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Rachwani Anil R, Montesinos JG, Rocha-de-Lossada C, Rodríguez Calvo de Mora M. Keratoglobus: Ancillary testing for differential diagnosis. J Fr Ophtalmol 2020; 44:279-283. [PMID: 33109385 DOI: 10.1016/j.jfo.2020.04.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Revised: 04/01/2020] [Accepted: 04/02/2020] [Indexed: 11/17/2022]
Affiliation(s)
- R Rachwani Anil
- Hospital Regional de Málaga, Departamento de Oftalmología, Plaza del Hospital civil s/n, 29009 Málaga, Spain.
| | - J G Montesinos
- Hospital Regional de Málaga, Departamento de Oftalmología, Plaza del Hospital civil s/n, 29009 Málaga, Spain
| | - C Rocha-de-Lossada
- Instuto Clínico de Oftalmología (ICOF), Hospital Clinic de Barcelona, Carrer de Sabino Arana, 1, 08028 Barcelona, Spain
| | - M Rodríguez Calvo de Mora
- Hospital Regional de Málaga, Departamento de Oftalmología, Plaza del Hospital civil s/n, 29009 Málaga, Spain
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García Lorente M, Zamorano Martín F, Rocha de Lossada C, Rodríguez Calvo de Mora M. Has there been a more rational use of the ophthalmic emergency services in the face of the COVID-19 pandemic? Archivos de la Sociedad Española de Oftalmología (English Edition) 2020. [PMCID: PMC7323650 DOI: 10.1016/j.oftale.2020.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- M. García Lorente
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, Spain
- Corresponding author.
| | - F. Zamorano Martín
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, Spain
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García Lorente M, Zamorano Martín F, Rocha de Lossada C, Rodríguez Calvo de Mora M. Has there been a more rational use of the ophthalmic emergency services in the face of the COVID-19 pandemic? Arch Soc Esp Oftalmol (Engl Ed) 2020; 95:467-468. [PMID: 32553801 PMCID: PMC7241377 DOI: 10.1016/j.oftal.2020.05.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 05/05/2020] [Indexed: 12/04/2022]
Affiliation(s)
- M García Lorente
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España.
| | - F Zamorano Martín
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
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García Lorente M, Zamorano Martín F, Rodríguez Calvo de Mora M, Rocha de Lossada C. Brief history of chloramphenicol in ophthalmology. Is it safe to use? Arch Soc Esp Oftalmol (Engl Ed) 2020; 95:153-154. [PMID: 32029294 DOI: 10.1016/j.oftal.2020.01.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 01/14/2020] [Indexed: 06/10/2023]
Affiliation(s)
- M García Lorente
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España.
| | - F Zamorano Martín
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
| | | | - C Rocha de Lossada
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España; Servicio de Oftalmología, Hospital Clínic Barcelona, Barcelona, España
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García Lorente M, Rodríguez Calvo de Mora M, Zamorano Martín F, Villalvilla Castillo J. Comment on: Ophthalmology emergencies. An epidemiological study: Are resources being used properly? Arch Soc Esp Oftalmol (Engl Ed) 2019; 94:571-572. [PMID: 31331647 DOI: 10.1016/j.oftal.2019.03.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 03/23/2019] [Indexed: 06/10/2023]
Affiliation(s)
- M García Lorente
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
| | | | - F Zamorano Martín
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
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Rocha de Lossada C, Zamorano Martín F, Rodríguez Calvo de Mora M, Jódar Márquez M, Hernando Ayala C, Lu LW. Extraction of an intraorbital foreign body with the help of an ocular external electromagnet: Instruments of the past still have a place in the present. ACTA ACUST UNITED AC 2019; 94:605-608. [PMID: 31601497 DOI: 10.1016/j.oftal.2019.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 09/02/2019] [Accepted: 09/09/2019] [Indexed: 10/25/2022]
Abstract
Intraorbital Foreign Bodies (IOFB) are objects, usually of metallic nature, located outside the orbit cavity, and can potentially cause serious damage to ocular and orbital structures. The case is presented of a patient with an anterior metallic IOFB that was extracted with the aid of a Livingston-Mansfield ocular external electromagnet. Despite being an instrument «of the past», we believe that the electromagnet can still be useful in certain circumstances.
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Affiliation(s)
- C Rocha de Lossada
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España.
| | - F Zamorano Martín
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
| | | | - M Jódar Márquez
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
| | - C Hernando Ayala
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
| | - L W Lu
- Arizona State University, Arizona, EE. UU
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de Las Rivas Ramírez N, Atencia Ballesteros M, España Contreras M, Rodríguez Calvo de Mora M. Ophthalmia nodosa due to caterpillar setae. Arch Soc Esp Oftalmol (Engl Ed) 2019; 94:e73. [PMID: 31171385 DOI: 10.1016/j.oftal.2019.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Revised: 04/26/2019] [Accepted: 05/01/2019] [Indexed: 06/09/2023]
Affiliation(s)
| | | | - M España Contreras
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
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Rocha de Lossada C, Rodríguez Calvo de Mora M, Hernando Ayala C, Borroni D. Photophobia and neuropathic pain in Sudecḱs syndrome. Arch Soc Esp Oftalmol (Engl Ed) 2019; 94:293-296. [PMID: 30736999 DOI: 10.1016/j.oftal.2018.11.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 11/27/2018] [Accepted: 11/29/2018] [Indexed: 06/09/2023]
Abstract
The case is presented of a 14 year-old patient diagnosed with Sudeck's syndrome secondary to uneventful foot trauma. The patient complained of decreased visual acuity along with photophobia and intense ocular pain not correlated with the exploratory findings. Sudeck's syndrome is an idiopathic neuropathic inflammatory disease characterised by disproportionate pain, unrelated to a previous traumatic event, which can evolve to severe and generalised pain. A new explanation has recently described this as "neuropathic eye pain" for those patients with severe eye pain that do not correlate with clinical signs. In the case presented here, the pain became widespread and led to photophobia and very intense ocular neuropathic pain. It is believed that this was the cause of the visual decrease presented by this patient. It is proposed that the Sudeck syndrome should become part of the differential diagnosis of neuropathic eye pain.
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Affiliation(s)
- C Rocha de Lossada
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España.
| | | | - C Hernando Ayala
- Servicio de Oftalmología, Hospital Regional Universitario de Málaga, Málaga, España
| | - D Borroni
- Department of Doctoral Studies, Riga Stradins University, Latvia, Letonia; Royal Liverpool University Hospital, Liverpool, Reino Unido
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Alba Linero C, Rodríguez Calvo de Mora M, España Contreras M, Hernando Ayala C. Multifocal Best's disease: The importance of genetic tests. Arch Soc Esp Oftalmol (Engl Ed) 2017; 93:136-138. [PMID: 29150214 DOI: 10.1016/j.oftal.2017.08.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 05/29/2017] [Accepted: 08/26/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES AND METHODS Our objective is to describe a multifocal vitelliform presentation of Best's disease. The lesions in this disease may vary in size and shape, some may be a disc diameter in size, and often have some irregularity in their contour. The case is described of a 21-year-old male patient referred to our ophthalmology department due to a progressive loss of vision. His poor visual acuity was confirmed, and a complete examination was performed, in which macular flecks were observed, with yellow pigment arranged in oval distribution near their periphery. Due to the suspicion of Best's multifocal disease, genetic tests were performed. Multifocal vitelliform disease with the same features as those in Best's disease occurs most frequently in patients with a normal electro-oculogram (EOG), and a normal family history. CONCLUSION Best's multifocal disease must be suspected in case of multiple vitelliruptive lesions close to the posterior pole. Genetic testing is essential for its diagnosis.
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Affiliation(s)
- C Alba Linero
- Departamento de Oftalmología, Hospital Regional Universitario de Málaga, Hospital Civil, Málaga, España.
| | - M Rodríguez Calvo de Mora
- Departamento de Oftalmología, Hospital Regional Universitario de Málaga, Hospital Civil, Málaga, España
| | - M España Contreras
- Departamento de Oftalmología, Hospital Regional Universitario de Málaga, Hospital Civil, Málaga, España
| | - C Hernando Ayala
- Departamento de Oftalmología, Hospital Regional Universitario de Málaga, Hospital Civil, Málaga, España
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Rodríguez Calvo de Mora M, Rodríguez Moreno G, España Contreras M. [Webino syndrome caused by meningovascular syphilis. A rare entity with an unexpected cause]. ACTA ACUST UNITED AC 2013; 89:199-202. [PMID: 24269393 DOI: 10.1016/j.oftal.2012.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2012] [Revised: 10/27/2012] [Accepted: 11/07/2012] [Indexed: 10/27/2022]
Abstract
CASE REPORT The patient is a 57-year-old obese and hypertensive male. His chief complaints were double vision and dizziness, with mild exodeviation in both eyes in primary gaze position in the ocular motility examination, but more predominant in the left eye. The exotropia was noticeably more evident on the attempted upgaze. On horizontal gaze, the abducting eye deviated fully, but the adducting eye did not cross the midline. Nystagmus in the abducting eye and convergence impairment were found. Pupil size and testing were normal. Ataxia and areflexia were also present. Bilateral internuclear ophthalmoplegia was suspected and imaging and laboratory tests were performed. The CAT scan showed a right occipital hypo-attenuated lesion. In the MRI scan, a mesencephalic subacute ischemic lesion was found, involving the medial rectus sub-nuclei. Blood and cerebrospinal fluid test for syphilis were positive. DISCUSSION Bilateral internuclear ophthalmoplegia is a very uncommon -and difficult to diagnose- condition. In the reported case the lesion involved the medial rectus sub-nuclei. This fact could explain the exotropia in the primary gaze position, and supports that is not possible to exclude the involvement of the medial rectus sub-nuclei in the webino syndrome. The rapid identification of the pathology contributed to the better prognosis of the patient.
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Affiliation(s)
| | - G Rodríguez Moreno
- Servicio de Oftalmología, Hospital Regional Universitario Carlos Haya, Málaga, España
| | - M España Contreras
- Servicio de Oftalmología, Hospital Regional Universitario Carlos Haya, Málaga, España
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