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[PMID]:28135746
[Au] Autor:Meyer B; Kunert KS
[Ad] Endereço:Refraktive Chirurgie, Augencentrum Köln.
[Ti] Título:[SMILE: Re-Treatment Options - Techniques and Results].
[Ti] Título:SMILE: Techniken und Ergebnisse von Nachoperationen..
[So] Source:Klin Monbl Augenheilkd;234(1):98-101, 2017 Jan.
[Is] ISSN:1439-3999
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:With a rate of less than 2 %, retreatment after SMILE is rare. If a touch-up is required, there are different options to choose from: surface ablation (PRK/LASEK) with Mitomycin C, the standard femto-flap procedure with the same parameters, the CIRCLE procedure, which extends the previous SMILE interface into a flap, or the innovative but off-label capless SMILE procedure, which preserves all the advantages of SMILE.
[Mh] Termos MeSH primário: Cirurgia da Córnea a Laser/métodos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Erros de Refração/diagnóstico
Erros de Refração/terapia
Reoperação/métodos
Escleroplastia/métodos
[Mh] Termos MeSH secundário: Terapia Combinada/métodos
Medicina Baseada em Evidências
Seres Humanos
Resultado do Tratamento
Acuidade Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-118461


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[PMID]:27626156
[Au] Autor:Vasconcelos SB; Guerra FM; Morato GM; Neves NT; Tzelikis PF
[Ad] Endereço:Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
[Ti] Título:Acquired anterior staphyloma after corneal ulcer associated with the use of crack.
[So] Source:Arq Bras Oftalmol;79(4):268-9, 2016 Jul-Aug.
[Is] ISSN:1678-2925
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:We describe an unusual case of acquired anterior staphyloma in a patient addicted to crack cocaine. At the beginning of his crack cocaine abuse, he noticed redness and irritation of his eyes. Over the next 4 months, the patient also noticed the onset of decreasing visual acuity in his right eye (OD). Initially, his visual acuity was light perception in OD, and slit-lamp examination revealed a corneal infiltrate with a peripheral perforation and an iris prolapse. The patient was hospitalized to ensure compliance with the prescribed treatment and was advised to undergo therapeutic keratoplasty; however, the patient left the hospital against medical advice and was lost to follow-up for the next 6 months. He returned with complaints of photophobia and the inability to close his right eyelids. At this time, his cornea had developed an anterior staphyloma and required a sclerokeratoplasty. Following surgery, the patient was again lost to follow-up.
[Mh] Termos MeSH primário: Doenças da Córnea/induzido quimicamente
Úlcera da Córnea/induzido quimicamente
Úlcera da Córnea/complicações
Cocaína Crack/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Doenças da Córnea/cirurgia
Transplante de Córnea/métodos
Úlcera da Córnea/cirurgia
Seres Humanos
Masculino
Escleroplastia/métodos
Resultado do Tratamento
Acuidade Visual
[Pt] Tipo de publicação:CASE REPORTS
[Nm] Nome de substância:
0 (Crack Cocaine)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160915
[St] Status:MEDLINE


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[PMID]:26080582
[Au] Autor:Zavgorodnyaya NG; Denisova OO
[Ad] Endereço:Zaporizhzhya Medical Academy of Postgraduate Education, 20 bulvar Vintera, Zaporizhzhya, Ukraine, 69096.
[Ti] Título:[Surgical treatment for optic neuropathy in high myopia].
[So] Source:Vestn Oftalmol;131(2):45-49, 2015 Mar-Apr.
[Is] ISSN:0042-465X
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: To improve the effectiveness of surgical treatment for optic neuropathy in high-degree myopia. MATERIAL AND METHODS: A total of 54 patients (96 eyes) aged 18-30 with high myopia and signs of optic neuropathy were observed. The main group consisted of 20 patients (28 eyes) who underwent meridional scleral reinforcement with type I collagen-based implant placed over the posterior segment. The control group included 34 patients (68 eyes) who were given a 10-day vitamin and vascular therapy course. In most of the controls (21 patient, 21 eyes) indirect revascularization with ligation of the superficial temporal artery was performed. Ophthalmological examination was done before the beginning of the treatment and then at 1, 6, and 12 months. Results. At the end of the follow-up period best corrected visual acuity in the main group was 19.2% higher, on average, than baseline values, but remained unchanged in the controls. Light sensitivity of the retina in both group increased by 7% and 2% respectively. Electrically evoked phosphene thresholds decreased by 22.5% and 10.4% respectively. The main group also demonstrated a near-constant mean peripapillary nerve fiber layer (RNFL) thickness and a 16.4% higher than baseline blood flow velocity in the ophthalmic artery. In the control group the latter parameter showed no change. CONCLUSIONS: Scleral reinforcement surgery in patients with high myopia complicated by optic neuropathy enables improvement of visual functions and regional blood flow as well as stabilization of RNFL thickness and volume, thus, preventing subsequent development of optic nerve atrophy.
[Mh] Termos MeSH primário: Miopia
Doenças do Nervo Óptico
Escleroplastia
[Mh] Termos MeSH secundário: Adulto
Colágeno/uso terapêutico
Técnicas de Diagnóstico Oftalmológico
Feminino
Seguimentos
Seres Humanos
Masculino
Miopia/complicações
Miopia/diagnóstico
Doenças do Nervo Óptico/diagnóstico
Doenças do Nervo Óptico/etiologia
Doenças do Nervo Óptico/cirurgia
Próteses e Implantes
Escleroplastia/instrumentação
Escleroplastia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Nm] Nome de substância:
9007-34-5 (Collagen)
[Em] Mês de entrada:1507
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150618
[St] Status:MEDLINE
[do] DOI:10.17116/oftalma2015131245-49


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[PMID]:23774966
[Au] Autor:Alnawaiseh M; Böhm MR; Idelevich EA; Becker K; Grewe S; Grenzebach UH; Eter N
[Ad] Endereço:Universitätsaugenklinik, Domagkstr. 15, 48149, Münster, Deutschland, maged.alnawaiseh@ukmuenster.de.
[Ti] Título:[Successful treatment of Fusarium-associated keratitis with multiresistant pathogen and multimorbid patient].
[Ti] Título:Erfolgreiche Therapie einer Fusarium-assoziierten Keratitis bei multiresistentem Erreger und multimorbidem Patienten..
[So] Source:Ophthalmologe;111(3):259-61, 2014 Mar.
[Is] ISSN:1433-0423
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:A 75-year-old man (not a contact lens wearer) presented with Fusarium-associated hypopyon keratitis. After several weeks of empirical and subsequently targeted antimycotic treatment, no considerable improvement was observed. However, after sclerokeratoplasty (11.2 × 11.2 mm) combined with prolonged antimycotic therapy a good local result with relapse-free long-term follow-up was achieved.
[Mh] Termos MeSH primário: Antifúngicos/uso terapêutico
Transplante de Córnea/métodos
Fusariose/microbiologia
Fusariose/terapia
Ceratite/microbiologia
Ceratite/terapia
Escleroplastia/métodos
[Mh] Termos MeSH secundário: Idoso
Terapia Combinada
Farmacorresistência Fúngica Múltipla
Fusariose/diagnóstico
Fusarium
Seres Humanos
Ceratite/diagnóstico
Masculino
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antifungal Agents)
[Em] Mês de entrada:1504
[Cu] Atualização por classe:171014
[Lr] Data última revisão:
171014
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130619
[St] Status:MEDLINE
[do] DOI:10.1007/s00347-013-2874-2


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[PMID]:24236336
[Au] Autor:Food and Drug Administration, HHS
[Ti] Título:Medical devices; ophthalmic devices; classification of the scleral plug. Final rule.
[So] Source:Fed Regist;78(221):68714-5, 2013 Nov 15.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Food and Drug Administration (FDA or Agency) is classifying the scleral plug into class II (special controls), and exempting the scleral plugs composed of surgical grade stainless steel (with or without coating in gold, silver, or titanium) from premarket notification (510(k)) and continuing to require premarket notification (510(k)) for all other scleral plugs in order to provide a reasonable assurance of safety and effectiveness of the device. The scleral plug is a prescription device used to provide temporary closure of a scleral incision during an ophthalmic surgical procedure.
[Mh] Termos MeSH primário: Segurança de Equipamentos/classificação
Procedimentos Cirúrgicos Oftalmológicos/instrumentação
Oftalmologia/instrumentação
Escleroplastia/instrumentação
Instrumentos Cirúrgicos/classificação
[Mh] Termos MeSH secundário: Aprovação de Equipamentos/legislação & jurisprudência
Seres Humanos
Procedimentos Cirúrgicos Oftalmológicos/classificação
Oftalmologia/classificação
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1311
[Cu] Atualização por classe:131115
[Lr] Data última revisão:
131115
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:131119
[St] Status:MEDLINE


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[PMID]:23510601
[Au] Autor:Long JA; Gutta R
[Ad] Endereço:Department of Ophthalmology, Alabama Ophthalmology Associates, University of Alabama at Birmingham, Birmingham, AL 35205, USA.
[Ti] Título:Orbital, periorbital, and ocular reconstruction.
[So] Source:Oral Maxillofac Surg Clin North Am;25(2):151-66, 2013 May.
[Is] ISSN:1558-1365
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The repair and restoration of the eyelids and orbit can be a medical and surgical challenge. Inadequate orbital volume restoration could lead to poor functional and cosmetic defects. With advances in technology, our surgical techniques are constantly improving. This article focuses on ocular and orbital reconstruction following traumatic, iatrogenic, and acquired defects. Optimal outcomes can only be expected with appropriate diagnosis treatment planning in consultation with other specialists.
[Mh] Termos MeSH primário: Traumatismos Oculares/cirurgia
Pálpebras/lesões
Pálpebras/cirurgia
Órbita/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
[Mh] Termos MeSH secundário: Anoftalmia/cirurgia
Blefaroplastia/métodos
Transplante Ósseo
Criocirurgia
Enoftalmia/prevenção & controle
Seres Humanos
Órbita/lesões
Implantes Orbitários
Palato Duro/transplante
Equipe de Assistência ao Paciente
Escleroplastia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1312
[Cu] Atualização por classe:130506
[Lr] Data última revisão:
130506
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:130321
[St] Status:MEDLINE


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[PMID]:20436547
[Au] Autor:Yan Z; Wang C; Chen W; Song X
[Ad] Endereço:Department of Ophthalmology, the Third Hospital of Hebei Medical University, Shijiazuang, China.
[Ti] Título:Biomechanical considerations: evaluating scleral reinforcement materials for pathological myopia.
[So] Source:Can J Ophthalmol;45(3):252-5, 2010 Jun.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Scleral biomechanical weakness and thinness are known to be one of the main factors in the pathogenesis of progressive myopia. Posterior scleral reinforcement surgery remains the rational treatment for pathological myopia. We tested the biomechanical properties of 3 types of scleral reinforcement materials (artificial pericardium, human sclera, and all-dermal matrix) in an attempt to select the ideal material for the reinforcement of pathologic sclera. DESIGN: Experimental study. PARTICIPANTS: Forty-five adult Japanese white rabbits. METHODS: Animals were equally divided into 3 groups. For each group, 1 type of material was surgically implanted at the back of the globe. We harvested samples after 10 months of implantation, tested the elasticity modulus for both reinforced sclera and unreinforced control sclera, and assessed data by t test methods. Statistically significant differences were considered when p < 0.05. RESULTS: Rabbit sclera reinforced by artificial pericardium or human sclera showed significant increases in the elasticity modulus compared with control eyes. However, the rabbit sclera reinforced by all-dermal matrix showed no significant difference in the elasticity modulus compared with normal controls. CONCLUSIONS: The analysis of biomechanical considerations in scleral reinforcement materials presented here is a very helpful method to choose the best materials for treatment of myopia. Of all materials tested, the artificial pericardium and human foreign-body sclera provided the best biomechanical characteristics.
[Mh] Termos MeSH primário: Fenômenos Biomecânicos
Coração Artificial
Miopia Degenerativa/cirurgia
Pericárdio/transplante
Esclera/fisiologia
Esclera/transplante
Escleroplastia
[Mh] Termos MeSH secundário: Animais
Módulo de Elasticidade
Tecido Elástico
Seres Humanos
Masculino
Coelhos
Transplante Heterólogo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1010
[Cu] Atualização por classe:161013
[Lr] Data última revisão:
161013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:100504
[St] Status:MEDLINE
[do] DOI:10.3129/i09-279


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[PMID]:20075973
[Au] Autor:Balashova NV; Ghaffariyeh A; Honarpisheh N
[Ti] Título:Scleroplasty in progressive myopia.
[So] Source:Eye (Lond);24(7):1303, 2010 Jul.
[Is] ISSN:1476-5454
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Miopia/cirurgia
Escleroplastia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMMENT; LETTER
[Em] Mês de entrada:1107
[Cu] Atualização por classe:100715
[Lr] Data última revisão:
100715
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:100116
[St] Status:MEDLINE
[do] DOI:10.1038/eye.2009.322


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[PMID]:18397816
[Au] Autor:Weiyi C; Wang X; Wang C; Tao L; Li X; Zhang Q
[Ad] Endereço:Institute of Applied Mechanics and Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, China. chenweiyi@tyut.edu.cn
[Ti] Título:An experimental study on collagen content and biomechanical properties of sclera after posterior sclera reinforcement.
[So] Source:Clin Biomech (Bristol, Avon);23 Suppl 1:S17-20, 2008.
[Is] ISSN:0268-0033
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The development of pathological myopia is associated with reduced scleral collagen accumulation, scleral thinning, and loss of scleral tissue, in both humans and animal models. Posterior scleral reinforcement (PSR) was considered as an effective way for treating pathological myopia. Yet it is not well understood the possible role of collagen on the sclera reinforcement mechanisms in the PSR surgery. METHODS: PSR surgery was performed on the normal adult New Zealand white rabbits eyes. Human sclera was used as reinforcement materials. At 1, 2, 3, 6, 9 months after the PSR surgery, scleral hydroxyproline (Hyp) synthesis and collagen fibers arrangement were determined by enzymolysic hydrolysis assay and histological morphology technique. An Instron test machine was used to investigate the elastic modulus of sclera. FINDINGS: It was found that the elastic modulus and Hyp content of reinforced sclera were lower at first month after surgery, and then gradually up to physiological level in the following months. Those two indexes were close to that of the normal control groups at 9 months. INTERPRETATION: These findings indicate that sclera elastic modulus was associated with both change of Hyp content and collagen fibers arrangement after PSR. The therapeutic effect of PSR surgery was confirmed not only from biological but also biomechanical aspects.
[Mh] Termos MeSH primário: Colágeno/fisiologia
Hidroxiprolina/fisiologia
Esclera/fisiologia
Esclera/transplante
Escleroplastia/instrumentação
Escleroplastia/métodos
[Mh] Termos MeSH secundário: Animais
Elasticidade
Dureza
Seres Humanos
Coelhos
Estresse Mecânico
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
9007-34-5 (Collagen); RMB44WO89X (Hydroxyproline)
[Em] Mês de entrada:0812
[Cu] Atualização por classe:131121
[Lr] Data última revisão:
131121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:080410
[St] Status:MEDLINE
[do] DOI:10.1016/j.clinbiomech.2007.10.013


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[PMID]:18232473
[Au] Autor:Wang X; Chen W
[Ad] Endereço:The Applied Mechanics Institute of Taiyuan University of Technology, Taiyuan 030024, China. wxj056@163.com
[Ti] Título:[The biomechanical properties of sclera after posterior sclera reinforcement operation].
[So] Source:Sheng Wu Yi Xue Gong Cheng Xue Za Zhi;24(6):1260-3, 1269, 2007 Dec.
[Is] ISSN:1001-5515
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:This study sought to characterize the biomechanical properties of rabbit sclera after posterior sclera reinforcement operation (PSR), which may provide valuable information for PSR in clinical setting. Uniaxial tension and ball-pressing methods were used. Different areas of the sclera samples from PSR were examined in pretest, relaxation and creep experiments respectively by using Instron5544 mechanical machine. The experimental results showed: When the implanted area of sclera samples was compared with that of other groups, the unit width stiffness coefficient increased remarkably at the linear stage, and the anti-deformation capacity was higher at the relaxation stage. However, the creep rate showed a significant decrease at the creep stage. That is to say, PSR could enhance the anti-deformation capacity of the weakened and thinned sections, reduce the sclera creep rate in the posterior sclera, and thus prevent the development of progressive myopia.
[Mh] Termos MeSH primário: Implantes Experimentais
Miopia/cirurgia
Esclera/cirurgia
Escleroplastia/métodos
[Mh] Termos MeSH secundário: Animais
Fenômenos Biomecânicos
Feminino
Masculino
Miopia/fisiopatologia
Coelhos
Esclera/fisiologia
Estresse Mecânico
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1111
[Cu] Atualização por classe:131121
[Lr] Data última revisão:
131121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:080201
[St] Status:MEDLINE



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