Klinische Monatsblatter fur Augenheilkunde最新文献

{"title":"[Outcome of Congenital Obstruction of the Nasolacrimal Duct].","authors":"Bardh Mulaj, Sarah Patzelt, Karla Chaloupka, Christina Gerth-Kahlert","doi":"10.1055/a-2511-6524","DOIUrl":"10.1055/a-2511-6524","url":null,"abstract":"<p><strong>Background: </strong>Congenital nasolacrimal duct obstruction, a common condition in newborns, is characterised by narrowing of the tear drainage system, often at the nasolacrimal duct. In most cases, the tear duct opens spontaneously within the first year of life, assisted by massage. In cases where there is no improvement, surgical probing may be required. This study aimed to analyse the presentation and outcomes of surgically treated tear duct obstructions in children at our clinic.</p><p><strong>Patients and methods: </strong>A retrospective analysis was conducted using electronic medical records of patients under 18 years of age who were treated for congenital nasolacrimal duct obstruction between 2011 and 2023. Data collected included demographic information, symptoms, stenosis location, surgical therapy, and outcomes. Additionally, parents of the patients were surveyed regarding the postoperative condition and symptomatology. The study was approved by the Cantonal Ethics Commission Zurich (BASEC2022-00830).</p><p><strong>Results: </strong>Of a total of 147 identified patients (39 female, 62 male), 69% could be analysed with available consent. The age at initial examination ranged from 8 months to 12 years (median 27 months). Unilateral stenosis was observed in 69% of cases and bilateral stenosis in 31%. The most common symptoms were epiphora (95%), matted eyelashes (68%), mucous discharge (23%), and redness of the eyelids/conjunctiva (19%). Malformations were identified intraoperatively in 11% of cases. A second probing was necessary in 10% of cases, with ages ranging from 18 to 69 months (median 38 months). Dacryocystorhinostomy was performed in 4% of cases (age 92 - 145 months, median 113 months). Postoperatively, 70.5% reported subjective and/or objective symptom resolution, 22.7% experienced persistent epiphora, and 6.8% had recurrent matted eyelashes. Of the 101 patients surveyed, 77 responded to the questionnaire. Among them, 92% reported that tearing was no longer present, 96% no longer required therapy, 97% reported uncomplicated surgery, 17% experienced recurrent tearing, and 6% required additional non-lacrimal treatments.</p><p><strong>Conclusion: </strong>In most cases, probing and irrigation alone are sufficient for healing. Temporary stent placement is more frequently necessary in older children. An intervention after 18 months of age does not negatively impact healing.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"310-315"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523761","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}

{"title":"Spontaneous Regression of Postoperative Paracentral Posterior Retinal Folds after Vitrectomy for Rhegmatogenous Pseudophakic Retinal Detachment.","authors":"Amr Saad, Karin Fröse, Gabor Mark Somfai, Matthias Becker","doi":"10.1055/a-2521-4013","DOIUrl":"10.1055/a-2521-4013","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"448-450"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corneal Wound Burns - Rare but Serious Complications of Phacoemulsification Surgery.","authors":"Maximilian Felix Jacobi, Daniel Rudolf Muth, Robert Alexander Blum, Daniel Barthelmes, Sandrine Zweifel, Frank Blaser","doi":"10.1055/a-2498-0334","DOIUrl":"https://doi.org/10.1055/a-2498-0334","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"346-352"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033504","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}

{"title":"Acute and Complete Expulsion of a Porous Polyethylene Orbital Implant 14 Months after Primary Enucleation for Uveal Melanoma: A Case Report.","authors":"Julien Schaller, Augustina Grigaité, Andréas J Kreis, Aurélie Oberic, Barbara Spahn, Ann Schalenbourg","doi":"10.1055/a-2534-2276","DOIUrl":"https://doi.org/10.1055/a-2534-2276","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"455-458"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported Outcome Measures for Assessing Spectacle Independence after Implantation of Monofocal or Extended Depth of Focus (EDOF) Intraocular Lenses with Various Degrees of Monovision.","authors":"Katja Iselin, Claude Kaufmann, Martin K Schmid, Michael Thiel, Frantisek Sanak, Kathrin Golla, Ying-Yu Melody Hedinger","doi":"10.1055/a-2559-0878","DOIUrl":"https://doi.org/10.1055/a-2559-0878","url":null,"abstract":"<p><strong>Purpose: </strong>Cataract surgery aiming for emmetropia in one eye and various degrees of myopia in the contralateral eye (monovision) is a popular strategy to improve spectacle independence. The aim of this study was to use patient-reported outcome measures to assess spectacle independence after implanting aspheric monofocal or extended depth of focus (EDOF) intraocular lenses (IOLs) with various degrees of monovision.</p><p><strong>Methods: </strong>All patients with bilateral cataract surgery between 2021 and 2024 aiming for micromonovision (- 0.5 to - 0.75 D), mini monovision (- 1.0 to - 1.5 D) or full monovision (- 1.75 to - 2.5 D) after cataract surgery with implantation of either aspheric monofocal IOLs (Tecnis ZCB00, Johnson & Johnson) or EDOF-IOLs (Tecnis Eyhance, Johnson & Johnson) were included in this study. Patients were implanted with either a monofocal IOL or an EDOF IOL in both eyes, and were aiming for emmetropia in the dominant eye. Six months postoperatively, all patients were contacted by telephone and asked to report their outcomes using a structured questionnaire investigating their spectacle usage for various daily activities and their overall satisfaction.</p><p><strong>Results: </strong>Thirty-two patients in the monofocal group and 88 patients in the EDOF group completed the questionnaire. In both groups, 22% of patients reported that they were entirely spectacle independent for all daily activities. However, the proportion of patients who used spectacles for at least 50% of the time was 41% in the monofocal group and 16% in the EDOF group. The percentages of patients who were able to perform computer work without spectacles with micro-, mini-, or full monovision were 27%, 67%, and 77% in the monofocal group and 61%, 60%, and 90% in the EDOF group, respectively. Spectacle-free reading of a smartphone or tablet was possible for 17%, 75%, and 71% of all patients with monofocal IOL and for 38%, 50%, and 90% with EDOF IOL, depending on the degree of monovision. Patient satisfaction was generally high with a maximum score of 4.9 out of possible 5.0 points in the full monovision EDOF group.</p><p><strong>Conclusion: </strong>Patients aiming for spectacle independence with monovision achieve better results when implanted with EDOF IOLs than with aspheric monofocal IOLs. Even with EDOF IOL, it is necessary to aim for full monovision (- 1.75 to - 2.5 D) in order to achieve spectacle independence for computer work.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"363-371"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Toxic Keratopathy Associated with Hydrogen Peroxide.","authors":"Eleftherios Chatzimichail, Alexandra Steinemann-Inauen, Konstantin Gugleta, Nicolas Feltgen, Zisis Gatzioufas","doi":"10.1055/a-2511-6475","DOIUrl":"10.1055/a-2511-6475","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"326-327"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523857","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}

{"title":"4.5-Year Follow-up with a Novel Corneal Endothelial Prosthesis.","authors":"Ruth Lapid-Gortzak, Ivanka van der Meulen","doi":"10.1055/a-2479-8606","DOIUrl":"10.1055/a-2479-8606","url":null,"abstract":"<p><strong>Background: </strong>Refractory corneal edema is the foremost reason for endothelial corneal transplantation (EK) in the world. Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK) offer good clinical outcomes. However, human donor tissue is limited in availability and has a complex logistical chain. Many patients in need do not have access to EK. Success of the human donor tissue depends on its quality, the number of rebubbles, repeat keratoplasties, and patient-related risk factors. The use of an endothelial corneal keratoprosthesis could benefit patients with a high risk for graft failure and human graft rejection, and patients in underserved areas where tissue banking is unavailable.</p><p><strong>Patients and methods: </strong>Case cohort series of 10 eyes of 10 patients implanted with the EndoArt, with a follow-up of up to 4.5 years. Outcome measures are device adherence, central corneal thickness, visual acuity, and incidence of adverse events.</p><p><strong>Results: </strong>In the first seven eyes, the EndoArt was implanted in eyes with low visual potential within the first-in-human (FIH) trial, and in the three remaining eyes, implantation was performed because of either guarded posterior or anterior segment prognosis or the patient's wishes. In 9/10 eyes, device adherence was obtained and maintained throughout the follow-up period. Mean corneal thickness decreased from 927 + SD 241 microns to 621 + SD 140 microns. In 6/10 eyes, visual acuity improved from a mean preoperative value of logMAR 1.94 + 0.63 to a mean postoperative value of logMAR 0.8 + 0.64. No pathological thinning or corneal metabolic changes were seen. The surgical technique was developed during the follow-up period.</p><p><strong>Conclusion: </strong>The EndoArt provided a stable decrease in central corneal thickness, improved vision in 60% of eyes, and had no device-related adverse events. The EndoArt is an additional treatment modality for special cases like repeat corneal graft failure in the population of the Western world, or as a primary procedure in underserved areas worldwide.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"318-323"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979084","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}

{"title":"Retinal Toxicity of Anticancer Drugs: A Case Series.","authors":"Nicolò Bartolomeo, Alexandre Déglise, Yannic Pannatier Schuetz, Daniela Gallo Castro, Anna Chiara Nascimbeni, Aude Ambresin","doi":"10.1055/a-2521-4104","DOIUrl":"10.1055/a-2521-4104","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"429-431"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523826","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}

{"title":"[21 year old patient with paracentral scotoma after drug abuse].","authors":"David Dietrich Beckers, Lena Beckers, Ulrich Schaudig, Birthe Stemplewitz","doi":"10.1055/a-2570-2993","DOIUrl":"https://doi.org/10.1055/a-2570-2993","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753319","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}

{"title":"Unilateral Ectasia 5 Years after KLEx in the Absence of Recognized Risk Factors: A Clinical Case Report.","authors":"Gülay Yalçinkaya Çakir, Ahmet Kirgiz, Nilay Kandemir, Mehmet Özgür Çubuk, Sibel Ahmet","doi":"10.1055/a-2525-9363","DOIUrl":"https://doi.org/10.1055/a-2525-9363","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730729","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}