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Archivos de la Sociedad Espanola de Oftalmologia最新文献

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Management of bilateral oculomotor paralysis after traumatic head injury: a case report. 外伤性颅脑损伤后双侧动眼肌麻痹1例。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-14 DOI: 10.1016/j.oftale.2025.06.004
P Talavero González, J García Bella, E Hernández García, E Vico Ruiz, Á Romo López, R Gómez de Liaño Sánchez
{"title":"Management of bilateral oculomotor paralysis after traumatic head injury: a case report.","authors":"P Talavero González, J García Bella, E Hernández García, E Vico Ruiz, Á Romo López, R Gómez de Liaño Sánchez","doi":"10.1016/j.oftale.2025.06.004","DOIUrl":"10.1016/j.oftale.2025.06.004","url":null,"abstract":"<p><p>A 73-year-old male with disabling torticollis. He suffered a severe traumatic head injury when he had 36 years old, affecting multiple cranial nerves, including III, IV and VI bilaterally. On actual examination he presented a large torticollis left head turn that compensates the diplopía. In the right eye, -4 limitation of adduction, -1 limitation of elevation and horizontal nystagmus on abduction. In the left eye, -6 limitation of abduction, -2 limitation of adduction, -1 limitation of elevation and -2 limitation of depression (0-8 scale). The right eye underwent Nasal Nishida procedure and the left eye underwent a Temporal Nishida. One year after the surgery the patient was no longer maintaining a head turn but had a mild tilt to the right and inttermitent diplopía. Nishida procedure can be a good option in cases of complex bilateral oculomotor paralysis.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295492","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
Pigmentary chorioretinopathy due to long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHAD): a case report with long-term follow-up. 长链3-羟基酰基辅酶a脱氢酶缺乏症（LCHAD）所致色素性脉络膜视网膜病变1例并长期随访。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-14 DOI: 10.1016/j.oftale.2025.06.003
N Castro Casal, N Olivier Pascual, R Arroyo Castillo
{"title":"Pigmentary chorioretinopathy due to long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHAD): a case report with long-term follow-up.","authors":"N Castro Casal, N Olivier Pascual, R Arroyo Castillo","doi":"10.1016/j.oftale.2025.06.003","DOIUrl":"10.1016/j.oftale.2025.06.003","url":null,"abstract":"<p><p>Long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHAD) is a rare but severe genetic disorder that causes pigmentary chorioretinopathy. We present the case of a 20-year-old female patient diagnosed with LCHAD by neonatal screening with alteration of the retinal pigment epithelium (RPE) since the age of 3 years. Fundus examination showed a salt-and-pepper speckled granular pattern and diffuse peripheral chorioretinal atrophy. The patient is stable, visually asymptomatic and with good systemic control after more than 15 years of follow-up with retinography, optical coherence tomography (OCT), autofluorescence (FAF) and electroretinogram (ERG), essential for control. This case highlights the importance of early diagnosis and treatment to prevent decompensation and improve survival and progression.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295493","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
Update on ophthalmic biotechnology: Techniques for identifying molecular and genetic biomarkers. 眼科生物技术的更新。分子和遗传生物标志物的鉴定技术。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-09 DOI: 10.1016/j.oftale.2025.06.001
E Marín-Payá, I Andrés-Blasco, L Zanón-Moreno, J Marín-Montiel, M D Pinazo-Durán, V Zanón-Moreno
{"title":"Update on ophthalmic biotechnology: Techniques for identifying molecular and genetic biomarkers.","authors":"E Marín-Payá, I Andrés-Blasco, L Zanón-Moreno, J Marín-Montiel, M D Pinazo-Durán, V Zanón-Moreno","doi":"10.1016/j.oftale.2025.06.001","DOIUrl":"10.1016/j.oftale.2025.06.001","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277012","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
When perfection becomes a burden: The stress of cataract surgeons. 当完美成为一种负担：白内障手术的压力。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-09 DOI: 10.1016/j.oftale.2025.06.002
V M Asensio-Sánchez
{"title":"When perfection becomes a burden: The stress of cataract surgeons.","authors":"V M Asensio-Sánchez","doi":"10.1016/j.oftale.2025.06.002","DOIUrl":"10.1016/j.oftale.2025.06.002","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277013","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
Maculopathy due to hypotony: A diagnostic challenge 低眼压引起的黄斑病变：一个诊断挑战。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftale.2025.03.013
M.M. Valentín-Pastrana Aguilar, B. Sandoval Cortés, S. Durán Poveda, L. Guerrero Altares, B. García Sandoval
{"title":"Maculopathy due to hypotony: A diagnostic challenge","authors":"M.M. Valentín-Pastrana Aguilar,&nbsp;B. Sandoval Cortés,&nbsp;S. Durán Poveda,&nbsp;L. Guerrero Altares,&nbsp;B. García Sandoval","doi":"10.1016/j.oftale.2025.03.013","DOIUrl":"10.1016/j.oftale.2025.03.013","url":null,"abstract":"<div><div>Hypotony maculopathy is a potential complication of glaucoma filtering surgery, clinically relevant as it can cause vision loss. Classically, it produces choroidal folds, vascular tortuosity, and optic disc edema. However, in optical coherence tomography (OCT), it may also present as intraretinal cysts (IRC). We present the case of a patient who, 10 years after undergoing glaucoma surgery, developed ocular hypotony, IRC, and decreased visual acuity (VA). Given the patient's history of diabetes mellitus, it was initially diagnosed as diabetic macular edema (DME), which delayed appropriate treatment. This led to worsening corneal decompensation, ultimately requiring a corneal transplant in the form of Descemet membrane endothelial keratoplasty (DMEK).</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 6","pages":"Pages 351-355"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694758","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
Surprising complete regression of a choroidal neovascular membrane with faricimab 法利昔单抗使脉络膜新生血管膜惊人地完全消退。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftale.2025.03.012
F. Garcia Ibor, N. Ruiz del Rio, A.M. Duch Samper
{"title":"Surprising complete regression of a choroidal neovascular membrane with faricimab","authors":"F. Garcia Ibor,&nbsp;N. Ruiz del Rio,&nbsp;A.M. Duch Samper","doi":"10.1016/j.oftale.2025.03.012","DOIUrl":"10.1016/j.oftale.2025.03.012","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 6","pages":"Pages 372-373"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694761","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
Reporting serious incidents in medical devices used in glaucoma surgery. Proposing ideas (III) 报告青光眼手术中使用的医疗器械的严重事故。提出意见（三）。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftale.2025.04.001
F.J. Muñoz-Negrete , A. López Vázquez , J.M. Martínez-de-la-Casa , M. Pazos , R. Giménez Gómez , J.C. Pastor
{"title":"Reporting serious incidents in medical devices used in glaucoma surgery. Proposing ideas (III)","authors":"F.J. Muñoz-Negrete ,&nbsp;A. López Vázquez ,&nbsp;J.M. Martínez-de-la-Casa ,&nbsp;M. Pazos ,&nbsp;R. Giménez Gómez ,&nbsp;J.C. Pastor","doi":"10.1016/j.oftale.2025.04.001","DOIUrl":"10.1016/j.oftale.2025.04.001","url":null,"abstract":"<div><div>The implementation of the Medical Device Regulation (MDR) forces clinicians to identify and report any serious incidents related to the use of medical devices to the Health Authorities. To address uncertainties about what constitutes a serious incident, a working group composed of members of the Spanish Glaucoma Society (SEG) and the Cluster of Ophthalmology and Vision Sciences (Cluster4Eye) has developed a guiding document. This resource aims to assist less experienced ophthalmologists in recognizing specific incidents associated with glaucoma surgery that, in the team's view, are uncommon or could potentially result in significant harm to patient function. This list is not exhaustive and will remain open to updates based on feedback received</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 6","pages":"Pages 356-361"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804962","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
Primary orbital melanoma in a patient with nevus of Ota 太田痣患者原发性眼眶黑色素瘤。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftale.2025.04.009
M.V. Segura Fernández-Nogueras , M. Tirado Pascual , H. Piñas Hormeño , C. Alba Linero
{"title":"Primary orbital melanoma in a patient with nevus of Ota","authors":"M.V. Segura Fernández-Nogueras ,&nbsp;M. Tirado Pascual ,&nbsp;H. Piñas Hormeño ,&nbsp;C. Alba Linero","doi":"10.1016/j.oftale.2025.04.009","DOIUrl":"10.1016/j.oftale.2025.04.009","url":null,"abstract":"<div><div>Primary orbitary melanoma is a very rare malignancy which grows adjacent to melanocyte-rich areas. This is the case of a 48 years-old woman with oculodermal melanocytosis who develops a primary orbital melanoma. After the first approach with exeresis and adjuvant radiotherapy and a subsequent management with orbital exenteration and adjuvant immunotherapy; the patient has reached a remission period of 12 months so far. With this case the aims are to emphasize the severe complications potentially associated to the oculodermal melanocytosis and to demonstrate the need of treating complex patients through multidisciplinary teams.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 6","pages":"Pages 362-366"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002151","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
Very late-onset neuromyelitis optica, a report of two cases 非常晚发性视神经脊髓炎2例报告。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-06-01 DOI: 10.1016/j.oftale.2025.04.010
A. Matheu Fabra , J.E. Martínez Rodríguez , B. Beltrán Mármol , M. Saint-Gerons Trecu
{"title":"Very late-onset neuromyelitis optica, a report of two cases","authors":"A. Matheu Fabra ,&nbsp;J.E. Martínez Rodríguez ,&nbsp;B. Beltrán Mármol ,&nbsp;M. Saint-Gerons Trecu","doi":"10.1016/j.oftale.2025.04.010","DOIUrl":"10.1016/j.oftale.2025.04.010","url":null,"abstract":"<div><div>Neuromyelitis optica spectrum disorder (NMOSD) is a rare demyelinating autoimmune disease that affects the optic nerves, spinal cord and brain stem. It generally affects women between 30 and 40 years of age and has as a marker the anti-aquaporin-4 (AQP4) antibody.</div><div>We describe two Caucasian patients, a woman and a man aged 72 and 76 years, respectively, who presented with optic neuritis as the initial manifestation of NMOSD, with positive AQP4 antibodies.</div><div>Very late-onset NMOSD (over 70 years of age) is very rare and, according to small published series, in these patients, generally non-Caucasian, spinal cord involvement predominates and they have a worse prognosis. We consider that our cases illustrate the importance of including this entity in the differential diagnosis of atypical optic neuropathies even in advanced age, given the severity of this disease, which requires early and aggressive treatment.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 6","pages":"Pages 367-371"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046284","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
Microbiological profile of bacterial and fungal corneal ulcers at a national institute of ophthalmology in Perú 秘鲁国家眼科研究所细菌性和真菌性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.oftale.2025.03.017
R. Navarro , E. Ballesteros-Zamalloa , R. Hualpa-Vicente , P. Minami , M.A. Rodriguez-Cuba
{"title":"Microbiological profile of bacterial and fungal corneal ulcers at a national institute of ophthalmology in Perú","authors":"R. Navarro ,&nbsp;E. Ballesteros-Zamalloa ,&nbsp;R. Hualpa-Vicente ,&nbsp;P. Minami ,&nbsp;M.A. Rodriguez-Cuba","doi":"10.1016/j.oftale.2025.03.017","DOIUrl":"10.1016/j.oftale.2025.03.017","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 Staphylococci (2,257; 69.8%) were the most frequent bacteria, with <em>Staphylococcus epidermidis</em> (1,677; 51.9%) being the most isolated organism, followed by <em>Pseudomonas aeruginosa</em> (275; 8.5%) and <em>Staphylococcus aureus</em> (274; 8.5%). Fusarium spp. was the most common fungus. Less than 60% of <em>S. epidermidis</em> isolates showed susceptibility to Oxacillin, Cefazolin, Moxifloxacin, and Gentamicin, while more than 90% of isolates were susceptible to Gatifloxacin. <em>P. 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. epidermidis</em> being the most frequent pathogen, followed by <em>P. aeruginosa. S. epidermidis</em> exhibited alarmingly low susceptibility to commonly used antibiotics.</div></div>","PeriodicalId":93886,"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":"143744632","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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