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Management of periocular tumours with a Mohs surgery referral approach and their clinic-histological features. Mohs手术转诊方法治疗眼周肿瘤及其临床组织学特征。
Pub Date : 2024-12-04 DOI: 10.1016/j.oftale.2024.12.004
J M Ruiz Caro Larrea, S Simpson, G-Y Wong, D Ah-Kine, A Gibson, T M Lupión Durán

Antecedents and objectives: The purpose of our study was to showcase that MMS can be used efficiently even if it is not present (James Cook Hospital) in the management of periocular tumors through MMS via referral (Royal Victoria Infirmary Hospital) and to describe the clinical and histological features of our patients.

Materials and methods: We conducted a retrospective, longitudinal and descriptive study and 58 patients were included. We divided our patients in three groups; pre-COVID-19: patients from January 2019 to January 28th 2020, COVID-19: patients from January 29th 2020 to July 2021 and late COVID-19: patients from August 2021 to 24th of July 2023.

Results: There were no differences among each group between; the clinic date and the MMS procedure (p = 0,06), the referral date and the MMS procedure (p = 0,054), the MMS date to reconstruction (p = 0.19), the time of the lesion (p = 0,054). The type of reconstruction was not influenced by the number of days; between the clinic date and reconstruction (p = 0,60), the clinic date and the MMS procedure (p = 0,60), and the referral date and the MMS procedure (p = 0,27). Around 16% of the patients were discharged during the first postoperative visit.

Conclusion: The joint management of periocular tumours between two hospitals showed to be efficient, even though during COVID-19 pandemic times.

前事和目的:我们研究的目的是展示即使没有MMS (James Cook医院),MMS也可以有效地用于通过MMS转诊(皇家维多利亚医院)治疗眼周肿瘤,并描述我们患者的临床和组织学特征。材料和方法:我们进行了一项回顾性、纵向和描述性研究,纳入了58例患者。我们将患者分为三组;COVID-19前期:2019年1月至2020年1月28日的患者,COVID-19前期:2020年1月29日至2021年7月的患者,COVID-19晚期:2021年8月至2023年7月24日的患者。结果:两组间差异无统计学意义;临床日期和MMS手术(p = 0.06),转诊日期和MMS手术(p = 0.054), MMS重建日期(p = 0.19),病变时间(p = 0.054)。重建类型不受天数的影响;就诊日期与重建(p = 0.60)、就诊日期与MMS手术(p = 0.60)、转诊日期与MMS手术(p = 0.27)之间存在显著性差异。约16%的患者在术后第一次就诊时出院。结论:即使在COVID-19大流行期间,两家医院对眼周肿瘤的联合管理也显示出有效的效果。
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引用次数: 0
Cross - cultural adaptation of the Low Vision Quality of life scale 低视力生活质量量表的跨文化调整。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.08.001
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.

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.
简介与视觉功能相关的生活质量是一个多维度的概念,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下对眼部疾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:进行了一项内容验证研究,包括对量表进行翻译和回译,以评估最终版本在语义、习惯用语、概念和经验方面的等效性。这项研究有 21 人参与,并使用艾肯 V 系数对相关性和体验能力类别的评分进行了定量评估:结果:重新组织了问卷的表述。结果:对问卷的表述方式进行了重组,增加了示例,并提及了一些光学辅助工具。此外,还修改了一些术语,以提高理解能力并减少失礼。在 25 个项目中,有 11 个项目的艾肯 V 系数小于 1.0:获得的版本与原始问卷相当。然而,当地特有的成语转折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
Anterior segment optic coherence tomography (OCT-SA) findings in glaucoma surgery after Preserflo® Microshunt implantation Preserflo® 微分流术后青光眼手术的前段光学相干断层扫描(OCT-SA)结果。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.05.014
G. Ortega-Prades, Á.A. Ojeda-Parot, V.T. Pérez-Torregrosa
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引用次数: 0
Anterior segment optical coherence tomography for the differential diagnosis of iris cyst 用于虹膜囊肿鉴别诊断的前段光学相干断层扫描。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.06.014
E. Gracia-Rovira, V.-T. Pérez-Torregrosa, A.-M. Duch-Samper
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引用次数: 0
Atypical presentation of type 1 neovascularization with aneurysmal dilations in a young female 一名年轻女性的 1 型新生血管伴动脉瘤扩张的非典型表现。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.004
M. Zamorano , B. Puerto , J. Carceller , J.J. González-López , M.S. Figueroa , F.J. Muñoz-Negrete
Type 1 Neovascularization with Aneurysmal Dilations (N1a), is a retinal disorder characterized by choroidal vascular abnormalities. Clinically, it is characterized by an exudative maculopathy with multiple recurrent serosanguineous pigment epithelial detachments. This disease is more frequent in women aged 55–65 years. However, we present an exceptional case of N1a in a 26-year-old woman, who responded favorably to Aflibercept. To our knowledge, this is the first reported case of a young female patient under 30 with N1a. The patient has responded very favourably to anti-VEGF therapy with three intravitreal injections of Aflibercept. This being the reason for we provide an update on anti-VEGF therapeutic options for N1a.
1 型血管新生伴动脉瘤样扩张(N1a)是一种以脉络膜血管异常为特征的视网膜疾病。临床表现为渗出性黄斑病变和多发性浆液性色素上皮脱落。这种疾病多发于 55-65 岁的女性。然而,我们发现了一例特殊的 N1a 病例,患者是一名 26 岁的女性,她对 Aflibercept 反应良好。据我们所知,这是首例报告的 30 岁以下年轻女性 N1a 患者。患者对三次玻璃体内注射 Aflibercept 的抗血管内皮生长因子治疗反应良好。因此,我们提供了有关 N1a 抗血管内皮生长因子治疗方案的最新信息。
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引用次数: 0
Prevalence and risk factors for complicated immuno-mediated uveitis: experience in a tertiary hospital 复杂免疫介导葡萄膜炎的发病率和风险因素:一家三级医院的经验。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.06.013
P. Luque-Linero , A. Espejo-González , N. Navarrete-Navarrete

Objective

To describe the characteristics of patients with uveitis and ocular complications in a tertiary hospital. As well as to determine the risk factors for the development of an ocular complication.

Methods

Retrospective study of patients with uveitis evaluated in a Uveitis Unit of the Virgen de las Nieves Hospital from January 2018 to October 2022. A descriptive and analytical study was carried out using logistic regression to know the predictive factors of a poor ocular prognosis.

Results

A total of 127 patients were studied, of which 63% were women and 83.5% were Caucasian. The median age was 51 years IQR (15–88) years. Following the SUN classification, uveitis was predominantly bilateral (55.1%) and anterior (52%), had a recurrent evolution in 51,2% and only 12,6% were granulomatous. Of the total uveitis, 74,2% of the sample turned out to have an immune-mediated profile, although a final diagnosis was only reached in 46,1% of the patients. A total of 17,3% patients suffer from loss of vision. Visual complications in decreasing order were: posterior synechiae (15,6%), cystic macular edema (14.8%), cataracts (13,1%), glaucoma (8,2%), epiretinal membranes (4,9%) and neovascular membranes (1,7%) and retinal detachment (4%). In the bivariate analysis, ethnicity other than Caucasian was significant, p = 0,024, and a number of outbreaks greater than 2, p = 0,045. The rest of the variables analyzed were not significant. In the multivariate analysis, they were significant outbreaks OR: 1,2 CI (1,051−1,426) and ethnicity OR: 0,11 CI (0,014−0,938).

Conclusions

The number of outbreaks and non-Caucasian race were related to a greater probability of presenting an ocular complication. An earlier and more specific diagnosis of the etiology, especially in these patients, would allow earlier treatment and improve their prognosis.
目的描述一家三级医院中葡萄膜炎和眼部并发症患者的特征,并确定发生眼部并发症的风险因素。方法:对在圣母医院葡萄膜炎科接受评估的葡萄膜炎患者进行回顾性研究:对2018年1月至2022年10月期间在圣母医院葡萄膜炎科接受评估的葡萄膜炎患者进行回顾性研究。采用逻辑回归法进行描述性和分析性研究,以了解眼部不良预后的预测因素:共有 127 名患者接受了研究,其中 63% 为女性,83.5% 为白种人。中位年龄为 51 岁,IQR (15-88) 岁。根据SUN分类法,葡萄膜炎主要发生在双侧(55.1%)和前部(52%),51.2%的葡萄膜炎会反复发作,只有12.6%的葡萄膜炎是肉芽肿性的。在所有葡萄膜炎中,74.2%的样本具有免疫介导特征,但只有46.1%的患者得到了最终诊断。共有 17.3% 的患者视力下降。视力并发症依次递减为:后眼裂(15.6%)、囊性黄斑水肿(14.8%)、白内障(13.1%)、青光眼(8.2%)、视网膜外膜(4.9%)、新生血管膜(1.7%)和视网膜脱离(4%)。在双变量分析中,白种人以外的种族具有显著性(P = 0.024),爆发次数超过 2 次具有显著性(P = 0.045)。其余分析变量均不显著。在多变量分析中,疫情爆发 OR:1.2 CI(1.051-1.426)和种族 OR:0.11 CI(0.014-0.938)具有显著性:爆发次数和非高加索人种与出现眼部并发症的概率有关。对病因进行更早、更具体的诊断,尤其是对这些患者进行诊断,将有助于尽早治疗并改善预后。
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引用次数: 0
Suggestion of serious incidents in medical devices used in anterior segment surgery. Proposing ideas (II) 关于前段手术中使用的医疗器械严重事故的建议。提出想法 (II)。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.09.003
R. Lorente-Moore , J. Mendicute del Barrio , M.V. Rojas Silva , A. Macarro-Merino , E. Larra Mateos , J.C. Pastor
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.
随着医疗器械法规的生效,眼科医生有义务识别和报告在使用过程中可能出现的严重事故。面对可能出现的关于什么可以或不可以被视为严重事故的疑虑,由西班牙屈光和植入眼科手术协会(SECOIR)和眼科与视觉科学组(Cluster4Eye)成员组成的工作小组编写了一份共识文件,旨在指导眼科医生了解根据工作小组的经验,与使用医疗器械有关的一些并不常见或可能对患者功能造成严重损害的事故。本文件讨论了与使用粘弹剂、前囊染料、眼内镜片和前段手术中使用的其他物品有关的事故。
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引用次数: 0
Post-surgical endophthalmitis with secondary meningitis. About a case 手术后眼内炎并继发脑膜炎。关于一个病例
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.003
S. Hernández Santamaría, N. García Figuera, M. Maldonado MacCrohon, L. Jordano Luna, A. Laiseca García, M.T. Álvarez Barrio
A 61-year-old man presented hyperacute endophthalmitis due to Proteus mirabilis after a pars plana vitrectomy. In the first examination (24 h after surgery), visual acuity (VA) was of hand movement, biomicroscopy showed edematous cornea, Tyndall ++++ and fibrin membrane, with vitritis and impossibility of visualizing retina details. Treatment with intravitreal injections was performed. Despite the treatment, the patient's symptoms worsened, and he began with poor general condition, fever, and leukocytosis, requiring hospitalization and intravenous treatment because of a diagnosis of secondary meningitis due to post-surgical endophthalmitis. The patient required enucleation of the affected eye without prosthesis placement.
Even though post-surgical bacterial endophthalmitis is usually an infection confined to the eye, this clinical case demonstrates the possibility of the infection spreading to the rest of the body, potentially endangering the patient's life.
一名 61 岁的男子在接受玻璃体旁切除术后,因奇异变形杆菌引发了超急性眼内炎。首次检查(术后 24 小时)时,视力(VA)为手动量,生物显微镜检查显示角膜水肿、Tyndall ++++ 和纤维蛋白膜,并伴有玻璃体炎,无法看到视网膜细节。患者接受了玻璃体内注射治疗。尽管进行了治疗,但患者的症状还是恶化了,开始出现全身状况不佳、发热和白细胞增多等症状,需要住院并接受静脉注射治疗,因为他被诊断为手术后眼内炎引起的继发性脑膜炎。患者需要对患眼进行去核手术,但未植入人工晶体。尽管手术后细菌性眼内炎通常是局限于眼部的感染,但这一临床病例表明感染有可能扩散到身体其他部位,从而可能危及患者的生命。
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引用次数: 0
PHOMS: ovoid structures which are usually not egg-shaped PHOMS:卵圆形结构,通常不是蛋形。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.006
J. González Martín-Moro
{"title":"PHOMS: ovoid structures which are usually not egg-shaped","authors":"J. González Martín-Moro","doi":"10.1016/j.oftale.2024.10.006","DOIUrl":"10.1016/j.oftale.2024.10.006","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 574-575"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482873","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}
引用次数: 0
Multidisciplinary approach on the management of glaucoma: the role of corneal biomechanics 多学科方法治疗青光眼:角膜生物力学的作用。
Pub Date : 2024-12-01 DOI: 10.1016/j.oftale.2024.10.008
R. Bouchikh-El Jarroudi , P. Romera-Romero , J. Botella-Garcia , J. Loscos-Arenas
{"title":"Multidisciplinary approach on the management of glaucoma: the role of corneal biomechanics","authors":"R. Bouchikh-El Jarroudi ,&nbsp;P. Romera-Romero ,&nbsp;J. Botella-Garcia ,&nbsp;J. Loscos-Arenas","doi":"10.1016/j.oftale.2024.10.008","DOIUrl":"10.1016/j.oftale.2024.10.008","url":null,"abstract":"","PeriodicalId":93886,"journal":{"name":"Archivos de la Sociedad Espanola de Oftalmologia","volume":"99 12","pages":"Pages 525-526"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482871","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}
引用次数: 0
期刊
Archivos de la Sociedad Espanola de Oftalmologia
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