0000000000969983
AUTHOR
Pablo Hernández-martínez
Update on intravitreal anti-tumor necrosis factor alpha therapies for ocular disorders
Abstract Tumor necrosis factor alpha (TNF-?) is an important pro-inflammatory cytokine associated with a variety of ocular diseases. The currently available TNF-? inhibitors are etanercept, infliximab, adalimumab, golimumab, and certolizumab. Experimental and clinical studies on the intravitreal use of these agents have been reported with etanercept, infliximab, and adalimumab: etanercept has shown limited efficacy in scarce reports; infliximab has been associated with local safety concerns but appears to benefit certain cases; adalimumab has shown no efficacy in cases of age-related macular degeneration (AMD) or diabetic macular edema (DME), but the combination with bevacizumab may be effe…
Pattern Dystrophy of the Macula in a Case of Steinert Disease
<b><i>Introduction:</i></b> Myotonic dystrophies are typically associated with ocular complications like ptosis, weakness of the ocular muscle and cataracts, but also with less recognized retinal changes. <b><i>Case Report:</i></b> A 41-year-old female with type 1 myotonic dystrophy complained of progressive vision loss. Slit lamp examination revealed the presence of typical bilateral polychromatic cataract with posterior subcapsular component. Dilated fundus examination was remarkable for bilateral macular depigmented changes. Multimodal imaging analysis of the macula suggested the presence of a butterfly-shaped pattern dystrophy. <b>&l…
Automated macular choroidal thickness measurement by swept-source optical coherence tomography in pseudoxanthoma elasticum
Introduction Pseudoxanthoma elasticum (PXE) typically involves elastic fibers in blood vessels and Bruch membrane. Our purpose was to analyze retinal and choroidal macular thickness in patients with angioid streaks due PXE compared with a control group. Methods Best-corrected visual acuity (BCVA), axial length (AL), and macular swept-source optical coherence tomography were obtained. Automated segmentations of the retina and the choroid were used to obtain the corresponding thickness values. An age, gender and AL matched control group was used to compare the thickness values. Results Twelve eyes of 6 patients were included. The mean BCVA was 0.68 ± 0.29 versus 1.0 in controls (p < 0.001). T…
Análisis del tejido coroideo como factor pronóstico en pacientes con degeneración macular asociada a la edad neovascular tipo 1 en régimen de tratamiento pro re nata con ranibizumab intravítreo durante 24 meses de seguimiento
OBJETIVO: Evaluar la asociación entre el grosor coroideo subfoveal y el resultado funcional durante un régimen de tratamiento a demanda con ranibizumab intravítreo en ojos con lesiones de tipo 1 secundarias a degeneración macular asociada a la edad (DMAE) neovascular. DISEÑO: Estudio retrospectivo, longitudinal y transversal. MÉTODOS: Se incluyeron 25 ojos de 21 pacientes con evidencia clínica de lesiones de tipo 1 en el contexto de DMAE neovascular tratados con inyecciones intravítreas de 0.5mg de ranibizumab (Lucentis, Novartis) durante 24 meses de acuerdo con un régimen pro re nata (tratar y observar). Se registró la agudeza visual y el número de inyecciones administradas a lo largo del …