Archivos De La Sociedad Espanola De Oftalmologia最新文献

英文中文

Colocación simultánea de un implante de cemento óseo posterior a cirugía de evisceración en pacientes con diagnóstico de endoftalmitis infecciosa

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.09.003

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

Background and objectives

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 stands out as an implant in other areas of medicine due to its great stability and healing. In this study, we will evaluate the safety profile and extrusion rate of the antibiotic-reinforced bone cement implantation when it is decided to place it at the same surgical act as an evisceration indicated for infective endophthalmitis.

Materials and methods

Subjects of any age and gender from the Oculoplastic outpatient clinic of Instituto de Oftalmología Fundación Conde de Valenciana, with a diagnosis of infectious endophthalmitis who required evisceration from May throught October 2012 were included.

Results

A total of 20 subjects were included, 55% of whom were men (11) 45% women (9), with mean age of 51 up to 80 years. No complications were evidenced in the immediate postoperative period or at 1, 3 and 6 months follow up, and in all cases, the correct position of the implant was confirmed via computed tomography.

Conclusions

In patients diagnosed with infectious endophthalmitis of any cause, evisceration and bone cement implatation in a single surgical act is a safe and effective option.

{"title":"Colocación simultánea de un implante de cemento óseo posterior a cirugía de evisceración en pacientes con diagnóstico de endoftalmitis infecciosa","authors":"E.S. Barillas Escobar, J.L. Tovilla Canales, O. Olvera Morales, E.G. Castillo Pérez, A. Nava-Castañeda","doi":"10.1016/j.oftal.2024.09.003","DOIUrl":"10.1016/j.oftal.2024.09.003","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 stands out as an implant in other areas of medicine due to its great stability and healing. In this study, we will evaluate the safety profile and extrusion rate of the antibiotic-reinforced bone cement implantation when it is decided to place it at the same surgical act 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 Instituto de Oftalmología Fundación Conde de Valenciana, with a diagnosis of infectious endophthalmitis who required evisceration from May throught October 2012 were included.</div></div><div><h3>Results</h3><div>A total of 20 subjects were included, 55% of whom were men (11) 45% women (9), with mean age of 51 up to 80years. No complications were evidenced in the immediate postoperative period or at 1, 3 and 6months follow up, and in all cases, the correct position of the implant was confirmed via computed tomography.</div></div><div><h3>Conclusions</h3><div>In patients diagnosed with infectious endophthalmitis of any cause, evisceration and bone cement implatation in a single surgical act is a safe and effective option.</div></div>","PeriodicalId":8348,"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":"143429552","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

Manejo exitoso de una hemorragia subretiniana en un paciente con DMAE

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.07.008

A. Miranda Sánchez, R. Fernández Narros, J. Donate López

引用次数: 0

Implementación de SICS (cirugía de catarata de pequeña incisión) en campañas humanitarias: descripción de la técnica quirúrgica y revisión de la literatura

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.10.004

D. Berrones , C. Rocha-de-Lossada , E. Barraquer-Compte , G. Valvecchia , Joaquín Fernández

The aim of this article has been, on the one hand, to describe the use of manual small incision cataract surgery (MSICS) 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.

{"title":"Implementación de SICS (cirugía de catarata de pequeña incisión) en campañas humanitarias: descripción de la técnica quirúrgica y revisión de la literatura","authors":"D. Berrones , C. Rocha-de-Lossada , E. Barraquer-Compte , G. Valvecchia , Joaquín Fernández","doi":"10.1016/j.oftal.2024.10.004","DOIUrl":"10.1016/j.oftal.2024.10.004","url":null,"abstract":"<div><div>The aim of this article has been, on the one hand, to describe the use of manual small incision cataract surgery (MSICS) 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":8348,"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":"143429556","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

Rituximab intraorbitario para tratar inflamación orbitaria en paciente con neoplasia activa

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.09.002

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

A 66-year-old woman presents with unilateral orbital inflammation of several years of evolution, initially classified as idiopathic orbital inflammatory disease (IOID) subtype myositis. She presented with pain, eyelid inflammation and significant elevation of intraocular pressure, as well as radiological signs of exophthalmos and superior rectus myositis. She was treated with corticosteroids, with partial response. She was diagnosed with colon adenocarcinoma, complicated with febrile neutropenia, and therefore immunosuppressive treatment was contraindicated. Treatment with intraorbital rituximab was decided, achieving resolution of symptoms and reduction of IOP. The diagnosis of neoplasia raises the possibility of paraneoplastic orbital inflammation.

引用次数: 0

Importancia del tratamiento individualizado: dispositivo subconjuntival en el glaucoma inducido por aceite de silicona

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.11.004

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

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.

A 62-year-old man with a past medical history of retinal detachment and multiple ocular surgical procedures presented 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 Preserflo® device in the lower nasal region, avoiding complications and achieving the preoperative goals without uneventfully.

{"title":"Importancia del tratamiento individualizado: dispositivo subconjuntival en el glaucoma inducido por aceite de silicona","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.oftal.2024.11.004","DOIUrl":"10.1016/j.oftal.2024.11.004","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 procedures presented 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 Preserflo® device in the lower nasal region, avoiding complications and achieving the preoperative goals without uneventfully.</div></div>","PeriodicalId":8348,"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":"143429560","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

Prevalencia de manifestaciones oculares por deficiencia de vitamina A en niños: revisión sistemática

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.08.014

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

Objective

Identify the prevalence of ocular signs due to vitamin A in children.

Methods

We conducted a systematic search in September 2022. Observational studies with populations between 0-18 years old, who had ocular signs 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.

Results

79 studies published from 1972 through 2020 were included, conducted 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 conducted among the general population (79.7%), hospitals (15.2%), schools for the blind (2.5%), migrants in transit (1.3%) and aborigines (1.3%).

Conclusion

Ocular signs 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.

{"title":"Prevalencia de manifestaciones oculares por deficiencia de vitamina A en niños: revisión sistemática","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.oftal.2024.08.014","DOIUrl":"10.1016/j.oftal.2024.08.014","url":null,"abstract":"<div><h3>Objective</h3><div>Identify the prevalence of ocular signs due to vitaminA in children.</div></div><div><h3>Methods</h3><div>We conducted a systematic search in September 2022. Observational studies with populations between 0-18 years old, who had ocular signs due to vitaminA 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 through 2020 were included, conducted 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 vitaminA 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 conducted among 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 signs continue to represent a public health problem that affects children from 0 to 18years of age on 4 continents, with greater emphasis on Asia and Africa. Additional studies are required to understand the impact of vitaminA deficiency in Latin America.</div></div>","PeriodicalId":8348,"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":"143429892","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

Escleritis secundaria a infección por Pseudomonas aeruginosa imitando escleritis necrosante autoinmune. Un caso clínico

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.08.016

M.L. Quezada-Osoria , G.R. Vera-Duarte , M. Pedroza-Seres

To report a case of spontaneous-onset unilateral scleritis and keratitis due to Pseudomonas aeruginosa 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 P. aeruginosa, 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.

引用次数: 0

¿Es la investigación una obligación ética para los oftalmólogos hospitalarios y académicos?

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.10.009

J.C. Pastor , J.A. Fernández-Vigo

引用次数: 0

Oclusión combinada de vena central de la retina y arteria ciliorretiniana en dos pacientes jóvenes

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.08.006

M. Comes-Carsí, E. Gracia-Rovira, L. Manfreda-Domínguez, V.T. Pérez-Torregrosa, J.P. Liscombe-Sepúlveda, A.M. Duch-Samper

We present 2 cases reports of central retinal vein occlusion (CRVO) along with cilioretinal artery occlusion (CRAO) in young patients with no cardiovascular risk factors (CVRF) or past medical history of interest. We conducted an extensive etiological study with analytical and imaging tests without finding relevant changes. Finally, in case report 1, the intake of 1 postcoital contraceptive pill was considered the triggering cause while, in case report 2, the etiology was attributed to a previous infection by the SARS-Cov-2 virus. On both cases, antiplatelet therapy was initiated. In both patients disease progression was favorable, with good visual recovery.

引用次数: 0

Incidencia y causas de los retratamientos en pacientes miopes intervenidos de LASIK con monovisión inducida, sin prueba preoperatoria de tolerancia de la misma con lentes de contacto

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2025-02-01 DOI: 10.1016/j.oftal.2024.08.011

M. García González , M.A. Teus Guezala

Purpose

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.

Design

Retrospective, observational study.

Methods

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.

Results

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%) (P = 0.01). 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 to 45 years) wanted to reverse the procedure.

Conclusions

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.

{"title":"Incidencia y causas de los retratamientos en pacientes miopes intervenidos de LASIK con monovisión inducida, sin prueba preoperatoria de tolerancia de la misma con lentes de contacto","authors":"M. García González , M.A. Teus Guezala","doi":"10.1016/j.oftal.2024.08.011","DOIUrl":"10.1016/j.oftal.2024.08.011","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>  <!-->0.01). 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 to 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":8348,"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":"143429555","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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