Archivos de la Sociedad Espanola de Oftalmologia最新文献

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Post-surgical endophthalmitis with secondary meningitis. About a case 手术后眼内炎并继发脑膜炎。关于一个病例
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.003
S. Hernández Santamaría, N. García Figuera, M. Maldonado MacCrohon, L. Jordano Luna, A. Laiseca García, M.T. Álvarez Barrio
{"title":"Post-surgical endophthalmitis with secondary meningitis. About a case","authors":"S. Hernández Santamaría,&nbsp;N. García Figuera,&nbsp;M. Maldonado MacCrohon,&nbsp;L. Jordano Luna,&nbsp;A. Laiseca García,&nbsp;M.T. Álvarez Barrio","doi":"10.1016/j.oftale.2024.10.003","DOIUrl":"10.1016/j.oftale.2024.10.003","url":null,"abstract":"<div><div>A 61-year-old man presented hyperacute endophthalmitis due to <em>Proteus mirabilis</em> after a pars plana vitrectomy. In the first examination (24 h after surgery), visual acuity (VA) was of hand movement, biomicroscopy showed edematous cornea, Tyndall ++++ and fibrin membrane, with vitritis and impossibility of visualizing retina details. Treatment with intravitreal injections was performed. Despite the treatment, the patient's symptoms worsened, and he began with poor general condition, fever, and leukocytosis, requiring hospitalization and intravenous treatment because of a diagnosis of secondary meningitis due to post-surgical endophthalmitis. The patient required enucleation of the affected eye without prosthesis placement.</div><div>Even though post-surgical bacterial endophthalmitis is usually an infection confined to the eye, this clinical case demonstrates the possibility of the infection spreading to the rest of the body, potentially endangering the patient's life.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 548-552"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482874","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: ovoid structures which are usually not egg-shaped PHOMS:卵圆形结构,通常不是蛋形。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.006
J. González Martín-Moro
{"title":"PHOMS: ovoid structures which are usually not egg-shaped","authors":"J. González Martín-Moro","doi":"10.1016/j.oftale.2024.10.006","DOIUrl":"10.1016/j.oftale.2024.10.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 574-575"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482873","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
Multidisciplinary approach on the management of glaucoma: the role of corneal biomechanics 多学科方法治疗青光眼:角膜生物力学的作用。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.008
R. Bouchikh-El Jarroudi , P. Romera-Romero , J. Botella-Garcia , J. Loscos-Arenas
{"title":"Multidisciplinary approach on the management of glaucoma: the role of corneal biomechanics","authors":"R. Bouchikh-El Jarroudi ,&nbsp;P. Romera-Romero ,&nbsp;J. Botella-Garcia ,&nbsp;J. Loscos-Arenas","doi":"10.1016/j.oftale.2024.10.008","DOIUrl":"10.1016/j.oftale.2024.10.008","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 525-526"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482871","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
Recurrent VI cranial nerve paralysis secondary to idiopathic cavernous sinus pachymeningitis: a case report 继发于特发性海绵窦咽膜炎的第六颅神经复发性麻痹:病例报告。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.002
L. Picasso Simón , M. Castro-Rebollo , B. Sastre Borregón , J. González-Martín-Moro
{"title":"Recurrent VI cranial nerve paralysis secondary to idiopathic cavernous sinus pachymeningitis: a case report","authors":"L. Picasso Simón ,&nbsp;M. Castro-Rebollo ,&nbsp;B. Sastre Borregón ,&nbsp;J. González-Martín-Moro","doi":"10.1016/j.oftale.2024.10.002","DOIUrl":"10.1016/j.oftale.2024.10.002","url":null,"abstract":"<div><div>A 55-year-old woman with a history of severe endometriosis, followed at our center for 16 years due to multiple episodes of horizontal binocular diplopia, was diagnosed with recurrent paresis of the VI cranial nerve of her right eye. Magnetic resonance imaging revealed localized pachymeningitis in her right cavernous sinus. Initial episodes were treated with botulinum toxin. Subsequently, she declined treatment during inter-crisis periods because she remains asymptomatic. Idiopathic hypertrophic pachymeningitis is a rare condition of unknown cause, characterized by chronic inflammation of the meninges resulting in localized or diffuse dural thickening. Clinical manifestations vary widely, from generalized processes with complex neurological symptoms to localized processes with monosymptomatic expression, as presented in this case.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 558-561"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482875","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-osteoblastic rhinosinusal and orbital metastasis due to prostate adenocarcinoma 前列腺癌引起的非骨母细胞性鼻咽癌和眼眶转移。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.007
N.C. Pereyra , L.G. Otonelli , M.A. Arriaga , L.L. Iacono , M.L. Braccia Gancedo , L. Sarotto
{"title":"Non-osteoblastic rhinosinusal and orbital metastasis due to prostate adenocarcinoma","authors":"N.C. Pereyra ,&nbsp;L.G. Otonelli ,&nbsp;M.A. Arriaga ,&nbsp;L.L. Iacono ,&nbsp;M.L. Braccia Gancedo ,&nbsp;L. Sarotto","doi":"10.1016/j.oftale.2024.10.007","DOIUrl":"10.1016/j.oftale.2024.10.007","url":null,"abstract":"<div><h3>Context</h3><div>Bone metastases from prostate adenocarcinoma usually present osteoblastic characteristics in imaging studies.</div></div><div><h3>Method</h3><div>Case report.</div></div><div><h3>Results</h3><div>A 77-year-old patient diagnosed with prostate adenocarcinoma with osteoblastic metastases in the dorsal spine and ribs, empirically treated with decongestants for symptoms associated with nasal polyposis, presented with binocular diplopia and ptosis of the right eyelid. Painful ophthalmoplegia and ipsilateral frozen orbit were observed. CT scan revealed a soft tissue density neoformation infiltrating the paranasal sinuses and extending to the skull base and extraocular muscles. Biopsy by endoscopic sinus surgery allowed for the diagnosis of metastasis.</div></div><div><h3>Conclusions</h3><div>Regardless of the characteristics evident in imaging studies, the onset of symptoms in other organs and systems in patients with a history of prostate adenocarcinoma should prompt the histopathological study of the lesions.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 570-573"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482872","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
Choroidal neovascularization in children: etiology, clinical characteristics and treatment outcomes 儿童脉络膜新生血管:病因、临床特征和治疗效果。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.08.002
D. Rego-Lorca, J. Català-Mora, A. López-de-Eguileta, J. Díaz-Cascajosa
{"title":"Choroidal neovascularization in children: etiology, clinical characteristics and treatment outcomes","authors":"D. Rego-Lorca,&nbsp;J. Català-Mora,&nbsp;A. López-de-Eguileta,&nbsp;J. Díaz-Cascajosa","doi":"10.1016/j.oftale.2024.08.002","DOIUrl":"10.1016/j.oftale.2024.08.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To provide data on the most frequent causes, main characteristics, management, and outcomes of pediatric choroidal neovascularization (CNV) in a major tertiary referral hospital for children, together with a review of the current literature.</div></div><div><h3>Methods</h3><div>Case series including children diagnosed with CNV between 2008 and 2023. Age, sex, date of diagnosis, CNV etiology, CNV localization, treatment with anti-vascular endothelial growth factor (VEGF), and ophthalmological examination data at diagnosis and after one year of follow-up were recorded.</div></div><div><h3>Results</h3><div>42 eyes (31 patients) were included. Best’s disease (35.5%) was the most frequent etiology, followed by intraocular inflammation (25.8%). Most neovascular membranes (78.6%) were located within 1 disc diameter of the fovea centre. 78.6% of eyes received anti-VEGF treatment. Mean visual acuity (VA) significantly improved from logMAR 0.57 to 0.31 after one year of follow-up.</div></div><div><h3>Conclusion</h3><div>CNV in children is a serious condition with severe ophthalmological consequences. Although certain patients may spontaneously improve or maintain good VA without treatment, in many others anti-VEGF treatment may lead to significant visual improvement. VA impairment, signs of exudative CNV on OCT images and the location of CNV seem to be the most important features in the decision to treat or not to treat these patients.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 534-539"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057522","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
Thermokeratoplasty and amniotic membrane transplantation for refractory corneal hydrops in a patient with pellucid marginal degeneration 热角膜移植术和羊膜移植治疗一名透明边缘变性患者的难治性角膜水肿。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.005
C. Klein-Burgos , L. Sanjuán-Riera , M. Larrañaga-Cores , E. Fernández-Gutiérrez , A. Boto-de los Bueis
{"title":"Thermokeratoplasty and amniotic membrane transplantation for refractory corneal hydrops in a patient with pellucid marginal degeneration","authors":"C. Klein-Burgos ,&nbsp;L. Sanjuán-Riera ,&nbsp;M. Larrañaga-Cores ,&nbsp;E. Fernández-Gutiérrez ,&nbsp;A. Boto-de los Bueis","doi":"10.1016/j.oftale.2024.10.005","DOIUrl":"10.1016/j.oftale.2024.10.005","url":null,"abstract":"<div><div>A 57-year-old male presented at our clinic with acute corneal hydrops. He had been diagnosed with pellucid marginal degeneration (PMD) three years before.</div><div>Conservative treatment as well as intracameral air injections failed to resolve the corneal edema, so we decided to perform a thermokeratoplasty (TKP) associated with an amniotic membrane transplantation (AMT). Two weeks after the procedure the patient did not report having any pain, corneal edema resolved, and best spectacle corrected visual acuity (BSCVA) improved from counting fingers to 1 logMAR. During the two-year follow-up the patient has been asymptomatic, BSCVA is 0.2 logMAR, corneal steepness has reduced in inferior perifery from 71.3 diopters (D) to 56.7 D and just a mild leukoma is present at the original hydrops presentation site.</div><div>TKP combined with AMT should be considered as a treatment option in acute corneal hydrops, especially in those with peripheral location as PMD, uncompliant patients, and refractory cases.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 566-569"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482876","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
Ciliary body melanoma: multimodal composition 睫状体黑色素瘤:多模式组合。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-11-01 DOI: 10.1016/j.oftale.2024.07.002
B. Alamar Pérez, J. Montero Hernández, E. Cervera Taulet
{"title":"Ciliary body melanoma: multimodal composition","authors":"B. Alamar Pérez,&nbsp;J. Montero Hernández,&nbsp;E. Cervera Taulet","doi":"10.1016/j.oftale.2024.07.002","DOIUrl":"10.1016/j.oftale.2024.07.002","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 11","pages":"Pages 523-524"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725281","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
Post-traumatic retinal siderosis, a case report 创伤后视网膜巩膜病变,病例报告。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-11-01 DOI: 10.1016/j.oftale.2024.07.011
A. Ortiz , M. Garcés , J. Toala , E. Vazquez , J. Ortiz
{"title":"Post-traumatic retinal siderosis, a case report","authors":"A. Ortiz ,&nbsp;M. Garcés ,&nbsp;J. Toala ,&nbsp;E. Vazquez ,&nbsp;J. Ortiz","doi":"10.1016/j.oftale.2024.07.011","DOIUrl":"10.1016/j.oftale.2024.07.011","url":null,"abstract":"<div><div>A thirty-year-old patient attended a few hours after an ocular trauma while hammering, receiving trauma with a metal splinter at the left eye. Due to an unfavorable clinical picture, surgical management was decided, which was initially rejected by the patient. He returned six months later with a profound decrease in left eye visual acuity, reaching counting finger at one meter despite optical correction. The anterior segment shows a lower scarring leukoma, associated with Tyndall (++), retrokeratic pigment, lower posterior synechiae and a total cataract. Cataract surgery with intraocular lens implantation and a posterior vitrectomy with intraocular foreign body extraction were indicated. At postoperative control it was shown that post-traumatic ocular siderosis did not significantly affect his central vision, which remains until now.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 11","pages":"Pages 508-511"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749896","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
Female ophthalmologists’ perception of occupational hazards during pregnancy 女眼科医生对孕期职业危害的看法。
Archivos de la Sociedad Espanola de Oftalmologia Pub Date : 2024-11-01 DOI: 10.1016/j.oftale.2024.07.001
Y. Cifre Fabra , I. Gil Hernández , R. Martínez Belda , A. Duch Samper
{"title":"Female ophthalmologists’ perception of occupational hazards during pregnancy","authors":"Y. Cifre Fabra ,&nbsp;I. Gil Hernández ,&nbsp;R. Martínez Belda ,&nbsp;A. Duch Samper","doi":"10.1016/j.oftale.2024.07.001","DOIUrl":"10.1016/j.oftale.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>Woman ophthalmologists of childbearing age are exposed to different types of occupational risks which can be harmful to pregnancy and to the development of the fetus. The objective of this paper is to analyze the perception of these risks during pregnancy.</div></div><div><h3>Methods</h3><div>We designed a survey which was answered by 42 ophthalmologists who had been working during pregnancy. We report the perception of global and specific risk according to the type of agent.</div></div><div><h3>Results</h3><div>38.1% of the ophthalmologists perceive that the overall risk of working during pregnancy is high, and 35.7% consider it moderate. Regarding specific risk, the most relevant agents are the ergonomic and psychosocial ones. Physical agents are considered the least important.</div></div><div><h3>Conclusions</h3><div>Although most of the surveyed ophthalmologists perceived the occupational risk as high or moderate, only 19% of them took time off work due to this reason. The most important agents were ergonomic and psychosocial.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 11","pages":"Pages 471-476"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725282","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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