Archivos de la Sociedad Espanola de Oftalmologia最新文献

Pulsed light therapy in refractory dry eye disease associated with Meibomian gland dysfunction: Effectiveness in symptomatic response.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.002

S Turizo Mejía, L M J Mayo, J C Gil Muñoz, J C Buitrago Salazar, A M Rodríguez Gómez, L F Mejía Echavarría, M Escobar Giraldo

{"title":"Pulsed light therapy in refractory dry eye disease associated with Meibomian gland dysfunction: Effectiveness in symptomatic response.","authors":"S Turizo Mejía, L M J Mayo, J C Gil Muñoz, J C Buitrago Salazar, A M Rodríguez Gómez, L F Mejía Echavarría, M Escobar Giraldo","doi":"10.1016/j.oftale.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.01.002","url":null,"abstract":"Purpose: To determine the effectiveness of intense pulsed light (IPL) therapy in improving symptoms in patients with a diagnosis of evaporative dry eye disease secondary to Meibomian gland dysfunction (MGD) refractory to conventional treatment.Methods: Pseudo-experimental, analytical, prospective, longitudinal, interventional study. Patients aged 18-74 years with a diagnosis of dry eye disease refractory to conventional dry eye treatment with the presence of DGM were included. A total of 4 IPL sessions were performed at days 0, 15, 45 and 75. At each visit, ocular surface disease index (OSDI) data and 1-10 analog scale were taken as objective evidence of symptomatic status.Results: Sixty three patients were included, median age was 43 years, 61.5% were female, 42.9% of patients used one conventional treatment for dry eye prior to IPL therapy and 57.1% of patients used two or more treatments. Sixty three patients completed at least one IPL session, 45 had two sessions, 32 had three sessions and 18 had four sessions. After the fourth session symptomatic improvement was 50.8% based on the OSDI scale, and 71.4% based on the analogous symptom scale.Conclusion: This study demonstrates that IPL therapy is effective in symptomatic improvement in patients with MGD diagnosis refractory to conventional treatment, showing that after four sessions in at least 50% of patients both with the OSDI measurement and with the ocular surface symptomatology analog scale.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082233","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

Congenital simple hamartoma of the retinal pigment epithelium. About three cases.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.008

A B González Escobar, M A López-Egea Bueno, A González Gómez, J M Galván Cano, I M Baquero Aranda, R Luque Aranda

引用次数: 0

Demographic and clinical characteristics of patients with thyroid orbitopathy in a tertiary hospital over 5 years.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.006

A Fernández Fernández De Castro, H Sánchez Tocino, A Galindo-Ferreiro

{"title":"Demographic and clinical characteristics of patients with thyroid orbitopathy in a tertiary hospital over 5 years.","authors":"A Fernández Fernández De Castro, H Sánchez Tocino, A Galindo-Ferreiro","doi":"10.1016/j.oftale.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.01.006","url":null,"abstract":"Objective: To describe the demographic and clinical characteristics of thyroid orbitopathy (TO) in a population in Spain.Method: It is a retrospective observational study of patients with TO treated at a tertiary hospital center. We gathered demographic data, ophthalmological symptoms, laterality, symmetry, recurrences, activity according to the Clinical Activity Score scale, severity according to the European Group On Graves' Orbitopathy (EUGOGO), thyroid function and antibody levels. Statistical significance was defined for P values <0.05.Results: 156 patients with TO were included. 128 (82.1%) women, the female/male sex ratio was 4.57:1. The cumulative incidence was 7.47 cases per 100,000 inhabitants/year. The mean age was 50.7 ± 13.2 years. 70 (44.9%) patients were smokers. 62 (39.7%) patients had a family history of thyroid dysfunction. Hyperthyroidism occurred in 90 (57.7%) patients, hypothyroidism in 34 (21.8%) patients, and euthyroidism in 32 (20.5%) patients. Thyroid-stimulating immunoglobulin was elevated in 107 (68.5%) patients. The TO was bilateral in 149 (95.51%) and symmetrical in 99 (66%). Active TO occurred in 28 (17.9%) patients. 110 (70.5%) TO were mild, 41 (26.3%) moderate-severe and 5 (3.2%) very severe. Moderate-severe TO was higher in smokers compared to non-smokers (32.9% vs. 20.9%, p = 0.524).Conclusions: TO in our population follows similar patterns to other countries: female sex, mild, bilateral and symmetrical. In smokers, TO may present more severely.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082682","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

Human amniotic membrane plug to treat failed and highly myopic macular holes. Our experience.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.013

L Gutierrez-Benitez, G Biarge, M Asaad, B Delas

引用次数: 0

Clinical characteristics and multimodal image in a case of idiopatic papillophlebitis.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.001

C E Monera Lucas, J Aguilar Falomir, S López Jiménez

引用次数: 0

"Venous cavernous malformation in the infraorbital canal with unusual presentation".

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.009

M G Solaz-Ruiz, S Inat-Moreno, B Casado-Peláez, C Congost-Laguna, L Azorín-Pérez, E España-Gregori

引用次数: 0

Lacriphagia: a new form of transmission of parasitic diseases.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.004

Julio González Martín-Moro, Víctor Altares-Mateos, Jesús Zarallo-Gallardo

引用次数: 0

Degenerative lamellar foramen post drusenoid detachment of the retinal pigment epithelium.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.005

C M Ortega, D Pratto

引用次数: 0

Bilateral acute iris transilumination: Description of two cases.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.007

S Naranjo Salazar, S Restrepo Velásquez, A M Rodriguez Gómez, J M Palacio Aguirre

引用次数: 0

Etiology of infectious keratitis.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.010

C Piña-Delgado, M Bolaños-Rivero, I I Guedes Guedes, L Siguero-Martín, I de Miguel-Martínez

{"title":"Etiology of infectious keratitis.","authors":"C Piña-Delgado, M Bolaños-Rivero, I I Guedes Guedes, L Siguero-Martín, I de Miguel-Martínez","doi":"10.1016/j.oftale.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.01.010","url":null,"abstract":"Objetives: Analyze the etiology of infectious keratitis in our hospital MATERIAL AND METHODS: Retrospective study in which the medical records of patients were reviewed in which a keratitis-producing microorganism was detected during the last 9 years (January 2014-December 2022). The sample was obtained by corneal scraping and seeded in non-selective media. Bacterial and fungal identification was carried out by mass spectrometry and viral identification by polymerase chain reaction (PCR). Sensitivity was obtained using disk-plate antibiograms, E-test or broth microdilution systems.Results: A total of 433 samples of corneal scrapings belonging to 416 patients were processed. Of the total samples, 196 were positive (44,3%). The average age was 55 years, with 51% being women. Regarding the etiology, we found the following isolates: Gram-positive bacteria (N = 83) (44%), highlighting Staphylococcus aureus (N = 33), coagulase-negative staphylococci (N = 26), being Staphylococcus epidermidis the most frequent (N = 19). Gram-negative bacteria (N = 67) (35%), including: Pseudomonas aeruginosa (N = 31), 42% associated with the use of contact lenses and Enterobacterales (N = 16). Anaerobes (N = 19), which 18 isolates were Cutibacterium acnes. Regarding viral etiology (N = 10): herpes simple type 1 (N = 7). Varicella-zoster virus (N = 3). Finally, the fungal etiology (N = 13), highlighting Candida spp. (N = 10) CONCLUSIONS: The main agents of infectious keratitis are Staphylococcus aureus and Pseudomonas aeruginosa. The causative agent was detected in 44,3% of the samples, so microbiological analysis of these samples is highly advisable.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081933","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