PURPOSE: To evaluate the contact lenses fitting with respect to visual improvement in patients with keratoconus. METHODS: We conducted a prospective study of 54 patients (99 eyes) attending the Contact Lens Clinic of Faculdade de Medicina do ABC (FMABC) from january 2010 to november 2010. Data were collected on gender, age, treated eyes, degree of keratoconus, initial visual acuity (VA) and final VA after fitting. RESULTS: Of the patients, 44% were women and 56% men. Forty-six point forty-seven percent of […]

PURPOSE: To evaluate biomechanical changes measured with the ORA (Ocular Response Analyzer®; Reichert Ophthalmic Instruments, Buffalo, New York, USA) after Lasik with the Moria One Use Plus and to compare the biomechanics changes after myopic and hyperopic ablations. METHODS: Fourteeneyes for hyperopia (H) and 19 eyes for myopia (M) were evaluated with the ORA preoperatively and 1 month after Lasik with thin flap (100 microns) using SBK-OUP (Sub-Bowman Keratomileusis – One Use Plus, Moria®).CH (Corneal Hysteresis), CRF (Corneal Resistance Factor), […]

Despite being rare, ocular injury due to a compact disc burst can be responsible for severe ocular damage. We present in this article a case of corneal perforation in addition to lens trauma caused by intentional compact disc break. A 44 year old female physician was examined complaining of visual acuity decrease, light sensitivity, tearing and foreign body sensation on OD after watching a compact disc being broken intentionally. In the first examination, she had a corneal perforation with aqueous […]

The detachment of Descemet’s membrane can be a serious complication following cataract surgery, leading to severe corneal edema and reduced visual acuity. This report describes an unusual case of Descemet’s membrane detachment 6 months after successful phacoemulsification, documented by anterior segment optic coherence tomography (OCT; RTVue, Optovue). The eye was treated successfully with pneumatic descemetopexy and transcorneal suturing, with reattachment of Descemet’s membrane. This report should alert physicians that delayed corneal edema can be related to late-onset Descemet’s membrane detachment, […]

O descolamento da membrana de Descemet pode ser uma complicação grave após a cirurgia de catarata, resultando em edema de córnea e redução da acuidade visual. Este relato descreve um caso raro de descolamento da membrana de Descemet seis meses após cirurgia de catarata com facoemulsificação sem intercorrências, documentado com tomografia de coerência óptica do segmento anterior (OCT; RTVue, Optovue). Foram realizadas descemetopexia pneumática e sutura corneana, com resolução do descolamento e recuperação visual. Este relato procura alertar os médicos […]

Citicoline may be used in many neurological disorders. Combined treatment of citicoline with patching in amblyopia has previously been researched. The purpose of this paper is to illustrate the effect of citicoline in non-patching amblyopic patient. A 11-year-old amblyopic boy underwent complete ophthalmological examinations, including VEP with flash and pattern stimulus. Two averages of 100 sweep were performed for flash stimulus. Pattern reversal stimulus obtained with high contrast was performed with 60′, 30′ and 15′ checks stimuli. The VEP was […]

A citicolina pode ser utilizada em vários problemas neurológicos. O tratamento combinado de citicolina e oclusão na ambliopia já foi previamente relatado. O objetivo deste estudo é ilustrar o efeito da citicolina em paciente amblíope sem o tratamento oclusivo. Um menino de 11 anos de idade foi submetido a um exame oftalmológico completo incluindo PEV do tipo flash e do tipo padrão reverso. Para o PEV tipo flash, foram analisadas duas médias de 100 estímulos cada uma. Para o PEV […]

The aim of this review is to discuss current knowledge about pathophysiology and clinical, therapeutic and prophylactic approaches for malignant glaucoma. This type of glaucoma can occur after different surgical procedures. It can also occur in aphakic, phakic and pseudophakic eyes and develop spontaneously in individuals with no ocular surgical history, or associated with topical miotics. Currently, the ultrasound biomicroscopy has provided many interesting and useful findings for diagnosis and monitoring the treatment of malignant glaucoma. It occurs more often […]