Ocular diseases of the anterior segment and adnexa in the elderly
Keywords:
anterior eye segment, ophthalmopathies, eye diseases, agedAbstract
Introduction: eye diseases are risk factors that cause accidents in older adults.Objective: to determine the behavior of ocular diseases of the anterior segment and adnexa in the elderly.
Methods: an observational, descriptive cross-sectional study was carried out in the Clinic of the Villa Clara Ophthalmology Center from July to December 2022. The universe consisted of 426 patients and the sample was 123. The variables investigated were: age, sex, skin color , history of systemic diseases, history of ocular diseases, ocular symptoms, diseases of the anterior segment and adnexa, municipality of origin and indicated treatment; Absolute and relative percentage frequencies were used.
Results: the age of 70 to 79 years (47.2%), the female sex (61.8%) and the white race (52.8%) predominated. High blood pressure (37.4%) and age-related macular degeneration (27.6%) were evident. Decreased visual acuity occurred in 69.1% and cataract was the predominant disease (43.9%). The Municipality of Santa Clara contributed 83 patients. 67.5% received surgical treatment.
Conclusions: the elderly are vulnerable to suffering from diseases of the anterior segment and adnexes and there is a predominance of women, ages between 70 and 79 years and a history of high blood pressure and age-related macular degeneration. Cataract is the most common disease, which is why the largest number of patients received surgical treatment. The Municipality of Santa Clara is the one with the greatest origin.
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1.Roselló-Leyva A, Bernal-Reyes N, Rojas-Rondón I, Roselló-Silva N, Lázaro-Izquierdo Y. Caracterización de pacientes adultos mayores con diagnóstico de Miopía degenerativa y baja visión, y su rehabilitación visual. Rev Haban Cienc Méd [Internet]. 2015 [citado 12/03/2023];14(5):599-610. Disponible en: https://revhabanera.sld.cu/index.php/rhab/article/view/925
2.Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2020 [Internet]. La Habana: Minsap; 2021 [citado 20/12/2022]. Disponible en: https://files.sld.cu/bvscuba/files/2021/08/Anuario-Estadistico-Espa%c3%b1ol-2020-Definitivo.pdf
3.Tejada Castañeda E, Miñoso Galindo I, Del Sol Fabregat LA, Gavilanes Hernández R. Perfil de calidad de vida en municipios de mayor densidad poblacional de longevos en Villa Clara. Medicentro Electrónica [Internet]. 2020 [citado 20/12/2022];24(2):397-405. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432020000200397
4.World Health Organization. World report on vision [Internet]. Geneva: WHO; 2019 [citado 20/12/2022]. Disponible en: https://iris.who.int/bitstream/handle/10665/328717/9789241516570-eng.pdf
5.Castro Dousdebés MY, Chicangana Vesga YA, Pérez Galvis YY. Prevalencia de patologías del segmento anterior, en adultos mayores, atendidos en los hogares geriátricos del municipio de San Carlos de Guaroa, departamento del Meta, durante el primer semestre del año 2019 [tesis]. Bucaramanga: Universidad Santo Tomás; 2020 [citado 20/12/2022]. Disponible en: https://repository.usta.edu.co/bitstream/handle/11634/31992/2020ChicanganaYessica.pdf
6.Acevedo H. Alteraciones visuales en adultos mayores víctimas de caídas. [tesis]. Colombia: Fundación Universitaria Iberoamericana; 2016.
7.Cuan Aguilar Y, Montero Díaz E, Álvarez Martínez J, Pérez Candelaria EC, Gutiérrez Castillo M. Resultados de la cirugía de catarata en pacientes longevos. Rev Cubana Oftalmol [Internet]. 2022 [citado 12/12/2022];35(3):e1627. Disponible en: https://revoftalmologia.sld.cu/index.php/oftalmologia/article/view/1627
8.Galeano Parra JJ, Quiroz Villegas DV, Vivares Cortes A, Gómez Molina S. Salud visual percibida del adulto mayor de la clínica de especialidades oftalmológicas de Envigado durante el año 2019. Revista CIES [Internet]. 2019 [citado 12/12/2022];10(2):185-199. Disponible en: http://revista.escolme.edu.co/index.php/cies/article/view/268
9.Wong WL, Su X, Li X, Cheung CM, Klein R, Cheng CY, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health [Internet]. 2014 [citado 12/12/2022];2(2):e106-116. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25104651/. https://doi.org/10.1016/s2214-109x(13)70145-1
10.Singh S, Pardhan S, Kulothungan V, Swaminathan G, Ravichandran JS, Ganesan S, et al. The prevelance and risk factors for cataract in rural and urban India. Indian J Ophthalmol [Internet]. 2019 [citado 20/12/2022];67(4):477-483. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446631/. https://doi.org/10.4103/ijo.ijo_1127_17
11.American Academy of Ophthalmology [Internet]. Washington: American Academy of Ophthalmology; 2023 [actualizado 15/11/2023; citado 02/01/2024]. Boyd K. ¿Qué son las cataratas?; [aprox. 5 pantallas]. Disponible en: https://www.aao.org/salud-ocular/enfermedades/que-son-las-cataratas
12.Kessel L, Andresen J, Erngaard D, Flesner P, Tendal B, Hjortdal J. Indication for cataract surgery. ¿Do we have evidence of who will benefit from surgery? A systematic review and meta‐analysis. Acta Ophthalmol [Internet]. 2016 [citado 20/12/2022];94(1):10-20. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744664/. https://doi.org/10.1111/aos.12758
13.Mayaweb [Internet]. Mayabeque: Mayaweb; 2022 [actualizado 18/05/2022; citado 20/12/2022]. Fundora Ortiz M. ¿Qué hace la provincia más envejecida del país ante esta realidad?; [aprox. 1 pantalla]. Disponible en: https://www.mayaweb.gob.cu/es/patrimonio-e-inversiones/13006-que-hace-la-provincia-mas-envejecida-del-pais-ante-esa-realidad
14.Ríos Torres M, Rodríguez Rodríquez BN, Padilla González CM, Barroso Lorenzo R. Encuesta Nacional de ceguera y discapacidad visual en el adulto mayor 2016. La Habana: Instituto Cubano de Oftalmología Ramón Pando Ferrer; 2017.
15.Grzybowski A. Recent developments in cataract surgery. Ann Transl Med [Internet]. 2020 [citado 22/12/2022];8(22):1540. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729366/. https://doi.org/10.21037/atm-2020-rcs-16
16.Scott Litin MD. Mayo Clinic Family Health Book. 5a ed. Mayo Clinic Press: Phoenix; 2018.
17.GBD 2019 Blindness and Vision Impairment Collaborators; Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health [Internet]. 2021 [citado 22/12/2022];9(2):e144-e160. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7820391/. https://doi.org/10.1016/s2214-109x(20)30489-7
18.Burton MJ, Ramke J, Marques AP, Bourne RR, Congdon N, Jones I, et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020. Lancet Glob Health [Internet]. 2021 [citado 22/12/2022];9(4):e489-e551. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966694/. https://doi.org/10.1016/s2214-109x(20)30488-5
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