OBJECTIVE: To compare the effects of hydrophobic and hydrophilic materials in square-edged acrylic intraocular lenses (IOLs) on the development of posterior capsule opacification (PCO) after pediatric cataract surgery. METHODS: Patients were randomly assigned to group 1 (hydrophobic acrylic square-edged IOLs; 13 eyes) or group 2 (hydrophilic acrylic square-edged IOLs; 13 eyes). The study evaluated PCO rates using Evaluation of Posterior Capsule Opacification (EPCO) 2000 software at one, three, six and 12 months postoperatively. Postoperative measurements also included corrected distance visual acuity (CDVA), neodymium:yttrium‐aluminum‐garnet (Nd:YAG) capsulotomy and postoperative complications other than PCO. RESULTS: Both groups had significant increases in PCO rates after one year. Comparison of the groups showed no significant differences in the EPCO scores at three (group 1, 0.007±0.016 vs group 2, 0.008±0.014; p=0.830), six (group 1, 0.062±0.103 vs group 2, 0.021±0.023; p=0.184), or twelve months postoperatively (group 1, 0.200±0.193 vs group 2, 0.192±0.138; p=0.902). We also found no significant group differences regarding the change (delta, Δ) in EPCO scores between three and six months (group 1, 0.055±0.09 vs group 2, 0.013±0.02; p=0.113) or between six and twelve months postoperatively (group 1, 0.139±0.14 vs group 2, 0.171±0.14; p=0.567). Twenty-three percent of patients required Nd:YAG capsulotomy at the twelve-month visit. CONCLUSIONS: No differences in PCO rates were found between hydrophobic and hydrophilic acrylic square-edged IOLs in children between five and twelve years of age at one year of follow-up.

RESUMO O intraoperatório e o pós-operatório de cirurgia de catarata em olhos com megaloftalmo anterior é desafiador. Descrevemos o caso de um homem de 53 anos com megaloftalmo anterior que desenvolveu a Síndrome de Urrets-Zavalia unilateral após cirurgia de catarata.

ABSTRACT Intraoperative and postoperative cataract surgery in eyes with anterior megalophthalmos are challenging procedures. Herein we describe the case of a 53-year-old male with anterior megalophthalmos who developed unilateral Urrets-Zavalia Syndrome following cataract surgery.

O artigo analisa a legislação referente ao Fundo de Manutenção e Desenvolvimento da Educação Básica e de Valorização dos Profissionais da Educação - Fundeb -, em contraste com as normas do Fundo de Manutenção e Desenvolvimento do Ensino Fundamental e de Valorização do Magistério - Fundef. Identifica e discute: as características do novo fundo, que já integravam o fundo precedente; os aperfeiçoamentos em relação à legislação do Fundef e as opções técnicas distintas. Aponta os aspectos problemáticos da nova legislação, como a aplicação indistinta dos recursos entre as etapas e modalidades de ensino e os tipos de estabelecimento, independentemente de seu peso para a captação dos recursos, bem como a inclusão das matrículas privadas da educação especial e das creches de forma permanente, para além, portanto, de um prazo de transição. Propõe que a participação da União no financiamento da educação retome o patamar de 1995, em termos de percentual de gastos por esfera federativa.

This paper analyses the legislation concerning the Fund for the Maintenance and Development of Basic Education and Educational Professionals Valorization, contrasting it with that about the Fund for the Maintenance and Development of Fundamental Education and Teacher Valorization. It identifies and discusses: the characteristics of the new Fund that were already present in the previous one, the improvements acquired in contrast to Fundef and the different technical choices. The study also indicate the problematic aspects of the new legislation, such as: a) the indistinct use of the financial resources among levels and modalities of instruction, schools, and teaching settings, independently of their respective weight in the collection of resources; b) the inclusion special education private enrollments and those of day care centers in a permanent way, without considering a transitory period. The paper proposes that the financial contribution of the Union to education come back to 1995's level, in terms of the percentage of expenditures by federative sphere.