Archivos de la Sociedad Espanola de Oftalmologia最新文献_第4页

Conjunctivo-rhinostomy with Métaireau tube implant: Outcomes and complications. 结膜鼻造口术与msamtaireau管植入：结果和并发症。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-04 DOI: 10.1016/j.oftale.2024.12.002

R Montejano-Milner, M Sánchez-Orgaz, R Romero-Martín, J V Dabad-Moreno, I Mogollón-Giralt, M A Roca-Cabau, A de la Hoz Polo, Á Arbizu-Duralde

{"title":"Conjunctivo-rhinostomy with Métaireau tube implant: Outcomes and complications.","authors":"R Montejano-Milner, M Sánchez-Orgaz, R Romero-Martín, J V Dabad-Moreno, I Mogollón-Giralt, M A Roca-Cabau, A de la Hoz Polo, Á Arbizu-Duralde","doi":"10.1016/j.oftale.2024.12.002","DOIUrl":"10.1016/j.oftale.2024.12.002","url":null,"abstract":"<p><strong>Purpose: </strong>To communicate the results and complications in a series of 17 proximal lacrimal pathway obstructions (PLPO) operated by conjunctivo-rhinostomy (CR) with Métaireau tube implantation.</p><p><strong>Methods: </strong>Retrospective descriptive study including 16 patients (17 PLPO) operated with CR between April 2010 and June 2017. Surgeries were performed under general anesthesia. The Métaireau tube implantation, draining into the middle meatus, was carried out through a trans-caruncular osteotomy with a 14G Abbocath catheter under endoscopic control.</p><p><strong>Results: </strong>Twelve women (75%) and four men (25%) were included. The median age was 57 years (range 32-78). The indication for surgery was constant epiphora (Munk 4) due to obstruction less than 8 mm from the punctum. The follow-up time was 28 months (range 2-85). Epiphora improved one month after the intervention (Munk 0.35 ± 1) and at the end of follow-up (Munk 1.50 ± 1.10) compared to baseline values (Munk 4). The most frequent postoperative symptoms were hyperemia (35%), discharge (24%), and tearing (24%). The detected signs were conjunctival folds and papillomas at the proximal end of the tube (35% and 24%, respectively) and tube malposition (18%). One patient developed restrictive strabismus. 41% of the cases required at least one surgery to reposition or remove the tube.</p><p><strong>Conclusions: </strong>CR with Métaireau tube implantation is a therapeutic alternative for PLPO. Despite the good anatomic results, patients should be warned about the potential complications, which are frequent and may require reoperations.</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":"142792967","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

Successful management of subretinal hemorrhage in patient with AMD. 黄斑变性视网膜下出血的成功治疗。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-04 DOI: 10.1016/j.oftale.2024.12.005

A Miranda Sánchez, R Fernández Narros, J Donate López

引用次数: 0

Combined central retinal vein occlusion and cilioretinal artery occlusion in two young patients. 合并视网膜中央静脉闭塞和纤毛视网膜动脉闭塞2例。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-04 DOI: 10.1016/j.oftale.2024.08.004

M Comes-Carsí, E Gracia-Rovira, L Manfreda-Domínguez, V T Pérez-Torregrosa, J P Liscombe-Sepúlveda, A M Duch-Samper

引用次数: 0

Cyclodestructive treatment for symptomatic intraocular pressure elevation during hemodialysis: case reports and literature review. 血液透析期间症状性眼压升高的破环治疗：病例报告及文献复习。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-03 DOI: 10.1016/j.oftale.2024.12.001

H Mies, F Manzur, S Verdaguer D

{"title":"Cyclodestructive treatment for symptomatic intraocular pressure elevation during hemodialysis: case reports and literature review.","authors":"H Mies, F Manzur, S Verdaguer D","doi":"10.1016/j.oftale.2024.12.001","DOIUrl":"10.1016/j.oftale.2024.12.001","url":null,"abstract":"<p><strong>Introduction: </strong>Within the characteristics of hypertensive glaucoma, it is distinguished by presenting elevated intraocular pressure (IOP) associated with a low ocular perfusion pressure (OPP). Changes in these parameters can be affected by systemic disease such chronic kidney disease (CKD). Likewise, there is a correlation in the prevalence of both pathologies in patients with similar characteristics, emphasizing the need to address glaucoma management in patients with CKD given the implications of the disease on ocular pathology. Furthermore, hemodialysis (HD) is the maintenance treatment for end-stage CKD, which can lead to transient increases in IOP contributing to ocular discomfort and potential glaucoma progression.</p><p><strong>Methods: </strong>A search was conducted in PubMed and Epistemonikos databases, constructing a theoretical framework based on primary studies and similar case reports. Additionally, two cases of patients with CKD with severe ocular pain during HD are presented, compiling data from electronic medical records, including demographic data, clinical presentations, treatments, and post-treatment outcomes.</p><p><strong>Results: </strong>Both patients received cyclodestructive treatment for symptomatic hypertensive glaucoma episodes during HD, showing favourable clinical outcomes after treatment, both in controlling IOP elevation and relieving ocular pain during hemodialysis sessions.</p><p><strong>Discussion: </strong>This review sheds light on a relatively underexplored aspect of glaucoma treatment in CKD patients on HD, where cyclodiode laser therapy appears to be a promising option in cases where there is no recoverable visual acuity. However, since the evidence is still emerging, future prospective comparative studies are needed to provide further information to clinical practice.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787995","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

Cross - cultural adaptation of the Low Vision Quality of life scale 低视力生活质量量表的跨文化调整。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.08.001

D.C. Palencia-Florez , M.P. Oviedo-Cáceres , E.A. Giraldo Gallo

{"title":"Cross - cultural adaptation of the Low Vision Quality of life scale","authors":"D.C. Palencia-Florez , M.P. Oviedo-Cáceres , E.A. Giraldo Gallo","doi":"10.1016/j.oftale.2024.08.001","DOIUrl":"10.1016/j.oftale.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The quality of life related to visual function is a multidimensional construct that complements the functional assessment of patients with low vision. It shows the individual's perception of the course of ocular disease and its treatment within the framework of a value system and a sociocultural context. This clinical-epidemiological outcome is recognized as objective and valuable.</div></div><div><h3>Methodology</h3><div>A content validation study was conducted, which involved translating and back-translating the scale to evaluate semantic, idiomatic, conceptual, and experiential equivalence in the resulting version. The study included the participation of 21 individuals, and a quantitative evaluation was performed using Aiken's V coefficient to analyze the scores assigned in the categories of relevance and experiential capacity.</div></div><div><h3>Results</h3><div>The questionnaire presentation was reorganized. The examples were expanded, and some optical aids were mentioned. Additionally, terms were changed to improve comprehension and reduce rudeness. Out of the 25 items, 11 had an Aiken V coefficient of less than 1.0.</div></div><div><h3>Conclusions</h3><div>The obtained version is comparable to the original questionnaire. However, the idiomatic twists specific to the local context emphasize the need for content validation to ensure correct interpretation and contribute to the updating of the scale.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 527-533"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057523","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

Anterior segment optic coherence tomography (OCT-SA) findings in glaucoma surgery after Preserflo® Microshunt implantation Preserflo® 微分流术后青光眼手术的前段光学相干断层扫描（OCT-SA）结果。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.05.014

G. Ortega-Prades, Á.A. Ojeda-Parot, V.T. Pérez-Torregrosa

引用次数: 0

Anterior segment optical coherence tomography for the differential diagnosis of iris cyst 用于虹膜囊肿鉴别诊断的前段光学相干断层扫描。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.06.014

E. Gracia-Rovira, V.-T. Pérez-Torregrosa, A.-M. Duch-Samper

引用次数: 0

Atypical presentation of type 1 neovascularization with aneurysmal dilations in a young female 一名年轻女性的 1 型新生血管伴动脉瘤扩张的非典型表现。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.004

M. Zamorano , B. Puerto , J. Carceller , J.J. González-López , M.S. Figueroa , F.J. Muñoz-Negrete

引用次数: 0

Prevalence and risk factors for complicated immuno-mediated uveitis: experience in a tertiary hospital 复杂免疫介导葡萄膜炎的发病率和风险因素：一家三级医院的经验。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.06.013

P. Luque-Linero , A. Espejo-González , N. Navarrete-Navarrete

{"title":"Prevalence and risk factors for complicated immuno-mediated uveitis: experience in a tertiary hospital","authors":"P. Luque-Linero , A. Espejo-González , N. Navarrete-Navarrete","doi":"10.1016/j.oftale.2024.06.013","DOIUrl":"10.1016/j.oftale.2024.06.013","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the characteristics of patients with uveitis and ocular complications in a tertiary hospital. As well as to determine the risk factors for the development of an ocular complication.</div></div><div><h3>Methods</h3><div>Retrospective study of patients with uveitis evaluated in a Uveitis Unit of the Virgen de las Nieves Hospital from January 2018 to October 2022. A descriptive and analytical study was carried out using logistic regression to know the predictive factors of a poor ocular prognosis.</div></div><div><h3>Results</h3><div>A total of 127 patients were studied, of which 63% were women and 83.5% were Caucasian. The median age was 51 years IQR (15–88) years. Following the SUN classification, uveitis was predominantly bilateral (55.1%) and anterior (52%), had a recurrent evolution in 51,2% and only 12,6% were granulomatous. Of the total uveitis, 74,2% of the sample turned out to have an immune-mediated profile, although a final diagnosis was only reached in 46,1% of the patients. A total of 17,3% patients suffer from loss of vision. Visual complications in decreasing order were: posterior synechiae (15,6%), cystic macular edema (14.8%), cataracts (13,1%), glaucoma (8,2%), epiretinal membranes (4,9%) and neovascular membranes (1,7%) and retinal detachment (4%). In the bivariate analysis, ethnicity other than Caucasian was significant, p = 0,024, and a number of outbreaks greater than 2, p = 0,045. The rest of the variables analyzed were not significant. In the multivariate analysis, they were significant outbreaks OR: 1,2 CI (1,051−1,426) and ethnicity OR: 0,11 CI (0,014−0,938).</div></div><div><h3>Conclusions</h3><div>The number of outbreaks and non-Caucasian race were related to a greater probability of presenting an ocular complication. An earlier and more specific diagnosis of the etiology, especially in these patients, would allow earlier treatment and improve their prognosis.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 540-547"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334231","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

Suggestion of serious incidents in medical devices used in anterior segment surgery. Proposing ideas (II) 关于前段手术中使用的医疗器械严重事故的建议。提出想法 (II)。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.09.003

R. Lorente-Moore , J. Mendicute del Barrio , M.V. Rojas Silva , A. Macarro-Merino , E. Larra Mateos , J.C. Pastor

引用次数: 0