Cláudio Chaves

Detecção de tracoma e doenças corneanas em índios da região do Alto Rio Negro

Purpose: To assess the ophthalmic conditions of Brazilian Indians from the Alto Rio Negro at the border of Brazil and Colombia. Methods: Ophthalmologic examination of 179 indians in July 1999. Results: Nummular corneal opacities in 28.5%; pterygium in 12.8%; trachoma in 55%. Of the total examined indians 2.8% had vision below counting fingers at 5 meters because of corneal lesions secondary to trachoma.

Ocular Gnathostomiasis in Brazil: A Case Report

Gnathostomiasis is a parasitic disease caused by nematode larvae ingestion of 15 known species of the genus Gnathostoma (one of the Gnathostomatidae family members). This parasite uses freshwater fish as a host and can infect - through the consumption of raw fish or their viscera - other animals such as dogs, cats, chickens, pigs, and humans. This parasitic disease, with humans acting as hosts, has been known since 1945 (India), and ocular complications have been known since 2004 (intravitreal; also described in India). Latin American countries, especially Mexico and Peru, have reported cases of the disease since 1970. The first dermatological case was reported in Brazil in 2009 (the individual had acquired the disease in Peru). This article describes the first reported ophthalmic case of the disease in Brazil and refers to a male patient, 30 years old, living in the municipality of Juruá, Amazonas State. The disease evolved within 30 days through a fistulized tumor in the inner corner of the lower eyelid. Following excision, the anatomical and histopathological examination revealed the presence of a different parasite species from other previously known genera.

Perfil refracional dos présbitas na Amazônia brasileira

OBJECTIVE:To determine the refractive profile of presbyopic people in the western brazilian Amazon, establishing as the pilot cities Manaus and other nine of sixty-one cities in the state of Amazonas. METHODS: Retrospective analysis of medical records of 8.225 patients. People who were over the age of 40 in 10 cities in the state of Amazonas (Manaus and 09 municipalities in the hinterland) were examined from september/2008 to december/2011. The data were classified by age, sex, economic activity (retired or not), type of refractive error and visual acuity for distance and near with and without correction. The method consisted of routine eye examination that included refraction test. The statistical analysis used quantitative studies. RESULTS: Among the patients studied, 53.0% were female; the most prevalent age group was 51-60 years; 66.0% are not retired and still engage themselves in some labor activity; the higher prevalence of refractive errors was recorded for various astigmatism (43.0%) and visual acuity at distance, without correction, was 15.0% with 20/200 and, with correction, was 45.0% with 20/30 or more; compared to the near vision , visual acuity was 40.0% for J6, without correction, and 82.0% for J1 and J2, with correction; additions were used in 75.0% of +2.50 diopters or more; and 52,0% of consultations were held in Manaus. CONCLUSION: This study, in examining people from low-income areas in the brazilian Amazon, corroborates that the lack of glasses to correct near vision constitutes an important public health problem in people over 40, especially those who have difficulty accessing Ophthalmology services.

O futuro do Conselho Brasileiro de Oftalmologia

Brasília, 30 a 31 de maio de 2001, o Conselho Brasileiro de Oftalmologia em conjunto com o Ministério da Saúde e o Senado promoveu o 1o Fórum Nacional de Saúde Ocular. Para a capital do país, afluíram centenas de oftalmologistas, mídia e membros do parlamento para debater a saúde ocular do povo brasileiro. Naquele evento, a comunidade oftalmológica pôde dar provas aos representantes do povo e às autoridades, tanto da sua pujança e do seu alto nível científico, quanto do seu compromisso social, apresentando os resultados das campanhas olho no olho, de catarata e de retinopatia diabética. Que lindo tento marcado pela oftalmologia brasileira! Merece voto de louvor a atual diretoria do CBO, que em breve concluirá o seu mandato com chave de ouro, simbolizado esse galardão na pessoa do presidente, o nosso querido e conceituado colega Marcos Ávila. O CBO hoje, graças ao trabalho hercúleo dos seus fundadores e das suas diretorias anteriores engrandecido com a contribuição indelével da atual diretoria, é uma instituição sólida, forte e respeitável, inclusive servindo de paradigma para outras entidades médicas. Em setembro próximo vindouro, durante o XXXI Congresso Brasileiro de Oftalmologia, em São Paulo, haverá eleição para a diretoria do biênio 2001-2003, e o momento é EDITORIAL