ABSTRACT The objective of this study was to report a case of bilateral hypertensive retinopathy in a female child with chronic renal disease caused by focal segmental glomerulosclerosis, highlighting an exceptional presentation in this age group and reviewing its treatment and challenges. An 18-year-old female with a history of focal segmental glomerulosclerosis presented with progressive loss of vision. Ophthalmological examination of the right eye revealed a bilateral visual acuity of 20/400. Fundoscopic examination showed peripapillary retinal flame hemorrhage in the […]

ABSTRACT Choroidal tuberculoma is a rare form of ocular tuberculosis that poses a diagnostic dilemma when there is no systemic manifestation. We describe a case of a 37-year-old lady who presented with decreased vision and superior visual field defect in her right eye for a duration of 2 weeks. The right eye visual field defect was described as a superior altitudinal field defect. Her visual acuity in the right eye was 20/30. Right fundus examination revealed an elevated hypopigmented subretinal […]

Abstract Leprosy is a disease caused by the infection of Mycobacterium leprae, which primarily affects the skin and peripheral nerves and can cause numerous alterations in the eyes. Ocular manifestations are common in the multibacillary form, especially in the virchowian type. Ocular involvement occurs in 50% of cases and can affect various structures, causing iridocyclitis, scleritis, optic neuritis, corneal hypoesthesia, and even blindness. This work is aimed at reporting the case of a patient with ocular leprosy who developed angle-closure […]

ABSTRACT To describe a case of treatment-resistant corneal infiltrate in a patient 4 months after penetrating keratoplasty. The etiological diagnosis was established through microbiology and in vivo corneal confocal microscopy. A 80-year-old female patient presented with stromal infiltrate in the donor corneal bud 4 months following penetrating keratoplasty. Initially, the corneal culture was positive for Candida parapsilosis. In vivo corneal confocal microscopy demonstrated approximately 4 μm hyperreflective spherical microorganisms with a suggestive Candida spp. A second corneal culture was positive […]

ABSTRACT Eales’ disease is an idiopathic peripheral vascular occlusive disease characterized by inflammation, ischemia, and abnormal retinal vascularization. It primarily affects healthy young adults and typically manifests bilaterally. Diagnosis is mainly clinical; however, it requires exclusion of other systemic infections and ocular conditions. Recurrent vitreous hemorrhage is a hallmark of this condition. Early treatment significantly improves visual prognosis. Herein, we report a case series of patients diagnosed in Northeast Brazil.

ABSTRACT Penetrating cranio-orbital injuries are uncommon events and represent a small percentage of cranioencephalic traumas. The clinical condition and surgical management were described by reviewing the patient’s electronic medical records. This case reports on a 37-year-old male patient who suffered penetrating trauma to the skull from the brake lever of his bicycle as a result of an accidental fall while cycling. Brought in by the SAMU, the patient had a Glasgow score of 15, a preserved left orbit, while the […]

ABSTRACT A 46-year-old male who was already diagnosed with keratoconus presented with hydrops followed by a small corneal perforation. At first, the perforation was managed with a cyanoacrylate glue and therapeutic contact lens; however, the advanced keratoconus did not allow stabilization of the contact lens, and the patient developed intense pain, making it impossible to maintain the cyanoacrylate glue. An intrastromal injection of autologous blood was then performed at the operating room, which was effective in containing the perforation. After […]

ABSTRACT Congenital distichiasis is a rare condition, of controversial origin, with therapeutic options not always having favorable results. This is a case report of a seven-year-old male child with congenital distichiasis affecting all eyelids, with the presence of some distichiasis hair follicles despite surgical treatment using the interlamellar division technique, selective application of cryotherapy and electrolysis. The treatment of congenital distichiasis involves the need to combine techniques to achieve more effective results.