This 30-year-old patient had a high myopia and with-the-rule astigmatism. Her best-corrected-visual-acuity was 20/20 with -6.75 -2.50 x 10. Her cornea had an asymmetric bowtie, and we were concerned with laser vision correction. We then decided to implant a toric phakic intraocular lens (Visian ICL® toric) and, 1 week after surgery, she was 20/20 J1 uncorrected. Note the central anterior vaulting of the phakic lens away from the crystalline lens, as well as the central hole to allow for aqueous […]

ABSTRACT Objective The objective of this paper is to evaluate the profile of the cases of conjuntivitis treated in the emergency department of the Banco de Olhos Hospital, emphasizing the infectious conjunctivitis, and compare before and after the onset of the Coronavirus pandemic and social isolation, both in public and private health care system. Methods A retrospective and transversal study where electronic files of the patients who visited the emergency department between March and June of 2019 and 2020 were […]

ABSTRACT Objective Vascular findings in preeclampsia are usually attributed to increased vascular tone. Recently, however, important studies have improved the understanding of the main pathophysiological events in this condition, especially vascular brain remodeling, impaired autoregulation, and damage of the blood-brain barrier, which are well recognized features of cerebral overperfusion. Methods In this study, the association between choriocapillaris ischemia with ophthalmic artery blood flow parameters on orbital Doppler ultrasound is reported for the first time using multivariate logistic models. Multivariate logistic […]

ABSTRACT Objective To evaluate the accuracy of corneal tomography with Scheimpflug images (Pentacam® AXL, OCULUS, Wetzlar, Germany) in scanning patterns with 25 and 50 images, by analyzing their repeatability and reproducibility in normal eyes, eyes with keratoconus and with keratoconus after crosslinking. Methods Prospective, cross-sectional, mixed study including patients who had normal corneas, or who had keratoconus, who had not undergone corneal surgery, with the exception of crosslinking. Patients who had undergone surgery for intracorneal ring implantation or corneal transplantation […]

ABSTRACT Objective To assess the stage of the disease at the time of diagnosis. Methods Cross-sectional and descriptive study, using data obtained by searching the database of glaucoma patients in their first consultation, before the starting any treatment. Results 101 patients (177 eyes) were included. Only 31 (30.69%) patients reported a positive family history of glaucoma. We found 26% of the evaluated eyes with advanced perimetric alterations, ten eyes (5.8%) with vision worse than 20/400, of these, three patients had […]

ABSTRACT Ocular metastasis is an uncommon pathology, especially when considering the iris as the site of metastasis. Although uncommon, eye metastasis has breast cancer as one of its main primary sites. Occasionally, the ophthalmologic manifestation may be primary to any other clinical manifestation. This article reports the case of a patient with invasive ductal breast carcinoma with presumed metastasis in the ciliary body and iris in the right eye. Early diagnosis significantly affects the evolution of the condition, requiring ophthalmologic […]

ABSTRACT Objective To identify eye conditions associated to social distancing and related increase in screen time exposure on children and teenagers. Methods Observational, descriptive and analytical study, with a cross-section design, carried out between July and August 2021, by questionnaire survey. Results Headaches related to excessive screen time exposure were reported by 26.51% of the students surveyed, while 38.8% reported suspect convergence insufficiency. Regarding the questionnaire about dry eye, 18.8% were symptomatic and 7.5% reported hard-to-manage symptoms. Computers were the […]

ABSTRACT Occult macular dystrophy is characterized by a slowly progressive bilateral reduction of visual acuity in patients with normal fundus and fluorescein angiography. We describe a case of a 36-year-old male patient diagnosed with this condition, after extensive investigation with multimodal imaging, electrophysiology tests, and systemic screening.