Archivos de la Sociedad Espanola de Oftalmologia最新文献

{"title":"Prevalence of ocular manifestations of vitamin A deficiency in children: A systematic review.","authors":"S Castro-Pachón, S Perilla-Soto, K Ruiz-Sarmiento, J A Niño-García, M J Sánchez-Rosso, M C Ordóñez-Caro, D S Camacho-Páez, D García-Lozada","doi":"10.1016/j.oftale.2024.12.011","DOIUrl":"10.1016/j.oftale.2024.12.011","url":null,"abstract":"<p><strong>Objective: </strong>Identify the prevalence of ocular manifestations due to vitamin A in children.</p><p><strong>Methods: </strong>The systematic search was carried out in September 2022. Observational studies with populations between 0-18 years old, who had ocular manifestations due to vitamin A deficiency, were included. Studies with selected subjects with underlying diseases were excluded. The results were exported to the Rayyan tool for duplicate removal and paired reading. The methodological quality assessment of the included articles was carried out with the Agency for Healthcare Research and Quality Institute instrument.</p><p><strong>Results: </strong>79 studies published from 1972 to 2020 were included, carried out mainly in Asia 42 (53%) and Africa 28 (35.4%). In America, 4 studies were from Brazil; no research was found in Europe. The most reported ocular manifestations due to vitamin A were: xerophthalmia in 38.0% of the articles and night blindness in 69.6%, being more common in the general population (76.3%) and less in aborigines (1.9%). The diagnostic methods used were: surveys (82.3%), laboratory tests (32%), ocular evaluation by optometry or ophthalmologist (25.3%) and ocular examination by trained personnel (8.9%). The studies were carried out in the general population (79.7%), hospitals (15.2%), schools for the blind (2.5%), migrants in transit (1.3%) and aborigines (1.3%).</p><p><strong>Conclusion: </strong>Ocular manifestations continue to represent a public health problem that affects children from 0 to 18 years of age on 4 continents, with greater emphasis on Asia and Africa. Additional studies are required to understand the impact of vitamin A deficiency in Latin America.</p>","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":"142857224","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":"Pseudomonas-induced scleritis mimicking autoimmune necrotizing scleritis. A case report.","authors":"M L Quezada-Osoria, G R Vera-Duarte, M Pedroza-Seres","doi":"10.1016/j.oftale.2024.12.008","DOIUrl":"10.1016/j.oftale.2024.12.008","url":null,"abstract":"<p><p>To report a case of spontaneous-onset unilateral scleritis and keratitis due to Pseudomonas aeruginosa in a patient with systemic lupus erythematosus who partially responded to antibiotic therapy and achieved complete resolution after IV immunotherapy. A 30-year-old woman with a past medical history of hypothyroidism and systemic lupus erythematosus and on irregular therapy presented with a long-history of thinning of the sclera and cornea refractory to antibiotic therapy despite a positive culture for P. aeruginosa, which eventually resolved with the implementation of immunotherapy. Infectious scleritis is an uncommon and diagnostically challenging scleral inflammation. However; we must rule it out in patients with autoimmune diseases due to the inherent risk of these patients as their immune system has been impaired.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831200","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":"Foveal hernia: morphological characteristics and result after idiopathic epiretinal membrane peeling.","authors":"N Ruiz Del Rio, Á A Ojeda Parot, F García Ibor, D Hernández Pérez, A M Duch Samper","doi":"10.1016/j.oftale.2024.12.009","DOIUrl":"10.1016/j.oftale.2024.12.009","url":null,"abstract":"<p><p>Foveal hernia (FH) can be detected by optic coherence tomography. FH refers to the prolapse of the innermost retinal layers into the vitreal cavity. It occurs in patients with an epiretinal membrane that does not cover the central foveal area. This present case exposes the sudden development of contractility in an idiopathic epiretinal membrane after years of stable follow-up, with no signs of progression. Additionally, this case report also shows the rapid recovery of the retinal structure after removal of the membrane. In surgical imaging with membrane staining and during its extraction, the eyelet (or slot/opening) on the foveal surface is clearly visible.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831199","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":"First Reported Case of atypical Cogan's Syndrome in Central America.","authors":"L M Vindel Valle, M A López Alfaro","doi":"10.1016/j.oftale.2024.08.005","DOIUrl":"10.1016/j.oftale.2024.08.005","url":null,"abstract":"<p><strong>Case report: </strong>Case report of a 51 year old patient diagnosed with atypical Cogan's syndrome. The patient exhibited interstitial keratitis, anterior uveitis, and long-standing profound deafness. The treatment was based on topical and systemic steroids, resulting in a satisfactory evolution and currently in clinical remission.</p><p><strong>Discussion: </strong>Cogan's syndrome is a chronic inflammatory disease that has existed for over 60 years. Because its diagnosis is purely clinical, not many cases have been reported worldwide. Therefore, it is important to be aware of this condition to make a quick diagnosis and provide multidisciplinary treatment, thus preventing irreversible complications.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831198","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":"Syphilitic iris roseola. Usefulness of anterior segment Optical Coherence Tomography.","authors":"N Ruiz Del Rio, M Comes Carsi, L Sanz Gallen","doi":"10.1016/j.oftale.2024.08.003","DOIUrl":"10.1016/j.oftale.2024.08.003","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792956","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 postoperative endophthalmitis after phacoemulsification in a private ophthalmic surgical group.","authors":"A Llovet-Rausell, F Llovet-Osuna, J Ortega-Usobiaga, J Beltran-Sanz, V Druchkiv","doi":"10.1016/j.oftale.2024.07.012","DOIUrl":"10.1016/j.oftale.2024.07.012","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the incidence, causes, risk factors and treatment of acute postoperative endophthalmitis (POE) after phacoemulsification in a private ophthalmological group.</p><p><strong>Design: </strong>Uncontrolled retrospective observational study of all cases of POE over 22 years.</p><p><strong>Material and methods: </strong>369,476 eyes were included after phacoemulsification in 41 surgical centers of the Clínica Baviera-AIER EYE Group from 2002 to 2023. POE cases were reviewed.</p><p><strong>Results: </strong>The general group was divided into two: group A (2002-2007), with vancomycin in the intracameral irrigation flow (27,705 eyes); Group B (2008-2023), with intracameral cefuroxime (341,771 eyes). 31 cases of POE were found (incidence, 0.0084%); 5 in group A (0.018%) and 26 in group B (0.0076%) (P = .314), with a mean age of 67.3 years (14 men and 17 women). Cultures were positive in 14 cases in Groups A and B. Treatment was based on intravitreal antibiotics and vitrectomy. The mean time to symptom onset was 6.76 days and the mean time to resolution was 120.7 days. 12 eyes achieved corrected distance visual acuity ≥ 20/40.</p><p><strong>Conclusions: </strong>The incidence of POEwas 0.0084% (0.0181% in group A and 0.0076% in group B). The probability of having POE in group A was 2.37 times greater than in group B (OR: 2.37; 95% CI: 0.71-6.2; P = .079). The only significant risk factor for POE was posterior capsular rupture.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792943","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":"Management of periocular tumours with a Mohs surgery referral approach and their clinic-histological features.","authors":"J M Ruiz Caro Larrea, S Simpson, G-Y Wong, D Ah-Kine, A Gibson, T M Lupión Durán","doi":"10.1016/j.oftale.2024.12.004","DOIUrl":"10.1016/j.oftale.2024.12.004","url":null,"abstract":"<p><strong>Antecedents and objectives: </strong>The purpose of our study was to showcase that MMS can be used efficiently even if it is not present (James Cook Hospital) in the management of periocular tumors through MMS via referral (Royal Victoria Infirmary Hospital) and to describe the clinical and histological features of our patients.</p><p><strong>Materials and methods: </strong>We conducted a retrospective, longitudinal and descriptive study and 58 patients were included. We divided our patients in three groups; pre-COVID-19: patients from January 2019 to January 28th 2020, COVID-19: patients from January 29^th 2020 to July 2021 and late COVID-19: patients from August 2021 to 24th of July 2023.</p><p><strong>Results: </strong>There were no differences among each group between; the clinic date and the MMS procedure (p = 0,06), the referral date and the MMS procedure (p = 0,054), the MMS date to reconstruction (p = 0.19), the time of the lesion (p = 0,054). The type of reconstruction was not influenced by the number of days; between the clinic date and reconstruction (p = 0,60), the clinic date and the MMS procedure (p = 0,60), and the referral date and the MMS procedure (p = 0,27). Around 16% of the patients were discharged during the first postoperative visit.</p><p><strong>Conclusion: </strong>The joint management of periocular tumours between two hospitals showed to be efficient, even though during COVID-19 pandemic times.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792944","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":"Microspherophakia associated with congenital miosis: Coincidence or causality?","authors":"C Arteaga Henríquez, M Rivera Zori, I Valls Ferrán, C Martín Villaescusa, B Gutiérrez Partida, N Blanco Calvo","doi":"10.1016/j.oftale.2024.12.007","DOIUrl":"10.1016/j.oftale.2024.12.007","url":null,"abstract":"<p><p>Congenital miosis and microspherophakia are rare congenital disorders of the anterior chamber that are associated with multiple other ophthalmological and systemic pathologies or disorders. Nevertheless, the association of both entities have not been described yet. We present the case of a 2-years-old patient without other relevant medical history that presented with high myopia secondary to microspherophakia and associated with congenital miosis.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792947","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":"Survey on the management of retinal arterial occlusions in Spain.","authors":"N Olivier-Pascual, J Viéitez-Vázquez, A García-Ben, R Arroyo-Castillo, S Rubio-Cid, N Castro Casal, C Quintero-González, J M Abalo-Lojo, M D Álvarez-Díaz","doi":"10.1016/j.oftale.2024.12.003","DOIUrl":"10.1016/j.oftale.2024.12.003","url":null,"abstract":"<p><strong>Objective: </strong>To determine the current status of retinal artery occlusion (RAO) management in Spain.</p><p><strong>Material and methods: </strong>An anonymous questionnaire of 22 questions was carried out on the Google Forms® platform between April 27 and May 28, 2023. This questionnaire was distributed via email by the Spanish Society of Retina and Vitreous and the Spanish Society of Ophthalmology.</p><p><strong>Results: </strong>159 ophthalmologists from 91 public and 44 private centers in the 17 autonomous communities answered the questionnaire. Fifty-one percent of the ophthalmologists who answered the survey were women, 56.6% worked in public centers, 9.4% in private centers and 34% in both centers. Of the ophthalmologists working in public centers, 41.7% attend ophthalmologic emergencies 24 h a day, 365 days a year, while the rest delay their attention outside the usual hours. In 62.6% of the public centers with responses collected there are no protocols for the management of OAR in the ophthalmology services and as for multidisciplinary protocols, 57% recognize that they do not have one, 23% have one with neurology or internal medicine and only 13% of the centers include OAR within the stroke code. The most frequently reported treatments are hypotensors and anterior chamber paracentesis. In private centers, 73.7% report not having their own protocol, and 78.9% do not have a protocol with other services. The main barriers perceived by the ophthalmologists surveyed were: patients arriving outside the window period (77.2%), no specific treatment and lack of established protocols (55.4%), low incidence (32.9%). Suggestions for improvement were: need to implement protocols, coordination with other services and that OAR be included as a stroke code.</p><p><strong>Conclusions: </strong>Despite its limitations, (simple questionnaire, open design of some questions, lack of representation of centers and provinces and contradictory responses within the same center), we consider that it can serve as an approximation to the current management of RAO in Spain. It is necessary to develop protocols adapted to the different centers and to comply with them effectively in order to improve accessibility and equity.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792953","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":"Bilateral and accelerated posterior capsule opacification in the clinical context of diffuse systemic sclerosis.","authors":"V Gómez-Calleja, B Burgos-Blasco, N Güemes-Villahoz","doi":"10.1016/j.oftale.2024.12.006","DOIUrl":"10.1016/j.oftale.2024.12.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792923","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}