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Sérgio Henrique Sampaio Meirelles,1–3 Aline Sá Barreto,1 Eduardo Scaldini Buscacio,1,2 Elke Shinzato,1,2,4 Lia Florim Patrão,1 Mauro Sérgio de Oliveira Silva1 1Piedade Municipal Hospital, Rio de Janeiro, 2Federal University of Rio de Janeiro, 3Estacio de Sá University, Rio de Janeiro, Brazil; 4Ocular Ultrasound Department, Clinical Hospital of the University of São Paulo Medical School, São Paulo, Brazil Purpose: To report a case of a young patient with retinitis pigmentosa (RP), essential iris atrophy, and glaucoma.Case report: This report presents a case of a 22-year-old female patient with unilateral glaucoma, increased intraocular pressure, increased cup–disc ratio, iris atrophy, peripheral anterior synechiae, and bilateral RP.Discussion: The patient presented glaucoma due to the iridocorneal endothelial syndrome, despite low age. RP is a bilateral disorder that may be associated with angle-closure glaucoma. Keywords: ocular hypertension, ICE syndrome, secondary glaucoma, retinal degeneration

Purpose. To evaluate the refractive and the quality of vision outcomes of toric IOL implantation in patients with low astigmatism. Design. Prospective study of single-arm. Methods. Patients with corneal astigmatism range from 0,75 D to 1,5 D and cataract that underwent cataract surgery with toric IOL. The measurements were performed preoperatively and 6 weeks after the surgery. Patients were evaluated for visual acuity with and without correction, contrast sensitivity, static and dynamic refraction, and quality of life questionnaire. Pre- and postoperative values were compared and their variations were evaluated for linear correlation. Results. 21 eyes of 21 patients. Postoperative mean uncorrected visual acuity was 0.80 ± 0.19, and the best corrected visual acuity was 0.97 ± 0.15. p < 0.001 compared to preoperative values. The average postoperative refractive cylinder was -0.34 ± 0.39. The questionnaire's total value before and after surgery was, respectively, 43.20 ± 15.76 and 79.70 ± 10.11 ( p < 0.001). The correlation coefficients between the values of the questionnaire variation and the UCVA, BCVA, and CS variation were, respectively, 0.548 ( p = 0.005), 0.508 ( p = 0.009), and 0.409 ( p = 0.033). Conclusion. Patients with low astigmatism who underwent phacoemulsification with toric IOL implantation experienced significant decrease in refractive astigmatism and improvement in their quality of life., Competing Interests: The authors declare that they have no conflict of interests regarding the publication of this paper.