Incidencia de COVID-19 entre los profesionales de oftalmología / Incidence of COVID-19 among ophthalmology professionals

No disponible

Drusas congénitas en el niño, diagnóstico diferencial con papiledema / Congenital drusen in the child, differential diagnosis with papilledema

La sospecha de papiledema es una de las principales derivaciones por parte del Servicio de Pediatría y de los centros de Atención Primaria al oftalmólogo. Es de vital importancia descartar patologías neurológicas y lesiones ocupantes de espacio, así como otras causas de hipertensión intracraneal. Existen diversas patologías que pueden simular un edema de papila, entre las cuales se encuentran las drusas congénitas (principal causa de pseudopapiledema en niños). Se presenta el estudio descriptivo de un caso con sospecha de papiledema derivado desde el pediatra del centro de salud, en el que se tuvo que realizar un diagnóstico diferencial

The suspicion of papillary edema is one of the main referrals by the Paediatric Service and Primary Care centers to the ophthalmologist. It is vitally important to rule out neurological pathologies and space-occupying lesions, as well as other causes of intracranial hypertension. There are several pathologies that can simulate papillary edema, among which are congenital drusen (the main cause of pseudo papilledema in children). We present the descriptive study of a case with suspected papilledema derived from the pediatrician of his medical center, in which a differential diagnosis had to be made

Fungal Keratitis Due to Beauveria bassiana in a Contact Lenses Wearer and Review of Published Reports.

Fungal keratitis is a severe ocular infection that primarily affects subjects engaged in outdoor activities. Risk factors include allergic conjunctivitis, previous eye surgery, previous treatment with wide-spectrum antimicrobial agents and corticosteroids and using contact lenses. Corneal infection is usually secondary to trauma involving organic material, which is often the only predisposing factor. Early diagnosis based on clinical examination and microbiological investigation (microscopy, cultures and molecular techniques) is crucial to selecting the appropriate antifungal therapy and prevent progression. We report the case of a patient with keratitis due to Beauveria bassiana, an opportunistic and entomopathogenic filamentous fungus that is used as a biological insecticide and which is a rare cause of corneal infection. We review previous cases reports of B. bassiana keratitis published and its main features to compare with our case, a female occasional agriculture worker who had not suffered any trauma involving organic material. The patient received topical and oral antifungal therapy and debridement surgery, with a satisfactory outcome.