Archivos de la Sociedad Espanola de Oftalmologia最新文献

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Piggyback toric phakic implantable collamer lens: Management of pseudophakic ametropia and negative dysphotopsia. 背负式环形晶状体植入式屈光透镜:假性屈光不正和阴性屈光不良的治疗。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-12 DOI: 10.1016/j.oftale.2025.04.007
F Gonzalez-Lopez, S Delgado-Tirado, E Sevillano, E Corral-Carrasquilla, D Medel
{"title":"Piggyback toric phakic implantable collamer lens: Management of pseudophakic ametropia and negative dysphotopsia.","authors":"F Gonzalez-Lopez, S Delgado-Tirado, E Sevillano, E Corral-Carrasquilla, D Medel","doi":"10.1016/j.oftale.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.04.007","url":null,"abstract":"<p><p>As a result of the successful development of corneal refractive techniques over the past 3 decades, an increasing number of patients who have undergone refractive surgery are now seeking surgical solutions for dysfunctional or cataractous lenses, with high expectations for precise visual outcomes. Refractive calculation in these cases poses a challenge for the surgeon. One available option to address residual postoperative refractive errors after lensectomy is the implantation of a secondary implantable lens in a piggyback configuration. We present a unique case of implanting a collamer phakic implantable lens (ICL) in a piggyback fashion, addressing not only residual refractive error following cataract surgery but also severe negative dysphotopsia in a patient who had undergone LASIK 20 years earlier and already had a posterior capsulotomy.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033857","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
Herpetic keratitis after corneal crosslinking. 角膜交联后疱疹性角膜炎。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-12 DOI: 10.1016/j.oftale.2025.04.008
N Laaribi, R Mendes, K Reda, A Oubaaz
{"title":"Herpetic keratitis after corneal crosslinking.","authors":"N Laaribi, R Mendes, K Reda, A Oubaaz","doi":"10.1016/j.oftale.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.04.008","url":null,"abstract":"<p><p>Corneal crosslinking is considered a safe procedure even if sight-threatening side effects have been reported. Other han our case report, few reports of herpetic keratitis (HK) after crosslinking have been published. We report a new onset HK after corneal crosslinking for keratoconus. A 40-year-old woman underwent corneal collagen crosslinking in her right eye for progressive keratoconus. The patient returned with pain and photophobia. Infiltration in the corneal stroma was observed. Fluorescein staining specified epithelial defects overlying the corneal infiltrates. The diagnostic of HK was confirmed with polymerase chain reaction for DNA detection of HSV type 1 of corneal swab. The epithelial defect healed with oral valacyclovir treatment. Topical corticosteroid drops and preservative-free lubricant eye drops were, also, added to the antiviral treatment. Afterwards, a decrease in stromal infiltrate was observed. This case report highlights the risk of HK after crosslinking and elucidates the importance of timely diagnosis of this unusual but important complication. The ophthalmologist should be aware of the possibility of HK in eyes after crosslinking, even in patients without a past medical history of HSV infection.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061657","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
Frequency of the vertical cup-to-disc ratio to normal optical disc size. 垂直杯盘比正常光盘尺寸的频率。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-08 DOI: 10.1016/j.oftale.2025.04.004
M Gonzalez de la Rosa, M Gonzalez Hernandez, D Gonzalez-Hernandez
{"title":"Frequency of the vertical cup-to-disc ratio to normal optical disc size.","authors":"M Gonzalez de la Rosa, M Gonzalez Hernandez, D Gonzalez-Hernandez","doi":"10.1016/j.oftale.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.oftale.2025.04.004","url":null,"abstract":"<p><p>The relationship between the optic disc area and the vertical cup/disc ratio is presented by means of a graphic nomogram after studying a total of 365,356 normal optic nerves. For this purpose, the Laguna ONhE application was used, which analyses the distribution of hemoglobin based on the colorimetric analysis of fundus color images. The 1%, 5%, 50% and 95% percentiles are given for disc areas between 1 mm<sup>2</sup> and 4 mm<sup>2</sup>. The highest cup-to-disc ratios (1%-5% percentiles) were close to 0.7 for large discs, while for more common sizes (1.9-2.0 mm<sup>2</sup>) they were close to 0.6 and for small ones to 0.5. Data allowed the Laguna ONhE Globin Discriminant Function (GDF) index to be corrected, in such a way that it could, then, be verified in 544 normal eyes that it was less dependent on the vertical cup/disc ratio, whereas in 436 confirmed and suspected glaucoma an intimate relationship was reported.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000269","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
Reporting serious incidents in medical devices used in glaucoma surgery. Proposing ideas (III). 报告青光眼手术中使用的医疗器械的严重事故。提出意见(三)。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-05 DOI: 10.1016/j.oftale.2025.04.001
F J Muñoz-Negrete, A López Vázquez, J M Martínez-de-la-Casa, M Pazos, R Giménez Gómez, J C Pastor
{"title":"Reporting serious incidents in medical devices used in glaucoma surgery. Proposing ideas (III).","authors":"F J Muñoz-Negrete, A López Vázquez, J M Martínez-de-la-Casa, M Pazos, R Giménez Gómez, J C Pastor","doi":"10.1016/j.oftale.2025.04.001","DOIUrl":"10.1016/j.oftale.2025.04.001","url":null,"abstract":"<p><p>The implementation of the Medical Device Regulation (MDR) forces clinicians to identify and report any serious incidents related to the use of medical devices to the Health Authorities. To address uncertainties about what constitutes a serious incident, a working group composed of members of the Spanish Glaucoma Society (SEG) and the Cluster of Ophthalmology and Vision Sciences (Cluster4Eye) has developed a guiding document. This resource aims to assist less experienced ophthalmologists in recognizing specific incidents associated with glaucoma surgery that, in the team's view, are uncommon or could potentially result in significant harm to patient function. This list is not exhaustive and will remain open to updates based on feedback received.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804962","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
Acute macular neuroretinopathy associated with dengue virus infection. 与登革热病毒感染相关的急性黄斑神经视网膜病变。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-05 DOI: 10.1016/j.oftale.2025.04.003
F Calleja Casado, B Juan Ribelles, S A Maugard Tepper, A Caro Ortega, E Gracia Rovira, A Duch Samper
{"title":"Acute macular neuroretinopathy associated with dengue virus infection.","authors":"F Calleja Casado, B Juan Ribelles, S A Maugard Tepper, A Caro Ortega, E Gracia Rovira, A Duch Samper","doi":"10.1016/j.oftale.2025.04.003","DOIUrl":"10.1016/j.oftale.2025.04.003","url":null,"abstract":"<p><p>Acute macular neuroretinopathy (AMN) is a rare retinal condition characterized by paracentral scotomas and typical wedge-shaped lesions in the outer retina, often affecting young, otherwise healthy individuals. We report a case of AMN associated with dengue virus infection in a 48-year-old female doctor presenting with sudden onset of visual disturbances during a febrile illness after working away in Africa. Ophthalmologic examination and multimodal imaging, including optical coherence tomography (OCT) and fundus autofluorescence (FAF), revealed characteristic outer retinal changes consistent with AMN. Dengue infection was confirmed through serologic testing, and no other systemic or ocular conditions were identified, apart from fever and myalgias. The pathophysiology of AMN in the context of dengue virus remains unclear, though it may involve ischemic damage to the deep retinal capillary plexus due to systemic inflammation, endothelial dysfunction, or immune-mediated mechanisms. This case underscores the importance of considering dengue virus infection in the differential diagnosis of AMN and/or foveolitis, particularly in endemic regions. Early recognition and diagnosis are critical for appropriate management and follow up, though no specific treatment for AMN exists. This case adds to the growing body of literature on the ocular manifestations of viral infections, specifically dengue, and highlights the need for further research into the underlying mechanisms and potential therapeutic interventions.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804961","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
Pulsed light therapy in refractory dry eye disease associated with Meibomian gland dysfunction: Effectiveness in symptomatic response 脉冲光治疗与睑板腺功能障碍相关的难治性干眼病:对症状反应的有效性
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-01 DOI: 10.1016/j.oftale.2025.01.002
S. Turizo Mejía , L.M. Jaramillo , J.C. Gil Muñoz , J.C. Buitrago Salazar , A.M. Rodríguez Gómez , L.F. Mejía Echavarría , M. Escobar Giraldo
{"title":"Pulsed light therapy in refractory dry eye disease associated with Meibomian gland dysfunction: Effectiveness in symptomatic response","authors":"S. Turizo Mejía ,&nbsp;L.M. Jaramillo ,&nbsp;J.C. Gil Muñoz ,&nbsp;J.C. Buitrago Salazar ,&nbsp;A.M. Rodríguez Gómez ,&nbsp;L.F. Mejía Echavarría ,&nbsp;M. Escobar Giraldo","doi":"10.1016/j.oftale.2025.01.002","DOIUrl":"10.1016/j.oftale.2025.01.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the effectiveness of intense pulsed light (IPL) therapy in improving symptoms in patients with a diagnosis of evaporative dry eye disease secondary to Meibomian gland dysfunction (MGD) refractory to conventional treatment.</div></div><div><h3>Methods</h3><div>Pseudo-experimental, analytical, prospective, longitudinal, interventional study. Patients aged 18-74 years with a diagnosis of dry eye disease refractory to conventional dry eye treatment with the presence of DGM were included. A total of 4 IPL sessions were performed at days 0, 15, 45 and 75. At each visit, ocular surface disease index (OSDI) data and 1-10 analog scale were taken as objective evidence of symptomatic status.</div></div><div><h3>Results</h3><div>Sixty three patients were included, median age was 43 years, 61.5% were female, 42.9% of patients used one conventional treatment for dry eye prior to IPL therapy and 57.1% of patients used two or more treatments. Sixty three patients completed at least one IPL session, 45 had two sessions, 32 had three sessions and 18 had four sessions. After the fourth session symptomatic improvement was 50.8% based on the OSDI scale, and 71.4% based on the analogous symptom scale.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that IPL therapy is effective in symptomatic improvement in patients with MGD diagnosis refractory to conventional treatment, showing that after four sessions in at least 50% of patients both with the OSDI measurement and with the ocular surface symptomatology analog scale.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 174-179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082233","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
Human amniotic membrane plug to treat failed and highly myopic macular holes. Our experience 人羊膜塞治疗失败及高度近视黄斑孔。我们的经验。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-01 DOI: 10.1016/j.oftale.2025.01.013
L. Gutierrez-Benitez, G. Biarge, M. Asaad, B. Delas
{"title":"Human amniotic membrane plug to treat failed and highly myopic macular holes. Our experience","authors":"L. Gutierrez-Benitez,&nbsp;G. Biarge,&nbsp;M. Asaad,&nbsp;B. Delas","doi":"10.1016/j.oftale.2025.01.013","DOIUrl":"10.1016/j.oftale.2025.01.013","url":null,"abstract":"<div><div>The amniotic membrane (hAM) plug is a treatment option for patients with large refractory or myopic macular holes (MH). The aim of this retrospective case series is to present the anatomical and functional changes during their follow-up that ranges from 10 to 45 months. Out of the ten eyes enrolled, 6 were idiopathic MH and 4 were myopic MH. Notably, 3 of the myopic MH cases were further complicated by posterior pole retinal detachment. Remarkably, 3 patients improved their best-corrected visual acuity, 5 mantained it and 2 worsened it. All the MH closed. Over this period, three instances of hAM plug misplacement following gas absorption required a secondary surgery employing another hAM. In conclusion, the hAM plug seems to be a safe technique and a treatment option for these patients. Further investigations are needed to comprehensively understand the long-term effects of hAM on the retina.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 213-218"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082131","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
Retinal vasculitis associated with intravitreal bevacizumab injection: A case report 视网膜血管炎与玻璃体内注射贝伐单抗:1例报告。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-01 DOI: 10.1016/j.oftale.2025.03.011
S. Murillo-Lopez, S. Medina-Medina
{"title":"Retinal vasculitis associated with intravitreal bevacizumab injection: A case report","authors":"S. Murillo-Lopez,&nbsp;S. Medina-Medina","doi":"10.1016/j.oftale.2025.03.011","DOIUrl":"10.1016/j.oftale.2025.03.011","url":null,"abstract":"<div><div>Anti-vascular endothelial growth factor drugs are the treatment of choice for macular edema due to venous occlusions. While rare, they have been associated with some uncommon adverse effects. We present a case of retinal vasculitis associated with bevacizumab in a72-year-old woman who presented to our clinic with sudden visual acuity loss in her left eye due to macular edema following central vein occlusion. She was treated with bevacizumab, with a minor inflammatory response that resolved with topical steroids. After 6 weeks, the macular edema recurred and a 2<sup>nd</sup> dose of bevacizumab was indicated, with a severe inflammatory reaction that resolved with periocular steroids and topical NSAIDs. Systemic vasculitis and infectious diseases were ruled out and treatment was switched to aflibercept with no adverse effects being reported.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 219-224"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588828","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
Terrien’s marginal degeneration evolution through the years 犬的边缘退化经过岁月的演变。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-01 DOI: 10.1016/j.oftale.2025.02.001
G. Roig-Ferreruela , C. Martínez-Gil , J.C. Viñuela-Rodríguez
{"title":"Terrien’s marginal degeneration evolution through the years","authors":"G. Roig-Ferreruela ,&nbsp;C. Martínez-Gil ,&nbsp;J.C. Viñuela-Rodríguez","doi":"10.1016/j.oftale.2025.02.001","DOIUrl":"10.1016/j.oftale.2025.02.001","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 227-228"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494995","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
Combined retro-recession on a single muscle for the correction of incomitant vertical strabismus 单侧肌肉联合退退矫正非共同性垂直斜视。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-04-01 DOI: 10.1016/j.oftale.2025.03.002
J.A. Reche-Sainz, L. de-Pablo-Gómez-de-Liaño, A. Iribarra-Fermandois, A. López-Alcaide, M. Ferro-Osuna
{"title":"Combined retro-recession on a single muscle for the correction of incomitant vertical strabismus","authors":"J.A. Reche-Sainz,&nbsp;L. de-Pablo-Gómez-de-Liaño,&nbsp;A. Iribarra-Fermandois,&nbsp;A. López-Alcaide,&nbsp;M. Ferro-Osuna","doi":"10.1016/j.oftale.2025.03.002","DOIUrl":"10.1016/j.oftale.2025.03.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of the combined resection-recession technique in correcting incomitant vertical strabismus.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted on four adult patients with incomitant vertical strabismus, treated using the resection-recession technique on the inferior rectus muscle, with the resection amount being at approximately 50% of the recession. Surgeries were performed under topical anaesthesia and sedation, using adjustable sutures, allowing for intraoperative adjustments. Deviation in prism dioptres (PD) was measured in primary position and in the incomitant position, both before and after surgery. Success was defined as a reduction in incomitance greater than 50% and the preservation of orthotropia in primary position.</div></div><div><h3>Results</h3><div>Three patients were female and one was male, with a mean age of 58 years (range 38–80 years). The mean preoperative deviation in downgaze was 13 PD (range 10–16 PD), which reduced to 0.5 PD (range 0–1 PD) following surgery. The mean preoperative incomitance was 12 PD (range 10–14 PD), decreasing to 0.5 PD (range 0–1 PD) postoperatively (p &lt; 0.05), representing a 95.8% reduction in incomitance. All patients achieved orthotropia in primary position. In one case, an intraoperative adjustment was necessary to correct a limitation in downgaze. No significant intraoperative complications were recorded.</div></div><div><h3>Conclusions</h3><div>The combined resection-recession technique appears to be effective and safe for the correction of vertical incomitant strabismus, achieving significant reduction in incomitance while maintaining alignment in primary position. The option for intraoperative adjustments may enhance surgical outcomes.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 180-184"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588806","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
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