Subfoveal perfluorocarbon liquid removal by peeling of internal limiting membrane, without retinotomy
ABSTRACT Perfluorocarbon liquid has been widely used during vitreoretinal operations. Subretinal retention is a rare intraoperative complication, but even small quantities can damage the macular structure and function, and no standard treatment has been established. We encountered a 43-year-old woman who presented a retained subfoveal bubble after a vitreoretinal operation due to primary rhegmatogenous retinal detachment. Herein, we describe the procedure we used to remove the perfluorocarbon liquid without retinotomy using internal limiting membrane peeling.RESUMO O perfluorocarbono l íquido tem sido amplamente durante c...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Congenital dacryocystocele diagnosed by antenatal ultrasonography with spontaneous resolution
We report a case of a fetus with bilateral dacryocystocele diagnosed by prenatal ultrasound at the beginning of the third trimester of pregnancy with spontaneous postpartum resorption.RESUMO A dacriocistocele é uma anormalidade facial benigna rara do sistema nasolacrimal, que pode ser detectada na rotina pré-natal durante o terceiro trimestre da gravidez. O ultrassom é o método de escolha, mas a ressonância magnética também pode ser usada em casos específicos. Na maioria das vezes, a dacriocistoc ele é um achado temporário, que pode se resolver espontâneamente ainda no útero ou após o nascimento. Quando a anor...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Spontaneous repositioning of posterior chamber intraocular lens: a mere coincidence?
We report a case of spontaneous repositioning in the left eye of an anteriorly subluxated in-the-bag intraocular lens. The spontaneous repositioning may have been caused by antagonistic effects related to the topical administration of brimonidine and prednisolone. The dislocation was treated without aggressive manipulation or surgical intervention.RESUMO Apesar dos recentes avan ços na cirurgia moderna de catarata e da aplicação de uma ampla gama de novos dispositivos, o deslocamento tardio de uma lente intraocular dentro do saco capsular continua a ser uma complicação devastadora, ainda que rara. Várias técnicas ci...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Frequency of conjunctival epithelial dysplasia in patients with pterygium
Conclusions: The prevalence of ocular squamous surface neoplasia in our region appears to be high. Countrywide studies are necessary to determine the true prevalence of ocular squamous surface neoplasia in Mexico and to examine related risk factors.RESUMO Objetivo: Determinar a frequ ência de neoplasia escamosa da superfície ocular associada ao pterígio com apresentação clínica, em um centro de referência em Oftalmologia da região central do México. Métodos: Revisamos os laudos histopatológicos e as lâminas de biópsia de todos os pacientes que foram submetidos à c irurgia de pterígio de 2014 a 2016 no Inst...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Aqueous humor renin, angiotensin I, and angiotensin II activity in primary open-angle glaucoma
Conclusions: Our results showed that patients with primary open-angle glaucoma had lo wer aqueous humor renin activity. As timolol eye drops were used by most of the primary open-angle glaucoma patients, we propose that a large sample of washed-out patients should be studied in the future to discriminate the involvement of b-blocker treatment in the aqueous humor renin activity.RESUMO Objetivo: O sistema renina-angiotensina est á envolvido na patogênese das condições isquêmicas retinianas e no glaucoma. Nosso objetivo foi avaliar a atividade da renina, enzima conversora de angiotensina 1 e 2 no humor aquoso, e amostr...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Clinical outcomes of ocular surface in patients treated with vitamin D oral replacement
Conclusion: Vitamin D replacement appears to improve ocular surface in individuals with vitamin D deficiency.RESUMO Objetivo: Analisar os resultados cl ínicos da superfície ocular em pacientes com deficiência de vitamina D após reposição oral. Métodos: Foram incluídos no estudo 40 pacientes com deficiência de vitamina D. Os pacientes receberam 50.000 unidades de vitamina D semanalmente por um período de oito semanas. Após esse período, 1.500-2.000 unidades/dia foram administradas por 24 semanas. Escores da margem palpebral, escores de expressibilidade da glândula meibomiana, classificação de Oxford, teste...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Anti-fibrotic effects of rosmarinic acid on Tenon’s capsule fibroblasts stimulated with TGF-β: therapeutic potential in ocular surgery
Conclusions: Exposure to 1.0 µM rosmarinic acid was noncytotoxic and led to reduced collagen expression and proliferation of stimulated rabbit Tenon ’ s capsule fibroblasts. These findings suggest that rosmarinic acid is a relatively non-injurious anti-fibrotic compound to rabbit Tenon ’ s capsule fibroblasts, with potential application as an adjunctive agent in ocular procedures, particularly in glaucoma surgeries.RESUMO Objetivo: A deposi ção de colágeno e a diferenciação de miofibroblastos são fatores chaves relacionados à cicatrização excessiva em cirurgias oculares. Este estudo avaliou a atividade anti-...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

The usefulness of systemic inflammatory markers as diagnostic indicators of the pathogenesis of diabetic macular edema
Conclusion: The neutrophil/lymphocyte ratio and mean platelet volume of the diabetic macular edema group were higher than those of the non-diabetic macular edema and control groups. A neutrophil/lymphocyte ratio cutoff value of ≥ 2.26 was identified as an indicator of the pathogenesis of diabetic macular edema with high sensitivity and specificity. Moreover, the neutrophil/ lymphocyte ratio of the non-diabetic macular edema group was higher than that of the control group.RESUMO Objetivo: Investigar a utilidade de marcadores inflamat órios sistêmicos (ou seja, contagem de glóbulos brancos e plaquetas, volume médio de...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Use of virtual reality equipment to assess the manual dexterity of applicants for ophthalmology residency
Conclusion: Two sequential training evaluations using virtual reality technology showed relevant improvement in quantifications of microsurgery dexterity. This information should be considered if virtual reality approaches are used for testing purposes, as previous experience may lead to improved test results.RESUMO Objetivo: Avaliar os resultados da destreza da microcirurgia de duas avalia ções sequenciais de treinamento usando a tecnologia de realidade virtual. Métodos: Estudo transversal multicêntrico em que todos os candidatos que foram aceitos como residentes de primeiro ano em uma de seis instituições de ensi...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Effects of pupillary dilation on ocular optical biometry outcomes in pediatric patients
Conclusions: Pharmacological pupillary dilation in children appeared to hav e no impact on axial length and intraocular lens power, but caused a significant increase in anterior chamber depth. The difference in anterior chamber depth measurements before and after pupillary dilation could be related to the optical biometry device model used. These outcomes should be consider ed in intraocular lens power calculations performed using anterior chamber depth parameters.RESUMO Objetivo: A dilata ção pupilar farmacológica é realizada em exames oftalmológicos abrangentes e antes das medições biométricas. Até o momento, n...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Changes in anterior segment parameters following insertion of ExPRESS mini glaucoma implant vs. trabeculectomy
Conclusions: Both ExPRESS mini glaucoma implant and trabeculectomy significantly decreased intraocular pressure and had transient effects on anterior segment parameters, with minor differences between the methods.RESUMO Objetivo: Comparar as altera ções nos parâmetros do segmento anterior após a cirurgia ExPRESS Mini Glaucoma Shunt vs. trabeculectomia usando a câmera Scheimpflug Pentacam rotativa. Métodos: Neste estudo comparativo prospectivo, 27 pacientes com glaucoma tratados no Centro Médico Rabin de 2009 a 2013 foram incluídos nes te estudo comparativo prospectivo: 19 participantes (19 olhos) foram submetidos...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Accelerated corneal cross-linking with hypo-osmolar riboflavin in thin keratoconic corneas: 2-year follow-up
Conclusion: Accelerated corneal cross-linking in keratoconic eyes with thin corneas could halt the progression of keratoconus in corneas thinner than 400 µm at 24 months after treatment.RESUMO Objetivo: Este estudo foi realizado para avaliar os resultados do cross-linking corneano acelerado em c órneas ceratocônicas com os valores mais baixos de paquimetria<400 µm. Métodos: O estudo incluiu 28 olhos de 24 pacientes. As acuidades visuais não corrigidas e melhor corrigidas (logMAR), leituras ceratométricas mais planas e íngremes, espessura corneana central no ponto mais fino, aberrações corneanas de mais alta ...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Effects of axial length on retinal nerve fiber layer and macular ganglion cell-inner plexiform layer measured by spectral-domain OCT
Conclusions: Before adjustment for ocular magnification, axial length was negatively correlated with circumpapillary retinal nerve fiber layer and ganglion cell-inner plexiform layer thickness measured by Cirrus-OCT. We attributed this effect to ocular magnification associated with greater axial lengths, which was corrected with the Littman ’ s formula. Further studies are required to investigate the impact of ocular magnification correction on the diagnostic accuracy of Cirrus-OCT.RESUMO Objetivo: Avaliar a influ ência do comprimento axial ocular na espessura da camada de fibras nervosas da retina peripapilar e na esp...
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Diabetic retinopathy screening and the COVID-19 pandemic in Brazil
(Source: Arquivos Brasileiros de Oftalmologia)
Source: Arquivos Brasileiros de Oftalmologia - July 30, 2020 Category: Opthalmology Source Type: research

Decreased mean platelet volume and increased platelet to lymphocyte ratio in patients with pterygium
ABSTRACT To identify and classify available information regarding COVID-19 and eye care according to the level of evidence, within four main topics of interest: evidence of the virus in tears and the ocular surface, infection via the conjunctival route, ocular manifestations, and best practice recommendations. A structured review was conducted in PubMed, ScienceDirect, LILACS, SciELO, the Cochrane Library and Google Scholar on COVID-19 and ophthalmology. The Oxford Centre for Evidence Based Medicine 2011 Levels of Evidence worksheet was used for quality assessments. 1018 items were identified in the search; 26 records were...
Source: Arquivos Brasileiros de Oftalmologia - May 29, 2020 Category: Opthalmology Source Type: research