{"id":580,"date":"2024-05-06T22:44:19","date_gmt":"2024-05-07T03:44:19","guid":{"rendered":"https:\/\/nuevavision.com.co\/?p=580"},"modified":"2024-05-06T22:44:24","modified_gmt":"2024-05-07T03:44:24","slug":"sobre-retinopatia-diabetica","status":"publish","type":"post","link":"https:\/\/nuevavision.com.co\/index.php\/2024\/05\/06\/sobre-retinopatia-diabetica\/","title":{"rendered":"SOBRE RETINOPAT\u00cdA DIAB\u00c9TICA"},"content":{"rendered":"\n

\u201c<\/span>La principal complicaci\u00f3n <\/span>microvascular<\/span> ocular de la diabetes mellitus es la retinopat\u00eda diab\u00e9tica<\/span><\/span>\u00a0<\/span><\/p><\/div>

(RD), un problema de salud global que afecta aproximadamente146 millones de personas,<\/span> de las cuales <\/span>3 millones sufren de deficiencia visual moderada o grave. <\/span>Esta condici\u00f3n<\/span> se ha convertido en una de las causas principales de discapacidad visual y ceguera Se proyecta <\/span>un aumento <\/span>significativo <\/span>en la prevalencia global: en comparaci\u00f3n con los 103 millones<\/span> de casos estimados para<\/span> el 2020<\/span> y se prev\u00e9 para 2045 un total de<\/span> 161 millones.<\/span> Estas cifras <\/span>est\u00e1n directamente relacionadas <\/span>con la <\/span>esperanza de vida humana actual.<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

Es importante destacar que tres de cada cuatro personas con diabetes desarrollan RD<\/span> <\/span>retinopat\u00eda<\/span><\/span>\u00a0<\/span><\/p><\/div>

despu\u00e9s de 15 a\u00f1os. La salud del afectado no debe desligarse de los hallazgos oculares, ya<\/span> que la<\/span><\/span>\u00a0<\/span><\/p><\/div>

RD se convierte en un factor predictivo relevante. Por ejemplo, <\/span>la <\/span>RD<\/span> est\u00e1 significativamente <\/span>asociada con el riesgo futuro de padecer un ata<\/span>que cerebrovascular, un infarto <\/span>coronario y una infecci\u00f3n car<\/span>d\u00edaca.<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

E<\/span>s ind<\/span>ispensable identificar factores <\/span>de riesgo para la aparici\u00f3n de RD. Estos incluyen: control gluc<\/span>\u00e9mico, <\/span>hipertensi\u00f3n, <\/span>dislipidemia<\/span>, <\/span>la duraci\u00f3n de la <\/span>diabetes,<\/span> factores gen\u00e9ticos, niveles<\/span> elevados de HbA1<\/span>c,<\/span> tabaquismo <\/span>y un \u00edndice de masa corporal m\u00e1s alto.<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

Estudios<\/span> <\/span>cl\u00ednicos<\/span> <\/span>demuestran <\/span>que<\/span> un control gluc\u00e9mico intensivo<\/span><\/span> <\/span><\/span>puede reducir en el riesgo de RD en un 20 <\/span>% y<\/span> el<\/span><\/span> <\/span><\/span>manejo adecuado de la hipertensi\u00f3n tambi\u00e9n pude<\/span><\/span> <\/span><\/span>reducir el riesgo de progresi\u00f3n<\/span><\/span> <\/span><\/span>de la Retinopat\u00eda diab\u00e9tica RD<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

E<\/span>s fund<\/span>amental resaltar la importancia <\/span>de la evaluaci\u00f3n fun<\/span>cional visual del paciente, a trav\u00e9s de pruebas de sensibilidad <\/span>al<\/span> contraste. Estas pruebas <\/span>han demostrado ser m\u00e1s sensibles para detectar<\/span><\/span>\u00a0<\/span><\/p><\/div>

cambios retinianos temprano<\/span>s, ya que se pueden identificar <\/span>da\u00f1os en la retina ante<\/span>s de que aparezcan los s\u00edntomas <\/span>vasculares a<\/span>sociados. Adem\u00e1s, se recomienda <\/span>la realizaci\u00f3n de pruebas <\/span>de visi\u00f3n crom\u00e1tica, porque <\/span>se ha observado que<\/span> la discromatopsia puede ser un <\/span>signo precoz de retinopat\u00eda, ant<\/span>es de que esta sea cl\u00ednicamente evidente.<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

La baja tasa de detecci\u00f3n temprana, la falta de educaci\u00f3n, el auto-cuidado los factores psico-sociales, son importante para el logro de los objetivos del tratamiento.<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

\u00a0El papel de los profesionales de la salud visual<\/span> es muy importante, <\/span>as\u00ed como la responsabilidad<\/span><\/span>\u00a0<\/span><\/p><\/div>

de involucrarse a\u00fa<\/span>n m\u00e1s en la gesti\u00f3n-prevenci\u00f3n- <\/span>atenci\u00f3n-seguimiento de los pacientes.<\/span>\u201d<\/span><\/span>\u00a0<\/span><\/p><\/div>

<\/span><\/span>\u00a0<\/span><\/p><\/div>

REFERENCIAS<\/span><\/span>\u00a0<\/span><\/p><\/div>

  • Franja Visual<\/span><\/span>\u00a0<\/span><\/p><\/li><\/ul><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

    \u201cLa principal complicaci\u00f3n microvascular ocular de la diabetes mellitus es la retinopat\u00eda diab\u00e9tica\u00a0 (RD), un problema de salud global que afecta aproximadamente146 millones de personas, de las cuales 3 millones sufren de deficiencia visual moderada o grave. Esta condici\u00f3n se ha convertido en una de las causas principales de discapacidad visual y ceguera Se proyecta […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","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":"","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":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"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":""},"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-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":"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":""},"mobile":{"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":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-580","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/posts\/580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/comments?post=580"}],"version-history":[{"count":0,"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/posts\/580\/revisions"}],"wp:attachment":[{"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/media?parent=580"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/categories?post=580"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nuevavision.com.co\/index.php\/wp-json\/wp\/v2\/tags?post=580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}