Mario Riquelme Q

Si eres un profesional de la oftalmología, un estudiante de medicina, o simplemente alguien interesado en la salud visual, ¡este es tu espacio!

Aquí encontrarás una invaluable colección de videos que te sumergirán en el fascinante mundo de la cirugía ocular. Desde casos interesantes y complejos en cirugía de catarata que desafían lo convencional, hasta técnicas quirúrgicas innovadoras en glaucoma que transforman vidas, cada video está diseñado para ofrecerte una perspectiva única y educativa.

#DrMarioRiquelmeQ #Oftalmologia #Catarata #Glaucoma #MIGS #CirugiaDeCatarata #CirugiaDeGlaucoma #SaludVisual #Ojos #MedicinaOcular #EducacionMedica #CasosClinicos #Oftalmologo #VisionSana #Medicina #Cirugia #ActualizacionMedica #SaludOcular #Ophthalmology #Cataract #CataractSurgery #GlaucomaSurgery #Eyes #OcularMedicine #MedicalEducation #ClinicalCases #Ophthalmologist #EyeSpecialist #LearnFromExperts #Medicine #Surgery #OcularHealth #presserflo #NPDS


Mario Riquelme Q

👁️ Discover the latest in glaucoma surgery and patient care on our new Youtube channel: @SurgicalGlaucoma.

Subscribe for expert interviews, clinical pearls, and educational content from leaders in ophthalmology.

🎥 Join us on YouTube!
www.youtube.com/channel/UC33n...

1 week ago | [YT] | 0

Mario Riquelme Q

The scotoma your patient mentioned — but you almost missed. 🧠👁️

In NTG, not all visual field loss is created equal.

When the first defect is CENTRAL (within 10°), the story changes completely:

📌 Lower IOP than mechanical-type glaucoma
📌 Higher disc hemorrhage rate (44% vs 17%)
📌 Sleep apnea: 9% in the central group vs 0% in peripheral
📌 Migraine, Raynaud's, nocturnal hypotension cluster together

Here's why 👇

The papillomacular bundle (PMB) is unmyelinated, metabolically extreme, and has zero tolerance for hypoxia.

When OSAS causes repeated O₂ desaturations at night, the PMB pays the price first — while the peripheral field looks completely normal on a 24-2.

So your patient's central scotoma may not be "early glaucoma." It may be a vascular catastrophe in slow motion.

🔴 RED FLAGS that demand MRI before you call it NTG:
— Pallor >> cupping
— Bilateral cecocentral + color loss → LHON / Dominant OA
— Bitemporal pattern → pituitary adenoma
— Sudden onset + RAPD → NAION

And the CPAP paradox? Fixing the apnea can spike nocturnal IOP. These patients need 10-2 VF + OCT monitoring AND pre-sleep drops if pressure rises.

🗣️ Ask your next NTG patient with central loss:
Do you snore? Do you wake up with headaches? Do your fingers go white in the cold?

The answers may save their central vision.

Save this. Share with a colleague. Drop your questions below. 👇

#Glaucoma #SleepApnea #VisualField #OpticNeuropathy RetinalSpecialist #Ophthalmology

4 weeks ago | [YT] | 0

Mario Riquelme Q

🔬 CLINICAL CASE | Needling + 5-FU in slit lamp
Failed trabeculectomy rescue - 42 mmHg to 8 mmHg without drugs

A 67-year, 10-month post-trabeculectomy patient with MMC, encapsulated blister and uncontrolled PIO.

The decision: needling in a slit lamp with subconjunctival 5-fluorouracil.

Swipe to see the full before and after 👉

What we found, what we did and how it evolved -
with biomicroscopic imaging, detailed protocol and follow-up data.

When do you indicate needling in your practice?
Do you have a specific protocol for the number of sessions?
Leave it in comments ⬇️

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#Glaucoma #GlaucomaSurgery #Trabeculectomy #Needling
#Ophthalmology #SlitLamp #BlebRevision #GlaucomaSpecialist #EyeSurgery
#ClinicalCase #Ophthalmology #AntifibroticTherapy #OphthalmologyEducation
#MedicalEducation #Glaucoma2025 #OphthalmologyWorld #FiltrationSurgery
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1 month ago | [YT] | 0