RÉSUMÉ
OBJECTIVES: To assess the influence of Nd:YAG (neodymium: yttrium-aluminum- garnet) laser unilateral posterior capsulotomy on visual acuity and patients' perception of difficulties with vision-related activities of daily life. METHODS: We conducted an interventional survey that included 48 patients between 40 and 80 years of age with uni- or bilateral pseudophakia, posterior capsule opacification, and visual acuity <0.30 (logMAR) in one eye who were seen at a Brazilian university hospital. All patients underwent posterior capsulotomy using an Nd:YAG laser. Before and after the intervention, patients were asked to complete a questionnaire that was developed in an exploratory study. RESULTS: Before posterior capsulotomy, the median visual acuity (logMAR) of the included patients was 0.52 (range 0.30-1.60). After posterior capsulotomy, the median visual acuity of the included patients improved to 0.10 (range 0.0-0.52). According to the subjects' perceptions, their ability to perform most of their daily life activities improved after the intervention (p<0.05). CONCLUSIONS: After patients underwent posterior capsulotomy with an Nd:YAG laser, a significant improvement in the visual acuity of the treated eye was observed. Additionally, subjects felt that they experienced less difficulty performing most of their vision-dependent activities of daily living.
Sujet(s)
Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Femelle , Humains , Mâle , Adulte d'âge moyen , Activités de la vie quotidienne , Opacification de la capsule postérieure/chirurgie , Extraction de cataracte/méthodes , Thérapie laser/méthodes , Capsule du cristallin/chirurgie , Acuité visuelle/physiologie , Brésil , Études transversales , Opacification de la capsule postérieure/physiopathologie , Extraction de cataracte/effets indésirables , Lasers à solide/usage thérapeutique , Pseudophakie/physiopathologie , Pseudophakie/chirurgie , Qualité de vie , Enquêtes et questionnaires , Résultat thérapeutiqueRÉSUMÉ
Os autores descrevem um caso de uma paciente portadora de esporotricose acometendo a pálpebra inferior, tratada com êxito pelo uso de iodeto de potássio. Säo feitas consideraçöes a respeito de diversos aspectos da doença.
Sujet(s)
Humains , Femelle , Adulte , Maladies de la paupière/diagnostic , Maladies de la paupière/thérapie , Sporotrichose/diagnostic , Sporotrichose/thérapie , Cils vibratilesRÉSUMÉ
Os autores relatam os resultados da criaçäo de um Banco de óculos e laboratório óptico com equipamento básico para montagem de óculos de baixo custo no Serviço Satélite de Oftalmologia da UNICAMP em Divinolândia, SP A óptica, inalgurada em 1988, atende a populaçäo clínica de Divinolândia, pobre em sua grande maioria. Até dezembro de 1993 foram confeccionados 4623 pares de óculos, doados ou vendidos pelo preço de US$7 a 10, com entrega média entre 2 horas a 4 dias após o exame. Propöe-se criaçäo de serviços semelhantes em Hospitais Públicos e universitários para fornecimento de óculos gratuitos ou a preço de custo às pessoas carentes.