Indicações de ceratoplastia: Estudo retrospectivo em um Hospital Universitário

Abstract

Objective: To describe the demographic-epidemiological profile and indications of keratoplasty at the University Hospital Santa Terezinha of Joaçaba (SC) from october 2006 to april 2011. Methods: The records were obtained from the files of the Eye Center Belloto Stock of Joaçaba (SC), where the patients were accompanied before and after keratoplasty. The data analyzed were city of origin, age, gender, ethnicity and indication of keratoplasty. Results: The medical records of 85 patients were analyzed, who underwent 100 keratoplasties. As to the origin, 79% of patients were in the region of the Midwest and the rest from other regions of Santa Catarina. The average age of patients was 38 ± 17.61 years, ranging from 13 to 87 years. As the gender, male prevalence was 57.6%. The white race was declared by 94.1% of patients and 5.9% for mixed. The indications for keratoplasty were keratoconus in 51 (51%) eyes, regraft in 15 (15%), leucoma post-herpes in 13 (13%), bullous keratopathy after cataract surgery in 6 (6%), corneal dystrophy in 5 (5%), leucoma after penetrating trauma in 4 (4%), bacterial ulcer unresponsive to medical treatment in 3 (3%) and other causes in 3 (3%). Of the 100 keratoplasties performed, 98 (98%) were penetrating and 2 (2%) lamellar. Conclusion: The study concluded that the profile of patients undergoing keratoplasty was characterized as a population of young caucasians, with a slight male predominance, and the four most common indications for keratoplasty were keratoconus, regraft, post-herpes leucoma and bullous keratopathy after cataract extraction.