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Objective: To compare refractive measurements obtained with the QuickSee Free™ (QSFree) wavefront autorefractor, with and without a +2.00 D fogging lens, against subjective clinical refractometry (SCR) under cycloplegia in schoolchildren aged 7 to 17 years. Methods: One hundred right eyes from 100 healthy Brazilian schoolchildren were evaluated using QSFree without cycloplegia, QSFree with a +2.00 D fogging lens, QSFree under cycloplegia, and SCR under cycloplegia. Refractions were converted into spherical equivalent (SE) and astigmatic vector components projected onto the [...] ABSTRACT Objective: To compare refractive measurements obtained with the QuickSee Free™ (QSFree) wavefront autorefractor, with and without a +2.00 D fogging lens, against subjective clinical refractometry (SCR) under cycloplegia in schoolchildren aged 7 to 17 years. Methods: One hundred right eyes from 100 healthy Brazilian schoolchildren were evaluated using QSFree without cycloplegia, QSFree with a +2.00 D fogging lens, QSFree under cycloplegia, and SCR under cycloplegia. Refractions were converted into spherical equivalent (SE) and astigmatic vector components projected onto the

Purpose: To assess whether low-concentration brimonidine (0.025%) improves early postoperative signs and symptoms following femtosecond laser-assisted in situ keratomileusis and photorefractive keratectomy without affecting pupil diameter or flap safety. Methods: This prospective, randomized, double-masked, contralateral-eye, single-center study was conducted between January and September 2024. In each patient, one eye received 0.025% brimonidine 15–30 min before surgery (mean: 21.3 ± 2.4 min), whereas the fellow eye received 0.15% sodium hyaluronate (control). Primary outcomes on postoperative Day 1 included subconjunctival hemorrhage laser-assisted in situ keratomileusis and patient-reported symptoms (0–10 scale; composite score). Pupil diameter was measured pre-ablation. Statistical analyses included McNemar and paired t tests, with a significant threshold of α=0.05. Results: A total of 124 patients were included (54 laser-assisted in situ keratomileusis and 70 photorefractive keratectomy). Pupil diameter did not differ significantly between brimonidine-treated and control eyes (laser-assisted in situ keratomileusis: 2.63 ± 0.47 vs. 2.69 ± 0.42 mm, p=0.273; photorefractive keratectomy: 2.56 ± 0.44 vs. 2.61 ± 0.39 mm, p=0.116). In laser-assisted in situ keratomileusis, subconjunctival hemorrhage occurred less frequently in brimonidine-treated eyes both intraoperatively (9.3% vs. 46.3%, p<0.001) and on postoperative Day 1 (9.3% vs. 50.0%, p<0.001). Composite symptom scores were significantly lower in brimonidine-treated eyes in both laser-assisted in situ keratomileusis and photorefractive keratectomy groups (p=0.001 for both). Conclusions: Preoperative administration of low-concentration brimonidine (0.025%) significantly reduced subconjunctival hemorrhage in laser-assisted in situ keratomileusis without comprising flap integrity. It also improved early postoperative symptoms in laser-assisted in situ keratomileusis and photorefractive keratectomy, without affecting pupil diameter. These findings support the use of dilute brimonidine as a safe and effective adjunct to enhance the immediate postoperative experience in refractive surgery.

RESUMO Crianças com a síndrome do bebê sacudido frequentemente apresentam hemorragias retinianas em várias camadas, com riscos de descolamento de retina, retinosquise macular e hemorragias vítreas, dependendo do impacto do trauma craniano. Danos permanentes à visão podem resultar de lesões diretas nos olhos ou no cérebro, sendo a última a principal causa de deficiência visual. Cicatrizes retinianas e atrofia do nervo óptico são geralmente irreversíveis e podem aparecer meses após a lesão. As constatações oftalmológicas podem oferecer dados diagnósticos significativos [...] RESUMO Crianças com a síndrome do bebê sacudido frequentemente apresentam hemorragias retinianas em várias camadas, com riscos de descolamento de retina, retinosquise macular e hemorragias vítreas, dependendo do impacto do trauma craniano. Danos permanentes à visão podem resultar de lesões diretas nos olhos ou no cérebro, sendo a última a principal causa de deficiência visual. Cicatrizes retinianas e atrofia do nervo óptico são geralmente irreversíveis e podem aparecer meses após a lesão. As constatações oftalmológicas podem oferecer dados diagnósticos significativos

Purpose: this study aims to investigate the main complaints and ocular health problems in a specific region to facilitate better planning of public resources and the formulation of strategies aimed at reducing and controlling visual impairments and blindness. The focus is on assessing the epidemiological profile of patients treated at the ophthalmological emergency room of Santo André. Methods: we conducted a cross-sectional and retrospective study involving 165,714 patients who sought primary care at the ophthalmic emergency room of Centro Hospitalar Municipal de Santo André from 2011 to 2016. Data on age, gender, city of origin, diagnosis, conducted treatment, and date of care were collected. Descriptive statistics were employed to summarize the dataset, and distributions were presented using measures of central tendency and variability. Qualitative data were displayed in absolute and relative frequencies. Results: during the analyzed period, a total of 165.714 patients sought treatment at the ophthalmological emergency room. Among them, 52.25% were men, and 47.75% were women. The mean age of the general population seeking care was 37±20 years. External diseases (56.22%) and ocular trauma (14.12%) were the leading reasons for these visits. Conclusion: this study provides a comprehensive analysis of the epidemiological profile of patients attending a reference service in ophthalmic emergency during the proposed period. The findings reveal noteworthy changes in the population’s profile over the last decade. These insights can inform and guide healthcare providers and policymakers in implementing targeted interventions to address eye health issues effectively.

Introduction: the COVID-19 pandemic sparked a serious health crisis in which non-essential medical services were suspended, with the management of serious diseases not related to the pandemic, including glaucoma, becoming secondary in importance. With the flexibilization of social isolation measures, resuming outpatient care was necessary, respecting the health equity provided by the Brazilian Unified Health System. Objective: to describe a risk classification of glaucoma progression based on clinical ophthalmology criteria during the COVID-19 pandemic. Methods: observational study of an administrative nature. A review was carried out of the medical records of patients who had scheduled appointments between March and September of 2020 in the glaucoma sector of the FMABC University Center’s Department of Ophthalmology. A total of 489 medical records (881 eyes) were reviewed, and patients were divided into 4 groups according to the risk of glaucoma progression. Eyes were evaluated for visual acuity (VA), optic disc cup, pachymetry, intraocular pressure (IOP), mean number of eyes drop medications used, and global visual field indexes. Results: groups were homogeneous in terms of age (mean 67.04 ± 11.72 years) and sex (55.5% women and 44.5% men). Primary open-angle glaucoma was the most prevalent etiology, present in 45.2% of patients, followed by primary angle-closure glaucoma in 15.7%. The groups were compared with each other, and a statistical difference (pConclusion: the risk classification for progression proposed in this study was easily applied and aided managers in prioritizing the most serious care during the COVID-19 pandemic.

Introdução: O trauma ocular é uma entidade da oftalmologia que exige rapidez diagnóstica e conduta emergencial. Os serviços de urgência oftalmológica necessitam de atendimento eficaz e detalhado. Objetivo: avaliar o prognóstico visual dos pacientes frente as cirurgias emergenciais pós trauma ocular perfurante através do escore OTS. Métodos: Estudo observacional descritivo com 68 olhos selecionados que sofreram trauma ocular perfurativo. Resultados: Trauma ocular penetrante foi de 88% sexo masculino, o prego em primeiro e o vidro em seguida das causas de perfurações. Prevalência do olho esquerdo em 56%, média da AV C/C pós cirurgia de urgência em decimal foi de 0,20, pressão intraocular (PIO) resultou em média de 14,05 e o prognóstico visual a partir do score OTS, resultou em 58,77. Conclusão: Se faz necessária conscientização para prevenção, visto que os principais afetados são os homens, em horário comercial manuseando prego ou vidro e, que não utilizavam EPI adequado.

Introdução: A correção do estrabismo por meio de cirurgia ocular é uma forma amplamente utilizada de melhorar a visão binocular e a qualidade de vida dos pacientes afetados. No entanto, variações topográficas e alterações refracionais após essas cirurgias são descritas na literatura. A interação entre as modificações cirúrgicas na inserção dos músculos extraoculares e as variações na topografia da córnea ainda é pouco explorada. Objetivo: Avaliar a correlação entre as alterações cirúrgicas das inserções dos músculos extraoculares e as variações na topografia da córnea de pacientes submetidos a cirurgia para correção de estrabismo pela equipe do setor de estrabismo da Faculdade de Medicina do ABC. Métodos: O estudo comparou a topografia de córnea pré-operatória e após 2 meses de cirurgia de estrabismo, utilizando a tomografia de córnea (Orbscan R). Foram avaliadas as diferenças nos valores de astigmatismo e do seu eixo. Resultados: O valor do astigmatismo não apresentou variação significativa. Houve variação do eixo do astigmatismo clinicamente significativa com média de 17,87 +/ - 24,58. Conclusão: Apesar de não se notar variação significativa do valor do astigmatismo nos olhos analisados, variações no seu eixo foram observadas após a correção cirúrgica do estrabismo.

Objective To evaluate the effects of the Covid-19 pandemic on the profile of emergency eye-related visits and compare the findings with the same period before the pandemic. Methods Cross-sectional study performed during one year at a reference eye hospital. Cases registered at the emergency Municipal Hospital Complex of Santo Andre, Brazil, between March, 2019 and February, 2020 were included in the study as the Pre-pandemic group. Cases registered between March, 2020 and February, 2021 were included as the Pandemic [...] ABSTRACT Objective To evaluate the effects of the Covid-19 pandemic on the profile of emergency eye-related visits and compare the findings with the same period before the pandemic. Methods Cross-sectional study performed during one year at a reference eye hospital. Cases registered at the emergency Municipal Hospital Complex of Santo Andre, Brazil, between March, 2019 and February, 2020 were included in the study as the Pre-pandemic group. Cases registered between March, 2020 and February, 2021 were included as the Pandemic