We present a case of a 12-year-old patient with advanced keratoconus in both eyes who received a two-staged treatment in the right eye (OD) to decrease keratoconus progression rate and rehabilitate patient’s vision. At the initial clinical examination, visual acuity without correction in OD was count fingers; cycloplegic refraction was -22.00 – 7,50 x 100° = 20/400; corneal topography demonstrated a curvature of 64.28 x 105° / 55.38 x 15°; and tomography (WaveLight – Allegro Oculyzer) demonstrated a curvature of […]

The authors report a case of retinal fold after retinal detachment repair performed using 23-gauge pars plana vitrectomy technic (PPV). The fundus photography and optical coherence tomography (OCT) showed a posterior retinal fold with the retina periphery attached. The patient’s best corrected visual acuity (BCVA) was 20/200 with severe metamorphopsia. A 25-gauge PPV, subretinal balanced saline solution (BSS) injection using a 25-39-gauge cannula, and gas-fluid exchange were performed. The patient’s BCVA improved significantly after treatment. The retinal fold observed is […]

We described a rare association between peripapillary staphyloma and optic disk drusen in a woman with 47 years old and normal vision.

Good syndrome is a paraneoplastic syndrome characterized by the association of thymoma and hypogammaglobulinemia, with immunosuppression. We report a rare case of cytomegalovirus retinitis in a patient with this syndrome.

Pellucid marginal corneal degeneration (PMCD) is a rare bilateral noninflammatory ectatic peripheral corneal disorder, usually involving the inferior portion of the cornea, separated from limbus by an area of normal corneal thickness. There is protrusion of the cornea above the thinning area, resulting in high irregular astigmatism. Corneal Topography shows the characteristic, but not pathognomonic, image of a “butterfly wing”. A patient with superior PMCD – an atypical presentation of the disease – is presented, highlighting the importance of the […]

Blunt eye trauma can generate a wide range of intraocular lesions that are dependent on the amount of energy the object transfers to the eye during the impact. Lesions of the iris, trabecular meshwork and ciliary body may influence aqueous humor drainage. The cyclodialysis which is characterized by the detachment of ciliary body from the scleral wall, creating a communication between the anterior chamber to supracoroid space, can cause a several reduction of intraocular pressure. This pressure decrease is responsible […]

The objective of the following work is to document the phenotypic expression variability in Best Disease in first-degree relatives. The information was collected by assessing medical notes, interviewing the patient and obtaining photographic record of the diagnostic methods to which the patient was submitted. Data was analyzed along with a thorough review of the literature. A series of cases were reported in which the patient presenting the phenotypic characteristics of the disease has first degree relatives without ophthalmic findings during […]

O objetivo do presente trabalho é a documentação da variabilidade de expressão fenotípica da Doença de Best em parentes de primeiro grau. As informações foram obtidas por meio de revisão do prontuário, entrevista com o paciente e registro fotográfico dos métodos diagnósticos aos quais os pacientes foram submetidos. Dados foram analisados junto a uma extensa revisão da literatura. Relatamos uma série de casos, no qual o paciente que apresenta as alterações fenotípicas da doença tem familiares de primeiro grau sem […]