Open ocular trauma at the posterior segment can present with nonobvious scleral injuries, which represents a diagnostic challenge. The purpose of this article is to describe an atypical case of occult posterior scleral lesion. We present a clinical case of a 22-year-old man who consulted for a blunt trauma in his left eye. Physical examination revealed decreased visual acuity and vitreous hemorrhage without visualization of the posterior segment. Axial head computed tomography scan showed continuity solution of the posterior ocular wall, so the patient was taken to surgery with intraoperative atypical findings of loss of temporal retinal tissue with macular involvement, with good postoperative clinical course. In conclusion, high-energy trauma with both sharp and blunt mechanisms can generate posterior segment injuries such as occult posterior scleral rupture and even avulsion of retinal tissue in the macular area. Timely diagnosis and treatment of this type of injury is imperative for the patient's visual prognosis.

Objectives: To evaluate if the Weill Cornell Medicine (WCM) Ophthalmology Virtual Elective provided students with 1) an increased knowledge of ophthalmology, 2) an understanding of the residency program and department, and 3) an opportunity for the program faculty to become acquainted with the students. To determine how future virtual electives may be improved to increase efficacy of achieving these objectives. Methods: A 2-week virtual ophthalmology elective was offered to 4^th-year medical students. The curriculum included dedicated medical student lectures and assignments and supplemental resources from the American Academy of Ophthalmology. Students also participated in grand rounds, resident morning lectures, and delivered case presentations to the faculty. Pre- and postassessments were performed to evaluate medical knowledge, and a subjective experience survey was distributed to evaluate faculty and student experiences. Results: Seventeen, fourth-year medical students participated in the elective, and 12 students completed the voluntary pre- and postassessments of medical knowledge. Significant improvement in medical knowledge was noted. Median preassessment score was 80% (interquartile range [IQR]: 78%, 83%), and the median postassessment score was 100% (IQR: 90%, 100%), P = 0.0055. Sixteen students and four faculty members completed their respective subjective experiences in a Likert scale survey. Most students indicated they felt fairly confident or very confident that they had acquired knowledge, made relationships with faculty, and had become familiar with the program and departmental culture. All faculties indicated they agreed or strongly agreed that they were able to assess students' abilities and establish rapport with the students. Both students and faculty felt limited in the assessment of clinical skills due to a lack of in-person activities. Conclusions: Despite its inherent limitations, an ophthalmology virtual elective can effectively increase interest and knowledge within the field of ophthalmology, facilitate student–faculty relations, and serve as a tool for residency programs in the era of COVID-19 and thereafter.

Parinaud's Oculoglandular Syndrome (POGS) is a rare and atypical form of granulomatous conjunctivitis, classically composed of a triad: fever, unilateral granulomatous follicular conjunctivitis and preauricular satellite lymphadenopathy or ipsilateral submandibular, commonly related to cat scratch disease caused mainly by Bartonella henselae, or also caused, even if not tipically, by Sporothrix schenckii. In endemic areas, such as in South America, especially Brazil and Peru, ocular sporotrichosis, associated with POGS, should be considered a diagnostic hypothesis of ophthalmic diseases especially if this patient has a history of contact with cats . Itraconazole must be the first choice of medication for treatment and this patient would need assistance until complete clinical improvement, with family members oriented about possible sources of contamination, being important the early and appropriate treatment, due to the risk of eye sequelae . As a neglected public health problem in Brazil, where there has been a large increase in cases in the last decades, an accurate understanding of this disease is essential, with focus in the southeast region, mostly in the state of Rio de Janeiro.