Assuntos
Calázio/diagnóstico , Conjuntivite/diagnóstico , Neovascularização da Córnea/diagnóstico , Rosácea/diagnóstico , Administração Oral , Administração Tópica , Adolescente , Azitromicina/administração & dosagem , Calázio/tratamento farmacológico , Criança , Conjuntivite/tratamento farmacológico , Neovascularização da Córnea/tratamento farmacológico , Dexametasona/administração & dosagem , Doxiciclina/administração & dosagem , Quimioterapia Combinada , Feminino , Humanos , Rosácea/tratamento farmacológico , Rosácea/patologiaAssuntos
Corpos Estranhos no Olho/diagnóstico , Granuloma de Corpo Estranho/diagnóstico , Componentes Aéreos da Planta , Doenças da Esclera/diagnóstico , Administração Intravenosa , Antibacterianos/administração & dosagem , Criança , Corpos Estranhos no Olho/complicações , Corpos Estranhos no Olho/tratamento farmacológico , Corpos Estranhos no Olho/cirurgia , Granuloma de Corpo Estranho/tratamento farmacológico , Granuloma de Corpo Estranho/etiologia , Granuloma de Corpo Estranho/cirurgia , Humanos , Masculino , Procedimentos Cirúrgicos Oftalmológicos , Casca de Planta/efeitos adversos , Componentes Aéreos da Planta/efeitos adversos , Doenças da Esclera/tratamento farmacológico , Doenças da Esclera/etiologia , Doenças da Esclera/cirurgiaAssuntos
Granuloma/etiologia , Doenças do Nervo Óptico/etiologia , Sarcoidose Pulmonar/complicações , Progressão da Doença , Feminino , Fundo de Olho , Granuloma/diagnóstico , Granuloma/patologia , Humanos , Pessoa de Meia-Idade , Disco Óptico/patologia , Doenças do Nervo Óptico/diagnóstico , Doenças do Nervo Óptico/patologia , Radiografia Torácica , Sarcoidose Pulmonar/diagnóstico , Sarcoidose Pulmonar/patologiaRESUMO
PURPOSE: To evaluate prognostic factors of vision loss among patients with uveitis. MATERIAL AND METHODS: This descriptive and retrospective study included all patients diagnosed with uveitis who were seen at the teaching hospital of Rabat, Morocco, over a 5-year period. Information regarding demographic data, uveitis type, bilaterality of the disease, etiology and complications were gathered from patients' records. Statistical analysis was performed using SPSS software. RESULTS: One hundred and thirty-nine eyes of 89 patients were included. There were 60.7 % men and 39.3 % women. The mean age (years) was 31.1±16.8. Median follow-up was 11 months. Median visual acuity (logMAR) on admission was 1.7 [0.7-2] and 1 [0.4-1.7] on the last visit (P<0.001). Fifty-nine percent of eyes had final visual acuity (VA) equal to or less than 1/10. Panuveitis (85.4 %) and posterior uveitis (72.7 %) were responsible for final VA equal to or less than 1/10 (P<0.001). Cataract, posterior synechiae, vitreous opacities, epimacular membrane (ERM) and cystoid macular edema (CME) were the most frequent complications. Using multivariate logistic regression, the prognostic factors associated with severe vision loss were the type of uveitis (posterior and panuveitis), CME, ERM, macular scarring and optic atrophy (P<0.05). CONCLUSION: Although this study included a limited number of subjects, the results showed that final VA was equal or less than 1/10 in 59 % of eyes diagnosed with uveitis and was associated with risk factors including posterior segment involvement (panuveitis and posterior uveitis), CME and ERM.
Assuntos
Uveíte/diagnóstico , Uveíte/etiologia , Adolescente , Adulto , Catarata/complicações , Catarata/epidemiologia , Feminino , Humanos , Edema Macular/complicações , Edema Macular/epidemiologia , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Pan-Uveíte/complicações , Pan-Uveíte/epidemiologia , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Uveíte/epidemiologia , Uveíte Posterior/complicações , Uveíte Posterior/epidemiologia , Adulto JovemRESUMO
PURPOSE: To study the prevalence of exfoliation syndrome (XFS) and its association with cardiovascular disease in patients scheduled for cataract surgery. MATERIAL AND METHODS: This is a retrospective, single center, descriptive study of 260 patients admitted to a tertiary teaching hospital in Rabat, Morocco, between January 2015 and March 2016 and scheduled for cataract surgery. All patients had a preoperative cardiovascular exam, an electrocardiogram and, if needed, echocardiography. Statistical analysis was performed using SPSS software. Results with a P-value<0.05 were considered statistically significant. RESULTS: This study included 246 patients: 146 women (59.3 %) and 100 men (40.7 %). The mean age (years) was 67.6±10.1. The percentage of XFS increased with age (P=0.02). Sixty-two percent of patients with cardiovascular disease also had exfoliation syndrome (P<0.001). Patients with XFS had hypertension in 46.5 % of cases. 14 subjects (19.7 %) had ischemic heart disease and XFS. Using multivariate logistic regression and after adjusting for age, diabetes mellitus, hypertension, ischemic heart disease and arrhythmias, smoking was the only factor associated with exfoliation syndrome (P=0.01, odds ratio=5.2, confidence interval 95 %=1.35-20.15). CONCLUSION: Exfoliation syndrome is a common condition in the aging cataract population. Ischemic heart disease and hypertension are frequently associated with XFS. Smoking could be another factor associated with this syndrome.