Archivos De La Sociedad Espanola De Oftalmologia最新文献_第5页

Alteraciones en la función visual y en la estructura retiniana de los pacientes con trastorno bipolar 双相情感障碍患者的视觉功能和视网膜结构变化

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-07-01 DOI: 10.1016/j.oftal.2025.03.007

M. Comes-Carsí, J.M. Vilaplana-Mora, L. Manfreda-Domínguez, C. Cañete-Nicolás, A.M. Duch-Samper

{"title":"Alteraciones en la función visual y en la estructura retiniana de los pacientes con trastorno bipolar","authors":"M. Comes-Carsí, J.M. Vilaplana-Mora, L. Manfreda-Domínguez, C. Cañete-Nicolás, A.M. Duch-Samper","doi":"10.1016/j.oftal.2025.03.007","DOIUrl":"10.1016/j.oftal.2025.03.007","url":null,"abstract":"<div><h3>Objective</h3><div>The main objective is to determine if there are differences in visual function and retinal structure in patients with bipolar disorder compared to healthy subjects.</div></div><div><h3>Material and methods</h3><div>Cross-sectional observational study of cases and controls, adjusted for age and sex. A total of 43 controls (86 eyes) and 82 cases (163 eyes) were included. Visual function was assessed by measuring best corrected visual acuity (BCVA) using high contrast and low contrast visual charts. Optical coherence tomography (OCT) model DRI OCT Triton-Swept Source (Topcon, Tokyo, Japón<em>)</em> was used for retinal structural analysis.</div></div><div><h3>Results</h3><div>BCVA with high contrast, as well as with reduced contrast at 2.5% and 1.25%, showed significant differences (<em>P</em><.05) between both groups, being the mean of each variable lower in the case group. OCT analysis also showed significant differences in the mean thickness of the nerve fiber layer (RNFL) and ganglion cell layer (GCL) between the two groups, with the mean of each variable lower in the case group (<em>P</em>=.007 in both). No significant differences were observed in the mean thickness of these retinal layers between type I and type II bipolar patients (<em>P</em>=.556 and 0.871 respectively).</div></div><div><h3>Conclusions</h3><div>There are significant differences in visual function and in the mean thickness of retinal layers between bipolar patients and healthy controls.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 7","pages":"Pages 386-391"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549922","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

Enfermedad de Stargardt por mutación en ABCA4 en un adulto joven: reporte de caso y alternativas actuales de tratamientos ópticos y médicos 青少年中ABCA4突变引起的Stargardt病：病例报告及目前的光学和医学治疗方案

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-24 DOI: 10.1016/j.oftal.2025.05.001

D.V. Rey-Rodriguez , M.I. Gómez-Buitrago , M.J. Mateus Parra , L.A. Pazmiño La Rotta , L.F. Aguilar-Serrano

引用次数: 0

Papilitis parainfecciosa bilateral superpuesta a seudoedema de papila por drusas del nervio óptico 双侧副脓疱性乳头炎，再加上视神经上的眼睑伪水肿

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-17 DOI: 10.1016/j.oftal.2025.04.005

Javier Garulo Nicolás , Laura Manfreda Domínguez , Patricia Bayo Calduch , Sergio Obiol Ferrando , Andrea Català Nadal , Antonio Miguel Duch Samper

引用次数: 0

Úlcera corneal bilateral por K. oxytoca: reporte de un caso 双侧角膜溃疡：1例报告

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-10 DOI: 10.1016/j.oftal.2024.12.009

P.L. Matilde Mora , J. Tirado-Ángel , M.A. Martínez-Ceballos

{"title":"Úlcera corneal bilateral por K. oxytoca: reporte de un caso","authors":"P.L. Matilde Mora , J. Tirado-Ángel , M.A. Martínez-Ceballos","doi":"10.1016/j.oftal.2024.12.009","DOIUrl":"10.1016/j.oftal.2024.12.009","url":null,"abstract":"<div><div>Bacterial keratitis is one of the leading causes of monocular blindness worldwide. The following case describes the case of a patient with bilateral bacterial keratitis caused by <em>Klebsiella oxytoca</em>, a gram-negative bacterium often overlooked in cases of bacterial infectious keratitis. The patient is a 20-year-old man with a past medical history of allergic keratoconjunctivitis and keratoconus who developed an epithelial defect following improper handling of his contact lenses. Initially, the patient was managed with ocular lubricants. However, he experienced a rapid and aggressive deterioration in visual acuity, with an expansion of the epithelial defect and the appearance of bilateral stromal infiltrates. Due to the poor response to empirical antimicrobial therapy, cultures were obtained from the contact lenses, which identified the presence of <em>K. oxytoca</em> as the causative agent. The antibiogram revealed resistance to widely used antibiotics such as ciprofloxacin. Following these results, targeted antimicrobial therapy was initiated, leading to significant clinical improvement and substantial anatomical and visual recovery. This case underscores the importance of recognizing the potential aggressiveness of <em>K. oxytoca</em> in immunocompetent patients, which can cause severe ocular infections, particularly in individuals with risk factors such as contact lens wear. It also highlights the critical need for microbiological cultures and antibiograms to guide effective therapy, given the variable resistance patterns of this microorganism.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 9","pages":"Pages 563-570"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912391","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

Perfil microbiológico de úlceras corneales bacterianas y fúngicas en un instituto nacional de oftalmología en Perú 秘鲁国家眼科研究所细菌和真菌角膜溃疡的微生物概况

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftal.2025.02.003

R. Navarro , E. Ballesteros-Zamalloa , R. Hualpa-Vicente , P. Minami , M.A. Rodríguez-Cuba

{"title":"Perfil microbiológico de úlceras corneales bacterianas y fúngicas en un instituto nacional de oftalmología en Perú","authors":"R. Navarro , E. Ballesteros-Zamalloa , R. Hualpa-Vicente , P. Minami , M.A. Rodríguez-Cuba","doi":"10.1016/j.oftal.2025.02.003","DOIUrl":"10.1016/j.oftal.2025.02.003","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the microbiological profile of bacterial and fungal corneal ulcers, as well as the antibiotic susceptibility profile of the most frequent pathogenic species.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study was conducted using the recorded data of corneal ulcer scrapings from the ocular microbiology laboratory of the National Institute of Ophthalmology. Laboratory data from 2015 to 2022 were collected and included for all corneal ulcer scrapings.</div></div><div><h3>Results</h3><div>After excluding repeated, non-cultured, and duplicate results, a total of 3,470 corneal samples were analyzed. Positive samples accounted for 88,1% of all scraps. Of these, 2,816 (81,2%), 904 (26,2%), and 662 (19,1%) showed bacterial, fungal, and mixed growth, respectively, coagulase-negative <em>Staphylococci</em> (2,257; 69,8%) were the most frequent bacteria, with <em>Staphylococcus</em> <em>epidermidis</em> (1,677; 51,9%) being the most isolated organism, followed by <em>Pseudomonas</em> <em>aeruginosa</em> (275; 8,5%) and <em>Staphylococcus</em> <em>aureus</em> (274; 8,5%). <em>Fusarium</em> spp, was the most common fungus. Less than 60% of <em>S</em>. <em>epidermidis</em> isolates showed susceptibility to oxacillin, cefazolin, moxifloxacin, and gentamicin, while more than 90% of isolates were susceptible to gatifloxacin. <em>P</em>. <em>aeruginosa</em> showed less than 80% susceptibility only to imipenem.</div></div><div><h3>Conclusion</h3><div>Gram-positive bacteria were the most isolated, with <em>S</em>. <em>epidermidis</em> being the most frequent pathogen, followed by <em>P</em>. <em>aeruginosa</em>. <em>S</em>. <em>epidermidis</em> exhibited alarmingly low susceptibility to commonly used antibiotics.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 6","pages":"Pages 306-313"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185455","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

Encuesta sobre la percepción que los oftalmólogos españoles tienen del sobrediagnóstico y sobretratamiento en glaucoma 西班牙眼科医生对青光眼过度诊断和过度治疗的看法调查

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftal.2024.12.008

J. González-Martín-Moro , N. Ventura-Abreu , J. Zarallo-Gallardo , F.J. Muñoz-Negrete

{"title":"Encuesta sobre la percepción que los oftalmólogos españoles tienen del sobrediagnóstico y sobretratamiento en glaucoma","authors":"J. González-Martín-Moro , N. Ventura-Abreu , J. Zarallo-Gallardo , F.J. Muñoz-Negrete","doi":"10.1016/j.oftal.2024.12.008","DOIUrl":"10.1016/j.oftal.2024.12.008","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the perception and knowledge Spanish ophthalmologists have of overdiagnosis (OD) and overtreatment (OT) in the field of glaucoma.</div></div><div><h3>Methods</h3><div>An anonymous, 26-item online survey was submitted to members of the Spanish Glaucoma Society and the Spanish Ophthalmology Society.</div></div><div><h3>Results</h3><div>A total of 55% out of the 195 respondents were aware of the current definition of OD/OT. Only 13 (6.7%) believe OD/OT is not a clinically significant problem. There were no significant differences in terms of demographics, type of practice and treatment preferences between ophthalmologists who considered OD/OT important and those who considerd OD/OT unimportant, except for a higher proportion of PhDs among the “not clinically relevant” group. No differences were found either across groups considering clinical findings/real-world scenarios. “Peace of mind” was considered a principal driver of OD/OT by both groups. Moderate OHT was considered the most common clinical scenario for OD/OT, which was estimated to affect 20% of medically treated patients and only 5% of those undergoing surgical procedures.</div></div><div><h3>Conclusions</h3><div>Spanish ophthalmologists reported being aware of the importance of OD and OT. However, only half were aware of the current definition of OD and OT. Most participants believe a White Paper should be produced to reduce the prevalence of OD/OT. The low participation rate and the non-response bias may limit the generalization of the results.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 6","pages":"Pages 320-329"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185457","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

Análisis del rendimiento de ChatGPT-4 en las preguntas de oftalmología del examen MIR ChatGPT-4在MIR考试眼科问题中的表现分析

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftal.2025.02.005

C.E. Monera Lucas , C. Mora Caballero , J. Escolano Serrano , A. Machan , G. Castilla Martínez , D. Romero Valero , J. Campello Lluch

{"title":"Análisis del rendimiento de ChatGPT-4 en las preguntas de oftalmología del examen MIR","authors":"C.E. Monera Lucas , C. Mora Caballero , J. Escolano Serrano , A. Machan , G. Castilla Martínez , D. Romero Valero , J. Campello Lluch","doi":"10.1016/j.oftal.2025.02.005","DOIUrl":"10.1016/j.oftal.2025.02.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the performance of ChatGPT in solving clinical scenarios in ophthalmology, specifically questions from the specialty exams for Resident Medical Interns (MIR).</div></div><div><h3>Design</h3><div>Cross-sectional design for evaluating a diagnostic tool.</div></div><div><h3>Method</h3><div>Ophthalmology questions from the MIR exams from the 2010-2023 sessions were collected. The performance of ChatGPT in successfully answering the questions was calculated. The results were also compared with those obtained by ophthalmology professionals. Additionally, sensitivity, specificity, and positive and negative probability coefficients were calculated.</div></div><div><h3>Results</h3><div>A total of 54 questions were collected, with those from the subspecialty “Retina” being the most frequent. ChatGPT's overall score was 90.2%, with a sensitivity of 92.59% and a specificity of 96.8%. The average concordance with the evaluators’ answers was 86.41%. The agreement between the evaluators was 79.62%.</div></div><div><h3>Conclusions</h3><div>ChatGPT-4 is a useful tool for solving clinical scenarios and theoretical questions in ophthalmology. Proper use of the tool, supervised by professionals, can help optimize the care processes for ophthalmology patients.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 6","pages":"Pages 314-319"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185456","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

Maculopatía por hipotonía: un reto diagnóstico 低渗性毛囊病：诊断挑战

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftal.2025.01.002

M.M. Valentín-Pastrana Aguilar, B. Sandoval Cortés, S. Durán Poveda, L. Guerrero Altares, B. García Sandoval

引用次数: 0

Neuromielitis óptica de inicio muy tardío, a propósito de dos casos 2例晚期视神经脊髓炎

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftal.2025.01.009

A. Matheu Fabra , J.E. Martínez Rodríguez , B. Beltrán Mármol , M. Saint-Gerons Trecu

引用次数: 0

Actualización de la utilidad de la angiografía mediada por tomografía de coherencia óptica en las enfermedades neurodegenerativas 提高以光学相干断层扫描为媒介的血管造影在神经退行性疾病中的效用

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftal.2025.02.004

E. Garcia-Martin , J. Pérez-Velilla , B. Cordon , E. Vilades , M.J. Rodrigo , L.E. Pablo

引用次数: 0