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Einstein (São Paulo)

Print version ISSN 1679-4508On-line version ISSN 2317-6385

Abstract

MALERBI, Fernando Korn; MATSUDO, Nilson Hideo; CARNEIRO, Adriano Biondi Monteiro  and  LOTTENBERG, Claudio Luiz. Retinal diseases in a reference center from a Western Amazon capital city. Einstein (São Paulo) [online]. 2015, vol.13, n.4, pp.530-534. ISSN 1679-4508.  https://doi.org/10.1590/S1679-45082015AO3538.

Objective

To describe retinal diseases found in patients who were waiting for treatment at a tertiary care hospital in Rio Branco, Acre, Brazil.

Methods

Patients underwent slit lamp biomicroscopy, dilated fundus exam and ocular ultrasound. Patients were classified according to phakic status and retinal disease of the most severely affected eye.

Results

A total of 138 patients were examined. The mean age was 51.3 years. Diabetes was present in 35.3% and hypertension in 45.4% of these patients. Cataract was found in 23.2% of patients, in at least one eye. Retinal examination was possible in 129 patients. The main retinal diseases identified were rhegmatogenous retinal detachment (n=23; 17.8%) and diabetic retinopathy (n=32; 24.8%). Out of 40 patients evaluated due to diabetes, 13 (32.5%) had absent or mild forms of diabetic retinopathy and did not need further treatment, only observation.

Conclusion

Diabetic retinopathy was the main retinal disease in this population. It is an avoidable cause of blindness and can be remotely evaluated, in its initial stages, by telemedicine strategies. In remote Brazilian areas, telemedicine may be an important tool for retinal diseases diagnosis and follow-up.

Keywords : Diabetic retinopathy; Telemedicine; Retinal detachment; Cataract; Blindness.

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