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Transicion de la cirugia de catarata
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Transicion de la cirugia de catarata

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Dra. Sotomayor

Dra. Sotomayor

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Transcript

  • 1. Dra. Janeth Sotomayor Salas III CONGRESO INTERNACIONAL DE OFTALMOLOGIA
  • 2.
    • PERIODO DE TRANSICION
    • TENDENCIAS-PASOS HISTORICOS
    • PRIMEROS DESAFIOS
    • VENTAJAS-DESVENTAJAS
    • ESTUDIOS COMPARATIVOS
  • 3. EXTRACCIÓN INTRACAPSULAR 12-12.5mm EXTRACCIÓN EXTRACAPSULAR 10-10.5mm EXTRACCIÓN PEQUEÑA INCISION (MININUC) 4-6mm FACOEMULSIFICACION 2.8- 3.2mm
  • 4.  
  • 5.
    • INCISION MAS PEQUEÑA, RELAJANTES
    • CONSTRUCCION TUNEL
    • DESCEMENT
    • MANEJO DE COMPLICACIONES
  • 6. MENOR MENOR MENOR
  • 7.
    • No se puede compensar astigmatismos previos.
    • Principiantes:
      • No se realiza todo tipo núcleos.
  • 8. COMPARACION DE LA PERDIDA DE CELULAS ENDOTELIALES Y EL ASTIGMATISMO INDUCIDO QUIRURGICAMENTE ENTRE LA CIRUGIA EXTRACAPSULAR CONVENCIONAL (EECC), LA CIRUGIA MANUAL DE PEQUEÑA INCISION (SICS) Y LA FACOEMULSIFICACION (PHACO ). Ronnie George a; Pankaj Rupauliha a; A. V. Sripriya a; P. S. Rajesh a; P. Vishnu Vahan a; Smita Praveen a a Jaslok Community Ophthalmology Center, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India
  • 9.
      • CIRUGIA EXTRACAPSULAR (EECC) VS CIRUGIA DE CATARATA DE PEQUEÑA INCISION (MSICS) .
    AGUDEZA VISUAL NO CORREGIDA M Gogate, M Deshpande, R P Wormald, et al. Br J Ophthalmol 2003 87: 667-672
  • 10.  
  • 11.
    • CCIP procedimiento seguro, rápido, bajo costo, cirugías de alto volumen, países en desarrollo.
    • Curva aprendizaje no difiere EECC.
    • Alternativa a la FACO.
    • Buenos resultados.
  • 12. GRACIAS