ABSTRACT Objective: To evaluate the efficacy of high-dose oral riboflavin treatment combined with sun exposure in preventing the progression of keratoconus. Methods: A retrospective, multicenter observational study involving 53 keratoconus patients (106 eyes) from three Brazilian cities. Patients were instructed to take 400 mg/day of oral riboflavin and to sunbathe for 30 minutes daily, in addition to avoiding eye rubbing. Keratometric measurements were evaluated before and after 6, 12, 24, and 36 months of treatment. Results: After 6 months, 42 […]

ABSTRACT Objective: To develop and validate a Children’s Eye Care Guide for Ophthalmology courses. Methods: Methodological study on the development and validation of teaching material using the ADDIE instructional design. The validation phase used a panel of experts and an Educational Content Validation Instrument in Health to evaluate the content, and residents for semantic evaluation. Results: A Guide for children’s ophthalmological care was developed and validated, covering the topics of eye testing and stages of the ophthalmological examination: anamnesis, visual […]

ABSTRACT Objective: To assess ophthalmologists’ preferred techniques and adjuvant treatments for recurrent pterygium. Methods: An observational study in which a questionnaire was administered to ophthalmologists who regularly performed surgeries for recurrent pterygium. Results: Most surgeons did not use antiangiogenic therapy but preferred postoperative corticosteroids for one month. Symblepharon lenses were used only when available. The surgeons removed the pterygium head, including the conjunctiva and Tenon capsule, without invading the caruncle or base, preferring to remove the body first, followed by […]

ABSTRACT Objective: To evaluate the red reflex test in children with congenital Zika syndrome in order to predict the occurrence of retinal lesion or optic nerve hypoplasia in these patients. Methods: A descriptive cohort study was conducted in children with Congenital Zika Syndrome. The red reflex test was performed with a direct ophthalmoscope, and it was repeated after pupils’ dilation. The patients underwent a comprehensive ophthalmological evaluation. Eye fundus was analyzed by binocular indirect ophthalmoscopy. The occurrence of macular atrophy […]

ABSTRACT Objective: To investigate clinical-epidemiological profile, risk factors, and quality of life of patients with meibomian gland dysfunction. Methods: A total of 108 patients were prospectively studied. Symptoms of dry eye, eyelid disorders and secretory function were analyzed. Laboratorial exams included fasting glucose, glycated hemoglobin, cholesterol, and triglycerides. Quality of life was analyzed using the Ocular Surface Disease Index©. Results: Mean age was 53.6 ± 17.9 years, 69.4% were females, 82.7% with gynecological history, 46.3% with cardiovascular history, and 80.6% […]

ABSTRACT Objective: This systematic review and meta-analysis compare the safety and efficacy of phacoemulsification alone versus combined phacoviscocanalostomy in glaucoma and cataract patients. Methods: We followed PRISMA guidelines. PubMed®, Web of Science, Cochrane, and Embase were searched for randomized clinical trial and non-randomized clinical trial studies comparing phaco versus phacoviscocanalostomy in patients with any glaucoma and cataract type. Statistical analysis was conducted using RevMan software. Results: The study included 889 patients from one randomized clinical trial and three non-randomized clinical […]

ABSTRACT Objective: To evaluate the impact of selective laser trabeculoplasty (SLT) on resource savings and medication costs. Methods: Retrospective study of patients with open-angle glaucoma (OAG) who underwent SLT as a replacement therapy for eye drops and were followed for up to 1 year. The ability to reduce intraocular pressure (IOP) and the amount of eye drops were evaluated, as well as the monthly cost of medications during the follow-up. The annual cost of medications was also calculated. The results […]

ABSTRACT We describe a case of Irvine-Gass syndrome and the clinical decompensation of glaucoma after uneventful cataract surgery with resistance to conventional clinical treatment. Drainage tube implantation and intravitreal injection of dexamethasone were performed simultaneously with the resolution of cystoid macular edema and good control of intraocular pressure, which remained consistent after 1 year of follow-up.