RESUMO
ABSTRACT Objective: To compare the hypotensive effect of SLT vs the use of latanoprost in the initial management of patients with suspected glaucoma and diagnosis of glaucoma. To evaluate the patients' quality of life using the Glaucoma Quality of Life questionnaire. Methods: Randomized controlled clinical trial conducted in the city of Cartagena, Colombia, between October 2021 to June 2023. Assignment to the SLT or latanoprost group with follow-up at days 7, 30, 90, 180, and 365 in patients diagnosed with suspected glaucoma, mild and moderate glaucoma. Results: 31 patients (60 eyes), of which 17 were men. Group SLT were 31 eyes and the latanoprost group included 29 eyes. The mean baseline IOP of the SLT group was 18.9mmHg and in the latanoprost group, it was 19.6mmHg. The mean IOP at the end of the follow-up group SLT was 13.9mmHg and for latanoprost 14.5mmHg. The IOP reduction percentage at one year of follow-up in the SLT group was 23.4% and that of the latanoprost group was 23.6% Conclusions: Selective laser trabeculoplasty with Nd-YAG laser is as effective as the use of prostaglandin analogues as initial treatment in the early stages of glaucoma. Regarding the quality of life scale, although there were no statistically significant differences in both groups, the SLT showed an increase in the difficulty perceived by the patient for activities that involve peripheral vision, which is the most affected in patients with glaucoma.
RESUMO Objetivo: Comparar o efeito hipotensor da trabeculoplastia seletiva a laser versus o uso de latanoprosta no tratamento inicial de pacientes com suspeita de glaucoma e diagnóstico de glaucoma; avaliar a qualidade de vida dos pacientes por meio do Glaucoma Quality of Life Survey. Métodos: Ensaio clínico randomizado controlado realizado na cidade de Cartagena, Colômbia, entre outubro de 2021 e junho de 2023. Atribuição ao grupo trabeculoplastia seletiva a laser ou latanoprosta com acompanhamento nos dias 7, 30, 90, 180 e 365 em pacientes diagnosticados com suspeita de glaucoma, glaucoma leve e moderado. Resultados: Foram incluídos 31 pacientes (60 olhos), sendo 17 homens. No Grupo Trabeculoplastia Seletiva a Laser, foram 31 olhos, e, no Grupo Latanoprosta, 29 olhos. A pressão intraocular basal média do Grupo Trabeculoplastia Seletiva a Laser foi de 18,9mmHg e, no Grupo Latanoprosta, foi de 19,6mmHg. A pressão intraocular média no fim do grupo de acompanhamento trabeculoplastia seletiva a laser foi de 13,9mmHg e para latanoprosta de 14,5mmHg. A percentagem de redução da pressão intraocular em 1 ano de acompanhamento no Grupo Trabeculoplastia Seletiva a Laser foi de 23,4% e a do Grupo Latanoprosta foi de 23,6%. Conclusões: A trabeculoplastia seletiva a laser com Nd-YAG é tão eficaz quanto o uso de análogos de prostaglandinas como tratamento nas fases iniciais do glaucoma. Em relação à escala de qualidade de vida, embora não tenha havido diferenças estatisticamente significativas em ambos os grupos, a A trabeculoplastia seletiva a laser mostrou aumento na dificuldade percebida pelo paciente para atividades que envolvem a visão periférica, que é a mais afetada em pacientes com glaucoma.
RESUMO
Introducción: La pérdida del anillo neurorretiniano (ANR) es una característica distintiva del glaucoma que genera desviación de la regla ISNT. Objetivos: Determinar el porcentaje de ojos sanos que cumplen la regla ISNT y establecer cuál de sus variantes es más aplicable a la población normal. Métodos: Evaluación del orden del grosor del anillo neurorretiniano por medio de fotografía de disco óptico, capa de fibras nerviosas en tomografía de coherencia óptica (OCT) y evaluación clínica por oftalmoscopia indirecta. Resultados: Se evaluaron 102 ojos sanos de pacientes con edad promedio 44.1 años. El porcentaje de la regla ISNT en foto de disco, OCT y oftalmoscopia indirecta se cumplió en el 36.3, 38.2 y 29.4% de los ojos respectivamente, la variación de la regla en la que se excluye cuadrante nasal y temporal, conocida como regla «IS¼, aumentó sus porcentajes de cumplimiento al 73.5, 52.9 y 54.9% al ser evaluadas en foto de disco, OCT y oftalmoscopia indirecta, respectivamente. Conclusiones: La regla ISNT solo es válida en un tercio de los ojos evaluados mediante los métodos descrito
Background: Neurorretinal rim loss is an important characteristic of glaucoma that generates deviation from the ISNT rule. Objective: To determine what percentage of normal eyes follow the ISNT rule, and wich ISNT rule variants may be more generalizable to the normal population. Methods: Neurorretinal rim assessment from optic disc photographs, retinal nerve fiber layer (RNFL) thickness measurements from (OCT) and clinical evaluation by indirect ophthalmoscopy. Results: 102 healthy eyes were evaluated, with an average age of 44.1 ± 11.7 years. The percentage of agreement of ISNT rule was verified in in disk photo (36.3%), OCT (38.2%) and indirect ophthalmoscopy (29.4%) of the total population. The variation of the rule in which the nasal (73.5) and temporal (52.9%) quadrant are excluded, known as the "IS" rule, increased its compliance percentages from 73.5%, 52.9% and 54.9% when evaluated in disk photo, OCT and indirect ophthalmoscopy, respectively.
Assuntos
Humanos , Masculino , FemininoRESUMO
Objetivo Investigar en una universidad estatal del Caribe colombianoel estado de la salud sexual y reproductiva especialmente conocimientos sobre Enfermedades de Transmisión Sexual (ETS), fertilidad, sexualidad, embarazo y violencia. Métodos Estudio transversal tipo encuesta. Se seleccionaron estudiantes matriculados en el segundo período de 2010 que llenaron voluntariamente la encuesta. Los datos cualitativos fueron tabulados y graficados usando medidas de tendencia central para variables cuantitativas. Resultados La población tenía alrededor de 20 años de edad, provenía de la zona urbana (57,9%; IC95%=54,7-61,1), predominantemente heterosexual (89,7%) con edad de inicio de vida sexual antes de los 18 años, con 11,8 % de promiscuidad que usaba principalmente el preservativo como Método de Planificación Familiar (MPF) (55 %). Aunque poseían información previa sobre salud sexual, MPF y ETS, no se comportaban acorde con ello, por la desinformación sobre formas de transmisión del VIH, bajo nivel de realización de pruebas serológicas para ETS, así como conductas de riesgo (sexo/alcohol/drogas). El 12,3% tuvo antecedente de embarazo, violencia física (21,6%) y sexual (4,6%) con un predominante silencio de las víctimas de abuso sexual (61,8%). Conclusiones La muestra refleja la población universitaria de esta región del país. Se planea organizar un programa con apoyo médico y psicológico que permita disminuir los índices de ETS, embarazos no planificados, preparando al adolescente en esta importante etapa de su vida, sirviendo de modelo para otras universidades latinoamericanas.
Objective To investigate the state of sexual and reproductive health in students at a public university in the Colombian Caribbean, with an emphasis on sexually transmitted diseases (STDs), fertility, sexuality, pregnancy and violence. Methods Cross-sectional survey study. University students, enrolled in the second semester of 2010 and who completed a self-administered survey based on the Reproductive Health survey of the Pan American Health Organization, were selected. Qualitative data was tabulated and graphed using measures of central tendency for quantitative variables. Results The age of population studied was around 20 years old, came from the urban area (57.9 %; IC95 %=54.7-61.1), was predominantly heterosexual (89.7 %), with an age of initiation of sexual activity of less than 18 years old, 11.8 % promiscuity, mainly using the condom as a Family Planning Method (FPM) (55 %). Although they had prior information on sexual health, STDs and FPMs, they did not behave according to this due to low education about HIV transmission routes, low incidence of serological tests for STDs, and high risk behavior (sex/alcohol/drugs). It was observed that 12.3 % had a history of pregnancy, physical violence (21.6 %) and sexual violence (4.6 %) with a predominant silence from the victims of sexual abuse (61.8 %). Conclusion The sample reflects the student population in this region of Colombia. We plan to organize a health program with medical and psychological support to reduce the rates of STDs and unplanned pregnancies, preparing the adolescent for this important step in their life and serving as a model for other Latin American universities.