A. Miranda Sánchez, R. Fernández Narros, P. Robles Amor
{"title":"Obstrucción de arteria central de la retina como síntoma diagnóstico de una fibrilación auricular","authors":"A. Miranda Sánchez, R. Fernández Narros, P. Robles Amor","doi":"10.1016/j.oftal.2024.10.008","DOIUrl":"10.1016/j.oftal.2024.10.008","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 3","pages":"Page 164"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Agujero lamelar degenerativo posdesprendimiento drusenoide del epitelio pigmentario de la retina","authors":"C.M. Ortega , D. Pratto","doi":"10.1016/j.oftal.2024.10.005","DOIUrl":"10.1016/j.oftal.2024.10.005","url":null,"abstract":"<div><div>The macular hole is a prevalent pathology whose types and causes are due to various reasons. Sometimes it can coexist with other diseases such as age-related macular degeneration. Its pathophysiological basis may have a common relationship with the degenerative lamellar foramen. Optical coherence tomography plays a fundamental role in understanding its genesis.</div><div>In this work, we present the case of a 60-year-old patient with age-related macular degeneration, who consults due to decreased visual acuity in the left eye. The ophthalmological examination revealed a drusenoid detachment of the retinal pigment epithelium in the foveal area, visible by optical coherence tomography, in addition to multiple drusen in both eyes.</div><div>Image follow-up showed regression of the detachment at the end of 60 days with the formation of a lamellar hole in its place. A follow-up was done for 24 months.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 3","pages":"Pages 150-153"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. González Martín-Moro , V. Altares-Mateos , J. Zarallo-Gallardo
{"title":"Lacrifagia: una nueva forma de trasmisión de enfermedades parasitarias","authors":"J. González Martín-Moro , V. Altares-Mateos , J. Zarallo-Gallardo","doi":"10.1016/j.oftal.2024.11.001","DOIUrl":"10.1016/j.oftal.2024.11.001","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 3","pages":"Pages 117-118"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Fernández Fernández De Castro, H. Sánchez Tocino, A. Galindo-Ferreiro
{"title":"Características demográficas y clínicas de pacientes con orbitopatía tiroidea en un hospital de tercer nivel a lo largo de 5 años","authors":"A. Fernández Fernández De Castro, H. Sánchez Tocino, A. Galindo-Ferreiro","doi":"10.1016/j.oftal.2024.10.006","DOIUrl":"10.1016/j.oftal.2024.10.006","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the demographic and clinical characteristics of thyroid orbitopathy (TO) in a population in Spain.</div></div><div><h3>Method</h3><div>It is a retrospective observational study of patients with TO treated at a tertiary hospital center. We gathered demographic data, ophthalmological symptoms, laterality, symmetry, recurrences, activity according to the Clinical Activity Score scale, severity according to the European Group On Graves’ Orbitopathy (EUGOGO), thyroid function and antibody levels. Statistical significance was defined for <em>p</em> values <0.05.</div></div><div><h3>Results</h3><div>One hundred fifty-six patients with TO were included. One hundred twenty eight (82.1%) women, the female/male sex ratio was 4.57:1. The cumulative incidence was 7.47 cases per 100,000 inhabitants/year. The mean age was 50.7<!--> <!-->±<!--> <!-->13.2 years. Seventy (44.9%) patients were smokers. Sixty two (39.7%) patients had a family history of thyroid dysfunction. Hyperthyroidism occurred in 90 (57.7%) patients, hypothyroidism in 34 (21.8%) patients, and euthyroidism in 32 (20.5%) patients. Thyroid-stimulating immunoglobulin was elevated in 107 (68.5%) patients. The TO was bilateral in 149 (95.51%) and symmetrical in 99 (66%). Active TO occurred in 28 (17.9%) patients. One hundred ten (70.5%) TO were mild, 41 (26.3%) moderate-severe and 5 (3.2%) very severe. Moderate-severe TO was higher in smokers compared to non-smokers (32.9% vs. 20.9%, <em>p</em> <!-->=<!--> <!-->0.524).</div></div><div><h3>Conclusions</h3><div>TO in our population follows similar patterns to other countries: female sex, mild, bilateral and symmetrical. In smokers, TO may present more severely.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 3","pages":"Pages 134-142"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Naranjo Salazar , S. Restrepo Velásquez , A.M. Rodriguez Gómez , J.M. Palacio Aguirre
{"title":"Transiluminación aguda bilateral del iris: descripción de 2 casos","authors":"S. Naranjo Salazar , S. Restrepo Velásquez , A.M. Rodriguez Gómez , J.M. Palacio Aguirre","doi":"10.1016/j.oftal.2024.10.007","DOIUrl":"10.1016/j.oftal.2024.10.007","url":null,"abstract":"<div><div>Bilateral Acute Iris Transillumination (BAIT) syndrome is characterized by a severe pigment dispersion with secondary iris atrophy and increased intraocular pressure (IOP). We report two cases of female patients aged 31 and 37 years respectively with a diagnosis of BAIT syndrome who required management for ocular hypertension secondary to pigment dispersion syndrome including medical therapy and surgical management in one case. It is important to consider BAIT syndrome as a differential diagnosis in pigment dispersion syndrome or pseudo-uveitis cases because of the need for timely management to prevent visual loss secondary to glaucomatous optic neuropathy.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 3","pages":"Pages 154-157"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E.S. Barillas Escobar, J.L. Tovilla Canales, O. Olvera Morales, E.G. Castillo Pérez, A. Nava-Castañeda
{"title":"Colocación simultánea de un implante de cemento óseo posterior a cirugía de evisceración en pacientes con diagnóstico de endoftalmitis infecciosa","authors":"E.S. Barillas Escobar, J.L. Tovilla Canales, O. Olvera Morales, E.G. Castillo Pérez, A. Nava-Castañeda","doi":"10.1016/j.oftal.2024.09.003","DOIUrl":"10.1016/j.oftal.2024.09.003","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Endophthalmitis is a type of eye inflammation that affects all structures of the eye and is generally of infectious origin. In cases recalcitrant to intravitreal treatment or posterior vitrectomy, evisceration or enucleation are the preferable options. Polymethylmethacrylate (PMMA) bone cement stands out as an implant in other areas of medicine due to its great stability and healing. In this study, we will evaluate the safety profile and extrusion rate of the antibiotic-reinforced bone cement implantation when it is decided to place it at the same surgical act as an evisceration indicated for infective endophthalmitis.</div></div><div><h3>Materials and methods</h3><div>Subjects of any age and gender from the Oculoplastic outpatient clinic of Instituto de Oftalmología Fundación Conde de Valenciana, with a diagnosis of infectious endophthalmitis who required evisceration from May throught October 2012 were included.</div></div><div><h3>Results</h3><div>A total of 20 subjects were included, 55% of whom were men (11) 45% women (9), with mean age of 51 up to 80<!--> <!-->years. No complications were evidenced in the immediate postoperative period or at 1, 3 and 6<!--> <!-->months follow up, and in all cases, the correct position of the implant was confirmed via computed tomography.</div></div><div><h3>Conclusions</h3><div>In patients diagnosed with infectious endophthalmitis of any cause, evisceration and bone cement implatation in a single surgical act is a safe and effective option.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 2","pages":"Pages 87-90"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Miranda Sánchez, R. Fernández Narros, J. Donate López
{"title":"Manejo exitoso de una hemorragia subretiniana en un paciente con DMAE","authors":"A. Miranda Sánchez, R. Fernández Narros, J. Donate López","doi":"10.1016/j.oftal.2024.07.008","DOIUrl":"10.1016/j.oftal.2024.07.008","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 2","pages":"Page 115"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Berrones , C. Rocha-de-Lossada , E. Barraquer-Compte , G. Valvecchia , Joaquín Fernández
{"title":"Implementación de SICS (cirugía de catarata de pequeña incisión) en campañas humanitarias: descripción de la técnica quirúrgica y revisión de la literatura","authors":"D. Berrones , C. Rocha-de-Lossada , E. Barraquer-Compte , G. Valvecchia , Joaquín Fernández","doi":"10.1016/j.oftal.2024.10.004","DOIUrl":"10.1016/j.oftal.2024.10.004","url":null,"abstract":"<div><div>The aim of this article has been, on the one hand, to describe the use of manual small incision cataract surgery (MSICS) for the management of cataracts, especially mature ones, in relation to its particular utility in the field of humanitarian campaigns, for which a description of the MSICS technique has been made, subsequently a review of the available scientific literature has been carried out to verify the results of this technique in comparison with phacoemulsification and extracapsular surgery and to describe the importance of teaching this technique to all cataract surgeons, especially the ones participating in humanitarian campaigns. According to what has been found, MSICS is an excellent surgical technique and according to current evidence it seems to be the choice over phacoemulsification and/or the classic extracapsular technique in hyper mature cataracts, especially in the field of humanitarian campaigns, due to its lower rate of complications and the improvement in visual acuity obtained. According to the studies found, it would be possible for the experienced ophthalmologic surgeon to implement this technique since the learning curve is short. In addition, in the scenario of humanitarian campaigns, the cost per surgery and the surgical time are reduced. It can be concluded that MSICS should be part of the surgical repertoire of every cataract surgeon, especially in those who perform surgeries in humanitarian campaigns, since it provides shorter surgical time, lower cost and better results in complex cases.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 2","pages":"Pages 91-97"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Rivera Pérez de Rada, M. Cobas Belso, S. Vallinas Hidalgo, A. Ruibal Escribano, E. Barastay Alberdi, M. Benedí Alcibar
{"title":"Rituximab intraorbitario para tratar inflamación orbitaria en paciente con neoplasia activa","authors":"P. Rivera Pérez de Rada, M. Cobas Belso, S. Vallinas Hidalgo, A. Ruibal Escribano, E. Barastay Alberdi, M. Benedí Alcibar","doi":"10.1016/j.oftal.2024.09.002","DOIUrl":"10.1016/j.oftal.2024.09.002","url":null,"abstract":"<div><div>A 66-year-old woman presents with unilateral orbital inflammation of several years of evolution, initially classified as idiopathic orbital inflammatory disease (IOID) subtype myositis. She presented with pain, eyelid inflammation and significant elevation of intraocular pressure, as well as radiological signs of exophthalmos and superior rectus myositis. She was treated with corticosteroids, with partial response. She was diagnosed with colon adenocarcinoma, complicated with febrile neutropenia, and therefore immunosuppressive treatment was contraindicated. Treatment with intraorbital rituximab was decided, achieving resolution of symptoms and reduction of IOP. The diagnosis of neoplasia raises the possibility of paraneoplastic orbital inflammation.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 2","pages":"Pages 103-106"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Avilés-Prieto , M. Parrila-Vallejo , C. Cortes-Laborda , P. Molina-Solana , S. Dominguez-Llamas , E. Rodríguez-de-la-Rúa-Franch
{"title":"Importancia del tratamiento individualizado: dispositivo subconjuntival en el glaucoma inducido por aceite de silicona","authors":"J. Avilés-Prieto , M. Parrila-Vallejo , C. Cortes-Laborda , P. Molina-Solana , S. Dominguez-Llamas , E. Rodríguez-de-la-Rúa-Franch","doi":"10.1016/j.oftal.2024.11.004","DOIUrl":"10.1016/j.oftal.2024.11.004","url":null,"abstract":"<div><div>Although silicone oil is used as an intraocular buffer in vitreoretinal surgical procedures, its use can cause complications, including glaucoma. This study highlights the importance of individualized approaches for the management of silicone oil-induced glaucoma.</div><div>A 62-year-old man with a past medical history of retinal detachment and multiple ocular surgical procedures presented with uncontrolled ocular pressure peaks after retinal detachment surgery using silicone oil as a buffer, which did not resolve after removal of the buffer. We decided to perform anterior chamber lavage followed by the implantation of a subconjunctival drainage device in the lower nasal location to minimize complications and maintain good visual acuity. Silicone oil extraction is usually the treatment of choice, although it can cause fluctuations in intraocular pressure. In this case, a more physiological and less invasive approach was chosen with the implantation of a Preserflo® device in the lower nasal region, avoiding complications and achieving the preoperative goals without uneventfully.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 2","pages":"Pages 111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}