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7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 1/40
AMAUROSIS AMAUROSIS
ALEXANDER OSPINO ACEVEDO
Oftalmólogo – Universidad averianaRetinólogo– Instit!t Universitari
"arra#!er$ "ar%elona
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 3/40
EXPLORACION
OFTALMOSCOPICA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 4/40
EXPLORACION
OFTALMOSCOPICA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 5/40
EXPLORACION
OFTALMOSCOPICA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 6/40
EXPLORACION
OFTALMOSCOPICA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 7/40
RETINOPATIA DIABETICA
Hemorragia en punto y mancha
Microaneurismas
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 8/40
RETINOPATIA DIABETICA
Exudados duros
Hipoperfusión / Microaneurismas
Escape
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 9/40
SIGNOS RETINOPATIA
DIABETICA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 10/40
RETINOPATIA CIRCINADA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 11/40
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 12/40
TRATAMIENTO
CONTROL METAOL!CO
HTA, DISLIPIDEMIA, EMBARAZO
O"ER#AC!ONRDNP LEVE - MODERADA
$OTOCOA%&LAC!ON LA"ER
RDNP SEVERA
RDP
C!R&%!A
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 13/40
OCLUSION ARTERIA CENTRAL
'L (C)
"&!TA
!N)OLORAAMA&RO"!"$&%A*
)'AR +)'AT
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 19/40
OCLUSION ARTERIA
CENTRAL
CA&"A"
EMBOLO TROMBOSIS
HIPERCOAGULACION
TRAUMA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 20/40
OCLUSION ARTERIA
CENTRAL
MA"A,E OC&LAR
'ARACENTE"!" CAACETA*OLAM!)A
CARO%ENO
ME)!C!NA
!NTERNACAROTIDAS,
HOLTER, EKG
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 21/40
OCLUSION RAMA ARTERIAL
CAM'O!N)OLORA
AMA&RO"!"$&%A*
TRATAM!ENTO
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 22/40
OCLUSIONES VENOSAS
'RE#ALENC!A- .0 +123
"E%&N)O L&%ART!'O"OVCR: 0,1 – 0,4%
ORVCR: 0,6 – 1,6%ISQUEMICA: 10+ DD ( <20/200)
NO ISQUEMICA: ( 20/40)
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 23/40
OCLUSION DE VENA
CENTRAL DE LA RETINA
&N!LATERAL
!N)OLORA)'ARNo Isquémica
vs Isquémica
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 24/40
OCLUSION DE VENA
CENTRAL DE LA RETINA
ATEROE"CLERO"!"
HTA%LA&COMA
)R&"A" N4 O'T!COHIPERCOAGULABILIDAD
#A"C&L!T!"$ARMACO"
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 25/40
OCLUSION DE VENA
CENTRAL DE LA RETINA
!"5&EM!CA
2 – 3 SEMANAS
RUBEOSISG. NEOVASCULAR
NO !"5&EM!CA
4 SEMANAS/6 MESES
ANT!AN%!O%EN!CO"
$OTOCOA%&LAC!ON
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 29/40
NEURITIS OPTICA
"&A%&)O
M&,ERE" 16+78
)OLOR
"!%NO&THO$$ 9T:;
)'AR
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 30/40
NEUROPATIA OPTICA
ISQUEMICA"&!TA
NO'RO%RE"!#A
!N)OLORA
&N!!LATERAL
CE$ALEACLA&)!CAC!ONMA<!LAR
H!'ER"EN"!!L!)A)C4 CAELL&)O
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 31/40
NEUROPATIA OPTICA
ISQUEMICA)'AR
E)EMA
'A'!LAATRO$!A
ARTER!T!CANOARTER!T!CA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 32/40
DESPRENDIMIENTO DE
RETINA
RE%MATO%ENOTRACC!ONAL
"ERO"O OE<&)AT!#O
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 33/40
DESPRENDIMIENTO DE
RETINA#!TREO
L!C&!$!CA)O
)E"%ARRO
)E"'REN)!M!ENTO
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 34/40
DESGARROS RETINALES
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 35/40
DESGARROS RETINALES
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 36/40
DESPRENDIMIENTO DE
RETINA
)ETER!ORO A#M!O)E"O'"!A"
$OTO'"!A"
"!%NO "HA$ER
'!O
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 37/40
DESPRENDIMIENTO DE
RETINA
603
=>?./8.@@+8.3McuBaMcuBa
< 1 sem:75%20/70
1-8 sem:
50%20/70
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 38/40
DESPRENDIMIENTO DE
RETINAE<&)AT!#OUVEITIS
TUMORESCRIOTERAPIA
VASCULITIS
TRACC!ONALRDP
ROP
TOXOCARIASIS
POSTRAUMATICA
7/17/2019 Amaurosis
http://slidepdf.com/reader/full/amaurosis-568d11d9ad978 39/40
TRATAMIENTO
$OTOCOA%&LAC!ONCR!OTERA'!A
NE&MORET!NO'E<!A
#!TRECTOM!A RET!NO'E<!A