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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2020, Number 4

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Acta Med Cent 2020; 14 (4)

Pacientes con queratocono atendidos en la Consulta de Cirugía refractiva

Pérez VN, González PNA, Castillo BG, Lima LCE, Del Sol FLA

Language: Spanish
References: 17
Page: 423-431
PDF size: 390.52 Kb.


ABSTRACT

Introduction: keratoconus is a progressive and idiopathic disease, which develops in adolescence and young adults, thus constituting one of the most common forms of corneal dystrophies.
Objective: to characterize the clinical-epidemiological behavior of patients with keratoconus.
Methods: descriptive transversal study in patients with a diagnosis of keratoconus who attended a refractive surgery consultation at Villa Clara Ophthalmological Center during 2018.
Results: age between 19 and 29 years old (34.88%), male sex (58.14%), eye and systemic diseases were predominant, allergic conjunctivitis (25.54%) and asthma (18.57%), 100% reported blurred vision as the main symptom, and the associated refractive defect was compound myopic astigmatism (67.44%). Corneal topography was diagnosed in 83.72% of the cases. Through this study, it was found that the results agree with the international publications in reference to age, main symptoms referred and associated ocular and systemic diseases, but, contrary to what was reported, it was evident that this condition is more prevalent among the men in the sample.
Conclusions: documentation of this disease is important for timely diagnosis and to encourage practices that limit the progression of the disease; it is frequent in young men, allergic conjunctivitis and asthma are associated with it more frequently, blurred vision is referred to in all diagnosed patients, compound myopic astigmatism is associated in greater numbers and with the use of the topographer more patients were diagnosed.


REFERENCES

  1. Mas Tur V, MacGreor C, Jayaswual R, O'Brart D, Maycock N. A Review of keratokonus: diagnosis, pathophysiology and genetics. Surv Ophthalmol [Internet]. 2017 Nov-Dec [citado 20/07/2019];62(6)770-83. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0039625717300462

  2. Bowling BF. Cornea. En: Kanskis JJ. Oftalmología Clínica. 8va ed. Barcelona: Elsevier; 2016. p.167-237.

  3. Gomes JAP, Tan D, Rapuano CJ, Belin MW, Ambrósio RJr, Guell JL, et al. Global consensus on keratoconus and ectatic diseases. Cornea [Internet]. 2015 Apr [citado 20/07/2019];34(4):359-69. Disponible en: https://journals.lww.com/corneajrnl/Fulltext/2015/04000/Global_Consensus_on_Keratoconus_and_Ectatic.1.aspx. https://doi.org/10.1097/ICO.0000000000000408

  4. Galvis V, Sherwin T, Tello A, Merayo J, Barrera R, Acera A. Keratoconus: aninflammatory disorder? Eye (Lond) [Internet]. 2015 Jul [citado 20/07/2019];29(7):843-59. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4506344/. https://dx.doi.org/10.1038/eye.2015.63

  5. Bauza Fortunato Y, Veitía Rovirosa ZA, Pérez Candelaria EC, Montero Díaz E, Cuan Aguilar Y, Góngora Torres C. Catarata y queratocono: una sorpresa refractiva. Rev Cubana Oftalmol [Internet]. 2019 [citado 20/07/2019];32(1):e684. Disponible en: http://scielo.sld.cu/pdf/oft/v32n1/1561-3070-oft-32-01-e684.pdf

  6. Moschos MM, Nitoda E, Georgoudis P, Balidis M, Karageoriadis E, Kozeis N. Contact lenses for keratoconus–current practice. Open Ophthalmol J [Internet]. 2017 Jul [citado 20/07/2019];11:241-51. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585463/

  7. Sánchez Villacís LS, Álvarez Mena PR, Benavides Bautista PA, Sánchez Sola HR, Zambrano Jordán DR. El queratocono, su diagnóstico y manejo. Una revisión bibliográfica. Enferm Inv (Ambato) [Internet]. 2018 Jan [citado 20/07/2019];3(Supl. 1):1-8. Disponible en: https://dialnet.unirioja.es/descarga/articulo/6246985.pdf. http://dx.doi.org/10.29033/ei.v3sup1.2018.01

  8. Fernández García K, Jareño Ochoa M, León Rodríguez Y, Acuña Pardo A. Ectasias. En: Río Torres M. Oftalmología. Diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2017. p. 69-72.

  9. Villanueva Gómez Chacón C. Relación entre el grado de queratocono, la agudeza visual y la densitometría corneal [tesis]. Madrid: Universidad Complutense de Madrid; 2018 [citado 20/07/2019]. Disponible en: https://eprints.ucm.es/48789/1/TFM_Celia_Villanueva-Eprints.pdf

  10. Silverman RH, Urs R, Roy Choudhury A, Archer TJ, Goobe M, Reinstein DZ. Combined tomography and epithelial thickness mapping for diagnosis of keratoconus. Eur J Ophthalmol [Internet]. 2017 Mar [citado 20/07/2019];27(2):129–134. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5299092/

  11. Cano Ortiz A, Villarrubia A. Trasplante de córnea en queratocono: queratoplastia penetrante versus queratoplastia lamelar anterior profunda con técnica de Melles. Arch Soc Esp Oftalmol [Internet]. 2015 Jan [citado 20/07/2019];90(1):4-8. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0365669114002998

  12. Parker JS, van Dijk K, Melles GRJ. Treatment options for advanced keratoconus. A Review. Surv Ophthalmol [Internet]. 2015 Sep-Oct [citado 20/07/2019];60(5):459-80. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0039625715000387. https://doi.org/10.1016/j.survophthal.2015.02.004

  13. Valdez-García JE, Sepúlveda R, Salazar-Martínez JJ, Lozano-Ramírez JF. Prevalence of keratoconus in an adolescent population. Rev Mex Oftalmol [Internet]. 2014 Jul-Sep [citado 20/07/2019];88(3):95-98. Disponible en: https://www.elsevier.es/es-revista-revista-mexicana-oftalmologia-321-pdf-S0187451914000316

  14. Guerra Torrico GM, Ibáñez Felizzola KD, Cárdenas Remolina JA. Prevalencia y caracterización de las ectasias corneales. Prevalencia de las ectasias corneales en la clínica Oftalmológica Solexltda en el primer semestre del año 2013, Sucre – Bolivia [tesis]. Bucaramanga: Universidad Santo Tomás; 2016 [citado 20/07/2019]. Disponible en: https://repository.usta.edu.co/bitstream/handle/11634/1776/2016-GuerraTorricoGlynka-Iba%C3%B1ezFelizzolaKerlyDayana-CardenasRemolinaJudith%20Alicia-trabajodegrado.pdf?sequence=1&isAllowed=y

  15. García Pérez R. Estudio retrospectivo sobre 290 casos de queratocono. Gac Ópt [Internet]. 2009 Oct [citado 20/07/2019];441:20-23. Disponible en: https://cuidatuvista.com/wp-content/uploads/2012/04/EstudioRetrospectivo290casosQueratocono.pdf

  16. Santos Ramírez S. Estudio de la prevalencia del queratocono entre los jóvenes de 18 a 25 años de Cataluña [Internet]. Barcelona: Universidad Politécnica de Catalunya; 2015 [citado 20/07/2019]. Disponible en: https://upcommons.upc.edu/bitstream/handle/2117/89650/silvia.santos.ramirez%20-%20TFG%20prevalencia%20de%20queratocono%20PDF.pdf?sequence=1&isAllowed=y

  17. Li Y, Chamberlain W, Tan O, Brass R, Weiss JL, Huang D. Subclinical keratoconus detection by pattern analysis of corneal and epithelial thickness maps with optical coherence tomography. J Cataract Refract Surg [Internet]. 2016 Feb [citado 20/07/2019];42(2):284–295. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/27026454/




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