Pub Date : 2024-10-17DOI: 10.1016/j.oftale.2024.10.007
N C Pereyra, L G Otonelli, M A Arriaga, L L Iacono, M L Braccia Gancedo, L Sarotto
Context: Bone metastases from prostate adenocarcinoma usually present osteoblastic characteristics in imaging studies.
Method: Case report.
Results: A 77-year-old patient diagnosed with prostate adenocarcinoma with osteoblastic metastases in the dorsal spine and ribs, empirically treated with decongestants for symptoms associated with nasal polyposis, presented with binocular diplopia and ptosis of the right eyelid. Painful ophthalmoplegia and ipsilateral frozen orbit were observed. CT scan revealed a soft tissue density neoformation infiltrating the paranasal sinuses and extending to the skull base and extraocular muscles. Biopsy by endoscopic sinus surgery allowed for the diagnosis of metastasis.
Conclusions: Regardless of the characteristics evident in imaging studies, the onset of symptoms in other organs and systems in patients with a history of prostate adenocarcinoma should prompt the histopathological study of the lesions.
{"title":"Non-osteoblastic rhinosinusal and orbital metastasis due to prostate adenocarcinoma.","authors":"N C Pereyra, L G Otonelli, M A Arriaga, L L Iacono, M L Braccia Gancedo, L Sarotto","doi":"10.1016/j.oftale.2024.10.007","DOIUrl":"10.1016/j.oftale.2024.10.007","url":null,"abstract":"<p><strong>Context: </strong>Bone metastases from prostate adenocarcinoma usually present osteoblastic characteristics in imaging studies.</p><p><strong>Method: </strong>Case report.</p><p><strong>Results: </strong>A 77-year-old patient diagnosed with prostate adenocarcinoma with osteoblastic metastases in the dorsal spine and ribs, empirically treated with decongestants for symptoms associated with nasal polyposis, presented with binocular diplopia and ptosis of the right eyelid. Painful ophthalmoplegia and ipsilateral frozen orbit were observed. CT scan revealed a soft tissue density neoformation infiltrating the paranasal sinuses and extending to the skull base and extraocular muscles. Biopsy by endoscopic sinus surgery allowed for the diagnosis of metastasis.</p><p><strong>Conclusions: </strong>Regardless of the characteristics evident in imaging studies, the onset of symptoms in other organs and systems in patients with a history of prostate adenocarcinoma should prompt the histopathological study of the lesions.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482872","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 : 2024-10-16DOI: 10.1016/j.oftale.2024.10.005
C Klein-Burgos, L Sanjuán-Riera, M Larrañaga-Cores, E Fernández-Gutiérrez, A Boto-de Los Bueis
A 57-year-old male presented at our clinic with acute corneal hydrops. He had been diagnosed with pellucid marginal degeneration (PMD) three years before. Conservative treatment as well as intracameral air injections failed to resolve the corneal edema, so we decided to perform a thermokeratoplasty (TKP) associated with an amniotic membrane transplantation (AMT). Two weeks after the procedure the patient did not report having any pain, corneal edema resolved, and best spectacle corrected visual acuity (BSCVA) improved from counting fingers to 1 logMAR. During the two-year follow-up the patient has been asymptomatic, BSCVA is 0.2 logMAR, corneal steepness has reduced in inferior perifery from 71.3 diopters (D) to 56.7 D and just a mild leukoma is present at the original hydrops presentation site. TKP combined with AMT should be considered as a treatment option in acute corneal hydrops, especially in those with peripheral location as PMD, uncompliant patients, and refractory cases.
{"title":"Thermokeratoplasty and amniotic membrane transplantation for refractory corneal hydrops in a patient with pellucid marginal degeneration.","authors":"C Klein-Burgos, L Sanjuán-Riera, M Larrañaga-Cores, E Fernández-Gutiérrez, A Boto-de Los Bueis","doi":"10.1016/j.oftale.2024.10.005","DOIUrl":"10.1016/j.oftale.2024.10.005","url":null,"abstract":"<p><p>A 57-year-old male presented at our clinic with acute corneal hydrops. He had been diagnosed with pellucid marginal degeneration (PMD) three years before. Conservative treatment as well as intracameral air injections failed to resolve the corneal edema, so we decided to perform a thermokeratoplasty (TKP) associated with an amniotic membrane transplantation (AMT). Two weeks after the procedure the patient did not report having any pain, corneal edema resolved, and best spectacle corrected visual acuity (BSCVA) improved from counting fingers to 1 logMAR. During the two-year follow-up the patient has been asymptomatic, BSCVA is 0.2 logMAR, corneal steepness has reduced in inferior perifery from 71.3 diopters (D) to 56.7 D and just a mild leukoma is present at the original hydrops presentation site. TKP combined with AMT should be considered as a treatment option in acute corneal hydrops, especially in those with peripheral location as PMD, uncompliant patients, and refractory cases.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482876","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.05.010
Diagnosis and treatment of ocular syphilis can be challenging due to the wide spectrum of clinical presentations of this sexually transmitted disease. In some cases of syphilitic panuveitis, pars plana vitrectomy (PPV) can be useful in management since it plays an important role in improving fundus examination allowing treatment of possible retinal associated lesions when vitreous inflammation is intense. We present 3 cases of patients with ocular syphilis that underwent a therapeutic PPV, vitreous sample was taken and analyzed in two of them.
{"title":"Role of vitrectomy for syphilitic uveitis in a tertiary hospital in Spain","authors":"","doi":"10.1016/j.oftale.2024.05.010","DOIUrl":"10.1016/j.oftale.2024.05.010","url":null,"abstract":"<div><div>Diagnosis and treatment of ocular syphilis<span> can be challenging due to the wide spectrum of clinical presentations of this sexually transmitted disease. In some cases of syphilitic panuveitis<span>, pars plana vitrectomy (PPV) can be useful in management since it plays an important role in improving fundus examination allowing treatment of possible retinal associated lesions when vitreous inflammation is intense. We present 3 cases of patients with ocular syphilis that underwent a therapeutic PPV, vitreous sample was taken and analyzed in two of them.</span></span></div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 459-463"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187264","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.06.007
Non-arteritic anterior ischemic optic neuropathy (NAION) is after glaucoma the most common optic neuropathy in patients over 50 years. It is known that high blood pressure (HBP) is an important risk factor for the development of NAION. It is also known that malignant arterial hypertension (MAH) could be accompanied by optic disc edema. However, MAH has not classically been considered a cause of NAION. We report the case of a 32-year-old patient who presented irreversible visual loss with a pattern compatible with NAION as the only manifestation of a hypertensive crisis.
{"title":"Non-arteritic anterior ischemic optic neuropathy as the only manifestation of a malignant hypertensive crisis: Report of a case","authors":"","doi":"10.1016/j.oftale.2024.06.007","DOIUrl":"10.1016/j.oftale.2024.06.007","url":null,"abstract":"<div><div><span>Non-arteritic anterior ischemic optic neuropathy (NAION) is after glaucoma the most common optic neuropathy in patients over 50 years. It is known that high blood pressure (HBP) is an important risk factor for the development of NAION. It is also known that malignant arterial hypertension (MAH) could be accompanied by </span>optic disc edema<span>. However, MAH has not classically been considered a cause of NAION. We report the case of a 32-year-old patient who presented irreversible visual loss<span> with a pattern compatible with NAION as the only manifestation of a hypertensive crisis.</span></span></div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 450-454"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433582","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.07.003
K. Arun, B. Demir, A. Makuloluwa
{"title":"Fibrinous bullous central serous chorioretinopathy with exudative retinal detachment","authors":"K. Arun, B. Demir, A. Makuloluwa","doi":"10.1016/j.oftale.2024.07.003","DOIUrl":"10.1016/j.oftale.2024.07.003","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 467-468"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725283","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.07.009
O.L. Teherán Forero , J.V. Rios Moreno , M. Ochoa-Díaz , E. Ramos-Clason
Purpose
To evaluate the success rate and complications of the Ahmed FP7 valve implanted via Pars Plana in a group of vitrectomized patients with refractory glaucoma and anterior segment abnormalities from January 2018 to June 2023.
Methods
Quasi-experimental, prospective study. Eleven eyes with refractory glaucoma were included. Participants underwent a comprehensive ophthalmic examination, including assessment of intraocular pressure (IOP) reduction, visual acuity, characterization of glaucoma type, and number of antiglaucoma medications.
Results
The mean baseline IOP was 37.3 ± 11 mmHg, which decreased to 13.5 ± 3.0 mmHg after one year. The qualified success rate was 63.7%, while the complete success rate was 36.3%. The most common diagnosis was neovascular glaucoma in 36.4% of cases. The most frequent postoperative complications were choroidal detachment and hypotony.
Conclusions
Our data suggest that implantation of the Ahmed FP7 valve via pars plana is an effective and safe option for patients with refractory secondary glaucoma.
{"title":"Effectiveness of pars plana Ahmed® valve implantation in patients with refractory glaucoma","authors":"O.L. Teherán Forero , J.V. Rios Moreno , M. Ochoa-Díaz , E. Ramos-Clason","doi":"10.1016/j.oftale.2024.07.009","DOIUrl":"10.1016/j.oftale.2024.07.009","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the success rate and complications of the Ahmed FP7 valve implanted via Pars Plana in a group of vitrectomized patients with refractory glaucoma and anterior segment abnormalities from January 2018 to June 2023.</div></div><div><h3>Methods</h3><div>Quasi-experimental, prospective study. Eleven eyes with refractory glaucoma were included. Participants underwent a comprehensive ophthalmic examination, including assessment of intraocular pressure (IOP) reduction, visual acuity, characterization of glaucoma type, and number of antiglaucoma medications.</div></div><div><h3>Results</h3><div>The mean baseline IOP was 37.3 ± 11 mmHg, which decreased to 13.5 ± 3.0 mmHg after one year. The qualified success rate was 63.7%, while the complete success rate was 36.3%. The most common diagnosis was neovascular glaucoma in 36.4% of cases. The most frequent postoperative complications were choroidal detachment and hypotony.</div></div><div><h3>Conclusions</h3><div>Our data suggest that implantation of the Ahmed FP7 valve via pars plana is an effective and safe option for patients with refractory secondary glaucoma.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 420-426"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749892","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.05.008
We present the case of a 68-year-old female who presented with a substantial cyclodialysis after phacoemulsification identified by anterior segment optical coherence tomography and ultrasound biomicroscopy. Gonioscopy is challenging because of its shallow anterior chamber. Due to lack of response to topical steroids and refusal by the patient for surgical treatment, topical steroids were tapered, and cycloplegic was initiated. After two weeks, the cyclodialysis cleft was closed on optical coherence tomography persisting residual subchoroidal fluid, topical treatment was mantained. Despite of this, visual acuity and hypotony were restored. Finally at 2 months visit subchoroidal fluid was reabsorbed and patient was discharged.
Clinics should consider the possibility of cyclodialysis in cases of unjustified hypotony during postoperative period. In addition, we recommend performing anterior segment imaging which includes ultrasound biomicroscopy and optical coherence tomography, when the evaluation of angular structures is unfeasible. Finally, we propose medical management for severe cyclodialysis as the first option considering anti-inflammatory drugs could perpetrate the separation between scleral spur and ciliary muscle.
{"title":"Case report: A rare case of cyclodialysis after cataract surgery managed exclusively with medical therapy","authors":"","doi":"10.1016/j.oftale.2024.05.008","DOIUrl":"10.1016/j.oftale.2024.05.008","url":null,"abstract":"<div><div><span><span>We present the case of a 68-year-old female who presented with a substantial cyclodialysis after phacoemulsification<span> identified by anterior segment optical coherence tomography and </span></span>ultrasound biomicroscopy<span><span>. Gonioscopy<span> is challenging because of its shallow anterior chamber. Due to lack of response to </span></span>topical steroids and refusal by the patient for surgical treatment, topical steroids were tapered, and </span></span>cycloplegic<span> was initiated. After two weeks, the cyclodialysis cleft was closed on optical coherence tomography persisting residual subchoroidal fluid, topical treatment was mantained. Despite of this, visual acuity and hypotony were restored. Finally at 2 months visit subchoroidal fluid was reabsorbed and patient was discharged.</span></div><div><span>Clinics should consider the possibility of cyclodialysis in cases of unjustified hypotony during postoperative period. In addition, we recommend performing anterior segment imaging which includes ultrasound biomicroscopy and optical coherence tomography, when the evaluation of angular structures is unfeasible. Finally, we propose medical management for severe cyclodialysis as the first option considering anti-inflammatory drugs could perpetrate the separation between </span>scleral spur<span> and ciliary muscle.</span></div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 455-458"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072260","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.06.008
Trochleitis is clinically and/or radiologically evidenced inflammation of the trochlea or orbital pulley.
Clinically it is characterized by pain and hypersensitivity in the superomedial orbital angle, which is increased or triggered by direct palpation of the area and/or eye movements. During the REM (rapid eye movements) phase of sleep, patients with trochleitis suffer from nocturnal micro-awakenings that impede their rest, and pain is often associated with visual symptoms (diplopia or Brown's syndrome).
The lack of common guidelines for diagnosis and treatment of this disease, its low prevalence and the lack of knowledge of the different entities associated with trochlear pain, leads to underdiagnosis or misdiagnosis. It is essential to know the characteristics of this pathology and to diagnose it correctly, differentiating it from other trochlear pain entities, in order to be able to carry out an adequate therapeutic and prognostic approach. The lack of consensus on the therapeutic protocol means that various treatments are used, in different order and often with a combination of several without a firm scientific basis.
This comprehensive review of previous studies concludes that nonsteroidal anti-inflammatory drugs (NSAIDs) achieve an overall complete cure rate of 77%, although this rate decreases to 30% in case of motility restriction or diplopia. Intratrochlear corticosteroid injection achieves an overall complete cure rate of 86%, even in the worst prognosis trochleitis, being the only effective option in NSAID-refractory trochleitis and currently being questioned as the first treatment option.
{"title":"Orbital trochleitis: Literature review","authors":"","doi":"10.1016/j.oftale.2024.06.008","DOIUrl":"10.1016/j.oftale.2024.06.008","url":null,"abstract":"<div><div>Trochleitis is clinically and/or radiologically evidenced inflammation of the trochlea or orbital pulley.</div><div>Clinically it is characterized by pain and hypersensitivity in the superomedial orbital angle, which is increased or triggered by direct palpation of the area and/or eye movements. During the REM (rapid eye movements) phase of sleep, patients with trochleitis suffer from nocturnal micro-awakenings that impede their rest, and pain is often associated with visual symptoms (diplopia or Brown's syndrome).</div><div>The lack of common guidelines for diagnosis and treatment of this disease, its low prevalence and the lack of knowledge of the different entities associated with trochlear pain, leads to underdiagnosis or misdiagnosis. It is essential to know the characteristics of this pathology and to diagnose it correctly, differentiating it from other trochlear pain entities, in order to be able to carry out an adequate therapeutic and prognostic approach. The lack of consensus on the therapeutic protocol means that various treatments are used, in different order and often with a combination of several without a firm scientific basis.</div><div>This comprehensive review of previous studies concludes that nonsteroidal anti-inflammatory drugs (NSAIDs) achieve an overall complete cure rate of 77%, although this rate decreases to 30% in case of motility restriction or diplopia. Intratrochlear corticosteroid injection achieves an overall complete cure rate of 86%, even in the worst prognosis trochleitis, being the only effective option in NSAID-refractory trochleitis and currently being questioned as the first treatment option.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 436-449"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433583","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.06.011
Background and objective
Age-related macular degeneration (AMD) and diabetic retinopathy (DR) are highly prevalent.
Objective
To explore perceptions of patients with AMD or DR about the impact of the disease and treatment on their daily living activities.
Materials and methods
Semi-structured interviews with a questionnaire developed from validated patient reported outcomes questionnaires. The questionnaire consisted of 19 questions about the disease and 9 about the treatment. The questions (items) were answered on a scale from 1 to 9. In addition, the patient interviewed was invited to make free comments on each question. Nine patients with AMD and 9 with DR were interviewed by videoconference or telephone call. A quantitative analysis of the responses and a qualitative analysis of the comments were carried out.
Results
The most relevant item for patients with AMD or DR is “Recognize people when they are nearby”, and “Read text in normal size font in a newspaper or book”, followed, in patients with AMD, by “Do things what you would like” and, in patients with DR, “Feeling frustrated by the vision problems.” Regarding the treatment, the most relevant aspects for both groups is that the treatment works and receiving appropriate information before and after the treatment. The qualitative comments were focused to the disease, the treatment, and to the role of doctors and the health system.
Conclusion
Quantitative responses and free comments can be useful to improve the care of patients with AMD or DR by physicians and the health system.
背景和目的：老年性黄斑变性（AMD）和糖尿病视网膜病变（DR）的发病率很高：探讨老年性黄斑变性或糖尿病视网膜病变患者对疾病和治疗对其日常生活活动的影响的看法：半结构式访谈，问卷由经过验证的患者报告结果问卷编制而成。问卷包括 19 个关于疾病的问题和 9 个关于治疗的问题。这些问题（项目）按 1 到 9 的评分标准进行回答。此外，受访患者还可就每个问题自由发表意见。9 名 AMD 患者和 9 名 DR 患者通过视频会议或电话接受了访谈。对回答进行了定量分析，对评论进行了定性分析：与 AMD 或 DR 患者最相关的项目是 "认出附近的人 "和 "阅读报纸或书籍中正常大小字体的文字"，其次是 AMD 患者的 "做自己想做的事 "和 DR 患者的 "因视力问题而感到沮丧"。关于治疗，两组患者最关心的问题都是治疗是否有效，以及在治疗前后是否获得了适当的信息。定性评论的重点是疾病、治疗以及医生和医疗系统的作用：定量回答和自由评论有助于改善医生和医疗系统对老年性视网膜病变（AMD）或动力障碍性视网膜病变（DR）患者的护理。
{"title":"Perception of patients with retinal pathology on aspects of visual function and their management","authors":"","doi":"10.1016/j.oftale.2024.06.011","DOIUrl":"10.1016/j.oftale.2024.06.011","url":null,"abstract":"<div><h3>Background and objective</h3><div>Age-related macular degeneration (AMD) and diabetic retinopathy (DR) are highly prevalent.</div></div><div><h3>Objective</h3><div>To explore perceptions of patients with AMD or DR about the impact of the disease and treatment on their daily living activities.</div></div><div><h3>Materials and methods</h3><div>Semi-structured interviews with a questionnaire developed from validated patient reported outcomes questionnaires. The questionnaire consisted of 19 questions about the disease and 9 about the treatment. The questions (items) were answered on a scale from 1 to 9. In addition, the patient interviewed was invited to make free comments on each question. Nine patients with AMD and 9 with DR were interviewed by videoconference or telephone call. A quantitative analysis of the responses and a qualitative analysis of the comments were carried out.</div></div><div><h3>Results</h3><div>The most relevant item for patients with AMD or DR is “Recognize people when they are nearby”, and “Read text in normal size font in a newspaper or book”, followed, in patients with AMD, by “Do things what you would like” and, in patients with DR, “Feeling frustrated by the vision problems.” Regarding the treatment, the most relevant aspects for both groups is that the treatment works and receiving appropriate information before and after the treatment. The qualitative comments were focused to the disease, the treatment, and to the role of doctors and the health system.</div></div><div><h3>Conclusion</h3><div>Quantitative responses and free comments can be useful to improve the care of patients with AMD or DR by physicians and the health system.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 427-435"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443921","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 : 2024-10-01DOI: 10.1016/j.oftale.2024.06.012
{"title":"PHOMS: An apt and accurate acronym","authors":"","doi":"10.1016/j.oftale.2024.06.012","DOIUrl":"10.1016/j.oftale.2024.06.012","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 10","pages":"Pages 464-466"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443922","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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