OBJECTIVE: To demonstrate the morpho-functional profile of the evaluation of patients with diabetic retinopathy without severe loss of visual acuity in a public hospital of reference in endocrinology, determining in this sample, the relation between the time of diabetes, age and visual acuity with the retinal thickness measured by the optical Coherence tomography (OCT) and fundus picture (FP). METHODS: Prospective, linear study was carried through, in transversal cut of 61 consecutive patients with diabetic retinopathy registered in the HRT, and […]

OBJECTIVE: The privation ambliopia is the worst type of all. Among these, the most common cause is congenital cataract.The purpose of this study is to evaluate the visual function of children who had surgery between July 2006 and June 2008 for pediatric cataract. METHODS: All children were above 4 years old and had surgery at advanced age.We evaluated 6 children and submitted them to visual acuity, extrinsic ocular movement,Titmus and Worth lights tests. RESULTS: The mean age at the time […]

With aspherical intraocular lens (IOL), phakectomy could be more than removal of cataract, it also could means an improvement in optical quality of the eye. In this article, recently published studies on aspherical IOLs and exams to access optical quality were reviewed.

PURPOSE: To describe our experience with crosslinking after Ferrara ring implant for better vision and corneal stabilization. METHODS: six patients with age of 26 – 38 years old had treatment with crosslinking after Ferrara ring implant. Five patients had 2 ring segments implanted and one patient had one segment implanted. After 4 to 55 months the patients were submitted to crosslinking with UVA light according to Seiler et al protocol. RESULTS: Four eyes had progressive alteration of refraction and 2 […]

PURPOSE: To evaluate the safety and efficacy of endoscopic cyclophotocoagulation (ECP) in the treatment of refractory glaucomas. METHODS: The preoperative and postoperative courses of 539 eyes of 539 patients with refractory glaucoma who underwent ECP and had a minimum 5 years follow-up were retrospectively reviewed. All procedures were performed by a single surgeon (FEL). Eyes that were included had undergone at least one incisional glaucoma surgery and had intraocular pressure (IOP) equal to or above 35 mmHg on maximum tolerated […]

Purtscher’s retinopathy is a condition characterized by loss of vision within hours after an injury, especially thoracic. The term “Purtscher-like retinopathy” is used to describe a similar retinal appearance in a variety of conditions other than trauma. This condition have been reported in acute pancreatitis, lymphoproliferative disorders, chest compression, fat embolization, Valsalva maneuver, after retrobulbar anesthesia, and others. Fundus abnormalities include cotton-wool spots, retinal hemorrhage, non-capillary perfusion areas, and optic disk swelling. In this article we revise the ophthalmoscopic findings, […]

PURPOSE: To assess the influence of some forms of lenticular opacification in the Amsler grid test among patients suffering from senile cataract. METHODS: Randomized, prospective interventional trial. Two hundred patients with senile cataract were evaluated with Amsler grid, measurement of best corrected visual acuity for near distance and far distance, biomicroscopy of the anterior segment and macular region. RESULTS: With a two months minimum of follow-up, the average visual acuity after surgery for far distance among the 200 patients was […]

We report a 41-years-old woman with idiopathic intracranial hyperthension (psedotumor cerebri syndrome) that presented with visual loss in one eye due to subretinal neovascular membrane involving the macular area. Despite the introduction of adequate medical treatment followed by optic nerve sheath fenestration that lead to optic disc edema regression there was no improvement in the subretinal neovascular membrane even after performing three sequential intravitreal injection of bevacizumab. We stress the importance of recognizing this uncommon complication of papilledema and review […]