ABSTRACT This systematic review and meta-analysis compared Manual Small Incision Cataract Surgery (MSICS) with phacoemulsification for the management of mature cataracts, evaluating outcomes such as visual acuity, surgical complications, endothelial cell loss, central corneal thickness, surgery duration, and cost-effectiveness. A comprehensive search was conducted across PubMed®, Web of Science, Embase, and the Cochrane Library through November 23, 2023, without language restrictions. Of 163 articles initially retrieved, five studies met the inclusion criteria, encompassing a total of 577 eyes. Pooled results […]

ABSTRACT This case series presents the shamrock sign, a novel aberrometry pattern characterized by trefoil and coma, as a potential diagnostic marker for nuclear cataracts associated with myopic shift. This study highlights its clinical relevance and contribution to early detection and management. The primary diagnosis was nuclear cataracts inducing myopic shift. All patients underwent phacoemulsification with intraocular lens implantation. Postoperatively, all cases showed marked reductions in higher-order aberrations, including spherical aberration and trefoil, with complete resolution of the shamrock sign. […]

ABSTRACT Objective: To characterize the physical structure, resources and processes involved in processing healthcare products in ophthalmic surgery task forces. Methods: The document analysis was carried out on four files selected from the 25 available, following the inclusion criteria: they delt with the subject in its entirety and added new information. The data was analyzed using the Bardin method. Results: The data were organized into three categories: PPS Processing; Human and Material Resources; Physical Structure. There were failures in processing, […]

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 […]