<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052020000300215</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.34.3.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desprendimiento seroso de retina agudo inducido por cirugía en posición prono]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute serous detachment of retina after surgery in prone position]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sardi-Correa]]></surname>
<given-names><![CDATA[María Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardona-Bernal]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Vásquez]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Oftalmológica de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>3</numero>
<fpage>215</fpage>
<lpage>220</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052020000300215&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052020000300215&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052020000300215&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La posición en decúbito prono es utilizada en cirugía para acceder a diferentes estructuras anatómicas del paciente. Esta posición puede asociarse a pérdida visual postoperatoria en el 0,05 a 1 % de las complicaciones reportadas. El desprendimiento seroso de retina es la separación de la retina neurosensorial del epitelio pigmentario de la retina por acumulación de líquido, sin daño estructural, como resultado de cambios en la permeabilidad y perfusión de la coroides. Se presenta el caso de una mujer con indicación de extracción de prótesis glútea bilateral mediante cirugía en decúbito prono. Se identificó un desplazamiento del cojín posicionado en la cara y la cabecera no correspondía con la estructura ósea de la paciente. En sala de recuperación la paciente refirió pérdida visual en ojo izquierdo, por lo cual fue evaluada inmediatamente por Oftalmología encontrando una presión intraocular bilateral normal; un examen de fondo de ojo izquierdo evidenció múltiples áreas de desprendimiento de la retina. La tomografía con coherencia óptica confirmó la presencia de fluido subretiniano. Fue tratada con nepafenaco y prednisolona tópicas y evaluada a las 72 horas y a la semana, con resolución total del cuadro y agudeza visual corregida de 20/20. No existen reportes en la literatura de desprendimiento seroso de retina posterior a cirugía en prono. Al evaluar el caso se asumió que la incorrecta posición del cojín y el tamaño inadecuado de la cabecera fueron factores que podrían haber contribuido a estasis venoso del flujo coroideo aumentando súbitamente la presión hidrostática en la coroides, lo que provocó el desprendimiento seroso de retina.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Prone position is used in surgery to access different anatomical structures of the patient. This position can be associated with postoperative visual loss in 0.05 to 1 % of complications. Serous retinal detachment is the separation of the neurosensory retina from the retinal pigment epithelium by fluid accumulation without structural damage. This is the result of changes in the permeability and perfusion of the choroid. This is the case of a woman with an indication for removal of a bilateral gluteal prosthesis by surgery in the prone position. A displacement of the cushion positioned on the face was identified and the headboard did not correspond to the bone structure of the patient. In the recovery room, the patient reported visual loss in the left eye, which was immediately evaluated by Ophthalmology, finding a normal bilateral intraocular pressure. The left eye fundus examination revealed multiple areas of retinal detachment. Optical coherence tomography confirmed the presence of subretinal fluid. She was treated with topical nepafenac and prednisolone, and evaluated at 72 hours and a week, with total resolution of the condition and corrected visual acuity of 20/20. There are no reports in the literature of serous retinal detachment after prone surgery. When evaluating the case, it was assumed that the incorrect position of the cushion and the inadequate size of the bedside are factors that could have contributed to venous stasis of the choroidal flow, suddenly increasing the hydrostatic pressure in the choroid that caused the serous retinal detachment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Desprendimiento de retina]]></kwd>
<kwd lng="es"><![CDATA[Posición prona]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos quirúrgicos operativos]]></kwd>
<kwd lng="es"><![CDATA[Ceguera transitoria]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Retinal detachment]]></kwd>
<kwd lng="en"><![CDATA[Prone position]]></kwd>
<kwd lng="en"><![CDATA[Minor surgical procedures]]></kwd>
<kwd lng="en"><![CDATA[Transient blindness]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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