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Mar-Abr - Sociedade Brasileira de Oftalmologia

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96Cruz LMAB.; Sacramento RS; Belfort F; Rogrigues AM; Morales Mage was 46.2 months, 52% of these patients were maleand 47% were female. Axial length, increase for the agewas found in 85% of the eyes, and papilla excavation tothe ultrasonography was evi<strong>de</strong>nced in 108 exams (73%).Asymmetry among the axial lengths was observed in47% of the eyes. Mobil vitreous membrane was thevitreous alteration that happened in large frequency(26.4%). In 13 eyes (8.8%) retina <strong>de</strong>tachment wasobserved. There were found seven eyes with wallthickening and seven with subsequent staphiloma.Conclusions: In most of the eyes (85%) an axial lengthincreased for age was found. Papillary excavationevi<strong>de</strong>nced to the exam was found in 73% of the eyes. In54% of the appraised eyes glass alterations has been<strong>de</strong>tected and movable vitreous membranes (MVM) hasbeen observed in 26% of the children. Retinadisplacement was found in 8.8%, diffuse thickening ofthe ocular wall and subsequent staphiloma in 4.7%respectively. Drainage implant evi<strong>de</strong>nced in 12.2%Keywords: Glaucoma/ultrasonography, Glaucoma/diagnosis.REFERÊNCIAS1. Byrne SF, Green RL. Glaucoma. In: Byrne, S.F.; Green, R.L.-Ultrasound of the eye and orbit. 2nd ed. United States ofAmerica: Mosby; 2002:209-18.2. Tarkkanen A, Uusitalo R, Mianowicz J. Ultrasonographicbiometry in congenital glaucoma. Acta Ophthalmologica 1983;61: 618-23.3. Law, S.L.; Bui, D.; Caprioli, J. Serial axial length measurementsin congenital glaucoma. Am J Ophthalmol. 2001; 132: 926-284. Snir M, Kremer I, Barash D, Lusky M; Yassur Y.Ultrasonographic findings of the optic disc in congenitalglaucoma. Ophthalmic Surg Lasers. 1996; 27: 1039-40.5. Bentinjane AJ. Biometria Ocular ultra-sonográfica noglaucoma congênito. Rev Bras Oftalmol. 1983, 42 (1): 8-23.6. Dallow RL, Hart LJ. Ultrasound diagnosis of the eye and orbit.In: Albert DM, Jakobiec FA -Principles and practice of theophthalmology. Phila<strong>de</strong>lphia: WB Saun<strong>de</strong>rs; 1994, p. 3543-547. Walsh A. Métodos e técnicas <strong>de</strong> exame. In: <strong>Abr</strong>eu G - Ultrasonografiaocular: atlas e texto. 3ª ed. Rio <strong>de</strong> Janeiro: CulturaMédica; 2002 p. 19-32.8. Kiskis AA, <strong>Mar</strong>kowitz SN, Morin JM. Corneal diameter andaxial legth in congenital glaucoma. Can J Ophthalmol. 198520: 93-7.9. Sampaolesi R, Caruso R. Ocular echometry in the diagnosis ofcongenital glaucoma. Arch Ophthalmol. 1982; 100: 574-77.10. Youn DH, Yu YS, Park IW. Intraocular pressure and axial lengthin children. Korean. J Ophthalmol. 1990; 4: 26-9.11. Bentijane AJ. Ecobiometria na patologia ocular: no glaucoma,nos tumores intra-oculares. In: <strong>Abr</strong>eu G. Ultra-sonografiaocular – atlas e texto. 2ªed. Rio <strong>de</strong> Janeiro - Cultura Médica:1996. p. 38-45.12. Cashwell LF, <strong>Mar</strong>tin CA. Axial length <strong>de</strong>crease accompanyingsuccessful glaucoma filtration surgery. Ophthalmology. 1999;106: 2307-11.13. Kieferb G, Schewenn O, Grehen F. Correlation ofpostoperative axial length growth and intraocular pressurein congenital glaucoma - a retrospective study intrabeculotomy and goniotomy. Graefes Arch Clin ExpOphthalmol.2001; 239: 893-9.14. Shields MB. Congenital Glaucomas. In Shilds MB - Textbook ofGlaucoma. 4 th ed. USA: Williams and Wilkins, 1999: p. 195-206.15. Calixto N. Glaucoma Congênito. Ann Oftalmol. 1983; 2: 24-30.16. Kiefer G, Schwenn O, Grehen F. Correlation of postoperativeaxial length growth and intraocular pressure in congenitalglaucoma: a retrospective study in trabeculotomy andgoniotomy. Graefes Arch Clin Exp. Ophthalmol. 2001; 239:893-9.17. Win<strong>de</strong>r S, Atta HR. Ultrasonography of the optic disc cup indiscs of various sizes. Eye, 1996;10(Pt6): 732-6.18. Darnley Fisch DA, Byrne SF, Hughes JR, Paurish RR. ContactB-Scan echography in the assessment of optic nerve cupping.Am J Ophthalmol. 1990; 109: 55-61.19. Quigley HA. Childhood glaucoma: results with trabeculectomyand study of reversible cupping. Ophthalmology 1982; 89:219-26.20. Wu SC, Huang SC, Kuo CL, Lin KK, Lin SM. Reversal ofoptic disc cupping after trabeculotomy in primary congenitalglaucoma. Can J Ophthalmol. 2002; 37: 337-41.21. Cohen JS, Stone RD, Hetherington JJr, Bullock J.Glaucomatous cupping of the optic disk by ultrasonography.Am J Ophthalmol.1976; 82: 24-60.22. Taylor RH, Ainsworth JR, Evans AR, Levin AV. Theepi<strong>de</strong>miology of pediatric glaucoma: the Toronto experience.J AAPOS. 1999; 3: 308-15.23. Terraciano AJ, Sidoti PA. Management of refractory glaucomain childhood. Curr Opin Ophthalmol. 2002; 13: 97-102.24. Eid Te, Katz, LJ, Spaeth Augsburger JJ. Long term effects oftube-shunt procedures on management of refractory childhoodglaucoma. Ophthalmology. 1997; 104: 1011-6.25. Lupinacci APC, Vanini R, Isaac DLC, Ghanem VC, AritaCEL. Importância da ultra-sonografia ocular na avaliaçãopré-operatória <strong>de</strong> pacientes com catarata total. Arq BrasOftalmol. 2004; 67:33-6.26. Wie<strong>de</strong>mann P, Heimann K. Retinal <strong>de</strong>tachment in eyes withcongenital glaucoma. Retina 1992; 12 (3 Suppl):S 51-4.27. Cooling RJ, Rice NS, McLeod D. Retinal <strong>de</strong>tachment incongenital glaucoma. Br J Ophthalmol. 1980; 64: 417-21.28. Carvalho CA. Glaucoma congênito primário. Ann. Oftalmol.4: 41-3.29. Oliveira TL, Fulco GD, Monte JM. Glaucoma Congênito: Aspectosepi<strong>de</strong>miológicos e resultados cirúrgicos. Rev BrasOftalmol. 1999; 58: 325-8.UNIVERSIDADE FEDERAL DE SÃO PAULO – UNIFESPEscola Paulista <strong>de</strong> Medicina – Dptº <strong>de</strong> <strong>Oftalmologia</strong>Rua Pedro <strong>de</strong> Toledo, 541/ 42Vl. Clementino – São PauloE-mail: lilianamaria@globo.comRev Bras Oftalmol. 2005; 64 (2): 92-96

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