Over the last decades, botulinum toxin has been used therapeutically in innumerable diseases. The type A toxin was first approved in 1989 for treating strabismus, blepharospasm and hemifacial spasms in patients over the age of 12. It was observed that in adult patients undergoing treatment for blepharospasm with botulinum toxin, na additional effect of wrinkle reduction appeared, giving rise to studies regarding the cosmetic use of the toxin. Recently, type A botulinum toxin has been approved for aesthetic purposes. This […]

Neuroblastoma is the most frequent extracranial solid tumor among pediatric patients, and orbital metastatic disease is not uncommon in these children. Physical signs as a consequence of orbital metastases, such as proptosis and periorbital ecchymosis, frequently are encountered. However, subsequent blindness is rare. We report on a 2 year old child with orbital metastasis of a primary neuroblastoma in the left suprarenal region that evaluated to a bilateral blindness. We discuss the importance of the early diagnosis, and more studies […]

Fuchs’ heterochromic iridocyclits or Fuchs’ Syndrome is a kind of uveitides relatively uncommon. Affect equally both genders, between 20-45 years old, in the classic features include a chronic unilateral nongranulomatous inflammation in anterior uvea, insidious onset, low-grade in activity, and unresponsive to corticosteroid therapy. Usually has a good prognosis, except for the development of cataract and glaucoma, pathologies associated with syndrome. In this case, there are a male pacient, 68 years, with glaucoma as the first manifestation of the Fuchs’Syndrome.

Rosai-Dorfman disease or sinus histiocytosis with massive lymphadenopathy is a rare idiopathic and benign clinical entity, characterized by histiocytic proliferation with linfofagocitosis. It usually presents with cervical lymphadenopathy although extranodal involvement may occur. The orbital region is one of the most common extranodal sites. It is usually a self-limiting disease with spontaneous resolution but surgical excision, corticosteroids and radiotherapy may be necessary. We describe the case of a 29-years-old male patient complaining of an orbital mass sensation for 6 months […]

The adult lacrimal obstruction can be congenital or acquired. In the case of the acquired form, the etiology classifies in not-specific (it involves the coating epithelium and/or the vascular plexus submucosae of the lacrimal duct) and specific (infections, inflammations, tumours and iatrogenies). The diagnosis is established by means of the anamnesis and clinical evaluation based on semiology of the lacrimal sack. The patients with lacrimal obstruction present epiphora, acute pains and swelling, mostly in the region of the lacrimal sack […]

The acute retinal necrosis is a rare and devastating necrotizing retinitis, which can be caused by the herpes simplex virus type 1 or 2. It typically affects healthy patients of all ages. This study report a case of 18 year-old healthy male patient, with the the diagnosis of the acute retinal necrosis due to herpes simplex, and presents its clinical and ultrassonographic features. The acute retinal necrosis results in endofthalmitis because of lack of early diagnosis and therapy.

Incontinentia Pigmenti (Bloch-Sulzberger syndrome) is a rare, X-linked dominant disorder that involves ectodermal tissues of multiple systems. Cutaneous manifestations appear at birth or within a few weeks after. We aimed to describe ophthalmological, dermatological and radio diagnostic findings of a patient with Incontinentia Pigmenti. A twenty-six year old girl was followed at ABC Medicine School for visual loss, retina and cutaneous lesions with the diagnosis of Incontinentia Pigmenti confirmed by a skin biopsy. She had delayed eruption of her teeth […]

A 82 years old women reported an external opthalmomyiasis. She was a diabetic and with high blood pressure carrier, living in rural area. Initially a she had pain with swelling, erythema and nodulation located on the upper eyelid and normal eye and a pre-septal cellulitis was suspected and antibiotic and local steroid were introduced, which led to a reduction of inflammatory process and to perform an appropriate physical examination with the eversion of the upper eyelid, which established the diagnosis […]