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Revista Brasileira De Oftalmologia最新文献

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Músculos acessórios e estrabismo: causa ou coincidência? 副肌与斜视:原因还是巧合?
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220024
Isabella Vieitas Michelini, G. Criado, Patricia Ferreira Ney, Vinicius Secchim de Britto, Alexandre de Carvalho Mendes Paiva, R. S. Queiroz
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引用次数: 0
Astenopia em docentes universitários durante a pandemia da COVID-19 COVID-19大流行期间大学教授的衰弱
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220007
Ana Carla França Barros, Ana Luiza Martins Damasceno, Bruna Medeiros Fagundes, Maria Teresa Mota Barbalho, Matheus de Freitas d’Angelis, Tarma Keullin Silva, M. M. Oliveira
RESUMO Objetivo: Avaliar sintomas astenópicos e fatores sociodemográficos, hábitos comportamentais e clínicos nos docentes universitários durante a pandemia da COVID-19. Métodos: Trata-se de estudo transversal que avaliou a ocorrência de astenopia em 104 docentes. Questionários de sintomatologia visual validados foram adaptados para a coleta de dados. Houve comparação dos docentes quanto à ocorrência ou não de sintomas astenópicos, bem como foi aplicada regressão logística binária, para aferir a associação com variáveis independentes (p<0,05). Resultados: Houve maior aparecimento de sintomas astenópicos durante o período pandêmico, em que o tempo de exposição a telas parece ter sido o fator mais determinante. Além disso, os indivíduos com tempo de tela superior a 5 horas diárias, que faziam uso de telas para o lazer e usavam colírio/lubrificantes apresentaram significativamente maior chance de estar no grupo com sintomas astenópicos. Conclusão: Foi identificada associação significativa entre a ocorrência de sintomas astenópicos e o uso de telas durante o período pandêmico, principalmente nos grupos com maior duração do tempo de tela. O estudo chama atenção para a saúde ocular de docentes universitários em ensino remoto, além de suscitar novos estudos para investigação desse quadro em distintos ambientes escolares.
摘要目的:评估COVID-19大流行期间大学教师的衰弱症状、社会人口学因素、行为和临床习惯。方法:这是一项横断面研究,评估了104名教师衰弱的发生情况。经验证的视觉症状问卷适用于数据收集。比较教师是否出现衰弱症状,并应用二元logistic回归评估与自变量的相关性(p< 0.05)。结果:在大流行期间出现的衰弱症状增加,暴露于屏幕的时间似乎是最决定性的因素。此外,每天屏幕时间超过5小时、休闲使用屏幕和使用眼药水/润滑剂的个体明显更有可能出现衰弱症状。结论:在大流行期间,衰弱症状的发生与屏幕的使用之间存在显著关联,特别是在屏幕时间较长的组中。这项研究引起了人们对远程教育大学教授眼部健康的关注,并为不同学校环境下的眼部健康研究提出了新的研究。
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引用次数: 0
Análise do perfil clínico de pacientes portadores de neoplasia ocular escamosa atendidos em hospital referência de oculoplástica 眼整形转诊医院眼部鳞状肿瘤患者临床概况分析
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220055
M. Henn, Astor Grumann, T. Silva
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引用次数: 0
SD-OCT assessment and visual field changes 1 year or more after a single episode of unilateral acute primary angle closure 单侧急性初级角闭锁1年后SD-OCT评估和视野变化
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220069
R. V. Merola, S. Cronemberger, É. A. Borges, Jamily Batista Prates
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引用次数: 1
Current situation of minimally invasive glaucoma surgery in Brazil 巴西微创青光眼手术的现状
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220001
M. R. Luiz, F. Kanadani
Copyright ©2021 Glaucoma is the leading cause of irreversible blindness in the world, affecting approximately 60 million people;(1) and the estimates for 2040 are over 110 million individuals.(2) The surgical treatment scenario of glaucoma has undergone major changes in recent decades with the introduction of selective laser trabeculoplasty (SLT), less aggressive cyclodestructive procedures and minimally invasive glaucoma surgery (MIGS). Minimally invasive glaucoma surgery has a better safety profile, providing faster recovery and lower incidence of severe complications, which are often associated with filtering surgeries, such as hypotonia, blebitis and choroidal detachment.(3) On the other hand, it is costly and less effective reducing intraocular pressure (IOP). MIGS is indicated for patients with mild or moderate glaucoma, stable, with indication for cataract surgery phacoemulsification (phaco).(4) In specific cases, it could also be performed alone (stand-alone) in phakic or pseudophakic eyes. The four main approaches to reducing IOP by MIGS include increasing trabecular outflow through the juxtacanalicular meshwork bypass, increasing uveoscleral outflow through suprachoroidal pathways, reducing aqueous production from the ciliary body, or creating a subconjunctival drainage pathway.(5) Currently, in Brazil, the following types of MIGS are available, acting to increase trabecular outflow: gonioscopy-assisted transluminal trabeculotomy (GATT),(6) Kahook Dual Blade® (KDB),(7) and the iStent® G1 and iStent inject®,(8) reinforcing the indication in cases of primary open-angle glaucoma (POAG).(9,10) There are descriptions in the literature of GATT in cases of steroid-induced,(11) congenital and juvenile glaucoma,(12) and of KDB in cases of infantile,(13) uveitic(14) glaucoma, and even in appositional angle-closure glaucoma, when the angle opens after the lens extraction.(15)
版权所有©2021青光眼是世界上不可逆失明的主要原因,影响约6000万人;(1)到2040年估计将超过1.1亿人。(2)近几十年来,随着选择性激光小眼成形术(SLT)、较低侵袭性的青光眼手术和微创青光眼手术(MIGS)的引入,青光眼的手术治疗方案发生了重大变化。微创青光眼手术安全性较好,恢复速度快,严重并发症发生率低,常与滤过手术相关,如张力过低、血管炎、脉络膜脱离等。(3)另一方面,微创青光眼手术成本高,降低眼压效果较差。MIGS适用于轻度或中度青光眼患者,病情稳定,适合白内障手术超声乳化术(phaco)。(4)在特殊情况下,也可在晶状眼或假性晶状眼单独(单机)行。通过MIGS降低IOP的四种主要方法包括通过关节旁网旁路增加小梁流出量,通过脉络膜上通路增加巩膜流出量,减少睫状体的水生成,或创建结膜下引流通道。(5)目前,在巴西,有以下类型的MIGS可用于增加小梁流出量:(6) Kahook Dual Blade®(KDB),(7)以及iStent®G1和iStent®inject®,(8)加强了原发性开角型青光眼(POAG)的适应症。(9,10)文献中有关于GATT在类固醇诱导的(11)先天性青光眼和青少年青光眼(12)中的描述,以及KDB在婴儿、(13)青光眼、(14)青光眼,甚至在对位闭角型青光眼中,当晶状体摘出后角度打开时的描述。(15)
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引用次数: 0
Quality of life in children with strabismus 斜视儿童的生活质量
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220018
Thássia Fernanda Tadiotto, Camille Catarina Artuso de Hungria, Bárbara Stofel Ventorin, Amanda Frota Lacerda Morais, Letícia Costa Almeida Mariuzzo, D. C. Issaho
Results: 97 children were included in the study. 61,4% of the children had esotropia (ET), while 35.9% had exotropia (XT). In each group, the magnitude of deviation was classified in smaller (<) or equal/ greater (≥) then 30 prismatic diopters. When analyzing the functional and the psychosocial scores of the groups separated by the type of strabismus and magnitude of deviation, the average score of the group with esotropia and the patients with larger deviations were worse. The correlation value between the psychosocial and functional scores was 200.656 (p <0.01).
结果:97名儿童纳入研究。61.4%的患儿有内斜视(ET), 35.9%的患儿有外斜视(XT)。在每组中,偏差的大小分为小于(<)或等于/大于(≥)30棱镜屈光度。在分析以斜视类型和斜视偏差大小划分的组的功能和心理社会评分时,内斜视组和斜视偏差较大的组的平均评分较差。心理社会评分与功能评分的相关值为200.656 (p <0.01)。
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引用次数: 1
Epidemiologia e prevalência da maculopatia miópica em centro de referência em oftalmologia 眼科参考中心近视黄斑病的流行病学和流行率
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220014
Daniel de Pinho Botelho, Denise Matos Takahashi, Larissa Fouad Ibrahim, Laura Silva Reis, Mariela Grossi Donato, Tereza Cristina Moreira Kanadani
Objective: To determine the epidemiology and prevalence of myopic maculopathy and pathologic myopia and associated risk factors. Methods: This is a retrospective cross-sectional observational study performed at an ophthalmology center, including 59 patients aged 7 to 70 years, and spherical equivalent higher than -6 diopters. Their retinographies were assessed by two ophthalmologists and an experienced retina specialist, using the META-PM study classification. Statistical analysis was performed using Matlab R2010, Excel 2010 and Statistical Package for the Social Sciences version 20.0, based on the result of multiple binary logistic regression analysis. Results: According to META-PM, the prevalence of myopic maculopathy in 100 eyes analyzed was 19% C0; 53% C1; 18% C2; 2% C3; 8% C4.The prevalence of pathologic myopia was 39%, and 37% of these eyes having myopic maculopathy category C1 with lesions plus, C2 or worse, or posterior staphyloma, and 2% in category smaller than C2, without lesions plus, but with posterior staphyloma.Multiple binary logistic regression analysis revealed an association between age and spherical equivalent inpathologic myopia (p<0.05), demonstrating the increase by 1 year in age implied in 1.05-fold (odds ratio=1.05) more likelyto present pathologic
目的:了解近视黄斑病变和病理性近视的流行病学、患病率及相关危险因素。方法:这是一项在眼科中心进行的回顾性横断面观察研究,包括59例年龄在7至70岁之间,球体等效度高于-6屈光度的患者。他们的视网膜造影由两名眼科医生和一名经验丰富的视网膜专家评估,使用META-PM研究分类。采用Matlab R2010、Excel 2010和Statistical Package for the Social Sciences version 20.0对多元二元logistic回归分析结果进行统计分析。结果:META-PM分析100只眼的近视黄斑病变患病率为19% C0;C1 53%;C2 18%;C3 2%;8%的C4。病理性近视的患病率为39%,其中37%为近视黄斑病变C1级伴病变加重、C2或更严重或后葡萄肿,2%为小于C2级,无病变加重,但有后葡萄肿。多元二元logistic回归分析显示,病理性近视中,年龄与球形当量存在相关性(p<0.05),年龄每增加1岁,病理性近视发生率增加1.05倍(优势比=1.05)
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引用次数: 0
A Brazilian cost-utility analysis of trabecular micro-bypass with iStent inject® for the treatment of open-angle glaucoma 巴西小梁微搭桥治疗开角型青光眼的成本-效用分析
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220049
R. A. P. Guedes, Camila Pepe Souza, L. L. Dias, L. Murta, D. Gravina, A. Chaoubah
Purpose: To evaluate the cost-utility of the iStent inject ® for the treatment of mild-to-moderate open- angle glaucoma (OAG) within the Brazilian Unified Health System (SUS). Methods: A Markov model was developed, in which the effectiveness outcome measure was the incremental cost-effectiveness ratio (ICER: R$ / QALY quality-adjusted life-year). Direct medical costs were obtained from the SUS perspective. The base case comprised of a hypothetical cohort of patients with OAG using topical medication and being managed according to the Clinical Protocol and Therapeutic Guidelines (PCDT) and a real-world setting based on data from Datasus. The model’s robustness through sensitivity analyses was tested. Results: In the PCDT base case setting, the trabecular micro-bypass implant provided gains of 0.47 QALYs and an ICER of R$7,996.66/QALY compared to treatment with topical medication. In the real-world setting based on data from Datasus, the trabecular micro-bypass implant, provided gains of 0.47 QALYs and an ICER of R$4,485.68/QALY compared to treatment with topical medication. The results were robust to sensitivity analyses. Conclusion: Incorporating iStent inject® to SUS provides an improvement in the patient’s quality of life with an additional cost that warrants the benefit provided to patients. Results may be considered cost-effective compared to topical medication.
目的:评估iStent注射液®在巴西统一卫生系统(SUS)中治疗轻至中度开角型青光眼(OAG)的成本-效用。方法:建立马尔科夫模型,以增量成本-效果比(ICER: R$ / QALY质量调整生命年)作为有效性指标。直接医疗费用是从单一系统角度获得的。基本案例包括一个假设的OAG患者队列,使用局部药物,并根据临床方案和治疗指南(PCDT)进行管理,以及基于Datasus数据的现实环境。通过敏感性分析检验了模型的稳健性。结果:在PCDT基础病例设置中,与局部药物治疗相比,小梁微旁路植入物提供了0.47 QALY的增益和7,996.66雷亚尔/QALY的ICER。根据Datasus的数据,在现实环境中,与局部药物治疗相比,小梁微旁路植入物提供了0.47 QALY的增益和4,485.68雷亚尔/QALY的ICER。结果对敏感性分析具有稳健性。结论:将iStent®注射到SUS中可以改善患者的生活质量,但额外的成本保证了为患者提供的益处。与局部用药相比,结果可能被认为具有成本效益。
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引用次数: 1
Identifying and understanding optical coherence tomography artifacts that may be confused with glaucoma 识别和理解可能与青光眼混淆的光学相干断层扫描伪影
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220103
Ari Leshno, D. Hood, J. Liebmann, C. G. Moraes
Optical coherence tomography is often used for detection of glaucoma as well as to monitor progression. This paper reviews the most common types of artifacts on the optical coherence tomography report that may be confused with glaucomatous damage. We mainly focus on anatomy-related artifacts in which the retinal layer segmentation and thickness measurements are correct. In such cases, the probability maps (also known as deviation maps) show abnormal (red and yellow) regions, which may mislead the clinician to assume disease is present. This is due to the anatomic variability of the individual, and the normative database must be taken into account.
光学相干断层扫描常用于青光眼的检测和监测进展。本文综述了光学相干断层扫描报告中最常见的可能与青光眼损伤混淆的伪影类型。我们主要关注与解剖相关的人工制品,其中视网膜层分割和厚度测量是正确的。在这种情况下,概率图(也称为偏差图)显示异常(红色和黄色)区域,这可能会误导临床医生认为存在疾病。这是由于个体的解剖变异性,必须考虑到规范的数据库。
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引用次数: 1
Analysis of the mortality by eye cancer from 2010 to 2019 in Brazil 巴西2010 - 2019年眼癌死亡率分析
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220066
J. D. Barbosa, Adriane Macêdo Feitosa, Lucas Eliel Beserra Moura, Letícia Albuquerque Cunha, Paulo Goberlânio de Barros Silva, Caroline Franco Machado, João Crispim Ribeiro
Objective: To assess the deaths caused by eye cancer from 2010 to 2019 in Brazil. Methods: Data were selected from SUS’ Computer Department platform at the Ministry of Health , including death certificates, from 2010 to 2019, from all Brazilian states and the
目的:评估2010 - 2019年巴西因眼癌导致的死亡人数。方法:数据从卫生部SUS计算机部门平台中选择,包括2010年至2019年来自巴西所有州和各州的死亡证明
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引用次数: 0
期刊
Revista Brasileira De Oftalmologia
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