ABSTRACT Thygeson’s keratitis is a chronic bilateral inflammation of the cornea, characterized by recurrent intraepithelial opacities, intense photophobia, and visual fluctuations, especially in children. Topical corticosteroids are effective, but their prolonged use carries risks and frequent recurrences. We report the case of an 11-year-old girl with refractory Thygeson’s keratitis treated with topical tacrolimus 0.03%. After an initial response to corticosteroids, an early recurrence occurred within 15 days. With the introduction of tacrolimus, there was complete resolution of signs and symptoms, […]

ABSTRACT This is a case report of a patient with tuberous sclerosis who has been followed since the age of 8 months. An ophthalmological examination revealed left eyelid ptosis and a lesion consistent with retinal astrocytoma. Imaging studies, including magnetic resonance imaging and computed tomography, demonstrated multiple abnormalities such as cortical-subcortical lesions, subependymal nodules, callosal dysgenesis, and probable renal cysts. The patient also presented with refractory epilepsy, developmental delay, and frequent seizures. Correlating the clinical and radiological findings with the […]

A 35-year-old man presented to the ophthalmology clinic with immediate blurry vision and central scotoma in the right eye after sustaining accidental exposure to a handheld laser pointer (power < 1 mW, wavelength 640 to 660 nm; according to the label on the device) from approximately 5 m away, for a duration that he described as 1 to 2 seconds during a PowerPoint presentation in a conference room. Visual acuity was 20/80 in the right eye and 20/20 in the [...]

ABSTRACT The objective of this study is to report a case of complicated gonococcal conjunctivitis with keratitis. A patient presented to the ophthalmologic emergency department of the Clinical Hospital at the Federal University of Minas Gerais with purulent discharge from the right eye, ocular hyperemia, pain, and low visual acuity that had started 2 days before. An ophthalmologic examination revealed a visual acuity of counting fingers to face in the right eye. Biomicroscopy revealed purulent discharge, ocular hyperemia, chemosis and […]

Nos últimos anos, diversas inovações surgiram para o tratamento do glaucoma, desde novas moléculas, com novos mecanismos de ação e novas formas de administração, passando pelas terapias a laser, até chegar em novas técnicas cirúrgicas, com novos dispositivos e implantes.() As inovações médicas são necessárias e muito importantes para melhorar o cuidado com os pacientes. Toda inovação procura preencher a lacuna de uma necessidade não atingida, quais sejam: eficácia, segurança, tolerabilidade, facilidade de uso, reprodutibilidade, ampliação de indicação etc. Todos […]

ABSTRACT Rothmund-Thomson Syndrome (RTS) is a rare congenital disorder with fewer than 300 cases reported in the literature, characterized by dermatological, skeletal, and ophthalmological abnormalities, as well as a predisposition to osteosarcoma. This study describes the ophthalmological findings of an 11-year-old patient diagnosed with RTS who was referred to the ophthalmology service due to decreased visual acuity. Based on a review of the scientific literature and analysis of the patient’s medical records, the case highlights the ocular manifestations associated with […]

ABSTRACT Purpose: To evaluate the macular thickness increase after phacoemulsification surgery in patients using prostaglandin analog eye drops, compared to a group control. Methods: Patients with glaucoma and cataract diagnosis were divided into two groups: a group of patients using prostaglandin analog eye drops and a group not using this drug class. The patients underwent complete ophthalmologic examination before the standard phacoemulsification surgery and were followed up to eight weeks. The analysis of the macular thickness in the central 1 […]

ABSTRACT Objective: To assess the diagnostic accuracy of a deep learning tool for cataract detection using retinal images from the Ocular Disease Intelligent Recognition (ODIR) public dataset. Methods: The study was conducted using a publicly available dataset, with a web-based Artificial Intelligence tool. This was an observational, cross-sectional study. A total of 230 fundus images were selected from the ODIR dataset, equally divided between 115 cataract cases and 115 non-cataract cases. The images were processed using the Gobvision Artificial Intelligence […]