Prismas oftálmicos para mejorar calidad visual en pacientes con degeneración macular senil
Fecha
2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
La Degeneración Macular Relacionada con la edad es un problema a nivel mundial y es la segunda causa de ceguera y en baja visión, por medio de Prisma, que son sistemas ópticos afocales que dispersan y desvían la luz, buscando la mejor zona paracentral, y entrenando la fijación excéntrica. El objetivo general del trabajo Mejorar calidad visual mediante procedimiento de prismas oftálmicos en pacientes con Degeneración Macular senil del Asilo San José de Guayaquil. Con una población de 72 pacientes de los cuales 42 cumplían con requisitos de criterios de inclusión, los 30 pacientes no se los incluyo por padecer problemas de sordera, ceguera legal, cataratas glaucoma etc. La edad media de 77 a 85 que corresponde al 40% es la mayoría de la población estudiada La metodología aplicada fue longitudinal, haciendo seguimiento durante seis meses. Con los resultados de este trabajo se logro conseguir aumentar capacidad en lectura de un 30%, también se utilizaron filtros como el color amarillo en un porcentaje de 0.25% total en lentes, optimizando la sensibilidad al contrasté. Al concluir con este trabajo, deja una satisfacción como profesional de dar una opción a pacientes adulto mayor, facilitando su reactivación de visión, con medios accesibles, que no son aplicados en nuestros medio. Para rehabilitar la visión se va a necesitar la ayuda de un equipo multidisciplinario que seria el oftalmólogo verificando su patología, el optometrista especializado en baja visión, el psicólogo y la estimulación por parte de familiares. Por este motivo tenemos la inquietud de estar en constante capacitación para renovar nuestros conocimientos profesionales y así brindar mejor atención a los pacientes siendo ellos los más beneficiados y a la vez a nosotros los profesionales en visión para seguir adelante en busca de mejoras como atención primaria
Macular Degeneration Related to age is a worldwide problem and is the second cause of blindness and low vision, through Prism, which are afocal optical systems that scatter and divert light, looking for the best paracentral area, and training the eccentric fixation. The general objective of the work is to improve visual quality by ophthalmic prism procedure in patients with senile macular degeneration of the San José asylum in Guayaquil. With a population of 72 patients of which 42 met the criteria for inclusion criteria, the 30 patients were not included because of problems of deafness, legal blindness, cataracts, glaucoma, etc. The average age of 77 to 85 corresponds to 40% is the majority of the population studied. The methodology applied was longitudinal, following up for six months. With the results of this work we managed to achieve increase in reading capacity by 30%, filters like yellow color were also used in a percentage of 0.25% total in lenses, optimizing contrast sensitivity. When concluding with this work, it leaves a satisfaction as a professional to give an option to elderly patients, facilitating their reactivation of vision, with accessible means, that are not applied in our environment. To rehabilitate the vision you will need the help of a multidisciplinary team that would be the ophthalmologist verifying your pathology, the optometrist specialized in low vision, the psychologist and the stimulation by family members. For this reason we have the concern to be in constant training to renew our professional knowledge and thus provide better care to patients being them the most benefited and at the same time we professionals in vision to move forward in search of improvements such as primary care
Macular Degeneration Related to age is a worldwide problem and is the second cause of blindness and low vision, through Prism, which are afocal optical systems that scatter and divert light, looking for the best paracentral area, and training the eccentric fixation. The general objective of the work is to improve visual quality by ophthalmic prism procedure in patients with senile macular degeneration of the San José asylum in Guayaquil. With a population of 72 patients of which 42 met the criteria for inclusion criteria, the 30 patients were not included because of problems of deafness, legal blindness, cataracts, glaucoma, etc. The average age of 77 to 85 corresponds to 40% is the majority of the population studied. The methodology applied was longitudinal, following up for six months. With the results of this work we managed to achieve increase in reading capacity by 30%, filters like yellow color were also used in a percentage of 0.25% total in lenses, optimizing contrast sensitivity. When concluding with this work, it leaves a satisfaction as a professional to give an option to elderly patients, facilitating their reactivation of vision, with accessible means, that are not applied in our environment. To rehabilitate the vision you will need the help of a multidisciplinary team that would be the ophthalmologist verifying your pathology, the optometrist specialized in low vision, the psychologist and the stimulation by family members. For this reason we have the concern to be in constant training to renew our professional knowledge and thus provide better care to patients being them the most benefited and at the same time we professionals in vision to move forward in search of improvements such as primary care
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Anciano, Degeneración macular, Prismas oftálmicos, Calidad visual, Junta de Beneficiencia de Guayaquil. Hogar San José, Cantón Guayaquil, Ecuador