PARTICULARITI STATISTICE I CURATIVE ALE CORPILOR STRINI SUPERFICIALI I

ABRAZIUNILOR CORNEENE
Autor: Bobeica Maria, anul VI, USMF Nicolae Testemianu, Facultatea Medicin 1
Coordonator: Bendelic Eugen, dr. hab. n med., prof. univ., Catedra Oftalmologie,
USMF Nicolae Testemianu

Introducere: Afeciunile traumatice ale corneei se manifest prin multiple tipuri i forme
eroziune, corp strin a corneei, keratit traumatic, plag nepenetrat etc.. Incidena leziunilor
superficiale, reprezentate de corpii strini superficiali (CS) i abraziunile corneene (A) pe plan
mondial este de 1,57% pe an. Microtraumatismul ocular este o problem important a sntii
publice care poate fi prevenit, impactul economic fiind determinat de lipsa subiectului (tineri i
aduli sub 30 ani) de la munc pe o perioad medie de dou zile.
Scop i obiective: Studiul are drept scop cercetarea complex a particularitilor statistice i
curative ale corpilor strini superficiali i abraziunilor corneene ale pacienilor care s-au adresat n
Departamentul de Internare a Spitalului Clinic Republican n perioada anilor 2009- 2011 prin
determinarea frecvenei; evaluarea simptomelor clinice i studierea particularitilor de tratament la
bolnavii cu corpi strini superficiali i abraziuni corneene.
Materiale i metode: Cercetarea a fost realizat n baza unui studiu retrospectiv,
monocentric, descriptiv, pe un lot de 332 pacieni cu corpi strini superficiali i abraziuni corneene,
care s-au adresat n Departamentul Internare a Spitalului Clinic Republican (SCR) pentru asisten
medical pe perioada anilor 2009 - 2011. Datele utilizate au fost colectate din registrele
Departamentului Internare a SCR i au cuprins: vrsta, sexul, acuzele, originea CS/ A corneene,
timpul de adresare, metodele de diagnostic i tratamentul administrat.
Rezultate obinute: Conform studiului, n proporie de 94% sunt afectai brbaii, datorit
activitii specifice lor: lucru n metalurgie, n calitate de lctu, mecanic i prelucrarea pietrei.
Vrsta tipic pentru leziunile corneei determinate de corpi strini superficiali i abraziuni este de
21- 30 ani (41,27%) i 31- 40 ani (25,60%), ceea ce rezult o morbiditatea mai nalt n rndul
persoanelor apte de munc. Leziunile corneene au fost datorate aciunii factorilor etiologici
reprezentai de corpi strini metalici (76,12%), determinnd un tabloul clinic de: senzaie de corp
strin (91,56%), durere (86,67%), lcrimare (73,33%) i fotofobie (55,56%). Tratamentul a inclus
nlturarea corpului strin preventiv administrndu-se anestezic local (sol. Tetracain 1%- 88,55%),
ulterior instilndu-se sol. Ciprofloxacin 0,3% (spectru larg de aciune, inclusiv antipseudomodal),
ung. Tetraciclin 1% (74,40%) i gel Oftagel (6,93%). Se impune recomandarea utilizrii unei
protecii oculare pe viitor.
Concluzii: Datorit afectrii preponderente a brbailor apt de munc (vrsta 21- 40 ani) se
impune o respectare a normelor de protecie ocular la locul de munc a acestora.

STATISTICAL AND MEDICINE PARTICULARS OF SUPERFICIAL FOREIGN

BODY AND CORNEAL ABRASION
Authors: Maria Bobeica, SUMPh "Nicolae Testemianu", VI year, Faculty Medicine 1;
Vitalie Iacubichii, SUMPh "Nicolae Testemianu", VI year, Faculty Medicine 1;
Vladicescu Cristina, SUMPh "Nicolae Testemianu", II year, Faculty Medicine 1.
Scientific advisor: Eugen Bendelic, M.D., PhD., Professor., Department of Ophthalmology,
SUMPh "Nicolae Testemianu"

Introduction: Traumatic corneal disorders manifested by multiple types and forms erosion, corneal foreign body, traumatic keratitis etc. The incidence of superficial injuries
represented by foreign bodies (FB) and corneal abrasions (A) is 1.57% per year. Minor eye trauma
is an important public health problem that can be prevented, the economic impact caused by the
absence of subject (youth and adults under 30 years) from work for a mean period of two days.
Purpose and Objectives: The study aims to complex research of statistical and medicine
particulars of corneal abrasions and superficial foreign bodies to patients who have addressed the
Admission Department of Republican Clinical Hospital during the years 2009 - 2011 by
determining the frequency, evaluation of clinical symptoms and study the peculiarities of treatment
at patients with superficial foreign bodies and corneal abrasions.
Materials and methods: The study is retrospective, single center, descriptive, it includes a
group of 332 patients with superficial foreign bodies and corneal abrasions, who addressed the
Admission Department of Republican Clinical Hospital (RCH) for medical care during the years
2009 to 2011. The data used were collected from the records of RCHs Admission Department and
included: age, sex, complaints, the origin of corneal FB / A, addressing time, the methods of
diagnosis and treatment given.
Results: According to the study, 94% men are affected because of their specific activity:
work in metallurgy, as a locksmith, mechanic and stoneworkers. Typical age for corneal injury
caused by superficial foreign bodies and abrasions is 21-30 years (41.27%) and 31-40 years
(25.60%), which include a higher morbidity among people of working age. Corneal lesions were
due to action of etiological factors represented by metallic foreign bodies (76.12%), leading to
symptoms: foreign body sensation (91.56%), pain (86.67%), lacrimation (73.33 %) and
photophobia (55.56%). Treatment included removal of foreign body by preventive management of
local anesthetic (Tetracaine sol. 1% - 88.55%), then distill eye drops of Ciprofloxacin 0.3% (broadspectrum, including antipseudomonal), ung. Tetracycline 1% (74.40%) and gel Oftagel (6.93%).
The recommendation requires the use of eye protection in the future.
Conclusions: Due to prevailing affectation of men of working age (age 21-40 years old) is
required eye protection compliance in their work.