ABSTRACT Circumscribed choroidal hemangioma is a rare, benign vascular tumor of the choroid that can cause severe macular complications and irreversible vision loss despite its non-malignant nature. We report the case of a 41-year-old patient with no significant medical history who presented with progressive visual loss in the right eye. Fundus examination revealed a circumscribed yellow-orange choroidal mass located along the inferotemporal vascular arcade, associated with serous retinal detachment involving the macula. Multimodal imaging findings strongly supported the diagnosis of […]

ABSTRACT Choroideremia is a rare X-linked chorioretinal dystrophy that may closely resemble retinitis pigmentosa (RP) in its early stages. We describe two brothers who were initially diagnosed with RP and later found to have choroideremia after multimodal imaging and genetic testing. The proband, a 49-year-old man, presented with progressive visual loss, diffuse chorioretinal atrophy, and bone spicule pigmentation. His 51-year-old brother had advanced disease with no light perception. Both displayed fundus autofluorescence and OCT findings typical of choroideremia. A hemizygous […]

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 […]