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Epidemiologia do buraco macular

Epidemiologia do buraco macular

Autores:

Valéria Tavano,
Michel Eid Farah,
Paulo H. A. Morales,
Aldo F. Nogueira Mendaro,
Marcos Ferreira,
Pedro P. Bonomo

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.61 no.1 São Paulo fev. 1998

http://dx.doi.org/10.5935/0004-2749.19980103

SUMMARY

The macular hole is an entity related to several phy-siopathogenic mechanisms that could be presented with many clinical features and consequently with different prognosis and treatments. We reviewed retrospectively the 1030 records in the Retina Vitreous Section of the UNIFESP/EPM, from 1980 to 1995. The idiopatic macular hole was the most frequent type eigtheen (66.6%) cases, with prepoderance offemales, average age of 64 years and bilaterality in five (18%) patients. In relation to macular hole secondary to cystoid macular edema, seven (87.5%) were females and lens surgery two (37.5%) and uveitis one (28.6%) were the most frequent etiologies. The male group accounted for three (83.3%) in the cases of traumatic hole and the average age was 31.6 years old similarly the female group accounted two (66.6%) in the cases of myopia.

REFERÊNCIAS

1 Gass JDM. Stereoscopic atlas of macular diseases: diagnosis and treatment 3rd ed. Vol.2, St Louis: CV Mosby 1987;684-93.
2 Gass JDM. Lamelar macular hole, a complication of cystoid macular edema after cataract extraction. Arch Ophtalmol 1976;94:793-800.
3 Friedlaender MH. Allergy and immology of the eye. Hagerstown: Harper & Row 1979;24-203.
4 Haltfield, EM. Eye injuries and the solar eclypse. Sight Sanng Rev 1970;40:79.
5 Mcdonnell PJ, Fine SL, Hillis AI. Clinical features of idiopathic macular cysts and holes. Am J Ophthamol 1982;93:777-86.
6 Margherio RR, Schepens CL. Macular breaks: diagnosis, etiology and observations. Am J Ophthalmol 1972;74:219-32.
7 Morgan CM, Schatz H. Idiopathic macular holes. Am J Ophthalmol 1985;99:437-44.
8 Gass JDM. Reapprasial of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol 1995;119:752-9.
9 Aaberg TM. Macular holes. A review. Surv Ophthalmol 1970;15:139-62.
10 Guyer DR, Green WR, Bustros S, Fine SL. Histopathologic features of idiopathic macular holes and cysts. Ophthalmology 1990;97:1045-51.
11 Bronstein MA, Trempe CL, Freeman HM. Fellow eyes of eyes with macular holes. Am J Ophthalmol 1981;92:757-61.
12 Smiddy WE, Michels RG, Glaser BM, Debustros S. Vitrectomy for impending idiopathic macular holes. Am J Ophthalmol 1988;105:371-6.
13 Farah ME, Oshima A, Lima ALH. Desaparecimento do buraco macular associado ao desenvolvimento de membrana epiretiniana. Arq Bras Oftal 1993;56:243-6.
14 Yannuzi LA, Fisher YC, Krueger A, Slakter J. Solar retinopathy: a photobiological and geophysical analysis. Ophthalmology 1985;92:785-9.
15 Farah ME, Oshima A, Lima ALH, Belfort Jr. R. Fotocoagulação do epitélio pigmentário da retina para o tratamento de buraco macular verdadeiro. Rev Bras Oftal 1995;54:23-5.