Purpose: To describe a case of inferior bullous keratopathy caused by iris fibers resolved with laser diode 532. Case report: A 74-year-old woman consulted for a deterioration of visual acuity in the right eye, accompanied by foreign body sensation. A phacoemulsification surgery with IOL implant had been performed in both eyes three months before. Best-corrected visual acuity reached 20/40 in the right eye. Slit lamp examination revealed bullous keratopathy located in the inferior central quarter of the cornea of her right eye. Gonioscopy was performed to rule out having nucleus fragments in the inferior angle. With higher magnification, a pair of fine undulating fibers were observed coming from the anterior layers of the iris and making contact with the posterior face of the cornea. Photocoagulation of the iris fibers was performed with laser diode 532 and photodisruption with Nd-YAG laser, applied at the base of the fibers. After nine days, resolution of corneal edema, and disappearance of bullae was observed. Best-corrected visual acuity improved to 20/25. Conclusions: Photocoagulation of iris fibers with laser diode 532 complemented by photodisruption with Nd-YAG laser, in patients with iridoschisis, is an alternative to avoid endothelial decompensation and corneal edema, which may require corneal transplantation.

Purpose: To present a case of hemorrhagic occlusive retinal vasculitis (HORV) associated with intravitreal injection of vancomycin after pars plana vitrectomy (PPV). Methods: Single case report. Results: A 67-year-old woman presented with best-corrected visual acuity (BCVA) of 20/400 in the left eye. For clinical suspicion of chronic endophthalmitis, empirical treatment was initiated with vancomycin and ceftazidime without clinical improvement. The patient was submitted to pars plana vitrectomy. During surgery rhegmatogenous retinal detachment was observed and treated. At the end of surgery, intravitreal vancomycin was injected. After 18 days BCVA was counting fingers and fundus examination showed diffuse retinal vascular sheathing, intraretinal hemorrhages, and ischemic macular whitening. The clinical diagnosis was compatible with HORV secondary to retinal toxicity due to intraocular vancomycin. Conclusions: This case illustrates the importance of including intravitreal vancomycin during PPV surgery on the list of potential causes when investigating a case of suspected hemorrhagic occlusive retinal vasculitis.

Plasmablastic lymphoma (PBL) is a subtype of a rare and aggressive, non-Hodgkin’s lymphoma. It is usually associated with immunosuppression, HIV, or Epstein Barr virus and with a poor prognosis. It is characterized by a loss of the typical markers of mature B cells such as CD20 and expression of activated B-cell immunopheno-types associated with plasma cells. We present a case report of an HIV negative 21-year-old male with plasmablastic lymphoma of the right lower eyelid who underwent surgical resection and chemotherapy. Given the minimal accounts of PBL in the eyelid, the authors attempt to review the literature and cross match similarities with previous accounts of ocular involvement related to this malignancy.

A 43-year-old man presented with a decrease of vision in the left eye after blunt ocular trauma. Visual acuity was of 20/20 in the right eye and 20/100 in the left eye. Fundus examination revealed a choroid rupture and submacular hemorrhage. Three months after the trauma, it was evident the development of choroidal neovascularization (CNV). A serie of intravitreal injections of ranibizumab were initiated. The optical coherence tomography angiography (OCTA) demonstrated to be better than fluorescein angiography (FA) to show evidence of CNV, and was essential to follow up the progression and guide therapeutic decisions. Decision for treatment based on OCTA findings lead to an excellent visual acuity outcome with visual acuity of 20/25 seven months after the trauma.