Archivos De La Sociedad Espanola De Oftalmologia最新文献

{"title":"El rol de la OCT de segmento anterior en queratitis ulcerativa periférica","authors":"C. Parés-Alfonso, D. Oliver-Gutiérrez, E. Ros-Sanchez","doi":"10.1016/j.oftal.2025.03.004","DOIUrl":"10.1016/j.oftal.2025.03.004","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 10","pages":"Pages 652-653"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230063","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":"Reconstrucción de párpado superior tras mordedura de perro mediante el uso de injerto compuesto en edad pediátrica","authors":"C.A. Gómez Lanz ,&nbsp;B. Palmero Sánchez ,&nbsp;M.V. Carmona Pérez ,&nbsp;E. Nevado Sánchez","doi":"10.1016/j.oftal.2025.05.004","DOIUrl":"10.1016/j.oftal.2025.05.004","url":null,"abstract":"<div><div>Eyelid lesions in children are always a surgical challenge. We present the case of a 2-year-old girl with subtotal amputation of the upper eyelid due to a dog bite. Immediate surgical reimplantation with a composite graft was performed, achieving complete functional recovery without affecting ocular closure. At 6<!--> <!-->years of follow-up, the only sequel was the absence of eyelashes in the affected area. The use of composite grafts seems to be an effective option in this type of injuries, allowing good functional and aesthetic results without limiting future reconstructions.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 10","pages":"Pages 636-639"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230059","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":"Osteoma primario gigante en la órbita: reporte de caso y revisión de la literatura","authors":"M. Dorronsoro,&nbsp;C. Pagano Boza","doi":"10.1016/j.oftal.2025.06.011","DOIUrl":"10.1016/j.oftal.2025.06.011","url":null,"abstract":"<div><div>Osteoma is a benign, slow-growing bone tumor that primarily affects the jaw and paranasal sinuses. Intraorbital location, whether primary or secondary, is rare. Although it is generally asymptomatic, it can become symptomatic. As it grows, orbital osteoma can cause symptoms due to displacement and compression of the orbital contents posing a risk to vision.</div><div>This article is a literature review and case report of a large primary orbital osteoma in a 36-year-old woman, initially asymptomatic and later exhibiting a few symptoms despite significant displacement of the orbital structures that the tumor causes. Its handling was controversial for us because we did not have references on the approach we should be taking. To this date, no cases of asymptomatic intraorbital osteomas of this size have ever been published.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 10","pages":"Pages 644-649"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230061","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":"Características diferenciales en miopía alta con y sin glaucoma","authors":"P. Robles Amor ,&nbsp;A. Cabo Sánchez ,&nbsp;A. Antón López ,&nbsp;S. Duch Tuesta ,&nbsp;J. Moreno Montañés ,&nbsp;F.J. Muñoz Negrete ,&nbsp;I. Rodríguez Uña ,&nbsp;F. Sáenz Francés ,&nbsp;J. García Feijoó ,&nbsp;J.M. Martínez de la Casa","doi":"10.1016/j.oftal.2025.04.009","DOIUrl":"10.1016/j.oftal.2025.04.009","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To identify the differences in ocular and epidemiological parameters between highly myopic subjects with and without glaucoma.</div></div><div><h3>Material and methods</h3><div>A total of 386 patients diagnosed with high myopia were recruited in hospital consultations from October 2022 through October 2023. High myopia was defined as an axial length ≥<!--> <!-->26<!--> <!-->mm and/or a refractive error ≥<!--> <!-->−6<!--> <!-->diopters of sphere. We perform a complete ophthalmological examination, incorporating optical biometry to measure axial length and an objective refraction to quantify refractive error.</div></div><div><h3>Results</h3><div>386 high myopic patients without (group<!--> <!-->I: n<!--> <!-->=<!--> <!-->138) and with glaucoma (group<!--> <!-->II: n<!--> <!-->=<!--> <!-->248) who attended for consultation were included in the study. The distribution by sex was similar in both groups.</div><div>The mean age was slightly higher in the glaucoma group than in the subjects without glaucoma, without finding statistically significant differences (63.8 vs 62.4 years; <em>P</em> <!-->=<!--> <!-->.349).</div><div>Patients with glaucoma had a higher mean refractive error: −15.52<!--> <!-->diopters vs −12.75<!--> <!-->diopters finding statistical significance (<em>P</em> <!-->=<!--> <!-->.002). The mean axial length was significantly greater in patients with glaucoma: 30.21 vs 28.93<!--> <!-->mm (<em>P</em> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>Our results firstly suggest that increased axial length and greater refractive error are directly related to the prevalence of glaucoma in patients with high myopia. The non-association between a higher prevalence of glaucoma and older age in these patients is of special interest. These findings underscore the importance of increasing awareness of the increased prevalence of glaucoma in people with high myopia.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 9","pages":"Pages 514-520"},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913848","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":"Listado de Verificación de Seguridad Quirúrgica en oftalmología: propuesta de un hospital de tercer nivel","authors":"N. Lorenzana-Blanco,&nbsp;A. Escudero-Villanueva,&nbsp;N. Alejandre-Alba,&nbsp;I. Jiménez-Alfaro Morote","doi":"10.1016/j.oftal.2025.03.001","DOIUrl":"10.1016/j.oftal.2025.03.001","url":null,"abstract":"<div><div>Adverse events due to unsafe healthcare practices constitute a serious global problem. The World Health Organization has recognized healthcare insecurity as a public health issue and has undertaken various initiatives to safeguard patient safety. The Surgical Safety Checklist is one of the tools implemented that has proven to be most effective in reducing morbidity and mortality associated with surgeries. Its impact is tied to implementation policies. Although the Surgical Safety Checklist is universal, the World Health Organization has encouraged adaptations for different specialties. The purpose of our work is to present the Surgical Safety Checklist used in our hospital for major and minor ophthalmic surgery. Regarding cataract surgery, it is noteworthy to consider special ocular conditions and the correct choice of intraocular lens.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 8","pages":"Pages 466-472"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757643","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":"Clasificación del estafiloma posterior en miopía patológica mediante 3 D WIDE SCAN REVIEW en imágenes del fondo de ojo","authors":"J.D. Arias Aristizábal ,&nbsp;C.M. Cordoba-Ortega ,&nbsp;M.A. Gómez Velasco ,&nbsp;J.M. Barahona Campos","doi":"10.1016/j.oftal.2025.04.008","DOIUrl":"10.1016/j.oftal.2025.04.008","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Pathological myopia is associated with structural changes, including posterior staphylomas, which can be categorized based on their morphology. This study aims to classify posterior staphylomas in patients with pathological myopia using the 3<!--> <!-->D WIDE SCAN REVIEW Swept-Source optical coherence tomography (OCT) platform and compare the findings with the Ohno-Matsui classification.</div></div><div><h3>Patients and methods</h3><div>We conducted a retrospective cross-sectional cohort study, including 59 eyes from 31 patients diagnosed with high myopia (axial length ≥<!--> <!-->26<!--> <!-->mm and/or spherical equivalent ≥<!--> <!-->−6.00 diopters) and pathological myopia, defined as equal to or greater than diffuse chorioretinal atrophy or the presence of a posterior staphyloma, according to the META-PM study group. Posterior staphylomas were categorized based on fundus depression shape and appearance using 3<!--> <!-->D WIDE SCAN REVIEW analysis and compared using the Ohno-Matsui 2014 classification. Additionally, myopic maculopathy was assessed using the Atrophic-Tractional-Neovascular (ATN) classification, explicitly evaluating atrophic (A), tractional (T), and neovascular (N) components. Image acquisition was performed using the Topcon Triton Swept-Source OCT system, and images were processed and analyzed with the 3<!--> <!-->D WIDE SCAN REVIEW platform.</div></div><div><h3>Results</h3><div>The patients’ mean age was 49.56<!--> <!-->years (SD: ±<!--> <!-->18.50; 71.05% women). The distribution of posterior staphylomas varied among the study population. Type<!--> <!-->I (wide macular) was the most prevalent, observed in 22.0% of cases, followed by Type<!--> <!-->II (narrow macular) at 10.2%, Type<!--> <!-->III (peripapillary) at 8.5%, Type<!--> <!-->IV (nasal) at 3.4%, and Type<!--> <!-->V (inferior) at 8.5%. This classification highlights the predominance of macular involvement in pathological myopia, with nasal and inferior staphylomas being less common. Regarding myopic maculopathy, A1 was the most common atrophic component (43.5%), T0 was predominant (78.3%), and N0 was the most common neovascular category (83%).</div></div><div><h3>Conclusions</h3><div>The 3<!--> <!-->D WIDE SCAN REVIEW Swept-Source OCT platform provides a high-resolution, non-invasive method for detailed visualization and classification of posterior staphylomas. By using Topcon Triton SS-OCT for image acquisition and 3<!--> <!-->D WIDE SCAN REVIEW software for analysis this study demonstrates a clinically viable alternative to traditional imaging modalities for evaluating posterior staphylomas in pathological myopia.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 8","pages":"Pages 458-465"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757642","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":"Variante patogénica de KMT2D c.6341del (p.Gly2114Alafs*30) y evaluación multimodal de su fenotipo en una mujer hispano-mexicana con síndrome de Kabuki: informe de una nueva variante","authors":"L.A. Garza-Garza ,&nbsp;A.P. Arizpe ,&nbsp;R. Morales-Reyes ,&nbsp;R.A. Villafuerte-de la Cruz ,&nbsp;M. Garza-León","doi":"10.1016/j.oftal.2025.04.007","DOIUrl":"10.1016/j.oftal.2025.04.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Kabuki syndrome is a rare congenital malformation syndrome originally described by Niikawa et al. in 1981. A wide array of pathogenic variants and phenotypes have been described ever since. However, cases from Hispanic-Mexican populations evaluated with multimodal imaging are scarce. Therefore, the aim of this study is to report on the multimodal evaluation of a Hispanic-Mexican case with a novel pathogenic variant.</div></div><div><h3>Materials and methods</h3><div>Next generation sequencing was used to search for pathogenic variants in KMT2D in the proband and her parents and sibling. A full systemic and ophthalmological examination along with ancillary studies were undertaken.</div></div><div><h3>Results</h3><div>Only the proband had relevant findings and a compatible pathogenic variant in KMT2D. The systemic and ophthalmic phenotype correlates with previous reports of Kabuki syndrome. Ancillary studies of the retina, optic nerve, macular area, macular vascular flow and cornea were within normal limits. The novel detected pathogenic variant in the proband was c.6341del (p.Gly2114Alafs*30) in KMT2D.</div></div><div><h3>Conclusions</h3><div>The present paper reports on a novel pathogenic variant in Kabuki syndrome. The multimodal imaging evaluation of the ophthalmic phenotype was within normal limits.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 8","pages":"Pages 452-457"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757641","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":"Excavación intracoroidea peripapilar","authors":"J.C. Escribano Villafruela,&nbsp;A. Fuentes Zamora,&nbsp;L. Gómez Fernández,&nbsp;J.R. Ruiz Batrés,&nbsp;J.L. Urcelay Segura","doi":"10.1016/j.oftal.2025.03.002","DOIUrl":"10.1016/j.oftal.2025.03.002","url":null,"abstract":"<div><div>Peripapillary Intrachoroidal Cavitation (PICC) can be appeared as an orangish lesion located at the outer lower edge of the myopic cone and confined to the intrachoroidal space. It is more common in patients with high myopia, older age, and greater axial length. The most accepted pathophysiological mechanism involves traction over a vulnerable sclera tissue at the myopic cone. PICC may present with visual field defects like mild glaucomatous neuropathy. Differential diagnosis with other choroidal pathologies is essential, and OCT-HD shows distinctive features in PICC. Additionally, OCT-A plays a crucial role in the diagnosis.</div><div>We present 3 patients with PICC from our center, all of whom share advanced age, increased axial length, and myopia. All cases exhibit characteristic imaging alterations and visual field defects likely associated with the pathology.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 8","pages":"Pages 485-491"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757695","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":"Manejo de las parálisis oculomotoras bilaterales tras un traumatismo craneoencefálico: a propósito de un caso","authors":"P. Talavero-González,&nbsp;J. García-Bella,&nbsp;E. Hernández-García,&nbsp;E. Vico-Ruiz,&nbsp;Á. Romo-López,&nbsp;R. Gómez de Liaño-Sánchez","doi":"10.1016/j.oftal.2025.03.005","DOIUrl":"10.1016/j.oftal.2025.03.005","url":null,"abstract":"<div><div>A 73-year-old male with disabling torticollis. He suffered a severe traumatic head injury when he had 36 years old, affecting multiple cranial nerves, including III, IV and VI bilaterally. On actual examination he presented a large torticollis left head turn that compensates the diplopía. In the right eye, -4 limitation of adduction, -1 limitation of elevation and horizontal nystagmus on abduction. In the left eye, -6 limitation of abduction, -2 limitation of adduction, -1 limitation of elevation and -2 limitation of depression (0-8 scale). The right eye underwent Nasal Nishida procedure and the left eye underwent a Temporal Nishida. One year after the surgery the patient was no longer maintaining a head turn but had a mild tilt to the right and inttermitent diplopía.</div><div>Nishida procedure can be a good option in cases of complex bilateral oculomotor paralysis.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 8","pages":"Pages 504-507"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757698","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":"Nuevo signo OCT en retinosquisis ligada al X sin esquisis macular: «fovea en tejado invertido»","authors":"P.B. Blasco Palacio,&nbsp;A. Aramburu-Gonzalez,&nbsp;I. Rodríguez García","doi":"10.1016/j.oftal.2025.02.001","DOIUrl":"10.1016/j.oftal.2025.02.001","url":null,"abstract":"<div><div>We present the case of a 52-year-old man with a stable ophthalmological follow-up for the last 10 years. Clinically asymptomatic, except for floaters in both eyes. In the fundus, bilateral peripheral retinoschisis was observed without associated macular schisis. The electroretinogram (ERG) is electronegative and shows a genetic confirmation of the pathogenic variant c.461A<!--> <!-->&gt;G; p.(Gln154Arg) of the RS1 gene compatible with the diagnosis of juvenile X-linked retinoschisis (RSLX). The foveal architecture in Optical Coherence Tomography (OCT) presents «inverted roof fovea» not previously described, having found two similar cases in the literature. In males in whom we find the sign of «inverted roof fovea», we should check the fundus, and if we find peripheral retinoschisis, we recommend insisting on the family history, and increase its study with an ERG and molecular genetic analysis, ruling out RSLX.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 8","pages":"Pages 476-480"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757645","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}