ABSTRACT
INTRODUCTION: Postoperative visual loss (POVL) is a rare and devastating complication. Its incidence in nonophthamologic surgeries varies from 0.056 % to 1.3 %. Autoimmune rheumatic diseases with a predisposition to thrombotic events, such as antiphospholipid antibody syndrome (APS), may constitute an important risk factor for this complication. PRESENTATION OF CASE: A 34-year-old female patient, who was a former smoker and had no other comorbidities. She underwent orthopedic surgery and presented with bilateral POVL associated with the loss of secondary muscle strength and intraoperative venous and arterial cerebral thrombosis. She was thoroughly investigated regarding the etiology of her condition, and high levels of antiphospholipid antibodies were found. DISCUSSION: APS is an autoimmune disease that predisposes the patient to thrombotic events. Among these, stroke is one of the main causes of POVL secondary to ischemia of the cortical territory, or also known as "cortical blindness." CONCLUSION: The rare incidence of POVL in nonophthalmological surgeries and the consequence and preservation in the literature on the subject, explain the limitations of its pathophysiology, and especially the development of guidelines focused on the prevention of patients with risk factors for this condition. Thus, this case report warns about the risks and anesthetic care that patients with risk factors should have when undergoing nonophthalmological surgeries.
ABSTRACT
Para a elaboração deste projeto de intervenção, em um primeiro momento foi traçado um perfil epidemiológico dos pacientes portadores de Hipertensão Arterial Sistêmica (HAS) em acompanhamento na UBS Martina Clara Batista Máximo, localizada no município de Barreiras-BA, sob os cuidados da Equipe de Saúde da Família XXII, a partir da coleta de banco de dados cadastrais e fichas de evolução e acompanhamento individuais no período de Abril de 2016 até Novembro de 2016. Os resultados obtidos demonstraram que o principal problema vigente desse segmento especifico da população é o não controle dos níveis de pressão arterial, tendo como provável etiologia a não adesão medicamentosa. Dessa forma, o seguinte plano de ação procura implementar o programa Hiperdia na unidade vigente, com intuito, principalmente, de melhorar a adesão dos hipertensos ao tratamento medicamentoso, diminuir o risco cardiovascular dos pacientes portadores de HAS a longo prazo e melhorar a qualidade de vida desses indivíduos.
