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J Murube del Castillo

Publications and source records attributed to J Murube del Castillo.

10 recordsLinked to original sources
PubMed1995

Results of out-patient cataract surgery in patients who live far from the surgeon.

We have performed this prospective study to address the question of whether there is an association between the outcome following cataract surgery and the distance from the patient's home to the place of surgery. Three hundred and forty consecutive out-patient extracapsular cataract extractions were evaluated. According to the distance, the cases were grouped into two categories, 183 cases in the nearest group (Group 1) and 157 cases in the farthest group (Group 2). A best corrected visual acuity of 0.5 or better was achieved in 90% of patients, 6 between the groups. No significant differences in rates for operative and postoperative complications were identified. This study does not show that the distance from the patient's home to the surgical site has had any adverse effect of surgical outcome or in rates of complications.

Aged↗
PubMed1982

[Dacryocystorhinostomy without bone perforation (author's transl)].

Present techniques of dacryocystorhinostomy require perforation of the frontal process of the maxillary bone in order to open a passageway between the conjunctival sac and the nasal fossa. This requires a relatively complex operation and leaves an almost horizontal conduit, flow rarely being perfect. A new technique for dacryocystorhinostomy which obviates the necessity for osseous perforation by passing a tube beneath the soft tissues of the face just superficial to the maxillary bone, between the lacus lacrimalis and the nasal atrium. The external diameter of the tube should not exceed 2 mm to that is produced no visible elevation on the surface of the face. The almost vertical position of the tube and the position of its inferior opening in the zone of maximal respiratory flow assures good drainage of tears. The operation can be performed in a few minutes, under local anesthesia, in the surgeon's office.

Anesthesia, Local↗
PubMedDate not supplied

Dacryo-fornix-rhinostomy with two flaps.

The two most frequent sites of obstruction of the lacrimal pathways are under the lacrimal sac, in the ductus lacrimonasalis, and over the lacrimal sac, in the canaliculi. The obstruction of the first type already has a satisfactory solution with the different forms of dacryo-cysto-rhinostomies. Obstruction of the second type has a satisfactory resolution only in a limited number of cases. For patients in whom current treatment methods are unsuccessful, a technique of dacryo-fornix-rhinostomy is presented, consisting in opening a new pathway between the infero-medial conjunctival cul-de-sac and the atrial part of the nasal cavity. A piece of bone is removed from the antero-lateral wall of the atrium nasi, and the bottom of the infero-medial conjunctival fornix is opened to the precedent wound. The exposed nasal mucosa is cut into two flaps, one being sutured to the posterior lip, and the other to the anterior lip of the conjunctival wound. A conformer is maintained in the new path for several weeks. The new path has an almost vertical trajectory, making the flow of tears very easy. Blinking and the movements of the eyes have a pumping effect.

Dacryocystorhinostomy↗