Archivos de la Sociedad Espanola de Oftalmologia最新文献

{"title":"Acute zonal occult outer retinopathy (AZOOR): multimodal imaging findings in a young woman","authors":"S. Bouchoutrouch, F. García-Ibor, D. Serrano Fernando","doi":"10.1016/j.oftale.2026.502579","DOIUrl":"10.1016/j.oftale.2026.502579","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 8","pages":"Article 502579"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019367","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":"Nasal thinning of the ganglion cell complex on optical coherence tomography as an indicator of pituitary tumor: A case series.","authors":"C E Castillo-Cabrera, V A Vásquez-Castillo, H F Vásquez-Castillo, N L Cahuapaza-Gutierrez","doi":"10.1016/j.oftale.2026.502596","DOIUrl":"10.1016/j.oftale.2026.502596","url":null,"abstract":"<p><p>Pituitary tumors can produce characteristic structural patterns on optical coherence tomography, notably nasal thinning of the ganglion cell complex, an atypical finding for glaucoma that may suggest a sellar etiology. We present two clinical cases. The first case involves a 66-year-old man with decreased visual acuity in both eyes, whose optical coherence tomography revealed nasal ganglion cell complex thinning in the right eye with preservation of the vertical meridian. This finding prompted brain magnetic resonance imaging, which demonstrated a pituitary lesion with suprasellar extension. The second case involves a 60-year-old woman with decreased visual acuity in both eyes, whose optical coherence tomography showed a similar pattern of nasal ganglion cell complex thinning. Brain computed tomography likewise confirmed a pituitary mass with suprasellar extension. These cases suggest that nasal ganglion cell complex thinning with preservation of the vertical meridian is a structural finding suggestive of sellar tumor pathology with chiasmal involvement, enabling timely neuro-ophthalmologic referral and prevention of irreversible visual damage.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":"502596"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610894","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":"Indications and risk factors in refractive lens exchange: outcomes and special cases (extremes hyperopes and myopes).","authors":"M J Maldonado, A de Salazar Campos, A Castro Machado","doi":"10.1016/j.oftale.2026.502616","DOIUrl":"10.1016/j.oftale.2026.502616","url":null,"abstract":"<p><p>Refractive lens exchange (RLE) has become an effective option for the correction of ametropia and presbyopia in patients over 50 years of age. Unlike conventional cataract surgery, this procedure requires more comprehensive preoperative counseling, as patients often have high expectations. However, it is essential to emphasize that simultaneous vision intraocular lenses and other alternatives provide functional vision, though not perfect. The success of RLE largely depends on the surgeon's ability to select the most appropriate intraocular lens, considering its optical design, the management of higher-order aberrations, and the minimization of residual astigmatism. It is also crucial to anticipate and, when necessary, correct residual refractive error. Candidate selection should be based on both the patient's visual needs and anatomical and biological factors, including age, axial length, the vitreoretinal interface, and the risk of glaucoma in hyperopic patients. Primary indications include high hyperopia, myopia in patients who are not candidates for corneal refractive surgery or phakic intraocular lenses, significant corneal astigmatism, and presbyopia. In high myopia, the risk of retinal detachment is increased, whereas in high hyperopia, patient satisfaction is generally high when indications are appropriate. By contrast, the risk of dissatisfaction in emmetropic presbyopic patients is higher, making this indication controversial. In conclusion, RLE requires careful patient selection, appropriate intraocular lens choice, and effective expectation management to optimize visual outcomes.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":"502616"},"PeriodicalIF":0.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537900","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":"Extra-ocular muscle haematoma masquerading uveal prolapse post blunt trauma to the eye: A case report.","authors":"Z Bhutta, S J Burns, H-S Mudhar, S Khanam","doi":"10.1016/j.oftale.2026.502614","DOIUrl":"10.1016/j.oftale.2026.502614","url":null,"abstract":"<p><p>This is a unique case of a 75-year-old lady who presented to eye emergency department with blunt trauma to the right orbit three days after a fall. Examination under anaesthesia revealed right globe subluxation, corneal ulceration with hypopyon, avulsion of extraocular muscles and a supero-lateral uveal prolapse. The eyeball was enucleated and sent for histopathology which revealed an intact globe with an avulsed lateral rectus muscle hematoma which was clinically masquerading as uvea, and displacement of the optic disc and pre-laminar optic nerve, causing extensive injury of optic nerve axons at the level of the lamina cribrosa, as shown by the accumulation of β-amyloid precursor protein (β-APP).The case highlights the importance of awareness of uncommon presentations and masquerades during the examination and management of ocular trauma.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":"502614"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378490","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":"Improving skills in gonioscopy: A necessity","authors":"C. Burgueño-Montañes,&nbsp;J. Galvez-Olortegui,&nbsp;T. Galvez-Olortegui","doi":"10.1016/j.oftale.2026.502474","DOIUrl":"10.1016/j.oftale.2026.502474","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 7","pages":"Article 502474"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367588","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":"Corneal infiltration due to late endothelial perforation by an intrastromal ring segment","authors":"P. Puy,&nbsp;D. Carrascosa,&nbsp;E. Redondo,&nbsp;M.I. Gabarrón,&nbsp;N. Toledano","doi":"10.1016/j.oftale.2026.502504","DOIUrl":"10.1016/j.oftale.2026.502504","url":null,"abstract":"<div><div>Intrastromal rings have a high safety profile, with late complications being rare.</div><div>A clinical case is presented of a patient who attended the emergency department due to photophobia and redness in the right eye with a two-day onset. A relevant medical history includes the implantation of an intrastromal corneal ring segment for keratoconus 11 years earlier.</div><div>Examination revealed a deep whitish stromal infiltration around the ring. After several weeks of antibiotic treatment, the decision was made to explant the ring. Preoperative OCT demonstrated endothelial perforation at the site of the infiltration. Aqueous humour leakage was observed upon removal of the ring segment.</div><div>The patient reported notable symptomatic improvement following surgery.</div><div>We present a rare complication following the implantation of an intrastromal ring, initially suspected to be a stromal infiltration, which turned out to be an unusually late endothelial perforation.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 7","pages":"Article 502504"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517527","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":"Isolated crystalline lens coloboma","authors":"N. Taouri,&nbsp;H. Alami,&nbsp;L.O. Cherkaoui","doi":"10.1016/j.oftale.2026.502552","DOIUrl":"10.1016/j.oftale.2026.502552","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 7","pages":"Article 502552"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719241","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":"Improvement in quality of life and ocular surface symptoms after pterygium excision with conjunctival autograft and fibrin glue: a prospective study","authors":"A.D. Alarcón García,&nbsp;B. Burgos-Blasco,&nbsp;P. Robles Amor,&nbsp;A. Miranda Sánchez,&nbsp;P. Pérez García,&nbsp;P. Arriola Villalobos","doi":"10.1016/j.oftale.2026.502598","DOIUrl":"10.1016/j.oftale.2026.502598","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To evaluate changes in quality of life in patients with pterygium before and after pterygium excision with conjunctival autograft using standardized questionnaires.</div></div><div><h3>Materials and methods</h3><div>A prospective observational study including patients scheduled for pterygium surgery was conducted. Patients completed the Ocular Surface Disease Index (OSDI) and the Visual Function Questionnaire 25 (NEI VFQ-25) before surgery and at 2 and 6 months postoperatively. Sex, age, prior treatments, visual acuity, and corneal and limbal pterygium extension were recorded. A standard surgical procedure was performed by experienced ocular surface surgeons under topical anaesthesia, consisting of pterygium excision via avulsion followed by superior conjunctival autograft fixation using tissue adhesive.</div></div><div><h3>Results</h3><div>Twenty eyes were included in this study: mean age 50.0 ± 11.5 years, and 12 patients (60%) were male. Visual acuity was 0.8 ± 0.2 (decimal scale), and the mean pterygium size was 3.3 ± 1.0 mm of corneal invasion and 3.3 ± 1.1 mm of limbal invasion. The mean preoperative OSDI score was 47.6 ± 20.6 (no differences between sexes; P = .650), which decreased significantly to 35.8 ± 18.1 at 2 months (11.8 [95%CI, 4.5–19.1]; P = .001) and to 29.0 ± 13.9 at 6 months postoperatively (18.6 [95%CI, 9.6–27.5]; P &lt; .001). The mean preoperative NEI VFQ-25 score was 71.8 ± 6.8, with no significant differences between males and females (P = .928). Mean VFQ scores differed significantly across time points (F (1.5, 29.1) = 3.7; P = .047), although post hoc analysis showed no significant pairwise differences.</div></div><div><h3>Conclusions</h3><div>Pterygium surgery significantly improves ocular symptomatology in most patients, with improvement observed within the first 6 months postoperatively.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 7","pages":"Article 502598"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038520","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":"Professional competencies in visual healthcare in Spain and the European Union: Ophthalmologists, optometrists, and the risks associated with “scope-of-practice encroachment”","authors":"J.A. Gegúndez-Fernández,&nbsp;J. García-Feijóo","doi":"10.1016/j.oftale.2026.502557","DOIUrl":"10.1016/j.oftale.2026.502557","url":null,"abstract":"<div><div>This article examines the delineation of professional competencies in visual health care in Spain and the European Union, comparing the continental European model with the British, USA and Canada models. In Spain and most European countries, the diagnosis and treatment of eye diseases is the exclusive responsibility of ophthalmologists, supported by extensive medical training and strict regulation. Optometrists play a complementary role, focused on detecting refractive anomalies and adapting optical aids, without legal authority for medical diagnosis or treatment prescription. The article warns of the risks of expanding optometrists’ competencies without appropriate legal and educational reform, as this could compromise patient safety. It emphasizes that Anglo-Saxon models are not directly applicable to the Spanish context due to structural differences. The article advocates for clear interprofessional collaboration, well-defined referral protocols, and regular legal updates, always prioritizing patient safety.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 7","pages":"Article 502557"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725051","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":"Bilateral optic neuritis secondary to pembrolizumab. A rare adverse event secondary to the administration of checkpoint inhibitors: A case report","authors":"P.M. Espacio Santos,&nbsp;F. Rabadán Márquez,&nbsp;P. Tejada Calvo,&nbsp;J. Venegas Cruz,&nbsp;J.M. Rodríguez García,&nbsp;R.M. Bayon Porras","doi":"10.1016/j.oftale.2026.502503","DOIUrl":"10.1016/j.oftale.2026.502503","url":null,"abstract":"<div><div>Toxicity secondary to checkpoint inhibitors (ICP) can affect numerous parts of the body, with varying frequency. We present a case of bilateral optic neuritis secondary to the use of pembrolizumab (an anti-PD-1), which has been described in the literature in less than 1% of cases associated with the use of anti-PD-1/PD-L1 and anti-CTLA4 (ICP).</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"101 7","pages":"Article 502503"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517511","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}