ABSTRACT Objective: To evaluate the rate and risk factors associated with cataract progression post pars plana vitrectomy in young patients with rhegmatogenous retinal detachment. Method: This retrospective study was conducted between January 2020 to January 2025 involving patients with ages between 18 to 45 years old undergoing pars plana vitrectomy for uncomplicated rhegmatogenous retinal detachment. Results: A total of 125 eyes (from 125 patients) were recruited. Cataracts developed in 105/125 (84%) eyes after pars plana vitrectomy. Nuclear sclerotic cataract developed […]

ABSTRACT Objective: To underscore the critical importance of assessing the peripheral retina in all patients, especially those planning to use miotics. Methods: A retrospective and observational study was conducted at a single ophthalmological medical center, using records from the International Classification of Diseases (ICD-10) for closed-angle glaucoma and lesions predisposing to detachment. Participants in this study underwent anterior chamber assessment using the Goldman 3-Mirror lens and the Volk G-4 Gonioscopy lens. Peripheral retinal evaluation was conducted with indirect binocular ophthalmoscopy […]

ABSTRACT Objective: To evaluate pneumatic retinopexy in the treatment of rhegmatogenous retinal detachment. Methods: A retrospective observational study of 24 eyes was conducted over a one-year period, using secondary data collection and a qualitative-quantitative approach. Patient characteristics, clinical presentation, and treatment-related variables were analyzed. Results: The mean age was 58.29 ± 12.36 years, with 58.33% of patients being male. Pseudophakia was present in 20.83% of cases. The median baseline visual acuity was 1.3 LogMAR (ranging from 0.1 LogMAR to hand-motion). […]

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, […]