Der Ophthalmologe最新文献

[Optical rehabilitation and pediatric ophthalmological care following keratoplasty for childhood corneal opacities]. [儿童角膜混浊角膜移植术后的视力康复和儿童眼科护理]。

Der Ophthalmologe Pub Date : 2022-05-01 Epub Date: 2022-04-08 DOI: 10.1007/s00347-022-01585-8

Barbara Käsmann-Kellner, Kayed Moslemani, Berthold Seitz

{"title":"[Optical rehabilitation and pediatric ophthalmological care following keratoplasty for childhood corneal opacities].","authors":"Barbara Käsmann-Kellner, Kayed Moslemani, Berthold Seitz","doi":"10.1007/s00347-022-01585-8","DOIUrl":"10.1007/s00347-022-01585-8","url":null,"abstract":"Background: The younger the children are at the time of corneal transplantation, the worse the survival prognosis of the graft.Preoperative considerations: Preoperative considerations are significant in terms of accurate parental education, ensuring adherence to treatment and choosing the appropriate surgical time frame (amblyopia versus graft failure, compliance of the patient). Parental education must include the reduced visual prognosis in young children, exceptions being later acquired corneal pathologies such as inflammatory corneal scars (herpes) and keratoconus.Postoperative care: A distinction must be made between morphological care after transplantation and refractive correction as well as treatment of amblyopia. The younger the children, the less favorable the prognosis for the transplant and the more often multiple examinations with anesthesia are necessary in order to detect complications, such as infiltrates or suture loosening at an early stage. Especially unilateral congenital pathologies often do not lead to a sufficient improvement of amblyopia (refractory amblyopia, poor compliance).Conclusion: The prognosis after keratoplasty in childhood is already partly decided by the careful evaluation of indications (no surgery of a sclerocornea) and the detailed and realistic clarification for the parents (cooperation with long-term ocular and systemic treatment even if the child has poor compliance, frequent check-ups, reduced chances of amblyopia treatment). The younger the child is at the time of transplantation, the more frequent are graft failure and the development of complications. Later manifesting diseases in older children (herpetic corneal scars, keratoconus) have a better prognosis.","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"6 1","pages":"462-470"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81979093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Myxoma of the conjunctiva]. [结膜粘液瘤]。

Der Ophthalmologe Pub Date : 2022-05-01 Epub Date: 2022-05-06 DOI: 10.1007/s00347-022-01621-7

Jens Martin Rohrbach, Sebastian Thaler, Caroline Gassel

引用次数: 0

[Secondary open-angle glaucoma: uveitic secondary glaucoma, steroid-induced glaucoma, posttraumatic and postoperative glaucoma, tumor-related glaucoma and glaucoma due to elevated episcleral venous pressure]. 【继发性开角型青光眼：青光眼继发性青光眼、类固醇性青光眼、创伤后及术后青光眼、肿瘤相关性青光眼和锁膜外静脉压升高所致青光眼】。

Der Ophthalmologe Pub Date : 2022-05-01 Epub Date: 2022-04-26 DOI: 10.1007/s00347-022-01630-6

Roman Greslechner, Horst Helbig, Detlev Spiegel

引用次数: 0

[Diagnostics, clinical aspects and genetics of congenital corneal opacities]. 【先天性角膜混浊的诊断、临床和遗传学】。

Der Ophthalmologe Pub Date : 2022-05-01 Epub Date: 2022-03-04 DOI: 10.1007/s00347-022-01587-6

M Matthaei, S Zwingelberg, S Siebelmann, A Howaldt, M Mestanoglu, S L Schlereth, C Giezelt, J Dötsch, J Fricke, A Neugebauer, A Lappas, T Dietlein, S Roters, B O Bachmann, C Cursiefen

{"title":"[Diagnostics, clinical aspects and genetics of congenital corneal opacities].","authors":"M Matthaei, S Zwingelberg, S Siebelmann, A Howaldt, M Mestanoglu, S L Schlereth, C Giezelt, J Dötsch, J Fricke, A Neugebauer, A Lappas, T Dietlein, S Roters, B O Bachmann, C Cursiefen","doi":"10.1007/s00347-022-01587-6","DOIUrl":"10.1007/s00347-022-01587-6","url":null,"abstract":"Background: Congenital corneal opacities are comparatively rare diseases with high amblyogenic potential.Purpose: The present work provides an overview of the diagnostics, clinical aspects and genetics of congenital corneal opacities.Methods: A literature search was carried out to compile an overview and illustration with own clinical case examples.Results: Differentiated diagnostics are of high importance in the treatment of patients with congenital corneal opacities. A close cooperation between the medical departments involved and also the parents is absolutely essential. The structured classification of congenital corneal opacities provides the basis for a targeted treatment.Discussion: The causes and the clinical symptoms of congenital corneal opacities are manifold. The correct diagnosis should be made early and in an interdisciplinary manner. Based on this, conservative and surgical treatment measures can be planned and an impending development of amblyopia can be specifically counteracted.","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"5 1","pages":"443-452"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88602719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pediatric corneal opacities : Even small improvements provide lifelong help].

Der Ophthalmologe Pub Date : 2022-05-01 Epub Date: 2022-05-06 DOI: 10.1007/s00347-022-01580-z

Claus Cursiefen, Björn Bachmann

引用次数: 0

[Eye growth of children undergoing myopia control treatment compared with emmetropic eye growth. German version]. [近视控制治疗与正视眼生长的比较。]德国版)。

Der Ophthalmologe Pub Date : 2022-05-01 Epub Date: 2022-02-25 DOI: 10.1007/s00347-021-01570-7

David Hammond, Paul Chamberlain, Baskar Arumugam, Arthur Bradley

引用次数: 0

[Are organ and co-cultures an alternative to animal models in ophthalmology?] 器官和共培养是眼科动物模型的替代品吗？］

Der Ophthalmologe Pub Date : 2022-05-01 DOI: 10.1007/s00347-021-01565-4

Ana M Müller-Bühl, Armin Safaei, Teresa Tsai

引用次数: 0

[Secondary open-angle glaucoma: pseudoexfoliative glaucoma, pigmentary glaucoma and neovascular glaucoma]. 继发性开角型青光眼：假剥脱性青光眼、色素性青光眼和新生血管性青光眼。

Der Ophthalmologe Pub Date : 2022-04-01 DOI: 10.1007/s00347-022-01609-3

Roman Greslechner, Horst Helbig, Detlev Spiegel

引用次数: 0

[CyPass microstent trimming with special cutting forceps : Video article].

Der Ophthalmologe Pub Date : 2022-04-01 Epub Date: 2022-03-15 DOI: 10.1007/s00347-022-01596-5

Cosima Rose, Marc Schargus

{"title":"[CyPass microstent trimming with special cutting forceps : Video article].","authors":"Cosima Rose, Marc Schargus","doi":"10.1007/s00347-022-01596-5","DOIUrl":"10.1007/s00347-022-01596-5","url":null,"abstract":"Objective of surgery: A CyPass®-microstent (Alcon, Fort Worth, TX, USA) extending too far into the anterior chamber should be trimmed as close as possible to the scleral spur to avoid progression of endothelial cell reduction.Indications: After CyPass implantation, if there is a significant loss of corneal endothelial cells due to the Cypass microstent extending too far into the anterior chamber, trimming or removal of the CyPass stent is necessary.Contraindications: There are no contraindications.Surgical technique: As shown in our video, which is available online, a special cutter (19 Gauge Ahmed Micro Stent Cutter, MicroSurgical Technology Inc, Redmond, WA, USA) is inserted into the anterior chamber via a 1.5-mm wide corneal paracentesis made directly opposite to the CyPass stent. It is then possible to trim the anterior part of the stent. The severed fragment is removed using the head of the forceps. Finally, the previously inserted viscoelastic agent can be aspirated and the paracentesis can be hydrated.Postoperative treatment: After the surgery vision testing as well as control of intraocular pressure and location of the stent are carried out. Antibiotic eye drops and ointment are postoperatively applied.Evidence: There is still no standardized protocol for the procedure to trim the CyPass stent. Performing the trimming in our clinic using the procedure described here has so far not led to any complications. Long-term data about the development of the endothelial cell measurement after CyPass trimming are not yet available.","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"72 1","pages":"421-424"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74550000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[UV-protection of the eyes-A frequently neglected topic]. 眼睛防紫外线——一个经常被忽视的话题。

Der Ophthalmologe Pub Date : 2022-03-01 Epub Date: 2022-03-08 DOI: 10.1007/s00347-021-01530-1

Vinodh Kakkassery, Ludwig M Heindl

引用次数: 0