Vera Helena Turola Machado Joseph, Norma Helen Medina, Maria de Fátima Costa Lopes, Juliana Albano de Guimarães, Antonio Augusto Velasco E Cruz
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引用次数: 0
Abstract
Purpose: Trachoma is the major infectious cause of preventable blindness in the world, and its sequelae include the presence of cicatricial entropion and trachomatous trichiasis. Trachoma can be corrected by surgical treatment of the eyelids and, if left untreated, may result in corneal opacification, low vision, and blindness. There are limited data on trachomatous trichiasis in Brazil. This study was conducted to estimate the frequency of entropion and trichiasis surgeries of trachomatous origin based on the records of procedures performed in specialized hospitals that served the Unified Health System (SUS) in the years 2016 and 2017.
Methods: This was a retrospective study conducted in the oculoplastic sectors of the ophthalmology services of the following three hospitals in the state of São Paulo: Hospital das Clínicas da Faculdade de Medicina de Botucatu (HC Botucatu), Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC Ribeirão Preto), and Hospital Estadual de Bauru (HE Bauru). Medical records corresponding to the codes of interest were evaluated.
Results: In total, 462 medical records were evaluated, including 170 (36.8%) at HC Botucatu, 61 (13.2%) at HE Bauru, and 231 (50.0%) at HC Ribeirão Preto. There were 39 (8.4%) cases of trachomatous trichiasis, ranging from 9 (14.8%) at HE Bauru to 15 (6.5%) at HC Ribeirão Preto.
Conclusions: The frequency of surgery due to trachoma was low in these oculoplastic services. The state of São Paulo might have reached the goal for trachoma elimination in the surgical component. The questionnaire used for data collection was successfully tested despite some difficulties in collecting data from the medical records. Studies with the same methodology are recommended in other services in the areas of endemic trachoma in the past to understand the frequency of eye lid surgeries performed for treating trachomatous sequelae.
目的：沙眼是世界上可预防性失明的主要感染性原因，其后遗症包括瘢痕性内翻和沙眼倒睫。沙眼可以通过眼睑手术治疗来矫正，如果不及时治疗，可能会导致角膜混浊、视力低下和失明。巴西沙眼倒睫的数据有限。本研究旨在根据2016年和2017年在统一卫生系统（SUS）服务的专科医院进行的手术记录，估计沙眼源性内翻和倒睫手术的频率。方法：对圣保罗州三家医院眼科整形科进行回顾性研究：Clínicas博图卡图医学院医院（HC Botucatu）、Clínicas里贝兹普雷图医学院医院（HC里贝兹普雷图大学）和圣保罗Estadual de Bauru医院（HE Bauru）。评估了与感兴趣代码相对应的医疗记录。结果：共评估病历462份，其中博图卡图医院170份（36.8%），博鲁医院61份（13.2%），里贝赫奥普雷托医院231份（50.0%）。沙眼倒睫39例（8.4%），包鲁医院9例（14.8%），里贝赫医院15例（6.5%）。结论：在这些眼科整形手术中，因沙眼而进行手术的频率较低。圣保罗州可能已经达到了沙眼手术消除的目标。尽管在从医疗记录中收集数据方面存在一些困难，但用于收集数据的调查表已成功地进行了测试。过去曾建议在地方性沙眼地区的其他服务机构采用相同的方法进行研究，以了解为治疗沙眼后遗症而进行眼睑手术的频率。
期刊介绍：
The ABO-ARQUIVOS BRASILEIROS DE OFTALMOLOGIA (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - electronic version), the official bimonthly publication of the Brazilian Council of Ophthalmology (CBO), aims to disseminate scientific studies in Ophthalmology, Visual Science and Health public, by promoting research, improvement and updating of professionals related to the field.
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