Archivos de la Sociedad Espanola de Oftalmologia最新文献

{"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":"100 7","pages":"Pages 375-376"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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":"100 7","pages":"Pages 439-440"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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}

{"title":"Analysis of the prevalence of diabetic retinopathy in a telemedicine screening programme from 2018 to 2023","authors":"Ó. García-Espinilla ,&nbsp;P. Arlanzón-Lope ,&nbsp;A. Novo-Díez ,&nbsp;D.R. Llanos-Ferraris ,&nbsp;S. Ortiz-Toquero ,&nbsp;P. de la Iglesia-Rodríguez ,&nbsp;M. López-Gálvez ,&nbsp;J.C. Pastor-Jimeno","doi":"10.1016/j.oftale.2025.05.009","DOIUrl":"10.1016/j.oftale.2025.05.009","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 377-385"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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}

{"title":"Infectious uveitis: Epidemiology, etiology, diagnostic test performance and treatment","authors":"L.M. Méndez-Rodríguez ,&nbsp;L.C. Nocua-Báez ,&nbsp;G. Mejía-Salgado ,&nbsp;A. de-la-Torre ,&nbsp;C.A. Álvarez-Moreno","doi":"10.1016/j.oftale.2025.05.015","DOIUrl":"10.1016/j.oftale.2025.05.015","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Infectious uveitis is an inflammation of the uveal tract, corresponding to the middle layer of the eye, triggered by a response against an infectious agent. This condition is classified into anterior, intermediate, posterior and panuveitis. The most frequent infectious agents in anterior uveitis are viruses, mainly Herpes simplex virus, although it can also be caused by other pathogens such as &lt;em&gt;Bartonella&lt;/em&gt; spp., &lt;em&gt;Mycobacterium tuberculosis&lt;/em&gt; and &lt;em&gt;Fusarium&lt;/em&gt; spp. In intermediate uveitis, syphilis plays a predominant role, while in posterior uveitis various microorganisms are involved, among them &lt;em&gt;Toxoplasma gondii, Cytomegalovirus, Plasmodium&lt;/em&gt; spp. &lt;em&gt;and Candida&lt;/em&gt; spp. In certain cases, as in ocular toxoplasmosis, severe inflammation may involve the entire uvea, resulting in panuveitis.&lt;/div&gt;&lt;div&gt;Clinical manifestations of uveitis include ocular pain, redness, myodesopsias, blurred vision, and even loss of vision. Direct identification of the causative agent is complex, and the diagnostic performance of available tests varies significantly. For example, polymerase chain reaction (PCR) on ocular specimens for Herpes simplex virus has a sensitivity of 91.3% and specificity of 98.8%, while for toxoplasmosis the sensitivity is 43.1% and specificity 98.5%. Another challenge in infectious uveitis is treatment, as systemic antimicrobials generally have a low penetration into ocular tissue, mostly less than 5%, mainly due to the blood-retinal and blood-aqueous barriers. The efficacy of the molecules in ocular tissue is favored by low protein binding and high liposolubility.&lt;/div&gt;&lt;div&gt;This review addresses the most frequent clinical manifestations of bacterial, viral, parasitic and fungal etiologies of infectious uveitis, as well as the diagnostic performance of available tests. In addition, emphasis is placed on the different therapeutic approaches depending on the etiology.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;La uveítis infecciosa es una inflamación del tracto uveal, que corresponde a la capa media del ojo, desencadenada por una respuesta frente a un agente infeccioso. Esta condición se clasifica en anterior, intermedia, posterior y panuveítis. Los agentes infecciosos más frecuentes en la uveítis anterior son los virus, principalmente el virus del Herpes simple, aunque también puede ser ocasionada por otros patógenos como Bartonella spp., &lt;em&gt;Mycobacterium tuberculosis&lt;/em&gt; y Fusarium spp. En la uveítis intermedia, la sífilis juega un papel preponderante, mientras que en la uveítis posterior se encuentran implicados diversos microorganismos, entre ellos Toxoplasma gondii, Citomegalovirus, Plasmodium spp. y Candida spp. En ciertos casos, como en la toxoplasmosis ocular, la inflamación severa puede comprometer toda la úvea, resultando en una panuveítis.&lt;/div&gt;&lt;div&gt;Las manifestaciones clínicas de la uveítis incluyen fotofobia, dolor ocular, enrojecimiento, miodesopsias, visión borrosa e incluso pérdida de la visión que pueden variar","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 397-420"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210466","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":"Piggyback toric phakic implantable collamer lens: Management of pseudophakic ametropia and negative dysphotopsia","authors":"F. Gonzalez-Lopez,&nbsp;S. Delgado-Tirado,&nbsp;E. Sevillano,&nbsp;E. Corral-Carrasquilla,&nbsp;D. Medel","doi":"10.1016/j.oftale.2025.04.007","DOIUrl":"10.1016/j.oftale.2025.04.007","url":null,"abstract":"<div><div>As a result of the successful development of corneal refractive techniques over the past 3 decades, an increasing number of patients who have undergone refractive surgery are now seeking surgical solutions for dysfunctional or cataractous lenses, with high expectations for precise visual outcomes. Refractive calculation in these cases poses a challenge for the surgeon. One available option to address residual postoperative refractive errors after lensectomy is the implantation of a secondary implantable lens in a piggyback configuration. We present a unique case of implanting a collamer phakic implantable lens (ICL) in a piggyback fashion, addressing not only residual refractive error following cataract surgery but also severe negative dysphotopsia in a patient who had undergone LASIK 20 years earlier and already had a posterior capsulotomy.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 426-430"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033857","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":"Alterations in visual function and retinal structure in patients with bipolar disorder","authors":"M. Comes-Carsí,&nbsp;J.M. Vilaplana-Mora,&nbsp;L. Manfreda-Domínguez,&nbsp;C. Cañete-Nicolás,&nbsp;A.M. Duch-Samper","doi":"10.1016/j.oftale.2025.05.010","DOIUrl":"10.1016/j.oftale.2025.05.010","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Material and methods</h3><div>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 <em>DRI OCT Triton-Swept Source (Topcon, Tokyo, Japón)</em> was used for retinal structural analysis.</div></div><div><h3>Results</h3><div>BCVA with high contrast, as well as with reduced contrast at 2.5% and 1.25%, showed significant differences (p &lt; 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).</div></div><div><h3>Conclusions</h3><div>there are significant differences in visual function and in the mean thickness of retinal layers between bipolar patients and healthy controls.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 386-391"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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":"Frequency of the vertical cup-to-disc ratio to normal optical disc size","authors":"M. Gonzalez de la Rosa,&nbsp;M. Gonzalez Hernandez,&nbsp;D. Gonzalez-Hernandez","doi":"10.1016/j.oftale.2025.04.004","DOIUrl":"10.1016/j.oftale.2025.04.004","url":null,"abstract":"<div><div>The relationship between the optic disc area and the vertical cup/disc ratio is presented by means of a graphic nomogram after studying a total of 365,356 normal optic nerves. For this purpose, the Laguna ONhE application was used, which analyses the distribution of hemoglobin based on the colorimetric analysis of fundus color images. The 1%, 5%, 50% and 95% percentiles are given for disc areas between 1 mm² and 4 mm². The highest cup-to-disc ratios (1%–5% percentiles) were close to 0.7 for large discs, while for more common sizes (1.9–2.0 mm²) they were close to 0.6 and for small ones to 0.5. Data allowed the Laguna ONhE Globin Discriminant Function (GDF) index to be corrected, in such a way that it could, then, be verified in 544 normal eyes that it was less dependent on the vertical cup/disc ratio, whereas in 436 confirmed and suspected glaucoma an intimate relationship was reported.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 431-434"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000269","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":"Herpetic keratitis after corneal crosslinking","authors":"N. Laaribi,&nbsp;R. Mendes,&nbsp;K. Reda,&nbsp;A. Oubaaz","doi":"10.1016/j.oftale.2025.04.008","DOIUrl":"10.1016/j.oftale.2025.04.008","url":null,"abstract":"<div><div>Corneal crosslinking is considered a safe procedure even if sight-threatening side effects have been reported. Other han our case report, few reports of herpetic keratitis (HK) after crosslinking have been published. We report a new onset HK after corneal crosslinking for keratoconus.</div><div>A 40-year-old woman underwent corneal collagen crosslinking in her right eye for progressive keratoconus. The patient returned with pain and photophobia. Infiltration in the corneal stroma was observed. Fluorescein staining specified epithelial defects overlying the corneal infiltrates.</div><div>The diagnostic of HK was confirmed with polymerase chain reaction for DNA detection of <em>HSV type 1</em> of corneal swab. The epithelial defect healed with oral valacyclovir treatment.</div><div>Topical corticosteroid drops and preservative-free lubricant eye drops were, also, added to the antiviral treatment. Afterwards, a decrease in stromal infiltrate was observed.</div><div>This case report highlights the risk of HK after crosslinking and elucidates the importance of timely diagnosis of this unusual but important complication. The ophthalmologist should be aware of the possibility of HK in eyes after crosslinking, even in patients without a past medical history of <em>HSV</em> infection.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 435-438"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061657","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":"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,&nbsp;L.F. Yañez Ortega,&nbsp;E. Sánchez Hernández","doi":"10.1016/j.oftale.2025.05.012","DOIUrl":"10.1016/j.oftale.2025.05.012","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Design</h3><div>This is a retrospective, observational, cross- sectional, and analytical study.</div></div><div><h3>Participants</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 392-396"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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}

{"title":"Acute macular neuroretinopathy associated with dengue virus infection","authors":"F. Calleja Casado ,&nbsp;B. Juan Ribelles ,&nbsp;S.A. Maugard Tepper ,&nbsp;A. Caro Ortega ,&nbsp;E. Gracia Rovira ,&nbsp;A. Duch Samper","doi":"10.1016/j.oftale.2025.04.003","DOIUrl":"10.1016/j.oftale.2025.04.003","url":null,"abstract":"<div><div>Acute macular neuroretinopathy (AMN) is a rare retinal condition characterized by paracentral scotomas and typical wedge-shaped lesions in the outer retina, often affecting young, otherwise healthy individuals. We report a case of AMN associated with dengue virus infection in a 48-year-old female doctor presenting with sudden onset of visual disturbances during a febrile illness after working away in Africa. Ophthalmologic examination and multimodal imaging, including optical coherence tomography (OCT) and fundus autofluorescence (FAF), revealed characteristic outer retinal changes consistent with AMN. Dengue infection was confirmed through serologic testing, and no other systemic or ocular conditions were identified, apart from fever and myalgias.</div><div>The pathophysiology of AMN in the context of dengue virus remains unclear, though it may involve ischemic damage to the deep retinal capillary plexus due to systemic inflammation, endothelial dysfunction, or immune-mediated mechanisms. This case underscores the importance of considering dengue virus infection in the differential diagnosis of AMN and/or foveolitis, particularly in endemic regions. Early recognition and diagnosis are critical for appropriate management and follow up, though no specific treatment for AMN exists. This case adds to the growing body of literature on the ocular manifestations of viral infections, specifically dengue, and highlights the need for further research into the underlying mechanisms and potential therapeutic interventions.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 7","pages":"Pages 421-425"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804961","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}