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Revista Brasileira de Oftalmologia

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Volume 72, Number 6, 2013

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Editorial

The influence of ethics and good judgment on the controversies of medicine

Newton
Kara-Junior

268
The influence of ethics and good judgment on the controversies of medicine

December/2013

The influence of ethics and good judgment on the controversies of medicine

Newton
Kara-Junior

DOI: 10.1590/S0034-72802013000600001

Ethics is the set of principles that guide human behavior in society. Medical ethics is a subject that evaluates intellectual worth and risks in the activities of medicine. Or better, it is a set of rules that defines limits in the relationship of doctors and their pairs, because medical practice involves much more than only technical aspects shown in other professions. Yet, medical ethics would be the rules that prevent the doctor from deliberately take advantage of his special condition […]

268
More

Original Articles

Técnica para diagnosticar o ceratocone

Allan
Luz
,
Bruno Machado
Fontes
,
Bernardo
Lopes
,
Isaac
Ramos
,
Fernando Faria
Correia
,
[...], Renato Ambrósio
Jr.

239
Técnica para diagnosticar o ceratocone

Técnica para diagnosticar o ceratocone

Allan
Luz
,
Bruno Machado
Fontes
,
Bernardo
Lopes
,
Isaac
Ramos
,
Fernando Faria
Correia
,
[...], Renato Ambrósio
Jr.

DOI: 10.1590/S0034-72802013000600002

OBJETIVO: Testar se a histerese corneana (CH) e o fator de resistência corneano (CRF) podem discriminar olhos com ceratocone e avaliar se a média de duas medidas consecutivas apresenta desempenho diferente da medida única com a melhor waveform score para diagnósticar o ceratocone. MÉTODOS: Foram realizadas medidas do ORA de um olho por indivíduo, selecionados aleatoriamente a partir de 53 pacientes normais e de 27 pacientes com ceratocone. Dois grupos foram considerados: a média (CH-médio, o CRF-médio) e melhor waveform […]

Keywords: Biomechanics/physiology; Keratoconus/diagnosis; Cornea/physiopathology; Dilatation, pathologic; Diagnostic techniques, ophthalmological

239
More

Therapeutic effect of corneal crosslinking on infectious keratitis

Ana Cecília de Souza Leão
Escarião
,
Edilana Sá
Ribeiro
,
Priscilla de Almeida
Jorge
,
Elvislene Camelo Soares
Leite
,
Carlos Teixeira
Brandt

225
Therapeutic effect of corneal crosslinking on infectious keratitis

Therapeutic effect of corneal crosslinking on infectious keratitis

Ana Cecília de Souza Leão
Escarião
,
Edilana Sá
Ribeiro
,
Priscilla de Almeida
Jorge
,
Elvislene Camelo Soares
Leite
,
Carlos Teixeira
Brandt

DOI: 10.1590/S0034-72802013000600003

PURPOSE: To evaluate the effect of corneal crosslinking (CXL) in the treatment of infectious keratitis resistant to medical treatment, and investigate the relation with the CXL outcome to the etiologic agent. METHODS: The study included 11 patients who were diagnosed with bacterial (seven eyes) or fungal keratitis (four eyes) at Altino Ventura Foundation from october 2011 to may 2012. All patients were using antibiotic eye drops for at least 7 days and have had no infection improvement. Patients were evaluated […]

Keywords: Bacterial keratitis/drug therapy; Córnea; Crosslinking reagents/therapeutic use; Fungal keratitis/drug therapy; Infectious keratitis/drug therapy

225
More

Labial salivary glands transplantation in the treatment of dry eye in dogs by autograft

Leticia Séra
Castanho
,
Hamilton
Moreira
,
Carmen Austrália Paredes Marcondes
Ribas
,
Antônio Felipe Paulino de Figueiredo
Wouk
,
Manuella
Sampaio
,
[...], Tatiana
Giordano

654
Labial salivary glands transplantation in the treatment of dry eye in dogs by autograft

Labial salivary glands transplantation in the treatment of dry eye in dogs by autograft

Leticia Séra
Castanho
,
Hamilton
Moreira
,
Carmen Austrália Paredes Marcondes
Ribas
,
Antônio Felipe Paulino de Figueiredo
Wouk
,
Manuella
Sampaio
,
[...], Tatiana
Giordano

DOI: 10.1590/S0034-72802013000600004

OBJECTIVE: To evaluate the clinical effects of lips salivary gland secretion as ocular lubricant for dry eye relief in mild cases, severe and refractory to medical treatment, through the transposition technique of salivary glands autograft to the conjunctival fornix. METHODS: Seventeen dogs exhibiting autoimmune dry eye with no satisfactory response to clinical treatment were selected. Lacrimal Schirmer Test and Tear Film break-up time (BUT) preoperative tests were performed to estimate the quantity and the quality of produced tear. Animals were […]

Keywords: Dogs; Keratoconjunctivitis sicca/therapy; Salivary glands; Transplantation, autologous

654
More

Eficácia de três diferentes métodos de selagem para incisão auxiliar

Fabiana K.
Kashiwabuchi
,
Yasin A.
Khan
,
Murilo W. Rodrigues
Jr
,
Jiangxia
Wang
,
Peter J.
McDonnell
,
[...], Yassine J.
Daoud

284
Eficácia de três diferentes métodos de selagem para incisão auxiliar

Eficácia de três diferentes métodos de selagem para incisão auxiliar

Fabiana K.
Kashiwabuchi
,
Yasin A.
Khan
,
Murilo W. Rodrigues
Jr
,
Jiangxia
Wang
,
Peter J.
McDonnell
,
[...], Yassine J.
Daoud

DOI: 10.1590/S0034-72802013000600005

OBJETIVO: Avaliar o sinal de Seidel positivo e a penetração de tinta da Índia em incisões corneanas acessórias seladas por diferentes métodos. MÉTODOS: Quatro incisões de 1,5 x 1,5mm foram criadas em cada um dos quatro olhos provindos do banco de olhos. Em cada córnea, uma incisão foi mantida sem manipulação, enquanto que as outras três incisões foram seladas respectivamente com Nylon 10-0, cola de cianoacrilato e hidratação estromal. Foram realizados dois testes: Sinal de Seidel positivo e penetração da […]

Keywords: Biomechanics; Biomechanics; Cataract extraction; Endophthalmitis; Endophthalmitis; Cataract extraction; Intraocular pressure; Limbo da córnea; Limbus corneae; Intraocular pressure

284
More

Ocular trauma in the emergency department of Goiás Eye Bank Foundation

Leonardo Almeida
Cabral
,
Thiago de Magalhães Nardelli
Silva
,
Amanda Eliza Goulart de Souza
Britto

268
Ocular trauma in the emergency department of Goiás Eye Bank Foundation

Ocular trauma in the emergency department of Goiás Eye Bank Foundation

Leonardo Almeida
Cabral
,
Thiago de Magalhães Nardelli
Silva
,
Amanda Eliza Goulart de Souza
Britto

DOI: 10.1590/S0034-72802013000600006

PURPOSE: To study and analyze the types of ocular trauma in the emergency department of Goiás Eye Bank Foundation, Goiânia – Brazil and guide general physicians about the first medical contact. METHODS: An analysis was done in 351 visits between december, 2010 and february, 2011. The ocular trauma cases were evaluated by gender, age, origin, trauma type and treatment performed. RESULTS: Three hundred fifty-one emergency medical visits were analyzed and were found 153 ocular traumas (43.6%), showing predominance of 131 […]

Keywords: Accidents, occupational/prevention & control; Corneal perforation; Eye foreign bodies; Eye health; Eye injuries/etiology

268
More

Development and validation of quality of life questionnaire in pseudophakic patients in portuguese

Wilson Takashi
Hida
,
Celso Takashi
Nakano
,
Iris
Yamane
,
Antonio Francisco Pimenta
Motta
,
Patrick Frenzel
Tzeliks
,
[...], Newton Kara José
Júnior

280
Development and validation of quality of life questionnaire in pseudophakic patients in portuguese

Development and validation of quality of life questionnaire in pseudophakic patients in portuguese

Wilson Takashi
Hida
,
Celso Takashi
Nakano
,
Iris
Yamane
,
Antonio Francisco Pimenta
Motta
,
Patrick Frenzel
Tzeliks
,
[...], Newton Kara José
Júnior

DOI: 10.1590/S0034-72802013000600007

PURPOSE: Development and validation of quality of life questionnaire in pseudophakic patients in Portuguese. METHODS: The modified Cataract TyPESpecification questionnaire was specifically developed to assess quality of life after cataract surgery, functional status evaluated with 10 items and contains 18 questions. All questions were applied by a single examiner, with the goal of graduating visual satisfaction from 0 to 10 (0 means very dissatisfied, 5 neutral, 10 very satisfied).This prospective comparative study included 142 eyes of 71 patients in Sao […]

Keywords: Cataract extraction; Lenses, intraocular; Life quality; Questionnaires; Validation studies; vision; Visual acuity

280
More

Analysis of risk factors and epidemiology of blindness prevention campaign by glaucoma in João Pessoa, Paraíba

Michelle Rodrigues
Gonçalves
,
Marielle de Medeiros Rodrigues
Guedes
,
Mario Augusto Pereira Dias
Chaves
,
Carla Cristina de Lima
Pereira
,
Rosemari
Otton

170
Analysis of risk factors and epidemiology of blindness prevention campaign by glaucoma in João Pessoa, Paraíba

Analysis of risk factors and epidemiology of blindness prevention campaign by glaucoma in João Pessoa, Paraíba

Michelle Rodrigues
Gonçalves
,
Marielle de Medeiros Rodrigues
Guedes
,
Mario Augusto Pereira Dias
Chaves
,
Carla Cristina de Lima
Pereira
,
Rosemari
Otton

DOI: 10.1590/S0034-72802013000600008

OBJECTIVE: This study aims evaluating the incidence of risk factors in a population sample, assessed during campaign of prevention of blindness by glaucoma, and analyzing epidemiological data incidence of glaucoma in the city of João Pessoa (PB). METHODS: After prior disclosure, individuals aged≥ 40 years, attended voluntarily at Lauro Wanderley University Hospital, Joao Pessoa (PB) for examination, anamnesis, intraocular pressure (IOP) measured by applanation tonometer of Goldmann, and direct fundoscopy. Those who were considered suspect showed IOP ≥ 21 mmHg or/and a […]

Keywords: Glaucoma/epidemiology; Glaucoma/prevention& control

170
More

Prevalence of refractive errors and eye diseases in quilombo São José da Serra – Valença – RJ

Abelardo Souza Couto
Jr.
,
Daniel Almeida de
Oliveira
,
Ioury Alcidia Guimarães
Cardoso
,
Joana Mello
Amaral
,
Marcelo de Oliveira
Medrado
,
[...], Arlindo José Freire
Portes

277
Prevalence of refractive errors and eye diseases in quilombo São José da Serra – Valença – RJ

Prevalence of refractive errors and eye diseases in quilombo São José da Serra – Valença – RJ

Abelardo Souza Couto
Jr.
,
Daniel Almeida de
Oliveira
,
Ioury Alcidia Guimarães
Cardoso
,
Joana Mello
Amaral
,
Marcelo de Oliveira
Medrado
,
[...], Arlindo José Freire
Portes

DOI: 10.1590/S0034-72802013000600009

OBJECTIVE: To determine the prevalence of refractive errors and eye diseases in the population of the Quilombo São José da Serra – Valença – RJ. METHODS: We examined 92 individuals in a population of 102 people in the community Quilombo São José da Serra. All patients underwent complete ophthalmologic examination including anamnesis, ectoscopy, visual acuity, stereopsis test, red reflex, cover/uncover test, Hirschberg test, manifest and dynamic refraction, biomicroscopy, tonometry (Goldmann and air puff tonometry), direct monocular /or indirect binocular fundoscopy. […]

Keywords: Prevalence; Quilombo; Refractive errors: Eye diseases

277
More

Training system for visual improvement: RevitalVision

Juliana
Almodin
,
Flavia
Almodin
,
Edna
Almodin
,
Maria Helena Lopes
Amigo
,
Marlon Bruno
Furoni
,
[...], Tadeu
Cvintal

640
Training system for visual improvement: RevitalVision

Training system for visual improvement: RevitalVision

Juliana
Almodin
,
Flavia
Almodin
,
Edna
Almodin
,
Maria Helena Lopes
Amigo
,
Marlon Bruno
Furoni
,
[...], Tadeu
Cvintal

DOI: 10.1590/S0034-72802013000600010

OBJECTIVE: Evaluation of patients undergoing sequential sessions of RV and report its benefit in improving visual acuity (VA). METHODS: Cross sectional study with a sample of 10 patients who underwent sequential sessions of the RV. Patients were treated at a rate of 2-3 sessions per week for a period of 2 to 3 months and was completed after 20 to 40 sessions. The main inclusion criteria were post cataract surgery (without complications) and multifocal IOL until +3.00 D, astigmatism <-1.00 […]

Keywords: Software; Visual acuity; visual cortex

640
More

Case Report

Canalicular laceration: the stick utilization of Veirs modified

Silvia Helena Tavares
Lorena
,
João Amaro Ferrari
Silva

163
Canalicular laceration: the stick utilization of Veirs modified

Canalicular laceration: the stick utilization of Veirs modified

Silvia Helena Tavares
Lorena
,
João Amaro Ferrari
Silva

DOI: 10.1590/S0034-72802013000600011

The authors describe the stick utilization of Veirs modified as modelling intracanalicular facilitating canaliculo suture lachrymal and avoiding its estenose. The technique consists in the stick introduction of Veirs modified in the lumen canalicular by the lacrimal point, in direction to the lachrymal sack. To follow the distal terminations and near of canaliculo hurt are identified and the lateral and medial region of the mucosa canalicular are sutured mouth to mouth, with points separated of polivicryl 8.0, letting well the […]

Keywords: Case reports; Eyelids/injuries; Lacrimal apparatus/surgery; Suture techniques

163
More

Scleral re-fixation technique with pars plana approach for luxated haptica into the vitreous cavity in patient with keratoplasty

Grazielle Fialho de
Souza
,
Ediberto de
Magalhães
,
Ricardo Mitsuo
Sato
,
Paulo
Falabella

149
Scleral re-fixation technique with pars plana approach for luxated haptica into the vitreous cavity in patient with keratoplasty

Scleral re-fixation technique with pars plana approach for luxated haptica into the vitreous cavity in patient with keratoplasty

Grazielle Fialho de
Souza
,
Ediberto de
Magalhães
,
Ricardo Mitsuo
Sato
,
Paulo
Falabella

DOI: 10.1590/S0034-72802013000600012

The purpose of this case report is to describe a new technique to re-establish a scleral fixation of one luxated haptic, which previous suture ruptured, causing the fall of the intraocular lens into the vitreous cavity. Considering that the patient underwent two penetrant keratoplasty surgeries, there was a major concern to cause minimal intraocular manipulation and less surgical trauma. This technique consists in a closed eye procedure using the fixation lens, without exposing the haptics or using special surgical instruments. […]

Keywords: Case reports; Corneal endothelial cell loss; Corneal transplantation; Lens subluxation; Suture technique

149
More

Artigo de Revisão

Tratamento do astigmatismo por ocasião da facoemulsificação: revisão e embasamento das estratégias cirúrgicas atuais

Giuliano de Oliveira
Freitas
,
Joel Edmur
Boteon
,
Mario José
Carvalho
,
Rogerio de Melo Costa
Pinto

123
Tratamento do astigmatismo por ocasião da facoemulsificação: revisão e embasamento das estratégias cirúrgicas atuais

Tratamento do astigmatismo por ocasião da facoemulsificação: revisão e embasamento das estratégias cirúrgicas atuais

Giuliano de Oliveira
Freitas
,
Joel Edmur
Boteon
,
Mario José
Carvalho
,
Rogerio de Melo Costa
Pinto

DOI: 10.1590/S0034-72802013000600013

O astigmatismo corneano pré-existente, por ocasião da cirurgia de catarata, é detalhadamente revisado neste artigo sob aspectos tais como: ocorrência, relevância clínica com ênfase nas opções de tratamento atualmente disponíveis. Destacamos o embasamento teórico de cada método, bem como vantagens e limitações foram destacadas. Comparações entre as opções terapêuticas, sempre que possível, são apresentadas.

Keywords: Astigmatismo/cirurgia; Cataract/complications; Phacoemulsification/methods; Implantação de lentes intraoculares

123
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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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    • International Editorial
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