Análisis de superficie ocular en pacientes diagnosticados de ictiosis X / Ocular surface analysis in patients diagnosed with X-linked ichthyosis

Se estudió a 7 pacientes (14 ojos) diagnosticados de ictiosis X mediante test de Schirmer, biomicroscopia, tonometría, recuento endotelial, tomografía de coherencia óptica, Pentacam, analizador de superficie ocular y microscopia confocal. La edad media fue 33,83 ± 20,17 años (rango: 7-64 años). Los hallazgos más frecuentes en biomicrocoscopia fueron disfunción de glándulas de Meibomio (83,3%) y opacidades corneales estromales (33%). El tiempo de rotura de la película lagrimal se encontró acortado en el 25% de los ojos. La microscopia confocal (2 ojos) reveló queratocitos activados con partículas hiperreflectivas en su interior en estroma anterior y fuera de ellos en estroma posterior. Creemos que la extensión del uso de la microscopia confocal permitirá conocer mejor la enfermedad corneal asociada a ictiosis X y nuevas características de estos pacientes

Seven patients (14 eyes) diagnosed with X-linked ichthyosis were studied using the Schirmer test, biomicroscopy, tonometry, endothelial count, optical coherence tomography, Pentacam®, ocular surface analyser, and confocal microscopy. The mean age was 33.83 ± 20.17 years (range: 7-64 years). The most frequent findings in biomicroscopy were Meibomian glands dysfunction (83.3%) and stromal corneal opacities (33%). The tear break-up time was found shortened in 25% of the eyes. Confocal microscopy (both eyes) revealed activated keratocytes with hyper-reflective particles inside them in the anterior stroma and outside them in the posterior stroma. It is believed that the inclusion of the use of confocal microscopy will help in a better understanding of the corneal pathology associated with ichthyosis X, as well as new characteristics of these patients

Ocular surface analysis in patients diagnosed with X-linked ichthyosis. / Análisis de superficie ocular en pacientes diagnosticados de ictiosis X.

Seven patients (14 eyes) diagnosed with X-linked ichthyosis were studied using the Schirmer test, biomicroscopy, tonometry, endothelial count, optical coherence tomography, Pentacam®, ocular surface analyser, and confocal microscopy. The mean age was 33.83±20.17 years (range: 7-64 years). The most frequent findings in biomicroscopy were Meibomian glands dysfunction (83.3%) and stromal corneal opacities (33%). The tear break-up time was found shortened in 25% of the eyes. Confocal microscopy (both eyes) revealed activated keratocytes with hyper-reflective particles inside them in the anterior stroma and outside them in the posterior stroma. It is believed that the inclusion of the use of confocal microscopy will help in a better understanding of the corneal pathology associated with ichthyosis X, as well as new characteristics of these patients.

Atrofia geográfica en seudoxantoma elástico / Geographical atrophy in pseudoxanthoma elasticum

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Coroideremia: a propósito de un caso / Choroideraemia: A case report

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Oftalmología de urgencias. Un estudio epidemiológico: ¿se utilizan correctamente los recursos? / Ophthalmological emergencies. An epidemiological study: Are resources been used properly?

Objetivo: Determinar la epidemiología de todas las visitas a urgencias oftalmológicas incluyendo todos los grupos de edad durante los años 2014 y 2015 en dos hospitales de tercer nivel. Métodos: Fueron incluidos todos los pacientes que acudieron a urgencias oftalmológicas desde el 1 de enero de 2014 al 31 de diciembre de 2015. Las variables estudiadas fueron el sexo, la edad, el lugar de procedencia, la hora de llegada, el día de la semana, el mes y el año de la visita, el diagnóstico, el lugar de derivación al alta, el nivel de prioridad y el tiempo total de asistencia. Las patologías fueron clasificadas según los códigos CIE-9, MC. Resultados: Se produjeron un total de 39.869 visitas a urgencias entre los años 2014 y 2015. Estas fueron más frecuentes en el sexo femenino, los lunes y en los meses de abril, mayo y junio. La edad media fue de 46,24 años. El 73,42% de las visitas se clasificaron como no urgentes. La patología más frecuente atendida fue la conjuntivitis (17,28%), seguida de queratitis (15,31%) y desprendimiento de vítreo posterior (5,37%). La celulitis orbitaria fue la patología que cursó con un mayor porcentaje de ingresos (23%). La mayoría de los pacientes fueron derivados al alta a su domicilio (94,85%). Conclusiones: Dado que la gran mayoría de patologías atendidas en urgencias son no urgentes, es conveniente el establecimiento de medidas para conseguir una asistencia más eficiente, orientada a la patología urgente y que no consuma recursos innecesarios

Objectives: To determine the prevalence of ophthalmological emergency visits to two tertiary hospital in all age groups during years 2014 and 2015. Methods: All patients who attended Ophthalmological Emergency Department from 1 January 2014 to 31 December 2015 were included in the study. The demographic variables studied were gender, age, place of origin, time of arrival, day of the week, month and year of the visit, the diagnosis, destination on discharge, total time of the visit and priority. Pathologies were categorised using codes from ICD-9, CM. Results: A total of 39,869 visits were made between 2014 and 2015. Emergency consultations were more frequent among women, on Mondays, and from April to June. The mean age of the patients was 46.24 years old, and 73.42% of visits were classified as non-emergencies. The most frequent pathology was conjunctivitis (17.28%), followed by keratitis (15.31%), and vitreous detachment (5.37%). The pathology that led to more hospital admissions was orbital cellulitis (23%). The majority of patients (94.85%) were sent to their place of residence after the visit. Conclusions: Given that the great majority of Ophthalmological Emergency visits are categorised as non-emergencies, measures need to be set up in order achieve a more effective care focused on emergency pathology without using unnecessary resources

Ophthalmological emergencies. An epidemiological study: Are resources been used properly? / Oftalmología de urgencias. Un estudio epidemiológico: ¿se utilizan correctamente los recursos?

OBJECTIVES: To determine the prevalence of ophthalmological emergency visits to two tertiary hospital in all age groups during years 2014 and 2015. METHODS: All patients who attended Ophthalmological Emergency Department from 1 January 2014 to 31 December 2015 were included in the study. The demographic variables studied were gender, age, place of origin, time of arrival, day of the week, month and year of the visit, the diagnosis, destination on discharge, total time of the visit and priority. Pathologies were categorised using codes from ICD-9, CM. RESULTS: A total of 39,869 visits were made between 2014 and 2015. Emergency consultations were more frequent among women, on Mondays, and from April to June. The mean age of the patients was 46.24years old, and 73.42% of visits were classified as non-emergencies. The most frequent pathology was conjunctivitis (17.28%), followed by keratitis (15.31%), and vitreous detachment (5.37%). The pathology that led to more hospital admissions was orbital cellulitis (23%). The majority of patients (94.85%) were sent to their place of residence after the visit. CONCLUSIONS: Given that the great majority of Ophthalmological Emergency visits are categorised as non-emergencies, measures need to be set up in order achieve a more effective care focused on emergency pathology without using unnecessary resources.