{"id":28261,"date":"2018-03-09T09:20:53","date_gmt":"2018-03-09T09:20:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trabeculectomia-bilateral-y-simultanea-ventajas-e-inconvenientes\/"},"modified":"2018-03-09T09:20:53","modified_gmt":"2018-03-09T09:20:53","slug":"trabeculectomia-bilateral-y-simultanea-ventajas-e-inconvenientes","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/trabeculectomia-bilateral-y-simultanea-ventajas-e-inconvenientes\/","title":{"rendered":"Trabeculectomia bilateral y simultanea, ventajas e inconvenientes."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Consuelo Gutierrez Ortiz <\/strong><\/h2>\n<p>Objetivos:  determinar la eficacia global de la trabeculectom\u00eda bilateral y simult\u00e1nea en cuanto a la reducci\u00f3n de la presi\u00f3n intraocular. Determinar cu\u00e1l es al ca\u00edda media de visi\u00f3n en el postoperatorio inmediato. Determinar el tiempo medio de realizaci\u00f3n del procedimiento. Determinar la incidencia de complicaciones intraoperatorias unilaterales que  obliguen a suspender el segundo procedimiento. Determinar la incidencia de complicaciones bilaterales intra y postoperatorias. Comparar los resultados de complicaciones y \u00e9xito quir\u00fargico de las intervenciones realizadas con anestesia general frente a local para conocer cual es la m\u00e1s adecuada a la hora de realizar el procedimiento.  material y m\u00e9todo:  estudio retrospectivo no controlado de todas las trabeculectom\u00edas bilaterales y simult\u00e1neas realizadas en el hospital ram\u00f3n y cajal de Madrid entre 1990 y 2001.  resultados:  se analizaron 118 ojos de 94 pacientes.  La agudeza visual media preoperatoria fue de 0,42; en el periodo postoperatorio fue de 0,21 en la primera semana, de 0,3 al cabo de un mes y a los 3 meses de 0,39, a los 6 de 0,41, a los 9 de 0,42 y a los 12 meses de 0,44. En la primera semana del periodo postquir\u00fargico la ca\u00edda media de l\u00edneas de snellen fue de 2,2. Esta reducci\u00f3n fue temporal en la mayor\u00eda de los pacientes y hubo recuperaci\u00f3n completa a los 3 meses. la ca\u00edda de agudeza visual (dos o m\u00e1s l\u00edneas) fue cl\u00ednicamente significativa solo en la primera semana. Aquellos que perdieron dos o m\u00e1s l\u00edneas ten\u00edan una agudeza visual media sin correcci\u00f3n en la primera semana de 0,2. Las complicaciones intraoperatorias fueron menores, as\u00ed como las complicaciones bilaterales tempranas: hubo hifema en 3 pacientes (3,19%); uve\u00edtis moderada en 8 (8,51%); desprendimientos coroideos serosos en 2 (2,12%); atalamias en 7 (7,44%); cataratas en 2 (2,12%) e hipoton\u00edas en 4 (4,25%). Se encontraron 5 pacientes con cataratas bilaterales en el postoperatori<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Trabeculectomia bilateral y simultanea, ventajas e inconvenientes.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Trabeculectomia bilateral y simultanea, ventajas e inconvenientes. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Consuelo Gutierrez Ortiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/01\/2004<\/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>Juan Murube Del Castillo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge  luciano Ali\u00f3 sanz <\/li>\n<li>Mar\u00eda Hernaez jose (vocal)<\/li>\n<li>Andrea Sanz lopez (vocal)<\/li>\n<li>Javier Zamora romero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Consuelo Gutierrez Ortiz Objetivos: determinar la eficacia global de la trabeculectom\u00eda bilateral y simult\u00e1nea en cuanto [&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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