Navegando por Palavras-chave "Cystoid macular edema"
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- ItemAcesso aberto (Open Access)Efeitos da injeção subtenoniana posterior de corticóide em pacientes com uveíte(Conselho Brasileiro de Oftalmologia, 2003-06-01) Finamor, Luciana Peixoto [UNIFESP]; Dimantas, Maria Angélica P. [UNIFESP]; Campos, Vânia Ewert de [UNIFESP]; Prata Junior, João Antonio [UNIFESP]; Muccioli, Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To determine the effects of posterior subtenon steroid injection (PSSI) according to intraocular pressure and visual acuity, in patients with uveitis. METHODS: Eighteen patients with diagnosis of uveitis were analized and submitted to posterior subtenon steroid injection of triancinolone acetonide (Kenalog® 40mg - 9 patients, 14 injections) or of methyl- prednisolone acetate (Depomedrol® 40mg - 9 patients, 15 in- jections) for the treatment of chronic eye inflammation or cystoid macular edema. RESULTS: Final visual acuity improved in 92% of the patients after the first injection; 50% improved one line, and 42% improved at least three lines. The mean time for improvement was three weeks. Increase of IOP occurred in 44% of the patients (8 patients), who showed a mean intraocular pressure of 31 mmHg and a range of 21 to 38 mmHg. It was more frequent among young patients, and in the Kenalog® group, with onset after 2.5 weeks on average. CONCLUSION: A subtenoninjection of corticosteroids appears to be an effective treatment for decreased vision associated with some types of uveitis, such as intermediate uveitis, Behçet's disease, Vogt-Koyanagi-Harada syndrome, retinal vasculitis and rheumatoid arthritis. However, it may contribute to increase in intraocular pressure in some cases, specially in children and young patients.
- ItemAcesso aberto (Open Access)Proposta para criação de software educativo: diagrama de Ishikawa para edema macular cistóide(Universidade Federal de São Paulo (UNIFESP), 2016-10-31) Pincelli Netto, Mário [UNIFESP]; Scarpi, Marinho Jorge [UNIFESP]; http://lattes.cnpq.br/4849663856118153; http://lattes.cnpq.br/2736458032295758; Universidade Federal de São Paulo (UNIFESP)Objectives: Formulation of a structure / interface that will work as a basis for the development of an educational software in cystoid macular edema, taking into account the view of educators, professionals and students from the medical field to improve the scientific quality and teaching of it. Methods: A survey and review of the literature concerning cystoid macular edema (CME) in the last 05 years on the online platform PubMed was conducted, and it was created a script of topics with possible etiologic diagnosis, risk factors and protection, and separate in simplified form in a model of Ishikawa diagram. These topics were transferred to a software development base, Microsoft Visual Studio 2015, available online and has assembled the initial visual interface of the program. A qualitative perception questionnaire was applied to 15 teachers, residents and interns in ophthalmology, from the Escola Paulista de Medicina ? Eniversidade Federal de São Paulo, comprising statements covering qualitative evaluation metrics. On the opinions and suggestions of users, there were changes in the content and look of the program. Results: The process of creating the software interface, diagrammed from the model proposed by Ishikawa, involved the analysis of 2,290 articles published in PubMed in the last five years. With the basic structural diagram was used Microsoft Visual Studio 2015 platform for mounting the primary visual and functional interface of the software, which was presented to the evaluators. There were no discrepancies seen in the responses in the qualitative assessment questionnaire among the three groups. Among the comments, it has been seen more often the suggestion of creating a more modern and attractive layout, and to complement the algorithm with therapeutic approaches options for macular edema. Other specific suggestions for improving the educational and aesthetic content were also suggested and taken into consideration for the creation and modification of the software proposed. With these changes, the ultimate interface was finally completed, aiming at creating a usable educational software, held together with a technical team of developers and programmers, for an easy access to health professionals. Conclusion: The creation of the interface model for an educational software is a basis for the creation of new interactive teaching-learning tools, allowing, in the future, health professionals to have easy access to a wide range of interactive academic database on various pathologies, for a better scientific embasement on their routine decisions.