A 39-year-old man, MAFS, was admitted to ophthalmology emergency service of theUniversidade Federal de São Paulo reporting low vision and ocular hyperemia with purulent discharge for 12 days in the left eye, but without complaints in the right eye. The patient administered ciprofloxacin drop every 3 hours. Upon examination, he had diffuse ocular hyperemia, chemosis, and extensive area of corneal thinning in nasal region, which had purulent discharge. The visual acuity in the affected eye was 20/80. Bacterioscopy revealed gram-negative […]

NRS, a woman, 71-year-old, who born in São Paulo, Brazil, sought our care service complaining of progressive low visual and metamorphopsia in the right eyes (RE) for 3 months. She had no-history of comorbidities, ophthalmologic surgeries or eye diseases. Upon examination her best-corrected visual acuity was 20/80 in the RE and 20/20 in the left eye. Funduscopy showed vitreous condensation in fovea region of the RE. Optical coherence tomography (OCT) showed vitreomacular traction due to partial posterior vitreous detachment that […]

Congenital fibrovascular pupillary membrane( – ) is an unilateral ocular change of the anterior segment (). This abnormality was first reported by Cibis et al. in 1986.( ) […]

A 6-year-old patient was referred to our ophthalmology service because of an ocular deviation (esotropia) on the right eye for 3 years. Best-corrected visual acuity in right eye and 20/20 in left eye. According to the Krimsky test, the patient showed 15 prism dioptres esotropia in right eye. No changes were observed in biomicroscopy of both eyes and funduscopy of left eye was normal. An optical disc of increased size was seen in right eye, covered by glial tissue, rectified […]

A 22-day-old male infant, the first child of non-consanguineous parents, who was delivered from a followed-up and normal pregnancy, and without alterations in analytical and echographic evaluation. He was born by cesarean section at 39 weeks, because the labor failed to progress, with Apgar score of 9 at 1 minute and of 10 at 5 minute, weighting 3,240g at birth without intercurrences in the neonatal period. The newborn was exclusively breastfed with adequate weight gain (with 22 days of life […]

Historically pulmonary emphysema was described in 1834 by Laennec on the basis of observations made on the cut surface of postmortem human lungs being the lesion attributed to the atrophy of lung tissue from pulmonary hyperinflation.() Hence, emphysema was redefined as a “abnormal and permanent dilation of distal air spaces of terminal bronchiole”.() In addition, evidences of destruction of alveolar wall and fibrosis must not be ignored in this disease pathogenesis.() These anatomopathological changes result in loss of respiratory surface […]

A 33-year-old woman who works as a yoga teacher and lived in the city of Rio de Janeiro (RJ) – Brazil, sought ophthalmologic care at a routine examination. She did not report comorbidities and previous or regular use of medicines of any type. At examination the patient had good corrected visual acuity of 20/20 in both eyes. Biomicroscopy showed bilateral corneal verticillata, and in the rest of examination no other abnormalities were seen. […]

A previous healthy 7-year-old boy presenting occipital headache and constantly wake up at night with 1 week of evolution was admitted to our emergency service. He had linear hypopigmented macules along the lines of Blaschko affecting hemithorax and left upper limbs (). The patient also had macrocrania, antimongoloid palpebral fissure, changes in left eye pupil contour and syndactyly. A cranial computed tomography scan showed a hypodensity with accentuation of white matter and small cysts. Cranial resonance revealed an extensive process […]

A 68-year-old man diagnosed with Chagas disease, hypertension and type 2 diabetes mellitus was followed up at a quarterly hospital in the specialties of otolaryngology and gastroenterology because of a chronic clinical feature of dysphagia and odynophagia for solid foods, and a non-confirmed diagnosis hypothesis of chagasic megaesophagus. […]

DISCUSSION The preoperative diagnosis of cystic pancreatic carcinoid tumor is important due to their malignant potential and possibility of ressection.() Computed tomography (CT) and EUS may not help making diagnosis, since the radiological aspect is often interpreted as a pancreatic mucinous cystadenoma, such as in this report. […]