{"id":23686,"date":"2018-03-09T09:14:20","date_gmt":"2018-03-09T09:14:20","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-del-desprendimiento-de-retina-complejo-vitrectoma%c2%ada-laser-y-taponamiento-interno-con-aire-durante-48h\/"},"modified":"2018-03-09T09:14:20","modified_gmt":"2018-03-09T09:14:20","slug":"tratamiento-del-desprendimiento-de-retina-complejo-vitrectoma%c2%ada-laser-y-taponamiento-interno-con-aire-durante-48h","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-del-desprendimiento-de-retina-complejo-vitrectoma%c2%ada-laser-y-taponamiento-interno-con-aire-durante-48h\/","title":{"rendered":"Tratamiento del desprendimiento de retina complejo. vitrectom\u00eda, l\u00e1ser y taponamiento interno con aire durante 48h"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Orduna Mag\u00e1n <\/strong><\/h2>\n<p>Despu\u00e9s de una amplia introducci\u00f3n y un vasto estudio del estado actual del tratamiento quir\u00fargico del desprendimiento de retina regmat\u00f3geno, dividimos a los pacientes que padecen desprendimiento de retina en tres tipos: no complicado, complejo y asociado aproliferaci\u00f3n vitreorretiniana.  del estudio de revisi\u00f3n bibliogr\u00e1fica se concluye que para obtener la mejor agudeza visual posible en el postoperatorio es necesario reaplicar la retina de primera intenci\u00f3n. Para alcanzar este objetivo proponemos ampliar las indicaciones de la vitrectom\u00eda a todos los casos de desprendimiento de retina complejo.  nuestra t\u00e9cnica quir\u00fargica se muestran especialmente \u00fatil en los casos de desprendimiento de retina complejo. \u00e9Sta consiste en realizar vitectom\u00eda v\u00eda pars plana, evacuaci\u00f3n ab-interno del l\u00edquido subretiniano, endofotocoagulaci\u00f3n de los desgarros, taponamiento interno con 3cm3 de aire est\u00e9ril y posicionamiento del paciente durante 48 horas.  ha quedado demostrado con este trabajo realizado sobre 145 pacientes, que la cicatriz de retinopexia producida por el l\u00e1ser es suficientemente fuerte en 48 horas, para mantener los desgarros retinianos sellados de menera definitiva.  para incrementar la utilidad de nuestra t\u00e9cnica es imprescindible seleccionar y clasificar los desprendimientos de retina complejos en funci\u00f3n de su gravedad. A estos efectos hemos confeccionado un \u00edndice de 22 factores de riesgo, fiable y de f\u00e1cil obtenci\u00f3n en cualquier servico de oftalmolog\u00eda.  con nuestra t\u00e9cnica quir\u00fargica se obtienen mejores resultados anat\u00f3micos y funionales en los pacientes que poseen desprendimiento de retina complejo y en nuestro \u00edndice quir\u00fargico suman entre 4 y 6 factores de riesgo, que con las t\u00e9cnicas de cirug\u00eda escleral, retinopexia neum\u00e1tica y vitrectom\u00eda con taponamiento interno con gases expansibles.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento del desprendimiento de retina complejo. vitrectom\u00eda, l\u00e1ser y taponamiento interno con aire durante 48h<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento del desprendimiento de retina complejo. vitrectom\u00eda, l\u00e1ser y taponamiento interno con aire durante 48h <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Orduna Mag\u00e1n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/06\/2003<\/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: Jos\u00e9 manuel Ram\u00edrez sebasti\u00e1n <\/li>\n<li>Francisco Clement fernandez (vocal)<\/li>\n<li>Jos\u00e9 Luis Encinas martin (vocal)<\/li>\n<li>alfonso Arias puente (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Orduna Mag\u00e1n Despu\u00e9s de una amplia introducci\u00f3n y un vasto estudio del estado actual del tratamiento [&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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