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Topography-Guided Corneal Crosslinking for Keratoconus: Is It Enough to Treat t...

Cortinhal, Telmo; Gil, João; Rosa, Andreia; Quadrado, Maria João; Murta, Joaquim

INTRODUCTION: Our objective is to report topographic and refractive outcomes in the first year following topography guided corneal crosslinking (TG-CXL) for keratoconus, with special focus given to the morphological changes in the superior, non-treated, corneal stroma. METHODS: Retrospective study. We included patients with progressive keratoconus who underwent TG-CXL: The epithelium was removed using photother...


Remendo Corneano

Cabral Costa, Celso; Bernardes, Luís; Quadrado, Maria João

Doente do sexo feminino, 62 anos, com queixas de diminuição de acuidade visual e grave desconforto ocular à esquerda, com 2 anos de evolução, depois de cirurgia de pterígio, tendo sido feito diagnóstico de dellen. Foi realizado recobrimento do dellen com enxerto lamelar de córnea dadora, em crescente,1,2 com 260 μm de espessura, cortada com microqueratótomo, tendo sido usado um trepano de 5,00 mm do lado cornea...


A Relação entre a Personalidade e a Satisfação do Doente Após Cirurgia de Catar...

Pinheiro, Rosa L.; Raimundo, Miguel; Gil, João Q.; Henriques, Jorge; Rosa, Andreia M.; Quadrado, Maria João; Lobo, Conceição; N. Murta, Joaquim

Introdução: As lentes multifocais (mLIO) estão associadas a fenómenos ópticos indesejados, que contribuem para a insatisfação dos doentes no pós-operatório. Os resultados reportados pelos doentes são indicadores de qualidade cada vez mais valorizados na avaliação dos resultados da cirurgia com mIOL. A tolerância individual aos halos e aos brilhos à volta das luzes e, consequentemente, a satisfação dos doentes n...


Surgical Management of Bilateral Limbal Stem Cell Deficiency

Lomelino Pinheiro, Rosa; Gil, João; Quadrado, Maria João; Murta, Joaquim

At the age of 43 years-old, a man was left with bilateral limbal stem cell deficiency after an ocular alkaline burn with lime, which resulted in corneal opacification. After multiple unsuccessful surgical attempts to restore vision, including penetrating keratoplasties and Boston keratoprosthesis, visual acuity was counting fingers in the left eye. At 73 years of age, the patient underwent another surgery in hi...

Date: 2023   |   Origin: Acta Médica Portuguesa

Patient-reported burden and overall impact of dry eye disease across eight Euro...

Boboridis, Kostas G.; Messmer, Elisabeth M.; Benítez-Del-Castillo, José; Meunier, Juliette; Sloesen, Brigitte; O'Brien, Paul; Quadrado, Maria João

Objective Dry eye disease (DED) is a multifactorial disease involving the tears and ocular surface. It impacts a patient’s quality of life (QoL) and ability to perform daily activities. This study assessed the burden of self-reported DED among adults in eight European countries. Design Online cross-sectional survey. Setting General population in France, Italy, Germany, Greece, the Netherlands, Portugal, Spain a...


Tear Film Mediators After Corneal Cross-Linking: Methodology Validation

Costa, Celso; Araújo, Mariana; Rosa, Andreia; Gil, João; Quadrado, Maria João; Tavares, Cristina; Costa, Esmeralda; Fernandes, Rosa; Costa, Lígia

Introduction: Currently, the gold-standard treatment of progressive keratoconus (KC) is corneal collagen cross-linking (CXL), in which riboflavin and ultraviolet-A radiation increase the corneal biomechanical rigidity, arresting progression. However, post-operatory results vary significantly among patients. Although it has been suggested that corneal thickness, cone location and patient’s age are important fact...


Corneal Collagen Cross-Linking in Pediatric Patients: Ten Year Experience

Félix, Raquel; Gonçalves, Guilherme; Gil, João; Costa, Esmeralda; Rosa, Andreia; Tavares, Cristina; Quadrado, Maria João; Murta, Joaquim

INTRODUCTION: Keratoconus (KC) is a corneal ectatic disorder characterized by pro- gressive corneal thinning and steepening. Corneal collagen cross-linking (CXL) uses riboflavin and ultraviolet-A radiation to induce cross-links in the stromal collagen, increasing its biomechanical rigidity and halting the progression of KC. Different protocols of CXL have been proposed throughout the years to improve clinical r...


Custom-Q versus Wavefront Optimized Photorefractive Keratectomy for Myopia with...

Simão, Jorge Miguel; Osório, Inês; Neves, Emmanuel; Raimundo, Miguel; Rosa, Andreia; Quadrado, Maria João; Murta, Joaquim

Purpose:To compare the results between photorefractive keratectomy (PRK) with Custom-Q or with Wavefront-optimized (WFO) profiles in terms of asphericity and spherical aberrations, 6 months post-operative. Setting:Tertiary referral center (Centro Hospitalar e Universitário da Universidade de Coimbra, Coimbra, Portugal). Patients and Methods: Fifty-nine eyes (43 patients) were enrolled on this retrospective case...


Estabilidade do Tratamento de Queratocone Combinado com Crosslinking Associado ...

Pinheiro, Rosa Lomelino; Duarte, Rute; Gil, João; Rosa, Andreia; Quadrado, Maria João; Murta, Joaquim

Introdução: O objetivo deste estudo é avaliar a estabilidade a longo prazo do tratamento de crosslinking (CXL) associado a queratectomia fotorefrativa (PRK) parcial com ablação com laser excimer, em doentes com queratocone, através da interpretação de parâmetros refrativos e topográficos aos 6 meses e na última avaliação disponível. Métodos: Foram incluídos 74 olhos de 71 doentes com queratocone...


Trends in corneal transplant indications and techniques in Coimbra, Portugal: 2...

Bernardes, Luís Araújo Matos Caldeira; Quadrado-Gil, joão; Garcia, Huguete; Rosa, Andreia; Costa, Esmeralda; Tavares, Cristina; Quadrado, Maria João

Abstract Objective: the aim of this study is to determine the recent trends in corneal transplant indications and corneal tissue use in Coimbra. Methods: data concerning all corneal transplantation procedures performed at Centro Hospitalar e Universitário de Coimbra (CHUC) between 2011 and 2016 were collected and stored at the CHUC Eye Bank. We retrospectively analysed recipient age, gender, primary diagnosis a...


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