{"id":1840,"date":"2025-09-18T20:36:00","date_gmt":"2025-09-18T20:36:00","guid":{"rendered":"https:\/\/enfoca.com.mx\/?p=1840"},"modified":"2025-09-29T20:47:42","modified_gmt":"2025-09-29T20:47:42","slug":"glaucoma-nanoftalmico-microftalmia-cirugia-combinada-vitrectomia","status":"publish","type":"post","link":"https:\/\/enfoca.com.mx\/eng\/glaucoma-nanoftalmico-microftalmia-cirugia-combinada-vitrectomia\/","title":{"rendered":"Glaucoma en Ojo Nanoft\u00e1lmico (Microftalm\u00eda): Manejo Triple Lensectom\u00eda + Vitrectom\u00eda + Ciclofotocoagulaci\u00f3n | SamurEye #13"},"content":{"rendered":"<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"SamurEye #13: Soluciones complejas para casos complejos \u261d\ufe0f\u26a0\ufe0f\ud83d\udc41\ufe0f\u200d\ud83d\udde8\ufe0f\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/88suDE8CIPY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>La gesti\u00f3n del <strong>Glaucoma<\/strong> en un <strong>ojo nanoft\u00e1lmico<\/strong> o microft\u00e1lmico es uno de los desaf\u00edos m\u00e1s complejos en la oftalmolog\u00eda. No es una cirug\u00eda de rutina; es una carrera de fondo contra la ceguera, especialmente en pacientes j\u00f3venes. Este episodio de SamurEye profundiza en la estrategia radical, pero efectiva, que aplicamos en un caso extremo de <strong>cierre angular agudo<\/strong> en un paciente de 18 a\u00f1os con una longitud axial de solo <strong>16.75 mm<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">La Crisis y el Abordaje Triple<\/h3>\n\n\n\n<p>El paciente fue referido en una situaci\u00f3n de crisis, con una <strong>PIO de 40 mmHg<\/strong> que no ced\u00eda al tratamiento m\u00e9dico. Las caracter\u00edsticas de un ojo tan peque\u00f1o exigen ir m\u00e1s all\u00e1 de los procedimientos est\u00e1ndar. Aqu\u00ed es donde se establece la estrategia combinada en un solo tiempo quir\u00fargico, demostrando ser superior a los reabordajes m\u00faltiples en crisis.<\/p>\n\n\n\n<p><strong>El Abordaje Definitivo:<\/strong><\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Lensectom\u00eda:<\/strong> Remoci\u00f3n del cristalino, un componente clave que ocupa espacio y empuja el diafragma iridiano.<\/li>\n\n\n\n<li><strong>Vitrectom\u00eda Posterior:<\/strong> Crucial para eliminar el <strong>componente v\u00edtreo posterior<\/strong> que ejerce presi\u00f3n y promueve el cierre angular. Esto crea el espacio vital en la c\u00e1mara anterior.<\/li>\n\n\n\n<li><strong>Ciclofotocoagulaci\u00f3n Transescleral (CPC):<\/strong> Destrucci\u00f3n controlada de una porci\u00f3n del cuerpo ciliar. Esta maniobra reduce la producci\u00f3n de humor acuoso, logrando un control tensional inmediato.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Lecciones Cl\u00ednicas y Retos del Ojo Nanoft\u00e1lmico<\/h3>\n\n\n\n<p>El principal reto en estos casos no es solo el control de la presi\u00f3n, sino evitar da\u00f1ar el ya comprometido tejido ocular.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>El Manitol como Aliado Cr\u00edtico:<\/strong> Se confirm\u00f3 que la administraci\u00f3n de <strong>Manitol preoperatorio<\/strong> (limitado a 1 <strong>hora<\/strong>) es fundamental. Esto deshidrata el cristalino y facilita la cirug\u00eda sin causar complicaciones en la capsulorrexis.<\/li>\n\n\n\n<li><strong>Adi\u00f3s a la Agresi\u00f3n en Serie:<\/strong> Comparando los dos ojos del paciente, se observ\u00f3 que el segundo ojo, tratado con la estrategia triple en un solo tiempo y con par\u00e1metros de <strong>CPC<\/strong> reducidos, tuvo una recuperaci\u00f3n m\u00e1s limpia. El primer ojo, intervenido en crisis y reintervenido, desarroll\u00f3 \u00e1reas de <strong>escleromalacia<\/strong> debido a la inflamaci\u00f3n activa.<\/li>\n\n\n\n<li><strong>Guerra de Desgaste, No de Esfuerzos \u00danicos:<\/strong> El objetivo final es la <strong>preservaci\u00f3n<\/strong>. Al optar por <strong>CPC<\/strong> and the <strong>Vitrectomy<\/strong>, evitamos tocar la conjuntiva y la esclera del paciente joven. Esto le deja intacto el \u00abcampo de batalla\u00bb para procedimientos de filtraci\u00f3n m\u00e1s agresivos (v\u00e1lvulas o trabeculectom\u00edas) que pudiera necesitar en sus d\u00e9cadas futuras.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusi\u00f3n para su Pr\u00e1ctica<\/h3>\n\n\n\n<p>El abordaje del <strong>glaucoma nanoft\u00e1lmico<\/strong> exige proactividad. Ser \u00abagresivo\u00bb en un solo tiempo quir\u00fargico para crear espacio y reducir la producci\u00f3n de humor acuoso es a menudo la estrategia m\u00e1s conservadora a largo plazo. El paciente logr\u00f3 estabilizar su <strong>PIO en 15 mmHg<\/strong> sin depender de dispositivos implantados, manteniendo todas sus opciones terap\u00e9uticas abiertas para el marat\u00f3n que es el manejo de su <strong>glaucoma juvenil<\/strong>.<br><br>Where can you find us?<\/p>\n\n\n\n<p><strong>Instagram:<\/strong>\u00a0Follow us on Instagram for upcoming topics, guests, and highlights:\u00a0<a href=\"https:\/\/www.instagram.com\/samureyepodcast\/\" target=\"_blank\" rel=\"noreferrer noopener\">@samureyepodcast<\/a><\/p>\n\n\n\n<p><strong>YouTube:<\/strong>\u00a0Subscribe to our channel for full episodes and exclusive content:\u00a0<a href=\"https:\/\/www.youtube.com\/@SamurEyePodcast\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.youtube.com\/@SamurEyePodcast<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La gesti\u00f3n del Glaucoma en un ojo nanoft\u00e1lmico o microft\u00e1lmico es uno de los desaf\u00edos m\u00e1s complejos en la oftalmolog\u00eda. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1841,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[11],"tags":[48,150,183,180,179,176,39,184,182,178,73,14,181,111,177],"class_list":["post-1840","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-samureye","tag-ciclofotocoagulacion","tag-cirugia-de-retina","tag-cpc-transescleral","tag-glaucoma-cierre-angular","tag-glaucoma-nanoftalmico","tag-glaucomatologo","tag-lensectomia","tag-lente-intraocular-alta-potencia","tag-manejo-glaucoma-complejo","tag-microftalmia","tag-nanoftalmos","tag-oftalmologia","tag-ojo-pequeno-cirugia","tag-samureye-podcast","tag-vitrectomia-glaucoma"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Glaucoma en Ojo Nanoft\u00e1lmico (Microftalm\u00eda): Manejo Triple Lensectom\u00eda + Vitrectom\u00eda + Ciclofotocoagulaci\u00f3n | SamurEye #13 - ENFOCA<\/title>\n<meta name=\"description\" content=\"Caso extremo de Glaucoma por cierre angular en ojo nanoft\u00e1lmico (16.75 mm). 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