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Archivos De La Sociedad Espanola De Oftalmologia最新文献

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Queratopatía cristalina secundaria al uso de ciprofloxacino tras cirugía de catarata con comprobación por estudio histopatológico: Reporte de un caso y revisión de la literatura 白内障手术后继发于环丙沙星的结晶性角膜病变及组织病理学验证:病例报告和文献综述。
Q3 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.03.007
P.A. García-Uribe, M. Preciado

Objective

To report the case of a 75-year-old patient who presented crystalline keratopathy secondary to the use of topical ciprofloxacin with histopathological verification, after cataract surgery without complications.

Method

Case report with clinical and photographic follow-up, as well as slides with samples of epithelium and crystalline deposits.

Results

Corneal deposits resolved after drug suspension, topical lubricant change, and subsequent surgical debridement. The histopathological examination reported epithelial cells and basophilic particles compatible with drug precipitates.

Conclusions

Crystalline keratopathy is a condition in which crystals of various kinds are deposited in the corneal epithelium and/or in the anterior stroma. It may have an infectious, pharmacological cause or, in rarer cases, corneal dystrophies. Certain factors such as a previous epithelial defect, systemic pathology with diabetes mellitus, ocular surgery and previous dry eye can favor the deposition of ciprofloxacin leading to the formation of a keratopathy.

方法病例报告,包括临床和照片随访,以及上皮和晶体沉积物样本的切片。结果停药、更换局部润滑剂和随后的手术清创后,角膜沉积物消退。结论结晶性角膜病是指角膜上皮和/或前基质中沉积了各种晶体。结晶性角膜病的病因可能是感染、药物,也可能是角膜营养不良,但较为罕见。某些因素,如先前的上皮缺损、糖尿病引起的全身性病变、眼部手术和先前的干眼症,都可能有利于环丙沙星的沉积,从而导致角膜病变的形成。
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引用次数: 0
La importancia de la cavitación en la vitrectomía de alta velocidad Ultravit. ¿Utilizar velocidad de corte más alta es mejor siempre? 空化在 Ultravit 高速玻璃体切割术中的重要性。切割速度越快越好吗?
Q3 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.02.009
J. Monasterio Bel, E. Pérez-Salvador García, A. Alcuaz Alcalaya, A. Tello Fernández
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引用次数: 0
Facoemulsificación asistida por láser de femtosegundo en el síndrome de exfoliación auténtico 飞秒激光辅助超声乳化术治疗真性剥脱综合征
Q3 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.oftal.2024.02.005
R. Toledano-Martos, C.P. Tarazona Jaimes, S. Pardo Lopez
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引用次数: 0
Neuromiotonía ocular: un infrecuente caso tras carcinoma nasofaríngeo tratado con radioterapia local 眼部神经肌张力障碍:鼻咽癌局部放疗后的罕见病例
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2024.01.004
A.M. Blanco López , M. Rodríguez Enríquez

Ocular neuromyotonia is an infrequent disorder characterised by recurrent episodes of binocular diplopia caused by paroxysmal contraction of one or several extraocular muscles innervated by the same cranial nerve. It can be triggered spontaneously or caused by prolonged contraction of specific eye muscle(s) and is usually related to a local intracranial radiotherapy antecedent.

We report the case of a 46-year-old woman who developed intermittent episodes of binocular diplopia 8 years after radiotherapy for a nasopharyngeal carcinoma. After a complete neuro-ophthalmic assessment we diagnosed the case as an abducens nerve neuromyotonia.

Although it is infrequent, radiotherapy to the nasopharynx is a possible cause of ocular neuromyotonia, due to the proximity to the base of the skull and extraocular motor nerve pathways, especially that of the VI cranial nerve, as is the case presented in this article, about a patient whose history is a nasopharyngeal carcinoma treated with local radiotherapy.

眼神经肌张力障碍是一种不常见的疾病,其特征是由同一颅神经支配的一条或数条眼外肌阵发性收缩引起的反复发作的双眼复视。我们报告了一例 46 岁女性患者的病例,她在鼻咽癌放疗 8 年后出现间歇性双眼复视。虽然鼻咽部放疗并不常见,但由于鼻咽部邻近颅底和眼外运动神经通路,尤其是第六颅神经通路,因此也有可能导致眼球神经肌张力障碍。
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引用次数: 0
Imágenes multimodales y retromodo en la calcificación esclerocoroidea: reporte de un caso 巩膜钙化的多模态成像和重模态成像:病例报告
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2023.12.010
J.M. Lopez , M. Rabinovich , D. Colantuono , E.H. Souied

We present a case report on sclerochoroidal calcification (SCC), a rare condition involving calcium pyrophosphate deposits in the posterior pole of the eye in a 70-year-old patient. We provide an account of the clinical presentation and its appearance in multimodal images, using color fundus photography, swept-source optical coherence tomography (SS-OCT), ocular ultrasound, and the novel retro-mode imaging (RMI) technique. Visual acuity was 20/25 in the right eye (OD) and 20/20 in the left eye (OS). Color fundus photography revealed yellowish deposits located in the upper temporal arcade of both eyes. SS-OCT demonstrated masses of scleral origin. Ocular ultrasounds confirmed the calcification of these masses. RMI detected hyper-reflective images with marked superficial elevation. Systemic laboratory results did not detect any abnormalities, leading to the diagnosis of bilateral idiopathic SCC.

我们报告了一例关于巩膜脉络膜钙化(SCC)的病例,这是一种罕见的病症,涉及眼球后极焦磷酸钙沉积,患者年龄为 70 岁。我们采用彩色眼底照相、扫源光学相干断层扫描(SS-OCT)、眼部超声波和新型逆模式成像(RMI)技术,介绍了该病例的临床表现及其在多模态图像中的外观。右眼(OD)视力为 20/25,左眼(OS)视力为 20/20。彩色眼底照片显示,双眼颞弧上部均有淡黄色沉积物。SS-OCT 显示肿块来自巩膜。眼部超声波检查证实这些肿块已经钙化。RMI 检测到高反射图像,表面隆起明显。全身化验结果未发现任何异常,因此诊断为双侧特发性 SCC。
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引用次数: 0
Afectación ocular como primera y única manifestación del síndrome de Bardet-Biedl: presentación de un caso 眼部受累是巴尔德-比德尔综合征的首发和唯一表现:病例报告。
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2023.12.004
E. Arias-García , I. Valls-Ferran , B. Gutiérrez-Partida , C. Martín-Villaescusa , N. Blanco-Calvo

Bardet–Biedl syndrome is a ciliopathy mainly associated with retinal dystrophy, renal dysfunction, post-axial polydactyly, obesity, cognitive deficit and hypogonadism. The symptoms associated with retinal dystrophy do not usually appear until the first decade of life, so the diagnosis is usually delayed. Ocular involvement may be the initial form of manifestation of this syndrome, it may even be the only one, so it should be taken into account in the differential diagnosis of amblyopia in a child who does not improve despite correct compliance with treatment. A case of low visual acuity in a pediatric patient is presented as an initial manifestation that leads to the diagnosis of Bardet–Biedl syndrome, and which is also the only symptom that the patient presents to date, despite being a multisystem disease.

巴尔德-比德尔综合征是一种纤毛症,主要伴有视网膜营养不良、肾功能障碍、后轴多指畸形、肥胖、认知障碍和性腺功能低下。视网膜营养不良症的相关症状通常要到患者出生后的头十年才会出现,因此诊断通常会被延迟。眼部受累可能是该综合征的最初表现形式,甚至可能是唯一的表现形式,因此在对正确治疗后仍无改善的弱视患儿进行鉴别诊断时,应将眼部受累考虑在内。本报告中的一例儿童患者视力低下是导致巴尔德-比德尔综合征诊断的最初表现,也是该患者迄今为止出现的唯一症状,尽管这是一种多系统疾病。
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引用次数: 0
Sobre la necesidad de actualización del programa oficial de la especialidad de Oftalmología en España 关于更新西班牙眼科专业官方计划的必要性
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2023.12.005
F.J. Muñoz-Negrete , M.P. Villegas-Pérez
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引用次数: 0
Un caso inusual de oclusión de rama arterial retiniana: posible variante del síndrome de Sneddon 视网膜分支动脉闭塞的不寻常病例:可能是斯内登综合征的变种。
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2024.01.007
V.M. Asensio-Sánchez

Sneddon's syndrome (SS) manifests through multiple strokes and livedo reticularis. Livedoid vasculopathy (LV) is characterized by a long history of foot and leg ulceration and histopathology indicating a thrombotic process. Arterial retinal branch occlusion is described in a 52-year-old male with LV. He did not present noticeable laboratory abnormalities, such as antiphospholipid antibodies, or a history of strokes. Retinal artery occlusion accompanied by LV could be a variant of Sneddon's syndrome. Optical coherence tomography angiography revealed a reduction in the macula's vascular layers in the asymptomatic eye, indicating localized microvascular changes as an evolving marker in the pathogenesis of SS.

斯内登综合征(SS)表现为多发性中风和活体网状组织病。韧带血管病(LV)的特征是长期足部和腿部溃疡,组织病理学显示为血栓形成过程。一名 52 岁的男性患者患有视网膜动脉分支闭塞症。他没有明显的实验室异常,如抗磷脂抗体,也没有中风病史。视网膜动脉闭塞伴左视网膜病变可能是斯内登综合征的一种变异。光学相干断层扫描血管造影术显示,无症状眼的黄斑血管层减少,表明局部微血管变化是斯内登综合征发病机制中一个不断发展的标志。
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引用次数: 0
Estudio multimodal de las metástasis coroideas difusas 弥漫性脉络膜转移的多模式研究
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2024.01.005
R. García-Gil, A. Feliciano-Sánchez, R. Martínez-Costa Pérez
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引用次数: 0
Reflexiones acerca de la obligada y urgente necesidad de actualizar el programa oficial de la especialidad de oftalmología 对更新官方眼科专业教学大纲的必要性和紧迫性的思考
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.oftal.2023.10.012
J. González-Martín-Moro , A. Fernández Hortelano , R. Cobo-Soriano
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引用次数: 0
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Archivos De La Sociedad Espanola De Oftalmologia
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