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Factores asociados a recuperación visual deficiente después de cirugía exitosa para desprendimiento de retina regmatógeno

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dc.contributor.advisorRodríguez Alvira, Francisco José
dc.contributor.advisorTovar Cuevas, José Rafael
dc.creatorFlor Herrera, Andrés Alejandro
dc.creator.degreeEspecialista en Oftalmología
dc.date.accessioned2014-02-12T15:12:10Z
dc.date.available2014-02-12T15:12:10Z
dc.date.created2013-12-02
dc.date.issued2013
dc.descriptionIntroducción: Varias características pueden afectar el pronóstico visual después de resolver quirúrgicamente el desprendimiento de retina. Existen características no observables por el ojo humano por si solo pero si por tomografía óptica coherente que se relacionan con la recuperación visual. Objetivo: Describir las características clínicas y topográfica en los periodos pre y postquirúrgico de ojos que ha sufrido DR regmatógeno con compromiso macular y su relación con la calidad de recuperación visual después de una cirugía considerada exitosa desde el punto de vista anatómico. Materiales y métodos: Estudio descriptivo en el que se comparan algunas características en tres periodos perioeperatorios, uno antes y dos después de cirugía (3 y 6 meses) de 24 ojos con DRregmatógeno y compromiso macular intervenidos mediante retinopexia combinada con vitrectomía pars plana. Resultados: La recuperación visual mejor o igual que logMAR 0,397 (20/50) se dió en 41,7% de ojos y 16,7%. alcanzaron agudeza visual logMAR 0,301 (20/40). Cinco ojos no alcanzaron una ganancia de líneas de visión mayor a cinco. El líquido submacular ausente se observó en la mayoría de ojos que recuperaron más de cinco líneas al igual que aquellos con elipsoide conservado. La regularidad del neuroepitelio y el edema en el periodo posquirúrgico no mostraron comportamientos claros respecto a recuperación visual al igual que la altura del desprendimiento y el número de cuadrantes afectados. Una mejor recuperación visual fue más frecuente en aquellos con menos de cinco semanas de desprendimiento de retina. Conclusiones: El retraso menor a cinco semanas en la resolución del desprendimiento de retina, la conservación del elipsoide y la ausencia de líquido submacular en el periodo postquirúrgico se observó más frecuentemente en ojos con mejor recuperación visual.spa
dc.description.abstractIntroduction: Several features can affect the visual prognosis after surgically resolve of retinal detachment. There unobservable characteristics by human eye alone but by optical coherence tomography that relate to visual recovery. Objective: To describe clinical and tomographic characteristics in pre and post-operative periods of eyes that have suffered macula off rhegmatogenous retinal detachment and its relationship to the quality of visual recovery after successful surgery considered. Materials and Methods: A descriptive prospective study which compares some perioperative characteristics into three diferents times, one before and two after surgery (3 and 6 months) of 24 eyes with macula off rhegmatogenous retinal detachment operated by scleral buckling combined with pars plana vitrectomy . Results: Visual recovery better than or equal to 0.397 logMAR (20/50) was given in 41.7% of eyes and 16.7% reached 0.301 logMAR visual acuity (20/40). Five patients did not achieve greater gain than five lines of sight. Absent submacular fluid was observed in the most of eyes that recovered more than five lines as those with preserved ellipsoid. Neuroepitelium regularity and edema in the postoperative period showed no clear behavior regarding visual recovery as the height of the macular detachment, and the number of hit quadrants. Better visual recovery was more frequent in those with less than five weeks of retinal detachment. Conclusions: Shortr delay to 5 weeks in the resolution of retinal abruption, conservation of the ellipsoid and the absence of submacular fluid in the postoperative period was observed more frequently in eyes with better visual recovery.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_4937
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4937
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Oftalmologíaspa
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectDesprendimiento de Retinaspa
dc.subjectTomografía óptica coherentespa
dc.subjectRecuperacioón visualspa
dc.subject.decsDESPRENDIMIENTO DE RETINA - CIRUGÍAspa
dc.subject.decsOFTALMOLOGÍA - INVESTIGACIONESspa
dc.subject.decsTOMOGRAFÍA ÓPTICAspa
dc.subject.keywordRetinal Detachmenteng
dc.subject.keywordOptical coherence thomographyeng
dc.subject.keywordVisual recoveryeng
dc.titleFactores asociados a recuperación visual deficiente después de cirugía exitosa para desprendimiento de retina regmatógenospa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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