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 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 Dead bag syndrome is one of the recently described causes of late intraocular lens dislocation. Its etiology is not yet fully understood, but it is related to the reduction or disappearance of lens epithelial cells with subsequent disaggregation of the capsular tissue. This study describes a case of late intraocular lens dislocation with confirmed disappearance of lens epithelial cells through histopathology. The contralateral eye appears to show clinical features consistent with dead bag syndrome. The eye affected by intraocular […]

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 Objective: This systematic review and meta-analysis compare the safety and efficacy of phacoemulsification alone versus combined phacoviscocanalostomy in glaucoma and cataract patients. Methods: We followed PRISMA guidelines. PubMed®, Web of Science, Cochrane, and Embase were searched for randomized clinical trial and non-randomized clinical trial studies comparing phaco versus phacoviscocanalostomy in patients with any glaucoma and cataract type. Statistical analysis was conducted using RevMan software. Results: The study included 889 patients from one randomized clinical trial and three non-randomized clinical […]

ABSTRACT Objective: To evaluate the tear film and dry eye symptoms before and after phacoemulsification. Methods: Fifty-one patients diagnosed with cataracts participated in this clinical study (55% female; 78% white; 71.2 ± 6.5 years old; without the use of lubricating eye drops) and underwent phacoemulsification at a hospital in Aparecida (SP). Tear film analysis was performed by the tear film break-up test and dry eye symptoms were assessed by the Ocular Surface Disease Index, both before surgery and 30 and […]

ABSTRACT Throughout life, the lens produces new fibers arranged concentrically, which increase its anteroposterior diameter and weight, making its nucleus more compact and hardened. Hypermature cataract is an advanced stage of this fiber proliferation, which can trigger a variety of complications. Spontaneous rupture of the anterior lens capsule evolving with anterior displacement of the nucleus is a rare complication, with few cases published in the literature. We describe the case of a 68-year-old female patient, who presented spontaneous rupture of […]

ABSTRACT Objective To identify the epidemiological profile and visual benefit of the patient using the Unified Health System after cataract surgery. Methods This is a descriptive, cross-sectional and retrospective study with the analysis of medical records, between October and November 2020. We included 573 eyes of 319 patients that were selected for cataract surgery. Gender, age, cataract classification, pre-and post-surgery corrected acuity, smoking, presence of comorbidities, and previous ocular alterations were analyzed. Results Of the cataract surgeries performed, the mean […]