pterigium 2013
DESCRIPTION
Una breve recopilacion de las Lesiones Corneo conjuntivales mas frecuentes, con lesiones neoplasicas, su diagnostico y tratamiento.TRANSCRIPT
![Page 1: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/1.jpg)
Desafío Terapéutico2013 – Dra. Graciela Graneros
Módulo VCórnea
![Page 2: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/2.jpg)
Introducción
2013 - Dra Graciela Graneros – desafío terapéutico
![Page 3: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/3.jpg)
Lesiones Corneo-conjuntivales Pterigium
Neoplasia intraepitelial
Carcinoma de Células escamosas
Lesiones pigmentarias
Dermoide
Dermolipoma
Fibrohistiocitosis
Papiloma
Xantogranuloma juvenil
![Page 4: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/4.jpg)
Pterigium
![Page 5: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/5.jpg)
Etiología Factores de Riesgo
Radiación UV
Factores genéticos
Factores ambientales
Otros factores
![Page 6: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/6.jpg)
Fisiopatología Mutación en las células pluripotenciales
Producción anormal de Proteína P53
Exceso de TGF – β
Aumento de Citoquinas
![Page 7: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/7.jpg)
Tratamiento Quirúrgico Técnica de Tzermak
Técnica de Knapp
Técnica de Mc Reynolds
Técnica de Terson
Técnica de Blascovics
Técnica de Arruga
Técnica de Spaeth
![Page 8: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/8.jpg)
Terapéuticas Complementarias Láser
β Terapia
Antimetabolitos: Mitomicina C / 5FU
Membrana Amniótica
Adhesivos Tisulares
Anti angiogénicos
Corticoides
![Page 9: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/9.jpg)
Estrategias para evitar recurrencias Escisión completa del tejido conectivo subepitelial
anómalo
Erradicación de células de pterigion mutante
Restauración de una barrera limbar efectiva
![Page 10: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/10.jpg)
Neoplasia Intraepitelial
![Page 11: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/11.jpg)
Neoplasia Intraepitelial
![Page 12: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/12.jpg)
Neoplasia Intraepitelial
![Page 13: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/13.jpg)
Neoplasia IntraepitelialTratamiento Resección Quirúrgica
Crioterapia
Mitomicina c
5FU
Interferon alpha 2b
![Page 14: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/14.jpg)
Carcinoma de Células Escamosas
![Page 15: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/15.jpg)
Carcinoma de Células Escamosas
![Page 16: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/16.jpg)
Carcinoma de Células EscamosasTratamiento Resección Quirúrgica
Quimioterapia Tópica
Enucleación - Exenteración
![Page 17: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/17.jpg)
Lesiones PigmentadasMelanoma
![Page 18: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/18.jpg)
Lesiones PigmentadasMelanoma
![Page 19: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/19.jpg)
Lesiones PigmentadasMelanoma Amelanocítico
![Page 20: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/20.jpg)
Lesiones PigmentadasMelanoma Tratamiento
![Page 21: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/21.jpg)
Dermoide
![Page 22: Pterigium 2013](https://reader033.vdocumento.com/reader033/viewer/2022052323/559434331a28ab8a1a8b466e/html5/thumbnails/22.jpg)
Conclusión