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Long-term follow-up of a case of choroidal neovascularization secondary to reticular pigmentary retinal dystrophy 网状色素视网膜营养不良继发脉络膜新生血管1例的长期随访
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220016
C. Reis, A. M. Casella, L. Chong, J. Rocha
Reticular pigmentary retinal dystrophy, also known as Sjögren’s reticular dystrophy, is a rare condition characterized by macular lesions with a reticular pattern, which are best seen on fluorescein angiogram. Choroidal neovascularization secondary to this type of dystrophy is even less common. This report describes a case of reticular pigmentary retinal dystrophy with vision loss due to neovascular membrane, which responded well to treatment with anti-vascular endothelial growth factor.
网状色素性视网膜营养不良,也称为Sjögren的网状营养不良,是一种罕见的疾病,其特征是黄斑病变具有网状图案,荧光素血管造影最清楚地看到。继发于这种营养不良的脉络膜新生血管更不常见。本文报告一例网状色素视网膜营养不良伴新血管膜所致视力丧失,经抗血管内皮生长因子治疗效果良好。
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引用次数: 0
Primeiros casos de rejeição em transplante penetrante após vacina contra COVID-19 COVID-19疫苗接种后穿透性移植首次发生排斥反应
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220021
Tadeu Cvintal, Victor Cvintal
RESUMO Este artigo descreve dois casos de reação imunológica de rejeição de transplante penetrante após a aplicação de dois tipos de vacina contra a COVID-19 - CoronaVac (Sinopharm/Butantan) e MRNA BNT162&2 (Pfizer-BioNTech) - com intervalo de 1 e 10 dias, respectivamente. A rejeição se manifestou com hiperemia, edema corneano e embaçamento da visão, que responderam rapidamente ao uso de corticoide tópico e subconjuntival. Até onde sabemos, este é o primeiro relato de rejeição de transplante penetrante de córnea pós-vacina anti-COVID-19. Recomendamos, presentemente, como prevenção, colírio de prednisolona a 1% 4 dias antes e durante 2 semanas após receber qualquer tipo de vacina para a COVID-19.
本文描述了两例使用冠状病毒疫苗(Sinopharm/Butantan)和bnt161 &2 MRNA(辉瑞生物技术)后穿透性移植排斥反应的病例,间隔1天和10天。排斥反应表现为充血、角膜水肿和视力模糊,对局部和结膜下皮质类固醇的使用反应迅速。据我们所知,这是首个抗covid -19疫苗接种后穿透性角膜移植排斥反应的报告。我们目前建议,作为预防措施,在接种任何类型的COVID-19疫苗前4天和后2周使用1%强的松龙滴眼液。
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引用次数: 1
Retinografia como forma de rastreio de retinopatia diabética em hospital terciário do Sistema Único de Saúde 在Sistema unico de saude的一家三级医院,视网膜造影作为糖尿病视网膜病变筛查的一种方法
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220057
J. Bortoli, Paulo Caldas Silber, Egídio Picetti, Cássio Roberto Borges da Silva, H. M. Pakter
Objective: To evaluate the impact of diabetic retinopathy (DR) screening using color retinography in diabetic patients. Methods: Retrospective descriptive study, evaluating reports of all retinographs performed since the implementation of the protocol for screening for diabetic retinopathy in diabetic patients followed up at the endocrinology outpatient clinic of a tertiary hospital of the Unified Health System, from May 2018 to May 2020. Results: 727 diabetic with age range from 14 to 91 years old, the majority being 60 years old or older (53.2%), female (68%) and white (87.6%), patients underwent retinography. Of the patients, 467 (64.2%) did not have DR, 125 (17.2%) had non-proliferative DR, 37 (5.1%) had severe non-proliferative DR and/ or suspected macular edema, 65 (8.9%) had proliferative DR, 21 (2.9%) had suspicion signs of other pathologies and 12 (1.7%) had unsatisfactory images. A total of 114 (15.68%) patients were considered at high risk (those with severe non-proliferative NP and/or EM, proliferative DR or poor image) and were referred for comprehensive ophthalmic evaluation. Conclusion: The screening of RD with color retinography enabled the detection of high-risk diabetic patients who needed assistance sooner and enabled their access to ophthalmologic consultation, which decreased disease morbidity. The others were referred to primary care for regulation through the Regulation System (SISREG).
目的:评价彩色视网膜造影在糖尿病视网膜病变(DR)筛查中的作用。方法:回顾性描述性研究,评估2018年5月至2020年5月在统一卫生系统某三级医院内分泌门诊随访的糖尿病患者实施糖尿病视网膜病变筛查方案以来的所有视网膜造影报告。结果:727例糖尿病患者行视网膜造影,年龄14 ~ 91岁,以60岁及以上为主(53.2%),女性占68%,白人占87.6%。无DR 467例(64.2%),非增殖性DR 125例(17.2%),重度非增殖性DR 37例(5.1%)和/或疑似黄斑水肿,增殖性DR 65例(8.9%),怀疑其他病理征象21例(2.9%),影像不满意12例(1.7%)。114例(15.68%)患者被认为是高风险患者(严重的非增殖性NP和/或EM,增殖性DR或图像差),并被转诊进行眼科综合评估。结论:彩色视网膜造影筛查RD可使需要帮助的糖尿病高危患者更早发现并获得眼科会诊,从而降低疾病发病率。其他人则通过监管系统(SISREG)提交初级保健监管。
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引用次数: 0
Perfil socioclínico de pacientes submetidos a transplante de córnea em hospital de referência 参考医院角膜移植患者的社会临床概况
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220062
A. S. D. Araújo, Clara Godinho Marinho, Fernanda do Socorro Rocha Rodrigues, Matheus Sousa Alves, Oswaldo Cardoso Frazão
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引用次数: 0
Equivalent keratometer reading para cálculo biométrico em córneas assimétricas: série de casos 不对称角膜生物计量计算用等效角膜仪读数:病例系列
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220004
Diego de Queiroz Tavares Ferreira, Antônio Carlos Meireles, Arthur Gustavo Fernandes, Rodrigo Antônio Brant Fernandes
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引用次数: 1
Development and usability of a photograph-based smartphone app for ocular surface tumor screening 基于照片的眼表面肿瘤筛查智能手机应用程序的开发和可用性
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220017
Caroline Franco Machado, Isabelle Maria Oliveira de Sousa, Lara de Andrade Araripe, Marina de Sousa Guedes, J. D. Barbosa, Edgar Marçal, João Crispim Ribeiro
Methods: A cross-sectional quantitative study was carried out by a multidisciplinary team and developed in three stages: administration of a specific questionnaire to medical students, assessing the demand for the application, creation and development of the application in collaboration with the Technological Innovation Laboratory of Centro Universitário Christus and usability assessment. General practitioners and ophthalmologists were selected to answer the System Usability Scale questionnaire. Data were exported into the Statistical Package for the Social Sciences, version 20.0 Windows, for quantitative analysis.
方法:由一个多学科团队进行横截面定量研究,分三个阶段进行:向医科学生发放特定问卷,评估应用程序的需求,与Centro Universitário Christus技术创新实验室合作创建和开发应用程序,以及可用性评估。选择全科医生和眼科医生回答系统可用性量表问卷。数据导出到统计软件包为社会科学,20.0版Windows,定量分析。
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引用次数: 0
Pterygium surgery with conjunctival limbal autograft in an eye clinic from Villavicencio, Colombia 哥伦比亚比亚维森西奥眼科诊所的翼状胬肉手术与自体结膜角膜缘移植
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220019
Juan Pablo Sánchez-Cajiao, Juan David Sánchez-Barahona, Yonel Jaimes, Emma Isabel Rodríguez-Darabos, N. Pérez-Gutiérrez
Objective: To describe results of pterygium surgery at Clínica de Cirurgía Ocular Villavicencio , in Meta, Colombia. Methods: A retrospective analysis of pterygium surgeries performed between January 2017 and December 2019. Results: Approximately 1,200 records were reviewed, and 1,200 procedures included. The most frequent complications were corneal Dellen, pterygium recurrence, graft retraction and pyogenic granuloma (7.5%, 2.5%, 3% and 0.75% respectively). These were identified within the first 6 months of surgery. Conclusion: Pterygium surgery using conjunctival autografts is an effective technique, with low recurrence rates and very few complications.
目的:描述在哥伦比亚Meta的Clínica de Cirurgía Ocular Villavicencio进行翼状胬肉手术的结果。方法:回顾性分析2017年1月至2019年12月期间进行的翼状胬肉手术。结果:审查了大约1200个记录,包括1200个程序。最常见的并发症是角膜变厚、翼状胬肉复发、移植物缩回和化脓性肉芽肿(分别为7.5%、2.5%、3%和0.75%)。这些都是在手术的前6个月内确定的。结论:自体结膜移植翼状胬肉是一种有效的手术方法,复发率低,并发症少。
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引用次数: 0
Spectrum approach to congenital ectropion 先天性外翻的频谱入路
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220032
A. Gonçalves, M. Yoshida, L. Leite, E. Feijó, R. M. Limongi, S. Matayoshi
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引用次数: 0
Glaucoma drainage devices 青光眼引流装置
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220041
J. Massote, Victor Dias Massote Mourão Oliveira, S. Cronemberger
Glaucoma Drainage Devices (GDDs) are surgically implanted devices designed to control fluid leaving the eye through to its absorption into the tissues around the eye. The surgical options for glaucoma have recently expanded with a number of new procedures available for glaucoma, although many are for relatively easily controlled glaucoma. Glaucoma Drainage Devices tend to be limited to glaucomas which are more severe and where other interventions have not worked.
青光眼引流装置(gdd)是一种外科植入装置,旨在控制流出眼睛的液体进入眼睛周围组织。青光眼的手术选择最近扩大了许多新的青光眼手术方法,尽管许多是相对容易控制的青光眼。青光眼引流装置往往局限于青光眼更严重和其他干预措施不起作用。
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引用次数: 0
Retinal vascular occlusions after nonocular surgeries 非眼手术后视网膜血管闭塞
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220010
Guilherme Garcia Criado, A. C. M. Paiva, Vinícius Secchim de Britto, Isabella Vieitas Michelini, Kelma Macedo Pohlmann Simões, M. Motta
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引用次数: 0
期刊
Revista Brasileira De Oftalmologia
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