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Uveíte hipertensiva após facoemulsificação com lente intraocular

Authors: Pinto, Fábio Manuel Resende;

Uveíte hipertensiva após facoemulsificação com lente intraocular

Abstract

Uveíte, é o termo utilizado para definir a inflamação do trato uveal. A uveíte tem uma prevalência de 1/4500 na população geral. Estima-se que seja responsável por 5-20% dos casos de perda visual nos EUA, 3 a 7% em países europeus e de 3 a 10% em países em desenvolvimento. O tratamento da uveíte faz-se a maior parte das vezes através de corticóides, cicloplégicos midriáticos, imunossupressores, agentes não-esteróides anti-inflamatórios efotocoagulação. A pressão intraocular elevada é uma complicação frequente da inflamação intraocular, afetando de 5 a 19% dos pacientes com uveíte. A pressão intraocular elevada pode ser aguda ou crônica e ambas podem levar a defeitos no campo visual no glaucoma secundário à uveíte hipertensiva. Neste relatório, descrevemos um caso de uma uveíte hipertensiva após complicação de uma facoemulsificação, numa paciente de 48 anos. A terapêutica teve como fase inicial o tratamento da uveíte e diminuição da pressão intraocular, seguindo-se a recolocação da lente intraocular.

Uveitis is the term used to define inflammation of the uveal tract. Uveitis has a prevalence of 1/4500 in the general population. It is estimated to be responsible for 5-20% of visual loss cases in the US, 3 to 7% in European countries and 3 to 10% in developing countries. The treatment of uveitis is most often through corticoids, mydriastic cycloplegics, immunosuppressants, non-steroidal anti-inflammatory agents and photocoagulation. Elevated intraocular pressure is a frequent complication of intraocular inflammation, affecting 5 to 19% of patients with uveitis. Elevated intraocular pressure could be acute or chronic and both could lead to visual field defects in glaucoma secondary to hypertensive uveitis. In this report, we describe a case of a hypertensive uveitis after a complication of phacoemulsification in a 48 year old patient. Therapy was initially treated with uveitis and decreased intraocular pressure, followed by intraocular lens replacement.

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Portugal
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Desenvolvimento Financeiro, Painel Ardl, Domínio/Área Científica::Ciências Médicas::Ciências da Saúde::Ciências da Visão, Crescimento Económico, Globalização

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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
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