Topiramate is a kind of sulfamate-substituted monosaccharide of oral presentation to be used primarily as an anticonvulsant and it doesn’t have structural relation with any other antiepileptic agents. This wide range antiepileptic drug has been used in the management of migraine, depression and neuropathic pain. Since it was approved as an anticonvulsant, many reports related to ophthalmological adverse effects have been published. The pathological findings include secondary angle closure glaucoma, transitory myopia, ocular hyperemia, uveal effusions, with or without mydriasis.

The authors relate an uncommon complication of retinopexy with encircling scleral buckle employing Arruga Suture, that has evolved to scleral erosion and intraocular damage.

Macular edema is the leading cause of poor vision in diabetic patients.The mechanism of edema formation is complex and involves biochemical and structural changes. The authors review and update the physiopathologic concepts related to diabetic maculopathy.

PURPOSE: to determine the prevalence of astigmatism and the change of the axis according to the age in an ophthalmology private clinic population in the city of Florianópolis, Santa Catarina, Brazil. METHODS: A retrospective, descriptive, cross-sectional study was carried out based on the analyses of medical files. Astigmatism was classified as a cylindrical equivalent <-0,5 diopter (D). Astigmatism with the rule was defined as 160° to 20° , oblique astigmatism as 21° to 69° and 111° to 159° , and […]

PURPOSES:This study focuses the orbital exams of ultrassononography (US), computed tomography (CT) and magnetic resonance imaging (MRI), and has the following purposes: Collecting the paid amounts by Sistema Único de Saúde (SUS), Associação Médica Brasileira (AMB) and private clinic tables. Reviewing the advantages and disadvantages of the referred diagnostic tests. Suggesting administrative efficiency measures related to these tests in the orbit. METHODS: The costs were achieved based on the amounts paid by SUS, brazilian medical insurance companies and private clinics […]

OBJECTIVE: To show visual and refraction results using multifocal diffractive apodized intraocular lens. METHODS: The study of 100 eyes of 50 patients with cataract, submitted to phacoemulsification with bilateral implant of multifocal diffractive apodized intraocular lens (IOL). Binocular visual acuity was evaluated with and without correction for near and distance, and refraction previsibility and frequency of wearing glasses. RESULTS: Visual acuity without correction for distance was e” 20/30 in 97.56% of eyes operated on and e” J2 in 100%, of […]

PURPOSE: Could the central corneal thickness (CCT) change the intraocular pressure (IOP) measured by ICARE (IC) GOLDMANN APPLANATION TONOMETER (GAT) and PASCAL DYNAMIC COUNTOUR TONOMETER (PDCT). METHODS: Before using the anesthesia we have measured the IOP with IC tonometer. After that we have used topical anesthesia to obtain the CCT using an ultrasound pachymeter (Mentor Co.) and the IOP measured by PCDT followed by a drop of fluorescein to measured IOP with GAT. RESULTS: 138 eyes of 71 patients were […]