O conjunto de qualidades e características para que um médico se torne retinólogo cirúrgico de alto nível é, muitas vezes, esquecido, quando gestores reduzem nossos honorários, empresas nos convertem em assalariados, seguros glosam nossos procedimentos, sistemas públicos limitam nossos números de intervenções, e, no setor privado, enquanto os custos aumentam, cada vez menos pacientes conseguem ter acesso ao serviço de retina de excelência… Porém o que leva um médico que decidiu exercer a bela arte da Oftalmologia a escolher uma […]

* Artigo publicado na Rev Bras Oftalmol.2014;73(1):16-22 * A bioestatística ganha crescente importância e relevância nos últimos anos, sendo um dos principais pilares da investigação científica. Possui uma série de conceitos e regras que devem ser bem compreendidos para se realizar ou analisar um artigo. Nesta revisão são abordadas algumas das principais ferramentas utilizadas nos trabalhos de interesse da área oftalmológica, suas aplicações e limitações.

ABSTRACT Purpose To evaluate the cost-utility of the iStent inject® for the treatment of mild-to-moderate open-angle glaucoma (OAG) within the Brazilian Unified Health System (SUS). Methods A Markov model was developed, in which the effectiveness outcome measure was the incremental cost-effectiveness ratio (ICER: R$ / QALY quality-adjusted life-year). Direct medical costs were obtained from the SUS perspective. The base case comprised of a hypothetical cohort of patients with OAG using topical medication and being managed according to the Clinical Protocol […]

ABSTRACT With the advent of the pandemic scenario caused by SARS-CoV-2 in the beginning of the year 2020, a vast clinical picture was noticed among the infected individuals. Among the most common eye symptoms caused by Covid-19, dry eye (DE) has become quite prevalent in this environment. The narrative review study seeks to assess the risk factors associated with the emergence or intensification of DE conditions in the population during the pandemic period. A literature review showed the influence of […]

ABSTRACT Objective: To evaluate a new type of muscle hook (Felício’s millimeter hook) and its effectiveness in strabismus surgeries. Methods: Seeking an independent approach, with minimal assistance from the assistant, the new instrument was used in retrocession and resection surgeries, to compare its efficacy and safety with the traditional technique. Results: 14 patients participated in the study, divided into two groups. The group who underwent surgery with the traditional technique had a mean age of 14.7 years and the group […]

Dear Editor, We read with interest the paper entitled “Estimating the cost of training an ophthalmologist in Brazil” by Kara-Junior N. and Scherer R., which was recently published at Revista Brasileira de Oftalmologia, and congratulate the authors for raising this important topic. The authors demonstrated how expensive the cost of medical and ophthalmology education is in the private setting in Brazil, and how hard it is for the newly graduated to get out of the debt burden.() […]

ABSTRACT Objective: To describe a new surgical maneuver to position the graft in a Descemet Stripping with Automated Endothelial Keratoplasty (DSAEK) surgery. Methods: Case series. Results: This technique allows a correct repositioning of the graft in a minimally invasive way. Conclusion: This new surgical maneuver was successful in manipulating the graft in DSAEK surgery and therefore might be effective and safe.

ABSTRACT Objective: To evaluate the efficacy of low-cost nucleus fragmenting forceps designed to reduce the use of ultrasound during phacoemulsification. Methods: A total of 60 pig eyes enucleated 10 hours before were placed in the microwave oven, at maximum power for 10 seconds, to form cataracts with hardness comparable to a grade IV nucleus in the Lens Opacities Classification System III. Cataract extraction was performed using the Centurion® phacoemulsifier (Alcon Laboratories, Geneve, Switzerland) and Leica M620 microscope. All eyes were […]