Compartilhar

Tumores oculares: fatores de atraso no atendimento oftalmológico

Tumores oculares: fatores de atraso no atendimento oftalmológico

Autores:

Christiane Baddini-Caramelli,
Miriam Rotenberg,
Amaryllis Avakian,
André L. Borba da Silva,
Francisco M. Damico,
Leda M. Takei,
Tânia Onclinx

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

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

Arq. Bras. Oftalmol. vol.60 no.6 São Paulo dez. 1997

http://dx.doi.org/10.5935/0004-2749.19970008

SUMMARY

Background:

Patients presenting with ocular tumors may have worse visual and systemic prognosis if late diagnosis and therapeutics occur. Studies assessing the causes for this delay in our country were retrospective and focused on a specific type of tumor.

Objectives:

To elucidate the trajectory until diagnosis and treatment of a group of patients with ocular tumors, describing their demographic and clinical features.

Material and Methods:

Interview with patients presenting with ocular tumors of recent diagnosis admitted in a university hospital from May 95 to May 96.

Results:

Thirty seven patients were evaluated. The malignant tumors that were most frequently found were retinoblastoma, conjunctival epidermoid carcinoma and choroid melanoma. The trajectory from the beginning of symptoms until therapy developed in four main stages, with different problems in each one of them. Stages 1 to 3, related mostly to the motivation and access to health services, contributed equally, each one increasing from one to three months the duration of the disease. Stage 4, when complementary exams were needed, was the briefest, lasting for less than 30 days for the majority of patients.

Conclusion:

These results indicate that prevention programs should take into account the different limitations that occur in our population in arder to be efficient.

Key Words: Ocular tumor; Control and Prevention

REFERÊNCIAS

1 SANTOS NETO, E.; AZEKA, E.; ROMANO, S. M. L.; AZEVEDO, M. L.; CUNHA, S. L. - Retinoblastoma: estudo clínico e anátomo-patológico de 90 casos. Rev Bras Oftalmol, 48(2): 102-6, 1989.
2 DERKINDEREN, D. J.; KOTEN, J. W.; Van ROMUNDE, L. K. J.; NAGELKERKE, N. J. D.; TAN K. E. W. P.; BEEMER, F. A.; Den OTTER, W. - Early diagnosis of bilateral retinoblastoma reduces death and blindness. Int J Cancer, 44: 35-39, 1989.
3 ERWENNE, C. M.; ANTONELI, C. B. G.; ABUJAMRA, S.; EPELMAN, S.; SILVA, N. S.; RIBEIRO, M. C. M.; BIANCHI, A.; PACHECO, J. C. G. - Retinoblastoma: retrato da nossa realidade; uma proposta de trabalho em prevenção da cegueira. Arq Bras Oftalmol, 48(4): 141-5, 1985.
4 LIRA, R. P. C.; LEONCIO, M. P.; PINHO, J.; ROCHA, G.; LIRA, P. C. - Retinoblastoma extraocular: estudo de 37 casos. Arq Bras Oftalmol, 58(6): 480-3, 1995.
5 ABID, F. C.; GRUPENMACHER, F.; HIROKI, E. Y.; IANKLEVICH, P.; GRUPENMACHER, L.; WATANABE, F. - Situação do retinoblastoma nos últimos 17 anos em Curitiba-Paraná. Rev Bras Oftalmol 51(3): 175-8, 1992.
6 SWANSON, M. W.; CLOUD, G. - A retrospective analysis of primary eye cancer at the University of Alabama at Birminghan 1958-1988. Part 1: eye and orbital cancer. J Am Optom Assoc, 62: 815-19, 1991.
7 TEMPORINI, E. R.; KARA-JOSÉ, N. - Níveis de prevenção de problemas oftalmológicos: propostas de investigação. Arq Bras Ofttal, 58: 189-92, 1995.
8 SOMMER, A. - Organizing to prevent third world blindness. Am J Ophthalmol, 107(5): 544-6, 1989.