{"id":17594,"date":"2018-03-09T09:05:44","date_gmt":"2018-03-09T09:05:44","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evisceracion-ocular-con-colgajos-esclerales\/"},"modified":"2018-03-09T09:05:44","modified_gmt":"2018-03-09T09:05:44","slug":"evisceracion-ocular-con-colgajos-esclerales","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evisceracion-ocular-con-colgajos-esclerales\/","title":{"rendered":"Evisceraci\u00f3n ocular con colgajos esclerales"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joan Prat Bartomeu <\/strong><\/h2>\n<p>La evisceraci\u00f3n ocular es una t\u00e9cnica quir\u00fargica indicada en algunos casos de amaurosis. El contenido del globo ocular es extra\u00eddo y, generalmente, se coloca en su lugar un implante para que restablezca volum\u00e9tricamente la anatom\u00eda orbitaria. El tama\u00f1o original del globo intervenido (entre 7 y 9 ml) es el condicionante principal del tama\u00f1o que deber\u00eda tener el implante elegido. Cuando no se restablecen aceptablemente estos vol\u00famenes sumando los del implante y la pr\u00f3tesis externa aparece el denominado s\u00edndrome postenucleaci\u00f3n, el cual se caracteriza por un grado variable de enoftalmos de la pr\u00f3tesis y profundizaci\u00f3n del pliege del p\u00e1rapado superior. Teniendo en cuenta lo dicho  hasta ahora es f\u00e1cil deducir que es preciso colocar implantes de 20 (4,2 ml) o 22 mm (5,6 ml), que f\u00e1cilmente rellenar\u00e1n la cavidad, acompa\u00f1ados de una pr\u00f3tesis poco pesada de 1,5 a 3 ml.  pero la pr\u00e1ctica de la habitual evisceraci\u00f3n con queratectom\u00eda reduce de tal forma la superficie de la t\u00fanica ocular externa que hace imposible la colocaci\u00f3n de esferas superiores a los 18-19 mm de di\u00e1metro.  para solucionar el problema se propone una t\u00e9cnica de evisceraci\u00f3n en la que escler\u00f3tica es dividida en dos y separada a su vez del nervio \u00f3ptico. los dos colgajos esclerales se hallan libres de cualquier fijaci\u00f3n y pueden desplazarse libremente para cubrir con facilidad la cara anterior del implante. la evisceraci\u00f3n con colgajos esclerales e implante poroso de gran di\u00e1metro (20-22 mm) se practic\u00f3 en 66 pacientes resultando en las siguientes observaciones:  1,- reproducibilidad de la t\u00e9cnica. Puede paracticarse en cualquier ojo en el que la t\u00e9cnica de la evisceraci\u00f3n est\u00e9 indicada independientemente del tama\u00f1o de la cavidad escleral.  2,- seguridad. No se ha encontrado ning\u00fan caso de exposici\u00f3n a pesar de haber usado los implantes de mayor tama\u00f1o.  3,- resultados buenos o excelentes en 3\/4 de los pacientes. Permite la colocaci\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evisceraci\u00f3n ocular con colgajos esclerales<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evisceraci\u00f3n ocular con colgajos esclerales <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joan Prat Bartomeu <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/06\/2002<\/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>Julio De La Camara Hermoso<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jaume Fern\u00e1ndez llamazares rodriguez <\/li>\n<li>Jorge Arruga ginebreda (vocal)<\/li>\n<li>josep Morera prat (vocal)<\/li>\n<li>Jos\u00e9 m. Caminal mitjana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joan Prat Bartomeu La evisceraci\u00f3n ocular es una t\u00e9cnica quir\u00fargica indicada en algunos casos de amaurosis. El [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,2606],"tags":[14217,55002,55003,55004,13938,13638],"class_list":["post-17594","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-ocular","tag-jaume-fernandez-llamazares-rodriguez","tag-joan-prat-bartomeu","tag-jorge-arruga-ginebreda","tag-jose-m-caminal-mitjana","tag-josep-morera-prat","tag-julio-de-la-camara-hermoso"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=17594"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17594\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}