ABSTRACT This report aimed to evaluate the evolution of topography, astigmatism, and visual acuity in eyes with keratoconus that underwent intra-stromal ring implant surgery. The report compared these results with those of contralateral, non-operated eyes. The goal was to confirm whether the intra-stromal ring implant surgery could also slow the progression of the disease. Four cases of young and adult patients who underwent corneal ring implant surgery in one eye were analyzed, with clinical and topographic follow-up for up to […]

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 This study shows an unusual case report of corneal ulcer caused by the fungus talaromyces marneffei, highlighting its clinical presentation, diagnosis, and therapeutic management. A 53-year-old male patient, immunocompetent, presented to ophthalmic care with complaints of ocular pain and decreased vision in the right eye. Examination revealed a central infiltrative corneal ulcer, with microbiological cultures identifying talaromyces marneffei, a rare occurrence in ocular infections. Initial treatment included antibiotic and antifungal eye drops, later adjusted to systemic antifungal therapy. After […]

ABSTRACT The objective was to report a case of severe eyelid ptosis associated with Kearns-Sayre Syndrome (KSS), with 12 years of postoperative follow-up. A patient diagnosed with KSS presented with progressive eyelid ptosis since childhood and underwent bilateral frontalis suspension using silicone rods. Clinical follow-up included evaluation of eyelid symmetry, ocular motility, and visual acuity. After 12 years of follow-up, stable eyelid symmetry and satisfactory functional outcomes were observed, despite the expected progression of the underlying mitochondrial myopathy. Frontalis suspension […]

ABSTRACT To report a case of Dubowitz syndrome with eyelid ptosis in the right eye, successfully treated with surgical correction. A 9-year-old child, previously diagnosed with Dubowitz syndrome, presented with congenital ptosis in the right eye. Surgical correction of eyelid ptosis was performed. The postoperative outcome showed significant functional and aesthetic improvement, with satisfactory eyelid position and absence of complications. Dubowitz syndrome is a rare autosomal recessive disorder characterized by multiple congenital anomalies, including ophthalmologic manifestations such as eyelid ptosis. […]

ABSTRACT Acute corneal hydrops is an ophthalmologic emergency resulting from rupture of Descemet’s membrane with entry of aqueous humor into the corneal stroma. Patients typically present with ocular pain, blurred vision, photophobia, and tearing. The main risk factors include trauma due to ocular itching, allergic keratoconjunctivitis, corneal ectasia, and Down syndrome. Although a rare complication, it is most commonly associated with keratoconus. Clinical treatment with eye drops should always be initiated, but in advanced cases, combined surgical intervention may be […]

ABSTRACT Bupthalmos is characterized by congenital enlargement of the eyeball due to uncontrolled glaucoma in early childhood, which is mostly caused by primary congenital glaucoma. Primary congenital glaucoma, the leading cause of childhood glaucoma, is typically inherited in an autosomal recessive manner and is a significant contributor to pediatric blindness. In contrast, cartilage-hair hypoplasia, another autosomal recessive disorder, presents with disproportionate short stature, increased malignancy risk, and immunological complications. This case report describes a rare co-occurrence of primary congenital glaucoma […]

ABSTRACT Normal-tension glaucoma (NTG) is a glaucomatous optic neuropathy that occurs in the absence of intraocular hypertension, and its pathophysiology is not solely dependent on pressure-related factors. Extrinsic mechanisms, such as autonomic dysfunction and microvascular hemodynamic alterations, have been implicated in its progression, with obstructive sleep apnea (OSA) standing out as an important contributing factor. We report the case of a patient with NTG and severe OSA confirmed by polysomnography, who exhibited progressive structural and functional loss despite controlled intraocular […]