0000000000281279
AUTHOR
Mercedes Hurtado-sarrió
Trasplante de córnea: aspectos bioéticos
Resumen: Este trabajo aborda los aspectos bioéticos del trasplante de córnea, desde la donación y los tipos de la misma, incluyendo el comercio de órganos y tejidos, así como la metodología del trasplante y el uso de tratamientos inmunosupresores, además del consentimiento informado y la participación del paciente en las decisiones. Se analizan las técnicas actuales, la efectividad y las circunstancias en las que se puede aplicar cada una de ellas así como los estudios emergentes basados en la terapia celular. Algunos de los estudios emplean células troncales derivadas de embriones humanos, y otras de tejidos adultos y células troncales pluripotentes inducidas (iPS). Se propone un análisis …
Successful Topical Application of Caspofungin in the Treatment of Fungal Keratitis Refractory to Voriconazole
Fungal keratitis is an important ophthalmic problem because it leads to corneal blindness and sometimes to loss of the eye.1,2 There is no agreed protocol for the treatment of suspected fungal keratitis. Topical and oral voriconazole have now been reported to be effective.3 However, some cases do not respond to this treatment. New antifungal agents such as caspofungin acetate, 0.5%, are promising alternatives
Esthesioneuroblastoma presenting with epifora in a young child
Esthesioneuroblastoma (ENB) is an uncommon tumor believed to arise from the olfactory epithelium. 1 This neoplasm has rarely been reported in children, with only 12 cases reported to date among patients younger than 10 years. 2 The usual initial symptom in children, as in older patients, is nasal obstruction or epistaxis 3 ; consequently, the tumor is often first seen by an otorhinolaryngologist. We report a case of ENB in a young child in whom the initial symptom was epiphora; to our knowledge, this initial symptom is previously unreported, and ENB must now be considered in the differential diagnosis of epiphora in childhood. Report of a Case. A white 6-year-old male child was seen on Janu…
Bacterial Contamination of Anterior Chamber Fluid Following Non-complicated Cataract Surgery
Objective: To study the anterior chamber contamination during non-complicated cataract surgery and its relationship with normal conjuctival organisms. Setting: Ophthalmology Department, La Fe Hospital, University of Valencia. Patients: Forty patients who had undergone cataract extraction using either ECCE, phacoemulsification or nucleus fracture methods. Results: Positive cultures of aqueous humour were obtained in 32.5% of cases. The most commonly isolated organism was Staphylococcus coagulase-negative. Only in 7.7% of cases was the microorganism found in the conjunctiva the same as that found in the anterior chamber. The inoculum size ranged between 20 and 160 colonies/ml. One of the case…
Endophthalmitis following penetrating eye injuries
Postinjury endophthalmitis is the eye infection with the worst prognosis. A retrospective 9-year study was made of penetrating eye injuries, with an analysis of the incidence of infection and its relation to the type of wound and the presence of intraocular foreign bodies. There were 403 cases of penetrating eye injury; of these, 233 affected the cornea and 170 involved the posterior pole. Intraocular foreign bodies were present in 40 cases. Endophthalmitis developed in 4.2% of cases (17/403), and was more common in patients with posterior pole involvement (7%) than in purely corneal trauma (2.1%) (p = 0.03, Chi-square). Infection was in turn more frequent in the presence of intraocular for…