Carolina P. B. Gracitelli

Barriers and opportunities in pediatric ophthalmology: a cross-sectional survey among Brazilian ophthalmologists

Érika Mota Pereira, Júlia Dutra Rossetto, Luisa Moreira Höpker, Barbara Venturin et autres

Pediatric ophthalmology is an understudied field in many regions, including Brazil, where barriers to care persist. This study aimed to identify the barriers faced by general ophthalmologists and assess their interest in digital training tools. A cross-sectional online survey comprising 10 questions …

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Eye-tracking reading patterns across different interventions in glaucoma patients versus controls

Mariana C Ikeda, André Messias, Sérgio Henrique Teixeira, Koiti Uchida Hamada et autres

To evaluate reading performance patterns – specifically saccades, fixations, and reading speed – under three visual interventions (font size, line spacing, and contrast) in glaucoma patients compared to control subjects, using an eye tracker. This cross-sectional study included 111 patients (57 patients …

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Multimodal large language models in ophthalmology: Diagnostic accuracy and the risk of metadata-induced confirmation bias

Cindy Lie Tabuse, David Restrepo, Carolina P. B. Gracitelli, Fernando Korn Malerbi et autres

• GPT-5.2 demonstrated superior and more robust performance in binarized diabetic retinopathy referral tasks compared to GPT-4 and Gemini 3. • Gemini 3 exhibited significant vulnerability to "textual confirmation bias," leading to changes in clinical recommendations in over 50% of cases when …

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Re: Most et al: Can Multimodal Large Language Models Diagnose Diabetic Retinopathy from Fundus Photos? A Quantitative Evaluation

Lavinia Loss Henriques, Carolina P. B. Gracitelli, Fernando Roberte Zanetti, Ricardo Luz Leitão Guerra

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Myopia control strategies: a survey of Brazilian ophthalmologists

Raíra Fortuna Cavaliere Mendes Moraes, Carolina P. B. Gracitelli, Célia Regina Nakanami, Júlia Dutra Rossetto

PURPOSE: This study aimed to identify the strategies adopted by Brazilian ophthalmologists to control myopia in clinical practice. METHODS: This was a prospective cross-sectional study. Data were collected using an online questionnaire. RESULTS: Responses from 148 participants were collected between March and …

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Effects of Melatonin Supplementation on Sleep Quality in Patients with Advanced Glaucoma

Priscilla Fernandes Nogueira, Julia Ribeiro da Silva Vallim, Marcello Novoa Colombo Barboza, Mônica L. Andersen et autres

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Pericentral Scotometry Guided by Standard Perimetry Using Microperimetry in Glaucoma Patients

Gustavo Coelho Caiado, Gustavo Albrecht Samico, Gilvan Silva Filho, Sérgio Henrique Teixeira et autres

Purpose: To evaluate whether regionally customized high-density MP-3 microperimetry guided by regions of interest (ROIs) derived from standard automated perimetry (SAP) provides stronger structure–function correlations with ganglion cell layer thickness (GCLT) than conventional SAP in glaucoma. Methods: This cross-sectional study included 85 …

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High-density perimetry in the assessment of foveal avascular zone and macular structure in glaucoma

Gustavo Coelho Caiado, Gustavo Albrecht Samico, Gilvan Vilarinho da Silva Filho, Sérgio Henrique Teixeira et autres

PURPOSE: To evaluate the association between foveal avascular zone (FAZ) parameters (area, perimeter and circularity) with macular high density perimetry (Octopus Macular program), macular vessel density (mVD) and ganglion cells layer thickness (GCLT) in glaucoma patients. METHODS: This cross-sectional study included 89 …

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Slow-Coagulation Continuous-Wave Cyclophotocoagulation vs. Micropulse Laser Treatment Procedure in Refractory Glaucoma: A Randomized Clinical Trial

Luiz Arthur F. Beniz, Mariana C Ikeda, Eloisa Gomes Rosario M. Teixeira, Carolina P. B. Gracitelli et autres

PURPOSE: To evaluate the effectiveness of transscleral diode laser cyclophotocoagulation in a population of patients with refractory glaucoma, comparing the results between the slow-coagulation continuous-wave cyclophotocoagulation (SC-CPC) and micropulse laser treatment (MP-LT) techniques. DESIGN: Prospective 2-center randomized clinical trial. SUBJECTS: Sixty eyes …

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Evaluating Large Language Models for Multimodal Simulated Ophthalmic Decision-Making in Diabetic Retinopathy and Glaucoma Screening

Cindy Lie Tabuse, David Restepo, Carolina P. B. Gracitelli, Fernando Korn Malerbi et autres

Large language models (LLMs) can simulate clinical reasoning based on natural language prompts, but their utility in ophthalmology is largely unexplored. This study evaluated GPT-4's ability to interpret structured textual descriptions of retinal fundus photographs and simulate clinical decisions for diabetic retinopathy …

Correlation of optic nerve hemoglobin levels with structural and functional parameters in glaucoma

Gustavo Coelho Caiado, Gustavo Albrecht Samico, Gilvan Vilarinho da Silva Filho, Sérgio Henrique Teixeira et autres

Glaucoma is a chronic and progressive eye disease that leads to irreversible damage to the optic nerve and retinal nerve fiber layer, resulting in visual field loss. Abnormalities in retinal blood flow and vascular regulation are increasingly recognized as key factors in …

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Preliminary results of lateral interaction and radial deformity hyperacuity in children with glaucoma

Christiane Rolim-de-Moura, Carolina P. B. Gracitelli, OTÁVIO CORRÊA PINHO, Marcelo Fernandes Costa

This study aimed to assess lateral spatial interaction (LSI) and radial deformity hyperacuity (RDH) in children with glaucoma and compare them with a normal control group. A cross-sectional study was conducted on both eyes of 16 participants (8 children with glaucoma and …

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