Prevalência de ametropias e anisometropias em crianças no ensino fundamental nas escolas de 14 municípios do Estado de Alagoas / Prevalence of ametropias and anisometropias in elementary school children in schools from 14 cities in the State of Alagoas

RESUMO Objetivo: Avaliar a Prevalência de ametropias e anisometropias em crianças no ensino fundamental nas escolas de 14 municípios do estado de Alagoas. Métodos: Realizado um Estudo retrospectivo com dados de 40.873 alunos na faixa etária de 7 a 15 anos. Os pacientes com qualquer erro refrativo foram considerados ametropes e erros maiores que - 0,75D ou + 2,00D esféricos ou maiores que -0,75D cilíndricos com queixas visuais significativas tiveram óculos prescritos e anisometropia considerada com a diferença maior de duas dioptrias. Resultados: Encontrado prevalência, 5,2% de ametropias. Astigmatismo miópico composto (28,99%), seguido de astigmatismo hipermetrópico composto (20,39%). E anisometropia, de 10.38%. Conclusão: Conhecer a prevalência infanto-juvenil de ametropias e anisometropia na população é fundamental para a adoção de estratégias para diagnóstico e tratamento correto de causas evitáveis de baixa visão.

ABSTRACT Objective: Evaluate a prevalence of ametropias and anisometropias in elementar school children from 14 cities in the state of Alagoas. Methods: A retrospective study, total of 40.873 students, between 7 and 15 years of age, were examined. Patients presenting any refractive error were considered ametropic. Only patients claiming eye complaints with spherical errors greater than -0.75D or +2.00D and cylinder error greater than -0.75D were prescribed eyeglasses. Anisometropia was considered when the refractive difference between the two eyes was of 2 diopters or more. Results: 5.2% presented ametropia. Compound myopic astigmatism (28.99%) and compound hyperopic astigmatism (20.39%). And anisometropias was 10.38%. Conclusions: Understanding the prevalence of ametropias and anisometropias among children is essential to implement strategies for the correct diagnosis and treatment of avoidable visual impairment causes.

Assessment of surgical outcomes of limbal transplantation using simple limbal epithelial transplantation technique in patients with total unilateral limbal deficiency.

This study aimed to evaluate the effectiveness of the novel simple limbal epithelial transplantation (SLET) technique, which reduces the risk of iatrogenic limbal stem cell deficiency in the donor eye. Four patients with total unilateral limbal stem cell deficiency received a limbal graft, measuring 4 mm × 2 mm, from the contralateral healthy eye in a single surgical procedure. The graft was divided into 10-20 pieces and distributed on the corneal surface. At 6-month follow-up, a completely avascular corneal epithelial surface was obtained in two patients, and there was improvement in visual acuity in one patient. The limbal grafts did not adhere to the cornea in one patient. No serious complications related to the surgery were observed in this study.

Assessment of surgical outcomes of limbal transplantation using simple limbal epithelial transplantation technique in patients with total unilateral limbal deficiency / Avaliação dos resultados cirúrgicos do transplante de limbo utilizando a técnica SLET (simple limbal epithelial transplantation), em pacientes com deficiência límbica total unilateral

ABSTRACT This study aimed to evaluate the effectiveness of the novel simple limbal epithelial transplantation (SLET) technique, which reduces the risk of iatrogenic limbal stem cell deficiency in the donor eye. Four patients with total unilateral limbal stem cell deficiency received a limbal graft, measuring 4 mm × 2 mm, from the contralateral healthy eye in a single surgical procedure. The graft was divided into 10-20 pieces and distributed on the corneal surface. At 6-month follow-up, a completely avascular corneal epithelial surface was obtained in two patients, and there was improvement in visual acuity in one patient. The limbal grafts did not adhere to the cornea in one patient. No serious complications related to the surgery were observed in this study.

RESUMO Este trabalho tem como objetivo avaliar a eficácia de uma nova técnica cirúrgica denominada SLET (simple limbal epithelial transplantation), um procedimento promissor que reduz os riscos de indução de deficiência límbica iatrogênica no olho doador. Quatro pacientes com deficiência límbica total unilateral, secundária a queimadura química, receberam um enxerto de células límbicas, medindo 4 mm x 2 mm, do olho contralateral sadio, em apenas um tempo cirúrgico. Este foi divido em 10 a 20 fragmentos e distribuído sobre a superfície da córnea. Após 6 meses de cirurgia, superfície corneana totalmente epitelizada e avascular foi obtida em dois pacientes. Houve melhora da acuidade visual em um paciente. Não houve aderência dos enxertos de limbo na córnea em um paciente. Nenhum paciente apresentou efeitos colaterais graves decorrentes do procedimento cirúrgico.

Eye trauma in children and adolescents: Perspectives from a developing country and validation of the ocular trauma score.

OBJECTIVE: To investigate the current causes of ocular trauma and to assess the prognostic value of the ocular trauma score (OTS) in children. DESIGN: Prospective observational study of children with ocular trauma in Sao Paulo, Brazil, over 1 year. METHODS: Initial OTS categories were calculated for each patient and compared with the final visual result. RESULTS: Ninety-six patients were included; most were male (73%). Mean age was 7.3 years. Closed globe trauma was the most frequent (74%), followed by open-globe trauma (10.4%). Household items were mainly responsible for the trauma. Correlation between the predicted and achieved visual acuity was good (Kendall tau-b = 0.7192). CONCLUSION: Closed globe is the most frequent trauma in children and adolescents, and some injuries could be prevented by safety measures and closer adult supervision. The OTS was shown to have limited value in predicting long-term visual acuity in children and adolescents.

Tratamento de esgoto e produção de água de reúso com o emprego de filtros de areia / Wastewater treatment and reuse water production using sand filters

Nesta pesquisa estudou-se um sistema composto pela combinação de filtro anaeróbio com filtro de areia para o tratamento de esgoto. Para isso, foram avaliados três filtros anaeróbios operados com tempo de detenção hidráulica de nove horas, que tinham o efluente disposto sobre quatro filtros de areia em distintas taxas de aplicações. No primeiro filtro de areia aplicaram-se 50 L.m-2 uma vez por dia. No segundo, terceiro e quarto filtros, essa mesma carga foi disposta em dois, três e quatro horários, espaçadas entre às 9:00 e às 16:00 horas. O sistema apresentou um efluente final com qualidade que atendia os padrões para reúso e demanda bioquímica de oxigênio abaixo do limite para o lançamento em corpos hídricos (Decreto de Paulista nº 8.468/1976), indicando a viabilidade de disposição de taxas superiores às sugeridas pela NBR 13969/1997, a qual orienta os aspectos construtivos para esta forma de tratamento.

In this research it was studied a system composed by the anaerobic filter combined with a sand filter for the wastewater treatment. For this, three anaerobic filters were operated with hydraulic detention time of nine hours which had the effluent disposed over four sand filters in different frequencies of application. On the first sand filter, 50 L.m-2 were applied once a day. On the second, the third and the fourth filters, the same load was disposed in twice, three and four times a day, distributed between 9 a.m. and 4 p.m. The system presented a final effluent suitable for the COD and BOD legislation maximum limit to be discharged into water body (Decreto Paulista nº 8,468/1976), showing the viability of dispose a higher quantity of effluent then the one suggested by NBR 13969/1997, which guides the constructive aspects for this kind of treatment.