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Revista Brasileira De Oftalmologia最新文献

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Risk factors for failure after primary vitrectomy with no scleral buckling for rhegmatogenous retinal detachment 无巩膜扣环的玻璃体切除术治疗孔源性视网膜脱离失败的危险因素
Q4 Medicine Pub Date : 2023-07-24 DOI: 10.37039/1982.8551.20230035
M. Iros, Juan Manuel López, N. Crim, Evangelina Espósito, J. Urrets-Zavalía
Objective: To assess pre-operative conditions that could
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引用次数: 0
Retinal arterial macroaneurysms in patients recovered from COVID-19 COVID-19康复患者视网膜动脉大动脉瘤的研究
Q4 Medicine Pub Date : 2023-07-24 DOI: 10.37039/1982.8551.20230034
Epitácio Dias da Silva, T. Rodrigues, L. S. Conci, R. Preti, M. L. Monteiro, L. Zacharias
This is a case series about retinal arterial macroaneurysms in three patients recovered from COVID-19. None of them had previous past ocular and systemic history. The first patient was a 47-year-old man, with best-corrected visual acuity of 20/20 in both eyes. He presented a cotton wool spot in the right eye and two peripheral exudative retinal arterial macroaneurysms in the left eye. Laser photocoagulation was performed and best-corrected visual acuity remained stable. The second one was a 62-year-old-woman with acute visual loss in the right eye (best-corrected visual acuity of 20/400). There was vitreous hemorrhage and a peripheral retinal arterial macroaneurysm in the right eye. Laser photocoagulation was performed and best-corrected visual acuity improved to 20/20. The third patient was a 54-year-old woman, with best-corrected visual acuity of 20/20 in the right eye and 20/600 in the left eye. Fundus examination showed multiple layer hemorrhage in the macular region and retinal arterial macroaneurysms in the superior temporal branch. The cases underwent fluorescein angiography, which confirmed the diagnosis of retinal arterial macroaneurysms
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引用次数: 0
Toric phakic intraocular lens 环形晶状体人工晶体
Q4 Medicine Pub Date : 2023-07-10 DOI: 10.37039/1982.8551.20230033
B. L. Trindade
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引用次数: 0
Racemose hemangioma presenting as a vitreous hemorrhage: case report 以玻璃体出血为表现的总状血管瘤1例
Q4 Medicine Pub Date : 2023-07-10 DOI: 10.37039/1982.8551.20230032
O. Souza, Lais Bomediano de Souza, A. M. Casella, A. Muralha, J. P. Vasconcellos
This report describes a case of retinal racemose hemangioma that first presented as a vitreous hemorrhage. The authors present the case of a 47-year-old woman with a sudden 5-day painless visual loss in her left eye. At the first visit, the best-correct visual acuities were 20/20 in the right eye and hand motions in the left eyes. Ultrasonography showed an attached retina and a massive vitreous hemorrhage. Pars plana vitrectomy was performed and a dilatation of large vessels was detected bulging from the optic disc. The best-correct visual acuities on day 30 postoperatively was 20/25 in the left eye. Fundus angiography and spectral-domain optical coherence tomography angiography showed anomalous arteriovenous communications with no intervening capillaries. The diagnosis was racemose hemangioma, an arteriovenous malformation of group 2 retina based on the Archer classification.
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引用次数: 0
Alteração do perfil epidemiológico das conjuntivites no Hospital Banco de Olhos de Porto Alegre após o início da pandemia da COVID-19 COVID-19大流行开始后阿雷格里港眼银行医院结膜炎流行病学概况的变化
Q4 Medicine Pub Date : 2023-07-03 DOI: 10.37039/1982.8551.20230031
Letícia Frossard de Assis Bocchese, Anais Back da Silva, Islam Maruf Ahmad Maruf Mahmud, Raìssa do Carmo Ferreira
. ABSTRACT Objective: The objective of this paper is to evaluate the profile of the cases of conjuntivitis treated in the emergency department of the Banco de Olhos Hospital, emphasizing the infectious conjunctivitis, and compare before and after the onset of the Coronavirus pandemic and social isolation, both in public and private health care system. Methods: A retrospective and transversal study where electronic files of the patients who visited the emergency department between March and June of 2019 and 2020 were reviewed. Results: A significant reduction in the number of consultations at the emergency department was observed after the beginning of the pandemic. From March to June 2019, 21.678 visits were made. In the same period of 2020, this number was 14.194, a drop of 34.5%. The rate of visits having conjunctivitis as main cause also dropped significantly. Infectious conjunctivitis was the one who showed the highest decrease. In 2019, it was responsible for 30.2% of the visits and, in 2020, for 15.5%. There were no changes regarding the gender, but a significantly increase in patients’ age was observed. Conclusion: The study showed a dramatic reduction in the number of visits at the emergency department of ophthalmology regarding infectious conjunctivitis after the beginning of the pandemic, and we believe that the cause is related with an increase of hygiene care, social isolation and restrictions caused by the Coronavirus pandemic.
。摘要目的:评价巴西Banco de Olhos医院急诊科收治的以感染性结膜炎为重点的结膜炎病例概况,比较新型冠状病毒大流行和社会隔离前后公立和私立卫生保健系统的结膜炎情况。方法:回顾性和横向研究,回顾2019年3月至6月至2020年3月至6月急诊患者的电子档案。结果:在大流行开始后,观察到急诊科的会诊次数显著减少。2019年3月至6月,共接待21,678人次。2020年同期,这一数字为14.194,下降了34.5%。以结膜炎为主要原因的就诊率也显著下降。传染性结膜炎的发病率下降幅度最大。2019年,这一比例为30.2%,2020年为15.5%。性别方面没有变化,但患者年龄明显增加。结论:本研究显示,大流行开始后,眼科急诊感染性结膜炎就诊人数大幅减少,我们认为其原因与冠状病毒大流行导致的卫生保健、社会隔离和限制的增加有关。
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引用次数: 0
Repetibilidade do estudo tomográfico da córnea com Scheimpflug rotacional, em olhos normais, olhos com ceratocone e olhos com ceratocone operados por crosslinking 旋转Scheimpflug对正常眼、圆锥角膜眼和交联圆锥角膜眼的层析研究的重复性
Q4 Medicine Pub Date : 2023-06-30 DOI: 10.37039/1982.8551.20230029
Nelson Batista Sena, G. Criado, Thiago J. M. M. Mazzeo, Thiago Gadelha Valle Oliveira, J. B. Fonseca, Gustavo Amorim Novais, Bernardo T. Lopes, Renato Ambrósio
Objective: To evaluate the accuracy of corneal tomography with Scheimpflug images (Pentacam® AXL, OCULUS, Wetzlar, Germany) in scanning patterns with 25 and 50 images, by analyzing their repeatability and reproducibility in normal eyes, eyes with keratoconus and with keratoconus after crosslinking. Methods: Prospective, cross-sectional, mixed study including patients who had normal corneas, or who had keratoconus, who had not undergone corneal surgery, with the exception of crosslinking. Patients who had undergone surgery for intracorneal ring implantation or corneal transplantation were excluded. Three
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引用次数: 0
The ophthalmic artery resistive index as a predictor of choriocapillaris ischemia in multivariate logistic models 眼动脉阻力指数在多变量logistic模型中作为绒毛膜毛细血管缺血的预测因子
Q4 Medicine Pub Date : 2023-06-30 DOI: 10.37039/1982.8551.20230030
Alexandre Simões Barbosa, Andre Aguiar de Oliveira, A. Cabral
Objective: Vascular findings in preeclampsia are usually attributed to increased vascular tone. Recently, however, important studies have improved the understanding of the main pathophysiological events in this condition, especially vascular brain remodeling, impaired autoregulation, and damage of the blood-brain barrier, which are well recognized features of cerebral overperfusion. Methods: In this study, the association between choriocapillaris ischemia with ophthalmic artery blood flow parameters on orbital Doppler ultrasound is reported for the first time using multivariate logistic models. Multivariate logistic models with ophthalmic artery blood flow parameters, as well as major clinical and laboratory predictive variables were established for choriocapillaris ischemia and choriocapillaris ischemia with retinal detachment. Results: In a series of 165 patients, 46 (28%) presented choriocapillaris ischemia; among them, 20 (12%) presented associated retinal detachment. The ophthalmic artery resistive index was the main predictor for choriocapillaris ischemia and choriocapillaris ischemia with retinal detachment in multivariate logistic models. Ophthalmic artery resistance lower than 0.56 was associated with a significantly high incidence of both outcomes. Conclusion: This study supports that the branching pattern of choroidal arterioles and the lobular organization of choriocapillaris are the major morphological aspects underlying endothelial damage and lobular ischemia in the context of choroidal overperfusion. Overperfused lobules bordering areas of choriocapillaris ischemia produce a perfusion pressure gradient, with lobular reperfusion, leakage from reperfused choriocapillaris, and retinal detachment. Ophthalmic artery-resistive index lower than 0.56 is proposed as a major predictor of the overperfusion-related choriocapillaris ischemia and choriocapillaris ischemia with retinal detachment in preeclampsia.
目的:子痫前期的血管表现通常归因于血管张力增高。然而,最近一些重要的研究提高了对这种情况下主要病理生理事件的认识,特别是血管脑重塑、自我调节受损和血脑屏障损伤,这些都是公认的大脑过度灌注的特征。方法:本研究首次采用多变量logistic模型,报道了眼底多普勒超声显示的眼动脉血流参数与绒毛膜毛细血管缺血的关系。采用眼动脉血流参数及主要临床和实验室预测变量,建立了绒毛膜毛细血管缺血和绒毛膜毛细血管缺血合并视网膜脱离的多元logistic模型。结果:165例患者中,46例(28%)表现为绒毛膜毛细血管缺血;其中合并视网膜脱离20例(12%)。在多元logistic模型中,眼动脉阻力指数是绒毛膜毛细血管缺血和绒毛膜毛细血管缺血合并视网膜脱离的主要预测指标。眼动脉阻力低于0.56与两种结果的高发生率相关。结论:本研究支持脉络膜过灌注情况下脉络膜小动脉的分支模式和脉络膜毛细血管的小叶组织是内皮损伤和小叶缺血的主要形态学方面。与绒毛膜毛细血管缺血区相邻的小叶过度灌注产生灌注压力梯度,小叶再灌注,再灌注的绒毛膜毛细血管渗漏,视网膜脱离。眼动脉阻力指数低于0.56可作为子痫前期过度灌注相关的绒毛膜毛细血管缺血和绒毛膜毛细血管缺血伴视网膜脱离的主要预测指标。
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引用次数: 0
Perfil do diagnóstico inicial em pacientes com glaucoma 青光眼患者的初步诊断概况
Q4 Medicine Pub Date : 2023-06-23 DOI: 10.37039/1982.8551.20230028
Alexis Galeno Matos, Melissa de Andrade Barbosa, F. Pinto, Renan Lemos Ribeiro Rêgo, Lucas dos Santos Cavalcante
Objective: To assess the stage of the disease at the time of diagnosis. Methods: Cross-sectional and descriptive study, using data obtained by searching the database of glaucoma patients in their first consultation, before the starting any treatment. Results: 101 patients (177 eyes) were included. Only 31 (30.69%) patients reported a positive family history of glaucoma. We found 26% of the evaluated eyes with advanced perimetric alterations, ten eyes (5.8%) with vision worse than 20/400, of these, three patients had legal blindness in both eyes. Factors associated with glaucoma severity were advanced age and high IOP. Conclusion: Knowledge of the situation in the initial diagnosis portrays the reality of glaucoma in our environment and predicts actions aimed at preventing blindness.
{"title":"Perfil do diagnóstico inicial em pacientes com glaucoma","authors":"Alexis Galeno Matos, Melissa de Andrade Barbosa, F. Pinto, Renan Lemos Ribeiro Rêgo, Lucas dos Santos Cavalcante","doi":"10.37039/1982.8551.20230028","DOIUrl":"https://doi.org/10.37039/1982.8551.20230028","url":null,"abstract":"Objective: To assess the stage of the disease at the time of diagnosis. Methods: Cross-sectional and descriptive study, using data obtained by searching the database of glaucoma patients in their first consultation, before the starting any treatment. Results: 101 patients (177 eyes) were included. Only 31 (30.69%) patients reported a positive family history of glaucoma. We found 26% of the evaluated eyes with advanced perimetric alterations, ten eyes (5.8%) with vision worse than 20/400, of these, three patients had legal blindness in both eyes. Factors associated with glaucoma severity were advanced age and high IOP. Conclusion: Knowledge of the situation in the initial diagnosis portrays the reality of glaucoma in our environment and predicts actions aimed at preventing blindness.","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69814918","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}
引用次数: 0
Metástase iridociliar presumida de carcinoma mamário: relato de caso 疑似乳腺虹膜睫状体转移:病例报告
Q4 Medicine Pub Date : 2023-06-19 DOI: 10.37039/1982.8551.20230027
Gabriel Sant’Ana Zucoloto, Julio César Bassini Chamun, Guilherme Barbosa de Souza Araujo, Carolina Zuccolotto Pereira, Tayla Frigini, Andreia Moreira
Ocular metastasis is an uncommon pathology, especially when considering the iris as the site of metastasis. Although uncommon, eye metastasis has breast cancer as one of its main primary sites. Occasionally, the ophthalmologic manifestation may be primary to any other clinical manifestation. This article reports the case of a patient with invasive ductal breast carcinoma with presumed metastasis in the ciliary body and iris in the right eye. Early diagnosis significantly affects the evolution of the condition, requiring ophthalmologic follow-up.
{"title":"Metástase iridociliar presumida de carcinoma mamário: relato de caso","authors":"Gabriel Sant’Ana Zucoloto, Julio César Bassini Chamun, Guilherme Barbosa de Souza Araujo, Carolina Zuccolotto Pereira, Tayla Frigini, Andreia Moreira","doi":"10.37039/1982.8551.20230027","DOIUrl":"https://doi.org/10.37039/1982.8551.20230027","url":null,"abstract":"Ocular metastasis is an uncommon pathology, especially when considering the iris as the site of metastasis. Although uncommon, eye metastasis has breast cancer as one of its main primary sites. Occasionally, the ophthalmologic manifestation may be primary to any other clinical manifestation. This article reports the case of a patient with invasive ductal breast carcinoma with presumed metastasis in the ciliary body and iris in the right eye. Early diagnosis significantly affects the evolution of the condition, requiring ophthalmologic follow-up.","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69814934","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}
引用次数: 0
Occult macular dystrophy: brief literature review 隐蔽性黄斑营养不良:简要文献综述
Q4 Medicine Pub Date : 2023-06-05 DOI: 10.37039/1982.8551.20230026
Rafael Godoy, C. Estacia, Guilherme Sturzeneker, Aluisio Rosa Gameiro
Occult macular dystrophy is characterized by a slowly progressive bilateral reduction of visual acuity in patients with normal fundus and fluorescein angiography. We describe a case of a 36-year-old male patient diagnosed with this condition, after extensive investigation with multimodal imaging, electrophysiology tests, and systemic screening.
{"title":"Occult macular dystrophy: brief literature review","authors":"Rafael Godoy, C. Estacia, Guilherme Sturzeneker, Aluisio Rosa Gameiro","doi":"10.37039/1982.8551.20230026","DOIUrl":"https://doi.org/10.37039/1982.8551.20230026","url":null,"abstract":"Occult macular dystrophy is characterized by a slowly progressive bilateral reduction of visual acuity in patients with normal fundus and fluorescein angiography. We describe a case of a 36-year-old male patient diagnosed with this condition, after extensive investigation with multimodal imaging, electrophysiology tests, and systemic screening.","PeriodicalId":49619,"journal":{"name":"Revista Brasileira De Oftalmologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69814793","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}
引用次数: 0
期刊
Revista Brasileira De Oftalmologia
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