Título

EPIDEMIOLOGY OF ORBITAL AFFECTIONS IN AMBULATORIAL REFERENCE ATTENDANCE

Objetivo

To study the epidemiology of orbital general affection in a reference ambulatory.

Método

A Cross-section retrospective study of all registered attendance in Orbital ambulatory of Clinical Hospital of University of São Paulo between 2004 July and 2018 March, included 863 patients.

Resultado

A total of 863 patients were registered during this period however 47 were lost because of incomplete filling or following lost. From the total patients, 551 (63%) were female and 312 (36%) male. The affections were divided in 6 categories: Inflammatory 558 (64,65%); Tumoral 129 (14,94%); Vascular 69 (7,99%); Trauma 30 (3,47%); Infectious 16 (1,85%) and Others 19 (2,20%). In the inflammatory group Graves Orbitopathy corresponded on 84,76% (473) and more than a half percent of all the orbital affections (54,80%). Idiopathic Inflammatory Orbital disease was the second most common affection 11,29% (63). The tumors, in order of prevalence, were Lymphoma 20% (27); Meningioma 14,07% (19) and orbital methastasis 7,40% (10 - 6 distance and 4 for contiguity). In vascular the Cavernous Hemangioma 39,68 (25) and Lymphangioma 36,50% (23) had the biggest prevalence followed by Carotid-cavernous fistula 15,87 (10). Trauma was represented by fracture in 93,33% (28). Infectious were mainly because of cellulitis complications: abscess 43,75% (6) and secondly by Mucocele 31,25% (5).

Conclusão

Considering the number of patients included in this study we believe to be promoting a relevant data not only for local epidemiology but also for literature basement. There is a lack of publications about this theme. Although we expected a higher infectious prevalence, we considered to be low because acute process is already solved by the general ophthalmologist in most of cases. Also we can conclude the huge importance of the Graves Orbitopathy in our daily management.