Factores del paciente que favorecen las complicaciones por cuerpo extraño corneal, Fundación Vista para Todos
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: los cuerpos extraños en córnea son una urgencia oftalmológica frecuente. Aunque la mayoría es superficial, en algunos casos esta puede provocar severas complicaciones generalmente como causa de la tardanza en la asistencia médica. Objetivos: Comprender las causas que determinan que un paciente con cuerpos extraño en cornea presente complicaciones al momento de acudir a la consulta externa de la fundación vista para todos Metodología: se realizó un estudio cualitativo, descriptivo, de tipo reporte de casos (fenomenológico) en el que se incluyeron 35 pacientes consecutivos seleccionados de forma no aleatoria, con cuerpo extraño en córnea, atendidos en la Fundación Vista para todos (Quito-Ecuador) entre el 16 de mayo al 18 de junio de 2019, que consintieron su participación. Se excluyeron aquellos que declinaron contestar la encuesta. Resultados: La mayoría de los pacientes se encontraba en actividades domésticas (51.4%), 22,9% usaba protección en ojos al momento del accidente. 60% sabia que la actividad implicaba riesgo. El 37.1% tenía conocimientos sobre la cornea y 42.9% sobre cuerpo extraño en córnea. La mayoría desconocía las complicaciones de la condición (74.3%). El 57.1% no sabía que hacer en caso del accidente. La mayoría no tuvo alguien que le informe sobre que hacer (57.1%). La mayoría tardó porque al principio era asintomático (31.4%) Conclusiones: La causa fundamental de la tardanza es el desconocimiento de los pacientes sobre aspectos importantes en relación la córnea y las complicaciones que se pueden producir. También existe desconocimiento sobre los primeros auxilios que se deben de proporcional a estos pacientes.
Background: foreign bodies in the cornea are a common ophthalmological emergency. Although most are superficial, in some cases this can cause severe complications, generally as a cause of delay in medical assistance. Objectives: To understand the causes that determine that a patient with foreign bodies in the cornea presents complications when attending the outpatient clinic of the Vista Para Todos Foundation Methodology: a qualitative, descriptive, case report type (phenomenological) study was carried out in which included 35 consecutive non-randomly selected patients with a foreign body in the cornea, treated at the Vista para todos Foundation (Quito-Ecuador) between May 16 and June 18, 2019, who consented to participate. Those who declined to answer the survey were excluded. Results: Most patients were engaged in domestic activities (51.4%), 22.9% were wearing eye protection at the time of the accident. 60% knew that the activity involved risk. 37.1% had knowledge about the cornea and 42.9% about foreign bodies in the cornea. The majority were unaware of the complications of the condition (74.3%). 57.1% did not know what to do in case of the accident. The majority did not have someone to tell them what to do (57.1%). The majority delayed because at first they were asymptomatic (31.4%) Conclusions: The fundamental cause of delay is the patients' lack of knowledge about important aspects related to the cornea and the complications that can occur. There is also a lack of knowledge about the first aid that should be provided to these patients.
Background: foreign bodies in the cornea are a common ophthalmological emergency. Although most are superficial, in some cases this can cause severe complications, generally as a cause of delay in medical assistance. Objectives: To understand the causes that determine that a patient with foreign bodies in the cornea presents complications when attending the outpatient clinic of the Vista Para Todos Foundation Methodology: a qualitative, descriptive, case report type (phenomenological) study was carried out in which included 35 consecutive non-randomly selected patients with a foreign body in the cornea, treated at the Vista para todos Foundation (Quito-Ecuador) between May 16 and June 18, 2019, who consented to participate. Those who declined to answer the survey were excluded. Results: Most patients were engaged in domestic activities (51.4%), 22.9% were wearing eye protection at the time of the accident. 60% knew that the activity involved risk. 37.1% had knowledge about the cornea and 42.9% about foreign bodies in the cornea. The majority were unaware of the complications of the condition (74.3%). 57.1% did not know what to do in case of the accident. The majority did not have someone to tell them what to do (57.1%). The majority delayed because at first they were asymptomatic (31.4%) Conclusions: The fundamental cause of delay is the patients' lack of knowledge about important aspects related to the cornea and the complications that can occur. There is also a lack of knowledge about the first aid that should be provided to these patients.
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OJO, CORNEA, REACCION A CUERPO EXTRAÑO, MEDICINA PREVENTIVA, EPIDEMIOLOGIA DESCRIPTIVA, FUNDACION VISTA PARA TODOS, CANTON QUITO, ECUADOR