Archivos de la Sociedad Espanola de Oftalmologia最新文献

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Ocular ischemia syndrome after aesthetic treatment with hyaluronic acid 玻尿酸美容治疗后的眼部缺血综合征。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-11-01 DOI: 10.1016/j.oftale.2024.07.010
E. Gracia Rovira , S. Natividad Andreu , N. Montalt Barrachina , E. Navarro Hernández , J. Agustí Martínez , A. Lanuza García
{"title":"Ocular ischemia syndrome after aesthetic treatment with hyaluronic acid","authors":"E. Gracia Rovira ,&nbsp;S. Natividad Andreu ,&nbsp;N. Montalt Barrachina ,&nbsp;E. Navarro Hernández ,&nbsp;J. Agustí Martínez ,&nbsp;A. Lanuza García","doi":"10.1016/j.oftale.2024.07.010","DOIUrl":"10.1016/j.oftale.2024.07.010","url":null,"abstract":"<div><div>A 49-year-old female with no pre-morbidities comes in with sudden, painless loss of vision in the left eye (OS) after a facial hyaluronic acid (HA) injection for aesthetic purposes one hour ago. Visual acuity was no light perception (NLP). OS examination revealed a mid-non-reactive mydriasis and complete ophthalmoplegia. Fundus examination of the OS suggested central retinal artery occlusion (CRAO). Systemic evaluation was normal. Given this diagnosis, ocular massage, anterior chamber paracentesis, anticoagulation, systemic antibiotherapy, and subcutaneous hyaluronidase around the injection sites and peribulbar region were performed. Despite these interventions, the patient did not regain vision, exhibiting signs of anterior and posterior ocular ischemia. Subsequently, she developed phthisis bulbi, necessitating evisceration. The management of this complication should be prompt, if possible, to mitigate its dire consequences.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 11","pages":"Pages 504-507"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749895","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
Cyclodestruction and cyclophotocoagulation: Where are we? 环形破坏和环形光凝:我们在哪里?
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-11-01 DOI: 10.1016/j.oftale.2024.09.001
B. Vidal-Villegas , J.A. Miralles de Imperial-Ollero , M.P. Villegas-Pérez
{"title":"Cyclodestruction and cyclophotocoagulation: Where are we?","authors":"B. Vidal-Villegas ,&nbsp;J.A. Miralles de Imperial-Ollero ,&nbsp;M.P. Villegas-Pérez","doi":"10.1016/j.oftale.2024.09.001","DOIUrl":"10.1016/j.oftale.2024.09.001","url":null,"abstract":"<div><div>Cyclodestruction is a technique reserved for glaucomas not controlled with medical and surgical treatment and poor visual potential. During the last century, new cyclodestructive techniques were developed, including cyclophotocoagulation, and the use of continuous-wave diode laser transescleral cyclophotocoagulation (CW-TS-CPC) has become widespread. In recent decades, micropulse diode laser transescleral cyclophotocoagulation (MP-TS-CPC) was introduced. We review the cyclodestruction techniques since their origins and these two techniques of cyclophotocoagulation, which are currently the most widely used: how they are performed, their mechanisms of action and their effectiveness and efficacy. We also review the comparison between them and with other techniques.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 11","pages":"Pages 493-503"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334230","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
Role of vitrectomy for syphilitic uveitis in a tertiary hospital in Spain 西班牙一家三级医院玻璃体切除术在梅毒葡萄膜炎治疗中的作用。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.05.010
{"title":"Role of vitrectomy for syphilitic uveitis in a tertiary hospital in Spain","authors":"","doi":"10.1016/j.oftale.2024.05.010","DOIUrl":"10.1016/j.oftale.2024.05.010","url":null,"abstract":"<div><div>Diagnosis and treatment of ocular syphilis<span> can be challenging due to the wide spectrum of clinical presentations of this sexually transmitted disease. In some cases of syphilitic panuveitis<span>, pars plana vitrectomy (PPV) can be useful in management since it plays an important role in improving fundus examination allowing treatment of possible retinal associated lesions when vitreous inflammation is intense. We present 3 cases of patients with ocular syphilis that underwent a therapeutic PPV, vitreous sample was taken and analyzed in two of them.</span></span></div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 459-463"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187264","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
Non-arteritic anterior ischemic optic neuropathy as the only manifestation of a malignant hypertensive crisis: Report of a case 非动脉炎性前部缺血性视神经病变是恶性高血压危象的唯一表现:病例报告。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.06.007
{"title":"Non-arteritic anterior ischemic optic neuropathy as the only manifestation of a malignant hypertensive crisis: Report of a case","authors":"","doi":"10.1016/j.oftale.2024.06.007","DOIUrl":"10.1016/j.oftale.2024.06.007","url":null,"abstract":"<div><div><span>Non-arteritic anterior ischemic optic neuropathy (NAION) is after glaucoma the most common optic neuropathy in patients over 50 years. It is known that high blood pressure (HBP) is an important risk factor for the development of NAION. It is also known that malignant arterial hypertension (MAH) could be accompanied by </span>optic disc edema<span>. However, MAH has not classically been considered a cause of NAION. We report the case of a 32-year-old patient who presented irreversible visual loss<span> with a pattern compatible with NAION as the only manifestation of a hypertensive crisis.</span></span></div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 450-454"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433582","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
Fibrinous bullous central serous chorioretinopathy with exudative retinal detachment 纤维素性大疱性中心性浆液性脉络膜视网膜病变伴渗出性视网膜脱离。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.07.003
K. Arun, B. Demir, A. Makuloluwa
{"title":"Fibrinous bullous central serous chorioretinopathy with exudative retinal detachment","authors":"K. Arun,&nbsp;B. Demir,&nbsp;A. Makuloluwa","doi":"10.1016/j.oftale.2024.07.003","DOIUrl":"10.1016/j.oftale.2024.07.003","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 467-468"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725283","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
Effectiveness of pars plana Ahmed® valve implantation in patients with refractory glaucoma 在难治性青光眼患者中实施 Ahmed® 瓣膜植入术的效果。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.07.009
O.L. Teherán Forero , J.V. Rios Moreno , M. Ochoa-Díaz , E. Ramos-Clason
{"title":"Effectiveness of pars plana Ahmed® valve implantation in patients with refractory glaucoma","authors":"O.L. Teherán Forero ,&nbsp;J.V. Rios Moreno ,&nbsp;M. Ochoa-Díaz ,&nbsp;E. Ramos-Clason","doi":"10.1016/j.oftale.2024.07.009","DOIUrl":"10.1016/j.oftale.2024.07.009","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the success rate and complications of the Ahmed FP7 valve implanted via Pars Plana in a group of vitrectomized patients with refractory glaucoma and anterior segment abnormalities from January 2018 to June 2023.</div></div><div><h3>Methods</h3><div>Quasi-experimental, prospective study. Eleven eyes with refractory glaucoma were included. Participants underwent a comprehensive ophthalmic examination, including assessment of intraocular pressure (IOP) reduction, visual acuity, characterization of glaucoma type, and number of antiglaucoma medications.</div></div><div><h3>Results</h3><div>The mean baseline IOP was 37.3 ± 11 mmHg, which decreased to 13.5 ± 3.0 mmHg after one year. The qualified success rate was 63.7%, while the complete success rate was 36.3%. The most common diagnosis was neovascular glaucoma in 36.4% of cases. The most frequent postoperative complications were choroidal detachment and hypotony.</div></div><div><h3>Conclusions</h3><div>Our data suggest that implantation of the Ahmed FP7 valve via pars plana is an effective and safe option for patients with refractory secondary glaucoma.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 420-426"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749892","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
Case report: A rare case of cyclodialysis after cataract surgery managed exclusively with medical therapy 病例报告:一例罕见的白内障术后循环透析病例,完全采用药物治疗。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.05.008
{"title":"Case report: A rare case of cyclodialysis after cataract surgery managed exclusively with medical therapy","authors":"","doi":"10.1016/j.oftale.2024.05.008","DOIUrl":"10.1016/j.oftale.2024.05.008","url":null,"abstract":"<div><div><span><span>We present the case of a 68-year-old female who presented with a substantial cyclodialysis after phacoemulsification<span> identified by anterior segment optical coherence tomography and </span></span>ultrasound biomicroscopy<span><span>. Gonioscopy<span> is challenging because of its shallow anterior chamber. Due to lack of response to </span></span>topical steroids and refusal by the patient for surgical treatment, topical steroids were tapered, and </span></span>cycloplegic<span> was initiated. After two weeks, the cyclodialysis cleft was closed on optical coherence tomography persisting residual subchoroidal fluid, topical treatment was mantained. Despite of this, visual acuity and hypotony were restored. Finally at 2 months visit subchoroidal fluid was reabsorbed and patient was discharged.</span></div><div><span>Clinics should consider the possibility of cyclodialysis in cases of unjustified hypotony during postoperative period. In addition, we recommend performing anterior segment imaging which includes ultrasound biomicroscopy and optical coherence tomography, when the evaluation of angular structures is unfeasible. Finally, we propose medical management for severe cyclodialysis as the first option considering anti-inflammatory drugs could perpetrate the separation between </span>scleral spur<span> and ciliary muscle.</span></div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 455-458"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072260","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
Orbital trochleitis: Literature review 眼眶套管炎:文献综述。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.06.008
{"title":"Orbital trochleitis: Literature review","authors":"","doi":"10.1016/j.oftale.2024.06.008","DOIUrl":"10.1016/j.oftale.2024.06.008","url":null,"abstract":"<div><div>Trochleitis is clinically and/or radiologically evidenced inflammation of the trochlea or orbital pulley.</div><div>Clinically it is characterized by pain and hypersensitivity in the superomedial orbital angle, which is increased or triggered by direct palpation of the area and/or eye movements. During the REM (rapid eye movements) phase of sleep, patients with trochleitis suffer from nocturnal micro-awakenings that impede their rest, and pain is often associated with visual symptoms (diplopia or Brown's syndrome).</div><div>The lack of common guidelines for diagnosis and treatment of this disease, its low prevalence and the lack of knowledge of the different entities associated with trochlear pain, leads to underdiagnosis or misdiagnosis. It is essential to know the characteristics of this pathology and to diagnose it correctly, differentiating it from other trochlear pain entities, in order to be able to carry out an adequate therapeutic and prognostic approach. The lack of consensus on the therapeutic protocol means that various treatments are used, in different order and often with a combination of several without a firm scientific basis.</div><div>This comprehensive review of previous studies concludes that nonsteroidal anti-inflammatory drugs (NSAIDs) achieve an overall complete cure rate of 77%, although this rate decreases to 30% in case of motility restriction or diplopia. Intratrochlear corticosteroid injection achieves an overall complete cure rate of 86%, even in the worst prognosis trochleitis, being the only effective option in NSAID-refractory trochleitis and currently being questioned as the first treatment option.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 436-449"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433583","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
Perception of patients with retinal pathology on aspects of visual function and their management 视网膜病变患者对视觉功能及其管理方面的看法。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.06.011
{"title":"Perception of patients with retinal pathology on aspects of visual function and their management","authors":"","doi":"10.1016/j.oftale.2024.06.011","DOIUrl":"10.1016/j.oftale.2024.06.011","url":null,"abstract":"<div><h3>Background and objective</h3><div>Age-related macular degeneration (AMD) and diabetic retinopathy (DR) are highly prevalent.</div></div><div><h3>Objective</h3><div>To explore perceptions of patients with AMD or DR about the impact of the disease and treatment on their daily living activities.</div></div><div><h3>Materials and methods</h3><div>Semi-structured interviews with a questionnaire developed from validated patient reported outcomes questionnaires. The questionnaire consisted of 19 questions about the disease and 9 about the treatment. The questions (items) were answered on a scale from 1 to 9. In addition, the patient interviewed was invited to make free comments on each question. Nine patients with AMD and 9 with DR were interviewed by videoconference or telephone call. A quantitative analysis of the responses and a qualitative analysis of the comments were carried out.</div></div><div><h3>Results</h3><div>The most relevant item for patients with AMD or DR is “Recognize people when they are nearby”, and “Read text in normal size font in a newspaper or book”, followed, in patients with AMD, by “Do things what you would like” and, in patients with DR, “Feeling frustrated by the vision problems.” Regarding the treatment, the most relevant aspects for both groups is that the treatment works and receiving appropriate information before and after the treatment. The qualitative comments were focused to the disease, the treatment, and to the role of doctors and the health system.</div></div><div><h3>Conclusion</h3><div>Quantitative responses and free comments can be useful to improve the care of patients with AMD or DR by physicians and the health system.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 427-435"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443921","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
PHOMS: An apt and accurate acronym PHOMS:一个恰当而准确的缩写。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-10-01 DOI: 10.1016/j.oftale.2024.06.012
{"title":"PHOMS: An apt and accurate acronym","authors":"","doi":"10.1016/j.oftale.2024.06.012","DOIUrl":"10.1016/j.oftale.2024.06.012","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 464-466"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443922","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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