ABSTRACT This study shows a case report of Mooren’s ulcer with a presumptive diagnosis, established by exclusion, occurring after pterygium surgery in a young patient with preexisting cutaneous autoimmune disease. This case report was based on comprehensive clinical evaluation, laboratory testing, microbiological cultures, PCR for infectious agents, and serial AS-OCT documentation, with the purpose of excluding known infectious and systemic etiologies. Therapeutic management included fortified antibiotics, tectonic support with a therapeutic contact lens and fibrin glue, followed by systemic immunosuppression […]

ABSTRACT Objective: Early and accurate detection of corneal ectasias is essential for appropriate clinical management. The combined use of Pentacam and anterior segment OCT allows for a more comprehensive assessment of the morphological abnormalities associated with corneal ectasias, enabling earlier differentiation between normal and suspect cases. This study aims to investigate the relationship between OCT and Pentacam findings in the detection of corneal ectasias, analyzing their interdependence and clinical relevance. Methods: An analytical cross-sectional observational study based on data collected […]

ABSTRACT Objective: To describe the epidemiological profile of corneal disorders diagnosed in the Corneal Department of the Ophthalmology Reference Center, Universidade Federal de Goiás, between 2009 and 2018. Methods: A descriptive, retrospective, cross-sectional study was performed by reviewing of the patients’ medical record. The data collected were registered according to sex, age, and diagnosed eye disorder. The need for corneal transplantation was also assessed. Results: The charts of 3,079 patients were analyzed, of which 52.7% were men. In the sample […]

ABSTRACT To describe a case of treatment-resistant corneal infiltrate in a patient 4 months after penetrating keratoplasty. The etiological diagnosis was established through microbiology and in vivo corneal confocal microscopy. A 80-year-old female patient presented with stromal infiltrate in the donor corneal bud 4 months following penetrating keratoplasty. Initially, the corneal culture was positive for Candida parapsilosis. In vivo corneal confocal microscopy demonstrated approximately 4 μm hyperreflective spherical microorganisms with a suggestive Candida spp. A second corneal culture was positive […]

ABSTRACT Objective: To evaluate patients’ clinical-epidemiological profile and causative agents of infectious keratitis on patients submitted to culture obtained from corneal smears in an ophthalmological emergency in a reference hospital. Methods: Retrospective analysis of medical records and corneal culture examination results. The data were collected after the approval of the Human Research Ethics Committee. Results: Most patients were male, with an average age of 47.6 years old, Caucasian ethnicity, low level of education, and from the Greater Florianópolis area. Ocular […]

ABSTRACT Objective: To verify whether there are pathological dysfunctions in the cornea of patients with endometriosis. Methods: Case-control research with a quantitative approach that compared topographic and tomographic examinations of the cornea of patients with a laparoscopic diagnosis of endometriosis, without the use of hormonal medications, to the control group. Results: We analyzed 78 eyes, 34 from the endometriosis group and 44 from the control group. The loss of orthogonality between the axes of the corneal curvatures was more frequent […]

ABSTRACT Objective To analyze and describe the coefficients found on maximum Ambrósio Relational Thickness-Maximum (ART-Max) and Belin/Ambrósio Enhanced Ectasia Display total deviation (BAD-D) in eyes with normal corneal topography subjected to cataract surgery with premium intraocular lens implantation and correlated these data with final visual acuity. Methods ART-Max and BAD-D data from 103 eyes of patients subjected to implantation of diffractive bifocal intraocular lens, with normal corneal topography who achieved visual acuity of 20/20 or 20/25 without correction after cataract […]

ABSTRACT Objective: To outline the epidemiological profile of cornea donors and recipients before reaching queue zero. Methods: Epidemiological study, of quantitative approach, with transversal, analytical design, analyzing database records from the Health Secretary of the State of Ceará, from 2013 to 2015. Results: We obtained 1,558 cornea donors and 2,287 cornea recipients from 2013 to 2015. Most donors were male, capital residents, from 21 to 40 years old. Of donated eyeballs, 14.52% were disposed, due to poor condition, infiltration or […]