We report an unusual case of a 65-year old patient that developed localized bilateral Descemet membrane detachment during non-simultaneous femtosecond laser-assisted cataract surgery (FLACS). The detachment occurred when the laser was performing the secondary incision. In the operating room, the isolate-and-release technique was used to effectively manage this complication. To the best of our knowledge, this is the first reported case of bilateral Descemet membrane detachment during FLACS.

Relatamos um caso de uma paciente de 65 anos de idade que evoluiu com descolamento de Descemet localizado bilateral durante cirurgias de catarata não simultâneas com laser de femtosegundo. O descolamento ocorreu durante a realização da paracentese pelo laser. Na sala cirúrgica, foi utilizada a técnica de “isolar e liberar” para conduzir eficazmente esta complicação. De acordo com o nosso conhecimento, esse é o primeiro relato de caso de descolamento bilateral da membrana de Descemet durante cirurgia de catarata com […]

Purpose: To evaluate if Eyesi cataract surgical simulator training using its standard course curriculum is effective in improving performance of cataract surgery trainees on creating capsulorhexis on high-tension capsules on the simulator. Methods: We retrospectively analyzed training reports of ophthalmic surgery trainees (2nd and 3rd year residents and cataract fellowship trainees) that have accomplished the standard Eyesi cataract surgery simulator training course version 2.1 between May 2012 and August 2013 at Instituto de Diagnostico e Terapia Ocular, Rio de Janeiro, […]

Objetivos: Avaliar se o treinamento realizado com o simulador cirúrgico de catarata Eyesi e o seu currículo de exercícios padrão são efetivos em melhorar o desempenho de cirurgiões de catarata em formação na confecção de capsulorrexe em cápsulas de alta tensão realizadas no simulador. Métodos: Analisamos retrospectivamente relatórios de treinamento de residentes de 2º e 3º ano e fellows de catarata que realizaram o curso versão 2.1 de treinamento com o simulador cirúrgico de catarata Eyesi no período de maio […]

Objectives: Pre-anesthetic assessment (PAA) and laboratory tests are questioned for ophthalmic procedures due to their additional costs and surgery delays. These are lower risks, nonetheless, patients are elderly and suffer from multiple comorbidities. The aim of this study was to determinate if it is really necessary in a public hospital. Method: a retrospective study on 297 medical records containing the pre-anesthetic questionary from ophthalmic surgery patients in a public hospital was leaded. By the anamnesis, clinical examination and laboratory tests, […]

Objective: To evaluate the introduction of the femtosecond laser (FSL) to perform the key steps of the traditional cataract surgery process and the operational difficulties and safety of this new technology during routine use in an operating room in Brazil. Methods A retrospective study was conducted using the first cases operated on at a single center using the laser platform LenSx/Alcon with a soft contact lens patient interface.All patients underwent a detailed preoperative assessment.The anterior capsulotomy, nuclear fragmentation, and corneal […]

Objetivo: Avaliar a introdução do laser de femtossegundo (FSL) para realizar etapas fundamentais da cirurgia de catarata tradicional e as dificuldades e segurança desta nova tecnologia na rotina de um centro cirúrgico no Brasil. Métodos: Um estudo retrospectivo foi realizado com os primeiros casos operados em um único centro usando a plataforma de laser LenSx/Alcon, sendo utilizado lentes de contato gelatinosa na interface do paciente. Todos os pacientes foram submetidos a uma avaliação pré-operatória detalhada. Capsulotomia anterior, fragmentação nuclear e […]

Objective Compare visual acuity (VA) of patients after cataract surgery with and without intraoperative complications regarding possible factors that contributed to the outcome on postoperative follow-up. Methods Longitudinal, retrospective study that evaluated 179 medical records of patients who underwent cataract surgery under the technique Phacoemulsification (PHACO) in the Suel Abujamra Institute from february to july 2013. Patients were divided into two groups concerning presence or absence of intraoperative complications. Data were analyzed using t-test methods for two samples or (ANOVA) […]