Introduction: the patient with sickle cell anemia presents many clinical complications during his lifetime, which affect his quality of life. Objective: to learn about the profile of the patient with drepanocytosis and its most frequent clinical complications and estimate the prevalence of chronic ulcers in these patients. Methods: this was a cross-sectional study including all patients with sickle cell anemia registered at the Hemominas Foundation in Divinópolis, Minas Gerais. Results: repeated infections and pulmonary and hepatobiliary complications were the most frequent complications and 5% of the patients presented active leg ulcers at the time of the study. Conclusion: there is a great variety in the presentation of the disease among patients, which requires a standardization of protocols for services, improved training of health network professionals, and training of families for better monitoring their patients. RESUMOIntrodução: o paciente portador de anemia falciforme apresenta durante sua vida diversas complicações clínicas que afetam muito sua qualidade de vida. Objetivo: conhecer o perfil do paciente com drepanocitose e de suas complicações clínicas mais frequentes e estimar a prevalência de úlceras crônica nesses pacientes. Métodos: trata-se de estudo transversal incluindo todos os portadores de anemia falciforme cadastrados na Fundação Hemominas de Divinópolis, Minas Gerais. Resultados: as infecções de repetição, complicações pulmonares e hepatobiliares foram as mais frequentes e 5% dos pacientes apresentavam úlcera de perna ativa no momento da pesquisa. Conclusão: há grande variedade na apresentação da doença entre seus portadores, sendo necessária padronização de protocolos pelos serviços, melhor capacitação da rede de saúde, bem como do preparo das famílias para que haja melhor acompanhamento dos doentes.

This case report identified paracentral acute middle maculopathy as the cause of severe and irreversible vision loss after cataract surgery. Cataract surgeons should be aware of known risk factors for the development of paracentral acute middle maculopathy. In those patients, extra care regarding anesthesia, intraocular pressure, and some other aspects of cataract surgery must be taken. Paracentral acute middle maculopathy is currently understood as a clinical sign evident on spectral-domain optical coherence tomography, and it is probably evidence of deep ischemic insult to the retina. It should be a differential diagnosis in cases of marked low vision acuity associated with no fundus abnormalities in the immediate postoperative period, as demonstrated in the presented case.