Dolichoectasia of the internal carotid artery (ICA) is a rare condition that may be associated with neuro-ophthalmic manifestations, such as loss of visual acuity and visual field resulting from compression of the optic nerve (ON). The aim is to report a 67-year-old male patient with primary open-angle glaucoma (POAG) with atypical evolution, asymmetry of cupping and increased pallor of the rim of the left ON, due to compressive optic neuropathy by the dolichoectatic segment. The diagnosis was based on clinical […]

The objective is to report a 33 year old female who came to the emergency room of Ophthalmology complaining of reduced visual acuity on the left eye, in a progressive and insidious way, about two years ago. In the ophthalmological examination, she presented dilated tortuous vessels in her left bulbar conjunctiva, very high intraocular pressure and increased cupping of the optic disc. SITA-SWAP and 24:2 computed perimetry were performed on the right eye, both within normal limits. CT scans of […]

OBJECTIVE: To evaluate how much decreases intraocular pressure (IOP) with bimatoprost 0,03%  (Glamigan, Germed, Brazil) in patiens with primary open angle glaucoma (POAG) and ocular hypertension (OH) and possible side effects. Study: Controlled and randomized study. METHODS: There were evaluated 66 eyes of 35 patients with age of 18 years old or more diagnosed with POAG and OH. All the patients had Glamigan® as first drop for treatment used once daily (at night) and 30 days later they had IOP […]

PURPOSE: To evaluate by high frequency ultrasound biomicroscopy (UBM) the anatomical characteristics of viscocanalostomy and their relationship with the intraocular pressure (IOP) lowering. METHODS: A transversal study which included 9 eyes (7 patients) undergoing viscocanalostomy and examined by high frequency UBM (80 MHz). Several UBM variables were evaluated, including the presence of the intrascleral space, the maximum length and height of the intrascleral space and the minimum thickness of residual trabeculo-Descemet membrane (TDM). Surgical success was considered to be achieved […]

The objective was to identify causes related to noncompliance of primary open-angle glaucoma and suggest ways to minimize them later. A questionnaire was given to patients with primary open angle glaucoma in Hospital Gaffrée Guinle, chosen randomly, to assess factors related to discontinuation of treatment. For this we used a univariate analysis by Fisher’s exact test and considered statistically significant p <0.05. From the questionnaire, we identified two sub-groups, who had stopped treatment and another who had never stopped for […]

PURPOSE: To evaluate the importance of Goldmann manual kinetic perimetry (MKP) in glaucomatous patients with advanced visual field loss in automated static perimetry (ASP) with Humphrey perimeter (HP). METHODS: The MKP with Goldmann perimeter (GP) was performed in patients with advanced primary open angle glaucoma with advanced visual field defect in the ASP with HP. A qualitative analysis was realized on the visual field extension in the Goldmann perimetry of these patients. RESULTS: The results are illustrated in a qualitative […]

OBJECTIVE: The aim of this study is to evaluate the eficacy about reducing intraocular pressure (IOP) in patients with primary angle glaucoma treated with non penetrating deep sclerectomy with SkGel implant. METHODS: This is an observacional, retrospective study from revision of charts from Tadeu Cvintal Eye Institute. We evaluated 45 eyes from 37 patients that undergone to non penetrating deep sclerectomy with SkGel Implant in the past 10 years. IOP was checked 12 months in a period of 10 years, […]

OBJECTIVE: To evaluate the topic 2% ibopamine effect in the intraocular pressure (IOP) of eyes with assimetric primary open-angle glaucoma (POAG). METHODS: 15 patients (30 eyes) with primary open-angle glaucoma showing assimetric nerve disease evolution were assessed. We compared in all patients, the ibopamine response and the visual field defect between both eyes. The visual field, to be considered, should have at least 5 dB in MD difference between them. The statistical analysis was done with the Two-Tailed Student Test, […]