Browsing by Autor "Ana Clara Felix de Farias Santos"

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    Comparison of refractive surgeries (SMILE, LASIK, and PRK) with and without corneal crosslinking: systematic review and meta-analysis
    (Lippincott Williams & Wilkins, 2024) Sara Hira; Kélen Klein Heffel; Fatima Mehmood; Kush Sehgal; Ana Clara Felix de Farias Santos; Giulia Steuernagel Del Valle
    Corneal crosslinking (CXL) is used for treating keratoconus and post-laser in situ keratomileusis ectasia. However, refractive surgery is not usually performed with prophylactic CXL. Therefore, we performed a meta-analysis comparing outcomes of refractive surgeries with vs without prophylactic CXL. We systematically searched databases for studies comparing refractive surgeries for myopic correction with vs without prophylactic corneal crosslinking. Review Manager 5.4.1 was used to perform statistical analysis. We included 2820 eyes from 28 studies. Compared with refractive surgery alone, surgery with prophylactic CXL resulted in decreased central corneal thickness, corrected distance visual acuity logMAR, and safety and efficacy indices. There were no significant differences in postoperative uncorrected distance visual acuity of 20/20 or better at ≥12 months and other visual outcomes among both groups. More randomized controlled trials with standard crosslinking protocols are needed to analyze the prophylactic use of crosslinking with refractive surgeries.
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    General anesthesia versus conscious sedation in mechanical thrombectomy for patients with acute ischemic stroke: systematic review and meta-analysis
    (Thieme Medical Publishers (Germany), 2024) Ana Clara Felix de Farias Santos; Luciano Lobão Salim Coelho; Guilherme de Carvalho Caldas; Luziany Carvalho Araújo; Vívian Dias Baptista Gagliardi; Leonardo Augusto Carbonera
    Despite the increase in recanalization success rates in the GA group, GA and CS show similar rates of good functional recovery, three-month mortality, incidence of pneumonia, and cerebral hemorrhage in patients undergoing MT.