N Lorenzana-Blanco, A Escudero-Villanueva, N Alejandre-Alba, I Jiménez-Alfaro Morote
{"title":"Surgical Safety Checklist in ophthalmology: Proposal for a tertiary hospital.","authors":"N Lorenzana-Blanco, A Escudero-Villanueva, N Alejandre-Alba, I Jiménez-Alfaro Morote","doi":"10.1016/j.oftale.2025.05.014","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.05.014","url":null,"abstract":"<p><p>Adverse events due to unsafe healthcare practices constitute a serious global problem. The World Health Organization (WHO) has recognized healthcare insecurity as a public health issue and has undertaken various initiatives to safeguard patient safety. The Surgical Safety Checklist (SSC) is one of the tools implemented that has proven to be most effective in in reducing morbidity and mortality associated with surgeries. Its impact is tied to implementation policies. Although the SSC is universal, the WHO has encouraged adaptations for different specialties. The purpose of our work is to present the SSC used in our hospital for major and minor ophthalmic surgery. Regarding cataract surgery, it is noteworthy to consider special ocular conditions and the correct choice of intraocular lens.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153080","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":"Congenital microcoria: Description of 3 cases in a family.","authors":"P Merino, A Fuentes, P Gómez de Liaño, J Ruiz","doi":"10.1016/j.oftale.2025.05.013","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.05.013","url":null,"abstract":"<p><p>Congenital microcoria (MCOR) is a rare ocular anomaly characterized by pupil smaller than 2 mm with no response to mydriatic agents. It can present in two forms: autosomal recessive associated with Pierson syndrome and autosomal dominant isolated (associated with a high incidence of myopia and glaucoma). Studies have identified deletions in the 13q32.1 region of chromosome 13 that include the GPR180 gene, involved in smooth muscle cell growth, as the underlying cause. We describe 3 members of a family with deletion of the GPR180 gene on chromosome 13. In all, IOP was normal and gonioscopy showed iridocorneal angle dysgenesis with prominent ciliary processes. MCOR is due to poor development of the iris dilator muscle of genetic cause. Early diagnosis and continuous follow-up for possible complications such as amblyopia, progressive myopia and juvenile glaucoma is essential.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153078","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}
S Menchaca Gutiérrez, L F Yañez Ortega, E Sánchez Hernández
{"title":"Correlation between poor visual prognosis biomarkers by optical coherence tomography in diabetic macular edema and the level of albuminuria in patients with Chronic Kidney Disease.","authors":"S Menchaca Gutiérrez, L F Yañez Ortega, E Sánchez Hernández","doi":"10.1016/j.oftale.2025.05.012","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.05.012","url":null,"abstract":"<p><strong>Objective: </strong>To determine the correlation of Optical Coherence Tomography (OCT) biomarkers in diabetic macular edema with the level of albuminuria in patients with chronic kidney disease.</p><p><strong>Design: </strong>This is a retrospective, observational, cross- sectional, and analytical study.</p><p><strong>Participants: </strong>All patients over 18 years of age with diabetic macular edema who attended the retina department of the Ophthalmology service and met the inclusion criteria between March 2021 and August 2022.</p><p><strong>Methods: </strong>Data collection was carried out by reviewing the records of patients diagnosed with diabetic macular edema. Patients were divided based on 3 categories of albuminuria. The OCT images of the affected eye were collected and analyzed, and the corresponding subdivision was made depending on the presence of biomarkers of poor visual prognosis.</p><p><strong>Results: </strong>Chi-square goodness-of-fit tests were performed to analyze whether the proportion of biomarkers for each category of albuminuria was related to each level of albuminuria. A direct correlation was found between the lack of integrity of the outer retina layers and the severity of albuminuria.</p><p><strong>Conclusions: </strong>OCT can be a valuable tool for the detection of kidney damage when considering the relationship of some biomarkers with the presence of albuminuria, especially the disruption of the outer retina layers, which can be an OCT biomarker of advanced kidney disease.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153079","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}
J L Sánchez-Vicente, E M Gámez-Jiménez, J C Fernández-Fontán, F J Cordero-Bellido, J Suárez-Pérez, F López-Herrero
{"title":"Retinal angiomatous proliferation and pachychoroid.","authors":"J L Sánchez-Vicente, E M Gámez-Jiménez, J C Fernández-Fontán, F J Cordero-Bellido, J Suárez-Pérez, F López-Herrero","doi":"10.1016/j.oftale.2025.05.011","DOIUrl":"10.1016/j.oftale.2025.05.011","url":null,"abstract":"<p><p>The association between retinal angiomatous proliferation (RAP) or type 3 choroidal neovascular membrane (CNV) and pachychoroidopathy has been rarely described. Its occurrence would be a consequence of ischemia resulting from loss of the choriocapillaris secondary to compression of the pachyvessels. We report a case of retinal angiomatous proliferation in the context of pachychoroidopathy.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132868","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}
Ó García-Espinilla, P Arlanzón-Lope, A Novo-Díez, D R Llanos Ferraris, S Ortiz-Toquero, P de la Iglesia Rodríguez, M López-Gálvez, J C Pastor
{"title":"Analysis of the prevalence of diabetic retinopathy in a telemedicine screening programme from 2018 to 2023.","authors":"Ó García-Espinilla, P Arlanzón-Lope, A Novo-Díez, D R Llanos Ferraris, S Ortiz-Toquero, P de la Iglesia Rodríguez, M López-Gálvez, J C Pastor","doi":"10.1016/j.oftale.2025.05.009","DOIUrl":"10.1016/j.oftale.2025.05.009","url":null,"abstract":"<p><strong>Purpose: </strong>Diabetic retinopathy (DR) is the most common ocular complication of diabetes. Screening programmes using fundus examination with retinal imaging are a useful tool for early diagnosis of DR and an improved disease prognosis. The purpose of this study is to analyse the number of patients attended in the DR screening programme of the Castilla y León health system and to estimate DR prevalence and severity.</p><p><strong>Methods: </strong>An observational study of patients previously registered as diabetic who participated in the screening programme between 2018 and 2028 was conducted. Patients were classified according to their diagnosis in non-evaluable test, non-evaluable patient, no DR, DR (mild, moderate, severe, proliferative, and suspected diabetic macular oedema) and other pathologies.</p><p><strong>Results: </strong>The total number of consultations in the program up to the present date has been 31,901, increasing from 3,934 in 2018 to 9,508 in 2023. The estimated prevalence of DR is 15.41%. 1.58% of patients were referred to their reference hospitals due to DR or other pathologies requiring urgent treatment. The remaining patients were managed by the program.</p><p><strong>Conclusions: </strong>The prevalence of DR appears to be slightly lower than that reported in other published series, but no significant differences were observed between different program years, overall assessment, or different forms of DR or suspected diabetic macular oedema.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103300","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}
M Comes-Carsí, J M Vilaplana-Mora, L Manfreda-Domínguez, C Cañete-Nicolás, A M Duch-Samper
{"title":"Alterations in visual function and retinal structure in patients with bipolar disorder.","authors":"M Comes-Carsí, J M Vilaplana-Mora, L Manfreda-Domínguez, C Cañete-Nicolás, A M Duch-Samper","doi":"10.1016/j.oftale.2025.05.010","DOIUrl":"10.1016/j.oftale.2025.05.010","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Material and methods: </strong>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 modelo DRI OCT Triton-Swept Source (Topcon, Tokyo, Japón) was used for retinal structural analysis.</p><p><strong>Results: </strong>BCVA with high contrast, as well as with reduced contrast at 2.5% and 1.25%, showed significant differences (p < 0.05) 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 (p-value = 0.007 in both). No significant differences were observed in the mean thickness of these retinal layers between type I and type II bipolar patients (p-value = 0.556 and 0.871 respectively).</p><p><strong>Conclusions: </strong>there are significant differences in visual function and in the mean thickness of retinal layers between bipolar patients and healthy controls.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103298","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":"Recording with mobile phones in the ophthalmology office: Legal limits.","authors":"M Sanchidrián Mayo","doi":"10.1016/j.oftale.2025.05.007","DOIUrl":"10.1016/j.oftale.2025.05.007","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060847","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":"The starry night: Pigment turbulence after peripheral iridotomy in iris bombé.","authors":"A Arnaiz-Camacho, C Parés-Alfonso, L Sánchez-Vela","doi":"10.1016/j.oftale.2025.05.006","DOIUrl":"10.1016/j.oftale.2025.05.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031914","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}
G Liaño Sanz-Diez de Ulzurrun, P Escámez Fernández, J M Hernáez Leonato, B Son Camey, I Rosado Cerro, C Arruabarrena
{"title":"Pigment epithelial detachments in age related macular degeneration.","authors":"G Liaño Sanz-Diez de Ulzurrun, P Escámez Fernández, J M Hernáez Leonato, B Son Camey, I Rosado Cerro, C Arruabarrena","doi":"10.1016/j.oftale.2025.05.005","DOIUrl":"10.1016/j.oftale.2025.05.005","url":null,"abstract":"<p><p>Pigment epithelial detachments (PEDs) form a heterogeneous group of lesions of diverse prognosis and treatment that have in common the pathologic elevation of the retinal pigment epithelium plane and its detachment from the underlying layers. Although PEDs are a common finding in age-related macular degeneration, especially in its exudative forms, the diagnostic characterization and prognostic estimation of these lesions is a clinical challenge that necessarily requires a multimodal imaging approach. This review presents the clinical characteristics of the different groups of PED, their diagnostic imaging profile, as well as their natural history.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051960","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}
J Noguera Campos, S Pose Bazarra, N Castro Casal, A Urbano Bueno, M D Álvarez Díaz
{"title":"Topical permethrin 5% as a treatment for pediatric patients with phthiriasis palpebrarum: A case report.","authors":"J Noguera Campos, S Pose Bazarra, N Castro Casal, A Urbano Bueno, M D Álvarez Díaz","doi":"10.1016/j.oftale.2025.05.008","DOIUrl":"10.1016/j.oftale.2025.05.008","url":null,"abstract":"<p><p>Phthiriasis palpebrarum is defined as the involvement of the eyelids by the Phthirus pubis parasite. It is a pathology considered as a sexually transmitted disease, whose treatment can be challenging in some situations. We present the case of a 4-year-old patient with eyelashes severely affected by this parasite, who cooperated poorly for mechanical removal. Given this situation, we decided to prescribe a single dose of topical permethrin 5% and several applications of vaseline, repeating this treatment a week later, which led to the complete resolution of the condition. This case introduces topical permethrin 5% as an effective, safe and widely available option for the treatment of this pathology, especially for pediatric patients or those who do not cooperate adequately for mechanical removal of the parasites.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994187","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}