H. Filipe, M. Carvalho, Maria da Luz Freitas, Z. Corrêa
{"title":"ULTRASOUND BIOMICROSCOPY AND ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY IN THE DIAGNOSIS AND MANAGEMENT OF GLAUCOMA","authors":"H. Filipe, M. Carvalho, Maria da Luz Freitas, Z. Corrêa","doi":"10.15234/VPA.V15I2.313","DOIUrl":"https://doi.org/10.15234/VPA.V15I2.313","url":null,"abstract":"We aimed to summarize the applications, strengths and weaknesses of two anterior segment imaging modalities: the ultrasound biomicroscopy (UBM) and the anterior segment optical coherence tomography (AS-OCT) in the diagnosis and surgical management of glaucoma. This narrative review was based on our clinical experience with these technologies supported on scientific literature review through Medline via PubMed ® . The syntax used in the search was “Glaucoma AND Anterior Chamber Angle AND Ultrasound Biomicroscopy OR UBM AND Anterior Segment Optical Coherence Tomography OR AS-OCT”. Publications were selected based on relevance, redundancy, and authorship. Additionally UBM and AS-OCT images were selected from the two of the authors’ personal archives to illustrate prevalent glaucoma findings and post-operatory using both technologies. AS-OCT and UBM share overlapping characteristics and are both useful in glaucoma diagnosis and post-operative assessment. However, particular technical features of each will direct the best application to clarify specific glaucoma etiologies, to guide in the most effective management and to explain glaucoma surgical outcomes.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"21 1","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2016-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89774521","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}
{"title":"Comparison of ocular biometry using the of a new swept-source optical coherence tomography-based optical biometer and an optical low-coherence interferometer device in patients with clear lens.","authors":"M. León","doi":"10.15234/VPA.V15I3.320","DOIUrl":"https://doi.org/10.15234/VPA.V15I3.320","url":null,"abstract":"Purpose: To compare the clinical measurements with the new IOLMaster-700 from those obtained with the Aladdin. Methods: A prospective, cross-sectional, observational Comparative study.24 eyes were assessed using the two devices. Measurements of axial length (AL), anterior chamber depth (ACD), mean keratometri (K m ) flattest (K f ), steepest keratometry (K s ) and white-to-white (WTW) were done with both devices in random order. Results: No statistically significant differences (p>0.05) between the two biometers were found for AL (mean difference 0.000 mm), ACD (mean difference 0.164 mm) and K f (mean difference 0.020 D). In K m (mean difference was 0.085 D), Ks (mean difference 0.151 D) and WTW (mean difference 0.29 mm) the differences was statistical different. Conclusions: Measurements with the new IOLMaster-700 correlated well with those obtained with the Aladdin in patients with clear lens.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"248 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2016-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80641594","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. Gómez, L. D. Juan-Marcos, R. Lorenzo-Pérez, Álvaro Casado-Blanco, Vanesa Rivero-Gutiérrez, E. Hernández-Galilea
{"title":"CHOROIDAL NEOVASCULARIZATION ASSOCIATED WITH BEST’S DISEASE","authors":"C. Gómez, L. D. Juan-Marcos, R. Lorenzo-Pérez, Álvaro Casado-Blanco, Vanesa Rivero-Gutiérrez, E. Hernández-Galilea","doi":"10.15234/VPA.V15I3.316","DOIUrl":"https://doi.org/10.15234/VPA.V15I3.316","url":null,"abstract":"Best’s Disease is a macular dystrophy characterized by a lipofuscin accumulation on the retinal pigment epithelium. Five stages have been described based on fundus examination, including choroidal neovascularization. We report a case of a 59-years-old male, presented to the ophthalmologic department with visual loss in both eyes. Fundus examination revealed vitelliform lesions in both maculas. Fluorescein angiography showed a choroidal neovascularization in the left eye. The electrooculogram confirmed the diagnosis of Best's disease. Choroidal neovascularization is a rare complication of Best’s Disease in late stages. The most effective therapeutic options are photodynamic therapy with veteporfirin and antiangiogenic therapy.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"12 1","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2016-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86651542","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. Khurshid, S. Strul, Adam R. Boretsky, M. Motamedi, Praveena K. Gupta
{"title":"High resolution adaptive optics imaging complements standard spectral domain optical coherent tomography in retinal diseases with micro-structural details: a case series","authors":"G. Khurshid, S. Strul, Adam R. Boretsky, M. Motamedi, Praveena K. Gupta","doi":"10.15324/VPA.V14I4.261","DOIUrl":"https://doi.org/10.15324/VPA.V14I4.261","url":null,"abstract":"Purpose: To evaluate if high resolution adaptive optics confocal scanning laser ophthalmoscopy (AO-SLO) can be used as an adjunct complementary diagnostic tool to spectral domain optical coherent tomography ( SD-OCT) in characterizing three macular diseases: rod-cone dystrophy, acute retinal pigment epitheliitis (Krill’s disease), and occult macular dystrophy. Methods: As part of a complete clinical examination, each patient was subjected to color fundus pictures, multimodal imaging scans with Heidelberg Spectralis TM and high resolution retinal images with a custom built adaptive optics scanning laser ophthalmolscope (AO-SLO). The registered AO-SLO images were averaged to improve the signal to noise ratio and used to generate larger photoreceptor mosaics. Results: AO-SLO mosaics for all three conditions showed distinct, characteristic disruptions of the photoreceptors in areas that corresponded to the abnormalities observed on fundus photography and SD-OCT scans. Conclusions: AO-SLO defined fine structural changes associated with retinal pathology at the photoreceptor level that could not be achieved using standard diagnostic methods. A combination of adaptive optics scanning laser ophthalmoscopy (AO-SLO) and SD-OCT provided views of the retina with enhanced lateral and axial resolution. High-resolution, ultra-structural details of the retina may provide additional insights into the disease etiology, progression and management of patients with vision threatening macular diseases.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"33 1","pages":"108-109"},"PeriodicalIF":0.0,"publicationDate":"2016-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90734089","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}
{"title":"Donor Descemet Membrane Preparation for Descemet Membrane Endothelial Keratoplasty (DMEK) – Review of current techniques","authors":"R. Fogla, G. Shah","doi":"10.15324/VPA.V14I3.293","DOIUrl":"https://doi.org/10.15324/VPA.V14I3.293","url":null,"abstract":"Compared to DSAEK, preparation of donor DM (Descemet membrane) is surgically challenging and has a steep learning curve. In this article we discuss the various techniques of harvesting donor DM for DMEK surgery which have evolved over the past nine years for better surgical outcome.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"1 1","pages":"69-71"},"PeriodicalIF":0.0,"publicationDate":"2015-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82237855","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}
{"title":"Descemet Membrane Endothelial Keratoplasty for Bullous Keratopathy and Posterior Corneal Opacities","authors":"P. Bertino, R. S. Magalhães","doi":"10.15324/VPA.V14I3.295","DOIUrl":"https://doi.org/10.15324/VPA.V14I3.295","url":null,"abstract":"Although the presence of central corneal opacities could limit the visual prognosis, Descemet Membrane Endothelial Keratoplasty (DMEK) was performed and completely resolved corneal edema and opacities on the visual axis. A rigid contact lens fitting was necessary to treat irregular astigmatism postoperatively.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"21 1","pages":"77-79"},"PeriodicalIF":0.0,"publicationDate":"2015-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76511219","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}
N. Pereira, Aline Moiyama, Isabel Camila Amorim Gonzaga, A. Forseto
{"title":"Phacoemulsification and Descemet's membrane endothelial keratoplasty in the presence of a corneal scar.","authors":"N. Pereira, Aline Moiyama, Isabel Camila Amorim Gonzaga, A. Forseto","doi":"10.15324/VPA.V14I3.296","DOIUrl":"https://doi.org/10.15324/VPA.V14I3.296","url":null,"abstract":"To report the surgical outcome and visual rehabilitation of a patient with Fuchs' dystrophy diagnosed with endothelial dysfunction associated with subepithelial and deep corneal scar and advanced cataract, treated with DMEK combined with phacoemulsification and intraocular lens (IOL) implantation, followed by phototherapeutic keratectomy (PTK).","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"08 1","pages":"80-81"},"PeriodicalIF":0.0,"publicationDate":"2015-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83458178","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}
{"title":"MESSAGE FROM THE CHAIRMAN OF THE BOARD","authors":"W. D. L. Peña","doi":"10.15324/VPA.V13I1.182","DOIUrl":"https://doi.org/10.15324/VPA.V13I1.182","url":null,"abstract":"We have just finished the 31 st Pan-American Congress of Ophthalmology, which took place August 5-8, 2015, in Bogota, Colombia. What a wonderful experience of learning and cultural exchange between the colleagues and industry partners from the Americas and beyond!","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"16 1","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2015-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75110430","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}
{"title":"Editor Choice Award 2015","authors":"P. E. Dantas","doi":"10.15324/vpa.v14i3.299","DOIUrl":"https://doi.org/10.15324/vpa.v14i3.299","url":null,"abstract":"","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"62 1","pages":"84"},"PeriodicalIF":0.0,"publicationDate":"2015-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75589690","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}