{"id":553405,"date":"2026-09-14T19:30:00","date_gmt":"2026-09-14T19:30:00","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=9005"},"modified":"2026-09-10T14:06:36","modified_gmt":"2026-09-10T14:06:36","slug":"scleral-lenses-keratoconus-escrs-2026","status":"publish","type":"post","link":"http:\/\/www.elza-institute.com\/pt\/scleral-lenses-keratoconus-escrs-2026\/","title":{"rendered":"ELZA no ESCRS 2026, segunda-feira em Londres"},"content":{"rendered":"
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Nem todos os olhos com ceratocone precisam de cirurgia. Muitos s\u00e3o tratados com uma lente que assenta por cima da c\u00f3rnea irregular. Os cuidados com lentes esclerais para o ceratocone desse tipo foram a contribui\u00e7\u00e3o mais quantificada da ELZA na segunda-feira, 14 de setembro, no 44.\u00ba Congresso da ESCRS em Londres.<\/p>\n\n

O que as lentes esclerais usadas por doentes com ceratocone realmente fazem<\/h3>\n\n

O ceratocone deforma a superf\u00edcie frontal do olho, e uma superf\u00edcie deformada desvia a luz de forma irregular. O resultado n\u00e3o \u00e9 simplesmente uma vis\u00e3o turva que \u00f3culos mais fortes conseguem corrigir. Trata-se de uma aberra\u00e7\u00e3o de alta ordem, um erro \u00f3tico sem equivalente em \u00f3culos. Uma lente mini-escleral assenta sobre a parte branca do olho e faz um arco sobre a c\u00f3rnea. Por baixo, fica um reservat\u00f3rio de l\u00edquido. Opticamente, a superf\u00edcie frontal irregular do olho \u00e9 substitu\u00edda pela superf\u00edcie frontal lisa da lente.<\/p>\n\n

L\u00e9onard Kollros<\/a> apresentou as medi\u00e7\u00f5es<\/a> \u00e0s 14:35, no sess\u00e3o de comunica\u00e7\u00f5es livres sobre a gest\u00e3o de ceratocone avan\u00e7ado e c\u00f3rnea complexa<\/a>. Vinte e dois olhos de doze adultos com ceratocone est\u00e1vel foram avaliados com e sem as suas lentes habituais. Cada um tinha passado pelo menos dez dias sem usar lentes antes. Al\u00e9m disso, dezasseis dos olhos tinham sido submetidos anteriormente a cross-linking.<\/p>\n\n

O total de aberra\u00e7\u00f5es de ordem superior diminuiu de uma mediana de 1,08 \u00b5m sem a lente para 0,51 \u00b5m com a lente. O coma vertical domina no ceratocone, tendo descido de \u22121,23 \u00b5m para \u22120,03 \u00b5m. Isto representa uma corre\u00e7\u00e3o m\u00e9dia de 97,3%. A acuidade visual de alto contraste melhorou de 0,21 logMAR para \u22120,06 logMAR. As pontua\u00e7\u00f5es no question\u00e1rio de qualidade de vida NEI VFQ-25 subiram de uma mediana de 62,4 para 83,8.<\/p>\n\n

Esse \u00faltimo n\u00famero \u00e9 aquele em que vale a pena parar. As medi\u00e7\u00f5es \u00f3ticas s\u00e3o f\u00e1ceis de recolher e f\u00e1ceis de sobreinterpretar. Um question\u00e1rio validado, por contraste, pergunta aos doentes se a vida di\u00e1ria melhorou. Aqui ambos avan\u00e7aram em conjunto. O estudo \u00e9 pequeno e monoc\u00eantrico, no entanto, e os olhos estavam est\u00e1veis em vez de a progredir. Como evid\u00eancia para a gest\u00e3o do queratocone com lentes esclerais, isso \u00e9 \u00fatil, mas modesto.<\/p>\n\n

Transformar uma ideia de investiga\u00e7\u00e3o em algo existente<\/h3>\n\n

\u00c0s 14:30, na Capital Suite Room 2-4, o Workshop de Investiga\u00e7\u00e3o da ESCRS<\/a> fez uma pergunta que a maioria dos cursos de metodologia ignora. Como se distingue uma ideia que vale a pena perseguir de uma que n\u00e3o vale? O workshop, \"Tenho uma grande ideia... e agora?\", foi presidido pelo Prof. Farhad Hafezi<\/a>. Nikki Hafezi<\/a> abriu-o<\/a>. Ela trabalha na \u00e1rea da sa\u00fade p\u00fablica, pol\u00edticas e gest\u00e3o estrat\u00e9gica em oftalmologia.<\/p>\n\n

A sess\u00e3o dela abordou a identifica\u00e7\u00e3o de uma necessidade n\u00e3o satisfeita e a sua valida\u00e7\u00e3o antes de lhe dedicar anos. O workshop acompanhou depois uma ideia cl\u00ednica desde a origem at\u00e9 se tornar num produto. Abordou patentes e titularidade, do prot\u00f3tipo ao dispositivo certificado, e quem financia cada etapa. Explicou tamb\u00e9m porque \u00e9 que o desenvolvimento de medicamentos segue regras diferentes. Uma discuss\u00e3o aberta encerrou a sess\u00e3o.<\/p>\n\n

Imaginar a c\u00f3rnea e medir como ela se move<\/h3>\n\n

\u00c0s 17:30, Dr. Emilio A. Torres-Netto<\/a> ensinou elastografia por tomografia de coer\u00eancia \u00f3tica<\/a>. O seu espa\u00e7o situava-se num curso de instru\u00e7\u00e3o sobre imagem multimodal do segmento anterior<\/a>, na Capital Suite Room 9\/10. A imagiologia convencional mapeia a forma da c\u00f3rnea. A elastografia tenta mapear diretamente a sua rigidez. Pertence, portanto, \u00e0 mesma mudan\u00e7a que atravessou o programa de s\u00e1bado do ELZA: medir a forma como o tecido se comporta, e n\u00e3o apenas o seu aspeto.<\/p>\n\n

Cirurgia de glaucoma em combina\u00e7\u00e3o<\/h3>\n\n

Cinco minutos mais tarde, na Suite Capital 14-16, o Prof. Kaweh Mansouri<\/a> falou num curso de esclerectomia profunda combinada com cirurgia de catarata<\/a>. Ele comparou-o com outros procedimentos combinados para o glaucoma<\/a>. A esclerectomia profunda cria uma via de drenagem para o l\u00edquido no interior do olho sem entrar na c\u00e2mara anterior. Por causa disso, apresenta um perfil de risco diferente da trabeculectomia.<\/p>\n\n

Transplante de c\u00f3rnea na Arena<\/h3>\n\n

Mais cedo, \u00e0s 09:55, o Dr. Lamis Baydoun<\/a> demonstrou a t\u00e9cnica de desenrolamento<\/a> no Sess\u00e3o DMEK da Arena<\/a>. Um enxerto DMEK \u00e9 uma membrana dadora com a espessura de poucas c\u00e9lulas e, por ser t\u00e3o fina, enrola-se sobre si pr\u00f3pria em meio l\u00edquido. O seu desenrolar \u00e9 a etapa que mais frequentemente distingue um caso simples de um caso dif\u00edcil. \u00c9 tamb\u00e9m ensinado quase exclusivamente atrav\u00e9s de demonstra\u00e7\u00e3o.<\/p>\n\n

O Instituto ELZA gere queratocone<\/a> com abordagens tanto \u00f3pticas como cir\u00fargicas. Realiza cirurgia da c\u00f3rnea<\/a> e glaucoma<\/a> cirurgia nas suas cl\u00ednicas em Dietikon e Zurique. Os detalhes da sess\u00e3o s\u00e3o publicados pelo Sociedade Europeia de Cirurgi\u00f5es de Catarata e Refrativos<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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As lentes mini-esclerais reduzem as aberra\u00e7\u00f5es de ordem superior em 97% no ceratocone, segundo relatou a ELZA na segunda-feira, em Londres, no \u00e2mbito do Workshop de Investiga\u00e7\u00e3o da ESCRS, presidido pelo Prof. Farhad Hafezi.<\/p>","protected":false},"author":4,"featured_media":553436,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"page_builder":"","footnotes":""},"categories":[243,770,214,479,279,548,1,223,97],"tags":[713,278,361,123,101685,730,861],"class_list":["post-553405","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emilio-torres","category-enes-aydemir","category-farhad-hafezi","category-kaweh-mansouri","category-lamis-baydoun","category-leonard-kollros","category-general-news","category-nikki-hafezi","category-podium-power","tag-congress","tag-escrs","tag-farhad-hafezi","tag-keratoconus","tag-london","tag-scleral-lenses","tag-vision-rehabilitation"],"acf":[],"yoast_head":"\nScleral lenses keratoconus data at ESCRS 2026<\/title>\n<meta name=\"description\" content=\"Scleral lenses keratoconus data, corneal elastography and glaucoma surgery filled ELZA's Monday at 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