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Revista Brasileira de Oftalmologia

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    • Retina 2025
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Volume 79, Number 5, 2020

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Editorial

Glaucoma: Past, Present, and Future

Sebastião
Cronemberger ORCID logo

192
Glaucoma: Past, Present, and Future

November/2020

Glaucoma: Past, Present, and Future

Sebastião
Cronemberger ORCID logo

DOI: 10.5935/0034-7280.20200061

Workup The workup of glaucoma has also changed over time. New tonometers have appeared, but none of them has overcome the gold standard Goldmann applanation tonometer since 1957.() In 1997, the measurement of central corneal thickness (CCT) was introduced, but there is no algorithm that directly relates it to the value of IOP.(,) Also, the role of corneal hysteresis (CH) in glaucoma has not been fully elucidated. CH may be more significantly associated with glaucoma than CCT.() OCT and OCT […]

192
More

Original Article

Analysis of biometric data generated by interferometry compared with Scheimpflug

Francisco Wellington
Rodrigues ORCID logo
,
Maria Paula Bessa de
Freitas ORCID logo
,
Juliane Nogueira de
Oliveira ORCID logo
,
Rodrigo Egídio da
Silva ORCID logo
,
Salim Bosco
Chater ORCID logo
,
[...], Jamil Chater
Filho ORCID logo

258
Analysis of biometric data generated by interferometry compared with Scheimpflug

Analysis of biometric data generated by interferometry compared with Scheimpflug

Francisco Wellington
Rodrigues ORCID logo
,
Maria Paula Bessa de
Freitas ORCID logo
,
Juliane Nogueira de
Oliveira ORCID logo
,
Rodrigo Egídio da
Silva ORCID logo
,
Salim Bosco
Chater ORCID logo
,
[...], Jamil Chater
Filho ORCID logo

DOI: 10.5935/0034-7280.20200062

Abstract Objective: Observe the agreement between IOL Master 500 and Pentacam AXL and describe the averages. Methods: We analyzed 35 medical records, totaling 61 eyes. All patients underwent biometric evaluation on both devices from August 2018 to August 2019. The data collected were: age, gender, anterior chamber depth, axial length, K1, K2, biometrics and IOL target. Results: The averages of the variables analyzed between the optical biometric devices in question had a statistically significant difference (p

Keywords: Agreement; Axial length; Biometry; Dioptric power of IOL; IOL Master; Pentacam AXL

258
More

Alternative technique for insertion of Eva Dorc® infusion cannula in vitreoretinal surgeries

Murilo Ubukata
Polizelli ORCID logo
,
Natasha Ferreira Santos da
Cruz ORCID logo
,
Gustavo Silveiro de
Almeida ORCID logo
,
Rodrigo Crispim
Dompieri ORCID logo
,
Mauricio
Maia ORCID logo

269
Alternative technique for insertion of Eva Dorc® infusion cannula in vitreoretinal surgeries

Alternative technique for insertion of Eva Dorc® infusion cannula in vitreoretinal surgeries

Murilo Ubukata
Polizelli ORCID logo
,
Natasha Ferreira Santos da
Cruz ORCID logo
,
Gustavo Silveiro de
Almeida ORCID logo
,
Rodrigo Crispim
Dompieri ORCID logo
,
Mauricio
Maia ORCID logo

DOI: 10.5935/0034-7280.20200063

Abstract This paper provides a fast and inexpensive technique to prevent slippage of the infusion cannula from the EVA DORC® 27-gauge system. After the usual retrobulbar anesthesia, antisepsis and asepsis, a 2% hydroxypropyl methylcellulose drop is placed around the infusion cannula in the trocar to hold it in position. This technique prevents the slippage of the infusion cannula and both the surgical time and creation of the first sclerotomy in the eye can be shortened slightly.

Keywords: Cannula; Minimally invasive surgery; Vitrectomy

269
More

Analysis of factors associated with family decision on corneal donation

Daniel
Klug ORCID logo
,
Maristela Vargas
Losekann ORCID logo
,
Jose Luis Toribio
Cuadra ORCID logo
,
Helio Radke
Bittencourt ORCID logo
,
Geraldo Pereira
Jotz ORCID logo

269
Analysis of factors associated with family decision on corneal donation

Analysis of factors associated with family decision on corneal donation

Daniel
Klug ORCID logo
,
Maristela Vargas
Losekann ORCID logo
,
Jose Luis Toribio
Cuadra ORCID logo
,
Helio Radke
Bittencourt ORCID logo
,
Geraldo Pereira
Jotz ORCID logo

DOI: 10.5935/0034-7280.20200064

Abstract Objective: analyzing the influence of schooling and kinship on families’ decision to donate corneas for transplants. Method: quantitative, cross-sectional and retrospective study whose sample comprised 291 records of interviews conducted with family members of potential corneal donors from January 2015 to December 2017, who were treated in a public, general and large-sized hospital in Porto Alegre City, Rio Grande do Sul State, Brazil. Results: 53.3% of the potential corneal donors were male at mean age of 57 years (57 […]

Keywords: Córnea; Tissue and organ procurement; Tissue donos

269
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Strabismic amblyopia: compliance with occlusion treatment in a tertiary hospital in Midwestern Brazil

Márcia Cartaxo
Barbosa ORCID logo
,
Marcos Pereira de
Ávila ORCID logo
,
David Leonardo Cruvinel
Isaac ORCID logo
,
Márcio Cartaxo
Rebouças ORCID logo
,
Lívia Maria Oliveira
Salviano ORCID logo
,
[...], Caio de Oliveira
Trentin ORCID logo

389
Strabismic amblyopia: compliance with occlusion treatment in a tertiary hospital in Midwestern Brazil

Strabismic amblyopia: compliance with occlusion treatment in a tertiary hospital in Midwestern Brazil

Márcia Cartaxo
Barbosa ORCID logo
,
Marcos Pereira de
Ávila ORCID logo
,
David Leonardo Cruvinel
Isaac ORCID logo
,
Márcio Cartaxo
Rebouças ORCID logo
,
Lívia Maria Oliveira
Salviano ORCID logo
,
[...], Caio de Oliveira
Trentin ORCID logo

DOI: 10.5935/0034-7280.20200065

Abstract Purpose: Study aimed to determine compliance of patients with strabismic amblyopia undergoing occlusion treatment, followed from January 1 st, 2011 to January 1 st, 2017 at an Ophthalmology Reference Center, and identify risk factors for poor compliance. Methods: Retrospective, consecutive cohort study. Compliance reported at each visit was related to visual acuity, family history, changes in occlusion schedules and in patients’ care team during treatment. The patients were divided into two groups according to the compliance: poor compliance group […]

Keywords: Adherence; Amblyopia; Binocular vision; Compliance; Strabismus

389
More

Visual acuity screening, photoscreening and dispensing of glasses with ready to Clip™ technology

Marco Antônio Rey de
Faria ORCID logo
,
Daniel Oliveira
Dantas ORCID logo
,
Milton Ruiz
Alves ORCID logo
,
Bruno César Ferreira de
Medeiros ORCID logo
,
Ana Beatriz Florêncio
Cabral ORCID logo
,
[...], Luizy Millene Silva do
Carmo ORCID logo

405
Visual acuity screening, photoscreening and dispensing of glasses with ready to Clip™ technology

Visual acuity screening, photoscreening and dispensing of glasses with ready to Clip™ technology

Marco Antônio Rey de
Faria ORCID logo
,
Daniel Oliveira
Dantas ORCID logo
,
Milton Ruiz
Alves ORCID logo
,
Bruno César Ferreira de
Medeiros ORCID logo
,
Ana Beatriz Florêncio
Cabral ORCID logo
,
[...], Luizy Millene Silva do
Carmo ORCID logo

DOI: 10.5935/0034-7280.20200066

Abstract Background: The visual screening performed in schools is sometimes the only opportunity to detect uncorrected refraction errors (URE) causing low visual impairments, prejudice in the acquisition of knowledge, dropout and school repetition, poor motor skills, difficulty in social interaction and low self-esteem in schoolchildren. Objectives: To compare the detection of URE in elementary school children by visual screening (measurement of the AV with the Snellen table) and photoscreening; to evaluate the accuracy of the SpotTM Vision Screener (Welch Allyn) […]

Keywords: Ocular refraction; Ophthalmologic diagnostic techniques; School health; Vision disorders; Visual acuity/diagnosis

405
More

Fungal keratitis management in a referral cornea center in Brazil

Fernanda Machado
Bezerra ORCID logo
,
Ana Luisa
Höfling-Lima ORCID logo
,
Lauro Augusto de
Oliveira ORCID logo

732
Fungal keratitis management in a referral cornea center in Brazil

Fungal keratitis management in a referral cornea center in Brazil

Fernanda Machado
Bezerra ORCID logo
,
Ana Luisa
Höfling-Lima ORCID logo
,
Lauro Augusto de
Oliveira ORCID logo

DOI: 10.5935/0034-7280.20200067

Abstract Purpose: To report etiological diagnosis, predisposing risk factors, therapeutic strategies and visual outcome of patients treated at the Department of Ophthalmology of Federal University of São Paulo. Methods: This is a retrospective, descriptive, and observational study from medical and laboratory records of the Department of Ophthalmology of Federal University of São Paulo, including all patients with culture proven fungal keratitis in 5 years, from October 2012 through October 2017. Results: There were 2260 fungi microbiologic test requests. Of these, […]

Keywords: Antifungal agents; Corneal transplantation; Eye infections, fungal; Fungi; keratitis

732
More

The urgency department at an Ophthalmological Hospital in Southern Brazil

Aline
Hagui ORCID logo
,
Ariel Bahia Said
Rezende ORCID logo
,
Bruna Manoela Deschamps
Renaux ORCID logo
,
Harymy Costa Barros
Teixeira ORCID logo
,
Felipe Roberto Exterhotter
Branco ORCID logo
,
[...], Hamilton
Moreira ORCID logo

238
The urgency department at an Ophthalmological Hospital in Southern Brazil

The urgency department at an Ophthalmological Hospital in Southern Brazil

Aline
Hagui ORCID logo
,
Ariel Bahia Said
Rezende ORCID logo
,
Bruna Manoela Deschamps
Renaux ORCID logo
,
Harymy Costa Barros
Teixeira ORCID logo
,
Felipe Roberto Exterhotter
Branco ORCID logo
,
[...], Hamilton
Moreira ORCID logo

DOI: 10.5935/0034-7280.20200068

Abstract Purpose: To ascertain the main ophthalmological acute diseases and the prevalence of conjunctivitis in two seasons of the year. Methods: Retrospective study by reviewing medical records review of medical records for the one-week period of the first month of summer and winter of the emergency department of the Hospital de Olhos do Paraná, in summer and winter seasons. The ages, major complaints and diagnoses were organized into groups. Results: Of 2086 patients, conjunctivitis had 46.4% of diagnoses. Infective conjunctivitis […]

Keywords: Conjunctivitis/epidemiology; Emergency Department; Eye diseases; Opthalmic emergencies; Sazonality

238
More

Evaluation of the effects of single vision lenses with additional near-power on computer-induced asthenopia

Aline Cristina Fioravanti Lui
Alionis ORCID logo
,
Adamo Lui
Netto ORCID logo
,
Tatiana Adarli Fioravanti Lui
Netto ORCID logo
,
Milton Ruiz
Alves ORCID logo

362
Evaluation of the effects of single vision lenses with additional near-power on computer-induced asthenopia

Evaluation of the effects of single vision lenses with additional near-power on computer-induced asthenopia

Aline Cristina Fioravanti Lui
Alionis ORCID logo
,
Adamo Lui
Netto ORCID logo
,
Tatiana Adarli Fioravanti Lui
Netto ORCID logo
,
Milton Ruiz
Alves ORCID logo

DOI: 10.5935/0034-7280.20200069

Abstract Objective: Compared to standard spectacle lenses, do +0.40 EyeZenTM lenses reduce symptoms of asthenopia induced by computer? Methods: A prospective clinical study was carried out with 39 volunteers who spent more than 4 hours a day using a computer (age, 27.31±4.24; male: female =13:26). Asthenopia and visual comfort were assessed using a questionnaires. All participants completed the asthenopia questionnaire with updated regular lenses (baseline). After 4 weeks of +0.40 Eyezen™ lenses wearing all subjects answered the asthenopia questionnaire and […]

Keywords: Asthenopia; Computer vision syndrome; Occupational diseases; Occupational medicine

362
More

Case Report

Optic disc drusen in children: a diagnostic challenge

Priscilla Fernandes
Nogueira ORCID logo
,
Guilherme Novoa Colombo
Barboza ORCID logo
,
Marcello Novoa Colombo
Barboza ORCID logo
,
Bruno De Amicis
Zanchetta ORCID logo
,
Marta Fabiane Gouvea
Barioni ORCID logo

1,031
Optic disc drusen in children: a diagnostic challenge

Optic disc drusen in children: a diagnostic challenge

Priscilla Fernandes
Nogueira ORCID logo
,
Guilherme Novoa Colombo
Barboza ORCID logo
,
Marcello Novoa Colombo
Barboza ORCID logo
,
Bruno De Amicis
Zanchetta ORCID logo
,
Marta Fabiane Gouvea
Barioni ORCID logo

DOI: 10.5935/0034-7280.20200070

Abstract In children, optic disc drusen (ODD) are often mistaken for papilledema, this being the prin-cipal differential diagnosis. This report describes the case of an 11-year old patient with ODD, in which the condition was initially diagnosed as papilledema, and the patient referred for pulse therapy. Fundoscopic examination is important because it is the first examination conducted by the ophthalmologist that is capable of revealing some characteristics of ODD that will aid in the differentiation between this disease and papilledema. […]

Keywords: Child; Optic disc drusen; Papilledema; Pseudopapilledema; Ultrasonography

1,031
More

Endogenous endophthalmitis due to Kingella Kingae infectious endocarditis

Paula Rabelo Halfeld
Mendonça ORCID logo
,
Mirela Luna Santana
Gomes ORCID logo
,
Vivian Passini Guimarães
Gomes ORCID logo
,
Maria da Conceição Frasson Correa da
Silva ORCID logo
,
Sarah Cristina Zanghellini
Rückl ORCID logo
,
[...], Carolina Saliba de
Freitas ORCID logo

450
Endogenous endophthalmitis due to Kingella Kingae infectious endocarditis

Endogenous endophthalmitis due to Kingella Kingae infectious endocarditis

Paula Rabelo Halfeld
Mendonça ORCID logo
,
Mirela Luna Santana
Gomes ORCID logo
,
Vivian Passini Guimarães
Gomes ORCID logo
,
Maria da Conceição Frasson Correa da
Silva ORCID logo
,
Sarah Cristina Zanghellini
Rückl ORCID logo
,
[...], Carolina Saliba de
Freitas ORCID logo

DOI: 10.5935/0034-7280.20200071

Abstract This report presents a rare case of endogenous endophthalmitis due to Kingella kingae infectious endocarditis. Endogenous endophthalmitis is a rare condition that has a systemic underlying cause, with hematogenic dissemination of a pathogen that will eventually reach and infect the eye. In this article, we present a case of a 54-year-old woman with fever, chills and decreased visual acuity and pain in the right eye. The slit-lamp exam showed conjunctival injection, anterior chamber reaction with a great amount of […]

Keywords: Abscess; Bacterial endocarditis; Endophthalmitis; Eye infections; Kingella kingae

450
More

Idiopathic sclerochoroidal calcifications: Case report, metabolic causes and differential diagnosis

Maria del Mar Prieto del
Cura ORCID logo
,
Marina
Sastre-Ibáñez ORCID logo
,
María José Crespo
Carballés ORCID logo

1,586
Idiopathic sclerochoroidal calcifications: Case report, metabolic causes and differential diagnosis

Idiopathic sclerochoroidal calcifications: Case report, metabolic causes and differential diagnosis

Maria del Mar Prieto del
Cura ORCID logo
,
Marina
Sastre-Ibáñez ORCID logo
,
María José Crespo
Carballés ORCID logo

DOI: 10.5935/0034-7280.20200072

Abstract Sclerochoroidal calcifications (SC) are a rare and benign ocular condition characterized by yellow-white irregular subretinal lesions usually found in the supero-temporal arcade of the midperipheral fundus in middle-aged elderly men. We present a clinical case of a 79- year-old patient who during a fundus examination presented raised whitish nodules in the supero-temporal arcade in the right eye. After performing optical coherence tomography, ultrasound, ocular computed tomography and laboratory analysis, she was diagnosed with idiopathic sclerochoroidal calcifications The pathogenesis of […]

Keywords: Calcinosis/diagnosis; Choroid diseases/diagnosis; Diagnosis, differential; Idiopathic sclerochoroidal calcifications; Metabolic diseases; Scleral diseases/diagnosis

1,586
More

Corneal flattening after simultaneous DMEK and phacoemulsification in patient with Fuchs endothelial dystrophy, keratoconus and cataract combined

Vinicius Secchim de
Britto ORCID logo
,
Guilherme Garcia
Criado ORCID logo
,
Alexandre de Carvalho Mendes
Paiva ORCID logo
,
Nelson Batista Sena
Jr. ORCID logo
,
Renato Ambrósio
Jr. ORCID logo
,
[...], Gustavo Amorim
Novais ORCID logo

385
Corneal flattening after simultaneous DMEK and phacoemulsification in patient with Fuchs endothelial dystrophy, keratoconus and cataract combined

Corneal flattening after simultaneous DMEK and phacoemulsification in patient with Fuchs endothelial dystrophy, keratoconus and cataract combined

Vinicius Secchim de
Britto ORCID logo
,
Guilherme Garcia
Criado ORCID logo
,
Alexandre de Carvalho Mendes
Paiva ORCID logo
,
Nelson Batista Sena
Jr. ORCID logo
,
Renato Ambrósio
Jr. ORCID logo
,
[...], Gustavo Amorim
Novais ORCID logo

DOI: 10.5935/0034-7280.20200073

Abstract This is a case report of a patient with concomitant Keratoconus (KC), Fuchs Endothelial Dystrophy (FED) and cataract with corneal decompensation submitted to Posterior Lamellar Corneal surgery (Descemet’s Membrane Endothelial Keratoplasty – DMEK) associated with phacoemulsification with intraocular lens (IOL) implantation. Corneal flattening and uncorrected visual acuity of 20/25 was observed in the postoperative period. We reasure the viability of DMEK as an alternative to Penetrating Keratoplasty (PK) in cases of associated DEF and KC associated. Changes in corneal […]

Keywords: Descemet stripping endothelial keratoplasty; Fuchs endothelial dystrophy; Intraocular lens; Keratoconus; Scheimpflug tomography

385
More

Topoguided laser as a reducer of optical aberrations after radial keratotomy and multifocal LIO

Henrique Brandt
Krause ORCID logo
,
Pedro Lukas do Rêgo
Aquino ORCID logo
,
Marcio Martíns de Melo
Alves ORCID logo
,
Marina Alves
Lucena ORCID logo
,
Ermano de Melo
Alves ORCID logo

889
Topoguided laser as a reducer of optical aberrations after radial keratotomy and multifocal LIO

Topoguided laser as a reducer of optical aberrations after radial keratotomy and multifocal LIO

Henrique Brandt
Krause ORCID logo
,
Pedro Lukas do Rêgo
Aquino ORCID logo
,
Marcio Martíns de Melo
Alves ORCID logo
,
Marina Alves
Lucena ORCID logo
,
Ermano de Melo
Alves ORCID logo

DOI: 10.5935/0034-7280.20200074

Abstract Cataract surgery with intraocular lens implantation is one of the most commonly performed surgeries in the world and, currently, patients who undergo this surgery can use the multifocal intraocular lens (IOL) implant as an alternative to wearing glasses. A great challenge for the surgeon are patients who have previously undergone radial keratotomy (RK), because in addition to having a more challenging biometric calculation, they also have important corneal optical aberrations, being a contraindication for the use of multifocal lenses […]

Keywords: Laser; Multifocal intraocular lenses; Optical aberrations; Photorefractive keratectomy; Radial keratotomy; Refractive surgery

889
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Letter to Editor

Fundoscopy findings of diabetic and/or hipertensive patients

Thiago Gonçalves dos Santos
Martins ORCID logo

168
Fundoscopy findings of diabetic and/or hipertensive patients

Fundoscopy findings of diabetic and/or hipertensive patients

Thiago Gonçalves dos Santos
Martins ORCID logo

DOI: 10.5935/0034-7280.20200075

Dear editor: I would like to add some points as comments on the article Fundoscopy findings of diabetic and / or hypertensive patients () published in your journal. […]

168
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Analysis of direct ophthalmoscopy teaching in Medical graduation courses of Mato Grosso State; Brazil

Thiago Gonçalves dos Santos
Martins ORCID logo
,
Paulo
Schor ORCID logo

151
Analysis of direct ophthalmoscopy teaching in Medical graduation courses of Mato Grosso State; Brazil

Analysis of direct ophthalmoscopy teaching in Medical graduation courses of Mato Grosso State; Brazil

Thiago Gonçalves dos Santos
Martins ORCID logo
,
Paulo
Schor ORCID logo

DOI: 10.5935/0034-7280.20200076

Dear editor: We would like to add some points as comments on the article “Analysis of the of direct ophthalmoscopy teaching in Medical Schools in Mato Grosso State” () published in your journal. […]

151
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Article Review

Myopia caused by the use of electronic devices screen: a literature review

Anna Caroline Guimarães
Gomes ORCID logo
,
Laís Rytholz
Castro ORCID logo
,
Lara Medeiros Pirauá de
Brito ORCID logo
,
Mariana Alves da
Cunha ORCID logo
,
Marina Viegas Moura Rezende
Ribeiro ORCID logo

1,933
Myopia caused by the use of electronic devices screen: a literature review

Myopia caused by the use of electronic devices screen: a literature review

Anna Caroline Guimarães
Gomes ORCID logo
,
Laís Rytholz
Castro ORCID logo
,
Lara Medeiros Pirauá de
Brito ORCID logo
,
Mariana Alves da
Cunha ORCID logo
,
Marina Viegas Moura Rezende
Ribeiro ORCID logo

DOI: 10.5935/0034-7280.20200077

Abstract Myopia is a common eye abnormality that occurs when the image of a distant object forms before the retina with the ciliary muscle at rest. Among the predisposing factors, genetics and the environment stand out, with the latter gaining importance nowadays, considering the growing increase in the use of electronic screens. In this literature review, the authors seek the relationship between myopia and the use of screens by quantifying and analyzing the conclusions of research related to this topic. […]

Keywords: Myopia; risk factors; Screen time; Smartphone; Vision disorders

1,933
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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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