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ISSN 1817-5996 (Electronic)

2016, Number 1

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Rev Cub de Reu 2016; 18 (1)

Ophthalmologic conditions in patients with rheumatoid diseases

Ortega SM, Luaces MÁ, Nápoles AA, Reyes PY, Gil ARG, Ventura MM

Language: Spanish
References: 16
Page: 11-16
PDF size: 139.94 Kb.


ABSTRACT

Aim: The diseases of the connective tissue have a big range of ocular manifestations. The objective of the present study is to describe the behavior of ophthalmologic conditions in patients with rheumatoid diseases in “10 de Octubre” hospital.
Method: This is a descriptive, prospective study in which 114 patients from the Rheumatology Center having rheumatoid diseases and ocular conditions were assessed. A direct and indirect ophthalmoscopy, a Slit lamp exam, a fluoresceine tincture and the Shimmer test were performed.
Results: In patients with rheumatoid diseases and ophthalmologic conditions, the female sex (63.2 %), the white skin color (67.5 %) and the group of age between 36-45 years of age were predominant. Ankylosing spondylitis was the most frequent entity. Uveitis was the ophthalmologic manifestation most frequently identified. The human leukocyte antigen B27 and the rheumatoid factor are the immunologic factors of greater positivism. Uveitis is common in the 73.3 % of the human leukocyte antigen B27. Synechiae were the most notable complications and ankylosing spondylitis was the most frequent. At first visual acuity was frequently affected moderately and severely in ankylosing spondylitis, slightly in rheumatoid arthritis and moderately in systemic lupus erythematosus; in the end of the treatment, it presented slightly in both ankylosing disease and rheumatoid arthritis and moderately in systemic lupus erythematosus.


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