Corneal ulcers in patients treated at the General Teaching Hospital “Dr. Agostinho Neto”, Guantanamo 2014-2019
Keywords:
corneal ulcer, ophthalmological urgency, ophthalmic treatmentAbstract
Introduction: corneal ulcers have not been characterized in the General Teaching Hospital “Dr. Agostinho Neto” from Guantanamo.
Objective: to characterize the corneal ulcer in patients treated in the Ophthalmology Service of this hospital in the period from January 2014 to July 2019.
Method: a descriptive, retrospective and longitudinal study was carried out with 40 patients. The variables were studied: sex, age, origin, occupation, risk factors, etiology, treatment and complications of this type of ulcer and the modifications of visual acuity according to the treatment applied to them.
Results: 75.0% of the patients were male who were 65 years of age or older (47.5%), came from rural areas (72.5%) and carried out agricultural activities (45.0%). Corneal trauma was the most usual risk factor (25.0%). In 47.5% the ulcer was of fungal etiology. 100% received drug treatment, especially with fortified antibiotic eye drops (25.0%). Surgical treatment was applied to 27.5%, the most common technique was the conjunctival lining (15.0%). Visual acuity improved in 75.0% of patients after treatment.
Conclusions: in the General Teaching Hospital “Dr. Agostinho Neto” corneal ulcer is not a health problem, but it does determine the visual acuity of affected patients, in which the fungal etiology and the need for the use of fortified eye drops are more common.
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