L Dominguez García, P Spang-Valencia, C Leis-Cofiño, J Villagrá Lecuona, P Monreal-Lodeiros, I Rosa Pérez
{"title":"Value of vitamin A supplements in increasing macular thickness in a patient with vitamin A deficiency and nyctalopy.","authors":"L Dominguez García, P Spang-Valencia, C Leis-Cofiño, J Villagrá Lecuona, P Monreal-Lodeiros, I Rosa Pérez","doi":"10.1016/j.oftale.2025.10.001","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.10.001","url":null,"abstract":"<p><p>Although vitamin A deficiency is a rare cause of nyctalopia, its detection is crucial since vitamin A supplementation can improve vision. This is the case of a 69-year-old woman with progressive night blindness, a past medical history of intestinal surgery, and low vitamin A levels. After vitamin A treatment, her visual acuity improved, along with an increase in macular thickness. Vitamin A is essential for photoreceptor function, and its deficiency is associated with conditions such as xerophthalmia and keratopathy. OCT proved useful in monitoring treatment response. It is important to suspect hypovitaminosis A in patients with risk factors such as bariatric surgery or malabsorption, as its correction can enhance both retinal structure and visual function.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240621","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":"Simulating Glaucoma Progression in the Retinal Ganglion Cell Layer with Generative Adversarial Networks.","authors":"Peraza Alejandro, Gómez-Perera Sandra, Arnay Rafael, Sigut Saavedra José, Díaz-Alemán Tinguaro","doi":"10.1016/j.oftale.2025.10.002","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.10.002","url":null,"abstract":"<p><strong>Objective: </strong>The main objective of this study is to develop a tool capable of synthesizing images of the ganglion cell layer (GCL) that simulate glaucoma progression using generative antagonistic networks (GANs).</p><p><strong>Material and methods: </strong>The dataset includes 406 GCL images of 76 eyes with glaucoma and progression, recorded by a spectral domain optical coherence tomograph (OCT). The Pix2Pix model, a conditional antagonistic generative network, was used to transform the current GCL images into images representing glaucoma progression. A total of 70% of the samples were used for training and 30% for model testing. The structural similarity coefficient was used to analyze the similarity between the real and generated images, and finally, an expert's opinion was used to assess the originality of the generated images.</p><p><strong>Results: </strong>The synthesized images successfully replicate glaucoma lesion patterns, with good generalizability and reproducibility. The results show a mean structural similarity between 0.76 and 0.78 in the different tests. The test with the expert obtained an accuracy of 57% in distinguishing between real and generated images.</p><p><strong>Conclusions: </strong>The system developed can generate synthetic images of the GCL with a high similarity to the real ones, demonstrating the effectiveness of the model in synthesizing images that represent the evolution of glaucoma.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240589","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}
F. Calleja Casado , A. Caro Ortega , E. Gracia Rovira , A. Duch Samper
{"title":"Artificial intelligence and telemedicine in oculoplastics: Recent advances, clinical applications, and emerging challenges","authors":"F. Calleja Casado , A. Caro Ortega , E. Gracia Rovira , A. Duch Samper","doi":"10.1016/j.oftale.2025.07.018","DOIUrl":"10.1016/j.oftale.2025.07.018","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 650-651"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777187","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. Mora-Sáez , I. Andrés-Blasco , J. Benítez-del-Castillo-Sánchez , V. Zanón-Moreno , C. Peris-Martínez , M.D. Pinazo-Durán
{"title":"Molecular connection between the ocular surface and the inflammasome: New diagnostic and therapeutic perspectives","authors":"S. Mora-Sáez , I. Andrés-Blasco , J. Benítez-del-Castillo-Sánchez , V. Zanón-Moreno , C. Peris-Martínez , M.D. Pinazo-Durán","doi":"10.1016/j.oftale.2025.09.001","DOIUrl":"10.1016/j.oftale.2025.09.001","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 581-584"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016946","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. Fernández , F. Ribeiro , H.B. Dick , T. Kohnen , C. Rocha-de-Lossada , M. Rodríguez-Vallejo
{"title":"The conceptualization of ‘Key Evidence Leaders’ from ‘Opinion Leaders’: A review also applicable in ophthalmology","authors":"J. Fernández , F. Ribeiro , H.B. Dick , T. Kohnen , C. Rocha-de-Lossada , M. Rodríguez-Vallejo","doi":"10.1016/j.oftale.2025.07.016","DOIUrl":"10.1016/j.oftale.2025.07.016","url":null,"abstract":"<div><div>The collaboration of ophthalmologists with the industry, in their role as opinion leaders (OLs) who interpret, modify, and disseminate information to professional networks, is susceptible to bias. This review explores the critical role of OLs in the healthcare industry and their evolution into Key Evidence Leaders (KELs), emphasizing the importance of differentiating KELs from traditional OLs to promote evidence-based practices and maintain research integrity in healthcare. OLs often rely on their reputation and experience, which can make them susceptible to industry biases, particularly when financial incentives are involved. The concept of KELs marks a significant evolution from traditional OLs. Unlike OLs, KELs base their influence on expertise in clinical evidence and research, rather than personal experience or industry affiliations. KELs possess strong analytical skills, engage in interdisciplinary collaboration, and emphasize transparency and unbiased dissemination of information. The emergence of KELs represents a significant shift towards evidence-based leadership in healthcare. Differentiating KELs from traditional OLs is crucial for ensuring that the messages received by healthcare professionals are less biased. By supporting KELs who prioritize patient-centered evidence, the industry can enhance trust in the application of medical devices and drugs.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 618-624"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736045","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}
C.A. Gómez Lanz , B. Palmero Sánchez , M.V. Carmona Pérez , E. Nevado Sánchez
{"title":"Reconstruction of the upper eyelid after dog bite using a composite graft at pediatric age","authors":"C.A. Gómez Lanz , B. Palmero Sánchez , M.V. Carmona Pérez , E. Nevado Sánchez","doi":"10.1016/j.oftale.2025.07.015","DOIUrl":"10.1016/j.oftale.2025.07.015","url":null,"abstract":"<div><div>Eyelid lesions in children are always a surgical challenge. We present the case of a 2-year-old girl with subtotal amputation of the upper eyelid due to a dog bite. Immediate surgical reimplantation with a composite graft was performed, achieving complete functional recovery without affecting ocular closure. At 6 years of follow-up, the only sequel was the absence of eyelashes in the affected area. The use of composite grafts seems to be an effective option in this type of injuries, allowing good functional and aesthetic results without limiting future reconstructions.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 636-639"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736044","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":"Orbital giant primary osteoma: Case report and literature review","authors":"M. Dorronsoro, C. Pagano Boza","doi":"10.1016/j.oftale.2025.07.017","DOIUrl":"10.1016/j.oftale.2025.07.017","url":null,"abstract":"<div><div>Osteoma is a benign, slow-growing bone tumor that primarily affects the jaw and paranasal sinuses. Intraorbital location, whether primary or secondary, is rare. Although it is generally asymptomatic, it can become symptomatic. As it grows, orbital osteoma can cause symptoms due to displacement and compression of the orbital contents posing a risk to vision.</div><div>This article is a literature review and case report of a large primary orbital osteoma in a 36-year-old woman, initially asymptomatic and later exhibiting a few symptoms despite significant displacement of the orbital structures that the tumor causes. Its handling was controversial for us because we did not have references on the approach we should be taking. To this date, no cases of asymptomatic intraorbital osteomas of this size have ever been published.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 644-649"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777188","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}
L. Morales-Fernandez, C. Heredia-Pastor, P. Talavero, I. Collado, J. Garcia-Feijoo, R. Gomez-de-Liaño
{"title":"Automated measurement of ocular movements abnormalities in primary congenital glaucoma using DIVE device: A pilot study of fixation, smooth pursuit and saccadic movements","authors":"L. Morales-Fernandez, C. Heredia-Pastor, P. Talavero, I. Collado, J. Garcia-Feijoo, R. Gomez-de-Liaño","doi":"10.1016/j.oftale.2025.06.009","DOIUrl":"10.1016/j.oftale.2025.06.009","url":null,"abstract":"<div><h3>Purpose</h3><div>Primary congenital glaucoma (PCG) is a significant cause of childhood vision loss. While visual acuity can be measured, it does not always reflect visual functioning in daily life, particularly as oculomotor skills are often compromised in ocular disorders. This pilot study assesses oculomotor behavior in children with PCG compared to healthy peers using the Device for an Integral Visual Examination (DIVE).</div></div><div><h3>Methods</h3><div>Twelve children with PCG (n = 24 eyes) and 24 healthy children (n = 48 eyes), aged 6 months to 4 years, were recruited. DIVE was used for automated oculomotor assessments, measuring fixation (gaze stability, fixation stability, and duration of fixation), saccadic movements (reaction time, peak velocity), and smooth pursuit (latency, gain).</div></div><div><h3>Results</h3><div>PCG children showed significantly poorer gaze stability in both short (0.68 log degree<sup>2</sup>, 0.29–0.94 frente a 0.15 log degree<sup>2</sup>, −0.17–0.59; p < 0.05) and long tasks (1.08 log degree<sup>2</sup>, 0.79–1.84 frente a 0.57 log degree<sup>2</sup>, 0.30–0.85; p < 0.05), and poorer fixation stability in short (−0.20 log degree<sup>2</sup>, −0.27 to −0.17 frente a −0.48 log degree<sup>2</sup>, −0.55 to −0.30; p < 0.05) and long tasks (−0.11 log degree<sup>2</sup>, −0.20 to −0.04 frente a −0.41 log degree<sup>2</sup>, −0.57 to −0.26; p < 0.05). Fixation durations were shorter, and saccadic reaction times were longer in the PCG group, while pursuit latency showed no significant difference (<em>p = 0.8118</em>).</div></div><div><h3>Conclusions</h3><div>Children with PCG have significantly impaired oculomotor behavior, including greater instability in gaze and fixation, shorter fixation durations, and longer saccadic reaction times compared to healthy peers.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 610-617"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805467","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}
C. Parés-Alfonso, D. Oliver-Gutiérrez, E. Ros-Sanchez
{"title":"The role of anterior segment OCT in peripheral ulcerative keratitis","authors":"C. Parés-Alfonso, D. Oliver-Gutiérrez, E. Ros-Sanchez","doi":"10.1016/j.oftale.2025.07.002","DOIUrl":"10.1016/j.oftale.2025.07.002","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 652-653"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683795","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}
R. Estévez-Domínguez , C. Rocha-de-Lossada , M. Rodríguez-Calvo-de-Mora , J. Etxebarria-Ecenarro , J. García-Montesinos-Gutiérrez
{"title":"Ophthalmologic management in KID syndrome: Long-term clinical experience","authors":"R. Estévez-Domínguez , C. Rocha-de-Lossada , M. Rodríguez-Calvo-de-Mora , J. Etxebarria-Ecenarro , J. García-Montesinos-Gutiérrez","doi":"10.1016/j.oftale.2025.07.013","DOIUrl":"10.1016/j.oftale.2025.07.013","url":null,"abstract":"<div><div>Keratitis-ichthyosis-deafness (KID) syndrome is a rare disease caused by mutations in the GJB2 gene. This gene encodes the protein connexin 26, which is essential for gap junctions in the epidermis, inner ear and corneal epithelium. Clinically, it is characterised by dermal hyperkeratotic lesions, sensorineural deafness and chronic keratitis that is difficult to manage. We describe two siblings diagnosed with KID syndrome who were followed up in our department for more than 15 years. Both developed numerous ocular complications associated with chronic keratitis and limbar insufficiency that required multiple keratoplasties, systemic immunosuppression and even keratoprosthesis. This case is noteworthy for the long-term follow-up of this condition and the difficult ocular management, highlighting the importance of a multidisciplinary approach and personalised therapeutic strategies.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 10","pages":"Pages 625-629"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736043","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}