A 34-year-old white man presented with a sudden unilateral recurrent visual loss. Fundus examination and fluorescein angiography revealed severe retinal vein occlusion. An antiphospholipid syndrome was discovered during etiological check up. A mutation of Leiden V factor was discovered and the patient started long term anticoagulation after the second occlusive event. However, secondary neovascular glaucoma has developed and despite treatment the affected eye had an important reduction of visual acuity. The purpose of this case report is to demonstrate that […]

Paciente do sexo masculino, 34 anos de idade, com baixa da acuidade visual recorrente. Fundoscopia e angiofluoresceinografia demonstraram oclusão venosa retiniana grave. Durante pesquisa etiológica diagnosticou-se a síndrome do anticorpo antifosfolípide com mutação do fator V Leiden. O paciente iniciou anticoagulação após o segundo evento oclusivo. Entretanto, evoluiu com quadro de glaucoma neovascular e, apesar do tratamento, o olho afetado teve importante redução da acuidade visual. O objetivo deste relato de caso é demonstrar que uma oclusão vascular retiniana pode […]

We report two cases of orbital fat prolapse. One associated with Graves’ ophthalmopathy. Both patients presented similar clinical exams and an increase in intraorbital fat as seen in computerized orbital tomography. The patient with Graves’ ophthalmopathy also presented an increased volume in orbital muscles in the tomography. This work seeks to include Graves’ ophthalmopathy as differential diagnosys for Orbital fat prolapse.

The author presents his arguments to state that the Duane’s syndrome type III of the Huber’s classification does not exist. He takes the chance of those arguments to show why the medial rectus muscle recession in Duane’s syndrome with esotropia cripples the adduction more that it does in esotropias of other origins. He shows also why one must recess also the sound eye’s medial rectus in Duane’s syndrome with esotropia.

O autor expõe argumentos para afirmar que não existe a síndrome de Duane tipo III da classificação de Huber. Aproveitando esses argumentos, mostra por que o retrocesso do músculo reto medial em síndrome de Duane com esotropia prejudica a adução mais do que o faz em esotropias de outras origens. Mostra, também, por que se deve retroceder também o músculo reto medial do olho não afetado em síndrome de Duane com esotropia.

Purtscher’s retinopathy is a condition characterized by loss of vision within hours after an injury, especially thoracic. The term “Purtscher-like retinopathy” is used to describe a similar retinal appearance in a variety of conditions other than trauma. This condition have been reported in acute pancreatitis, lymphoproliferative disorders, chest compression, fat embolization, Valsalva maneuver, after retrobulbar anesthesia, and others. Fundus abnormalities include cotton-wool spots, retinal hemorrhage, non-capillary perfusion areas, and optic disk swelling. In this article we revise the ophthalmoscopic findings, […]

PURPOSE: The aim of the present study is to assess central corneal edema and visual recovery after cataract surgery performed according to two technologies: conventional ultrasonic and liquefaction (Aqualase®). METHODS:This is a prospective contralateral study in wich 20 patients with comparable preoperative conditions were submitted to cataract surgery were evaluated. Preoperative assessment involved complete ophthalmological examination and the study included patients with bilateral cataracts up to grade 2, according to the Lens Opacity Classification System II. The same cristaline fracture […]