Navegando por Palavras-chave "Eyelid diseases"
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- ItemAcesso aberto (Open Access)Análise do custo-benefício da avaliação ocular de pacientes portadores de rosácea(Conselho Brasileiro de Oftalmologia, 2005-02-01) Lima, Keila Barbosa de Oliveira [UNIFESP]; Sousa, Luciene Barbosa de [UNIFESP]; Santos, Namir Clementino [UNIFESP]; Barros, Jeison de Nadai [UNIFESP]; Antonio, Denise [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To observe the main ocular manifestations of patients with rosacea and to evaluate the cost-benefit of supplementary diagnostic examinations. METHODS: Twenty patients with acne rosacea from the Dermatology Service of the São Paulo Federal University (UNIFESP) were interviewed through a questionnaire, submitted to ophthalmologic examination and tested with Schirmer I, fluorescein and rose Bengal staining, impression cytology and conjunctival scrub. The costs of these examinations were abstracted from the Public Health System's values (SUS), Brazilian Medical Association values (AMB) and values charged by a private service. RESULTS: Twenty patients were enrollet initially in the study, but only 16 completed it. Eleven patients were female (55%), 19 were white (95%) and the average age was 56 years. All patients had at least one complaint related to rosacea. The most common symptoms were itching (40%), tearing (35%), foreign body sensation (30%). The most common signs were telangiectasis of lid margins (70%), hyperemia of lid margins (70%), meibomitis (65%) and blepharitis (50%). Most subsidiary examination showed normal results. There was difference of costs between the different paying sources. CONCLUSIONS: The main ocular manifestations in rosacea were related with meibomian gland disease. Considering the subsidiary examination costs and their results, the ophthalmologic check-up presents the best cost-benefit for the patient with rosacea.
- ItemAcesso aberto (Open Access)Demodex folliculorum on the eyelash follicule of diabetic patients(Conselho Brasileiro de Oftalmologia, 2011-12-01) Yamashita, Letícia Satsiê Fátima de Freitas [UNIFESP]; Cariello, Angelino Julio [UNIFESP]; Geha, Nahin Mohamed Ali [UNIFESP]; Yu, Maria Cecilia Zorat [UNIFESP]; Hofling-Lima, Ana Luisa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To compare the prevalence of Demodex folliculorum on the eyelashes of patients with proliferative diabetic retinopathy and healthy voluntaries. METHODS: Type 2 diabetic patients with proliferative retinopathy and age- and gender-matched healthy voluntaries (group control) underwent a slit lamp examination which three eyelashes containing cylindrical dandruff were removed from each lid by fine forceps. The lashes were dyed with fluorescein and the presence of Demodex folliculorum was verified by direct visualization under a light microscope. The mites were recognized based on its morphology and peculiar movement. The results were expressed in positive when at least one mite on one lash was found and negative when no mite was identified. The Chi-square test was used for comparing mites' presence in both groups. RESULTS: Forty-two patients were included in each group. The age ranged from 50 to 60 years old, with a mean of 56.4 ± 5.2 years. The male:female ratio was 0.6:1. There was no statistically significant difference with regard to age and gender in both groups (p>0.05). Demodex folliculorum was significantly more prevalent in diabetic patients (54.8%) than in control patients (38.1%) (p=0.048). CONCLUSION: Demodex folliculorum was more prevalent in diabetic patients than in healthy voluntaries, independently of gender and age.
- ItemAcesso aberto (Open Access)Floppy eyelid syndrome: review(Conselho Brasileiro de Oftalmologia, 2011-02-01) Miyamoto, Cristina [UNIFESP]; Espírito Santo, Lilian Cristina [UNIFESP]; Roisman, Luiz [UNIFESP]; Moreno, Pilar de Andrade Memoria [UNIFESP]; Cariello, Angelino Julio [UNIFESP]; Osaki, Midori Hentosa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Floppy eyelid syndrome is characterized by the easy evertion of the upper eyelid which occurs spontaneously during the sleep, causing the exposure of the eye surface and chronic papillary conjunctivitis. Its pathogenesis is not totally defined yet: it is usually more frequent in middle-aged, male obese patients and it is associated with systemic disorders such as obstructive sleep apnea, high blood pressure and diabetes. On the occasions which conservative treatment fails, surgical procedures present good results, including surgical techniques which are constantly evolving.
- ItemAcesso aberto (Open Access)Melanose da margem palpebral com suspeita de malignidade: relato de caso(Conselho Brasileiro de Oftalmologia, 2009-10-01) Oliveira, Claudia Akemi Shiratori de; Barros, Jeison de Nadai [UNIFESP]; Souza, Simone de Biagi; Cvintal, Tadeu; Schellini, Silvana Artioli; Universidade Estadual Paulista (UNESP); Universidade Federal de São Paulo (UNIFESP); Instituto de Oftalmologia Tadeu Cvintal; IOTCA case of a patient with an irregular pigmented lesion of the lower eyelid margin simulating malignant tumor, which was treated based on the results of impression cytology and diagnosed by histopathological study is presented. The importance of cytological technique is emphasized as an effective and safe method that avoids unnecessary and extensive procedures.