{"id":18121,"date":"2002-05-07T00:00:00","date_gmt":"2002-05-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/glaucoma-congenito-tratamiento-evolucion-y-factores-pronosticos\/"},"modified":"2002-05-07T00:00:00","modified_gmt":"2002-05-07T00:00:00","slug":"glaucoma-congenito-tratamiento-evolucion-y-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/glaucoma-congenito-tratamiento-evolucion-y-factores-pronosticos\/","title":{"rendered":"Glaucoma congenito: tratamiento, evoluci\u00f3n y factores pron\u00f3sticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 M. Mart\u00ednez De La Casa Fern\u00e1ndez-borrella <\/strong><\/h2>\n<p>Objetivo  evaluar los resultados obtenidos en el tratamiento quir\u00fargico del glaucoma cong\u00e9nito en nuestro centro en los \u00faltimos treinta a\u00f1os.  material y m\u00e9todos  estudio retrospectivo de 285 casos consecutivos de galucoma cong\u00e9nito (501 ojos), tratados en nuestro centro entre enero de 1970 y enero de 2000.  criterios de exclusi\u00f3n: pacientes tratados quir\u00fargicamente antes de la primera exploraci\u00f3n en nuestro centro, pacientes con tratamiento m\u00e9dico y sin referencias previas a la primera exploraci\u00f3n en nuestro centro, pacientes con seguimiento inferior a seis meses y glaucomas secundarios. El grupo final de estudio qued\u00f3 constituido por 335 ojos de 201 pacientes. Los pacientes fueron divididos en 4 grupos: grupo i: glaucoma cong\u00e9nito primario precoz (diagnosticados antes de los 48 meses): 148 pacientes (73,6%). Grupo ii: galucoma cong\u00e9nito primario tard\u00edo (diagnosticados por encima de los 48 meses): 17 pacientes (8,4%). Grupo iii: glaucoma cong\u00e9nito asociado a anomal\u00edas oculares: 18 pacientes (8,9%). Grupo iv: glaucoma cong\u00e9nito asociado a anomal\u00edas sistem\u00e1ticas: 18 pacientes (8,9%). La cirug\u00eda de elecci\u00f3n fue la goniotom\u00eda. En los casos en los que no se pudo realizar una goniotom\u00eda, se realiz\u00f3 una trabeculectom\u00eda. La goniotom\u00eda se repiti\u00f3 hasta en tres ocasiones cuando fue necesario para completar los 360\u00c2\u00ba del \u00e1ngulo iridocorneal.  resultados  94 varones y 107 mujeres. Glaucomas bilaterales: 66%. Seguimiento medio: 143,3+\/-92,8 meses (rango 6-360 meses). Probabilidad de control (kaplan-meier) del total de los ojos estudiados al final del seguimiento (143 meses): 83,1%. Media de cirug\u00edas por ojo: 1,55+\/-0,97 (rango 1-6). Con combinaciones de goniotom\u00edas y trabeculectom\u00edas conseguimos el control finalmente en el 88,4%, 79,3%, 80,2% y 84,5% de los casos, respectivamente. Los factores pron\u00f3sticos de mal control de la enfermedad fueron el di\u00e1metro &gt; de 12,5 mm al diagn\u00f3stico, el aumento en la excava<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Glaucoma congenito: tratamiento, evoluci\u00f3n y factores pron\u00f3sticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Glaucoma congenito: tratamiento, evoluci\u00f3n y factores pron\u00f3sticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 M. Mart\u00ednez De La Casa Fern\u00e1ndez-borrella <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/07\/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>Julian Garcia Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Cort\u00e9s valdes <\/li>\n<li>Jos\u00e9 Luis Encinas martin (vocal)<\/li>\n<li>alfonso Arias puente (vocal)<\/li>\n<li> Soto g\u00f3mez de lia\u00f1o Miguel angel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 M. Mart\u00ednez De La Casa Fern\u00e1ndez-borrella Objetivo evaluar los resultados obtenidos en el tratamiento quir\u00fargico del [&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":[155,9,141,2606,988],"tags":[21586,23648,15520,56378,756,56379],"class_list":["post-18121","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-ocular","category-oftalmologia","tag-alfonso-arias-puente","tag-carlos-cortes-valdes","tag-jose-luis-encinas-martin","tag-jose-m-Martinez-de-la-casa-fernandez-borrella","tag-julian-garcia-sanchez","tag-soto-gomez-de-liano-miguel-angel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/18121","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=18121"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/18121\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=18121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=18121"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=18121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}