Outcomes of cataract surgery in diabetic patients: results of the Pan American Collaborative Retina Study Group.

Abstract:

PURPOSE:This study was designed to evaluate the visual and anatomical outcomes after cataract surgery in diabetic patients with different intraoperative therapeutic strategies. METHODS:The research design comprised of a multicentric, retrospective, interventional study conducted at 6 centers in Argentina, Brazil, Costa Rica, Puerto Rico, Spain, and Venezuela. We included 138 diabetic patients with at least 6-month follow-up following phacoemulsification and intraocular lens implantation. Best-corrected visual acuity (BCVA) and central subfield thickness were collected at baseline and at 1-, 2-, 3-, and 6-month follow-up. Of these, 42 cases were not treated with any intraoperative coadjuvant medication (Group 1), 59 patients received intraoperative bevacizumab (Group 2) and 37 patients received intraoperative triamcinolone (4 mg/0.1 ml) (Group 3). RESULTS:The mean logMAR [± standard deviation (SD)] BCVA improved from 0.82 (± 0.43) at baseline, to 0.14 (± 0.23) at 6-month follow-up (p<0.001) in Group 1; from 0.80 (± 0.48) to 0.54 (± 0.45) (p<0.001) in Group 2; and from 1.0 (± 0.40) to 0.46 (± 0.34) (p<0.001) in Group 3. The mean central subfield thickness increased from 263.57 µm (± 35.7) at baseline to 274.57 µm (± 48.7) at 6-month follow-up (p=0.088) in Group 1; from 316.02 µm (± 100.4) to 339.56 µm (± 145.3) (p=0.184) in Group 2; and from 259.18 µm (± 97.9) to 282.21 µm (± 87.24) (p=0.044) in Group 3. CONCLUSION:Diabetic patients may significantly benefit from cataract surgery. This study provides evidence to support the use of intravitreal triamcinolone or bevacizumab at the time of cataract surgery in cases with pre-existent diabetic macular edema or moderate-severe non-proliferative diabetic retinopathy.

journal_name

Arq Bras Oftalmol

authors

Gallego-Pinazo R,Dolz-Marco R,Berrocal M,Wu L,Maia M,Serrano M,Alezzandrini A,Arévalo JF,Díaz-Llopis M,Pan-American Collaborative Retina Study Group (PACORES).

doi

10.5935/0004-2749.20140089

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

355-9

issue

6

eissn

0004-2749

issn

1678-2925

pii

S0004-27492014000600355

journal_volume

77

pub_type

杂志文章,多中心研究
  • Frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil.

    abstract:PURPOSE:To identify the frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil. METHODS:A review was performed of 217,221 cases of disability benefits granted between 2010 and 2015 by the executive managerial department of the Brazilian National Institute of S...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20180058

    authors: Veloso JCB,Câmara Filho JWS,Gaete MIL,Lira RPC

    更新日期:2018-07-01 00:00:00

  • A case report of bilateral choroidal metastases of epithelial carcinoma of pancreas.

    abstract::A 49-year-old woman with acute loss of vision in her left eye was examined in our clinic. Two months before arriving at out clinic, she was diagnosed with pancreatic endothelial carcinoma. Her visual acuities were 20/20 for the right and 20/200 for the left eye. Fundus examination and fundus fluorescein angiography sh...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20140065

    authors: Bilgin AB,Apaydin KC,Unal M,Ilhan HD,Turkoglu EB,Aydin N

    更新日期:2014-08-01 00:00:00

  • Sebaceous carcinoma of the eyelid - different diagnostic times, different outcomes: case reports.

    abstract::Sebaceous carcinoma of the eyelid is a very rare slow-growing tumor and is considered an aggressive eyelid neoplasm. It can reach mortality rate of about 6%. Diagnosis is often delayed because of its ability to masquerade as other periocular lesions, both clinically and histologically. We present three cases of sebace...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000600013

    authors: Vianna LM,Cariello AJ,Lowen MS,Sant'Anna AE,Hofling-Lima AL

    更新日期:2011-11-01 00:00:00

  • [Double Descemet's membrane after penetrating keratoplasty - surgical approach during phacoemulsification: case report].

    abstract::A case of inadvertent retention of Descemet's membrane after penetrating keratoplasty for Fuchs dystrophy is reported. The challenges to remove it during cataract surgery are commented, as well as a proposal of a new surgical approach. ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492010000600013

    authors: Marback E,Melo CL

    更新日期:2010-11-01 00:00:00

  • Nature as a source of drugs for ophthalmology.

    abstract::Nature has always provided an unlimited source of biologically-active compounds. Since the beginning of mankind, humans have sought resources in fauna and flora to treat eye diseases. However, it was only after the Industrial Revolution that extracts of plants and substances of animal origin could be used safely, as h...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.5935/0004-2749.20180086

    authors: Pinheiro GKLO,Araújo Filho I,Araújo Neto I,Rêgo ACM,Azevedo EP,Pinheiro FI,Lima Filho AAS

    更新日期:2018-09-01 00:00:00

  • Boston type I keratoprosthesis: Review.

    abstract::Regardless of significant progress in the field of corneal transplantation to treat corneal opacification, some cases of corneal blindness still present a poor prognosis for conventional penetrating keratoplasty. In patients with repeated graft failure and/or with severe ocular surface disease, the Boston type I kerat...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-27492012000300016

    authors: Magalhães FP,Sousa LB,Oliveira LA

    更新日期:2012-05-01 00:00:00

  • [Late opacification of a polymethylmethacrylate (PMMA) intraocular lens: case report].

    abstract::The use of intraocular lenses was a great advance in visual recovery after cataract surgery. Although usually with good biocompatibility, some alterations in the intraocular lens material may occur after implantation. Polymethylmethacrylate was the first intraocular lens material to be used on a large scale and assume...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000500021

    authors: Maia OO Jr,Nakashima AF,Barbosa EP,Primiano Júnior HP,Nakashima Y

    更新日期:2005-09-01 00:00:00

  • Analysis of ophthalmological and vision-related publications in Latin America.

    abstract:PURPOSE:To assess scientific production related to ophthalmology and vision in Latin America during the period from 2006 to 2015. METHODS:The PubMed, Lilacs (Bireme), Google Scholar, SciELO, and Medigraphic databases were evaluated for this retrospective, descriptive, and comparative study. RESULTS:A total of 1,510 a...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20180007

    authors: Galván LC,Ríos N,Lansingh VC,Lee Á,Wu L,Lopez E

    更新日期:2018-01-01 00:00:00

  • Color Doppler imaging of the ophthalmic artery in patients with chronic heart failure.

    abstract:PURPOSE:To evaluate the ophthalmic artery hemodynamics in patients with chronic heart failure. METHODS:Doppler parameters of ophthalmic artery of 18 patients with chronic heart failure in different stages of the disease were compared with 21 healthy volunteers (control group). These parameters were also correlated wit...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000500003

    authors: Almeida-Freitas DB,Meira-Freitas D,Melo LA Jr,Paranhos A Jr,Iared W,Ajzen S

    更新日期:2011-09-01 00:00:00

  • [Sight-threatening orbital emphysema after nose blowing: case report].

    abstract::Orbital emphysema is the abnormal presence of air in the orbit. Occurrence in the absence of orbital fracture is rare. We report a case of a 40-year-old female presenting unilateral orbital emphysema after vigorous nose blowing. She developed sudden visual loss as a result of elevated intraocular pressure and urgent t...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492009000200024

    authors: Furlani Bde A,Diniz B,Bitelli LG,Martins EN

    更新日期:2009-03-01 00:00:00

  • [Major indications for corneal penetrating keratoplasty at a reference service in São Paulo state (Sorocaba - SP, Brazil)].

    abstract:PURPOSE:To identify the main indications for corneal transplantation, analyze the results and provide demographic and epidemiological profile of patients referred to the Corneal Transplantation Project. METHODS:A retrospective analysis, from June to December 2003, of patients referred to the Corneal Transplantation Pr...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000500007

    authors: Calix Netto MJ,Giustina ED,Ramos GZ,Peccini RF,Sobrinho M,de Souza LB

    更新日期:2006-09-01 00:00:00

  • Ocular blood flow and choroidal thickness changes after carotid artery stenting.

    abstract:PURPOSES:To evaluate changes in ocular blood flow and subfoveal choroidal thickness in patients with symptomatic carotid artery stenosis after carotid artery stenting. METHODS:We included 15 men (mean age, 63.6 ± 9.1 years) with symptomatic carotid artery stenosis and 18 healthy volunteers (all men; mean age, 63.7 ± 5...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20200081

    authors: Biberoglu E,Eraslan M,Midi I,Baltacioglu F,Bitargil M

    更新日期:2020-09-01 00:00:00

  • [Retinal nerve fiber layer alteration in chronic users of chloroquine].

    abstract:PURPOSES:To evaluate the retina nerve fiber layer by laser polarimetry in patients in chronic use of chloroquine. METHODS:Forty-four eyes of twenty-two patients were studied. These were in use of chloroquine due to rheumatic diseases during at least one year. As a control group, twenty patients without use of chloroqu...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000200008

    authors: Antunes Dde A,Cavalcanti HD,Leal D,Santana HV,Santos RA,Santos LP

    更新日期:2005-03-01 00:00:00

  • Postconceptional age at the treatment of retinopathy of prematurity in inborn and referred preterm infants from the same institution.

    abstract:PURPOSE:The outcomes of the treatment of retinopathy of prematurity (ROP) seem to be better in inborn patients than in those patients who were referred for ROP treatment. This study aims to investigate the timing of treatment and the outcomes in inborn patients and in patients referred for treatment to the Hospital de ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000400004

    authors: Fortes Filho JB,Eckert GU,Valiatti FB,Santos PG,Costa MC,Procianoy RS

    更新日期:2011-07-01 00:00:00

  • [Positive corneoscleral rim culture in penetrating keratoplasty at the Porto Alegre Clinical Hospital].

    abstract:PURPOSE:To determine the incidence of positive corneoscleral rim cultures preserved in Optisol GS medium, to identify pathogens involved and possible recipient eye infection. METHODS:A hundred sixty-three corneoscleral rim cultures penetrating keratoplasties performed from January 2001 to January 2003 in the Hospital ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492008000100003

    authors: Borowsky CM,Wallau AD,Reetz A,Kwitko S,Rymer S,Locatelli CI

    更新日期:2008-01-01 00:00:00

  • [Full Threshold vs. SITA in glaucomatous patients undergoing automated perimetry for the first time].

    abstract:PURPOSE:To compare the Full Threshold (FT) and SITA Standard (SS) strategies in glaucomatous patients undergoing automated perimetry for the first time. METHODS:Thirty-one glaucomatous patients who had never undergone perimetry underwent automated perimetry (Humphrey, program 30-2) with both FT and SS on the same day,...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0004-27492006000200002

    authors: Schimiti RB,Arcieri ES,Avelino RR,Matsuo T,Costa VP

    更新日期:2006-03-01 00:00:00

  • Prostaglandin antagonist relieves blood-retinal barrier breakdown induced by anterior segment intraocular surgery in a rat model.

    abstract:PURPOSE:To evaluate the efficacy of prostaglandin antagonists on blood-retinal barrier breakdown induced by anterior segment intraocular simulated surgery. METHODS:Rats were randomly assigned to a negative control group, model group, nonsteroidal anti-inflammatory drugs prophylactic treatment group, nonsteroidal anti-...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20180040

    authors: Xie M,Huang L,Xu G

    更新日期:2018-06-01 00:00:00

  • [Keratoconus special soft contact lens fitting].

    abstract:PURPOSE:To evaluate the fitting and use of a soft contact lens in keratoconic patients. METHODS:Retrospective study on 80 eyes of 66 patients, fitted with a special soft contact lens for keratoconus, at the Contact Lens Section of UNIFESP and private clinics. Keratoconus was classified according to degrees of disease ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000400018

    authors: Yamazaki ES,da Silva VC,Morimitsu V,Sobrinho M,Fukushima N,Lipener C

    更新日期:2006-07-01 00:00:00

  • Assessing patient satisfaction with cataract surgery under topical anesthesia supplemented by intracameral lidocaine combined with sedation.

    abstract:PURPOSE:Ocular akinesia, the use of anticoagulants, and patient collaboration are some of the factors that must be taken into consideration when choosing the appropriate anesthesia for phacoemulsification cataract surgery. The satisfaction of patients with the use of topical anesthesia and conscious sedation for this p...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000600005

    authors: Fernandes MB,Souza RV,Vasconcelos GC,Ribeiro KG,Andrade BB,Fernandes CR

    更新日期:2013-11-01 00:00:00

  • Costs and outcomes of phacoemulsification for cataracts performed by residents.

    abstract:PURPOSE:To describe costs and outcomes of phacoemulsification for cataracts performed by ophthalmology residents. METHODS:We obtained medical records from patients operated on in 2011 by third year residents (R3) using phacoemulsification (n=576). Our expenses estimation included professionals' and hospital costs (fee...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20200059

    authors: Saad Filho R,Moreto R,Nakaghi RO,Haddad W,Coelho RP,Messias A

    更新日期:2020-06-01 00:00:00

  • Composition of intraocular foreign bodies: experimental study of ultrasonographic presentation.

    abstract:PURPOSE:To investigate the reliability of ultrasound in determining the size and identify the sonographic features and artifacts generated by intraocular foreign bodies of different materials. METHODS:Experimental study using 36 enucleated porcine eyes. Fragments of nine different compositions (wood, glass, plastic, c...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000100005

    authors: Costa MA,Garcia PN,Barroso LF,Ferreira MA,Okuda ÉA,Allemann N

    更新日期:2013-01-01 00:00:00

  • Ichthyosis follicularis, alopecia and photophobia syndrome (IFAP): report of the first case with ocular and cutaneous manifestations in Brazil with a favorable response to treatment.

    abstract::Ichthyosis follicular, alopecia, and photophobia (IFAP) syndrome is a rare disease, with possible X-linked mode of inheritance. The patient presented with ocular findings of photophobia, corneal scarring and erosions, superficial and deep corneal vascularization and myopia. He was treated with artificial tears and pun...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000100013

    authors: Höpker LM,Ribeiro CG,Oliveira LM,Moreira AT

    更新日期:2011-01-01 00:00:00

  • The effects of riboflavin and ultraviolet light on keratocytes cultured in vitro.

    abstract:PURPOSE:To culture quiescent human keratocytes and evaluate the effects of ultraviolet light and riboflavin on human corneal keratocytes in vitro. METHODS:Keratocytes were obtained from remaining corneoscleral ring donor corneas previously used in corneal transplant surgeries and cultured in DMEM/F12 with 2% FBS until...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20160052

    authors: Covre JL,Cristovam PC,Loureiro RR,Hazarbassanov RM,Campos M,Sato ÉH,Gomes JÁ

    更新日期:2016-05-01 00:00:00

  • Focal phototherapeutic keratectomy for the treatment of apical leucoma syndrome.

    abstract::The following report describes a case of apical leucoma syndrome after hyperopic photorefractive keratectomy following hyperopic laser in situ keratomileusis and the subsequent treatment of this complication with focal phototherapeutic keratectomy. The patient underwent focal transepithelial phototherapeutic keratecto...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 信件

    doi:10.5935/0004-2749.20180068

    authors: Ghanem VC,Passos ML,Piccinini AL,Ghanem RC

    更新日期:2018-07-01 00:00:00

  • [Optical coherence tomography macular study on eyes filled with silicone oil].

    abstract:PURPOSE:To demonstrate optical coherence tomography efficacy to evaluate macular anatomical outcomes, in eyes with silicone oil-filled vitreous cavity after vitrectomy. METHODS:A descriptive observational study of 28 (twenty-eight) patients submitted to pars plana vitrectomy having silicone oil as vitreous substitute....

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000200017

    authors: Maia OO Jr,Takahashi WY,Nakashima Y,Primiano Júnior HP,Takahashi BS,Nakashima AF

    更新日期:2007-03-01 00:00:00

  • Late recurrent iris synechia following laser goniopuncture for deep sclerectomy enhancement: case report.

    abstract::We report a case of recurrent iris synechiae one year after Nd:YAG laser goniopuncture for deep sclerectomy enhancement in the only functional eye of a patient with end-stage glaucoma. The possible pathophysiology of this uncommon complication and laser treatment aspects are discussed. ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492012000600014

    authors: Hilgert CR,Hilgert GL,Hardoim VA,Omi CA

    更新日期:2012-11-01 00:00:00

  • Use of automated quantitative pupillometric evaluation for monitoring the severity of diabetic retinopathy.

    abstract:PURPOSE:We aimed to evaluate the use of automated quantitative static and dynamic pupillometry in screening patients with type 2 diabetes mellitus and different stages of diabetic retinopathy. METHOD:155 patients with type 2 diabetes mellitus (diabetes mellitus group) were included in this study and another 145 age- a...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20210007

    authors: Cankurtaran V,Ilhan C,Tekin K,Citirik M,Dirican E,Gurkan E

    更新日期:2021-01-01 00:00:00

  • Essential trichomegaly: case report.

    abstract::The present study reports two cases of symptomatic essential trichomegaly. Trichomegaly may develop in various diseases, including anorexia nervosa, hypothyroidism, pregnancy, pretibial myxedema, systemic lupus erythematosus, vernal keratoconjunctivitis, and uveitis. The exact incidence trichomegaly is unknown, and th...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000100015

    authors: Rossetto JD,Nascimento H,Muccioli C,Belfort R Jr

    更新日期:2013-01-01 00:00:00

  • [Risk of contamination of trypan blue dye after first use].

    abstract:PURPOSE:To determine the potential risk of contamination of a trypan blue bottle (TB) after first use and after being stored under different temperature and humidity conditions, as well as to identify possible contamination factors, most frequently involved microorganisms and simultaneously evaluate bacteriostatic and ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000100006

    authors: Malta JB,Felberg S,Murça MA,Barros MA,Mimica LM

    更新日期:2006-01-01 00:00:00

  • [Refractional astigmatism prevalence and its relationship with grating acuity in children 2 to 36 months of age].

    abstract:PURPOSE:To evaluate refractional astigmatism prevalence and its relationship with grating acuity in a cohort of non-verbal children. METHODS:482 normal children, aged from 2 to 36 months, were submitted to ophthalmological examination. Fourteen subjects were excluded due to ocular disease and the sample remained with ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000300015

    authors: Lipener C,Munoz Ede H,Moreira JB,Berezovsky A,Salomão SR,Ventura DF

    更新日期:2006-05-01 00:00:00