Archivos de la Sociedad Espanola de Oftalmologia最新文献_第7页

Degenerative lamellar foramen post drusenoid detachment of the retinal pigment epithelium 视网膜色素上皮退行性板层孔脱位。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-03-01 DOI: 10.1016/j.oftale.2025.01.005

C.M. Ortega , D. Pratto

引用次数: 0

Bilateral acute iris transilumination: Description of two cases 双侧急性虹膜透光2例。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-03-01 DOI: 10.1016/j.oftale.2025.01.007

S. Naranjo Salazar , S. Restrepo Velásquez , A.M. Rodriguez Gómez , J.M. Palacio Aguirre

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Safety and efficacy profile of irrigating trabeculectomy (Trabectome®) in a Latin American population with moderate and advanced glaucoma 冲洗小梁切除术（trabecome®）在拉丁美洲中晚期青光眼患者中的安全性和有效性分析

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-03-01 DOI: 10.1016/j.oftale.2025.01.011

V. Campisi , M. Santos , N.E. Gutkind , N. Porporato , R. Noecker , A. Hospedales , S. Paganino , T.M. Grippo

{"title":"Safety and efficacy profile of irrigating trabeculectomy (Trabectome®) in a Latin American population with moderate and advanced glaucoma","authors":"V. Campisi , M. Santos , N.E. Gutkind , N. Porporato , R. Noecker , A. Hospedales , S. Paganino , T.M. Grippo","doi":"10.1016/j.oftale.2025.01.011","DOIUrl":"10.1016/j.oftale.2025.01.011","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To describe the mid-term safety and efficacy profile of Trabectome® in a Latin American cohort with moderate and advanced glaucoma.</div></div><div><h3>Methods and materials</h3><div>We conducted a retrospective consecutive case series of 42 eyes of 39 patients treated with Trabectome® ab interno irrigating trabeculectomy. A total of 29% were treated as combined procedures with cataract surgery. A total of 71% were categorized as moderate/advanced glaucoma. Success criteria A was defined as an intraocular pressure (IOP) reduction > 20%, 5 < IOP < 21 mmHg, no reoperation, no severe complications. More restrictive definitions of success were also applied for further analysis: B (5 mmHg < IOP ≤ 18 mmHg, no reoperation, IOP reduction > 20%, no severe complications); C (5 mmHg < IOP ≤ 15 mmHg, no reoperation, IOP reduction ≥ 40%, no severe complications).</div></div><div><h3>Results</h3><div>Mean IOP dropped from 22.2 ± 8.0 down to 15.2 ± 3.7 mmHg (20.5 ± 12.7-months follow up, 30% reduction) (<em>P</em> < .0001). Success rates in the overall group were 71% (A), 62% (B), and 19% (C). Complications included intraoperative arterial hemorrhages in 2 cases (4.8%) and late blood reflux in another 2 (4.8%). Six eyes (14%) required reoperation due to treatment failure. A total of 21 eyes (50%) had baseline IOP levels ≥ 22 mmHg. In this subgroup, IOP dropped from 28.3 ± 5.5 down to 16.6 ± 3.0 (40% reduction) (<em>P</em> < .0001) and success rates were 81% (A), 62% (B) and 29% (C).</div></div><div><h3>Conclusions</h3><div>Trabectome® is an effective and safe technique to lower IOP in this Latin American cohort representing the whole spectrum of disease severity and miscellaneous clinical scenarios.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 3","pages":"Pages 143-149"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082404","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

Central retinal artery occlusion as a diagnostic symptom of atrial fibrillation 视网膜中央动脉闭塞作为心房颤动的诊断症状。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-03-01 DOI: 10.1016/j.oftale.2025.01.003

A. Miranda Sánchez, R. Fernández Narros, P. Robles Amor

引用次数: 0

Intraorbital rituximab to treat orbital inflammation in a patient with active neoplasia 眼眶内美罗华治疗一例活动性肿瘤患者的眼眶炎症。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-02-01 DOI: 10.1016/j.oftale.2024.12.015

P. Rivera Pérez de Rada, M. Cobas Belso, S. Vallinas Hidalgo, A. Ruibal Escribano, E. Barastay Alberdi, M. Benedí Alcíbar

引用次数: 0

Is research an ethical obligation for hospital and academic ophthalmologists? 研究是医院和学术眼科医生的道德义务吗？

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-02-01 DOI: 10.1016/j.oftale.2024.12.013

José Carlos Pastor , José A. Fernandez-Vigo

引用次数: 0

Incidence and causes of retreatments after monovision induced by LASIK in myopic patients without a previous trial of contact lens induced monovision 无接触镜致单视的近视患者LASIK致单视的发生率及原因。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-02-01 DOI: 10.1016/j.oftale.2024.12.010

M. García González , M.A. Teus Guezala

{"title":"Incidence and causes of retreatments after monovision induced by LASIK in myopic patients without a previous trial of contact lens induced monovision","authors":"M. García González , M.A. Teus Guezala","doi":"10.1016/j.oftale.2024.12.010","DOIUrl":"10.1016/j.oftale.2024.12.010","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the incidence and causes of the need for retreatment after LASIK-induced monovision in patients with myopia and presbyopia without a previous trial of contact lens induced monovision.</div></div><div><h3>Design</h3><div>Retrospective, observational study.</div></div><div><h3>Methods</h3><div>We retrospectively studied 914 eyes of 457 consecutive myopic patients with presbyopia scheduled for LASIK-induced monovision (nondominant eye corrected for near). The dominant eye was identified by the finger pointing test and the treatment plan for the nondominant eye ranged from –0.50 to –1.50 diopters based on an age-related nomogram. We evaluated the incidence of enhancements and the causes at 6 months postoperatively. Patients were divided into three groups based on age to evaluate possible differences in the reasons for retreatment among the age groups.</div></div><div><h3>Results</h3><div>The global enhancement rate was 15,8% (144/914 eyes). The incidence of retreatment was significantly higher in the dominant eye (8,6%) than in the nondominant eye (7,1%) (<em>P</em> = .01). The enhancement rate in the nondominant eye were conversion to full distance (8,8% of patients), induction of more monovision (3,2% of patients) and reduction of anisometropia (1,1% of patients). More young patients (aged 40–45 years) wanted to reverse the procedure.</div></div><div><h3>Conclusions</h3><div>LASIK-induced monovision is a valid option for myopic patients with presbyopia, with a relatively low incidence of enhancements. The low retreatment rate to reverse monovision is a good index of patient tolerance and satisfaction with the results of the procedure. For this reason, a preoperative trial of monovision with contact lenses should not be mandatory before LASIK.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 61-68"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857126","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

Importance of individualized treatment: Subconjunctival device in silicone oil-induced glaucoma 个体化治疗的重要性：结膜下装置治疗硅油性青光眼。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-02-01 DOI: 10.1016/j.oftale.2024.12.017

J. Avilés-Prieto , M. Parrila-Vallejo , C. Cortes-Laborda , P. Molina-Solana , S. Dominguez-Llamas , E. Rodríguez-de-la-Rúa-Franch

{"title":"Importance of individualized treatment: Subconjunctival device in silicone oil-induced glaucoma","authors":"J. Avilés-Prieto , M. Parrila-Vallejo , C. Cortes-Laborda , P. Molina-Solana , S. Dominguez-Llamas , E. Rodríguez-de-la-Rúa-Franch","doi":"10.1016/j.oftale.2024.12.017","DOIUrl":"10.1016/j.oftale.2024.12.017","url":null,"abstract":"<div><div>Although silicone oil is used as an intraocular buffer in vitreoretinal surgical procedures, its use can cause complications, including glaucoma. This study highlights the importance of individualized approaches for the management of silicone oil-induced glaucoma.</div><div>A 62-year-old man with a past medical history of retinal detachment and multiple ocular surgical procedurespresented with uncontrolled ocular pressure peaks after retinal detachment surgery using silicone oil as a buffer, which did not resolve after removal of the buffer. We decided to perform anterior chamber lavage followed by the implantation of a subconjunctival drainage device in the lower nasal location to minimize complications and maintain good visual acuity. Silicone oil extraction is usually the treatment of choice, although it can cause fluctuations in intraocular pressure. In this case, a more physiological and less invasive approach was chosen with the implantation of a Presserflo® device in the lower nasal region, avoiding complications and achieving the preoperative goals without uneventfully.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901108","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

Simultaneous placement of a bone cement implant after evisceration surgery in patients diagnosed with infectious endophthalmitis 诊断为感染性眼内炎的患者在内脏切除手术后同时放置骨水泥植入物。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-02-01 DOI: 10.1016/j.oftale.2024.12.012

E.S. Barillas Escobar, J.L. Tovilla Canales, O. Olvera Morales, E.G. Castillo Pérez, A. Nava-Castañeda

{"title":"Simultaneous placement of a bone cement implant after evisceration surgery in patients diagnosed with infectious endophthalmitis","authors":"E.S. Barillas Escobar, J.L. Tovilla Canales, O. Olvera Morales, E.G. Castillo Pérez, A. Nava-Castañeda","doi":"10.1016/j.oftale.2024.12.012","DOIUrl":"10.1016/j.oftale.2024.12.012","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Endophthalmitis is a type of eye inflammation that affects all structures of the eye and is generally of infectious origin. In cases recalcitrant to intravitreal treatment or posterior vitrectomy, evisceration or enucleation are the preferable options. Polymethylmethacrylate (PMMA) bone cement has stood out as an implant in other areas of medicine due to its great stability and healing. In this study, we will evaluate the safety and extrusion rate of the antibiotic-reinforced bone cement implant when it is decided to place it at the same surgical time as an evisceration indicated for infective endophthalmitis.</div></div><div><h3>Materials and methods</h3><div>Subjects of any age and gender from the Oculoplastic outpatient clinic of the Instituto de Oftalmología Fundación Conde de Valenciana, with a diagnosis of infectious endophthalmitis who required evisceration between the months of May and October 2012, were included.</div></div><div><h3>Results</h3><div>20 subjects were included, of which 55% (11) were men, and 45% (9) women, with an average age range of 51–80 years. No complications were evidenced in the immediate postoperative period or in the follow-up of 1, 3 and 6 months, and in all cases, the correct position of the implant was confirmed with computed tomography.</div></div><div><h3>Conclusions</h3><div>In patients diagnosed with infectious endophthalmitis of any cause, evisceration and implantation of bone cement in a single surgical time is a safe and effective option.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 87-90"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857231","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

Prevalence of ocular manifestations of vitamin A deficiency in children: A systematic review 儿童维生素A缺乏症眼部表现的普遍性：一项系统综述。

Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2025-02-01 DOI: 10.1016/j.oftale.2024.12.011

S. Castro-Pachón, S. Perilla-Soto, K. Ruiz-Sarmiento, J.A. Niño-García, M.J. Sánchez-Rosso, M.C. Ordóñez-Caro, D.S. Camacho-Páez, D. García-Lozada

{"title":"Prevalence of ocular manifestations of vitamin A deficiency in children: A systematic review","authors":"S. Castro-Pachón, S. Perilla-Soto, K. Ruiz-Sarmiento, J.A. Niño-García, M.J. Sánchez-Rosso, M.C. Ordóñez-Caro, D.S. Camacho-Páez, D. García-Lozada","doi":"10.1016/j.oftale.2024.12.011","DOIUrl":"10.1016/j.oftale.2024.12.011","url":null,"abstract":"<div><h3>Objective</h3><div>Identify the prevalence of ocular manifestations due to vitamin A in children.</div></div><div><h3>Methods</h3><div>The systematic search was carried out in September 2022. Observational studies with populations between 0-18 years old, who had ocular manifestations due to vitamin A deficiency, were included. Studies with selected subjects with underlying diseases were excluded. The results were exported to the Rayyan tool for duplicate removal and paired reading. The methodological quality assessment of the included articles was carried out with the Agency for Healthcare Research and Quality Institute instrument.</div></div><div><h3>Results</h3><div>79 studies published from 1972 to 2020 were included, carried out mainly in Asia 42 (53%) and Africa 28 (35.4%). In America, 4 studies were from Brazil; no research was found in Europe. The most reported ocular manifestations due to vitamin A were: xerophthalmia in 38.0% of the articles and night blindness in 69.6%, being more common in the general population (76.3%) and less in aborigines (1.9%). The diagnostic methods used were: surveys (82.3%), laboratory tests (32%), ocular evaluation by optometry or ophthalmologist (25.3%) and ocular examination by trained personnel (8.9%). The studies were carried out in the general population (79.7%), hospitals (15.2%), schools for the blind (2.5%), migrants in transit (1.3%) and aborigines (1.3%).</div></div><div><h3>Conclusion</h3><div>Ocular manifestations continue to represent a public health problem that affects children from 0 to 18 years of age on 4 continents, with greater emphasis on Asia and Africa. Additional studies are required to understand the impact of vitamin A deficiency in Latin America.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 69-86"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857224","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