Topiramate is a kind of sulfamate-substituted monosaccharide of oral presentation to be used primarily as an anticonvulsant and it doesn’t have structural relation with any other antiepileptic agents. This wide range antiepileptic drug has been used in the management of migraine, depression and neuropathic pain. Since it was approved as an anticonvulsant, many reports related to ophthalmological adverse effects have been published. The pathological findings include secondary angle closure glaucoma, transitory myopia, ocular hyperemia, uveal effusions, with or without mydriasis.

The authors relate an uncommon complication of retinopexy with encircling scleral buckle employing Arruga Suture, that has evolved to scleral erosion and intraocular damage.

The eyeball luxation is a dramatic phenomenon in which there is a forward displacement of the eyeball so that the eyelids spasmodically close behind it. There are many risk factors, non-related to trauma, but orbital contusions with optic nerve and extraocular muscles involvement carry the worst prognosis. The present paper reports a dramatic domestic case of globe luxation in childhood, its pathophysiology mechanisms and management.

This article reports a case of a female child, nine-years old, with a history of proptosis and progressive decrease of visual acuity. At ophthalmologic exam presented: best corrected visual acuity 20/20 on the right eye and light perception on the left eye; biomicroscopic exam was normal, weakness of left superior rectus and left inferior oblique muscle, exotropia and hypotropia to the left. At indirect ophthalmoscopy exam, fundus was normal on the right eye and had left optic disc with edema. […]

The purpose of this paper is to describe the clinical aspects of one case with deep corneal vascularization after corneal ring implantation to treat corneal ectasia due to LASIK 4 years before. The corneal ectasia diagnostic was performed by corneal pachimetry and topography. Intrastromal corneal ring segment was implanted. On the third year of follow-up, extrusion of one segment was noted and deep corneal neovascularization was found. The segment was removed, laser photocoagulation was applied and complete vascular regression was […]

Retinal telangiectasis was first described by Reese, in 1956. It is an abnormality of the retinal vessels, with irregular dilation and vessel failure. ELS, 44 years old, male, white, from Rio de Janeiro. His complaining was progressive visual loss in the left eye (OS). Corrected visual acuity (VA) was 20/20 in the right eye (OD) and 20/100 in OS. Fundoscopy in OD was normal, and in OS showed capillaries dilation and hard exsudates (circinate) in macular area. After fluorescein angiogram, […]

Retinoschisis diagnosis can be very difficult in atypical forms. Special exams are necessary to differentiate retinoschisis from other pathologies such as retinal detachment. Case Report: A 61-year-old black woman presented for routine examination. Fundus of the right eye reveled a superior periphery lesion extending to the posterior pole. The ultrassonography of the same eye showed a high reflective membrane. An inferior field absolute scotoma was detected. The OCT scan that was positioned at lesion in the outer retinal break demonstrated […]

Punctal lachrymal stenosis is a common cause of symptomatic epiphora, often the diagnosis of this disease is jeopardized due to the lack of familiarity of the ophthalmologist with such disease. The literature about this subject is scarce and its causes remain obscure. The objective of this study is to make a brief review of available literature, report a case, showing how the diagnosis is carried out, as well as its clinical handling. The ambulatorial treatment, when properly deployed can produce […]