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Revista Brasileira De Oftalmologia最新文献

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A (not so) new option for safely correct moderate myopia in patients with thin corneas 角膜薄患者安全矫正中度近视的一种(并非如此)新选择
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220015
Sandro Coscarelli, P. Ferrara, Leonardo Torquetti
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引用次数: 0
An uncommon case of brucellosis with ocular presentation 少见的布鲁氏菌病伴眼部表现
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220028
Zahra Farzinvash, Mohammad Mahdi Raji, M. Manaviat
We report an unusual case of brucellosis presented with headache, diminished vision, papillitis and multiple peripapillary hemorrhages accompanied by subretinal fluid extending up to macula. Diagnosis of brucellosis was made based on positive polymerase chain reaction of cerebrospinal fluid sample for Brucella species DNA, accompanied by a raised titer of anti-brucella antibodies. Patient showed remarkable improvement on triple drug therapy in form of doxycycline, rifampicin and ceftriaxone.
我们报告一个不寻常的病例布鲁氏菌病表现为头痛,视力下降,乳头炎和多发乳头周围出血,并伴有视网膜下液延伸到黄斑。根据脑脊液样本布鲁氏菌DNA聚合酶链反应阳性,并伴有抗布鲁氏菌抗体滴度升高,诊断为布鲁氏菌病。多西环素、利福平、头孢曲松三联治疗疗效显著。
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引用次数: 0
Impact of cataract surgery on visual acuity and quality of life assessed using the National Eye Institute Visual Function Questionnaire 25 in a public teaching hospital in Brazil 巴西一家公立教学医院使用国家眼科研究所视力功能问卷25评估白内障手术对视力和生活质量的影响
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220011
C. Koch, Geórgia de Freitas Neves, Rayane Serrano Paredes, Amanda Ribeiro Araújo de Siqueira, Newton Kara
Methods: Prospective study including patients aged over 60 years with clinical indications for cataract surgery treated at a medical residency service. The National Eye Institute Visual Function Questionnaire 25 was applied. Corrected distance visual acuity was measured before and after cataract surgery. Correlations between National Eye Institute Visual Function Questionnaire 25 scores and corrected distance visual acuity were investigated. Surgeons in charge, and surgical complications were also reported.
方法:前瞻性研究纳入60岁以上在住院医师诊所接受白内障手术临床指征的患者。采用美国国家眼科研究所视觉功能问卷25。在白内障手术前后测量矫正距离视力。研究美国眼科学会视觉功能问卷25分与矫正距离视力的相关性。负责手术的外科医生和手术并发症也有报道。
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引用次数: 2
Ceratopigmentação (tatuagem corneana): utilização de técnicas combinadas para melhora estética em olhos de pacientes com opacidades corneanas 角膜纹身:使用综合技术改善角膜混浊患者的眼睛美学
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220031
Lorena Diniz Oliveira e Xavier, C. Becker, Heloisa Moraes do Nascimento Salomão, A. G. D. Costa
Objective: To report, through a case series, the perception of patients about the effectiveness of corneal tattooing in the cosmetic improvement of their eyes with leukomas, using a combination of two techniques. Methods: Eight patients answered a survey regarding their cosmetic appearance satisfaction regarding the procedure, postoperative discomfort, and social impact observed after surgery. Results: All patients considered themselves very satisfied with the cosmetic results. Regarding the degree of postoperative discomfort, 75% said they had little discomfort, while 25% reported moderate discomfort. All patients reported significant
目的:通过一系列病例,报告患者对角膜文身结合两种技术在改善其眼睛白血病美容方面的有效性的看法。方法:对8例患者进行手术外观满意度、术后不适程度及术后社会影响的问卷调查。结果:所有患者均对美容效果满意。关于术后不适的程度,75%的人表示他们很少不适,而25%的人表示中度不适。所有患者均报告
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引用次数: 1
Epidemiology of corneal transplantation before achieving the Zero Queue 零排队前角膜移植的流行病学
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220037
Letícia Mariana Menezes Maia, Luiz Eduardo Fernandes Lima, Marcella Franco de Almeida, Rebeka Ventura Pessôa de Paula, Eduardo Nogueira Lima Sousa, Juliana de Lucena Martins Ferreira, Leidiane Pinho da Silva
Objective: To outline the epidemiological profile of cornea donors and recipients before reaching queue zero. Methods: Epidemiological study, of quantitative approach, with transversal, analytical design, analyzing database records from the Health Secretary of the State of Ceará, from 2013 to 2015. Results: We obtained 1,558 cornea donors and 2,287 cornea recipients from 2013 to 2015. Most donors were male, capital residents, from 21 to 40 years old. Of donated eyeballs, 14.52% were disposed, due to
目的:了解角膜供体和受者排队前的流行病学概况。方法:采用定量方法,采用横向分析设计进行流行病学研究,分析2013 - 2015年塞州卫生厅数据库记录。结果:2013 - 2015年共获得角膜供体1558例,角膜受者2287例。大多数捐赠者是男性,首都居民,年龄在21到40岁之间。在捐赠的眼球中,14.52%被丢弃,原因是
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引用次数: 0
Do automotive window films affect drivers’ safety by decreasing vision sensitivity? A Cross-sectional study 汽车车窗膜是否会降低驾驶员的视觉灵敏度,从而影响驾驶员的安全?横断面研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220034
C. D. Ramos, Luciana Piacente Pap, Deborah Reuter Amaral Chivante, Larissa Maria Prodocimo, Aileen Walsh, Camilla Walsh Crema, A. Crema, P. Schor
Objective: To measure visual acuity in high contrast and low contrast sensitivities in different grades of visible light transmission films in three different positions (front, lateral and rear windows). Methods: Forty-four healthy volunteers between 30-75 y-o, with BCVA better than 0,5, were tested in the 5 following vehicles with different grades of visible light transmission films. Vehicle 1: 75% in the front and 70% in the lateral and rear windows; Vehicle 2: 70% in the front and lateral windows and 28% in the rear; Vehicle 3: 70% in the front, 28% in the lateral and 15% rear; Vehicle 4: 35% in all 3 windows; Vehicle 5: 50% in the front, 20% in the lateral and 15% in the rear. Descriptive statistics were used and the average of the 3 measurements of VA was considered. Wilcoxon Test was applied to compare the average visual acuity in each vehicle and position. P value<0.05 was considered statistically significant. Results: According to the Brazilian Traffic Regulations for driving in categories C/D/E, when low contrast was tested in the front window, all visible light transmissions were borderline, in the lateral window they were all outside the limit, while in the rear window for both low and high contrast, all visible light transmissions tested were outside the limit and also borderline for driving in categories A/B, with the exception of the vehicle with visible light transmission of 35%. Conclusion: Visual acuity is affected, especially in the rear window, by the use of automotive films. The study is an alert that window films is a possible cause of accidents and may contribute to the revision of traffic regulations worldwide.
目的:测定不同等级可见光透射膜在3个不同位置(前、侧、后窗)的高对比和低对比敏感度下的视敏度。方法:选取44名年龄在30 ~ 75岁,BCVA > 0,5的健康志愿者,乘坐以下5辆不同等级的可见光透射膜车辆进行测试。车辆1:75%在前窗,70%在侧窗和后窗;车辆2:前窗和侧窗占70%,后窗占28%;车辆3:70%在前面,28%在侧面,15%在后面;车辆4:所有3个窗口均占35%;车辆5:50%在前面,20%在侧面,15%在后面。采用描述性统计,取VA 3个测量值的平均值。采用Wilcoxon检验比较各车辆、各位置的平均视力。P值<0.05为差异有统计学意义。结果:根据《巴西交通法规C/D/E类驾驶规定》,前窗低对比度测试时,所有可见光透射率均为边界,侧窗低对比度测试时,所有可见光透射率均在限制范围外,而后窗低对比度和高对比度测试时,A/B类驾驶的所有可见光透射率均在限制范围外,只有35%的车辆可见光透射率除外。结论:使用汽车薄膜会影响视力,尤其是后窗的视力。这一研究结果提醒人们,车窗贴膜有可能引发交通事故,并有可能对世界范围内的交通法规修订做出贡献。
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引用次数: 1
Metaboloma use in ophthalmology 代谢瘤在眼科中的应用
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220056
T. Martins, A. Sipahi, M. Mendes, Susan B. Fowler, Paulo Schor
It is part of the omic sciences to search for an understanding of how the cellular system of organisms works as well as studying their biological changes. As part of the omic sciences, we can highlight the genomics whose function is the study of genes, the transcriptomics that studies the changes in the transcripts, the proteomics responsible for understanding the changes that occur in proteins, and the metabolomics that studies all the metabolic changes that occur in a certain system when it is submitted to different types of stimuli. Metabolomics is the science that studies the endogenous and exogenous metabolites in biological systems, which aims to provide comparative quantitative or semi-quantitative information about all metabolites in the system. This review aims to describe the main applications of metabolomics science in ophthalmolog. We searched the literature on main applications of metabolomics science in ophthalmology, using the MEDLINE and LILACS databases, with the keywords “metabolomics” and “ophthalmology”, from January 1, 2009, to April 5, 2021. We retrieved 216 references, of which 58 were considered eligible for intensive review and critical analysis. The study of the metabolome allows a better understanding of the metabolism of ocular tissues. The results are important to aid diagnosis and as predictors of the progression of many eye and systemic diseases.
寻找生物体的细胞系统如何工作的理解以及研究它们的生物变化是基因组科学的一部分。作为组学科学的一部分,我们可以强调基因组学的功能是研究基因,转录组学研究转录物的变化,蛋白质组学负责理解蛋白质发生的变化,代谢组学研究某一系统在受到不同类型刺激时发生的所有代谢变化。代谢组学是研究生物系统中内源性和外源性代谢物的科学,旨在提供系统中所有代谢物的比较定量或半定量信息。本文综述了代谢组学在眼科中的主要应用。我们使用MEDLINE和LILACS数据库检索2009年1月1日至2021年4月5日期间代谢组学在眼科主要应用的文献,检索关键词为“metabolomics”和“ophthalmology”。我们检索了216篇文献,其中58篇被认为有资格进行深入审查和批判性分析。代谢组的研究可以更好地理解眼部组织的代谢。结果是重要的,以帮助诊断和预测许多眼睛和全身性疾病的进展。
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引用次数: 0
Alteração refracional após capsulotomia posterior com laser Nd:YAG Nd:YAG激光包膜切开术后的屈光变化
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220006
Bruno Hirt, Marcos Bortoluzzi Worma, L. Wojcik, Bruna Schmittt de Lacerda, Luciane Bugman Moreira, P. Ferenczy
Objective: To identify if there is a significant change on refraction after Nd:YAG laser posterior capsulotomy in pseudophakic eyes. Methods: A retrospective study with analysis of medical records of patients treated at a hospital, with diagnosis of opacification of posterior lens capsule treated with Nd:YAG laser posterior capsulotomy, from October 2019 to March 2021. The comparison of refraction before and after the procedure was performed by calculating the spherical equivalent. Changes in visual acuity (VA), measured by LogMAR, were also evaluated. Results: A total of 90 medical records (140 eyes) of patients submitted to Nd:YAG laser posterior capsulotomy were analysed. The mean pre-procedure spherical equivalent was -0.07±0.89D, minimum of -3.0D and maximum of +2.5D, median (interquartile range) of 0.0D (-0.50D to +0.375D). The postprocedure mean was -0.18±0.86D, minimum of -3.5D and maximum of +2.25D, median (interquartile range) of -0.125D (-0.50D to 0.0D), with p <0.0082. Of the 140 eyes, 66 underwent myopia and 37 hyperopia, the mean change in the general spherical equivalent was -0.12±0.51D, minimum -2.50D and maximum +1.25D, median (interquartile range) of 0.0D (-0.375D to +0.125D). When comparing the difference between the spherical equivalent before and after the procedure of the group of eyes that underwent myopia (n=66) or hyperopia (n=37), separately, both obtained p<0.0001. When comparing all eyes that suffered any change on refraction (n=103), the p value was 0.008. The mean pre-procedure visual acuity was 0.23±0.32, minimum of 0.0 and maximum of 2.3. After the procedure, the mean was 0.06±0.13, minimum of -0.12 and maximum of 0.7, p<0.0001. Conclusion: Nd:YAG laser posterior capsulotomy significantly improved visual acuity of patients in this study; however, it also led to a significant change on refraction after the procedure, both for myopization, which was more frequent, and for hyperopization.
目的:探讨Nd:YAG激光后囊膜切开术对假性晶状眼屈光是否有明显改变。方法:回顾性分析2019年10月至2021年3月在某医院接受Nd:YAG激光后囊膜切开术治疗的诊断为晶状体后囊膜混浊的患者病历。通过计算球面等效,比较了操作前后的折射率。用LogMAR测量的视力变化(VA)也进行了评估。结果:对Nd:YAG激光后囊膜切开术患者90例(140眼)病历进行分析。平均术前球形当量为-0.07±0.89D,最小值为-3.0D,最大值为+2.5D,中位数(四分位数范围)为0.0D (-0.50D至+0.375D)。术后平均为-0.18±0.86D,最小为-3.5D,最大为+2.25D,中位数(四分位数间距)为-0.125D (-0.50D ~ 0.0D), p <0.0082。140只眼中,近视66只,远视37只,一般球等效变化平均值为-0.12±0.51D,最小值为-2.50D,最大值为+1.25D,中位数(四分位数间距)为0.0D (-0.375D ~ +0.125D)。分别比较近视组(n=66)和远视组(n=37)手术前后球当量的差异,p<0.0001。当比较所有发生任何折射变化的眼睛时(n=103), p值为0.008。术前平均视力为0.23±0.32,最小为0.0,最大为2.3。手术后,平均值为0.06±0.13,最小值为-0.12,最大值为0.7,p<0.0001。结论:Nd:YAG激光后囊膜切开术可显著提高患者的视力;然而,它也导致手术后屈光的显著变化,无论是近视,这是更频繁的,还是远视。
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引用次数: 0
New surgical maneuver to position the graft in a descemet stripping with automated endothelial keratoplasty surgery 自动内皮角膜移植术在角膜剥离中定位移植物的新手术策略
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220045
J. Torras-Sanvicens, I. Blanco-Domínguez
Objective: To describe a new surgical maneuver to position the graft in a Descemet Stripping with Automated Endothelial Keratoplasty (DSAEK) surgery. Methods: Case Results: This technique allows a correct repositioning of the graft in a minimally invasive way. Conclusion: This new surgical maneuver was successful in manipulating the graft in DSAEK surgery and therefore might be effective and
目的:描述一种在自动内皮角膜移植术(DSAEK)手术中定位植片的新手术手法。方法:病例结果:该技术允许以微创的方式正确地重新定位移植物。结论:这种新的手术手法在DSAEK手术中成功地操纵移植物,因此可能是有效和有效的
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引用次数: 0
Belin/Ambrósio Enhanced Ectasia Display in cataract surgery and relation to final visual acuity Belin/Ambrósio白内障手术中增强的扩张显示与最终视力的关系
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.37039/1982.8551.20220058
R. A. Stock, Jonathan Berwanger, E. L. Bonamigo
Objective: To analyze and describe the coefficients found on maximum Ambrósio Relational Thickness- Maximum (ART-Max) and Belin/Ambrósio Enhanced Ectasia Display total deviation (BAD-D) in eyes with normal corneal topography subjected to cataract surgery with premium intraocular lens implantation and correlated these data with final visual acuity. Methods: ART-Max and BAD-D data from 103 eyes of patients subjected to implantation of diffractive bifocal intraocular lens, with normal corneal topography who achieved visual acuity of 20/20
目的:分析和描述正常角膜地形图患者行白内障人工晶状体植入术后最大Ambrósio相关厚度-最大(ART-Max)和Belin/Ambrósio增强扩张显示总偏差(BAD-D)系数,并将这些数据与最终视力进行相关性分析。方法:对103例角膜形貌正常、视力20/20的衍射双焦点人工晶状体植入术患者的ART-Max和BAD-D数据进行分析
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引用次数: 0
期刊
Revista Brasileira De Oftalmologia
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