A 34-year-old man presented with pain and blurring vision in the right eye for 24 hours. The best-corrected visual acuity was 9/10 in the right eye. Slit-lamp examination of the right eye revealed conjunctival injection, three white granulomatous corneal precipitates (), one of them behind a stromal infiltrated area. A white tyndall effect in the anterior chamber at one cross and ocular hypertension at 50 mmHg were noticed. Gonioscopy shows a 360° open angle with a flat iris insertion root. […]

A 60-year-old woman with hypothyroidism, hypertension, and dyslipidemia presented with left-sided strabismus, diplopia, occasional ocular pain, and progressive left-sided proptosis over two years (). Computed tomography (CT) revealed a well-circumscribed, intraorbital mass with ground glass appearance, suggestive of fibro-osseous lesion, unconnected to the adjacent bony structure (). Surgical excision was performed, and histopathological analysis confirmed the diagnosis of fibrous dysplasia (). Fibrous dysplasia is a sporadic, non-hereditary genetic disorder resulting from a mutation in the GNAS1 gene located on chromosome […]

Homem de 69 anos, assintomático, observado em contexto de rotina. A autofluorescência de campo ultra-amplo evidenciou, em ambos os olhos, áreas lineares de hipoautofluorescência ao longo das veias retinianas, delimitadas por bandas de hiperautofluorescência. A imagem A, correspondente ao olho direito, mostra ainda marcas residuais de fotocoagulação panretiniana; a imagem B, do olho esquerdo, apresenta padrão semelhante. Após a exclusão de causas infecciosas e inflamatórias, o conjunto dos achados suportou o diagnóstico de atrofia retinocoroideia paravenosa pigmentada (PPRCA).() Trata-se de […]

ABSTRACT To report a case of Dubowitz syndrome with eyelid ptosis in the right eye, successfully treated with surgical correction. A 9-year-old child, previously diagnosed with Dubowitz syndrome, presented with congenital ptosis in the right eye. Surgical correction of eyelid ptosis was performed. The postoperative outcome showed significant functional and aesthetic improvement, with satisfactory eyelid position and absence of complications. Dubowitz syndrome is a rare autosomal recessive disorder characterized by multiple congenital anomalies, including ophthalmologic manifestations such as eyelid ptosis. […]

ABSTRACT This study shows an unusual case report of corneal ulcer caused by the fungus talaromyces marneffei, highlighting its clinical presentation, diagnosis, and therapeutic management. A 53-year-old male patient, immunocompetent, presented to ophthalmic care with complaints of ocular pain and decreased vision in the right eye. Examination revealed a central infiltrative corneal ulcer, with microbiological cultures identifying talaromyces marneffei, a rare occurrence in ocular infections. Initial treatment included antibiotic and antifungal eye drops, later adjusted to systemic antifungal therapy. After […]

ABSTRACT The objective was to report a case of severe eyelid ptosis associated with Kearns-Sayre Syndrome (KSS), with 12 years of postoperative follow-up. A patient diagnosed with KSS presented with progressive eyelid ptosis since childhood and underwent bilateral frontalis suspension using silicone rods. Clinical follow-up included evaluation of eyelid symmetry, ocular motility, and visual acuity. After 12 years of follow-up, stable eyelid symmetry and satisfactory functional outcomes were observed, despite the expected progression of the underlying mitochondrial myopathy. Frontalis suspension […]

ABSTRACT Objective: To analyze the epidemiological profile of hospitalizations due to strabismus among children aged 0-9 years in the state of São Paulo. Methods: Data were retrieved from the SIH/SUS database, via DTASUS in March 2025. Records containing a strabismus diagnosis (ICD-10 code: H50) were extracted and analyzed using Microsoft Excel. Results: A total of 4,142 hospitalizations were recorded, 71.8% of which occurred in children aged 5 to 9 years; 27.7% in children aged 1 to 4 years, and 0.5% […]

ABSTRACT Objective: To develop and validate a smartphone application capable of magnifying near images and, through educational videos, informing users about presbyopia. Methods: This was a cross-sectional, quantitative study conducted by a multidisciplinary team of ophthalmologists and software engineers. The development and validation of the application, named PRESB, occurred in three main stages. First, the user interface and native functions were designed. Second, the application was tested by patients who had undergone bilateral age-related cataract surgery with implantation of a […]