Valoración del éxito de cirugía de mínima incisión en pacientes adultos con catarata, estudio a realizarse en el Area de Consulta Externa de Oftalmología del Hospital Provincial Alfredo Noboa Montenegro de la ciudad de Guaranda en el período 2013-2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Catarata, nombre que se da a cualquier opacidad que difracta la luz dentro del cristalino. La Cirugía de Mínima Incisión es una técnica idónea y con mejor costo beneficio para estos pacientes, mejorando sus resultados visuales al post operatorio inmediato, con rehabilitación y recuperación más rápida, mejorando la calidad de vida.
Este estudio procuró determinar el éxito del procedimiento quirúrgico hasta el octavo día post operatorio, en pacientes adultos con disminución de la agudeza visual de uno o ambos ojos, en el Hospital Alfredo Noboa Montenegro desde Enero del 2013 a Diciembre del 2015. Es un estudio cuantitativo, observacional, de corte transversal, analítico, retrospectivo, y de nivel descriptivo, en una población de 132 pacientes mayores de 60 años de edad.
La mayor frecuencia por sexo: masculino 69 (52%); raza: mestizos 115 (86%); mayor edad con mejoría de 73 años; en la valoración pre-quirúrgica, hubo 37 con afectación solo del ojo derecho, de los cuales el 21 (56,76%) tenía DVM, 5 (13,51%) DVG y 11 (29,73%) C; existieron 39 pacientes con afectación solo del ojo izquierdo, de los cuales 13 (33,33%) tenía DVM, 6 (15,39%) DVG y 20 (51,28%) C; además 56 pacientes con afectación de ambos ojos, de los cuales, la agudeza visual del ojo derecho de los pacientes, presentaron 28 (50%) en DVM, 6 (11%) DVG y 22 (39%) C; mientras que la agudeza visual del ojo izquierdo, muestra un mayor porcentaje de C 32 (57,14%), a diferencia de la DVM y DVG, que tienen 12 (21,43%) cada uno; valoración postquirúrgica al primer día demuestra la recuperación de la agudeza visual de 82 (46,97%) categorizada como muy buena, 24 (23,48%) como buena y 26 (29,55%) como deficiente.
Finalmente, la valoración post- quirúrgica al octavo día fue de 109 (70,45%) muy buena, 9 (16,67%) buena y 14 (12,88%) deficiente.
La agudeza visual mejora luego de la cirugía, siendo al octavo día, dos veces mayor que la valorada en el pre-operatorio.
Cataract, name given to any diffracted light opacity within the lens. Minimal Incision Surgery is an ideal and better cost-benefit technique for these patients, improving their visual results the immediate postoperative period, with faster recovery and rehabilitation, improving the quality of life. This study sought to determine the success of the surgical procedure through eighth post- operative day in adult patients with decreased visual acuity in one or both eyes, Alfredo Noboa Montenegro Hospital from January 2013 to December 2015. It is a quantitative study, observational, cross, analytical, retrospective cohort, and descriptive level, in a population of 132 patients over 60 years old. The most frequently by sex: male 69 (52%); Race: Mestizo 115 (86%); older with improvement of 73 years; in the pre-surgical evaluation, there were 37 affected only the right eye, of which 21 (56.76%) had DVM, 5 (13.51%) DVG and 11 (29.73%) C; there were only 39 patients with involvement of the left eye, of which 13 (33.33%) had DVM, 6 (15.39%) DVG and 20 (51.28%) C; also 56 patients with involvement of both eyes, of which, the visual acuity of the right eye of patients showed 28 (50%) in DVM, 6 (11%) DVG and 22 (39%) C; while the visual acuity of the left eye, shows a higher percentage of C 32 (57.14%), unlike the DVM and DVG, having 12 (21.43%) each; postsurgical evaluation day demonstrates the recovery of visual acuity of 82 (46.97%) categorized as very good, 24 (23.48%) as good and 26 (29.55%) as poor. Finally, the post-surgical assessment on the eighth day was 109 (70.45%) very good, 9 (16.67%) good and 14 (12.88%) poor. Visual acuity improved after surgery, being the eighth day, twice as large as the valued in the pre-operative.
Cataract, name given to any diffracted light opacity within the lens. Minimal Incision Surgery is an ideal and better cost-benefit technique for these patients, improving their visual results the immediate postoperative period, with faster recovery and rehabilitation, improving the quality of life. This study sought to determine the success of the surgical procedure through eighth post- operative day in adult patients with decreased visual acuity in one or both eyes, Alfredo Noboa Montenegro Hospital from January 2013 to December 2015. It is a quantitative study, observational, cross, analytical, retrospective cohort, and descriptive level, in a population of 132 patients over 60 years old. The most frequently by sex: male 69 (52%); Race: Mestizo 115 (86%); older with improvement of 73 years; in the pre-surgical evaluation, there were 37 affected only the right eye, of which 21 (56.76%) had DVM, 5 (13.51%) DVG and 11 (29.73%) C; there were only 39 patients with involvement of the left eye, of which 13 (33.33%) had DVM, 6 (15.39%) DVG and 20 (51.28%) C; also 56 patients with involvement of both eyes, of which, the visual acuity of the right eye of patients showed 28 (50%) in DVM, 6 (11%) DVG and 22 (39%) C; while the visual acuity of the left eye, shows a higher percentage of C 32 (57.14%), unlike the DVM and DVG, having 12 (21.43%) each; postsurgical evaluation day demonstrates the recovery of visual acuity of 82 (46.97%) categorized as very good, 24 (23.48%) as good and 26 (29.55%) as poor. Finally, the post-surgical assessment on the eighth day was 109 (70.45%) very good, 9 (16.67%) good and 14 (12.88%) poor. Visual acuity improved after surgery, being the eighth day, twice as large as the valued in the pre-operative.
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Catarata, Epidemiología desciptiva, Epidemiología analítica, Estudios retrospectivos, Hospital General Alfredo Noboa Montenegro, Cantón Guaranda, Ecuador, Agudeza visual, Procedimientos quirúrgicos menores