ABSTRACT This case report aimed to describe the Tolosa-Hunt syndrome in a patient infected with chikungunya and highlight the relevance of considering chikungunya as a possible cause of the Tolosa-Hunt syndrome, especially in endemic or epidemic infection sites. A 63-year-old female patient diagnosed with chikungunya 2 months earlier was being followed up by a general practitioner. She had painful ophthalmoplegia associated with eyelid ptosis in the left eye (LE) for 1 month. Intraocular pressure (IOP) of 20 and 26 mmHg. […]

ABSTRACT This case report describes the clinical presentation and management of a 38-day-old infant referred to the Ophthalmology Service for evaluation of conjunctival hyperemia, corneal opacity, and eyelid edema in the left eye. The patient was initially diagnosed by the pediatrician with bacterial conjunctivitis and was prescribed a combination of topical corticosteroid and antibiotic drops, with worsening of symptoms over the following five days. Ophthalmologic examination revealed moderate conjunctival hyperemia and an extensive corneal lesion with a clear base and […]

ABSTRACT The loss of the eyeball has a significant aesthetic and social impact, affecting self-esteem and causing feelings of inferiority. Ocular prostheses play a crucial role in functional, aesthetic, and social rehabilitation. This article reports the rehabilitation of a 61-year-old male leucodermic patient with unilateral evisceration, referred to the Facial Prosthesis Service at the Rehabilitation Hospital Center of Paraná. The patient had a motorcycle accident five years ago, resulting in the perforation of his left eye. Physical examination revealed an […]

ABSTRACT This case series evaluates the visual outcomes of two trifocal intraocular lenses, the ZFR00V and TNFT00, in cataract surgery patients. Nineteen patients (38 eyes) were bilaterally implanted with one of the two intraocular lenses. Postoperative assessments included uncorrected and corrected distance, intermediate, and near visual acuities, as well as patient-reported satisfaction and photic phenomena. Both intraocular lenses provided satisfactory visual performance for distance and intermediate vision. However, the ZFR00V intraocular lenses demonstrated superior near vision, particularly in the defocus […]

ABSTRACT Choroidal metastasis is the most common intraocular malignancy. However, bilateral involvement remains exceptionally rare. We describe a case of a 57-year-old patient with no comorbidity who presented with progressive decrease in visual acuity of both eyes for 5 months duration. Fundus examination of both eyes revealed choroidal masses in the posterior pole with serous retinal detachment. She did not exhibit any respiratory symptoms, and systemic examinations were normal. Systemic investigation including computed tomography thorax revealed patient had lung tumour […]

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 […]