ABSTRACT Objective: To assess if early alterations detected by Pentacam in children suffering from mild ocular allergy are suggestive of ectasia. Methods: A retrospective analysis of 49 medical records of patients of both sexes, aged between 3 and 14 years was performed. In this sample, 31 children suffered from grade I ocular allergy, and 18 presented no signs or symptoms of ocular allergy and comprised the control group. Several Pentacam indexes were evaluated. Results: A statistically significant association was found […]

ABSTRACT Objective To assess the economic impact of reducing glaucoma progression by using the trabecular micro-bypass implant, iStent inject®, in the Reference Centers for glaucoma treatment within the Brazilian Public Unified Health System (SUS). Methods In a cost-effectiveness analysis, a Markov model was developed, and the costs were obtained from the SUS perspective (medical direct costs). Effectiveness was measured in progression-free life-years. The time horizon was the mean life expectancy of the Brazilian population. The model parameters were obtained through […]

Nos últimos anos, a incorporação de novas tecnologias é parte do aumento dos custos em saúde no Brasil e no restante do mundo. Todos os recursos para prevenção, diagnóstico e tratamento de enfermidades, incluindo medicamentos, materiais médicos, equipamentos, procedimentos, bem como programas e protocolos assistenciais, além dos sistemas organizacionais, educacionais, de informação e de suporte, fazem parte das novas tecnologias. Anteriormente, os critérios do processo de incorporação para o reembolso de novas tecnologias eram exclusivamente de eficácia e segurança. No […]

ABSTRACT The authors report the case of a male adult presenting significant ocular complications and irreversible visual impairment, resulting from the long-term progression and late diagnosis of an iris cyst in the right eye, probably secondary to trauma. The patient was admitted to Hospital Universitário Antonio Pedro with a total corneal opacity that blocked direct visualization of the anterior chamber. Ultrasound biomicroscopy was crucial for the anatomic study, and the patient was submitted to enucleation for aesthetic improvement and clarifying […]

ABSTRACT Implantation of phakic intraocular lenses for refractive purpose is a safe and efficient elective surgical alternative. This option should be considered to electively treat ametropia when laser corneal refractive surgery has higher risk of complications, either due to corneal characteristics or the magnitude of ametropia. This article provides a prospective review of the phakic lenses available in the Brazilian market in 2020 and their characteristics.

ABSTRACT This work aimed to demonstrate the importance of early detection of punctate inner choroidopathy, highlighting the pathophysiology of inflammation and the differential diagnoses among white dot syndromes. Special attention was given to multifocal choroiditis and panuveitis, by demonstrating the peculiar epidemiology in young women, characterizing the typical clinical presentation in ophthalmoscopy, and exploring the advantages and disadvantages of performing the complementary examinations, which are part of the multimodal analysis useful for diagnosis (particularly fluorescein angiography, optical coherence tomography, and […]

ABSTRACT Vogt-Koyanagi-Harada (VKH) syndrome is an inflammatory condition of unknown etiology that can affect the eye. The most common ocular manifestation related to VKH is bilateral diffuse uveitis associated to exudative retinal detachment. Although these patients respond well to steroid pulse therapy, we report a case of a 44-year-old female patient presenting bilateral exudative retinal detachment and clinical diagnosis of VKH, who did not respond to the first cycle of 3-day pulse therapy with methylprednisolone. The exudation was reabsorbed only […]

ABSTRACT Oncocytoma is a neoplasm rarely observed in clinical practice and reported in the literature, especially when located in the eye. When described in the ocular adnexa, it is most often located in the caruncle. The case of a 74-year-old Caucasian female patient is reported. She complained of visual discomfort in the left eye, and physical examination showed a tumoral lesion in the left caruncle, of moderate volume, presence of neovascularization, and excessive secretion. Surgical excision of the lesion was […]