2013, Número 5
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Bol Med Hosp Infant Mex 2013; 70 (5)
Retinopatía del prematuro: controversias en el uso de antiangiogénicos intraoculares
Ramírez-Ortiz MA, Lara-Molina C, Villanueva-García D, Villa-Guillén M, Jasso-Gutiérrez L, Padilla-Sierra LC, Robredo-Torres V, Bravo-Ortiz JC, Gutiérrez PJA, Angulo CE, Mancilla RJ, Salgado-Valladares MB, Hernández-Peláez MG, Hernández SL, Orozco GLP, Zepeda-Romero LC
Idioma: Español
Referencias bibliográficas: 47
Paginas: 344-350
Archivo PDF: 64.11 Kb.
RESUMEN
El aumento en la sobrevida de los recién nacidos prematuros, las características del cuidado neonatal y la escasez de programas para la prevención, detección y tratamiento de la retinopatía del prematuro provocan que esta enfermedad sea la principal causa de ceguera infantil prevenible en México.
El advenimiento de agentes antiangiogénicos de uso oncológico, y su uso —no autorizado, aunque con buenos resultados— en el tratamiento de enfermedades vaso proliferativas en la retina del paciente adulto, así como la presencia de reportes anecdóticos en la literatura y series de casos con serias fallas metodológicas han sugerido su utilización en el tratamiento de la retinopatía del prematuro. Desafortunadamente, estos agentes, utilizados indiscriminadamente, presentan absorción sistémica y causan efectos secundarios en el organismo del paciente prematuro. Además, no existen estudios de seguimiento a largo plazo que garanticen la seguridad de su uso en esta población. El presente artículo describe la situación en nuestro país y advierte sobre los riesgos de estos medicamentos en la población de pacientes prematuros.
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