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The choroidal thinning (white arrow) at nasal level could be physiological and attributable to the patient’s myopia. Subfoveal hyperreflectivity resolved at two weeks (B) leaving a minimal sequel of subfoveal RPE thickening at 1.5 months (C). The outer nasal layers progressively recovered (B and C). In A-OCT 8×8 en-face, at ellipsoid layer level, hyperreflective points were observed surrounding the papilla (green arrow) at debut (D). After two weeks (E), these peripapillary hyperreflective points decreased but hyporeflective spots were observed (white arrow), which correlate with the disruption of the outer retina in autofluorescence. After 1.5 months (F), hyporeflective spots decreased and white peripapillary spots disappeared. The A-OCT 3×3 showed at choriocapillary level two apparent hypoperfusion spots in the debut of the disease (G), which correlate with the shadow of the subfoveal column hyperreflectivity." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. 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"apellidos" => "Adán" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0365669120303105" "doi" => "10.1016/j.oftal.2020.07.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669120303105?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357942030219X?idApp=UINPBA00004N" "url" => "/21735794/unassign/S217357942030219X/v1_202011150602/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Original article" "titulo" => "Frequency, risk factors and time to resolution of exposure keratopathy in patients in the Pediatric Intensive Care Unit" "tieneTextoCompleto" => 0 "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Remigio Antonio Pech-Lugo, Antonio Vázquez-Cerón, Fany Karina Segura López, Adriana Dávila-Camargo" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Remigio Antonio" "apellidos" => "Pech-Lugo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Antonio" "apellidos" => "Vázquez-Cerón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Fany Karina Segura" "apellidos" => "López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 3 => array:4 [ "nombre" => "Adriana" "apellidos" => "Dávila-Camargo" "email" => array:1 [ 0 => "dra.davila.camargo@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Oftalmología, Unidad Médica de Alta Especialidad (UMAE) Hospital de Especialidades No 71, Instituto Mexicano del Seguro Social. Torreón, Coahuila, Mexico" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Investigación, Unidad Médica de Alta Especialidad (UMAE) Hospital de Especialidades No 71, Instituto Mexicano del Seguro Social. Torreón, Coahuila, Mexico" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Frecuencia, factores de riesgo y tiempo de resolución de la queratopatía por exposición en pacientes de la Unidad de Cuidados Intensivos Pediátrica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-03-28" "fechaAceptado" => "2024-08-22" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1903093" "palabras" => array:6 [ 0 => "exposure keratopathy" 1 => "lagophphthalmos" 2 => "sedation" 3 => "PICU" 4 => "mechanical ventilation" 5 => "superficial punctate keratitis" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1903092" "palabras" => array:6 [ 0 => "exposure keratopathy" 1 => "lagophftalmos" 2 => "sedation" 3 => "PICU" 4 => "mechanical ventilation" 5 => "superficial punctate keratitis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "Background and objectiveExposure 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 methodsDescriptive, 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. Results81 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, Lagoftalmos 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. ConclusionsThe 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." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Background and objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Materials and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "Antecedentes y objetivoLa queratopatía por exposición (QPE) se caracteriza por erosiones punteadas del epitelio corneal, principalmente localizadas en el tercio inferior de la córnea. En la Unidad de Cuidados Intensivos Pediátrica (UCIP) se ha reportado una incidencia del 19-25%.El objetivo de este estudio fue describir la frecuencia, los factores de riesgo y el tiempo de resolución de la queratitis por exposición en pacientes de la UCIP. Materiales y métodosEstudio descriptivo, observacional, longitudinal, prospectivo. Se evaluó la asociación de queratitis por exposición a factores de riesgo mediante la prueba de Chi cuadrado y la determinación de OR e intervalo de confianza al 95%. ResultadosSe incluyeron 81 pacientes ingresados en la UCIP entre marzo a septiembre 2023, 46 (56.79%) desarrollaron QPE, el 67.39% (31/46) grado 1 y el 26.08% (12/46) grado 3. La mediana del tiempo de resolución fue de 3 días, rango intercuartil (2–5). Se observó diferencia significativa entre pacientes con y sin QPE en el requerimiento de ventilación mecánica 86.13% vs., 54.29% p = 0.01, OR = 6.905(2.20-21.64), sedación 100% vs.,85.71%, p = 0.02, en la duración de la sedación 5 días vs 2.5 días (p = 0.024), relajación neuromuscular 21.74% vs., 0%, p = 0.002, Lagoftalmos 86.94% vs., 31.43% p < 0.00001, OR = 13.33 (4.42-40.17), quemosis 15.21% vs., 0%, p = 0.014 y días de estancia en UCIP mediana 7 (5–11) vs. 3 (2–6), p < 0,00001. ConclusionesLa frecuencia de QPE observada 56.79%, más alta que la reportada previamente en la literatura en población pediátrica. Se identificaron como factores de riesgo ventilación mecánica, sedación, duración de la sedación, Lagoftalmos quemosis y días de estancia en UCIP." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Antecedentes y objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Materiales y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/unassign/S2173579424001774/v1_202411010425/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735794/unassign/S2173579424001774/v1_202411010425/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579424001774?idApp=UINPBA00004N"]

ISSN: 2173-5794
e-ISSN: 1989-7286

Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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Training in cataract surgery in Spain: analysis of the...

Arch Soc Esp Oftalmol. 2024;99:373-82

Approaches to the epidemiology of NOHL in the region of...

Arch Soc Esp Oftalmol. 2023;98:673-9

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