Efectividad de la facoemulsificación en pacientes con ángulo estrecho en una clínica de referencia en Colombia: Estudio retrospectivo 2019 a 2024
| datacite.rights | http://purl.org/coar/access_right/c_f1cf | |
| dc.contributor.advisor | Escaf, Luis José | |
| dc.contributor.advisor | Gómez, Nora | |
| dc.contributor.advisor | Polo Gallardo, Raúl | |
| dc.contributor.author | Fernández Motta, Carolina | |
| dc.contributor.author | Alandete Amell, Ángela María | |
| dc.date.accessioned | 2025-07-07T14:52:05Z | |
| dc.date.available | 2025-07-07T14:52:05Z | |
| dc.date.issued | 2025 | |
| dc.description.abstract | El glaucoma es una neuropatía óptica progresiva, siendo una de las principales causas de ceguera irreversible a nivel mundial. Específicamente, el glaucoma de ángulo cerrado se caracteriza por la estrechez del ángulo iridocorneal, lo que puede provocar un aumento de la presión intraocular; en estos casos, la cirugía de catarata podría resultar beneficiosa, ya que contribuye a ampliar dicho ángulo y mejorar el drenaje del humor acuoso. Metodología: Se llevó a cabo un estudio cuasi experimental, retrospectivo y unicéntrico en una clínica de referencia, incluyendo 35 ojos de 21 pacientes con ángulo estrecho, dentro de los que se incluyeran los diagnósticos de: sospecha de glaucoma con ángulo estrecho, sospecha de cierre angular primario, cierre angular primario o Glaucoma primario de ángulo cerrado (GPAC), los cuales debían tener PIO ≥ 24 mmHg y ser sometidos a facoemulsificación entre 2019 y 2024. Se evaluó la efectividad de dicho procedimiento, mediante la evaluación de la apertura angular mediante gonioscopia (clasificación de Shaffer), y el adecuado control y cambios en la presión intraocular (PIO). Se aplicaron pruebas estadísticas paramétricas y no paramétricas, con un valor de significación de p < 0.05. Resultados: Tras la cirugía, se observó una mejora significativa en la apertura angular, una reducción sostenida de la PIO y una menor necesidad de tratamiento farmacológico. Conclusión: La facoemulsificación resulta efectiva en la mayoría de los pacientes con ángulo estrecho. | spa |
| dc.description.abstract | Glaucoma is a progressive optic neuropathy and one of the leading causes of irreversible blindness worldwide. Specifically, angle-closure glaucoma is characterized by narrowing of the iridocorneal angle, which may lead to increased intraocular pressure (IOP); in such cases, cataract surgery may be beneficial, as it helps to widen the angle and improve aqueous humor outflow. Methods: A quasi experimental, retrospective, and single-center study was conducted at a referral clinic, including 35 eyes from 21 patients with narrow angles, encompassing the following diagnoses: suspected glaucoma with narrow angle, suspected primary angle closure, primary angle closure, or primary angle-closure glaucoma (PACG). All included cases had IOP ≥ 24 mmHg and underwent phacoemulsification between 2019 and 2024. The effectiveness of the procedure was assessed by evaluating angle width through gonioscopy (Shaffer classification) and monitoring appropriate control and changes in intraocular pressure (IOP). Both parametric and non parametric statistical tests were applied, with a significance level of p < 0.05. Results: Following surgery, a significant improvement in angle width, a sustained reduction in IOP, and a decreased need for pharmacological treatment were observed. Conclusion: Phacoemulsification is effective in the majority of patients with narrow angles. | eng |
| dc.format.mimetype | ||
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/16802 | |
| dc.language.iso | spa | |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Ciencias de la Salud | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | eng |
| dc.rights.accessrights | info:eu-repo/semantics/embargoedAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Ángulo estrecho | spa |
| dc.subject | Sospecha de glaucoma | spa |
| dc.subject | Sospecha de cierre angular | spa |
| dc.subject | Cierre angular | spa |
| dc.subject | Glaucoma de ángulo cerrado | spa |
| dc.subject | Facoemulsificación | spa |
| dc.subject | Presión intraocular | spa |
| dc.subject | Gonioscopia | spa |
| dc.subject.keywords | Narrow angle | eng |
| dc.subject.keywords | Suspected glaucoma | eng |
| dc.subject.keywords | Suspected angle closure | eng |
| dc.subject.keywords | Angle closure | eng |
| dc.subject.keywords | Angle-closure glaucoma | eng |
| dc.subject.keywords | Phacoemulsification | eng |
| dc.subject.keywords | Intraocular pressure | eng |
| dc.subject.keywords | Gonioscopy | eng |
| dc.title | Efectividad de la facoemulsificación en pacientes con ángulo estrecho en una clínica de referencia en Colombia: Estudio retrospectivo 2019 a 2024 | spa |
| dc.type.driver | info:eu-repo/semantics/other | |
| dc.type.spa | Otros | |
| dcterms.references | Kingman S. Glaucoma is second leading cause of blindness globally. Bull World Health Organ. 2004;82:887-8 | eng |
| dcterms.references | Jayaram H, Kolko M, Friedman DS, Gazzard G. Glaucoma: now and beyond. Lancet. 2023;402(10414):1788-801. | eng |
| dcterms.references | Giangiacomo A, Coleman AL. The epidemiology of glaucoma. In: Glaucoma. 2009. p. 13-21 | eng |
| dcterms.references | Tham YC, Li X, Wong TY, Quigley HA, Aung T, Cheng CY. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology. 2014 Nov;121(11):2081- 90. doi: 10.1016/j.ophtha.2014.05.013. PMID: 24974815. | eng |
| dcterms.references | Srivastav Y, Taj B, Singh J, Yadav S, Ahmad M. Glaucoma (eye disease) and its associated diagnosis and treatment process: a schematic concise review. Ophthalmol Res Int J. 2024;19(3):42-50. | eng |
| dcterms.references | Spratt A, Kotecha A, Viswanathan A. Quality of life in glaucoma. J Curr Glaucoma Pract. 2008;39-45. doi: 10.5005/jp-journals-10008-1022 | eng |
| dcterms.references | Sharif NA. Various forms of glaucoma and their treatments. In: Handbook of Basic and Clinical Ocular Pharmacology and Therapeutics. Academic Press; 2022. p. 251-88 | eng |
| dcterms.references | King A, Azuara-Blanco A, Tuulonen A. Glaucoma. BMJ. 2013;346:f3518. doi:10.1136/bmj.f3518. | spa |
| dcterms.references | Fea AM, Dallorto L, Lavia C, Pignata G, Rolle T, Aung T. Long-term outcomes after acute primary angle closure of Caucasian chronic angle closure glaucoma patients. Clin Exp Ophthalmol. 2018;46(3):232-9. | eng |
| dcterms.references | Shalaby WS, Reddy R, Razeghinejad R, Katz LJ. Contemporary approach to narrow angles. J Ophthalmic Vis Res. 2024;19(1):88. | eng |
| dcterms.references | Flores-Sánchez BC, Tatham AJ. Acute angle closure glaucoma. Br J Hosp Med (Lond). 2019;80(12):C174-C179. | eng |
| dcterms.references | Fu L, Liu X, Zhang L, Lou J, Zheng X, Wang X, et al. The aqueous humour dynamics in primary angle closure disease: a computational study. Br J Ophthalmol. 2025;109(3):333-9 | eng |
| dcterms.references | Goel M, Picciani RG, Lee RK, Bhattacharya SK. Aqueous humor dynamics: a review. Open Ophthalmol J. 2010;4:52. | eng |
| dcterms.references | Wilson MR, Gallardo M, Nassiri N. Laser and surgery treatment of angleclosure glaucoma. In: Albert and Jakobiec’s Principles and Practice of Ophthalmology. Cham: Springer; 2022. p. 1735-51. | eng |
| dcterms.references | He M, Friedman DS, Ge J, Huang W, Jin C, Lee PS, et al. Laser peripheral iridotomy in primary angle-closure suspects: biometric and gonioscopic outcomes: the Liwan Eye Study. Ophthalmology. 2007 Mar;114(3):494-500. doi: 10.1016/j.ophtha.2006.06.053. PMID: 17123610. | eng |
| dcterms.references | Ritch R, Tham CC, Lam DS. Argon laser peripheral iridoplasty (ALPI): an update. Surv Ophthalmol. 2007 May-Jun;52(3):279-88. doi: 10.1016/j.survophthal.2007.02.006. PMID: 17472803 | eng |
| dcterms.references | Song Y, Zhang H, Zhang Y, Tang G, Wan KH, Lee JW, et al. Minimally invasive glaucoma surgery in primary angle-closure glaucoma. Asia Pac J Ophthalmol (Phila). 2022;11(5):460- 9. | eng |
| dcterms.references | Tarongoy P, Ho CL, Walton DS. Angle-closure glaucoma: the role of the lens in the pathogenesis, prevention, and treatment. Surv Ophthalmol. 2009;54(2):211-25. | eng |
| dcterms.references | Schlote T. Cyclodestructive procedures. In: Surgical management of inflammatory eye disease. Berlin, Heidelberg: Springer; 2008. p. 193-200. | eng |
| dcterms.references | Li M, Zhu W, Fan X, Sun X, Kong X. Outcomes of filtering surgery versus clear lens extraction in young patients with angle-closure glaucoma. Am J Ophthalmol. 2024 Feb;258:145-57. doi: 10.1016/j.ajo.2023.07.025. PMID: 37543298 | eng |
| dcterms.references | Awad AA, Alkorbi HA, Serhan HA. Charles Kelman: the father of phacoemulsification. Cureus. 2024;16(6) | eng |
| dcterms.references | Toyama T, Ueta T, Yoshitani M, Sakata R, Numaga J. Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years. BMC Ophthalmol. 2018;18:1-6. | eng |
| dcterms.references | Azuara-Blanco A, Burr J, Ramsay C, Cooper D, Foster PJ, Friedman DS, et al. Effectiveness of early lens extraction for the treatment of primary angle closure glaucoma (EAGLE): a randomised controlled trial. Lancet. 2016 Oct 1;388(10052):1389-97. doi: 10.1016/S0140- 6736(16)30956-4. PMID: 27707497 | eng |
| dcterms.references | Moghimi S, Lin S. Role of phacoemulsification in angle closure glaucoma. Eye Sci. 2011 Sep;26(3):121-31. doi: 10.3969/j.issn.1000-4432.2011.03.001. PMID: 21913342. | eng |
| dcterms.references | Singh K, Aggarwal H, Bhattacharyya M. Phacoemulsification in angle closure glaucoma: a 360° evaluation. Indian J Ophthalmol. 2024 Sep;72(9):1275- 9. doi: 10.4103/IJO.IJO_1701_23 | eng |
| dcterms.references | Zhang N, Wang J, Chen B, Li Y, Jiang B. Prevalence of primary angle closure glaucoma in the last 20 years: a meta-analysis and systematic review. Front Med (Lausanne). 2021;7:624179 | eng |
| dcterms.references | Rueda JG, Gomez R, Parra J, Moll SR, Orozco L, Vera L. Glaucoma screening in Colombian population. Invest Ophthalmol Vis Sci. 2003;44(13):3414 | eng |
| dcterms.references | Khazaeni B, Zeppieri M, Khazaeni L. Acute angle-closure glaucoma. | spa |
| dcterms.references | George R, Panda S, Vijaya L. Blindness in glaucoma: primary open-angle glaucoma versus primary angle-closure glaucoma—a meta-analysis. Eye (Lond). 2022;36(11):2099-105 | eng |
| dcterms.references | Chan PP, Li EY, Tham CC. Cost-effectiveness in the treatment of glaucoma. J Cost Eff Treat Glaucoma. 2014. | eng |
| dcterms.references | Sarkar D, Sharma R, Singh P, Verma V, Karkhur S, Verma S, et al. Age related cataract: prevalence, epidemiological pattern and a cross-sectional study from Central India. Indian J Ophthalmol. 2023 May;71(5):1905-12. doi: 10.4103/ijo.IJO_2020_22. PMID: 37203054; PMCID: PMC10391463. | eng |
| dcterms.references | Quaranta L, Riva I, Gerardi C, Oddone F, Floriani I, Konstas AG. Quality of life in glaucoma: a review of the literature. Adv Ther. 2016 Jun;33(6):959-81. doi: 10.1007/s12325-016-0333- 6. PMID: 27138604; PMCID: PMC4920851. | eng |
| dcterms.references | Stanley RG. Ocular clinical pharmacology. Small Anim Clin Pharmacol. 2008;2:557-73 | eng |
| dcterms.references | Peters DH, Garg A, Bloom G, Walker DG, Brieger WR, Rahman MH. Poverty and access to health care in developing countries. Ann N Y Acad Sci. 2008;1136:161-71. doi: 10.1196/annals.1425.011. PMID: 17954679. | eng |
| dcterms.references | Machiele R, Motlagh M, Zeppieri M, Patel BC. Intraocular pressure. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 | eng |
| dcterms.references | Zamylko M, Żuk P, Dybciak P, Prusaczyk A, Karczmarz S. Family medicine in rural area— perspectives and development opportunities. Int J Integr Care. 2023;23(S1). | eng |
| dcterms.references | Saha BC, Kumari R. Lifestyle modifications–a new dimension in glaucoma management. Kerala J Ophthalmol. 2022;34(3):199-207. | eng |
| dcterms.references | Khazaeni B, Zeppieri M, Khazaeni L. Acute angle-closure glaucoma | eng |
| dcterms.references | David R, Tessler Z, Yassur Y. Resultados a largo plazo del glaucoma agudo primario de ángulo cerrado. Br J Ophthalmol. 1985 Apr;69(4):261-2. | spa |
| dcterms.references | Atalay E, Nongpiur ME, Baskaran M, Sharma S, Perera SA, Aung T. Factores biométricos asociados con el cierre angular primario agudo: comparación del ojo afectado y el ojo contralateral. Invest Ophthalmol Vis Sci. 2016 Oct 1;57(13):5320-5. | spa |
| dcterms.references | Lowe RF. Anterior lens curvature. Comparisons between normal eyes and those with primary angle-closure glaucoma. Br J Ophthalmol. 1972;56:409–13 | eng |
| dcterms.references | Lowe RF, Clark BA. Radius of curvature of the anterior lens surface. Correlations in normal eyes and in eyes involved with primary angle-closure glaucoma. Br J Ophthalmol. 1973;57:471–4. | eng |
| dcterms.references | Gedde SJ, Chen PP, Muir KW, Vinod K, Lind JT, Wright MM, et al. Primary angle-closure disease preferred practice pattern®. Ophthalmology. 2021;128(1):P30–70. doi: 10.1016/j.ophtha.2020.10.021. | eng |
| dcterms.references | Chan PP, Tham CC. Primary angle closure glaucoma (PACG): a logical approach based on angle closures types and mechanism. In: Primary angle closure glaucoma (PACG) a logical approach in management. Singapore: Springer; 2020. p. 1-6. | eng |
| dcterms.references | Faiq M, Sharma R, Dada R, Mohanty K, Saluja D, Dada T. Genetic, biochemical and clinical insights into primary congenital glaucoma. J Curr Glaucoma Pract. 2013;7(2):66. | eng |
| dcterms.references | Tham CC, editor. Primary angle closure glaucoma (PACG): a logical approach in management. Singapore: Springer Nature; 2020. | eng |
| dcterms.references | Piñero RT, Lora M, Andrés MI. Glaucoma: patogenia, diagnóstico y tratamiento. Offarm. 2005;24(2):88-96. | spa |
| dcterms.references | Ahmad SS. Glaucoma suspects: a practical approach. Taiwan J Ophthalmol. 2018;8(2):74-81. | eng |
| dcterms.references | Jenchitr W, Jaradaroonchay M. The relationship of refractive error and glaucoma in a university eye clinic. J Curr Sci Technol. 2021;11(3):432-41. | eng |
| dcterms.references | Nolan WP, Aung T, Foster PJ, Chan YH, Baasanhu J, Khaw PT, et al. Anterior chamber depth and the risk of primary angle closure in two East Asian populations. Invest Ophthalmol Vis Sci. 2003;44(13):3174 | eng |
| dcterms.references | Syafutri S, Ilahi F. The difference of lens thickness in acute and chronic primary angle closure glaucoma. Bioscientia Med. 2023;6(17):2926-9. | eng |
| dcterms.references | Sherpa D, Badhu BP. Association between axial length of the eye and primary angle closure glaucoma. Kathmandu Univ Med J. 2008;6(3):361-3. | eng |
| dcterms.references | Pavlin CJ, Ritch R, Foster FS. Ultrasound biomicroscopy in plateau iris syndrome. Am J Ophthalmol. 1992;113:390-5. | eng |
| dcterms.references | Ritch R. Plateau iris is caused by abnormally positioned ciliary processes. J Glaucoma. 1992;1:23-6. | eng |
| dcterms.references | Coleman AL, Kodjebacheva G. Risk factors for glaucoma needing more attention. Open Ophthalmol J. 2009;3:38. | eng |
| dcterms.references | Kass MA, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, et al. The Ocular Hypertension Treatment Study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma.Arch Ophthalmol. 2002 Jun;120(6):701-13; discussion 829-30. doi: 10.1001/archopht.120.6.701. PMID: 12049574. | eng |
| dcterms.references | Keller MJ, Gast TJ, King BJ. Advancements in high-resolution imaging of the iridocorneal angle. Front Ophthalmol. 2023;3:1229670. | eng |
| dcterms.references | Abu-Hassan DW, Acott TS, Kelley MJ. The trabecular meshwork: a basic review of form and function. J Ocul Biol. 2014;2(1). | eng |
| dcterms.references | Faschinger C, Hommer A. Anatomical structures of the chamber angle. In: Gonioscopy. 2012. p. 11-23. | eng |
| dcterms.references | Pérez-González H, Garcia-Concha Y, Gómez-Martínez N. Cierre angular primario: opciones quirúrgicas. Rev Mex Oftalmol. 2014;88(4):182-5 | spa |
| dcterms.references | Cardin ML, Várguez JP, Espinosa-Rebolledo AE, Méndez-Domínguez N. Angle-closure glaucoma secondary to ciliary body cysts treated with subliminal transscleral cyclophotocoagulation: report of a case. Arch Soc Esp Oftalmol (Engl Ed). 2021;96(12):653- 7 | eng |
| dcterms.references | Castañeda-Díez R, Mayorquín-Ruiz M, Esponda-Lamoglia C, Albis Donado O. Current diagnosis and management of angle-closure glaucoma. In: Glaucoma—current clinical and research aspects. IntechOpen; 2011 | eng |
| dcterms.references | Källmark FP, Sakhi M. Evaluation of nasal and temporal anterior chamber angle with four different techniques. Int J Clin Med. 2013;4(12):548-55 | eng |
| dcterms.references | Craven ER, Chopra V, Goldberg JL, Marion KM, Chen X, Chang CT, et al. Comparison of iridocorneal angle assessments in open-angle glaucoma and ocular hypertension patients: anterior segment optical coherence tomography and gonioscopy. Clin Ophthalmol. 2022;16:1301-12 | eng |
| dcterms.references | Uhm KB, Lee JM, Sung HK. Comparison of glaucomatous optic nerve damage in primary angle-closure glaucoma with and without acute attack. Korean J Ophthalmol. 2005;19(3):201-7. | eng |
| dcterms.references | Brusini P, Salvetat ML, Zeppieri M. How to measure intraocular pressure: an updated review of various tonometers. J Clin Med. 2021 Aug 27;10(17):3860. doi: 10.3390/jcm10173860. PMID: 34501306; PMCID: PMC8456330 | eng |
| dcterms.references | Girija K, Smitha VK, Ashok A. Ultrasound biomicroscopy: an overview. Kerala J Ophthalmol. 2018;30(3):216-8. | eng |
| dcterms.references | Ang M, Baskaran M, Werkmeister RM, Chua J, Schmidl D, Dos Santos VA, et al. Anterior segment optical coherence tomography. Prog Retin Eye Res. 2018;66:132-56 | eng |
| dcterms.references | Palmer LD, Thompson AC, Asrani S. Diagnosing glaucoma progression with optical coherence tomography. Curr Opin Ophthalmol. 2025 Mar 1;36(2):130-4. doi: 10.1097/ICU.0000000000001106. PMID: 39508405. | eng |
| dcterms.references | Broadway DC. Visual field testing for glaucoma - a practical guide. Community Eye Health. 2012;25(79-80):66-70. PMID: 23520423; PMCID: PMC3588129. | eng |
| dcterms.references | Ibraheem MYT, Alhasa JAA. Pharmacological advances in glaucoma management. Sch Acad J Biosci. 2024;9:301-10 | eng |
| dcterms.references | Azuara-Blanco A, Burr JM, Cochran C, Ramsay C, Vale L, Foster P, et al. The effectiveness of early lens extraction with intraocular lens implantation for the treatment of primary angle- closure glaucoma (EAGLE): study protocol for a randomized controlled trial. Trials. 2011 May 23;12:133. doi: 10.1186/1745-6215- 12-133. PMID: 21605352; PMCID: PMC3121608. | eng |
| dcterms.references | Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing Clinical Research. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. | eng |
| dcterms.references | Harris AD, McGregor JC, Perencevich EN, Furuno JP, Zhu J, Peterson DE, Finkelstein J. The use and interpretation of quasi-experimental studies in medical informatics. J Am Med Inform Assoc. 2006;13(1):16–23. | eng |
| dcterms.references | Taşlipinar Uzel AG, Koru M, Ozates S, Kaya P, Certel I, Uzel MM. Anterior segment parameters as predictors of intraocular pressure reduction after cataract surgery in patients without glaucoma. J Glaucoma Cataract. 2023;18(4). | eng |
| dcterms.references | Shahid E, Fasih U, Shaikh A. Postoperative complications of trabeculectomy in primary open angle glaucoma versus primary angle closure glaucoma. Pak J Ophthalmol. 2022;38(2). | eng |
| oaire.version | info:eu-repo/semantics/acceptedVersion | |
| sb.programa | Especialización en Oftalmología | spa |
| sb.sede | Sede Barranquilla | spa |
Archivos
Bloque de licencias
1 - 1 de 1
No hay miniatura disponible
- Nombre:
- license.txt
- Tamaño:
- 2.93 KB
- Formato:
- Item-specific license agreed upon to submission
- Descripción: