Archivos de la Sociedad Espanola de Oftalmologia最新文献

{"title":"Simultaneous placement of a bone cement implant after evisceration surgery in patients diagnosed with infectious endophthalmitis","authors":"E.S. Barillas Escobar,&nbsp;J.L. Tovilla Canales,&nbsp;O. Olvera Morales,&nbsp;E.G. Castillo Pérez,&nbsp;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}

{"title":"Prevalence of ocular manifestations of vitamin A deficiency in children: A systematic review","authors":"S. Castro-Pachón,&nbsp;S. Perilla-Soto,&nbsp;K. Ruiz-Sarmiento,&nbsp;J.A. Niño-García,&nbsp;M.J. Sánchez-Rosso,&nbsp;M.C. Ordóñez-Caro,&nbsp;D.S. Camacho-Páez,&nbsp;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}

{"title":"Successful management of subretinal hemorrhage in patient with AMD","authors":"A. Miranda Sánchez,&nbsp;R. Fernández Narros,&nbsp;J. Donate López","doi":"10.1016/j.oftale.2024.12.005","DOIUrl":"10.1016/j.oftale.2024.12.005","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Page 115"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792950","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":"Combined central retinal vein occlusion and cilioretinal artery occlusion in two young patients","authors":"M. Comes-Carsí,&nbsp;E. Gracia-Rovira,&nbsp;L. Manfreda-Domínguez,&nbsp;V.T. Pérez-Torregrosa,&nbsp;J.P. Liscombe-Sepúlveda,&nbsp;A.M. Duch-Samper","doi":"10.1016/j.oftale.2024.08.004","DOIUrl":"10.1016/j.oftale.2024.08.004","url":null,"abstract":"<div><div>We present 2 clinical cases of central retinal vein occlusion (CRVO) combined with cilioretinal artery occlusion (CRAO) in young patients with no cardiovascular risk factors (CVRF) or medical history of interest. An extensive etiological study with analytical and imaging tests was performed without finding relevant alterations. Finally, in the first case, the intake of 1 postcoital contraceptive pill was considered the triggering cause while, in the second case, the etiology was attributed to a previous infection by the SARS-Cov-2 virus. On both cases, antiplatelet treatment was initiated. In both patients the evolution was favorable, with good visual recovery.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 98-102"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792964","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":"Implementation of SICS (small incision cataract surgery) in humanitarian campaigns: Description of the surgical technique and review of the literature","authors":"D. Berrones ,&nbsp;C. Rocha-de-Lossada ,&nbsp;E. Barraquer-Compte ,&nbsp;G. Valvecchia ,&nbsp;J. Fernández","doi":"10.1016/j.oftale.2024.12.014","DOIUrl":"10.1016/j.oftale.2024.12.014","url":null,"abstract":"<div><div>The aim of this article has been, on the one hand, to describe the use of MSICS (manual small incision cataract surgery) for the management of cataracts, especially mature ones, in relation to its particular utility in the field of humanitarian campaigns, for which a description of the MSICS technique has been made, subsequently a review of the available scientific literature has been carried out to verify the results of this technique in comparison with phacoemulsification and extracapsular surgery and to describe the importance of teaching this technique to all cataract surgeons, especially the ones participating in humanitarian campaigns. According to what has been found, MSICS is an excellent surgical technique and according to current evidence it seems to be the choice over phacoemulsification and/or the classic extracapsular technique in hyper mature cataracts, especially in the field of humanitarian campaigns, due to its lower rate of complications and the improvement in visual acuity obtained. According to the studies found, it would be possible for the experienced ophthalmologic surgeon to implement this technique since the learning curve is short. In addition, in the scenario of humanitarian campaigns, the cost per surgery and the surgical time are reduced. It can be concluded that MSICS should be part of the surgical repertoire of every cataract surgeon, especially in those who perform surgeries in humanitarian campaigns, since it provides shorter surgical time, lower cost and better results in complex cases.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 91-97"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901101","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":"Pseudomonas-induced scleritis mimicking autoimmune necrotizing scleritis. A case report","authors":"M.L. Quezada-Osoria ,&nbsp;G.R. Vera-Duarte ,&nbsp;M. Pedroza-Seres","doi":"10.1016/j.oftale.2024.12.008","DOIUrl":"10.1016/j.oftale.2024.12.008","url":null,"abstract":"<div><div>To report a case of spontaneous-onset unilateral scleritis and keratitis due to <em>Pseudomonas aeruginosa</em> in a patient with systemic lupus erythematosus who partially responded to antibiotic therapy and achieved complete resolution after IV immunotherapy. A 30-year-old woman with a past medical history of hypothyroidism and systemic lupus erythematosus and on irregular therapy presented with a long-history of thinning of the sclera and cornea refractory to antibiotic therapy despite a positive culture for <em>P. aeruginosa</em>, which eventually resolved with the implementation of immunotherapy. Infectious scleritis is an uncommon and diagnostically challenging scleral inflammation. However; we must rule it out in patients with autoimmune diseases due to the inherent risk of these patients as their immune system has been impaired.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 2","pages":"Pages 107-110"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syphilitic iris roseola. Usefulness of anterior segment Optical Coherence Tomography","authors":"N. Ruiz del Rio,&nbsp;M. Comes Carsi,&nbsp;L. Sanz Gallen","doi":"10.1016/j.oftale.2024.08.003","DOIUrl":"10.1016/j.oftale.2024.08.003","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Page 57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792956","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":"Corruption in science: fraud in research publications","authors":"J.Á. Fernández-Vigo ,&nbsp;I. Montero de Espinosa","doi":"10.1016/j.oftale.2024.10.009","DOIUrl":"10.1016/j.oftale.2024.10.009","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565133","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":"Microspherophakia associated with congenital miosis: Coincidence or causality?","authors":"C. Arteaga Henríquez ,&nbsp;M. Rivera Zori ,&nbsp;I. Valls Ferrán ,&nbsp;C. Martín Villaescusa ,&nbsp;B. Gutiérrez Partida ,&nbsp;N. Blanco Calvo","doi":"10.1016/j.oftale.2024.12.007","DOIUrl":"10.1016/j.oftale.2024.12.007","url":null,"abstract":"<div><div>Congenital miosis and microspherophakia are rare congenital disorders of the anterior chamber that are associated with multiple other ophthalmological and systemic pathologies or disorders. Nevertheless, the association of both entities have not been described yet. We present the case of a 2-years-old patient without other relevant medical history that presented with high myopia secondary to microspherophakia and associated with congenital miosis.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792947","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":"Survey on the management of retinal arterial occlusions in Spain","authors":"N. Olivier-Pascual ,&nbsp;J. Viéitez-Vázquez ,&nbsp;A. García-Ben ,&nbsp;R. Arroyo-Castillo ,&nbsp;S. Rubio-Cid ,&nbsp;N. Castro Casal ,&nbsp;C. Quintero-González ,&nbsp;J.M. Abalo-Lojo ,&nbsp;M.D. Álvarez-Díaz","doi":"10.1016/j.oftale.2024.12.003","DOIUrl":"10.1016/j.oftale.2024.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the current status of retinal artery occlusion (RAO) management in Spain.</div></div><div><h3>Material and Methods</h3><div>An anonymous questionnaire of 22 questions was carried out on the Google Forms® platform between April 27 and May 28, 2023. This questionnaire was distributed via email by the Spanish Society of Retina and Vitreous and the Spanish Society of Ophthalmology.</div></div><div><h3>Results</h3><div>159 ophthalmologists from 91 public and 44 private centers in the 17 autonomous communities answered the questionnaire. Fifty-one percent of the ophthalmologists who answered the survey were women, 56.6% worked in public centers, 9.4% in private centers and 34% in both centers. Of the ophthalmologists working in public centers, 41.7% attend ophthalmologic emergencies 24 h a day, 365 days a year, while the rest delay their attention outside the usual hours. In 62.6% of the public centers with responses collected there are no protocols for the management of OAR in the ophthalmology services and as for multidisciplinary protocols, 57% recognize that they do not have one, 23% have one with neurology or internal medicine and only 13% of the centers include OAR within the stroke code. The most frequently reported treatments are hypotensors and anterior chamber paracentesis. In private centers, 73.7% report not having their own protocol, and 78.9% do not have a protocol with other services.</div><div>The main barriers perceived by the ophthalmologists surveyed were: patients arriving outside the window period (77.2%), no specific treatment and lack of established protocols (55.4%), low incidence (32.9%). Suggestions for improvement were: need to implement protocols, coordination with other services and that OAR be included as a stroke code.</div></div><div><h3>Conclusions</h3><div>Despite its limitations, (simple questionnaire, open design of some questions, lack of representation of centers and provinces and contradictory responses within the same center), we consider that it can serve as an approximation to the current management of RAO in Spain. It is necessary to develop protocols adapted to the different centers and to comply with them effectively in order to improve accessibility and equity.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 16-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792953","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}