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ISSN 1561-3070 (Electronic)

2014, Number 4

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Rev Cub Oftal 2014; 27 (4)

Keratopathy bulosa after cataract surgery in the older adult

Castillo PAC, Pérez PZ, Escalona LET, Jareño OM, Díaz RME, López HSM

Language: Spanish
References: 13
Page: 587-597
PDF size: 236.10 Kb.


ABSTRACT

Objective: to characterize the patients with keratopathy bulosa at "Ramon Pando Ferrer" Cuban Institute of Ophthalmology.
Methods: case-series descriptive and cross-sectional study of 50 patients conducted from January to December 2012. The studied variables were sex and age, personal pathological history, visual acuity in the contralateral eye, frequency of keratoplasty indications, surgical technique and level of indepencence for various daily life activities.
Results: in males, 42,8 % aged 70 to 79 years and 41 % of females were 60 to 69 years-old. Blood hypertension affected 36 % and cataract 22 % of patients. In the study, 38 % reached corrected vision of 0,5 to 0,7. Eighty two percent of patients were prescribed corneal transplantation and 73,17 % should undergo endothelial lamellar keratoplasty. Thirty two percent were independents for all the basic daily life activities.
Conclusions: keratopathy bulosa prevails in patients aged 70 to 79 years, and females are the most affected. Blood hypertension and cataract are the most common diseases. Most of patients have uncorrected visual acuity from 0,1 to 0,4 and corrected one from 0,5 to 0,7 in the contralateral eye. The highest percentage of patients should undergo corneal transplantation and the most indicated surgery is endothelial lamellar keratoplasty. Self-sufficient patients in doing their basic daily life activites predominate.


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