ABSTRACT We report the first case of successful bilateral cataract surgery performed under modified topical anesthesia in an adolescent with Down syndrome and a difficult airway. Airway management under general anesthesia (GA) for this patient population presents significant challenges, including increased risk of adverse intraoperative and postoperative events. This report details our innovative anesthetic approach, termed trained topical anesthesia (TTA), which facilitated uneventful successive cataract surgery in both eyes. The success of this approach highlights the importance of comprehensive psychological […]

ABSTRACT Rothmund-Thomson Syndrome (RTS) is a rare congenital disorder with fewer than 300 cases reported in the literature, characterized by dermatological, skeletal, and ophthalmological abnormalities, as well as a predisposition to osteosarcoma. This study describes the ophthalmological findings of an 11-year-old patient diagnosed with RTS who was referred to the ophthalmology service due to decreased visual acuity. Based on a review of the scientific literature and analysis of the patient’s medical records, the case highlights the ocular manifestations associated with […]

ABSTRACT Purpose: To evaluate the macular thickness increase after phacoemulsification surgery in patients using prostaglandin analog eye drops, compared to a group control. Methods: Patients with glaucoma and cataract diagnosis were divided into two groups: a group of patients using prostaglandin analog eye drops and a group not using this drug class. The patients underwent complete ophthalmologic examination before the standard phacoemulsification surgery and were followed up to eight weeks. The analysis of the macular thickness in the central 1 […]

ABSTRACT Objective: To assess the diagnostic accuracy of a deep learning tool for cataract detection using retinal images from the Ocular Disease Intelligent Recognition (ODIR) public dataset. Methods: The study was conducted using a publicly available dataset, with a web-based Artificial Intelligence tool. This was an observational, cross-sectional study. A total of 230 fundus images were selected from the ODIR dataset, equally divided between 115 cataract cases and 115 non-cataract cases. The images were processed using the Gobvision Artificial Intelligence […]

ABSTRACT Objective: To evaluate the agreement of biometric parameters measured by the ANTERION and IOLMaster700 devices in a Brazilian population, considering statistical differences and their clinical relevance. Methods: A retrospective comparative study included cataract patients who underwent biometric examination with ANTERION and IOLMaster700 between September and December 2023. The parameters evaluated were anterior keratometry, axial length, central corneal thickness, anterior chamber depth, white-to-white diameter, and lens thickness. Agreement and correlation were assessed using Bland-Altman and scatter plots. Results: A total […]

ABSTRACT We present a case of a 66-year-old male patient with primary angle closure glaucoma who underwent cataract surgery. He was also under tamsulosin treatment for benign prostate hyperplasia. Due to high intraocular pressure and shallow anterior chamber, 150 mL of 20% mannitol was given intravenously, before phacoemulcification cataract surgery. The iris prolapsed from the main incision and the pupil constricted, right after the main incision was opened and the pupil shrank. An additional 150 mL of 20% mannitol was […]

ABSTRACT Dead bag syndrome is one of the recently described causes of late intraocular lens dislocation. Its etiology is not yet fully understood, but it is related to the reduction or disappearance of lens epithelial cells with subsequent disaggregation of the capsular tissue. This study describes a case of late intraocular lens dislocation with confirmed disappearance of lens epithelial cells through histopathology. The contralateral eye appears to show clinical features consistent with dead bag syndrome. The eye affected by intraocular […]

ABSTRACT Objective: This systematic review and meta-analysis compare the safety and efficacy of phacoemulsification alone versus combined phacoviscocanalostomy in glaucoma and cataract patients. Methods: We followed PRISMA guidelines. PubMed®, Web of Science, Cochrane, and Embase were searched for randomized clinical trial and non-randomized clinical trial studies comparing phaco versus phacoviscocanalostomy in patients with any glaucoma and cataract type. Statistical analysis was conducted using RevMan software. Results: The study included 889 patients from one randomized clinical trial and three non-randomized clinical […]