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Archivos De La Sociedad Espanola De Oftalmologia最新文献

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Neuritis óptica, sífilis y VIH 视神经炎、梅毒和艾滋病毒
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-07-01 DOI: 10.1016/j.oftal.2024.03.013
H. Daungsupawong , V. Wiwanitkit
{"title":"Neuritis óptica, sífilis y VIH","authors":"H. Daungsupawong , V. Wiwanitkit","doi":"10.1016/j.oftal.2024.03.013","DOIUrl":"10.1016/j.oftal.2024.03.013","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 7","pages":"Page 312"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031164","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
Parálisis supranuclear progresiva, a propósito de un caso 进行性核上性麻痹，病例报告
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-07-01 DOI: 10.1016/j.oftal.2024.04.003
A. Ortiz , F. Troya , J. de Vera , E. Vázquez
{"title":"Parálisis supranuclear progresiva, a propósito de un caso","authors":"A. Ortiz ,&nbsp;F. Troya ,&nbsp;J. de Vera ,&nbsp;E. Vázquez","doi":"10.1016/j.oftal.2024.04.003","DOIUrl":"10.1016/j.oftal.2024.04.003","url":null,"abstract":"<div><p>Progressive Supranuclear Palsy (PSP), also known as Steele-Richardson-Olszewski syndrome, is a rare neurodegenerative disease characterized by a variety of motor and neuro-ophthalmological symptoms. We present the case of a 73-year-old male patient with a history of type 2 diabetes and high blood pressure, who consulted for gait disorders, tremors in the extremities, and difficulty controlling conjugate gaze. During physical examination, findings consistent with PSP were noted, including hypomimia, muscle rigidity, and abnormal movements. The initial misdiagnosis of Parkinson's disease and subsequent administration of levodopa highlight the importance of accurate diagnosis in complex neurological conditions. This clinical case highlights the need for a thorough evaluation of neuro-ophthalmological symptoms and signs to ensure an appropriate therapeutic approach and improve the quality of life of patients.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 7","pages":"Pages 304-308"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141023272","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
Eliminación de la triquiasis mediante punch dermatológico: a propósito de un caso 用皮肤打孔器去除倒睫：病例报告
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-07-01 DOI: 10.1016/j.oftal.2024.01.006
E. Cañadillas Sánchez , E.M. Oliver García , A.G. Cañadillas Lucena
{"title":"Eliminación de la triquiasis mediante punch dermatológico: a propósito de un caso","authors":"E. Cañadillas Sánchez ,&nbsp;E.M. Oliver García ,&nbsp;A.G. Cañadillas Lucena","doi":"10.1016/j.oftal.2024.01.006","DOIUrl":"10.1016/j.oftal.2024.01.006","url":null,"abstract":"<div><p>Entropion, a common malposition of the eyelid, can lead to trichiasis and corneal damage. This article presents a clinical case in which, following initial surgery to correct entropion, the use of a dermatological punch was chosen to definitively eliminate persistent trichiasis. This relatively unknown yet effective approach proved to be a quick and straightforward alternative with positive outcomes, emphasizing the importance of considering innovative approaches to recurrent challenges in clinical practice.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 7","pages":"Pages 309-311"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409413","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
Crecimiento epitelial severo después de vitrectomía pars plana a los 10 años de LASIK LASIK 10 年后进行玻璃体旁切除术后上皮严重增生
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-07-01 DOI: 10.1016/j.oftal.2024.02.002
J.I. Fernández-Vigo , A. Macarro-Merino , B. Burgos-Blasco , I. Almorín-Fernández-Vigo , P. Arriola-Villalobos , J.Á. Fernández-Vigo
{"title":"Crecimiento epitelial severo después de vitrectomía pars plana a los 10 años de LASIK","authors":"J.I. Fernández-Vigo ,&nbsp;A. Macarro-Merino ,&nbsp;B. Burgos-Blasco ,&nbsp;I. Almorín-Fernández-Vigo ,&nbsp;P. Arriola-Villalobos ,&nbsp;J.Á. Fernández-Vigo","doi":"10.1016/j.oftal.2024.02.002","DOIUrl":"10.1016/j.oftal.2024.02.002","url":null,"abstract":"<div><p>Epithelial ingrowth is one of the most significant complications of Laser in Situ Keratomileusis (LASIK) refractive surgery. We present the case of a 72-year-old male with a history of myopic LASIK (1999), who underwent cataract surgery and a second thin LASIK sub-Bowman flap to correct refractive error. Then, three months after pars plana vitrectomy for an epiretinal membrane, the patient complained of progressive vision loss. A diffuse haze of the corneal stroma that did not exist before surgery was observed. As the main suspicion was epithelial ingrowth, the flap was lifted and meticulous de-epithelialization of the stromal bed was performed. Mitomycin C 0.02% was applied, the flap was sutured with 10-0 Nylon, and a bandage contact lens was placed. The epithelialization of the interface after vitrectomy in a patient with LASIK could occur even when it is a rare complication and without obvious flap traumatism.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 7","pages":"Pages 296-299"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404559","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
Queratitis infecciosas asociadas al uso de lentes de contacto: estudio multicéntrico REGINFECOR 与佩戴隐形眼镜有关的感染性角膜炎：REGINFECOR 多中心研究
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.01.010
E. Ispizua Mendivil , J.A. Durán de la Colina
{"title":"Queratitis infecciosas asociadas al uso de lentes de contacto: estudio multicéntrico REGINFECOR","authors":"E. Ispizua Mendivil ,&nbsp;J.A. Durán de la Colina","doi":"10.1016/j.oftal.2024.01.010","DOIUrl":"10.1016/j.oftal.2024.01.010","url":null,"abstract":"<div><p>This 32-centre multicentre study addresses the lack of knowledge about the prevalence and significance of microbial keratitis (MK) associated with contact lens (CL) wear in Spain. A total of 304 cases recruited from 32 hospitals were studied and showed that infectious keratitis associated with contact lens wear mainly affects young women during the summer months. In this study, soft lenses with monthly replacement and single solution cleaning were most commonly used, purchased and fitted in opticians’ shops. Common risk factors were identified among users, such as topping off solutions, prolonging the life of lenses, and frequently sleeping, swimming and showering with lenses. Overnight lens wear was significantly associated with a higher incidence of corneal opacities, and the presence of <em>Pseudomonas aeruginosa</em> in bacterial cultures was associated with more severe sequelae and a greater need for corneal transplantation. Although most cases were benign, the time taken to heal was long, which poses a problem for working patients. This study provides valuable epidemiological, microbiological and risk factor information and estimates the incidence of CL related MK in Spain to be approximately 1 case per 30,000 inhabitants per year.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 6","pages":"Pages 237-247"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466272","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
Queratitis por Achromobacter xylosoxidans en flap de LASIK tratada con antibióticos intraestromales: A propósito de un caso 用腔内抗生素治疗 LASIK 皮瓣上的木栓酸 Achromobacter xylosoxidans 角膜炎：一份病例报告
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2023.12.003
N. Castro Casal, S. Viña Vázquez, S. Romeo Villadóniga
{"title":"Queratitis por Achromobacter xylosoxidans en flap de LASIK tratada con antibióticos intraestromales: A propósito de un caso","authors":"N. Castro Casal,&nbsp;S. Viña Vázquez,&nbsp;S. Romeo Villadóniga","doi":"10.1016/j.oftal.2023.12.003","DOIUrl":"10.1016/j.oftal.2023.12.003","url":null,"abstract":"<div><p>Intrastromal antibiotic injections are a type of treatment that can be very useful in bacterial keratitis refractory to topical antibiotics. We present the case of a 44-year-old woman with an infiltrate in a laser in situ keratomileusis (LASIK) flap and growth of <em>Achromobacter xylosoxidans</em>, who was treated with topical ceftazidime for 1 month. However, after discontinuation of the antibiotic, there was a worsening with growth of the same germ. Topical treatment was reintroduced and, due to suspicion of germ reservoir, it was decided to give three cycles of intrastromal ceftazidime injections, the last one also with moxifloxacin, with good results. After 4 months asymptomatic and without treatment at the moment, no signs of recurrence have been observed. This case supports the usefulness of intrastromal injections in refractory cases to the topical medication.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 6","pages":"Pages 248-251"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772369","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
Presencia de puntos hiperreflectivos subfoveales como biomarcador pronóstico anatómico y funcional en agujero macular 眼底高反射斑是黄斑孔的解剖和功能性预后生物标记。
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.03.008
D. Rueda-Latorre , J.A. Sosa-Lockward , N. Abreu-Arbaje
{"title":"Presencia de puntos hiperreflectivos subfoveales como biomarcador pronóstico anatómico y funcional en agujero macular","authors":"D. Rueda-Latorre ,&nbsp;J.A. Sosa-Lockward ,&nbsp;N. Abreu-Arbaje","doi":"10.1016/j.oftal.2024.03.008","DOIUrl":"10.1016/j.oftal.2024.03.008","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the presence of subfoveal hyperreflective dots (SfHD) using optical coherence tomography (OCT) in macular holes (MH) and establish whether there is a relationship with postoperative anatomical and functional outcomes.</p></div><div><h3>Methods</h3><p>An observational cross-sectional study was conducted at the Dr. Elías Santana Hospital. Sixty-eight eyes of 67 patients with a tomographic diagnosis of full-thickness MH who underwent pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling were included. Preoperative and postoperative measurements were obtained using radial macular scans and HD raster scans with Optovue and Cirrus 5000 (Zeiss) OCT machines. The main outcome measures were anatomical closure by OCT and functional outcome through best-corrected visual acuity (BCVA).</p></div><div><h3>Results</h3><p>The anatomical closure rate in our study was 63%. MHs that failed to achieve anatomical closure exhibited a higher number of hyperreflective dots and worse postoperative BCVA. A statistically significant association was found between exposed retinal pigment epithelium (RPE) in microns and the number of SfHD (<em>p</em> <!-->=<!--> <!-->0.001).</p></div><div><h3>Conclusion</h3><p>SfHD is a common tomographic finding in MH, and the presence of a higher number of these points is associated with poorer anatomical and functional outcomes. This imaging finding is a potential prognostic biomarker in this pathology.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 6","pages":"Pages 232-236"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780950","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
Métodos de corrección quirúrgica refractiva del queratocono 角膜屈光手术矫正方法
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.01.011
F. D’Oria , J.L. Alio
{"title":"Métodos de corrección quirúrgica refractiva del queratocono","authors":"F. D’Oria ,&nbsp;J.L. Alio","doi":"10.1016/j.oftal.2024.01.011","DOIUrl":"10.1016/j.oftal.2024.01.011","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 6","pages":"Pages 227-228"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468909","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
Neuritis óptica secundaria a sífilis 梅毒继发视神经炎
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.02.010
I. Téllez Guzmán , M.C. Atilano Anzaldo , K.P. Delgado Moreno
{"title":"Neuritis óptica secundaria a sífilis","authors":"I. Téllez Guzmán ,&nbsp;M.C. Atilano Anzaldo ,&nbsp;K.P. Delgado Moreno","doi":"10.1016/j.oftal.2024.02.010","DOIUrl":"10.1016/j.oftal.2024.02.010","url":null,"abstract":"<div><p>Optic neuritis is a rare manifestation of syphilis, and the involvement of the central nervous system should be considered synonymous with neurosyphilis. This infectious disease, well known as ‘the great imitator’, can affect any structure and produce multiple clinical symptoms. Here, we report a case of a 62-year-old male patient who presented to our service with decreased vision and myodesopsias in right eye. The posterior segment showed a hyperemic nerve with peripapillary hemorrhages and retinal pigment epithellium hyperplasia. The patient was recently diagnosed with HIV. Serology for syphilis was positive with posterior decreased levels of nontreponemal test following treatment with ceftriaxone. Optic neuritis can occur at any stage of syphilis and must always be considered a differential diagnosis.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 6","pages":"Pages 260-264"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401661","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
Un raro cuerpo extraño intraocular resultante de un accidente laboral 工伤事故导致的罕见眼内异物
Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.02.007
J.M. Lopez, M.S. Pighin, M. Picco, I. Jürgens
{"title":"Un raro cuerpo extraño intraocular resultante de un accidente laboral","authors":"J.M. Lopez,&nbsp;M.S. Pighin,&nbsp;M. Picco,&nbsp;I. Jürgens","doi":"10.1016/j.oftal.2024.02.007","DOIUrl":"10.1016/j.oftal.2024.02.007","url":null,"abstract":"<div><p>A 54-year-old man presented to the ophthalmic emergency department of our center with eye pain and blurred vision in his right eye following a workplace accident. Examination revealed a penetrating corneal injury with the presence of an intraocular foreign body (IOFB) involving the corneoscleral limbus, perforating the cornea, iris, anterior lens capsule, and lens. Immediate surgical intervention was carried out with the extraction of the IOFB, identified as an 8<!--> <!-->mm mussel shell fragment, and the removal of the resulting traumatic cataract. Both preoperative and postoperative examinations showed an attached retina with no signs of retinal tears or vitreous hemorrhage. Appropriate management in this case, along with the timely identification of the agent, led to favorable outcomes despite the size of the intraocular foreign body.</p></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"99 6","pages":"Pages 256-259"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268372","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
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