ABSTRACT As scleritis may represent the initial manifestation of systemic vasculitis, recognizing drug-related etiologies iscrucial — particularly propylthiouracil (PTU). This medication is widely used to treat Graves disease and can trigger antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). This study aims to describe the clinical course and diagnostic reasoning of a case of nodular scleritis associated with PTU-induced leukocytoclastic vasculitis (LCV), emphasizing the importance of early identification. This case report is based on medical record review, ophthalmological examination, skin biopsy, and […]

ABSTRACT This study aimed to critically review the literature regarding the magnitude, orientation, and correlation between anterior, posterior, and total corneal astigmatism, as well as their clinical implications in normal eyes, in patients with keratoconus, and in individuals evaluated in the context of refractive surgery. An integrative literature review was conducted, with a systematic search of studies published between 2010 and 2025. Observational studies that assessed corneal astigmatism using Scheimpflug tomography in healthy eyes, eyes with keratoconus, or eyes evaluated […]

ABSTRACT Eyebrow position plays a central role in facial harmony and emotional expression. Lateral brow ptosis is a common condition associated with aging, tissue laxity, and individual anatomical characteristics, with aesthetic and, in more severe cases, functional consequences. The main treatment techniques include direct brow lift (Castanhares technique), transpalpebral approach, internal browpexy, subcutaneous temporal lift, brassiere suture, and endoscopic lift. Each technique carries specific indications based on the degree of ptosis, the patient’s anatomical profile, and aesthetic expectations. Literature highlights […]

ABSTRACT Objective: To analyze the perception and knowledge that diabetic patients treated in the Outpatient Endocrinology Department have about diabetic retinopathy. Methods: This study was conducted during the first semester of 2024 and involved diabetic patients from the Endocrinology Department of the HSCMV. All patients over 18 years of age with a diagnosis of diabetes mellitus who signed the Informed Consent Form were included. The variables analyzed, collected through a questionnaire and supplemented with data from the electronic medical records, […]

ABSTRACT This report aimed to evaluate the evolution of topography, astigmatism, and visual acuity in eyes with keratoconus that underwent intra-stromal ring implant surgery. The report compared these results with those of contralateral, non-operated eyes. The goal was to confirm whether the intra-stromal ring implant surgery could also slow the progression of the disease. Four cases of young and adult patients who underwent corneal ring implant surgery in one eye were analyzed, with clinical and topographic follow-up for up to […]

ABSTRACT Objective: To compare knowledge, perceptions, and competencies in Evidence-Based Practice among first- and third-year ophthalmology residents in Brazil. Methods: Thirty-one residents (16 in the first year, 15 in the third year) completed a 13-item questionnaire and the ACE Tool, assessing five Evidence-Based Practice domains (Ask, Acquire, Appraise, Apply, Assess). Results: Overall performance was intermediate, with no significant difference in total ACE scores (46.7 versus 53.3; p = 0.509). Third-year students scored higher in Appraise (p = 0.032), while first […]

ABSTRACT Objective: To evaluate changes in corneal sensitivity and ocular surface in leprosy patients from a university hospital in Northern Brazil. Methods: A case-control study was conducted with 16 leprosy patients (32 eyes) and 20 healthy controls (40 eyes). All participants underwent a single assessment that included ocular surface staining, tear film break-up time test, Schirmer I test, and corneal sensitivity testing using a Semmes-Weinstein aesthesiometer. Results: Most leprosy patients were male (68.8%), whereas the sex distribution was balanced in […]

ABSTRACT This study shows a case report of Mooren’s ulcer with a presumptive diagnosis, established by exclusion, occurring after pterygium surgery in a young patient with preexisting cutaneous autoimmune disease. This case report was based on comprehensive clinical evaluation, laboratory testing, microbiological cultures, PCR for infectious agents, and serial AS-OCT documentation, with the purpose of excluding known infectious and systemic etiologies. Therapeutic management included fortified antibiotics, tectonic support with a therapeutic contact lens and fibrin glue, followed by systemic immunosuppression […]