{"id":72328,"date":"2018-03-09T23:17:06","date_gmt":"2018-03-09T23:17:06","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-y-concordancia-del-diagnostico-por-imagen-en-las-drusas-de-papila\/"},"modified":"2018-03-09T23:17:06","modified_gmt":"2018-03-09T23:17:06","slug":"validez-y-concordancia-del-diagnostico-por-imagen-en-las-drusas-de-papila","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validez-y-concordancia-del-diagnostico-por-imagen-en-las-drusas-de-papila\/","title":{"rendered":"Validez y concordancia del diagn\u00f3stico por imagen en las drusas de papila"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pablo Gili Manzanaro <\/strong><\/h2>\n<p>Introduci\u00f3n: las drusas de nervio \u00f3ptico son una de las causas m\u00e1s frecuentes de papila elevada o de bordes borrosos.Las drusas superficiales habitalmente son f\u00e1cilmente identificables; sin embargo , las drusas ocultas pueden plantear serios problemas diagn\u00f3sticos, pudiendo confundirse con un papiledema verdadero.  objetivo: evaluar la validez y la concordancia del diagn\u00f3stico por imagen en las drusas de papila, as\u00ed como las caracter\u00edsticas cl\u00ednicas, oftalmosc\u00f3pias y su repercusi\u00f3n funcional.  material y m\u00e9todos: se dise\u00f1o un estudio descriptivo transversal para evaluar la validez y la concordancia diagn\u00f3stica de las t\u00e9cnicas de imagen digital de fondo de ojo: fotograf\u00eda en color (retinograf\u00eda) y autofluorescencia(fluorescencia preinyecci\u00f3n),considerando la ecograf\u00eda ocular b como criterio de referencia.  resultados y conclusiones:el estudio incluy\u00f3 106 pacientes y un total de 200 ojos (casos):100 ojos con drusas  de papila y 100 ojos del grupo diagn\u00f3stico diferencial.La validaez diagn\u00f3stica del estudio de fondo de ojo ha sido moderada(ensibilidad 52% especificidad 99% valor global 75,5%),con una buena concordancia entre observadores.La validez diagn\u00f3stica del estudio de la autofluorescencia ha sido muy buena (sensibilidad 80% , especificidad 97% valor global 88,5%), con una concordancia entre observadores muy alta.  la drusas habitualmente son bilaterales, superficiales en la mitad de los casos, de localizaci\u00f3n m\u00e1s frecuente nasales o superiores, y se asocian un tama\u00f1o papilar peque\u00f1o (\u00e1rea y di\u00e1metro horizontal), bordes papilares borrosos , papila sobreelevada, alteraci\u00f3n en el color , ausencia de excavaci\u00f3n papila, pulso venoso ausente, remificaci\u00f3n vascular an\u00f3mala, vasos cilioretinianos y atrof\u00eda peripapilar , de forma significativa.  las drusas de papila frecuentemente presentan alteraciones campim\u00e9tricas (73,2%) y de la capa de fibras nerviosas; la agudeza visual habitualmente es normal.La p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validez y concordancia del diagn\u00f3stico por imagen en las drusas de papila<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validez y concordancia del diagn\u00f3stico por imagen en las drusas de papila <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pablo Gili Manzanaro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/01\/2005<\/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>Alfonso Arias Puente<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Cortes valdes <\/li>\n<li> Gomez ulla irazarabal Francisco Javier (vocal)<\/li>\n<li> Zato gomez de lia\u00f1o Miguel angel (vocal)<\/li>\n<li>Jos\u00e9 Luis Encinas martin (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pablo Gili Manzanaro Introduci\u00f3n: las drusas de nervio \u00f3ptico son una de las causas m\u00e1s frecuentes de [&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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