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Search Results: 1 - 10 of 210 matches for " Midori Hentona; "
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Temporary management of involutional entropion with octyl-2-cyanoacrylate liquid bandage application
Osaki, Teissy;Osaki, Midori Hentona;Osaki, Tammy Hentona;
Arquivos Brasileiros de Oftalmologia , 2010, DOI: 10.1590/S0004-27492010000200004
Abstract: purpose: to evaluate the use of octyl-2-cyanoacrylate liquid bandage (band-aid liquid?, ethicon, johnson & johnson, new jersey, usa) as a temporary treatment in patients awaiting surgical repair for involutional entropion. methods: thirteen patients (15 eyelids) with involutional entropion were evaluated while they waited for surgical intervention. the lids were repositioned by the application of octyl-2-cyanoacrylate liquid bandage in the malar fold. patients were followed-up at days 1, 7 and 15. assessment and duration of correction were recorded. results: all the patients presented successful correction at day 1, with significant improvements in signs and symptoms. the mean duration of action of the octyl2-cyanoacrylate liquid bandage was three days. no ocular or dermatological reactions were noted. conclusion: octyl-2-cyanoacrylate liquid bandage showed to be a simple, safe and effective option to temporarily treat involutional entropion, while patients waited for surgical intervention.
Avalia??o de qualidade de vida em portadores de blefaroptose
Asano, Márcia Emiko;Osaki, Midori Hentona;
Arquivos Brasileiros de Oftalmologia , 2006, DOI: 10.1590/S0004-27492006000400016
Abstract: purpose: to assess the health-related quality of life in blepharoptosis patients and the impact after surgical management on their quality of life. methods: twenty-one patients with congenital or acquired blepharoptosis completed a questionnaire which was adapted from the visual function questionnaire (vfq), before and after surgical management. results: mean preoperative score was 74 and mean postoperative score was 81 and there was a statistically significant difference between mean pre- and postoperative scores of 7 (p=0.004). there was a statistically significant difference only for the mental health subdomain (p=0.001) in the evaluation of the questions (a=0.002) and subdomains (a=0.004). conclusion: the quality of life in blepharoptosis patients was significantly better after surgical management in the assessment using the vfq. the outcomes emphasize the need for of using questionnaires designed specifically for this disease.
Qualidade de vida e custos diretos em pacientes com blefaroespasmo essencial e espasmo hemifacial, tratados com toxina botulínica-A
Osaki, Midori Hentona;Belfort Jr, Rubens;
Arquivos Brasileiros de Oftalmologia , 2004, DOI: 10.1590/S0004-27492004000100008
Abstract: purpose: to evaluate both the costs and the impact on the quality of life of essential blepharospasm and hemifacial spasm patients treated with botulinum toxin-a. methods: 28 patients (16 essential blepharospasm and 12 hemifacial spasm), treated with btx-a, were evaluated by means of two research tools, namely medical outcomes study short form healthy survey, and fahn disability rating scale. the costs were mainly calculated on the basis of the toxin units used by each patient during a one-year period. results: the total estimated direct cost was estimated at 1,081.62 reais per year (±89.39) for essential blepharospasm and 618.06 reais per year (±60.06) for hemifacial spasm, at an outpatient level (p<0.001). before treatment all domains of sf-36 were significantly worse in both diseases. under effective treatment with botulinum toxin-a the increases in the indices of sf-36 show changes in the general health rates of the population under study, with a statistically significant difference between the pre and post answers (p<0.05). in relating sf-36 with the fahn disability rating scale, the essential blepharospasm cases showed significant positive relationships (functional capacity, general health, emotional aspect and social aspects) while in the hemifacial spasm patients no correlation was found. conclusion: the present study demonstrates a remarkable negative impact of both diseases on the quality of life of essential blepharospasm and hemifacial spasm patients, as well as a significant improvement of both diseases after botulinum toxin-a treatment. furthermore, the research data seem to justify the high costs of botulinum toxin-a treatment in view of its considerable benefits regarding the patients' quality of life.
Qualidade de vida e custos diretos em pacientes com blefaroespasmo essencial e espasmo hemifacial, tratados com toxina botulínica-A
Osaki Midori Hentona,Belfort Jr Rubens
Arquivos Brasileiros de Oftalmologia , 2004,
Abstract: OBJETIVO: Avaliar os custos e a qualidade de vida dos pacientes com blefaroespasmo essencial e espasmo hemifacial, submetidos à terapia com a toxina botulínica-A. MéTODOS: Vinte e oito pacientes, sendo 16 com blefaroespasmo essencial e 12 com espasmo hemifacial, tratados com toxina botulínica-A, foram avaliados por meio de dois instrumentos: o SF-36 e a Escala de Disfun o de Blefaroespasmo. Os custos foram calculados segundo o número de unidades da toxina utilizadas por cada paciente no período de um ano. RESULTADOS: O custo total direto foi estimado em 1081,62 reais por ano (±89,39) para blefaroespasmo essencial e 618,06 reais por ano (±60,06) para espasmo hemifacial, para tratamento ambulatorial (p<0,001). Antes do tratamento, todos os domínios do SF-36 foram significantemente piores em ambas as doen as. Sob tratamento efetivo com toxina botulínica-A, os aumentos nos índices do SF-36 evidenciaram mudan as nas taxas de saúde geral da popula o em estudo, com diferen a estatisticamente significante entre as respostas pré e pós-tratamento (p<0,05). Relacionando-se o SF-36 com Escala de Disfun o de Blefaroespasmo, foram observadas nos casos de blefaroespasmo essencial, rela es significantes positivas (capacidade funcional, estado geral, aspecto emocional e aspectos sociais), ao passo que nos pacientes com espasmo hemifacial n o foi encontrada nenhuma correla o. CONCLUS O: Este estudo demonstra notável impacto negativo das doen as na qualidade de vida desses pacientes, e uma significante melhora em ambas as doen as após tratamento com toxina botulínica-A. Além disso, os dados fornecem subsídios para justificar o alto custo da aquisi o da toxina botulínica-A, devido a seus consideráveis benefícios para a qualidade de vida.
Resultados clínicos e satisfa??o dos pacientes após blefaroplastia inferior
Viana, Giovanni André Pires;Osaki, Midori Hentona;Nishi, Mauro;
Revista do Colégio Brasileiro de Cirurgi?es , 2011, DOI: 10.1590/S0100-69912011000500006
Abstract: objective: to evaluate the results of fifty patients undergoing transcutaneous lower eyelid blepharoplasty. methods: we conducted a prospective, randomised, controlled trial between april 2005 and may 2007. patients were randomly divided into two groups: group 1 consisted of 25 surgical patients undergoing traditional lower blepharoplasty and routine lateral canthopexy; group 2 consisted of 25 patients undergoing lower blepharoplasty with fat bags transposition and routine lateral canthopexy. we used the rosenberg self-esteem scale unifesp / epm to assess patients' self-esteem. we also requested the participation of three independent surgeons, who examined the pre and postoperative photographs and quantified the results with the aid of a topographic scale. results: the mean age was 48.8 years, predominantly females (96%). the analysis of photographs showed a 96% significant improvement. self-esteem scores improved from a preoperative average of 5.1 (sd = 4.1) to a mean of 3.6 (sd = 3.5) six months after the operation (p = 0.001). conclusion: both procedures are safe and effective with low complication rates, causing improvement of self-esteem assessed six months after the operation.
Influência da toxina botulínica tipo A na fun??o lacrimal de pacientes com distonias faciais
Oliveira, Fernanda Castro de;Oliveira, Gustavo Castro de;Cariello, Angelino Julio;Felberg, Sergio;Osaki, Midori Hentona;
Arquivos Brasileiros de Oftalmologia , 2010, DOI: 10.1590/S0004-27492010000500003
Abstract: purpose: to analyze the influence of botulinum toxin on the lacrimal function of patients with facial dystonias. methods: patients with the diagnosis of hemifacial spasm or benign essential blepharospasm were evaluated and invited to answer the ocular surface index disease (osid) questionnaire. all patients underwent schirmer i and basal tests; break-up time (but) test and lacrimal clearance evaluation. on the following day, the patients were treated with botulinum toxin. the ocular surface index disease questionnaire and all the initial tests were reapplied 30 days after the treatment by the same examiner. results: twenty-six patients were enrolled in this study, 15 (57.7%) with hemifacial spasm and 11 (42.3%) with benign essential blepharospasm. the mean age of patients with hemifacial spasm was 70.9 ± 13.3 years and the male:female ratio was 1:1.5. in the group of patients with benign essential blepharospasm, the mean age was 68.9 ± 8.4 years with a female preponderance (90.0%). after the treatment, the ocular surface index disease score, schirmer i and basal tests score decreased in both groups. the mean of break-up time test increased significantly in both groups. the lacrimal clearance evaluation showed a greater number of eyes that achieved a complete drainage of the tears after the treatment in both groups. conclusion: the treatment with botulinum toxin improved dry eye symptoms in patients with facial dystonia. despite of the aqueous portion of tear have decreased, blink modifications improved the tear stability and drainage.
Tratamento dos sulcos palpebromalar e nasojugal com ácido hialur?nico
Viana, Giovanni André Pires;Osaki, Midori Hentona;Cariello, Angelino Júlio;Damasceno, Renato Wendell;
Arquivos Brasileiros de Oftalmologia , 2011, DOI: 10.1590/S0004-27492011000100010
Abstract: background: volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. tear trough deformity is one of the most difficult depressions to correct surgically. purpose: the aim of this study was to evaluate the results of ten patients submitted to periorbital filling with hyaluronic acid gel filler. methods: between june and august, 2008, 10 patients have had their tears troughs treated with hyaluronic acid gel filler. the filler was introduced by a serial puncture technique and approximately 0.1 ml was injected at each pass. the filler was placed in the pre-periosteal tissue. patients photographs before and after the procedure were reviewed to assess the outcomes. results: the mean volume per side needed to achieve correction was on the right side 0.61 ml (sd=0.25) and on the left side 0.65 ml (sd=0.26). the most common complications were bruising, erythema, local swelling, and pain at the injection site. the effect of treatment lasted up to 12 months. conclusions: this pilot study showed that the treatment of tear trough deformity with hyaluronic acid gel filler was feasible, predictable and effective. all patients were very satisfied with their results.
Aberra??es ópticas de alta ordem em pacientes com distonias faciais tratados com toxina botulínica
Yabiku, Mariann Midori;Sartori, Juliana de Filippi;Sarraff, Eduardo Pantale?o;Osaki, Tammy Hentona;Hossaka, Sidarta Keizo;Pereira, Carolina Isolane;Freitas, Wilson de;Osaki, Midori Hentona;Cariello, Angelino Julio;
Arquivos Brasileiros de Oftalmologia , 2011, DOI: 10.1590/S0004-27492011000600006
Abstract: purpose: to analyze the ocular wavefront aberrations in patients with facial dystonia treated with botulinum toxin a. methods: patients with benign essential blepharospasm and hemifacial spasm in activity underwent slit lamp examination and bilateral wavefront analysis under pharmacologic mydriasis using alcon ladarvision? wavefront aberrometry system. after that, all patients were treated with botulinum toxin a injections performed by the same ophthalmologist. after one month, the wavefront analysis was performed in the same way and by the same examiner. the main outcome measure was the change in ocular wavefront aberrations. paired t-test was used to compare pre and post-injection numeric wavefront values. results: from a total of 11 patients enrolled in this study, 6 (54.5%) had essential blepharospasm and 5 (45.5%) had hemifacial spasm. the fellow eyes of patients with hemifacial spasm were not included, totalizing 17 eyes with spasm. eight patients were female (72.7%) and three were male (27.3%), the male:female ratio was 1:2.6. the age ranged from 50 to 72 years old with a mean of 65.9 ± 8.2 years. the mean of high order root mean square (rms) wavefront aberrations was 0.68 before and 0.63 one month after the treatment (p=0.01). before the treatment, the mean of spherical aberration was 0.23 and decreased to 0.17 one month after the treatment (p=0.01). there was no significant difference in the other higher-order aberrations before and after the treatment (p>0.05). conclusion: the treatment with botulium toxin may decrease spherical aberrations in patients with facial dystonia.
Efeito do uso de lente escleral cosmética na sensibilidade tátil corneal em phthisis bulbi
Lucci, Lucia Miriam Dumont;Itami, Cristina Nagako;Alves, Rosana Francisco;Montesano, Fabio Tadeu;Osaki, Midori Hentona;Sant'Anna, Ana Estela B. P.P.;
Arquivos Brasileiros de Oftalmologia , 2004, DOI: 10.1590/S0004-27492004000500007
Abstract: purpose: to compare corneal sensitivity between normal eyes and those whith phthisis bulbi and also to analyze the alterations of corneal sensitivity in phthisis bulbi induced by wearing ocular prosthesis. methods: prospective study of 23 patients with unilateral phthisis bulbi. bilateral cornea sensitivity was evaluated using the cochet-bonnet esthesiometer before and after 3 months of wearing ocular prosthesis. results: in all patients, corneal sensitivity of the eye with phthisis bulbi was lower than that of the normal eye (control). in 96% there was decrease of corneal sensitivity after adaptation of ocular prosthesis. conclusion: after wearing ocular prosthesis, there is a reduction in corneal sensitivity in phthisis bulbi. the pathophysiology seems to be the same as that found in contact lens wearers.
Avalia??o do olho seco no pré e pós-operatório da blefaroplastia
Lima, Carlos Gustavo de Melo Gon?alves de;Siqueira, Giordano Bruno;Cardoso, Isabel Habeyche;Sant'Anna, Ana Estela Besteti;Osaki, Midori Hentona;
Arquivos Brasileiros de Oftalmologia , 2006, DOI: 10.1590/S0004-27492006000300017
Abstract: purposes: to evaluate the importance of objective examinations in conjunction with ocular history and orbital and periorbital anatomy, to identify patients at risk of developing a post-blepharoplasty dry eye complication. methods: a prospective study was peformed on 29 patients with dermatochalasis who were studied before and three months after blepharoplasty. changes in ocular symptoms, physical examination and in objective tests, like schirmer's test, tear film break-up time and rose bengal coloration were evaluated. results: no statistically significant alteration in results of objective tests, except schirmer ii test, was found between the pre- and postoperative period. regarding eyelid anatomy, alterations in palpebral fissure and excursion of the upper eyelid were observed that were statistically significant postoperatively. conclusions: it is possible to state that the palpebral fissure alterations happen frequently in patients submitted to esthetic blepharoplasty. it was also possible to conclude, by this study, that the objective tests for dry eye evaluation, did not show significant alterations postoperatively, except for schirmer ii test.
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