ABSTRACT Differential diagnoses of acute proptosis are often challenging. History and clinical examination require from ophthalmologists special attention to details, which make it possible to differentiate relatively benign and self-limited conditions from those that will progress to permanent disabilities. We report a 49-year-old female patient who had sudden eye pain, periorbital hematoma and proptosis of the left eye during a commercial flight. She also complained of disabling acute diplopia. Computed tomography and magnetic resonance angiography imaging confirmed the diagnosis of […]

ABSTRACT Objective: The objective was to evaluate the efficacy of gabapentin in the management of neuropathic pain in patients with keratoconus, who were treated with fast (10 minutes) epi-off corneal crosslinking (CXL). Methods: This was a prospective, double-blind, randomized study. The sample comprised patients with bilateral progressive keratoconus, aged 12 years or older, who underwent a bilateral epi-off corneal CXL (fast – 10 minutes) procedure. One group was given placebo orally, and the other group received gabapentin 600 mg orally, […]

ABSTRACT Objective: To estimate the prevalence of diabetic retinopathy in patients with diabetes, from a Brazilian capital city, and to correlate with the risk factors present in the studied population. Methods: A cross-sectional observational study, based on the report of care provided by a campaign, in 2018. The report was filled out by ophthalmologists during the joint effort, with information on patient’s gender, age, classification of diabetes mellitus, duration of illness, use of insulin, body mass index, lifestyle (smoking and […]

ABSTRACT Conjunctival concretions are single or clustered lesions frequently found on the palpebral conjunctiva. They are commonly present in older individuals, despite being rarely symptomatic. This case report describes an 83-year-old man with multiple conjunctival concretions, which were surgically treated. The patient was symptomatic on presentation and did not respond to conservative treatment. For this reason, a surgical approach was considered. After wide excision of the conjunctival lesions, a piece of amniotic membrane was fitted using fibrin glue. During follow-up, […]

ABSTRACT Objective: To assess sensitivity of corneal volume, corneal asphericity, and D index in early diagnosis of keratoconus. Methods: A cross-sectional analytical study, carried out between December 2018 and October 2020, which analyzed the medical records of 39 patients (78 eyes) diagnosed as keratoconus by a single corneal specialist, using the criteria of Belin-Ambrosio Enhanced Ectasia Display. The collected data were anterior asphericity, posterior asphericity, D index and its parameters (Da, Db, Dt, Dp and Df). The data were entered […]

Nos últimos anos, o mercado financeiro percebeu que investir na Medicina, em geral, e na Oftalmologia, em particular, seria uma aplicação rentável. Assim, grandes fundos de investimento, em sua maioria internacionais, aplicaram na saúde suplementar, montando planos verticalizados, com prejuízo à autonomia do trabalho médico. No outro extremo do espectro mercadológico, clínicas estão sendo compradas e consolidadas por grupos financeiros, formando grandes empresas. Como ambos os grupos (clínicas consolidadas e planos verticalizados) pertencem a fundos de investimento e exercem atividades […]

ABSTRACT Objective: To describe the clinical, surgical, and geographic profile of patients submitted to corneal transplantation and followed up at a teaching hospital, and, with a description of the indications for the procedure and mean waiting time. Methods: A cross-sectional and retrospective study, including 40 eyes of 40 patients who underwent penetrating keratoplasty, from January 1, 2018 to December 31, 2019, followed up at a teaching hospital in Alagoas State. Data were collected using the surgical records of corneal transplants, […]

ABSTRACT Objective. To know the demographic and clinical characteristics of Thyroid Associated Orbitopathy (TAO), as well as the requirement rate of orbital surgery in patients of the Orbit Service in the National Medical Center of the West, IMSS. Methods. Observational, cross-cutting, descriptive and retrospective study carried out analyzing the records of patients diagnosed with TAO and treated at a third-level care center from January 2005 to July 2016. Results. A total of 236 orbits of 118 patients were valued, with […]