Dr. Luiz Guilherme Marchesi Mello
Neuro-Ophthalmology, Uveitis and General Ophthalmology
CRM-ES 13621 | RQE 11325
How important is it to combine neuro-ophthalmology and uveitis?
Neuro-Ophthalmology and Uveitis are two areas of Ophthalmology that study ophthalmological manifestations related to systemic diseases. The first one involves structures from the eye to the central nervous system. The second one studies ocular inflammatory processes, especially those related to diseases that affect other parts of the human body (such as rheumatological, infectious, and neurological). Therefore, I believe that the combination of these two specializations enables better assistance to patients, going beyond activities I already do as an Ophthalmologist, which involves the promotion of eye health, treatment clinical and surgical diseases restricted to the eye (such as retinal diseases, glaucoma, cataract, etc) and complementary test (such as fluorescein angiography, ocular ultrasound, optical coherence tomography, etc).
Diseases, signs and associated symptoms
The main signs and symptoms of patients with uveitis and neuro-ophthalmological diseases are:
reduced visual acuity, red eye, eye pain, diplopia (double vision), eye deviation, reduced field of vision, pupil abnormalities, nystagmus (involuntary eye movements), ptosis ("drooping eyelid") and proptosis ("bulging eyes").
Several diseases may be associated to these signs and symptoms (see below some of them), being important the evaluation by an Ophthalmologist. If you want to make an appointment with a specialist, click HERE.
Uuveitis
- Uveitis (anterior, intermediate, posterior, and diffuse)
- Scleritis and episcleritis
- Ocular toxoplasmosis
- Ocular syphilis
- Ocular herpes
- Ocular tuberculosis
- Ocular manifestations of the HIV virus
- Vogt-Koyanagi-Harada syndrome
- Sarcoidosis
- Juvenile idiopathic arthritis
- Behcet's syndrome
- Rheumatoid arthritis
- Ankylosing spondylitis
- Vasculitis
- Neuroretinitis
- Others...
Neuro-Ophthalmology
- Edema and other optic nerve abnormalities
- Optic neuritis
- Ischemic optic neuropathy ("nerve infarction")
- Intracranial hypertension and hypotension
- Intracranial and optic tumors
- Graves' disease
- Myasthenia gravis
- Leber's optic neuropathy
- Other genetic/hereditary diseases
- Cranial nerves palsy
- Carotid-cavernous sinus fistula
- Congenital and acquired nystagmus
- Ocular manifestations of neurological diseases (multiple sclerosis, neuromyelitis optica, Alzheimer's disease, Parkinson's, etc.)
- Others...
Surgical procedures and exams
Ophthalmological procedures
- Pterygium excision and other ocular surface disease
- Cataract surgery
- Intraocular injections
- Retinal laser photocoagulation
- Surgical treatments of glaucoma glaucoma (laser iridotomy, trabeculectomy, etc.)
- Others...
Ophthalmological tests
- Optical coherence tomography (OCT)
- Ocular ultrasound (USG)
- Ultrasonic biomicroscopy (UBM)
- Fluorescein angiography
- Angiography with indocyanine green
- Retinography
- Visual field test
- Gonioscopy
- Color vision assessment
- Others...
Want to know a little more about Ophthalmology, disease and associated symptoms?
Scientific publications
Retina, choroid and optic nerve in Parkinson's disease
Did you know that patients with Parkinson's disease can have ocular abnormalities?
Cherubism: rare genetic disease with retinal alteration
Report of the first case of cherubism with combined retinal and optic nerve alterations.
Glaucoma vs. intracranial tumors: the useful of OCT
Visual pathway tumors can mimic glaucoma. Optical coherence tomography (OCT) can help with this differentiation!
My Lattes CV
Get access to all my publications, scientific activities, lines of research and much more!
Book your ophthalmologist's appointment!
Do you need an eye exam? Make an appointment:
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Address: Centro de Referência da Visão (CRV), Constante Sodré street, 750, 8th floor - Santa Lucia, Vitória - ES, 29056-310 (click here to access the map)
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Phone/WhatsApp: (27) 3019-6190 | (27) 98895-0142
Tips before your doctor's appointment:
- Consultations last approximately one hour to provide better assistance, and may last longer if necessary.
- Take your previous eye exams, including your glasses and past prescriptions. Laboratory and imaging tests are also important!
- If you wear contact lenses, do not wear them for at least 24 hours before the appointment time (ideally 48 hours if possible).
- Bring someone to your doctor's appointment to help you during and after it, as your vision may be a little blurry.
- Our service locations have easy access, including for people with disabilities (PcD), security, paid parking and free Wi-Fi.
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Vocês atendem por plano de saúde?Um dos nossos objetivos é proporcionar um atendimento médico de qualidade aos nossos pacientes, com o que há de melhor e de mais atual na medicina. Nossas consultas têm duração aproximada de uma hora, podendo durar até mais tempo se for necessário. Assim, não somos credenciados a nenhum plano de saúde e nossas consultas são particulares. Caso seja solicitado algum exame complementar durante a sua consulta ou seja necessária internação hospitalar, é provável que você consiga realizar junto ao seu plano. Estaremos à disposição para ajudar com o que for necessário.
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Vocês atendem pacientes de todas as idades?Com certeza, incluindo crianças! Nas nossas áreas de atuação as doenças podem acometer pacientes de todas as idades. Além disso, em alguns casos pode ser necessário acompanhamento médico frequente por todas as fases da vida. Por isso não nos limitamos a atender determinadas faixas etárias e proporcionamos aos nossos pacientes a possibilidade de seguimento conosco ao longo da vida!
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Vocês realizam atendimentos por teleconsulta?A teleconsulta é uma ferramenta que pode auxiliar no cuidado dos pacientes. Porém, acreditamos que a conversa presencial entre médico e paciente e um exame físico detalhado sejam indispensáveis para promover aos nossos pacientes um atendimento de excelência. Assim, nossa primeira consulta sempre será presencial. Dependendo do caso, as avaliações subsequentes poderão ser realizadas por teleconsulta.