7/17/2019 Amaurosis

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 AMAUROSIS AMAUROSIS

ALEXANDER OSPINO ACEVEDO

Oftalmólogo – Universidad averianaRetinólogo– Instit!t Universitari

"arra#!er$ "ar%elona

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7/17/2019 Amaurosis

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EXPLORACION

OFTALMOSCOPICA

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EXPLORACION

OFTALMOSCOPICA

7/17/2019 Amaurosis

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EXPLORACION

OFTALMOSCOPICA

7/17/2019 Amaurosis

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EXPLORACION

OFTALMOSCOPICA

7/17/2019 Amaurosis

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RETINOPATIA DIABETICA

Hemorragia en punto y mancha

Microaneurismas

7/17/2019 Amaurosis

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RETINOPATIA DIABETICA

Exudados duros

Hipoperfusión / Microaneurismas

Escape

7/17/2019 Amaurosis

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SIGNOS RETINOPATIA

DIABETICA

7/17/2019 Amaurosis

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RETINOPATIA CIRCINADA

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7/17/2019 Amaurosis

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 TRATAMIENTO

CONTROL METAOL!CO

HTA, DISLIPIDEMIA, EMBARAZO

O"ER#AC!ONRDNP LEVE - MODERADA

$OTOCOA%&LAC!ON LA"ER

RDNP SEVERA

RDP

C!R&%!A

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OCLUSION ARTERIA CENTRAL

'L (C)

"&!TA

!N)OLORAAMA&RO"!"$&%A*

)'AR +)'AT

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 VIAS VISUALES

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 VIAS VISUALES

7/17/2019 Amaurosis

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 VIAS VISUALES

7/17/2019 Amaurosis

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 VIAS VISUALES

7/17/2019 Amaurosis

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 VIAS VISUALES

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OCLUSION ARTERIA

CENTRAL

CA&"A"

EMBOLO TROMBOSIS

HIPERCOAGULACION

 TRAUMA

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OCLUSION ARTERIA

CENTRAL

MA"A,E OC&LAR

'ARACENTE"!" CAACETA*OLAM!)A

CARO%ENO

ME)!C!NA

!NTERNACAROTIDAS,

HOLTER, EKG

7/17/2019 Amaurosis

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OCLUSION RAMA ARTERIAL

CAM'O!N)OLORA

AMA&RO"!"$&%A*

TRATAM!ENTO

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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

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OCLUSION DE VENA

CENTRAL DE LA RETINA

&N!LATERAL

!N)OLORA)'ARNo Isquémica

 vs Isquémica

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OCLUSION DE VENA

CENTRAL DE LA RETINA

ATEROE"CLERO"!"

HTA%LA&COMA

)R&"A" N4 O'T!COHIPERCOAGULABILIDAD

#A"C&L!T!"$ARMACO"

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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

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FOTOCOAGULACION

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FOTOCOAGULACION

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OCLUSION DE RAMA

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NEURITIS OPTICA

"&A%&)O

M&,ERE" 16+78

)OLOR

"!%NO&THO$$ 9T:;

)'AR

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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

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NEUROPATIA OPTICA

ISQUEMICA)'AR

E)EMA

'A'!LAATRO$!A

ARTER!T!CANOARTER!T!CA

7/17/2019 Amaurosis

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DESPRENDIMIENTO DE

RETINA

RE%MATO%ENOTRACC!ONAL

"ERO"O OE<&)AT!#O

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DESPRENDIMIENTO DE

RETINA#!TREO

L!C&!$!CA)O

)E"%ARRO

)E"'REN)!M!ENTO

7/17/2019 Amaurosis

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DESGARROS RETINALES

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DESGARROS RETINALES

7/17/2019 Amaurosis

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DESPRENDIMIENTO DE

RETINA

)ETER!ORO A#M!O)E"O'"!A"

$OTO'"!A"

"!%NO "HA$ER

'!O

7/17/2019 Amaurosis

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DESPRENDIMIENTO DE

RETINA

603

=>?./8.@@+8.3McuBaMcuBa

< 1 sem:75%20/70

1-8 sem:

50%20/70

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DESPRENDIMIENTO DE

RETINAE<&)AT!#OUVEITIS

 TUMORESCRIOTERAPIA

 VASCULITIS

TRACC!ONALRDP

ROP

 TOXOCARIASIS

POSTRAUMATICA

7/17/2019 Amaurosis

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 TRATAMIENTO

$OTOCOA%&LAC!ONCR!OTERA'!A

NE&MORET!NO'E<!A

#!TRECTOM!A RET!NO'E<!A

7/17/2019 Amaurosis

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%RAC!A"