ABSTRACT Sturge-Weber Syndrome is a rare, non-hereditary developmental condition characterized by hamartomatous vascular proliferations affecting the brain and facial tissues. Its main features include corticocerebral angiomatosis, cerebral calcifications, epilepsy, ocular abnormalities, mental impairment, and a facial port-wine stain. This report aims to highlight the main features of Sturge-Weber Syndrome in a patient with unilateral facial and scalp nevus, ipsilateral glaucoma, and imaging alterations. A case study was conducted on a patient treated at an ophthalmology clinic. The diagnosis and follow-up […]

ABSTRACT An 81-year-old male patient with systemic hypertension, diabetes mellitus, and dyslipidemia presented with sudden visual acuity loss in the right eye (RE) due to a branch retinal artery occlusion (BRAO) associated with macular edema. Despite treatment with intravitreal bevacizumab, the patient developed persistent inner retinal ischemia, evidenced by optical coherence tomography (OCT) findings of retinal inner plexiform layer (RIPL) alterations. Years later, he suffered an ischemic stroke, highlighting the association between retinal ischemic changes and systemic vascular risk. This […]

ABSTRACT We present a case of a 66-year-old male patient with primary angle closure glaucoma who underwent cataract surgery. He was also under tamsulosin treatment for benign prostate hyperplasia. Due to high intraocular pressure and shallow anterior chamber, 150 mL of 20% mannitol was given intravenously, before phacoemulcification cataract surgery. The iris prolapsed from the main incision and the pupil constricted, right after the main incision was opened and the pupil shrank. An additional 150 mL of 20% mannitol was […]

ABSTRACT Dead bag syndrome is one of the recently described causes of late intraocular lens dislocation. Its etiology is not yet fully understood, but it is related to the reduction or disappearance of lens epithelial cells with subsequent disaggregation of the capsular tissue. This study describes a case of late intraocular lens dislocation with confirmed disappearance of lens epithelial cells through histopathology. The contralateral eye appears to show clinical features consistent with dead bag syndrome. The eye affected by intraocular […]

ABSTRACT Duane Syndrome (DS) is a rare ocular disorder that causes congenital strabismus. It results from a failure of the abducens nerve (VI cranial nerve) to innervate the lateral rectus muscle, in addition to anomalous innervation of this muscle by the oculomotor nerve (III cranial nerve). The syndrome is characterized by restricted movements of adduction and abduction, narrowing of the palpebral fissure, abnormal ocular movements, and globe retraction. It affects about 0.1% of the population and accounts for 1-4% of […]

ABSTRACT Whipple’s disease is a rare multisystemic condition caused by Tropheryma whipplei. In its early stages, it typically presents with joint symptoms, progressing in later stages primarily to digestive disorders. Although ocular involvement is uncommon, it may be one of the first manifestations of the disease, presenting a diagnostic challenge. Polymerase chain reaction testing or periodic acid Schiff staining of affected tissues can assist in early diagnosis when symptoms are non-specific, which is crucial for initiating early antibiotic therapy and […]

ABSTRACT This article is aimed at documenting a case of Bergmeister papilla that was an incidental finding that had its conclusive diagnosis given by the optical coherence tomography (OCT) of the optic nerve and retinography. We report the case of a female patient who came to our service for a routine appointment claiming visual difficulty seeing from a distance in both eyes. After the appointment and the request of the diagnostic tests, Bergmeister Papilla was found in the right eye, […]

ABSTRACT Ligneous conjunctivitis is a rare chronic disease described as membranous keratoconjunctivitis that may be associated with systemic manifestations. It is associated with congenital plasminogen deficiency. In this case report, we describe the case of a 3-year-old male child who was diagnosed with ligneous conjunctivitis that mimicked gonococcal conjunctivitis after secondary infection with Streptococcus pyogenes. The patient had a bilateral pre-tarsal conjunctival membrane and a fibrous membrane extremely adherent to the corneal epithelium in the left eye, associated with intense […]