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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":"<p><p>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.</p>","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
{"title":"Evaluation of Current Artificial Intelligence Programs on the Knowledge of Glaucoma.","authors":"Eyupcan Sensoy, Mehmet Citirik","doi":"10.1055/a-2327-8484","DOIUrl":"10.1055/a-2327-8484","url":null,"abstract":"<p><strong>Background: </strong>To measure the success of three different artificial intelligence chatbots, ChatGPT, Bard, and Bing, in correctly answering questions about glaucoma types and treatment modalities and to examine their superiority over each other.</p><p><strong>Materials and methods: </strong>Thirty-two questions about glaucoma types and treatment modalities were asked using the ChatGPT, Bard, and Bing chatbots. The correct and incorrect answers were also provided. Accuracy rates were compared.</p><p><strong>Outcomes: </strong>Questions asked: ChatGPT answered 56.3%, Bard 78.1%, and Bing 59.4% correctly. There was no statistically significant difference between the three artificial intelligence chatbots in the rate of correct and incorrect answers to the questions asked (p = 0.195).</p><p><strong>Conclusion: </strong>Artificial intelligence chatbots can be used as a tool to access accurate information regarding glaucoma types and treatment modalities. However, the information obtained is not always accurate, and care should be taken when using this information.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1140-1144"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759577","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
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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
From Trial to Trial: Diminishing Effects Sizes of Interventions for Myopia Control - a Call for Critical Reassessment. 从试验到试验：近视控制干预措施的效应大小递减--呼吁进行严格的重新评估。
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-2340-8299
Wolf Lagrèze
{"title":"From Trial to Trial: Diminishing Effects Sizes of Interventions for Myopia Control - a Call for Critical Reassessment.","authors":"Wolf Lagrèze","doi":"10.1055/a-2340-8299","DOIUrl":"https://doi.org/10.1055/a-2340-8299","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"241 10","pages":"1117-1118"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391606","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
Chromatic Light Therapy for Inhibiting Myopia Progression: Human Studies. 抑制近视发展的色光疗法：人体研究。
IF 0.8 4区 医学
Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-10-01 Epub Date: 2024-05-09 DOI: 10.1055/a-2322-9892
Barbara Swiatczak
{"title":"Chromatic Light Therapy for Inhibiting Myopia Progression: Human Studies.","authors":"Barbara Swiatczak","doi":"10.1055/a-2322-9892","DOIUrl":"10.1055/a-2322-9892","url":null,"abstract":"<p><p>Myopia, a common refractive error, has been associated with various risk factors, but time outdoors has emerged as a significant protective factor against its onset. This association is believed to be mediated by the influence of sunlight on dopamine release, a neurotransmitter crucial for regulating eye growth. Recent research has explored the specific properties of light in order to identify potential interventions for myopia control in children. Low-level red light therapy has gained attention, and has shown promise in inhibiting myopia progression, although there are concerns about safety and rebound effects. Similarly, blue light stimulation aims to upregulate retinal dopamine activity, yet conclusive evidence supporting its efficacy is lacking. Moreover, researchers explored the use of the entire visible light spectrum by digitally imposing longitudinal chromatic aberration to adjust proper eye growth. Preliminary findings suggest that digitally simulated chromatic aberration could potentially serve as a myopia control strategy and highlights the need for further investigation into long-term effects. As research progresses, understanding the efficacy and safety of light-based interventions for myopia control remains crucial for informing clinical practice and optimizing patient outcomes.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1126-1128"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897065","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
Epidemiology of Myopia: Prevalence, Risk Factors and Effects of Myopia. 近视的流行病学：近视的发病率、风险因素和影响。
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-2340-1790
Susanne Hopf, Alexander Schuster
{"title":"Epidemiology of Myopia: Prevalence, Risk Factors and Effects of Myopia.","authors":"Susanne Hopf, Alexander Schuster","doi":"10.1055/a-2340-1790","DOIUrl":"https://doi.org/10.1055/a-2340-1790","url":null,"abstract":"<p><p>Myopia is the most common cause of visual impairment in children and young adults. In order to assess the consequences for society, it is necessary to know temporal trends in prevalence, incidence and associated factors in childhood and adolescence, as well as the rate of myopia progression, as based on epidemiological research. This paper presents a literature review of publications from 2020 up to March 2024, supplemented by other relevant publications. The prevalence of myopia in children and adolescents in Germany is almost stable and is significantly lower than in Asia. The development of myopia is influenced by outdoor activity, parental myopia, genetics and near work, while insufficient time spent outdoors in childhood is a significant and controllable risk factor for myopia-related complications such as myopic maculopathy, glaucoma, and retinal detachment.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"241 10","pages":"1119-1125"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391604","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
Artificial Intelligence in neovascular age-related macular degeneration. 人工智能在新生血管性老年黄斑变性中的应用。
IF 0.8 4区 医学
Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-09-11 DOI: 10.1055/a-2413-6782
Lorenzo Ferro Desideri, Martin Zinkernagel, Rodrigo Anguita
{"title":"Artificial Intelligence in neovascular age-related macular degeneration.","authors":"Lorenzo Ferro Desideri, Martin Zinkernagel, Rodrigo Anguita","doi":"10.1055/a-2413-6782","DOIUrl":"https://doi.org/10.1055/a-2413-6782","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290303","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
[Age-related macular degeneration - Part 1: Pathophysiology, classification and diagnostic]. [老年黄斑变性--第一部分：病理生理学、分类和诊断]。
IF 0.8 4区 医学
Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-09-10 DOI: 10.1055/a-2367-8346
Henrik Faatz, Albrecht Peter Lommatzsch
{"title":"[Age-related macular degeneration - Part 1: Pathophysiology, classification and diagnostic].","authors":"Henrik Faatz, Albrecht Peter Lommatzsch","doi":"10.1055/a-2367-8346","DOIUrl":"https://doi.org/10.1055/a-2367-8346","url":null,"abstract":"<p><p>Age-related macular degeneration (AMD) continues to be the most common hereditary disease among older people in the western world. In addition to the clinical examination, multimodal imaging with fluorescein angiography, optical coherence tomography, fundus autofluorescence and fundus photography are crucial for the correct diagnosis and classification. This is particularly important with regard to risk assessment for the development of a late form of the disease. Since the introduction of intravitreal therapy against vascular endothelial growth factor (VEGF), the treatment options for neovascular AMD have increased significantly and the prognosis for patients in terms of maintaining their vision has improved. The hope is to develop stronger and longer-lasting drugs and also to obtain approval for drugs to treat geographic atrophy. It is therefore of great importance to be able to make a quick and correct diagnosis for patients. In this paper we want to present an overview of the pathophysiology, classification and diagnosis of AMD.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290299","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
[The 2022 Activity Report of the Tissue Transplantation and Biotechnology Section of the German Ophthalmological Society]. [德国眼科学会组织移植和生物技术分会 2022 年活动报告]。
IF 0.8 4区 医学
Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-09-01 Epub Date: 2024-03-26 DOI: 10.1055/a-2274-8147
Helga Reinshagen, Daniel Böhringer, Jan Schroeter, Philip Christian Maier
{"title":"[The 2022 Activity Report of the Tissue Transplantation and Biotechnology Section of the German Ophthalmological Society].","authors":"Helga Reinshagen, Daniel Böhringer, Jan Schroeter, Philip Christian Maier","doi":"10.1055/a-2274-8147","DOIUrl":"10.1055/a-2274-8147","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1076-1080"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140293912","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
[Ophthalmology, Sports, and Exercises]. [眼科、运动和锻炼]。
IF 0.8 4区 医学
Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-09-01 Epub Date: 2024-05-24 DOI: 10.1055/a-2312-6697
Thomas Katlun
{"title":"[Ophthalmology, Sports, and Exercises].","authors":"Thomas Katlun","doi":"10.1055/a-2312-6697","DOIUrl":"10.1055/a-2312-6697","url":null,"abstract":"<p><p>Nowadays, sport and exercise play an important role in the daily lives of all age groups of our patients. As doctors, we have the task of seeing patients as individuals, in addition to providing specialist monitoring and support. This requires interdisciplinary thinking. Diabetic disease is a good example of this. As ophthalmologists, we should not only focus on the retina or the lens during check-ups, but also pay attention to the overall constitution of our patients. For example, it can be helpful if, after cataract surgery, exercise/sport is interrupted only briefly and minimally.This paper presents the current recommendations for ophthalmologists. The aim is to be able to give affected patients advice on sport and exercise relatively quickly and easily, even for recurring use in various areas of daily practice.However, the recommendations presented here are not evidence-based due to a lack of research data, but are based on years of experience, the combination of different specialist areas and after consultation with colleagues from different perspectives on sport and exercise.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"1091-1105"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141092742","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
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