Revista Brasileira de Oftalmologia

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Revista Brasileira de Oftalmologia

  • Home
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Volume 79, Number 6, 2020

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Editorial

Inovação na gestão de conflitos

Newton
Kara-Junior ORCID logo

65
Inovação na gestão de conflitos

December/2020

Inovação na gestão de conflitos

Newton
Kara-Junior ORCID logo

DOI: 10.5935/0034-7280.20200078

A gestão de interesses profissionais sempre esteve envolvida em conflitos, mas parece que atualmente as disputas na Oftalmologia vêm se intensificando. Existem conflitos com: a indústria, os planos de saúde, o governo, profissionais não médicos e até mesmo entre os próprios oftalmologistas. É possível que uma das razões para o aumento das disputas, esteja no fato de que as empresas de saúde, as entidades de classe e os grupos de interesse, estejam buscando com mais intensidade firmar suas posições no […]

65
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Innovation in conflict management

Newton
Kara-Junior ORCID logo

132
Innovation in conflict management

Innovation in conflict management

Newton
Kara-Junior ORCID logo

DOI: 10.5935/0034-7280.20200078

Professional interest management has always been factor of conflict; however, nowadays, it seems that the number of disputes within Ophthalmology has increased. There is conflict with manufacturers, health plans, government, non-medical professionals and even among ophthalmologists. One of the possible reasons for such an increase in conflict is likely linked to health companies, professional associations and interest groups that are increasingly seeking to establish their positions in the market by delimiting spaces and verticalizing activity fields, and it has been […]

132
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Original Article

If lives gives you tomatoes, training microsurgery

Daniela Ferreira
Tramontin ORCID logo
,
Renan Kleber Costa
Teixeira ORCID logo
,
Deivid Ramos dos
Santos ORCID logo
,
Nayara Pontes de
Araújo ORCID logo
,
Luís Vinícius Pires da
Costa ORCID logo
,
[...], Rui Sergio Monteiro de
Barros ORCID logo

206
If lives gives you tomatoes, training microsurgery

If lives gives you tomatoes, training microsurgery

Daniela Ferreira
Tramontin ORCID logo
,
Renan Kleber Costa
Teixeira ORCID logo
,
Deivid Ramos dos
Santos ORCID logo
,
Nayara Pontes de
Araújo ORCID logo
,
Luís Vinícius Pires da
Costa ORCID logo
,
[...], Rui Sergio Monteiro de
Barros ORCID logo

DOI: 10.5935/0034-7280.20200079

Abstract Objectives: Develop a training model using tomatoes to acquire ophthalmic microsurgical skills. Methods: Two species of immature and mature tomatoes (long life and cherry tomato) were used. A 0.5cm radius circle was delimited with a permanent marker. Under a magnification by a video system, the peel was separated, trying to avoid damaging the fruit. After dissection, it was performed the raffia of the peel with 10-0 mononylon thread. Results: The models used proved to be viable for training in […]

Keywords: Dissection; Microsurgery; Ophtalmologic surgical procedures; Simulation training

206
More

The ophthalmologist and the grapes: A microsurgical training model

Deivid Ramos dos
Santos ORCID logo
,
Renan Kleber Costa
Teixeira ORCID logo
,
Antônio Leonardo Jatahi Cavalcanti
Pimentel ORCID logo
,
Wender de Jesus Pena
Corrêa ORCID logo
,
Nayara Pontes de
Araújo ORCID logo
,
[...], Rui Sérgio Monteiro de
Barros ORCID logo

415
The ophthalmologist and the grapes: A microsurgical training model

The ophthalmologist and the grapes: A microsurgical training model

Deivid Ramos dos
Santos ORCID logo
,
Renan Kleber Costa
Teixeira ORCID logo
,
Antônio Leonardo Jatahi Cavalcanti
Pimentel ORCID logo
,
Wender de Jesus Pena
Corrêa ORCID logo
,
Nayara Pontes de
Araújo ORCID logo
,
[...], Rui Sérgio Monteiro de
Barros ORCID logo

DOI: 10.5935/0034-7280.20200080

Abstract Objective: Develop a training model for corneal surgery using grapes. Methods: Grapes were used as structures that mimic the size of the human eyeball, covered with latex materials, simulating the practice of corneal surgery using a videomagnification system. Eight simple stitches were performed. The surgical time was evaluated. Results: 25 simulations were carried out as the model described. The mean time taken for the raffia was 34.56 ± 5.79 minutes. The analysis of the correlation between the time and […]

Keywords: Animal use alternatives; Education, medical; Low cost technology; Training; Video recording

415
More

Analysis of the epidemiological profile of patients submitted to corneal transplantation in the Espirito Santo

Sara Araujo
Pedro ORCID logo
,
Pedro Henrique de Andrade
Araújo ORCID logo
,
Júlia Antunes Rizzo
Bicalho ORCID logo
,
Solayne Silva
Alves ORCID logo
,
Bárbara Ahnert Blanco de Moura
Magalhães ORCID logo
,
[...], Flávio Takemi
Kataoka ORCID logo

148
Analysis of the epidemiological profile of patients submitted to corneal transplantation in the Espirito Santo

Analysis of the epidemiological profile of patients submitted to corneal transplantation in the Espirito Santo

Sara Araujo
Pedro ORCID logo
,
Pedro Henrique de Andrade
Araújo ORCID logo
,
Júlia Antunes Rizzo
Bicalho ORCID logo
,
Solayne Silva
Alves ORCID logo
,
Bárbara Ahnert Blanco de Moura
Magalhães ORCID logo
,
[...], Flávio Takemi
Kataoka ORCID logo

DOI: 10.5935/0034-7280.20200081

Abstract Objective: To describe the epidemiological profile of patients submitted to corneal transplantation in state of Espirito Santo, Brazil. Methods: Transversal and descriptive study, with 1301 patients, in the period of January 2017 until to January 2018, the patients were registered in the Central Notification, Captation and Distribution of Organs of Espirito Santo (CNCDO/ES) through the National Transplant System (SNT) and submitted to corneal transplantation. The data were shown as descriptive statistics (frequencies and medians) and analysis of the data […]

Keywords: Cornea/surgery; Corneal transplantation/epidemiology; Health services research

148
More

Amniotic membrane transplantation in ocular surface diseases

Nayara Teixeira
Flügel ORCID logo
,
Bruna
Girardi ORCID logo
,
Daniel
Wasilewski ORCID logo

532
Amniotic membrane transplantation in ocular surface diseases

Amniotic membrane transplantation in ocular surface diseases

Nayara Teixeira
Flügel ORCID logo
,
Bruna
Girardi ORCID logo
,
Daniel
Wasilewski ORCID logo

DOI: 10.5935/0034-7280.20200082

Abstract Objective: To evaluate the clinical effectiveness of amniotic membrane transplantation for ocular surface reconstruction. Methods: Prospective study including 23 eyes of 21 patients who underwent amniotic membrane transplantation at Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR) and at Cirurgia e Diagnose em Oftalmologia do Paraná (CDOP) clinic, located in Curitiba, PR, Brazil, from may 2015 to july 2019. The amniotic membrane was collected from elective and term cesarean delivery, and conserved in preservation medium and glycerol 1:1, […]

Keywords: Amnion; Anterior eye segment; Biological dressings; Eye injuries; Transplantation

532
More

The effect of local anesthetic solution volume applied in retrobulbar block in cataract surgery on the duration of anesthesia and patient comfort

Selda
Kayaalti ORCID logo
,
Gamze
Albayrak ORCID logo

268
The effect of local anesthetic solution volume applied in retrobulbar block in cataract surgery on the duration of anesthesia and patient comfort

The effect of local anesthetic solution volume applied in retrobulbar block in cataract surgery on the duration of anesthesia and patient comfort

Selda
Kayaalti ORCID logo
,
Gamze
Albayrak ORCID logo

DOI: 10.5935/0034-7280.20200083

Abstract Objective: To compare the use of 2 different local anesthetic solution (LAS) volumes of 1.5 mL and 3 mL in retrobulbar block in patients undergoing cataract surgery in terms of anesthesia, akinesia, and pain levels. Methods: 80 patients between 18-90 years old, ASA I-II-III, were included in the study. For retrobulbar anesthesia, 1.5 mL LAS was applied to one group (Group LV), and 3 mL LAS to the other group (Group HV). The patients’ ocular and eyelid motion scores […]

Keywords: Akinesia; Anesthesia, local; Anesthetics; Cataract/surgery; Pain; Retrobulbar block

268
More

The evaluation of postoperative objective and subjective refraction for premium intraocular lenses

Fikret
Ucar ORCID logo
,
Servet
Cetinkaya ORCID logo

392
The evaluation of postoperative objective and subjective refraction for premium intraocular lenses

The evaluation of postoperative objective and subjective refraction for premium intraocular lenses

Fikret
Ucar ORCID logo
,
Servet
Cetinkaya ORCID logo

DOI: 10.5935/0034-7280.20200084

Abstract Purpose: To evaluate six different premium IOLs retrospectively in respect to both subjective and objective refraction after cataract operation. Methods: Five hundreds and seventy eyes of 285 patients with bilateral cataract who had undergone phacoemulsification and IOL implantation operation between February 2017 and September 2018 were enrolled in this study. The mean age of the patients was 57.78 ± 7.49 (41-71) years. Out of 285 patients 137 were male (48.07%) and 148 were female (51.93%). TheIOLsusedare: RayOne Trifocal (Rayner, […]

Keywords: Lenses, intraocular; Objective refraction; Subjective refraction; Visual acuity

392
More

Elaboration and validity and reliability analysis of a questionnaire to assess the knowledge of primary care physicians and nurses about trachoma

Evanildo José da
Silva ORCID logo
,
Amanda Ribeiro do
Amaral ORCID logo
,
Débora Magalhães
Paiva ORCID logo
,
Fernanda Caroline
Silva ORCID logo
,
Flávia Lemes
Moreira ORCID logo
,
[...], Antônio Prates
Caldeira ORCID logo

157
Elaboration and validity and reliability analysis of a questionnaire to assess the knowledge of primary care physicians and nurses about trachoma

Elaboration and validity and reliability analysis of a questionnaire to assess the knowledge of primary care physicians and nurses about trachoma

Evanildo José da
Silva ORCID logo
,
Amanda Ribeiro do
Amaral ORCID logo
,
Débora Magalhães
Paiva ORCID logo
,
Fernanda Caroline
Silva ORCID logo
,
Flávia Lemes
Moreira ORCID logo
,
[...], Antônio Prates
Caldeira ORCID logo

DOI: 10.5935/0034-7280.20200085

Abstract Objective: To develop and analyze the validity and reliability of a questionnaire to assess the knowledge of primary care physicians and nurses about trachoma. Methods: This is a methodological study of elaboration and analysis of validity and reliability of an instrument (questionnaire). The following steps were developed: 1) identification of updated source literature on the subject; 2) elaboration of the questionnaire items by the researchers; 3) content validation by experts; 4) construct validation with instrument application and hypothesis test […]

Keywords: Primary health care; Surveys and questionnaires; Trachoma; Validation studies

157
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Ophthalmological evaluation and integrated intervention in a family with congenital aniridia in Alagoas, Brazil

Mario Jorge
Santos ORCID logo
,
Milton Ruiz
Alves ORCID logo
,
Carlos Dornels Freire de
Souza ORCID logo
,
Bruno Nobre Lins
Coronado ORCID logo
,
Janaina Christina Norberto de
Souza ORCID logo

112
Ophthalmological evaluation and integrated intervention in a family with congenital aniridia in Alagoas, Brazil

Ophthalmological evaluation and integrated intervention in a family with congenital aniridia in Alagoas, Brazil

Mario Jorge
Santos ORCID logo
,
Milton Ruiz
Alves ORCID logo
,
Carlos Dornels Freire de
Souza ORCID logo
,
Bruno Nobre Lins
Coronado ORCID logo
,
Janaina Christina Norberto de
Souza ORCID logo

DOI: 10.5935/0034-7280.20200086

Abstract Objective: We aimed to describe the clinical and phenotypic manifestations as well as the visual prognosis of a family with CA in Northeastern Brazil. Methods: This was a cross-sectional study involving 31 individuals (56 eyes) from the same family presenting CA phenotypes. The study population resided in the municipality of Água Branca, in the backlands of the state of Alagoas, Northeastern Brazil. The clinical and phenotypic variables were analyzed. For the analysis, descriptive statistics (absolute and relative frequency and […]

Keywords: Aniridia; Congenital abnormalities/therapy, Visual acuity; PAX6 gene; phenotype

112
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Case Report

Azoor: Acute Zonal Occute Outer retinopathy associated with autoimmune disease

Carolina Correa Leal
Lima ORCID logo
,
Maria Luisa Gois da
Fonsêca ORCID logo
,
Raul Nunes Galvarro
Vianna ORCID logo

1,076
Azoor: Acute Zonal Occute Outer retinopathy associated with autoimmune disease

Azoor: Acute Zonal Occute Outer retinopathy associated with autoimmune disease

Carolina Correa Leal
Lima ORCID logo
,
Maria Luisa Gois da
Fonsêca ORCID logo
,
Raul Nunes Galvarro
Vianna ORCID logo

DOI: 10.5935/0034-7280.20200087

Abstract Acute zonal occult external retinopathy (AZOOR) was first described by Gass in 1993 as a syndrome with rapid loss of one or more large areas of the external retinal segments. Male, 35 years, with Crohn’s disease complaining of occasional eye pain and right eye nictalopia since childhood. In regular use of azathioprine and mesalazine. better visual acuity 20/20 OU. At fundoscopy, hyperpigmented lesions in the right temporal arcade of the right eye, in trellis, accompanying local vasculature. After exclusion […]

Keywords: Angiography; Autoimmune diseases; Azoor; Crohn disease; Retina; Tomography, optical coherence

1,076
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Superior segmental optic nerve hypoplasia: differential diagnosis with glaucoma

Alexis Galeno
Matos ORCID logo
,
Cynthia Maria Siso
Pinheiro ORCID logo
,
Ana Karenina Mazulo
Ribeiro ORCID logo

1,879
Superior segmental optic nerve hypoplasia: differential diagnosis with glaucoma

Superior segmental optic nerve hypoplasia: differential diagnosis with glaucoma

Alexis Galeno
Matos ORCID logo
,
Cynthia Maria Siso
Pinheiro ORCID logo
,
Ana Karenina Mazulo
Ribeiro ORCID logo

DOI: 10.5935/0034-7280.20200088

Abstract

Keywords: Congenital optic nerve injury; Diagnosis, differential; Glaucoma; Optic nerve hypoplasia

1,879
More

The irreversible consequences of late diagnosis of pituitary macroadenoma in a young patient

Nathalia Perussi
Garcia ORCID logo
,
Adriana Geremias
Toni ORCID logo
,
Guilherme Novoa Colombo
Barboza ORCID logo
,
Marcello Novoa Colombo
Barboza ORCID logo
,
Priscilla Fernandes
Nogueira ORCID logo

493
The irreversible consequences of late diagnosis of pituitary macroadenoma in a young patient

The irreversible consequences of late diagnosis of pituitary macroadenoma in a young patient

Nathalia Perussi
Garcia ORCID logo
,
Adriana Geremias
Toni ORCID logo
,
Guilherme Novoa Colombo
Barboza ORCID logo
,
Marcello Novoa Colombo
Barboza ORCID logo
,
Priscilla Fernandes
Nogueira ORCID logo

DOI: 10.5935/0034-7280.20200089

Abstract Pituitary tumors represent approximately 15% of all brain tumors and depending on size, pressure optic chiasma, resulting in impaired visual func-tion that manifests itself as defective in the visual field, decreased acuity visual and color vision. The ob-jetive of the present study was to report a case of pitui-tary macroadenoma with compression of optical chiasma and visual field de-fect, initially treated as glaucoma, leading to a late diagnosis and treatment.

Keywords: Pituitary diseases; Pituitary gland; Pituitary neoplasms

493
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Atypical evolution of tenon cyst after Ahmed valve implantation

Vicente Conrado Fontes
Júnior ORCID logo
,
Verena Naiara Nogueira de
Cerqueira ORCID logo
,
Sandro da Silva
Gramacho ORCID logo
,
Hermelino de Oliveira
Neto ORCID logo

726
Atypical evolution of tenon cyst after Ahmed valve implantation

Atypical evolution of tenon cyst after Ahmed valve implantation

Vicente Conrado Fontes
Júnior ORCID logo
,
Verena Naiara Nogueira de
Cerqueira ORCID logo
,
Sandro da Silva
Gramacho ORCID logo
,
Hermelino de Oliveira
Neto ORCID logo

DOI: 10.5935/0034-7280.20200090

Abstract We describe the case of a patient with secondary glaucoma who developed tenon cyst after Ahmed valve implantation. Despite the initial expectant management and subsequent surgical interventions, only with the micropulse transecleral cyclophotocoagulation did the intraocular pressure reach acceptable values.

Keywords: Filtering surgery; Glaucoma; Glaucoma drainage implants; Intraocular pressure; Postoperative complications

726
More

Review Article

Dissatisfaction with glasses

Newton
Kara-Junior ORCID logo
,
Marcus
Safady ORCID logo
,
Newton Kara
José ORCID logo

175
Dissatisfaction with glasses

Dissatisfaction with glasses

Newton
Kara-Junior ORCID logo
,
Marcus
Safady ORCID logo
,
Newton Kara
José ORCID logo

DOI: 10.5935/0034-7280.20200091

Introduction Ophthalmologists’ interest in patients’ satisfaction with prescribed corrective lenses, as well as their concern with assessing patients’ complaints and their reasons, play an essential role in improving the refractive technique and in the effectiveness of their clinical practice. (–) Refractometry is the procedure mostly adopted in ophthalmic practice and, certainly, it has the strongest impact on visual acuity improvement. (–) […]

175
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Update Article

A review of keratoconus diagnosis

Guilherme Simões Luz
Hilgert ORCID logo
,
Nelson Batista Sena
Júnior ORCID logo
,
Louise Pellegrino Gomes
Esporcatte ORCID logo
,
Ricardo
Sturzeneker ORCID logo
,
Thiago José Muniz Machado
Mazzeo ORCID logo
,
[...], Renato Ambrósio
Júnior ORCID logo

930
A review of keratoconus diagnosis

A review of keratoconus diagnosis

Guilherme Simões Luz
Hilgert ORCID logo
,
Nelson Batista Sena
Júnior ORCID logo
,
Louise Pellegrino Gomes
Esporcatte ORCID logo
,
Ricardo
Sturzeneker ORCID logo
,
Thiago José Muniz Machado
Mazzeo ORCID logo
,
[...], Renato Ambrósio
Júnior ORCID logo

DOI: 10.5935/0034-7280.20200092

Abstract Objective: To Perform a review on the diagnosis of keratoconus, focusing on the available propaedeutic methods. Methods: A search was performed in the PubMed database using the key words: Keratoconus, diagnosis, topography and tomography. As it is a review, there was no restriction regarding the publication period of the selected articles. Furthermore, both the preferred practice pattern(PPP) manual of the American Academy of Ophthalmology, as well as the website “eyewiki.aao.org” were used as reference. The project was submitted to […]

Keywords: Biomechanics; Corneal topography; Corneal surgery, Ectasia; Keratoconus; Tomography

930
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Letter to the Editor

Structural eye sequelae of retinopathy of prematurity in children in Manaus, Amazonas

Thiago Gonçalves dos Santos
Martins ORCID logo
,
Thomaz Gonçalves dos Santos
Martins ORCID logo

140
Structural eye sequelae of retinopathy of prematurity in children in Manaus, Amazonas

Structural eye sequelae of retinopathy of prematurity in children in Manaus, Amazonas

Thiago Gonçalves dos Santos
Martins ORCID logo
,
Thomaz Gonçalves dos Santos
Martins ORCID logo

DOI: 10.5935/0034-7280.20200093

We would like to complete some topics as comment on the article’s Structural eye sequelae of retinopathy of prematurity in children in Manaus City, Amazonas State/Brazil(), which was published in your esteemed journal. The aforementioned article shows that retinopathy of prematurity (ROP) is an important cause of preventable blindness in Amazonas State/Brazil, which affects 31.6% of children at risk of it. This number shows the need for screening and treatment programs applied to this population in order to avoid blindness […]

140
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Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education

André Luís Freire
Portes ORCID logo

96
Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education

Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education

André Luís Freire
Portes ORCID logo

DOI: 10.5935/0034-7280.20200094

Firstly, we would like to thank for your time and interest, as well as for your compliments to our article entitled “Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education”.() With respect to students’ perspective about ophthalmology education, 95.9% of them considered it relevant to their training as general practitioners. However, only 31% of them feel confident to treat patients with eye disorders.() Articles such as those by Quillen() (mentioned by you) and Lippa() substantiate and validate our results, […]

96
More

Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education

Sérgio
Kwitko ORCID logo

130
Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education

Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education

Sérgio
Kwitko ORCID logo

DOI: 10.5935/0034-7280.20200095

Firstly, we would like to thank for your time and interest, as well as for your compliments to our article entitled “Multicentric Medical Student Profile and Their Perspectives About Ophthalmology Education”.() With respect to students’ perspective about ophthalmology education, 95.9% of them considered it relevant to their training as general practitioners. However, only 31% of them feel confident to treat patients with eye disorders.() Articles such as those by Quillen() (mentioned by you) and Lippa(4) substantiate and validate our results, […]

130
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Search

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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