B Galán García, J Orduña Azcona, C F Rodríguez Hernández
{"title":"Case report of Aspergillus niger dacryocystitis in immunocompetent adult.","authors":"B Galán García, J Orduña Azcona, C F Rodríguez Hernández","doi":"10.1016/j.oftale.2025.03.004","DOIUrl":"10.1016/j.oftale.2025.03.004","url":null,"abstract":"<p><p>We present the case of a 28-year-old man with no personal history of interest and an episode of acute right dacryocystitis despite medical treatment. He underwent dacryocystectomy, in which samples were obtained for anatomopathological and microbiological studies with results of Aspergillus niger. Acute Aspergillus dacryocystitis is very rare in immunocompetent adult. After the operation, the condition resolved without recurrence after 1 year without adjuvant treatment.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588803","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 Comes-Carsí, S A Maugard Tepper, A M Duch-Samper
{"title":"Bilateral iris mammillations. Anterior segment optical coherence tomography image.","authors":"M Comes-Carsí, S A Maugard Tepper, A M Duch-Samper","doi":"10.1016/j.oftale.2025.03.003","DOIUrl":"10.1016/j.oftale.2025.03.003","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588800","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}
A.B. González Escobar, M.A. López-Egea Bueno, A. González Gómez, J.M. Galván Cano, I.M. Baquero Aranda, R. Luque Aranda
{"title":"Congenital simple hamartoma of the retinal pigment epithelium. About three cases","authors":"A.B. González Escobar, M.A. López-Egea Bueno, A. González Gómez, J.M. Galván Cano, I.M. Baquero Aranda, R. Luque Aranda","doi":"10.1016/j.oftale.2025.01.008","DOIUrl":"10.1016/j.oftale.2025.01.008","url":null,"abstract":"<div><div>Congenital simple hamartoma of the retinal pigment epithelium (CSHRPE) is a very rare benign tumor (usually diagnosed in a routine fundus examination), which presents as a small, pigmented nodular lesion in the macular area. We present 3 clinical cases of CSHRPE located in the macular region observed casually and diagnosed thanks to autofluorescence and especially optical coherence tomography, non-invasive tests. We want to point out the importance of carrying out the differential diagnosis of this lesion, especially with malignant tumors, to avoid unnecessary procedures and the importance of following up, since they are usually asymptomatic but are sometimes associated with complications such as traction and exudation.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 158-161"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082636","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}
A. Fernández Fernández De Castro, H. Sánchez Tocino, A. Galindo-Ferreiro
{"title":"Demographic and clinical characteristics of patients with thyroid orbitopathy in a tertiary hospital over 5 years","authors":"A. Fernández Fernández De Castro, H. Sánchez Tocino, A. Galindo-Ferreiro","doi":"10.1016/j.oftale.2025.01.006","DOIUrl":"10.1016/j.oftale.2025.01.006","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the demographic and clinical characteristics of thyroid orbitopathy (TO) in a population in Spain.</div></div><div><h3>Method</h3><div>It is a retrospective observational study of patients with TO treated at a tertiary hospital center. We gathered demographic data, ophthalmological symptoms, laterality, symmetry, recurrences, activity according to the Clinical Activity Score scale, severity according to the European Group On Graves’ Orbitopathy (EUGOGO), thyroid function and antibody levels. Statistical significance was defined for P values <0.05.</div></div><div><h3>Results</h3><div>156 patients with TO were included. 128 (82.1%) women, the female/male sex ratio was 4.57:1. The cumulative incidence was 7.47 cases per 100,000 inhabitants/year. The mean age was 50.7 ± 13.2 years. 70 (44.9%) patients were smokers. 62 (39.7%) patients had a family history of thyroid dysfunction. Hyperthyroidism occurred in 90 (57.7%) patients, hypothyroidism in 34 (21.8%) patients, and euthyroidism in 32 (20.5%) patients. Thyroid-stimulating immunoglobulin was elevated in 107 (68.5%) patients. The TO was bilateral in 149 (95.51%) and symmetrical in 99 (66%). Active TO occurred in 28 (17.9%) patients. 110 (70.5%) TO were mild, 41 (26.3%) moderate-severe and 5 (3.2%) very severe. Moderate-severe TO was higher in smokers compared to non-smokers (32.9% vs. 20.9%, <em>p</em> = 0.524).</div></div><div><h3>Conclusions</h3><div>TO in our population follows similar patterns to other countries: female sex, mild, bilateral and symmetrical. In smokers, TO may present more severely.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 134-142"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082682","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}
A. Llovet-Rausell , F. Llovet-Osuna , J. Ortega-Usobiaga , J. Beltran-Sanz , V. Druchkiv
{"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":"<div><h3>Purpose</h3><div>To analyze the incidence, causes, risk factors and treatment of acute postoperative endophthalmitis (POE) after phacoemulsification in a private ophthalmological group.</div></div><div><h3>Design</h3><div>Uncontrolled retrospective observational study of all cases of POE over 22 years.</div></div><div><h3>Material and methods</h3><div>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.</div></div><div><h3>Results</h3><div>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%) (<em>P</em> = .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.</div></div><div><h3>Conclusions</h3><div>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; <em>P</em> = .079). The only significant risk factor for POE was posterior capsular rupture.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 125-133"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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}
J.M. Ruiz Caro Larrea, S. Simpson, G.-Y. Wong, D. Ah-kine, A. Gibson, T.M. Lupión Durán
{"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":"<div><h3>Antecedents and Objectives</h3><div>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.</div></div><div><h3>Materials and methods</h3><div>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<sup>th</sup> 2020 to July 2021 and late COVID-19: patients from August 2021 to 24th of July 2023.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>The joint management of periocular tumours between two hospitals showed to be efficient, even though during COVID-19 pandemic times.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 119-124"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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}
C.E. Monera Lucas , J. Aguilar Falomir , S. López Jiménez
{"title":"Clinical characteristics and multimodal image in a case of idiopatic papillophlebitis","authors":"C.E. Monera Lucas , J. Aguilar Falomir , S. López Jiménez","doi":"10.1016/j.oftale.2025.01.001","DOIUrl":"10.1016/j.oftale.2025.01.001","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 162-163"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082633","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}
J. González Martín-Moro , V. Altares-Mateos , J. Zarallo-Gallardo
{"title":"Lachryphagy: A new form of transmission of parasitic diseases","authors":"J. González Martín-Moro , V. Altares-Mateos , J. Zarallo-Gallardo","doi":"10.1016/j.oftale.2025.01.004","DOIUrl":"10.1016/j.oftale.2025.01.004","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 117-118"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082229","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":"Degenerative lamellar foramen post drusenoid detachment of the retinal pigment epithelium","authors":"C.M. Ortega , D. Pratto","doi":"10.1016/j.oftale.2025.01.005","DOIUrl":"10.1016/j.oftale.2025.01.005","url":null,"abstract":"<div><div>The macular hole is a prevalent pathology whose types and causes are due to various reasons. Sometimes it can coexist with other diseases such as age-related macular degeneration. Its pathophysiological basis may have a common relationship with the degenerative lamellar foramen. Optical coherence tomography plays a fundamental role in understanding its genesis.</div><div>In this work, we present the case of a 60-year-old patient with age-related macular degeneration, who consults due to decreased visual acuity in the left eye. The ophthalmological examination revealed a drusenoid detachment of the retinal pigment epithelium in the foveal area, visible by optical coherence tomography, in addition to multiple drusen in both eyes.</div><div>Image follow-up showed regression of the detachment at the end of 60 days with the formation of a lamellar hole in its place. A follow-up was done for 24 months.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 150-153"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082643","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}
S. Naranjo Salazar , S. Restrepo Velásquez , A.M. Rodriguez Gómez , J.M. Palacio Aguirre
{"title":"Bilateral acute iris transilumination: Description of two cases","authors":"S. Naranjo Salazar , S. Restrepo Velásquez , A.M. Rodriguez Gómez , J.M. Palacio Aguirre","doi":"10.1016/j.oftale.2025.01.007","DOIUrl":"10.1016/j.oftale.2025.01.007","url":null,"abstract":"<div><div>Bilateral Acute Iris Transillumination (BAIT) syndrome is characterized by a severe pigment dispersion with secondary iris atrophy and increased intraocular pressure (IOP). We report two cases of female patients aged 31 and 37 years respectively with a diagnosis of BAIT syndrome who required management for ocular hypertension secondary to pigment dispersion syndrome including medical therapy and surgical management in one case. It is important to consider BAIT syndrome as a differential diagnosis in pigment dispersion syndrome or pseudo-uveitis cases because of the need for timely management to prevent visual loss secondary to glaucomatous optic neuropathy.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 154-157"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}