Archivos de la Sociedad Espanola de Oftalmologia最新文献_第2页

Safety and efficacy profile of irrigating trabeculectomy (Trabectome®) in a Latin American population with moderate and advanced glaucoma.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.011

V Campisi, M Santos, N E Gutkind, N Porporato, R Noecker, A Hospedales, S Paganino, T M Grippo

{"title":"Safety and efficacy profile of irrigating trabeculectomy (Trabectome®) in a Latin American population with moderate and advanced glaucoma.","authors":"V Campisi, M Santos, N E Gutkind, N Porporato, R Noecker, A Hospedales, S Paganino, T M Grippo","doi":"10.1016/j.oftale.2025.01.011","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.01.011","url":null,"abstract":"Introduction and objectives: To describe the mid-term safety and efficacy profile of Trabectome® in a Latin American cohort with moderate and advanced glaucoma.Methods and materials: We conducted a retrospective consecutive case series of 42 eyes of 39 patients treated with Trabectome® ab interno irrigating trabeculectomy. A total of 29% were treated as combined procedures with cataract surgery. A total of 71% were categorized as moderate/advanced glaucoma. Success criteria A was defined as an intraocular pressure (IOP) reduction > 20%, 5 < IOP < 21 mmHg, no reoperation, no severe complications. More restrictive definitions of success were also applied for further analysis: B (5mmHg < IOP ≤ 18 mmHg, no reoperation, IOP reduction > 20%, no severe complications); C (5 mmHg < IOP ≤ 15 mmHg, no reoperation, IOP reduction ≥ 40%, no severe complications).Results: Mean IOP dropped from 22.2 ± 8.0 down to 15.2 ± 3.7 mmHg (20.5 ± 12.7-months follow up, 30% reduction) (P < .0001). Success rates in the overall group were 71% (A), 62% (B), and 19% (C). Complications included intraoperative arterial hemorrhages in 2 cases (4.8%) and late blood reflux in another 2 (4.8%). Six eyes (14%) required reoperation due to treatment failure. A total of 21 eyes (50%) had baseline IOP levels ≥ 22 mmHg. In this subgroup, IOP dropped from 28.3 ± 5.5 down to 16.6 ± 3.0 (40% reduction) (P < .0001) and success rates were 81% (A), 62% (B) and 29% (C).Conclusions: Trabectome® is an effective and safe technique to lower IOP in this Latin American cohort representing the whole spectrum of disease severity and miscellaneous clinical scenarios.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082404","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

Williams-Beuren syndrome case series with thinner fovea centralis and central corneal thicknesses.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.012

G Yılmaz, G Demirci, S Karaman, M Sargolzaeimoghaddam, E S Uluçam, A Sarg

{"title":"Williams-Beuren syndrome case series with thinner fovea centralis and central corneal thicknesses.","authors":"G Yılmaz, G Demirci, S Karaman, M Sargolzaeimoghaddam, E S Uluçam, A Sarg","doi":"10.1016/j.oftale.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.01.012","url":null,"abstract":"Background/aims: To characterize the ocular signs of Williams-Beuren syndrome (WBS) in 3 cases examined at XXX University Ophthalmology Clinic.Methods: Three patients with a diagnosis of WBS underwent comprehensive ophthalmic evaluation atthe XXX University Ophthalmology, including best-corrected visual acuity, slitlamp biomicroscopy, dilated fundus examination, optical coherence tomography, corneal topography and colour fundus imaging.Results: All 3 cases had decreased best corrected visual acuity, decreased ILM-RNFL thicknesses with a persistence of inner retinal layers on the SD-OCT examinations, decreased central corneal thickness yet normal epithelial thickness measurements and retinal arteriolar tortuosity in fundus examination.Conclusion: WBS is a complex multisystem genetic disorder. The ocular findings observed in these cases which are decreased corneal thickness with normal epithelial thickness, decreased ILM-RPE thicknesses, and retinal arteriolar tortuosity may provide future insight into systemic vascular findings affected by a microdeletion of chromosome 7q11.23 which also contains elastin gene in WBS.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082393","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

Central retinal artery occlusion as a diagnostic symptom of atrial fibrillation.

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-01-31 DOI: 10.1016/j.oftale.2025.01.003

A Miranda Sánchez, R Fernández Narros, P Robles Amor

引用次数: 0

Is research an ethical obligation for hospital and academic ophthalmologists? 研究是医院和学术眼科医生的道德义务吗？

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-26 DOI: 10.1016/j.oftale.2024.12.013

José Carlos Pastor, José A Fernández Vigo

引用次数: 0

Intraorbital rituximab to treat orbital inflammation in a patient with active neoplasia. 眼眶内美罗华治疗一例活动性肿瘤患者的眼眶炎症。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-26 DOI: 10.1016/j.oftale.2024.12.015

P Rivera Pérez de Rada, M Cobas Belso, S Vallinas Hidalgo, A Ruibal Escribano, E Barastay Alberdi, M Benedí Alcivar

引用次数: 0

Importance of individualized treatment: Subconjunctival device in silicone oil-induced glaucoma. 个体化治疗的重要性：结膜下装置治疗硅油性青光眼。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-26 DOI: 10.1016/j.oftale.2024.12.017

J Avilés-Prieto, M Parrila-Vallejo, C Cortes-Laborda, P Molina-Solana, S Dominguez-Llamas, E Rodríguez-de-la-Rúa-Franch

{"title":"Importance of individualized treatment: Subconjunctival device in silicone oil-induced glaucoma.","authors":"J Avilés-Prieto, M Parrila-Vallejo, C Cortes-Laborda, P Molina-Solana, S Dominguez-Llamas, E Rodríguez-de-la-Rúa-Franch","doi":"10.1016/j.oftale.2024.12.017","DOIUrl":"10.1016/j.oftale.2024.12.017","url":null,"abstract":"Although silicone oil is used as an intraocular buffer in vitreoretinal surgical procedures, its use can cause complications, including glaucoma. This study highlights the importance of individualized approaches for the management of silicone oil-induced glaucoma. A 62-year-old man with a past medical history of retinal detachment and multiple ocular surgical procedurespresented with uncontrolled ocular pressure peaks after retinal detachment surgery using silicone oil as a buffer, which did not resolve after removal of the buffer. We decided to perform anterior chamber lavage followed by the implantation of a subconjunctival drainage device in the lower nasal location to minimize complications and maintain good visual acuity. Silicone oil extraction is usually the treatment of choice, although it can cause fluctuations in intraocular pressure. In this case, a more physiological and less invasive approach was chosen with the implantation of a Presserflo® device in the lower nasal region, avoiding complications and achieving the preoperative goals without uneventfully.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901108","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

Implementation of SICS (small incision cataract surgery) in humanitarian campaigns: Description of the surgical technique and review of the literature. 在人道主义运动中实施SICS（小切口白内障手术）：手术技术的描述和文献综述。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-26 DOI: 10.1016/j.oftale.2024.12.014

D Berrones, C Rocha-de-Lossada, E Barraquer-Compte, G Valvecchia, J Fernández

{"title":"Implementation of SICS (small incision cataract surgery) in humanitarian campaigns: Description of the surgical technique and review of the literature.","authors":"D Berrones, C Rocha-de-Lossada, E Barraquer-Compte, G Valvecchia, J Fernández","doi":"10.1016/j.oftale.2024.12.014","DOIUrl":"10.1016/j.oftale.2024.12.014","url":null,"abstract":"The aim of this article has been, on the one hand, to describe the use of MSICS (manual small incision cataract surgery) for the management of cataracts, especially mature ones, in relation to its particular utility in the field of humanitarian campaigns, for which a description of the MSICS technique has been made, subsequently a review of the available scientific literature has been carried out to verify the results of this technique in comparison with phacoemulsification and extracapsular surgery and to describe the importance of teaching this technique to all cataract surgeons, especially the ones participating in humanitarian campaigns. According to what has been found, MSICS is an excellent surgical technique and according to current evidence it seems to be the choice over phacoemulsification and/or the classic extracapsular technique in hyper mature cataracts, especially in the field of humanitarian campaigns, due to its lower rate of complications and the improvement in visual acuity obtained. According to the studies found, it would be possible for the experienced ophthalmologic surgeon to implement this technique since the learning curve is short. In addition, in the scenario of humanitarian campaigns, the cost per surgery and the surgical time are reduced. It can be concluded that MSICS should be part of the surgical repertoire of every cataract surgeon, especially in those who perform surgeries in humanitarian campaigns, since it provides shorter surgical time, lower cost and better results in complex cases.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901101","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

Incidence and causes of retreatments after monovision induced by LASIK in myopic patients without a previous trial of contact lens induced monovision. 无接触镜致单视的近视患者LASIK致单视的发生率及原因。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-16 DOI: 10.1016/j.oftale.2024.12.010

M García González, M A Teus Guezala

{"title":"Incidence and causes of retreatments after monovision induced by LASIK in myopic patients without a previous trial of contact lens induced monovision.","authors":"M García González, M A Teus Guezala","doi":"10.1016/j.oftale.2024.12.010","DOIUrl":"10.1016/j.oftale.2024.12.010","url":null,"abstract":"Purpose: To evaluate the incidence and causes of the need for retreatment after LASIK-induced monovision in patients with myopia and presbyopia without a previous trial of contact lens induced monovision.Design: Retrospective, observational study.Methods: We retrospectively studied 914 eyes of 457 consecutive myopic patients with presbyopia scheduled for LASIK-induced monovision (nondominant eye corrected for near). The dominant eye was identified by the finger pointing test and the treatment plan for the nondominant eye ranged from -0.50 to -1.50 diopters based on an age-related nomogram. We evaluated the incidence of enhancements and the causes at 6 months postoperatively. Patients were divided into three groups based on age to evaluate possible differences in the reasons for retreatment among the age groups.Results: The global enhancement rate was 15,8% (144/914 eyes). The incidence of retreatment was significantly higher in the dominant eye (8,6%) than in the nondominant eye (7,1%) (P = .01). The enhancement rate in the nondominant eye were conversion to full distance (8,8% of patients), induction of more monovision (3,2% of patients) and reduction of anisometropia (1,1% of patients). More young patients (aged 40-45 years) wanted to reverse the procedure.Conclusions: LASIK-induced monovision is a valid option for myopic patients with presbyopia, with a relatively low incidence of enhancements. The low retreatment rate to reverse monovision is a good index of patient tolerance and satisfaction with the results of the procedure. For this reason, a preoperative trial of monovision with contact lenses should not be mandatory before LASIK.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857126","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

Simultaneous placement of a bone cement implant after evisceration surgery in patients diagnosed with infectious endophthalmitis. 诊断为感染性眼内炎的患者在内脏切除手术后同时放置骨水泥植入物。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-16 DOI: 10.1016/j.oftale.2024.12.012

E S Barillas Escobar, J L Tovilla Canales, O Olvera Morales, E G Castillo Pérez, A Nava-Castañeda

{"title":"Simultaneous placement of a bone cement implant after evisceration surgery in patients diagnosed with infectious endophthalmitis.","authors":"E S Barillas Escobar, J L Tovilla Canales, O Olvera Morales, E G Castillo Pérez, A Nava-Castañeda","doi":"10.1016/j.oftale.2024.12.012","DOIUrl":"10.1016/j.oftale.2024.12.012","url":null,"abstract":"Background and objectives: Endophthalmitis is a type of eye inflammation that affects all structures of the eye and is generally of infectious origin. In cases recalcitrant to intravitreal treatment or posterior vitrectomy, evisceration or enucleation are the preferable options. Polymethylmethacrylate (PMMA) bone cement has stood out as an implant in other areas of medicine due to its great stability and healing. In this study, we will evaluate the safety and extrusion rate of the antibiotic-reinforced bone cement implant when it is decided to place it at the same surgical time as an evisceration indicated for infective endophthalmitis.Materials and methods: Subjects of any age and gender from the Oculoplastic outpatient clinic of the Instituto de Oftalmología Fundación Conde de Valenciana, with a diagnosis of infectious endophthalmitis who required evisceration between the months of May and October 2012, were included.Results: 20 subjects were included, of which 55% (11) were men, and 45% (9) women, with an average age range of 51-80 years. No complications were evidenced in the immediate postoperative period or in the follow-up of 1, 3 and 6 months, and in all cases, the correct position of the implant was confirmed with computed tomography.Conclusions: In patients diagnosed with infectious endophthalmitis of any cause, evisceration and implantation of bone cement in a single surgical time is a safe and effective option.","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857231","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