%0 Journal Article
%T Influence of keratoconjuntivitis sicca Treatment in Functional and Affective Capacities of the Elderly with Rheumatoid Arthritis Influencia del tratamiento de la queratoconjuntivitis seca en la capacidad funcional y afectiva de los adultos mayores con artritis reumatoidea
%A Sandra Saray Quign車n Santana
%A Osbel Alfonso S芍nchez
%A Macmelsie Marrero Delgado
%A Rolando Delgado Figueredo
%J MediSur
%D 2012
%I Centro Provincial de Informaci車n de las Ciencias M谷dicas en Cienfuegos
%X Background: Certain studies have been conducted in Cuba on ocular affection in patients with rheumatoid arthritis. Nevertheless, no references have been found neither to the behavior of dry eye in the elderly suffering from this disease nor to its influence on the functional and emotional capacities of these patients. Objective: To determine the influence of keratoconjuntivitis sicca treatment in the affective and functional capacities of the elderly diagnosed with rheumatoid arthritis. Methods: A case series study was conducted in 2009 in the Cornea Department of the Dr. Gustavo Alderegu赤a Lima General University Hospital of Cienfuegos. It included 75 elderly diagnosed with rheumatoid arthritis and suffering from dry eye. We applied the cognitive assessment instrument Mini-mental and the social assessment scale, as well as the geriatric depression scale of Yesavage and the Katz index. Treatment was indicated and patients∩ follow-up was carried out including a revision of diagnostic tests and geriatric assessment in the third month. Results: epithelial stippling in different locations decreased; time of rupture of the tear film increased. There were no changes in the functional assessment of basic daily activities regardless of eye treatment and regular monitoring of patients. Changes were found in the assessment of depressive state, which improved. Conclusions: Dry eye treatment may facilitate the reduction of affective disorders and minor depression in elderly with rheumatoid arthritis. Fundamento: en Cuba se han realizado algunos estudios sobre la afectaci車n ocular en los pacientes con artritis reumatoidea, sin embargo no se han encontrado referencias al comportamiento de la queratoconjuntivitis seca en el adulto mayor aquejado de esta enfermedad, ni su influencia en la capacidad funcional y afectiva del individuo. Objetivo: determinar la influencia del tratamiento de la queratoconjuntivitis seca en la capacidad funcional y afectiva de adultos mayores con diagn車stico de artritis reumatoidea. M谷todos: estudio de serie de casos realizado durante el a o 2009, en el Departamento de C車rnea del Hospital General Universitario Dr. Gustavo Alderegu赤a Lima de Cienfuegos, que incluy車 75 adultos mayores con diagn車stico de artritis reumatoidea que padec赤an de  queratoconjuntivitis seca. Se aplic車 el instrumento de valoraci車n cognitiva Mini-mental y la escala de evaluaci車n social, as赤 como la escala de depresi車n geri芍trica de Yesavage y el 赤ndice de Katz. Se indic車 tratamiento y se llev車 a cabo seguimiento de los pacientes con una valoraci車n de las pruebas diagn車s
%K S赤ndromes del ojo seco
%K xeroftalmia
%K terap谷utica
%K anciano fr芍gil
%K s赤ntomas afectivos
%K anciano
%K artritis reumatoide
%U http://www.medisur.sld.cu/index.php/medisur/article/view/2190