Archivos De La Sociedad Espanola De Oftalmologia最新文献_第3页

Pérdida de agudeza visual asociada a aneurisma carotídeo paraoftálmico bilateral 与双侧副眼睑颈动脉动脉瘤相关的视力丧失

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.oftal.2025.502443

I.C. Iglesias Cabrero

引用次数: 0

Glaucoma y telemedicina: estado actual y posibles escenarios futuros en España 青光眼和远程医疗：西班牙的现状和未来可能出现的情况

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-08 DOI: 10.1016/j.oftal.2025.502449

J. Aritz Urcola , O. Pujol Carreras

{"title":"Glaucoma y telemedicina: estado actual y posibles escenarios futuros en España","authors":"J. Aritz Urcola , O. Pujol Carreras","doi":"10.1016/j.oftal.2025.502449","DOIUrl":"10.1016/j.oftal.2025.502449","url":null,"abstract":"<div><h3>Background and objective</h3><div>The Covid-19 pandemic in 2020 created the need to provide medical care remotely. Although it was not implemented according to standards defined by scientific communities, it served as a first contact with virtual consultations.</div></div><div><h3>Material and methods</h3><div>This paper presents the results of a survey conducted among attendees of the “Glaucoma Home” session held during the XVII Congress of the Spanish Glaucoma Society (SEG) in March 2023 in Madrid.</div></div><div><h3>Results</h3><div>Ninety-four ophthalmologists responded. Among those already using virtual glaucoma consultations, 65.4% rated them as good in terms of efficiency, safety, and patient acceptance; only 15.4% rated them poorly. In contrast, among those not practicing it, only 5.6% rated it positively, while over 75% rated it between low and very low. Sixty-six ophthalmologists do not conduct virtual glaucoma visits, mainly due to lack of personnel or appropriate space. Of these, 47% plan to implement it. Among those currentl y practicing telemedicine, 27% started within the last year, 62% between one and three years ago, and 10% more than three years ago. Only 3.4% have been practicing for over five years. The main candidates for telemedicine are patients with ocular hypertension or stable glaucoma. Most tests are performed in hospitals, mainly by optometrists (50%) and nursing staff (25%), and are evaluated by ophthalmologists (89.5%).</div></div><div><h3>Conclusion</h3><div>The pandemic boosted the use of telemedicine in glaucoma, with a positive evaluation from those who have implemented it.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502449"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147418749","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}

引用次数: 0

Masa conjuntival de rápido crecimiento: adeno-escamocarcinoma conjuntival 快速增长的结膜肿块：结膜腺-鳞状癌

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.oftal.2025.502446

J. García-Montesinos , C. Rocha-de-Lossada , J.S. Rodríguez Moncada

引用次数: 0

Implantación no intencionada de una lente fáquica tórica de colámero en posición invertida 倒置的非故意植入聚光环晶片

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-20 DOI: 10.1016/j.oftal.2026.502498

J.Y. Arteaga-Rivera, G.R. Vera-Duarte, A.L. García-Terraza, A. Ramirez-Miranda, E.O. Graue-Hernández, A. Gómez-Bastar, A. Navas

{"title":"Implantación no intencionada de una lente fáquica tórica de colámero en posición invertida","authors":"J.Y. Arteaga-Rivera, G.R. Vera-Duarte, A.L. García-Terraza, A. Ramirez-Miranda, E.O. Graue-Hernández, A. Gómez-Bastar, A. Navas","doi":"10.1016/j.oftal.2026.502498","DOIUrl":"10.1016/j.oftal.2026.502498","url":null,"abstract":"<div><div>Phakic intraocular lenses (pIOLs) offer an effective option for correcting high myopia in patients unsuitable for laser refractive surgery. We report a case of unintended upside-down implantation of a toric Implantable Collamer Lens (ICL), identified four months postoperatively. A 32-year-old male with corneal ectasia presented with left eye pain and bilateral dysphotopsia after bilateral ICL implantation performed elsewhere. Clinical evaluation revealed an inverted ICL in the right eye and toric axis misalignment in the left eye. Surgical management involved intraocular reinversion of the right ICL and axis realignment in the left eye. No postoperative complications occurred, and visual acuity remained stable. This case highlights the importance of early recognition of ICL malposition and demonstrates intraocular reinversion as a safe, effective alternative to explantation. Various diagnostic methods for confirming ICL inversion and the favorable refractive outcomes after corrective surgery are also discussed.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502498"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420072","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}

引用次数: 0

Sevoflurano tópico como analgésico fuera de indicación para el ojo ciego doloroso refractario. Una serie de casos como prueba de concepto Sevofluran作为局部止痛剂不适用于耐受性疼痛的失明。作为概念证明的一系列案例

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.oftal.2026.502493

M.A. Fagúndez-Vargas , V. Bautista-Ruescas , O. Diego-Navarro , P. Moreno-García , M. Gerónimo-Pardo

{"title":"Sevoflurano tópico como analgésico fuera de indicación para el ojo ciego doloroso refractario. Una serie de casos como prueba de concepto","authors":"M.A. Fagúndez-Vargas , V. Bautista-Ruescas , O. Diego-Navarro , P. Moreno-García , M. Gerónimo-Pardo","doi":"10.1016/j.oftal.2026.502493","DOIUrl":"10.1016/j.oftal.2026.502493","url":null,"abstract":"<div><div>There are few topical analgesic alternatives to treat refractory painful blind eye. We present a case series treated with topical sevoflurane.</div><div>After approval from our Institutional Review Board, clinical and pharmacological information was collected from the charts of all our 11patients with refractory painful blind eye treated with sevoflurane.</div><div>The first in-hospital application of sevoflurane (dose <0.5mL) caused a rapid and intense analgesic effect in 10patients, who were given a bottle of sevoflurane-filled eye drops to self-administer. Four patients discontinued treatment weeks later due to lack of effectiveness or rebound pain. Pain is still successfully controlled in the remaining six patients after several months. Well-tolerated itching was the most frequent unwanted effect (three cases).</div><div>Topical ocular sevoflurane emerges as an easy to apply alternative for refractory painful blind eye, warranting further investigation to better depict its clinical profile.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502493"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419544","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}

引用次数: 0

Situación laboral de los jóvenes oftalmólogos en España 西班牙年轻眼科医生的工作状况

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.oftal.2026.502469

M. Zamorano , C. Arriola-Naharro

{"title":"Situación laboral de los jóvenes oftalmólogos en España","authors":"M. Zamorano , C. Arriola-Naharro","doi":"10.1016/j.oftal.2026.502469","DOIUrl":"10.1016/j.oftal.2026.502469","url":null,"abstract":"<div><h3>Background and Objective</h3><div>Ophthalmology in Spain has a high proportion of young specialists. This study describes the professional and training situation after residency, as well as young ophthalmologists’ perceptions of the Spanish Society of Ophthalmology (SEO).</div></div><div><h3>Materials and methods</h3><div>A cross-sectional descriptive study was conducted using an online survey of residents and attendings with ≤4 years of experience. Demographic, professional, training data, and opinions about the SEO were collected.</div></div><div><h3>Results</h3><div>A total of 81 ophthalmologists participated. Among attendings, 88.6% found immediate employment, mostly through temporary and short-term contracts; 27.3% experienced periods of unemployment. The 54.5% pursued subspecialization, mainly in retina and oculoplastics. Nearly half work exclusively in the public sector (47.7%), while 45.5% combine public and private practice. Satisfaction with residency training was high (70.4%) but decreased post-residency (56.9%). Fewer than half perceived their job situation as stable, and 38.6% had considered emigration. Main demands included higher salaries, reduced bureaucratic workload, and more public employment opportunities. SEO membership was low, with limited perceived benefits. Training in contact lenses was insufficient, while interest in artificial intelligence was high.</div></div><div><h3>Conclusions</h3><div>Young ophthalmologists face professional instability after residency, although they highly value their residency training. Measures to enhance job stability, improve deficient training areas, and strengthen the SEO's role in continuous education and professional advocacy are needed.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502469"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147418750","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}

引用次数: 0

Queratocono incipiente en un caso de displasia oculodentodigital 眼十二指肠发育不良的早期角膜

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-01-31 DOI: 10.1016/j.oftal.2025.502447

M. Paredes-Hernández , J. Ghiringhelli , N. Ruiz-Quintero

引用次数: 0

Análisis de costes de la consulta virtual de retina frente al modelo presencial 视网膜虚拟咨询与现场模型的成本分析

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-14 DOI: 10.1016/j.oftal.2026.502463

L. Juaristi , J. Mar , A. Guibelalde , C. Irigoyen

{"title":"Análisis de costes de la consulta virtual de retina frente al modelo presencial","authors":"L. Juaristi , J. Mar , A. Guibelalde , C. Irigoyen","doi":"10.1016/j.oftal.2026.502463","DOIUrl":"10.1016/j.oftal.2026.502463","url":null,"abstract":"<div><h3>Introduction</h3><div>Virtual clinics represent an innovative approach to the management of chronic diseases, particularly in ophthalmology, by optimizing resource allocation and alleviating the burden on traditional face-to-face (F2F) services. Despite their growing implementation, there is a lack of comprehensive studies assessing their efficiency. This study aims to compare the cost-effectiveness of the Virtual Retina Clinic (VRC) with F2F clinics in the follow-up of stable retinal diseases.</div></div><div><h3>Material and methods</h3><div>A cost-minimization analysis (AMC) was conducted by measuring resource utilization of patients in conventional F2F visits in 2019, and through the VRC in 2020. Our previous study on the VRC effectiveness demonstrated the equivalence of the results of the VRC and F2F approaches, as required for AMC, and a VRC sensitivity of 100% for detecting progression. The unit costs were obtained from the hospital's accounting system. Furthermore, indirect costs related to labor productivity losses in patients and their companions were analyzed.</div></div><div><h3>Results</h3><div>No significant differences were found between the total direct direct costs of the VRC and conventional clinics in the follow-up of 481 patients with stable retinal diseases. The differences detected were that VRC staff costs were significantly lower (54.5% vs. 76.8% for F2F clinics) while its equipment costs were higher (32.8% vs. 10%). Overall, including the costs of productivity losses, the VRC is significantly less expensive than in-person care as it more than halves indirect costs.</div></div><div><h3>Conclusion</h3><div>This first study analyzing the costs of a VRC versus fully F2F clinics found that it is not more expensive for the follow-up of stable retinal diseases. Additionally, taking into account indirect costs, the VRC is less expensive, and 11the equipment has been acquired, its costs are lower than those of conventional clinics.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502463"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147418751","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}

引用次数: 0

Radioterapia superficial con rayos X de baja energía en una sola fracción para el sarcoma de Kaposi conjuntival: reporte de un caso 结膜卡波西肉瘤单组分低能量X射线表面放射治疗：案例报告

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-23 DOI: 10.1016/j.oftal.2026.502506

A. Lachos Davila , M. Buitrago Buenaño , J. Angulo Velásquez , S. Casavilca Zambrano

引用次数: 0

Descentramiento de las lentes oftálmicas de desenfoque periférico en el control de la miopía infanto-juvenil en pacientes tratados con atropina: estudio descriptivo 阿托品治疗患者中周围模糊眼镜片偏转在婴幼儿近视控制中的作用：描述性研究

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.oftal.2026.502471

Ll. Cavero-Roig , A. Salvador-Valle , A. Ferrero-Rosanas , R. Mompart-Martínez , H. Graff-Salinas , A. Sorrentino-Navarro , M. ÓFarrell-Molteni , N. Romanic-Bubalo

{"title":"Descentramiento de las lentes oftálmicas de desenfoque periférico en el control de la miopía infanto-juvenil en pacientes tratados con atropina: estudio descriptivo","authors":"Ll. Cavero-Roig , A. Salvador-Valle , A. Ferrero-Rosanas , R. Mompart-Martínez , H. Graff-Salinas , A. Sorrentino-Navarro , M. ÓFarrell-Molteni , N. Romanic-Bubalo","doi":"10.1016/j.oftal.2026.502471","DOIUrl":"10.1016/j.oftal.2026.502471","url":null,"abstract":"<div><h3>Background and objective</h3><div>Peripheral defocus lenses (PDLs) have emerged as an effective therapeutic strategy to slow the progression of childhood and adolescent myopia. However, achieving optimal centration in pediatric patients can be challenging, and individual facial and postural characteristics must be carefully considered to ensure appropiate fitting. The primary objective of this study was to quantify PDL decentration as an undesirable effect during myopia management in children and adolescents undergoing concurrent atropine treatment.</div></div><div><h3>Materials and methods</h3><div>The distance between the pupil center and the optical center of the lens was measured in millimeters using a conventional millimeter ruler in primary gaze. Five PDL models were evaluated across the study cohort.</div></div><div><h3>Results</h3><div>A total of 69 participants were included (mean age: 12.5 years; range 7-17). The mean spherical equivalent was −2.9 D (range: −0.25 to −8.50). Mean axial length was 24.59mm (range: 22.96-27.02), and mean pupil diameter was 5.55mm (range: 4-7.21). Mean decentration values were: inferior 2.26mm; superior 0.13mm; nasal 0.36mm, and temporal 0.47mm. Decentrations >1mm were observed in 76% of patients, >2mm in 50.7%, and >3mm in 33.3%.</div></div><div><h3>Conclusions</h3><div>In this cohort, PDL decentration exceeding 3mm occurred in approximately one-third of pediatric myopic patients. These findings underscore the need for individualized frame selection and meticulous fitting to ensure accurate optical centration relative to the pupillary axis.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502471"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420073","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}

引用次数: 0