{"id":77882,"date":"2018-03-09T23:23:29","date_gmt":"2018-03-09T23:23:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/micropuncion-estromal-anterior-en-la-queratopata%c2%ada-bullosa\/"},"modified":"2018-03-09T23:23:29","modified_gmt":"2018-03-09T23:23:29","slug":"micropuncion-estromal-anterior-en-la-queratopata%c2%ada-bullosa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/micropuncion-estromal-anterior-en-la-queratopata%c2%ada-bullosa\/","title":{"rendered":"Micropunci\u00f3n estromal anterior en la queratopat\u00edabullosa"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ester Franc\u00e9s Mu\u00f1oz <\/strong><\/h2>\n<p>Objetivos: evaluar los efectos terap\u00e9uticos, investigar el mecanismo de acci\u00f3n de la micropunci\u00f3n estromal anterior en pacientes con queratopat\u00eda bullosa y realizar una correlaci\u00f3n cl\u00ednico-patol\u00f3gica en los pacientes a los que posteriormente se realice una queratoplastia. Desarrollar un modelo experimental de descompensaci\u00f3n corneal  en el conejo y estudiar en \u00e9l, el efecto de la micropunci\u00f3n estromal anterior.  introducci\u00f3n .La queratopat\u00eda bullosa es una de las principales indicaciones de queratoplastia penetrante. Se  caracteriza por un edema cr\u00f3nico y generalmente irreversible de la c\u00f3rnea.  En las formas avanzadas se producen, debido a la deficiente funci\u00f3n del endotelio, ves\u00edculas subepiteliales macrosc\u00f3picas como consecuencia del paso de l\u00edquido hacia las capas anteriores de la c\u00f3rnea, quedando el fluido atrapado bajo el epitelio que es impermeable. estas ves\u00edculas al romperse producen dolor, fotofobia y sensaci\u00f3n de cuerpo extra\u00f1o.  la micropunci\u00f3n estromal anterior, es un procedimiento para paliar los s\u00edntomas de los  pacientes que se encuentran  a la espera de un transplante de c\u00f3rnea o para  aquellos pacientes en los que por diversos motivos no est\u00e1 indicada la queratoplastia.  material y m\u00e9todos: realizamos la micropunci\u00f3n estromal anterior en 45 ojos de 45 pacientes con queratopat\u00eda bullosa. Se documentaron todos los pacientes fotogr\u00e1ficamente previa y posteriormente al tratamiento. Se calcul\u00f3 el \u00e1rea de superficie corneal afectada por las bullas  y su variaci\u00f3n con el tratamiento. Se les realiz\u00f3  un cuestionario acerca del dolor y su sintomatolog\u00eda, antes y despu\u00e9s del tratamiento. Se obtuvieron paquimetr\u00edas  previas y posteriores a la realizaci\u00f3n de las micropunturas. En los pacientes, a los que con posterioridad se les realiz\u00f3 un transplante de c\u00f3rnea, realizamos el estudio del bot\u00f3n corneal, en especial de la zona de la micropuntura.  en el modelo experimental, obtuvimos una des<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Micropunci\u00f3n estromal anterior en la queratopat\u00edabullosa<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Micropunci\u00f3n estromal anterior en la queratopat\u00edabullosa <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ester Franc\u00e9s Mu\u00f1oz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/12\/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>Jos\u00e9 Luis Menezo Rozalen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Garc\u00eda campos Jos\u00e9 manuel <\/li>\n<li>auxiliadora Villalobos loriguilla (vocal)<\/li>\n<li>Miguel Castilla cespedes (vocal)<\/li>\n<li> Harto casta\u00f1o Miguel \u00e1ngel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ester Franc\u00e9s Mu\u00f1oz Objetivos: evaluar los efectos terap\u00e9uticos, investigar el mecanismo de acci\u00f3n de la micropunci\u00f3n estromal [&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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