Epidemiological profile of patients with congenital glaucoma treated in the Hospital Regional de São José

Abstract

RESUMOObjective: To outline an epidemiological profile of patients with congenital glaucoma treated in the ophthalmology service, as well as the evolution of these patients with the treatment adopted. Methods: A longitudinal, retrospective, descriptive study was undertaken in order to evaluate 32 patients with congenital glaucoma treated in the clinic, from the first consultation in which they entered the service and who attended the clinic at least two times in the period from march 1st, 2009 to february 1st, 2011. Results: There was a predominance of female patients (59.37%). In relation to the lateralization, both eyes were affected in 91% of the cases. Most patients (78.12%) presented primary congenital glaucoma. Eighty-five surgeries were performed for congenital glaucoma, 63.52% of them were submitted to trabeculotomy. The intraocular pressure measured in the first and in the last consultation diminished in 85.93% of the 64 eyes, and in relation to the mean intraocular pressure there was a decrease of 82.81% in relation to the value of the first consultation. When making the comparison of the horizontal corneal diameter of the first consultation in relation to the last one, as well as of the first consultation in relation to the average of the measurements of all consultations, in 25.42% there was an increase. Conclusion: In the patients with congenital glaucoma, there was a predominance of bilateral involvement and of female patients. Most patients presented a decrease of intraocular pressure in the last consultation in relation to the first one, and in a few patients there was an increase of horizontal corneal diameter.

Experiência de idosos com tecnologia

“…No que tange ao tipo de glaucoma, o mais encontrado no estudo foi o GPAA (37,70%). Ele tende a ser hereditário e o aumento da PIO se desenvolve lentamente (BRINK, 2015). Na população em geral, ele também é tido como o mais prevalente, como por exemplo no estudo de Urbano e colaboradores, onde o GPAA representou 56,2% de todos os casos (URBANO, 2003).…”

Epidemiological analysis of congenital glaucoma: a national scenario

“…In the field of epidemiology, it has been discovered that congenital glaucoma occurs in around 1 out of every 10,000 persons, with a higher prevalence among males [4][5][6] . The pathology's underlying etiology is connected with an aberration in the drainage mechanism of the aqueous humor.…”

“…However, there is no apparent association with other significant ocular abnormalities. The condition known as isolated trabecular dysgenesis is distinguished by the absence of a specific portion of the ciliary body, resulting from the occlusion of the trabecule by a transparent amorphous material 4,7 .…”

“…Surgical operations are frequently employed as the primary therapeutic strategy, which has the potential to maintain visual function for an extended period of time 13 . The initial procedure often involves the performance of goniotomy, although, in certain circumstances, further interventions such as trabeculectomy and trabeculotomy may be necessary 2,4,14 .…”

Procedimentos Cirúrgicos Eleitos nas Condutas de uma Série de Casos de Glaucoma Congênito na Rede Pública de Campo Grande - MS

“…A cegueira é definida como a incapacidade de captação de informações do mundo através do sentido da visão (BRASIL, 2018), sendo essa uma condição que impacta as relações pessoais e sociais do indivíduo. Entre as suas etiologias, o glaucoma e suas derivações são considerados a primeira causa não curável (BRINK;BRASIL;BRINK, 2015). Em recém-nascidos e crianças, o glaucoma congênito é uma das principais patologias desencadeantes da cegueira, e consiste em uma má formação hereditária do mecanismo de drenagem do humor aquoso, associada ao aumento da pressão intraocular (FOSTER;GILBERT;JOHNSON, 2008).…”