Purpose: The aim of this study was to assess the presence of depressive symptoms in elderly people with glaucoma and other clinical and epidemiological factors that were associated to the presence depression.Methods: A cross-sectional study was carried out at the Hospital de Olhos Leiria de Andrade, including volunteers aged 60 years or over. Individuals were separated into patients with glaucoma and patients without glaucoma. Volunteers responded a questionnaire, containing data from clinical history and the Geriatric Depression Scale – 15, and were submitted to a complete ophthalmological evaluation.Results: Overall, 42 patients in the glaucoma group and 40 patients in the non-glaucoma group were evaluated. The mean age among cases was 70.2 years, while in the control group it was 65.7 years. The evaluation of the Geriatric Depression Scale – 15 showed an average score of 4.21 and 3.82 in the case and control groups, respectively, with no statistical difference. However, the worsening of visual acuity was related to a greater number of depressive symptoms when comparing individuals with glaucoma. When analyzing the correlation between age, in both groups, and the number of depressive symptoms, there was no statistical significance.Conclusion: The presence of glaucoma was not associated with an increase in the Geriatric Depression Scale-15 score. However, the worsening in visual acuity was correlated to a greater number of depressive symptoms.
Objective: To outline the epidemiological profile of cornea donors and recipients before reaching queue zero.Methods: Epidemiological study, of quantitative approach, with transversal, analytical design, analyzing database records from the Health Secretary of the State of Ceará, from 2013 to 2015. Results:We obtained 1,558 cornea donors and 2,287 cornea recipients from 2013 to 2015. Most donors were male, capital residents, from 21 to 40 years old. Of donated eyeballs, 14.52% were disposed, due to poor condition, infiltration or positive serology. The recipients were predominantly women over 60 years old. The procedures were mostly elective, due to bullous keratopathy (28%). Regarding emergency transplants, ulcer (38.51%) and retransplant (35.14%) were most prevalent. Predominantly, transplants were funded by the Unified Health System. Conclusion:The majority of patients who were submitted to corneal transplantation are senile, especially females, therefore should be cautiously observed. On the other hand, donors are mainly male and young, reflecting the high number of tragic accidents. The surgery for bullous keratopathy is the most frequent among elective transplants, while the ulcer surgery is the main cause of emergency procedures. The fact that most surgeries were financed by the Unified Health System reflects the importance of this system. RESUMOObjetivo: Traçar o perfil epidemiológico dos doadores e receptores de córnea antes de atingir a Fila Zero.Métodos: Estudo epidemiológico, de abordagem quantitativa, com delineamento transversal e analítico, analisando registros da base de dados da Secretaria de Saúde do Estado do Ceará, de 2013 a 2015.Resultados: Foram obtidos 1.558 doadores de córnea e 2.287 receptores de córnea, de 2013 a 2015. A maioria dos doadores era homem, procedente da capital, de 21 a 40 anos. Dentre os globos oculares doados, 14,52% foram descartados por má condição, infiltração ou sorologia positiva. Os receptores eram predominantemente mulheres acima de 60 anos de idade. Os procedimentos foram majoritariamente eletivos, devido à ceratopatia bolhosa (28%). Já para transplantes de emergência, a úlcera (38,51%) e o retransplante (35,14%) foram os mais prevalentes. Em geral, os transplantes foram custeados pelo Sistema Único de Saúde.Conclusão: A maioria dos pacientes submetidos a transplantes de córnea foram do grupo etário senil, principalmente do sexo feminino, devendo esse grupo ser observado com cautela. Em contrapartida, os doadores eram, principalmente, homens e jovens, refletindo o alto número de pessoas que morrem devido a acidentes trágicos. A cirurgia de ceratopatia bolhosa foi a mais frequente dentre os transplantes eletivos; já a de úlcera foi a principal causa dos procedimentos de emergência. O fato de a maioria das cirurgias ter sido financiada pelo Sistema Único de Saúde reflete a importância desse sistema.
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