{"datos":{"idpublicaciones":"11518","titulo":"Avances+en+la+Cirug%C3%83%C2%ADa+Combinada+de+Catarata+y+Glaucoma+%28MIGS%29","idplantillaiy":"2","cuenta":"DrSonypark","dominio":"","tituloseo":"Cirug%C3%ADa+Combinada+de+Catarata+y+Glaucoma+%28MIGS%29+en+Panam%C3%A1","landingpage":"2","descripcion":"Cirug%C3%83%C2%ADa+combinada+de+catarata+y+glaucoma+con+t%C3%83%C2%A9cnicas+MIGS+en+Panam%C3%83%C2%A1%3A+ventajas%2C+candidatos+y+resultados.+Dr.+Sony+Park%2C+Cl%C3%83%C2%ADnica+Boyd.","descripcioncompleta":"%3Ch1%3EAvances+en+la+Cirug%26iacute%3Ba+Combinada+de+Catarata+y+Glaucoma+%28MIGS%29%3C%2Fh1%3E%0D%0A%3Cp%3EMuchos+pacientes+con+glaucoma+desarrollan+tambi%26eacute%3Bn+catarata%3A+ambas+condiciones+comparten+el+factor+edad.+Durante+a%26ntilde%3Bos+eso+implicaba+dos+cirug%26iacute%3Bas.+Hoy%2C+con+las+t%26eacute%3Bcnicas+%3Cstrong%3EMIGS%3C%2Fstrong%3E%2C+se+pueden+resolver+en+%3Cstrong%3Eun+solo+acto+quir%26uacute%3Brgico%3C%2Fstrong%3E.%3C%2Fp%3E%0D%0A%3Ch2%3EQu%26eacute%3B+son+las+MIGS%3C%2Fh2%3E%0D%0A%3Cp%3E%3Cstrong%3EMinimally+Invasive+Glaucoma+Surgery%3C%2Fstrong%3E%3A+un+conjunto+de+procedimientos+que+mejoran+el+drenaje+del+humor+acuoso+mediante+microdispositivos+o+microincisiones+internas%2C+sin+crear+la+ampolla+filtrante+externa+de+la+cirug%26iacute%3Ba+cl%26aacute%3Bsica.%3C%2Fp%3E%0D%0A%3Cp%3ESus+caracter%26iacute%3Bsticas%3A%3C%2Fp%3E%0D%0A%3Cul%3E%0D%0A%3Cli%3ESe+realizan+por+la+%3Cstrong%3Emisma+microincisi%26oacute%3Bn%3C%2Fstrong%3E+de+la+cirug%26iacute%3Ba+de+catarata.%3C%2Fli%3E%0D%0A%3Cli%3EPreservan+la+conjuntiva%2C+lo+que+%3Cstrong%3Eno+compromete+opciones+quir%26uacute%3Brgicas+futuras%3C%2Fstrong%3E.%3C%2Fli%3E%0D%0A%3Cli%3EPerfil+de+seguridad+favorable.%3C%2Fli%3E%0D%0A%3Cli%3ERecuperaci%26oacute%3Bn+r%26aacute%3Bpida.%3C%2Fli%3E%0D%0A%3Cli%3EReducci%26oacute%3Bn+de+presi%26oacute%3Bn+moderada%2C+pero+suficiente+en+glaucoma+leve-moderado.%3C%2Fli%3E%0D%0A%3C%2Ful%3E%0D%0A%3Ch2%3ELa+ventaja+de+combinar%3C%2Fh2%3E%0D%0A%3Col%3E%0D%0A%3Cli%3E%3Cstrong%3EUna+sola+cirug%26iacute%3Ba%2C+una+sola+anestesia%2C+una+sola+recuperaci%26oacute%3Bn.%3C%2Fstrong%3E%3C%2Fli%3E%0D%0A%3Cli%3E%3Cstrong%3EDoble+efecto+sobre+la+presi%26oacute%3Bn%3A%3C%2Fstrong%3E+la+extracci%26oacute%3Bn+del+cristalino+ya+reduce+la+presi%26oacute%3Bn+por+s%26iacute%3B+sola+%28especialmente+en+%26aacute%3Bngulos+estrechos%29%2C+y+el+procedimiento+MIGS+a%26ntilde%3Bade+reducci%26oacute%3Bn+adicional.%3C%2Fli%3E%0D%0A%3Cli%3E%3Cstrong%3EMenos+colirios%3A%3C%2Fstrong%3E+muchos+pacientes+reducen+el+n%26uacute%3Bmero+de+gotas+o+las+suspenden.+Esto+importa+m%26aacute%3Bs+de+lo+que+parece%3A+la+mala+adherencia+al+tratamiento+es+la+principal+causa+de+progresi%26oacute%3Bn.%3C%2Fli%3E%0D%0A%3Cli%3E%3Cstrong%3EMejora+visual%3C%2Fstrong%3E+por+la+catarata+resuelta.%3C%2Fli%3E%0D%0A%3Cli%3E%3Cstrong%3EMenos+costo+global%3C%2Fstrong%3E+que+dos+procedimientos+separados.%3C%2Fli%3E%0D%0A%3C%2Fol%3E%0D%0A%3Ch2%3EQui%26eacute%3Bn+es+candidato%3C%2Fh2%3E%0D%0A%3Cul%3E%0D%0A%3Cli%3EPaciente+con+%3Cstrong%3Ecatarata+visualmente+significativa%3C%2Fstrong%3E.%3C%2Fli%3E%0D%0A%3Cli%3E%3Cstrong%3EGlaucoma+leve+o+moderado%3C%2Fstrong%3E+de+%26aacute%3Bngulo+abierto.%3C%2Fli%3E%0D%0A%3Cli%3EPresi%26oacute%3Bn+no+controlada+del+todo%2C+o+controlada+pero+con+muchos+colirios.%3C%2Fli%3E%0D%0A%3Cli%3EDificultad+para+cumplir+el+tratamiento+t%26oacute%3Bpico.%3C%2Fli%3E%0D%0A%3Cli%3EIntolerancia+a+los+colirios.%3C%2Fli%3E%0D%0A%3Cli%3E%26Aacute%3Bngulo+abierto+y+accesible%2C+confirmado+por+gonioscopia.%3C%2Fli%3E%0D%0A%3C%2Ful%3E%0D%0A%3Ch2%3EQui%26eacute%3Bn+no+lo+es%3C%2Fh2%3E%0D%0A%3Cul%3E%0D%0A%3Cli%3E%3Cstrong%3EGlaucoma+avanzado%3C%2Fstrong%3E+que+necesita+presiones+muy+bajas%3A+requiere+%3Ca+href%3D%22https%3A%2F%2Fpanama.interyellow.com%2F6562-SERVICIOS-11512-Cirugia_de_Glaucoma%3A_Tecnicas_MIGS_y_Convencional-detalle.html%22%3Ecirug%26iacute%3Ba+filtrante+o+v%26aacute%3Blvula%3C%2Fa%3E.%3C%2Fli%3E%0D%0A%3Cli%3EGlaucoma+neovascular+o+secundario+complejo.%3C%2Fli%3E%0D%0A%3Cli%3E%26Aacute%3Bngulo+cerrado+con+sinequias+extensas.%3C%2Fli%3E%0D%0A%3Cli%3EProgresi%26oacute%3Bn+r%26aacute%3Bpida+documentada.%3C%2Fli%3E%0D%0A%3C%2Ful%3E%0D%0A%3Ch2%3EQu%26eacute%3B+esperar%3C%2Fh2%3E%0D%0A%3Cul%3E%0D%0A%3Cli%3ECirug%26iacute%3Ba+ambulatoria%2C+con+anestesia+t%26oacute%3Bpica+o+local.%3C%2Fli%3E%0D%0A%3Cli%3ETiempo+quir%26uacute%3Brgico+algo+mayor+que+una+catarata+sola.%3C%2Fli%3E%0D%0A%3Cli%3ERecuperaci%26oacute%3Bn+visual+similar+a+la+de+una+catarata+est%26aacute%3Bndar.%3C%2Fli%3E%0D%0A%3Cli%3EPuede+haber+peque%26ntilde%3Bo+sangrado+en+c%26aacute%3Bmara+anterior+los+primeros+d%26iacute%3Bas%3A+es+esperable+en+algunas+t%26eacute%3Bcnicas.%3C%2Fli%3E%0D%0A%3Cli%3EControl+estrecho+de+la+presi%26oacute%3Bn+en+el+postoperatorio.%3C%2Fli%3E%0D%0A%3Cli%3E%3Cstrong%3EReducci%26oacute%3Bn+de+colirios%3C%2Fstrong%3E+valorada+en+las+semanas+siguientes.%3C%2Fli%3E%0D%0A%3C%2Ful%3E%0D%0A%3Cp%3EVer+%3Ca+href%3D%22https%3A%2F%2Fpanama.interyellow.com%2F6562-SERVICIOS-11513-Cirugia_de_Catarata_de_Alta_Precision-detalle.html%22%3Ecirug%26iacute%3Ba+de+catarata+de+alta+precisi%26oacute%3Bn%3C%2Fa%3E.%3C%2Fp%3E%0D%0A%3Ch2%3ESobre+el+lente+intraocular%3C%2Fh2%3E%0D%0A%3Cp%3EEn+pacientes+con+glaucoma%2C+la+elecci%26oacute%3Bn+del+lente+merece+cautela%3A+los+%3Cstrong%3Elentes+multifocales+no+suelen+estar+indicados%3C%2Fstrong%3E+si+hay+da%26ntilde%3Bo+de+campo+visual%2C+porque+reducen+la+sensibilidad+al+contraste+en+un+ojo+que+ya+la+tiene+comprometida.+Un+monofocal+bien+calculado+da+mejor+calidad+de+visi%26oacute%3Bn+en+ese+contexto.%3C%2Fp%3E%0D%0A%3Ch2%3EPreguntas+frecuentes%3C%2Fh2%3E%0D%0A%3Ch3%3E%26iquest%3BVoy+a+dejar+las+gotas+por+completo%3F%3C%2Fh3%3E%0D%0A%3Cp%3EMuchos+pacientes+reducen+el+n%26uacute%3Bmero%3B+algunos+las+suspenden.+No+se+puede+garantizar+de+antemano.%3C%2Fp%3E%0D%0A%3Ch3%3E%26iquest%3BEs+m%26aacute%3Bs+riesgoso+que+operar+solo+la+catarata%3F%3C%2Fh3%3E%0D%0A%3Cp%3EEl+riesgo+a%26ntilde%3Badido+es+bajo%2C+y+por+eso+las+MIGS+se+han+extendido+tanto.%3C%2Fp%3E%0D%0A%3Ch3%3E%26iquest%3BCu%26aacute%3Bnto+dura+el+efecto%3F%3C%2Fh3%3E%0D%0A%3Cp%3EEs+duradero%2C+aunque+puede+disminuir+con+los+a%26ntilde%3Bos.+El+seguimiento+contin%26uacute%3Ba+igualmente.%3C%2Fp%3E%0D%0A%3Ch3%3E%26iquest%3BPuedo+operarme+despu%26eacute%3Bs+una+trabeculectom%26iacute%3Ba+si+hace+falta%3F%3C%2Fh3%3E%0D%0A%3Cp%3ES%26iacute%3B%2C+y+es+una+de+las+ventajas+de+las+MIGS%3A+preservan+la+conjuntiva.%3C%2Fp%3E%0D%0A%3Ch3%3E%26iquest%3BY+si+mi+glaucoma+es+avanzado%3F%3C%2Fh3%3E%0D%0A%3Cp%3EProbablemente+necesites+una+cirug%26iacute%3Ba+de+mayor+potencia+hipotensora.+Ver+%3Ca+href%3D%22https%3A%2F%2Fpanama.interyellow.com%2F6563-BLOG-11519-Cuando_es_necesaria_una_cirugia_de_Glaucoma_Senales_de_alerta-detalle.html%22%3Ecu%26aacute%3Bndo+es+necesaria+una+cirug%26iacute%3Ba+de+glaucoma%3C%2Fa%3E.%3C%2Fp%3E%0D%0A%3Cp%3E%3Cstrong%3EContenido+relacionado%3A%3C%2Fstrong%3E+%3Ca+href%3D%22https%3A%2F%2Fpanama.interyellow.com%2F6562-SERVICIOS-11512-Cirugia_de_Glaucoma%3A_Tecnicas_MIGS_y_Convencional-detalle.html%22%3Ecirug%26iacute%3Ba+de+glaucoma%3C%2Fa%3E+%7C+%3Ca+href%3D%22https%3A%2F%2Fpanama.interyellow.com%2F6562-SERVICIOS-11513-Cirugia_de_Catarata_de_Alta_Precision-detalle.html%22%3Ecirug%26iacute%3Ba+de+catarata%3C%2Fa%3E+%7C+%3Ca+href%3D%22https%3A%2F%2Fpanama.interyellow.com%2F6562-SERVICIOS-11511-Tratamiento_Integral_del_Glaucoma-detalle.html%22%3Etratamiento+del+glaucoma%3C%2Fa%3E%3C%2Fp%3E%0D%0A%3Ch2%3EAgenda+tu+cita+con+el+Dr.+Sony+Park%3C%2Fh2%3E%0D%0A%3Cp%3ESi+tienes+catarata+y+glaucoma%2C+puedes+resolver+ambos+en+una+sola+cirug%26iacute%3Ba.+Agenda+tu+valoraci%26oacute%3Bn.%3C%2Fp%3E%0D%0A%3Cp%3E%C3%B0%C2%9F%C2%91%C2%A8%26zwj%3B%C3%A2%C2%9A%C2%95%C3%AF%C2%B8%C2%8F+%3Cstrong%3EEspecialista%3A%3C%2Fstrong%3E+%3Ca+href%3D%22https%3A%2F%2Fclinicaboyd.com%2Fespecialistas%2Fdr-sony-park%2F%22+target%3D%22_blank%22+rel%3D%22noopener%22%3Eperfil+del+Dr.+Sony+Park+en+Cl%26iacute%3Bnica+Boyd%3C%2Fa%3E%3Cbr%3E%C3%B0%C2%9F%C2%8F%C2%A5+%3Cstrong%3EConsulta%3A%3C%2Fstrong%3E+%3Ca+href%3D%22https%3A%2F%2Fclinicaboyd.com%2F%22+target%3D%22_blank%22+rel%3D%22noopener%22%3ECl%26iacute%3Bnica+Boyd%2C+Ciudad+de+Panam%26aacute%3B%3C%2Fa%3E%3Cbr%3E%C3%B0%C2%9F%C2%92%C2%AC+%3Cstrong%3EWhatsApp%3A%3C%2Fstrong%3E+%3Ca+href%3D%22https%3A%2F%2Fwa.me%2F50766717358%22+target%3D%22_blank%22+rel%3D%22noopener%22%3E6671-7358+%28escr%26iacute%3Bbenos+ahora%29%3C%2Fa%3E%3Cbr%3E%C3%B0%C2%9F%C2%93%C2%85+%3Cstrong%3ECitas%3A%3C%2Fstrong%3E+%3Ca+href%3D%22https%3A%2F%2Fclinicaboyd.com%2Fcontacto%2F%22+target%3D%22_blank%22+rel%3D%22noopener%22%3Eagenda+tu+cita+en+Cl%26iacute%3Bnica+Boyd%3C%2Fa%3E%3C%2Fp%3E","seccion":"BLOG","idseccion":"6563","precio":"0.00","imagen":"20260505165219.png","enlace":"6563-BLOG-11518-Avances_en_la_Cirugia_Combinada_de_Catarata_y_Glaucoma_MIGS-detalle.html","idempresa":"478","palabrasclaves":"cirug%C3%83%C2%ADa+combinada+catarata+glaucoma+Panam%C3%83%C2%A1%2C+MIGS+Panam%C3%83%C2%A1%2C+stent+trabecular+Panam%C3%83%C2%A1%2C+catarata+y+glaucoma+a+la+vez%2C+reducir+gotas+glaucoma+cirug%C3%83%C2%ADa","filepub":"","createdate":"2026-08-04+18%3A33%3A51","pwhatsapp":"","pmovil":"","documentos":[]}}