Pub Date : 2025-01-01DOI: 10.1016/j.oftale.2024.12.009
N. Ruiz del Rio, Á.A. Ojeda Parot, F. García Ibor, D. Hernández Pérez, A.M. Duch Samper
Foveal hernia (FH) can be detected by optic coherence tomography. FH refers to the prolapse of the innermost retinal layers into the vitreal cavity. It occurs in patients with an epiretinal membrane that does not cover the central foveal area. This present case exposes the sudden development of contractility in an idiopathic epiretinal membrane after years of stable follow-up, with no signs of progression. Additionally, this case report also shows the rapid recovery of the retinal structure after removal of the membrane. In surgical imaging with membrane staining and during its extraction, the eyelet (or slot/opening) on the foveal surface is clearly visible.
{"title":"Foveal hernia: morphological characteristics and result after idiopathic epiretinal membrane peeling","authors":"N. Ruiz del Rio, Á.A. Ojeda Parot, F. García Ibor, D. Hernández Pérez, A.M. Duch Samper","doi":"10.1016/j.oftale.2024.12.009","DOIUrl":"10.1016/j.oftale.2024.12.009","url":null,"abstract":"<div><div>Foveal hernia (FH) can be detected by optic coherence tomography. FH refers to the prolapse of the innermost retinal layers into the vitreal cavity. It occurs in patients with an epiretinal membrane that does not cover the central foveal area. This present case exposes the sudden development of contractility in an idiopathic epiretinal membrane after years of stable follow-up, with no signs of progression. Additionally, this case report also shows the rapid recovery of the retinal structure after removal of the membrane. In surgical imaging with membrane staining and during its extraction, the eyelet (or slot/opening) on the foveal surface is clearly visible.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 46-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831199","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.12.006
V. Gómez-Calleja, B. Burgos-Blasco, N. Güemes-Villahoz
{"title":"Bilateral and accelerated posterior capsule opacification in the clinical context of diffuse systemic sclerosis","authors":"V. Gómez-Calleja, B. Burgos-Blasco, N. Güemes-Villahoz","doi":"10.1016/j.oftale.2024.12.006","DOIUrl":"10.1016/j.oftale.2024.12.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 55-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792923","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.12.002
R. Montejano-Milner , M. Sánchez-Orgaz , R. Romero-Martín , J.V. Dabad-Moreno , I. Mogollón-Giralt , M.A. Roca-Cabau , A. de la Hoz Polo , Á. Arbizu-Duralde
Purpose
To report results and complications from a series of 17 proximal lacrimal pathway obstructions (PLPO) treated with conjunctivo-rhinostomy (CR) and Métaireau tube implantation.
Methods
We conducted a retrospective descriptive study including 16 patients (17 PLPO) treated with CR from April 2010 through June 2017. Surgical procedures were performed under general anesthesia. Métaireau tube implantation draining into the middle meatus was performed through a trans-caruncular osteotomy using a 14G Abbocath catheter under endoscopic control.
Results
A total of 12 women (75%) and 4 men (25%) were included. The median age was 57 years (range, 32–78). The indication for surgery was constant epiphora (Munk 4) due to obstruction < 8 mm from the punctum. The follow-up time was 28 months (range, 2–85). Epiphora improved 1 month after the intervention (Munk 0.35 ± 1) and at the end of follow-up (Munk 1.5 ± 1.10) vs baseline values (Munk 4). The most comon postoperative symptoms were hyperemia (35%), discharge (24%), and tearing (24%). The signs found were conjunctival folds and papillomas at the proximal end of the tube (35% and 24%, respectively) and tube malapposition (18%). One patient developed restrictive strabismus. A total of 41% of the cases required, at least, 1 surgery to reposition or remove the tube.
Conclusions
CR with Métaireau tube implantation is a therapeutic alternative for PLPO. Despite the good anatomic results, patients should be warned about the potential complications, which are common and may require reinterventions.
{"title":"Conjunctivo-rhinostomy with Métaireau tube implantation: Outcomes and complications","authors":"R. Montejano-Milner , M. Sánchez-Orgaz , R. Romero-Martín , J.V. Dabad-Moreno , I. Mogollón-Giralt , M.A. Roca-Cabau , A. de la Hoz Polo , Á. Arbizu-Duralde","doi":"10.1016/j.oftale.2024.12.002","DOIUrl":"10.1016/j.oftale.2024.12.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To report results and complications from a series of 17 proximal lacrimal pathway obstructions (PLPO) treated with conjunctivo-rhinostomy (CR) and Métaireau tube implantation.</div></div><div><h3>Methods</h3><div>We conducted a retrospective descriptive study including 16 patients (17 PLPO) treated with CR from April 2010 through June 2017. Surgical procedures were performed under general anesthesia. Métaireau tube implantation draining into the middle meatus was performed through a trans-caruncular osteotomy using a 14G Abbocath catheter under endoscopic control.</div></div><div><h3>Results</h3><div>A total of 12 women (75%) and 4 men (25%) were included. The median age was 57 years (range, 32–78). The indication for surgery was constant epiphora (Munk 4) due to obstruction < 8 mm from the punctum. The follow-up time was 28 months (range, 2–85). Epiphora improved 1 month after the intervention (Munk 0.35 ± 1) and at the end of follow-up (Munk 1.5 ± 1.10) vs baseline values (Munk 4). The most comon postoperative symptoms were hyperemia (35%), discharge (24%), and tearing (24%). The signs found were conjunctival folds and papillomas at the proximal end of the tube (35% and 24%, respectively) and tube malapposition (18%). One patient developed restrictive strabismus. A total of 41% of the cases required, at least, 1 surgery to reposition or remove the tube.</div></div><div><h3>Conclusions</h3><div>CR with Métaireau tube implantation is a therapeutic alternative for PLPO. Despite the good anatomic results, patients should be warned about the potential complications, which are common and may require reinterventions.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 8-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792967","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.10.010
N. Domènech-López , V. Llorenç , A. Moll-Udina , A. Adán
Acute macular neuroretinopathy (AMN) is an uncommon entity that affects the outer layer of the retina and usually presents itself as an acute paracentral scotoma. It is mostly seen in young women and the course is usually self-limited. The diagnosis is established by a multimodal image, with optical coherence tomography (OCT) being the preferred technique. The origin is thought to be linked to a possible dysregulation in the flow of the deep vascular plexus of the retina or the choriocapillaris. A clinical case of an AMN in a young woman associated with a migraine attack is presented, highlighting the importance of considering this disease in the differential diagnosis of visual disorders associated with migraines. A physiological and pathological basis between migraine and NMA is suggested.
{"title":"Acute macular neuroretinopathy associated with migraine","authors":"N. Domènech-López , V. Llorenç , A. Moll-Udina , A. Adán","doi":"10.1016/j.oftale.2024.10.010","DOIUrl":"10.1016/j.oftale.2024.10.010","url":null,"abstract":"<div><div>Acute macular neuroretinopathy (AMN) is an uncommon entity that affects the outer layer of the retina and usually presents itself as an acute paracentral scotoma. It is mostly seen in young women and the course is usually self-limited. The diagnosis is established by a multimodal image, with optical coherence tomography (OCT) being the preferred technique. The origin is thought to be linked to a possible dysregulation in the flow of the deep vascular plexus of the retina or the choriocapillaris. A clinical case of an AMN in a young woman associated with a migraine attack is presented, highlighting the importance of considering this disease in the differential diagnosis of visual disorders associated with migraines. A physiological and pathological basis between migraine and NMA is suggested.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 51-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565128","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.08.005
L.M. Vindel Valle , M.A. López Alfaro
Case report
Case report of a 51 year old patient diagnosed with atypical Cogan's syndrome. The patient exhibited interstitial keratitis, anterior uveitis, and long-standing profound deafness. The treatment was based on topical and systemic steroids, resulting in a satisfactory evolution and currently in clinical remission.
Discussion
Cogan's syndrome is a chronic inflammatory disease that has existed for over 60 years. Because its diagnosis is purely clinical, not many cases have been reported worldwide. Therefore, it is important to be aware of this condition to make a quick diagnosis and provide multidisciplinary treatment, thus preventing irreversible complications.
{"title":"First Reported Case of atypical Cogan's Syndrome in Central America","authors":"L.M. Vindel Valle , M.A. López Alfaro","doi":"10.1016/j.oftale.2024.08.005","DOIUrl":"10.1016/j.oftale.2024.08.005","url":null,"abstract":"<div><h3>Case report</h3><div>Case report of a 51 year old patient diagnosed with atypical Cogan's syndrome. The patient exhibited interstitial keratitis, anterior uveitis, and long-standing profound deafness. The treatment was based on topical and systemic steroids, resulting in a satisfactory evolution and currently in clinical remission.</div></div><div><h3>Discussion</h3><div>Cogan's syndrome is a chronic inflammatory disease that has existed for over 60 years. Because its diagnosis is purely clinical, not many cases have been reported worldwide. Therefore, it is important to be aware of this condition to make a quick diagnosis and provide multidisciplinary treatment, thus preventing irreversible complications.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 42-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831198","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.10.011
R.A. Pech-Lugo , A. Vázquez-Cerón , F.K. Segura-López , A. Dávila-Camargo
Background and objective
Exposure keratopathy (EPK) is characterized by punctate erosions of the corneal epithelium, mainly located in the lower third of the cornea. In the Pediatric Intensive Care Unit (PICU), an incidence of 19–25 % has been reported. The objective of this study was to describe the frequency, risk factors, and time to resolution of exposure keratitis in PICU patients.
Materials and methods
Descriptive, observational, longitudinal, prospective study. The association of keratitis due to exposure to risk factors was evaluated using the Chi square test and determining the OR and 95% confidence interval.
Results
81 patients admitted to the PICU between March and September 2023 were included, 46 (56.79%) developed PEK, 67.39% (31/46) grade 1 and 26.08% (12/46) grade 3. The median time Resolution was 3 days, interquartile range (2–5). A significant difference was observed between patients with and without PEK in the requirement for mechanical ventilation 86.13% vs., 54.29% p = 0.01, OR = 6.905 (2.20−21.64), sedation 100% vs., 85.71%, p = 0.02, in the duration of sedation 5 days vs. 2.5 days (p = 0.024), neuromuscular relaxation 21.74% vs., 0%, p = 0.002, lagophthalmos 86.94% vs., 31.43% p < 0.00001, OR = 13.33 (4.42–40.17), chemosis 15.21% vs., 0%, p = 0.014 and days of stay in the PICU median 7 (5–11) vs. 3 (2–6), p < 0.00001.
Conclusions
The frequency of QPE observed was 56.79%, higher than that previously reported in the literature in the pediatric population. Mechanical ventilation, sedation, duration of sedation, Lagoftalmos chemosis and days of stay in the PICU were identified as risk factors.
{"title":"Frequency, risk factors and time to resolution of exposure keratopathy in patients in the Pediatric Intensive Care Unit","authors":"R.A. Pech-Lugo , A. Vázquez-Cerón , F.K. Segura-López , A. Dávila-Camargo","doi":"10.1016/j.oftale.2024.10.011","DOIUrl":"10.1016/j.oftale.2024.10.011","url":null,"abstract":"<div><h3>Background and objective</h3><div>Exposure keratopathy (EPK) is characterized by punctate erosions of the corneal epithelium, mainly located in the lower third of the cornea. In the Pediatric Intensive Care Unit (PICU), an incidence of 19–25 % has been reported. The objective of this study was to describe the frequency, risk factors, and time to resolution of exposure keratitis in PICU patients.</div></div><div><h3>Materials and methods</h3><div>Descriptive, observational, longitudinal, prospective study. The association of keratitis due to exposure to risk factors was evaluated using the Chi square test and determining the OR and 95% confidence interval.</div></div><div><h3>Results</h3><div>81 patients admitted to the PICU between March and September 2023 were included, 46 (56.79%) developed PEK, 67.39% (31/46) grade 1 and 26.08% (12/46) grade 3. The median time Resolution was 3 days, interquartile range (2–5). A significant difference was observed between patients with and without PEK in the requirement for mechanical ventilation 86.13% vs., 54.29% p = 0.01, OR = 6.905 (2.20−21.64), sedation 100% vs., 85.71%, p = 0.02, in the duration of sedation 5 days vs. 2.5 days (p = 0.024), neuromuscular relaxation 21.74% vs., 0%, p = 0.002, lagophthalmos 86.94% vs., 31.43% p < 0.00001, OR = 13.33 (4.42–40.17), chemosis 15.21% vs., 0%, p = 0.014 and days of stay in the PICU median 7 (5–11) vs. 3 (2–6), p < 0.00001.</div></div><div><h3>Conclusions</h3><div>The frequency of QPE observed was 56.79%, higher than that previously reported in the literature in the pediatric population. Mechanical ventilation, sedation, duration of sedation, Lagoftalmos chemosis and days of stay in the PICU were identified as risk factors.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565137","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.12.001
H. Mies , F. Manzur , S. Verdaguer D
Introduction
Within the characteristics of hypertensive glaucoma, it is distinguished by presenting elevated intraocular pressure (IOP) associated with a low ocular perfusion pressure (OPP). Changes in these parameters can be affected by systemic disease such chronic kidney disease (CKD). Likewise, there is a correlation in the prevalence of both pathologies in patients with similar characteristics, emphasizing the need to address glaucoma management in patients with CKD given the implications of the disease on ocular pathology. Furthermore, hemodialysis (HD) is the maintenance treatment for end-stage CKD, which can lead to transient increases in IOP contributing to ocular discomfort and potential glaucoma progression.
Methods
A search was conducted in PubMed and Epistemonikos databases, constructing a theoretical framework based on primary studies and similar case reports. Additionally, two cases of patients with CKD with severe ocular pain during HD are presented, compiling data from electronic medical records, including demographic data, clinical presentations, treatments, and post-treatment outcomes.
Results
Both patients received cyclodestructive treatment for symptomatic hypertensive glaucoma episodes during HD, showing favourable clinical outcomes after treatment, both in controlling IOP elevation and relieving ocular pain during hemodialysis sessions.
Discussion
This review sheds light on a relatively underexplored aspect of glaucoma treatment in CKD patients on HD, where cyclodiode laser therapy appears to be a promising option in cases where there is no recoverable visual acuity. However, since the evidence is still emerging, future prospective comparative studies are needed to provide further information to clinical practice.
{"title":"Cyclodestructive treatment for symptomatic intraocular pressure elevation during hemodialysis: case reports and literature review","authors":"H. Mies , F. Manzur , S. Verdaguer D","doi":"10.1016/j.oftale.2024.12.001","DOIUrl":"10.1016/j.oftale.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Within the characteristics of hypertensive glaucoma, it is distinguished by presenting elevated intraocular pressure (IOP) associated with a low ocular perfusion pressure (OPP). Changes in these parameters can be affected by systemic disease such chronic kidney disease (CKD). Likewise, there is a correlation in the prevalence of both pathologies in patients with similar characteristics, emphasizing the need to address glaucoma management in patients with CKD given the implications of the disease on ocular pathology. Furthermore, hemodialysis (HD) is the maintenance treatment for end-stage CKD, which can lead to transient increases in IOP contributing to ocular discomfort and potential glaucoma progression.</div></div><div><h3>Methods</h3><div>A search was conducted in PubMed and Epistemonikos databases, constructing a theoretical framework based on primary studies and similar case reports. Additionally, two cases of patients with CKD with severe ocular pain during HD are presented, compiling data from electronic medical records, including demographic data, clinical presentations, treatments, and post-treatment outcomes.</div></div><div><h3>Results</h3><div>Both patients received cyclodestructive treatment for symptomatic hypertensive glaucoma episodes during HD, showing favourable clinical outcomes after treatment, both in controlling IOP elevation and relieving ocular pain during hemodialysis sessions.</div></div><div><h3>Discussion</h3><div>This review sheds light on a relatively underexplored aspect of glaucoma treatment in CKD patients on HD, where cyclodiode laser therapy appears to be a promising option in cases where there is no recoverable visual acuity. However, since the evidence is still emerging, future prospective comparative studies are needed to provide further information to clinical practice.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787995","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 : 2025-01-01DOI: 10.1016/j.oftale.2024.11.001
A. Arnaiz-Camacho , L. Goterris Bonet , L. Bisbe Lopez , S. Martín Nalda , J. Puig Galy , S. García-Hidalgo , T. Pablos-Jiménez , A. Pairó-Salvador
Introduction
Acanthamoeba keratitis continues to be one of the most feared corneal infections due to its severity and capacity to generate irreversible visual sequelae. Despite diagnostic and therapeutic advances, this disease is increasing in our environment every year, related to a growing number of contact lens users. This last decade marked by the COVID-19 pandemic represents an unprecedented historical scenario whose impact must be analyzed from different health points of view.
This study aims to describe the epidemiology, clinical presentation, treatment and evolution of Acanthamoeba keratitis in a tertiary hospital in the last 10 years.
Results
The results have been obtained from a total of 13 eyes of 13 patients. This series of cases shows a diagnostic gap during the pandemic period, with a greater number of patients in the previous and post-pandemic stages. The different parameters of clinical presentation, microbiological diagnosis and clinical evolution are analyzed. All patients in our study wore contact lenses. Five of the cases were initially diagnosed in other centers as herpetic keratitis. Seven patients had a pseudo-dendrite as initial presentation, while six cases presented as an annular infiltrate. In all cases, 0.02% chlorhexidine eye drops were prescribed and this was associated with 0.1% propamidine in 11 cases. The results were variable, achieving an improvement in visual acuity in 10 of the cases.
Conclusion
This is a study on an emerging disease and with increasingly advanced knowledge and use of diagnostic and therapeutic tools in the historical context of a pandemic. This text attempts to shed light on the different forms of presentation and management of cases of Acanthamoeba keratitis.
{"title":"Acanthamoeba keratitis in the last decade. What have we learned?","authors":"A. Arnaiz-Camacho , L. Goterris Bonet , L. Bisbe Lopez , S. Martín Nalda , J. Puig Galy , S. García-Hidalgo , T. Pablos-Jiménez , A. Pairó-Salvador","doi":"10.1016/j.oftale.2024.11.001","DOIUrl":"10.1016/j.oftale.2024.11.001","url":null,"abstract":"<div><h3>Introduction</h3><div><em>Acanthamoeba</em> keratitis continues to be one of the most feared corneal infections due to its severity and capacity to generate irreversible visual sequelae. Despite diagnostic and therapeutic advances, this disease is increasing in our environment every year, related to a growing number of contact lens users. This last decade marked by the COVID-19 pandemic represents an unprecedented historical scenario whose impact must be analyzed from different health points of view.</div><div>This study aims to describe the epidemiology, clinical presentation, treatment and evolution of <em>Acanthamoeba</em> keratitis in a tertiary hospital in the last 10 years.</div></div><div><h3>Results</h3><div>The results have been obtained from a total of 13 eyes of 13 patients. This series of cases shows a diagnostic gap during the pandemic period, with a greater number of patients in the previous and post-pandemic stages. The different parameters of clinical presentation, microbiological diagnosis and clinical evolution are analyzed. All patients in our study wore contact lenses. Five of the cases were initially diagnosed in other centers as herpetic keratitis. Seven patients had a pseudo-dendrite as initial presentation, while six cases presented as an annular infiltrate. In all cases, 0.02% chlorhexidine eye drops were prescribed and this was associated with 0.1% propamidine in 11 cases. The results were variable, achieving an improvement in visual acuity in 10 of the cases.</div></div><div><h3>Conclusion</h3><div>This is a study on an emerging disease and with increasingly advanced knowledge and use of diagnostic and therapeutic tools in the historical context of a pandemic. This text attempts to shed light on the different forms of presentation and management of cases of <em>Acanthamoeba</em> keratitis.</div></div>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"100 1","pages":"Pages 28-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683851","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 : 2024-12-26DOI: 10.1016/j.oftale.2024.12.016
F J Valentín Bravo, K Castaño Andrés, X Valldeperas
{"title":"Multimodal imaging to detect retinal migration of perfluorocarbon liquid.","authors":"F J Valentín Bravo, K Castaño Andrés, X Valldeperas","doi":"10.1016/j.oftale.2024.12.016","DOIUrl":"10.1016/j.oftale.2024.12.016","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901115","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 : 2024-12-04DOI: 10.1016/j.oftale.2024.07.012
A Llovet-Rausell, F Llovet-Osuna, J Ortega-Usobiaga, J Beltran-Sanz, V Druchkiv
Purpose: To analyze the incidence, causes, risk factors and treatment of acute postoperative endophthalmitis (POE) after phacoemulsification in a private ophthalmological group.
Design: Uncontrolled retrospective observational study of all cases of POE over 22 years.
Material and methods: 369,476 eyes were included after phacoemulsification in 41 surgical centers of the Clínica Baviera-AIER EYE Group from 2002 to 2023. POE cases were reviewed.
Results: The general group was divided into two: group A (2002-2007), with vancomycin in the intracameral irrigation flow (27,705 eyes); Group B (2008-2023), with intracameral cefuroxime (341,771 eyes). 31 cases of POE were found (incidence, 0.0084%); 5 in group A (0.018%) and 26 in group B (0.0076%) (P = .314), with a mean age of 67.3 years (14 men and 17 women). Cultures were positive in 14 cases in Groups A and B. Treatment was based on intravitreal antibiotics and vitrectomy. The mean time to symptom onset was 6.76 days and the mean time to resolution was 120.7 days. 12 eyes achieved corrected distance visual acuity ≥ 20/40.
Conclusions: The incidence of POEwas 0.0084% (0.0181% in group A and 0.0076% in group B). The probability of having POE in group A was 2.37 times greater than in group B (OR: 2.37; 95% CI: 0.71-6.2; P = .079). The only significant risk factor for POE was posterior capsular rupture.
{"title":"Acute postoperative endophthalmitis after phacoemulsification in a private ophthalmic surgical group.","authors":"A Llovet-Rausell, F Llovet-Osuna, J Ortega-Usobiaga, J Beltran-Sanz, V Druchkiv","doi":"10.1016/j.oftale.2024.07.012","DOIUrl":"10.1016/j.oftale.2024.07.012","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the incidence, causes, risk factors and treatment of acute postoperative endophthalmitis (POE) after phacoemulsification in a private ophthalmological group.</p><p><strong>Design: </strong>Uncontrolled retrospective observational study of all cases of POE over 22 years.</p><p><strong>Material and methods: </strong>369,476 eyes were included after phacoemulsification in 41 surgical centers of the Clínica Baviera-AIER EYE Group from 2002 to 2023. POE cases were reviewed.</p><p><strong>Results: </strong>The general group was divided into two: group A (2002-2007), with vancomycin in the intracameral irrigation flow (27,705 eyes); Group B (2008-2023), with intracameral cefuroxime (341,771 eyes). 31 cases of POE were found (incidence, 0.0084%); 5 in group A (0.018%) and 26 in group B (0.0076%) (P = .314), with a mean age of 67.3 years (14 men and 17 women). Cultures were positive in 14 cases in Groups A and B. Treatment was based on intravitreal antibiotics and vitrectomy. The mean time to symptom onset was 6.76 days and the mean time to resolution was 120.7 days. 12 eyes achieved corrected distance visual acuity ≥ 20/40.</p><p><strong>Conclusions: </strong>The incidence of POEwas 0.0084% (0.0181% in group A and 0.0076% in group B). The probability of having POE in group A was 2.37 times greater than in group B (OR: 2.37; 95% CI: 0.71-6.2; P = .079). The only significant risk factor for POE was posterior capsular rupture.</p>","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792943","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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