Abstract
Purpose:
TO DEFINE THE PACIENTS' PROFILE WITH FUNGAL KERATITIS IN HOSPITAL DAS CLÍNICAS DA UNICAMP, CAMPINAS, SÃO PAULO, BRAZIL, BETWEEN 2007-2013, AND ANALYZE THE IMPACT OF POSITIVE CULTURE IN THE CASES OUTCOME.
Methods:
A RETROSPECTIVE STUDY WAS PERFORMED ON THE FILES OF 840 PATIENTS WITH DIAGNOSED INFECTIOUS KERATITIS BETWEEN 2007-2103 IN UNICAMP AND ANALYSIS OF CASES WITH FINAL DIAGNOSIS OF FUNGAL KERATITIS ESTABLISHED BY CULTURE OR EPIDEMOLOGIC AND CLINICAL FINDINGS.
Results:
THERE WERE 82 EVALUATED CHARTS WITH FINAL DIAGNOSIS OF FUNGAL KERATITIS, AND 80% OF PATIENTS WERE MALE. THE CULTURE WAS DONE IN 75 % OF CASES, WITH POSITIVITE FOR FUNGUS IN 22 % OF THE STUDIES . IN PACIENTS WITH CULTURE, IN 20 % WERE IDENTIFIED FILAMENTOSOUS FUNGUS, THE Fusarium SP BEING IN 17 % OF CASES. WHEN COMPARED PATIENTS WITH POSITIVE CULTURE VERSUS PATIENTS WITH NEGATIVE / INCONCLUSIVE CULTURES, THERE WAS NO SIGNIFICANT STATISTIC DIFFERENCE BETWEEN GROUPS TO INDICATE PENETRATING KERATOPLASTY ( p = 0.932 ) .
Conclusions:
DESPITE THE LOW POSIVITE OF LABORATORY TESTS FOR CONFIRMATION OF FUNGAL INFECTION, THE ASSOCIATION OF EPIDEMIOLOGIC DATA AND A GOOD CLINICAL EXAM SHOWED UP TO BE ESSENCIAL TO IMPLEMENT A EARLY TREATMENT AND DECREASE OF OCULAR COMPLICATIONS AND SURGICAL
Keywords: 480 cornea: basic science •
479 cornea: clinical science