Protocolos de Abordagem do Doente com Retinopatia Diabética do Centro Hospitalar Universitário de Santo António
DOI:
https://doi.org/10.48560/rspo.31122Palavras-chave:
Diabetes Mellitus, Edema Macular, Injecções Intravítreas, Retinopatia DiabéticaResumo
RESUMO
Introdução:
A abordagem a doentes com retinopatia diabética apresenta-se como um desafio crescente a nível hospitalar. Sendo a principal causa de cegueira em idade activa, é fundamental identificar os doentes com diabetes em risco de desenvolver complicações oculares e prevenir as mesmas através dos tratamentos disponíveis. Para além disso, é necessária a adequação de uma população tão vasta a recursos hospitalares limitados, através de uma estratificação de doentes por risco e harmonização dos seus seguimento e tratamento.
Métodos:
Criação de 4 protocolos de actuação em doentes diabéticos seguidos em consulta de diabetes ocular no serviço de Oftalmologia do CHUdSA. Baseada numa revisão bibliográfica de forma a integrar a melhor evidência científica até à data e coordenar a mesma com a disponibilidade de integração desses mesmos seguimentos/exames complementares/tratamentos no serviço de oftalmologia do CHUdSA. Todos os protocolos foram desenhados pela secção de diabetes ocular e foram submetidos a validação por todo o serviço de oftalmologia do CHUdSA. Estes protocolos surgem como indicações gerais que não excluem uma atitude personalizada a cada doente.
Resultados:
Apresentamos os 4 protocolos desenhados e integrados na prática clínica no CHUdSA:
- Abordagem ao doente diabético na primeira consulta.
- Retinopatia diabética Red Flag,
- Tratamento com Anti-VEGF intravítreo,
- Tratamento com Corticóide intravítreo.
Conclusão:
A retinopatia diabética é uma causa muito significativa de perda de visão e consumo de recursos hospitalares. Consideramos relevante a implementação de formas de actuação gerais para estes doentes para permitir homogeneização dos cuidados e adequação às necessidades práticas do nosso serviço. Salvaguardamos que os protocolos desenhados não se sobrepõem a um tratamento individualizado e personalizado a cada doente.
Palavras-chave:
Retinopatia diabética, Edema macular diabético, Diabetes, Injecções intravítreas
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