Clinical and epidemiological aspects of cornea transplant patients of a reference hospital

Abstract

Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time.Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0.Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found.Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.

Clinical profile of patients subject to penetrating keratoplasty in a brazilian reference service

“…In this context, we hope that our results may contribute toward improving organization and planning care for users who undergo cornea tissue transplant, in addition to promoting health professionals' training and to support discussion of the subject in seeking to offer specialized care in the operative periods based on attention to detecting and preventing complications (CRUZ et al, 2016;2017;2018). So, this study aimed to identify the clinical profile of patients undergoing penetrating keratoplasty and the main indicating conditions at a university hospital in Northeast Brazil.…”

“…This study is justified by the need to determine how cornea transplants vary according to certain clinical characteristics that allow identifying groups at risk for prevention, in addition to generating hypotheses for later investigations (CRUZ et al, 2016;2017).…”

Fatores clínicos e cirúrgicos e as complicações intraoperatórias em pacientes que realizaram ceratoplastias penetrantes

“…The nursing appointment is an important tool for the investigation and implementation of care that guarantees to the patient the ideal conditions for performing the transplantation and maintenance of the graft in the postoperative period. In the state of Rio Grande do Norte, the follow-up of these patients from the preoperative to the postoperative period is performed by the medical ophthalmologic team, while the nursing team acts during intraoperative care ( 6 - 7 ) .…”

“…Nurses’ performance must cover all surgical periods, from the indication to the transplantation to the patient’s discharge. The nursing appointment enables identifying risk factors, comorbidities, therapeutic adherence, adequate use of medications, physical ophthalmologic examination, and control of modifiable risk factors and, consequently, improving graft quality and transparency for a longer time and avoiding possible complications ( 7 ) .…”

Epidemiological situation of patients on the waiting list for corneal transplantation - sectional study

“…In this perspective, the nursing care should include all surgical periods from patient indication to the transplant until their discharge. Nursing consultations can be used to identify risk factors, existing comorbidities, therapeutic adherence, appropriate use of medications, performance of physical eye examinations, and control of modifiable risk factors, thus ensuring improvement in the quality and transparency of the graft for a longer time (CRUZ et al, 2017).…”