Human cornea conservation in coconut water solution
Conclusions: Coconut water-based preservative partially maintained corneal transparency and epit helial integrity, especially during the first three days of follow-up. The coconut water-based solutions used were not effective for use as preservatives in a human eye bank.RESUMO Objetivos: As caracter ísticas físico-químicas e o baixo custo da água de coco foram fundamentais para o este estudo. Analisar o uso de solução a base de água de coco como meio de conservação de córneas humanas em banco de olhos. Métodos: Estudo experimental e controlado realizado no Banco de Olhos do Hospital Geral de Fortaleza. Utiliz...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Optimal timing of capsular tension ring implantation in pseudoexfoliation syndrome
Conclusions: Cortex removal is more difficult with early capsular tension ring implantation, and posterior capsule fluctuations may cause problems with late capsular tension ring implantation. The surgeon must consider the risk-to-benefit ratio of early versus late insertion for the optimal timing of capsular tension ring implantation.RESUMO Objetivo: Avaliar o momento apropriado para implante de anel de tens ão capsular em casos de fraqueza zonular devida à síndrome pseudoesfoliativa. Métodos: Este foi um estudo prospectivo e comparativo realizado no Departamento de Oftalmologia da Universidade İ n önü. Foram inc...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Optical coherence tomography angiography: microvascular alterations in diabetic eyes without diabetic retinopathy
Conclusion: Optical coherence tomography angiography may not be the most appropriate tool for detecting preclinical changes in patients with diabetes, moreover, optical coherence tomography angiography; does not replace clinical examinations. Glycemic contr ol should be the primary clinical parameter considered during retinopathy screening. Larger studies are necessary to confirm these findings.RESUMO Objetivo: Descrever altera ções microvasculares na mácula em diabéticos do tipo 2 sem retinopatia diabética e pacientes saudáveis, e correlacionar achados com perfil clínico nos diabéticos. Métodos: Foram incluído...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Grating visual acuity impairment assessed by sweep visually evoked potentials in children with optic pathway tumors unable to perform optotype acuity tests
Conclusion: In children with optic pathway tumors who were unable to perform recognition acuity tests, it was possible to quantify visual impairment by sweep-visually evoked potentials and to evaluate interocular differences in acuity. The severity of age-based grating visual acuity deficit and interocular differences was in accordance with ophthalmological abnormalities and neuroimaging results. Grating visual acuity deficit is useful for characterizing visual status in children with optic pathway tumors and for supporting neuro-oncologic management.RESUMO Objetivo: Determinar o grau de defici ência visual em crianças ...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Brown syndrome: clinical features and results of superior oblique tenotomy
Conclusions: The clinical features of patients with Brown syndrome in our study are considerably consistent with those of previous reports. The present study demonstrated the effectiveness of superior oblique tenotomy with less overcorrection in the surgical treatment of Brown syndrome.RESUMO Objetivo: Definir mais detalhadamente as caracter ísticas clínicas específicas de pacientes com síndrome de Brown e avaliar os resultados da tenectomia do músculo oblíquo superior no manejo cirúrgico da síndrome de Brown. Métodos: Prontuários de 45 pacientes com síndrome de Brown foram analisados retrospectivamente. Onze ...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Is hypermetropia regressing in accommodative esotropia?
Conclusion: The amount of deviation and hypermetropia gradually decreased in accommodative esotropia during follow-up. On the other hand, it may be incorrect to assure patients that the amount of deviation will decreas e in parallel with the refractive error.RESUMO Objetivo: Avaliar a rela ção entre alterações na hipermetropia e o alinhamento ocular em pacientes com esotropia acomodativa. Métodos: Foram analisados retrospectivamente prontuários médicos de pacientes consecutivos diagnosticados com esotropia acomodativa refrativa (com esotropia eliminada ou reduzida a menos de 1 0 D com correção completa da hiperm...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Crossing the Death Valley of publication process in cornea and ocular surface diseases: from abstracts presented at the Association for Research in Vision and Ophthalmology annual meeting to full-text manuscripts
Conclusion: Almost 40% of Association for Research in Vision and Ophthalmology abstracts were published within 5 years from submission. Funding support, basic research scope, and controlled design were the determinants of better outcomes of publication.RESUMO Objetivo: Analisar o perfil e a taxa de publica ção em periódicos indexados de resumos apresentados na seção de córnea da reunião anual da Association for Research in Vision and Ophthalmology - ARVO, para identificar potenciais fatores preditivos com objetivo de obter melhores resultados. Métodos: Artigos que foram aceitos para apresenta ção no encontro an...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Use of computerized campimetry and/or optical coherence tomography for glaucoma diagnosis by non-glaucoma specialists
Conclusions: Non-glaucoma specialists could not differentiate glaucoma from increased physiological cupping when using color retinography assessment alone. Diagnostic accuracy and inter-rater agreement improved significantly with the addition of visual field or optical coherence tomography. However, the use of both modalities did not improve sensitivity/specificity.RESUMO Objetivos: Verificar a influ ência do campo visual e/ou tomografia de coerência óptica, quando analisados em associação à retinografia colorida, na diferenciação entre indivíduos com glaucoma daqueles com aumento fisiológico de escavação. MÃ...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

The effects of pharmacological accommodation and cycloplegia on axial length and choroidal thickness
Conclusion: Pharmacological accommodation may change ocular measurements, such as choroidal thickness and axial length. This condition should be considered when performing ocular measurements, such as intraocular lens power calculations.RESUMO Objetivo: Investigar os efeitos da acomoda ção farmacológica e da cicloplegia nas medições oculares. Métodos: participaram do estudo 33 voluntários saudáveis (média de idade [± DP], 32,97 anos [± 5,21 anos]). Foram medidos o comprimento axial, a espessura macular e coroidal e o erro refrativo, bem como realizados exames de imagem da topografia corneana e do segmento ant...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

The effects of functionally monocular patients’ emotional reactions during phacoemulsification under topical anesthesia
Conclusion: It is safe to perform phacoemulsification under topical anesthesia in functionally monocular patients, who apparently behave similarly to binocular patients.RESUMO Objetivo: Avaliar a rela ção entre a incidência de complicações e reações emocionais durante a cirurgia de catarata sob anestesia tópica em pacientes funcionalmente monoculares. Métodos: Estudo prospectivo, transversal, caso-controle de vinte e dois pacientes monoculares e dezenove controles pareados por idade e s exo . Dados demográficos foram analisados: idade, sexo e escolaridade. As cirurgias foram realizadas pelo mesmo cirurgião e d...
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Marijuana for glaucoma treatment: a recipe for disaster
(Source: Arquivos Brasileiros de Oftalmologia)
Source: Arquivos Brasileiros de Oftalmologia - March 27, 2021 Category: Opthalmology Source Type: research

Probing for congenital nasolacrimal duct obstruction: a systematic review and meta-analysis of randomized clinical trials
Conclusions: Low certainty evidence suggests that early probing has the same success rate as late probing. Evidence of moderate certainty suggests that late probing has a lower success rate than bicanalicular silastic intubation in patients with complex congenital nasolacrimal duct obstructione.RESUMO Objetivo: A sondagem lacrimal tem sido o tratamento de escolha para a obstru ção lacrimonasal congênita que não apresenta resolução espontânea. Contudo, não há consenso sobre qual é a melhor época para a realização da sondagem e se ela é melhor do que outras terapias. O objetivo foi avaliar a efetividade da s...
Source: Arquivos Brasileiros de Oftalmologia - January 18, 2021 Category: Opthalmology Source Type: research

Acute corneal melting one week after an uncomplicated cataract surgery in a patient who previously underwent eyelid radiation and with undiagnosed rheumatoid arthritis: a case report
ABSTRACT This is a rare case report of acute, paracentral corneal melting and perforation occurring 1 week after an uneventful cataract surgery, with discussions on possible pathogenetic mechanisms. Relevant literature was also reviewed. Herein, a case of an 86-year-old woman with acute, paracentral, and sterile corneal melting and perforation in her left eye at 1 week after an uncomplicated cataract extraction is described. This occurs at the base of ocular surface disorders due to previous radiation of her lower eyelid and cheeks for the treatment of cancer and previously undiagnosed rheumatoid arthritis. She underwent s...
Source: Arquivos Brasileiros de Oftalmologia - January 18, 2021 Category: Opthalmology Source Type: research

Bilateral cavernous sinus and left dural sigmoid sinus thrombosis associated with extreme exertion: a case report
We describe a case of bilateral orbital cellulitis with rapidly progressing cavernous sinus thrombosis and left sigmoidal sinus thrombosis in an immunocompetent 20-year-old military man who had undergone intensive physical training. The patient presented with rapid painful swollen left eye for 2 days. The examination results were gross proptosis with total ophthalmoplegia. He was treated with intravenous antibiotics and corticosteroid. At 1 week, visual acuity improved to 20/20 OU, with a normal intraocular pressure. There was a significant improvement in proptosis. The ocular motility of the right eye was fully restored, ...
Source: Arquivos Brasileiros de Oftalmologia - January 18, 2021 Category: Opthalmology Source Type: research

Lacrimal gland atrophy and dry eye related to isotretinoin, androgen, and prolactin: differential diagnosis for Sjögren’s syndrome
This report is of three cases of sicca syndrome, initially suspected to be Sj ögren ’ s syndrome, which was ruled out by clinical and laboratory investigations. The patients were a 24-year-old woman, a 32-year-old man, and a 77-year-old woman with chronic symptoms of sicca syndrome, including dry eye syndrome. The first case was associated with the use of isotretinoin, a retinoic acid. The second was associated with the use of anabolic androgenic steroids, and the third was related to a prolactin- secreting pituitary adenoma. All cases manifested sicca, including dry eye syndrome, after those events, and the manifestati...
Source: Arquivos Brasileiros de Oftalmologia - January 18, 2021 Category: Opthalmology Source Type: research