WebLog Journal of Ophthalmology and Visual Sciences

Purpose: To describe the successful reconstruction of a leaking filtering bleb with necrotic conjunctiva long after trabeculectomy, using a double-layer amniotic membrane transplantation (AMT) combined with a contralateral conjunctival autograft.

Methods: A 63-year-old woman developed a thin, avascular, leaking bleb ten years after trabeculectomy with mitomycin-C. After infection control with fortified antibiotics, reconstruction was performed…

Purpose: To describe a case of cytomegalovirus (CMV) anterior uveitis misdiagnosed as presumed ocular tuberculosis (TB) in an immunocompetent immigrant patient, leading to delayed diagnosis, corneal graft failure, and eventual vision loss.

Observations: A 74-year-old Filipino male with recurrent unilateral hypertensive anterior uveitis and a positive QuantiFERON-TB Gold test was treated for presumed ocular TB with RIPE therapy. Despite treatment,…

A 45-year-old heterosexual male patient, married with one daughter, with no significant medical history in previous consultations.

He presented to the emergency department at Hospital Arruzafa on 11/08/2022 with whitish discharge, tearing, and discomfort in both eyes. Upon examination, tarsal and bulbar conjunctival hyperaemia, papillary reaction, and mild chemosis were detected.

The initial clinical diagnosis was acute conjunctivitis, likely of viral origin. Appropriate…

Background: Cataract surgery has risen dramatically in the US as a reflection of the growing geriatric population. Despite its safety and efficacy, elderly patients remain vulnerable to postoperative cognitive dysfunction (POCD). Previous studies have shown ketamine and dexmedetomidine to have neuroprotective effects. This study aims to examine its association with POCD using the TriNetX database, mirroring a prior randomized trial and assessing outcomes at 1 week, 3 months,…

Corneal inflammation from various causes characterized by small scattered spots of loss or injury to the corneal epithelium, observed after instillation of sodium fluorescein dye and under cobalt blue filter illumination [1].

In this case, a 76-year-old woman with evaporative dry eye due to Meibomian gland dysfunction [2] and superficial punctate keratitis, Grade 2 according to Oxford scale, and a score of 20 on the OSDI test [3]. Her symptoms include redness, tearing, photophobia,…

A 14-years-old man, contact lens carrier, initially presented to the emergency room with a corneal ulcer and recurrent inflammation in his left eye. He was initially treated with antibiotics, later adding topical and systemic antivirals when it was mistakenly considered, like herpetic keratitis. After fifteen days, he had intense photophobia and loss of vision. On ophthalmological examination superior perineuritis, annular infiltrate with epithelial defect, superficial punctate…

A 16-year-old man presented for consultation for second opinion for diagnosis of polyps in tarsal eyelid. Personal history of seasonal conjunctivitis and treatment with topical Tobramycin and Dexamethasone. Visual acuity is 20/20 in both eyes. On ophthalmologic examination, enormous papillae are observed in lower and upper tarsus (arrows) and conjunctival hyperemia (Figure 1). Rest of anterior segment and fundus examination are normal. Patient was diagnosed with vernal conjunctivitis,…

Importance: Schwartz-Jampel syndrome (SJS) is a rare genetic disorder that affects bone and muscle development, causing muscle rigidity, joint contractures, and skeletal anomalies.
Ophthalmological involvement in SJS is often associated with facial features such as blepharophimosis, ptosis and blepharospasm.

Objective(s): To evaluate the management of strabismus in a patient with Schwartz-Jampel syndrome and assess the efficacy of botulinum…