PURPOSE: To evaluate the complication’s rate of cataract surgery performed by ophthalmology residents (second and third-year) and experienced surgeons at a public teaching hospital. METHODS: A retrospective chart review of all patients who had cataract surgery between March (begin of the technique practice) and November (end of the technique practice) was conducted. RESULTS: In 481 cataracts surgeries, 194 (40%) was performed by third-year residents, 165 (34%) by second-year residents and 116 (26%) by experienced surgeons. The most frequent complication in […]

OBJECTIVE: Accurate intraocular lens power calculation may be a challenging issue in eyes with previous corneal refractive surgery. METHODS: The authors present a series of 8 eyes (4 previously submitted to hyperopic laser in situ keratomileusis and 4 to radial keratectomy) submitted to phacoemulsification and implantation of pseudoaccommodating bifocal intraocular lens. Double-K SRK/T formula has been used. RESULTS: Acceptable refractive visual outcomes have been achieved. CONCLUSION: Pseudoaccommodating bifocal intraocular lenses can be safely implanted in patients with previous corneal refractive […]

OBJETIVO: O cálculo preciso do poder da lente intraocular em olhos com cirurgia refrativa prévia é, por vezes, desafiador. MÉTODOS: Os autores apresentam uma série de casos totalizando 8 olhos (4 previamente submetidos a “laser in situ keratomileusis” hipermetrópico e 4 à ceratotomia radial) submetidos à facoemulsificação com implante de lente intraocular pseudoacomodativa bifocal. Foi empregada a fórmula “double-K” SRK/T para esses casos. RESULTADOS: Resultados refracionais satisfatórios foram obtidos. CONCLUSÃO: Lentes intraoculares bifocais pseudoacomodativas podem ser implantadas com boa previsibilidade […]

PURPOSE: To assess intraocular pressure (IOP) before and after 1 day, 3 days, 1 week, 1 month, 3 months, 6 months and 1 year in normal eyes submitted to a phacoemulsification. METHODS: Intraocular pressure retrospective analyses (measured by Goldmann applanation tonometer) of 221 normal eyes of 133 patients submitted to an uneventful phacoemulsification. The IOP was evaluated before and after phacoemulsification ( 1day, 3 days, 1 week, 1 month, 3 months, 6 months and 1 year), and these values were […]

Parinaud’s oculoglandular syndrome is a rare eye disease caused by different pathogens, including bacteria, viruses and fungi. It is characterized by a granulomatous conjunctivitis with adjacent preauricular lympha-denopathy and can cause sequelae if not promptly treated. We report a case of a young nurse assistant and veterinary student showing Parinaud’s oculoglandular syndrome caused by the fungus Sporothrix schenkii after contamination with infected cats. Its clinical presentation and negative outcome until the correct ethiological diagnosis, in addition to specific treatment, emphasize […]

Two cases of mycosis fungoides associated with HTLV-I are reported. The ophthalmological findings were, in the first case, punctate keratopathy and keratoconjunctivitis sicca, and in the second case, keratoconjunctivitis sicca, thickening and difuse nodulos on eyelid margin. The association of mycosis fungoides and HTLV-I in these cases suggests involvement of this agent in the pathogenesis of the disease.

A 82 years old women reported an external opthalmomyiasis. She was a diabetic and with high blood pressure carrier, living in rural area. Initially a she had pain with swelling, erythema and nodulation located on the upper eyelid and normal eye and a pre-septal cellulitis was suspected and antibiotic and local steroid were introduced, which led to a reduction of inflammatory process and to perform an appropriate physical examination with the eversion of the upper eyelid, which established the diagnosis […]

A brief historical review of gonioscopy since the pioneering works published by Trantas and Salzmann is presented. The techniques of examination are described and the advantages and disadvantages of each one are discussed. Based on the classifications in the literature, a new one is proposed: the APIC classification. In this classification each one of the elements of the anterior chamber angle are graduated: A = anterior chamber angle Amplitude; P = Pigmentation; I = iris Implantation; and C = iris […]