<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942020000500009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que influyen en la progresión del cierre angular primario posterior a iridotomía periférica láser]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors influencing the progression of primary angular closure following Laser peripheral iridotomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez González]]></surname>
<given-names><![CDATA[Henry]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno Domínguez]]></surname>
<given-names><![CDATA[José Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno González]]></surname>
<given-names><![CDATA[Luis Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcia Concha]]></surname>
<given-names><![CDATA[Yanet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital General Docente "Abel Santamaría Cuadrado" ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942020000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942020000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942020000500009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: los efectos de la iridotomía periférica láser están demostrados, sin embargo, no siempre logra controlar la presión intraocular ni la progresión de la enfermedad por cierre angular primario.  Objetivo:  analizar los factores que influyen en la progresión de la enfermedad por cierre angular primario de pacientes pinareños tratados con iridotomía periférica láser.  Método:  se realizó un estudio analítico de cohorte retrospectivo en el servicio de Oftalmología del Hospital General Docente Abel Santamaría, de Pinar del Río, durante el año 2019. El universo estuvo constituido por pacientes con diagnóstico de enfermedad por cierre angular primario tratados con iridotomía periférica láser. La muestra final quedó integrada por 223 ojos de 123 pacientes. El análisis estadístico se realizó con el programa SPSS.  Resultados:  el 20,6 % de la muestra experimentó progresión de la enfermedad, lo que se relacionó de forma significativa con la forma clínica (p&lt;0,001), la edad (p=0,012), la amplitud de la cámara anterior (p&lt;0,001), el cierre angular residual (p&lt;0,001), la presión intraocular (p&lt;0,001) y la medicación hipotensora (p&lt;0,001). No arrojó diferencias significativas el sexo (p=0,427), el color de la piel (p=0,741) y la longitud axial (p=0,549).  Conclusión: los factores que influyen en la progresión de la enfermedad por cierre angular primario de los pacientes pinareños tratados con iridotomía periférica láser estudiados fueron la forma clínica, menor amplitud de la cámara anterior, presencia de cierre angular residual y presión intraocular superior a 18 mmHg con uso de mayor número de colirios hipotensores oculares.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the effects of Laser peripheral iridotomy have been demonstrated; however it does not always manage to control intraocular pressure or the progression of the disease by primary angular closure.  Objective:  to analyze the factors influencing the disease progression by primary angular closure in Pinar del Rio patients treated with Laser peripheral iridotomy.  Methods:  a retrospective analytical cohort study was carried out in the Ophthalmology Service at Abel Santamaria Cuadrado General Teaching Hospital in Pinar del Río, during 2019. The target group comprised the patients diagnosed with primary angular closure disease treated with Laser peripheral iridotomy and the final sample consisted of 223 eyes from 123 patients. The statistical analysis was performed with the SPSS program.  Results:  of the sample (20,6 %) experienced disease progression, which was significantly related to the clinical form (p&lt;0,001), age (p=0,012), anterior chamber amplitude (p&lt;0,001), residual angular closure (p&lt;0,001), intraocular pressure (p&lt;0,001) and hypotensive medication (p&lt;0,001). Sex (p=0,427), skin color (p=0,741) and axial length (p=0,549) did not show significant differences.  Conclusions:  factors influencing on the progression of the disease by primary angular closure in Pinar del Rio patients who were treated with Laser peripheral iridotomy were: the clinical form, lower anterior chamber amplitude, presence of residual angular closure and intraocular pressure higher than 18 mmHg with the use of more ocular hypotensive eye drops.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[TERAPIA POR LÁSER]]></kwd>
<kwd lng="es"><![CDATA[GLAUCOMA DE ÁNGULO CERRADO]]></kwd>
<kwd lng="es"><![CDATA[PRESIÓN INTRAOCULAR]]></kwd>
<kwd lng="es"><![CDATA[CÁMARA ANTERIOR]]></kwd>
<kwd lng="en"><![CDATA[LASER THERAPY]]></kwd>
<kwd lng="en"><![CDATA[GLAUCOMA, ANGLE-CLOSURE]]></kwd>
<kwd lng="en"><![CDATA[INTRAOCULAR PRESSURE]]></kwd>
<kwd lng="en"><![CDATA[ANTERIOR CHAMBER]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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