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dc.contributor.advisorMaldonado Santacruz, Fulton Estenio
dc.contributor.authorMera Robelli, Orlando Cristopher
dc.date.accessioned2021-06-14T14:18:06Z
dc.date.available2021-06-14T14:18:06Z
dc.date.issued2021
dc.identifier.urihttp://dspace.utb.edu.ec/handle/49000/9766
dc.descriptionProgressive vision loss is one of the most common complications in patients with diabetes mellitus, due to deterioration of the eye blood vessels. The retina, located at the back of the eye, is the one that recepts light and sends this signal through the optic nerve to the brain where it becomes the image we see. The diabetes present in infants corresponds to type 1 diabetes mellitus and is characterized by a condition at the level of beta cells in the pancreas, no longer producing one of the most important hormones, such as insulin. This type of disorder in children and adolescents was formerly known as "juvenile diabetes" or "insulin-dependent diabetes". The primary objective of this clinical case is to be able to assess the behavior of the paediatric patient with diabetes at a very young age and that manifests a progressive loss of vision derived from the pathology itself. When we study these types of cases, within the analyses that we perform and believe appropriate for the patient, are the tonemetry and an assessment with the slit lamp to be able to observe the structures of the eyeball and if necessary perform an ophthalmoscopy; During the review process we were able to show microangiopathies, which are thickening of small arteries that supply the retina, this visualized process are complications characteristic of diabetic retinopathy and would explain the progressive loss of vision in the patient. At the end of the study, I conclude by determining that the progressive loss of vision presented by the patient is due to the damage of small blood vessels that impair the function of the retina; in addition to bad habits such as being long periods of time in front of the computer and extensive reading hours. The refractive moons applied to the patient favorably changed their visual state and I did so by designing a corrective Lens by adding proper protections to the light. Before finishing, the patient was asked not to neglect the pharmacological treatment of the base disease, since if it is not controlled, the visual complications will be greater until it reaches blindness.es_ES
dc.descriptionProgressive vision loss is one of the most common complications in patients with diabetes mellitus, due to deterioration of the eye blood vessels. The retina, located at the back of the eye, is the one that recepts light and sends this signal through the optic nerve to the brain where it becomes the image we see. The diabetes present in infants corresponds to type 1 diabetes mellitus and is characterized by a condition at the level of beta cells in the pancreas, no longer producing one of the most important hormones, such as insulin. This type of disorder in children and adolescents was formerly known as "juvenile diabetes" or "insulin-dependent diabetes". The primary objective of this clinical case is to be able to assess the behavior of the paediatric patient with diabetes at a very young age and that manifests a progressive loss of vision derived from the pathology itself. When we study these types of cases, within the analyses that we perform and believe appropriate for the patient, are the tonemetry and an assessment with the slit lamp to be able to observe the structures of the eyeball and if necessary perform an ophthalmoscopy; During the review process we were able to show microangiopathies, which are thickening of small arteries that supply the retina, this visualized process are complications characteristic of diabetic retinopathy and would explain the progressive loss of vision in the patient. At the end of the study, I conclude by determining that the progressive loss of vision presented by the patient is due to the damage of small blood vessels that impair the function of the retina; in addition to bad habits such as being long periods of time in front of the computer and extensive reading hours. The refractive moons applied to the patient favorably changed their visual state and I did so by designing a corrective Lens by adding proper protections to the light. Before finishing, the patient was asked not to neglect the pharmacological treatment of the base disease, since if it is not controlled, the visual complications will be greater until it reaches blindness.es_ES
dc.description.abstractLa pérdida progresiva de la visión es una de las complicaciones más comunes en pacientes con diabetes mellitus, debido al deterioro de los vasos sanguíneos oculares. La retina, ubicada en la parte posterior del ojo es quien recepta la luz y envía esta señal a través del nervio óptico hacia el cerebro donde se convierte en la imagen que visualizamos. La diabetes presente en los infantes corresponde a la diabetes mellitus tipo 1 y se caracteriza por una afección a nivel de las células beta del páncreas, dejando de producir una de las hormonas más importantes, como es la insulina. Este tipo de trastorno en niños y adolescentes anteriormente se la conocía como "diabetes juvenil" o "diabetes insulinodependiente". El objetivo primordial de este caso clínico es poder valorar la conducta del paciente pediátrico con diabetes a una edad muy temprana y que manifiesta una pérdida progresiva de la visión derivada de la propia patología. Cuando estudiamos este tipo de casos, dentro de los análisis que realizamos y creemos oportunos para el paciente, son la tonometría y una valoración con la lámpara de hendidura para poder observar las estructuras del globo ocular y en caso de ser necesario realizar una oftalmoscopía; Durante el proceso de revisión pudimos evidenciar microangiopatías, que son engrosamientos de pequeñas arterias que irrigan la retina, este proceso visualizado son complicaciones características de una retinopatía diabética y explicaría la pérdida progresiva de la visión en el paciente. Al finalizar el estudio, concluyo determinando que la pérdida progresiva de la visión que presenta el paciente es a causa del daño de pequeños vasos sanguíneos que perjudican la función de la retina; además de los malos hábitos como estar largos periodos de tiempo frente al ordenador y extensas horas de lectura. Las lunas de refracción aplicadas al paciente modificaron favorablemente su estado visual y lo hice mediante el diseño de un lente correctivo añadiéndole las debidas protecciones a la luz. Antes de finalizar se le hizo una recomendación al paciente de no descuidar el tratamiento farmacológico de la enfermedad base, puesto que, si esta no se controla, las complicaciones visuales serán mayores hasta llegar a la ceguera.es_ES
dc.format.extent36 pes_ES
dc.language.isoeses_ES
dc.publisherBabahoyo: UTB-FCS, 2021es_ES
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Ecuador*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/ec/*
dc.subjectDiabetes tipo 1es_ES
dc.subjectRetinaes_ES
dc.subjectExamen Optométricoes_ES
dc.subjectMicroangiopatíases_ES
dc.subjectVisión borrosaes_ES
dc.titlePaciente pediátrico con diabetes tipo 1 relacionado a una disminución visual progresiva.es_ES
dc.typebachelorThesises_ES


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