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Volume 80, Number 6, 2021

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Editorial

Spirituality and Ophthalmology

Alexander
Moreira-Almeida ORCID logo
,
Harold G.
Koenig ORCID logo

489
Spirituality and Ophthalmology

November/2021

Spirituality and Ophthalmology

Alexander
Moreira-Almeida ORCID logo
,
Harold G.
Koenig ORCID logo

DOI: 10.37039/1982.8551.20210047

Religion/spirituality (R/S) is very important to most patients, with 84% of world’s population reporting a religious affiliation. Even those with no religion often report some level of spirituality, which may be defined as “the relationship or contact with a transcendent realm of reality [e.g., God, gods, spirits, deceased ancestors, etc.] that is considered sacred, the ultimate truth, or reality” (p.12).() Religion would be the “the institutional or communal aspect of spirituality, as a shared set of beliefs, experiences, and practices […]

489
More

Original Article

Comparing efficacy of fundus photography and fluorescein angiography in the diagnosis of diabetic retinopathy

Tereza Cristina Moreira
Kanadani ORCID logo
,
Carolina Serpa
Braga ORCID logo
,
Larissa Fouad
Ibrahim ORCID logo
,
Senice Alvarenga Rodrigues
Silva ORCID logo
,
Fábio Nishimura
Kanadani ORCID logo

579
Comparing efficacy of fundus photography and fluorescein angiography in the diagnosis of diabetic retinopathy

Comparing efficacy of fundus photography and fluorescein angiography in the diagnosis of diabetic retinopathy

Tereza Cristina Moreira
Kanadani ORCID logo
,
Carolina Serpa
Braga ORCID logo
,
Larissa Fouad
Ibrahim ORCID logo
,
Senice Alvarenga Rodrigues
Silva ORCID logo
,
Fábio Nishimura
Kanadani ORCID logo

DOI: 10.37039/1982.8551.20210048

ABSTRACT Objective: To assess effectiveness of fundus photography and fluorescein angiography in diagnosis and screening of diabetic retinopathy. Methods: A retrospective study of 398 diabetic patients, based on analysis of results of both tests. Results: Results of fluorescein angiography and fundus photography coincided in 77.4% of cases, and there was no significant difference in staging and identification of retinopathy by both methods. Conclusion: There was no significant difference between both methods regarding the capacity to diagnose the disease, showing no […]

Keywords: diabetes mellitus; Diabetic angiopathies; Diabetic retinopathy; Fluorescein angiography; Fundus photography

579
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Femtosecond laser-assisted anterior lamellar keratoplasty with suboptimal outcomes: a case series

Artur William Caldeira Abreu
Veloso ORCID logo
,
Tavé van
Zyl ORCID logo
,
Ula
Jurkunas ORCID logo
,
Roberto
Pineda ORCID logo

693
Femtosecond laser-assisted anterior lamellar keratoplasty with suboptimal outcomes: a case series

November/2021

Femtosecond laser-assisted anterior lamellar keratoplasty with suboptimal outcomes: a case series

Artur William Caldeira Abreu
Veloso ORCID logo
,
Tavé van
Zyl ORCID logo
,
Ula
Jurkunas ORCID logo
,
Roberto
Pineda ORCID logo

DOI: 10.37039/1982.8551.20210049

ABSTRACT Objective To identify preoperative clinical characteristics of patients undergoing femtosecond laser-assisted anterior lamellar keratoplasty who failed to achieve optimal postoperative visual outcomes. Methods In this single-center, retrospective case series, patients who underwent femtosecond laser-assisted anterior lamellar keratoplasty between 2013 and 2018 were included if they required graft revision, subsequent corneal procedure, or additional postoperative visits for a femtosecond laser-assisted anterior lamellar keratoplasty-related issue. Visual outcomes assessed included best-corrected visual acuities and postoperative corneal astigmatism. Results Eight eyes of eight […]

Keywords: Corneal surgery, Laser; Corneal transplantation; Endothelial keratoplasty; keratitis; Keratoplasty penetrating

693
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Clinical profile of dermatological patients referred to ophthalmological evaluation

Luiza Duarte
Pittol ORCID logo
,
Natália Brambilla
Antoniolli ORCID logo
,
Rodrigo Pereira
Duquia ORCID logo
,
Renan
Bonamigo ORCID logo
,
Manuel Augusto Pereira
Vilela ORCID logo

762
Clinical profile of dermatological patients referred to ophthalmological evaluation

November/2021

Clinical profile of dermatological patients referred to ophthalmological evaluation

Luiza Duarte
Pittol ORCID logo
,
Natália Brambilla
Antoniolli ORCID logo
,
Rodrigo Pereira
Duquia ORCID logo
,
Renan
Bonamigo ORCID logo
,
Manuel Augusto Pereira
Vilela ORCID logo

DOI: 10.37039/1982.8551.20210051

ABSTRACT Objective: To analyze the clinical profile of patients under dermatological care and referred to ophthalmological evaluation. Methods: The sample comprised dermatology patients referred to ophthalmological evaluation in 2016 and 2017. The simultaneous occurrence of skin and ophthalmic diseases was studied, by collecting dermatological history (medical records containing general data and diagnosis) and ophthalmic consultation data following referral. Results: A total of 224 patients were assessed, 65% were female, 80% were white, and age varied between one month and 85 […]

Keywords: Blindness; Eye abnormalities; Referral and consultation; Skin diseases; Vision disorders

762
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Influence of corneal ring segment thickness on correction of corneal astigmatism in patients with keratoconus

Frederico Bicalho Dias da
Silva ORCID logo
,
Nathalie Dalloul
Daher ORCID logo

370
Influence of corneal ring segment thickness on correction of corneal astigmatism in patients with keratoconus

November/2021

Influence of corneal ring segment thickness on correction of corneal astigmatism in patients with keratoconus

Frederico Bicalho Dias da
Silva ORCID logo
,
Nathalie Dalloul
Daher ORCID logo

DOI: 10.37039/1982.8551.20210053

ABSTRACT Objective: To retrospectively evaluate the influence of intracorneal ring thickness on reduction of corneal astigmatism in patients with keratoconus. Methods: From a database of 2,033 eyes submitted to corneal ring implant surgery, a sample of 90 eyes with similar keratometry and astigmatism characteristics was selected. All eyes in this study received two segments of traditional arc length of approximately 160°, with varying thicknesses: Group A received two segments of 150 µm; Group B received two segments of 200 µm, […]

Keywords: Astigmatism; Córnea; Intracorneal ring; Keratoconus; Keratometry

370
More

Comparison of fascia lata, silicone sling and polypropylene suture in frontalis suspension

Ráysa Hellen Assunção
Costa ORCID logo
,
Álvaro Bruno Botentuit Serra de
Castro ORCID logo
,
Suellen da Costa e
Silva ORCID logo
,
Rayssa Medeiros
Léda ORCID logo
,
Rivadavio Fernandes Batista de
Amorim ORCID logo

1,019
Comparison of fascia lata, silicone sling and polypropylene suture in frontalis suspension

December/2021

Comparison of fascia lata, silicone sling and polypropylene suture in frontalis suspension

Ráysa Hellen Assunção
Costa ORCID logo
,
Álvaro Bruno Botentuit Serra de
Castro ORCID logo
,
Suellen da Costa e
Silva ORCID logo
,
Rayssa Medeiros
Léda ORCID logo
,
Rivadavio Fernandes Batista de
Amorim ORCID logo

DOI: 10.37039/1982.8551.20210055

ABSTRACT Objective To compare efficacy, durability and postoperative complications of frontal suspension with the use of autologous fascia lata, silicone sling or polypropylene suture. Methods A descriptive, analytical, observational and retrospective study of patients with severe ptosis who underwent frontalis suspension, during a 2-year period. Data analyzed included comparative margin to reflex distance, palpebral fissure, and complications. Results Fascia lata was the material that provided the best results of margin to reflex distance and palpebral fissure in the postoperative analysis […]

Keywords: Blepharoptosis; Fascia lata; Silicones

1,019
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Ultra-wide field imaging for ophthalmological evaluation of pregnant women with positive serology for toxoplasmosis

Sérgio Ferreira Santos da
Cruz ORCID logo
,
Isabelle Rocha
Gauch ORCID logo
,
Matheus Ferreira Santos da
Cruz ORCID logo
,
Ana Clara Monteiro de
Araújo ORCID logo
,
Natasha Ferreira Santos da
Cruz ORCID logo
,
[...], Cléa Nazaré Carneiro
Bichara ORCID logo

604
Ultra-wide field imaging for ophthalmological evaluation of pregnant women with positive serology for toxoplasmosis

Ultra-wide field imaging for ophthalmological evaluation of pregnant women with positive serology for toxoplasmosis

Sérgio Ferreira Santos da
Cruz ORCID logo
,
Isabelle Rocha
Gauch ORCID logo
,
Matheus Ferreira Santos da
Cruz ORCID logo
,
Ana Clara Monteiro de
Araújo ORCID logo
,
Natasha Ferreira Santos da
Cruz ORCID logo
,
[...], Cléa Nazaré Carneiro
Bichara ORCID logo

DOI: 10.37039/1982.8551.20210056

ABSTRACT Objective To screen pregnant women with positive serological results for toxoplasmosis using non-invasive, ultra-wide field retinal imaging. Methods Prospective, descriptive longitudinal study including pregnant women with positive serological results for toxoplasmosis seen at three maternal care reference units located in Belém (PA), in the Brazilian Amazon. Patient data were collected via interview. Comprehensive eye examination, including best corrected visual acuity, biomicroscopy, tonometry and ultra-wide field imaging, was performed every three months. Results The sample comprised 36 pregnant women. Of […]

Keywords: Chorioretinitis; Diagnostic imaging; Ocular toxoplasmosis; pregnancy; Uveitis

604
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Case Report

Central retinal artery occlusion and central retinal vein occlusion in contralateral eye

Felipe Beltrão de
Medeiros ORCID logo
,
Isabela Porto Silva
Costa ORCID logo
,
João Pedro Vedovelli de
Araujo ORCID logo
,
Jaqueline Cordeiro de
Souza ORCID logo
,
Hilton Arcoverde Gonçalves de
Medeiros ORCID logo

1,201
Central retinal artery occlusion and central retinal vein occlusion in contralateral eye

November/2021

Central retinal artery occlusion and central retinal vein occlusion in contralateral eye

Felipe Beltrão de
Medeiros ORCID logo
,
Isabela Porto Silva
Costa ORCID logo
,
João Pedro Vedovelli de
Araujo ORCID logo
,
Jaqueline Cordeiro de
Souza ORCID logo
,
Hilton Arcoverde Gonçalves de
Medeiros ORCID logo

DOI: 10.37039/1982.8551.20210054

ABSTRACT The case of a 55-year-old male who presented central retinal vein occlusion with marked macular ischemia in left eye is reported. Despite the intervention with sustained-release dexamethasone polymer injection and other clinical measures, the visual acuity was severely reduced in left eye. After 8 months, he returned to the emergency with acute visual loss of 2 hours of progression in right eye due to a central retinal artery occlusion, sparing only the territory of the cilioretinal artery. Patient underwent […]

Keywords: Ischemia; Retinal artery; Retinal diseases; Retinal vein

1,201
More

Systemic toxoplasmosis associated to the atypical bilateral ocular involvement mimicking acute retinal necrosis

Paula Virginia Brom dos Santos
Soares ORCID logo
,
Priscilla Fernandes
Nogueira ORCID logo
,
Guilherme Novoa
Colombo-Barboza ORCID logo
,
Marcello Novoa
Colombo-Barboza ORCID logo
,
Marta Fabiane Gouvêa
Barioni ORCID logo

707
Systemic toxoplasmosis associated to the atypical bilateral ocular involvement mimicking acute retinal necrosis

December/2021

Systemic toxoplasmosis associated to the atypical bilateral ocular involvement mimicking acute retinal necrosis

Paula Virginia Brom dos Santos
Soares ORCID logo
,
Priscilla Fernandes
Nogueira ORCID logo
,
Guilherme Novoa
Colombo-Barboza ORCID logo
,
Marcello Novoa
Colombo-Barboza ORCID logo
,
Marta Fabiane Gouvêa
Barioni ORCID logo

DOI: 10.37039/1982.8551.20210057

Abstract Ocular toxoplasmosis can present with an atypical, rare, bilateral involvement, and associated with acute retinal necrosis. It occurs in immunosuppressed patients, resulting in severe visual loss, if not quickly solved. We report an atypical case of ocular toxoplasmosis in a diabetic patient, who already showed a systemic aspect in a previous hospitalization, which was elucidated by the ophthalmologic examination and history. In addition, the routine of the uveitis sector requesting serology in a directed and careful way was essential […]

Keywords: Diagnosis, differential; Infectious mononucleosis; Retinal necrosis syndrome, acute; Tomography, optical coherence; Toxoplasmosis; Uveitis

707
More

Review Article

Risk factors for retinopathy of prematurity: a systematic review

Yasmim Laila Fragoso
Cestari ORCID logo
,
Maria Adriely Cunha
Lima ORCID logo
,
Mateus Lenier
Rezende ORCID logo
,
Larissa Marrocos
Fonseca ORCID logo

1,156
Risk factors for retinopathy of prematurity: a systematic review

November/2021

Risk factors for retinopathy of prematurity: a systematic review

Yasmim Laila Fragoso
Cestari ORCID logo
,
Maria Adriely Cunha
Lima ORCID logo
,
Mateus Lenier
Rezende ORCID logo
,
Larissa Marrocos
Fonseca ORCID logo

DOI: 10.37039/1982.8551.20210052

ABSTRACT To describe the prevalence of risk factors for retinopathy of prematurity and respective stages. Retrospective data were extracted from original articles addressing risk factors for retinopathy of prematurity retrieved from Scientific Electronic Library Online (SciELO), Virtual Health Library (VHL) and National Library of Medicine – NLM (PubMed) databases. In the initial search, 186 articles were found. Following title and abstract reading and application of inclusion and exclusion criteria, 25 articles were selected for this analysis. Variables of interest varied […]

Keywords: Morbidity; newborn; Oxygen inhalation therapy; Retinopathy of prematurity; risk factors

1,156
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Letter to Editor

Radiation-associated brain-ophthalmic effects in long-duration space missions

Donatella
Marazziti ORCID logo
,
Konstantin
Loganovsky ORCID logo

235
Radiation-associated brain-ophthalmic effects in long-duration space missions

December/2021

Radiation-associated brain-ophthalmic effects in long-duration space missions

Donatella
Marazziti ORCID logo
,
Konstantin
Loganovsky ORCID logo

DOI: 10.37039/1982.8551.20210058

Dear Editors: We read with interest the paper entitled “Space travel: A challenge from the point of view of ophthalmology” by Cunha et al.,() recently published at Revista Brasileira de Oftalmologia. The authors stressed that currently, with the emergence of new technologies promoting novel and even more ambitious space programs, aerospace medicine has increasingly gained prominence in the scientific community. Hence, there is an urgent need for specific studies exploring changes in human physiology during space missions, with the aim […]

235
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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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