Monday , April 19 2021

More than 70% of the online diagnosis of eye diseases present is a mistake



Photo: Pressworks
The ophthalmologist's view for eye problems is indispensable.

A study published in Chicago, USA, during the 2018 American Ophthalmology Academy conference in October, reveals an error in 74% eye disease evaluations performed by WebMD Symptom Checker, a popular online diagnostic application.

"Telemedicine is undoubtedly a way of widening access to eye health, said ophthalmologist Leôncio Queiroz Neto. For this, the problem of this app is to eliminate the interaction of the patient with the patient." The result The study is a warning to the Brazilian population, "he said.

That's because a survey made by the doctor on 12,000 hospital charts shows that 4 out of 10 people are already arriving at the clinic using eye drops on their own. "As well as eye drops, some drugs for sistic changes affect eye health," he said. The highest risk groups, she says, are the elderly who treat chronic diseases, pregnant women, and women who are taking anticonceptives. But the children's vision can also have changes that are triggered using medicines,

Hyperopia risk in children

This applies to 5% of 6 to 14-year-olds and are treated with methylphenidate, the active substance of Ritalin and Concerta, medicines used to treat ADHD (Depression Hyperactivity Disorder).

According to Queiroz Neto, the country considers these medicines because they improve the school's performance by increasing concentration. The problem, which warns, is that they fall away from the pupil and can cause accommodation shortcomings, a temporary difficulty to see near.

This is what happened, with a ADHD boy who recently came to the office with pupils very tight and difficult to see them closely. The signs of accommodation farsightedness listed by the doctor are:

· She stretches her arms to read.

· Look for the last portfolios in the classroom to see the blackboard.

· There is no taste for reading

· Exchanging internal activities by external ones.

· Close the eyes to read.

If methylphenidate can not be stopped, glasses need to be prescribed and it can be permanent.

Women, pregnant women and elderly

According to the ophthalmologist, antibiotic eye drops should be avoided with contraceptive pillus because the contraception could lose the effect.

The World Health Organization warns that 3% of birth defects are caused using drugs or drugs during pregnancy. This is because the increase in sex hormones during pregnancy changes the drug metabolism that is concentrated in the bloodstream.

Queiroz Neto notes that even the astringent eyes that seem innocent fall into plants that can affect the fetus. That's because it all contracts all the ships, including the placenta. Outcome: it reduces the nutrient and oxygen exchanges with the fetus.

Elderly taking high blood pressure treatment should be alert to the use of this type of eye defects because it can raise the artery pressure, alert. "The interaction of the beta-blocker to trigycardia with astringent eye drops also conflicts because eye drops can reduce the effect of oral medication," he said.

Therefore, it is recommended to overcome pollution to pregnant, cordial and cardiac patients with white eyes. If inflammation continues, consult an ophthalmologist.

Glaucoma

Queiroz Neto states that corticosteroids can reduce the effect of eye drops for glaucoma and should therefore be used solely under medical supervision. Pregnant women with glaucoma need ophthalmic reassessment. This is because it explains that the use of prostaglandin analogues increases the risk of early termination of pregnancy. Beta blockers can affect the fetus heart rate. The good news is that intraocular pressure usually decreases during pregnancy, allowing many cases to be treated with lesser droplets.


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