Tomografia de coerência óptica de segmento anterior na avaliação dos implantes anti-glaucomatosos: revisão bibliográfica
Data
2022
Autores
Gonçalves, Pedro José Sardinha [UNIFESP]
Orientadores
Allemann, Norma [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Glaucoma é o nome dado à patologia na qual há perda de campo visual em virtude do acometimento do nervo óptico, muitas vezes decorrente do aumento da pressão intraocular. O impacto do glaucoma à saúde global é significativo sendo a principal causa de cegueira irreversível no mundo. Dentre os diversos tratamentos possíveis, a colocação de implantes de drenagem tem ganhado relevância como escolha cirúrgica para os casos em que o manejo clínico é insuficiente. Métodos: Esse estudo elaborou uma revisão de parte da bibliografia mundial sobre a capacidade avaliativa e diagnóstica da tomografia de coerência óptica de segmento anterior (OCT-SA) nesses casos, bem como no estudo de suas potenciais complicações. Para tal trabalho avaliativo foram analisadas 35 bibliografias encontradas no PubMed, através das palavras chave: oct, anterior segment, tube, glaucoma shunt entre os meses de setembro e dezembro de 2022. Resultados: a revisão da literatura, de distintos países e pesquisadores, comprovou a efetividade da OCT-SA como ferramenta avaliativa nos casos de tubos (posicionamento, oclusão, análise das bolhas/ampolas filtrantes) bem como no auxílio de análises secundárias como dos impactos dos tubos no endotélio corneano. Conclusão: a tecnologia se mostrou confiável no processo avaliativo dos tubos comprovando a confiabilidade da OCT-SA para o acompanhamento dos implantes de drenagem em distintos momentos, sendo incentivado por diversos autores maiores estudos e maior uso na prática clínica - e cirúrgica - de manejo dos diversos tipos de glaucoma.
Introduction: Glaucoma is the disease where loss of visual field may happen due to the damage of the optic nerve, often caused by raised intraocular pressure. The impact of glaucoma on global health is significant, being the main cause of irreversible blindness in the world. Among the various possible treatments, the placement of drainage implants has gained relevance as a surgical choice for cases in which clinical management is insufficient. Methods: This study carried out a review of worldwide literature on the evaluative and diagnostic capacity of anterior segment optical coherence tomography (OCT-AS) in these cases, as well as in the study of its potential complications. For this evaluative work, 35 bibliographies found in PubMed were analyzed, using the keywords: oct, anterior segment, tube, glaucoma shunt between the months of September and December 2022. Results: the literature’s review, from different countries and researchers, proved the effectiveness of OCT-AS as an evaluative tool in cases of tubes (positioning, occlusion, analysis of filtering bubbles) as well as in the aid of secondary analyzes such as the impacts on the cornea. Conclusion: the technology proved to be reliable in the evaluation process of drainage implants in several studies around the world, proving the reliability of OCT-SA for the monitoring of drainage implants, being encouraged by several authors further studies and greater use in clinical practice - and surgical - management of the different types of glaucoma.
Introduction: Glaucoma is the disease where loss of visual field may happen due to the damage of the optic nerve, often caused by raised intraocular pressure. The impact of glaucoma on global health is significant, being the main cause of irreversible blindness in the world. Among the various possible treatments, the placement of drainage implants has gained relevance as a surgical choice for cases in which clinical management is insufficient. Methods: This study carried out a review of worldwide literature on the evaluative and diagnostic capacity of anterior segment optical coherence tomography (OCT-AS) in these cases, as well as in the study of its potential complications. For this evaluative work, 35 bibliographies found in PubMed were analyzed, using the keywords: oct, anterior segment, tube, glaucoma shunt between the months of September and December 2022. Results: the literature’s review, from different countries and researchers, proved the effectiveness of OCT-AS as an evaluative tool in cases of tubes (positioning, occlusion, analysis of filtering bubbles) as well as in the aid of secondary analyzes such as the impacts on the cornea. Conclusion: the technology proved to be reliable in the evaluation process of drainage implants in several studies around the world, proving the reliability of OCT-SA for the monitoring of drainage implants, being encouraged by several authors further studies and greater use in clinical practice - and surgical - management of the different types of glaucoma.