Aspectos médicos e sociais no atendimento oftalmológico de urgência

Kara-Júnior, Newton; Zanatto, Maria Cristina; Villaça, Veridiana T.N.; Nagamati, Lúcio Takeshi; Kara‐José, Newton

doi:10.1590/s0004-27492001000100008

Cited by 13 publications

(30 citation statements)

References 5 publications

(10 reference statements)

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“…A research conducted in the ER of UNICAMP, reported that 87.5% of the patients coming from other services were unnecessarily referred to specialized reference centers and/or came by their own initiative to check the treatment, which shows little confidence in the first service (15) . In Brazil, researchers (16) found that 32.0% of patients in the ophthalmologic sector were searching for a second opinion, being the main reasons of this management: confirmation of the diagnostic (43.0%); lack of confidence in the first doctor (33.0%) and perception of lack of interest from the professionals (24.0%).…”

Section: Discussionmentioning

confidence: 99%

Post-visit at ophthalmology emergency service: frequency and perception of the doctors on duty and users

Carvalho

Kara‐José

Kara-Júnior

2010

Arq. Bras. Oftalmol.

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Section: Discussionmentioning

confidence: 99%

Post-visit at ophthalmology emergency service: frequency and perception of the doctors on duty and users

Carvalho

Kara‐José

Kara-Júnior

2010

Arq. Bras. Oftalmol.

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“…Veracity of the emergency was categorized as ''true'' or ''not-true" emergency. A true ocular emergency was considered if there were risk of decreasing or loss vision, as well as cases requiring immediate (same day) evaluation in either an emergency department or an ophthalmology outpatient department due the intensity of symptoms (1) . The eye examination consisted of visual acuity using a Snellen chart, anterior segment examination by slit lamp, intraocular pressure measured with a Goldmann tonometer (except children aged five years or younger), and, if possible, given the condition of the eye, a posterior segment examination after pupil dilatation.…”

Section: Methodsmentioning

confidence: 99%

“…Some tend towards self-medication or simply to request drugs in the drugstore, while others ask for general practitioner or ophthalmology consultations (1,2) . Emergency areas have traditionally provided care to anyone requesting it, including patients with non-urgent complaints.…”

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confidence: 99%

“…This large variation may be due in part to differences in the population being assessed or in the criteria used to define urgency (9) . Studies describing ocular diseases from the emergency service of a department of ophthalmology are well known and have been reported all over the world (1,(10)(11)(12)(13)(14)(15) . However, limited information is available in Brazil about the medical and social aspects of ophthalmic emergencies (1,2) .…”

mentioning

confidence: 99%

“…Studies describing ocular diseases from the emergency service of a department of ophthalmology are well known and have been reported all over the world (1,(10)(11)(12)(13)(14)(15) . However, limited information is available in Brazil about the medical and social aspects of ophthalmic emergencies (1,2) . Information could be important in the management and planning strategies for prevention and protection of persons with such conditions.…”

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confidence: 99%

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Profile of ocular emergencies in a tertiary hospital from Northeast of Brazil

Filho¹,

Gomes²,

Pierre³

et al. 2010

Rev. bras.oftalmol.

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Purpose: To evaluate the profile of all the visits to the ophthalmic emergency service at a tertiary hospital in the city of Sobral, Ceará, northeast of Brazil. Methods: A survey was carried out of all patients attended at ophthalmology emergency service of the department of ophthalmology of Santa Casa of Sobral, during the period between may and october 2008. Data on patient's age, sex, level of education, residential address, health insurance status, average distance to our service, time between the initial symptoms and first visit to the hospital, site of medical evaluation indication, diagnosis, and veracity of emergency indication. All these data were collected during interview and ophthalmological examination. Results: A total number of 1,024 patients were analyzed in the study. Mean and standard deviation to age was 31.5 ± 17.1 years (ranging from zero to 81). Sixty-five per cent of the patients were male and 35% female. Twenty-one per cent of the patients lived at least 50 kilometers away from the Santa Casa of Sobral. Ocular traumas (40.9%) of any nature were the most frequent occurrence, followed by infections (29%). About 45 % of cases were not considered as a true emergency and could be managed in primary or secondary health care centers. About the initial symptoms and first visit to the hospital, only 24% of the patients went to the ophthalmology emergency room on the same day in which their symptoms started. Conclusion: A great number of patients attended or treated at the ophthalmology emergency service of Santa Casa of Sobral presented with common ocular disorders of simple resolution. Therefore there is a failure in the primary and secondary health care to manage it. Certainly a considerable proportion of these patients had conditions which could have been diagnosed and treated in an ophthalmic outpatient clinic or by general practitioners.

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Corneal Involvement in Systemic Inflammatory Diseases

Gomes

Santhiago

Jorge³

et al. 2015

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Corneal involvement in patients with systemic inflammatory disorders may be sight threatening, and it may be associated with a life-threatening disease. Significant systemic inflammatory diseases in this context are autoimmune connective tissue diseases, systemic autoimmune dermatological disorders, and autoimmune diseases of the lacrimal system. Keratoconjunctivitis sicca is usually the most common ocular finding in these patients. Peripheral ulcerative keratitis is a rare condition usually associated with increased ocular morbidity and also mortality, as it might act as an indicator of a more widespread vasculitis. Corneal biomechanical properties may also be altered in connective tissue diseases. Although recent studies suggest that the risk for corneal complications after ocular surgery in patients with quiescent autoimmune disease is minimal, caution is still recommended, as the knowledge about the corneal wound-healing process and the corneal biomechanical properties in these patients is not yet fully understood. This article reviews corneal abnormalities and characteristics in the setting of systemic inflammatory diseases.

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Aspectos médicos e sociais no atendimento oftalmológico de urgência

Abstract: Aspectos médicos e sociais no atendimento oftalmológico de urgência

Cited by 13 publications

References 5 publications

Post-visit at ophthalmology emergency service: frequency and perception of the doctors on duty and users

Post-visit at ophthalmology emergency service: frequency and perception of the doctors on duty and users

Profile of ocular emergencies in a tertiary hospital from Northeast of Brazil

Corneal Involvement in Systemic Inflammatory Diseases

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