La huella de carbono de la cirugía de catarata en España / The carbon footprint of cataract surgery in Spain

Antecedentes y objetivo El cambio climático es una de las amenazas más significativas para la salud humana actualmente. La industria sanitaria es responsable de una parte importante de las emisiones de gases de efecto invernadero (GEI). Este estudio pretende calcular la dimensión de las emisiones de GEI atribuibles de manera directa e indirecta a la cirugía de la catarata en España, para poder así identificar las áreas con mayor capacidad de mejora. Material y método Este estudio observacional de una serie de casos calcula y analiza la huella de carbono correspondiente a una cirugía de catarata mediante facoemulsificación en el Complejo Asistencial de Ávila siguiendo la norma de estandarización ISO 14064. Resultados La huella de carbono de una cirugía de catarata en el Complejo Asistencial de Ávila ha sido de 86,62kg de CO2eq. El 85% de las emisiones de GEI corresponden a las derivadas de los suministros de equipamiento y farmacéuticos Conclusiones La colaboración entre industria farmacéutica y oftalmólogos es esencial para intentar reducir el impacto ambiental de la cirugía de catarata. Se necesitan más estudios para implementar medidas que no comprometan la seguridad de los pacientes. Los nuevos modelos de cirugía verde podrían tener un papel muy alentador en el nuevo panorama de la salud global (AU)

Background and purpose Climate change is one of the most important threats to human health nowadays. The healthcare industry produces a significant part of greenhouse gases (GHG) emissions. The aim of this study is to assess direct and indirect GHG emissions due to cataract surgery in Spain to identify opportunities for improving. Material and methods This observational case series study estimates and analyses the carbon footprint of a single cataract surgery using phacoemulsification in Ávila Hospital. ISO standard 14064 was applied. Results The carbon footprint of a single cataract surgery in Ávila Hospital was 86.62kg CO2eq. Medical and pharmaceutical equipment were responsible for 85% of GHG emissions. Conclusions Collaboration between pharmaceuticals and ophthalmologists is important to improve the environmental impact of cataract surgery. Future research is needed to introduce changes that do not compromise patient and surgeon safety. Green surgery models could play an encouraging role in the new global health scene (AU)

The carbon footprint of cataract surgery in Spain.

BACKGROUND AND PURPOSE: Climate change is one of the most important threats to human health nowadays. The healthcare industry produces a significant part of greenhouse gases (GHG) emissions. The aim of this study is to assess direct and indirect GHG emissions due to cataract surgery in Spain to identify opportunities for improving. METHODS: This observational case series study estimates and analyses the carbon footprint of a single cataract surgery using phacoemulsification in Ávila Hospital. ISO standard 14064 was applied. RESULTS: The carbon footprint of a single cataract surgery in Ávila Hospital was 86.62kg CO2eq. Medical and pharmaceutical equipment were responsible for 85% of GHG emissions. CONCLUSIONS: Collaboration between pharmaceuticals and ophthalmologists is important to improve the environmental impact of cataract surgery. Future research is needed to introduce changes that do not compromise patient and surgeon safety. Green surgery models could play an encouraging role in the new global health scene.

Traumatismos deportivos en oftalmología. Un estudio descriptivo en un hospital terciario / Sports injuries in opthalmology. A descriptive study in a tertiary hospital / Lesões esportivas em oftalmologia. Estudo descritivo em hospital terciário

OBJETIVO: Determinar las características clínicas y epidemiológicas de los traumatismos deportivos oculares de la población asistencial de un hospital terciario de Madrid. MÉTODO: Recopilación retrospectiva de los datos clínicos de los pacientes que acudieron al servicio de urgencias del Hospital Clínico San Carlos en el periodo enero 2015-diciembre 2017 y que habían sufrido un traumatismo ocular durante la práctica de algún 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 mayoría de los traumatismos oculares deportivos son leves y se resuelven apenas con tratamiento médico. Se deben excluir diagnósticos más graves que requieran de un tratamiento más específico. Las campañas de prevención de daños deben ir encaminadas a los grupos con mayor riesgo de presentarlos

OBJECTIVE: The purpose of this article is to determine the clinical and epidemiologic characteristics of ocular sports injuries in a tertiary hospital of Madrid. METHOD: The study was based on a retrospective record of clinical data of patients who underwent clinical exploration after ocular sport injury between January 2015 and December 2017 in Clinic Hospital San Carlos. RESULTS: A total of 54 patients were recruited from which 47 (87.04%) were males. The mean age was 27.26 years ± 13.01 years Standard Deviation. The sport with the most frequent cause of ocular injury was soccer, followed by racket sports, fight sports and basketball. Traumatic iritis was the most frequent diagnosis, followed by periocular lesions, anterior segment lesions, conmotio retinae, rhegmatogenous lesions, orbital fracture and retinal detachment. Medical treatment solved 87.04% of the cases. CONCLUSIONS: Most of the sports related to ocular injuries were minor cases and they could be solved with only medical treatment. More severe diagnosis must be investigated for more specific treatments, thought. Prevention strategies must be focused in higher risk groups

OBJETIVO: O objetivo deste artigo é determinar as características clínicas e epidemiológicas das lesões oculares desportivas num hospital terciário de Madrid. MÉTODO: O estudo foi baseado num registo retrospectivo de dados clínicos de doentes que foram submetidos a exploração clínica depois duma lesão desportiva ocular entre Janeiro de 2015 e Dezembro de 2017 no Hospital Clínico San Carlos. RESULTADOS: Foram recrutados 54 doentes, dos quais 47 (87.04%) eram do sexo masculino. A idade média foi de 27.26 anos ± 13.01 anos de desvio padrão. O desporto que mais frequentemente causou lesões oculares foi o futebol, seguido dos desportos de raquete, luta desportiva e basquetebol. A irite traumática foi o diagnóstico mais frequente, seguida de lesões perioculares, lesões do segmento anterior, conmotio retinae, lesões regmatogénicas, fractura orbital e descolamento da retina. O tratamento médico resolveu 87.04% dos casos. CONCLUSÕES: A maioria dos desportos relacionados com lesões oculares foram casos menores e só puderam ser resolvidos com tratamento médico. É necessário investigar um diagnóstico mais rigoroso para tratamentos mais específicos. As estratégias de prevenção devem ser centradas nos grupos de maior risco

Parálisis oculomotoras en el contexto de una reactivación del virus varicela-zóster: a propósito de 4 casos / Oculomotor nerve palsy in herpes zoster ophthalmicus: Presentation of 4 cases

La infección por el virus varicela-zóster (VVZ) tiene una alta prevalencia a nivel mundial. De las muchas manifestaciones oftalmológicas que puede manifestar, la diplopía de aparición brusca es una de ellas. Revisamos 4 casos clínicos de mononeuritis del III y VI par craneales en el contexto de vesículas herpéticas por el VVZ y revisamos la fisiopatología y las manifestaciones clínicas más importantes. Es obligado para el oftalmólogo descartar complicaciones mediante pruebas de imagen y el correcto tratamiento con antivirales sistémicos

Varicella zoster virus (VZV) infection has a high prevalence worldwide. Within the multiple ophthalmologic manifestations that VZV can cause, sudden diplopia is among them. A review is presented of four clinical cases of 3rd and 4th oculomotor nerve palsies in herpes zoster ophthalmicus. A review is also presented of the physiopathology and most important clinical manifestations. Imaging tests are essential in order to rule out complications. Systemic antiviral administration is the correct treatment

Epidemia COVID-19: ¿debe el oftalmólogo estar alerta ante las paresias oculomotoras? / COVID-19 epidemic: Should ophthalmologists be aware of oculomotor paresis?

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Oculomotor nerve palsy in herpes zoster ophthalmicus: Presentation of 4 cases. / Parálisis oculomotoras en el contexto de una reactivación del virus varicela-zóster: a propósito de 4 casos.

Varicella zoster virus (VZV) infection has a high prevalence worldwide. Within the multiple ophthalmologic manifestations that VZV can cause, sudden diplopia is among them. A review is presented of four clinical cases of 3rd and 4th oculomotor nerve palsies in herpes zoster ophthalmicus. A review is also presented of the physiopathology and most important clinical manifestations. Imaging tests are essential in order to rule out complications. Systemic antiviral administration is the correct treatment.

Haab striae: Optical coherence tomographic analysis.

PURPOSE: To study Haab striae in adults with primary congenital glaucoma and describe them by anterior segment optical coherence tomography, as well as analyze their evolution over the patient's lifetime. MATERIAL AND METHODS: Three patients with primary congenital glaucoma were recruited, aged between 17 and 48 years old, with incidentally noted Haab striae on glaucoma consultation. They were studied by: slit lamp; anterior segment optical coherence tomography, Heidelberg Engineering Inc., Germany, (with anterior segment module) and Cirrus HD-OCT, Carl Zeiss Meditec, Dublin, California, USA (with 3D reconstruction); and specular biomicroscopy. The results obtained were contrasted with other studies performed in children. RESULTS: Rounded excrescences protruding towards the anterior chamber were found, as well as dense, irregular tissue between them. In addition, endothelial abnormalities (polymegathism and polymorphism) were found. These findings fit the evolution of those obtained in pediatric studies and remain stable in adult life. CONCLUSIONS: Through noninvasive methods such as optical coherence tomography and specular biomicroscopy, it is possible to make the diagnosis and follow up these patients. The findings suggest posterior corneal topographic changes; additional studies on this subject may be necessary.