Urgência Oftalmológica: corpo estranho ocular ainda como principal causa

Araujo, Angelo Augusto da Silva; Almeida, Davison Vieira; Araujo, Vitalina Martins de; Goes, Max Rollemberg

doi:10.1590/s0004-27492002000200012

Cited by 15 publications

(32 citation statements)

References 7 publications

(21 reference statements)

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“…Most of our cases (66.7%) were classified as closed globe injury, mainly from blunt objects (51.4%) and foreign objects on the ocular surface (45.9%). Nevertheless, the frequency of open globe injury (34.3%), especially in the form of corneal penetration (17.1%), was particularly high in this study, contradicting the findings of several other brazilian and international studies showing a greater prevalence of foreign objects on the ocular surface (54.6-81.8% of eye injuries) (1,4,12,14,15) . This is probably because, as a tertiary-level referral center, our service tends to receive the most severe cases, while simpler cases may be referred to a range of local ophthalmology clinics, thereby introducing a category bias.…”

Section: Discussioncontrasting

confidence: 99%

“…Men are more vulnerable to eye trauma due to their greater participation in economic activities with increased risk of eye trauma and their greater proneness to risk behaviors, such as relaxing safety measures and disregarding the use of PPE (4,8,(12)(13)(14)(15)(16) . The average age of our patients was 34.8 years, matching earlier studies in which prevalence peaked in the age range 30-35 years.…”

Section: Discussionmentioning

confidence: 99%

“…This is supported by two other Brazilian studies showing incidences between 88.1 and 96.21% (14,15) and by a study from Glasgow (98.8%) (4) . The occupational sector most strongly associated with eye trauma was construction (4,7,12,14) . Most of our cases (66.7%) were classified as closed globe injury, mainly from blunt objects (51.4%) and foreign objects on the ocular surface (45.9%).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiological and occupational profile of eye trauma at a referral center in Espírito Santo, Brazil

Milanez¹,

Saraiva²,

Barcellos³

et al. 2017

Revista Brasileira De Oftalmologia

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Objetivo: Caracterizar os aspectos trabalhistas e epidemiológicos regionais envolvidos no trauma ocular, comparar os dados obtidos com os já publicados na literatura e fornecer subsídios para a elaboração de medidas de prevenção e fiscalização adequadas. Metodologia: Estudo epidemiológico, descritivo, prospectivo, realizado no serviço de Oftalmologia do HUCAM, em 60 pacientes com trauma ocular, no período de 01 de abril a 01 de outubro de 2013, quando foram colhidos dados, por meio de questionário padronizado. Resultados: Houve predomínio de indivíduos do sexo masculino (80%) e em sua maioria os pacientes tinham idades que variavam entre 8 e 60 anos. Predominaram os acidentes no ambiente de trabalho (56,7%) seguido dos acidentes domiciliares (28,3%). A maioria dos traumas foi do tipo fechado, com predomínio das contusões seguidas pelo corpo estranho na superfície ocular. Observou-se também que 82,9% dos pacientes que tiveram o trauma no ambiente de trabalho não usavam o equipamento de proteção individual. Conclusões: Trauma ocular é um importante problema de saúde pública, pois acomete principalmente a população economicamente ativa e pode ter graves consequências. Grande parte destes acidentes poderiam ser facilmente prevenida através do uso apropriado de equipamentos de proteção individual. Desta forma, orientação, fiscalização para o fornecimento e uso dos EPIs e campanhas de prevenção são importantes para redução desses acidentes.Descritores

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Epidemiological and occupational profile of eye trauma at a referral center in Espírito Santo, Brazil

Milanez¹,

Saraiva²,

Barcellos³

et al. 2017

Revista Brasileira De Oftalmologia

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“…Estudos brasileiros realizados em serviços de emergência em oftalmologia também confirmam esses dados. Acredita-se que os homens são mais vulneráveis por exercerem atividades de maior risco que as mulheres [10][11][12] . Dos pacientes analisados, a maioria tem idade entre 21 e 40 anos, correspondendo à faixa etária de população economicamente ativa, dado semelhante ao encontrado por Cohen et al 13 e Schellini et al 14 .…”

Section: Resultsunclassified

Perfil do trauma ocupacional ocular em unidade de emergência oftalmológica

Matos¹,

Cavalcante²,

Figueiredo³

et al. 2017

Rev. Bras. Med. Trab.

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ARTIGO ORIGINALRESUMO | Introdução: Trauma ocular é o motivo mais frequente de atendimentos nas emergências oftalmológicas, sendo uma das principais causas de cegueira evitável no mundo e causando grande impacto socioeconômico no sistema de saúde e na população. Objetivo: Identificar o perfil epidemiológico dos traumas oculares decorrentes de acidentes de trabalho, as sequelas visuais e o impacto socioeconômico. Métodos: Estudo transversal, retrospectivo, por meio de revisão de prontuário dos pacientes portadores de trauma ocular ocupacional atendidos em emergência oftalmológica no período de abril a agosto de 2016. Resultados: Foram incluídos no trabalho 112 pacientes, todos do sexo masculino. A faixa etária mais acometida foi de 31 a 35 anos; mecânico foi a principal profissão; corpo estranho em superfície ocular representou 85% dos traumas; 72% dos pacientes levaram mais de 12 horas para procurar atendimento médico especializado; e 86% tiveram o primeiro atendimento na empresa. Metade dos pacientes usava equipamento de proteção. A acuidade final pós-trauma, na maioria dos pacientes, não sofreu impacto. Conclusão: Apesar de a maioria dos pacientes não ter apresentado sequelas visuais, o trauma ocular ocupacional levou à perda de dias de trabalho e a gastos com medicações. Estudos como este servem para mapear a problemática e traçar estratégias preventivas. Palavras-chave | olho; oftalmologia; transtornos da visão; acidentes de trabalho. ABSTRACT | Background:Eye injury is the most frequent reason for visits to ophthalmological emergency departments, being one of the leading causes of avoidable blindness worldwide, with considerable socioeconomic impact on health systems and populations. Objective: To establish the epidemiologic profile of eye injury caused by work accidents, visual sequelae and socioeconomic impact. Methods: A retrospective, cross-sectional study was conducted by reviewing the medical records of patients with occupational eye injury treated at an ophthalmologic emergency department from April to August 2016. Results: A total of 112 patients were included, all of them male. The most affected age group was 31 to 35 years old, and the main professional category the one of mechanics; foreign bodies on the eye surface represented 85% of injuries; 72% of patients sought specialized treatment more than 12 hours after the accident; and for 86% this was their first treatment at the company. Half of the patients used personal protection equipment. In most cases the final visual acuity after injury was not impaired. Conclusion: Although most patients did not remain with visual sequelae, occupational eye injury resulted in loss of working days and expenses with medication. Studies such as the present one contribute to the mapping of the investigated problem and the formulation of preventive strategies.

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“…In Brazil, among the traumatic diseases, the ocular trauma caused by FB represents the vast majority of attendances. The male gender is more affected than female, and the most affected age group corresponds to the age of greater professional productivity, i.e., from 16 to 45 years old (3) . The prognosis associated with the posttraumatic final visual acui ty by intraocular foreign body (IOFB) and the risk of endophthal Figure 2.…”

Section: Discussionmentioning

confidence: 99%

Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation

Costa

Garcia

Barroso

et al. 2013

Arq. Bras. Oftalmol.

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Purpose: To investigate the reliability of ultrasound in determining the size and identify the sonographic features and artifacts generated by intraocular foreign bodies of different materials. Methods: Experimental study using 36 enucleated porcine eyes. Fragments of nine different compositions (wood, glass, plastic, cardboard, iron, aluminum, lead, powder and concrete) and similar dimensions (4 mm) were implanted via scleral incision into the vitreous cavity of 36 porcine eyes, four eyes were used for each material. Ultrasound examination was performed in all eyes using the contact technique, conductive gel and 10MHz transducer (EZScan, Sonomed). Results: Considering the material fragments of gunpowder, lead, concrete, alu minum, wood and glass, the size determined by ultrasound was considered statistically similar to the actual size. The material iron presented ultrasoundde termined dimension statistically smaller than its actual size. Cardboard and plastic materials showed ultrasounddetermined measurements far greater than the actual. All fragments of intraocular foreign bodies demonstrated hyperreflective interfaces, irrespective of their composition. Whereas the artifacts generated by different materials, it was found that the materials iron, aluminum and lead showed reverberation of great extent. The material wood showed no reverberation. The length of the reverberation artifact for the materials iron, glass, aluminum and cardboard was lower when compared to other materials. All materials presented posterior shadowing artifact, with the exception of aluminum. Conclusion: Ultrasonography was considered a reliable technique to determine the size of intraocular foreign bodies in pigs, with little influence caused by its composition. Ultrasound artifacts generated were considered materialdependent and can assist the examiner to identify the nature of a foreign body of unknown etiology. Ultrasonography aided the surgeon to identify, locate and measure the intraocular foreign body, directing appropriate surgical planning.

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Urgência Oftalmológica: corpo estranho ocular ainda como principal causa

Cited by 15 publications

References 7 publications

Epidemiological and occupational profile of eye trauma at a referral center in Espírito Santo, Brazil

Epidemiological and occupational profile of eye trauma at a referral center in Espírito Santo, Brazil

Perfil do trauma ocupacional ocular em unidade de emergência oftalmológica

Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation

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