RESUMEN
PURPOSE: At present, the number of clinical indications for the use of silicone oil (SO) has increased in intraocular surgery because of the advent of new techniques in vitreoretinal surgery, availability of better quality oils, and greater experience in its use. Consequently, the number of procedures for SO removal has increased, and support technologies for these procedures are always a concern. METHODS: A simple active technique for SO removal based on a 5-mL standard syringe with an 18G cannula was developed. The oil is suctioned into the syringe by the pulling effect of a spring assembled along the axis of the piston. No abrupt change in the intraocular pressure is produced because of the oil viscosity and the reduced diameter of the cannula. RESULTS: A technique for SO removal that has been used successfully during the past 7 years is presented in this article. During the 7-year period, 234 SO removals were performed without any complication or device failure. Using the present method, the average time for SO removal was 4 minutes. CONCLUSION: The average extraction time with the technique is 4 minutes, which is in the range of other active techniques, and it is faster than passive methods that are performed between 8 and 9 minutes. The technique is in line with the advantages of more elaborated active methods without using complex technology. It is considered to be highly successful and easy to implement.
RESUMEN
Interferon (INF)-associated retinopathy occurs in 15-64% of INF-treated patients, transforming this complication into a significant risk for visual impairment. This retinopathy has been described as an ocular complication with a variable clinical course, usually benign and asymptomatic. The most common findings are hemorrhages and cotton wool spots. Atypical ocular side effects include branch or central retinal artery occlusion, central retinal vein occlusion, anterior ischemic optic neuropathy, optic disc edema, neovascular glaucoma and vitreous hemorrhage. Some case series suggest that in most cases the clinical course of the disease is benign, asymptomatic and without long-term consequences and therefore do not recommend any specific treatment; they only recommend the discontinuation of INF in patients with severe manifestations or risk factors such as hypertension or diabetes mellitus. The case reported here presents an atypical manifestation of INF-associated retinopathy consisting of a mixed retinal vascular occlusion (arterial and venous), associated with severe occlusive inflammatory microangiopathy with extensive retinal damage by ischemia and a torpid clinical course despite suspension of treatment. These varieties of occlusive vascular events have not yet been found simultaneously in the literature and neither with an unfavorable clinical course. Although the clinical course of INF-associated retinopathy in most cases is asymptomatic, there may be complications with risk to vision, which is less common. The magnitude and severity of the consequences associated with INF therapy are to be determined in prospective further studies.
RESUMEN
Objetivo: determinar la prevalencia del síndrome de intestino irritable (SII) en trabajadores del Hospital San Juan de Dios, las características generales y los síntomas y factores asociados al mismo. Diseño: encuesta de prevalwencia de los empleados del hospital. Marco de referencia: muestra aleatoria sobre 1172 empnleados del hospital estratificada por sexo, cargo y ocupación. Sujetos: 198 de 231 sujetos seleccionados aceptaron responder la encuesta en su sitio y horario de trabajo con una muestra final proporcional para los estratos preestablecidos. Mediciones principales:
