Emergências oftalmológicas em um hospital dia

Abstract

RESUMOObjetivo: Determinar as principais causas de atendimento oftalmológico de urgên-cia e emergência. Métodos: Foram examinados prospectivamente, no período de fevereiro a julho de 2007, 810 pacientes do Hospital Dia da Santa Casa de Misericórdia de Limeira, correlacionando-os com sexo, faixa etária e procedência dos pacientes. Resultados: Houve predominância do sexo masculino (66,6%), na faixa etária de 19 a 40 anos (74%) entre os homens e de 0 a 18 anos (52%) entre as mulheres. As causas mais comuns de atendimento foram corpo estranho ocular (32%), conjuntivite viral (17%) e afecções das pálpebras e anexos (12%). Conclusão: Neste estudo das emergências oftalmológicas houve prevalência do sexo masculino, de pacientes na faixa etária economicamente ativa e de casos de corpo estranho ocular.

Traumas oculares no serviço de urgência da Fundação Banco de Olhos de Goiás

“…Among traumatic injuries, mechanical trauma by superficial foreign body accounted for 66.4% of injuries. This is in agreement with other studies on trauma, such as Eleanor et al (1) , who found that superficial foreign body was the most common type of ocular trauma, affecting 32% of patients and 44% of male patients; Nash and Margo (6) also found that most cases of ocular trauma in men were due to superficial foreign bodes, and most of these occurred in the workplace. This type of trauma results from lack or inappropriate use of protective eyewear during risky activities (welding, driving a motorcycle, boring, honing, hammering, sanding, blasting with gunpowder, insect bites, "motes in the eye").…”

“…Males were more likely to suffer trauma, in agreement with the literature. Inexperience, lack of proper handling of work equipment and similar devices (such as electric welders), improper use of safety equipment, and work under inappropriate conditions are factors observed in this age group (1) . As regards the origin of patients, most lived in the state capital Goiânia, where the study hospital is located.…”

“…The results of this study are consistent with other studies conducted in Brazil and elsewhere. Leonor et al (1) reported that of 810 patients seen at the Ophthalmology Service of the Day Hospital Santa Casa de Misericordia in Limeira, São Paulo, Brazil, 66.6% were male and 33.4% were female, and 38% of patients had suffered trauma; among male patients, the most common age group was 19-40 years. Vats et al (5) conducted a cross-sectional study on 6704 patients in Delhi, India; they found that male patients were most commonly affected, and the mean age of trauma patients was 24.2 years.…”

“…Ophthalmic emergencies are important causes of morbidity among the population (1) . Patients usually come to the ophthalmologist after being assessed by a non-specialist physician (1) .…”

“…Patients usually come to the ophthalmologist after being assessed by a non-specialist physician (1) . Therefore, general practitioners, doctors on duty in the emergency room, and ophthalmologists should recognise the types of trauma in order to apply the appropriate treatment for each situation.…”