{"id":368,"date":"2015-01-23T14:31:08","date_gmt":"2015-01-23T16:31:08","guid":{"rendered":"http:\/\/www.planetaw.com.br\/temp\/sbg\/?p=368"},"modified":"2019-06-11T12:40:46","modified_gmt":"2019-06-11T15:40:46","slug":"goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab","status":"publish","type":"post","link":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/","title":{"rendered":"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB"},"content":{"rendered":"
\n
\"\"Comentarios por Dr. Bruno Esporcatte e Prof. Dr. Ivan Maynart Tavares sobre<\/strong>:
\nRef.: Nd:YAG laser goniopuncture for late bleb failure after trabeculectomy with adjunctive mitomycin C<\/strong>.
\nSusanna, R., Jr., De Moraes, C.G., Alencar, L.M. & Ritch, R.
\nJAMA Ophthalmology 132, 286-290 (2014)<\/strong>.Prof. Dr. Ivan Maynart Tavares<\/strong>
\nEditor-Associado<\/strong><\/span><\/div>\n
\"\"
\n<\/span><\/div>\n<\/div>\n

O controle da press\u00e3o intraocular (PIO) ap\u00f3s uma trabeculectomia (TREC) \u00e9 dependente da facilidade com a qual o humor aquoso flui da c\u00e2mara anterior para a ampola filtrante. Aplicado nos casos de fal\u00eancia da cirurgia, o agulhamento visa remover mecanicamente as traves fibr\u00f3ticas subconjuntivais para recuperar a capacidade de drenagem. Entretanto, o procedimento n\u00e3o \u00e9 isento de complica\u00e7\u00f5es, colocando o paciente em risco de perfura\u00e7\u00e3o da parede da bolha, hifema, hipotonia, blebite e endoftalmite. A goniopuntura a laser \u00e9 um procedimento j\u00e1 utilizado com o intuito de perfurar a membrana trabeculo-Descemet, em casos de fal\u00eancia de uma esclerectomia profunda n\u00e3o penetrante, e de remover obstru\u00e7\u00e3o vis\u00edvel do \u00f3stio interno, como \u00edris e v\u00edtreo. \u00c9 uma abordagem r\u00e1pida, simples, n\u00e3o invasiva e de baixo custo. Susanna e colaboradores utilizaram a goniopuntura com Nd:YAG laser em casos de fal\u00eancia tardia da TREC com bolha isqu\u00eamica e \u00f3stio interno sem obstru\u00e7\u00e3o vis\u00edvel. Neste estudo prospectivo, ap\u00f3s a aplica\u00e7\u00e3o do laser, todos os pacientes receberam inje\u00e7\u00e3o de 5-fluorouracil no f\u00f3rnice conjuntival inferior e col\u00edrio de corticoide, al\u00e9m de serem orientados a realizar massagem digital do globo ocular.<\/span> Foram tratados 19 olhos<\/span> (19 pacientes, 58% mulheres, 84% brancos) com tempo m\u00e9dio de TREC de 35,7\u00b132,3 meses. Observou-se sucesso do procedimento (PIO\u226415mmHg e redu\u00e7\u00e3o de no m\u00ednimo 20%, sem uso de col\u00edrios) em 79% dos pacientes. A PIO apresentou significativa diminui\u00e7\u00e3o, mantida ao longo de seis meses de acompanhamento (20,9\u00b14,75mmHg vs. 11,9\u00b14,1mmHg, p<0,001).<\/span> Esta redu\u00e7\u00e3o press\u00f3rica foi acompanhada por aumento da altura (dois pacientes) e extens\u00e3o da bolha (10 pacientes). Em dois casos, observou-se hipotonia no primeiro dia ap\u00f3s a interven\u00e7\u00e3o, tendo um deles cursado com descolamento perif\u00e9rico de coroide, com resolu\u00e7\u00e3o espont\u00e2nea.Devido \u00e0 boa efic\u00e1cia e baixa morbidade, a goniopuntura a laser pode representar uma boa op\u00e7\u00e3o antes de procedimentos mais invasivos, como agulhamento e revis\u00e3o da cirurgia. Novos estudos ir\u00e3o situar a import\u00e2ncia deste procedimento no manejo p\u00f3s-operat\u00f3rio das cirurgias fistulizantes.<\/span> O procedimento mostrou-se seguro e eficaz no controle da PIO em pacientes com fal\u00eancia tardia da TREC com bolha isqu\u00eamica e \u00f3stio livre. A aplica\u00e7\u00e3o do laser possivelmente rompeu fontes de resist\u00eancia n\u00e3o vis\u00edveis, que dificultavam a sa\u00edda de humor aquoso para o espa\u00e7o subconjuntival. Os autores conjecturam que o YAG laser deve ter promovido aberturas no retalho escleral, que estaria enfraquecido devido ao uso pr\u00e9vio de mitomicina. Finalmente, Susanna e colaboradores revisitam a t\u00e9cnica de revis\u00e3o interna da trabeculectomia com laser Nd:YAG e, num artigo elegante, reportam bons resultados e poucas complica\u00e7\u00f5es nos casos que foram tratados com mitomicina no peroperat\u00f3rio e que apresentam ampola isqu\u00eamica e \u00f3stio interno livre. Algumas limita\u00e7\u00f5es, citadas pelos autores, foram o pequeno n\u00famero amostral e o curto per\u00edodo de acompanhamento.<\/span> Devido \u00e0 boa efic\u00e1cia e baixa morbidade, a goniopuntura a laser pode representar uma boa op\u00e7\u00e3o antes de procedimentos mais invasivos, como agulhamento e revis\u00e3o da cirurgia. Novos estudos ir\u00e3o situar a import\u00e2ncia deste procedimento no manejo p\u00f3s-operat\u00f3rio das cirurgias fistulizantes.<\/p>\n

\n
\n

Resumo deste artigo<\/h3>\n
\n
\n
\n

JAMA Ophthalmol<\/em> 2014 Mar;132(3):286-90. doi: 10.1001\/jamaophthalmol.2013.6259.
\nNd:YAG laser goniopuncture for late bleb failure after trabeculectomy with adjunctive mitomycin C<\/strong>.
\nSusanna R Jr1, De Moraes CG2, Alencar LM1, Ritch R3.
\nAuthor information<\/strong><\/p>\n

Abstract<\/strong><\/p>\n

IMPORTANCE<\/strong>:
\nThere is an increasing need to prolong trabeculectomy success rates with minimally invasive procedures.<\/p>\n

OBJECTIVE<\/strong>:
\nTo investigate the safety and efficacy of Nd:YAG laser goniopuncture (LGP) in lowering intraocular pressure (IOP) in eyes having late bleb failure following trabeculectomy with mitomycin C administration.<\/p>\n

DESIGN, SETTING, AND PARTICIPANTS<\/strong>:
\nProspective, noncomparative, interventional cohort at a referral glaucoma practice, including 19 eyes of 19 patients with uncontrolled glaucoma after failed trabeculectomy.<\/p>\n

INTERVENTIONS<\/strong>:
\nAll eyes had ischemic nonfunctioning blebs with patent internal ostia and underwent Nd:YAG LGP, followed by a 5-fluorouracil injection.<\/p>\n

MAIN OUTCOME MEASURES<\/strong>:
\nThe IOP and the number of antiglaucoma medications before and after the procedure, as well as presurgical and postsurgical appearance of the blebs, using the Indiana Bleb Appearance Grading Scale classification.<\/p>\n

RESULTS<\/strong>:
\nThe mean (SD) time of LGP after trabeculectomy was 35.7 (32.3) months, and the mean (SD) follow-up period after LGP was 6.0 (1.1) months (range, 4.4-8.4 months). The mean (SD) IOP had decreased from 20.9 (4.5) mm Hg (range, 15.5-29.0 mm Hg) to 11.9 (4.1) mm Hg (range, 5.0-21.0 mm Hg) (P < 0.001). The only complications observed after LGP were 2 cases of hypotony, which resolved spontaneously. Compared with baseline Indiana Bleb Appearance Grading Scale classifications, 2 eyes showed an increase in bleb height and 10 eyes showed an increase in bleb extension. None of the eyes had a positive Seidel test result. The mean (SD) number of hypotensive agents per eye had decreased from 0.7 (1.1) to 0.3 (0.7) after the procedure. At the last follow-up visit, 15 eyes (79%) had achieved an IOP of 15 mm Hg or less, with a minimum IOP reduction of 20% from baseline without medication use.<\/p>\n

CONCLUSIONS AND RELEVANCE<\/strong>:
\nThe Nd:YAG LGP is a safe and effective procedure for lowering IOP in eyes with ischemic nonfunctioning blebs and patent trabeculectomy ostia. This is a promising solution to rescue failed trabeculectomies and can potentially prolong trabeculectomy success rates.
\nPMID: 24370879 [PubMed – indexed for MEDLINE]<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Comentarios por Dr. Bruno Esporcatte e Prof. Dr. Ivan Maynart Tavares sobre: Ref.: Nd:YAG laser goniopuncture for late bleb failure after trabeculectomy with adjunctive mitomycin C. Susanna, R., Jr., De Moraes, C.G., Alencar, L.M. & Ritch, R. JAMA Ophthalmology 132, 286-290 (2014).Prof. Dr. Ivan Maynart Tavares Editor-Associado O controle da press\u00e3o intraocular (PIO) ap\u00f3s uma […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-368","post","type-post","status-publish","format-standard","hentry","category-sem-categoria"],"acf":[],"yoast_head":"\nGoniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB - SBG - Sociedade Brasileira de Glaucoma<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB - SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"og:description\" content=\"Comentarios por Dr. Bruno Esporcatte e Prof. Dr. Ivan Maynart Tavares sobre: Ref.: Nd:YAG laser goniopuncture for late bleb failure after trabeculectomy with adjunctive mitomycin C. Susanna, R., Jr., De Moraes, C.G., Alencar, L.M. & Ritch, R. JAMA Ophthalmology 132, 286-290 (2014).Prof. Dr. Ivan Maynart Tavares Editor-Associado O controle da press\u00e3o intraocular (PIO) ap\u00f3s uma […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/\" \/>\n<meta property=\"og:site_name\" content=\"SBG - Sociedade Brasileira de Glaucoma\" \/>\n<meta property=\"article:published_time\" content=\"2015-01-23T16:31:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-11T15:40:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sbglaucoma2.websiteseguro.com\/medico\/wp-content\/uploads\/2015\/01\/ivan_tavares.jpg\" \/>\n<meta name=\"author\" content=\"Ricardo\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ricardo\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/\"},\"author\":{\"name\":\"Ricardo\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/#\\\/schema\\\/person\\\/3b5653b1267e6a6d05de21f0ebd8e3c2\"},\"headline\":\"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB\",\"datePublished\":\"2015-01-23T16:31:08+00:00\",\"dateModified\":\"2019-06-11T15:40:46+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/\"},\"wordCount\":947,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sbglaucoma.org.br\\\/medico\\\/wp-content\\\/uploads\\\/2015\\\/01\\\/ivan_tavares.jpg\",\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/\",\"url\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/\",\"name\":\"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB - SBG - Sociedade Brasileira de Glaucoma\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sbglaucoma.org.br\\\/medico\\\/wp-content\\\/uploads\\\/2015\\\/01\\\/ivan_tavares.jpg\",\"datePublished\":\"2015-01-23T16:31:08+00:00\",\"dateModified\":\"2019-06-11T15:40:46+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/#\\\/schema\\\/person\\\/3b5653b1267e6a6d05de21f0ebd8e3c2\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#primaryimage\",\"url\":\"https:\\\/\\\/sbglaucoma.org.br\\\/medico\\\/wp-content\\\/uploads\\\/2015\\\/01\\\/ivan_tavares.jpg\",\"contentUrl\":\"https:\\\/\\\/sbglaucoma.org.br\\\/medico\\\/wp-content\\\/uploads\\\/2015\\\/01\\\/ivan_tavares.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/#website\",\"url\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/\",\"name\":\"SBG - Sociedade Brasileira de Glaucoma\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/#\\\/schema\\\/person\\\/3b5653b1267e6a6d05de21f0ebd8e3c2\",\"name\":\"Ricardo\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/44920876e908c0295955ee29232efe54c5c4ae3c36c5fc42ce7d3fba63ad79e4?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/44920876e908c0295955ee29232efe54c5c4ae3c36c5fc42ce7d3fba63ad79e4?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/44920876e908c0295955ee29232efe54c5c4ae3c36c5fc42ce7d3fba63ad79e4?s=96&d=mm&r=g\",\"caption\":\"Ricardo\"},\"url\":\"https:\\\/\\\/www.sbglaucoma.org.br\\\/medico\\\/author\\\/ricardo\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB - SBG - Sociedade Brasileira de Glaucoma","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/","og_locale":"pt_BR","og_type":"article","og_title":"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB - SBG - Sociedade Brasileira de Glaucoma","og_description":"Comentarios por Dr. Bruno Esporcatte e Prof. Dr. Ivan Maynart Tavares sobre: Ref.: Nd:YAG laser goniopuncture for late bleb failure after trabeculectomy with adjunctive mitomycin C. Susanna, R., Jr., De Moraes, C.G., Alencar, L.M. & Ritch, R. JAMA Ophthalmology 132, 286-290 (2014).Prof. Dr. Ivan Maynart Tavares Editor-Associado O controle da press\u00e3o intraocular (PIO) ap\u00f3s uma […]","og_url":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/","og_site_name":"SBG - Sociedade Brasileira de Glaucoma","article_published_time":"2015-01-23T16:31:08+00:00","article_modified_time":"2019-06-11T15:40:46+00:00","og_image":[{"url":"https:\/\/sbglaucoma2.websiteseguro.com\/medico\/wp-content\/uploads\/2015\/01\/ivan_tavares.jpg","type":"","width":"","height":""}],"author":"Ricardo","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Ricardo","Est. tempo de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#article","isPartOf":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/"},"author":{"name":"Ricardo","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/#\/schema\/person\/3b5653b1267e6a6d05de21f0ebd8e3c2"},"headline":"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB","datePublished":"2015-01-23T16:31:08+00:00","dateModified":"2019-06-11T15:40:46+00:00","mainEntityOfPage":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/"},"wordCount":947,"commentCount":0,"image":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#primaryimage"},"thumbnailUrl":"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/ivan_tavares.jpg","inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/","url":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/","name":"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB - SBG - Sociedade Brasileira de Glaucoma","isPartOf":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#primaryimage"},"image":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#primaryimage"},"thumbnailUrl":"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/ivan_tavares.jpg","datePublished":"2015-01-23T16:31:08+00:00","dateModified":"2019-06-11T15:40:46+00:00","author":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/#\/schema\/person\/3b5653b1267e6a6d05de21f0ebd8e3c2"},"breadcrumb":{"@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#primaryimage","url":"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/ivan_tavares.jpg","contentUrl":"https:\/\/sbglaucoma.org.br\/medico\/wp-content\/uploads\/2015\/01\/ivan_tavares.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/goniopuncture-a-yag-laser-para-tratamento-de-falencia-de-trab\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.sbglaucoma.org.br\/medico\/"},{"@type":"ListItem","position":2,"name":"Goniopuncture a YAG laser para tratamento de fal\u00eancia de TRAB"}]},{"@type":"WebSite","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/#website","url":"https:\/\/www.sbglaucoma.org.br\/medico\/","name":"SBG - Sociedade Brasileira de Glaucoma","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.sbglaucoma.org.br\/medico\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Person","@id":"https:\/\/www.sbglaucoma.org.br\/medico\/#\/schema\/person\/3b5653b1267e6a6d05de21f0ebd8e3c2","name":"Ricardo","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/secure.gravatar.com\/avatar\/44920876e908c0295955ee29232efe54c5c4ae3c36c5fc42ce7d3fba63ad79e4?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/44920876e908c0295955ee29232efe54c5c4ae3c36c5fc42ce7d3fba63ad79e4?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/44920876e908c0295955ee29232efe54c5c4ae3c36c5fc42ce7d3fba63ad79e4?s=96&d=mm&r=g","caption":"Ricardo"},"url":"https:\/\/www.sbglaucoma.org.br\/medico\/author\/ricardo\/"}]}},"_links":{"self":[{"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/posts\/368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/comments?post=368"}],"version-history":[{"count":16,"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/posts\/368\/revisions"}],"predecessor-version":[{"id":4483,"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/posts\/368\/revisions\/4483"}],"wp:attachment":[{"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/media?parent=368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/categories?post=368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sbglaucoma.org.br\/medico\/wp-json\/wp\/v2\/tags?post=368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}