Eletroretinographic findings show that the transient decreased vision seen in patients with the multiple evanescent white dot syndrome (MEWDS) is related to metabolic disturbances at the level of the retinal pigment epithelium and photoreceptor complex. In this paper, we present a patient with a typical picture of MEWDS associated to macular edema, which could also be a factor to reduce vision in this disorder. Case report of a 53-year-old woman complaining about unilateral decreased vision of 7 days’ duration was […]

An intraocular infection is the most terrible complication after a trabeculectomy, usually with significant anatomical consequences and irreversible functional impairment. The case of a 40-year-old male patient with congenital glaucoma, submitted to a trabeculectomy on both eyes at the age of 13, is presented. At the age of 32 a second trabeculectomy with mitomycin C was performed on the right eye. Eight years later he presented with an endophthalmitis in the same eye. Despite intensive local treatment and intravitreous injection, […]

Os autores relatam um caso de fratura de assoalho e parede medial de órbita após trauma com deslocamento de globo ocular intacto para o seio maxilar. Os mesmos autores enfatizam o tratamento, complicações e a raridade da entidade. Neste caso o paciente desenvolveu uma boa acuidade visual e uma perda de motilidade ocular como complicação (exceto abdução).

The authors report one case of orbital fracture of the floor and the medial walls after trauma with an intact ocular globe displacement into the maxillary sinus. The same authors emphasize the treatment, complications and the rarity of this case. In this case the patient developed a good visual acuity and a loss of ocular motility as complication (except abduction) .

Goldmann applanation tonometry (GAT) overestimates intraocular pressure (IOP) measurements in cases with thick and flatter corneas. This is thought to occur linearly based on mathematical and on experimental studies. However, such influence does exist, but this is more complex than the one anticipated by pachymetry and keratometry because it is related to corneal biomechanical properties. The ocular response analyzer (ORA Reichert) provides the data related to the biomechanical properties of the cornea along with the IOP measurements that are calibrated […]

We present a case of early capsular block syndrome that was treated by re-operation on the second post operative day. We discuss the major characteristics of the syndrome, possible predisposing factors, therapeutic options and highlight the importance of its correct recognition. We also speculate about another possible risk factor, an intraocular lens with a optic part about 6mm or more.

The authors describe a patient with a medial canthal nodular basal cell carcinoma treated with Imiquimod 5% cream. Pathologic evaluation of an incisional biopsy performed 12 weeks after treatment revealed complete resolution of local disease. Although the treatment of choice continues to be surgery, topical immunotherapy with imiquimod 5% cream is an emerging therapeutic option suitable for the outpatient treatment of periocular basal cell carcinoma.

Herpes Zoster ophthalmicus (HZO) is caused by a varicella-zoster virus infection which remains latent in the ganglion of Gasser until it is reactivated and compromise the ophthalmic division of the trigeminal nerve. HZO commonly causes neuro-ophthalmic complications such as vesicular lesions in the eyelids, keratoconjunctivitis, sclertis, uveitis, ocular palsy, orbital miositis and optic neuritis. HZO rarely presents as an orbital apex syndrome. This paper describes a patient with of orbital apex syndrome associate and meningitis caused by HZO which was […]