来自亚马逊西部一个首府城市的参考中心的视网膜疾病。
Retinal diseases in a reference center from a Western Amazon capital city.
作者信息
Malerbi Fernando Korn, Matsudo Nilson Hideo, Carneiro Adriano Biondi Monteiro, Lottenberg Claudio Luiz
机构信息
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Instituto Israelita de Responsabilidade Social, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
出版信息
Einstein (Sao Paulo). 2015 Oct-Dec;13(4):530-4. doi: 10.1590/S1679-45082015AO3538.
OBJECTIVE
To describe retinal diseases found in patients who were waiting for treatment at a tertiary care hospital in Rio Branco, Acre, Brazil.
METHODS
Patients underwent slit lamp biomicroscopy, dilated fundus exam and ocular ultrasound. Patients were classified according to phakic status and retinal disease of the most severely affected eye.
RESULTS
A total of 138 patients were examined. The mean age was 51.3 years. Diabetes was present in 35.3% and hypertension in 45.4% of these patients. Cataract was found in 23.2% of patients, in at least one eye. Retinal examination was possible in 129 patients. The main retinal diseases identified were rhegmatogenous retinal detachment (n=23; 17.8%) and diabetic retinopathy (n=32; 24.8%). Out of 40 patients evaluated due to diabetes, 13 (32.5%) had absent or mild forms of diabetic retinopathy and did not need further treatment, only observation.
CONCLUSION
Diabetic retinopathy was the main retinal disease in this population. It is an avoidable cause of blindness and can be remotely evaluated, in its initial stages, by telemedicine strategies. In remote Brazilian areas, telemedicine may be an important tool for retinal diseases diagnosis and follow-up.
目的
描述在巴西阿克里州里奥布兰科一家三级医疗医院等待治疗的患者中发现的视网膜疾病。
方法
患者接受裂隙灯生物显微镜检查、散瞳眼底检查和眼部超声检查。根据晶状体状态和受影响最严重眼睛的视网膜疾病对患者进行分类。
结果
共检查了138名患者。平均年龄为51.3岁。这些患者中35.3%患有糖尿病，45.4%患有高血压。23.2%的患者至少一只眼睛患有白内障。129名患者可以进行视网膜检查。确定的主要视网膜疾病为孔源性视网膜脱离（n = 23；17.8%）和糖尿病性视网膜病变（n = 32；24.8%）。在因糖尿病接受评估的40名患者中，13名（32.5%）患有无或轻度形式的糖尿病性视网膜病变，无需进一步治疗，仅需观察。
结论
糖尿病性视网膜病变是该人群中的主要视网膜疾病。它是一种可避免的失明原因，在其初始阶段可通过远程医疗策略进行远程评估。在巴西偏远地区，远程医疗可能是视网膜疾病诊断和随访的重要工具。
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