Pub Date : 2025-06-01DOI: 10.1016/j.oftal.2024.12.004
F. Garcia Ibor, N. Ruiz del Rio, A.M. Duch Samper
{"title":"Sorprendente regresión completa de una membrana neovascular coroidea con faricimab","authors":"F. Garcia Ibor, N. Ruiz del Rio, A.M. Duch Samper","doi":"10.1016/j.oftal.2024.12.004","DOIUrl":"10.1016/j.oftal.2024.12.004","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 6","pages":"Pages 372-373"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185463","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}
Pub Date : 2025-06-01DOI: 10.1016/j.oftal.2025.01.001
G. Liaño Sanz-Diez de Ulzurrun , P. Escámez Fernández , J.M. Hernáez Leonato , B. Son Camey , I. Rosado Cerro , C. Arruabarrena
Pigment epithelial detachments (PEDs) form a heterogeneous group of lesions of diverse prognosis and treatment that have in common the pathologic elevation of the retinal pigment epithelium plane and its detachment from the underlying layers.
Although PEDs are a common finding in age-related macular degeneration, especially in its exudative forms, the diagnostic characterization and prognostic estimation of these lesions is a clinical challenge that necessarily requires a multimodal imaging approach. This review presents the clinical characteristics of the different groups of PED, their diagnostic imaging profile, as well as their natural history.
{"title":"Desprendimientos del epitelio pigmentario en la degeneración macular asociada a la edad","authors":"G. Liaño Sanz-Diez de Ulzurrun , P. Escámez Fernández , J.M. Hernáez Leonato , B. Son Camey , I. Rosado Cerro , C. Arruabarrena","doi":"10.1016/j.oftal.2025.01.001","DOIUrl":"10.1016/j.oftal.2025.01.001","url":null,"abstract":"<div><div>Pigment epithelial detachments (PEDs) form a heterogeneous group of lesions of diverse prognosis and treatment that have in common the pathologic elevation of the retinal pigment epithelium plane and its detachment from the underlying layers.</div><div>Although PEDs are a common finding in age-related macular degeneration, especially in its exudative forms, the diagnostic characterization and prognostic estimation of these lesions is a clinical challenge that necessarily requires a multimodal imaging approach. This review presents the clinical characteristics of the different groups of PED, their diagnostic imaging profile, as well as their natural history.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 6","pages":"Pages 340-350"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185460","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}
Pub Date : 2025-06-01DOI: 10.1016/j.oftal.2025.01.004
F.J. Muñoz-Negrete , A. López Vázquez , J.M. Martínez-de-la-Casa , M. Pazos , R. Giménez Gómez , J.C. Pastor
The implementation of the Medical Device Regulation (MDR) forces clinicians to identify and report any serious incidents related to the use of medical devices to the Health Authorities. To address uncertainties about what constitutes a serious incident, a working group composed of members of the Spanish Glaucoma Society (SEG) and the Cluster of Ophthalmology and Vision Sciences (Cluster4Eye) has developed a guiding document. This resource aims to assist less experienced ophthalmologists in recognizing specific incidents associated with glaucoma surgery that, in the team's view, are uncommon or could potentially result in significant harm to patient function. This list is not exhaustive and will remain open to updates based on feedback received.
{"title":"Propuesta de incidentes graves en productos sanitarios usados en cirugía del glaucoma. Proponiendo ideas (III)","authors":"F.J. Muñoz-Negrete , A. López Vázquez , J.M. Martínez-de-la-Casa , M. Pazos , R. Giménez Gómez , J.C. Pastor","doi":"10.1016/j.oftal.2025.01.004","DOIUrl":"10.1016/j.oftal.2025.01.004","url":null,"abstract":"<div><div>The implementation of the Medical Device Regulation (MDR) forces clinicians to identify and report any serious incidents related to the use of medical devices to the Health Authorities. To address uncertainties about what constitutes a serious incident, a working group composed of members of the Spanish Glaucoma Society (SEG) and the Cluster of Ophthalmology and Vision Sciences (Cluster4Eye) has developed a guiding document. This resource aims to assist less experienced ophthalmologists in recognizing specific incidents associated with glaucoma surgery that, in the team's view, are uncommon or could potentially result in significant harm to patient function. This list is not exhaustive and will remain open to updates based on feedback received.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 6","pages":"Pages 356-361"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185461","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}
Pub Date : 2025-05-27DOI: 10.1016/j.oftal.2025.04.002
J.L. Sánchez-Vicente, E.M. Gámez-Jiménez, J.C. Fernández-Fontán, F.J. Cordero-Bellido, J. Suárez-Pérez, F. López-Herrero
The association between retinal angiomatous proliferation (RAP) or type 3 choroidal neovascular membrane (CNV) and pachychoroidopathy has been rarely described. Its occurrence would be a consequence of ischemia resulting from loss of the choriocapillaris secondary to compression of the pachyvessels. We report a case of retinal angiomatous proliferation in the context of pachychoroidopathy.
{"title":"Proliferación angiomatosa retiniana y paquicoroidopatía","authors":"J.L. Sánchez-Vicente, E.M. Gámez-Jiménez, J.C. Fernández-Fontán, F.J. Cordero-Bellido, J. Suárez-Pérez, F. López-Herrero","doi":"10.1016/j.oftal.2025.04.002","DOIUrl":"10.1016/j.oftal.2025.04.002","url":null,"abstract":"<div><div>The association between retinal angiomatous proliferation (RAP) or type<!--> <!-->3 choroidal neovascular membrane (CNV) and pachychoroidopathy has been rarely described. Its occurrence would be a consequence of ischemia resulting from loss of the choriocapillaris secondary to compression of the pachyvessels. We report a case of retinal angiomatous proliferation in the context of pachychoroidopathy<strong>.</strong></div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 9","pages":"Pages 549-552"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912382","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}
Pub Date : 2025-05-12DOI: 10.1016/j.oftal.2025.04.004
M. Moro-Muniz , J. Raga Cervera , G. Genovés , A. Adloff-Alonso , A. Janicka-Caulineau , D. Salom
Endogenous endophthalmitis is a serious intraocular infection resulting from hematogenous spread of microorganisms. Although Streptococcus pneumoniae is an uncommon cause, its aggressiveness can lead to severe complications.
We present the case of a 48-year-old male who presented to the emergency department with blurred vision and periorbital pain in the right eye. Examination revealed hypertensive panuveitis with vitreous hemorrhage. Broad-spectrum topical and systemic antibiotics were initiated.
Imaging studies showed signs of orbital cellulitis without venous thrombosis, and aqueous humor culture confirmed the presence of S. pneumoniae, prompting hospital admission. Despite treatment, clinical progression led to the development of an intraorbital abscess requiring evisceration, after which the patient evolved favorably, allowing for later prosthesis placement.
This case highlights the aggressiveness of pneumococcal endogenous endophthalmitis and the importance of early, multidisciplinary management.
{"title":"Endoftalmitis atípica por Streptococcus pneumoniae","authors":"M. Moro-Muniz , J. Raga Cervera , G. Genovés , A. Adloff-Alonso , A. Janicka-Caulineau , D. Salom","doi":"10.1016/j.oftal.2025.04.004","DOIUrl":"10.1016/j.oftal.2025.04.004","url":null,"abstract":"<div><div>Endogenous endophthalmitis is a serious intraocular infection resulting from hematogenous spread of microorganisms. Although <em>Streptococcus pneumoniae</em> is an uncommon cause, its aggressiveness can lead to severe complications.</div><div>We present the case of a 48-year-old male who presented to the emergency department with blurred vision and periorbital pain in the right eye. Examination revealed hypertensive panuveitis with vitreous hemorrhage. Broad-spectrum topical and systemic antibiotics were initiated.</div><div>Imaging studies showed signs of orbital cellulitis without venous thrombosis, and aqueous humor culture confirmed the presence of <em>S. pneumoniae</em>, prompting hospital admission. Despite treatment, clinical progression led to the development of an intraorbital abscess requiring evisceration, after which the patient evolved favorably, allowing for later prosthesis placement.</div><div>This case highlights the aggressiveness of pneumococcal endogenous endophthalmitis and the importance of early, multidisciplinary management.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 9","pages":"Pages 553-557"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912389","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}
Pub Date : 2025-05-09DOI: 10.1016/j.oftal.2025.04.006
V.M. Asensio-Sánchez
{"title":"Cuando la perfección se convierte en una carga: el estrés del cirujano de cataratas","authors":"V.M. Asensio-Sánchez","doi":"10.1016/j.oftal.2025.04.006","DOIUrl":"10.1016/j.oftal.2025.04.006","url":null,"abstract":"","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 9","pages":"Pages 576-577"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912393","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}
Pub Date : 2025-05-01DOI: 10.1016/j.oftal.2024.12.005
A. Robles García , Y. Fernández Barrientos , J.L. Ramos Navarro , J. Díaz Bernal , J. Mora Castilla , J. Ortega Usobiaga
Central toxic keratopathy (CTK) is a rare, non-inflammatory complication that can arise after LASIK surgery. It typically presents between days3 and 9 postoperatively, characterized by central corneal opacification, stromal thinning, and a hyperopic shift. In this clinical case, a 34-year-old patient with a history of cutaneous B-cell lymphoma developed CTK in the right eye after undergoing excimer laser refractive surgery. The diagnostic process and clinical evolution of the condition under conservative treatment are detailed. Different theories regarding the pathophysiology of CTK are also presented, highlighting the importance of differential diagnosis with diffuse lamellar keratitis (DLK) and its therapeutic implications to minimize visual sequelae.
{"title":"Queratopatía central tóxica tras cirugía refractiva: diagnóstico, tratamiento y retos en la práctica clínica","authors":"A. Robles García , Y. Fernández Barrientos , J.L. Ramos Navarro , J. Díaz Bernal , J. Mora Castilla , J. Ortega Usobiaga","doi":"10.1016/j.oftal.2024.12.005","DOIUrl":"10.1016/j.oftal.2024.12.005","url":null,"abstract":"<div><div>Central toxic keratopathy (CTK) is a rare, non-inflammatory complication that can arise after LASIK surgery. It typically presents between days3 and 9 postoperatively, characterized by central corneal opacification, stromal thinning, and a hyperopic shift. In this clinical case, a 34-year-old patient with a history of cutaneous B-cell lymphoma developed CTK in the right eye after undergoing excimer laser refractive surgery. The diagnostic process and clinical evolution of the condition under conservative treatment are detailed. Different theories regarding the pathophysiology of CTK are also presented, highlighting the importance of differential diagnosis with diffuse lamellar keratitis (DLK) and its therapeutic implications to minimize visual sequelae.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 5","pages":"Pages 278-282"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903766","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}
Pub Date : 2025-05-01DOI: 10.1016/j.oftal.2025.01.013
L. Zurutuza-Veillet , M.A. Saavedra-García , M. Álvarez-Portela , J. Suanzes-Hernández
Objective
To describe the characteristics of donated and transplanted corneas, trends in surgical techniques, and indications for corneal transplantation, and the impact of COVID-19 on a Spanish tissue bank from 2016 through 2022.
Methods
We conducted a retrospective analysis of corneal donation records from Complejo Hospitalario Universitario de A Coruña Cryobiology Unit and Tissue Bank from January 1st, 2016 through June 30th, 2022.
Results
Corneal donations and transplants remained stable over 6.5 years, except for declines in 2020–2021. A total of 44.3% of all donated corneas were not transplanted, mainly due to tissue viability issues (41.4%). Donors averaged 60.2 ± 13 years, with a mean corneal endothelial cell count of 2701.3 ± 324.6 cells/mm2 and a mean corneal clear zone diameter of 7.7 ± 0.7 mm. The preferred preservation method for keratoplasty was hypothermia (85.9%). Indications included endothelial dysfunction (53.8%), repeated keratoplasty (18.8%), corneal ectasia (15.4%), stromal opacity (7.6%), and tectonic causes (4.9%). Penetrating keratoplasty (PK) was more common (56.3%) than lamellar techniques (43.7%), but endothelial keratoplasty (EK) increased by 27.8% since 2019. EK, predominantly Descemet Membrane Endothelial Keratoplasty (DMEK, 94.1%), was used in 96.7% of endothelial dysfunction cases, although 28.6% were treated with PK. Deep anterior lamellar keratoplasty was primarily used for corneal ectasia (46.8%).
Conclusions
The Galicia Tissue Bank exceeds the European Eye Bank Association quality standards. Penetrating techniques remain predominant, but the trend is towards favor lamellar procedures, particularly DMEK. Endothelial dysfunction is the leading and growing indication for corneal transplantation.
目的分析2016 - 2022年西班牙某组织库角膜捐献与移植的特点、手术技术发展趋势、角膜移植适应证及新冠肺炎疫情对组织库的影响。方法回顾性分析2016年1月1日至2022年6月30日，来自西班牙综合医院（Universitario de a） Coruña冷冻生物学单位和组织库的角膜捐赠记录。结果除了2020-2021年下降外，捐献和移植数量在6.5年内保持稳定。共有44.3%的捐献角膜没有被移植，主要是由于组织活力问题（41.4%）。供者平均年龄60.2±13岁，平均角膜内皮细胞计数为2701.3±324.6个细胞/mm2，平均角膜透明区直径为7.7±0.7 mm。首选的保存方法是低温（85.9%）。适应症包括内皮功能障碍（53.8%）、反复角膜移植（18.8%）、角膜扩张（15.4%）、间质混浊（7.6%）和构造原因（4.9%）。穿透性角膜移植术（PK）比板层技术（43.7%）更常见（56.3%），但内皮性角膜移植术（EK）自2019年以来增加了27.8%。EK，主要是Descemet膜内皮角膜移植术（DMEK, 94.1%），用于96.7%的内皮功能障碍病例，尽管28.6%的患者接受了PK治疗。深前板层角膜移植术主要用于角膜扩张（46.8%）。结论加利西亚组织库超过了欧洲眼库协会的质量标准。穿透技术仍然占主导地位，但趋势是有利于层状工艺，特别是DMEK。内皮功能障碍是角膜移植的主要和日益增长的适应症。
{"title":"Estudio de un banco de tejidos en Galicia. Características y evolución del trasplante de córnea entre 2016 y 2022 en Galicia","authors":"L. Zurutuza-Veillet , M.A. Saavedra-García , M. Álvarez-Portela , J. Suanzes-Hernández","doi":"10.1016/j.oftal.2025.01.013","DOIUrl":"10.1016/j.oftal.2025.01.013","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the characteristics of donated and transplanted corneas, trends in surgical techniques, and indications for corneal transplantation, and the impact of COVID-19 on a Spanish tissue bank from 2016 through 2022.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of corneal donation records from C<em>omplejo Hospitalario Universitario de A Coruña</em> Cryobiology Unit and Tissue Bank from January 1<sup>st</sup>, 2016 through June 30<sup>th</sup>, 2022.</div></div><div><h3>Results</h3><div>Corneal donations and transplants remained stable over 6.5 years, except for declines in 2020–2021. A total of 44.3% of all donated corneas were not transplanted, mainly due to tissue viability issues (41.4%). Donors averaged 60.2<!--> <!-->±<!--> <!-->13 years, with a mean corneal endothelial cell count of 2701.3<!--> <!-->±<!--> <!-->324.6 cells/mm<sup>2</sup> and a mean corneal clear zone diameter of 7.7<!--> <!-->±<!--> <!-->0.7<!--> <!-->mm. The preferred preservation method for keratoplasty was hypothermia (85.9%). Indications included endothelial dysfunction (53.8%), repeated keratoplasty (18.8%), corneal ectasia (15.4%), stromal opacity (7.6%), and tectonic causes (4.9%). Penetrating keratoplasty (PK) was more common (56.3%) than lamellar techniques (43.7%), but endothelial keratoplasty (EK) increased by 27.8% since 2019. EK, predominantly Descemet Membrane Endothelial Keratoplasty (DMEK, 94.1%), was used in 96.7% of endothelial dysfunction cases, although 28.6% were treated with PK. Deep anterior lamellar keratoplasty was primarily used for corneal ectasia (46.8%).</div></div><div><h3>Conclusions</h3><div>The Galicia Tissue Bank exceeds the European Eye Bank Association quality standards. Penetrating techniques remain predominant, but the trend is towards favor lamellar procedures, particularly DMEK. Endothelial dysfunction is the leading and growing indication for corneal transplantation.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 5","pages":"Pages 264-273"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903764","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}
Pub Date : 2025-05-01DOI: 10.1016/j.oftal.2024.12.002
L.C. Ramón-Carreira , E.M. Sobas , J.C. Pastor
The implementation of the Medical Device Regulation and Royal Decree 192/2023 not only requires manufacturers to enhance safety measures in the production of medical devices but is also complemented by additional regulations impacting hospitals, clinics, and healthcare personnel. Among these is the requirement to identify and report serious incidents to the Spanish Agency of Medicines and Medical Devices (AEMPS). To establish a baseline and evaluate the dissemination efforts of these concepts at the level of scientific societies and other organizations, serious incidents involving ophthalmic medical devices reported to AEMPS since 2018 and subject to health alerts have been identified. Although the percentage remains minimal, it is notable that issues with software or equipment such as surgical microscopes and Optical Coherence Tomography (OCT) are now being reported.
{"title":"Incidentes graves de productos sanitarios en Oftalmología reportados a la AEMPS","authors":"L.C. Ramón-Carreira , E.M. Sobas , J.C. Pastor","doi":"10.1016/j.oftal.2024.12.002","DOIUrl":"10.1016/j.oftal.2024.12.002","url":null,"abstract":"<div><div>The implementation of the Medical Device Regulation and Royal Decree 192/2023 not only requires manufacturers to enhance safety measures in the production of medical devices but is also complemented by additional regulations impacting hospitals, clinics, and healthcare personnel. Among these is the requirement to identify and report serious incidents to the Spanish Agency of Medicines and Medical Devices (AEMPS). To establish a baseline and evaluate the dissemination efforts of these concepts at the level of scientific societies and other organizations, serious incidents involving ophthalmic medical devices reported to AEMPS since 2018 and subject to health alerts have been identified. Although the percentage remains minimal, it is notable that issues with software or equipment such as surgical microscopes and Optical Coherence Tomography (OCT) are now being reported.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 5","pages":"Pages 274-277"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903765","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}
Pub Date : 2025-05-01DOI: 10.1016/j.oftal.2025.01.011
L.A. Oseguera Chávez, L.E. Salas Medina, C. Palacio Pastrana, W. Cedillo Suárez
Background and objective
In Mexico there is a high prevalence of diabetes, which is one of the most frequent etiologies of cataract. The impact of diabetes on postoperative corneal decompensation associated with MSICS has not been studied in our country. The objective of the study was to determine the difference in corneal endothelial changes between diabetic and non-diabetic patients by preoperative specular microscopy and at one month and 3 months after MSICS.
Patients and methods
Prospective, longitudinal, paired, non-randomized study with two groups; Group 1: Diabetic patients and Group 2: Non-diabetic patients. All patients had a complete ophthalmologic evaluation and preoperative and postoperative specular microscopy at one month and 3 months.
Results
119 eyes were included. The percentage of CD loss at 1 month was 11.1% in diabetic patients and 6.3% in non-diabetic patients. At 3 months the percentage of loss was 9.9% in diabetic patients and 5.4% in non-diabetic patients. The CV was higher in patients with diabetes and was significant at 1 month; however, at 3 months the values were comparable. The percentage of HEX decreased significantly in the first month in patients with diabetes.
Conclusions
There was a significant difference with greater CD loss, greater CV and less HEX in patients with diabetes vs. without diabetes at 1 month after the M-SICS procedure, however, it was not statistically significant at 3 months. This suggests greater endothelial stress, longer recovery time and remodeling of the corneal endothelium in patients with diabetes.
{"title":"Cambios endoteliales en pacientes con y sin diabetes después de cirugía manual de catarata de pequeña incisión","authors":"L.A. Oseguera Chávez, L.E. Salas Medina, C. Palacio Pastrana, W. Cedillo Suárez","doi":"10.1016/j.oftal.2025.01.011","DOIUrl":"10.1016/j.oftal.2025.01.011","url":null,"abstract":"<div><h3>Background and objective</h3><div>In Mexico there is a high prevalence of diabetes, which is one of the most frequent etiologies of cataract. The impact of diabetes on postoperative corneal decompensation associated with MSICS has not been studied in our country. The objective of the study was to determine the difference in corneal endothelial changes between diabetic and non-diabetic patients by preoperative specular microscopy and at one month and 3 months after MSICS.</div></div><div><h3>Patients and methods</h3><div>Prospective, longitudinal, paired, non-randomized study with two groups; Group 1: Diabetic patients and Group 2: Non-diabetic patients. All patients had a complete ophthalmologic evaluation and preoperative and postoperative specular microscopy at one month and 3 months.</div></div><div><h3>Results</h3><div>119 eyes were included. The percentage of CD loss at 1 month was 11.1% in diabetic patients and 6.3% in non-diabetic patients. At 3 months the percentage of loss was 9.9% in diabetic patients and 5.4% in non-diabetic patients. The CV was higher in patients with diabetes and was significant at 1 month; however, at 3 months the values were comparable. The percentage of HEX decreased significantly in the first month in patients with diabetes.</div></div><div><h3>Conclusions</h3><div>There was a significant difference with greater CD loss, greater CV and less HEX in patients with diabetes vs. without diabetes at 1 month after the M-SICS procedure, however, it was not statistically significant at 3 months. This suggests greater endothelial stress, longer recovery time and remodeling of the corneal endothelium in patients with diabetes.</div></div>","PeriodicalId":8348,"journal":{"name":"Archivos De La Sociedad Espanola De Oftalmologia","volume":"100 5","pages":"Pages 246-253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903762","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}
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