Alterações corneanas pós-tracoma não associadas a entrópio ou triquíase

• Autor(a) principal: Chaves, Alessandra Pinheiro [UNIFESP]
• Data de Publicação: 2001
• Outros Autores: Gomes, José Álvaro Pereira [UNIFESP], Freitas, Denise de [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492001000400004; http://repositorio.unifesp.br/handle/11600/1210
• topic: Corneal opacity; Trachoma; Entropion; Opacidade de córnea; Tracoma; Entrópio

Purpose: To describe corneal findings not related to eyelid involvement after trachoma. Methods: Complete ocular evaluation was performed in 7 patients from the Cornea and External Diseases Clinics of the Escola Paulista de Medicina -Universidade Federal de São Paulo (UNIFESP). The selected patients had a previous diagnosis of trachoma with no eyelid deformities, previous entropion repair or trichiasis, but presented corneal opacities. Results: The most common findings were bilateral corneal opacities in 100% of the cases, corneal thinning in 85.7% of the cases, bilateral superior pannus in 71.4% of the cases and bilateral superior tarsal conjunctiva fibrosis in 85.7% of the cases. Conclusion: Corneal findings after trachoma may be present different clinical aspects, including opacities, thinning, infectious keratitis, vascularization, ectasy, sensibility decrease and xerosis. If entropion and trichiasis are absent, these findings may result from trachomatous inflamation, interstitial keratitis or forms of treatment performed in the past. Nevertheless their pathophysiology is still controversial.