Luciano Násser - Academia.edu (original) (raw)
Uploads
Papers by Luciano Násser
Arquivos brasileiros de oftalmologia, 2011
PURPOSE This study aimed to know the most common ocular findings in children with congenital toxo... more PURPOSE This study aimed to know the most common ocular findings in children with congenital toxoplasmosis. METHODS This is a retrospective study carried out from a historical cohort, with a quantitative approach. We evaluated children referred to a pediatric infectious disease service and included only those with confirmed diagnosis of congenital toxoplasmosis. The ophthalmologic evaluation included regular fundus examination under pupil dilation. RESULTS Of 58 children presumably exposed to risk of the disease during the pregnancy, 20 had ocular lesions during the first year of life (34 eyes). Of these, 12 were asymptomatic at birth. Strabismus was noted in 14 children (70%). In one child there was ptosis, and another had decrease in the palpebral fissure (microphthalmia). Retinochoroiditis was the most common complication, present in all 20 children. Seven children (35%) showed unilateral changes and 13 children showed bilateral changes (65%), with emphasis on the location in the...
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Revista Brasileira de Oftalmologia, 2016
Arquivos brasileiros de oftalmologia
The nonspecific orbital inflammatory presents several clinical forms. When it evolves the posteri... more The nonspecific orbital inflammatory presents several clinical forms. When it evolves the posterior segment of the eye, usually by contiguity, it can lead to serious damage to vision functions. Posterior scleritis causes permanent damage to the vision and rarely progresses to acute glaucoma. E.N., a 24-year-old black man, complained of pain in the left eye (OS) for ten days, with low visual acuity, malaise, nauseas and vomiting. On ophthalmologic examination, he presented proptosis, restricted eye movements and edema on the upper left eyelid. Best-corrected visual acuity was 20/20 in OD and counting fingers at 1.5m in OS. The intraocular pressure was 14 mmHg in OD and 34 mmHg in OS. The biomicroscopy presented in OS conjunctival hyperemia cornea with keratic precipitates, shallow anterior chamber with cells and flare 2+. Gonioscopy in OS showed angle-closure of 360 masculine. The ophthalmoscopic examination revealed increased vascular tortuosity and posterior pole edema. Treatment f...
Arquivos brasileiros de oftalmologia
Retinal telangiectasias are idiopathic vascular abnormalities of the retina characterized by irre... more Retinal telangiectasias are idiopathic vascular abnormalities of the retina characterized by irregular dilatation of the retinal vessels, intraretinal and subretinal exudation. The aim of this article is to describe the uncommon association of Leber's miliary aneurysms and vitreomacular traction syndrome in a female patient. The diagnosis was established with angiofluoresceinography and optic coherence tomography. The patient was treated with focal photocoagulation with argon green laser directed to the perimacular aneurysms and pars plana posterior vitrectomy. The visual acuity showed great improvement after a four-month follow-up. The present report supports the importance of optic coherence tomography in cases where the vitreoretinal interface must be evaluated, including vascular pathologies, which allowed us to offer a better treatment to this patient.
Revista Brasileira de Oftalmologia, 2012
Os autores declaram inexistir conflitos de interesse Recebido para publicação em 29/7/2011-Aceito... more Os autores declaram inexistir conflitos de interesse Recebido para publicação em 29/7/2011-Aceito para publicação em 2/3/2012 RESUMO Objetivo: Analisar os resultados da cirurgia combinada de catarata e glaucoma (FACO-TREC) e apresentar a técnica com o ponto escleral perilímbico. Métodos: Estudo retrospectivo por levantamento de prontuários com informações sobre a pressão intraocular, acuidade visual, medicação hipotensora antes e depois da cirurgia e descrição do ato cirúrgico combinado (FACO-TREC), com acompanhamento mínimo de seis meses. Foram selecionados 10 pacientes com glaucoma e catarata (15 olhos), acompanhados de janeiro de 2005 a junho de 2007, no Departamento de Glaucoma da Santa Casa Olhos de Montes Claros (MG). A cirurgia de TREC utilizada foi a de base fórnix, sem uso de Mitomicina C, com a incisão principal da cirurgia de catarata realizada no mesmo sítio da TREC. A confecção do ponto escleral perilímbico se dá como uma sutura que se inicia na esclera nua, passa por cima do retalho escleral e é ancorada na esclera do outro lado do retalho. A conjuntiva é suturada com pontos simples por sobre o ponto. Resultados: A acuidade visual, após seis meses da cirurgia mostrou-se melhor em 86,6% (13) dos olhos, inalterada em 6,66% (1 olho) e pior em 6,66%. A pressão intraocular média pré-operatória foi de 18,02 mmHg, a pós-operatória após 6 meses foi de 15,06 mmHg. Cinquenta por cento dos olhos operados ficaram livres dos colírios. Conclusão: Conclui-se que o ponto escleral perilímbico apresentou resultados favoráveis na obtenção de uma melhora na acuidade visual, redução da pressão intraocular e uma diminuição significativa no uso de drogas hipotensoras à custa de um número muito pequeno de complicações.
Arquivos Brasileiros de Oftalmologia, 2007
Arquivos Brasileiros de Oftalmologia, 2007
Cruzes (SP)-Brasil. 2 Residente do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes ... more Cruzes (SP)-Brasil. 2 Residente do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil. 3 Residente do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil. 4 Médica Responsável pelo Setor de Glaucoma do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil. 5 Professora Titular da Disciplina de Oftalmologia e Coordenadora do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil.
Eye, 2009
To analyse the incidence and risk factors for retinopathy of prematurity (ROP) and survival rates... more To analyse the incidence and risk factors for retinopathy of prematurity (ROP) and survival rates among extremely low birth weight (ELBW) and very low birth weight (VLBW) preterm infants. A prospective cohort study of 352 infants admitted at a teaching hospital, Hospital de Clinicas de Porto Alegre, Brazil, between October 2002 and December 2006, was screened for ROP. The ELBW group comprised infants whose birth weight (BW) was < or = 1000 g and the VLBW group comprised those infants whose BW were > 1000 g and < or = 1500 g. Perinatal risk factors for ROP were assessed using univariate and multivariate analysis. Of the 352 neonates screened, 88 were ELBW babies. Survival rates among ELBW and VLBW were 47.8 and 88.7%, respectively. ROP affected 48.9% of ELBW infants and 18.2% of VLBW babies. Threshold disease occurred in 21 patients, 15 of whom were born weighing < 1000 g. Only 2.3% of the neonates born with more than 1000 g developed treatable disease. Univariate analysi...
Arquivos Brasileiros de Oftalmologia, 2011
Page 1. 255 Arq Bras Oftalmol. 2011;74(4):255-7 ARTIGO ORIGINAL | ORIGINAL ARTICLE Achados ocular... more Page 1. 255 Arq Bras Oftalmol. 2011;74(4):255-7 ARTIGO ORIGINAL | ORIGINAL ARTICLE Achados oculares em crianças com toxoplasmose congênita Ocular findings in children with congenital toxoplasmosis JANER APARECIDA ...
Arquivos brasileiros de oftalmologia
This study aimed to know the most common ocular findings in children with congenital toxoplasmosi... more This study aimed to know the most common ocular findings in children with congenital toxoplasmosis. This is a retrospective study carried out from a historical cohort, with a quantitative approach. We evaluated children referred to a pediatric infectious disease service and included only those with confirmed diagnosis of congenital toxoplasmosis. The ophthalmologic evaluation included regular fundus examination under pupil dilation. Of 58 children presumably exposed to risk of the disease during the pregnancy, 20 had ocular lesions during the first year of life (34 eyes). Of these, 12 were asymptomatic at birth. Strabismus was noted in 14 children (70%). In one child there was ptosis, and another had decrease in the palpebral fissure (microphthalmia). Retinochoroiditis was the most common complication, present in all 20 children. Seven children (35%) showed unilateral changes and 13 children showed bilateral changes (65%), with emphasis on the location in the posterior pole and macu...
Arquivos brasileiros de oftalmologia, 2011
PURPOSE This study aimed to know the most common ocular findings in children with congenital toxo... more PURPOSE This study aimed to know the most common ocular findings in children with congenital toxoplasmosis. METHODS This is a retrospective study carried out from a historical cohort, with a quantitative approach. We evaluated children referred to a pediatric infectious disease service and included only those with confirmed diagnosis of congenital toxoplasmosis. The ophthalmologic evaluation included regular fundus examination under pupil dilation. RESULTS Of 58 children presumably exposed to risk of the disease during the pregnancy, 20 had ocular lesions during the first year of life (34 eyes). Of these, 12 were asymptomatic at birth. Strabismus was noted in 14 children (70%). In one child there was ptosis, and another had decrease in the palpebral fissure (microphthalmia). Retinochoroiditis was the most common complication, present in all 20 children. Seven children (35%) showed unilateral changes and 13 children showed bilateral changes (65%), with emphasis on the location in the...
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Revista Brasileira de Oftalmologia, 2016
Arquivos brasileiros de oftalmologia
The nonspecific orbital inflammatory presents several clinical forms. When it evolves the posteri... more The nonspecific orbital inflammatory presents several clinical forms. When it evolves the posterior segment of the eye, usually by contiguity, it can lead to serious damage to vision functions. Posterior scleritis causes permanent damage to the vision and rarely progresses to acute glaucoma. E.N., a 24-year-old black man, complained of pain in the left eye (OS) for ten days, with low visual acuity, malaise, nauseas and vomiting. On ophthalmologic examination, he presented proptosis, restricted eye movements and edema on the upper left eyelid. Best-corrected visual acuity was 20/20 in OD and counting fingers at 1.5m in OS. The intraocular pressure was 14 mmHg in OD and 34 mmHg in OS. The biomicroscopy presented in OS conjunctival hyperemia cornea with keratic precipitates, shallow anterior chamber with cells and flare 2+. Gonioscopy in OS showed angle-closure of 360 masculine. The ophthalmoscopic examination revealed increased vascular tortuosity and posterior pole edema. Treatment f...
Arquivos brasileiros de oftalmologia
Retinal telangiectasias are idiopathic vascular abnormalities of the retina characterized by irre... more Retinal telangiectasias are idiopathic vascular abnormalities of the retina characterized by irregular dilatation of the retinal vessels, intraretinal and subretinal exudation. The aim of this article is to describe the uncommon association of Leber's miliary aneurysms and vitreomacular traction syndrome in a female patient. The diagnosis was established with angiofluoresceinography and optic coherence tomography. The patient was treated with focal photocoagulation with argon green laser directed to the perimacular aneurysms and pars plana posterior vitrectomy. The visual acuity showed great improvement after a four-month follow-up. The present report supports the importance of optic coherence tomography in cases where the vitreoretinal interface must be evaluated, including vascular pathologies, which allowed us to offer a better treatment to this patient.
Revista Brasileira de Oftalmologia, 2012
Os autores declaram inexistir conflitos de interesse Recebido para publicação em 29/7/2011-Aceito... more Os autores declaram inexistir conflitos de interesse Recebido para publicação em 29/7/2011-Aceito para publicação em 2/3/2012 RESUMO Objetivo: Analisar os resultados da cirurgia combinada de catarata e glaucoma (FACO-TREC) e apresentar a técnica com o ponto escleral perilímbico. Métodos: Estudo retrospectivo por levantamento de prontuários com informações sobre a pressão intraocular, acuidade visual, medicação hipotensora antes e depois da cirurgia e descrição do ato cirúrgico combinado (FACO-TREC), com acompanhamento mínimo de seis meses. Foram selecionados 10 pacientes com glaucoma e catarata (15 olhos), acompanhados de janeiro de 2005 a junho de 2007, no Departamento de Glaucoma da Santa Casa Olhos de Montes Claros (MG). A cirurgia de TREC utilizada foi a de base fórnix, sem uso de Mitomicina C, com a incisão principal da cirurgia de catarata realizada no mesmo sítio da TREC. A confecção do ponto escleral perilímbico se dá como uma sutura que se inicia na esclera nua, passa por cima do retalho escleral e é ancorada na esclera do outro lado do retalho. A conjuntiva é suturada com pontos simples por sobre o ponto. Resultados: A acuidade visual, após seis meses da cirurgia mostrou-se melhor em 86,6% (13) dos olhos, inalterada em 6,66% (1 olho) e pior em 6,66%. A pressão intraocular média pré-operatória foi de 18,02 mmHg, a pós-operatória após 6 meses foi de 15,06 mmHg. Cinquenta por cento dos olhos operados ficaram livres dos colírios. Conclusão: Conclui-se que o ponto escleral perilímbico apresentou resultados favoráveis na obtenção de uma melhora na acuidade visual, redução da pressão intraocular e uma diminuição significativa no uso de drogas hipotensoras à custa de um número muito pequeno de complicações.
Arquivos Brasileiros de Oftalmologia, 2007
Arquivos Brasileiros de Oftalmologia, 2007
Cruzes (SP)-Brasil. 2 Residente do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes ... more Cruzes (SP)-Brasil. 2 Residente do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil. 3 Residente do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil. 4 Médica Responsável pelo Setor de Glaucoma do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil. 5 Professora Titular da Disciplina de Oftalmologia e Coordenadora do Programa de Residência em Oftalmologia da UMC-Mogi das Cruzes (SP)-Brasil.
Eye, 2009
To analyse the incidence and risk factors for retinopathy of prematurity (ROP) and survival rates... more To analyse the incidence and risk factors for retinopathy of prematurity (ROP) and survival rates among extremely low birth weight (ELBW) and very low birth weight (VLBW) preterm infants. A prospective cohort study of 352 infants admitted at a teaching hospital, Hospital de Clinicas de Porto Alegre, Brazil, between October 2002 and December 2006, was screened for ROP. The ELBW group comprised infants whose birth weight (BW) was < or = 1000 g and the VLBW group comprised those infants whose BW were > 1000 g and < or = 1500 g. Perinatal risk factors for ROP were assessed using univariate and multivariate analysis. Of the 352 neonates screened, 88 were ELBW babies. Survival rates among ELBW and VLBW were 47.8 and 88.7%, respectively. ROP affected 48.9% of ELBW infants and 18.2% of VLBW babies. Threshold disease occurred in 21 patients, 15 of whom were born weighing < 1000 g. Only 2.3% of the neonates born with more than 1000 g developed treatable disease. Univariate analysi...
Arquivos Brasileiros de Oftalmologia, 2011
Page 1. 255 Arq Bras Oftalmol. 2011;74(4):255-7 ARTIGO ORIGINAL | ORIGINAL ARTICLE Achados ocular... more Page 1. 255 Arq Bras Oftalmol. 2011;74(4):255-7 ARTIGO ORIGINAL | ORIGINAL ARTICLE Achados oculares em crianças com toxoplasmose congênita Ocular findings in children with congenital toxoplasmosis JANER APARECIDA ...
Arquivos brasileiros de oftalmologia
This study aimed to know the most common ocular findings in children with congenital toxoplasmosi... more This study aimed to know the most common ocular findings in children with congenital toxoplasmosis. This is a retrospective study carried out from a historical cohort, with a quantitative approach. We evaluated children referred to a pediatric infectious disease service and included only those with confirmed diagnosis of congenital toxoplasmosis. The ophthalmologic evaluation included regular fundus examination under pupil dilation. Of 58 children presumably exposed to risk of the disease during the pregnancy, 20 had ocular lesions during the first year of life (34 eyes). Of these, 12 were asymptomatic at birth. Strabismus was noted in 14 children (70%). In one child there was ptosis, and another had decrease in the palpebral fissure (microphthalmia). Retinochoroiditis was the most common complication, present in all 20 children. Seven children (35%) showed unilateral changes and 13 children showed bilateral changes (65%), with emphasis on the location in the posterior pole and macu...