OBJETIVO: Descrever uma nova técnica para caracterização clínica das propriedades biomecânicas da córnea, usando sistema de imagem dinâmica não invasivo. MÉTODOS: A resposta de deformação da córnea é monitorada durante tonometria de não contato com fotografia de Scheimpflug de altíssima velocidade. O Oculus Corvis ST (Scheimpflug Technology; Wetzlar, Germany) apresenta uma câmera UHS Scheimpflug que adquire mais que 4.300 fotos por segundo com cobertura de 8mm horizontais para monitorar a resposta de deformação durante a tonometria de não contato por […]

Despite being rare, ocular injury due to a compact disc burst can be responsible for severe ocular damage. We present in this article a case of corneal perforation in addition to lens trauma caused by intentional compact disc break. A 44 year old female physician was examined complaining of visual acuity decrease, light sensitivity, tearing and foreign body sensation on OD after watching a compact disc being broken intentionally. In the first examination, she had a corneal perforation with aqueous […]

PURPOSE: The methodology currently used for interpretation of the cornea and anterior segment tomography for the diagnosis of corneal ectasia and its susceptibility. METHODS: Description of the methodology and clinical interpretation of corneal and anterior segment tomography indexes; report of three cases demonstrating the importance of this new diagnostic tool (Pentacam HR®) in ophthalmological practice. CONCLUSION: The use of corneal and anterior segment tomography seems to be an effective method to increase the sensitivity and specificity for the diagnosis and […]

PURPOSE: To evaluate the contact lenses fitting with respect to visual improvement in patients with keratoconus. METHODS: We conducted a prospective study of 54 patients (99 eyes) attending the Contact Lens Clinic of Faculdade de Medicina do ABC (FMABC) from january 2010 to november 2010. Data were collected on gender, age, treated eyes, degree of keratoconus, initial visual acuity (VA) and final VA after fitting. RESULTS: Of the patients, 44% were women and 56% men. Forty-six point forty-seven percent of […]

PURPOSE: To evaluate biomechanical changes measured with the ORA (Ocular Response Analyzer®; Reichert Ophthalmic Instruments, Buffalo, New York, USA) after Lasik with the Moria One Use Plus and to compare the biomechanics changes after myopic and hyperopic ablations. METHODS: Fourteeneyes for hyperopia (H) and 19 eyes for myopia (M) were evaluated with the ORA preoperatively and 1 month after Lasik with thin flap (100 microns) using SBK-OUP (Sub-Bowman Keratomileusis – One Use Plus, Moria®).CH (Corneal Hysteresis), CRF (Corneal Resistance Factor), […]

A case report of a 59 years old woman who has had ocular primary melanosis for four years, associated with episodes of corneal epithelial recurrent erosions. The patient underwent resection of the affected conjunctiva, superficial keratectomy and topical mitomicin C after the surgery. The pathologic examination confirmed the diagnosis of primary acquired melanosis, with mild to moderate nuclear atypia. One year after the treatment, she had only a small area of pigmented epithelium located in the lower corneal surface, showing […]

PURPOSE: To compare topographic features of patients with keratoconus between two systems: Orbscan IIz® (Bausch & Lomb, Rochester, New York, USA) and Wavetek Chroma®. METHODS: Twenty-nine patients that were diagnosed with keratoconus based on clinical and topographic characteristics were evaluated on their visit to Ophthalmology Hospital of Sorocaba in March 2010. Topographic variables, like maximum and minimum keratometric readings (Sim K) within 3 and 5 mm of central zone, and maximum keratometry, were analyzed by Orbscan IIz® and Wavetek Chroma®. […]

PURPOSE: To verify the morning to evening variations of refraction, visual acuity, intraocular pressure and biomechanical parameters on patients operated by radial keratotomy who presented for refractive re-treatments; and to correlate the biomechanical parameters with refraction, visual acuity and their variations among morning and evening. METHODS: 19 patients were examined, respectively thirty-eight eyes in the morning (9 am) and evening (6 pm), recording sphere-cylindrical dynamic refraction, visual acuity (logMAR) without correction (AVsc) and corrected (AVcc) and ORA (Ocular Response Analyzer) […]