Artigo Acesso aberto Produção Nacional

Ophthalmological profile of patients with thyroid diseases in Fortaleza, Ceará, Brazil: glaucoma investigation

2021; CENTRO UNIVERSITÁRIO CHRISTUS; Volume: 9; Issue: 1 Linguagem: Inglês

10.12662/2317-3076jhbs.v9i1.4031.p1-5.2021

ISSN

2317-3084

Autores

Bianca Diogo Lessa Castro, Sandy Ester Freire Sobral, Pedro Henrique de Santana Pereira, Aline Lourenço Cordeiro, Sarah Dibe Santos, Ana Adélia Sá Costa, Herculano Pontes Barros Ribeiro, Hissa Tavares de Lima Gradvohl, Laura da Silva Girão Lopes, Juliana de Lucena Martins Ferreira,

Tópico(s)

Maternal and Neonatal Healthcare

Resumo

Objective : To evaluate the prevalence of ophthalmological pathologies, between thyroidopathies, for early diagnosis of glaucoma in patients seen at the Clínica Escola de Saúde (CES) of the Medicine Center of the Centro Universitário Christus (UNICHRISTUS), Fortaleza – Ceará – Brazil. Methods : A cross-sectional study and descriptive analysis of medical records of patients diagnosed with hypothyroidism or hyperthyroidism by the International Classification of Diseases (ICD-10) on the CES electronic system, between 2013 and 2018. Screened patients were invited to perform an eye examination at Fundação Leiria de Andrade (FLA). Results : Of the 499 medical records screened, 22.8% (114) had a confirmed diagnosis for thyroid disorders, 85.9% (98) with hypothyroidism, and 14.0% (16) with hyperthyroidism. Of these, 72.0% (101) were women and 28.0% (13) men. The most prevalent age group was between 41 and 60 years old, corresponding to 46.4% (53), being 65.7% (75) from Fortaleza - Ceará. The main comorbidities associated with thyroid diseases were systemic arterial hypertension, 43.8% (50), followed by dyslipidemia, 26.3% (30), and type 2 diabetes mellitus in 13.1% of patients (15). Of the total, 25 patients were referred to the FLA, 84.0% (21) reported previous eye diseases, 4.0% (1) diagnosticated with increased constitutional excavation, and 12.0% (3) with a diagnosis of primary open-angle glaucoma. Conclusion : Despite the hypothesis of an association between glaucoma and thyroidopathy, the sample size didn’t allow inferences about the increased risk of its correlation, as well as in other pre-existing studies in the literature, requiring further studies to elucidate this relevant association.

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