Luís Izquierdo, Ana M. Rodríguez, H. Moreira, J. A. Mejías, M. A. Henríquez
Objetivo : Evaluar los resultados visuales y refractivos tras el implante de anillo intracorneal circular continuo usando laser de femtosegundo en el tratamiento de pacientes adultos con queratocono. Diseno: Prospectivo de cohorte. Materiales y Metodos : Se incluyeron 22 ojos de 16 pacientes, con diagnostico de queratocono tipo central a los cuales se les implanto un anillo intracorneal circular continuo (ICCR), MyoRing (Dioptex GmbH, Linz, Austria) en un bolsillo creado con laser de femtosegundo (Ziemer Z6 LDV, Port, Switzerland). Se evaluo resultado visual, refractivo, queratometrias, paquimetria y asfericidad corneal al mes , tres meses, seis meses y a un ano postoperatorio. Resultados: La agudeza visual sin correccion (AVSC) y la agudeza visual con correccion (AVCC) mejoraron de 1,33 (Desviacion estandar [DE]: 0,37) a 0,38 logMAR (DE:0,16) (p=0.001) y de 0,25 ([DE]:0,15) a 0,21 logMAR ([DE]:0,23) (p= 0,43) respectivamente al ano postoperatorio. La queratometria central, la esfera, el cilindro y la asfericidad corneal presentaron disminucion de 8,13 Dioptrias (D) (p <.001), 5,42 D (p<.001), 2,03D (p=0.01) y 1,46 (p<0,000) respectivamente. Los resultados visuales, refractivos y queratometricos no presentaron cambios significativos a partir del tercer mes postoperatorio. Conclusiones: El implante del anillo intracorneal circular continuo con laser femtosegundo, demostro ser un procedimiento eficiente y seguro para el tratamiento de queratocono tipo central, mejorando significativamente los valores queratometricos y refractivos, logrando buenos resultados visuales.
{"title":"Implante del anillo intracorneal circular continuo con láser femtosegundo en el tratamiento de Queratocono.","authors":"Luís Izquierdo, Ana M. Rodríguez, H. Moreira, J. A. Mejías, M. A. Henríquez","doi":"10.15234/VPA.V16I4.385","DOIUrl":"https://doi.org/10.15234/VPA.V16I4.385","url":null,"abstract":"Objetivo : Evaluar los resultados visuales y refractivos tras el implante de anillo intracorneal circular continuo usando laser de femtosegundo en el tratamiento de pacientes adultos con queratocono. Diseno: Prospectivo de cohorte. Materiales y Metodos : Se incluyeron 22 ojos de 16 pacientes, con diagnostico de queratocono tipo central a los cuales se les implanto un anillo intracorneal circular continuo (ICCR), MyoRing (Dioptex GmbH, Linz, Austria) en un bolsillo creado con laser de femtosegundo (Ziemer Z6 LDV, Port, Switzerland). Se evaluo resultado visual, refractivo, queratometrias, paquimetria y asfericidad corneal al mes , tres meses, seis meses y a un ano postoperatorio. Resultados: La agudeza visual sin correccion (AVSC) y la agudeza visual con correccion (AVCC) mejoraron de 1,33 (Desviacion estandar [DE]: 0,37) a 0,38 logMAR (DE:0,16) (p=0.001) y de 0,25 ([DE]:0,15) a 0,21 logMAR ([DE]:0,23) (p= 0,43) respectivamente al ano postoperatorio. La queratometria central, la esfera, el cilindro y la asfericidad corneal presentaron disminucion de 8,13 Dioptrias (D) (p <.001), 5,42 D (p<.001), 2,03D (p=0.01) y 1,46 (p<0,000) respectivamente. Los resultados visuales, refractivos y queratometricos no presentaron cambios significativos a partir del tercer mes postoperatorio. Conclusiones: El implante del anillo intracorneal circular continuo con laser femtosegundo, demostro ser un procedimiento eficiente y seguro para el tratamiento de queratocono tipo central, mejorando significativamente los valores queratometricos y refractivos, logrando buenos resultados visuales.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"30 1","pages":"110-113"},"PeriodicalIF":0.0,"publicationDate":"2017-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76238387","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}
M. Mora, Shirley M Rosenstiehl, Hernan A. Rios, Marcela Lonngi
Purpose: to describe the visual and topographical changes after accelerated corneal collagen cross-linking (ACXL) in keratoconus-affected eyes. Methods: a retrospective case series study was made. Clinical records of patients with keratoconus-affected eyes that underwent ACXL treatment and had 24 months of follow-up were reviewed. Data regarding demographics, visual acuity (VA), refraction and Sheimpflug values before and post ACXL were analyzed. We included patients with keratoconus older than 12 years old, with corneal thickness greater than 400 microns and steepest keratometry <60 diopters by Sheimpflug (Pentacam), with reported uncorrected distant visual acuity (UDVA), manifest refraction and best-corrected visual acuity (BCVA) evaluation pre ACXL and 24 months after surgery. The exclusion criteria were: history of ocular trauma, anterior segment surgery, retinal detachment or any type of maculopathy. Results: 21 eyes were included. Mean age was 27 years. Mean uncorrected distant VA (UDVA) before the procedure was 1.01 logMAR (20/200 Snellen) and after 24 months improved significantly to 0.62 logMAR (20/83 Snellen) with a p value of 0.005. No statistical significant difference was found between preoperative and postoperative refractive, keratometric and pachymetric data. Induced astigmatism value was -1.11 D (range 0.13 D – 2.28 D). Conclusions: ACXL is a technique to prevent the progression of keratoconus, however refractive and VA changes could be expected after procedure. The observed changes must be considered when performing the procedure together with refractive surgery
{"title":"REFRACTIVE CHANGES AFTER TWO YEARS ACCELERATED CORNEAL CROSS-LINKING IN PATIENTS WITH KERATOCONUS","authors":"M. Mora, Shirley M Rosenstiehl, Hernan A. Rios, Marcela Lonngi","doi":"10.15234/VPA.V16I4.425","DOIUrl":"https://doi.org/10.15234/VPA.V16I4.425","url":null,"abstract":"Purpose: to describe the visual and topographical changes after accelerated corneal collagen cross-linking (ACXL) in keratoconus-affected eyes. Methods: a retrospective case series study was made. Clinical records of patients with keratoconus-affected eyes that underwent ACXL treatment and had 24 months of follow-up were reviewed. Data regarding demographics, visual acuity (VA), refraction and Sheimpflug values before and post ACXL were analyzed. We included patients with keratoconus older than 12 years old, with corneal thickness greater than 400 microns and steepest keratometry <60 diopters by Sheimpflug (Pentacam), with reported uncorrected distant visual acuity (UDVA), manifest refraction and best-corrected visual acuity (BCVA) evaluation pre ACXL and 24 months after surgery. The exclusion criteria were: history of ocular trauma, anterior segment surgery, retinal detachment or any type of maculopathy. Results: 21 eyes were included. Mean age was 27 years. Mean uncorrected distant VA (UDVA) before the procedure was 1.01 logMAR (20/200 Snellen) and after 24 months improved significantly to 0.62 logMAR (20/83 Snellen) with a p value of 0.005. No statistical significant difference was found between preoperative and postoperative refractive, keratometric and pachymetric data. Induced astigmatism value was -1.11 D (range 0.13 D – 2.28 D). Conclusions: ACXL is a technique to prevent the progression of keratoconus, however refractive and VA changes could be expected after procedure. The observed changes must be considered when performing the procedure together with refractive surgery","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"36 1","pages":"114-117"},"PeriodicalIF":0.0,"publicationDate":"2017-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79984381","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}
Do Moises Enghelberg, D. Go, Ba Adam Adika, M. Sanchez-Gonzalez, D. Georgescu, M. Kay
This systematic review of biopsy proven cases of non specific orbital inflammation and sclerosing variant from 2010-2016 attempts to elucidate new findings regarding the demographic profile of the diseases. Discussion of histopathology is emphasized, as to describe the most common presenting features of non-specific orbital inflammation as well as to discuss its molecular make-up . This review also discusses the therapeutic approach and discusses the “steroids vs. biopsy first” controversy regarding non-specific orbital inflammation. The incidence of IgG4 and its relationship to non-specific orbital inflammation is also discussed.
{"title":"Non-Specific Orbital Inflammation and Sclerosing Variant","authors":"Do Moises Enghelberg, D. Go, Ba Adam Adika, M. Sanchez-Gonzalez, D. Georgescu, M. Kay","doi":"10.15234/VPA.V16I4.427","DOIUrl":"https://doi.org/10.15234/VPA.V16I4.427","url":null,"abstract":"This systematic review of biopsy proven cases of non specific orbital inflammation and sclerosing variant from 2010-2016 attempts to elucidate new findings regarding the demographic profile of the diseases. Discussion of histopathology is emphasized, as to describe the most common presenting features of non-specific orbital inflammation as well as to discuss its molecular make-up . This review also discusses the therapeutic approach and discusses the “steroids vs. biopsy first” controversy regarding non-specific orbital inflammation. The incidence of IgG4 and its relationship to non-specific orbital inflammation is also discussed.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"8 1","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2017-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89797508","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}
{"title":"LEARNING FROM THE SIMPLE AND FROM THE HIGH TECH","authors":"P. E. Dantas","doi":"10.15234/VPA.V1I3.434","DOIUrl":"https://doi.org/10.15234/VPA.V1I3.434","url":null,"abstract":"","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"1 1","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76285250","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}
We present a case of a 71-year-old Caucasian male complaining of left lateral lower eyelid swelling after an insect sting sensation. Physical examination showed an oval shaped lesion (diameter of half a centimetre), mobile, with well-defined edges, soft consistency and erythema. Palpation was painless and without node involvement. The patient had history of metastatic prostate adenocarcinoma. One week later, the lesion showed rapid growth (diameter of two centimetres) with central ulceration. Incisional biopsy was made. Immunohistochemistry findings were suggestive of a primary neuroendocrine carcinoma: Merkel Cell Carcinoma. The patient underwent surgery with wide local excision, regional lymphadenectomy and eyelid reconstruction. Awareness to this type of tumour is crucial. A delay in diagnosis affects significantly the prognosis of the disease.
{"title":"AWARENESS FOR MERKEL CELL CARCINOMA: CONSIDER IT","authors":"B. Pina","doi":"10.15234/VPA.V1I3.414","DOIUrl":"https://doi.org/10.15234/VPA.V1I3.414","url":null,"abstract":"We present a case of a 71-year-old Caucasian male complaining of left lateral lower eyelid swelling after an insect sting sensation. Physical examination showed an oval shaped lesion (diameter of half a centimetre), mobile, with well-defined edges, soft consistency and erythema. Palpation was painless and without node involvement. The patient had history of metastatic prostate adenocarcinoma. One week later, the lesion showed rapid growth (diameter of two centimetres) with central ulceration. Incisional biopsy was made. Immunohistochemistry findings were suggestive of a primary neuroendocrine carcinoma: Merkel Cell Carcinoma. The patient underwent surgery with wide local excision, regional lymphadenectomy and eyelid reconstruction. Awareness to this type of tumour is crucial. A delay in diagnosis affects significantly the prognosis of the disease.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"50 1","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77916157","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}
Manitoba Oculo-tricho-anal Syndrome (MOTA) is a rare autosomal recessive disorder characterized by eyelid coloboma, cryptophthalmos, anophthalmia or microphthalmia, abnormal hair growth from scalp to eyebrow, bifid or broad nasal tip, and gastrointestinal anomalies including omphalocele and anorectal malformations.[1, 2] We describe a multi-stage surgical approach to repair a right upper lid coloboma with an extensive congenital superomedial symblepharon obscuring the pupil in the context of MOTA. Surgical steps included reconstitution of the eyelid’s anatomical landmarks with dissection of the symblepharon invading the opacified cornea, freeing the pupillary axis, creation of a superior fornix, advancement of myocutaneous/periosteal flaps, and insertion of an implant to recreate the absent eyelid. This resulted in significant improvement of ocular surface protection, quality of life, and allowed for amblyopia treatment.
{"title":"MANITOBA OCULO-TRCHO-ANAL SYNDROME: COMPLEX SURGICAL CORRECTION OF AN EXTENSIVE UPPER LID COLOBOMA WITH CONGENITAL SYMBLEPHARON","authors":"S. Kazaryan, A. Valenzuela","doi":"10.15234/VPA.V1I3.390","DOIUrl":"https://doi.org/10.15234/VPA.V1I3.390","url":null,"abstract":"Manitoba Oculo-tricho-anal Syndrome (MOTA) is a rare autosomal recessive disorder characterized by eyelid coloboma, cryptophthalmos, anophthalmia or microphthalmia, abnormal hair growth from scalp to eyebrow, bifid or broad nasal tip, and gastrointestinal anomalies including omphalocele and anorectal malformations.[1, 2] We describe a multi-stage surgical approach to repair a right upper lid coloboma with an extensive congenital superomedial symblepharon obscuring the pupil in the context of MOTA. Surgical steps included reconstitution of the eyelid’s anatomical landmarks with dissection of the symblepharon invading the opacified cornea, freeing the pupillary axis, creation of a superior fornix, advancement of myocutaneous/periosteal flaps, and insertion of an implant to recreate the absent eyelid. This resulted in significant improvement of ocular surface protection, quality of life, and allowed for amblyopia treatment.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"1 1","pages":"94-95"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82057552","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}
Purpose: To report the case of a patient with persistent right eye (RE) hemovitreous secondary to occlusive retinal vasculitis secondary to tuberculosis. Methods: Male patient, 35 years old, Indian descent, with no history of previous systemic illness. First presented to our outpatient clinic with decreased visual acuity RE with 8 months duration. On exam, BCVA RE: <5/200 and BCVA LE: 20/20; keratic precipitates were visible and anterior chamber flare was described as 1+; extensive RE hemovitreous were present precluding fundus observation. A fluorescein angiography (FA) performed on his LE was normal. He was started on topical steroids and submitted to pars plana vitrectomy + intra-operative retinal photocoagulation on his RE for peripheral retinal neovascularization. Results: Post-surgery exam, BCVA RE: 20/100 and BCVA LE: 20/20, no anterior chamber reaction bilaterally. RE macular edema with exuberant vascular turtuosity and “ghost vessels”. FA confirmed active occlusive vasculitis on RE. Diagnostic work-up was positive for a 28 mm induration tuberculin test, supporting the diagnosis of ocular tuberculosis. The patient was started on anti-tuberculous medication. Three months later, BCVA RE was 20/25 with no anterior chamber reaction OU. Eighteen months on, the patient maintains good bilateral visual acuity without any evidence of disease reactivation. Conclusions: In the clinical case described there was a good response after antituberculosis treatment instituted unassociated oral corticosteroid therapy, with improved visual acuity and remission of inflammatory angiographic signs, stressing the importance of tuberculous etiology research in cases of retinal vasculitis.
{"title":"RETINAL OCCLUSIVE VASCULITIS SECONDARY TO TUBERCULOSIS – A CLINICAL REPORT","authors":"Irina Ramos Gomes, V. Nogueira","doi":"10.15234/VPA.V1I3.398","DOIUrl":"https://doi.org/10.15234/VPA.V1I3.398","url":null,"abstract":"Purpose: To report the case of a patient with persistent right eye (RE) hemovitreous secondary to occlusive retinal vasculitis secondary to tuberculosis. Methods: Male patient, 35 years old, Indian descent, with no history of previous systemic illness. First presented to our outpatient clinic with decreased visual acuity RE with 8 months duration. On exam, BCVA RE: <5/200 and BCVA LE: 20/20; keratic precipitates were visible and anterior chamber flare was described as 1+; extensive RE hemovitreous were present precluding fundus observation. A fluorescein angiography (FA) performed on his LE was normal. He was started on topical steroids and submitted to pars plana vitrectomy + intra-operative retinal photocoagulation on his RE for peripheral retinal neovascularization. Results: Post-surgery exam, BCVA RE: 20/100 and BCVA LE: 20/20, no anterior chamber reaction bilaterally. RE macular edema with exuberant vascular turtuosity and “ghost vessels”. FA confirmed active occlusive vasculitis on RE. Diagnostic work-up was positive for a 28 mm induration tuberculin test, supporting the diagnosis of ocular tuberculosis. The patient was started on anti-tuberculous medication. Three months later, BCVA RE was 20/25 with no anterior chamber reaction OU. Eighteen months on, the patient maintains good bilateral visual acuity without any evidence of disease reactivation. Conclusions: In the clinical case described there was a good response after antituberculosis treatment instituted unassociated oral corticosteroid therapy, with improved visual acuity and remission of inflammatory angiographic signs, stressing the importance of tuberculous etiology research in cases of retinal vasculitis.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"37 1","pages":"90-93"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88274177","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}
Purpose: Determine the benefits and challenges of combined femtosecond laser-assisted cataract surgery with the Catalys® system (Abbott, Abbott Park, IL) and vitrectomy. Design: Retrospective study Methods: We retrospectively reviewed eight consecutive cases of combined femtosecond laser-assisted cataract surgery with the Catalys® system and vitrectomy by a single surgeon. The University of Minnesota Institutional Review Board provided Expedited Review Approval for this project. Results: The study population was 25% male with mean age of 69.1 years, mean pre-operative intraocular pressure of 14.9 mmHg, and mean best corrected visual acuity of 0.44. All patients completed both portions of the combined procedure. There were no complications from the femtosecond laser portion with the mean vacuum time 163s (range 125-320s). Post-operative findings included intraocular pressure rise (25%), and persistent macular edema (38%). The mean intraocular pressure at month one was 16 mmHg with an improvement in mean best-corrected visual acuity to 0.27 (range 0-0.52, p<0.05). Intraocular lens was centered in all cases, and mean manifest refraction spherical equivalent was -0.77 (range -2.75-0), which was not statistically significantly different than the target spherical equivalent of -0.59 (p=0.24). Conclusions: Combined femtosecond laser-assisted cataract surgery with the Catalys® system and vitrectomy was not associated with significant complications, with an overall improvement in visual acuity.
目的:确定Catalys®系统(Abbott, Abbott Park, IL)和玻璃体切割联合飞秒激光辅助白内障手术的益处和挑战。设计:回顾性研究方法:我们回顾性回顾了8例连续的飞秒激光辅助白内障手术，该手术采用Catalys®系统和玻璃体切除术。明尼苏达大学机构审查委员会为该项目提供了快速审查批准。结果:研究人群中男性占25%，平均年龄69.1岁，平均术前眼压14.9 mmHg，平均最佳矫正视力0.44。所有患者都完成了联合手术的两个部分。飞秒激光部分无并发症，平均真空时间163s (125 ~ 320s)。术后发现包括眼压升高(25%)和持续黄斑水肿(38%)。术后第一个月平均眼压为16 mmHg，平均最佳矫正视力改善至0.27(范围0-0.52,p<0.05)。所有病例的人工晶状体均居中，平均明显折射球等效为-0.77(范围-2.75-0)，与目标球等效为-0.59无统计学差异(p=0.24)。结论:联合飞秒激光辅助白内障手术与Catalys®系统和玻璃体切除术没有明显的并发症，整体视力得到改善。
{"title":"COMBINED FEMTOSECOND LASER ASSISTED CATARACT SURGERY AND PARS PLANA VITRECTOMY","authors":"Brian Lee, P. Drayna, S. Montezuma","doi":"10.15234/VPA.V1I3.426","DOIUrl":"https://doi.org/10.15234/VPA.V1I3.426","url":null,"abstract":"Purpose: Determine the benefits and challenges of combined femtosecond laser-assisted cataract surgery with the Catalys® system (Abbott, Abbott Park, IL) and vitrectomy. Design: Retrospective study Methods: We retrospectively reviewed eight consecutive cases of combined femtosecond laser-assisted cataract surgery with the Catalys® system and vitrectomy by a single surgeon. The University of Minnesota Institutional Review Board provided Expedited Review Approval for this project. Results: The study population was 25% male with mean age of 69.1 years, mean pre-operative intraocular pressure of 14.9 mmHg, and mean best corrected visual acuity of 0.44. All patients completed both portions of the combined procedure. There were no complications from the femtosecond laser portion with the mean vacuum time 163s (range 125-320s). Post-operative findings included intraocular pressure rise (25%), and persistent macular edema (38%). The mean intraocular pressure at month one was 16 mmHg with an improvement in mean best-corrected visual acuity to 0.27 (range 0-0.52, p<0.05). Intraocular lens was centered in all cases, and mean manifest refraction spherical equivalent was -0.77 (range -2.75-0), which was not statistically significantly different than the target spherical equivalent of -0.59 (p=0.24). Conclusions: Combined femtosecond laser-assisted cataract surgery with the Catalys® system and vitrectomy was not associated with significant complications, with an overall improvement in visual acuity.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"19 1","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75111014","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}
ABSTRACT Introduction: The diagnosis of pseudostrabismus is very common in ophthalmology; especially pseudotropia. There is some dispute about the parameters to determine the diagnosis especially hypertelorism. Objective To determine the relationship between the predictors and pseudostrabismus most frequent presentation in our midst: Epicanthus and Hipertelorism . The type of study : Prospective observational relationship . Statistical analysis: Binary logistic regression to relate Pseudostrabismus and Predictors . and Odd . Ratio for risk assessment . Results and conclusions . 1 - Diagnosis of pseudostrabismus by PSEUDOESOTROPIA in our population is related to two predictors : pupillary distance ( DI ) and epicanthus . . 2 - 24 children (38.7 %) with Peudoestrabismo and 38 children (61.3 %) whitaut Pseudoestrabismo had pupillary distance above normal percentiles or HYPERTELORISM. The OR ( 3.276 ) for this relationship shows that these children are 3 times more likely to have Pseudostrabismus . 14 children (22.6 %) with Pseudostrabismus and 6 children (9.7 % ) in the control group had pupillary distance below the normal percentiles or hypotelorism . The O.R. ( 2.087 ) for this relationship shows that these children are 2 times more likely to have pseudostrabismus . . 3 - The measurement of the pupillary distance is preferred in the presence of HYPERTELORISM for diagnosing Pseudostrabismus . (p < 0.05). . 4 - 30 (48.4 %) children with Pseudostrabismus and 32 children in the control group had epicanthus . The OR ( 1949 ) to this relationship, showing that these children have twice the chance of having pseudostrabismus . . 5 -Both HIPERTELORISM and HIPOTELORISM as predictors of PSEUDOESOTROPIA are in our midst.
{"title":"RELACIÓN ENTRE PSEUDOESTRABISMO Y SUS PREDITORES EN POBLACIÓN INFANTIL","authors":"Mercedes Zambrano Paco","doi":"10.15234/VPA.V1I3.356","DOIUrl":"https://doi.org/10.15234/VPA.V1I3.356","url":null,"abstract":"ABSTRACT Introduction: The diagnosis of pseudostrabismus is very common in ophthalmology; especially pseudotropia. There is some dispute about the parameters to determine the diagnosis especially hypertelorism. Objective To determine the relationship between the predictors and pseudostrabismus most frequent presentation in our midst: Epicanthus and Hipertelorism . The type of study : Prospective observational relationship . Statistical analysis: Binary logistic regression to relate Pseudostrabismus and Predictors . and Odd . Ratio for risk assessment . Results and conclusions . 1 - Diagnosis of pseudostrabismus by PSEUDOESOTROPIA in our population is related to two predictors : pupillary distance ( DI ) and epicanthus . . 2 - 24 children (38.7 %) with Peudoestrabismo and 38 children (61.3 %) whitaut Pseudoestrabismo had pupillary distance above normal percentiles or HYPERTELORISM. The OR ( 3.276 ) for this relationship shows that these children are 3 times more likely to have Pseudostrabismus . 14 children (22.6 %) with Pseudostrabismus and 6 children (9.7 % ) in the control group had pupillary distance below the normal percentiles or hypotelorism . The O.R. ( 2.087 ) for this relationship shows that these children are 2 times more likely to have pseudostrabismus . . 3 - The measurement of the pupillary distance is preferred in the presence of HYPERTELORISM for diagnosing Pseudostrabismus . (p < 0.05). . 4 - 30 (48.4 %) children with Pseudostrabismus and 32 children in the control group had epicanthus . The OR ( 1949 ) to this relationship, showing that these children have twice the chance of having pseudostrabismus . . 5 -Both HIPERTELORISM and HIPOTELORISM as predictors of PSEUDOESOTROPIA are in our midst.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"7 1","pages":"74-78"},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74296277","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}
{"title":"LO MEJOR DE LA ACADEMIA EN ESPAÑOL","authors":"Paulo E.C. Dantas","doi":"10.15234/vpa.v1i3.431","DOIUrl":"https://doi.org/10.15234/vpa.v1i3.431","url":null,"abstract":"","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75570905","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：