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Vaz-Pereira S, Monteiro-Grillo M, Engelbert M. Proliferative diabetic retinopathy imaged by near-infrared reflectance. ACTA ACUST UNITED AC 2018; 94:e1. [PMID: 30115497 DOI: 10.1016/j.oftal.2018.06.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 06/14/2018] [Accepted: 06/15/2018] [Indexed: 11/19/2022]
Affiliation(s)
- S Vaz-Pereira
- Department of Ophthalmology, Hospital de Santa Maria, Lisbon, Portugal; Department of Ophthalmology, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
| | - M Monteiro-Grillo
- Department of Ophthalmology, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal; ALM-Oftalmolaser, Lisbon, Portugal
| | - M Engelbert
- Vitreous Retina Macula Consultants of New York, New York, NY, EE.UU.; LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, NY, EE.UU.; Department of Ophthalmology, New York University School of Medicine, New York, NY, EE.UU
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Abstract
In Portugal, the prevalence of human immunodeficiency virus type 2 (HIV-2) seropositivity is higher than in other European countries or North America. Recent literature data points out a possible difference on the pathogenic potential and on the natural history of HIV-1 and HIV-2, suggesting a lower virulence of HIV-2. Facing these hypothesis and the increasing number of HIV-2 cases, we analysed two infected groups HIV-1 and HIV-2, trying to correlate the ophthalmologic lesions present in both populations and searching for a difference in the clinical presentation of the ocular disorder. We studied prospectively 214 patients with HIV infection at several stages, 83% HIV-1 and 17% HIV-2. Ocular manifestations were present in both populations with a significant prevalence in HIV-1 (48%), compared to HIV-2 (19%) (p<0.005). The ophthalmologic pathology found, particularly noninfectious retinopathy, infectious retinitis and neuro-ophthalmic disorders, were considered important for the disease's diagnosis and prognosis. All these ophthalmic findings were present in the HIV-1 population. In the HIV-2 group the most frequent lesion was noninfectious retinopathy. Within each group, HIV-1 and HIV-2, the comparison of the survival between AIDS patients with and without ocular lesions, revealed a significant shorter survival time in those with ocular pathology (p<0.001 and p<0.05). There seems to exist a certain analogy in clinical expression in both groups, although it is possible to admit a lower severity in ocular involvement in patients infected by HIV-2.
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Affiliation(s)
- M Monteiro-Grillo
- Lisbon University Eye Clinic, Santa Maria Hospital, Lisboa, Portugal
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Abstract
PURPOSE To evaluate serum prolactin levels in Behçet disease (BD) and correlate with phenotypic expression of the disease. METHODS This was a prospective, nonrandomized comparative trial. Twenty-two patients fulfilling BD Research Committee criteria and 21 healthy control subjects were included. Patients were classified in complete-type or incomplete-type BD subgroups according to clinical characteristics such as recurrent oral ulcers, genital ulcers, skin lesions, and ocular disease. Age, sex, HLA phenotyping, and therapy were recorded for comparative analysis between groups. Serum prolactin levels were determined by electrochemiluminescence immunoassay on a Modular Analytics E170 analyzer. RESULTS Prolactinemia was significantly higher (mean=19.34 ng/mL) in BD patients vs controls (mean=9.83 ng/mL) (p=0.009). This value was also statistically higher in complete-type BD sub-group vs controls (p=0.02). Younger patients (<30 y) required corticosteroids plus immunosuppressives more often (75%), suggesting an association between age and disease severity, al-though not statistically significant. CONCLUSIONS Results suggest the role of prolactin in BD pathogenesis and its association with disease expression, especially in complete-type BD.
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Affiliation(s)
- H Proença
- Department of Ophthalmology, Visual Sciences Research Centre, University of Lisbon, Lisbon, Portugal.
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Affiliation(s)
- H. Proença
- Department of Ophthalmology, Visual Sciences Research Centre, University of Lisbon, Lisbon - Portugal
| | - C. Ferreira
- Department of Ophthalmology, Visual Sciences Research Centre, University of Lisbon, Lisbon - Portugal
| | - M. Miranda
- Department of Ophthalmology, Visual Sciences Research Centre, University of Lisbon, Lisbon - Portugal
| | - A. Castanheira-Dinis
- Department of Ophthalmology, Visual Sciences Research Centre, University of Lisbon, Lisbon - Portugal
| | - M. Monteiro-Grillo
- Department of Ophthalmology, Visual Sciences Research Centre, University of Lisbon, Lisbon - Portugal
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Gama I, Proença H, Gonçalves A, Faria M, Almeida L, Bernardo T, Couceiro R, Monteiro-Grillo M. Macular choroidal thickness after vitreoretinal surgery: Long-term effect of pars plana vitrectomy with and without encircling scleral buckling surgery. Arch Soc Esp Oftalmol 2017; 92:577-584. [PMID: 28684047 DOI: 10.1016/j.oftal.2017.03.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 02/27/2017] [Accepted: 03/20/2017] [Indexed: 06/07/2023]
Abstract
PURPOSE To evaluate the macular choroidal thickness (CT) of eyes subjected to pars plana vitrectomy (PPV) whether or not combined with encircling scleral buckling (ESB) surgery for primary rhegmatogenous retinal detachment repair at 6 months or more after surgery. METHODS This observational study included: 15 eyes (15 patients) submitted to combined ESB+PPV; 15 eyes submitted to PPV and their respective 30 normal fellow eyes (FE). Two 6mm lineal perpendicular optical coherence tomography B-scans centred on the fovea with enhanced depth imaging were performed on each eye. CT was measured at several macular locations: subfoveal (SF-CT) and at a radius of 1, 2, and 3mm from the fovea. CTs of the eyes in the CE+PPV group were compared to CT in the PPV group and the CTs of all operated eyes were compared to the CTs of their FE. RESULTS SF-CT of the eyes in the ESB+PPV group was significantly increased compared to their FE (P=.001). CT at a radius of 1, 2, and 3mm from the fovea of the ESB+PPV group were significantly increased (P=.001, P=.005, and P=.001, respectively). The SF-CT of the PPV group was similar to their FE (P=.691). The SF-CT of the ESB+PPV group was significantly increased compared to SF-CT of the PPV group (P=.019). CONCLUSIONS The CT of the eyes subjected to combined ESB and PPV was significantly increased at 6 months or more after surgery compared to the CT of their FE and to the CT of the eyes subjected to PPV alone, which could be explained by a venous engorgement caused by the ESB.
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Affiliation(s)
- I Gama
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal.
| | - H Proença
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
| | - A Gonçalves
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
| | - M Faria
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
| | - L Almeida
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
| | - T Bernardo
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal
| | - R Couceiro
- Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal; Servicio de Oftalmología, Hospital de Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - M Monteiro-Grillo
- Servicio de Oftalmología, Clínica Universitaria de Oftalmología, Hospital Santa Maria, Centro Hospitalario Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
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Gama I, Almeida L, Gonçalves I, Monteiro-Grillo M. Evaluation of the lamina crivosa thickness and depth, the prelaminar nerve tissue thickness and the Bruch's membrane opening-based minimum rim width in eyes with and without primary open-angle glaucoma: an enhanced depth imaging OCT study of the optic ner. Acta Ophthalmol 2015. [DOI: 10.1111/j.1755-3768.2015.0701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- I. Gama
- Hospital Santa Maria - Centro Hospitalar Lisboa Norte; Ophthalmology; Lisboa Portugal
| | - L. Almeida
- Hospital Santa Maria - Centro Hospitalar Lisboa Norte; Ophthalmology; Lisboa Portugal
| | - I. Gonçalves
- Hospital Santa Maria - Centro Hospitalar Lisboa Norte; Ophthalmology; Lisboa Portugal
| | - M. Monteiro-Grillo
- Hospital Santa Maria - Centro Hospitalar Lisboa Norte; Ophthalmology; Lisboa Portugal
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Gama I, Rodrigues W, Franco J, Almeida L, Monteiro-Grillo M. Chronic Ocular Graft vs Host Disease as a Serious Complication of Allogeneic Hematopoietic Stem Cell Transplantation: Case Report. Transplant Proc 2015; 47:1059-62. [DOI: 10.1016/j.transproceed.2015.03.038] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Proença H, Castanheira-Dinis A, Monteiro-Grillo M. Bilateral nanophthalmos and pigmentary retinal dystrophy—an unusual syndrome. Graefes Arch Clin Exp Ophthalmol 2006; 244:1203-5. [PMID: 16411099 DOI: 10.1007/s00417-005-0230-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2005] [Revised: 12/02/2005] [Accepted: 12/04/2005] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND To report the clinical picture of the rare association of nanophthalmos and pigmentary retinal dystrophy and its cataract surgery outcome. METHODS We report a case of a 60-year-old female who presented with bilateral slowly progressive visual loss. RESULTS The patient presented with bilateral light perception visual acuity, exotropia, brunescent cataract hindering fundus examination and hypodontia. Ultrasonography revealed bilateral nanophthalmos. A visual-evoked potential was also performed preoperatively. Cataract surgery with +40D IOL implantation was uneventful. Postoperative fundus examination revealed pigmentary retinal dystrophy, confirmed by electrophysiologic tests. Glycosaminoglycan urinary excretion was normal. CONCLUSIONS Congenital bilateral nanophthalmos may rarely be associated with pigmentary retinal dystrophy. We suggest thorough preoperative evaluation in nanophthalmic eyes for the exclusion of significant features concerning visual prognosis.
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Affiliation(s)
- Helena Proença
- Department of Ophthalmology, University of Lisbon, Lisbon, Portugal.
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Monteiro-Grillo I, Gaspar L, Monteiro-Grillo M, Pires F, Ribeiro da Silva JM. Postoperative irradiation of primary or recurrent pterygium: results and sequelae. Int J Radiat Oncol Biol Phys 2000; 48:865-9. [PMID: 11020585 DOI: 10.1016/s0360-3016(00)00701-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE To evaluate the efficacy of postoperative beta irradiation and to analyze treatment sequelae in patients with primary and recurrent pterygium. METHODS AND MATERIALS From June 1986 to June 1998, 94 patients corresponding to 100 eyes received postoperative beta irradiation. Two groups of patients were treated: 37 eyes with primary pterygium (Group I) and 63 eyes with recurrent pterygium (Group II). Terson technique surgery was used in the majority of patients. Time between surgery and beta irradiation ranged from 2 to 48 h. Radiation doses and fractionation consisted of 30 Gy/3 fractions/5 days in 17 cases, 60 Gy/6 fractions/6 weeks in 80 cases, and 20 Gy/1 fraction in 3 patients. RESULTS Fourteen of the 100 cases (14%) treated with surgery and adjuvant irradiation recurred. The overall crude local recurrence rates were 5.4% for Group I and 19% for Group II patients. The 5-year probability of local tumor control was 83.5% for the whole group of patients, 94% for Group I, and 76.9% for Group II (p = 0.04). The early sequelae related to surgery or irradiation were self limited and disappeared by 6 months after the end of the treatment: ocular irritation (14 cases), scleral atrophy (5 cases), and neovascularization (7 cases). A greater incidence of sequelae was observed in Group II patients, but the difference between the groups was not statistically significant (p = 0.15). No significant correlation between treatment sequelae and treatment dose was noted: 29% sequelae with 30 Gy vs. 18.7% sequelae with 60 Gy (p = 0.32). No late complications have been observed. CONCLUSION Adjuvant beta irradiation provides effective therapy for primary pterygium, is somewhate less effective in patients with recurrent pterygium, and is associated with a moderate rate of early and transient sequelae.
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Affiliation(s)
- I Monteiro-Grillo
- Department of Radiation Oncology, University Hospital of Santa Maria, Lisbon, Portugal.
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Monteiro-Grillo M. MRI versus CT in the diagnosis of uveal melanoma. Vision Res 1995. [DOI: 10.1016/0042-6989(95)98504-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Marques-Neves C, Carvalho M, Amerin P, Monteiro-Grillo M, Ribeiro-da-Silva. 3343 Elemental analysis by EDXRF in human lens. Vision Res 1995. [DOI: 10.1016/0042-6989(95)90323-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Monteiro-Grillo M, Magro P, Marquez-Neves C, Monteiro-Grillo I, Coutinho D, Souse-Lé J, Ribeiro-da-Silva. 3242 MRI versus CT in the diagnosis of uveal melanoma. Vision Res 1995. [DOI: 10.1016/0042-6989(95)90296-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Monteiro-Grillo M, da Silva JR, de Vasconcelos AI, Parreira F. [Cytologic aspects of the cellular proliferation of the posterior segment]. Ophtalmologie 1988; 2:23-4. [PMID: 3247131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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