Der Ophthalmologe最新文献

{"title":"Differenzialdiagnose Chalazion: Metastase eines neuroendokrinen Tumors","authors":"M. Herwig-Carl, M. Toma, F. Holz, K. Loeffler","doi":"10.1007/s00347-022-01590-x","DOIUrl":"https://doi.org/10.1007/s00347-022-01590-x","url":null,"abstract":"","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"60 1","pages":"220 - 220"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91538128","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}

{"title":"[Acute compression of the optic nerve due to orbital emphysema].","authors":"Jens Heichel, Gesine Lehmann, Arne Viestenz, Alexander Eckert, Waldemar Reich, Birgit Scheffler","doi":"10.1007/s00347-019-01025-0","DOIUrl":"10.1007/s00347-019-01025-0","url":null,"abstract":"<p><p>Bony defects of the orbit with connection to the paranasal sinuses can lead to orbital emphysema. A case of compression of the optic nerve due to orbital emphysema in a 39-year-old man is reported. Visual acuity was hand movements only and intraocular pressure was increased to 32 mm Hg with an exophthalmus of 6 mm in comparison to the unaffected side. A sufficient pressure relief could be achieved by canthotomy with cantholysis and radial peritomy.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"26 1","pages":"1037-1040"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75238303","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}

{"title":"[Immunological tolerance of intraocular eyelashes after penetrating corneal injury].","authors":"C M Schnitzler, M Borrelli, J Menzel-Severing, G Geerling","doi":"10.1007/s00347-019-01010-7","DOIUrl":"10.1007/s00347-019-01010-7","url":null,"abstract":"<p><p>Penetrating eye injuries often lead to serious symptoms, such as severe inflammation and pain, especially if residual intraocular foreign bodies are present. This case report describes a patient who suffered a penetrating corneal injury resulting in eyelashes being displaced into the anterior chamber. Although no treatment was given the anterior chamber of the eye did not show any inflammatory reactions 2 weeks after the trauma. In addition to the accident mechanism the material of which the foreign body is composed plays a decisive role. While iron, copper and wooden foreign bodies lead to severe intraocular inflammation, keratin is immunologically well-tolerated.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"8 1","pages":"914-916"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79886602","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}

{"title":"[Progressive maculopathy despite discontinuation of chloroquine treatment-multimodal imaging and review of the literature].","authors":"A Rickmann, S Al-Nawaiseh, L Ramirez, S Röhrig, M Ladewig, P Szurman, G Szurman","doi":"10.1007/s00347-019-00994-6","DOIUrl":"10.1007/s00347-019-00994-6","url":null,"abstract":"<p><p>This case report presents a pictorially well-documented case with multimodal images of a progression of maculopathy despite discontinuation of chloroquine treatment in a long-term follow-up over 6 years. Additionally, the current detection methods in screening for early recognition of maculopathy and their prognostic significance are reviewed.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"28 1","pages":"917-925"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89618892","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}

{"title":"[Acanthamoeba endophthalmitis-a case report].","authors":"J Pascha, A Frings, J Walochnik, E Wissiak, M Dirisamer, L Daas, N Ardjomand","doi":"10.1007/s00347-019-01013-4","DOIUrl":"10.1007/s00347-019-01013-4","url":null,"abstract":"<p><p>Diagnosis of acanthamoeba keratitis is often a clinical challenge. In most cases it is primarily confused with herpes keratitis. A coinfection with bacteria or fungi can also lead to a delayed diagnosis and initiation of treatment. A few cases reported the detection of acanthamoeba in the anterior chamber. In the case of endophthalmitis without the detection of bacteria or fungi acanthamoeba should therefore always be considered as a potential differential diagnosis. The local and systemic administration of voriconazole can be successfully used to treat acanthamoeba endophthalmitis.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"101 1 1","pages":"926-929"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83791636","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}

{"title":"[ANDROMEDA-an investigation of factors influencing the adherence of patients with neovascular age-related macular degeneration using the newly developed patient questionnaire LAF-IVT].","authors":"F G Holz, K T Johnson, U Bauer-Steinhusen, C Rech, T Machewitz, S Müller, R P Finger","doi":"10.1007/s00347-019-01005-4","DOIUrl":"10.1007/s00347-019-01005-4","url":null,"abstract":"<p><strong>Background: </strong>Lack of adherence to treatment is a widespread problem in the anti-VEGF (Vascular Endothelial Growth Factor) treatment of patients with neovascular age-related macular degeneration (nAMD). In contrast to the extent of the lack of treatment adherence, there is so far insufficient evidence for elucidating the causes of nonadherence. The ANDROMEDA study was initiated to investigate the influencing factors on the adherence of nAMD patients to treatment. The focus of the study was on patient reported endpoints, as the perceptions and experiences of the patients are of enormous importance for the investigation of the various aspects of adherence to treatment.</p><p><strong>Objective: </strong>This publication presents the design of the ANDROMEDA study as well as the development of a new patient questionnaire for the assessment of barriers to treatment within the design of the study.</p><p><strong>Material and methods: </strong>This prospective noninterventional observational study to assess the compliance of patients with nAMD and anti-VEGF treatment was started at the end of January 2019. It is planned to include 1000 patients in 120 study centers throughout Germany with an observational period of 24 months. Patient interviews on general and vision-related quality of life, treatment satisfaction and possible barriers to treatment will be conducted at the beginning and after 4, 12 and 24 months. All patient visits will be documented by the study centers as part of the clinical routine. To date, there has been no suitable instrument for recording patient-related circumstances and potential barriers to anti-VEGF treatment. Therefore, a specific patient questionnaire for longitudinal assessment of adherence factors to intravitreal (anti-VEGF) therapy (LAF-IVT) was developed as part of the study concept. The questionnaire, developed by an expert panel, was tested via qualitative interviews for its cognitive characteristics ahead of its use.</p><p><strong>Results: </strong>The results of the study are expected in early 2023. The cognitive examination of the LAF-IVT confirmed the feasibility of the new questionnaire. The practicability and significance of the new instrument can be assessed after completion of the quantitative data collection.</p><p><strong>Conclusion: </strong>The symptoms, barriers, burdens and quality of life effects experienced by patients influence the adherence to treatment and thus the outcome. A better understanding of the patient's views and experiences is the basis for long-term optimization of care.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"42 1","pages":"765-774"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82511338","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}

{"title":"[Acute macular neuroretinopathy in a 13-year-old female patient with focal choroidal excavation and pachychoroid disease].","authors":"Caroline Hoogmartens, Boris V Stanzel","doi":"10.1007/s00347-019-00974-w","DOIUrl":"10.1007/s00347-019-00974-w","url":null,"abstract":"<p><p>Acute macular neuroretinopathy (AMN) is a rare disease that causes sudden onset of paracentral scotomas. The current case report describes a 13-year-old girl with AMN adjacent to a focal choroidal excavation (FCE) with pachychoroidal features. The patient was followed for 20 months and examined with multimodal imaging. During follow-up the AMN area showed an incomplete atrophy of the outer nuclear layer, while the FCE changed along with decreasing choroidal thickness from a non-conforming into a conforming type. This case provides an interesting association of AMN, FCE and pachychoroid disease.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"35 1","pages":"791-797"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74842493","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}

{"title":"[\"Hand, foot, eye?\"]","authors":"M Zorn, N Waldhüter, U Pleyer","doi":"10.1007/s00347-019-01018-z","DOIUrl":"10.1007/s00347-019-01018-z","url":null,"abstract":"","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"16 1","pages":"697-699"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89056548","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}

{"title":"[FIDUSweb version 2.0 : An electronic platform to establish a cooperative university eye network].","authors":"P Czapski, G Schießl, M Treder, C Spira-Eppig, M Alnawaiseh, B Seitz, N Eter","doi":"10.1007/s00347-019-00993-7","DOIUrl":"10.1007/s00347-019-00993-7","url":null,"abstract":"<p><strong>Background: </strong>Due to the increasing digitalization in ophthalmology, increasingly more documentation and diagnostic data are becoming electronically available. In order to improve patient care beyond sectoral boundaries, electronic cooperation portals were introduced in Münster and Homburg, which serve the networking with ophthalmologists in private practice.</p><p><strong>Method: </strong>This article reports on the implementation of an electronic cooperation portal at the University Eye Hospitals in Münster and Homburg in 2015 and 2016.</p><p><strong>Results: </strong>The FIDUSweb represents a data protection-compliant cooperation portal that can be easily set up. By implementing it as a web portal all terminal equipment and also electronic patient files can be networked. Particularly important functions are the transmission of medical reports in real time, appointment booking functions, the transmission of imaging data and shared treatment documentation.</p><p><strong>Conclusion: </strong>Cross-sectoral care can greatly benefit from the use of the FIDUSweb, especially in digital and multimodal ophthalmology.</p>","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"120 1","pages":"677-686"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90959651","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}

{"title":"[The painless foreign body].","authors":"S Zwingelberg, P Hamrah, A Hamprecht, S Walker, B Bachmann, C Cursiefen, S Roters","doi":"10.1007/s00347-019-01017-0","DOIUrl":"10.1007/s00347-019-01017-0","url":null,"abstract":"","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"33 1","pages":"575-578"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82520639","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}