Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina
Abstract: Regarding the World Health Organization's global vision report, 80% of the world's visual impairment (VI) is preventable or curable with treatment. Uncorrected refractive errors (RE) (i.e. myopia [Mp], hyperopia [Hp], astigmatism [As]) are the most frequent cause of wor...
| Autores principales: | , , , , , , , |
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/35037 |
| Aporte de: |
| id |
I10-R327-article-35037 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Refractive defects visual impairment optometry Defectos refractivos deficiencia visual optometría |
| spellingShingle |
Refractive defects visual impairment optometry Defectos refractivos deficiencia visual optometría Panaroni , DH Mujica, M Fredes , R Menervino , C Corral , S Toledo , FF Gutiérrez , MA Faccia , P Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina |
| topic_facet |
Refractive defects visual impairment optometry Defectos refractivos deficiencia visual optometría |
| author |
Panaroni , DH Mujica, M Fredes , R Menervino , C Corral , S Toledo , FF Gutiérrez , MA Faccia , P |
| author_facet |
Panaroni , DH Mujica, M Fredes , R Menervino , C Corral , S Toledo , FF Gutiérrez , MA Faccia , P |
| author_sort |
Panaroni , DH |
| title |
Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina |
| title_short |
Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina |
| title_full |
Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina |
| title_fullStr |
Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina |
| title_full_unstemmed |
Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina |
| title_sort |
distribution of refractive errors in a clinical sample of patients examined in an optometric practice in argentina |
| description |
Abstract:
Regarding the World Health Organization's global vision report, 80% of the world's visual impairment (VI) is preventable or curable with treatment. Uncorrected refractive errors (RE) (i.e. myopia [Mp], hyperopia [Hp], astigmatism [As]) are the most frequent cause of worldwide VI (43%). Although, they are easily diagnosable and correctable. Knowing the distribution of RE is the basis for planning primary health care (PHC) strategies, however, to date, only a few national reports are found.
The aim of this work is to determine the distribution of RE in a clinical sample of patients examined in an optometry practice, between 2016-2019, at the José Ingenieros de Melchor Romero hospital, Buenos Aires.
A cross-sectional study was performed, the clinic records of 475 patients were analyzed, and the RE was classified by the dioptric value reached (using retinoscopy technique and refined subjectively to the best monocular and binocular visual acuity) according to the following criteria: emmetropia (E) spherical value (sp.) -0.25≤sp.≤+0.25 diopters (D); Mp sp.<- 0.50D; Hp sp.≥ + 0.50D; As cyl. ≥-0.75D. The frequency of anisometropia was also determined for differences> 1D in the sp. between both eyes. All patients gave their consent for the use of the data. Only data from the right eye were used for the analysis, due to the good correlation of RD between right and left eyes (Pearson's correlation, 0.799).
The age range was from 4 to 88 years old, 34.1% males and 65.9% females. REs were present in 57% of the sample, with Hp (27%; 1.23 ± 1.15D) being the most frequent, followed by As (25%; -1.75 ± 1.37D) and Mp (5%, -2.16 ± 3.20D). Furthermore, anisometropia was present in 10.5% of the sample with an average value of 3.16 ± 2.44D.
Preventive strategies from the first level of care are necessary to detect and treat RE in order to reduce the VI associated with the amblyopia effect of uncorrected anisometropia and high As, lower health costs, and improve people's quality of life and education. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/35037 |
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I10-R327-article-350372024-04-15T16:19:09Z Distribution of refractive errors in a clinical sample of patients examined in an optometric practice in Argentina Distribución de los errores refractivos en una muestra clínica de pacientes examinados en consulta optométrica Panaroni , DH Mujica, M Fredes , R Menervino , C Corral , S Toledo , FF Gutiérrez , MA Faccia , P Refractive defects visual impairment optometry Defectos refractivos deficiencia visual optometría Abstract: Regarding the World Health Organization's global vision report, 80% of the world's visual impairment (VI) is preventable or curable with treatment. Uncorrected refractive errors (RE) (i.e. myopia [Mp], hyperopia [Hp], astigmatism [As]) are the most frequent cause of worldwide VI (43%). Although, they are easily diagnosable and correctable. Knowing the distribution of RE is the basis for planning primary health care (PHC) strategies, however, to date, only a few national reports are found. The aim of this work is to determine the distribution of RE in a clinical sample of patients examined in an optometry practice, between 2016-2019, at the José Ingenieros de Melchor Romero hospital, Buenos Aires. A cross-sectional study was performed, the clinic records of 475 patients were analyzed, and the RE was classified by the dioptric value reached (using retinoscopy technique and refined subjectively to the best monocular and binocular visual acuity) according to the following criteria: emmetropia (E) spherical value (sp.) -0.25≤sp.≤+0.25 diopters (D); Mp sp.<- 0.50D; Hp sp.≥ + 0.50D; As cyl. ≥-0.75D. The frequency of anisometropia was also determined for differences> 1D in the sp. between both eyes. All patients gave their consent for the use of the data. Only data from the right eye were used for the analysis, due to the good correlation of RD between right and left eyes (Pearson's correlation, 0.799). The age range was from 4 to 88 years old, 34.1% males and 65.9% females. REs were present in 57% of the sample, with Hp (27%; 1.23 ± 1.15D) being the most frequent, followed by As (25%; -1.75 ± 1.37D) and Mp (5%, -2.16 ± 3.20D). Furthermore, anisometropia was present in 10.5% of the sample with an average value of 3.16 ± 2.44D. Preventive strategies from the first level of care are necessary to detect and treat RE in order to reduce the VI associated with the amblyopia effect of uncorrected anisometropia and high As, lower health costs, and improve people's quality of life and education. Resumen: Según el informe mundial de visión de la Organización Mundial de la Salud, el 80 % de las discapacidades visuales (DV) halladas mundialmente se pueden prevenir o curar. Los defectos refractivos (DR) no corregidos, como miopía (Mp), hipermetropía (Hp) o astigmatismo (As), ocupan el primer lugar (43%) de las causas de DV, aunque son fácilmente diagnosticables y corregibles. Conocer la distribución de DR es la base para planificar las estrategias de atención primaria en salud (APS), encontrándose pocos reportes nacionales a la fecha. El objetivo del trabajo es presentar un análisis descriptivo transversal de los DR hallados en una población clínica atendida en consulta optométrica, entre 2016-2019, en los consultorios externos del hospital José Ingenieros de Melchor Romero, Buenos Aires. Se analizaron 475 registros clínicos, y el DR se agrupó en función del valor obtenido empleando la técnica de retinoscopía, complementada con test subjetivos de afinación y balance de la corrección, según el siguiente criterio: emetropía (E) valor esférico (esf.) de -0,25 a +0,25 dioptrías (D); Mp esf.<−0,50D; Hp esf. ≥+0,50D; As cil. ≥-0,75D; también se determinó la frecuencia de anisometropía para diferencias >1D en la esf. entre ambos ojos. Todos los pacientes dieron su consentimiento para la utilización de los datos. Para el análisis se empleó datos solo del ojo derecho, debido a la buena correlación del DR entre los dos ojos (correlación de Pearson, 0,799). El rango etario fue de 4 a 88 años, 34,1% hombres y 65,9% mujeres. Los DRs se presentaron en el 57% de la muestra, siendo más frecuente la Hp (27%; 1,23±1,15D), seguido del As (25%; -1,75±1,37D) y la Mp (5%, -2,16±3,20D). Además, las anisometropías fueron del (10,5% 3,16±2,44D). Se sugieren la importancia de estrategias preventivas desde el primer nivel de atención para detectar y tratar los DR a fin de disminuir la DV asociadas al efecto ambliopizante de anisometropías y/o As altos no corregidos, bajar los costos en salud y mejorar la escolarización y la calidad de vida de las personas. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/35037 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |