OBJECTIVE: To assess the waiting time for eye care identifying the number of patients with each complaint; to investigate how the waiting time may worsen the patient’s condition; to check the screening of urgent cases for effectiveness; and to devise means of increasing the medical-surgical care capacity. METHODS: A retrospective descriptive survey was conducted using data obtained on 12 occasions during collaborative team visits to provide eyecare services. These initiatives were designed to decrease the waiting time and to treat […]

OBJETIVO: Avaliar a fila de espera pelo atendimento oftalmológico detectando os problemas oculares; estudar o agravo que esta espera pode acarretar ao paciente; verificar a eficácia na triagem dos casos de urgência e averiguar a possibilidade de aumento da capacidade de atendimento clínico e cirúrgico. MÉTODOS Foi realizada pesquisa retrospectiva e descritiva dos dados obtidos durante 12 mutirões de atendimento oftalmológico. Os mutirões foram realizados com a intenção de diminuir a fila de espera e atender as urgências que surgiram […]

The authors report the use of photodynamic therapy with methyl aminolevulinate (Metvix®) in a patient with nodular and infiltrative basal cell carcinoma in the right lower eyelid. Side effects on the eye were evaluated weekly. After 12 weeks of treatment, to confirm cure the patient was submitted to a 2-mm punch biopsy, the anatomopathological findings of which were negative for neoplasia. Photodynamic therapy with methyl aminolevulinate was shown to be an attractive alternative to surgical excision¯the current gold standard treatment […]

Extraintestinal manifestations of Crohn’s disease are common. Although ocular complications of Crohn’s disease are infrequent, most ocular manifestations include iritis, uveitis, episcleritis, scleritis and conjuntivitis. We report a patient who developed uveitis two years before diagnose of Crohn’s disease.

Manifestações extraintestinais da doença de Crohn são comuns. As manifestações oculares são infrequentes e caracterizam-se em sua maioria por irite, uveíte, episclerite, esclerite e conjuntivite. Relatamos o caso de uma paciente que desenvolveu uveíte dois anos antes de firmado o diagnóstico de doenca de Crohn.

Pellucid marginal degeneration (PMD) is a rare corneal ectasia and its progression leads to irregular astigmatism and low vision that can not have spectacles or contact lens correction. This report describes a patient with low vision due to cataract and PMD that was treated with phacoemulsification and implantation of a toric intraocular lens with a satisfactory visual acuity outcome.

A short review of type 1 Dohlman-DoaneKeratoprosthesis (KPro) addresses results and complications. Dohlman-DoaneKPro is today a good option for cases of corneal blindness with poor prognosis for traditional penetrating keratoplasty. KPro design and surgical improvements along with proper preoperative ocular surface condition allows good results in non-immune diseases. Main complications of this KPro areinflammatory retroprosthetic membrane, glaucoma, corneal melting,vitreitis, and infection (keratitis and endophthalmitis). Comprehensive long-term postoperative follow-up examinationsare needed to monitor for and prevent serious complications.

PURPOSE: To report the response of choroidal neovascularization (CNV) to intravitreal ranibizumab treatment in the setting of age-related macular degeneration (AMD) with extensive pre-existing geographic atrophy (GA) and a revision paper. METHODS: This is a revision paper and a retrospective case series of 10 eyes in nine consecutive patients from a photographic database. The patients were actively treated with ranibizumab for neovascular AMD with extensive pre-existing GA. Patients were included if they had GA at or adjacent to the foveal […]