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Queratitis intersticial - Treatment

Nombres alternativos

Queratitis de tipo intersticial

Tratamiento:

Se debe tratar la enfermedad subyacente. El tratamiento de la córnea usando gotas con corticosteroides puede minimizar la cicatrización y ayuda a preservar la claridad de la córnea.

Una vez que la inflamación activa ha pasado, la córnea queda con cicatrices importantes y con vasos sanguíneos anormales. La única manera de restaurar la visión en esta etapa es con un trasplante de córnea.

Expectativas (pronóstico):

El hecho de diagnosticar y tratar a tiempo la queratitis intersticial y su causa puede preservar la claridad corneal y una buena visión.

Complicaciones:

Un trasplante de córnea no es tan efectivo para la queratitis intersticial como lo es para la mayoría de las otras enfermedades corneales. La presencia de vasos sanguíneos en la córnea afectada trae glóbulos blancos hacia la córnea recién trasplantada y aumenta así el riesgo de rechazo.

Situaciones que requieren asistencia médica:

El médico especialista y el oftalmólogo con experiencia en las enfermedades subyacentes hacen un seguimiento minucioso a todos los pacientes con queratitis intersticial. Cualquier empeoramiento del dolor, incremento del enrojecimiento o disminución de la visión se debe valorar de manera urgente, en especial en pacientes con trasplante de córnea.

  • Reviewed last on: 7/28/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Ginsberg SP. Corneal problems in systemic disease. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins;2009:chap 43.

Bouchard CS. Noninfectious keratitis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier;2008:chap 4.17.

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