Pub Date : 2023-09-18DOI: 10.37039/1982.8551.20230044
N. Kara-Júnior
{"title":"The generation of innovative ophthalmologists","authors":"N. Kara-Júnior","doi":"10.37039/1982.8551.20230044","DOIUrl":"https://doi.org/10.37039/1982.8551.20230044","url":null,"abstract":"","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.37039/1982.8551.20230045
Marianne L Shahsuvaryan
Currently the “pandemic” of diabetes mellitus is noted. The incidence and prevalence of diabetes and diabetic retinopathy, the most common microvascular complications of diabetes, are exponentially growing due to increased life expectancy in many parts of the world. The increasing number of people suffering from diabetic retinopathy not only highlights medical issues, but also an economic burden, representing a medical and social challenge. It is extremely important to identify a disease as soon as possible and successfully treat it. Technological progress results in developing Artificial Intelligence systems capable of detecting diabetic retinopathy. Current screening will be cost effectively based on the use of advanced digital technologies, in particular teleretinal screening systems.
{"title":"Is it time to consider teleophthalmology as a game-changer in the management of diabetic retinopathy?","authors":"Marianne L Shahsuvaryan","doi":"10.37039/1982.8551.20230045","DOIUrl":"https://doi.org/10.37039/1982.8551.20230045","url":null,"abstract":"Currently the “pandemic” of diabetes mellitus is noted. The incidence and prevalence of diabetes and diabetic retinopathy, the most common microvascular complications of diabetes, are exponentially growing due to increased life expectancy in many parts of the world. The increasing number of people suffering from diabetic retinopathy not only highlights medical issues, but also an economic burden, representing a medical and social challenge. It is extremely important to identify a disease as soon as possible and successfully treat it. Technological progress results in developing Artificial Intelligence systems capable of detecting diabetic retinopathy. Current screening will be cost effectively based on the use of advanced digital technologies, in particular teleretinal screening systems.","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-08DOI: 10.37039/1982.8551.20230043
José Belucio, João Carlos Gonçalves Cruz, Celso Busnelo Moreno, B. Moscovici
LASIK is a refractive surgical procedure in which a corneal flap is created to expose the corneal stromal bed. Preoperative estimation of corneal flap thickness is necessary to calculate the percentage tissue altered in LASIK, an important quantitative risk factor for ectasia. The objective of this study was to assess flap thickness and calculate percentage tissue altered to check if unexpectedly thicker flaps and higher percentage tissue altered could pose as risk factors of ectasia. Four subjects (eight eyes) were submitted to mechanical LASIK in 2009 and 2010. Pre and postoperative clinical and tomographic data were reviewed. Mean preoperative estimated percentage tissue altered was 39.18±1.31%, which was borderline for increased ectasia risk when considering the limit of 40%. However, when considering the postoperatively measured flap thickness, the
{"title":"Unexpectedly high corneal flap thickness and ectasia after mechanical LASIK","authors":"José Belucio, João Carlos Gonçalves Cruz, Celso Busnelo Moreno, B. Moscovici","doi":"10.37039/1982.8551.20230043","DOIUrl":"https://doi.org/10.37039/1982.8551.20230043","url":null,"abstract":"LASIK is a refractive surgical procedure in which a corneal flap is created to expose the corneal stromal bed. Preoperative estimation of corneal flap thickness is necessary to calculate the percentage tissue altered in LASIK, an important quantitative risk factor for ectasia. The objective of this study was to assess flap thickness and calculate percentage tissue altered to check if unexpectedly thicker flaps and higher percentage tissue altered could pose as risk factors of ectasia. Four subjects (eight eyes) were submitted to mechanical LASIK in 2009 and 2010. Pre and postoperative clinical and tomographic data were reviewed. Mean preoperative estimated percentage tissue altered was 39.18±1.31%, which was borderline for increased ectasia risk when considering the limit of 40%. However, when considering the postoperatively measured flap thickness, the","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-04DOI: 10.37039/1982.8551.20230042
Celso Busnelo Moreno, João Carlos Gonçalves Cruz, Paula Virginia Brom dos Santos Soares, Guilherme Novoa Colombo Barboza, Luiz Roberto Colombo Barboza, Marcello Novoa Colombo Barboza, B. Moscovici
Objective: Compare the thickness of conjunctival autografts in pterygium surgery using the Moscovici
{"title":"Analysis of the thickness of conjunctival autograft in pterygium surgery with the Moscovici dissection technique compared with manual dissection","authors":"Celso Busnelo Moreno, João Carlos Gonçalves Cruz, Paula Virginia Brom dos Santos Soares, Guilherme Novoa Colombo Barboza, Luiz Roberto Colombo Barboza, Marcello Novoa Colombo Barboza, B. Moscovici","doi":"10.37039/1982.8551.20230042","DOIUrl":"https://doi.org/10.37039/1982.8551.20230042","url":null,"abstract":"Objective: Compare the thickness of conjunctival autografts in pterygium surgery using the Moscovici","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-04DOI: 10.37039/1982.8551.20230041
V. Silva, Joana Karollyne de Siqueira Mendes, Valter Augusto de Barros, Michel de Souza Maximino, Lucas Marinho de Luna Freire Medeiros, Antonio Carlos Faber da Silva
Leber’s Hereditary Optic Neuropathy (LHON) is an inherited neurodegenerative mitochondrial disease. The potential rate of spontaneous recovery is controversial in the literature. Gene therapy has been studied to support patients. The objective of this review was to qualitatively assess the safety, adverse effects, and efficacy of available gene therapy. This is a systematic review of articles indexed in PubMed®, VHL, SciELO, Cochrane, ScienceDirect, Scopus, and Lilacs databases, in the first half of 2021. Inclusion criteria and filters were: articles related to the topic, randomized studies, clinical trials, work in humans, last 5 years, in Portuguese, English, and Spanish and full text available for free. The exclusion parameters were: duplicate articles, not related to the topic, review articles, not available works, and works that did not meet the inclusion criteria. The kappa coefficient was 0.812. The therapy had no serious adverse effects in any of the selected articles, and minor effects experienced 100% spontaneous remission after treatment. Although NAbs were found in the serum of some patients, there was no association between the adaptive immune response and the injection of the viral vector. The treatment was effective in improving acuity and visual field. Several studies have confirmed the effectiveness of gene therapy, at low and medium doses, in improving visual acuity and also on common adverse effects related to high doses. The humoral immune response and the variation in serum NAbs was cited in more than one article. The therapy was effective in improving visual acuity
{"title":"Terapia genética de injeção intravítrea de rAAV2-ND4 para neuropatia óptica hereditária de Leber: uma revisão sistemática","authors":"V. Silva, Joana Karollyne de Siqueira Mendes, Valter Augusto de Barros, Michel de Souza Maximino, Lucas Marinho de Luna Freire Medeiros, Antonio Carlos Faber da Silva","doi":"10.37039/1982.8551.20230041","DOIUrl":"https://doi.org/10.37039/1982.8551.20230041","url":null,"abstract":"Leber’s Hereditary Optic Neuropathy (LHON) is an inherited neurodegenerative mitochondrial disease. The potential rate of spontaneous recovery is controversial in the literature. Gene therapy has been studied to support patients. The objective of this review was to qualitatively assess the safety, adverse effects, and efficacy of available gene therapy. This is a systematic review of articles indexed in PubMed®, VHL, SciELO, Cochrane, ScienceDirect, Scopus, and Lilacs databases, in the first half of 2021. Inclusion criteria and filters were: articles related to the topic, randomized studies, clinical trials, work in humans, last 5 years, in Portuguese, English, and Spanish and full text available for free. The exclusion parameters were: duplicate articles, not related to the topic, review articles, not available works, and works that did not meet the inclusion criteria. The kappa coefficient was 0.812. The therapy had no serious adverse effects in any of the selected articles, and minor effects experienced 100% spontaneous remission after treatment. Although NAbs were found in the serum of some patients, there was no association between the adaptive immune response and the injection of the viral vector. The treatment was effective in improving acuity and visual field. Several studies have confirmed the effectiveness of gene therapy, at low and medium doses, in improving visual acuity and also on common adverse effects related to high doses. The humoral immune response and the variation in serum NAbs was cited in more than one article. The therapy was effective in improving visual acuity","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-25DOI: 10.37039/1982.8551.20230040
Mariana Portela, P. Arede, Maria Picoto, F. Vaz
Objective: Age-related macular degeneration (AMD) is the most prevalent cause of irreversible visual loss in the developed world. In late stages, it may lead to extremely low visual acuities, especially when associated with geographic atrophy or choroidal neovascularization. According to recent literature, Charles Bonnet syndrome (CBS) may be a rather common feature of late AMD. Methods: One hundred patients with late-stage age-related macular degeneration were actively asked whether they had symptoms of Charles Bonnet syndrome. Those that answered
{"title":"Charles Bonnet syndrome in age-related macular degeneration – prevalence and clinical features in a Portuguese population","authors":"Mariana Portela, P. Arede, Maria Picoto, F. Vaz","doi":"10.37039/1982.8551.20230040","DOIUrl":"https://doi.org/10.37039/1982.8551.20230040","url":null,"abstract":"Objective: Age-related macular degeneration (AMD) is the most prevalent cause of irreversible visual loss in the developed world. In late stages, it may lead to extremely low visual acuities, especially when associated with geographic atrophy or choroidal neovascularization. According to recent literature, Charles Bonnet syndrome (CBS) may be a rather common feature of late AMD. Methods: One hundred patients with late-stage age-related macular degeneration were actively asked whether they had symptoms of Charles Bonnet syndrome. Those that answered","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-14DOI: 10.37039/1982.8551.20230039
Josie Naomi Iyeyasu, Dario Cecílio-Fernandes, K. M. Carvalho
Objective: To investigate if there is knowledge improvement over the Residency years, as well as students’ satisfaction about progress test. Finally, to describe the implementation of the online progress test in some Ophthalmological Residency programs in Brazil. Methods: It was an observational cross-section study. The participants were all Ophthalmology residents who accepted to join the study. They did an online test and answered demographic and satisfaction questionnaires. Results: Two hundred and fifty-nine residents joined the study. 42,86% of the residents answered the
{"title":"Satisfaction of the ophthalmology residents with online progress test","authors":"Josie Naomi Iyeyasu, Dario Cecílio-Fernandes, K. M. Carvalho","doi":"10.37039/1982.8551.20230039","DOIUrl":"https://doi.org/10.37039/1982.8551.20230039","url":null,"abstract":"Objective: To investigate if there is knowledge improvement over the Residency years, as well as students’ satisfaction about progress test. Finally, to describe the implementation of the online progress test in some Ophthalmological Residency programs in Brazil. Methods: It was an observational cross-section study. The participants were all Ophthalmology residents who accepted to join the study. They did an online test and answered demographic and satisfaction questionnaires. Results: Two hundred and fifty-nine residents joined the study. 42,86% of the residents answered the","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69815678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-11DOI: 10.37039/1982.8551.20230038
Maristella Mares Leite Cirilo Moura, Andréa Maria Eleutério de Barros Lima Martins, Thaísa Soares Crespo, Árlen Almeida Duarte de Sousa, Rafael Cirilo Moura, Lucas Barros Lima Martins
Objective: To evaluate and characterize the quality of ophthalmic care offered in an outpatient service unit of the SUS secondary care according to the perception of users and/or those responsible for these users. Methods: A cross-sectional study of analytical prevalence was carried out among users assisted from September 2019 to March 2020, in one of the six ophthalmic care services offered by the SUS, in the municipality of Vitória da Conquista (BA), Brazil. Demographic and socioeconomic conditions, as well as self-perception of health, were evaluated. The characteristics and quality levels of ophthalmic health care were also evaluated. Data collection took place through a telephone interview. Results: A total of 389 users and/or guardians participated in the study. Participants reported high levels of satisfaction, considering the questions that make up the instrument’s construct. Compromised quality levels were observed in relation to the freedom to choose their eye care provider (n=154; 39.7%). Lower levels of satisfaction were associated with the variables male gender (OR=1.66; 95%CI=1.04-2.65; p=0.033) and self-reported white race (OR=6.89; 95%CI=4, 00-11.86; p=0.000). Conclusion: Users reported good levels of satisfaction with eye health care. There were greater chances of lower levels of satisfaction among men and among those with a self-reported white race.
{"title":"Avaliação da qualidade da assistência à saúde oftalmológica na percepção dos usuários","authors":"Maristella Mares Leite Cirilo Moura, Andréa Maria Eleutério de Barros Lima Martins, Thaísa Soares Crespo, Árlen Almeida Duarte de Sousa, Rafael Cirilo Moura, Lucas Barros Lima Martins","doi":"10.37039/1982.8551.20230038","DOIUrl":"https://doi.org/10.37039/1982.8551.20230038","url":null,"abstract":"Objective: To evaluate and characterize the quality of ophthalmic care offered in an outpatient service unit of the SUS secondary care according to the perception of users and/or those responsible for these users. Methods: A cross-sectional study of analytical prevalence was carried out among users assisted from September 2019 to March 2020, in one of the six ophthalmic care services offered by the SUS, in the municipality of Vitória da Conquista (BA), Brazil. Demographic and socioeconomic conditions, as well as self-perception of health, were evaluated. The characteristics and quality levels of ophthalmic health care were also evaluated. Data collection took place through a telephone interview. Results: A total of 389 users and/or guardians participated in the study. Participants reported high levels of satisfaction, considering the questions that make up the instrument’s construct. Compromised quality levels were observed in relation to the freedom to choose their eye care provider (n=154; 39.7%). Lower levels of satisfaction were associated with the variables male gender (OR=1.66; 95%CI=1.04-2.65; p=0.033) and self-reported white race (OR=6.89; 95%CI=4, 00-11.86; p=0.000). Conclusion: Users reported good levels of satisfaction with eye health care. There were greater chances of lower levels of satisfaction among men and among those with a self-reported white race.","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.37039/1982.8551.20230037
F. W. Rodrigues, Cássio Filho Cysneiros de Assis, Rodrigo Egídio da Silva, Pedro Vitor Braga de Oliveira
Objective: To identify higher order aberrometry changes in different degrees of keratoconus. Methods: Cross-sectional, retrospective, observational study. Fifty-four patients (108 eyes) diagnosed with keratoconus by the same corneal specialist using the Belin/Ambrósio Enhanced Ectasia ABCD criteria were analyzed, using the Pentacam® HR 70900 tomograph
{"title":"Avaliação das aberrações de alta ordem em pacientes com ceratocone inicial","authors":"F. W. Rodrigues, Cássio Filho Cysneiros de Assis, Rodrigo Egídio da Silva, Pedro Vitor Braga de Oliveira","doi":"10.37039/1982.8551.20230037","DOIUrl":"https://doi.org/10.37039/1982.8551.20230037","url":null,"abstract":"Objective: To identify higher order aberrometry changes in different degrees of keratoconus. Methods: Cross-sectional, retrospective, observational study. Fifty-four patients (108 eyes) diagnosed with keratoconus by the same corneal specialist using the Belin/Ambrósio Enhanced Ectasia ABCD criteria were analyzed, using the Pentacam® HR 70900 tomograph","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69816040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.37039/1982.8551.20230036
Rogério Matheus de Moraes, Larissa Gemballa, Fábio Augusto Furlan
Objective: To evaluate the indirect ophthalmoscopy performed in ophthalmologic consultations, analyzing the prevalence of the study and comparing them with the reason for the consultation. Methods: Cross-sectional study, with data found during the indirect ophthalmoscopy exam of
{"title":"Mapeamento de retina nas interconsultas oftalmológicas: um estudo transversal e epidemiológico em um hospital de referência do estado de São Paulo","authors":"Rogério Matheus de Moraes, Larissa Gemballa, Fábio Augusto Furlan","doi":"10.37039/1982.8551.20230036","DOIUrl":"https://doi.org/10.37039/1982.8551.20230036","url":null,"abstract":"Objective: To evaluate the indirect ophthalmoscopy performed in ophthalmologic consultations, analyzing the prevalence of the study and comparing them with the reason for the consultation. Methods: Cross-sectional study, with data found during the indirect ophthalmoscopy exam of","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69815792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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