Trabeculectomía

En oftalmología, la trabeculectomía es un procedimiento quirúrgico aplicado en el tratamiento del glaucoma para aliviar la presión intraocular quitando parte de la red trabecular del ojo y estructuras adyacentes. Es la cirugía más común para el tratamiento del glaucoma. La trabeculectomía permite el drenaje del humor acuoso desde dentro del ojo hacia la parte inferior de la conjuntiva donde es absorbida.

Este procedimiento se lo realiza comunmente bajo anestesia monitoreada utilizando un block retrobular o peribulbar, o una combinación de anestesia topica y subtenoniana. Para llevar a cabo una trabeculectomía se realiza una perforación en la porción más externa del ojo o esclerótica, hasta llegar a un espacio del interior del órgano de la visión que se llama cámara anterior. Por este nuevo conducto creado por la cirugía se consigue que drene hacia el exterior el humor acuoso.

Trabeculectomía realizada por el Dr Rodrigo Rodriguez

Online Schools of Nursing - Getting A Nursing Degree

Earning a nursing degree from online schools of nursing is becoming more and more popular. The flexibility and versatility these online nursing schools offer poses a lot of benefits.

Those looking to get a nursing degree can definitely take advantage of all the benefits online schools of nursing have to offer.

When earning a nursing degree online, you basically complete the non-clinical courses because clinical and laboratory classes
must be completed in person at a medical facility also operated by the online school of nursing. It is important to know that there are no online nursing programs that allow you to fully complete the degree online. Nevertheless, it is one good way to become a registered or practical nurse.
To find online nursing schools such as online practical nursing schools, you need to do a little research online. There are many websites offering online nursing courses. In fact, even online nursing PHD programs are available on the Internet. On Google or even on other reliable search engines, type the keywords that will help you find the online nursing schools you would like to attend. At the very least, you can type the words "online nursing degree" or "nursing degree online". You may also type the name of your city or state that you would like your nursing program to be in. The search engine will show you results with links to many online nursing schools. Check out some of these sites to see in detail what they offer and find out if their offerings match what you are looking for. There are some things that you consider when choosing the online school to attend to.

First and foremost, find out if the nursing program allows you to work at your own pace or the one that follows the school's schedule. A program that allows you to work at your own pace will allow you to finish or complete the work at a schedule or pace that suits you. However, there are many nursing programs structured like a traditional school or college. You should also find out the date when you can start. Some online schools for nursing have rolling enrollment which means that you can start at any date you prefer. Others designate a starting date.

You should also check if the online school has an academic advisor. It is a good idea to settle for one that assigns an academic advisor for each student because the advisor will help and work with students closely to help in planning out the course of study. An academic advisor also helps students keep on tract, connects with the students online, and coordinates with the students' clinical classes.

You should also check the costs of the nursing program because not all schools have the same charges. A thorough search of programs will help you land on the most affordable yet right online school for you. It is also good if you can find out if the school offers financial assistance. Many online nursing programs offer assistance and it is a good idea to take advantage of this financial help.

Once you have completed your research, you can narrow your choices of online schools of nursing down to a few until you land on the best one.

Red Trabecular

La red trabecular es un área de tejidos esponjosos ubicados alrededor de la base de la córnea, cerca del cuerpo ciliar. La función de la misma es el drenaje del humor acuoso desde la cámara anterior del ojo hacia el Canal de Schlemm que finalmente desembocan en el sistema sanguíneo. El tejido esponjoso que forma la red trabecular está recubierto por células especiales llamadas trabeculocitos.

La red trabecular está compuesta de tres partes: 1) la red uveal interna, que es la más cercana al ángulo de la cámara anterior y que contienen trabéculas o tabiques orientados en forma radial que encierran pequeños espacios internos; 2) red corneoescleral, la cual tiene gran cantidad de elastina (proteina con funciones estructurales) en forma de láminas delgadas perforadas; 3) tejido yuxtacanalicular, que yace en forma adyacente al canal de Schlemm y está compuesto de tejido conectivo.

La red trabecular desempeña un papel importante, ya que evita el aumento anormal de la presión intraocular, lo que puede provocar un glaucoma. Esto se debe que a través de ella fluye el humor acuoso hasta que finalmente es drenado al sistema venoso por el Canal de Schlemm. Cuando la red trabecular no cumple esta función de drenaje, se produce un aumento de la presión intraocular del humor acuoso.