{"id":106783,"date":"2011-11-02T00:00:00","date_gmt":"2011-11-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-sa%c2%adndrome-de-iris-flacido-estudio-de-cambios-oculares-inducidos-por-tamsulosina\/"},"modified":"2011-11-02T00:00:00","modified_gmt":"2011-11-02T00:00:00","slug":"el-sa%c2%adndrome-de-iris-flacido-estudio-de-cambios-oculares-inducidos-por-tamsulosina","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/oftalmologia\/el-sa%c2%adndrome-de-iris-flacido-estudio-de-cambios-oculares-inducidos-por-tamsulosina\/","title":{"rendered":"El s\u00edndrome de iris fl\u00e1cido. estudio de cambios oculares inducidos por tamsulosina."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Julio Gonz\u00e1lez Martin-moro <\/strong><\/h2>\n<p>El s\u00edndrome de iris fl\u00e1cido descrito en el a\u00f1o 2005 se ha relacionado con el consumo de tamsulosina. Tras estudiar 830 cirug\u00edas de catarata llevadas a cabo en el hospital del henares, determinamos que el consumo de tamsulosina en nuestro medio se asocia a un aumento importante de complicaciones menores durante la cirug\u00eda de catarata. Por ello este f\u00e1rmaco no modifica de forma importante el pron\u00f3stico funcional de la cirug\u00eda. Podr\u00eda existir asimismo un efecto aditivo entre el consumo de este f\u00e1rmaco y la diabetes mellitus, que contraindica su utilizaci\u00f3n en estos pacientes.Se llevo a cabo una encuesta a los especialistas de urolog\u00eda de la comunidad de Madrid, que demostr\u00f3 que los ur\u00f3logos tienen un buen conocimiento de este s\u00edndrome, pero desconocen el car\u00e1cter en parte irreversible de los cambios inducidos por su consumo.Tras seguir dos cohortes de pacientes que iniciaban y cesaban el tratamiento con tamsulosina se demostr\u00f3 que el inicio del tratamiento produce una reducci\u00f3n del di\u00e1metro pupilar y esta reducci\u00f3n es m\u00e1xima en respuesta a fenilefrina. Asimismo en un estudio trasversal en el que se compararon consumidores y no consumidores de tamsulosina, este midri\u00e1tico demostr\u00f3 tener una buena sensibilidad y especificidad para detectar el consumo de este f\u00e1rmaco, si bien el bajo valor predictivo positivo, hace que este test no resulte \u00fatil en la pr\u00e1ctica cl\u00ednica. Puesto que la hendidura palpebral fue similar en ambos grupos, es probable que el receptor alfa-1a adren\u00e9rgico no se exprese en el m\u00fasculo de m\u00ed\u00bcller. No se demostr\u00f3 que la tamsulosina influya sobre la cuantificaci\u00f3n del defecto pupilar aferente relativo. Palabras clave: tamsulosina, s\u00edndrome de iris fl\u00e1cido, cirug\u00eda de catarata, complicaciones quir\u00fargicas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El s\u00edndrome de iris fl\u00e1cido. estudio de cambios oculares inducidos por tamsulosina.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El s\u00edndrome de iris fl\u00e1cido. estudio de cambios oculares inducidos por tamsulosina. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Julio Gonz\u00e1lez Martin-moro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/02\/2011<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Francisco Jose Mu\u00f1oz Negrete<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel S\u00e1nchez chapado <\/li>\n<li>rosario Cobo soriano (vocal)<\/li>\n<li>ines Contreras martin (vocal)<\/li>\n<li>Francisco Clement fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Julio Gonz\u00e1lez Martin-moro El s\u00edndrome de iris fl\u00e1cido descrito en el a\u00f1o 2005 se ha relacionado con [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","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":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","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":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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