Sede Azogues - Medicina
URI permanente para esta comunidadhttps://dspace.ucacue.edu.ec/handle/ucacue/88
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Examinando Sede Azogues - Medicina por Asesores "Calle Luna, Liliana Francisca"
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Ítem Acceso Abierto Efectividad de la facoemulsificación versus la femtofacoemulsificación como tratamiento de la catarata senil en adultos mayores. Revisión sistemática(Universidad Católica de Cuenca., 2024) Bermeo Chimborazo, Mayra Alexandra; Calle Luna, Liliana Francisca; 0350155255Objective: To evaluate phacoemulsification's (PHACO) effectiveness versus femto-phacoemulsification (FLACS) as a surgical technique for managing senile cataracts in older adults. Methodology: A retrospective, descriptive, and qualitative systematic review was conducted. It was structured according to the PRISMA 2020 guidelines. Inclusion criteria: Publications from 2014 to 2024 in English or Spanish from indexed journals accessible via free full-text databases. The databases used were SciELO, PubMed, Scopus, Science Direct, Springer Link, Google Scholar, and Web of Science. Bias risk was evaluated using the Cochrane Review Manager 5.4.1 tool. Results: The findings were synthesized in a summary table featuring author, title, country, year, results, and objectives. Twenty-four 24 Randomized Controlled Trials (RCTs) with 5,943 participants were included. Each trial compared aspects of cataract surgery with PHACO versus FLACS, such as safety, efficacy, cost-effectiveness, endothelial cell loss, visual outcomes, and complications. Conclusions: Both PHACO and FLACS are viable surgical techniques for managing senile cataracts, with notable differences favoring FLACS in endothelial cell preservation and reduced ultrasonic energy use. However, PHACO remains more cost-effective and reveals comparable outcomes regarding complications and visual results, making it the preferred technique for most cases. Keywords: cataracts, surgery, phacoemulsification, femtosecond laserÍtem Acceso Abierto Efectividad del crosslinking corneal en el manejo de la progresión del queratocono. Revisión sistemática(Universidad Católica de Cuenca., 2024) Chuva Palacios, Yadira Fabiana; Calle Luna, Liliana Francisca; 0105968325Background: Keratoconus is a corneal ectasia characterized by thinning and conical deformation, which leads to reduced visual acuity. Corneal cross-linking , a technique that strengthens and stabilizes the cornea by creating cross-links between collagen fibers, is employed to halt its progression. Objective: To determine the effectiveness of corneal cross-linking compared to conventional treatments in managing the progression of keratoconus in diagnosed patients. Methods: A systematic review was conducted on the topic "Effectiveness of Corneal Cross-Linking in Managing the Progression of Keratoconus. A Systematic Review" within the field of ophthalmology. Information was sourced from PubMed, Web of Science, Embase, ProQuest, Taylor & Francis, Scopus, and SciELO databases in English and Spanish, published in the last five years. Observational studies and clinical trials were included, and the quality of evidence was assessed using the GRADE system. Results: A total of 289 records were included, and 2,915 participants were evaluated after screening. Most studies demonstrated that corneal cross-linking is effective in halting the progression of keratoconus, especially in its early stages, compared to conventional treatments. Additionally, a 20% improvement in visual acuity was observed. Predictive factors for success, such as age, disease severity, and associated conditions, were identified. Corneal cross-linking is a beneficial treatment option, as it halts disease progression and improves visual acuity. Keywords: Keratoconus, corneal cross-linking, management, visual acuity
