Der Ophthalmologe最新文献_第4页

Alternative Behandlungsoptionen beim Basalzellkarzinom am Auge

Der Ophthalmologe Pub Date : 2019-12-06 DOI: 10.1007/s00347-019-01021-4

V. Kakkassery, S. Emmert, I. Adamietz, G. Kovács, A. Jünemann, Caroline Otte, M. Zimbelmann, Anton Brosig, S. Grisanti, L. Heindl

引用次数: 7

[Ocular injuries from fireworks in the past 11 years : Evaluation of the University Hospital and Polyclinic for Ophthalmology Halle]. [过去11年烟花造成的眼部损伤：哈雷大学医院和眼科综合诊所的评估]。

Der Ophthalmologe Pub Date : 2019-12-01 DOI: 10.1007/s00347-019-0941-z

A Huth, L Löffler, A Viestenz

{"title":"[Ocular injuries from fireworks in the past 11 years : Evaluation of the University Hospital and Polyclinic for Ophthalmology Halle].","authors":"A Huth, L Löffler, A Viestenz","doi":"10.1007/s00347-019-0941-z","DOIUrl":"10.1007/s00347-019-0941-z","url":null,"abstract":"Purpose: Every year around New Year's Eve severe eye injuries are caused by fireworks. There is a large variety ranging from slight superficial injuries to very severe trauma necessitating extensive and sometimes repeated surgical treatment. As a consequence the patients not only suffer from functional or cosmetic impairments but also from socioeconomic problems, such as reduced capacity to work and inability to work. All firework-related eye injuries treated at the University Hospital Halle from 2008 to 2018 were retrospectively and systematically analyzed.Material and methods: The patients were analyzed with respect to age, gender, injury distribution, type of injury, circumstances, form of treatment, consequences and duration of inability to work.Results: From the turn of the year 2008/2009 to the turn of the year 2018/2019 a total of 144 eyes from 116 patients were treated at the ophthalmology department of the University Hospital Halle. The injuries involved 80 male patients (69%) and 36 female patients (31%), among them 44 children (38%) aged under 18 years, 81 right and 63 left eyes. In 28 patients both eyes were affected. Of the patients 44% handled the fireworks themselves and 56% were bystanders. Injuries were mostly caused by bangers (37%) and rockets (24%). Of the patients 37 had to be hospitalized, 14 eyes needed immediate surgical treatment, 2 eyes needed surgery later on in irritation-free intervals and 12 eyes needed repeated surgery. The duration of inability to work was on average 21.6 days, 2 eyes went blind because of the fireworks-related injury and 29% of the patients had visual impairments of which 43% were classified as severe impairments.Conclusion: Fireworks-related injuries are preventable injuries. As in most cases children, young adults and bystanders are affected by fireworks injuries, prophylactic and educational programs are urgently needed and legal regulations are necessary.","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"1 1","pages":"1171-1176"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75042935","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

[Excimer laser-assisted penetrating keratoplasty : On 1 July 2019 excimer laser penetrating keratoplasty celebrates its 30th anniversary. Video article].

Der Ophthalmologe Pub Date : 2019-12-01 DOI: 10.1007/s00347-019-00990-w

Berthold Seitz, Loay Daas, Georgia Milioti, Nora Szentmàry, Achim Langenbucher, Shady Suffo

{"title":"[Excimer laser-assisted penetrating keratoplasty : On 1 July 2019 excimer laser penetrating keratoplasty celebrates its 30th anniversary. Video article].","authors":"Berthold Seitz, Loay Daas, Georgia Milioti, Nora Szentmàry, Achim Langenbucher, Shady Suffo","doi":"10.1007/s00347-019-00990-w","DOIUrl":"10.1007/s00347-019-00990-w","url":null,"abstract":"Background and objective: Since 1986 Naumann and Lang have developed and optimized the technique of nonmechanical corneal trephination using a 193-nm excimer laser along metal masks for penetrating keratoplasty (PKP). The aim of this paper is to demonstrate the technique of excimer laser-assisted keratoplasty.Methods: After beginning with elliptical transplants a major improvement resulted in the introduction of eight \"orientation cogs/notches\" at the edges of round metal masks for reduction of \"horizontal torsion\". For noncontact donor trephination from the epithelial side an artificial anterior chamber is used. The surgical technique is demonstrated in detail and in almost full length in a video of the operation, which is available online.Results: Prospective clinical studies have shown that the technique of noncontact excimer laser PKP improves donor and recipient misalignment, reduces \"vertical tilt\" and \"horizontal torsion\" of the graft in the recipient bed. This results in significantly less keratometric astigmatism, greater regularity of the topography and better spectacle-corrected visual acuity after removal of the sutures. Besides less perioperative disturbance of the blood-intraocular fluid barrier, excimer laser trephination does not induce enhanced cataract formation and does not impair the graft endothelium. Likewise, the rate of immune reactions is not adversely affected by the excimer laser. Furthermore, trephination of an unstable cornea, such as (nearly) perforated corneal ulcers or after radial keratotomy or LASIK is facilitated.Conclusion: Because of the undisputed clinical advantages, especially in eyes with advanced keratoconus, excimer laser trephination with orientation cogs/notches is currently favored in the routine daily practice in Homburg/Saar.","PeriodicalId":11105,"journal":{"name":"Der Ophthalmologe","volume":"70 1","pages":"1221-1230"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79741215","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

Augenverletzungen durch Feuerwerks- und Knallkörper 伤眼睛在焰火和鞭炮中

Der Ophthalmologe Pub Date : 2019-12-01 DOI: 10.1007/s00347-019-00997-3

A. Gabel-Pfisterer, D. Böhringer, H. Agostini

引用次数: 0

Diagnostik und Akuttherapie von Augenverletzungen durch Feuerwerkskörper 些诊断学和枪战对眼睛造成的伤害

Der Ophthalmologe Pub Date : 2019-11-18 DOI: 10.1007/s00347-019-01000-9

Armin Wolf, W. Schrader, H. Agostini, A. Gabel-Pfisterer

引用次数: 2

Bilaterale seröse Netzhautablösung nach einer komplikationslosen spontanen Entbindung 伴随并发症的双边视网膜镇静剂

Der Ophthalmologe Pub Date : 2019-11-15 DOI: 10.1007/s00347-019-00961-1

M. Halabi, S. Suffo, A. Abdin, B. Seitz