{"id":97872,"date":"2009-11-12T00:00:00","date_gmt":"2009-11-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-validacion-diagnostica-de-retinografa%c2%ada-no-midriatica-estereoscopica-para-la-deteccion-de-edema-macular-diabetico\/"},"modified":"2009-11-12T00:00:00","modified_gmt":"2009-11-12T00:00:00","slug":"estudio-de-validacion-diagnostica-de-retinografa%c2%ada-no-midriatica-estereoscopica-para-la-deteccion-de-edema-macular-diabetico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/endocrinologia\/estudio-de-validacion-diagnostica-de-retinografa%c2%ada-no-midriatica-estereoscopica-para-la-deteccion-de-edema-macular-diabetico\/","title":{"rendered":"Estudio de validaci\u00f3n diagn\u00f3stica de retinograf\u00edano midri\u00e1tica estereosc\u00f3pica para la detecci\u00f3n de edema macular diab\u00e9tico"},"content":{"rendered":"

Tesis doctoral de Amaya Sainz De Los Terreros Errea <\/strong><\/h2>\n

Se plantea el estudio del edema macular diab\u00e9tico en pacientes con diabetes mellitus tipo 2 mediante la t\u00e9cnica de retinograf\u00eda no midri\u00e1tica. Esta patolog\u00eda supone una considerable morbilidad y tiene un impacto socioecon\u00f3mico conocido, por lo que se han evaluado varios m\u00e9todos de diagn\u00f3stico. En la presente tesis doctoral se eval\u00faa la retinograf\u00eda no midri\u00e1tica tomando como prueba de referencia la tomograf\u00eda \u00f3ptica de coherencia. Se obtuvieron fotograf\u00edas digitales del \u00e1rea macular en 50 pacientes mediante un retin\u00f3grafo no midri\u00e1tico antes y despu\u00e9s de dilataci\u00f3n con tropicamida, con campos retinianos de 30\u00c2\u00ba y 45\u00c2\u00ba. Las im\u00e1genes fueron evaluadas de forma mono y estereosc\u00f3pica para la identificaci\u00f3n de exudados duros y engrosamiento retiniano respectivamente. Se consider\u00f3 diagn\u00f3stico cierto de edema cuando el espesor o volumen macular medido por tomograf\u00eda \u00f3ptica de coherencia superaba los l\u00edmites de normalidad. Los principales resultados de validaci\u00f3n diagn\u00f3stica fueron; sensibilidad del 85%, especificidad del 52%, \u00edndice de concordancia kappa de 0.38 (p<0.05), valor predictivo positivo del 81.2%, y negativo del 58.3%. La visi\u00f3n estereosc\u00f3pica no mejor\u00f3 la rentabilidad diagnostica. La aplicaci\u00f3n de tropicamida s\u00f3lo mejor\u00f3 los resultados en cuanto a especificidad en las im\u00e1genes estereosc\u00f3picas a 30\u00c2\u00ba, sin suponer diferencias cl\u00ednicamente relevantes sobre la sensibilidad. Por tanto podemos concluir que la retinograf\u00eda no midri\u00e1tica para edema macular diab\u00e9tico puede alcanzar una sensibilidad aceptable con valor predictivo positivo adecuado. Sin embargo la especificidad en nuestro estudio es insuficiente, con una concordancia con la tomograf\u00eda \u00f3ptica de coherencia baja-moderada.\n\n\n\n \n\n\n

Datos acad\u00e9micos de la tesis doctoral \u00abEstudio de validaci\u00f3n diagn\u00f3stica de retinograf\u00edano midri\u00e1tica estereosc\u00f3pica para la detecci\u00f3n de edema macular diab\u00e9tico<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de validaci\u00f3n diagn\u00f3stica de retinograf\u00edano midri\u00e1tica estereosc\u00f3pica para la detecci\u00f3n de edema macular diab\u00e9tico <\/li>\n
  • Autor:<\/strong>\u00a0 Amaya Sainz De Los Terreros Errea <\/li>\n
  • Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 11\/12\/2009<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Eduardo Faure Nogueras<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: Luis felipe Pallardo sanchez <\/li>\n
        • Jos\u00e9 angel Cristobal bescos (vocal)<\/li>\n
        • Javier Lafita tejedor (vocal)<\/li>\n
        • eduardo Esteve lafuente (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Amaya Sainz De Los Terreros Errea Se plantea el estudio del edema macular diab\u00e9tico en pacientes con […]<\/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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[851,988,13610],"tags":[200357,200358,18321,29052,46750,14834],"class_list":["post-97872","post","type-post","status-publish","format-standard","hentry","category-endocrinologia","category-oftalmologia","category-zaragoza","tag-amaya-sainz-de-los-terreros-errea","tag-eduardo-esteve-lafuente","tag-eduardo-faure-nogueras","tag-javier-lafita-tejedor","tag-jose-angel-cristobal-bescos","tag-luis-felipe-pallardo-sanchez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97872","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=97872"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97872\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=97872"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=97872"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=97872"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}