Archivos De La Sociedad Espanola De Oftalmologia最新文献

英文中文

Abordaje multidisciplinar para el manejo del glaucoma: papel de la biomecánica corneal 青光眼管理的多学科方法：角膜生物力学的作用

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-12-01 DOI: 10.1016/j.oftal.2024.09.001

R. Bouchikh-El Jarroudi , P. Romera-Romero , J. Botella-Garcia , J. Loscos-Arenas

引用次数: 0

Propuesta de incidentes graves en productos sanitarios utilizados en la cirugía del segmento anterior. Proponiendo ideas (II) 关于前段手术中使用的医疗器械发生严重事故的建议。建议意见（II）

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-12-01 DOI: 10.1016/j.oftal.2024.06.004

R. Lorente-Moore , J. Mendicute del Barrio , M.V. Rojas Silva , A. Macarro-Merino , E. Larra Mateos , J.C. Pastor

La entrada en vigor del reglamento sobre productos sanitarios obliga a los oftalmólogos a identificar y reportar los posibles incidentes graves derivados de su utilización. Ante las dudas que pueden suscitarse sobre qué puede o no considerarse un incidente grave, un grupo de trabajo de miembros de la Sociedad Española de Cirugía Ocular Implanto Refractiva (SECOIR) y el clúster de oftalmología y ciencias de la visión (Cluster4Eye), han elaborado un documento que pretende orientar a los oftalmólogos sobre algunos de los incidentes que, en la experiencia del equipo de trabajo, no son habituales o pueden causar un serio daño a la función del paciente en relación con el uso de productos sanitarios. Se han abordado incidentes relacionados con el uso de viscoelásticos, colorantes de cápsula anterior, lentes intraoculares y otros elementos utilizados en la cirugía del segmento anterior.

The entry into force of the regulation on medical devices obliges ophthalmologists to identify and report possible serious incidents arising from their use. Faced with the doubts that may arise about what can or cannot be considered a serious incident, a working group of members of the Spanish Society of Refractive and Implant Eye Surgery (SECOIR) and the ophthalmology and vision sciences cluster (Cluster4Eye), have prepared a consensus document that aims to guide ophthalmologists on some of the incidents that, in the experience of the work team, are not common or can cause serious damage to the patient's function in relation to the use of medical devices. Incidents related to the use of viscoelastics, anterior capsule dyes, intraocular lenses, and other items used in anterior segment surgery have been addressed.

《卫生产品条例》的生效要求眼科医生识别和报告因使用卫生产品而可能发生的严重事故。怀疑可能发生哪些可被视为一个严重的事件,一个工作组成员的西班牙社会Implanto眼科手术矫正(SECOIR)和眼科及视觉科学集群(Cluster4Eye),拟订了一份旨在指导对心脏病的一些事件,工作经验的团队,不常见或可能对患者使用卫生用品的功能造成严重损害。与粘胶弹性剂、前囊色素、眼内晶状体和其他在前节段手术中使用的物品有关的事件已经得到解决。《医疗器械条例》生效后，眼科医生有义务识别和报告因使用医疗器械而可能发生的严重事故。Faced with the法律that may arise about what can or不能被视为严重事件,工作组成员[Society of Refractive and Implant Eye Surgery (SECOIR) and the (ophthalmology and vision sciences集群Cluster4Eye),有一份共识文件,编写区域to guide ophthalmologists on some of the》that, in the experience of the work team,在使用医疗器械时，不常见或可能对患者的功能造成严重损害。与使用粘胶弹性剂、前囊状物、眼内晶状体和其他在前段手术中使用的物品有关的事件已经得到解决。

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引用次数: 0

Hallazgos en la tomografía de coherencia óptica de segmento anterior (OCT-SA) en la cirugía de glaucoma tras el implante del Preserflo® Microshunt 植入 Preserflo® Microshunt® 后青光眼手术的前段光学相干断层扫描（OCT-SA）结果

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-12-01 DOI: 10.1016/j.oftal.2024.05.015

G. Ortega-Prades, Á.A. Ojeda-Parot, V.T. Pérez-Torregrosa

引用次数: 0

Adaptación transcultural de la escala Low Vision Quality of life Adaptación跨文化的la escala低视力生活质量

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-12-01 DOI: 10.1016/j.oftal.2024.06.006

D.C. Palencia-Florez , M.P. Oviedo-Cáceres , E.A. Giraldo Gallo

Introduction

The quality of life related to visual function is a multidimensional construct that complements the functional assessment of patients with low vision. It shows the individual's perception of the course of ocular disease and its treatment within the framework of a value system and a sociocultural context. This clinical-epidemiological outcome is recognized as objective and valuable.

Objective

To validate the content of the spanish version of the Low Vision Quality of Life (LVQOL) scale in the Colombian population.

Methodology

A content validation study was conducted, which involved translating and back-translating the scale to evaluate semantic, idiomatic, conceptual, and experiential equivalence in the resulting version. The study included the participation of 21 individuals, and a quantitative evaluation was performed using Aiken's V coefficient to analyze the scores assigned in the categories of relevance and experiential capacity.

Results

The questionnaire presentation was reorganized. The examples were expanded, and some optical aids were mentioned. Additionally, terms were changed to improve comprehension and reduce rudeness. Out of the 25 items, 11 had an Aiken V coefficient of less than 1.0.

Conclusions

The obtained version is comparable to the original questionnaire. However, the idiomatic twists specific to the local context emphasize the need for content validation to ensure correct interpretation and contribute to the updating of the scale.

与视觉功能相关的生活质量是一个多维结构，是对低视力患者功能评估的补充。它显示了个人在价值体系和社会文化背景框架内对眼病过程及其治疗的看法。这一临床流行病学结果被认为是客观和有价值的。目的验证哥伦比亚人群低视力生活质量（LVQOL）西班牙语版量表的内容。方法进行内容验证研究，包括翻译和反翻译量表，以评估结果版本的语义、习语、概念和经验等效性。本研究共纳入21名受试者，采用艾肯V系数对相关能力和经验能力进行定量评价。结果对问卷的呈现进行了整理。对实例进行了扩展，并提到了一些光学辅助设备。此外，为了更好地理解和减少粗鲁，术语也进行了修改。在25个项目中，有11个项目的艾肯V系数小于1.0。结论所得问卷与原问卷具有可比性。然而，针对当地语境的惯用语扭曲强调了内容验证的必要性，以确保正确的解释，并有助于量表的更新。

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引用次数: 0

Endoftalmitis posquirúrgica con meningitis secundaria. A propósito de un caso 术后内膜炎伴继发性脑膜炎。关于一个案例

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-12-01 DOI: 10.1016/j.oftal.2024.07.006

S. Hernández Santamaría, N. García Figuera, M. Maldonado MacCrohon, L. Jordano Luna, A. Laiseca García, M.T. Álvarez Barrio

A 61-year-old man exhibited hyperacute endophthalmitis due to Proteus mirabilis after a pars plana vitrectomy. During the index examination (24 hours after surgery), he showed visual acuity (VA) of hand motion, biomicroscopy revealed the presence of an edematous cornea, Tyndall++++ and fibrin membrane, with vitritis and impossibility of visualizing retinal details. Treatment with intravitreal injections was administered. Despite therapy, the patient's symptoms worsened, and his general condition started worsening with, fever, and leukocytosis, requiring hospitalization and IV therapy due to secondary meningitis following postoperative endophthalmitis. The patient required enucleation of the affected eye eventually without prosthesis placement.

Even though postoperative bacterial endophthalmitis is usually an infection confined to the eye, this case report demonstrates the infection can spread to the rest of the body, thus becoming life-threatening for the patient.

一位61岁的男性在玻璃体部切除术后出现超急性眼内炎。术后24小时指标检查手部运动视力（VA），生物显微镜检查角膜水肿，Tyndall++++及纤维蛋白膜，玻璃体炎，视网膜细节不可见。给予玻璃体内注射治疗。尽管接受了治疗，但患者的症状恶化，一般情况开始恶化，出现发热和白细胞增多，由于术后眼内炎后继发脑膜炎，需要住院和静脉注射治疗。患者最终需要摘除受影响的眼球，而不需要植入假眼。尽管术后细菌性眼内炎通常是一种局限于眼睛的感染，但本病例报告表明，感染可以扩散到身体的其他部位，从而危及患者的生命。

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引用次数: 0

Ciclodestrucción y ciclofotocoagulacion ¿dónde estamos ahora? 环形切除术和环形光凝术现在进展如何？

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-11-01 DOI: 10.1016/j.oftal.2024.06.005

B. Vidal Villegas , J.A. Miralles de Imperial Ollero , M.P. Villegas Pérez

Cyclodestruction is a technique reserved for glaucomas not controlled with medical and surgical treatment and poor visual potential. During the last century, new cyclodestructive techniques were developed, including cyclophotocoagulation, and the use of continuous-wave diode laser transescleral cyclophotocoagulation (CW-TS-CPC) has become widespread. In recent decades, micropulse diode laser transescleral cyclophotocoagulation (MP-TS-CPC) was introduced. We review the cyclodestruction techniques since their origins and these two techniques of cyclophotocoagulation, which are currently the most widely used: how they are performed, their mechanisms of action and their effectiveness and efficacy. We also review the comparison between them and with other techniques.

青光眼环形光凝术是一种专门针对药物和手术治疗无法控制且视觉潜能差的青光眼的技术。在上个世纪，包括环形光凝术在内的新的环形破坏技术得到了发展，连续波二极管激光经巩膜环形光凝术（CW-TS-CPC）已得到广泛应用。近几十年来，微脉冲二极管激光经巩膜环形光凝术（MP-TS-CPC）被引入。我们回顾了自其起源以来的环形光凝技术，以及目前应用最广泛的这两种环形光凝技术：它们是如何进行的、它们的作用机制以及它们的有效性和疗效。我们还回顾了这两种技术之间以及与其他技术之间的比较。

引用次数: 0

Metotrexato intralesional y nuevos abordajes para la neoadyuvancia en el carcinoma escamoso cutaneo periocular 眼周皮肤鳞状细胞癌新辅助治疗的点内甲氨蝶呤和新方法

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-11-01 DOI: 10.1016/j.oftal.2024.05.006

This study arises from the need to understand the different therapies for cutaneous squamous cell carcinoma (SCC), especially in challenging clinical situations where conventional therapeutic options may not be optimal.

The purpose of the study is to assess the efficacy and safety of intralesional methotrexate (MTX) as neoadjuvant therapy in the treatment of periocular SCC.

The outcome of a patient after two separate intralesional MTX infiltrations 2 weeks apart is described. Therapeutic response was evaluated, achieving a significant reduction in tumor size and subsequently performing surgical excision of the residual lesion. The procedure was well tolerated, with no local or distant recurrences in the follow up.

Intralesional MTX may be an effective and safe option in the neoadjuvant treatment of periocular SCC. Furthermore, we highlight the growing importance of immunotherapy in the approach to SCC and the need to familiarize specialists with these new treatments.

这项研究的目的是评估鞘内注射甲氨蝶呤（MTX）作为新辅助疗法治疗眼周鳞状细胞癌（SCC）的疗效和安全性。研究描述了一名患者在两次间隔两周的鞘内注射MTX后的疗效。对患者的治疗反应进行了评估，结果显示肿瘤明显缩小，随后对残余病灶进行了手术切除。MTX在眼周SCC的新辅助治疗中可能是一种有效而安全的选择。此外，我们还强调了免疫疗法在SCC治疗中日益增长的重要性，以及让专科医生熟悉这些新疗法的必要性。

引用次数: 0

Foseta macular miópica con dehiscencia escleral en paciente con miopía magna 一名近视患者的近视黄斑窝伴有巩膜开裂。

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-11-01 DOI: 10.1016/j.oftal.2024.05.013

M. Comes-Carsí, N. Ruiz-del Río, A.M. Duch-Samper

引用次数: 0

Dehiscencia de suturas en pacientes con enfermedad del tejido conectivo: síndromes de Marfan y Weill-Marchesani 结缔组织病患者缝线开裂：马凡综合征和魏尔-马切萨尼综合征。

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-11-01 DOI: 10.1016/j.oftal.2024.06.010

M. de las M. Valentín-Pastrana Aguilar , I. Platas Moreno , N. Muñoz Sanz , B. Sandoval Cortés , J. Herrera Pereiro , I. Jiménez-Alfaro Morote

Marfan and Weill-Marchesani syndromes have a mutation of the fibrillin gene (FBN1), producing alteration of connective tissue, within ophthalmology, it is important to take into consideration this type of diseases in cogenetic alterations in this system will produce modifications at the level of the ocular structures generating problems of various types, Most of the literature refers to ectopia lentis and the complications derived from it, as secondary glaucoma.

We present two patients, one with Marfan syndrome and the other with Weill-Marchesani syndrome, who developed lens dislocation, typical of their pathologies, which led them to undergo different surgeries. Both developed suture dehiscence after these surgeries, as a complication derived from their connective tissue involvement. We thus highlight the need for vigilance and extreme caution in the postoperative period of patients affected by this type of syndromes.

马凡综合征和魏尔-马切萨尼综合征的纤维蛋白基因（FBN1）发生突变，导致结缔组织发生改变，在眼科领域，必须考虑到这类疾病，因为该系统的遗传改变会导致眼部结构发生改变，从而引发各种问题。我们介绍了两名患者，一名患有马凡氏综合征，另一名患有魏尔-马切萨尼综合征，他们都出现了晶状体脱位，这是他们的典型病症，导致他们接受了不同的手术。两人在手术后都出现了缝线开裂，这是结缔组织受累引起的并发症。因此，我们强调在此类综合征患者的术后阶段需要保持警惕和格外小心。

引用次数: 0

Resultados a largo plazo del tratamiento de los pacientes con degeneración macular asociada a la edad exudativa durante la pandemia por COVID-19 在 COVID-19 大流行期间治疗渗出性老年性黄斑变性患者的长期疗效

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia

Pub Date : 2024-11-01 DOI: 10.1016/j.oftal.2024.06.001

B. Son-Camey , I. Rosado-Cerro , P. Escámez-Fernández , G. Liaño Sanz Diez de Ulzurrun , R. Montejano-Milner , C. Arruabarrena

Purpose

To quantify the long-term impact (24 months) on the visual results and activity of neovascular lesions of COVID-19 confinement in patients with nAMD in our population.

Methods

A retrospective observational study of patients with nAMD who attended consultation or were treated during the 3 months before confinement was carried out.

Results

144 patients (168 eyes) with nAMD were included, 51 of them (35.42%) came during confinement, and at 24 months the final cohort was 118 patients (133 eyes).

The previous VA of 57.99 ± 23.68 letters decreased, clinically relevant and statistically significant, by an average of 6.87 (±16.84) and 7.89 (±19.58) at 12- and 24-months follow-up. This change differs significantly from the two-year vision change observed in the national database of pretreated patients.

The median number of injections and consultations is lower in our group at 12 months, compared to the pre-pandemic national database, and tends to equalize at 24 months.

We did not find differences in vision when we compared patients who attended consultations during confinement or in treatment intervals greater than 8 weeks (Tq8w).

Conclusions

The VA of patients with nAMD decreased significantly after confinement, probably due to the lower number of antiangiogenic injections and consultations during the first year, and did not recover during the second year despite the increase in the number of injections and visits close to those reported before confinement_.

目的对我国 nAMD 患者进行 COVID-19 封闭治疗对视觉效果和新生血管病变活动性的长期影响（24 个月）进行量化研究。结果纳入了 144 名 nAMD 患者（168 只眼），其中 51 名（35.42%）是在禁闭期间就诊的，24 个月时最终纳入的患者总数为 118 名（133 只眼）。在 12 个月和 24 个月的随访中，之前的视力值为 57.99 ± 23.68 个字母，平均下降了 6.87 个字母（±16.84）和 7.89 个字母（±19.58），具有临床相关性和统计学意义。与大流行前的国家数据库相比，本组患者在 12 个月时的注射和就诊次数中位数较低，在 24 个月时趋于相等。我们比较了在禁闭期间或治疗间隔超过 8 周（Tq8w）时就诊的患者，没有发现视力方面的差异。结论nAMD 患者的视力在禁闭后显著下降，这可能是由于第一年的抗血管生成注射和就诊次数较少，尽管第二年的注射和就诊次数增加，接近禁闭前报告的次数，但视力并未恢复。

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