Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander

Objetivos: En este estudio se pretendió identificar los factores asociados a pérdida de células endoteliales durante la extracción extracapsular de catarata por facoemulsificación. Materiales y métodos: Se realizó un estudio observacional, longitudinal, retrospectivo de las historias clínicas de pac...

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Autores:
Prada Rocha, Angélica María
Tipo de recurso:
Fecha de publicación:
2017
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/1784
Acceso en línea:
http://hdl.handle.net/20.500.12749/1784
Palabra clave:
Waterfall
Phacoemulsification
Endothelial cells
Surgery
Medicine
Ophthalmology
Research
Endothelial count
Loss of endothelial cells
Associated factors
Catarata
Facoemulsificación
Células endoteliales
Cirugía
Medicina
Oftalmología
Investigaciones
Recuento endotelial
Pérdida de células endoteliales
Factores asociados
Fundación Oftalmológica de Santander
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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network_acronym_str UNAB2
network_name_str Repositorio UNAB
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dc.title.spa.fl_str_mv Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
dc.title.translated.eng.fl_str_mv Determination of the factors associated with the loss of endothelial cells in phacoemulsification surgery of coaxial microincisional cataract at the Fundación Oftalmológica de Santander
title Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
spellingShingle Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
Waterfall
Phacoemulsification
Endothelial cells
Surgery
Medicine
Ophthalmology
Research
Endothelial count
Loss of endothelial cells
Associated factors
Catarata
Facoemulsificación
Células endoteliales
Cirugía
Medicina
Oftalmología
Investigaciones
Recuento endotelial
Pérdida de células endoteliales
Factores asociados
Fundación Oftalmológica de Santander
title_short Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
title_full Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
title_fullStr Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
title_full_unstemmed Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
title_sort Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander
dc.creator.fl_str_mv Prada Rocha, Angélica María
dc.contributor.advisor.spa.fl_str_mv Tello Hernández, Alejandro
Galvis Ramírez, Virgilio
dc.contributor.author.spa.fl_str_mv Prada Rocha, Angélica María
dc.contributor.cvlac.*.fl_str_mv https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001009125
https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000552453
dc.contributor.googlescholar.*.fl_str_mv https://scholar.google.es/citations?hl=es#user=puxZHKYAAAAJ
https://scholar.google.es/citations?hl=es&user=CZOaBDoAAAAJ
dc.contributor.scopus.*.fl_str_mv https://www.scopus.com/authid/detail.uri?authorId=6603664598
https://www.scopus.com/authid/detail.uri?authorId=55963715000
dc.contributor.researchgate.*.fl_str_mv https://www.researchgate.net/profile/Virgilio_Galvis
dc.subject.keywords.eng.fl_str_mv Waterfall
Phacoemulsification
Endothelial cells
Surgery
Medicine
Ophthalmology
Research
Endothelial count
Loss of endothelial cells
Associated factors
topic Waterfall
Phacoemulsification
Endothelial cells
Surgery
Medicine
Ophthalmology
Research
Endothelial count
Loss of endothelial cells
Associated factors
Catarata
Facoemulsificación
Células endoteliales
Cirugía
Medicina
Oftalmología
Investigaciones
Recuento endotelial
Pérdida de células endoteliales
Factores asociados
Fundación Oftalmológica de Santander
dc.subject.lemb.spa.fl_str_mv Catarata
Facoemulsificación
Células endoteliales
Cirugía
Medicina
Oftalmología
Investigaciones
dc.subject.proposal.none.fl_str_mv Recuento endotelial
Pérdida de células endoteliales
Factores asociados
Fundación Oftalmológica de Santander
description Objetivos: En este estudio se pretendió identificar los factores asociados a pérdida de células endoteliales durante la extracción extracapsular de catarata por facoemulsificación. Materiales y métodos: Se realizó un estudio observacional, longitudinal, retrospectivo de las historias clínicas de pacientes sometidos a cirugía de catarata por facoemulsificación microincisional coaxial por un único cirujano (VGR) durante los meses de Enero 2016 a Junio 2016. Resultados: Se encontró una pérdida endotelial promedio de 6.4 +/- 10%. Como factores asociados a pérdida de células endoteliales se encontraron la clasificación más avanzada de la catarata (LOCS III), el tiempo total de ultrasonido y la energía acumulada disipada (CDE por su nombre en inglés cumulative dissipated energy). Conclusión: Es preferible realizar la facoemulsificación cuando la catarata no haya alcanzado los grados más avanzados (más allá de NC2 en la clasificación LOCS III), sobretodo en pacientes con endotelios alterados que por ende tienen mayor riesgo de descompensación corneal. Adicionalmente es preferible realizar técnicas quirúrgicas para la fragmentación del núcleo en las cuales se emplee menos CDE y tiempo total de ultrasonido.
publishDate 2017
dc.date.issued.none.fl_str_mv 2017
dc.date.accessioned.none.fl_str_mv 2020-06-26T20:01:41Z
dc.date.available.none.fl_str_mv 2020-06-26T20:01:41Z
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TM
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/1784
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
url http://hdl.handle.net/20.500.12749/1784
identifier_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
reponame:Repositorio Institucional UNAB
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Prada Rocha, Angélica María (2017). Determinación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de Santander. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNAB
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spelling Tello Hernández, AlejandroGalvis Ramírez, VirgilioPrada Rocha, Angélica Maríahttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001009125https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000552453https://scholar.google.es/citations?hl=es#user=puxZHKYAAAAJhttps://scholar.google.es/citations?hl=es&user=CZOaBDoAAAAJhttps://www.scopus.com/authid/detail.uri?authorId=6603664598https://www.scopus.com/authid/detail.uri?authorId=55963715000https://www.researchgate.net/profile/Virgilio_Galvis2020-06-26T20:01:41Z2020-06-26T20:01:41Z2017http://hdl.handle.net/20.500.12749/1784instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABObjetivos: En este estudio se pretendió identificar los factores asociados a pérdida de células endoteliales durante la extracción extracapsular de catarata por facoemulsificación. Materiales y métodos: Se realizó un estudio observacional, longitudinal, retrospectivo de las historias clínicas de pacientes sometidos a cirugía de catarata por facoemulsificación microincisional coaxial por un único cirujano (VGR) durante los meses de Enero 2016 a Junio 2016. Resultados: Se encontró una pérdida endotelial promedio de 6.4 +/- 10%. Como factores asociados a pérdida de células endoteliales se encontraron la clasificación más avanzada de la catarata (LOCS III), el tiempo total de ultrasonido y la energía acumulada disipada (CDE por su nombre en inglés cumulative dissipated energy). Conclusión: Es preferible realizar la facoemulsificación cuando la catarata no haya alcanzado los grados más avanzados (más allá de NC2 en la clasificación LOCS III), sobretodo en pacientes con endotelios alterados que por ende tienen mayor riesgo de descompensación corneal. Adicionalmente es preferible realizar técnicas quirúrgicas para la fragmentación del núcleo en las cuales se emplee menos CDE y tiempo total de ultrasonido.Resumen 1. Introducción 2. Marco Teórico 2.1. Catarata y clasificación 2.2. Cirugía de facoemulsificación 2.3. Descripción de la técnica quirúrgica 2.4. Complicaciones de la cirugía de catarata por facoemulsificación 2.5. Endotelio corneal 2.6. Microscopia especular 2.7. Factores de riesgo asociados a pérdida endotelial 2.7.1. Factores dependientes del paciente 2.7.2. Factores dependientes de la cirugía [Cirugía de Catarata Microincisional (CCM)] 2.7.2.1. Técnica quirúrgica 2.7.2.2. Tamaño de incisión 2.7.2.3. Energía total de facoemulsificación, tiempo de facoemulsificación, promedio de poder en posición 3 y CDE, asociación con tipo de movimiento ultrasónico y modulación del poder. 2.7.2.4. Viscoelástico 2.7.2.5. Tiempo de aspiración y volumen de irrigación 2.7.2.6. Pérdida de células endoteliales posterior a cirugía 3. Objetivos 3.1. Objetivo General 3.2. Objetivos Específicos 4. Metodología 4.1. Tipo de Estudio 4.2. Universo y Muestra 4.3. Población 4.3.1. Criterios de selección 4.3.1.1. Criterios de Inclusión 4.3.1.2. Criterios de Exclusión 4.4. Recolección de datos 4.5. Depuración de datos y análisis 4.6. Procedimiento quirúrgico 5. Consideraciones Éticas 6. Resultados 7. Discusión 8. Conclusiones 9. Referencias bibliográficasEspecializaciónObjectives: This study aimed to identify the factors associated with endothelial cell loss during extracapsular extraction of cataract by phacoemulsification. Materials and methods: An observational, longitudinal, retrospective study was carried out of the medical records of patients undergoing cataract surgery by coaxial microincisional phacoemulsification by a single surgeon (VGR) during the months of January 2016 to June 2016. Results: An average endothelial loss of 6.4 +/- 10% was found. Factors associated with endothelial cell loss were the most advanced cataract classification (LOCS III), total ultrasound time, and cumulative dissipated energy (CDE). Conclusion: It is preferable to perform phacoemulsification when the cataract has not reached the most advanced degrees (beyond NC2 in the LOCS III classification), especially in patients with altered endotheliums who therefore have a higher risk of corneal decompensation. Additionally, it is preferable to perform surgical techniques for the fragmentation of the nucleus in which less CDE and total ultrasound time are used.application/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 2.5 ColombiaDeterminación de los factores asociados a la pérdida de células endoteliales en cirugía de facoemulsificación de catarata microincisional coaxial en la Fundación Oftalmológica de SantanderDetermination of the factors associated with the loss of endothelial cells in phacoemulsification surgery of coaxial microincisional cataract at the Fundación Oftalmológica de SantanderEspecialista en OftalmologíaBucaramanga (Santander, Colombia)Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Oftalmologíainfo:eu-repo/semantics/masterThesisTesishttp://purl.org/redcol/resource_type/TMWaterfallPhacoemulsificationEndothelial cellsSurgeryMedicineOphthalmologyResearchEndothelial countLoss of endothelial cellsAssociated factorsCatarataFacoemulsificaciónCélulas endotelialesCirugíaMedicinaOftalmologíaInvestigacionesRecuento endotelialPérdida de células endotelialesFactores asociadosFundación Oftalmológica de SantanderPrada Rocha, Angélica María (2017). 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The British Journal of Ophthalmology, 95(4), 485–489. https://doi.org/10.1136/bjo.2009.172502ORIGINAL2017_Tesis_Angelica_Maria_Prada_Rocha.pdf2017_Tesis_Angelica_Maria_Prada_Rocha.pdfTesisapplication/pdf779752https://repository.unab.edu.co/bitstream/20.500.12749/1784/1/2017_Tesis_Angelica_Maria_Prada_Rocha.pdfabdf8cc1b2818a179c4adb4858e484b8MD51open access2017_Licencia_Angelica_Maria_Prada_Rocha.pdf2017_Licencia_Angelica_Maria_Prada_Rocha.pdfLicenciaapplication/pdf739127https://repository.unab.edu.co/bitstream/20.500.12749/1784/2/2017_Licencia_Angelica_Maria_Prada_Rocha.pdf960c0eba7f291de2afb05bde0102d0aeMD52metadata only accessTHUMBNAIL2017_Tesis_Angelica_Maria_Prada_Rocha.pdf.jpg2017_Tesis_Angelica_Maria_Prada_Rocha.pdf.jpgIM Thumbnailimage/jpeg5993https://repository.unab.edu.co/bitstream/20.500.12749/1784/3/2017_Tesis_Angelica_Maria_Prada_Rocha.pdf.jpg5e75aa2b62dd3c575b3be65b026fbbb9MD53open access2017_Licencia_Angelica_Maria_Prada_Rocha.pdf.jpg2017_Licencia_Angelica_Maria_Prada_Rocha.pdf.jpgIM Thumbnailimage/jpeg11624https://repository.unab.edu.co/bitstream/20.500.12749/1784/4/2017_Licencia_Angelica_Maria_Prada_Rocha.pdf.jpg6c96496d56c446caeff734b2716a0c63MD54open access20.500.12749/1784oai:repository.unab.edu.co:20.500.12749/17842021-11-09 14:12:58.421open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co

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