58 research outputs found
From glaucoma to neuroglaucoma
Available online 17 February 2021.
In Press, Corrected Proof.Unidad Docente de InmunologĂa, OftalmologĂa y ORLFac. de Ă“ptica y OptometrĂaTRUEinpres
PapilopatĂa diabĂ©tica: a propĂłsito de dos casos
Unidad Docente de InmunologĂa, OftalmologĂa y ORLFac. de Ă“ptica y OptometrĂaTRUEpu
Charles Bonnet syndrome in a young patient with a history of epilepsy
Unidad Docente de InmunologĂa, OftalmologĂa y ORLFac. de Ă“ptica y OptometrĂaTRUEpu
Prevalence and clinical characteristics of Charles Bonnet syndrome in Madrid, Spain
Purpose: Charles Bonnet syndrome (CBS) is a condition characterized by development of visual hallucinations in patients with no cognitive impairment and significant loss of vision mainly caused by age-related macular degeneration (AMD) or glaucoma. Methods: This was a study of prevalence and characteristics of CBS diagnosed at the Neuroophthalmic Unit within the Ophthalmology Department of Hospital ClĂnico San Carlos (HCSC), Madrid, Spain. Results: The CBS prevalence in patients from HCSC Madrid is 0.47%, rising to 15% in patients with low vision. Women over 80 years of age comprised 58.3% of the patients, who mainly had AMD (58.3%). Main characteristics of hallucinations included animals (50%), color (58.3%), moving (75%), 6- to 12-month evolution (50%), three times a day frequency (75%), and 3- to 5-minute duration (50%). Conclusions: Charles Bonnet syndrome is a complex process that must be treated jointly by ophthalmologists, neurologists, and psychiatrists in order to ensure accurate diagnosis and adequate management. New studies are needed in order to improve awareness of clinical manifestation of this condition, the incidence of which is underestimated due to patients' fear of being branded mentally ill, as well as physicians' lack of knowledge about CBS
Traumatismos deportivos en oftalmologĂa. Un estudio descriptivo en un hospital terciario
Objetivo: Determinar las caracterĂsticas clĂnicas y epidemiolĂłgicas de los traumatismos deportivos oculares de la poblaciĂłn asistencial de un hospital terciario de Madrid.
MĂ©todo: RecopilaciĂłn retrospectiva de los datos clĂnicos de los pacientes que acudieron al servicio de urgencias del Hospital ClĂnico San Carlos en el periodo enero 2015-diciembre 2017 y que habĂan sufrido un traumatismo ocular durante la práctica de algĂşn deporte.
Resultados: Se incluyeron en el estudio un total de 54 pacientes. 47 (87.04%) fueron hombres. La edad media fue de 27.26 años ± 13.01 años de desviación estándar. El deporte que causó más traumatismos entre los pacientes incluidos en el estudio fue el fútbol, seguido de deportes de raqueta, fuerza y combate y baloncesto. La iritis traumática fue el diagnóstico más frecuente, seguido de lesión periocular, lesiones de polo anterior, conmoción retiniana, lesiones regmatógenas, fractura orbitaria y desprendimiento de retina. El 87.04% de los cuadros se resolvieron con tratamiento médico.
Conclusiones: La mayorĂa de los traumatismos oculares deportivos son leves y se resuelven apenas con tratamiento mĂ©dico. Se deben excluir diagnĂłsticos más graves que requieran de un tratamiento más especĂfico. Las campañas de prevenciĂłn de daños deben ir encaminadas a los grupos con mayor riesgo de presentarlos
Normative database for separate inner retinal layers thickness using spectral domain optical coherence tomography in Caucasian population
Purpose: Develop the first normative database of the thickness of every inner retinal layer in the macular area in a healthy, Caucasian population between 18 to 87 years old, using Spectralis Optical Coherence Tomography (OCT).
Methods: On this transversal, observational study, 300 patients between 18 to 87 years old and without an ophthalmological condition were recruited. Macular OCT scans were performed on all patients (Spectralis OCT, Heidelberg Engineering). An axial length measurement, and keratometry were performed using an optical biometer. The volume and thickness of the different macular sectors of the inner retinal layers (retinal nerve fiber layer (RNFL), ganglion cells layer (CGL) and inner plexiform layer (IPL)) were analyzed with the Spectralis OCT segmentation software. An eye was randomly selected for each patient.
Results: 297 patients (179 females and 118 males) were included in the study. The mean age was 56.07 years (range: 40.50-72). The multivariate analysis showed a positive correlation between the RNFL thickness and the axial length (p < 0.001). The mean central retinal thickness was 278.2 Mm (range: 266-291), the mean central RNFL thickness was 12.61 Mm (range: 11-14), the mean central CGL thickness was 17.63 Mm (range: 14-21) and the mean central IPL thickness was 22.02 Mm (range: 20-25). The multivariate analysis showed a negative correlation between age and CGL thickness and inner IPL thickness (p< 0.001).
Conclusion: This study provides a normative database of the volume of each of the inner retinal layers on a Caucasian population
Curso evolutivo y neuritis Ăłptica en la esclerosis mĂşltiple
Carta cientĂficaUnidad Docente de InmunologĂa, OftalmologĂa y ORLFac. de Ă“ptica y OptometrĂaTRUEpu
Charles Bonnet syndrome in a child with congenital glaucoma
Case report: The case is presented of a 12 year-old boy with congenital glaucoma and low visual acuity diagnosed with Charles Bonnet syndrome. This consisted of the acute onset of complex, repetitive, persistent, and with visual hallucinations (people, brooms and coffeemakers) of self-limited evolution without treatment. The patient was diagnosed with congenital glaucoma at 3 years of age, and subjected to a trabeculectomy in right eye, and trabeculectomy and keratoplasty in his left eye.
Discussion: Charles Bonnet syndrome symptoms have been described in adults, but their presence in children is poorly reflected in literature, with unknown characteristics and prevalence
Metabolómica de la lágrima
Unidad Docente de InmunologĂa, OftalmologĂa y ORLFac. de Ă“ptica y OptometrĂaTRUEpu
Scheie's line as a first sign of pigment dispersion syndrome
A 50 year old woman was diagnosed with pigment dispersion syndrome (PDS) in the right eye and pigmentary glaucoma in the left eye in a routine medical examination. A line of pigment was observed in the vitreo-lenticular interface (Scheie's line) of the left eye and with an intraocular pressure of 26 mmHg. The Scheie's line (SL) develops by the accumulation of detached iris pigment in PDS and accumulated in the ligament of Wieger that forms the vitreo-lenticular union. The SL is considered a pathognomonic sign of PDS
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