ABSTRACT Objective: To compare the efficacy and safety of the iStent inject® and iStent inject® W in patients with primary open-angle glaucoma (POAG) undergoing standalone or combined implantation with phacoemulsification. Methods: Retrospective longitudinal study including 103 eyes with mild-to-moderate POAG. Intraocular pressure (IOP), number of medications, absolute and relative success rates, survival analysis, and safety outcomes were evaluated over 12 months. Results: Fifty-nine eyes received iStent inject® (Group 1) and 44 received iStent inject® W (Group 2). Mean IOP decreased […]

ABSTRACT Objective: To evaluate the sociodemographic and ophthalmological characteristics of patients with Ahmed Valve implantation, as well as the postoperative evolution. Methods: Cross-sectional observational study, in which 85 patients were selected to compose the sample, data were collected through electronic medical records. Results: The average age was 57.3 years. There was a higher prevalence of males at 65.9%. The majority of patients were from other regions of the state, had incomplete primary education and had systemic diseases. The most common […]

ABSTRACT Background: There is a debate regarding the differences in intraocular pressure values between different types of dispersive ophthalmic viscosurgical devices in patients after phacoemulsification for cataracts. Objectives: We aim to evaluate the differences between hydroxypropyl methylcellulose and sodium hyaluronate alone or combined with chondroitin sulfate as ophthalmic viscosurgical devices after phacoemulsification in selected patients related to intraocular pressure. Methods: We conducted a systematic review and meta-analysis of randomized clinical trial data comparing only dispersive hydroxypropyl methylcellulose with sodium hyaluronate […]

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 Objective: To identify the acute effect of resistance exercise on ocular perfusion pressure (OPP) in healthy individuals. Methods: The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used. Searches were conducted in the databases: Medline, Embase, Cochrane, CINAHL, Web of Science, and Scopus. Studies that assessed OPP before and after physical exercise were included. The risk of bias was analyzed by the Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group. Random effect […]

ABSTRACT We describe a case of Irvine-Gass syndrome and the clinical decompensation of glaucoma after uneventful cataract surgery with resistance to conventional clinical treatment. Drainage tube implantation and intravitreal injection of dexamethasone were performed simultaneously with the resolution of cystoid macular edema and good control of intraocular pressure, which remained consistent after 1 year of follow-up.

ABSTRACT Our objective was to report the case of the use of Xen® Gel Stent in the surgical treatment of glaucoma secondary to iridocorneal endothelial syndrome. Female patient, 38 years old, with unilateral glaucoma secondary to iridocorneal endothelial syndrome in the right eye, using maximum tolerable medications (three medications), with medicated intraocular pressure oscillating between 16 and 18 mmHg, demonstrating structural and functional progression, underwent minimally invasive bleb surgery with ab interno closed-conjunctival implantation of a Xen® Gel Stent. The […]

ABSTRACT Objective: To evaluate 1-year real-world results of effectiveness and safety of selective laser trabeculoplasty as an alternative to eye drops in patients with early to moderate open-angle glaucoma. Methods: This is a retrospective longitudinal study of a series of cases undergoing selective laser trabeculoplasty in patients with early to moderate open-angle glaucoma who were in use of topical anti-glaucoma therapy. The ability to reduce the intraocular pressure and the medication burden were evaluated, as well as the occurrence of […]