Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria

OBJETIVO: Establecer la relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria. DISEÑO: Descriptivo, trasversal, retrospectivo. MUESTRA: 46 ojos de 46 pacientes que presentaron traumas con cuerpo extraño intraocular, atendidos y op...

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Autores:
Jaramillo Solá, José Agustín
Tipo de recurso:
Fecha de publicación:
2014
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/1771
Acceso en línea:
http://hdl.handle.net/20.500.12749/1771
Palabra clave:
Eye trauma
Visual acuity
Postoperative complications
Medicine
Ophthalmology
Research
View
Traumas oculares
Agudeza visual
Complicaciones postoperatorias
Medicina
Oftalmología
Investigaciones
Visión
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openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UNAB2_b0529dcb7ce0248795d558f56e2d6fff
oai_identifier_str oai:repository.unab.edu.co:20.500.12749/1771
network_acronym_str UNAB2
network_name_str Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
dc.title.translated.eng.fl_str_mv Relationship between types of ocular trauma in patients with intraocular foreign body and postoperative visual acuity
title Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
spellingShingle Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
Eye trauma
Visual acuity
Postoperative complications
Medicine
Ophthalmology
Research
View
Traumas oculares
Agudeza visual
Complicaciones postoperatorias
Medicina
Oftalmología
Investigaciones
Visión
title_short Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
title_full Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
title_fullStr Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
title_full_unstemmed Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
title_sort Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria
dc.creator.fl_str_mv Jaramillo Solá, José Agustín
dc.contributor.advisor.spa.fl_str_mv Varón Plata, Clara Leonor
dc.contributor.author.spa.fl_str_mv Jaramillo Solá, José Agustín
dc.subject.keywords.eng.fl_str_mv Eye trauma
Visual acuity
Postoperative complications
Medicine
Ophthalmology
Research
View
topic Eye trauma
Visual acuity
Postoperative complications
Medicine
Ophthalmology
Research
View
Traumas oculares
Agudeza visual
Complicaciones postoperatorias
Medicina
Oftalmología
Investigaciones
Visión
dc.subject.lemb.spa.fl_str_mv Traumas oculares
Agudeza visual
Complicaciones postoperatorias
Medicina
Oftalmología
Investigaciones
dc.subject.proposal.none.fl_str_mv Visión
description OBJETIVO: Establecer la relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria. DISEÑO: Descriptivo, trasversal, retrospectivo. MUESTRA: 46 ojos de 46 pacientes que presentaron traumas con cuerpo extraño intraocular, atendidos y operados en la Fundación Oftalmológica de Santander entre Enero de 2000 y Diciembre de 2012. MATERIALES Y MÉTODOS: Se revisaron las historias de los pacientes y se ingresaron los datos de los pacientes en una tabla de Excel y en el programa estadístico Stata para su análisis. RESULTADOS: El 100% de los pacientes fueron hombres, el promedio de edad fue de 32.06 años. El tipo de trauma más frecuente fue puntilla en 20 ojos (43.47 %), seguido de trauma por guadañadora en 16 ojos (34.78%), perdigones 6 ojos (13.04%) y por accidente de tránsito en 4 ojos (8.69%). La agudeza visual preoperatoria fue en su mayoría percepción de luz 28.3%, cuenta dedos 23.9%, y movimiento de manos 21.7%. Y la agudeza visual postoperatoria fue cuenta dedos 23.9%, percepción de luz 23.9% y no percepción de luz 13.0 %. Las estructuras anatómicas oculares lesionadas por el CEIO son ruptura de iris en 82.6%, herida de cornea 78.3%, catarata 65.2%, herida escleral 45.7%, desprendimiento de retina 23.9%, hifema 19.6% y exposición uveal 4.3 %. Como factor asociado a mala agudeza visual postoperatoria se encuentra agudeza visual igual o peor a cuenta dedos. Se presentaron 14 casos de endoftalmitis preoperatoria (30.43%), el material del cuerpo extraño más frecuentemente encontrado fue metal en 11 ojos (23.91%) y madera en 3 ojos (6.52%). Los gérmenes causales fueron Staphylococcus aereus en 13.04%, Bacillus SP en 4.34% y Actinomiceto en 10.86%. CONCLUSIONES: Los CEIO se presentan más frecuentemente en varones jóvenes, y se asocian a actividades laborales. El compromiso de la agudeza visual es importante y se obtienen en su mayoría agudezas visuales iguales o peores a cuenta dedos. Las estructuras anatómicas oculares lesionadas con mayor frecuencia son el iris, cornea, cristalino y esclera. La mala agudeza visual preoperatoria se asocia a mala agudeza visual postoperatoria. El tipo de cirugía depende del criterio del cirujano pero si hay lesión del cristalino e integridad del saco capsular y/o zónula puede implantarse lente intraocular en un en el mismo procedimiento quirúrgico. Así mismo se recomienda la aplicación de vancomicina y ceftazidima intravitreos al concluir la cirugía en los casos con riesgo alto de endoftalmitis o cuando se sospeche de su presencia. La endoftalmitis se presentó preoperatoriamente en 30.43% de los casos y el germen más frecuente es Staphylococcus aereus. Deben implementarse políticas para mejorar las medidas de seguridad en pacientes cuyas actividades laborales y/o recreacionales representen riesgos.
publishDate 2014
dc.date.issued.none.fl_str_mv 2014
dc.date.accessioned.none.fl_str_mv 2020-06-26T20:01:39Z
dc.date.available.none.fl_str_mv 2020-06-26T20:01:39Z
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/20.500.12749/1771
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/20.500.12749/1771
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 Jaramillo Solá, José Agustín (2014). Relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNAB
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spelling Varón Plata, Clara LeonorJaramillo Solá, José Agustín2020-06-26T20:01:39Z2020-06-26T20:01:39Z2014http://hdl.handle.net/20.500.12749/1771instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABOBJETIVO: Establecer la relación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoria. DISEÑO: Descriptivo, trasversal, retrospectivo. MUESTRA: 46 ojos de 46 pacientes que presentaron traumas con cuerpo extraño intraocular, atendidos y operados en la Fundación Oftalmológica de Santander entre Enero de 2000 y Diciembre de 2012. MATERIALES Y MÉTODOS: Se revisaron las historias de los pacientes y se ingresaron los datos de los pacientes en una tabla de Excel y en el programa estadístico Stata para su análisis. RESULTADOS: El 100% de los pacientes fueron hombres, el promedio de edad fue de 32.06 años. El tipo de trauma más frecuente fue puntilla en 20 ojos (43.47 %), seguido de trauma por guadañadora en 16 ojos (34.78%), perdigones 6 ojos (13.04%) y por accidente de tránsito en 4 ojos (8.69%). La agudeza visual preoperatoria fue en su mayoría percepción de luz 28.3%, cuenta dedos 23.9%, y movimiento de manos 21.7%. Y la agudeza visual postoperatoria fue cuenta dedos 23.9%, percepción de luz 23.9% y no percepción de luz 13.0 %. Las estructuras anatómicas oculares lesionadas por el CEIO son ruptura de iris en 82.6%, herida de cornea 78.3%, catarata 65.2%, herida escleral 45.7%, desprendimiento de retina 23.9%, hifema 19.6% y exposición uveal 4.3 %. Como factor asociado a mala agudeza visual postoperatoria se encuentra agudeza visual igual o peor a cuenta dedos. Se presentaron 14 casos de endoftalmitis preoperatoria (30.43%), el material del cuerpo extraño más frecuentemente encontrado fue metal en 11 ojos (23.91%) y madera en 3 ojos (6.52%). Los gérmenes causales fueron Staphylococcus aereus en 13.04%, Bacillus SP en 4.34% y Actinomiceto en 10.86%. CONCLUSIONES: Los CEIO se presentan más frecuentemente en varones jóvenes, y se asocian a actividades laborales. El compromiso de la agudeza visual es importante y se obtienen en su mayoría agudezas visuales iguales o peores a cuenta dedos. Las estructuras anatómicas oculares lesionadas con mayor frecuencia son el iris, cornea, cristalino y esclera. La mala agudeza visual preoperatoria se asocia a mala agudeza visual postoperatoria. El tipo de cirugía depende del criterio del cirujano pero si hay lesión del cristalino e integridad del saco capsular y/o zónula puede implantarse lente intraocular en un en el mismo procedimiento quirúrgico. Así mismo se recomienda la aplicación de vancomicina y ceftazidima intravitreos al concluir la cirugía en los casos con riesgo alto de endoftalmitis o cuando se sospeche de su presencia. La endoftalmitis se presentó preoperatoriamente en 30.43% de los casos y el germen más frecuente es Staphylococcus aereus. Deben implementarse políticas para mejorar las medidas de seguridad en pacientes cuyas actividades laborales y/o recreacionales representen riesgos.1. Resumen 2. Planteamiento del problema 3. Justificación 4. Marco Teórico 5. Objetivos 6. Metodología 7. Resultados 8. Discusión 9. Conclusiones 10. BibliografíaEspecializaciónOBJECTIVE To establish the relationship between the types of ocular trauma in patients with intraocular foreign body and postoperative visual acuity. DESIGN: Descriptive, transversal, retrospective. SAMPLE: 46 eyes of 46 patients who presented trauma with an intraocular foreign body, treated and operated on at the Santander Ophthalmology Foundation between January 2000 and December 2012. MATERIALS AND METHODS: Patient records were reviewed and patient data was entered into an Excel table and Stata statistical program for analysis. RESULTS: 100% of the patients were men, the average age was 32.06 years. The most frequent type of trauma was toecap in 20 eyes (43.47%), followed by scythe trauma in 16 eyes (34.78%), pellets in 6 eyes (13.04%) and by traffic accident in 4 eyes (8.69%). Preoperative visual acuity was mostly light perception 28.3%, finger counting 23.9%, and hand movement 21.7%. And postoperative visual acuity was finger count 23.9%, light perception 23.9% and no light perception 13.0%. The ocular anatomical structures injured by CEIO are iris rupture in 82.6%, corneal injury 78.3%, cataract 65.2%, scleral injury 45.7%, retinal detachment 23.9%, hyphema 19.6% and uveal exposure 4.3%. As a factor associated with poor postoperative visual acuity, visual acuity is equal to or worse on finger counts. There were 14 cases of preoperative endophthalmitis (30.43%), the most frequently found foreign body material was metal in 11 eyes (23.91%) and wood in 3 eyes (6.52%). The causative germs were Staphylococcus aereus in 13.04%, Bacillus SP in 4.34% and Actinomycete in 10.86%. CONCLUSIONS: CEIOs occur more frequently in young men, and are associated with work activities. The compromise of visual acuity is important and the same or worse visual acuities are obtained for the most part on the finger count. The most frequently injured ocular anatomical structures are the iris, cornea, lens, and sclera. Poor preoperative visual acuity is associated with poor postoperative visual acuity. The type of surgery depends on the surgeon's criteria, but if there is lesion of the lens and integrity of the capsular bag and / or zonule, an intraocular lens can be implanted in one in the same surgical procedure. Likewise, the application of intravitreal vancomycin and ceftazidime is recommended at the conclusion of surgery in cases with high risk of endophthalmitis or when its presence is suspected. Endophthalmitis presented preoperatively in 30.43% of cases and the most frequent germ is Staphylococcus aereus. Policies should be implemented to improve safety measures for patients whose work and / or recreational activities pose risks.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 ColombiaRelación entre los tipos de traumas oculares en pacientes con cuerpo extraño intraocular y la agudeza visual postoperatoriaRelationship between types of ocular trauma in patients with intraocular foreign body and postoperative visual acuityEspecialista en OftalmologíaBucaramanga (Santander, Colombia)Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Oftalmologíainfo:eu-repo/semantics/masterThesisTesishttp://purl.org/redcol/resource_type/TMEye traumaVisual acuityPostoperative complicationsMedicineOphthalmologyResearchViewTraumas ocularesAgudeza visualComplicaciones postoperatoriasMedicinaOftalmologíaInvestigacionesVisiónJaramillo Solá, José Agustín (2014). 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Unidad de Trauma Ocular Hospital del Salvador.ORIGINAL2014_Tesis_Jose_Agustin_Jaramillo_Sola.pdf2014_Tesis_Jose_Agustin_Jaramillo_Sola.pdfTesisapplication/pdf694260https://repository.unab.edu.co/bitstream/20.500.12749/1771/1/2014_Tesis_Jose_Agustin_Jaramillo_Sola.pdffb3dc02405b67ba2d710746d8bb6e76cMD51open access2014_Licencia_Jose_Agustin_Jaramillo_Sola.pdf2014_Licencia_Jose_Agustin_Jaramillo_Sola.pdfLicenciaapplication/pdf722865https://repository.unab.edu.co/bitstream/20.500.12749/1771/2/2014_Licencia_Jose_Agustin_Jaramillo_Sola.pdfbe78da0bc671d0af1e1d31f7e3fca6e5MD52metadata only accessTHUMBNAIL2014_Tesis_Jose_Agustin_Jaramillo_Sola.pdf.jpg2014_Tesis_Jose_Agustin_Jaramillo_Sola.pdf.jpgIM Thumbnailimage/jpeg5653https://repository.unab.edu.co/bitstream/20.500.12749/1771/3/2014_Tesis_Jose_Agustin_Jaramillo_Sola.pdf.jpgbad01cd46628e9e372a79f2eb012cbf4MD53open access2014_Licencia_Jose_Agustin_Jaramillo_Sola.pdf.jpg2014_Licencia_Jose_Agustin_Jaramillo_Sola.pdf.jpgIM Thumbnailimage/jpeg10745https://repository.unab.edu.co/bitstream/20.500.12749/1771/4/2014_Licencia_Jose_Agustin_Jaramillo_Sola.pdf.jpg4d7b4e7b823ead267b205682284c26d4MD54metadata only access20.500.12749/1771oai:repository.unab.edu.co:20.500.12749/17712021-11-07 17:43:25.536open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co

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