Archivos De La Sociedad Espanola De Oftalmologia最新文献

{"title":"Roséola sifilítica iridiana. Utilidad de la tomografía de coherencia óptica de segmento anterior","authors":"N. Ruiz del Rio, M. Comes Carsi, L. Sanz Gallen","doi":"10.1016/j.oftal.2024.08.004","DOIUrl":"10.1016/j.oftal.2024.08.004","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Page 57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155250","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":"Queratitis por Acanthamoeba en la última década. ¿Qué hemos aprendido?","authors":"A. Arnaiz-Camacho ,&nbsp;L. Goterris Bonet ,&nbsp;L. Bisbe Lopez ,&nbsp;S. Martín Nalda ,&nbsp;J. Puig Galy ,&nbsp;S. García-Hidalgo ,&nbsp;T. Pablos-Jiménez ,&nbsp;A. Pairó-Salvador","doi":"10.1016/j.oftal.2024.08.013","DOIUrl":"10.1016/j.oftal.2024.08.013","url":null,"abstract":"<div><h3>Introduction</h3><div><em>Acanthamoeba</em> keratitis continues to be one of the most feared corneal infections due to its severity and capacity to generate irreversible visual sequelae. Despite diagnostic and therapeutic advances, this disease is increasing in our environment every year, related to a growing number of contact lens users. This last decade marked by the COVID-19 pandemic represents an unprecedented historical scenario whose impact must be analyzed from different health points of view.</div><div>This study aims to describe the epidemiology, clinical presentation, treatment and evolution of <em>Acanthamoeba</em> keratitis in a tertiary hospital in the last 10<!--> <!-->years.</div></div><div><h3>Results</h3><div>The results have been obtained from a total of 13 eyes of 13 patients. This series of cases shows a diagnostic gap during the pandemic period, with a greater number of patients in the previous and post-pandemic stages. The different parameters of clinical presentation, microbiological diagnosis and clinical evolution are analyzed. All patients in our study wore contact lenses. Five of the cases were initially diagnosed in other centers as herpetic keratitis. Seven patients had a pseudo-dendrite as initial presentation, while six cases presented as an annular infiltrate. In all cases, 0.02% chlorhexidine eye drops were prescribed and this was associated with 0.1% propamidine in 11 cases. The results were variable, achieving an improvement in visual acuity in 10 of the cases.</div></div><div><h3>Conclusion</h3><div>This is a study on an emerging disease and with increasingly advanced knowledge and use of diagnostic and therapeutic tools in the historical context of a pandemic. This text attempts to shed light on the different forms of presentation and management of cases of <em>Acanthamoeba</em> keratitis.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 28-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155256","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":"Microesferofaquia asociada a miosis congénita: ¿casualidad o causalidad?","authors":"C. Arteaga Henríquez ,&nbsp;M. Rivera Zori ,&nbsp;I. Valls Ferrán ,&nbsp;C. Martín Villaescusa ,&nbsp;B. Gutiérrez Partida ,&nbsp;N. Blanco Calvo","doi":"10.1016/j.oftal.2024.08.002","DOIUrl":"10.1016/j.oftal.2024.08.002","url":null,"abstract":"<div><div>Congenital miosis and microspherophakia are rare congenital disorders of the anterior chamber that are associated with multiple other ophthalmological and systemic disiases or disorders. Nevertheless, the association of these two entities had not been previously described yet. We present the case of a 2-years-old male patient without other relevant past medical history that presented with microspherophakia-related high myopia associated with congenital miosis.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155257","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":"Neurorretinopatía macular aguda asociada a migraña","authors":"N. Domènech-López ,&nbsp;V. Llorenç ,&nbsp;A. Moll-Udina ,&nbsp;A. Adán","doi":"10.1016/j.oftal.2024.08.009","DOIUrl":"10.1016/j.oftal.2024.08.009","url":null,"abstract":"<div><div>Acute macular neuroretinopathy (AMN) is an uncommon entity that affects the outer layer of the retina and usually presents itself as an acute paracentral scotoma. It is mostly seen in young women and the course is usually self-limited. The diagnosis is established by a multimodal image, with optical coherence tomography (OCT) being the preferred technique. The origin is thought to be linked to a possible dysregulation in the flow of the deep vascular plexus of the retina or the choriocapillaris. A clinical case of an AMN in a young woman associated with a migraine attack is presented, highlighting the importance of considering this disease in the differential diagnosis of visual disorders associated with migraines. A physiological and pathological basis between migraine and NMA is suggested.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 51-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155252","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":"Encuesta sobre el manejo de las oclusiones arteriales retinianas en España","authors":"N. Olivier-Pascual ,&nbsp;J. Viéitez-Vázquez ,&nbsp;A. García-Ben ,&nbsp;R. Arroyo-Castillo ,&nbsp;S. Rubio-Cid ,&nbsp;N. Castro Casal ,&nbsp;C. Quintero-González ,&nbsp;J.M. Abalo-Lojo ,&nbsp;M.D. Álvarez-Díaz","doi":"10.1016/j.oftal.2024.07.003","DOIUrl":"10.1016/j.oftal.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the current status of the management of retinal artery occlusion (RAO) in Spain.</div></div><div><h3>Material and methods</h3><div>We conducted an anonymous 22-question survey questionnaire on Google Forms® from April 27^th through May 28^th, 2023. This survey was distributed by e-mail by the Spanish Vitreo-Retinal Society and the Spanish Society of Ophthalmology.</div></div><div><h3>Results</h3><div>A total of 159 ophthalmologists from 91 public and 44 private centers across the 17 autonomous communities answered the survey. A total of 5% of respondents were women, 56.6% worked in public centers, 9.4% in private centers and 34% in both centers.</div><div>A total of 41.7% of the ophthalmologists working in public centers were also in charge of eye emergencies on a 24-h basis, 365 days/year, while the rest delay the management of these emergencies outside their working hours. In 62.6% of the public centers with responses collected there are no protocols for the management of RAO in the ophthalmology services and as for multidisciplinary protocols, 57% recognize that they do not have one, 23% have one along with neurology or internal medicine and only 13% of the centers include RAO as parte of their stroke code. The most widely reported therapies are hypotensive drugs and anterior chamber paracentesis.</div><div>A total of 73.7% of private centers reported not having their own protocol, and 78.9% not having any protocol with any other services. The main barriers perceived by the respondents were patients arriving outside the window period (77.2%), no specific treatment and lack of established protocols (55.4%), and a low incidence rate (32.9%).</div><div>Suggestions for improvement were the need for implementing the protocols, coordination with other services and that RAO should be included as part of their stroke code.</div></div><div><h3>Conclusions</h3><div>Despite its limitations (simple questionnaire, open design of some questions, no center and provincial representation, and contradictory responses within the same center), the survey can serve as an approximation to the current management of RAO in Spain. Protocols adapted to the different centers need to be developed and, then, followed effectively to improve accessibility and equity.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 16-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155717","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":"Hernia foveal. Características morfológicas y efecto del pelado de la membrana epirretiniana idiopática","authors":"N. Ruiz del Rio,&nbsp;Á.A. Ojeda Parot,&nbsp;F. García Ibor,&nbsp;D. Hernández Pérez,&nbsp;A.M. Duch Samper","doi":"10.1016/j.oftal.2024.08.008","DOIUrl":"10.1016/j.oftal.2024.08.008","url":null,"abstract":"<div><div>Foveal hernia (FH) can be detected by optic coherence tomography. FH refers to the prolapse of the innermost retinal layers into the vitreal cavity. It occurs in patients with an epiretinal membrane that does not cover the central foveal area. This present case exposes the sudden development of contractility in an idiopathic epiretinal membrane after years of stable follow-up, with no signs of progression. Additionally, this case report also shows the rapid recovery of the retinal structure after removal of the membrane. In surgical imaging with membrane staining and during its extraction, the eyelet (or slot/opening) on the foveal surface is clearly visible.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 46-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155254","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":"Opacificación de cápsula posterior bilateral y acelerada en el contexto clínico de una esclerosis sistémica difusa","authors":"V. Gómez-Calleja,&nbsp;B. Burgos-Blasco,&nbsp;N. Güemes-Villahoz","doi":"10.1016/j.oftal.2024.08.001","DOIUrl":"10.1016/j.oftal.2024.08.001","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 55-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155253","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":"Tratamiento ciclodestructivo para la elevación sintomática de la presión intraocular durante la hemodiálisis: reporte de dos casos y revisión de la literatura","authors":"H. Mies ,&nbsp;F. Manzur ,&nbsp;S. Verdaguer D","doi":"10.1016/j.oftal.2024.07.001","DOIUrl":"10.1016/j.oftal.2024.07.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Within the characteristics of hypertensive glaucoma is its elevated intraocular pressure (IOP) associated with a low ocular perfusion pressure (OPP). Changes to these parameters can be affected by systemic disease such chronic kidney disease (CKD). Similarly, there is a correlation in the prevalence of both conditions in patients with similar characteristics, which stressed the need to address the management of glaucoma in patients with CKD given the implications of the disease on ocular disease. Furthermore, hemodialysis (HD) is the maintenance treatment for end-stage CKD, which can lead to transient increases in IOP, thus contributing to ocular discomfort and potential glaucoma progression.</div></div><div><h3>Methods</h3><div>We conducted a search across PubMed and Epistemonikos databases constructing a theoretical framework based on primary studies and similar case reports. Additionally, 2 cases of patients with CKD and severe ocular pain during HD are presented from data from electronic health records, including demographic data, clinical presentations, treatments, and post-treatment outcomes.</div></div><div><h3>Results</h3><div>Both patients received cyclodestructive treatment for episodes of symptomatic hypertensive glaucoma during HD, showing favorable clinical outcomes after treatment controlling IOP surges and relieving ocular pain during the HD sessions.</div></div><div><h3>Discussion</h3><div>This review sheds light on a relatively underexplored aspect of glaucoma treatment in CKD patients on HD, in whom cyclodiode laser therapy seems to be a promising option in cases where visual acuity cannot be recovered. However, since evidence is still emerging, future prospective comparative studies are needed to provide further information to regulate routine clinical practice.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155719","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":"Frecuencia, factores de riesgo y tiempo de resolución de la queratopatía por exposición en pacientes de la Unidad de Cuidados Intensivos Pediátrica","authors":"R.A. Pech-Lugo ,&nbsp;A. Vázquez-Cerón ,&nbsp;F.K. Segura López ,&nbsp;A. Dávila-Camargo","doi":"10.1016/j.oftal.2024.08.010","DOIUrl":"10.1016/j.oftal.2024.08.010","url":null,"abstract":"<div><h3>Background</h3><div>Exposure keratopathy (EPK) is characterized by punctate erosions of the corneal epithelium, mainly located in the lower third of the cornea. In the Pediatric Intensive Care Unit (PICU), an incidence of 19-25% has been reported.</div></div><div><h3>Objective</h3><div>The objective of this study was to describe the frequency, risk factors, and time to resolution of exposure keratitis in PICU patients.</div></div><div><h3>Materials and methods</h3><div>Descriptive, observational, longitudinal, prospective study. The association of keratitis due to exposure to risk factors was evaluated using the Chi square test and determining the OR and 95% confidence interval.</div></div><div><h3>Results</h3><div>81 patients admitted to the PICU between March and September 2023 were included, 46 (56.79%) developed PEK, 67.39% (31/46) grade 1 and 26.08% (12/46) grade 3. The median time Resolution was 3 days, interquartile range (2-5). A significant difference was observed between patients with and without PEK in the requirement for mechanical ventilation 86.13% vs., 54.29% p<!--> <!-->=<!--> <!-->0.01, OR<!--> <!-->=<!--> <!-->6.905(2.20-21.64), sedation 100% vs., 85.71%, p<!--> <!-->=<!--> <!-->0.02, in the duration of sedation 5 days vs. 2.5 days (p<!--> <!-->=<!--> <!-->0.024), neuromuscular relaxation 21.74% vs., 0%, p<!--> <!-->=<!--> <!-->0.002, Lagoftalmos 86.94% vs., 31.43% p&lt;<!--> <!-->0.00001, OR<!--> <!-->=<!--> <!-->13.33 (4.42-40.17), chemosis 15.21% vs., 0%, p<!--> <!-->=<!--> <!-->0.014 and days of stay in the PICU median 7 (5-11) vs. 3 (2-6), p&lt;<!--> <!-->0.00001.</div></div><div><h3>Conclusions</h3><div>The frequency of QPE observed was 56.79%, higher than that previously reported in the literature in the pediatric population. Mechanical ventilation, sedation, duration of sedation, Lagoftalmos chemosis and days of stay in the PICU were identified as risk factors.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155211","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":"Corrupción en la ciencia: fraude en las publicaciones","authors":"J.A. Fernández-Vigo ,&nbsp;I. Montero de Espinosa","doi":"10.1016/j.oftal.2024.10.001","DOIUrl":"10.1016/j.oftal.2024.10.001","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155251","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}