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Search Results: 1 - 10 of 178842 matches for " Keila Miriam Monteiro de; "
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Avalia??o e conduta em escolares portadores de vis?o subnormal atendidos em sala de recursos
Carvalho, Keila Miriam Monteiro de;Freitas, Cássia Cristiane de;Kimolto, Eliane Midori;Gasparetto, Maria E. Rodrigues Freire;
Arquivos Brasileiros de Oftalmologia , 2002, DOI: 10.1590/S0004-27492002000400010
Abstract: purpose: to identify improvement in visual performance of low vision students after assessment and management conducted at the low vision service of state university of campinas (unicamp). method: fourteen low vision students aged six to 30 years, attended in a room with resources for visual deficiency in americana and santa bárbara d'oeste ? sp during 1998 received complete ophthalmologic examination, specialized low vision assessment and educational intervention. results: the most prevalent cause of vision loss was operated congenital cataract with four cases (28.6%), followed by congenital bilateral toxoplasmic macular scars and eye malformation, both with two cases (14.3%) cases each. eight students (57.2%) had acuity classified as severe vision loss, four (28.6%) profound, one (7.1%) moderate and one (7.1%) nearly normal vision. twelve (85.7%) were behind expected school grade. optical aids were prescribed for 12 (85.8%) students but only 7 (58.3%) acquired the aids thus improving significantly their school performance. conclusion: all students improved school performance even considering that 12 (85.7%) had severe to profound vision loss. as a group their performance could even be better if the optical aid prescriptions were acquired by all. this indicates the need of a social work to support such needs. for good results at school and effective student inclusion a partnership between school, family and specialized education is necessary. we recommend to promote the benefits of the resource room.
Avalia o e conduta em escolares portadores de vis o subnormal atendidos em sala de recursos
Carvalho Keila Miriam Monteiro de,Freitas Cássia Cristiane de,Kimolto Eliane Midori,Gasparetto Maria E. Rodrigues Freire
Arquivos Brasileiros de Oftalmologia , 2002,
Abstract: Objetivo: Identificar melhora no desempenho visual de escolares portadores de vis o subnormal após avalia o e conduta realizadas no Servi o de Vis o Subnormal da Disciplina de Oftalmologia/FCM/UNICAMP. Métodos: Foram avaliados 14 escolares portadores de vis o subnormal (VSN), de seis a 30 anos de idade, que freqüentaram salas de recursos para deficientes visuais, nos municípios de Americana e Santa Bárbara d'Oeste -- S o Paulo, durante o ano de 1998. Os escolares foram submetidos à avalia o oftalmológica especializada completa e interven o pedagógica. Resultados: A doen a mais prevalente foi a catarata congênita operada, com quatro casos (28,6%) seguida da coriorretinite macular bilateral e malforma es oculares, com dois casos (14,3%) cada uma. Oito escolares (57,2%), apresentaram VSN grave, quatro (28,6%) VSN profunda, um (7,1%) VSN moderada e um (7,1%) vis o quase normal. Desses escolares, 85,7% tiveram auxílios ópticos prescritos mas apenas 58,3% adquiriram-nos melhorando o seu desempenho visual. Dos escolares estudados, 12 (85,7%) encontravam-se em atraso em rela o à escolaridade esperada. Conclus o: Todos os escolares apresentaram melhora do desempenho visual na escola ainda que 85,7% apresentassem VSN grave e profunda. O desempenho do grupo poderia ter sido ainda melhor se todos pudessem ter adquirido o auxílio óptico prescrito. Faz-se, portanto, necessária uma a o social para que os escolares carentes possam adquirir os auxílios e dessa forma concretizar as prescri es. Para o bom desempenho do escolar portador de VSN, se faz necessária a parceria entre a área da saúde, escola, família e ensino especializado. é altamente recomendável a divulga o dos benefícios das salas de recurso.
Dificuldade visual em escolares: conhecimentos e a??es de professores do ensino fundamental que atuam com alunos que apresentam vis?o subnormal
Gasparetto, Maria Elisabete R. Freire;Temporini, Edméa Rita;Carvalho, Keila Miriam Monteiro de;Kara-José, Newton;
Arquivos Brasileiros de Oftalmologia , 2004, DOI: 10.1590/S0004-27492004000100011
Abstract: purpose: 1) to check knowledge and actions developed by teachers of elementary schools working with low vision students, regarding signals and symptoms evidencing the students' visual difficulties: 2) to collect information useful for the design of preventing actions regarding eye health in school. methods: a survey was applied to teachers of elementary schools in 23 public schools in the country of campinas / sp, with low vision students, during the academic year of 1999. a self-applied questionnaire was used as tool for data obtention. results: of 84 teachers, 68 (81%) answered the questionnaire. the average teaching experience was 20.8 years. most of those teachers (92.6%) did not report any previous specific training in visual deficiency. as concerns the recognition of signs and symptoms, most of the teachers indicated blackboard reading difficulty (94.1%), followed by headache (89.7%) and placement of subjects too close to the eyes (88.2%). a little over half of the teachers (55.9%) identified students showing visual difficulties. as regards developed actions 84.2% of the teachers declared to have oriented the students and 63.2% oriented parents and relatives and also informed the school about the fact. only 26.3% oriented the student to look for an ophthalmologist. conclusion: teachers did not show adequate knowledge about eye health and thus the developed actions were not comprehensive. therefore, in order to develop actions regarding the prevention of visual impairment and to promote the enhancement of eye health, the implementation of a program aiming at the care of eye health in the public school is suggested.
Fibrose congênita de reto inferior atípica com hipotonia muscular generalizada: relato de um caso
Ferraz, Ezon Vinicius Alves Pinto;Carvalho, Keila Miriam Monteiro de;Rocha, Luis Carlos Peixoto;Silva, Leopoldo Magacho dos Santos;
Arquivos Brasileiros de Oftalmologia , 1999, DOI: 10.1590/S0004-27491999000500016
Abstract: a case report of an atipical inferior rectus congenital fibrosis associated with a generalized muscular hypotonia is presented. it shows mild hipotropia with a normal visual acuity and binocularity in infraversion position contrasting with the severe hipotropia and ambliopy found. the surgical procedure took these facts into consideration, so we performed a small retrocess of the muscle with the objective to correct the head position without changes in the reading position. the postoperative results were satisfactory.
Dificuldade visual em escolares: conhecimentos e a es de professores do ensino fundamental que atuam com alunos que apresentam vis o subnormal
Gasparetto Maria Elisabete R. Freire,Temporini Edméa Rita,Carvalho Keila Miriam Monteiro de,Kara-José Newton
Arquivos Brasileiros de Oftalmologia , 2004,
Abstract: OBJETIVOS: 1) Verificar os conhecimentos e a es desenvolvidas por professores do ensino fundamental, que atuam com alunos que apresentam vis o subnormal, em rela o aos sinais e sintomas indicativos de dificuldades visuais dos alunos; 2) Obter informa es indispensáveis ao planejamento de a es preventivas direcionadas à saúde ocular na escola. MéTODOS: Realizou-se levantamento entre professores do ensino fundamental de escolas públicas do município de Campinas/SP, que atuavam com alunos que apresentavam vis o subnormal, no ano letivo de 1999. Foram incluídas 23 escolas onde se localizava essa popula o. Foi utilizado questionário auto-aplicável como instrumento de coleta de dados. RESULTADOS: De 84 professores, 68 (81%) responderam ao questionário. A média de tempo de experiência profissional de magistério era de 20,8 anos. A maioria (92,6%) n o relatou forma o na área da deficiência visual. Em rela o ao conhecimento sobre os sinais e sintomas indicativos de dificuldade visual, a maioria indicou a dificuldade para ler na lousa (94,1%), seguida da cefaléia (89,7%) e a aproxima o exagerada dos objetos aos olhos (88,2%). Desses professores, 55,9% identificaram alunos que apresentavam dificuldades visuais. Entre os que declararam ter identificado esses alunos, 84,2% proveram orienta es ao escolar e 63,2% aos familiares para encaminhamento do problema. Somente 26,3% orientaram o aluno a procurar o oftalmologista. CONCLUS O: Os professores apresentaram conhecimento insuficiente quanto à saúde ocular e, portanto, as a es desenvolvidas n o foram completas e abrangentes. Sugere-se a implanta o de um programa de saúde ocular em todo o sistema público de ensino, visando desenvolver a es de preven o da incapacidade visual, promo o e recupera o da saúde ocular.
Diabetic retinopathy and visual disabilities among patients in a rehabilitation program
Bittencourt, Zelia Zilda Louren?o de Camargo;Montilha, Rita de Cássia Letto;Gasparetto, Maria Elisabete Rodrigues Freire;Temporini, Edméa Rita;Carvalho, Keila Miriam Monteiro de;
Revista Brasileira de Oftalmologia , 2011, DOI: 10.1590/S0034-72802011000600002
Abstract: objective: to assess the prevalence of diabetic retinopathy and to evaluate the management of patients with visual disabilities attending at the cepre rehabilitation program of university of campinas. methods: a retrospective study was carried out based on medical records of patients with visual disabilities attending a vision rehabilitation program. the following variables were studied: gender, age, marital status, level of schooling, social security status, origin, type and cause of visual disability and vision rehabilitation actions. results: the sample consisted of 155 patients, 55.5% males, aged between 12 and 88 years, mean age 41 years old, 34.8% were blind and 65.2% with low vision disability. of those blind patients, 81.8% reported acquired blindness, and the leading cause was diabetic retinopathy (33.3%), followed by glaucoma (16.6%), and retinal detachment (15.0%). of those patients with low vision disability, 14.9% had diabetic retinopathy, 14.9% hereditary syndromes, and 10.9% age-related macular degeneration. vision rehabilitation therapy included interdisciplinary team consultations helping patients go through the mourning process for the loss or impairment of vision, and promoting the enhancement of their skills for performing activities of daily living independently. the management of patients with low vision was also focused on vision rehabilitation. conclusion: the health of the eyes of patients with chronic diseases such as diabetes is at risk. the prevalence of diabetic retinopathy was found to be a cause for visual disability, suggesting the need to assess these patients' access to health care and rehabilitation and promote health education for changing habits and improving quality of life.
A varia??o da acuidade visual durante esfor?os físicos em atletas com baixa vis?o, participantes de sele??o brasileira de atletismo
Oliveira Filho, Ciro Winckler de;Almeida, José Júlio Gavi?o de;Vital, Roberto;Carvalho, Keila Miriam Monteiro de;Martins, Luiz Eduardo Barreto;
Revista Brasileira de Medicina do Esporte , 2007, DOI: 10.1590/S1517-86922007000400009
Abstract: introduction and objective: this study had as an objective to evaluate the visual acuity behavior in athletes with low vision, during a continuous effort protocol. researches point out that visual acuity presents performance varieties when submitted to physical efforts in subjects without visual impairment. method: the studied population was composed by six peoples, who practiced athletics and were part of the brazilian team in track events. the progressive physical effort test was applied on the first day in a treadmill. on the second day the continuous effort test was applied, which was divided in three levels, each one had a 15 and 30 minutes break between them. to determine the intensities, the results obtained in the progressive physical effort test (60% of ve peak, limiar ve and 90% ve peak) were used. the visual acuity was measured before, during and after each level of intensity in the continuous effort protocol. the t student test was used for statistics analysis (p < 0.05). results: the visual acuity presented a decrease in the three levels of effort in its performance. the variety between the initial static visual acuity measure results and the measurement of the same variable in the end of the running phase was 44.5% in the first level, 52.5% in the second and 60% in the third level. the results presented higher degradation of the visual component during the dynamic measurements. the recuperation phases, which succeeded the most intense levels of effort, had the results of the visual acuity, after the deficit found during the exercise. conclusion: it can be inferred that in this specific population there is a decrease in the visual acuity during the effort. this fact implies on the necessity of the visual sportive classification being directed to evaluate the visual functionality of each athlete with low vision during the physical effort, since these varieties can occur during it.
Terapia oclusiva em ambliopia: fatores prognósticos
Salata, Ana Carolina Fava;Villa?a, Veridiana Toledo Nascimento;Roma, Renato Lopes;Norato, Denise Yvonne Janovitz;Carvalho, Keila Miriam Monteiro de;
Arquivos Brasileiros de Oftalmologia , 2001, DOI: 10.1590/S0004-27492001000200006
Abstract: purpose: amblyopia is the most common form of visual problem in children and for more than 250 years occlusion therapy is the standard treatment. thus our purpose is to identify the factors that influence the outcome of amblyopia treatment with occlusion therapy. methods: we reviewed 169 amblyopic children seen in the outpatient clinic of amblyopia of the campinas state university, between january 1996 and may 1998. patients were analyzed regar-ding sex, age at start of treatment (3 groups), affected eye, type of amblyopia (strabismic, anisometropic, visual depri-vation, associated), follow-up, initial visual acuity (light, moderate, severe), compliance with treatment (good, poor) and outcome (fully treated, partially treated, not treated). results: compliance was not seen to be significantly related to age at start of treatment (p=0.68) or initial visual acuity (p=0.82). 52.67% of the patients were fully treated while 19.52% were partially treated and 27.81% were not treated. children recorded as showing good compliance had a significantly better outcome than those with poor complian-ce (p=0.0009). neither the age at start of treatment (p=0.39) nor the initial visual acuity (p=0.30) were significantly corre-lated with the final outcome. conclusions: we concluded that the main factor affecting the final outcome of amblyopia treatment is compliance.
Results of monocular surgery under peribulbar anesthesia for large-angle horizontal strabismus
Millán, Tatiana;Carvalho, Keila Monteiro de;Minguini, Nilza;
Clinics , 2009, DOI: 10.1590/S1807-59322009000400006
Abstract: objective: to evaluate the results of monocular surgery under peribulbar anesthesia for large-angle horizontal strabismus. introduction: monocular surgery may preserve some muscles if a repeat operation is required, may help to avoid the exposure of the dominant eye to the inherent risks of a surgical procedure and may reduce surgical time. methods: we evaluated ninety-two consecutive patients who underwent monocular surgery under peribulbar anesthesia for large-angle horizontal strabismus (angle of 40 prism diopters or greater). patients were divided into group 1- esotropia and group 2 -exotropia. the postoperative follow-up was at 6 months, when the residual deviation was evaluated. in cases of residual deviations of over 15 pd (prism diopter), a second procedure was indicated. results: in all patients with preoperative deviations up to 60 pd, residual deviations were under 15 pd. some patients with preoperative deviations of 65 pd (two in group 1 and four in group 2) and all patients with deviations over 65 pd had residual deviations over 15 pd. the 13 patients who underwent a second procedure experienced successful outcomes. our roc curve analysis showed that the cutoff point for obtaining a successful surgical result was 62.5 pd. no patient presented with a major limitation in respect of ocular movement. conclusions: monocular surgery under peribulbar anesthesia can be an alternative for horizontal large-angle strabismus given deviations of up to 60 pd. monocular surgery did not result in successful outcomes for deviations of over 65 pd.
Use of optical aids by visually impaired students: social and cultural factors
Monteiro, Gelse Beatriz Martins;Temporini, Edméa Rita;Carvalho, Keila Monteiro de;
Arquivos Brasileiros de Oftalmologia , 2006, DOI: 10.1590/S0004-27492006000400009
Abstract: purpose: to identify conceptions, social and cultural factors regarding the use of optical aids by visually impaired students and to present information to health and educational professionals. methods: qualitative research using spontaneous theater (interactive theater modality based on improvisation) as research instrument. to analyze data, an adapted form of the collective subject discourse technique - procedures for organization of verbal data - was applied. scenes, gestures, expressions, silences and behaviors were added to the original proposal. the study population included all visually impaired students from elementary public schools, aged 10 to 14 years who attended a resource room in a s?o paulo state city. the students were examined at a university low vision service. results: little knowledge about the impairment and difficult adaptation to use of optical aids were identified. the students' behavior showed denial of own problems, discomfort on public use of aids and lack of participation in own health decisions. conclusion: analysis through spontaneous theater session allows the professional to gather information which is not possible to acquire in the health assistance atmosphere. needs, difficulties and barriers the users found before the prescribed treatment were identified.
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