ABSTRACT Choroidal tuberculoma is a rare form of ocular tuberculosis that poses a diagnostic dilemma when there is no systemic manifestation. We describe a case of a 37-year-old lady who presented with decreased vision and superior visual field defect in her right eye for a duration of 2 weeks. The right eye visual field defect was described as a superior altitudinal field defect. Her visual acuity in the right eye was 20/30. Right fundus examination revealed an elevated hypopigmented subretinal […]

ABSTRACT Non-glaucomatous papillary cupping constitutes an important differential diagnosis in daily medical practice. There are patients diagnosed and treated as glaucoma, who do not present the disease and are part of the large group of non-glaucomatous optic neuropathies. This case emphasizes directing the diagnostic gaze to these “apparently glaucomatous” optic nerves through a case of periventricular leukomalacia. Patients with a history of prematurity, alterations in the cerebral white matter and presence of optic nerve excavations with normal intraocular pressures.

ABSTRACT Objective: To evaluate structural and visual field (VF) changes after ≥1 year of a single acute primary angle closure (APAC) attack using spectral-domain optical coherence tomography (SD-OCT) and standard automated perimetry (SAP). Methods: Patients with a single unilateral APAC crisis at least 1 year ago were included consecutively from 2013 to 2016. Contralateral eye was used as control. All patients underwent ophthalmic examination, RNFL imaging by SD-OCT, and SAP using Octopus 1-2-3. Results: 54 eyes (27 patients) were enrolled. […]

Objective: To analyze the quality of life among people with glaucoma according to the visual field defect. Methods: This is a cross-sectional, analytical study carried out in an ophthalmology unit, Glaucoma Project, in Montes Claros, Minas Gerais, Brazil. Patients’ quality of life was assessed using the National Eye Institute 25-Item Visual Function Questionnaire (NEI-VFQ-25). The Mean Deviation (MD) parameter of the best eye was used to classify the visual field defects in mild, moderate and severe. Results: Four-hundred patients participated, […]

The pituitary adenoma is a tumor of slow evolution and has important visual disturbances such as low visual acuity and field defects. These symptoms lead patients to seek often ophthalmologists. In this case, we will analyze a patient with glaucoma who had an associated pituitary macroadenoma.

PURPOSE: To evaluate the importance of Goldmann manual kinetic perimetry (MKP) in glaucomatous patients with advanced visual field loss in automated static perimetry (ASP) with Humphrey perimeter (HP). METHODS: The MKP with Goldmann perimeter (GP) was performed in patients with advanced primary open angle glaucoma with advanced visual field defect in the ASP with HP. A qualitative analysis was realized on the visual field extension in the Goldmann perimetry of these patients. RESULTS: The results are illustrated in a qualitative […]

OBJECTIVE: To evaluate the topic 2% ibopamine effect in the intraocular pressure (IOP) of eyes with assimetric primary open-angle glaucoma (POAG). METHODS: 15 patients (30 eyes) with primary open-angle glaucoma showing assimetric nerve disease evolution were assessed. We compared in all patients, the ibopamine response and the visual field defect between both eyes. The visual field, to be considered, should have at least 5 dB in MD difference between them. The statistical analysis was done with the Two-Tailed Student Test, […]