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"apellidos" => "García-Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Neurooftalmología, Servicio de Oftalmología, Instituto de Investigación Sanitaria, Hospital Clínico San Carlos (IdISSC), Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cátedra de Oftalmología, Universidad de Salamanca, Salamanca, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Papila de Bergmeister" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 755 "Ancho" => 903 "Tamanyo" => 52780 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bergmeister's papilla.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Bergmeister papilla (BP) is a variant of the papilla formed by persistent fetal hyaloid artery remains presenting as an pepipapillary membrane that can partially or fully occlude the papilla, constituting an obstacle for visualization and study (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Regarded as a generally unilateral casual finding, BP has no clinical repercussion but can produce doubts in diagnostics.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The embryonary hyaloid artery, a branch of the primitive dorsal ophthalmic artery, irrigates the lens during embryonary development and it progressively diminishes from the tenth week of gestation to disappear at birth. Incomplete disappearance of these embryonary structures over the optic nerve head produce the subsistence of glyal tissue at the beginning of Cloquet's canal or Stilling's duct that communicates the optic nerve with the lens, traversing the vitreous humor and which would be the complete remainder of the hyaloid artery.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">BP is a benign process which does not hinder individual development and has no clinical repercussion. In some cases, Mittendorf's dot or a vestige of the same hyaloid artery is found in the posterior lens capsule. However, in severe forms, it is possible to find persistence of the primary vitreous, cataracts micro-ophthalmia and even tractional retinal detachment. Less frequently it is possible to find a complete hyaloid artery from the papilla to the lens posterior capsule which could contain blood and even rupture producing vitreous hemorrhage.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">BP can give rise to diagnostic doubts. Differential diagnostic should be performed in the presence of abundant fetal remains as well as myelin fibers, optic neuropathies, pseudo-papiledema and even incipient asymmetric papiledema.</p><p id="par0025" class="elsevierStylePara elsevierViewall">BP was initially described by Otto Bergmeister, an Austrian ophthalmologist in the late nineteenth century. Born in Siltz (Tirol) in 1845. Bergmeister studied in Vienna where he worked as a professor, researcher and physician. Contemporary of von Graefe, Satler, Fuchs or Becker, he was disciple of Ferdinand Ritter von Arlt,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> an Austrian ophthalmologist. He published a number of articles, including About Buphthalmus congenitus (1881), About Corneal Dermoid (1884), About Fever in Relation to the Organ of Sight (1890) or About Treatment of Trachoma (1891). In addition he was a volunteer physician at the Leopoldstädter Children's Hospital, which had over 115 beds, together with other physicians like Hofmokl (surgeon), Gruber (audiologist) or Pichler (dentist) assisting over 14,000 patients on an outpatient basis and entirely free of charge.</p><p id="par0030" class="elsevierStylePara elsevierViewall">To conclude, may this Letter to the Editor be a homage to Otto Bergmeister and his work, and also to increase knowledge about said fetal remains of the hyaloid artery in the papilla among younger ophthalmologists who may encounter doubts in differential diagnostics between myelin fibers, papillitis or pseudo-papiledema, among others.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Santos-Bueso E, Asorey-García A, Vinuesa-Silva JM, García-Sánchez J. Papila de Bergmeister. Arch Soc Esp Oftalmol. 2015;90:395–396.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 755 "Ancho" => 903 "Tamanyo" => 52780 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bergmeister's papilla.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Persistencia bilateral de la arteria hialoidea. Reporte de un caso" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.M. Borbolla-Pertierra" 1 => "C.K. Martínez-Hernández" 2 => "J.C. Juárez-Echenique" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.oftal.2013.05.011" "Revista" => array:2 [ "tituloSerie" => "Arch Soc Esp Oftalmol" "fecha" => "2013" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hemorragia vítrea asociada a arteria hialoidea persistente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Azrak" 1 => "E. Campos-Mollo" 2 => "M. Lledó-Riquelme" 3 => "F. Ardoy Ibañez" 4 => "J.J. Martínez Toldos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.oftal.2011.03.006" "Revista" => array:6 [ "tituloSerie" => "Arch Soc Esp Oftalmol" "fecha" => "2011" "volumen" => "86" "paginaInicial" => "331" "paginaFinal" => "334" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22004579" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ferdinand Ritter von Arlt (Obergraupen, 1812-Viena, 1887)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.J. Noguera-Palau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Soc Esp Oftalmol" "fecha" => "2007" "volumen" => "82" "paginaInicial" => "791" "paginaFinal" => "792" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18040928" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009000000008/v1_201509220033/S2173579415001322/v1_201509220033/en/main.assets" "Apartado" => array:4 [ "identificador" => "8723" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009000000008/v1_201509220033/S2173579415001322/v1_201509220033/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579415001322?idApp=UINPBA00004N" ]
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Vol. 90. Issue 8.
Pages 395-396 (August 2015)
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Vol. 90. Issue 8.
Pages 395-396 (August 2015)
Letter to the Editor
Bergmeister's papilla
Papila de Bergmeister
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