Klinische Monatsblatter fur Augenheilkunde最新文献_第6页

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

[Opticopathies in the differential diagnosis of retinal diseases - part 1]. [视网膜疾病鉴别诊断中的视网膜病变--第一部分]。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.1055/a-2367-8029

Claudia Lommatzsch, Georg Spital

{"title":"[Opticopathies in the differential diagnosis of retinal diseases - part 1].","authors":"Claudia Lommatzsch, Georg Spital","doi":"10.1055/a-2367-8029","DOIUrl":"10.1055/a-2367-8029","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 the first part of the article, typical optic neuropathies in the context of various syndromic and non-syndromic retinal dystrophies are initially examined. Subsequently, the relationships between different hereditary and acquired mitochondriopathic optic neuropathies and possible accompanying retinal changes are analysed, and their pathogenesis and relevant differential diagnoses are discussed.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":"1169-1189"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290301","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

Topical Atropine for Myopia Control: A Review. 控制近视的局部阿托品：综述。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-05-27 DOI: 10.1055/a-2307-0363

Navid Farassat

引用次数: 0

Anstieg an Fällen periorbitaler nekrotisierender Fasziitis. 眶周坏死性筋膜炎病例增加。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2350-3540

Anna Schuh, Christoph Hintschich, Siegfried Priglinger

引用次数: 0

Multifocal Optics for Myopia Control. 控制近视的多焦光学技术

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2397-1660

Christine Schmucker, Wolf Alexander Lagrèze

{"title":"Multifocal Optics for Myopia Control.","authors":"Christine Schmucker, Wolf Alexander Lagrèze","doi":"10.1055/a-2397-1660","DOIUrl":"https://doi.org/10.1055/a-2397-1660","url":null,"abstract":"The rising prevalence of myopia among children and adolescents necessitates effective interventions to mitigate long-term risks, such as retinal detachment and macular degeneration. Traditional approaches like undercorrection with single-vision lenses have proven ineffective. Recent research underscores the significance of peripheral vision in managing myopia progression. While hyperopic defocus in the peripheral retina may encourage axial elongation, multifocal lenses designed to induce peripheral myopic defocus can potentially curb this elongation. Randomized controlled trials (RCTs) have demonstrated that spectacle lenses with peripheral modifications, such as highly aspherical lenslets (HAL) or defocus incorporated multiple segments (DIMS), reduce myopia progression and axial elongation over 2 years. Similarly, multifocal contact lenses, especially those with high-add power (+ 2.50 D), have shown comparable reductions over 3 years. Safety is a critical consideration in myopia control. Multifocal spectacle lenses with peripheral plus designs are generally well tolerated, with only transient side effects, like dizziness and blurred vision. Soft multifocal contact lenses also exhibit a favorable safety profile, with low rates of serious adverse events. Thorough monitoring and reporting in these studies are essential to provide assurance about the safety of these interventions for children. Future research should aim to include more diverse populations in order to ensure the generalizability of findings across various demographic groups. Additionally, real-world data would offer valuable insights into the performance of these treatments in everyday scenarios. Observational studies, less influenced by industry sponsorship, could further validate these findings. Lastly, the clinical significance of the observed effects should be critically assessed to confirm that the reported benefits lead to meaningful reductions in myopia progression.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"241 10","pages":"1129-1133"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391607","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

Evaluation of Current Artificial Intelligence Programs on the Knowledge of Glaucoma. 评估当前有关青光眼知识的人工智能程序。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-07-24 DOI: 10.1055/a-2327-8484

Eyupcan Sensoy, Mehmet Citirik

引用次数: 0

Eye Injury Incidence in Germany from 2008 to 2022: An Analysis of Hospital Quality Reports. 2008 至 2022 年德国眼外伤发生率：医院质量报告分析。

IF 0.8 4区医学

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2364-2461

Stefan J Lang, Daniel Böhringer, Hansjürgen Agostini, Martin Kuklinski, Thomas Reinhard, Annette Sturm, Hien Le-Deffge, Amelie Gabel-Pfisterer

{"title":"Eye Injury Incidence in Germany from 2008 to 2022: An Analysis of Hospital Quality Reports.","authors":"Stefan J Lang, Daniel Böhringer, Hansjürgen Agostini, Martin Kuklinski, Thomas Reinhard, Annette Sturm, Hien Le-Deffge, Amelie Gabel-Pfisterer","doi":"10.1055/a-2364-2461","DOIUrl":"https://doi.org/10.1055/a-2364-2461","url":null,"abstract":"Background: Eye injuries range from minor to severe and may lead to permanent visual impairment. There is still little in the way of epidemiological data on eye injuries in Germany.Aim: The aim of this study was to obtain an objective record of minor and severe eye injuries in Germany by evaluating hospital quality reports. We also investigated the relevance of injuries from fireworks in relation to the total number of eye injuries and the general population.Methods: This retrospective routine data study entailed analysing hospital quality reports from 2008 to 2022 in XML format. The R programming language was used for data processing and statistical analysis. The number of ICD-coded eye injuries was exported and analysed together with location data. We also included data from a prospective survey study on fireworks-related eye injuries from 2016 to 2023.Results: Eyeball and/or orbital contusions are the most common eye injuries treated in Germany at up to 2,500 cases per year. The most severe injuries comprise traumatic globe rupture with loss of intraocular tissue at up to 990 cases per year. Numbers of eye injuries of any type have been declining since 2020. As a percentage of population, Mecklenburg-Western Pomerania treats the most eye injuries at up to 0.017%; in absolute numbers, North Rhine-Westphalia leads the country at up to 1,600 injuries. Private firework displays are probably responsible for 1.4% of annual globe ruptures and 8.3% of eyeball contusions.Conclusion: Our analysis of hospital quality reports has provided the first comprehensive epidemiological record on eye injuries in Germany. Firework-related injuries account for a relevant proportion of total injuries. These results could serve as a basis for preventive measures and health policy decisions.","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"241 10","pages":"1145-1155"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391605","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