ABSTRACT Proliferative vitreoretinopathy remains the leading cause of anatomical failure after rhegmatogenous retinal detachment repair, affecting 5 to 12% of primary detachment and up to 75% of redetachments. Although small-gauge vitrectomy, chromovitrectomy, high-definition intraoperative viewing systems and advanced preoperative imaging have revolutionized retinal surgery, the incidence of proliferative vitreoretinopathy has not decreased significantly over the past two decades. It represents a maladaptive wound-healing response in which inflammatory and fibrogenic pathways drive the formation of contractile preretinal, intraretinal, and subretinal membranes. […]

ABSTRACT Retinal vasoproliferative tumor is a rare disease associated with several sight-threatening complications. The optimum management of retinal vasoproliferative tumor is unknown and the need of surgery arises when there is diagnostic uncertainty or sight-threatening complications, such as 23G pars plana vitrectomy, perfluorooctane retinal flattening, fluid drainage through a peripheral retinotomy, fluid-air exchange, laser photocoagulation of the retinal vasoproliferative tumor, and 12.5% C3F8 tamponade. We described two cases of retinal vasoproliferative tumor with exudative retinal detachment threatening the macula, treated […]

ABSTRACT Eales’ disease is an idiopathic peripheral vascular occlusive disease characterized by inflammation, ischemia, and abnormal retinal vascularization. It primarily affects healthy young adults and typically manifests bilaterally. Diagnosis is mainly clinical; however, it requires exclusion of other systemic infections and ocular conditions. Recurrent vitreous hemorrhage is a hallmark of this condition. Early treatment significantly improves visual prognosis. Herein, we report a case series of patients diagnosed in Northeast Brazil.

ABSTRACT Penetrating cranio-orbital injuries are uncommon events and represent a small percentage of cranioencephalic traumas. The clinical condition and surgical management were described by reviewing the patient’s electronic medical records. This case reports on a 37-year-old male patient who suffered penetrating trauma to the skull from the brake lever of his bicycle as a result of an accidental fall while cycling. Brought in by the SAMU, the patient had a Glasgow score of 15, a preserved left orbit, while the […]

ABSTRACT Retinal detachment related to retinopathy of prematurity is a surgical challenge, and vitrectomy can directly release transvitreal traction resulting from fibrous proliferation. The presence of iatrogenic breaks is a poor prognostic factor and has been considered a dismal prognosis. We report a case of premature female baby that underwent a 3-port 23-Gauge pars plana vitrectomy for stage 4A retinopathy of prematurity, with intraoperative progressive rhegmatogenous detachment complication. Lensectomy, extensive membrane dissection and vitreous shaving, followed by a posterior retinotomy, […]

ABSTRACT A 36-year-old black male presented with a progressive loss of visual acuity in both eyes for 7 years. He had a history of tractional retinal detachment in the right eye and vitreous hemorrhage followed by retinal detachment in the left eye. He denied any systemic illness, trauma, or drug abuse. After clinical investigation, he was diagnosed with SC hemoglobinopathy and proliferative sickle cell retinopathy stage V in both eyes.

ABSTRACT Dome-shaped macula consists of the convex elevation of the macular region, found mainly in patients with high myopia. The clinical significance and the correlation with other ocular pathologies are still uncertain. This article aims to describe two cases of dome-shaped macula with accumulation of subretinal fluid in high myopic eyes. Those are patients with low visual acuity, myopic fundus and a clear dome-shaped elevation in the macular area at optical coherence tomography. A dome-shaped macula can course with a […]

ABSTRACT Exudative retinal detachment occurs when fluid accumulates between the neurosensory retina and the retinal pigment epithelium. Ocular diseases or multisystem conditions such as nephrotic syndrome may lead to exudative retinal detachment. This report describes a case of nephrotic syndrome secondary to minimal change disease, anasarca and bilateral serous macular detachment in an adult patient. A 75-year-old male patient presented to the emergency department with generalized edema, asthenia, and visual impairment. Medical history included a recent diagnosis of nephrotic syndrome […]