Archivos De La Sociedad Espanola De Oftalmologia最新文献

{"title":"Técnicas de Harada-Ito y Fells en el tratamiento de la diplopía torsional en paresias del oblicuo superior","authors":"P. Merino Sanz ,&nbsp;A. Fuentes Zamora ,&nbsp;L. Gómez Fernández ,&nbsp;P. Gómez de Liaño Sánchez ,&nbsp;J. Yáñez-Merino","doi":"10.1016/j.oftal.2025.502437","DOIUrl":"10.1016/j.oftal.2025.502437","url":null,"abstract":"<div><h3>Background and purpose</h3><div>To describe the results of isolated Harada-Ito or Fells modification surgery in the treatment of diplopia, torticollis and excyclotorsion secondary to superior oblique paresis (SOP).</div></div><div><h3>Material and methods</h3><div>Retrospective workup of subjects operated on since 2015-November 2024. The age, sex, etiology of SOP, preoperative and immediate and late postoperative excyclotorsion, pre- and postoperative vertical deviation and torticollis, as well as type of suture (resorbable or not) were collected. The time of evolution of the SOP and follow-up from surgery to data collection were recorded. The resolution or improvement of diplopia, excyclotorsion and torticollis were considered a good outcome.</div></div><div><h3>Results</h3><div>Eight cases were operated on (4 women). In six, the left eye, bilateral (1). The etiology of the SOP was neoplasia (2), trauma (1), ischemic (3), infectious (1), idiopathic (1). All had subjective excyclotorsion (between 5-15°) that disappeared at the end of follow-up. The mean torsion correction was 7.87<!--> <!-->±<!--> <!-->2.47°, with resorbable suture 7<!--> <!-->±<!--> <!-->2.44° and non-resorbable 8.75<!--> <!-->±<!--> <!-->2.5°. Torticollis was observed before surgery in all 8 patients, which resolved after surgery except in one case. Preoperative vertical deviation ranged from a minimum of 2 pd to a maximum of 8 pd, resolving in seven cases. The preoperative diplopia resolved in 4 of the 8 cases and improved in the rest.</div></div><div><h3>Conclusions</h3><div>Harada-Ito surgery and Fells modification resolved or improved diplopia, symptomatic excyclotorsion and torticollis in patients diagnosed with SOP. No resorbable suture had a greater effect on extortion correction (not statistically significant) at the end of follow-up.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502437"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409291","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 con losartán para la rehabilitación visual post queratitis infecciosa: reporte de caso","authors":"L.M. Vindel Valle,&nbsp;M.A. López Alfaro,&nbsp;J.C. Vindel Burchard","doi":"10.1016/j.oftal.2025.502441","DOIUrl":"10.1016/j.oftal.2025.502441","url":null,"abstract":"<div><div>We report the case of a 56-year-old male patient with mixed infectious keratitis who developed a 5<!--> <!-->×<!--> <!-->5 mm corneal ulcer with irregular borders and positive fluorescein staining. After topical and systemic treatment, the infectious process resolved. Topical losartan was then initiated to reduce residual fibrosis and support visual rehabilitation. During follow-up, a progressive improvement in visual acuity and a reduction in corneal leucoma were observed. This case highlights the potential of losartan as a therapeutic alternative for managing corneal opacities secondary to inflammatory or infectious processes. Its antifibrotic effect is associated with its ability to penetrate the corneal stroma, modulate fibroblast activity, and inhibit scar tissue formation. In the absence of specific treatments for corneal fibrosis, losartan represents a promising option with relevant clinical implications for preventing vision loss and improving patients’ quality of life.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 2","pages":"Article 502441"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409287","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":"Maculopatía fótica: características en la angiografía OCT de ocho ojos","authors":"Amine Zahaf ,&nbsp;Atf Ben Abderrazek ,&nbsp;Houda Lajmi ,&nbsp;Wassim Hmaied ,&nbsp;Besma Ben Achour","doi":"10.1016/j.oftal.2025.502432","DOIUrl":"10.1016/j.oftal.2025.502432","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Photic maculopathy is a retinal condition caused by exposure to intense light sources, resulting in varying degrees of visual impairment. Optical coherence tomography angiography (OCT-A) offers high-resolution, non-invasive imaging of the retinal microvasculature, facilitating detailed assessment of vascular alterations linked to this pathology. This study aims to characterize the OCT-A features of photic maculopathy and to emphasize the utility of OCT-A in evaluating retinal damage and microvascular changes.</div></div><div><h3>Materials and methods</h3><div>This retrospective descriptive study included patients diagnosed with PM between September 2021 and September 2023. Inclusion required a history of intense or prolonged light exposure temporally related to visual symptoms, characteristic fundus and clinical findings, and multimodal imaging confirming focal outer retinal damage at the fovea. Patients with alternative diagnoses, poor-quality imaging, or incomplete records were excluded. Clinical evaluation included structural optical coherence tomography (OCT), OCT-A, fluorescein angiography, and visual function tests. Demographic and ophthalmic data were collected, and a literature review was conducted to support interpretation.</div></div><div><h3>Results</h3><div>Eight eyes from six patients were analyzed: two bilateral cases of solar maculopathy, one unilateral welder's maculopathy, and three unilateral laser-induced maculopathies. All patients presented with reduced visual acuity. Fundus examination revealed a yellowish foveal lesion in seven eyes and retinal pigment epithelium changes in one. OCT showed consistent disruption of the outer retinal layers. OCT-A demonstrated an irregular foveal avascular zone in six eyes and reduced vessel density in the superficial capillary plexus in four eyes.</div></div><div><h3>Conclusions</h3><div>OCT-A plays a critical role in detecting structural retinal damage and associated microvascular alterations, offering key insights into the underlying pathophysiology. This study emphasizes the added value of OCT-A in assessing retinal integrity and vascular changes, which may enhance diagnostic accuracy and guide the clinical management of photic maculopathy.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502432"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036983","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":"Trastornos respiratorios del sueño en pacientes con ceguera bilateral total: estudio prospectivo a 10 años","authors":"V.M. Asensio-Sánchez ,&nbsp;A. Prieto ,&nbsp;V. Roig","doi":"10.1016/j.oftal.2025.502453","DOIUrl":"10.1016/j.oftal.2025.502453","url":null,"abstract":"<div><h3>Background and Objective</h3><div>Obstructive sleep apnea (OSA) is common in the general population and is associated with major cardiovascular consequences and impaired quality of life. The absence of light perception in patients with total bilateral blindness (TBB) promotes circadian desynchronization, which may increase the risk of OSA. The aim of this study was to assess the prevalence of OSA and other sleep-disordered breathing conditions in patients with TBB.</div></div><div><h3>Patients and Methods</h3><div>This was a prospective observational study conducted over a 10-year period, including 19 patients with TBB of various etiologies. Clinical interviews, validated questionnaires (STOP-BANG, ESS), and in-laboratory overnight polysomnography were performed.</div></div><div><h3>Results</h3><div>Moderate to severe OSA was present in 63.2% (12/19) of patients, with a predominance among males. Significant alterations in sleep architecture were observed, along with a high frequency of circadian desynchronization (non-24-hour sleep–wake disorder).</div></div><div><h3>Conclusions</h3><div>Patients with TBB show a significantly higher prevalence of OSA compared with the general population, probably related to circadian desynchronization secondary to the absence of light perception. These findings support the need for systematic screening for sleep-disordered breathing in this population, given its impact on quality of life and cardiovascular risk.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502453"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036985","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":"Siembra subconjuntival de melanoma del cuerpo ciliar después de una trabeculectomía: una complicación quirúrgica","authors":"Y.S. Atlıhan","doi":"10.1016/j.oftal.2025.502434","DOIUrl":"10.1016/j.oftal.2025.502434","url":null,"abstract":"<div><div>A rare case of ciliary body melanoma (CBM) with subconjunctival extension following prior trabeculectomy is presented. The 66-year-old female patient experienced recurrent ocular discomfort and subconjunctival pigmentation in the left eye. Clinical evaluation identified a pigmented subconjunctival mass, secondary glaucoma, and evidence of previous filtration surgery. Imaging and histopathology confirmed CBM with extraocular extension, and the patient subsequently underwent enucleation; the postoperative recovery was uneventful.</div><div>This case underscores the importance of considering intraocular tumors such as CBM in patients presenting with unilateral secondary glaucoma, especially prior to filtration surgery. Surgical manipulation in undiagnosed CBM may facilitate tumor dissemination beyond the eye, emphasizing the necessity of comprehensive preoperative evaluation.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502434"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036986","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":"Stellate Multiform Amelanotic Choroidopaty y la importancia de su diagnóstico para prevenir el sobretratamiento","authors":"E. Gracia-Rovira ,&nbsp;V. Miralles Pechuán ,&nbsp;D. Hernandez Pérez ,&nbsp;E. Cervera Taulet ,&nbsp;A.-M. Duch Samper ,&nbsp;J. Montero Hernández","doi":"10.1016/j.oftal.2025.502451","DOIUrl":"10.1016/j.oftal.2025.502451","url":null,"abstract":"<div><div>SMACH (Stellate Multiform Amelanotic Choroidopathy) is a rare entity that should be considered for differential diagnosis of choroidal lesions with subretinal fluid, particularly in young patients. We present the case of a 15-year-old male with a yellow-orange choroidal lesion in the right eye, initially misinterpreted as an infection process due to the presence of a cutaneous erythema and environmental exposure. Multimodal imaging — including OCT, en-face OCT, and ICG — was essential in identifying the hallmark features of SMACH: dendriform projections, choroidal hyperreflectivity in absence of pachyvessels or deep vascular alteration, and a stellate hypofluorescent pattern. The self-limited nature of the subretinal fluid and the absence of inflammatory signs supported the diagnosis. Recognizing SMACH avoided unnecessary treatments such as anti-VEGF therapy or corticosteroids. This is Spain's first case, it underscores the importance of early diagnosis through multimodal imaging to prevent overtreatment and to improve both visual and emotional outcomes for the patient.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502451"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036988","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":"Membrana neovascular asociada a un nevus coroideo: composición de imagen multimodal","authors":"B. Alamar Pérez,&nbsp;A. Díaz Barrón,&nbsp;M. Barba Beltrán","doi":"10.1016/j.oftal.2025.502435","DOIUrl":"10.1016/j.oftal.2025.502435","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502435"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036989","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 simultáneo de la afaquia postraumática, aniridia y astigmatismo","authors":"I. Jürgens,&nbsp;A. Dyrda","doi":"10.1016/j.oftal.2025.502444","DOIUrl":"10.1016/j.oftal.2025.502444","url":null,"abstract":"<div><div>To present a case of a 20-year-old female who underwent a novel surgical technique for post-traumatic aphakia, aniridia, and astigmatism. Prior to surgery, the artificial iris (AI) (CustomFlex® Artificial Iris, HumanOptics) was sutured to a toric intraocular lens (IOL) (Carlevale™, Soleko), folded, and then implanted in the sulcus through a small corneal incision. The procedure was complication-free and resulted in favorable functional and cosmetic outcomes. The Carlevale™ IOL provides stable support for the AI, effectively addressing post-traumatic aphakia, aniridia, and astigmatism. This technique ensures excellent centration, six-point fixation in the sulcus, and improved visual and aesthetic results.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502444"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036987","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":"Nuevos horizontes en el tratamiento de las uveítis no infecciosas","authors":"A. Fonollosa ,&nbsp;A. Adán","doi":"10.1016/j.oftal.2025.502430","DOIUrl":"10.1016/j.oftal.2025.502430","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502430"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036981","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 de la telemedicina en oftalmología vía WhatsApp®","authors":"C. Sevillano ,&nbsp;V. Rodríguez López","doi":"10.1016/j.oftal.2025.502431","DOIUrl":"10.1016/j.oftal.2025.502431","url":null,"abstract":"<div><h3>Background and objective</h3><div>Telemedicine allows for shorter diagnostic times and is cost-effective. One of the most widely used instant messaging applications in our field is WhatsApp™. We analyze the use of this application in our specialty, to determine whether it is useful for everyday use in our clinical practice.</div></div><div><h3>Material and methods</h3><div>All teleconsultations from 2024 carried out through this application to the same mobile phone were collected. The origin, the reason for consultation and the most frequent diagnoses, as well as the characteristics of the applicants, were analyzed.</div></div><div><h3>Results</h3><div>Of the 206 teleconsultations, 65% became from the patient himself. The average age of the applicants was 42.66 years, with 38% being men. Eighty-one percent were seeking a diagnosis, whose most frequent pathologies were conjunctivitis and ametropias. WhatsApp™ allows for fast and effective communication, although they are young patients due to a probable digital divide. In our experience, it has allowed us to avoid face-to-face consultations (77%) and, more importantly, to bring forward some potentially serious ones quickly.</div></div><div><h3>Conclusions</h3><div>It is a cost-effective, fast tool that adds advantages to our daily clinical practice.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"101 1","pages":"Article 502431"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146036982","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}