Papers by Eduardo frança damasceno
Investigative Ophthalmology & Visual Science, 2017
Rev Bras Oftalmol, Apr 1, 2006
Revista Brasileira De Oftalmologia, 2019
Resumo Objetivo: Determinar a prevalencia de fatores predisponentes de baixa acuidade visual entr... more Resumo Objetivo: Determinar a prevalencia de fatores predisponentes de baixa acuidade visual entre os alunos do Colegio Universitario Geraldo Reis em Niteroi-RJ. Metodos: Trata-se de um estudo observacional transversal realizados em duas etapas. A primeira realizou-se a medida da acuidade visual dos alunos voluntarios que aderiram ao termo de assentimento. Na segunda etapa foram selecionados aqueles alunos cuja acuidade visual nao ultrapassaram 0,8 em pelo menos um dos olhos ou que apresentaram diferenca de acuidade visual entre os olhos de duas linhas ou mais na tabela de Snellen, sendo encaminhados para avaliacao oftalmologica completa no Servico de Oftalmologia do Hospital Universitario Antonio Pedro / Universidade Federal Fluminense. Resultados: Do total de 325 alunos matriculados, 134 (41,2%) participaram da primeira etapa do estudo e, destes, apenas 39 (29%) apresentaram baixa visao. Dos 39 alunos selecionados para a segunda etapa do estudo, apenas 14 (36%) se voluntariaram a ...
Revista Brasileira de Oftalmologia
Fonte de auxílio à pesquisa: não financiado. Conflitos de interesse: não há conflitos de interesses.
European Journal of Ophthalmology
In this case study, the authors describe peculiar bilateral cotton wool-like retinal lesions asso... more In this case study, the authors describe peculiar bilateral cotton wool-like retinal lesions associated with macular edema in a patient with COVID-19 who was vaccinated with a single dose of AstraZeneca one month earlier. This patient had no pulmonary or systemic cardiovascular complications from COVID-19, as reported in other papers that found retinal lesions. However, the patient was diagnosed with idiopathic myopathy when discovering the SARS-CoV-2 infection. The patient was a 22-year-old white female with no previous history of morbidity, complaining of blurred vision in both eyes seven days after testing positive for SARS-CoV-2 by PCR (using nasal and oral swab) and confirmed through ELISA blood test (IgM positive). There was no ancillary test revealing diabetes mellitus. The patient presented with scattered whitish cotton wool-like lesions and a few hemorrhages on the posterior pole in fundus examination. On spectral domain optical coherence tomography (SD-OCT), there were hyp...
Revista Brasileira de Oftalmologia
Fonte de auxílio à pesquisa: trabalho não financiado. Conflitos de interesse: os autores declaram... more Fonte de auxílio à pesquisa: trabalho não financiado. Conflitos de interesse: os autores declaram que não há conflitos de interesses.
Arquivos Brasileiros de Oftalmologia, 2010
Nota Editorial: Depois de concluída a análise do artigo sob sigilo editorial e com a anuência do ... more Nota Editorial: Depois de concluída a análise do artigo sob sigilo editorial e com a anuência do Dr. João Borges Fortes Filho sobre a divulgação de seu nome como revisor, agradecemos sua participação neste processo.
Clinical Ophthalmology, 2019
Background/aims: To report the clinical course of patients with idiopathic epiretinal membranes (... more Background/aims: To report the clinical course of patients with idiopathic epiretinal membranes (iERMs) and good baseline best-corrected visual acuity (BCVA) managed without surgical treatment. Methods: Retrospective, observational case series of patients with iERMs and 20/50 or better BCVA who did not undergo surgery between January 2014 and December 2017 with a 1-year follow-up. Secondary epiretinal membranes were excluded. iERMs were stratified into two groups: Group I (BCVA 20/30 or better) and Group II (BCVA 20/40 to 20/50). The main outcome measures included baseline and final follow-up BCVA, central macular thickness (CMT) on OCT. Results: The study included 174 eyes (145 patients): 139 eyes (79.8%) had typical iERMs and 35 eyes (18%) had LMH. For Group I typical iERMs, the logMAR baseline and final mean BCVA were 0.09 ± 0.1 (Snellen equivalent 20/25) and 0.10 ± 0.1 (20/25 +) respectively (p = 0.22). In this group, the baseline and final mean CMT were 335 ± 73µm and 342 ± 78µm, respectively (p = 0.47). For Group II typical iERMs, the logMAR baseline and final mean BCVA were 0.3 ± 0.1 (20/44) and 0.4 ± 0.2 (20/45) respectively (p = 0.31). In this group, the baseline and final mean CMT were 386 ± 95µm and 391 ± 93µm, respectively (p = 0.84). Conclusion: The clinical course of patients with iERM and good baseline BCVA is generally favorable without surgery and includes stable BCVA and OCT measurements after at least one year.
Ophthalmology Research: An International Journal
Aims: To describe Congenital Ocular Melanocytosis. Presentation of Case: LPC, 7 years old, male, ... more Aims: To describe Congenital Ocular Melanocytosis. Presentation of Case: LPC, 7 years old, male, brown, with no previous comorbidities, was taken to the ophthalmology outpatient clinic of the Hospital Universitário Antônio Pedro, Brazil by parents who alleged the presence of bluish-looking lesions in the sclera of the child's right eye since birth. Discussion: Congenital Ocular Melanocytosis is a rare pathology characterized by an increase in the number, size and pigmentation of melanocytes. Its pathophysiological picture is unknown, but it is believed to be due to an alteration in the migration of melanocytes from the neural crest to the epidermis during the embryonic process. This condition can be complicated by glaucoma and uveal melanoma. Gonioscopy is essential in these cases to assess whether there is pigmentation of the trabeculae, so that the propaedeutics of investigation of glaucoma becomes essential in these patients, since 10% of cases can complicate this condition. ...
Objective: To evaluate the incidence of a software program package at Brazilian public eye care i... more Objective: To evaluate the incidence of a software program package at Brazilian public eye care institutions through an online survey. The package is made up of the institutions’ websites, electronic medical records, regulatory assistance control system and the preoperative scheduling system. The aim is to analyze if this type of software facilitates the provisioning of eye care services, the patients’ surgical procedure agenda, and access to information about the patients. Methods: Public health care institutions with eye care services were divided into multidisciplinary university hospitals, multidisciplinary health system hospitals, single discipline hospitals (only ophthalmology) and eye banks (when linked to public health care). Two kinds of data were evaluated on the Internet: I) ophthalmology institutions and the correlation with the presence of the software program, II) ophthalmology institutions and the correlation with the software source. A statistical analysis was perfor...
Revista Brasileira de Oftalmologia, 2016
Objective: To evaluate the incidence of a software program package at Brazilian public eye care i... more Objective: To evaluate the incidence of a software program package at Brazilian public eye care institutions through an online survey. The package is made up of the institutions' websites, electronic medical records, regulatory assistance control system and the preoperative scheduling system. The aim is to analyze if this type of software facilitates the provisioning of eye care services, the patients' surgical procedure agenda, and access to information about the patients. Methods: Public health care institutions with eye care services were divided into multidisciplinary university hospitals, multidisciplinary health system hospitals, single discipline hospitals (only ophthalmology) and eye banks (when linked to public health care). Two kinds of data were evaluated on the Internet: I) ophthalmology institutions and the correlation with the presence of the software program, II) ophthalmology institutions and the correlation with the software source. A statistical analysis was performed using chi-square and Fisher's exact test. Significance levels were estimated at 0.05. Results: 48 public institutions were evaluated at 24 universities, 15 health care institutions, 3 single discipline hospital institutions (ophthalmology only), and 6 institutions specifically referred to as eye banks. In this survey, the digital preoperative scheduling system was only found in 10.4% of the institutions. After the statistical analysis, the eye bank was the only relevant institution that was significantly related to the presence of the digital preoperative scheduling system. Conclusion: Preoperative scheduling systems are expected to provide a good support tool for administrative management. However, this type of instrument as a software program is rarely found in public health care institutions in Brazil.
Clinical Ophthalmology, 2020
Purpose: To report both the unoperated clinical course and the surgical outcomes of eyes with a c... more Purpose: To report both the unoperated clinical course and the surgical outcomes of eyes with a central foveal bouquet (CB) secondary to idiopathic epiretinal membranes (iERMs). Design: Retrospective, consecutive, and observational case series. Methods: All patients examined between January 1, 2014, and December 31, 2019, for evaluation of epiretinal membrane with a CB lesion identified on spectral domain optical coherence tomography (SD-OCT) were included. Exclusion criteria included vitreoretinal comorbidities associated with secondary ERMs and an absence of CB lesions on SD-OCT. Patients were divided into two groups: those who were followed with observation (Group I) and those who received surgery (Group II). Each group had 3 different types of mechanical abnormalities of the CB previously described as cotton ball sign, subfoveal detachment, or acquired vitelliform lesion, without a subanalysis discrimination. Main Outcome Measures: Best-corrected visual acuity (BCVA) at baseline and last followup, subjective metamorphopsia, central retinal thickness (CMT), mechanical stress lesions of the CB, and resolution or evolution of the CB lesions during the follow-up interval. Results: Two hundred seventy-six eyes with iERM were reviewed, and 46 eyes met the inclusion criteria. Among these, 21 of 46 (46%) were observed, and 25 of 46 (54%) underwent surgery. Metamorphopsia was identified in 61.9% of patients in Group I and 81.2% of patients in Group II, at baseline. The mean BCVA was 0.19 ± 0.17 (20/30) in Group I and 0.31 ± 0.33 (20/40) in Group II at presentation. At the final exam, patients in Group I achieved a mean BCVA of 0.24 ± 0.18 (20/30), while patients in Group II obtained a mean BCVA of 0.15 ± 0.21 (20/30). Spontaneous resolution of the CB sign occurred in 5 of 21 eyes (23.8%) that were observed, whereas, after surgery, the CB sign resolved in 16 of 25 eyes (61.5%). Mean CMT was 422 ± 84.2μm in Group I and 531 ± 143.9μm in Group II, at baseline, while at the latest follow-up, the mean CMT was 400 ± 40.8μm in the cases followed with observation and 454 ± 148.7μm in the surgical cases. Conclusion: The clinical course and surgical outcomes of CB findings in iERM are favorable in terms of visual acuity. However, those receiving surgery had an increase in visual acuity and resolution of the CB abnormality.
Clinical Ophthalmology, 2019
Purpose: To compare the clinical profile of patients with chronic dacryocystitis (CDC) with and w... more Purpose: To compare the clinical profile of patients with chronic dacryocystitis (CDC) with and without associated chronic rhinosinusopathies who had been submitted to external dacryocystorhinostomy (EDCR). Methods: This was a retrospective, observational, and longitudinal study that included all patients diagnosed with CDC who were submitted to EDCR at the Antonio Pedro University Hospital. Patients were divided into two groups, with and without rhinosinusopathies (Group I and Group II, respectively). The following variables were assessed to compare the Group I and Group II: age, ethnicity, epiphora, discharge by expression of the lacrimal sac, duration of the CDC, and previous history of CDC exacerbation. Results: The study included a total of 78 patients, 22 patients (28.2%) in Group I and 56 patients (71.8%) in Group II. The mean age was 64.3 (±19.7) years. In Group I and II predominated elderly, female, and White (p=0.93, p=0.38, p=0.77). In relation to the clinical characteristics, most of the patients presented epiphora and discharge by compression of the lacrimal sac in both Groups (p=0.61, p=0.44). In relation to a previous history of exacerbations of the CDC, six patients in Group I and four patients in Group II presented it as purulent discharge (p=0.04). Conclusion: Chronic rhinosinusopathies may favor episodes of exacerbations of chronic dacryocystitis in particular with the presence of purulent discharge.
![Research paper thumbnail of [Subclinical diabetic macular edema and mild non-proliferative diabetic retinopathy: data correlation with the retinal thickness analyzer (RTA)]](https://attachments.academia-assets.com/77418719/thumbnails/1.jpg)
Arquivos brasileiros de oftalmologia, 2009
PURPOSE To measure, using the retinal thickness analyzer, the mean foveal thickness and the mean ... more PURPOSE To measure, using the retinal thickness analyzer, the mean foveal thickness and the mean perifoveal thickness values on patients suffering from mild non-proliferative diabetic retinopathy without clinically detectable macular edema (classified by the ETDRS study), and compare them with healthy individuals. METHODS Observational analytical retrospective case-controlled study, on a sample of 79 eyes (39 affected and 40 control). The sample was selected from by exams previously taken at Centro Brasileiro de Cirurgia de Olhos (CBCO) (from 1999 to 2003) stored in the retinal thickness analyzer. The control group was selected according to specific criteria. The affected group was formed according to the research inclusive and exclusive criteria. The results were submitted to statistical tests for reliability. RESULTS In the control group the values obtained for mean foveal thickness were around (mean=147.4 micra+/-15.4 micra standard deviation) and for mean perifoveal thickness we...
Purpuse: To determine the correlation between presbyopia and body mass index. Methods: Cross-sect... more Purpuse: To determine the correlation between presbyopia and body mass index. Methods: Cross-sectional study involving 1030 patients with visual acuity of 20/20 emmetropy, aged between 36-40 years, 51-55 years and 60-65 years, excluding patients with positive test cover, anisometropy with convergence insufficiency or high correlation convergence / accommodation. Assessment of body mass index of all patients, Results: Cross-sectional study involving 1030 patients with visual acuity of 20/20 emmetropy, aged between 36-40 years, 51-55 years and 60-65 years, excluding patients with positive cover test, anisometropy with convergence insufficiency or high correlation convergence / accommodation. Assessment of body mass index of all patients Conclusion: As demonstrated by statistical analysis there is a significant correlation between low body weight defined as a body mass index below 18.5 and a lower incidence of presbyopia or delay its onset and progression with age.
Purpose: To evaluate eye sensitivity disorder (similar to glare), with symptoms of visual fatigue... more Purpose: To evaluate eye sensitivity disorder (similar to glare), with symptoms of visual fatigue, through watching television ULTRA HD3D-55-inch 4K curved screen among volunteers with normal eye examination. Methods: A prospective, longitudinal, case-control study, with inclusion and exclusion criteria and groups formation enrolled by age range. A comparison of a video documentary presented with the ULTRA HD TV 4K and with the FULL HD TV before and after the previous tele-audience, consisting of an evaluation of three phases of the study regarding the case-control criteria. The main variable analyzed was a questionnaire of visual fatigue syndrome complaints which was compared with secondary variables as the contrast sensitivity test, amplitude of accommodation test, blink frequency test, and test of conjugated saccadic eye movements of big amplitude.Tablets with digital camera equipment were used for video recording of the blink frequency, and saccadic eye movements throughout the ...
Received for publication 08/06/2019 Accepted for publication 23/10/2019. The authors declare no c... more Received for publication 08/06/2019 Accepted for publication 23/10/2019. The authors declare no conflicts of interests. 1 Academic Course in Medicine, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil. 2 Residency program in Medicine, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil. 3 Department of Ophthalmology, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil. Prevalência de fatores predisponentes de baixa visual em uma população de jovens do Colégio Universitário Geraldo Reis em Niterói – RJ Prevalence of predisposing factors of low visual acuity in a youth population of the Geraldo Reis University College in Niterói – RJ
Ophthalmology Research: An International Journal
Aims: To describe a solar retinopathy. Presentation of Case: ALPN, 29 years old, male, with cogni... more Aims: To describe a solar retinopathy. Presentation of Case: ALPN, 29 years old, male, with cognitive deficit that started after a car accident that occurred at the age of 6 years, attends the ophthalmology clinic of the University Hospital Antônio Pedro, Rio de Janeiro, Brazil with complaints of decreased visual acuity and metamorphopsia in both eyes (AO) started approximately 8 months ago. Family members reported that after the accident, the patient had the habit of spending mornings and afternoons looking at the sun. Discussion: Solar retinopathy is caused by the photochemical and thermal effects of ultraviolet radiation on retinal cells, especially in the outer retina and retinal pigment epithelium (RPE). Symptoms can start a few hours after direct observation of the sun, and in most cases a bilateral involvement, although asymmetrically with variable visual acuity. Conclusions: A Solar retinopathy has a multifactorial origin, as it is related to the exposure time and the suscep...
Clinical Ophthalmology
Purpose: To evaluate diathermy to minimize sclerotomy leakage during small-gauge vitrectomy and p... more Purpose: To evaluate diathermy to minimize sclerotomy leakage during small-gauge vitrectomy and prevent ocular hypotony. Methods: This observational prospective study included 327 patients (327 eyes) who underwent diathermy to close the sclerotomy sites during 23-gauge pars plana vitrectomy (PPV). All patients were operated by a single surgeon (ED) and evaluated at 30 and 60 days postoperatively. Patients with glaucoma, topical/systemic steroids use exceeding 30 days, ocular inflammation, or trauma were excluded. Chi-square, Kruskal-Wallis, Fisher Exact test, and multivariate statistical analyses were performed to evaluate potential risk factors. The primary outcomes were open sclerotomies, leakage, and ocular hypotony. Results: Sclerotomies remained open in 12 (3.6%) and 2 (0.6%) patients, respectively, at 30 and 60 days postoperatively, revealing no case of ocular hypotony. Leakage only occurred in four patients (1.2%) during week 1 postoperatively. Multivariate analysis indicated that additional vitreoretinal surgeries and longer surgeries were risk factors for persistent sclerotomy opening. Conclusion: Diathermy was safe and feasible to close sclerotomies. Vitreoretinal surgery reoperations and longer surgeries were the most significant (P<0.05) risk factors for persistent sclerotomy opening, which may be functionally closed without evidence of leakage or ocular hypotony.
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Papers by Eduardo frança damasceno