{"id":75421,"date":"2022-01-20T12:33:32","date_gmt":"2022-01-20T12:33:32","guid":{"rendered":"https:\/\/www.atlasrleye.com\/perforacion-de-la-cornea-queratopatia-por-exposicion\/caso-clinico-1\/"},"modified":"2025-09-11T23:50:08","modified_gmt":"2025-09-11T23:50:08","slug":"caso-clinico-1","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/es\/perforacion-de-la-cornea-queratopatia-por-exposicion\/caso-clinico-1\/","title":{"rendered":"Caso Cl\u00ednico 1"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=\u00bbOTROS CASOS CL\u00cdNICOS\u00bb font_container=\u00bbtag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=\u00bbyes\u00bb link=\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Fes%2Fatlas%2F%231636632710444-966418f9-f7fa|\u00bb][vc_text_separator title=\u00bb\u00bb i_icon_fontawesome=\u00bbfas fa-eye\u00bb i_color=\u00bbcustom\u00bb i_size=\u00bblg\u00bb color=\u00bbcustom\u00bb border_width=\u00bb8″ css=\u00bb.vc_custom_1637080776101{margin-bottom: -5px !important;}\u00bb add_icon=\u00bbtrue\u00bb accent_color=\u00bb#bababa\u00bb i_custom_color=\u00bb#bababa\u00bb][vc_custom_heading text=\u00bbPerforaci\u00f3n de la C\u00f3rnea – Queratopat\u00eda – Caso Cl\u00ednico 1″ font_container=\u00bbtag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=\u00bbyes\u00bb link=\u00bburl:https%3A%2F%2Fwww.atlasrleye.com%2Fes%2Fperforacion-de-la-cornea-queratopatia-por-exposicion%2F|title:PERFORACI%C3%93N%20DE%20LA%20C%C3%93RNEA%20-%20QUERATOPAT%C3%8DA%20POR%20EXPOSICI%C3%93N|\u00bb]

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Perforaci\u00f3n corneal (OI) secundaria a Queratopat\u00eda de Exposici\u00f3n como complicaci\u00f3n post anest\u00e9sica de una cirug\u00eda card\u00edaca, en un paciente con miop\u00eda alta, diab\u00e9tico, y con insuficiencia renal.<\/span><\/p>\n

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\"\"AV 3L 20\/70 a trav\u00e9s de la pupila ect\u00f3pica realizado con l\u00e1ser Yag. La perforaci\u00f3n corneal fue sellada con un fragmento escleral rectangular (libre) en la superficie endotelial de la cornea, encarcelado en el limbo. La c\u00e1mara anterior fu\u00e9 tamponada con gas C3F8.<\/span><\/p>\n

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Evaluaciones
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[\/vc_column_text][vc_tta_accordion active_section=\u00bb99″ no_fill=\u00bbtrue\u00bb collapsible_all=\u00bbtrue\u00bb][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb1\u00aa Evaluaci\u00f3n – 28 05 2014″ tab_id=\u00bb1641394922374-47016b7f-6668″][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Retinograf\u00eda color<\/p>\n

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Un paciente se present\u00f3 con p\u00e9rdida repentina de visi\u00f3n en el ojo derecho, tras una maniobra de Valsalva – Hemorragia subretiniana en el area macular. Diab\u00e9tico con insuficiencia renal y alta miop\u00eda. MAVC: 6\/10 OE. Es el \u00fanico ojo del paciente. Los pacientes con patolog\u00edas oculares (anomal\u00edas vasculares retinianas adquiridas, enfermedades vasculares de la retina cong\u00e9nitas, miop\u00eda moderada y elevada), tienen un mayor riesgo de retinopat\u00eda de Valsalva.
La retinografia, 2 meses despu\u00e9s de la presentaci\u00f3n, muestra reabsorci\u00f3n total de la hemorragia. MAVC: 20\/30.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16706,16707,16708″ img_size=\u00bb251×206″ css=\u00bb.vc_custom_1708017871538{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb2\u00aa Evaluaci\u00f3n – 04 09 2015″ tab_id=\u00bb1642681201892-b393d6c9-8ea1″][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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Subluxaci\u00f3n de la lente intraocular y de la c\u00e1psula, dieciocho meses despu\u00e9s de la presentaci\u00f3n.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16712,16710,16709,16711″ img_size=\u00bb282×206″ css=\u00bb.vc_custom_1708017863850{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb3\u00aa Evaluaci\u00f3n – 16 08 2018″ tab_id=\u00bb1642681237407-60273916-7fe4″][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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Queratopat\u00eda de Exposici\u00f3n despu\u00e9s de una cirug\u00eda card\u00edaca, debido a la exposici\u00f3n prolongada de la c\u00f3rnea al ambiente externo.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16713″ img_size=\u00bb323×206″ css=\u00bb.vc_custom_1708017910702{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb4\u00aa Evaluaci\u00f3n – 10 09 2018″ tab_id=\u00bb1642681337120-dc04d407-4bce\u00bb][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n

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Desprendimiento de retina 4 a\u00f1os despu\u00e9s de la primera evaluaci\u00f3n.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16714″ img_size=\u00bb259×110″ css=\u00bb.vc_custom_1708017951301{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb5\u00aa Evaluaci\u00f3n – pos-operatorio – 28 09 2018″ tab_id=\u00bb1642682285901-7d3704fa-e585″][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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Burbuja de silicona en la c\u00e1mara anterior, 1 semana despu\u00e9s de la cirug\u00eda de desprendimiento de retina; Queratopat\u00eda por exposici\u00f3n despu\u00e9s de cirug\u00eda card\u00edaca; MAVC 20\/50 OE; Infecci\u00f3n por hongos; Perforaci\u00f3n corneal.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16715,16721,16724,16725,16716,16720,16726,16718,16717,16723,16722,16719″ img_size=\u00bb282×206″ css=\u00bb.vc_custom_1708017985635{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb6\u00aa Evaluaci\u00f3n – pos-operatorio – 14 11 2018″ tab_id=\u00bb1642682383690-e8e71515-372f\u00bb][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

Un d\u00eda despu\u00e9s de la cirug\u00eda. La perforaci\u00f3n corneal fue sellada con un fragmento escleral rectangular libre en la superficie endotelial de la cornea, encarcelado en el limbo, y la c\u00e1mara anterior tamponada con gas C3F8 .\n<\/p><\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16749,16752,16742,16748,16741,16745,16746,16747,16743,16744,16740,16750,16751″ img_size=\u00bb282×206″ css=\u00bb.vc_custom_1708018070228{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb7\u00aa Evaluaci\u00f3n – 29 04 2019″ tab_id=\u00bb1642682482252-af99ddaf-e6d1″][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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Pupila ect\u00f3pica realizada con l\u00e1ser Yag.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Topograf\u00eda corneal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16758″ img_size=\u00bb273×206″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb8\u00aa Evaluaci\u00f3n – 19 06 2019″ tab_id=\u00bb1642682599828-99321073-0acf\u00bb][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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AV 20\/300 a trav\u00e9s de la pupila ect\u00f3pica, sete meses ap\u00f3s a cirurgia. La perforaci\u00f3n corneal fue sellada con un fragmento escleral rectangular libre en la superficie endotelial de la cornea, encarcelado en el limbo, y la c\u00e1mara anterior tamponada con gas C3F8 . Burbuja de silicona en la c\u00e1mara anterior.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16764″ img_size=\u00bb285×206″ css=\u00bb.vc_custom_1708018129229{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb1\/2″][vc_column_text]<\/p>\n

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Retinograf\u00eda color<\/p>\n

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Cavidad v\u00edtrea parcialmente tamponada con aceite de silicona.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16762″ img_size=\u00bb251×206″ css=\u00bb.vc_custom_1708018162833{margin-top: -30px !important;}\u00bb][\/vc_column_inner][vc_column_inner width=\u00bb1\/2″][vc_column_text]<\/p>\n

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Topograf\u00eda corneal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16763″ img_size=\u00bb273×206″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb9\u00aa Evaluaci\u00f3n – 17 07 2019″ tab_id=\u00bb1642682691043-68d73da8-bd19″][vc_row_inner][vc_column_inner width=\u00bb1\/2″][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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AV 20\/300 a trav\u00e9s de la pupila ect\u00f3pica.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16765″ img_size=\u00bb285×206″][\/vc_column_inner][vc_column_inner width=\u00bb1\/2″][vc_column_text]<\/p>\n

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Retinograf\u00eda color<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16767″ img_size=\u00bb251×206″][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16766″ img_size=\u00bb420×110″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb10\u00aa Evaluaci\u00f3n – pos-operatorio – 26 09 2019″ tab_id=\u00bb1642682751868-6145ba74-2bdc\u00bb][vc_row_inner][vc_column_inner width=\u00bb1\/2″][vc_column_text css=\u00bb\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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El aceite de silicona ha sido removido de la c\u00e1mara anterior y del vitreo. AV: 3L 20\/70, um m\u00eas ap\u00f3s a cirurgia.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16768″ img_size=\u00bb285×206″][\/vc_column_inner][vc_column_inner width=\u00bb1\/2″][vc_column_text]<\/p>\n

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Retinograf\u00eda color<\/p>\n

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El aceite de silicona ha sido removido de la c\u00e1mara anterior y del vitreo. AV: 3L 20\/70, a trav\u00e9s de la pupila ect\u00f3pica.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16770″ img_size=\u00bb251×206″ css=\u00bb.vc_custom_1708018219082{margin-top: -30px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb16769″ img_size=\u00bb420×110″][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=\u00bbfar fa-calendar-alt\u00bb add_icon=\u00bbtrue\u00bb title=\u00bb11\u00aa Evaluaci\u00f3n – 18 12 2024″ tab_id=\u00bb1738147847727-3ce1e404-3782″][vc_row_inner][vc_column_inner][vc_column_text css=\u00bb.vc_custom_1757632880626{margin-bottom: 10px !important;}\u00bb]<\/p>\n

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Fotograf\u00eda del segmento anterior<\/p>\n

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MAVC: 20\/400 OI, mediante iridectom\u00eda l\u00e1ser nasal-superior. Hemiscleroc\u00f3rnea inferior. Burbuja de aceite de silicona en la c\u00e1mara anterior. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb114551″ img_size=\u00bb285×206″ css=\u00bb\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb1\/3″][vc_column_text css=\u00bb.vc_custom_1741833373056{margin-bottom: 10px !important;}\u00bb]<\/p>\n

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Retinograf\u00eda color<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb114555″ img_size=\u00bb251×206″ css=\u00bb\u00bb][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_column_text css=\u00bb.vc_custom_1741833379081{margin-bottom: 10px !important;}\u00bb]<\/p>\n

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Autofluorescencia<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=\u00bbimage_grid\u00bb images=\u00bb114559″ img_size=\u00bb251×206″ css=\u00bb\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

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