Archivos De La Sociedad Espanola De Oftalmologia最新文献

{"title":"El principio de Krogh, el glaucoma y el ojo «extremófilo» de las ballenas","authors":"J. González-Martín-Moro , A. Bravo-Nuevo , M.A. García-Cabezas","doi":"10.1016/j.oftal.2024.12.001","DOIUrl":"10.1016/j.oftal.2024.12.001","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 165-166"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821011","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":"Imagen multimodal en la hipertrofia congénita del epitelio pigmentario de la retina peripapilar","authors":"F. López-Herrero,&nbsp;J.L. Sánchez-Vicente,&nbsp;M. Portillo-Martínez,&nbsp;J.V. Guijarro-Ambel,&nbsp;R. Barrera-Moyano,&nbsp;J. Suárez-Pérez","doi":"10.1016/j.oftal.2024.11.007","DOIUrl":"10.1016/j.oftal.2024.11.007","url":null,"abstract":"<div><div>Congenital hypertrophy of the retinal pigment epithelium (CHRPE) is a benign congenital hamartoma of the RPE of generally indolent course. It is usually located outside the posterior pole, with peripapillary presentation being a very rare entity (less than 1% of CHRPE cases). It is a pigmented lesion that can evolve into a heterogeneous pigmented lesion with gaps in its interior and a halo of depigmentation.</div><div>We present the case of a 52-year-old patient with a peripapillary CHRPE in the left eye followed in our service for more than 12 years through a multimodal imaging study. The patient maintained a visual acuity of 1.0, showing a small increase in the size of the atrophic areas within the lesion. No complications were observed. The right eye did not present any alteration.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 209-212"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821481","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":"La resección-retroinserción combinada en el mismo músculo para la corrección del estrabismo vertical incomitante","authors":"J.A. Reche-Sainz,&nbsp;L. de-Pablo-Gómez-de-Liaño,&nbsp;A. Iribarra-Fermandois,&nbsp;A. López-Alcaide,&nbsp;M. Ferro-Osuna","doi":"10.1016/j.oftal.2024.11.002","DOIUrl":"10.1016/j.oftal.2024.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of the combined resection-recession technique in correcting incomitant vertical strabismus.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted on 4<!--> <!-->adult patients with incomitant vertical strabismus, treated using the resection-recession technique on the inferior rectus muscle, with the resection amount being at approximately 50% of the recession. Surgeries were performed under topical anaesthesia and sedation, using adjustable sutures, allowing for intraoperative adjustments. Deviation in prism dioptres (PD) was measured in primary position and in the incomitant position, both before and after surgery. Success was defined as a reduction in incomitance greater than 50% and the preservation of orthotropia in primary position.</div></div><div><h3>Results</h3><div>Three patients were female and one was male, with a mean age of 58 years (range 38-80). The mean preoperative deviation in downgaze was 13 PD (range 10-16), which reduced to 0,5 PD (range 0-1) following surgery. The mean preoperative incomitance was 12 PD (range 10-14), decreasing to 0,5 PD (range 0-1) postoperatively (<em>P</em> <!-->&lt;<!--> <!-->0.05), representing a 95.8% reduction in incomitance. All patients achieved orthotropia in primary position. In one case, an intraoperative adjustment was necessary to correct a limitation in downgaze. No significant intraoperative complications were recorded.</div></div><div><h3>Conclusions</h3><div>The combined resection-recession technique appears to be effective and safe for the correction of vertical incomitant strabismus, achieving significant reduction in incomitance while maintaining alignment in primary position. The option for intraoperative adjustments may enhance surgical outcomes.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 180-184"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821475","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":"Experiencia de la aplicación de toxina botulínica tipo A como tratamiento de los trastornos hipercinéticos faciales en un centro oftalmológico de referencia mexicano","authors":"P.D. Lara-Barrera,&nbsp;J.L. Tovilla-Canales,&nbsp;O. Olvera-Morales,&nbsp;E.G. Castillo-Pérez,&nbsp;Á. Nava-Castañeda","doi":"10.1016/j.oftal.2024.12.003","DOIUrl":"10.1016/j.oftal.2024.12.003","url":null,"abstract":"<div><h3>Background and objective</h3><div>Blepharospasm is characterized by involuntary, sustained spasms of the orbicularis oculi, corrugator, and procerus muscles. Hemifacial spasm (HFS) is characterized by the involuntary tonic-clonic contraction of the muscles of a hemiface. The main role of botulinum toxin type A (BoNT-A) in the treatment of blepharospasm and HFS is recognized by guidelines around the world. In this study, we evaluated the applicability of botulinum toxin type A in patients with periocular hyperkinetic disorders at the Instituto de Oftalmología Fundación Conde de Valenciana, so that we can share the Mexican experience with the international evidence.</div></div><div><h3>Materials and methods</h3><div>The clinical records of patients diagnosed with facial hyperkinetic disorders treated with botulinum toxin type A (BoNT-A) that were treated from January 2015 to September 2021 were analyzed.</div></div><div><h3>Results</h3><div>A total of 140 records of patients diagnosed with facial hyperkinetic disorder and treated with BoNT-A were analyzed. Facial hyperkinetic disorders that occurred included 5 (3.6%) patients with orbicularis oculi myokymia, 72 (51.4%) with blepharospasm, 62 (44.3%) with hemifacial spasm, and 1 (0.7%) with Meige syndrome. One hundred and twenty patients (85.7%) reported remission of initial symptoms after BoNT-A therapy during the period covered by this study.</div></div><div><h3>Conclusions</h3><div>Botulinum toxin type A is effective and safe as a treatment for facial hyperkinetic disorders in the Mexican population.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 191-196"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821477","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":"Injerto de membrana amniótica como tratamiento para agujeros maculares persistentes y miópicos. Nuestra experiencia","authors":"L. Gutierrez-Benitez,&nbsp;G. Biarge,&nbsp;M. Asaad,&nbsp;B. Delas","doi":"10.1016/j.oftal.2024.08.017","DOIUrl":"10.1016/j.oftal.2024.08.017","url":null,"abstract":"<div><div>The amniotic membrane (hAM) plug is a treatment option for patients with large refractory or myopic macular holes (MH). The aim of this retrospective case series is to present the anatomical and functional changes during their follow-up that ranges from 10 to 45 months. Out of the ten eyes enrolled, 6 were idiopathic MH and 4 were myopic MH. Notably, 3 of the myopic MH cases were further complicated by posterior pole retinal detachment. Remarkably, 3 patients improved their best-corrected visual acuity, 5 mantained it and 2 worsened it. All the MH closed. Over this period, three instances of hAM plug misplacement following gas absorption required a secondary surgery employing another hAM. In conclusion, the hAM plug seems to be a safe technique and a treatment option for these patients. Further investigations are needed to comprehensively understand the long-term effects of hAM on the retina.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 213-218"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821482","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":"Malformación venosa cavernosa en el canal infraorbitario con presentación inusual","authors":"M.G. Solaz-Ruiz,&nbsp;S. Inat-Moreno,&nbsp;B. Casado-Peláez,&nbsp;C. Congost-Laguna,&nbsp;L. Azorín-Pérez,&nbsp;E. España-Gregori","doi":"10.1016/j.oftal.2024.10.012","DOIUrl":"10.1016/j.oftal.2024.10.012","url":null,"abstract":"<div><div>Presentation of a clinical case of cavernous venous malformation with an unusual location and clinical presentation, detailing its clinical, radiological characteristics, diagnosis, and therapeutic management. The case involves a 37-year-old man with intense headache and incidental diagnosis of infraorbital nerve neurofibroma by imaging tests. After surgical removal and pathological anatomy study, he was finally diagnosed with cavernous venous malformation of the infraorbital canal. Orbital cavernous venous malformation can present unusual manifestations that complicate its diagnosis. The combination of clinical symptoms and imaging tests is usually sufficient for diagnosis, but in cases of unusual clinical presentation, the role of pathological anatomy is essential.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 202-205"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821479","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":"Percepción de los riesgos laborales de las oftalmólogas durante la gestación","authors":"V.M. Asensio-Sánchez,&nbsp;L. De Juan Hernández","doi":"10.1016/j.oftal.2024.11.008","DOIUrl":"10.1016/j.oftal.2024.11.008","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Page 225"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821484","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":"Etiología de la queratitis infecciosa","authors":"C. Piña-Delgado ,&nbsp;M. Bolaños-Rivero ,&nbsp;I.I. Guedes Guedes ,&nbsp;L. Siguero-Martín ,&nbsp;I. de Miguel-Martínez","doi":"10.1016/j.oftal.2024.11.003","DOIUrl":"10.1016/j.oftal.2024.11.003","url":null,"abstract":"<div><h3>Objetives</h3><div>Analyze the etiology of infectious keratitis in our hospital.</div></div><div><h3>Material and methods</h3><div>Retrospective study in which the medical records of patients were reviewed in which a keratitis-producing microorganism was detected during the last 9 years (January 2014-December 2022). The sample was obtained by corneal scraping and seeded in non-selective media. Bacterial and fungal identification was carried out by mass spectrometry and viral identification by polymerase chain reaction. Sensitivity was obtained using disk-plate antibiograms, Etest or broth microdilution systems.</div></div><div><h3>Results</h3><div>A total of 433 samples of corneal scrapings belonging to 416 patients were processed. Of the total samples, 196 were positive (44,3%). The average age was 55 years, with 51% being women. Regarding the etiology, we found the following isolates: Gram-positive bacteria (N<!--> <!-->=<!--> <!-->83; 44%), highlighting <em>Staphylococcus aureus</em> (N<!--> <!-->=<!--> <!-->33), coagulase-negative staphylococci (N<!--> <!-->=<!--> <!-->26), being <em>Staphylococcus epidermidis</em> the most frequent (N<!--> <!-->=<!--> <!-->19); gram-negative bacteria (N<!--> <!-->=<!--> <!-->67; 35%), including: <em>Pseudomonas aeruginosa</em> (N<!--> <!-->=<!--> <!-->31), 42% associated with the use of contact lenses and enterobacterales (N<!--> <!-->=<!--> <!-->16); anaerobes (N<!--> <!-->=<!--> <!-->19), which 18 isolates were <em>Cutibacterium acnes</em>. Regarding viral etiology (N<!--> <!-->=<!--> <!-->10): herpes simple type 1 (N<!--> <!-->=<!--> <!-->7) and varicella-zoster virus (N<!--> <!-->=<!--> <!-->3). Finally, the fungal etiology (N<!--> <!-->=<!--> <!-->13), highlighting <em>Candida spp.</em> (N<!--> <!-->=<!--> <!-->10).</div></div><div><h3>Conclusions</h3><div>The main agents of infectious keratitis are <em>Staphylococcus aureus</em> and <em>Pseudomonas aeruginosa.</em> The causative agent was detected in 44,3% of the samples, so microbiological analysis of these samples is highly advisable.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 185-190"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821476","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":"Mamilaciones de iris bilaterales. Imagen de tomografía de coherencia óptica del segmento anterior","authors":"M. Comes-Carsí,&nbsp;S.A. Maugard Tepper,&nbsp;A.M. Duch-Samper","doi":"10.1016/j.oftal.2024.11.005","DOIUrl":"10.1016/j.oftal.2024.11.005","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Page 226"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821485","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":"Retinopatía asociada a síndrome de MELAS. A propósito de un caso","authors":"A.B. González Escobar,&nbsp;E. Barco Moreno,&nbsp;M.A. López-Egea Bueno,&nbsp;J.M. Galván Cano,&nbsp;R. Luque Aranda,&nbsp;A. González Gómez","doi":"10.1016/j.oftal.2024.10.010","DOIUrl":"10.1016/j.oftal.2024.10.010","url":null,"abstract":"<div><div>MELAS syndrome (mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes) is an inherited disease frequently caused by a mutation in the mitochondrial DNA variant m.3243A&gt;G in the MT-TL1 gene. The most frequent ophthalmologic finding present in 86-87% of patients with this mutation is mitochondrial retinopathy, where the clinical picture may vary from a macular and peripapillary salt-and-pepper granular pattern to chorioretinal atrophy. We present the case of a 47-year-old woman with type 1 diabetes mellitus, epilepsy, leukoencephalopathy, and deafness who was suspected of having mitochondrial disease after fundus examination. We would like to emphasize the importance of suspecting a mitochondrial disease in progressive multisystem disorders associated with neuro-ophthalmological manifestations, since early diagnosis allows for better monitoring of systemic manifestations, reducing morbidity and mortality.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 4","pages":"Pages 197-201"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821478","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}