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CEUTA: DSAEK, NEW ALTERNATIVE IN CORNEA TRANSPLANT



http://www.craigbergermd.com/images/ DSAEK_before_after.jpg

70 percent of patients with severe corneal damage can benefit from a new technology for corneal transplantation with endothelial cells. DSAEK technique improves vision, accelerated postoperative recovery and resistance remains against corneal trauma.

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Service Ophthalmology Hospital Reina Sofía de Murcia , apply a new technique for corneal transplantation with endothelial cells (DSAEK) indicated for 70 percent of patients with severe corneal damage (at 30 percent is required conventional entire cornea transplant).

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The benefits of the new technique are derived from the procedure itself, since it is not necessary to transplant the entire cornea to replace the damaged endothelial cells by the sound of a dead donor. The results are overwhelming compared to the classical intervention in patients who have injured only a thin layer of cells located in the back of the cornea, which occurs in seven out of ten injuries requiring transplantation. To recover you replace only 10 microns of tissue, compared with 550 microns of thickness of the cornea.

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Drs Gutierrez and Amanda Ramon Ortiz , Ophthalmology Service, Hospital General Universitario Reina Sofía apply this type of transplant regularly since 2007 and have conducted more than 38 interventions, of which 29 have been carried out in the hospital Murcia.

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The technical DSAEK notable improvements over traditional transplants (which will be used in other corneal injuries) recovered an average view of 85 percent, compared with 45 percent of conventional transplant; postoperative period of three months versus two years off work for three weeks instead of eight months, the astigmatism generated by the replacement of cells is 0.06 to 4.5 diopters versus traditional transplant and, in addition, the cornea is resistant to trauma.

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Another advantage is that it requires eighteen twenty-four stitches completely essential in transplantation, namely by a four-millimeter incision to remove damaged cells and restore the sound.

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The cornea remains intact, does not lose its transparency, and recovery tantola patient's vision is obtained in a few weeks, whereas with traditional transplants require two years to gain a mediocre final and the eye is weakened against bumps and knocks.

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Likewise, natural preserve all the nerves of the cornea, avoiding the negative repercussions of their disappearance in full transplantation (dryness, loss of corneal sensitivity ...). The surgical procedure is also simplified as it is not necessary to open the eye.

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The transplanted healthy endothelial tissue adheres to the natural bed by an air bubble and the patient, after an hour of rest, you can go home. After a week will be enough to get around. The overall vision is recovering from two to three months after the intervention, while the whole transplant thing to do after refractive surgery to achieve an acceptable view, apart from the complications of the sutures involved return to the operating room more than once.
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The technical DSAEK has been developing since 1999 when the first operations were performed by Dr. Gerrit Melles, the Institute for Innovative Ocular Surgery in Rotterdam, Holland. Some NHS facilities have been isolated interventions, but most English casuistry is the tandem González-Ortiz public hospital in Murcia, with 38 cases, followed by a private clinic in Cordova has 20. In the rest of the world's main series is the American Mark Ferry, at the Institute Devers, Portman (Oregon) with 500 organ transplants, mientras que la Rotterdam has 100 cases.

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basic information and guidance. To see a personalized intervention su ophthalmologist.

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OJOS of Ceuta. Innovating in Ophthalmology.

Ophthalmological Center DR. Medina Catoira

Ojos de Ceuta - Innovating in Ophthalmology Ophthalmological Center Dr. Medi Catoira

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CEUTA OPHTHALMOLOGY EYE: CONTACT LENSES FOR PREVENTION OF BLINDNESS EYE OPHTHALMOLOGY


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Complutense University of Madrid presented at the Salon of Inventions in Geneva an invention on such an important issue the prevention of blindness.
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When we cataract surgery, as we age, our natural defenses against the visible light wear, or simply disappear. To avoid this, the Group of Neuro-Computing and Neuro-Robotics, led by Dr. Celia Sánchez Ramos, has developed a filter system that applied to lenses, intraocular both contact and contribute to the prevention and treatment of retinal damage caused by natural and artificial light. protecting the retina during adulthood, and may even prevent blindness.
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The product is to add a protection for contact lenses to eliminate the negative effects of exposure to natural and artificial light.
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is a normal lens, which can be graduated or not, which was applied a yellow pigmentation. Replaces the natural protective eye, we all lose with time and especially with cataract surgery. _

The invention of the University of Madrid is to compensate and prevent the degeneration of the retina. The solution is safe, economic, invisible and easy. You can apply to any type and design of contact lens with or without graduation. _

Researchers have worked for 5 years in animal studies and human clinical trials. First, we studied mice exposed to different types of light, their retinas were analyzed and shown which was part of the natural and artificial light that causes damage in the retina. In the next round of contact lenses were made UCM-AET to the animals for producing a barrier to harmful light. Experiments showed that our lenses block these bands get negative in the right proportion, acting invisible, no hassle, and above all, demonstrating that produce the protective effect. _

The team Complutense de Madrid also has conducted experiments with rabbits, which have been operated for cataract to simulate how light affects humans with these conditions. It was found that the genes that protect the retina are increased in animals artificially protected, while those that cause cell death, and therefore, blindness, are increased in animals that have no protection. Experimental studies have been presented at conferences on the best view of the entire world. _

With this treatment the lenses remain totally invisible and perception of colors and contrasts is not altered. These results were confirmed by extensive clinical trials in people over the last four years. _

The researchers are convinced that soon, all contact lenses and intraocular lenses in the world will protect the eyes against retinal damage induced by natural and artificial light. _

Although still not sold, several U.S. companies have been interested in marketing.
http://www.plataformasinc.es/index.php/Noticias/Lentillas-contra-la-ceguera-prevenible-en-el-Salon-de-Inventos-de-Ginebra
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Basics and indicative. For personalized information consult your ophthalmologist.
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CEUTA EYES. INNOVATION IN OPHTHALMOLOGY.
EYE CENTER DR. CATOIRA MEDIN

Eyes Ceuta - Innovating Ophthalmology Ophthalmology Center Dr. Medín Catoira

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CEUTA: COMMENTS ON VISUAL HEALTH SPANISH EYES CEUTA

image: http://zdzlhospital.com

IV According to the results of health study English visual, conducted by Transitions Optical in 2009 on the prevention and maintenance of the visual health of English, 20% of respondents say they have never gone to the ophthalmologist for an eye examination.

So only 30% of respondents have gone to the specialist to perform a review once a year (we recommend an annual review), and 26% believe it is only necessary to go to an ophthalmologist if one has or is believed to have an eye problem.

However, 95% of respondents consider the view as the most important sense. And 77% has placed the vision in first place when assessing what is feared losing physical abilities during the course of life, followed by physical mobility (65%), memory (48%), hearing (9 %) and libido (3%).

With respect to the use of some form of vision correction, 71% of English ago Goggles or contacts or both at once. English for those over 55 years, this percentage is 93% and those between 18 and 34 drops to 54%. Retirees (93%) and homemakers (83%) are the most used collective vision correction systems.

regard to activities or situations can affect the visual health, the English believe that reading in dim light is what most affects your eyes (91%), followed by watching TV too close (88%) and expose eyes to UV radiation (83%).

In the latter, despite the fact that UV rays are present during the 365 days a year, 84% of respondents consider the summer as the season where your eyes can suffer from overexposure to UV rays, followed far behind by the winter (9%) , Spring (6%) and autumn (1%).

The Visual Health Study that Transitons Optical performed in Spain since 2005, also carried out since 2006 in countries that form the EMEA region: France, Germany, United Kingdom, Portugal, Netherlands, Italy and South Africa. Spain has taken a sample through 2000 surveys of population over 18 years.

This is the fourth consecutive year to perform this study, one of whose main objectives is to educate the English population of the importance of taking care of their eyes, 365 days a year, because you only have two and are for life. "

source: Transitions Optical.

Basic information and guidance. For personalized information consult your ophthalmologist.

CEUTA EYES. INNOVATION IN OPHTHALMOLOGY.
EYE CENTER DR. MEDIN CATOIRA

Eyes

Ceuta - Innovating Ophthalmology Ophthalmology Center Dr. Medín Catoira