{"id":553856,"date":"2026-10-05T12:43:58","date_gmt":"2026-10-05T12:43:58","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=553856"},"modified":"2026-10-05T12:44:05","modified_gmt":"2026-10-05T12:44:05","slug":"eco-cairs-dog-2026-berlin","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/eco-cairs-dog-2026-berlin\/","title":{"rendered":"Emilio Torres-Netto apresenta o ECO-CAIRS no DOG 2026, em Berlim"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"553856\" class=\"elementor elementor-553856\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c30f3f e-flex e-con-boxed e-con e-parent\" data-id=\"1c30f3f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a530ee5 elementor-widget elementor-widget-text-editor\" data-id=\"2a530ee5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A implanta\u00e7\u00e3o de arcos de tecido corneano doador para alisar uma c\u00f3rnea queratoc\u00f4nica passou rapidamente de uma ideia exclusiva para uma op\u00e7\u00e3o comum, e a Sociedade Oftalmol\u00f3gica Alem\u00e3 (DOG) dedicou seu pr\u00f3prio simp\u00f3sio \u00e0 t\u00e9cnica no seu congresso de 2026, em Berlim. <a href=\"https:\/\/www.elza-institute.com\/pt\/sobre\/emilio-torres\/\">Emilio A. Torres-Netto<\/a>, MD, PhD, FEBO, FWCRS, apresentou o ECO-CAIRS no DOG 2026, no s\u00e1bado, 26 de setembro, na sess\u00e3o \u201cQuem \u00e9 o CAIRS?\u201d.<\/p>\n<h3>Um simp\u00f3sio dedicado ao CAIRS<\/h3>\n<p>O congresso DOG decorreu de 24 a 27 de setembro de 2026 no Estrel Berlin. O simp\u00f3sio Who CAIRS? (sess\u00e3o Sa28, 16:45\u201318:00) foi dedicado aos segmentos intrastromais de c\u00e9lulas-tronco corneanas, ou <a href=\"https:\/\/www.elza-institute.com\/pt\/ceratocone\/femto-cairs-keratoconus\/\">CAIRS<\/a>. S\u00e3o arcos cortados a partir de tecido corneano de doador e implantados em um canal no pr\u00f3prio estroma do paciente, onde achatam o cone visual. <a href=\"https:\/\/www.elza-institute.com\/pt\/ceratocone\/\">queratocone<\/a> de dentro.<\/p>\n<p>Os organizadores descreveram o CAIRS como uma alternativa biol\u00f3gica aos segmentos de anel sint\u00e9ticos, com um corpo crescente de evid\u00eancias cl\u00ednicas sobre sua efic\u00e1cia e seguran\u00e7a. A sess\u00e3o foi presidida pelo Dr. Loay Daas (Centro M\u00e9dico da Universidade de Saarland, Homburg\/Saar) e pelo Dr. Hyeck Soo Son (Hospital de Olhos da Universidade de Heidelberg). Ela combinou experi\u00eancia cl\u00ednica, conselhos pr\u00e1ticos e discuss\u00e3o de casos em cinco palestras:<\/p>\n<ul>\n<li>Planejamento do CAIRS \u2013 Dr. Hyeck Soo Son<\/li>\n<li>\u201cEmbrace the Cone\u201d, otimizando os resultados \u2013 Dr. Dimitrios Kyroudis (Pallas Kliniken, Bern)<\/li>\n<li>Dicas e truques cir\u00fargicos \u2013 Dr. Bader Khayat (Augenzentrum S\u00fcdblick, Munique)<\/li>\n<li>ECO (Otimiza\u00e7\u00e3o Extracorp\u00f3rea) \u2013 CAIRS \u2013 Dr. Emilio A. Torres-Netto<\/li>\n<li>Resultados a longo prazo do CAIRS \u2013 Dr. Loay Daas<\/li>\n<\/ul>\n<p>A lista completa das sess\u00f5es est\u00e1 no <a href=\"https:\/\/dog2026.abstractserver.com\/program\/\">Programa online DOG 2026<\/a>.<\/p>\n<h3>O que o procedimento extracorp\u00f3reo acrescenta<\/h3>\n<p>A palestra de 15 minutos do Dr. Torres-Netto, intitulada \u201cECO (Extracorporeal Optimization) \u2013 CAIRS\u201d, apresentou a modifica\u00e7\u00e3o ELZA da t\u00e9cnica. No ECO-CAIRS, os segmentos doador s\u00e3o tratados com uma flutua\u00e7\u00e3o ultra-elevada. <a href=\"https:\/\/www.elza-institute.com\/pt\/cross-linking\/\">reticula\u00e7\u00e3o da c\u00f3rnea<\/a> (CXL) antes de serem implantados. O CXL utiliza gotas de riboflavina (vitamina B2) e luz ultravioleta-A para endurecer o col\u00e1geno da c\u00f3rnea. Aqui, no entanto, \u00e9 aplicado apenas ao segmento, completamente fora do olho do paciente.<\/p>\n<p>Segundo o resumo da palestra, esse pr\u00e9-tratamento torna os segmentos mais r\u00edgidos, mais finos e sem c\u00e9lulas. Como resultado, eles passam mais facilmente pelo t\u00fanel estromal e s\u00e3o mais f\u00e1ceis de manipular pelo cirurgi\u00e3o.<\/p>\n<h3>As evid\u00eancias por tr\u00e1s do ECO-CAIRS na DOG 2026<\/h3>\n<p>A apresenta\u00e7\u00e3o baseou-se em tr\u00eas artigos revisados por pares da ELZA e seus colaboradores. O primeiro, no Journal of Refractive Surgery, descreveu a t\u00e9cnica cir\u00fargica em quatro olhos com queratocone est\u00e1vel e kerametria m\u00e1xima entre 58,00 e 69,80 D. Os segmentos foram cortados com um laser femtosecund\u00e1rio e interligados com 30 ou 60 J\/cm\u00b2. A inser\u00e7\u00e3o foi tranquila em todos os quatro olhos, e os segmentos permaneceram r\u00edgidos durante todo o procedimento. Seu espessamento diminuiu aproximadamente pela metade imediatamente ap\u00f3s a interliga\u00e7\u00e3o, mas aumentou novamente dentro de alguns dias ap\u00f3s a inser\u00e7\u00e3o.<\/p>\n<p>Duas pesquisas laboratoriais em c\u00f3rneas de porcos, ambas publicadas no Journal of Cataract and Refractive Surgery, examinaram o motivo. Na primeira, intensidades ultraelevadas de 30 e 60 J\/cm\u00b2 rigidizaram o tecido da c\u00f3rnea mais do que um protocolo convencional de 10 J\/cm\u00b2; n\u00e3o houve diferen\u00e7a entre as duas doses mais altas. Na segunda, os segmentos anulares reticulados perderam mais \u00e1gua durante a prepara\u00e7\u00e3o e absorveram menos \u00e1gua posteriormente do que os segmentos n\u00e3o tratados, o que os autores sugerem que pode melhorar o manuseio durante a cirurgia.<\/p>\n<p>Esses dados s\u00e3o preliminares. O artigo cl\u00ednico relata o tratamento cir\u00fargico em quatro olhos, n\u00e3o os resultados visuais a longo prazo, e o trabalho de laborat\u00f3rio utilizou tecido animal. Os autores pedem estudos adicionais para confirmar como os segmentos do ECO-CAIRS se comportam ao longo do tempo e para separar o efeito do volume dos segmentos do da rigidez.<\/p>\n<h3>De Berlim, no LinkedIn<\/h3>\n<p>O Instituto ELZA oferece o CAIRS e a reticula\u00e7\u00e3o corneana para o queratocone. O Dr. Torres-Netto compartilhou suas impress\u00f5es sobre a apresenta\u00e7\u00e3o do ECO-CAIRS no DOG 2026 no LinkedIn.<\/p>\n<div style=\"width:100%; max-width:600px; margin:0 auto;\">\n  <iframe src=\"https:\/\/www.linkedin.com\/embed\/feed\/update\/urn:li:ugcPost:7509998228696821761\" title=\"Publica\u00e7\u00e3o no LinkedIn\" width=\"100%\" height=\"850\" frameborder=\"0\" allowfullscreen loading=\"lazy\" style=\"display:block; border:0;\">\n  <\/iframe>\n<\/div>\n<h3>Refer\u00eancias<\/h3>\n<ul>\n<li>Hafezi F, Aydemir ME, Hillen M, et al. Otimiza\u00e7\u00e3o extracorp\u00f3rea de segmentos intrastromais de c\u00e9lulas-tronco corneanas (ECO-CAIRS), utilizando a reticula\u00e7\u00e3o corneana com flutua\u00e7\u00e3o ultraelevada (HCR). J Refract Surg. 2025;41(11):e1233\u2013e1239. <a href=\"https:\/\/doi.org\/10.3928\/1081597X-20250917-02\">doi.org\/10.3928\/1081597X-20250917-02<\/a><\/li>\n<li>Aydemir ME, Kollros L, Hillen M, et al. Efeito biomec\u00e2nico de rigidifica\u00e7\u00e3o em segmentos intrastromais de an\u00e9is alog\u00eanicos corneais ligados por cross-linking com flu\u00eancia ultra-elevada extracorp\u00f3rea. J Cataract Refract Surg. 2026. <a href=\"https:\/\/doi.org\/10.1097\/j.jcrs.0000000000001981\">doi.org\/10.1097\/j.jcrs.0000000000001981<\/a><\/li>\n<li>Kollros L, Aydemir ME, Boote C, et al. Desidrata\u00e7\u00e3o e comportamento de reidrata\u00e7\u00e3o de segmentos intrastromais de c\u00e9lulas-tronco corneais extracorp\u00f3reos de alta flu\u00eancia (ECO-CAIRS). J Cataract Refract Surg. 2026. <a href=\"https:\/\/doi.org\/10.1097\/j.jcrs.0000000000002015\">doi.org\/10.1097\/j.jcrs.0000000000002015<\/a><\/li>\n<\/ul>\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<div class=\"elementor-element elementor-element-41ef5827 e-flex e-con-boxed e-con e-parent\" data-id=\"41ef5827\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1f0fe1b0 elementor-arrows-position-inside elementor-pagination-position-outside elementor-widget elementor-widget-image-carousel\" data-id=\"1f0fe1b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;navigation&quot;:&quot;both&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;yes&quot;,&quot;speed&quot;:500}\" 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Torres-Netto apresentou o ECO-CAIRS no simp\u00f3sio Who CAIRS? no congresso DOG 2026, em Berlim, no s\u00e1bado, 26 de setembro.<\/p>","protected":false},"author":4,"featured_media":553857,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"page_builder":"","footnotes":""},"categories":[243,1126,97],"tags":[778,125,561,130,100,993,758,123,1072,101718],"class_list":["post-553856","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emilio-torres","category-intrastromal-rings","category-podium-power","tag-cairs","tag-cornea","tag-corneal-ectasia","tag-cross-linking","tag-cxl","tag-eco-cairs","tag-femto-cairs","tag-keratoconus","tag-keratoconus-management","tag-slak"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ECO-CAIRS at DOG 2026 in Berlin<\/title>\n<meta name=\"description\" content=\"Dr. Emilio A. 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