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 ChatGPT in analyzing OCT images. Methods: A total of 300 OCT images, previously interpreted by specialists, were analyzed by ChatGPT under three scenarios: image-only input; input with additional epidemiological data; and input with detailed clinical data. Sensitivity, specificity, and accuracy rates were compared across scenarios using appropriate statistical analyses (p < 0.05). Results: Overall accuracy was 66.33% in the image-only scenario, 82.33% with epidemiological data, and 92.67% with clinical data. Sensitivity for [...]

ABSTRACT Diabetic retinopathy and diabetic macular edema are leading causes of preventable vision loss, with a rising global impact due to the increasing prevalence of diabetes mellitus. This review article synthesizes current evidence regarding the management of diabetic retinopathy, addressing pathophysiological mechanisms and evidence-based therapeutic recommendations from major clinical trials. Key topics include screening strategies, updated classification systems, systemic control, and ocular therapies such as anti-vascular endothelial growth factor (anti-VEGF) agents, corticosteroids, laser photocoagulation, and vitrectomy. Emerging medication approaches, sustained-release […]

ABSTRACT This review discusses various surgical techniques for correcting aphakia in patients without adequate capsular support, focusing on lens implantation methods and their associated outcomes. It evaluates anterior chamber intraocular lenses, iris fixation with or without sutures, and scleral fixation techniques, both sutured and sutureless. Each method is assessed for its visual acuity results, complication rates, and long-term stability. The advantages and disadvantages of iris and scleral fixation are compared, addressing risks such as endothelial loss, intraocular lens dislocation, and […]

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 The objective of this study was to report a case of bilateral hypertensive retinopathy in a female child with chronic renal disease caused by focal segmental glomerulosclerosis, highlighting an exceptional presentation in this age group and reviewing its treatment and challenges. An 18-year-old female with a history of focal segmental glomerulosclerosis presented with progressive loss of vision. Ophthalmological examination of the right eye revealed a bilateral visual acuity of 20/400. Fundoscopic examination showed peripapillary retinal flame hemorrhage in the […]

ABSTRACT The objective of this article was to review the disorganization of inner retinal layers as a biomarker in diabetic macular edema. A systematic search was conducted in PubMed®/MEDLINE®, Cochrane and Embase until August 2021. The keywords used were: “disorganization of inner retinal layers (DRIL)”, “diabetic macular edema (DME)” and “biomarkers”. No restrictions were imposed on the types of study to be included. The studies selected for eligibility were those that included the diagnosis of diabetic macular edema (center involved, […]

Abstract We present a case of 50-years-old, man with vision loss, dysmorphopsia and micropsy in the right eye with for 6 months. Ocular history included uncomplicated cataract surgery 10 years before. Best corrected visual acuity was 20/100 in the right eye and 20/20 in the left eye. Anterior segment OD demonstrated intra-ocular lens (IOL) haptic in the anterior chamber with iris perforation. Fundus examination revealed cystoid macular edema in right eye. Surgical approach with reposition of the IOL and triamcinolone […]