Perfil epidemiológico de pacientes submetidos à evisceração ou enucleação em hospital oftalmológico de referência no Centro-Oeste Brasileiro

Jhonathan Almeida e Silva Pereira; Fernanda Mendonça Galvão; Mateus Inácio Lemes de Resende; Nicole Guimarães de Almeida; Antônio Pelágio Gonçalves Sagawa

Authors

Jhonathan Almeida e Silva Pereira Hospital Fundação Banco de Olhos de Goiás Autor
Fernanda Mendonça Galvão Hospital Fundação Banco de Olhos de Goiás Autor
Mateus Inácio Lemes de Resende Hospital Fundação Banco de Olhos de Goiás Autor
Nicole Guimarães de Almeida Hospital Fundação Banco de Olhos de Goiás Autor
Antônio Pelágio Gonçalves Sagawa Hospital Fundação Banco de Olhos de Goiás Autor

Keywords:

OPHTHALMOLOGY, EYE EVISCERATION, EYE ENUCLEATION, EPIDEMIOLOGY, PUBLIC HEALTH

Abstract

Objective: to describe the prevalence and epidemiological profile of patients undergoing evisceration and enucleation at the Hospital Fundação Banco de Olhos de Goiás, a reference in ophthalmology in the Unified Health System for the Brazilian Midwest. Methods: retrospective and descriptive observational study conducted from medical records of patients seen between January 2013 and December 2018. The variables studied were: type of surgery, sex, age, surgical indication, and the number of surgeries per year. Results: 227 medical records were analyzed, of which 181 (79.74%) were from patients undergoing evisceration and 46 (20.26%) from enucleation. Of the entire population, 71.81% (163) were male and 28.19% (64) female, with the average of 57 years old, being higher in the enucleation group. Both procedures studied had trauma as the main indication (63.00%), followed by endophthalmitis (14.54%), painful blind eye (11.89%), phthisis bulbi (9.25%), and, finally, malignant neoplasms (1.32%). From the years evaluated, there was a substantial increase in the number of eviscerations performed and a small variation in the number of enucleations. Conclusion: The need to wear goggles and other safety measures at work, the diagnosis and early treatment of endophthalmitis, glaucoma, and malignant neoplasias are reinforced in order to reduce the evisceration/enucleation statistics and their respective impacts.

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