PURPOSE: To evaluate the safety and efficacy of endoscopic cyclophotocoagulation (ECP) in the treatment of refractory glaucomas. METHODS: The preoperative and postoperative courses of 539 eyes of 539 patients with refractory glaucoma who underwent ECP and had a minimum 5 years follow-up were retrospectively reviewed. All procedures were performed by a single surgeon (FEL). Eyes that were included had undergone at least one incisional glaucoma surgery and had intraocular pressure (IOP) equal to or above 35 mmHg on maximum tolerated […]

OBJETIVO: Avaliar a segurança e a eficácia da técnica de ciclofotocoagulação endoscópica (CFE) no tratamento de glaucomas refratários. MÉTODOS: As condições pré e pós-operatórias de 539 olhos de 539 pacientes portadores de glaucomas refratários que foram submetidos a CFE e com, no mínimo, 5 anos de seguimento foram retrospectivamente estudadas. Todas as cirurgias foram realizadas por um único cirurgião (FEL). Os olhos incluídos haviam sido submetidos a uma ou mais cirurgias anti-glaucomatosas incisionais e apresentavam pressão intraocular (PIO) igual ou […]

PURPOSE: To describe the clinical, histopathological and immunoistochemical findings of ocular leishmaniasis in five patients presenting positive Montenegro reaction. METHODS: Retrospective study in four years of the clinical charts, histopathologic and immunoistochemic study of the material obtained by biopsy of ocular lesions in five patients with positive Montenegro reaction. RESULTS: The most frequent clinical findings was conjunctival hyperemia (2/5), followed by crusting lid lesion (1/5), conjunctival leukoplakia (1/5) and ocular itching (1/5). The histopathological study disclosed chronic inflammation (3/5) and […]

To describe PRK with mitomicyn C effects for the management of high-degree hyperopic astigmatism following Radial Keratectomy performed 12 years ago.

Chloroquine phosphate is widely used for the treatment of chronic autoimune diseases, most commonly rheumatoid arthritis, discoid or disseminated lupus erythematous, light sensitivity eruptions as well as other dermatologic affections. Although the incidence of retinal toxicity by this drug is low even with the maximally recomended dose, its occurrence is relevant because it damages the macula with an important and irreversible visual impairment. A 44-year-old white female patient who had suffered from rheumatoid arthritis for about 19 years had been […]

We describe a 56-year-old female patient that presented with headache, unilateral optic disc edema and nasal visual field constriction. Laboratory and imaging investigation, clinical findings and response to treatment lead to the diagnosis of idiopathic intracranial hyperthension. We emphasize that unilateral papiledema can be an unusual clinical presentation of the syndrome and discuss its differential diagnosis and treatment.

With aspherical intraocular lens (IOL), phakectomy could be more than removal of cataract, it also could means an improvement in optical quality of the eye. In this article, recently published studies on aspherical IOLs and exams to access optical quality were reviewed.

The purpose of this article is to review the data on the scientific literature on refractive lens exchange considering the advantages, disadvantages and the risks involved on this procedure, taking under consideration each type of ametropia.