Resumen

GONZALEZ SOTERO, Janet. Risk factors found in patients with possible diagnosis of mycotic corneal ulcer in Pinar del Río province. Rev Cubana Oftalmol [online]. 2010, vol.23, n.2, pp. 277-287. ISSN 1561-3070.

OBJECTIVE: To identify the main risk factors in patients suspected of mycotic corneal ulcer in Pinar del Río province. METHODS: An observational and analytical case-control study was conducted. Data were collected from the medical histories of those patients with possible diagnosis of mycotic corneal ulcer, who had been admitted at the Ophthalmology Service of "Abel Santamaría Cuadrado" clinical and surgical hospital from January 1^st, 2004 to November 30^th, 2007. The variables such as age, sex, occupation, kind of residence place, recent history of corneal trauma caused by vegetable matter, corneal trauma, use of contact lenses, use of topical steroids, immunosuppressive systemic diseases, previous eye surgery and and ocular surface chronic illness were all used . The frequency and association measures were also used. RESULTS: It was determined that occupation, kind of residence place and recent history of corneal trauma with vegetable matter are possible risk factors of mycotic corneal ulcer in the province. The frequency of mycotic corneal ulcer was 27 % of the total number of patients admitted and diagnosed with that disease. Males were the most affected and the 38-57 y age group as well. CONCLUSIONS: The recent history of corneal trauma caused by the vegetable material, rural place of residence and direct handling of plants at work were those risk factors in the studied patients. The frequency of mycotic corneal ulcer in this study matched that of the pattern seen in those countries with warm and humid climate, particularly near the Equator. Mycotic corneal ulcer is more common in men at working age.

Palabras clave : Mycotic corneal ulcer; risk factors; corneal trauma.

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