O objetivo deste estudo foi descrever uma série de casos prospectivos de 5 olhos tratados com ranibizumabe intravítreo para glaucoma neovascular (GNV). Cinco pacientes com GNV refratário, secundário a retinopatia diabética proliferativa (4 pacientes) e oclusão de veia central da retina (1 paciente), não responsivos a terapia medicamentosa máxima tolerada e panfotocoagulação da retina, receberam ranibizumabe intravítreo (0,5 mg). Os pacientes foram vistos no 1º, 3º e 7º dia após a aplicação e conforme necessário. O sucesso foi definido como […]

The purpose of this study was to describe a prospective case series of 5 eyes treated with intravitreal ranibizumab injection for neovascular glaucoma (NVG). Five patients with clinically uncontrolled NVG secondary to proliferative diabetic retinopathy (4 patients) and central retinal vein occlusion (1 patient), non-responsive to maximal tolerable medication and panretinal photocoagulation, received intravitreal ranibizumab injection (0.5 mg). Patients were seen at 1st, 3rd and 7th day after the ranibizumab injection and when it was necessary. Success was defined as […]

Analisamos retrospectivamente os dados clínicos de cinco pacientes com seio camerular fechado por sinéquias anteriores periféricas (SAP) secundárias à crise aguda de fechamento angular primário e submetidos à goniossinequiálise (GSL). Os pacientes apresentavam fechamento sinequial circunferencial por seis meses ou menos e foram acompanhados, no mínimo, por seis meses após a GSL. Após um acompanhamento médio de 32.4±13.9 meses, a acuidade visual melhorou em quatro (80%) olhos. Antes da GSL, a pressão intraocular (Po) variou de 34 a 58 mmHg. […]

We retrospectively analyzed the clinical data of five patients with chronic angle-closure glaucoma who underwent goniosynechialysis (GSL). The patients presented a circumferential synechial angle-closure for less than or up to six months due to an acute primary angle-closure and a minimum six month follow up after GSL. After an average follow-up was of 32.4±13.9 months, visual acuity improved in four (80%) eyes. Before GSL, the intraocular pressure (IOP) varied from 34 to 58 mmHg. After GSL, the IOP varied from […]

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 […]

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 […]

OBJECTIVE: To evaluate trabeculetomies results with peribulbar anesthesia and general anesthesia and to watch the influence by this two techniques in the surgery result. METHODS: It was analyzed charts of 25 patients with uncontrolled glaucoma that undergone trabeculectomy, 11 patients had general anesthesia and 14 with peribulbar anesthesia. It was included in this study pseudophakic patients with glaucoma. We excluded other ocular patologies such as diabetic retinopathy and macular degeneration. Visual acuity, intraocular pressure, number of medications and demographic data […]

PURPOSE: To compare the effects of IOP after peribulbar anaesthesia with lidocain and bupivacain for cataract surgerywith intraocular lens implantation and evaluate exoftalmometer results after the same procedure. Bupivacain and lidocain are local drugs used for peribulbar anaesthesia. It is known that intraocular pressure (IOP) is an important factor for cataract surgery to avoid complications like vitreous loss and iris hernia. METHODS: Fifty male and female patients, between 48 and 93 years old, with ASA I and II evaluation before […]