<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272020000400423</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pacientes con queratocono atendidos en la Consulta de Cirugía refractiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Keratoconus patients seen in refractive Surgery Consultation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Vázquez]]></surname>
<given-names><![CDATA[Niurka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Pérez]]></surname>
<given-names><![CDATA[Neyda Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Bermúdez]]></surname>
<given-names><![CDATA[Gelsy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima León]]></surname>
<given-names><![CDATA[Carlos Eddy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Del Sol Fabregat]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>14</volume>
<numero>4</numero>
<fpage>423</fpage>
<lpage>431</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272020000400423&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272020000400423&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272020000400423&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el queratocono es una enfermedad progresiva e idiopática, se desarrolla en la adolescencia y en adultos jóvenes y constituye una de las formas más comunes de las distrofias corneales.  Objetivo:  caracterizar el comportamiento clínico-epidemiológico de pacientes con queratocono.  Métodos:  estudio descriptivo transversal en pacientes con diagnóstico de queratocono que asistieron a la Consulta de cirugía refractiva del Centro Oftalmológico de Villa Clara durante el año 2018.  Resultados:  prevalecieron la edad entre 19 y 29 años (34,88%) y el sexo masculino (58,14%). Las enfermedades oculares y sistémicas asociadas que predominaron fueron la conjuntivitis alérgica (25,54%) y el asma (18,57%), el 100% refirieron visión borrosa como principal síntoma. El defecto refractivo asociado fue el astigmatismo miópico compuesto (67,44%). Se diagnosticó por topografía corneal un 83,72% de los casos. A través de este estudio se encontró que los resultados concuerdan con lo publicado internacionalmente en referencia a la edad, los principales síntomas referidos y las enfermedades oculares y sistémicas asociadas, pero, contrario a lo informado, fue evidente que esta condición es más prevalente entre los hombres de la muestra.  Conclusiones:  la documentación de esta enfermedad es importante para el diagnóstico oportuno y para fomentar las prácticas que limitan su progresión; es frecuente en masculinos jóvenes, la conjuntivitis alérgica y el asma se asocian a ella en mayor frecuencia, la visión borrosa es referida en todos los pacientes diagnosticados, el astigmatismo miópico compuesto se asocia en mayor número y con el uso del topógrafo se diagnosticaron mayor número de pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  keratoconus is a progressive and idiopathic disease, which develops in adolescence and young adults, thus constituting one of the most common forms of corneal dystrophies.  Objective:  to characterize the clinical-epidemiological behavior of patients with keratoconus.  Methods:  descriptive transversal study in patients with a diagnosis of keratoconus who attended a refractive surgery consultation at Villa Clara Ophthalmological Center during 2018.  Results:  age between 19 and 29 years old (34.88%), male sex (58.14%), eye and systemic diseases were predominant, allergic conjunctivitis (25.54%) and asthma (18.57%), 100% reported blurred vision as the main symptom, and the associated refractive defect was compound myopic astigmatism (67.44%). Corneal topography was diagnosed in 83.72% of the cases. Through this study, it was found that the results agree with the international publications in reference to age, main symptoms referred and associated ocular and systemic diseases, but, contrary to what was reported, it was evident that this condition is more prevalent among the men in the sample.  Conclusions:  documentation of this disease is important for timely diagnosis and to encourage practices that limit the progression of the disease; it is frequent in young men, allergic conjunctivitis and asthma are associated with it more frequently, blurred vision is referred to in all diagnosed patients, compound myopic astigmatism is associated in greater numbers and with the use of the topographer more patients were diagnosed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[queratocono]]></kwd>
<kwd lng="es"><![CDATA[astigmatismo miópico compuesto]]></kwd>
<kwd lng="es"><![CDATA[topografía corneal]]></kwd>
<kwd lng="en"><![CDATA[keratoconus]]></kwd>
<kwd lng="en"><![CDATA[compound myopic astigmatism]]></kwd>
<kwd lng="en"><![CDATA[corneal topography]]></kwd>
</kwd-group>
</article-meta>
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