RESUMO
OBJECTIVE: to develop a guideline available to the staff of the second and third level of medical care, that includes recommendations based on the best available evidence about diagnosis and management of diabetic retinopathy (DR). METHODS: clinical questions were formulated and structured. A standardized sequence was established to search for practice guidelines from the clinical questions raised on diagnosis and treatment of DR. The working group searched clinical practice guidelines and found eleven on this topic. For recommendations not included in the reference guide, the search process was conducted in PubMed and Cochrane Library. The results were expressed as levels of evidence and grade of recommendation. CONCLUSIONS: in Mexico diabetic retinopathy is a main cause of blindness in the active working population. It is necessary to establish a program for detection of at-risk population that allow make early diagnosis and opportune management for reducing blindness in patients. It is equally important to be aware of the need for long-term good metabolic control, which is associated with better quality of life.
Assuntos
Retinopatia Diabética/diagnóstico , Retinopatia Diabética/terapia , Algoritmos , HumanosRESUMO
La oclusión de la vena hemirretiniana (OVHR) tiene características clínicas peculiares que comparte tanto con una oclusión de vena central de la retina (OVCR) como con oclusión de rama venosa retiniana (ORVR), las cuales se han descrito poco en la literatura, además de que su manejo no está aún protocolizado. Se realizó un estudio retrospectivo reuniendo los expedientes de los casos vistos desde enero de 1995 hasta mayo de 1998. Evaluando el cuadro clínico, la evolución y el manejo final de 36 pacientes y en total 37 ojos. El objetivo del estudio es conocer la prevalencia de la OVHR en nuestro hospital así como su curso clínico, pronóstico, complicaciones más frecuentes y respuesta al tratamiento con fotocoagulación