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Revista Brasileira de Oftalmologia

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Volume 74, Number 4, 2015

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Editorial

Triamcinolone for diabetic retinopathy

Otacílio de Oliveira Maia
Júnior

287
Triamcinolone for diabetic retinopathy

August/2015

Triamcinolone for diabetic retinopathy

Otacílio de Oliveira Maia
Júnior

DOI: 10.5935/0034-7280.20150041

The current therapeutic approach to diabetic retinopathy, based on the high level of scientific evidence, includes drugs administered via intraocular injection into the vitreous cavity associated or not to laser photocoagulation of the retina, besides a multidisciplinary approach for systemic metabolic control. The treatment is indicated in the proliferative form of the disease and/or diabetic macular edema (the main cause of visual loss).The ETDRS – Early Treatment Diabetic Retinopathy Study – has defined the laser treatment strategies in the diabetic retinopathy according […]

287
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Original Articles

Prevalence of adenoviral conjunctivitis at the ophthalmologic clinic on municipality of Viçosa/MG

Euldes Nei
Rosado-Filho
,
Silvia Almeida
Cardoso
,
Lorena Nacif
Marçal
,
Eliziária Cardoso dos
Santos
,
Eduardo de Almeida Marques da
Silva
,
[...], Leandro Licursi de
Oliveira

164
Prevalence of adenoviral conjunctivitis at the ophthalmologic clinic on municipality of Viçosa/MG

Prevalence of adenoviral conjunctivitis at the ophthalmologic clinic on municipality of Viçosa/MG

Euldes Nei
Rosado-Filho
,
Silvia Almeida
Cardoso
,
Lorena Nacif
Marçal
,
Eliziária Cardoso dos
Santos
,
Eduardo de Almeida Marques da
Silva
,
[...], Leandro Licursi de
Oliveira

DOI: 10.5935/0034-7280.20150042

Objective: The aim of this study was to evaluate the prevalence of Adenovirus as a etiologic agent of conjunctivitis on a ophthalmic clinic in Viçosa, Minas Gerais, Brazil. Methods: Samples of conjunctival secretion from 91 patients clinically diagnosed with conjunctivitis were subjected to polymerase chain reaction (PCR) using degenerate primers targeted to the gene encoding the structural protein II. Positive samples were subsequently subjected to sequencing and genotyping. Results: PCR results showed 36.3% prevalence of Adenovirus. No differences between the […]

Keywords: Adenovirus/epidemiology; Conjunctivitis viral/diagnosis; Conjunctivitis viral/etiology; Polimerase chain reaction; Virology

164
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Life quality of low-vision elderly people: before and after hearing and speech intervention

Mayla Myrina Bianchim
Monteiro
,
Keila Miriam Monteiro de
Carvalho

161
Life quality of low-vision elderly people: before and after hearing and speech intervention

Life quality of low-vision elderly people: before and after hearing and speech intervention

Mayla Myrina Bianchim
Monteiro
,
Keila Miriam Monteiro de
Carvalho

DOI: 10.5935/0034-7280.20150043

Aim: To evaluate life quality of elderly people with acquired low vision before and after hearing and speech intervention. Methods: This was a descriptive cross-sectional study. The study was made with 52 elderly people with acquired low vision. Two questionnaires that measures life quality were used in this study. The first was ‘Low Quality of Life Vision (LVQOL)’ and the second the ‘National Eye Institute Visual Function Questionnaire (NEIVFQ-25)’. The study included people with more than 60 years with acquired […]

Keywords: Elderly; Low vision; Quality of life; Questionnaire; Rehabilitation

161
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Health and vision related quality of life among patients with choroidal neovascular age related macular degeneration

Maria
Picoto
,
José
Galveia
,
Sara
Patrício
,
António
Rodrigues
,
Fernanda
Vaz

184
Health and vision related quality of life among patients with choroidal neovascular age related macular degeneration

Health and vision related quality of life among patients with choroidal neovascular age related macular degeneration

Maria
Picoto
,
José
Galveia
,
Sara
Patrício
,
António
Rodrigues
,
Fernanda
Vaz

DOI: 10.5935/0034-7280.20150044

Purpose: To describe the impact of aged-related macular degeneration (AMD) on vision-related quality of life (QOL) on a sample of portuguese patients and explore the association with vision, Central Foveal Thickness (CFT) and demographic variables in a Portuguese population. Methods: Observational, interview study of 68 patients with clinical diagnosis of NV AMD seen between January and April 2011 at the Ophthalmology Department of Centro Hospitalar de Lisboa Ocidental. Health-related quality of life (HRQL) was measured with a Portuguese version of […]

Keywords: Chronic disease; Macular degeneration; Mental health; Quality of life; Questionnaires; Visual acuity

184
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Chalazion and demographic characteristics of patients in a population sample

Marjorie Fornazier do
Nascimento
,
Ana Claudia Viana
Wanzeler
,
Roberta Lilian Fernandes
Sousa
,
Larissa Horikawa
Satto
,
Carlos Roberto
Padovani
,
[...], Silvana Artioli
Schellini

379
Chalazion and demographic characteristics of patients in a population sample

Chalazion and demographic characteristics of patients in a population sample

Marjorie Fornazier do
Nascimento
,
Ana Claudia Viana
Wanzeler
,
Roberta Lilian Fernandes
Sousa
,
Larissa Horikawa
Satto
,
Carlos Roberto
Padovani
,
[...], Silvana Artioli
Schellini

DOI: 10.5935/0034-7280.20150045

Purpose: To show the frequency of occurrence of chalazion in a population sample, as well as the characteristics of patients. Methods: A cross-sectional study using randomized population sample was carried out during 2004/2005, in the Midwest region of the state of São Paulo. Participants were evaluated according to demographic variables and ocular examination. Results: The frequency of occurrence of chalazion was 1.56‰, more common in women, people with astigmatism or low hyperopia, with wide variation in age of onset. It […]

Keywords: Chalazion/epidemiology; Eyelid/injuries; Hordeolum; Refractive errors;

379
More

Correlation between the use of the accommodation and symptoms of asthenopia in hyperopic patients

Juan Carlos Luna da
Costa
,
Ian Beltrão de Sá
Martins
,
Larissa Tavares Albuquerque
Nóbrega
,
Maria Odília Navarro
Medeiros
,
Luciana Maria
Palitot
,
[...], Tarcízio José
Dias

149
Correlation between the use of the accommodation and symptoms of asthenopia in hyperopic patients

Correlation between the use of the accommodation and symptoms of asthenopia in hyperopic patients

Juan Carlos Luna da
Costa
,
Ian Beltrão de Sá
Martins
,
Larissa Tavares Albuquerque
Nóbrega
,
Maria Odília Navarro
Medeiros
,
Luciana Maria
Palitot
,
[...], Tarcízio José
Dias

DOI: 10.5935/0034-7280.20150046

Purpose: The objective of this paper was to compare the symptoms of asthenopia in patients at different levels of hyperopia and corrected for different accommodative efforts. Methods: This study is an experimental design and quantitative approach. Sixty-nine hyperopic patients aged between 15 and 40 were selected. Individuals with a diagnosis of accommodative insufficiency and paralysis, accommodative spasm or any type of ocular deviation were excluded. Subjects were randomly divided into four groups. Each one performed a nearvision task with different […]

Keywords: Accommodation, ocular; Asthenopia; Eyeglasses; Hyperopia; Refraction, ocular

149
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Eyelid disorders: frequency of occurrence and profile of carriers in a Brazilian population sample

Ana Cláudia Viana
Wanzeler
,
Marjorie Fornazier do
Nascimento
,
Roberta Lilian Fernandes
Sousa
,
Carlos Roberto
Padovani
,
Silvana Artioli
Schellini

243
Eyelid disorders: frequency of occurrence and profile of carriers in a Brazilian population sample

Eyelid disorders: frequency of occurrence and profile of carriers in a Brazilian population sample

Ana Cláudia Viana
Wanzeler
,
Marjorie Fornazier do
Nascimento
,
Roberta Lilian Fernandes
Sousa
,
Carlos Roberto
Padovani
,
Silvana Artioli
Schellini

DOI: 10.5935/0034-7280.20150047

Purpose: to show the frequency of occurrence of the eyelid disorders in a Brazilian population sample, as well as the characteristics of the carriers. Methods: a transversal study using a random population sample was carried out in the years 2004/2005, involving nine cities of the middle west region of the State of São Paulo – Brazil. We had 7654 participants which were evaluated according to demographic variables and complete ophthalmological examination. The eyelid disorders were detected using a lantern and […]

Keywords: Brazil; Eyelid diseases/epidemiology; Population studies

243
More

Patient’s perception on glaucoma and different types of treatment (medical versus surgical treatment)

Augusto Alves Pinho
Vieira
,
Ricardo Augusto Paletta
Guedes
,
Rita de Cássia Padula Alves
Vieira
,
Vanessa Maria Paletta
Guedes

235
Patient’s perception on glaucoma and different types of treatment (medical versus surgical treatment)

Patient’s perception on glaucoma and different types of treatment (medical versus surgical treatment)

Augusto Alves Pinho
Vieira
,
Ricardo Augusto Paletta
Guedes
,
Rita de Cássia Padula Alves
Vieira
,
Vanessa Maria Paletta
Guedes

DOI: 10.5935/0034-7280.20150048

Objective: To identify the meaning and impact on their quality of life of having glaucoma and to understand the patients’ perception on the different types of treatment (medical or surgical). Methods: Through a qualitative research, focus groups were conducted with patients in clinical treatment (group 1) and patients who underwent glaucoma surgery in both eyes and were without medication (group 2). The responses were analyzed using the technique of content analysis. Results: Fear of blindness and lack of information about […]

Keywords: Glaucoma, open-angle/psychology; Glaucoma, open-angle/surgery; Glaucoma, open-angle/therapy; Quality of life

235
More

Case Report

X-linked juvenile retinoschisis

Cesar Gomes da
Silveira
,
Gabriela Hertz
Soares
,
Jacqueline
Provenzano

299
X-linked juvenile retinoschisis

X-linked juvenile retinoschisis

Cesar Gomes da
Silveira
,
Gabriela Hertz
Soares
,
Jacqueline
Provenzano

DOI: 10.5935/0034-7280.20150049

Report the case of a male 28 years-old patient, who was referred to Centro de Estudos e Pesquisas Oculistas Associados – RJ, to retina assessment and presented the tipical findings of the X-Linked Juvenile Retinoschisis: A cystoid maculopathy with formation of foveal cysts and schisis of the peripheral retina. It was carried out the conservative management, with attention to the complications.

Keywords: Case reports; Genetic diseases, X-linked/diagnosis; Retinoschisis/diagnosis

299
More

Atypical presentation of Graves’ ophthalmopathy

Flávia Marques
Rodrigues
,
Nilson Lopes da Fonseca
Junior
,
José Ricardo Carvalho Lima
Rehder
,
Celso Lopez
Fernandez
,
Debora Mayumi
Sugano

389
Atypical presentation of Graves’ ophthalmopathy

Atypical presentation of Graves’ ophthalmopathy

Flávia Marques
Rodrigues
,
Nilson Lopes da Fonseca
Junior
,
José Ricardo Carvalho Lima
Rehder
,
Celso Lopez
Fernandez
,
Debora Mayumi
Sugano

DOI: 10.5935/0034-7280.20150050

Graves ‘ophthalmopathyis themost commonorbital diseaseand affects25-50% of the patients withGraves’ disease. It`s morecommon in females, between the second andfifth life`s decade. The disease hasanacute andachronic stage, slowly progressing until it stabilizes, with rarecasesof spontaneous resolution.The treatment depends on thestage andthe disease ismainly treated withoralor intravenous corticosteroids with or without radiotherapy;colchicine is usedin individual cases. In the followingcase report, we discuss an atypicalmanifestation ofGraves’ ophthalmopathyin an euthyroid patientwith negative antibodiesin the inicial presentation.

Keywords: Atypical manifestation; Case reports; Colchicine; Euthyroid; Graves’ ophthalmopathy; Negative antibodies

389
More

Retro-orbital tumor suggestive of optic nerve sheath meningocele

Michelle Rodrigues Gonçalves Dias
Chaves
,
Isabella Bezerra Wanderley de
Queiroga
,
Mario Augusto Pereira Dias
Chaves
,
Fernando Melo
Gadelha
,
Debora Apolônio
Vieira

646
Retro-orbital tumor suggestive of optic nerve sheath meningocele

Retro-orbital tumor suggestive of optic nerve sheath meningocele

Michelle Rodrigues Gonçalves Dias
Chaves
,
Isabella Bezerra Wanderley de
Queiroga
,
Mario Augusto Pereira Dias
Chaves
,
Fernando Melo
Gadelha
,
Debora Apolônio
Vieira

DOI: 10.5935/0034-7280.20150051

Meningocele of the optic nerve sheath is an extremely rare condition with a few cases reported in literature. Image studies reveal tubularcystic enlargement of the optic nerve although with the same thickness. Symptoms are often related to the involvement of the optic nerve, leading from slow to accelerated decreasing of the visual acuity. The early surgical treatment is the decompression of the optic nerve sheath, which it could provide improvement of visual function. We are presenting a case report of […]

Keywords: Case reports; Exophthalmia; Meningocele/diagnosis; Neoplasms; Optic nerve/pathology

646
More

Macular granuloma due to tuberculosis without pulmonary symptoms

Albert Costa
Rebello
,
João Helio Leonardo de
Sousa
,
José Gilberto de
Sá
,
Karime Kalif de Sousa
Rebello

202
Macular granuloma due to tuberculosis without pulmonary symptoms

Macular granuloma due to tuberculosis without pulmonary symptoms

Albert Costa
Rebello
,
João Helio Leonardo de
Sousa
,
José Gilberto de
Sá
,
Karime Kalif de Sousa
Rebello

DOI: 10.5935/0034-7280.20150052

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis.The main site of involvement is the lung, but the bacillus may spread by hematogenous/lymph systems to other organs, including the eye.The incidence of ocular TB is 1-2% of extra-pulmonary cases. The authors present a case of a 28 years old female patient seeking medical care due to reduction of visual acuity in the left eye for 8 days. She had the best corrected visual acuity in the affected eye of 20/200, […]

Keywords: Case reports; Mácula lútea; Tuberculosis, ocular/diagnosis; Tuberculosis, ocular/drug therapy; Uveitis/diagnosis; Uveitis/therapy

202
More

Irreversible visual loss after use of paclitaxel

Maria Helena Lopes
Amigo
,
Paulo
Falabella
,
Ângela
Bettarello
,
Wagner
Ghirelli

271
Irreversible visual loss after use of paclitaxel

Irreversible visual loss after use of paclitaxel

Maria Helena Lopes
Amigo
,
Paulo
Falabella
,
Ângela
Bettarello
,
Wagner
Ghirelli

DOI: 10.5935/0034-7280.20150053

We describe a case of bilateral irreversible visual loss of a 64 year-old patient after prolonged use of paclitaxel. Patient presented best corrected visual acuity of 20/400 in both eyes at first visit and optical coherence tomography showed increased macular in both eyes.After six months of the interruption of -paclitaxel therapy, the patient showed slight improvement of visual acuity reaching 20/200 in both eyes, while OCT demonstrated resolution of macular edema.

Keywords: Case reports; Chemotherapy/adverse effects; Macular edema/chemically induced; Ovarian neoplasms/drug therapy; Paclitaxel/toxicity; Visual acuity/drug effects

271
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Update Article

Biomarcadores e desfechos substitutos na neuropatia óptica glaucomatosa: novos desenvolvimentos e uma revisão

Niro
Kasahara

314
Biomarcadores e desfechos substitutos na neuropatia óptica glaucomatosa: novos desenvolvimentos e uma revisão

Biomarcadores e desfechos substitutos na neuropatia óptica glaucomatosa: novos desenvolvimentos e uma revisão

Niro
Kasahara

DOI: 10.5935/0034-7280.20150054

O glaucoma compreende um grupo de neuropatias ópticas progressivas que tem em comum a degeneração lenta e progressiva das células ganglionares e seus axônios, resultando em aparência única do disco óptico e, simultaneamente, um padrão correspondente de perda visual. Biomarcadores são características medidas objetivamente e avaliadas como indicadores de processo biológico normal, processos patológicos ou respostas farmacológicas à uma intervenção terapêutica. Vários marcadores biológicos foram associados com glaucoma, especialmente os genéticos, proteômicos, autoimunes e outros biomarcadores moleculares, embora a maioria […]

Keywords: Biological makers; Optic nerve diseases; Glaucoma; Marcadores biológicos; Optic nerve diseases

314
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Keywords

Case reports - 213 Glaucoma - 177 Córnea - 141 Visual acuity - 108 Retina - 76 Phacoemulsification - 60 Cataract - 59 Intraocular pressure - 52 Cataract extraction - 50 Keratoconus - 49 Child - 45 Blindness - 44 Corneal transplantation - 41 Tomography, optical coherence - 35 Diabetic retinopathy - 32 Vision disorders - 32 Corneal diseases - 31 Glaucoma de ângulo aberto - 31 Refractive errors; - 30 Corneal topography - 30
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