RESUMO Os autores relatam caso de paciente de 13 anos com síndrome de Alport, lenticone anterior e ruptura espontânea da cápsula anterior do cristalino. Foram citadas as principais manifestações oculares desta síndrome, assim como as mais recentes hipóteses para explicar os achados encontrados neste paciente.

SUMMARY The authors report a case of a 13-year-old patient with Alport’s syndrome, anterior lenticonus and spontaneous rupture of the anterior lens capsule. The main ocular manifestations of this syndrome as well as the findings in this patient are described.

RESUMO Os autores descrevem um método para estimar a refração em olhos com glaucoma congênito, onde as opacidades da córnea impediriam o exame sob retinoscopia. Foram estudados 51 pacientes (79 olhos) com diagnóstico de glaucoma congênito e córneas transparentes. A idade dos pacientes variou de 0,5 a 33 anos. A partir dos valores obtidos nos exames de retinoscopia, ceratometria e biometria ocular ultra-sonográfica dos olhos estudados, foi desenvolvido um modelo de regressão linear múltipla.

SUMMARY The authors report a combined semiologic method to estimate the refraction in eyes with congenital glaucoma when the retinoscopy is impossible due to corneal opacities. This study was done in 79 eyes (51 patients) with congenital glaucoma and transparent corneas. The patient's age range from 0,5 to 33 years. A multiple regression linear model was developed with dates obtained from retinoscopy corneal curvature and axial lenght of these eyes.

Summary The purpose of the review was to present the personal point of view of the Author on the Concept of Chronic Simple Glaucoma as a result of an extensive bibliographic study. It is to be mentionned that the main concept of disease is not anymore pressure-dependent as it used to be some years ago. There is a strong tendency at the present time to stress the importance of the glaucomatous damage of the optic nerve and visual fields as fundamental points for the definition and treatment of the disease.