Archivos de la Sociedad Espanola de Oftalmologia最新文献

{"title":"Experience of the application of botulinum toxin type A as a treatment of facial hyperkinetic disorders in a Mexican ophthalmological center","authors":"P.D. Lara-Barrera,&nbsp;J.L. Tovilla-Canales,&nbsp;O. Olvera-Morales,&nbsp;E.G. Castillo-Pérez,&nbsp;Á. Nava-Castañeda","doi":"10.1016/j.oftale.2025.03.009","DOIUrl":"10.1016/j.oftale.2025.03.009","url":null,"abstract":"<div><h3>Background and objective</h3><div>Blepharospasm is characterized by involuntary, sustained spasms of the orbicularis oculi, corrugator, and procerus muscles. Hemifacial spasm (HFS) is characterized by the involuntary tonic-clonic contraction of the muscles of a hemiface. The main role of botulinum toxin type A (BoNT-A) in the treatment of blepharospasm and HFS is recognized by guidelines around the world. In this study, we evaluated the applicability of botulinum toxin type A in patients with periocular hyperkinetic disorders at the Instituto de Oftalmología Fundación Conde de Valenciana, so that we can share the Mexican experience with the international evidence.</div></div><div><h3>Materials and methods</h3><div>The clinical records of patients diagnosed with facial hyperkinetic disorders treated with botulinum toxin type A (BoNT-A) that were treated from January 2015 to September 2021 were analyzed.</div></div><div><h3>Results</h3><div>A total of 140 records of patients diagnosed with facial hyperkinetic disorder and treated with BoNT-A were analyzed. Facial hyperkinetic disorders that occurred included 5 (3.6%) patients with orbicularis oculi myokymia, 72 (51.4%) with blepharospasm, 62 (44.3%) with hemifacial spasm, and 1 (0.7%) with Meige syndrome. One hundred and twenty patients (85.7%) reported remission of initial symptoms after BoNT-A therapy during the period covered by this study.</div></div><div><h3>Conclusions</h3><div>Botulinum toxin type A is effective and safe as a treatment for facial hyperkinetic disorders in the Mexican population.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 191-196"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588809","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":"Female ophthalmologists’ perception of occupational hazards during pregnancy","authors":"V.M. Asensio-Sánchez,&nbsp;L. De Juan Hernández","doi":"10.1016/j.oftale.2025.03.006","DOIUrl":"10.1016/j.oftale.2025.03.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Page 225"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588823","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":"Venous cavernous malformation in the infraorbital canal with unusual presentation","authors":"M.G. Solaz-Ruiz,&nbsp;S. Inat-Moreno,&nbsp;B. Casado-Peláez,&nbsp;C. Congost-Laguna,&nbsp;L. Azorín-Pérez,&nbsp;E. España-Gregori","doi":"10.1016/j.oftale.2025.01.009","DOIUrl":"10.1016/j.oftale.2025.01.009","url":null,"abstract":"<div><div>Presentation of a clinical case of cavernous venous malformation with an unusual location and clinical presentation, detailing its clinical, radiological characteristics, diagnosis, and therapeutic management. The case involves a 37-year-old man with intense headache and incidental diagnosis of infraorbital nerve neurofibroma by imaging tests. After surgical removal and pathological anatomy study, he was finally diagnosed with cavernous venous malformation of the infraorbital canal. Orbital cavernous venous malformation can present unusual manifestations that complicate its diagnosis. The combination of clinical symptoms and imaging tests is usually sufficient for diagnosis, but in cases of unusual clinical presentation, the role of pathological anatomy is essential.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 202-205"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082623","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":"Etiology of infectious keratitis","authors":"C. Piña-Delgado ,&nbsp;M. Bolaños-Rivero ,&nbsp;I.I. Guedes Guedes ,&nbsp;L. Siguero-Martín ,&nbsp;I. de Miguel-Martínez","doi":"10.1016/j.oftale.2025.01.010","DOIUrl":"10.1016/j.oftale.2025.01.010","url":null,"abstract":"<div><h3>Objetives</h3><div>Analyze the etiology of infectious keratitis in our hospital.</div></div><div><h3>Material and methods</h3><div>Retrospective study in which the medical records of patients were reviewed in which a keratitis-producing microorganism was detected during the last 9 years (January 2014-December 2022). The sample was obtained by corneal scraping and seeded in non-selective media. Bacterial and fungal identification was carried out by mass spectrometry and viral identification by polymerase chain reaction (PCR). Sensitivity was obtained using disk-plate antibiograms, E-test or broth microdilution systems.</div></div><div><h3>Results</h3><div>A total of 433 samples of corneal scrapings belonging to 416 patients were processed. Of the total samples, 196 were positive (44,3%). The average age was 55 years, with 51% being women. Regarding the etiology, we found the following isolates: Gram-positive bacteria (N<!--> <!-->=<!--> <!-->83) (44%), highlighting <em>Staphylococcus aureus</em> (N<!--> <!-->=<!--> <!-->33), coagulase-negative staphylococci (N<!--> <!-->=<!--> <!-->26), being <em>Staphylococcus epidermidis</em> the most frequent (N<!--> <!-->=<!--> <!-->19). Gram-negative bacteria (N<!--> <!-->=<!--> <!-->67) (35%), including: <em>Pseudomonas aeruginosa</em> (N<!--> <!-->=<!--> <!-->31), 42% associated with the use of contact lenses and Enterobacterales (N<!--> <!-->=<!--> <!-->16). Anaerobes (N<!--> <!-->=<!--> <!-->19), which 18 isolates were <em>Cutibacterium acnes</em>. Regarding viral etiology (N<!--> <!-->=<!--> <!-->10): herpes simple type 1 (N<!--> <!-->=<!--> <!-->7). Varicella-zoster virus (N<!--> <!-->=<!--> <!-->3). Finally, the fungal etiology (N<!--> <!-->=<!--> <!-->13), highlighting <em>Candida spp.</em> (N<!--> <!-->=<!--> <!-->10).</div></div><div><h3>Conclusions</h3><div>The main agents of infectious keratitis are <em>Staphylococcus aureus</em> and <em>Pseudomonas aeruginosa.</em> The causative agent was detected in 44,3% of the samples, so microbiological analysis of these samples is highly advisable.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 185-190"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081933","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":"Krogh’s principle, glaucoma, and the ‘extremophile’ eye of whales","authors":"J. González-Martín-Moro ,&nbsp;A. Bravo-Nuevo ,&nbsp;M.A. García-Cabezas","doi":"10.1016/j.oftale.2025.03.007","DOIUrl":"10.1016/j.oftale.2025.03.007","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 165-166"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588825","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":"Erratum to articles published in Archivos de la Sociedad Española de Oftalmología (English Edition) 2024","authors":"","doi":"10.1016/j.oftale.2025.04.006","DOIUrl":"10.1016/j.oftale.2025.04.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 229-233"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891488","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":"Translation and cultural adaptation of the Impact of Vision Impairment (IVI) questionnaire in Spain","authors":"G. Garay-Aramburu ,&nbsp;E. Pereira Delgado ,&nbsp;I. López-Liroz ,&nbsp;M. Figueras-Roca ,&nbsp;I. López Rodríguez ,&nbsp;C. Blanch","doi":"10.1016/j.oftale.2025.02.002","DOIUrl":"10.1016/j.oftale.2025.02.002","url":null,"abstract":"<div><h3>Background and purposes</h3><div>Age-related macular degeneration (AMD) is one of the leading causes of visual acuity (VA) impairment in Europe. The assessment of the patients’ vision-related quality of life (VRQoL) is critical to disease management. The Impact of Visual Impairment questionnaire (IVI) is indicated to assess VRQoL in AMD and its most severe form, neovascular AMD (nAMD). Translation and cultural adaptation of 28-item IVI questionnaire (IVI-28) to Castilian and three other co-official languages in Spain is presented.</div></div><div><h3>Material and methods</h3><div>Observational, cross-sectional, multicentric study with two focus groups for each language: Castilian, Catalan, Galician and Basque. Translated versions of IVI-28 were administered to patients, with a subsequent comprehension test to assess the clarity and understanding of the instructions, items and response formats.</div></div><div><h3>Results</h3><div>The Castilian version of the IVI-28 (IVI-Es) was administered to 11 patients, the Catalan version (IVI-Ca) to 12 patients, the Galician version (IVI-Ga) to 9 patients and the Basque version (IVI-Eu) to 8 patients. All versions showed good feasibility and minor changes were reported in the comprehension test.</div></div><div><h3>Conclusions</h3><div>The translation and adaptation of IVI-28 to Castilian, Catalan, Galician and Basque is the first step for its use in nAMD population and for the clinical management of this disease in Spain.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 167-173"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537872","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":"Retinopathy associated with MELAS syndrome. A case report","authors":"A.B. González Escobar,&nbsp;E. Barco Moreno,&nbsp;M.A. López-Egea Bueno,&nbsp;J.M. Galván Cano,&nbsp;R. Luque Aranda,&nbsp;A. González Gómez","doi":"10.1016/j.oftale.2025.03.001","DOIUrl":"10.1016/j.oftale.2025.03.001","url":null,"abstract":"<div><div>MELAS syndrome (mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes) is an inherited disease frequently caused by a mutation in the mitochondrial DNA variant m.3243A&gt;G in the MT-TL1 gene. The most frequent ophthalmologic finding present in 86-87% of patients with this mutation is mitochondrial retinopathy, where the clinical picture may vary from a macular and peripapillary salt-and-pepper granular pattern to chorioretinal atrophy. We present the case of a 47-year-old woman with type 1 diabetes mellitus, epilepsy, leukoencephalopathy, and deafness who was suspected of having mitochondrial disease after fundus examination. We would like to emphasize the importance of suspecting a mitochondrial disease in progressive multisystem disorders associated with neuro-ophthalmological manifestations, since early diagnosis allows for better monitoring of systemic manifestations, reducing morbidity and mortality.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 197-201"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588829","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":"Multimodal imaging in peripapillary congenital hypertrophy of retinal pigment epithelium","authors":"F. López-Herrero,&nbsp;J.L. Sánchez-Vicente,&nbsp;M. Portillo-Martínez,&nbsp;J.V. Guijarro-Ambel,&nbsp;R. Barrera-Moyano,&nbsp;J. Suárez-Pérez","doi":"10.1016/j.oftale.2025.03.005","DOIUrl":"10.1016/j.oftale.2025.03.005","url":null,"abstract":"<div><div>Congenital hypertrophy of the retinal pigment epithelium (CHRPE) is a benign congenital hamartoma of the RPE of generally indolent course. It is usually located outside the posterior pole, with peripapillary presentation being a very rare entity (less than 1% of CHRPE cases). It is a pigmented lesion that can evolve into a heterogeneous pigmented lesion with gaps in its interior and a halo of depigmentation.</div><div>We present the case of a 52-year-old patient with a peripapillary CHRPE in the left eye followed in our service for more than 12 years through a multimodal imaging study. The patient maintained a visual acuity of 1.0, showing a small increase in the size of the atrophic areas within the lesion. No complications were observed. The right eye did not present any alteration.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 209-212"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588826","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":"Case report of Aspergillus niger dacryocystitis in immunocompetent adult","authors":"B. Galán García,&nbsp;J. Orduña Azcona,&nbsp;C.F. Rodríguez Hernández","doi":"10.1016/j.oftale.2025.03.004","DOIUrl":"10.1016/j.oftale.2025.03.004","url":null,"abstract":"<div><div>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 <em>Aspergillus niger</em>. Acute <em>Aspergillus</em> dacryocystitis is very rare in immunocompetent adult. After the operation, the condition resolved without recurrence after 1 year without adjuvant treatment.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 4","pages":"Pages 206-208"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","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}