Nadyr Antonia Damasceno

Anterior uveitis after treatment of age-related macular degeneration with ranibizumab and bevacizumab: uncommon complication

The authors describe one case of anterior uveitis after treatment of age-related macular degeneration with both antiangiogenic drugs: ranibizumab and bevacizumab. The case is described as a complication of ranibizumab and bevacizumab due to an inflammatory process. Several reasons are suggested to explain this possibility, and the authors conclude that the main cause remains unknown.

Emphysema following vitrectomy with fluid-gas exchange: description of a rare complication.

Purpose To report a case of subcutaneous emphysema involving the orbit, mediastinum, and face after pars plana vitrectomy with fluid–gas exchange. Methods Case report of a 55-year-old man who presented with bilateral eyelid and face edema and dysphagia in the immediate postoperative period after pars plana vitrectomy. Orbital and chest computed tomographies were performed, revealing emphysema of the orbit and soft tissue of the face, extending from the neck to the upper chest. Results The patient with a retinal detachment in the right eye underwent 23-gauge vitrectomy surgery with fluid–gas exchange and an implantation of silicone oil. The patient had a previous history of facial trauma for more than 20 years with an orbital fracture. After surgery, the patient developed emphysema of the orbit, soft tissue of the face and upper chest. Systemic prophylactic antibiotics associated with antibiotics and steroid drops performed a satisfactory evolution. Conclusion The fluid–gas exchange during pars plana vitrectomy in patients with orbital fracture can lead to emphysema of the face, chest, and soft tissue.

Combined hamartoma of the retina and retinal pigment epithelium associated with optic coloboma

The authors relate an uncommon case of combined hamartoma of the retina and retinal pigment epithelium associated with optic coloboma.

Acquired unilateral rubella retinopathy in adult.

The authors report an uncommon case of unilateral rubella retinopathy in an adult patient, described for the first time in medical literature. A 28-year-old healthy white man acquired a case of vasculitis and retinitis on his right eye with sudden vision loss, preceded by an acute viral disease (best correct visual acuity was 20/200). Serology examinations on several viral diseases reveled positive signs to rubella. The treatment was based on corticoids therapy due to macular commitment with final visual acuity of 20/60. Serology concluded rubella etiology, with positive levels in the acute initial stage of viral infection, even during viral retinopathy.

Branch retinal vein occlusion and anabolic steroids abuse in young bodybuilders.

This research was supported by the Irish College of Ophthalmologists ⁄Pfizer Fellowship 2005 (NH), the Royal College of Surgeons in Ireland Travelling Fellowship 2005 (NH), the Eye Tumor Research Foundation, Philadelphia, PA (CLS), the Paul Kayser International Award of Merit in Retina Research, Houston, TX (JAS) and the Noel T. and Sara L. Simmonds Endowment for Ophthalmic Pathology, Wills Eye Institute (RCE).

Anterior Uveitis After Treatment of Hepatitis C with Alpha Interferon: The Recurrence of a Previous Inflammatory Process due to Presumed Ocular Toxocariasis

Objective: To report a case of recurrent unilateral presumed ocular toxocariasis after treatment of hepatitis C. Design: Case study. Methods: Clinical findings, ultrasonography, computed tomography, and serological tests were performed. Once diagnosis was made, effective treatment was administered. Results: A 46-year-old woman with a long history of decreased unilateral visual acuity presented with anterior uveitis after the use of interferon alpha and ribavirin for treatment of hepatitis C. A biomicroscopic examination revealed active anterior uveitis, with ultrasonography and computed tomography demonstrating a central granuloma due to partially calcified toxocariasis. After treatment with corticosteroids and cycloplegics, the symptoms were alleviated. Conclusion: immunostimulation could cause a relapse of the inflammatory reaction found in uveitis due to toxocariasis.

Scleral buckling surgery and eye pain: assessment of chronic eye pain during the postoperative period of scleral buckling surgery.

Purpose: To assess the progression of eye pain after scleral buckling surgery to treat rhegmatogenous retinal detachment and to investigate the occurrence and characteristics of chronic eye pain. Methods: This was a longitudinal, prospective, and observational study. Eye pain was measured according to a numerical analog scale (range, 0–10) for 6 months after scleral buckling surgery. The sample was divided into two groups, with or without chronic eye pain, to perform statistical analyses. For this study, chronic eye pain was defined as postoperative pain beyond 30 days. The following variables were assessed to investigate the etiology of chronic eye pain: age, gender, ethnicity, degree of myopia, visual acuity, intraocular pressure, and degree of scleral indentation. Results: A total of 100 patients were assessed in this study. One particular sequence of levels on the pain analog scale, specifically 3–2–1–0–0 (intensity of eye pain on postoperative Days 1, 14, 30, 60, and 180, respectively), was identified more frequently during the progression of eye pain in the 180-day follow-up period. The pain resolved for 72% of patients within 30 days. Chronic eye pain occurred in 18% of the patients. Scleral indentation was the only statistically significant variable investigated relative to the etiology of chronic eye pain (P < 0.05). Conclusion: Chronic eye pain correlated significantly with large scleral indentation. Patients with more intense pain at the onset of the postoperative period tended to develop chronic eye pain.

Pyogenic granuloma after retinal detachment surgery with scleral buckle: case report

The authors relate an uncommon case of pyogenic granuloma restricted to tarsal conjunctiva post retinopexy with scleral buckle.

Análise da capacidade de acomodação em pacientes présbitas com baixo índice de massa corporal

PURPUSE: To determine the correlation between presbyopia and body mass index. METHODS: Cross-sectional study involving 1030 patients with visual acuity of 20/20 emmetropy, aged between 36-40 years, 51-55 years and 60-65 years, excluding patients with positive test cover, anisometropy with convergence insufficiency or high correlation convergence / accommodation. Assessment of body mass index of all patients, RESULTS: Cross-sectional study involving 1030 patients with visual acuity of 20/20 emmetropy, aged between 36-40 years, 51-55 years and 60-65 years, excluding patients with positive cover test, anisometropy with convergence insufficiency or high correlation convergence / accommodation. Assessment of body mass index of all patients CONCLUSION: As demonstrated by statistical analysis there is a significant correlation between low body weight defined as a body mass index below 18.5 and a lower incidence of presbyopia or delay its onset and progression with age.

Traumatic orbital fracture with intact ocular globe displacement into the maxillary sinus

The authors report one case of orbital fracture of the floor and the medial walls after trauma with an intact ocular globe displacement into the maxillary sinus. The same authors emphasize the treatment, complications and the rarity of this case. In this case the patient developed a good visual acuity and a loss of ocular motility as complication (except abduction) .