Pterygium in adults from the Brazilian Amazon Region: prevalence, visual status and refractive errors

Autor(es):Mostrar menos -

Fernandes, Arthur G. ^[1] ; Salomao, Solange R. ^[1] ; Ferraz, Nivea N. ^[1] ; Mitsuhiro, Marcia H. ^[1] ; Furtado, Joao M. ^{[1, 2]} ; Munoz, Sergio ^[3] ; Cypel, Marcela C. ^[1] ; Cunha, Cristina C. ^[1] ; Vasconcelos, Galton C. ^{[4, 1]} ; Sacai, Paula Y. ^[1] ; Morales, Paulo H. ^[1] ; Cohen, Marcos J. ^[5] ; Cohen, Jacob M. ^[5] ; Watanabe, Sung S. ^[1] ; Campos, Mauro ^[1] ; Belfort Junior, Rubens ^[1] ; Berezovsky, Adriana ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo UNIFESP, Dept Oftalmol & Ciencias Visuais, Escola Paulista Med, Sao Paulo, SP - Brazil

^[2] Univ Sao Paulo, Dept Oftalmol Otorrinolaringol & Cirurgia Cabeca, Ribeirao Preto, SP - Brazil

^[3] Univ La Frontera, Dept Salud Publ, Temuco - Chile

^[4] Univ Fed Minas Gerais, Fac Med, Dept Oftalmol & Otorrinolaringol, Belo Horizonte, MG - Brazil

^[5] Univ Fed Amazonas, Fac Med, Dept Cirurgia, Div Oftalmol, Manaus, Amazonas - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BRITISH JOURNAL OF OPHTHALMOLOGY; v. 104, n. 6, p. 757-763, JUN 2020.
• Citações Web of Science: 0

Resumo

Aims To determine prevalence of pterygium, its role as main cause of unilateral and bilateral visual impairment and blindness and its impact on refractive errors from adults living in a high ultraviolet exposure area in the Brazilian Amazon Region. Methods Cluster sampling was used in randomly selecting subjects >= 45 years of age from urban and rural areas of Parintins city. Eligible subjects were enumerated through a door-to-door household survey and invited for an eye exam including refraction. Pterygium was assessed considering location (nasal, temporal or both) and size (<3 mm or >= 3 mm reaching or not pupillary margin). Results A total of 2384 persons were enumerated and 2041 (85.6%) were examined. Prevalence of pterygium was 58.8% (95% CI 53.8% to 63.7%) and associated with male gender (OR=1.63; 95% CI 1.37 to 1.94; p=0.001), while higher education was a protective factor (OR=0.63; 95% CI 0.44 to 0.92; p=0.018). Older age and rural residence were associated with pterygium >= 3 mm reaching or not pupillary margin, while higher education was a protective factor for pterygium >= 3 mm reaching pupillary margin. Prevalence of pterygium as cause of visual impairment and blindness was 14.3% and 3.9%, respectively. Significantly higher hyperopic refractive errors were found in eyes with pterygium >= 3 mm reaching or not pupillary margin. Conclusions Pterygium was highly prevalent and the second cause of visual impairment and blindness after provision of refractive correction. Risk factors for pterygium were male gender, advanced age, lower education and rural residency. Strategies to provide pterygium early detection and proper management should be considered by healthcare authorities in this population. (AU)

• Processo FAPESP: 13/16397-7 - Estudo ocular do município de Parintins, AM: prevalência e causas de deficiência de visão para perto e longe e cegueira
• Beneficiário: Solange Rios Salomão
• Modalidade de apoio: Auxílio à Pesquisa - Regular