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Estudio retrospectivo de los pacientes con neuropatía óptica epidémica en un área de salud
| Content Provider | Semantic Scholar |
|---|---|
| Author | Freixas, Rosaralis Santiesteban Carvajal, S. Plasencia, Martha Francisco González, Santiago Luis Larramendi, Ivonne Méndez Fayad, Y. H. Ruiz, Sandra Trigo, M. |
| Copyright Year | 1998 |
| Abstract | En el area de salud correspondiente al Policlinico "Rampa", se reviso la muestra de 104 pacientes que fueron diagnosticados en 1993 como neuropatia optica epidemica; 50 de los cuales fueron estudiados de nuevo. A estos se les exploro agudeza visual, vision de colores con la prueba de Ishihara, sensibilidad al contraste con metodo de Pelli Robson y se le realizo examen oftalmologico que incluyo fondo de ojo, lo cual se llevo a cabo por un grupo de expertos, en busca de la palidez papilar temporal o perdida de haces de fibras papilomaculares que son los elementos diagnosticos de la enfermedad aun en los casos que recuperan la vision. De 50 pacientes estudiados, 21 (42 %) cumplian con los criterios de caso establecido por el Ministerio de Salud Publica en agudeza visual y vision de colores para el diagnostico de neuropatia optica epidemica, aunque solo 14 (28 %) fueron ratificados como caso. En ellos se describieron las alteraciones tipicas del fondo de ojo, que aseguran el diagnostico planteado. Los casos se clasificaron segun el estado inicial de la agudeza visual y la evolucion. Tres habian tenido afectacion de la agudeza visual de 0,1 o peor (grave) y un solo paciente tenia afectacion leve, con 0,8 de vision; el resto se encontraba entre 0,2 y 0,6. Solo un paciente quedo con secuela grave. El bajo porcentaje de casos ratificados como neuropatia optica epidemica no representa lo que sucedio en todo el pais, pero si puede ser la muestra de lo que ocurrio en unidades de iguales condiciones durante el pico de la epidemia. The sample of 104 patients who were diagnosed optic epidemic neuropathy at the health area of the "Rampa" Polyclinic in 1993 was reviewed. 50 of them were studied again. Visual acuity as well as the sensitivity to contrast by the Pelli Robsonas method were explored. Ishiharaus color-vision test was applied and an ophthalmological examination including fundus of the eye was made. All this was done by a group of experts who were searching temporary papillary paleness or lost of the bundles of papillomacular fibres, which are the diagnostic elements of the disease even in those cases that recover vision. 21 (42 %) of the 50 studied patients fulfilled the criteria established for these cases by the Ministry of Public Health concerning visual acuity and color vision to diagnose optic epidemic neuropathy, although only 14 (28 %) were ratified as cases. The typical alterations of the fundus of the eye were described, confirming the diagnosis. Cases were classified according to the initial state of visual acuity and to evolution. 3 had had an affectation of the visual acuity of 0.1 or worse (severe), and only one patient had a mild affectation with 0.8 of vision. The rest ranged between 0.2 and 0.6. Only one patient had a serious sequela. The low percentage of cases ratified as optic epidemic neuropathy does not represent what happened in the whole country, but it may be considered as a pattern of what took place at those units with the same conditions during the peak of the epidemic. |
| Starting Page | 264 |
| Ending Page | 266 |
| Page Count | 3 |
| File Format | PDF HTM / HTML |
| Volume Number | 50 |
| Alternate Webpage(s) | http://scielo.sld.cu/pdf/mtr/v50s1/mtr09498.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
