L A Garza-Garza, A P Arizpe, R Morales-Reyes, R A Villafuerte-de la Cruz, M Garza-León
{"title":"A novel KMT2D gene variant c.6341del (p.Gly2114Alafs*30) and its phenotypic presentation in a Hispanic-Mexican woman with Kabuki syndrome: A case report.","authors":"L A Garza-Garza, A P Arizpe, R Morales-Reyes, R A Villafuerte-de la Cruz, M Garza-León","doi":"10.1016/j.oftale.2025.06.007","DOIUrl":"10.1016/j.oftale.2025.06.007","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Kabuki syndrome is a rare congenital malformation syndrome originally described by Niikawa et al. in 1981. A wide array of pathogenic variants and phenotypes have been described ever since. However, cases from Hispanic-Mexican populations evaluated with multimodal imaging are scarce. Therefore, the aim of this study is to report on the multimodal evaluation of a Hispanic-mexican case with a novel pathogenic variant.</p><p><strong>Materials and methods: </strong>Next generation sequencing was used to search for pathogenic variants in KMT2D in the proband and her parents and sibling. A full systemic and ophthalmological examination along with ancillary studies were undertaken.</p><p><strong>Results: </strong>Only the proband had relevant findings and a compatible pathogenic variant in KMT2D. The systemic and ophthalmic phenotype correlates with previous reports of Kabuki syndrome. Ancillary studies of the retina, optic nerve, macular area, macular vascular flow and cornea were within normal limits. The novel detected pathogenic variant in the proband was c.6341del (p.Gly2114Alafs*30) in KMT2D.</p><p><strong>Conclusions: </strong>The present paper reports on a novel pathogenic variant in Kabuki syndrome. The multimodal imaging evaluation of the ophthalmic phenotype was within normal limits.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499816","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}
N Kahuam-López, J G Serrano-Robles, G R Vera-Duarte, J R Bermeo-Escalona, C A Müller-Morales, A Ramirez-Miranda, A Navas, E O Graue-Hernandez
{"title":"Cultural adaptation and validation of the Ocular Surface Disease Index Questionnaire (OSDI) to the Mexican population.","authors":"N Kahuam-López, J G Serrano-Robles, G R Vera-Duarte, J R Bermeo-Escalona, C A Müller-Morales, A Ramirez-Miranda, A Navas, E O Graue-Hernandez","doi":"10.1016/j.oftale.2025.06.006","DOIUrl":"10.1016/j.oftale.2025.06.006","url":null,"abstract":"<p><strong>Objective: </strong>Translate, culturally adapt, and validate the Ocular Surface Disease Index into Spanish for the Mexican population.</p><p><strong>Methods: </strong>To ensure fluency and comprehensibility, we employed the Crawford and INFLEZS indexes. The Content Validity Coefficient was used to assess coherence, relevance, clarity, and sufficiency. Internal consistency was evaluated using Cronbach's Alpha Coefficient.</p><p><strong>Results: </strong>A total of 372 participants were included in the study (63.4%, women; age ranged from 17 to 86 years). According to the INFLEZS readability index, symptom-related items achieved scores of 82.56, 72.69, 85.81, 73.24, and 74.24. Lifestyle-related items obtained scores of 71.39, 76.90, 58.27, and 72.56, while in the environmental domain, scores of 83.61, 74.03, and 58.93 were recorded. Using the Crawford index, symptom scores were 3.6, 4.6, 3.5, 4.1, and 3.8, lifestyle scores were 4.7, 4.1, 5.1, and 4.6, and environmental scores were 3.7, 4.4, and 5.7. The Cronbach's alpha coefficient was 0.868. Based on the scores from the OSDI questionnaire, patients were categorized as having no dry eye (n = 129), mild dry eye (n = 99), moderate (n = 45), and severe dry eye (n = 99).</p><p><strong>Conclusions: </strong>This study developed and validated the Mexican version of the Ocular Surface Disease Index, while assessing its reliability and internal consistency. With this tool, ophthalmologists and researchers alike will be able to assess and monitor Mexican-Spanish-speaking patients with dry eye in their routine clinical practice and future research.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499817","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}
E Gracia-Rovira, L Manfreda Dominguez, A-M Duch Samper
{"title":"Diagnosis of bilateral idiopathic choroidal folds by funduscopy, OCT, and orbital ultrasound.","authors":"E Gracia-Rovira, L Manfreda Dominguez, A-M Duch Samper","doi":"10.1016/j.oftale.2025.06.005","DOIUrl":"10.1016/j.oftale.2025.06.005","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369645","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}
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":"2025-06-16","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}
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}
{"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}
E Marín-Payá, L Zanón-Moreno, I Andrés-Blasco, 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, L Zanón-Moreno, I Andrés-Blasco, 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}
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, B. Sandoval Cortés, S. Durán Poveda, L. Guerrero Altares, 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}
{"title":"Surprising complete regression of a choroidal neovascular membrane with faricimab","authors":"F. Garcia Ibor, N. Ruiz del Rio, 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}
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 , A. López Vázquez , J.M. Martínez-de-la-Casa , M. Pazos , R. Giménez Gómez , 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}