Departamento de Otorrinolaringologia e Oftalmologia - FM/MOF

URI Permanente desta comunidade

https://observatorio.fm.usp.br/handle/OPI/51
O Departamento de Otorrinolaringologia e Oftalmologia da Faculdade de Medicina da Universidade de São Paulo vincula-se à disciplina de mesmo nome que está presente na grade da Faculdade de Medicina da USP desde a sua fundação (1912). Contribui para a formação técnica, científica e profissional dos alunos da FMUSP e de profissionais oriundos desta e outras faculdades do país e do exterior, nos seus cursos de graduação em Medicina, residência médica, programa de complementação especializada (fellowship), programa de capacitação profissional para médicos estrangeiros, programa de prática profissionalizante, programa de pesquisador e cursos de pós graduação stricto-sensu (Mestrado e Doutorado). Contribui igualmente com a formação técnica, científica e profissional de alunos do curso de graduação em fonoaudiologia, fisioterapia e terapia ocupacional, bem como em cursos de especialização a profissionais já formados destas áreas (Fonoaudiologia, Fisioterapia e Psicologia).

A área de oftalmologia tem como subespecialidades: catarata, córnea, ecografia, estrabismo, glaucoma, glaucoma congênito, neuroftalmologia, plástica ocular, retina, uveíte e visão subnormal.

Site: http://www.otorrinousp.org.br/

http://www.oftalmologiausp.com.br/

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Manifestações oftalmológicas na doença inflamatória intestinal
(2015) ALVES, Milton Ruiz; ROIZENBLATT, Jaime; ROIZENBLATT, Marina
bookPart
Otite média crônica
(2021) RAPOPORT, Priscila Bogar; MARONE, Silvio Antonio Monteiro
bookPart
Patologia infecciosa do anel linfático de Waldeyer
(2021) MARONE, Silvio Antonio Monteiro; ALMEIDA, Edigar Rezende de; SILVEIRA, José Alexandre Médicis da
article 0 Citação(ões) na Scopus
Relationship between automated choroidal thickness measurements and retinal sensitivity using microperimetry in patients with myopia and different stages of myopic maculopathy
(2024) SILVA, Fillipe de Biaggi Borges da; SILVA, Luis Claudio Pimentel; CUNHA, Leonardo Provetti; ZACHARIAS, Leandro Cabral; NAVAJAS, Eduardo V.; MONTEIRO, Mario L. R.; PRETI, Rony C.
Purpose To assess the relationship between macular choroidal thickness (CT) measurements and retinal sensitivity (RS) in eyes with myopia and different stages of myopic maculopathy. Methods A masked, cross-sectional, and consecutive study involving patients with emmetropia/myopia (control group) and high myopia (HM) eyes. Automated choroidal thickness (CT) and manual outer retinal layer (ORL) thickness were acquired using swept-source optical coherence tomography, while retinal sensitivity (RS) assessed by microperimetry (MP3) in all regions of the macular Early Treatment Diabetic Retinopathy Study (ETDRS) grid. Comparisons were made between groups, and correlations were performed among these measurements, demographic and ocular parameters and myopic maculopathy classification. Results A total of 37 (74 eyes) patients were included in the study. The mean age was 39 +/- 13 years, and 28 patients (76%) were female. HM eyes exhibited inferior best-corrected visual acuity and a more advanced myopic maculopathy classification compared to the control group. The mean macular CT were 255 and 179 mu m in the control and HM eyes (P < 0.001), respectively. In the HM eyes, superior ETDRS region presented the greatest values. Mean RS in control and HM groups was 28 and 24 dB (P = 0.001), respectively. Inner temporal followed by superior, were the regions of higher RS. Mean ORL thickness was 83 and 79 mu m (P < 0.001), in the control and HM groups, respectively. The inner temporal ETDRS region presented the thickest measure. CT correlated significantly with RS (r = 0.41, P < 0.001) and ORL thickness, (r = 0.58, P < 0.001), which also correlated with RS (r = 0.40, P < 0.001). Spherical equivalent, axial length and myopic maculopathy stage were the parameters that most correlated with CT, RS and ORL thickness. For every 100 mu m increase in thickening of CT there was an average increase of 3.4 mu m in ORL thickness and 2.7 dB in RS. Myopic maculopathy classification demonstrated influence only with CT. Conclusion Myopia degree is related to ORL and choroidal thinning and deterioration of retinal sensitivity in some ETDRS regions of the macula. Choroidal thinning is associated to with a decline of retinal sensitivity, thinning of ORL, and worsening of myopic maculopathy classification, so new treatments are necessary to prevent myopia progression.
article 0 Citação(ões) na Scopus
Surgical management of retinal detachment and macular holes secondary to ocular toxoplasmosis: a systematic review and meta-analysis
(2024) AMARAL, Dillan Cunha; LANE, Mark; AGUIAR, Eduardo Henrique Cassins; MARQUES, Guilherme Nunes; CAVASSANI, Luiza Visentin; RODRIGUES, Marcio Penha Mortera; ALVES, Milton Ruiz; MANSO, Jose Eduardo Ferreira; MONTEIRO, Mario Luiz Ribeiro; LOUZADA, Ricardo Noguera
BackgroundToxoplasma gondii causes ocular toxoplasmosis (OT), involving inflammation, scarring, and retinal complications. The OT complications were retinal detachment (RD), and retinal breakage (RB). Surgical interventions like scleral buckling (SB) and vitrectomy are common. Limited understanding exists of the safety and efficacy of surgical management of RD/RB secondary to OT. Another complication is toxoplasmosis-related macular holes (tMH), with sparse evidence on surgical outcomes. This meta-analysis aims to clarify clinical characteristics, and surgical results, and enhance understanding of RD, RB, and MH secondary to OT.MethodsPubMed, Cochrane, Embase and Web of Science database were queried for retrospective studies, case series and case reports that provided information on RD, RB and MH associated with OT and reported the outcomes of: (1) Retinal reattachment of RD/RB and tMH closure; (2) Best-corrected visual acuity (BCVA) improvement; and (3) Complications. Heterogeneity was examined with I2 statistics. A random-effects model was used for outcomes with high heterogeneity. Statistical analysis was performed using the software R (version 4.2.3, R Foundation for Statistical Computing, Vienna, Austria).ResultsFourteen final studies, comprising a total of 96 patients were analyzed, 81 with RD or RB and 15 with tMH. Overall, surgical management was associated with several advantages: a high rate of retinal reattachment of RD/RB of 97% (95% Confidence Interval [CI] 92-100%; I2 = 0%), retinal reattachment of just RD of 96% (95% CI 89-100%; I2 = 30%) and tMH closure 97% (95% CI 87-100; I2 = 12%). There were significant differences in BCVA after surgeries in studies of RD/RB (MD 0.60; 95% CI 0.35-0.65; I2 = 20%) and MH (MD 0.67; 95% CI 0.50-0.84; I2 = 0%). The overall complication rate associated with surgical procedures in RD/RB secondary to OT was confirmed to be 25%.ConclusionsThe systematic review and meta-analysis showed that the treatment approaches currently in use are effective, with a remarkable rate of retinal reattachment of RD/RB, tMH closure, and substantial improvements in visual acuity. More randomized, long-term studies on disease and surgical factors can provide valuable insights into their impact on anatomical and visual outcomes.
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