N. Antonova, I. Dersu, E. Burstein, Lance J. Lyons, W. Hou
{"title":"The prevalence of diabetes among male glaucoma patients","authors":"N. Antonova, I. Dersu, E. Burstein, Lance J. Lyons, W. Hou","doi":"10.4103/pajo.pajo_31_20","DOIUrl":"https://doi.org/10.4103/pajo.pajo_31_20","url":null,"abstract":"Introduction: The purpose of this study was to examine the relationship between diabetes and glaucoma. Methods: Consecutive 143 subjects with primary angle-closure glaucoma and 127 subjects with primary open-angle glaucoma (control) were studied retrospectively at an urban Veterans Administration Hospital. In addition to ocular examination findings, body mass index (BMI) and diabetes mellitus (DM) status were recorded. Results: All subjects in this study were male. The mean age was 72.3 years old in primary open angle versus 71.1 in primary angle-closure subjects. Half of the subjects with angle closure and 70% of open-angle subjects were self-identified as African–American. BMI was not significantly different between the two groups (28.2 in open angle vs. 28.7 in angle closure; P = 0.45). The percentage of DM was higher in subjects with primary angle closure than in those with primary open-angle glaucoma (43% vs. 29%, P = 0.001; Chi-square test). The odds of having DM were nearly two times higher in angle-closure subjects than open-angle subjects (Logistic regression, P = 0.01, 95% confidence interval: 1.17–3.30). Conclusion: In this retrospective study, diabetes was found to be associated with higher risk for primary angle-closure glaucoma.","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133213528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Rey, M. Perez, M. Aguilar, Hernán Ríos Calixto, Shirley Colón, Héctor D. Forero
{"title":"Pattern scanning laser trabeculoplasty versus selective laser trabeculoplasty in patients with primary open angle glaucoma","authors":"Sandra Rey, M. Perez, M. Aguilar, Hernán Ríos Calixto, Shirley Colón, Héctor D. Forero","doi":"10.4103/pajo.pajo_16_20","DOIUrl":"https://doi.org/10.4103/pajo.pajo_16_20","url":null,"abstract":"Purpose: The aim of this study is to compare the reduction percent of intraocular pressure (IOP) after selective laser trabeculoplasty (SLT) or pattern laser scanning trabeculoplasty (PSLT) in a group of patients with hypertensive glaucoma. Materials and Methods: A quasi-experimental prospective study of the patients with baseline IOP of 20 mmHg or more (with at least 1 IOP lowering medication) underwent either PSLT or SLT at 360°. IOP was measured in the following time points: Hour 1, Day 1 and 7, months 1, 3, 6, and 12 after the laser procedure. Results: The mean age was 68.1 ± 10.1 in the PSLT group and 71.8 ± 4.0 in the SLT group. Eleven eyes (8 patients) underwent PSLT and 9 eyes (6 patients) underwent SLT. Baseline IOP was 22.45 ± 2.4 mmHg, PSLT; 25.0 ± 2.2 mmHg, SLT; (P > 0.05) on an average of 2.4 medications. In the PSLT group, the mean IOP at 1 h, 1, 3, 6 and 12 months was 19.0 ± 5.0, 14.7 ± 2.4, 15.3 ± 3.0, 14.5 ± 2.7, and 13.0 ± 3.1, respectively. In the SLT group, the mean IOP at 1 h, 1, 3, 6 and 12 months was 25.6 ± 6.4, 15.9 ± 4.4, 15.3 ± 2.6, 16.7 ± 4.8, and 21.2 ± 4.3, respectively. IOP was significantly lower in the PSLT group compared to the SLT group at 1 h (P < 0.01) and 12 months (P < 0.01). No serious adverse events were recorded. Conclusions: PSLT was similar in effect compared to SLT at 1, 3, 6 months, and more effective than SLT at 12 months.","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134185750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Castro, J. Burnier, Sabrina Bergeron, J. Coblentz, A. Dias, M. Burnier
{"title":"Expression of BRCA1-associated protein 1 in primary tumors and metastasis in an animal model of uveal melanoma","authors":"C. Castro, J. Burnier, Sabrina Bergeron, J. Coblentz, A. Dias, M. Burnier","doi":"10.4103/pajo.pajo_29_20","DOIUrl":"https://doi.org/10.4103/pajo.pajo_29_20","url":null,"abstract":"Background: Uveal melanoma (UM) is the most common primary intraocular tumor in adults. Despite successful local treatment, approximately 50% of these patients develop lethal metastatic disease. BRCA1-associated protein 1 (BAP1) encodes BAP1, which functions as a tumor suppressor. Inactivation by a somatic mutation in BAP1 results in a loss of protein expression, which is associated with increased risk of metastasis. Aim: To analyze the expression of BAP1 protein in primary uveal tumors and their corresponding metastasis in an animal model of UM and to determine whether BAP1 expression is lost during the metastatic process. Subjects and Methods: Postmortem eyes and lungs with metastasis from nine rabbits previously inoculated with human UM cells expressing BAP1 (92.1 strain) were analyzed. Immunohistochemistry was performed on formalin-fixed paraffin-embedded samples using a monoclonal BAP1 (C-4) antibody. Expression was evaluated by the extent and intensity of staining. All primary tumors and metastasis were positive for BAP1. Results: The staining was diffuse and intense in the primary tumors of four rabbits (67%), focal-intense in one rabbit and focal-mild in one rabbit. All lung metastasis showed focal staining. All animals with intense BAP1 staining in the primary tumor showed mild BAP1 in the metastasis. Discussion: A predominant pattern observed between primary and metastatic lesion shows a transition from moderate into mild intensity and diffuse into the focal extent, suggesting a decrease in BAP1 expression. Future studies, including the human tissue of primary UM and their corresponding metastasis, should be performed to corroborate these findings.","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121919937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karin A. Caro, Luz C. Chávez, Carla Sanchez, Eduardo Archila
{"title":"Autologous fascia lata grafting in scleromalacia perforans","authors":"Karin A. Caro, Luz C. Chávez, Carla Sanchez, Eduardo Archila","doi":"10.4103/pajo.pajo_30_20","DOIUrl":"https://doi.org/10.4103/pajo.pajo_30_20","url":null,"abstract":"Ocular perforating is the most dreaded scenario to confront in patients with scleromalacia perforans. Despite its low prevalence, the progression of scleral necrosis to exposed uvea represents one of the ophthalmic emergencies with a high risk of loss of ocular content whose surgical treatment is performed autologous or heterologous tissue patches. This study describes six patients referred to the ophthalmology service of the Edgardo Rebagliati Martins National Hospital in Lima with a clinic history of autoimmune diseases and scleromalacia perforans >10 mm size, treated with autologous fascia lata grafting in addition to topical and systemic immunosuppressive treatment.","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130445735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Barros, Marcela Barros, D. Sousa, L. Bongiovanni, Gabriela Naomi, M. Burnier
{"title":"Histopathological analysis of juvenile patients with melanocytic lesions of the conjunctiva","authors":"G. Barros, Marcela Barros, D. Sousa, L. Bongiovanni, Gabriela Naomi, M. Burnier","doi":"10.4103/pajo.pajo_35_22","DOIUrl":"https://doi.org/10.4103/pajo.pajo_35_22","url":null,"abstract":"","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129549017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Shifa, Alemayehu Mekonnen Gezmu, G. Ayane, M. Kassa
{"title":"A case of bilateral macular hole in a young HIV-positive patient","authors":"J. Shifa, Alemayehu Mekonnen Gezmu, G. Ayane, M. Kassa","doi":"10.4103/PAJO.PAJO_15_19","DOIUrl":"https://doi.org/10.4103/PAJO.PAJO_15_19","url":null,"abstract":"A 22-year-old female patient was diagnosed to have HIV and treated by highly active antiretroviral therapy (HAART) since 2012 had developed a reduction of vision in both eyes secondary to cataract. The cataract was extracted from both eyes with no immediate postoperative complication. During follow-up, it was recognized that she had had bilateral Stage 3 macular hole in both eyes. The visual acuity in both eyes was 6/60 which did not improve with application of pinhole. Pars plana vitrectomy was done and sealed the macular hole in the left eye. The visual acuity remained the same in both eyes despite surgical intervention.","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127500941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Ferreira, B. Patrús, G. Neves, Pedro Filipe, C. Sawatani, Marcelo Sobrinho
{"title":"Spontaneous expulsive suprachoroidal hemorrhage","authors":"H. Ferreira, B. Patrús, G. Neves, Pedro Filipe, C. Sawatani, Marcelo Sobrinho","doi":"10.4103/pajo.pajo_11_20","DOIUrl":"https://doi.org/10.4103/pajo.pajo_11_20","url":null,"abstract":"The objective is to report a rare case about spontaneous expulsive choroidal hemorrhage in PUC Campinas Hospital. It is a retrospective case report. A 102-year-old patient with untreated glaucoma and recent corneal ulcer was admitted in the emergency room with completely spontaneous uveal and crystalline exposure and submitted to evisceration. This report discusses about this rare entity and the development in this particular patient in the city of Campinas, Sao Paulo state, Brazil.","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114297392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JuanJose Castro-Barandica, D. Esmeral-Ordoñez, Karol Quintero-Lizcano, C. Rangel
{"title":"Tubulointerstitial nephritis with uveitis in a young male patient","authors":"JuanJose Castro-Barandica, D. Esmeral-Ordoñez, Karol Quintero-Lizcano, C. Rangel","doi":"10.4103/pajo.pajo_34_23","DOIUrl":"https://doi.org/10.4103/pajo.pajo_34_23","url":null,"abstract":"","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129596762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Rodríguez-Garcia, AngelEduardo Gonzalez-Garcia, Y. Macías-Rodríguez, R. Ruiz-Lozano
{"title":"Implementation of teaching strategies and innovation to comply with the training competencies in an ophthalmology residency program during the coronavirus disease-19 pandemic","authors":"A. Rodríguez-Garcia, AngelEduardo Gonzalez-Garcia, Y. Macías-Rodríguez, R. Ruiz-Lozano","doi":"10.4103/pajo.pajo_124_21","DOIUrl":"https://doi.org/10.4103/pajo.pajo_124_21","url":null,"abstract":"","PeriodicalId":378703,"journal":{"name":"The Pan-American Journal of Ophthalmology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128517119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}