-prop","status":"publish","type":"post","link":"https:\/\/blog.inofinstitut.com\/ca\/espasme-acomodatiu-quan-lull-es-queda-enfocat-de-prop\/","title":{"rendered":"Espasme acomodatiu: quan l&#8217;ull es queda enfocat de prop"},"content":{"rendered":"<p>Per a veure de prop, l&#8217;ull enfoca gr\u00e0cies a un petit m\u00fascul interior, el m\u00fascul ciliar. \u00c9s el que anomenem acomodaci\u00f3. Quan passem moltes hores seguides llegint, estudiant o mirant pantalles, aquest m\u00fascul pot quedar-se contret encara que ja no faci falta, com una enrampada. \u00c9s l&#8217;espasme acomodatiu, o espasme de l&#8217;acomodaci\u00f3.<\/p>\n<p><strong>S\u00edmptomes<\/strong><\/p>\n<ul>\n<li>Visi\u00f3 borrosa des de lluny, sobretot en aixecar la vista del llibre o de la pantalla.<\/li>\n<li>Mal de cap, freq\u00fcent al final del dia.<\/li>\n<li>Cansament i mol\u00e8sties oculars en llegir.<\/li>\n<li>Visi\u00f3 que va i ve: a estones es veu b\u00e9 i a estones no.<\/li>\n<li>En alguns casos, ulls que tendeixen a ajuntar-se o visi\u00f3 doble en mirar de prop.<\/li>\n<li>\u00c9s m\u00e9s freq\u00fcent en nens majors, adolescents i adults joves amb molta exig\u00e8ncia visual de prop, i sovint coincideix amb \u00e8poques d&#8217;estudi intens o d&#8217;estr\u00e8s.<\/li>\n<\/ul>\n<p><strong>Per qu\u00e8 importa diagnosticar-ho b\u00e9<\/strong><\/p>\n<p>Com la persona veu borr\u00f3s des de lluny, l&#8217;espasme acomodatiu es pot confondre amb miopia (per aix\u00f2 se&#8217;n diu tamb\u00e9 pseudomiopia). Si la graduaci\u00f3 es mesura sense relaxar l&#8217;enfocament, es corre el risc de prescriure unes ulleres de miop que no fan falta i que poden empitjorar les mol\u00e8sties.<\/p>\n<p>Per a diagnosticar-ho, l&#8217;oftalm\u00f2leg mesura la graduaci\u00f3 amb gotes que relaxen temporalment el m\u00fascul ciliar. Si la miopia desapareix o \u00e9s molt de menor amb les gotes, el problema \u00e9s d&#8217;enfocament, no de graduaci\u00f3.<\/p>\n<p><strong>Tractament<\/strong><\/p>\n<p>Dep\u00e8n de cada cas. Sol combinar pauses i h\u00e0bits d&#8217;higiene visual, la correcci\u00f3 d&#8217;altres defectes de graduaci\u00f3 si n&#8217;hi ha (per exemple, hipermetropia), i a vegades gotes pautades durant un temps o ter\u00e0pia visual per a recuperar un enfocament flexible.<\/p>\n<p>Un h\u00e0bit senzill per a prevenir-lo: cada 20 minutos de treball de prop, mirar durant uns 20 segons una cosa llunyana, a uns 6 metres.<\/p>\n<p><strong>En INOF<\/strong><\/p>\n<p>L&#8217;espasme acomodatiu forma part de l&#8217;estudi de la visi\u00f3 binocular que realitza la Unitat de la Dra. Dora Fern\u00e1ndez-Agrafojo, que \u00e9s autora, juntament amb altres professionals de INOF, de l&#8217;article \u00abTractament de l&#8217;espasme acomodatiu\u00bb, publicat en la revista Annals d\u2019Oftalmologia (vol. 33, n\u00fam. 1, 2025).<\/p>\n<p><strong>Vol una valoraci\u00f3?<\/strong> Pot demanar cita en el <strong>640 310 733<\/strong> o en <strong>atencionalpaciente@inof.es.<\/strong> Consultori de INOF en el Centre M\u00e8dic Teknon, C\/ Vilana 12, consultoris 156-159, 08022 Barcelona.<\/p>\n<p><em>*Dra. Dora Fern\u00e1ndez-Agrafojo \u00b7 INOF, Unitat de Visi\u00f3 Binocular, Estrabisme i Neurooftalmologia*<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Per a veure de prop, l&#8217;ull enfoca gr\u00e0cies a un petit m\u00fascul interior, el m\u00fascul ciliar. \u00c9s el que anomenem acomodaci\u00f3. Quan passem moltes hores seguides llegint, estudiant o mirant pantalles, aquest m\u00fascul pot quedar-se contret encara que ja no faci falta, com una enrampada. \u00c9s l&#8217;espasme acomodatiu, o espasme de l&#8217;acomodaci\u00f3. S\u00edmptomes Visi\u00f3 borrosa&hellip;<\/p>\n","protected":false},"author":7,"featured_media":6227,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[377],"tags":[],"post_series":[],"class_list":["post-6230","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agudesa-visual","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Espasme acomodatiu: quan l&#039;ull es queda enfocat de prop - Inof | Centro de investigaci\u00f3n y cirug\u00eda ocular<\/title>\n<meta name=\"description\" content=\"Visi\u00f3 borrosa des de lluny, mal de cap i fatiga despr\u00e9s d&#039;estudiar o usar pantalles poden deure&#039;s a un espasme acomodatiu. 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