Archivos de la Sociedad Espanola de Oftalmologia最新文献_第10页

Frequency, risk factors and time to resolution of exposure keratopathy in patients in the Pediatric Intensive Care Unit 儿科重症监护室患者暴露性角膜病的发病率、风险因素和缓解时间。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-01 DOI: 10.1016/j.oftale.2024.10.011

R.A. Pech-Lugo , A. Vázquez-Cerón , F.K. Segura-López , A. Dávila-Camargo

{"title":"Frequency, risk factors and time to resolution of exposure keratopathy in patients in the Pediatric Intensive Care Unit","authors":"R.A. Pech-Lugo , A. Vázquez-Cerón , F.K. Segura-López , A. Dávila-Camargo","doi":"10.1016/j.oftale.2024.10.011","DOIUrl":"10.1016/j.oftale.2024.10.011","url":null,"abstract":"<div><h3>Background and objective</h3><div>Exposure keratopathy (EPK) is characterized by punctate erosions of the corneal epithelium, mainly located in the lower third of the cornea. In the Pediatric Intensive Care Unit (PICU), an incidence of 19–25 % has been reported. The objective of this study was to describe the frequency, risk factors, and time to resolution of exposure keratitis in PICU patients.</div></div><div><h3>Materials and methods</h3><div>Descriptive, observational, longitudinal, prospective study. The association of keratitis due to exposure to risk factors was evaluated using the Chi square test and determining the OR and 95% confidence interval.</div></div><div><h3>Results</h3><div>81 patients admitted to the PICU between March and September 2023 were included, 46 (56.79%) developed PEK, 67.39% (31/46) grade 1 and 26.08% (12/46) grade 3. The median time Resolution was 3 days, interquartile range (2–5). A significant difference was observed between patients with and without PEK in the requirement for mechanical ventilation 86.13% vs., 54.29% p = 0.01, OR = 6.905 (2.20−21.64), sedation 100% vs., 85.71%, p = 0.02, in the duration of sedation 5 days vs. 2.5 days (p = 0.024), neuromuscular relaxation 21.74% vs., 0%, p = 0.002, lagophthalmos 86.94% vs., 31.43% p < 0.00001, OR = 13.33 (4.42–40.17), chemosis 15.21% vs., 0%, p = 0.014 and days of stay in the PICU median 7 (5–11) vs. 3 (2–6), p < 0.00001.</div></div><div><h3>Conclusions</h3><div>The frequency of QPE observed was 56.79%, higher than that previously reported in the literature in the pediatric population. Mechanical ventilation, sedation, duration of sedation, Lagoftalmos chemosis and days of stay in the PICU were identified as risk factors.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565137","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

Cyclodestructive treatment for symptomatic intraocular pressure elevation during hemodialysis: case reports and literature review 血液透析期间症状性眼压升高的破环治疗：病例报告及文献复习。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-01 DOI: 10.1016/j.oftale.2024.12.001

H. Mies , F. Manzur , S. Verdaguer D

{"title":"Cyclodestructive treatment for symptomatic intraocular pressure elevation during hemodialysis: case reports and literature review","authors":"H. Mies , F. Manzur , S. Verdaguer D","doi":"10.1016/j.oftale.2024.12.001","DOIUrl":"10.1016/j.oftale.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Within the characteristics of hypertensive glaucoma, it is distinguished by presenting elevated intraocular pressure (IOP) associated with a low ocular perfusion pressure (OPP). Changes in these parameters can be affected by systemic disease such chronic kidney disease (CKD). Likewise, there is a correlation in the prevalence of both pathologies in patients with similar characteristics, emphasizing the need to address glaucoma management in patients with CKD given the implications of the disease on ocular pathology. Furthermore, hemodialysis (HD) is the maintenance treatment for end-stage CKD, which can lead to transient increases in IOP contributing to ocular discomfort and potential glaucoma progression.</div></div><div><h3>Methods</h3><div>A search was conducted in PubMed and Epistemonikos databases, constructing a theoretical framework based on primary studies and similar case reports. Additionally, two cases of patients with CKD with severe ocular pain during HD are presented, compiling data from electronic medical records, including demographic data, clinical presentations, treatments, and post-treatment outcomes.</div></div><div><h3>Results</h3><div>Both patients received cyclodestructive treatment for symptomatic hypertensive glaucoma episodes during HD, showing favourable clinical outcomes after treatment, both in controlling IOP elevation and relieving ocular pain during hemodialysis sessions.</div></div><div><h3>Discussion</h3><div>This review sheds light on a relatively underexplored aspect of glaucoma treatment in CKD patients on HD, where cyclodiode laser therapy appears to be a promising option in cases where there is no recoverable visual acuity. However, since the evidence is still emerging, future prospective comparative studies are needed to provide further information to clinical practice.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787995","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

Acanthamoeba keratitis in the last decade. What have we learned? 过去十年中的阿卡阿米巴角膜炎。我们学到了什么？

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-01 DOI: 10.1016/j.oftale.2024.11.001

A. Arnaiz-Camacho , L. Goterris Bonet , L. Bisbe Lopez , S. Martín Nalda , J. Puig Galy , S. García-Hidalgo , T. Pablos-Jiménez , A. Pairó-Salvador

{"title":"Acanthamoeba keratitis in the last decade. What have we learned?","authors":"A. Arnaiz-Camacho , L. Goterris Bonet , L. Bisbe Lopez , S. Martín Nalda , J. Puig Galy , S. García-Hidalgo , T. Pablos-Jiménez , A. Pairó-Salvador","doi":"10.1016/j.oftale.2024.11.001","DOIUrl":"10.1016/j.oftale.2024.11.001","url":null,"abstract":"<div><h3>Introduction</h3><div><em>Acanthamoeba</em> keratitis continues to be one of the most feared corneal infections due to its severity and capacity to generate irreversible visual sequelae. Despite diagnostic and therapeutic advances, this disease is increasing in our environment every year, related to a growing number of contact lens users. This last decade marked by the COVID-19 pandemic represents an unprecedented historical scenario whose impact must be analyzed from different health points of view.</div><div>This study aims to describe the epidemiology, clinical presentation, treatment and evolution of <em>Acanthamoeba</em> keratitis in a tertiary hospital in the last 10 years.</div></div><div><h3>Results</h3><div>The results have been obtained from a total of 13 eyes of 13 patients. This series of cases shows a diagnostic gap during the pandemic period, with a greater number of patients in the previous and post-pandemic stages. The different parameters of clinical presentation, microbiological diagnosis and clinical evolution are analyzed. All patients in our study wore contact lenses. Five of the cases were initially diagnosed in other centers as herpetic keratitis. Seven patients had a pseudo-dendrite as initial presentation, while six cases presented as an annular infiltrate. In all cases, 0.02% chlorhexidine eye drops were prescribed and this was associated with 0.1% propamidine in 11 cases. The results were variable, achieving an improvement in visual acuity in 10 of the cases.</div></div><div><h3>Conclusion</h3><div>This is a study on an emerging disease and with increasingly advanced knowledge and use of diagnostic and therapeutic tools in the historical context of a pandemic. This text attempts to shed light on the different forms of presentation and management of cases of <em>Acanthamoeba</em> keratitis.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 28-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683851","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

Multimodal imaging to detect retinal migration of perfluorocarbon liquid. 多模态成像检测全氟碳液体视网膜迁移。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-26 DOI: 10.1016/j.oftale.2024.12.016

F J Valentín Bravo, K Castaño Andrés, X Valldeperas

引用次数: 0

Cross - cultural adaptation of the Low Vision Quality of life scale 低视力生活质量量表的跨文化调整。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.08.001

D.C. Palencia-Florez , M.P. Oviedo-Cáceres , E.A. Giraldo Gallo

{"title":"Cross - cultural adaptation of the Low Vision Quality of life scale","authors":"D.C. Palencia-Florez , M.P. Oviedo-Cáceres , E.A. Giraldo Gallo","doi":"10.1016/j.oftale.2024.08.001","DOIUrl":"10.1016/j.oftale.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The quality of life related to visual function is a multidimensional construct that complements the functional assessment of patients with low vision. It shows the individual's perception of the course of ocular disease and its treatment within the framework of a value system and a sociocultural context. This clinical-epidemiological outcome is recognized as objective and valuable.</div></div><div><h3>Methodology</h3><div>A content validation study was conducted, which involved translating and back-translating the scale to evaluate semantic, idiomatic, conceptual, and experiential equivalence in the resulting version. The study included the participation of 21 individuals, and a quantitative evaluation was performed using Aiken's V coefficient to analyze the scores assigned in the categories of relevance and experiential capacity.</div></div><div><h3>Results</h3><div>The questionnaire presentation was reorganized. The examples were expanded, and some optical aids were mentioned. Additionally, terms were changed to improve comprehension and reduce rudeness. Out of the 25 items, 11 had an Aiken V coefficient of less than 1.0.</div></div><div><h3>Conclusions</h3><div>The obtained version is comparable to the original questionnaire. However, the idiomatic twists specific to the local context emphasize the need for content validation to ensure correct interpretation and contribute to the updating of the scale.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 527-533"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057523","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

Anterior segment optic coherence tomography (OCT-SA) findings in glaucoma surgery after Preserflo® Microshunt implantation Preserflo® 微分流术后青光眼手术的前段光学相干断层扫描（OCT-SA）结果。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.05.014

G. Ortega-Prades, Á.A. Ojeda-Parot, V.T. Pérez-Torregrosa

引用次数: 0

Anterior segment optical coherence tomography for the differential diagnosis of iris cyst 用于虹膜囊肿鉴别诊断的前段光学相干断层扫描。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.06.014

E. Gracia-Rovira, V.-T. Pérez-Torregrosa, A.-M. Duch-Samper

引用次数: 0

Atypical presentation of type 1 neovascularization with aneurysmal dilations in a young female 一名年轻女性的 1 型新生血管伴动脉瘤扩张的非典型表现。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.004

M. Zamorano , B. Puerto , J. Carceller , J.J. González-López , M.S. Figueroa , F.J. Muñoz-Negrete

引用次数: 0

Prevalence and risk factors for complicated immuno-mediated uveitis: experience in a tertiary hospital 复杂免疫介导葡萄膜炎的发病率和风险因素：一家三级医院的经验。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.06.013

P. Luque-Linero , A. Espejo-González , N. Navarrete-Navarrete

{"title":"Prevalence and risk factors for complicated immuno-mediated uveitis: experience in a tertiary hospital","authors":"P. Luque-Linero , A. Espejo-González , N. Navarrete-Navarrete","doi":"10.1016/j.oftale.2024.06.013","DOIUrl":"10.1016/j.oftale.2024.06.013","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the characteristics of patients with uveitis and ocular complications in a tertiary hospital. As well as to determine the risk factors for the development of an ocular complication.</div></div><div><h3>Methods</h3><div>Retrospective study of patients with uveitis evaluated in a Uveitis Unit of the Virgen de las Nieves Hospital from January 2018 to October 2022. A descriptive and analytical study was carried out using logistic regression to know the predictive factors of a poor ocular prognosis.</div></div><div><h3>Results</h3><div>A total of 127 patients were studied, of which 63% were women and 83.5% were Caucasian. The median age was 51 years IQR (15–88) years. Following the SUN classification, uveitis was predominantly bilateral (55.1%) and anterior (52%), had a recurrent evolution in 51,2% and only 12,6% were granulomatous. Of the total uveitis, 74,2% of the sample turned out to have an immune-mediated profile, although a final diagnosis was only reached in 46,1% of the patients. A total of 17,3% patients suffer from loss of vision. Visual complications in decreasing order were: posterior synechiae (15,6%), cystic macular edema (14.8%), cataracts (13,1%), glaucoma (8,2%), epiretinal membranes (4,9%) and neovascular membranes (1,7%) and retinal detachment (4%). In the bivariate analysis, ethnicity other than Caucasian was significant, p = 0,024, and a number of outbreaks greater than 2, p = 0,045. The rest of the variables analyzed were not significant. In the multivariate analysis, they were significant outbreaks OR: 1,2 CI (1,051−1,426) and ethnicity OR: 0,11 CI (0,014−0,938).</div></div><div><h3>Conclusions</h3><div>The number of outbreaks and non-Caucasian race were related to a greater probability of presenting an ocular complication. An earlier and more specific diagnosis of the etiology, especially in these patients, would allow earlier treatment and improve their prognosis.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 540-547"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334231","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

Suggestion of serious incidents in medical devices used in anterior segment surgery. Proposing ideas (II) 关于前段手术中使用的医疗器械严重事故的建议。提出想法 (II)。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.09.003

R. Lorente-Moore , J. Mendicute del Barrio , M.V. Rojas Silva , A. Macarro-Merino , E. Larra Mateos , J.C. Pastor

引用次数: 0