Archivos De La Sociedad Espanola De Oftalmologia最新文献

{"title":"Síndrome de iris flácido intraoperatorio, 20 años después","authors":"J. González Martín-Moro","doi":"10.1016/j.oftal.2025.502448","DOIUrl":"10.1016/j.oftal.2025.502448","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 3","pages":"Article 502448"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147418752","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":"Impacto de la biometría ocular preoperatoria y morfología de la capsulorrexis en la estabilidad rotacional de una lente intraocular tórica","authors":"C. del Castillo ,&nbsp;N.C. Zatarain-Barrón ,&nbsp;M. López Martínez ,&nbsp;D. Jiménez-Collado ,&nbsp;M. Navarrete-Azuara ,&nbsp;D. Pulido London ,&nbsp;E.O. Graue-Hernández","doi":"10.1016/j.oftal.2025.502455","DOIUrl":"10.1016/j.oftal.2025.502455","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Despite correct alignment during surgery, postoperative lens rotation remains one of the main complications for toric lenses. This study aimed to evaluate the rotational stability in patients who underwent enVista® Toric MX60T intraocular lens implantation and its relationship with the capsulorhexis morphology and preoperative ocular biometrics.</div></div><div><h3>Materials and methods</h3><div>Fifty-nine eyes of 59 patients with cataract and regular corneal astigmatism, who underwent uncomplicated phacoemulsification with enVista® Toric MX60T intraocular lens implantation. Pre-op ocular biometrics were evaluated with the IOLMaster® 700. 24<!--> <!-->hours post-surgery, perimeter, area, horizontal and vertical diameter, and circularity index of the capsulorhexis were taken with the ImageJ program through clinical photographs under pupillary dilation. OPD Scan III was performed post-op at 24<!--> <!-->hours and at 1 month to quantify lens rotation.</div></div><div><h3>Results</h3><div>At 1 month post-op, the mean refractive cylinder was of 0.1<!--> <!-->±<!--> <!-->0.61 diopters, and the mean lens rotation was of 5.00<!--> <!-->±<!--> <!-->3.93 degrees. 52% of lenses rotated 5° or less. Post-surgical uncorrected visual acuity was 20/30 or better in 64% of eyes. Logistic regression showed a weak association regarding anterior chamber depth and IOL rotation at 24<!--> <!-->hours, however, this was not maintained at the 1 month visit. The rest of the parameters showed no correlation regarding lens rotation at any of the time periods.</div></div><div><h3>Conclusions</h3><div>The magnitude of rotation of the enVista® Toric MX60T intraocular lens is not related to the capsulorhexis morphology or preoperative ocular biometrics. Further research is needed to assess variables that may affect lens rotation, to improve post-surgical visual and refractive outcomes.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502455"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409290","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":"Valor diagnóstico de la densidad vascular superficial macular en la detección de los cambios tempranos del glaucoma primario de ángulo abierto","authors":"I. Piloto Díaz ,&nbsp;E.B. Cuétara Lugo ,&nbsp;M.J. Pérez Benítez ,&nbsp;F.Y. Fumero González ,&nbsp;O. Hernández Echevarría ,&nbsp;L. Fernández Argones","doi":"10.1016/j.oftal.2025.502433","DOIUrl":"10.1016/j.oftal.2025.502433","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Glaucoma is the leading cause of irreversible blindness worldwide and early diagnosis is essential to preserve the visual health of the population. The objective of this study is to estimate the diagnostic value of macular superficial vascular density in the detection of early changes in primary open-angle glaucoma.</div></div><div><h3>Materials and methods</h3><div>Observational, analytical, and cross-sectional study in 222 eyes (215 participants) and three study groups: negative control (111 healthy subjects), mild glaucoma (55 patients), and positive control (56 patients). CIRRUS™ 5000 technology (version 11.0) was used. To make both eyes equivalent, transposition was performed on the vertical axis in the left eye. The apparent macular vascular density (6x6<!--> <!-->mm) was obtained by image processing in sectors of interest using the Python algorithm. Areas under the curve with negative control groups and mild glaucoma were calculated.</div></div><div><h3>Results</h3><div>Both groups were similar in age, sex, systemic diseases and ocular biometry. Vascular densities showed low diagnostic capacity (AUC<!--> <!-->=<!--> <!-->0.56-0.65). The apparent macular vascular densities in outer rings 240-300° and 205-245° (respectively AUC<!--> <!-->=<!--> <!-->0.90 and 0.89) showed better diagnostic capacity (p&lt;<!--> <!-->0.05) than neuroretinal ring area, minimum ganglion cell thickness (AUC<!--> <!-->=<!--> <!-->0.82; both) and retinal nerve fiber layer thickness (AUC<!--> <!-->=<!--> <!-->0.79).</div></div><div><h3>Conclusions</h3><div>Superficial macular vascular density in areas of anatomical interest for glaucomatous damage is the best parameter of optical coherence tomography for the detection of early changes in primary open-angle glaucoma.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502433"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409294","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":"Estudio multimodal de la atrofia coriorretiniana paravenosa difusa","authors":"R. García-Gil,&nbsp;A. Feliciano-Sánchez","doi":"10.1016/j.oftal.2025.502440","DOIUrl":"10.1016/j.oftal.2025.502440","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502440"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409284","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":"Plasmocitoma conjuntival: a propósito de un caso","authors":"D.R. Atoche Jasaui ,&nbsp;M.L. Díaz Perez ,&nbsp;L. Marroquín Loayza ,&nbsp;E.J. Urbano Ale ,&nbsp;J. Villalobos Espinoza","doi":"10.1016/j.oftal.2025.502450","DOIUrl":"10.1016/j.oftal.2025.502450","url":null,"abstract":"<div><h3>Background and objective</h3><div>Plasmacytomas are localized collections of monoclonal plasma cells.</div></div><div><h3>Patient and method</h3><div>This is a 48-year-old female patient of mixed race, with no significant medical history, with a soft, painless tumor adhered to the sclera, in the bulbar conjunctiva and inferior temporal fornix. The method used was the presentation of a clinical case.</div></div><div><h3>Results</h3><div>The tumor was excised with pathological analysis and immunohistochemical study confirming the diagnosis of conjunctival plasmacytoma. Postoperative follow-up was uneventful.</div></div><div><h3>Conclusions</h3><div>Extraosseous plasma cell tumors located in the eye are rare and difficult to diagnose because they present a wide range of clinical differentiation.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502450"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409285","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":"Reporte de caso: Retinopatía «Sea Fan», una anomalía ocular de interés","authors":"J.E. Renteria Matiz ,&nbsp;D.A. Celedon Dabian ,&nbsp;M.J. Mateus Parra ,&nbsp;M.A. Estévez Flórez ,&nbsp;M.S. Cuesta Pedraza","doi":"10.1016/j.oftal.2025.502439","DOIUrl":"10.1016/j.oftal.2025.502439","url":null,"abstract":"<div><div>This case highlights the significance of ocular manifestations in systemic diseases and their diagnostic implications. The patient is a male of African descent who presented to the emergency department with a sudden, painless decrease in visual acuity in the right eye (OD). He also reported a possible history of congenital anemia that had never been previously diagnosed or managed. Fundoscopic examination revealed a grade ++ vitreous hemorrhage in the right eye, along with areas of peripheral neovascularization located between zones M11–M8 and M2–M3, associated with both temporal and nasal retinal neovascularization, as well as temporal peripheral traction in the left eye (OS). These findings were suggestive of “sea fan” retinopathy, likely related to sickle cell anemia. This diagnostic impression was confirmed by the Internal Medicine and Hematology departments, who based on paraclinical findings initiated hydroxyurea treatment.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502439"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409288","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":"Colirio de insulina: ¿a dónde vamos?","authors":"B. Burgos-Blasco ,&nbsp;J.A. Gegúndez Fernández ,&nbsp;J.M. Benítez del Castillo ,&nbsp;D. Díaz Valle","doi":"10.1016/j.oftal.2025.502438","DOIUrl":"10.1016/j.oftal.2025.502438","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502438"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409293","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":"Láser diodo micropulsado en el glaucoma pediátrico asociado al síndrome de Sturge-Weber: una terapia puente hacia otros tratamientos","authors":"J. Cañas Costa ,&nbsp;L. Newball ,&nbsp;M. Moro Muñiz ,&nbsp;C. Almor Palacios ,&nbsp;J. Vila Arteaga","doi":"10.1016/j.oftal.2025.502456","DOIUrl":"10.1016/j.oftal.2025.502456","url":null,"abstract":"<div><h3>Background and objective</h3><div>To evaluate the efficacy of micropulse transscleral diode laser cyclophotocoagulation as a bridge therapy prior to angle surgery in pediatric glaucoma caused by angle dysgenesis in the context of Sturge-Weber syndrome. The objective was to temporarily control intraocular pressure, thereby achieving the corneal transparency required for subsequent angle surgery.</div></div><div><h3>Materials and methods</h3><div>Three Sturge-Weber syndrome patients under one year old, with glaucoma caused by angle dysgenesis and corneal opacity, were treated with micropulse transscleral diode laser cyclophotocoagulation to improve corneal transparency before surgery. Two patients subsequently underwent trabeculotomy, while the third patient, who had a previous trabeculotomy, underwent a MIGS OMNI procedure.</div></div><div><h3>Results</h3><div>Micropulse transscleral diode laser cyclophotocoagulation temporarily lowered IOP values, improving corneal transparency and allowing the performance of subsequent surgical interventions.</div></div><div><h3>Conclusion</h3><div>The combination of micropulse transscleral diode laser cyclophotocoagulation as a bridge therapy followed by angle surgery, for example trabeculotomy or MIGS OMNI, represents a promising strategy for managing congenital glaucoma in pediatric patients with angle dysgenesis, particularly in the context of phakomatoses like Sturge-Weber syndrome.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502456"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409289","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":"Neoplasias oculares: análisis clínico, epidemiológico e histopatológico del tratamiento mutilante en un hospital de tercer nivel en México","authors":"C.O. Rojas-Arellanes ,&nbsp;E. de la Rosa-Jaime ,&nbsp;X. Monteon-Aspeitia ,&nbsp;A.P. Campos-Nuñez ,&nbsp;V.T. Hernández-Ramírez ,&nbsp;I. Flores-Heranandez ,&nbsp;H.A. Rodriguez-Ortega ,&nbsp;J.M. Guzmán-Díaz ,&nbsp;A. González-Ojeda ,&nbsp;C. Fuentes-Orozco","doi":"10.1016/j.oftal.2025.502452","DOIUrl":"10.1016/j.oftal.2025.502452","url":null,"abstract":"<div><h3>Background and objective</h3><div>Although uncommon, ocular neoplasms represent a significant cause of visual morbidity and, in some cases, mortality. In advanced stages, management may require mutilating procedures such as enucleation or exenteration. Clinical, epidemiological, and histopathological characterization of these cases improves diagnostic suspicion and guides therapeutic decision-making. The objective of this study was to analyze the epidemiological, clinical, and histopathological profile of patients who underwent enucleation</div><div>or evisceration due to suspected ocular neoplasia at a tertiary care hospital in Mexico.</div></div><div><h3>Materials and methods</h3><div>Observational, descriptive, cross-sectional, and retrospective study. Patients with suspected ocular neoplasms who underwent enucleation or exenteration were included. Clinical, demographic, and histopathological variables were collected. Descriptive statistical analysis was performed.</div></div><div><h3>Results</h3><div>A total of 43 patients were included; 31 (72.1%) underwent enucleation and 12 (27.9%) underwent exenteration. The right eye was affected in 58.1% of cases. The mean age was 2<!--> <!-->±<!--> <!-->2 years in the pediatric group (n<!--> <!-->=<!--> <!-->21) and 63.4 years in the adult group (n<!--> <!-->=<!--> <!-->22). The most frequent histopathological diagnosis was retinoblastoma (48.8%), followed by melanoma (23.3%) and squamous cell carcinoma (9.3%). Clinical and histopathological diagnostic concordance was observed in 90.7% of cases. The optic nerve was the most commonly infiltrated structure in retinoblastoma, while scleral infiltration predominated in melanoma.</div></div><div><h3>Conclusion</h3><div>The age distribution and tumor types observed are consistent with those reported in the international literature. The high clinicopathological concordance highlights the importance of clinical judgment in managing these entities. Histopathological analysis is essential for prognostication and the development of early diagnostic strategies.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502452"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409292","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":"Neuropatía óptica compresiva secundaria a un implante de malla de titanio en una fractura orbitaria. Reporte de caso","authors":"M.F. Flores Cortés,&nbsp;G.R. Vera-Duarte,&nbsp;D. Alberto Alvarado H.,&nbsp;B. Horta Carrillo,&nbsp;M.F. Camargo-Suárez,&nbsp;J.L. Tovilla-Canales,&nbsp;O. Olvera-Morales","doi":"10.1016/j.oftal.2025.502442","DOIUrl":"10.1016/j.oftal.2025.502442","url":null,"abstract":"<div><div>Orbital fractures are a common cause of facial trauma and may lead to significant functional impairments. Titanium mesh implants are frequently used in orbital reconstruction; however, complications can arise if improperly placed. We report the case of a 40-year-old woman who sustained cranioencephalic trauma in a traffic accident, resulting in fractures of the orbital floor and medial wall. She underwent early maxillofacial surgery without prior ophthalmologic evaluation, and a titanium mesh was implanted. Postoperatively, she developed sudden vision loss. A second surgery replaced the implant with smaller plates, but no improvement occurred. Imaging revealed persistent compression of the optic nerve and extraocular muscles. Surgical removal of the implants and orbital decompression, along with corticosteroid therapy, led to gradual visual recovery, reaching 20/40 best-corrected acuity and restoration of the central visual field. This case underscores the need for timely diagnosis and multidisciplinary management in orbital trauma to prevent permanent visual sequelae.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502442"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409286","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}