Extraction and characterization of hyaluronic acid from the eyeball of Nile Tilapia (Oreochromis niloticus).

Hyaluronic acid (HA) is a biopolymer of enormous value aggregation for in general industry. The vitreous humor of the eyeball from Nile tilapia contains appreciable amounts of hyaluronic acid. In this sense, the aim of this work was to extract and characterize hyaluronic acid from the eyeball of the Nile tilapia for biomedical applications, adding value to fish industry residues. The characterization by infra-red (FTIR), 13C nuclear magnetic resonance (NMR) and high performance liquid chromatography (HPLC) confirmed that hyaluronic acid was obtained. The gel permeation chromatography (GPC) showed that the obtained material presents a low molecular mass (37 KDa). Thermogravimetry (TGA), differential scanning calorimetry (DSC), X-ray diffraction (XRD) analysis showed that the materials present a thermal stability superior to the commercial hyaluronic acid from Streptococcus equi, with a partially crystalline character. The cytotoxicity assay (MTT method) with fibroblast cells (L929) demonstrated that the extracted biopolymer besides not being cytotoxic, was able to stimulate cell proliferation. Therefore, the hyaluronic acid extracted from this source of residue constitutes a product with biotechnological potential, which has adequate quality for wide biomedical applications.

Optic nerve sheath diameter at high altitude: standardized measures in healthy volunteers.

BACKGROUND: Increases in the diameter of the optic nerve sheath (ONSD) on ultrasound are associated with high intracranial pressure (hICP). The normal value varies with altitude and the population studied. The objective of this study is to describe the normal values of the ONSD in a healthy adult population of the city of Bogotá, Colombia, at 2640 meters above sea level (masl). PATIENTS AND METHODS: A prospective observational study was conducted on a total of 247 healthy individuals recruited from May 2021 to May 2022 who were subjected to the color, low power, optic disk, safety, elevated frequency, dual (CLOSED) protocol for measuring the bilateral ONSD adjusted to the eyeball transverse diameter (ETD). RESULTS: A total of 230 individuals were analyzed; the average ONSD of the right eye (RE) was 0.449 cm (range 0.288-0.7) and that of the left eye (LE) was 0.454 cm (range 0.285-0.698); the correlation between RE and LE was 0.93 (p < 0.005), and the correlation of the ONSD/ETD ratios for the RE and LE was lower (r2 = 0.79, p < 0.005). A total of 10.8% of the studied population had values greater than 0.55 cm. CONCLUSIONS: The median ONSD and ONSD/ETD ratio in the city of Bogotá are similar to those described in other populations; however, approximately 10.8% of the healthy population may present higher values, which would limit the use of ONSD on its own for clinical decision-making, only repeated measurements with significant changes in the ONSD and ONSD/ETD or asymmetries between the measurements of both eyes linked to clinical findings would allow the diagnosis of hICP.

Minimum effective volume of local anesthetic in peribulbar block: does it differ with the eyeball axial length?

BACKGROUND: Peribulbar Anesthesia (PBA) is a relatively safe method for cataract surgery. The anesthetic volume should be adjusted according to the axial eyeball length. Thus, using Minimum Effective Volume (MEV) of local anesthetic helps avoiding unnecessary volumes, preventing increases in intra-ocular pressure, and producing satisfactory conditions for cataract surgery. This study aims to determine the MEV90 of local anesthetics in relation to eye globe axial length in peribulbar blocks for cataract surgery. METHODS: Patients scheduled for cataract extraction under local anesthesia were divided according to their axial eyeball length; Group 1 included those with axial length from 22 to 24 mm, Group 2 included patients with axial length from 24.1 to 26 mm. The initial volume used was 7 mL of a solution of bupivacaine 0.5% (3 mL) + lidocaine 2% (3 mL) + hyaluronidase 150 IU (1 mL). The subsequent volumes were dependent on the response of the previous patient, by using a Bias Coin Design (BCD) and Up and Down Method (UDM) for MEV-90 determination. RESULTS: The study was concluded with 119 patients. Sixteen patients needed supplemental volume of local anesthetic in Group 1 and thirteen in Group 2. The MEV90 for Group 1 was approximately 5.82 mL (95% CI 5.6 to 5.87 mL) and 5.45 mL for Group 2 (95% CI 5.38 to 5.91 mL). No major complications were noted. There was a negative correlation between the effective volume of LA and eye globe axial length in both groups (p = 0.001). CONCLUSION: The MEV90 of local anesthetics for peribulbar block show a strong and inverse correlation with eye globe axial length. This may help achieving an effective block with minimum complications.

Caracterización de la herida corneal en el servicio de Oftalmología del Hospital General Docente "Dr. Agostinho Neto", Guantánamo / Characterization of corneal wound in the Ophthalmology service of the Hospital General Docente "Dr. Agostinho Neto", Guantánamo / Caracterização da ferida corneana no serviço de Oftalmologia do Hospital General Docente "Dr. Agostinho Neto", Guantánamo

RESUMEN Introducción: En el Hospital General Docente "Dr. Agostinho Neto" se desconocen las características de los pacientes atendidos por herida corneal. Objetivo: Caracterizar la herida corneal en pacientes ingresados en el servicio de Oftalmología del citado hospital en el período de enero de 2014 a julio de 2019. Método: Se realizó un estudio descriptivo, retrospectivo y longitudinal del total de pacientes con este diagnóstico (n=35). Se estudiaron las variables: sexo, edad, procedencia, actividad que realizaba, tipo de herida, complicaciones; tipo de tratamiento y modificaciones de la agudeza visual de acuerdo al tratamiento que aplicó. Resultados: El 80,0 % de los pacientes fueron hombres, tenían entre 19 y 40 años de edad (57,0 %), procedían de áreas rurales (66,0 %) y se dedicaban a actividades laborales (60,0 %). El 91,0 % presentó una herida corneal penetrante. La catarata traumática fue la complicación más frecuente (40,0 %). El 97,0 % de los pacientes recibió tratamiento quirúrgico y sutura de la herida. Antes y después del tratamiento, el 54,0 % y el 40,0 %, respectivamente, de los pacientes presentaron agudeza visual visión cuenta dedos a percepción luminosa. Conclusiones: La herida corneal no es un problema de salud, pero sí interfiere negativamente en la calidad de vida de los perjudicados al afectar la agudeza visual.

ABSTRACT Introduction: Characteristics of the patients treated for corneal wound remain unknown at the Hospital General Docente "Dr. Agostinho Neto". Objective: To characterize the corneal wound in patients admitted to the ophthalmology service of the aforementioned hospital in the period from January 2014 to July 2019. Method: A descriptive, retrospective and longitudinal study of all patients with this diagnosis (n = 35) was carried out. The variables studied were: gender, age, origin, activity carried out at the time of injury, type of wound, complications, type of treatment and modifications of visual acuity, according to the treatment applied. Results: 80.0% of the patients were men, 57.0% were between 19 and 40 years old, 66.0% came from rural areas and 60.0% were engaged in work activities. 91.0% presented a penetrating corneal wound. Traumatic cataract was the most frequent complication (40.0%). 97.0% of the patients received surgical treatment and wound suture. Before and after treatment, 54.0% and 40.0% of the patients, respectively, presented visual acuity, counting finger vision and light perception. Conclusions: Corneal wounds are not a health problem, but it does negatively interfere with the quality of life of those affected by affecting visual acuity.

RESUMO Introdução: No Hospital General Docente "Dr. Agostinho Neto", não se conhecem as características dos pacientes tratados por ferida corneana. Objetivo: Caracterizar a ferida corneana em pacientes internados no serviço de Oftalmologia do referido hospital no período de janeiro de 2014 a julho de 2019. Método: Foi realizado um estudo descritivo, retrospectivo e longitudinal de todos os pacientes com esse diagnóstico (n=35). As variáveis estudadas foram: sexo, idade, procedência, atividade realizada, tipo de ferida, complicações; tipo de tratamento e modificações da acuidade visual de acordo com o tratamento aplicado. Resultados: 80,0% dos pacientes eram homens, tinham entre 19 e 40 anos (57,0%), procediam da zona rural (66,0%) e exerciam atividades laborais (60,0%). 91,0% apresentavam ferida penetrante na córnea. Catarata traumática foi a complicação mais frequente (40,0%). 97,0% dos pacientes receberam tratamento cirúrgico e sutura da ferida. Antes e após o tratamento, 54,0% e 40,0%, respectivamente, dos pacientes apresentavam acuidade visual, visão de contagem de dedos e percepção luminosa. Conclusões: A ferida corneana não é um problema de saúde, mas interfere negativamente a qualidade de vida das pessoas feridas, afetando a acuidade visual.

Trauma ocular en el servicio de Oftalmología del Hospital General Docente Dr. Agostinho Neto, 2014-2019 / Eye trauma in the ophthalmology consultation in the General Teaching Hospital Dr. Agostinho Neto in the period 2014-2019

RESUMEN * Introducción: En el Hospital General Docente "Dr. Agostinho Neto" se desconocen las características de los pacientes atendidos por trauma ocular. Objetivo: Caracterizar el trauma ocular en pacientes ingresados en el servicio de Oftalmología del citado hospital en el período de enero de 2014 a julio de 2019. Método: Se realizó un estudio descriptivo, retrospectivo y longitudinal del total de pacientes con este diagnóstico (n=49). Se estudiaron las variables: sexo, edad, procedencia, ocupación, tipo de trauma, diagnóstico y complicaciones, y modificaciones de la agudeza visual de acuerdo al tratamiento que aplicó. Resultados: El 79,0 % de los pacientes fueron hombres, tenían entre 19 y 40 años de edad (43,0 %), procedían de áreas rurales (57,0 %) y se dedicaban a labores agrícolas (45,0 %). El 76,0 % presentó un trauma ocular abierto, la herida corneal fue el más usual (55,1 %). El 95,9 % de los pacientes recibieron tratamiento quirúrgico y reparación de la herida el 83,6 %. Antes y después del tratamiento, el 47,0 % y el 41,0 % respectivamente de los pacientes presentaron agudeza visual y visión cuenta dedos a percepción luminosa. La catarata traumática fue la complicación más frecuente (33,0 %). Conclusiones: El trauma no es un problema de salud, pero sí limita la calidad de vida de los perjudicado al afectar la agudeza visual.

ABSTRACT * Introduction: The characteristics of the patients with eye trauma treated in the General Teaching Hospital Dr. Agostinho Neto remain mostly unknown. Objective: To characterize eye trauma in the patients in the ophthalmology consultation in the mentioned institution, in the stretch of time between January 2014 to July 2019. Method: A descriptive, retrospective and longitudinal study was carried out on the total amount of patients with the diagnosis (n=49). The different variables taken into account were: gender, age, place of origin, occupation, type of trauma, diagnosis and complications, and the modifications in visual acuity according to the treatment given. Results: 79.0 % of the patients were men, with ages ranging between 19 to 40 years old (43.0 %), from rural areas (57.0 %), and involved in agricultural works (45.0 %). 76.0 % were open eye traumas, being corneal wounds the most common one (55.1%). 95.9 % of the patients were surgically treated, and 83.6 % went through wound healing processes. Before and after the treatment, the 47.0 % and the 41.0 % of the patients, respectively, presented visual acuity and good 'counting fingers' and 'visual perception' tests results. Traumatic cataracts were the most common complication (33.0 %). Conclusions: eye traumas are not a significant health issue, but impacts directly in the life quality of the affected, damaging their visual acuity.

Optimized technique to extract and fix Olive ridley turtle hatchling retina for histological study.

The efficient extraction and fixation of a tissue allows in preserving the cytoarchitecture, chemical composition and tissue organization, which is key in physiological and histopathological studies. The main goal of this study was to establish a microsurgery technique to obtain ocular tissue and provide an optimized immersion fixation protocol based on the 10 % formalin-intraocular injection on Olive ridley sea turtle hatchlings (Lepidochelys olivacea). To evaluate this optimized technique, a histological comparison between traditional immersion and intraocular/immersion protocols was done. The eyeball were processed into five protocols: Frozen eyes (Group 1), frozen eyes immersed in 10 % formalin (Group 2), fresh eyes immersed in 10 % formalin (Group 3), fresh eyes intraocularly injected with 0.1 M phosphate buffer solution (PBS) and then immersed in 10 % formalin (Group 4), and fresh eyes fixed by 10 % formalin-intraocular followed by 10 % formalin-immersion (Group 5). In comparison with all groups evaluated, the intraocular/immersion fixation protocol lead the conservation of eyeball shape, cell integrity and maintenance of the organization of the retina layers of sea turtle hatchlings. If this method will be the key in studying sea turtle, we suppose that this procedure, with minimal adjustments, could be useful in animals with similar eye anatomy.

Conjunctival tattoo with inadvertent ocular globe penetration and vitreous involvement: Clinico-pathological correlation and scanning electron microscopy X-ray microanalysis.

PURPOSE: The aim is to report a case of conjunctival tattooing with inadvertent injection of tattoo ink into the vitreous cavity and its consequences, the scanning electron microscopy X-ray microanalysis of the ink components, and the microscopic findings of the affected conjunctiva and vitreous. METHODS: Descriptive case report. RESULTS: A 32-year-old man complained of ocular pain and blurred vision after undergoing a subconjuctival red ink tattoo in his left eye. Ophthalmologic examination revealed best corrected visual acuity of 20/80 and intraocular pressure of 26 mmHg. Pain was elicited with eye movements. The bulbar conjunctiva was colored intense red. In the anterior chamber, pigment granules and filaments were suspended on the aqueous humor, and lens capsule was also stained red. Ultrasonography showed high-density non-mobile echoes in the conjunctiva; anterior chamber and vitreous cavity revealed high-density mobile echoes corresponding to pigment particles. Conjunctival tattoo with inadvertent globe penetration was the clinical diagnosis. The patient received medical and surgical treatment. Histopathological examination of the conjunctiva showed red pigment globular deposits within the stroma, and neutrophils and sparse histiocytes with similar intracytoplasmic pigment granules were seen. No granulomatous foreign body reaction was noticed. Vitreous material contained pigment granules; no inflammatory cells were observed. Scanning electron microscopy X-ray microanalysis of the tattoo red ink revealed significant signals of iron, barium, and copper. CONCLUSION: Conjunctival tattoo is a new form of body decoration gaining worldwide popularity. This procedure is performed by untrained professionals causing severe ocular complications including blindness. Safety regarding tattoo ink needs further study as the composition varies among colors. Strict regulations on this matter should be considered.

Desarrollo embriofetal del iris: inmunotinción del morfógeno Shh / Embryo-fetal development of iris: immunohistochemestry of morphogen Shh

RESUMEN: Para que se desarrolle el iris, se requiere una especificación de la capa periférica de la copa óptica a un destino no neuronal y además la migración de células mesenquimales perioculares. Nuestro objetivo fue reconocer los cambios histológicos de los derivados periféricos de la copa óptica y mesénquima periocular, como también reconocer la presencia del morfógeno Sonic hedgehog (Shh) en las capas que constituyen el esbozo de iris. Se utilizaron 15 ratones hembras (Mus musculus) adultas jóvenes gestantes. Se realizó eutanasia con tiopental sódico. Los embriones y fetos de 12, 14,5 y 17 días post-coital (dpc) fueron procesados con técnica histológica e inmunohistoquímica con anticuerpo anti-Shh (scbt, H-160, conejo) con dilución 1:100 en PBS. A los 12 dpc, se observa una cópa óptica que presenta capas retinianas interna y externa, y el iris no se observa. Entre el cristalino y el ectodermo superficial se identifican 4 capas de células mesenquimales. A los 14,5 dpc, el iris contiene dos capas epiteliales (interna y externa) que se continúan con las capas neural y pigmentaria de la retina. Se observan 8 capas de células mesenquimales. A los 17 dpc, la capa epitelial interna del iris presenta un segmento más elongado con inmunotinción positiva a Shh y otra parte que constituye un epitelio de células cilíndricas simples negativas a este anticuerpo. La capa epitelial externa presenta el mismo epitelio inmunonegativo. Las capas de la retina también son positivas, como también la periferia del cristalino. No esta formado el iris ni tampoco el cuerpo ciliar. La inmunopositividad en el cristalino, en el primer segmento de la capa interna del esbozo del iris y en la capa ganglionar retinal a los 17 dpc, se relaciona con la diferenciación tardía del iris y con los ojos cerrados de las crías al nacimiento.

SUMMARY: In order for the iris to develop, a specification of the peripheral layer of the optic cup to a non-neuronal target is required, as well as the migration of periocular mesenchymal cells. Our aim was to recognize the histological changes of peripheral derivatives of the optic cup and periocular mesenchyme, as well as recognize the presence of the morphogen Sonic hedgehog (Shh) in the layers constituting the outline of the iris. 15 female mice (Mus musculus) pregnant young adults were used. Euthanasia was performed with sodium thiopental. Embryos and fetuses of 12, 14.5 and 17 days post-coital (dpc) were processed with histological and immunohistochemical technique with anti-Shh antibody (scbt, H 160, rabbit) with dilution 1:100 in PBS. At 12 dpc, an optic cup showing internal and external retinal layers is observed, and the iris is not observed. Between the lens and the superficial ectoderm, 4 layers of mesenchymal cells are identified. At 14.5 dpc, the iris contains two epithelial layers (internal and external) that are continued with the neural and pigmentary layers of the retina. 8 layers of mesenchymal cells are observed. At 17 dpc, the inner epithelial layer of the iris presents a more elongated segment with positive immunostaining to Shh and another part that constitutes an epithelium of simple cylindrical cells negative to this antibody. The outer epithelial layer presents the same immunonegative epithelium. The layers of the retina are also positive, as well as the periphery of the lens. The iris is not formed nor is the ciliary body.The immunopositivity in the lens, in the first segment of the inner layer of the iris outline and in the retinal ganglion layer at 17 dpc, is related to the late differentiation of the iris and the closed eyes of the offspring at birth.

Biometric, B-mode and color Doppler ultrasound assessment of eyes in healthy dogs / Avaliação biométrica, ultrassonográfica em modo-B e por Doppler colorido ocular de cães hígidos

B-scan ultrasonography is an important diagnostic tool that allows characterization of internal organ anatomy and, when complemented by Doppler ultrasound, allows vascular hemodynamic assessment, increasing the diagnostic accuracy. Thus, the aim of the present study was the B-scan ultrasound characterization and measurement of the eyeball segments and assessment of the external ophthalmic artery by color and pulsed Doppler. Sixty eyeballs were assessed from 30 dogs of different breeds using an 8.5MHz microconvex transductor. First, biometry was performed by B-scan of the following segments: axial length (M1), anterior chamber depth (M2), lens thickness (M3), lens length (M4), vitreous chamber depth (M5), optical disc length (M6) and optic nerve diameter (M7). Colored Doppler identified the external ophthalmic article and pulsed Doppler assessed its flow, and the following were measured: systolic peak velocity (VPS), final diastolic velocity (VDF), resistivity index (IR) and pulse index (IP). No statistical difference was observed for the biometric values of the eye segments between the right and left eyes (p>0.05). The vitreous chamber depth (M5) was shown to be the biometric variable with greatest bilateral symmetry, varying from 0.79 to 0.87cm and 0.78 to 0.86cm for the right and left eye, respectively. The ophthalmic artery was visualized over the optic nerve towards the eyeball, with flow stained red. There was no significant statistical difference between the Doppler velocimetric values for the ophthalmic artery between the right and left eye of the animals assessed (p>0.05). The mean resistivity index (RI) showed average values equal to 0.63±0.03, bilaterally. The mean base velocity was 17.50cm/s and 18.18cm/s at the systolic peak and 6.21cm/s and 6.68cm/s at the end of the diastole, for the right and left eyes respectively. The anatomic, biometric and hemodynamic characterization using the ultrasound B-scan and the Doppler modalities permitted the ultrasonographic and Doppler velocimetric assessment of the eyeball components in dogs of different breeds, and it can be used in ophthalmic clinical routine to identify eye pathologies.

O exame ultrassonográfico modo-B é uma importante ferramenta diagnóstica que permite caracterizar a anatomia interna dos órgãos e, complementada pelo exame modo Doppler, possibilita realizar a avaliação hemodinâmica vascular, aumentando a acurácia diagnóstica. Desta forma, este trabalho teve como objetivo a caracterização ultrassonográfica e mensuração dos segmentos do bulbo ocular modo-B, assim como a avaliação da artéria oftálmica externa pelo Doppler colorido e pulsado. Foram avaliados 60 bulbos oculares de 30 cães de diferentes raças utilizando transdutor microconvexo de 8,5MHz. Inicialmente foi realizada biometria por meio do exame em modo-B dos seguintes seguimentos: comprimento axial (M1), profundidade da câmara anterior (M2), espessura da lente (M3), comprimento da lente (M4), profundidade da câmara vítrea (M5), comprimento do disco óptico (M6) e diâmetro do nervo óptico (M7). A artéria oftálmica externa foi identificada pelo Doppler colorido e seu fluxo foi avaliado por meio do Doppler pulsado, sendo mensurados: velocidade do pico sistólico (VPS), velocidade diastólica final (VDF), índice de resistividade (IR) e índice de pulsatilidade (IP). Não foi verificada diferença estatística para os valores biométricos dos seguimentos oculares entre os olhos direito e esquerdo (p>0,05). A profundidade da câmera vítrea (M5), mostrou-se a variável biométrica com maior simetria bilateral, variando entre 0,79 a 0,87cm e 0,78 a 0,86cm para o olho direito e esquerdo, respectivamente. A artéria oftálmica foi visibilizada sobre o nervo óptico em direção ao bulbo ocular, com fluxo marcado em vermelho. Não houve diferença estatística significativa entre os valores Dopplervelocimétricos da artéria oftálmica entre do olho direito e esquerdo dos animais avaliados (p>0.05). O índice de resistividade (IR) médio evidenciou valores médios sendo igual a 0,63±0,03, bilateralmente. A velocidade basal média foi 17,50cm/s e 18,18cm/s no pico sistólico e 6,21cm/s e 6,68cm/s no final da diástole, para os olhos direito e esquerdo, respectivamente. A caracterização anatômica, biométrica e hemodinâmica utilizando o exame ultrassonográfico modo-B e as modalidades do Doppler permitiram a avaliação ultrassonográfica e Dopplervelocimétrica dos componentes do bulbo ocular nos cães de diferentes raças, podendo ser utilizados na rotina clínica oftalmológica para identificação de patologias oculares.

Biometric, B-mode and color Doppler ultrasound assessment of eyes in healthy dogs / Avaliação biométrica, ultrassonográfica em modo-B e por Doppler colorido ocular de cães hígidos

B-scan ultrasonography is an important diagnostic tool that allows characterization of internal organ anatomy and, when complemented by Doppler ultrasound, allows vascular hemodynamic assessment, increasing the diagnostic accuracy. Thus, the aim of the present study was the B-scan ultrasound characterization and measurement of the eyeball segments and assessment of the external ophthalmic artery by color and pulsed Doppler. Sixty eyeballs were assessed from 30 dogs of different breeds using an 8.5MHz microconvex transductor. First, biometry was performed by B-scan of the following segments: axial length (M1), anterior chamber depth (M2), lens thickness (M3), lens length (M4), vitreous chamber depth (M5), optical disc length (M6) and optic nerve diameter (M7). Colored Doppler identified the external ophthalmic article and pulsed Doppler assessed its flow, and the following were measured: systolic peak velocity (VPS), final diastolic velocity (VDF), resistivity index (IR) and pulse index (IP). No statistical difference was observed for the biometric values of the eye segments between the right and left eyes (p>0.05). The vitreous chamber depth (M5) was shown to be the biometric variable with greatest bilateral symmetry, varying from 0.79 to 0.87cm and 0.78 to 0.86cm for the right and left eye, respectively. The ophthalmic artery was visualized over the optic nerve towards the eyeball, with flow stained red. There was no significant statistical difference between the Doppler velocimetric values for the ophthalmic artery between the right and left eye of the animals assessed (p>0.05). The mean resistivity index (RI) showed average values equal to 0.63±0.03, bilaterally. The mean base velocity was 17.50cm/s and 18.18cm/s at the systolic peak and 6.21cm/s and 6.68cm/s at the end of the diastole, for the right and left eyes respectively. The anatomic, biometric and hemodynamic characterization using the ultrasound B-scan and the...(AU)

O exame ultrassonográfico modo-B é uma importante ferramenta diagnóstica que permite caracterizar a anatomia interna dos órgãos e, complementada pelo exame modo Doppler, possibilita realizar a avaliação hemodinâmica vascular, aumentando a acurácia diagnóstica. Desta forma, este trabalho teve como objetivo a caracterização ultrassonográfica e mensuração dos segmentos do bulbo ocular modo-B, assim como a avaliação da artéria oftálmica externa pelo Doppler colorido e pulsado. Foram avaliados 60 bulbos oculares de 30 cães de diferentes raças utilizando transdutor microconvexo de 8,5MHz. Inicialmente foi realizada biometria por meio do exame em modo-B dos seguintes seguimentos: comprimento axial (M1), profundidade da câmara anterior (M2), espessura da lente (M3), comprimento da lente (M4), profundidade da câmara vítrea (M5), comprimento do disco óptico (M6) e diâmetro do nervo óptico (M7). A artéria oftálmica externa foi identificada pelo Doppler colorido e seu fluxo foi avaliado por meio do Doppler pulsado, sendo mensurados: velocidade do pico sistólico (VPS), velocidade diastólica final (VDF), índice de resistividade (IR) e índice de pulsatilidade (IP). Não foi verificada diferença estatística para os valores biométricos dos seguimentos oculares entre os olhos direito e esquerdo (p>0,05). A profundidade da câmera vítrea (M5), mostrou-se a variável biométrica com maior simetria bilateral, variando entre 0,79 a 0,87cm e 0,78 a 0,86cm para o olho direito e esquerdo, respectivamente. A artéria oftálmica foi visibilizada sobre o nervo óptico em direção ao bulbo ocular, com fluxo marcado em vermelho. Não houve diferença estatística significativa entre os valores Dopplervelocimétricos da artéria oftálmica entre do olho direito e esquerdo dos animais avaliados (p>0.05). O índice de resistividade (IR) médio evidenciou valores médios sendo igual a 0,63±0,03, bilateralmente. A velocidade basal média foi 17,50cm/s e 18,18cm/s no pico sistólico e 6,21cm/s e 6,68cm/s no...(AU)

Case series: Two cases of eyeball tattoos with short-term complications.

PURPOSE: To report two cases of eyeball tattoos with short-term post procedural complications. OBSERVATIONS: Case 1 is a 26-year-old Mexican man that developed orbital cellulitis and posterior scleritis 2 h after an eyeball tattoo. Patient responded satisfactorily to systemic antibiotic and corticosteroid treatment. Case 2 is a 17-year-old Mexican man that developed two sub-episcleral nodules in the ink injection sites immediately after the procedure. CONCLUSIONS AND IMPORTANCE: Eyeball tattoos are performed by non-ophthalmic trained personnel. There are a substantial number of short-term risks associated with this procedure. Long-term effects on the eyes and vision are still unknown, but in a worst case scenario could include loss of vision or permanent damage to the eyes.

Morphology of the eyeball, orbit and retina of Atlantic salmon (Salmo salar) alevins under hypoxic conditions / Morfología del bulbo ocular, órbita y retina de alevines del salmón del Atlántico (Salmo salar) bajo condiciones hipóxicas

It has been demonstrated that hypoxia retards the growth of fish, reduces the survival of their larvae, deforms their vertebral column, but despite this teleost fish have the ability to completely regenerate many of their tissues, particularly the retina. As we do not have enough information about the effects of hypoxia on the eyeball, orbit and retina of Atlantic salmon (Salmo salar), we propose the following objectives: 1) Compare the morphological changes of the eyeball of fish subject to hypoxia and normoxia. 2) Determine changes in the orbit structure. 3) Describe the retina of salmon alevins. 4). Recognize hypoxic cells using the anti-Hif1a antibody in the retina of alevins as a sensor. 5) Determine the Shh morphogenic expression in alevins exposed to different times of hypoxia. Around 1,000 Salmo salar alevins were placed in a continuous water flow of 9 °C at 100 % SatO2 and alevins maintained at a hypoxia of 60 % SatO2. The latter were transferred to normoxia (at days two, four, and eight after hatching). A control group maintained at continuous normoxia and another at continuous hypoxia was also considered. All the alevins were euthanized at 950 UTAs (±2 months after hatching). Diaphonization (double-stain) according to the Hanken & Wassersug technique was undertaken to describe the morphology of the periocular cartilage and to measure the ocular diameter. The HIF-1a factor antibody 1:50, and the anti-Shh antibody dilution of 1:100 were used. The alevins after hatching had large eyeballs with the optic cup having an embryonic shape, even a choroidal fissure. The greatest thickness was observed in the nasal ventral zone which corresponds to a zone of pluripotent cells. The optic cup aspect with embryonic characteristics has only been reported in salmonids. The central retina of the alevins those were cultivated with a 60 % saturation of O2 for two, four or eight days had positive immunostaining when analyzed with the anti-HIF1a antibody hypoxia sensor. The inner ganglion and nuclear layers had immunopositive cells, with the highest in the alevins that were two days in hypoxia and the lowest when the hypoxia was chronic. Nevertheless, in the latter case the alevins had anatomical deformation of the eyeball and periocular cartilage. The anti-Shh antibody clearly shows a gradient that is expressed in the germinative zone and in the cells of the inner ganglion and nuclear layers. The eyeball and particularly the retina in salmon alevins are an example of neuronal plasticity and neurogenesis.

Se ha demostrado que la hipoxia retarda el crecimiento de los peces, reduce la supervivencia de sus larvas, deforma su columna vertebral, pero a pesar de esto, este pez teleósteo tiene la capacidad de regenerar completamente muchos de sus tejidos, en particular la retina. Como no existe suficiente información sobre los efectos de la hipoxia en el bulbo ocular, la órbita y retina del salmón del Atlántico (Salmo salar), los objetivos de este trabajo fueron: 1) Comparar los cambios morfológicos del bulbo ocular del pescado sujetos a hipoxia y normoxia; 2) Determinar los cambios en la estructura de la órbita; 3) Describir la retina de los alevines de salmón; 4) Reconocer las células hipóxicas utilizando el anticuerpo anti-Hif1a en la retina de alevines como un sensor; 5) Determinar la expresión morfogenética de Shh en alevines expuestos a diferentes momentos de hipoxia. Alrededor de 1.000 alevines Salmo salar se colocaron en un flujo continuo de agua a 9 °C, con 100 % de SatO2 y otros alevines se mantuvieron con una hipoxia de 60 % SatO2. Estos últimos fueron trasladados a normoxia (en los días dos, cuatro y ocho después de la eclosión). Un grupo control se mantuvo a normoxia continua y otro grupo a hipoxia continua. Todos los alevines se sacrificaron a 950 UTA (+ dos meses después de la eclosión). Se realizcón una diafonización (doble tinción), de acuerdo con la técnica de Hanken & Wassersug, para describir la morfología del cartílago periocular y para medir el diámetro ocular. Se utilizaron el anticuerpo anti-Hif1a a una dilución 1:50, y el anticuerpo anti-Shh a una dilución de 1:100. Los alevines después de la eclosión presentaron grandes bulbos oculares, con la copa óptica con forma embrionaria, incluso una fisura coroidea. El mayor espesor se observó en la zona ventral nasal que corresponde a una zona de células pluripotentes. El aspecto de la copa óptica con características embrionarias sólo se ha informado en los salmónidos. La retina central de los alevines fueron cultivadas con una saturación de 60 % de O2 para dos, cuatro y ocho días, y presentó inmunotinción positiva cuando se analizó con el sensor de hipoxia, el anticuerpo anti-HIF1a. El ganglio interior y las capas nucleares presentaron células immunopositivas, con los niveles más altos en los alevines con dos días de hipoxia y niveles más bajos en hipoxia crónica. Sin embargo, en éste último caso los alevines presentaron una deformación anatómica del bulbo ocular y el cartílago periocular. El anticuerpo anti-Shh mostró claramente un gradiente expresado en la zona germinativa y en las células del ganglio interior y las capas nucleares. El bulbo ocular y en particular la retina en alevines de salmón son un ejemplo de plasticidad neuronal y neurogénesis.

Histological analysis of the eyeball of Neotropical birds of prey Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba and Athene cunicularia / Análise histológica do bulbo ocular de aves de rapina neotropicais: Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba e Athene cunicularia

The growing use of ophthalmic examination as a screening tool in birds intended for reintroduction into natural environments over the last few years has given renewed significance to avian ophthalmology in the context of free-ranging and captive bird conservation. The eye plays a vital role in prey detection and capture by birds of prey. The remarkable eyesight of such birds makes them interesting subjects for avian visual system anatomical and histological investigation. This study set out to describe histological features of the eyeball of ubiquitous birds of prey in Brazil (Falconiformes, Accipitriformes and Strigiformes). Twenty enucleated cadaveric eyeballs obtained from birds with natural death, Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba and Athene cunicularia were used. Routinely prepared histological slides stained with hematoxylin and eosin were analyzed under light microscopy. Similarities and variations in ocular structures between the different bird species studied were highlighted in this study, with major differences concerning the lens and retina. This study highlights the importance of determining the ocular histological pattern of the species so they can be better understood. These results may well assign baseline information of the species and assist in eye histopathological diagnostics.(AU)

Nos últimos anos a oftalmologia aviária se tornou um instrumento de grande relevância para a conservação de aves de vida livre e de cativeiro, principalmente pela crescente utilização do exame oftalmológico para a triagem de indivíduos designados para reintrodução em ambientes naturais. Os olhos das aves de rapina são estruturas imprescindíveis para detectar e capturar suas presas, e a sua notável capacidade visual torna o seu sistema de visão assunto de grande interesse para o estudo anatômico e histológico. Neste contexto, no presente trabalho foi realizada a análise histológica do bulbo ocular de aves de rapina representadas por espécies pertencentes às ordens Falconiformes, Accipitriformes e Strigiformes presentes em território brasileiro. Para realização do estudo foram utilizados vinte bulbos oculares obtidos de animais mortos por causas naturais, das espécies Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba e Athene cunicularia.. As lâminas histológicas foram coradas pela técnica de hematoxilina e eosina e, analisadas por microscopia óptica. Foi constatada a existência de um padrão histológico com discreta variação entre as estruturas oculares nas diferentes espécies avaliadas, com destaque para o cristalino e a retina. Este estudo salienta a importância da determinação do padrão histológico ocular das espécies, e seus resultados atribuem informações histológicas basais auxiliares na determinação de diagnósticos histopatológicos oculares.(AU)

Histological analysis of the eyeball of Neotropical birds of prey Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba and Athene cunicularia / Análise histológica do bulbo ocular de aves de rapina neotropicais: Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba e Athene cunicularia

The growing use of ophthalmic examination as a screening tool in birds intended for reintroduction into natural environments over the last few years has given renewed significance to avian ophthalmology in the context of free-ranging and captive bird conservation. The eye plays a vital role in prey detection and capture by birds of prey. The remarkable eyesight of such birds makes them interesting subjects for avian visual system anatomical and histological investigation. This study set out to describe histological features of the eyeball of ubiquitous birds of prey in Brazil (Falconiformes, Accipitriformes and Strigiformes). Twenty enucleated cadaveric eyeballs obtained from birds with natural death, Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba and Athene cunicularia were used. Routinely prepared histological slides stained with hematoxylin and eosin were analyzed under light microscopy. Similarities and variations in ocular structures between the different bird species studied were highlighted in this study, with major differences concerning the lens and retina. This study highlights the importance of determining the ocular histological pattern of the species so they can be better understood. These results may well assign baseline information of the species and assist in eye histopathological diagnostics. (AU)

Nos últimos anos a oftalmologia aviária se tornou um instrumento de grande relevância para a conservação de aves de vida livre e de cativeiro, principalmente pela crescente utilização do exame oftalmológico para a triagem de indivíduos designados para reintrodução em ambientes naturais. Os olhos das aves de rapina são estruturas imprescindíveis para detectar e capturar suas presas, e a sua notável capacidade visual torna o seu sistema de visão assunto de grande interesse para o estudo anatômico e histológico. Neste contexto, no presente trabalho foi realizada a análise histológica do bulbo ocular de aves de rapina representadas por espécies pertencentes às ordens Falconiformes, Accipitriformes e Strigiformes presentes em território brasileiro. Para realização do estudo foram utilizados vinte bulbos oculares obtidos de animais mortos por causas naturais, das espécies Caracara plancus, Falco sparverius, Rupornis magnirostris, Megascops choliba e Athene cunicularia.. As lâminas histológicas foram coradas pela técnica de hematoxilina e eosina e, analisadas por microscopia óptica. Foi constatada a existência de um padrão histológico com discreta variação entre as estruturas oculares nas diferentes espécies avaliadas, com destaque para o cristalino e a retina. Este estudo salienta a importância da determinação do padrão histológico ocular das espécies, e seus resultados atribuem informações histológicas basais auxiliares na determinação de diagnósticos histopatológicos oculares.(AU)

Traumatismo accidental con estallido del globo ocular / Accidental trauma with eyeball popping-up

Paciente masculino de 27 años de edad, trabajador agrícola, que fue ingresado en el Hospital Militar Central "Dr. Carlos J. Finlay" por haber sufrido una herida penetrante por arma de fuego, producida por la impulsión retrógrada del percutor al disparar una escopeta artesanal de cacería, que provocó estallido del globo ocular izquierdo, fractura de la pared externa de la órbita y heridas palpebrales. Se retiró el cuerpo extraño, se completó la evisceración del ojo izquierdo, se recolocó el fragmento fracturado de la órbita en posición anatómica, se regularizaron los tejidos blandos intra y periorbitarios, preparando la cavidad orbitaria para la colocación posterior de la prótesis; y se realizó la hemostasia, la exploración de la cavidad neoformada por el cuerpo extraño en los tejidos blandos de la región fronto-temporal y la plastia palpebral. Se logró con éxito la reconstrucción palpebral y con posterioridad, la rehabilitación con fines estéticos mediante prótesis ocular.

A 27 year-old male farmer patient was admitted to "Dr. Carlos J. Finlay" Central Military Hospital suffering a penetrating gunshot wound, caused by the retrograde hammer when shooting a handmade hunting shotgun. This injured caused his left eyeball burst, fracture of the outer wall of the orbit and eyelid injuries. Foreign matter was removed. His left eye evisceration was completed. The fractured orbit fragment was repositioned in anatomical position. Intra and periorbital soft tissues were regularized, preparing the orbital cavity for the subsequent placement of prosthesis; and hemostasis was performed, as well as exploration the newly formed cavity by foreign matter in the soft tissues of the frontal-temporal region and eyelid plasty. Eyelid reconstruction and further rehabilitation for aesthetic purposes by ocular prosthesis was successfully achieved.

Morfologia do sistema ocular dos animais domésticos / Morphology of ocular system of domestic animals

Este trabalho teve como objetivo realizar uma revisão de literatura sobre as estruturas que compõem o sistema ocular dos animais domésticos. O bulbo ocular é um órgão especializado cuja função primária consiste em captar e focalizar a luz sobre a retina fotossensível. É formado por três túnicas dispostas concentricamente: a camada externa ou túnica fibrosa, que consiste em esclera e córnea; a camada média ou túnica vascular, constituída pela coróide, pelo corpo ciliar e pela íris; e a camada interna ou túnica nervosa, que é formada pela retina. Além desses envoltórios, há o cristalino ou lente e as estruturas que protegem e move o bulbo do olho, que são as fáscias orbitárias, os músculos oculares, as pálpebras, a conjuntiva e o aparelho lacrimal. Cada componente pode ser acometido por afecções diversas, as quais o médico veterinário deve estar apto a intervir, a fim de preservar esse importante órgão do sentido.(AU)

A literature review on the structures that compose the ocular system of domestic animals is presented in this study. The eyeball is a specialized organ whose primary function is to capture and focus the light onto the photosensitive retina. It comprises three concentrically arranged layers: an outer layer or fibrous tunic, containing the sclera and cornea; a middle coat or vascular layer, comprising the choroid, ciliary body and iris; and the inner coat or nervous layer, which is formed by the retina. In addition, there are the lens and the structures that protect and move the eyeball, such as the orbital fascia, ocular muscles, eyelids, conjunctiva and lacrimal apparatus. Each component can be affected by various diseases, which the veterinarian should be able to intervene in order to preserve this important sense organ.(AU)

Morfologia do sistema ocular dos animais domésticos / Morphology of ocular system of domestic animals

Este trabalho teve como objetivo realizar uma revisão de literatura sobre as estruturas que compõem o sistema ocular dos animais domésticos. O bulbo ocular é um órgão especializado cuja função primária consiste em captar e focalizar a luz sobre a retina fotossensível. É formado por três túnicas dispostas concentricamente: a camada externa ou túnica fibrosa, que consiste em esclera e córnea; a camada média ou túnica vascular, constituída pela coróide, pelo corpo ciliar e pela íris; e a camada interna ou túnica nervosa, que é formada pela retina. Além desses envoltórios, há o cristalino ou lente e as estruturas que protegem e move o bulbo do olho, que são as fáscias orbitárias, os músculos oculares, as pálpebras, a conjuntiva e o aparelho lacrimal. Cada componente pode ser acometido por afecções diversas, as quais o médico veterinário deve estar apto a intervir, a fim de preservar esse importante órgão do sentido.

A literature review on the structures that compose the ocular system of domestic animals is presented in this study. The eyeball is a specialized organ whose primary function is to capture and focus the light onto the photosensitive retina. It comprises three concentrically arranged layers: an outer layer or fibrous tunic, containing the sclera and cornea; a middle coat or vascular layer, comprising the choroid, ciliary body and iris; and the inner coat or nervous layer, which is formed by the retina. In addition, there are the lens and the structures that protect and move the eyeball, such as the orbital fascia, ocular muscles, eyelids, conjunctiva and lacrimal apparatus. Each component can be affected by various diseases, which the veterinarian should be able to intervene in order to preserve this important sense organ.

Carcinoma epidermoide diferenciado nasosinusal / Differentiated nasosinusal epidermoid carcinoma

Se presentan 2 casos clínicos de pacientes jóvenes, tratados en la consulta de Otorrinolaringología del Hospital Clinicoquirúrgico Docente «Dr. Joaquín Castillo Duany" de Santiago de Cuba. Uno de los afectados presentaba obstrucción nasal, rinorrea y algia facial, desde hacía 7 meses; el otro, aumento de volumen en el globo ocular derecho. En ambos, los resultados de la biopsia corroboraron el diagnóstico de carcinoma epidermoide diferenciado nasosinusal.

Two case reports of young patients, who were treated in the Otolaryngology Department from "Dr. Joaquín Castillo Duany" Teaching Clinical Surgical Hospital in Santiago de Cuba are presented. One of the cases presented nasal obstruction, rhinorrea and facial pain, for 7 months; the other one presented an increase of volume in the right ocular globe. In both, the results of the biopsy confirmed the diagnosis of differentiated nasosinusal epidermoid carcinoma.

Anatomia e fisiologia ocular – Revisão de literatura / Ocular anatomy and physiology - A review

O olho é o órgão sensorial dos animais, que permite detectar a luz e transformar essa percepção emimpulsos elétricos, permitindo que aconteça a visão. O conhecimento das estruturas oculares é importantepara que possamos entender como o processo visual acontece, bem como, diagnosticar etratar eventuais alterações oftálmicas.Temos como objetivo, por meio deste artigo, ajudar o médicoveterinário a compreender de maneira simples as principais estruturas oculares e suas funções.

The eye is the sensory organ of animals, which can detect light and transform this perception intoelectrical impulses, allowing vision to happen. The knowledge of the ocular structures is important tounderstand how the visual process happens, as well as diagnose and treat any ophthalmic alterations.The aim of this article is to assist veterinarians, in a simple way, understand the major eye structuresand its functions.

Anatomia e fisiologia ocular Revisão de literatura / Ocular anatomy and physiology - A review

O olho é o órgão sensorial dos animais, que permite detectar a luz e transformar essa percepção emimpulsos elétricos, permitindo que aconteça a visão. O conhecimento das estruturas oculares é importantepara que possamos entender como o processo visual acontece, bem como, diagnosticar etratar eventuais alterações oftálmicas.Temos como objetivo, por meio deste artigo, ajudar o médicoveterinário a compreender de maneira simples as principais estruturas oculares e suas funções.(AU)

The eye is the sensory organ of animals, which can detect light and transform this perception intoelectrical impulses, allowing vision to happen. The knowledge of the ocular structures is important tounderstand how the visual process happens, as well as diagnose and treat any ophthalmic alterations.The aim of this article is to assist veterinarians, in a simple way, understand the major eye structuresand its functions.(AU)