Klinische Monatsblatter fur Augenheilkunde最新文献_第5页

Assessment of the Retinal Nerve Fibre Layer, Retina, and Choroid in Osteogenesis Imperfecta. 评估成骨不全症患者的视网膜神经纤维层、视网膜和脉络膜。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-11-01 Epub Date: 2023-01-12 DOI: 10.1055/a-1947-5339

Ali Keles, Mehmet Citirik, Nursel Muratoglu Sahin, Suleyman Korhan Karaman, Semra Cetinkaya

{"title":"Assessment of the Retinal Nerve Fibre Layer, Retina, and Choroid in Osteogenesis Imperfecta.","authors":"Ali Keles, Mehmet Citirik, Nursel Muratoglu Sahin, Suleyman Korhan Karaman, Semra Cetinkaya","doi":"10.1055/a-1947-5339","DOIUrl":"10.1055/a-1947-5339","url":null,"abstract":"Background: Osteogenesis imperfecta (OI) is a genetic disorder in which there are problems in tissues containing type I collagen, predominantly the cornea and sclera in the eye. Although there are many studies on problems with the anterior segment of the eye in patients with OI, studies on posterior structures are limited. Involvement of the sclera may affect the retinal nerve fibre layer (RNFL), which is indirectly related to intraocular pressure. In addition, the retina and choroid containing type I collagen may be affected. The aim of the study was to compare the posterior segment structures of the eye, including the RNFL, retina, and choroid, in patients with OI to those of healthy control subjects.Methods: This cross-sectional study recruited 19 patients with OI, as well as 22 age- and gender-similar healthy control subjects. Measurements of the RNFL, retina, and choroid were obtained with optical coherence tomography (Spectralis SD-OCT, Heidelberg Engineering, Heidelberg, Germany).Results: Patients with OI (mean age 14.32 ± 5.08 years) and the control group (mean age 13.73 ± 3.56 years) had similar age, refractive error, and intraocular pressure values (p > 0.05). There was no difference between groups in terms of RNFL thickness, including the superonasal, nasal, inferonasal, inferotemporal, temporal, and superotemporal sectors, retinal thickness, and choroidal thickness from five different locations (p > 0.05, for all).Conclusion: According to these results, OI does not clinically affect the RNFL, retina, and choroid in childhood.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1243-1248"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10861074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Statement of the Legal Committee of the German Society of Ophthalmology (DOG) and the German Professional Association of Ophthalmologists (BVA) on the Prognosis Assessment in Private Accident Insurance (PUV) - Status: July 2024]. [德国眼科学会 (DOG) 和德国眼科医生专业协会 (BVA) 法律委员会关于私人意外保险 (PUV) 预后评估的声明 - 状态：2024 年 7 月]。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-11-01 Epub Date: 2024-11-13 DOI: 10.1055/a-2406-6855

引用次数: 0

Laser Treatment of Central Serous Chorioretinopathy - An Update. 激光治疗中心性浆液性脉络膜视网膜病变--最新进展。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-11-01 Epub Date: 2024-07-24 DOI: 10.1055/a-2338-3235

Maciej Gawecki, Wiktoria Pytrus, Anna Swiech, Jerzy Mackiewicz, Lyubomyr Lytvynchuk

{"title":"Laser Treatment of Central Serous Chorioretinopathy - An Update.","authors":"Maciej Gawecki, Wiktoria Pytrus, Anna Swiech, Jerzy Mackiewicz, Lyubomyr Lytvynchuk","doi":"10.1055/a-2338-3235","DOIUrl":"10.1055/a-2338-3235","url":null,"abstract":"Laser treatment has been a mainstay for management of central serous chorioretinopathy for a few decades. Different types of lasers have been used and non-damaging retinal laser is the most recent option. The aim of this review is to provide an update on this form of treatment, based on the research published during last 5 years, in comparison with earlier studies published. A MEDLINE database search was performed with a combination of the following terms: central serous chorioretinopathy and laser photocoagulation or subthreshold laser or subthreshold micropulse laser or nanosecond laser or microsecond laser or end-point management or photodynamic therapy. Results were analyzed separately for each modality of laser treatment. Reports published in recent years confirm findings of previous research and do not distinguish treatments of this clinical entity. Among all analyzed laser options, photodynamic therapy provides the fastest and most prominent morphological improvements, including subretinal fluid resorption and reduction of choroidal thickness. This modality is also associated with fewer recurrences than with other treatments. Subthreshold micropulse laser allows the physician to maintain and, in selected cases, improve the patient's vision. Conventional photocoagulation is still effective, especially with the introduction of navigated laser systems. Despite the availability of variable laser treatment options, long-term functional improvements in chronic cases are minor for each modality. Long-lasting central serous chorioretinopathy cases with significantly altered retinal morphology do not usually present with functional improvement, despite satisfactory morphological outcomes. Early initiation of treatment has the potential to prevent visual loss and to improve the patient's quality of life.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1207-1223"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laser-Based Therapy Approaches in the Retina: A Review of Micropulse Laser Therapy for Diabetic Retinopathy. 视网膜激光治疗方法：微脉冲激光治疗糖尿病视网膜病变综述。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI: 10.1055/a-2418-5173

Ines Nagel, Arthur Mueller, William R Freeman, Igor Kozak

{"title":"Laser-Based Therapy Approaches in the Retina: A Review of Micropulse Laser Therapy for Diabetic Retinopathy.","authors":"Ines Nagel, Arthur Mueller, William R Freeman, Igor Kozak","doi":"10.1055/a-2418-5173","DOIUrl":"10.1055/a-2418-5173","url":null,"abstract":"Purpose: This review aims to elucidate the mechanisms and clinical utility of subthreshold micropulse laser (SML) therapy in the context of retinal care. Subthreshold or \"nondestructive\" laser therapy encompasses treatment modalities that induce minimal or no harm to retinal or choroidal tissue and leave no visible sings post-application, while achieving clinical efficacy.Methods: A comprehensive review of literature sourced from databases including PubMed, Medline, Embase, Cochrane, and Web of Science was conducted, focusing on articles published before February 2024, and discussing the contemporary use of SML therapy in treating diabetic retinopathy (DR).Results: The review presents evidence from scientific literature supporting SML therapy as a viable therapeutic approach for management of DR. Across numerous studies, SML therapy has demonstrated safety and additional therapeutic efficacy without causing damage to underlying retinal tissue.Conclusion: Subthreshold laser treatment emerges as a safe strategy for addressing DR. Numerous studies have shown its additional efficacy to anti-VEGF pharmacotherapy, which is the currently approved monotherapy for complications of DR. Ongoing research and clinical investigations aim to further elucidate the mechanisms and optimize the therapeutic advantages of this technology.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1201-1206"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Opticopathies in the differential diagnosis of retinal diseases - part 2]. [视网膜疾病鉴别诊断中的视网膜病变--第二部分]。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-11-01 Epub Date: 2024-09-10 DOI: 10.1055/a-2367-8313

Claudia Lommatzsch, Georg Spital

{"title":"[Opticopathies in the differential diagnosis of retinal diseases - part 2].","authors":"Claudia Lommatzsch, Georg Spital","doi":"10.1055/a-2367-8313","DOIUrl":"10.1055/a-2367-8313","url":null,"abstract":"Due to the close anatomical, functional and trophic relationships between the optic nerve and retina, a wide variety of diseases affecting both structures have reciprocal effects on each other, which must be considered in the differential diagnosis to avoid misdiagnosis. Therefore, it is essential to assess pathological changes in both structures in context to differentiate the type and location of the primary lesion from its consequences, as well as to correctly classify coincidences and disease-specific lesion patterns in both organ components.This article highlights the typical symptom constellations and lesion patterns of optic neuropathies and retinopathies. An attempt is made to identify the reciprocal characteristic relationships of the respective lesions in both structures in various disease groups, as well as to present their respective roles in the differential diagnosis.In this second part, acquired optic neuropathies in the context of vascular and systemic diseases and possible accompanying retinal findings, as well as symptom constellations and courses, are differentiated, discussing arteritic and non-arteritic (anterior) optic neuropathies, their causes and differential diagnosis. The combined involvement of the optic nerve and retina in the context of posterior infectious and non-infectious uveitis is also shown. Finally, various dysgenetic optic neuropathies, their differentiation and possible retinal sequelae are presented.It is demonstrated and exemplified how important it is in general, but also specifically in regard to the disease groups discussed in this article, to have a careful and targeted diagnostic approach in each case, considering both the retinal and optic nerve findings, in order to avoid misdiagnosis.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1257-1278"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Spontaneous Closure of a Full-Thickness Macular Hole]. [全厚黄斑孔的自发闭合］

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-11-01 Epub Date: 2024-07-03 DOI: 10.1055/a-2331-6968

Warda Darwisch, Boris Stanzel, Martin Bedersdorfer, Philipp Ken Roberts, Peter Szurman, Annekatrin Rickmann

引用次数: 0

Trigeminal Trophic Syndrome Associated with Intense Itching, Eye Rubbing and Ipsilateral Keratoconus after Trigeminal Decompression Surgery: A Case Report. 三叉神经减压手术后的三叉神经营养综合征、瘙痒症和角膜炎：病例报告。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-10 DOI: 10.1055/a-2397-1569

Lucas Antonio Garza Garza, Ana P Arizpe, Priscila Villarreal-Martinez, Manuel Garza-Leon

引用次数: 0

Unexpected Intracameral Foreign Bodies During Regular Cataract Surgeries. 常规白内障手术中的意外巩膜内异物。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-10 DOI: 10.1055/a-2419-1850

David Goldblum, Tamer Tandogan

{"title":"Unexpected Intracameral Foreign Bodies During Regular Cataract Surgeries.","authors":"David Goldblum, Tamer Tandogan","doi":"10.1055/a-2419-1850","DOIUrl":"https://doi.org/10.1055/a-2419-1850","url":null,"abstract":"Background: Unexpected intracameral foreign bodies during regular cataract surgery appear relatively often but seem to be underreported, since they are almost often immediately removed. They rarely remain in the anterior chamber and can be the source of inflammation, infections, or lead to corneal endothelial decompensation. We report two series of cases with different materials of different origins and review the literature.Patients and methods: During several cases of uncomplicated phacoemulsifications under topical anesthesia, unknown foreign bodies visibly flushed in through the sleeve of the phaco handpiece. The material was always removed and submitted to the (Eidgenössische Materialprüfungs- und Forschungsanstalt; Federal Institute for Materials Testing and Research) for further investigations.Results: Spectral analysis revealed that, in our cases, the foreign bodies were remnants of otherwise intact phaco sleeves that had not been cleaned properly during production. In another case series, the resin granules from the water filtration system for the instrument washing machine had found their way into the phaco handpieces.Conclusion: Many shapes and materials of different origins might unexpectedly appear during cataract surgery in the eye. Their immediate extraction is necessary, as they might cause corneal endothelial damage, chronic inflammation, or could be the source of infections. Vigilance reporting is also important for the controlling medicinal organizations and companies to assure early recognition of systematic problems.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five-Year Data from the Interdisciplinary Giant-Cell Arteritis Registry at the University Hospital of Würzburg: Value of Temporal Artery Biopsy. 维尔茨堡大学医院跨学科巨细胞动脉炎登记处的五年数据：颞动脉活检的价值。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-10 DOI: 10.1055/a-2381-1884

Carla Winter, Johanna Theuersbacher, Konstanze Guggenberger, Matthias Fröhlich, Marc Schmalzing, Thorsten Bley, Jost Hillenkamp

{"title":"Five-Year Data from the Interdisciplinary Giant-Cell Arteritis Registry at the University Hospital of Würzburg: Value of Temporal Artery Biopsy.","authors":"Carla Winter, Johanna Theuersbacher, Konstanze Guggenberger, Matthias Fröhlich, Marc Schmalzing, Thorsten Bley, Jost Hillenkamp","doi":"10.1055/a-2381-1884","DOIUrl":"https://doi.org/10.1055/a-2381-1884","url":null,"abstract":"Background: Giant-cell arteritis (GCA) requires immediate diagnosis and therapy. The University Hospital of Würzburg established the Centre for Giant-cell Arteritis (ZeRi) to improve interdisciplinary collaboration.Aim of the study: Retrospective evaluation of five-year data to assess the clinical relevance of several diagnostic methods, including temporal artery biopsy.Patients and methods: Retrospective evaluation of 101 patients with suspected GCA who had undergone interdisciplinary examination and biopsy between 2017 and 2022. We analysed specificity and sensitivity in clinical symptoms, ESR, CRP, scalp MRI, temporal artery sonography, and temporal artery biopsy.Results: GCA was diagnosed after completing diagnostic testing in 75 of 101 patients with suspected GCA. By definition, biopsy showed a positive predictive value of 100% and a specificity of 84.6%; however, negative predictive value was 51.2%. Sonography of the temporal artery and MRI showed a positive predictive value of more than 93% and sensitivity of 62.5% and 76.1%, respectively. Clinical symptoms showed the highest sensitivity at 92% with a specificity of 57.7%. ESR and CRP were significantly higher in patients with GCA than in patients without GCA, whereby CRP values showed higher predictive power than did ESR.Conclusions: Most GCA cases can be detected with a precise medical history as well as ESR and CRP assessment. Sonography and MRI on the scalp can usually confirm suspected GCA, only requiring temporal artery biopsy in exceptional cases.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Autologous Contralateral and Ipsilateral Rotational Penetrating Keratoplasty - A Case Series and Mini-Review. 自体对侧和同侧旋转穿透性角膜移植术--病例系列和微型综述。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-10 DOI: 10.1055/a-2211-9086

Adrien Quintin, Alexandra Serfözö, Loay Daas, Shady Suffo, Berthold Seitz

{"title":"Autologous Contralateral and Ipsilateral Rotational Penetrating Keratoplasty - A Case Series and Mini-Review.","authors":"Adrien Quintin, Alexandra Serfözö, Loay Daas, Shady Suffo, Berthold Seitz","doi":"10.1055/a-2211-9086","DOIUrl":"https://doi.org/10.1055/a-2211-9086","url":null,"abstract":"Corneal stromal opacities can severely impact visual acuity if they are located in the visual axis. Homologous penetrating keratoplasty (HPK) is usually the preferred surgical option in such clinical circumstances. However, autologous penetrating keratoplasty (APK) could be an immunologically safer alternative. The purpose of this study was to report the surgical technique, indications, and (dis)advantages of ipsilateral rotational and contralateral APK, as well as pre- and postoperative clinical findings of four patients who underwent contralateral APK. In ipsilateral rotational APK, eccentric trephination places the central corneal opacity at the excision edge, whereafter the corneal button is rotated to clear the visual axis. Contralateral APK is suitable for more specific clinical situations with corneal opacity in a functionally much better eye. Clear cornea of the (almost) blind eye suffering from a noncorneal pathology is transplanted to the potentially better seeing eye suffering from a corneal pathology, followed by HPK in the (almost) blind donor eye. After 18 months, potentially better-seeing eyes improved from logMAR 1.3 to 0.6 in visual acuity, with most HPK-treated weaker eyes matching preoperative levels. Considering ipsilateral rotational and contralateral APK before moving on straight towards HPK is crucial in select cases. Autologous contralateral keratoplasty should be preferred for patients with (1) corneal scars in a potentially better seeing eye and (2) a clear cornea in an (almost) blind eye, especially in cases of high risk for graft rejection.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0