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Polyhexamethylene biguani<strong>de</strong> (PHMB) in the treatment ofexperimental Fusarium keratomycosis. Cornea. 1997;16(4):447-9.134. O’Day DM, Ray WA, Head WS, Robinson RD, Williams TE. Influenceof corticosteroid on experimentally induced keratomycosis. ArchOphthalmol. 1991;109(11):1601-4.135. Shi W, Wang T, Xie L, Li S, Gao H, Liu J, Li H. Risk factors, clinicalfeatures, and outcomes of recurrent fungal keratitis after corneal transplantation.Ophthalmology. 2010;117(5):890-6.Autor Correspon<strong>de</strong>nte:Guilherme Gubert MüllerAv. Des. Hugo Simas, nº 333CEP 80520-250 – Curitiba (PR), Brasile-mail: guimuller@ig.com.brRev Bras Oftalmol. 2013; 72 (2): 132-41
142 ARTIGO DE REVISÃOImportância <strong>da</strong> radiofrequência na oftalmologiaImportance of radiofrequency in ophthalmologyJosé Ricardo Carvalho Lima Reh<strong>de</strong>r 1 , Leonardo Verri Paulino 2 , Eduardo Paulino 3RESUMOEste trabalho revisa e faz uma análise crítica <strong>da</strong> radiofrequência <strong>em</strong> oftalmologia.O aquecimento <strong>da</strong> córnea t<strong>em</strong> sido realizado <strong>de</strong>s<strong>de</strong> 1889 com diferentes finali<strong>da</strong><strong>de</strong>s terapêuticas e cirúrgicas. O princípio doaquecimento <strong>da</strong> córnea causa um enrugamento do colágeno que mu<strong>da</strong> a curvatura <strong>da</strong> córnea. Após a aprovação <strong>da</strong> FDA <strong>em</strong> 2004,iniciou-se um estudo multicêntrico no Brasil coor<strong>de</strong>nado pela Facul<strong>da</strong><strong>de</strong> <strong>de</strong> Medicina do ABC que resultou na análise <strong>de</strong> 258pacientes. Como conclusão o estudo mostrou que o procedimento t<strong>em</strong> um resultado t<strong>em</strong>porário e que os melhores resultadosforam obtidos <strong>em</strong> pacientes entre 45 e 55 anos <strong>de</strong> i<strong>da</strong><strong>de</strong> s<strong>em</strong> correção óptica para longe.Acreditamos que o probl<strong>em</strong>a ain<strong>da</strong> não foi resolvido e que novas pesquisas <strong>de</strong>v<strong>em</strong> ser realiza<strong>da</strong>s.Descritores: On<strong>da</strong>s <strong>de</strong> rádio/uso terapêutico; Oftalmopatias/terapia; Topografia <strong>da</strong> córneaABSTRACTThis paper reviews and makes a critical analysis of radiofrequency in ophthalmology.Localized heating of the cornea has been apllied since 1889 for different therapeutic and surgical objectives.The principle thatheating corneal tissue causes shrinking of the collagen that changes the corneal curvature. After the approval of FDA in 2004, weinitiated a multicenter study in Brazil coordinated by ABC School of Medicine that resulted in an analyses of 258 patients. Inconclusionthe study showed that the procedure had a t<strong>em</strong>porary result and the best results were obtained in patients between 45 and 55 years oldwithout optical correction for far.We believe that the probl<strong>em</strong> has not been solved yet and a great <strong>de</strong>al of research effort should befocused.Keywords: Radio waves/therapeutic use; Eye diseases/therapy; Corneal topography1Oftalmologia <strong>da</strong> Facul<strong>da</strong><strong>de</strong> <strong>de</strong> Medicina do ABC (FMABC) – Santo André (SP), Brasil;2Oftalmologia <strong>da</strong> Facul<strong>da</strong><strong>de</strong> <strong>de</strong> Medicina do ABC (FMABC) – Santo André (SP), Brasil;3Oftalmologia <strong>da</strong> Facul<strong>da</strong><strong>de</strong> <strong>de</strong> Medicina do ABC (FMABC) – Santo André (SP), Brasil.O autor <strong>de</strong>clara não haver conflitos <strong>de</strong> interesseRecebido para publicação <strong>em</strong>: 7/10/2011 - Aceito para publicação <strong>em</strong>: 26/07/2012Rev Bras Oftalmol. 2013; 72 (2): 142-7
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