Navegando por Palavras-chave "Capsulotomia"

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    Anterior capsule staining using 0.025% trypan blue in cataracts without red reflex
    (Conselho Brasileiro de Oftalmologia, 2001-08-01) Marback, Eduardo Ferrari [UNIFESP]; Freitas, Lincoln Lemes de [UNIFESP]; Fernandes, Fernanda Pelegrino [UNIFESP]; Branco, Bruno Castelo [UNIFESP]; Belfort, Rubens Junior [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: To describe the use of anterior capsule staining in cataracts without red reflex using a 0.025% trypan blue solution. Methods: Six eyes of 6 patients with cataracts without red reflex were submitted to phacoemulsification using a direct injection of 0.2 to 0.5 ml of 0.025% trypan blue in the anterior chamber previous to viscoelastic injection. All patients had an ophthalmologic examination prior to surgery, as well as pre and postoperative corneal endothelial cell count. Results: In all cases the capsule became stained with a faint blue color that enabled an adequate visibility of the flap during the continuous curvilinear anterior capsulotomy (CCC). There were no intra-or postoperative complications. The endothelial cell loss varied between 1.8% and 26.6% (mean 12.8%). Conclusion: Staining the anterior capsule with 0.025% trypan blue solution allows a good visibility of the capsular flap and facilitates the confection of CCC in cataracts without red reflex.
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    Capsulotomia medial
    (Conselho Brasileiro de Oftalmologia, 2004-10-01) Gonçalves Neto, Paiva; Belfort, Rubens Junior [UNIFESP]; Hospital da Gamboa Departamento de Oftalmologia; Santa Casa de Misericórdia; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To evaluate the benefits of an alternative technique of anterior capsulotomy created to guarantee the complete implantation of the IOL in the capsular bag, during extracapsular cataract extraction. METHODS: One hundred and nine eyes were operated on through this technique and followed during a period of 1 year. The possibilities of the technique were evaluated regarding two aspects: the guarantee of a perfect placement of the IOL in the capsular bag and ability of providing an effective fixation of the implant through the characteristics of the anterior capsule remains. The first aspect was analyzed considering the number of cases where the two flaps could be properly observed during the implantation. The second aspect was evaluated through the positioning of the lens after 1 year. Specific difficulties and complications of this technique were also investigated. RESULTS: The two flaps could be properly observed during the implantation in 96 (90.6%) cases. One year after the surgery, the lens was centered in 81.9% of the cases, slightly off the center (less than 1 mm) in 13.3% and off the center (more than 1 mm) in 4.8%. CONCLUSION: These results, if compared to those presented in relation to other types of capsulotomy, indicate that this technique is a good alternative to provide the appropriate implantation of the lens in the bag, in extracapsular cataract extraction.