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Cauterización de la membrana de Bowman y el injerto de membrana amniótica en la queratopatía bullosa dolorosa poscirugía de catarata Cauterization of Bowman′s membrana and amniotic membrane graft in painful bullous keratopathy after cataract surgery  [cached]
Elizabeth Ortiz Sanfeliz,Zaadia Pérez Parra,Urbano Rodríguez de Paz,Alexeide de la C. Castillo Pérez
Revista Cubana de Oftalmolog?-a , 2008,
Abstract: INTRODUCCIóN: La queratectomía con cauterización de la membrana de Bowman y el injerto de membrana amniótica son algunos de los tratamientos paliativos en pacientes con queratopatía bullosa dolorosa sin criterio de trasplante corneal. Describir los resultados de cada una de estas técnicas fue nuestro objetivo fundamental en este estudio. MéTODOS: Se realizó un estudio descriptivo con 34 pacientes con queratopatía bullosa dolorosa poscirugía de catarata. Se distribuyeron en dos grupos: queratectomía con cauterización de la membrana de Bowman y queratectomía con injerto de membrana amniótica con seguimiento por seis meses. RESULTADOS: A los seis meses se mantenían sin bulas 64,7 y 41,2 % de los casos con cauterización de la membrana de Bowman e injerto de membrana amniótica respectivamente. El incremento de la vascularización corneal fue mínimo para ambas técnicas quirúrgicas. Se logró el alivio de los síntomas en la primera semana de la cirugía para 82,4 % en la cauterización de la membrana de Bowman y 94,1 % en el injerto de membrana amniótica. A los seis meses de la cirugía se mantenían asintomáticos 88,2 y 70,6 % de los casos con cauterización de la membrana de Bowman e injerto de membrana amniótica, respectivamente. La epitelización corneal se produjo antes de los 14 días en el 100 % de los pacientes tratados con injerto de membrana amniótica y en el 94,1 % de los pacientes con cauterización de la membrana de Bowman. CONCLUSIONES: Ambas técnicas quirúrgicas fueron eficaces en el tratamiento a corto plazo de la queratopatía bullosa dolorosa poscirugía de catarata. INTRODUCTION: Keratectomy with cauterization of Bowman′s membrane and the amniotic membrane graft are some of the palliative therapies to be applied in patients with painful bullous keratopathy without any criterion of corneal transplant. To describe the results of each technique was our fundamental objective in this study. METHODS: A descriptive study of 34 patients with painful bullous keratopathy after cataract surgery was carried out. They were divided into two groups: one undergoing keratectomy with cauterization of Bowman′s membrane and the other amniotic membrane graft followed-up for six months. RESULTS: After six months, 64.7 % of cases with cauterization of Bowman′s membrane and 41.2 % of those with amniotic membrane graft had no blebs. Increase of corneal vascularization as minimal for both techniques. The symptom relief in the first week of surgery was observed in 82.4 % and 94.1 % of cases respectively. After six months, the patients kept asymptomatic in 88.2 % of cases with cau
Cauterización de la membrana de Bowman y el injerto de membrana amniótica en la queratopatía bullosa dolorosa poscirugía de catarata
Ortiz Sanfeliz,Elizabeth; Pérez Parra,Zaadia; Rodríguez de Paz,Urbano; Castillo Pérez,Alexeide de la C.;
Revista Cubana de Oftalmolog?-a , 2008,
Abstract: introduction: keratectomy with cauterization of bowman′s membrane and the amniotic membrane graft are some of the palliative therapies to be applied in patients with painful bullous keratopathy without any criterion of corneal transplant. to describe the results of each technique was our fundamental objective in this study. methods: a descriptive study of 34 patients with painful bullous keratopathy after cataract surgery was carried out. they were divided into two groups: one undergoing keratectomy with cauterization of bowman′s membrane and the other amniotic membrane graft followed-up for six months. results: after six months, 64.7 % of cases with cauterization of bowman′s membrane and 41.2 % of those with amniotic membrane graft had no blebs. increase of corneal vascularization as minimal for both techniques. the symptom relief in the first week of surgery was observed in 82.4 % and 94.1 % of cases respectively. after six months, the patients kept asymptomatic in 88.2 % of cases with cauterized bowman′s membrane and 70.6 % of amniotic membrane grafts. corneal epithelization occurred before 14 days of surgery in 100 % of patients treated with graft and in 94.1 % of cauterized cases. conclusions: both surgical techniques are effective in short-term treatment of painful bullous keratopathy after a cataract surgery.
Injerto de membrana amniótica monocapa como tratamiento paliativo de la queratopatía bullosa Monolayered amniotic membrane transplantation as a palliative treatment for bullous keratopathy
N López Ferrando,J Celis Sánchez,F González del Valle,E López Mondéjar
Archivos de la Sociedad Espa?ola de Oftalmología , 2004,
Abstract: Objetivo: Comprobar la eficacia del injerto de membrana amniótica en monocapa en la mejoría sintomática a corto y medio plazo de la queratopatía bullosa no susceptible de queratoplastia. Sujetos y métodos: Se realizó injerto de membrana amniótica en cinco pacientes con queratopatía bullosa no susceptibles de queratoplastia. Se valoró la necesidad de lente terapéutica pre y post operatoria, la existencia de dolor, la presencia de bullas (y número de cuadrantes a los que afectaba), de defectos epiteliales, y de restos de membrana amniótica a los 4 y 14 días, y a los 1, 2, 4, y 6 meses de la cirugía. Resultados: A los 14 días ningún paciente presentaba dolor, defecto epitelial o bullas. Sin embargo, la desaparición progresiva de la membrana iba acompa ada de aumento de la sintomatología y de las bullas. A los 6 meses, 4 de 5 pacientes necesitaban la utilización de lente terapéutica. Conclusiones: El injerto de membrana amniótica reduce la sintomatología de la queratopatía bullosa a corto plazo y preserva la anatomía corneal. A los 6 meses de la cirugía, la mejoría anatómica y sintomática no evita la necesidad de la utilización de lente de contacto terapéutica. Purpose: To determine the efficacy of monolayered amniotic membrane transplantation for short and medium-term symptomatic improvement in those cases of bullous keratopathy where a penetrating keratoplasty is not indicated. Methods: Amniotic membrane transplantation was performed in five patients with symptomatic bullous keratopathy in which penetrating keratoplasty was not indicated. Data about bandage contact lens need before and after surgery, existence of ocular pain, occurrence and extension of bullae, epithelial defects, and persistence of amniotic membrane, were obtained at days 4 and 14, and months 1, 2, 4 and 6 after surgery. Results: No pain, bullae or epithelial defects were present at day 14 in any patient. However, progressive dissolvement of the amniotic membrane was accompanied with more bullae and pain. At 6th month, 4 of 5 patients required bandage contact lens. Conclusion: Amniotic membrane transplantation alleviates short-term symptomatic bullous keratopathy and preserves corneal anatomy. Six months after surgery, anatomical and symptomatic improvement does not avoid the need of bandage contact lens.
Injerto de membrana amniótica monocapa como tratamiento paliativo de la queratopatía bullosa
López Ferrando,N; Celis Sánchez,J; González del Valle,F; López Mondéjar,E;
Archivos de la Sociedad Espa?ola de Oftalmología , 2004, DOI: 10.4321/S0365-66912004000100007
Abstract: purpose: to determine the efficacy of monolayered amniotic membrane transplantation for short and medium-term symptomatic improvement in those cases of bullous keratopathy where a penetrating keratoplasty is not indicated. methods: amniotic membrane transplantation was performed in five patients with symptomatic bullous keratopathy in which penetrating keratoplasty was not indicated. data about bandage contact lens need before and after surgery, existence of ocular pain, occurrence and extension of bullae, epithelial defects, and persistence of amniotic membrane, were obtained at days 4 and 14, and months 1, 2, 4 and 6 after surgery. results: no pain, bullae or epithelial defects were present at day 14 in any patient. however, progressive dissolvement of the amniotic membrane was accompanied with more bullae and pain. at 6th month, 4 of 5 patients required bandage contact lens. conclusion: amniotic membrane transplantation alleviates short-term symptomatic bullous keratopathy and preserves corneal anatomy. six months after surgery, anatomical and symptomatic improvement does not avoid the need of bandage contact lens.
Epidermólisis bullosa: a propósito de un caso Epidermolysis bullosa: apropos of a case
Irka Balleste López,Ana Campo González,Rosa de los Reyes Degournay,Amarilys Sanfiel Ferrer
Revista Cubana de Pediatr?-a , 2008,
Abstract: La epidermólisis bullosa comprende un grupo heterogéneo de enfermedades ampollosas de la piel y las mucosas que son de origen congénito y hereditario. Hacer el diagnóstico no es difícil si se tiene experiencia dermatológica, pero su clasificación es compleja y para ella se necesita considerar la clínica, genética, microscopia y evaluación de laboratorio. El tratamiento de esta enfermedad es también difícil y son necesarias ciertas medidas para proteger al paciente y evitar la aparición de lesiones y las complicaciones derivadas de ellas. Se describe el tratamiento de estas lesiones en un recién nacido, al que se administraron antibióticos profilácticos y se colocaron vendajes en las lesiones. Se describen todos los cuidados y recomendaciones para evitar especialmente los roces y las presiones en estas lesiones y las temperaturas altas. Epidermolysis bullosa comprises a heterogeneous group of bullous diseases of the skin and the mucosas that are of congenital or hereditary origin. Making the diagnosis is not difficult if one has dermatological experience, but its classification is complex and for it, it is necessary to consider the clinic, genetics, microscopy and lab evaluation. The treatment of this disease is also difficult and certain measures are required to protect the patient and to prevent the appearance of lesions and complications derived from them. It is described the treatment of these lesions in a newborn infant who was administered prophylactic antibiotics, and whose lesions were bandaged. All the care and recommendations to specially avoid the friction and pressures on these lesions and the high temperatures were explained.
Adiposis dolorosa  [cached]
Chopra Adarsh,Walia Puneet,Chopra Dimple,Jassal J
Indian Journal of Dermatology, Venereology and Leprology , 2000,
Abstract: Adiposis dolorosa, a rare condition characterised by painful subcutaneous plaques of fat as-sociated with obesity and emotional disturbances in menopausal females, is being reported
Epidermolysis bullosa
Patra A,Deora M,Ramadasan P
Indian Journal of Dermatology, Venereology and Leprology , 2002,
Abstract: A case of recurrent vesiculobullous eruptions over shins, clinically diagnosed as epidermolysis bullosa of pretibial variety confirmed by electron microscope is reported here as a rare variety of localised epidermolysis bullosa (EB).
Varicella bullosa
Sathyanarayana B
Indian Journal of Dermatology, Venereology and Leprology , 2003,
Abstract: A 3-year-old child diagnosed as varicella bullosa is being presented
Varicella bullosa  [cached]
Sathyanarayana B
Indian Journal of Dermatology, Venereology and Leprology , 2003,
Abstract: A 3-year-old child diagnosed as varicella bullosa is being presented
Prevalencia de sintomatología dolorosa recurrente del ejercicio profesional en cirujanos dentistas
Artênio José Isper Garbin,Andréia Antoniuk Presta,Cléa Adas Saliba Garbin,Orlando Saliba
Acta Odontológica Venezolana , 2009,
Abstract: El cirujano dentista está constantemente expuesto a un elevado número de dolencias ocupacionales. Así siendo, el objetivo a través de este estudio fue evaluar la prevalencia de sintomatología dolorosa decurrente del ejercicio profesional en 76 cirujanos dentistas del municipio de Ara atuba, S o Paulo, Brasil. Los datos fueron colectados por medio de un cuestionario auto administrable lo cual se verificó que 67 cirujanos dentistas (88,16%) presentaron quejas de dolor decurrentes de la práctica odontológica. Las regiones anatómicas con mayor acometimiento de dolor, según los profesionales, fueron a la espalda, cuello y hombros siendo que, las causas más citadas, en los dos géneros, estuvieron relacionadas a la postura de trabajo inadecuada, realización de movimientos repetitivos y vida sedentaria. Otro dato preocupante está relacionado al elevado valor porcentual de profesionales (17,41%) formados ha menos de 5 a os presentando sintomatología dolorosa. Los clínicos generales (22,37%) y los especialistas en dentistica (27,63%) fueron los que presentaron mayores quejas de sintomatología dolorosa. Así siendo, se puede observar delante a este estudio, la necesitad de una mayor conciencia de los cirujanos dentistas sobre los problemas relacionados al elevado numero de profesionales con sintomatología dolorosa, en la busca de la minimización de las dolencias ocupacionales decurrentes de la practica clínica. Dental Surgeon is frequently exposed at an high number of occupational diseases. So, the aim of this study was evaluate prevalence of painful symptomatology resulting from professional exercise on 76 dental surgeons from Ara atuba City, S o Paulo State, Brazil. Data were collected by a self-applied instrument. It was possible to verify that 67 dental surgeons (88,16%) had complaining about pain due dental practice. Anatomic areas with larger occurrence of pain according professionals, were backside of body, neck and shoulder. The more cited causes, had relation with inadequate work posture, realization of repetitive moviments and sedentary life. Another preoccupant data is about high perceptual value of professionals (17,41%) with painful symptomatology and these profissionals conclued their courses before 5 years ago. General dentists (22,37%) and specialists on dentistry (27,63%) were the persons who showed more complaints about painful symptomatology. It was possible to observe the dental surgeons’ necessity of bigger knowledge about the problems related at high number of professionals with painful symptomatology, wishing minimization of occupational dise
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