{"id":37485,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-prospectivo-sobre-la-aparicion-de-cambios-involutivos-en-los-parpados-secundarios-a-la-cirugia-de-cataratas\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"estudio-prospectivo-sobre-la-aparicion-de-cambios-involutivos-en-los-parpados-secundarios-a-la-cirugia-de-cataratas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-prospectivo-sobre-la-aparicion-de-cambios-involutivos-en-los-parpados-secundarios-a-la-cirugia-de-cataratas\/","title":{"rendered":"Estudio prospectivo sobre la aparicion de cambios involutivos en los parpados secundarios a la cirugia de cataratas."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Munuera Gil Juan  Manuel <\/strong><\/h2>\n<p>Una de las manifestaciones del envejecimiento palpebral es la ptosis involutiva, que como la ptosis postquir\u00fargica es de tipo aponeur\u00f3tico. Este grupo de ptosis son ligeras, de mayor grado en infraversi\u00f3n y se acompa\u00f1an de un surco palpebral elevado y atenuado.  se ha planteado un estudio prospectivo para investigar la aparici\u00f3n de ptosis y de cambios en el surco palpebral en 128 pacientes intervenidos de cataratas. Los p\u00e1rpados se eval\u00faan calculando el cambio relativo sobre fotograf\u00edas estandarizadas. Los cambios detectados se analizan mediante regresi\u00f3n log\u00edstica.  tras la cirug\u00eda se produce una ptosis relativa con un valor medio de 0,44 mm, resultando mayor de 1 mm en el 14,8% de los casos. Aumenta el riesgo en el sexo femenino (odds ratio 4,35), cuando existe ptosis previa contralateral (odds ratio 6,72), cuando el surco palpebral est\u00e1 m\u00e1s elevado en el lado contralateral (odds ratio 4,36) y con inflamaci\u00f3n postoperatoria severa (odds ratio 4,36). Se produce tambi\u00e9n un ascenso del surco palpebral medio de 0,69 mm, mayor de 1 mm en el 32% de los casos, asociado con la edad (odds ratio 1,05), sexo femenino (odds ratio 2,14), bmi (odds ratio 0,89), surco palpebral marcado (odds ratio 4,46), dermatocalasia ausente (odds ratio 4,73), ausencia de ptosis previa ipsilateral (odds ratio 9,52) y d\u00edas de oclusi\u00f3n (odds ratio 1,19). Tambi\u00e9n se detecta tras la cirug\u00eda una hiperacci\u00f3n frontal de car\u00e1cter bilateral de 1,22 mm.  se concluye que tras la cirug\u00eda de cataratas es m\u00e1s frecuente detectar elevaci\u00f3n del surco que ptosis palpebral. La presencia de signos de desinserci\u00f3n en el lado contralateral y la ausencia de los mismos en el ipsilateral favorecen la aparici\u00f3n de ptosis y de elevaci\u00f3n del surco. El sexo femenino, cifras bajas de bmi y edad avanzada favorecen la aparici\u00f3n de signos de desinserci\u00f3n de la aponeurosis.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio prospectivo sobre la aparicion de cambios involutivos en los parpados secundarios a la cirugia de cataratas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio prospectivo sobre la aparicion de cambios involutivos en los parpados secundarios a la cirugia de cataratas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Munuera Gil Juan  Manuel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Demetrio Pita Salorio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Antonio Duran De La Colina <\/li>\n<li>Javier Moreno Monta\u00f1\u00e9s (vocal)<\/li>\n<li>Concepcion Larena Gomez (vocal)<\/li>\n<li>Antonio  Luis Bazan Alvarez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Munuera Gil Juan Manuel Una de las manifestaciones del envejecimiento palpebral es la ptosis involutiva, que como [&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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