Assuntos
Anticonvulsivantes/efeitos adversos , Glaucoma de Ângulo Fechado/induzido quimicamente , Glaucoma de Ângulo Fechado/tratamento farmacológico , Glucocorticoides/uso terapêutico , Metilprednisolona/uso terapêutico , Topiramato/efeitos adversos , Adulto , Feminino , Glaucoma de Ângulo Fechado/diagnóstico , Gonioscopia , Humanos , Infusões Intravenosas , Pressão Intraocular/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Malha Trabecular/efeitos dos fármacosAssuntos
Antidepressivos de Segunda Geração/efeitos adversos , Glaucoma de Ângulo Aberto/complicações , Pressão Intraocular/efeitos dos fármacos , Cloridrato de Venlafaxina/efeitos adversos , Anti-Hipertensivos/uso terapêutico , Tartarato de Brimonidina/uso terapêutico , Doença Crônica , Transtorno Depressivo/tratamento farmacológico , Humanos , Latanoprosta , Masculino , Pessoa de Meia-Idade , Prostaglandinas F Sintéticas/uso terapêutico , Tonometria OcularRESUMO
AIMS: This study is performed to determine the epidemiology and incidence of ocular trauma in Waikato, New Zealand. METHODS: The data was analysed on age, sex, ethnicity and type of trauma. Visual acuity (VA) at presentation and discharge was recorded. Details of slit lamp examination were noted. RESULTS: There were a total of 821 injuries. Men had higher rate of ocular trauma than women (74% vs 26%, p<0.001). Mean age was 31 years for males and 37 years for females respectively. Highest number of ocular trauma was seen in age group 15-20 (11.5%). There were 253 open globe injuries (OGI) and 568 closed globe injuries (CGI) (p<0.001). The most frequent causes of eye injuries in men were related to outdoor activities (25.9%) and work (20.7%). In women, outdoor activity was also the highest cause (10%). The annual rate of ocular trauma was 20.5 per 100,000 populations. Final VA of greater than and equal to 6/12 was found in 590 eyes, 6/12-6/60 in 143 eyes and greater than and equal to 6/60 in 88 eyes. Primary or secondary vitreoretinal procedures were performed in 54 eyes. There were three cases (0.3%) of endophthalmitis (inflammation of the internal coats of the eye). CONCLUSION: This study provides insight into epidemiology of ocular trauma in Waikato, New Zealand.
Assuntos
Traumatismos Oculares/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Análise de Variância , Distribuição de Qui-Quadrado , Traumatismos Oculares/terapia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Acuidade VisualRESUMO
Acquired hyperopia with choroidal folds is an uncommon but well recognized condition that is often benign and classically shows flattening of the posterior pole of the affected eye, variable enlargement of the optic nerve complex, and a space between the optic nerve and its sheath. A case is presented that shows the perineural space is best seen on magnetic resonance imaging. Lumbar puncture to exclude increased intracranial pressure should be performed even in the absence of papilloedema.
