American Journal of Ophthalmic Research and Reviews


Research Article of American Journal of Ophthalmic Research and Reviews OPTICAL NEUROPATHY: ANTIGLAUCOMATOUS TREATMENTS OFFERED BY THE UNIQUE HEALTH SYSTEM IN BRAZIL, AN ANALYSIS OF THE LAST DECADE Amanda Prado1*; William Bigliardi Zibetti2 1Medical student at the Federal University of Pelotas, RS, Brazil. 2Resident doctor of Ophthalmology at the Federal University of Health Sciences of Porto Alegre, RS, Brazil. Introduction: Optical neuropathy with progressive loss of visual field, glaucoma represents the main cause of irreversible blindness. Objectives: To analyze the frequency of antiglaucomatous procedures performed by the Unified Health System (SUS), in the last 10 years, requiring hospitalization and outpatient care. Methods: This is a cross-sectional quantitative retrospective study, carried out through consultations and data analysis of antiglaucomatous procedures in the DATASUS system, between January 2010 and December 2019. Results: In Brazil, trabeculectomy was the most performed procedure in the last 10 years. Outpatient care had an average of 10,661 per year, on the other hand, the need for hospitalization increased by 70%. The second procedure that generated the most hospitalizations was the implantation of an anti-glaucomatous prosthesis, which doubled in the corresponding period. Cyclodialysis was the least used procedure in the 10 years of analysis, both on an outpatient and hospital basis, and is reserved for the final stages of glaucoma. Surgical iridectomy, used for acute treatment, showed a reduction, in 2019 it represented less than a third compared to 2010. As for outpatient procedures using lasers, such as phototrabeculoplasty and iridotomy, they showed significant growth. Conclusion: Trabeculectomy is considered the gold standard, justifying its greater frequency, both on an outpatient and hospital basis. Procedures using laser are expanding, trabeculoplasty as an alternative to primary therapy, and iridotomy for greater safety in acute treatment. As the population ages, glaucoma tends to be increasingly prevalent, contributing to the progressive increase ...


Case Report of American Journal of Ophthalmic Research and Reviews OCULAR TOXOPLASMOSIS: A CASE REPORT Amanda Prado1*; William Bigliardi Zibetti2 1Acadêmica do curso de medicina da Universidade Federal de Pelotas 2Médico Residente de Oftalmologia da Universidade Federal de Ciências da Saúde de Porto Alegre. Introduction: Toxoplasmosis is caused by Toxoplasma gondii, mandatory intracellular protozoan. It's estimated that one third of the world population is infected with the parasite, a fact that makes it one of the most infectious parasites. Although 80-90% of the immunocompetent infected are asymptomatic, the disease stands out for being one of the main causes of retinochoroiditis, especially among the immunosuppressed. Case report: Patient, 17 years old, white, female, previously healthy, comes to primary care due to a counter-referral with ophthalmology. Patient presented low visual acuity for 6 months, being diagnosed with ocular toxoplasmosis. Standard treatment was started: sulfadiazine, pyrimethamine, folinic acid and oral prednisolone for 6 weeks. Serum antitoxoplasma titers were obtained indicating previous infection: positive IgG and negative IgM. A patient will face another treatment cycle, as the condition doesn't improve, which includes high doses of systemic corticosteroids. The physical examination showed no changes. The ophthalmologist requested periodic control of patient's blood pressure and glucose, extending the treatment. Conclusion: In immunocompetent individuals, ocular toxoplasmosis is a consequence of reactivation of a scar that contained a previously inactive cyst, only a minority comes from a new infection. It's considered the most common cause of posterior uveitis, emphasizing the importance of this report. Ocular reactivation occurs due to a decrease in specific immunity and the peak incidence is at 29 years old. Young patients with ocular toxoplasmosis have higher risk of recurrence when compared to elderly. Antitoxoplasma serology isn't necessary for treatment, which must be started as clinical diagnosis is established. Keywords:Toxoplasmosis. Ocular toxoplasmosis. Uveitis ...


Review article of American Journal of Ophthalmic Research and Reviews To calculate the BMI and measure the AC of a population of a university campus Melo M.I.A1, Lapenda N.V.S2, Aguiar Y.A3, Acioli M.D4 1,2,3Estudantes do Curso de Medicina da Universidade Católica de Pernambuco.4Professor Adjunto do Curso de Medicina e do Programa de Pós-Graduação da Universidade Católica de Pernambuco e Preceptor da Residência Multiprofissional em Saúde Mental da Universidade de Pernambuco. Introduction: Healthy Eating has been one of the guidelines of the Ministry of Health since 2014. Important indicators of the risks for chronic-degenerative diseases are Body Mass Index (BMI) and Abdominal Waist (CA) measurement. Objectives: To calculate the BMI and measure the AC of a population of a university campus. Methodology: Quantitative and descriptive research. Sample of convenience of 34 individuals in the campus of the Catholic University of Pernambuco in the activities of the Module Teaching, Service and Community II. Results and Discussion: 1st Social function and BMI: Students (Normal: 57%). Teacher (Normal: 50% and Overweight: 50%). Employees (Normal: 43% and Obesity: 43%). 2nd Social function and CA: Professor (Risk: 50%) Employees (Risk: 70%). Age and BMI: 31 to 40 years (Normal: 50% and Overweight: 50%). 41 to 50 years old (Overweight: 50%). 51 to 60 years old (Obesity: 52%) 4th Age and CA: 31 to 40 years old (Risk: 50%). 41 to 50 years (Risk: 75% and No Risk: 25%). 51 to 60 years (Risk: 60%). > 60 years (Risk: 67%). Increased risk between older ages and roles of teachers and staff. Conclusion: There is a need for Health Education orienting subjects in terms of changes in lifestyle habits. Keywords: Healthy Eating; Chronic diseases; Health education ...


Review article of American Journal of Ophthalmic Research and Reviews Nursing assistance to the patient in the perioperatory period of general surgery: an integrating review Oliveira, J.V1 1Enfermeira graduada pela Universidade Salgado de Oliveira, Especialista em Enfermagem do Trabalho e Estudante de Pós-Graduação de Auditoria em Saúde-IDE In the perioperative period the role of the nurse is to guide the patient and prepare him for the procedure, raise problems and needs, provide information. Objective: To verify in the literature the performance of nursing in a surgical center during the perioperative period of general surgery. Method: This is an integrative review, referring to the scientific production in the area of nursing in a surgical center (CC), in order to summarize the studies already published in national journals in the years 2011 to 2016, indexed in databases: (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Scientific Electronic Library Online (SCIELO), the articles included were in Portuguese (Brazil) and with full texts, available for access on -line. Results: Of the 161 articles found, 139 were excluded, respecting the exclusion criteria mentioned above. Of these 22 articles found in the indexed, only 9 articles met the inclusion criteria. The articles dealt with the experience of nurses and their staff in providing the best quality care possible. This study addresses the quantitative of articles researched concerning the role of the nurse before, during and after general surgery procedure, ie, showing the nursing performance. Conclusion: Nursing performance in the preparation of the patient in the perioperative of general surgery is fundamental for a quality assistance. Keywords: General Surgery; Perioperative Care; Nursing ...

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American Journal of Ophthalmic Research and Reviews