HORDEOLO TRATAMENTO PDF

To show the frequency of occurrence of chalazion in a population sample, as well as the characteristics of patients. Participants were evaluated according to demographic variables and ocular examination. The frequency of occurrence of chalazion was 1. It was necessary to prescribe optical correction and surgery in a significant number of cases. The chalazion has low frequency of occurrence in the general population. It occurs predominantly in women and there is a significant association with refractive error.

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Dentre essas, foram diagnosticados como sendo de etiologia bacteriana e 38 de etiologia viral. It aims to delineate the main etiologies found among infectious conjunctivitis and to compare them with those found in several others Ophthalmology reference services, thus guiding future diagnoses and treatments of ocular infectious diseases.

Data were collected through protocols based on physical charts of the ophthalmologic emergency of the hospital. Results: The most common ocular emergencies were acute conjunctivitis, followed in decreasing order of incidence by hordeolum and foreign body on ocular surface, with percentages, respectively, of Among the patients admitted to the emergency room in this period, were diagnosed with conjunctivitis, representing a percentage of Of these, were diagnosed as having bacterial etiology Conclusion: Infectious conjunctivitis represents a substantial percentage of the pathologies admitted to ophthalmological emergency services worldwide.

In the present study there was also a prevalence of bacterial conjunctivitis, as well as an irrefutable tendency to the early institution of topical antibiotic therapy.

The high prevalence of this comorbidity and the difficulty in the clinical diagnosis of the etiology of the infection reiterates the need for further studies in the area in order to optimize the diagnosis and treatment of infectious conjunctivitis. The conjunctiva is a transparent mucous membrane covering the inner surface of the eyelids and the anterior surface of the globe, ending in the corneoscleral limbus. It has an important protective role, mediating both passive and active immunity.

This is an Emergency service focused on the private system and health insurances covering both the population of the Capital and several municipalities of the State. The present study aims at presenting the main etiologies found among infectious conjunctivitis, and comparing them to those found in several other reference services in Ophthalmology, thus guiding future diagnoses and treatments of ocular infectious diseases. This is a cross-sectional study in which data was collected on the patients treated at the Emergency Service of IOG between May 1, and September 3, , for consecutive days.

As inclusion criterion, we considered all those patients who were initially treated by a First-Year Resident R1 in Ophthalmology at IOG, who were admitted in the period described above and who had all the data filled in both the worktable and in the medical records of the Institution. As exclusion criteria, we considered all patients not treated at PA during this period, those who were not treated by R1s, those who did not have all the data filled in the worktable nor the medical record, as well as those who needed to return, being treated one more time.

Data was treated by methods of descriptive statistics. The variables were expressed in absolute frequencies. Of the 1, patients admitted to the emergency service of Instituto de Olhos in the aforementioned period, Of these, were diagnosed with conjunctivitis, representing a percentage of In descending order of incidence, the table below shows the diagnosis of hordeloid and foreign body on the ocular surface, with percentages of Regarding the diagnostic causes, the main one was acute conjunctivitis, making a total of patients with this pathology, of which classified as acute infectious conjunctivitis.

In the analysis of the diagnostic causes, the main one was acute conjunctivitis, in agreement with the literature, which evidences this pathology as morbidity of higher incidence in departments of ophthalmological emergency.

Of these, were diagnosed as being of bacterial etiology, and 38 of viral etiology. Absolute numbers lead us to a percentage of This fact may have corroborated the statistics found, since the data under study was collected in times of lower temperatures in Brazil, and there is strong data stating that viral conjunctivitis is more prevalent during the summer. However, despite the biases reported, it can be inferred that the higher incidence of bacterial conjunctivitis Therefore, the divergent may result be related to the fact that the diagnoses were performed by first-year resident doctors, whose knowledge in Ophthalmology is still under construction.

In this situation, doubt in diagnosis may lead to the early onset of topical antibiotic therapy, and often a misdiagnosis of bacterial conjunctivitis may be given for precaution. It can also be inferred that the diagnostic impasse evidenced in the present study reflects a difficulties even of more experienced ophthalmologists, given the lack of specificity of many of the signs and symptoms in the etiological differentiation.

The literature is unanimous in reaffirming the importance of ocular examination combined with anamnesis in the diagnosis of any ocular pathology, including conjunctivitis. In addition, there is little scientific evidence correlating signs and symptoms of conjunctivitis with the underlying cause. However, obtaining conjunctival cultures does not solve the impasse in question, since the collection of samples is recommended only for cases of suspected infectious neonatal conjunctivitis, recurrent conjunctivitis, recalcitrant conjunctivitis in therapy, conjunctivitis presenting severe purulent secretion, and cases suspected of gonococcus or chlamydia infection.

Despite all the difficulties mentioned, there is no justification for the use of topical antibiotics in viral conjunctivitis, and these should even be avoided due to the adverse effects of the treatment. It is necessary to carry out further studies in the area, including the possibility of collecting material for laboratory studies and obtaining data that make it possible to correlate the clinical findings in question with the conjunctival cultures of the patients.

Thus, establishing the etiological diagnosis in daily practice can become progressively more accurate. Investments in this sense would imply the reduction of funds for unnecessary treatments, savings on public expenses, and less induction of bacterial resistance to the antibiotics available on the market. Original Articles Revista vol. Introduction The conjunctiva is a transparent mucous membrane covering the inner surface of the eyelids and the anterior surface of the globe, ending in the corneoscleral limbus.

Methods This is a cross-sectional study in which data was collected on the patients treated at the Emergency Service of IOG between May 1, and September 3, , for consecutive days.

Results Of the 1, patients admitted to the emergency service of Instituto de Olhos in the aforementioned period, Discussion In the analysis of the diagnostic causes, the main one was acute conjunctivitis, in agreement with the literature, which evidences this pathology as morbidity of higher incidence in departments of ophthalmological emergency.

Conjunctivitis: a systematic review of diagnosis and treatment. Erratum in: JAMA. Epidemiology of conjunctivitis in US Emergency Departments. JAMA Ophthalmol. RevBras Oftalmol. Clinics Sao Paulo. Kanski Jack J. Rio de Janeiro: Elsevier; Vieira GM. ArqBras Oftalmol. Epidemiology of ocular emergencies in the Egyptian population: a five-year retrospective study. Rev Bras Oftalmol. Laboratory studies in acute conjunctivitis. Arch Ophthalmol. Acute conjunctivitis: truth and misconceptions.

CurrMed Res Opin. Boletim Goiano de Geografia. Everitt H, Little P. How do GPs diagnose and manage acute infective conjunctivitis? Fam Pract. Revista Brasileira de Oftalmologia. Revista vol.

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