Los traumatismos oculares pueden estar provocados por múltiples causas, desde golpes y contusiones con objetos romos a alta velocidad a perforaciones causadas por objetos perforantes o a causticaciones por productos químicos. Los tratamientos irán, según el tipo de traumatismo, desde gotas antibióticas hasta a complejas intervenciones quirúrgicas.
¿Qué tipos de traumatismos existen?
Tenemos dos tipos de traumatismos: el traumatismo ocular cerrado y el traumatismo ocular abierto.
¿Qué es un traumatismo ocular cerrado?
Es lo que se denomina una contusión ocular, y se produce cuando un objeto romo, como una pelota de pádel, de tenis o de golf, incide o golpea a alta velocidad sobre la superficie del ojo y puede dañar diversas estructuras.
¿Qué puede provocar?
Los daños pueden incluir:
- Roturas del esfínter del iris, que es el músculo encargado de contraer la pupila. A los pacientes que sufren este tipo de rotura, la pupila les puede quedar dilatada o deformada de por vida, lo que puede provocar una molestia permanente a la luz, conocida como fotofobia.
- Inflamaciones o uveítis
- Picos de tensión ocular muy elevada que puede llegar a dañar el nervio óptico y producir glaucoma.
- Algunos pacientes pueden sufrir una catarata secundaria a este tipo de traumatismo, que puede caerse a la cavidad de la retina. Este fenómeno se conoce como luxación de la catarata.
- Hemorragias o derrames dentro del ojo.
- Roturas de la coroides, que es la capa que se encuentra detrás de la retina.
- Desgarros o roturas en la zona más periférica de la retina o agujeros en su zona central, conocida como mácula, que es el área de máxima visión.
- Desprendimiento de retina, en hasta un 5% de los pacientes con contusiones oculares.
¿Qué es un traumatismo ocular abierto?
Un traumatismo ocular abierto es lo que se denomina una perforación ocular. En estos casos, ya hay una pérdida de continuidad del globo ocular, que puede provocar una salida de su contenido. Son casos muy graves que deben intervenirse de urgencias y en los que puede incluso haber cuerpos extraños dentro del ojo, y el riesgo de infección es muy alto. La mayoría de estos pacientes terminan con una pérdida de visión muy importante.
¿Qué personas corren más riesgo de sufrir un traumatismo ocular y qué efectos puede tener?
Los traumatismos oculares son muy frecuentes en las urgencias de oftalmología. El perfil de paciente más típico es un adulto joven en edad laboral, es decir entre 20 y 40 años, y hay varias actividades que se relacionan con la presencia de estos traumatismos:
- Accidentes laborales
- Accidentes domésticos (que constituyen el 50 % de los casos)
- Accidentes de tráfico
- Agresiones
- Práctica deportiva
La agudeza visual de estos pacientes depende del tipo de traumatismo. Hay pacientes en los que la visión apenas se ve afectada, y hay otros en los que la pérdida de agudeza visual llega a ser muy grave e irreversible, e incluso llegar a niveles de ceguera legal.
En algunos casos, en los que hay un estallido ocular, que es un traumatismo muy grave, el paciente puede llegar a perder el ojo y requerir un implante o una prótesis ocular, conocido como ojo artificial.
¿Qué hay que hacer frente a un traumatismo ocular?
Es fundamental que cualquier paciente frente a un traumatismo ocular acuda de urgencia para visitarse con el oftalmólogo, que le realizará una exploración completa, desde la agudeza visual, la presión del ojo, y el fondo del mismo bajo dilatación.
Hay pacientes a los que, por opacidad de medios, por una gran inflamación, o por una hemorragia, no podemos llegar a verles la retina, por lo que hay que realizar unas pruebas complementarias en la consulta, como es la ecografía, para valorar el estado de la retina.
Incluso en algunos casos es necesario solicitar un TAC del ojo para descartar una posible fractura de los huesos de la órbita, que son los que envuelven el globo ocular, confirmar que no haya lesiones en los músculos, o incluso descartar la presencia de un cuerpo extraño dentro del ojo.
¿Cómo se trata un traumatismo ocular?
El tratamiento de los traumatismos oculares varía en función del tipo de traumatismo:
- Hay pacientes que llegan a la consulta con erosiones corneales, que son pequeñas heridas en la córnea, en la parte anterior del ojo. Este tipo de herida suele responder muy bien a colirios o gotas antibióticas.
- Hay casos en los que hay una inflamación (uveítis), para los que se deben administrar tratamientos antiinflamatorios tópicos o incluso con cortisona oral.
- También hay pacientes que llegan a la consulta con causticaciones o traumatismos químicos oculares (como por ejemplo por lejía). En dichos casos, en casa se debe instilar agua rápidamente dentro del ojo y en la consulta se debe realizar un buen lavado con suero fisiológico durante unos minutos para intentar eliminar el agente químico.
- Asimismo, pueden acudir pacientes con hemorragias que no se resuelven o con desprendimientos de retina, para los que el tratamiento ya será quirúrgico.
- Los traumatismos también pueden provocar, como hemos mencionado, picos altos de tensión ocular. En ese caso, habrá que administrar un tratamiento específico para bajar la tensión ocular y evitar daños en el nervio óptico.
- También pueden darse agujeros en la retina periférica, en cuyo caso podemos realizar una sesión de láser en la consulta.
En casos más graves, como los de perforación ocular, comentados anteriormente, deben intervenirse de urgencias por el elevado riesgo de infección y de pérdida del ojo, además del mal pronóstico visual.
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/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
386
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$current_item_ancestor is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
532
Deprecated: Creation of dynamic property WP_Post::$current_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu-template.php on line
533
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
916
Deprecated: Creation of dynamic property WP_Post::$description is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
926
Deprecated: Creation of dynamic property WP_Post::$classes is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
929
Deprecated: Creation of dynamic property WP_Post::$xfn is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
930
Deprecated: Creation of dynamic property WP_Post::$db_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
813
Deprecated: Creation of dynamic property WP_Post::$menu_item_parent is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
814
Deprecated: Creation of dynamic property WP_Post::$object_id is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
815
Deprecated: Creation of dynamic property WP_Post::$object is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
816
Deprecated: Creation of dynamic property WP_Post::$type is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
817
Deprecated: Creation of dynamic property WP_Post::$type_label is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
822
Deprecated: Creation of dynamic property WP_Post::$url is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
843
Deprecated: Creation of dynamic property WP_Post::$title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
857
Deprecated: Creation of dynamic property WP_Post::$target is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
907
Deprecated: Creation of dynamic property WP_Post::$attr_title is deprecated in
/home/mediaco3/public_html/oftalmologodrlliteras.com/en/wp-includes/nav-menu.php on line
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Calle 19 entre 22 y 20
Colonia García Gineres
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