Estudo retrospectivo e comparativo de quarenta e três olhos com hidropisia aguda em quinhentos e sessenta e sete casos de ceratocone

• Autor(a) principal: Pena, Frederico Valadares De Souza [UNIFESP]
• Data de Publicação: 2003
• Outros Autores: Pena, Ari De Souza, Araújo, Patrícia Garcia De
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492003000100008; http://repositorio.unifesp.br/handle/11600/1628
• topic: Keratoconus; Corneal edema; Penetrating keratoplasty; Visual acuity; Retrospective studies; Ceratocone; Edema da córnea; Ceratoplastia penetrante; Acuidade visual; Estudos retrospectivos

PURPOSE: To compare clinical characteristics and surgical out comes between keratoconus cases with and without acute hydrops (AH). METHODS: All keratoconus cases followed up at the Hospital Universitário Antônio Pedro - UFF and at Clinica Oftamológica Souza Pena between 1982 and 2000 were reviewed. Main analyzed outcome parameters were: visual acuity, follow-up time since diagnosis, type of visual correction, morphological and keratometric classification, and surgical results. RESULTS: The overall acute hydrops incidence was 5.8%. Gender, keratoconus family history, atopy did not differ significantly between the two groups. Among acute hydrops cases, 72.7% were classified as peripheral cones, against 21.4% of the control cases (p < 0.05). Overall, 19% of the patients needed penetrating keratoplasty (PK). Out of 1062 eyes that did not develop acute hydrops, 8.4% underwent PK, compared to 88.4 % of the acute hydrops eyes (p < 0.05). Surgical outcomes showed no significant difference between the two groups. CONCLUSION: Peripheral cones were more frequently related to acute hydrops, and consequently, to PK. Keratoconus surgical treatment results were similar in cases with and without acute hydrops.