ABSTRACT Background: Trabeculectomy is a common surgical technique performed when clinical treatments are not enough to control glaucoma. Prolonged use of eye drops to control intraocular pressure (IOP) can lead to ocular surface disease, negatively affecting postoperative results. Objective: This article aimed to analyze the current literature on the effects of preoperative preparation for trabeculectomy with topical corticosteroids on surgical outcome and postoperative intervention. Methods: A systematic review that followed PRISMA guidelines was performed, and articles were searched at PubMed, […]

ABSTRACT Objective: To assess ophthalmologists’ preferred techniques and adjuvant treatments for recurrent pterygium. Methods: An observational study in which a questionnaire was administered to ophthalmologists who regularly performed surgeries for recurrent pterygium. Results: Most surgeons did not use antiangiogenic therapy but preferred postoperative corticosteroids for one month. Symblepharon lenses were used only when available. The surgeons removed the pterygium head, including the conjunctiva and Tenon capsule, without invading the caruncle or base, preferring to remove the body first, followed by […]

We present a case study of Tolosa-Hunt syndrome, a rare idiopathic disease, that is characterized by painful ophthalmoplegia of strong intensity, generally affecting the third cranial nerve, and, less frequently, the fourth or the sixth cranial nerves. Usually, there is no visual impairment. The treatment is based on corticosteroids with satisfactory results in most cases although recurrences can occur at intervals from months to years. In our case, the patient presented sudden pain periorbital associated with cranial nerves involvement, which […]

The orbital pseudotumor is a benign idiopathic inflammatory disease. The authors present a case manifested in 12 years old boy, diagnosed by clinical, laboratory and radiological examination. There was a good response to treatment with corticosteroids proposed. The report is followed by brief literary resume on the subject.

OBJECTIVE: To analyze the recovery of visual acuity (VA) and graft survival after first episode of endothelial rejection in penetrating keratoplasty (PKP) treated with intravenous (IV) and topic corticosteroid. METHODS: Interventional, prospective, non-comparative case series study evolving 32 PKP patients in one year follow up, who presented first episode of corneal endothelial rejection. The patients were submitted to 500 mg IV injection of methylprednisolone in association with topical prednisolone. Main outcome measures included VA recovery and corneal edema regression. Second […]

OBJETIVO: Analisar a recuperação da acuidade visual (AV) e sobrevivência do enxerto após primeiro episódio de rejeição endotelial em ceratoplastia penetrante (PK) em pacientes submetidos ao corticóide intravenoso (IV) associado ao tópico. MÉTODOS: Estudo descritivo, prospectivo, tipo série de casos envolvendo 32 pacientes com PK tratados com 2 doses de 500mg de metilprednisolona IV (com intervalo de 1 semana) associado ao acetato de prednisolona 1%. O parâmetro principal analisado foi a recuperação da AV e a regressão do edema corneano. […]