ABSTRACT Dermatophytoses are fungal infections affecting the skin and cutaneous annexes. This clinical case report describes a 7-year-old girl with Kerion celsi, a severe manifestation of Tinea capitis. The patient presented with painful edematous crusty scalp lesions and alopecia, which required surgical debridement and long-term antifungal treatment. Culture of samples collected from scalp and arm skin lesions (patient and patient’s mother respectively) were positive for Trichophyton mentagrophytes. The family owned a pet guinea pig. This particular dermatophytosis is easily transmitted from guinea pigs to humans, with some studies showing up to 34.9% prevalence of Trichophyton mentagrophytes infection in these animals.

Resumo Objetivo: Descrever as estatísticas do Setor de Lente de Contato do Instituto Benjamin Constant do Rio de Janeiro. Métodos: Estudo retrospectivo de 794 casos no período de março/2004 a junho/2015. Resultados: A maior parte dos casos foi do sexo feminino (62,21%) e a indicação mais frequente foi médicas ópticas (56,04%). A faixa etária mais prevalente foi a de 20-39 anos, correspondendo a 46,34%, e em seguida a de 40-64 anos (25,31%). Do total de casos adaptados, 81,6% foram com lentes rígidas. Entre as indicações médicas ópticas 61,4% dos casos foram por ceratocone. Conclusões: Por ser tratar em um serviço médico de referencia, cujo principal objetivo é a reabilitação de pacientes com visão subnormal, a indicação médica óptica foi a mais frequente. As lentes rígidas mostraram-se com papel de destaque nas adaptações.

Abstract Objective: The objective of this project is to describe the epidemiological profile of the Contact Lens Sector of the Benjamin Constant Institute in Rio de Janeiro. Methods: A retrospective study of 788 cases was carried out from March / 2004 to June / 2015. Results: Most of the objects in the cases were female (62.23%). As for the indication, 445 cases (56.47%) were optical, 281 cases (35.65%) were esthetic, 44 cases (5.58%) were prosthetic, and 18 cases (2.30%) were cosmetic. The most prevalent age group was from 20-39 years of age (46.34% of cases), followed by 40-64 years of age (25.31% of cases). Of the total of adapted cases, 81.6% were with rigid lenses, and among the optical medical indications, 61.4% of the cases were by keratoconus. Conclusions: Because it is a reference medical service, whose main objective is the rehabilitation of patients with low vision, the optical medical indication was the most frequent. The rigid lenses showed up with a prominent role in the adaptations.

Resumo Objetivo: Avaliar a eficácia na adaptação de lentes de contato em relação à melhora da acuidade visual em pacientes portadores de ceratocone. Métodos: Foi realizado um estudo retrospectivo, através de revisão de prontuários médicos, em 175 pacientes (326 olhos) portadores de ceratocone, atendidos no período de março/2004 a junho/2015. Foram coletados os dados sobre sexo, idade, número de olhos adaptados, severidade do ceratocone e acuidade visual com óculos e com lentes de contato. Resultados: Dos pacientes avaliados, 100 pacientes (57,4%) eram do sexo feminino e 75 pacientes (42,6%) do sexo masculino. Dos olhos classificados, 267 (81,9%) tinham ceratocone moderado (45 a 52D). A faixa etária mais frequente foi de 10-39 anos (84%) e a taxa de sucesso ao fim do tratamento foi de 92,3% (acuidade visual boa ou satisfatória). Conclusão: A adaptação de lentes de contato mostrou-se eficaz em proporcionar importante melhora da acuidade visual em pacientes portadores de ceratocone.

Abstract Objective: To evaluate the efficiency of the contact lens adaptation in relation to the improvement of visual acuity in patients with keratoconus. Methods: A retrospective study of 175 patients (326 eyes) with keratoconus was carried out from March 2004 to June 2015. Data on sex, age, number of adapted eyes, keratoconus severity, and visual acuity with glasses and contact lenses were collected. Results: Of the classified eyes, 267 (81.9%) had moderate keratoconus (45 to 52D). The most frequent age group was 10-39 years of age (84%) and the success rate at the end of treatment was 92.3% (good or satisfactory visual acuity). Conclusion: Adaptation of contact lenses was effective in providing important improvement of visual acuity in patients with keratoconus.