Alterações retinianas apresentadas em pacientes portadores de hemoglobinopatia falciforme atendidos em um serviço universitário de oftalmologia
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2011
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Resumo
Purpose: To identify retinal manifestations in patients with sickle cell disease referred to
a reference eye hospital in Goiânia (GO).
Methods: Ophthalmic evaluation was made in 50 patients (100 eyes) with sickle cell
disease to evaluate the most common manifestations of this group.
Results: Hemoglobinopathy SS was the most commonly found, followed by hemoglobin
SC, AS and Stahl. Twenty-two percent of the patients had retinal changes, of these 73%
were male. Retinal changes observed were: “sea fan”, “black sunburst”, vitreous hemorrhage,
and retinal detachment. In the classification of retinopathy, 73% had proliferative form,
seen in the types AS and SC and 27% had non-proliferative retinopathy, seen in patients
with SS type.
Conclusions: We observed a large numbers of patients with retinal changes, most of
them with hemoglobinopathy SC, followed by AS and SS groups. The proliferative
changes were the most commonly observed. Vitreous hemorrhage and retinal detachment
were the most prevalent manifestations in proliferative retinopathy and showed to be
more common in patients with SC hemoglobinopathy in the studied population.
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Palavras-chave
Anemia falciforme, Hemorragia vítrea, Hemoglobina falciforme, Descolamento retiniano, Retina, Sickle cell disease, Hemoglobin sickle, Vitreous hemorrhage, Retina, Retinal detachment
Citação
FREITAS, Luiz Guilherme Azevedo de et al. Alterações retinianas apresentadas em pacientes portadores de hemoglobinopatia falciforme atendidos em um serviço universitário de oftalmologia. Arquivos Brasileiros de Oftalmologia, São Paulo, v. 74, n. 5, p. 335-337, 2011.