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

Topical permethrin 5% as a treatment for pediatric patients with phthiriasis palpebrarum: A case report. 5%氯菊酯外用治疗小儿上睑皮炎1例。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-10 DOI: 10.1016/j.oftale.2025.05.008

J Noguera Campos, S Pose Bazarra, N Castro Casal, A Urbano Bueno, M D Álvarez Díaz

引用次数: 0

New OCT sign in X-linked retinoschisis without macular schisis: "Inverted roof fovea". 无黄斑裂片的x联性视网膜裂片的OCT新征象：“倒顶中央凹”。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-09 DOI: 10.1016/j.oftale.2025.05.003

P B Blasco Palacio, A Aramburu-Gonzalez, I Rodríguez García

引用次数: 0

Validation and Update of the Glaucoma Quality of Life (GQL)-15 Questionnaire for Spanish-Speaking Individuals. 西班牙语人群青光眼生活质量(GQL)-15问卷的验证与更新。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-09 DOI: 10.1016/j.oftale.2025.05.004

K Camargo-Parra, F J Bonilla-Escobar, E Lozano-Cruz, O Salamanca, A Martínez-Blanco, A F Plaza-Hernández

{"title":"Validation and Update of the Glaucoma Quality of Life (GQL)-15 Questionnaire for Spanish-Speaking Individuals.","authors":"K Camargo-Parra, F J Bonilla-Escobar, E Lozano-Cruz, O Salamanca, A Martínez-Blanco, A F Plaza-Hernández","doi":"10.1016/j.oftale.2025.05.004","DOIUrl":"10.1016/j.oftale.2025.05.004","url":null,"abstract":"<p><strong>Background and objective: </strong>Glaucoma, a leading cause of preventable blindness, significantly impacts patients' quality of life (QoL). The GQL-15 (1999) assesses functional disability due to glaucoma through 15 items across 4 domains. However, it has not been validated in Spanish. This study aimed to validate and update the GQL-15 for Spanish-speaking individuals.</p><p><strong>Methods: </strong>We conducted a cross-sectional study with individuals diagnosed with glaucoma at 2 ophthalmological referral centers in Cali-Colombia. Researchers translated the GQL-15 into Spanish and modified it by replacing the 'reading newspaper' item with 'reading on a cellphone/mobile/smartphone' to modernize the questionnaire (GQL-15 m). The GQL-15 m was tested for validity and reliability using Cronbach's alpha (α) coefficient, exploratory factor analysis, and criterion validity. Reproducibility was assessed through a 2-week test-retest analysis.</p><p><strong>Results: </strong>A total of 157 out of 468 eligible patients with glaucoma participated in the survey (33% response rate). The mean age was 67 ± 12 years (64%, women). The GQL-15 m showed a mean total score of 29.3 ± 7.31, suggesting good QoL. Internal consistency was high for both the GQL-15 (α = 0.97) and GQL-15 m (α = 0.96). Criterion validity was supported by significant correlations between the GQL-15 m scores and the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ 25), World Health Organization Quality of Life-BREF (WHOQoL-BREF), Glaucoma Symptom Scale (GSS), Glaucoma Utility Index (GUI), and visual acuity. Reproducibility was high, with an intraclass correlation coefficient (ICC) of 0.89.</p><p><strong>Conclusions: </strong>The GQL-15 m is a reliable and valid instrument for assessing QoL in Spanish-speaking individuals with glaucoma and has potential for broader application across various cultural contexts.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031615","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

Analysis of ChatGPT-4's performance on ophthalmology questions from the MIR exam. ChatGPT-4在MIR考试眼科试题中的表现分析。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-09 DOI: 10.1016/j.oftale.2025.05.002

C E Monera Lucas, C Mora Caballero, J Escolano Serrano, A Machan, G Castilla Martínez, D Romero Valero, J Campello Lluch

{"title":"Analysis of ChatGPT-4's performance on ophthalmology questions from the MIR exam.","authors":"C E Monera Lucas, C Mora Caballero, J Escolano Serrano, A Machan, G Castilla Martínez, D Romero Valero, J Campello Lluch","doi":"10.1016/j.oftale.2025.05.002","DOIUrl":"10.1016/j.oftale.2025.05.002","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the performance of ChatGPT in solving clinical scenarios in ophthalmology, specifically questions from the specialty exams for Resident Medical Interns (MIR).</p><p><strong>Design: </strong>Cross-sectional design for evaluating a diagnostic tool.</p><p><strong>Method: </strong>Ophthalmology questions from the MIR exams from the 2010-2023 sessions were collected. The performance of ChatGPT in successfully answering the questions was calculated. The results were also compared with those obtained by ophthalmology professionals. Additionally, sensitivity, specificity, and positive and negative probability coefficients were calculated.</p><p><strong>Results: </strong>A total of 54 questions were collected, with those from the subspecialty \"Retina\" being the most frequent. ChatGPT's overall score was 90.2%, with a sensitivity of 92.59% and a specificity of 96.8%. The average concordance with the evaluators' answers was 86.41%. The agreement between the evaluators was 79.62%.</p><p><strong>Conclusions: </strong>ChatGPT-4 is a useful tool for solving clinical scenarios and theoretical questions in ophthalmology. Proper use of the tool, supervised by professionals, can help optimize the care processes for ophthalmology patients.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044736","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

Update on the usefulness of optical coherence tomography-mediated angiography in neurodegenerative diseases. 光学相干断层扫描介导的血管造影在神经退行性疾病中的应用进展。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-05 DOI: 10.1016/j.oftale.2025.05.001

E Garcia-Martin, J Pérez-Velilla, B Cordon, E Vilades, M J Rodrigo, L E Pablo

引用次数: 0

XEN 63 in a case of refractory glaucoma secondary to microphthalmia and aphakia xen63继发于小眼和无晶状体的难治性青光眼1例。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-01 DOI: 10.1016/j.oftale.2025.03.010

S. Labay-Tejado , J. Laguna , M.J. Navarro-Angulo , L. Muñoz , M. Jodar , E. Milla

{"title":"XEN 63 in a case of refractory glaucoma secondary to microphthalmia and aphakia","authors":"S. Labay-Tejado , J. Laguna , M.J. Navarro-Angulo , L. Muñoz , M. Jodar , E. Milla","doi":"10.1016/j.oftale.2025.03.010","DOIUrl":"10.1016/j.oftale.2025.03.010","url":null,"abstract":"<div><div>Microphthalmia (MO) predisposes to glaucoma and congenital cataracts (CC). Cataract removal in MO is characterized by several complications such as aphakic glaucoma (AG).</div><div>We report the case of a 33-year-old male with MO, aphakia, and refractory glaucoma who underwent inferonasal ab-interno XEN 63 implantation, after posterior vitrectomy. Whole Exome Sequencing (WES) analysis was performed identifying the likely pathogenic variant c.197G>A (p.Cys66Tyr) in heterozygosity in the <em>PAX6</em> gene related to Peters anomaly (PA) and the variant of unclear significance c.353T>C (p.Leu118Pro) in heterozygosity in the <em>CRYBB3</em> gene, potentially related to CC. Until the 12-month follow-up, the patient maintained intraocular pressure (IOP) between 16 and 18 mmHg without medication or complications.</div><div>XEN 63, when combined with posterior vitrectomy may be an option in select cases, owing to its versatility. However, further investigation is required. Genetic analysis provides a pre-symptomatic diagnosis and may lead to a more personalised medicine.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 5","pages":"Pages 289-294"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588832","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

Endothelial changes in patients with and without diabetes after manual small-incision cataract surgery 糖尿病患者和非糖尿病患者手工小切口白内障术后内皮细胞的变化。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-01 DOI: 10.1016/j.oftale.2025.03.016

L.A. Oseguera Chávez, L.E. Salas Medina, C. Palacio Pastrana, W. Cedillo Suárez

{"title":"Endothelial changes in patients with and without diabetes after manual small-incision cataract surgery","authors":"L.A. Oseguera Chávez, L.E. Salas Medina, C. Palacio Pastrana, W. Cedillo Suárez","doi":"10.1016/j.oftale.2025.03.016","DOIUrl":"10.1016/j.oftale.2025.03.016","url":null,"abstract":"<div><h3>Background and objective</h3><div>In Mexico there is a high prevalence of diabetes, which is one of the most frequent etiologies of cataract. The impact of diabetes on postoperative corneal decompensation associated with MSICS has not been studied in our country. The objective of the study was to determine the difference in corneal endothelial changes between diabetic and non-diabetic patients by preoperative specular microscopy and at one month and 3 months after MSICS.</div></div><div><h3>Patients and methods</h3><div>Prospective, longitudinal, paired, non-randomized study with two groups; Group 1: diabetic patients and Group 2: non-diabetic patients. All patients had a complete ophthalmologic evaluation and preoperative and postoperative specular microscopy at one month and 3 months.</div></div><div><h3>Results</h3><div>119 eyes were included. The percentage of CD loss at 1 month was 11.1% in diabetic patients and 6.3% in non-diabetic patients. At 3 months the percentage of loss was 9.9% in diabetic patients and 5.4% in non-diabetic patients. The CV was higher in patients with diabetes and was significant at 1 month; however, at 3 months the values were comparable. The percentage of HEX decreased significantly in the first month in patients with diabetes.</div></div><div><h3>Conclusions</h3><div>There was a significant difference with greater CD loss, greater CV and less HEX in patients with diabetes vs. without diabetes at 1 month after the M-SICS procedure, however, it was not statistically significant at 3 months. This suggests greater endothelial stress, longer recovery time and remodeling of the corneal endothelium in patients with diabetes.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 5","pages":"Pages 246-253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702494","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

Unveiling the Enigma: Gigantic primary de novo poorly-differentiated ductal adenocarcinoma of the lacrimal gland with aggressive features. A case report and literature review 揭开谜团：巨大的原发性泪腺低分化导管腺癌，具有侵袭性特征。病例报告及文献复习。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-01 DOI: 10.1016/j.oftale.2025.03.018

S. Malik, C. Ahluwalia, A. Aziz Khan

{"title":"Unveiling the Enigma: Gigantic primary de novo poorly-differentiated ductal adenocarcinoma of the lacrimal gland with aggressive features. A case report and literature review","authors":"S. Malik, C. Ahluwalia, A. Aziz Khan","doi":"10.1016/j.oftale.2025.03.018","DOIUrl":"10.1016/j.oftale.2025.03.018","url":null,"abstract":"<div><div>Primary ductal adenocarcinoma (PDA) of the lacrimal gland is a rare and aggressive malignancy originating from ductal epithelial cells. Its rarity and diverse clinical presentations pose significant diagnostic challenges, emphasizing the need for accurate diagnosis and appropriate management strategies. The study presents an intriguing case of a 50-year-old man with a large de novo primary ductal adenocarcinoma of the lacrimal gland, initially misdiagnosed as a meningeal solitary fibrous tumor due to its atypical clinical presentation of “down and out” proptosis. The case underscores the importance of histopathology to achieve a correct diagnosis and guide management decisions. Despite aggressive treatment approaches, the prognosis of primary ductal adenocarcinoma patients remains grim due to its aggressive behavior and tendency for recurrence and metastasis. The present case study emphasizes that a differential of primary ductal adenocarcinoma should be considered despite the presence of anomalous clinical and radiological presentation.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 5","pages":"Pages 295-301"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755658","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

Serious incidents involving ocular medical devices reported to the AEMPS 向AEMPS报告的涉及眼科医疗器械的严重事故。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-01 DOI: 10.1016/j.oftale.2025.03.008

L.C. Ramón-Carreira , E.M. Sobas , J.C. Pastor

引用次数: 0

Williams-Beuren syndrome case series with thinner fovea centralis and central corneal thicknesses Williams-Beuren综合征的病例系列与较薄的中央凹和角膜中央厚度。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-05-01 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":"10.1016/j.oftale.2025.01.012","url":null,"abstract":"<div><h3>Background/aims</h3><div>To characterize the ocular signs of Williams-Beuren syndrome (WBS) in 3 cases examined at XXX University Ophthalmology Clinic.</div></div><div><h3>Methods</h3><div>Three patients with a diagnosis of WBS underwent comprehensive ophthalmic evaluation at the XXX University Ophthalmology, including best-corrected visual acuity, slitlamp biomicroscopy, dilated fundus examination, optical coherence tomography, corneal topography and colour fundus imaging.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 5","pages":"Pages 238-245"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","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