Klinische Monatsblatter fur Augenheilkunde最新文献

{"title":"[\"The Dark Caruncles\"].","authors":"Angelika Jähnig, Peter Meyer, Alexandra Steinemann","doi":"10.1055/a-2463-0771","DOIUrl":"https://doi.org/10.1055/a-2463-0771","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"290-292"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015619","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":"Prevalence of Ishihara Test Failures in a Large Cohort of Military Conscripts.","authors":"Veit Sturm, Gregor Jaggi, Margarita G Todorova, Jürg Messerli, Claudia Zawinka, Leila Sara Eppenberger","doi":"10.1055/a-2479-9147","DOIUrl":"10.1055/a-2479-9147","url":null,"abstract":"<p><strong>Purpose: </strong>Color vision deficiency (CVD) is a common vision disorder. It is predominantly caused by inherited photopigment abnormalities in the retina. The absolute number of cases with CVD is expected to increase worldwide with the growing population.</p><p><strong>Methods: </strong>Data from male military conscripts for the recruitment period of 2008 to 2017 were retrospectively analyzed. Year of recruitment, conscripts' birth year, visual acuity, refractive status (spherical equivalent), and color vision status (normal Ishihara pseudoisochromatic plates test yes/no) were available.</p><p><strong>Results: </strong>The dataset comprised data on a total of 355 657 male conscripts who had undergone recruitment between the years 2008 to 2017. The mean number of conscripts per year was 35 566 (MD = 35 440, SD = 1 249), reaching a minimum count of 33 998 conscripts in 2017 and a maximum of 37 594 in 2011. The mean age at recruitment was 19.7 years (MD = 19.0 y, SD = 1.1 y). Among the conscripts, 337 422 (94.9%) successfully passed the Ishihara test, while 18 235 (5.1%) were found to have CVD.</p><p><strong>Conclusion: </strong>The overall prevalence of CVD in our male cohort was 5.1%. This figure is slightly lower than that reported for a European Caucasian population.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"481-484"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052856","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":"Does Axial Length Influence the Dose Effect of Horizontal Strabismus Surgery?","authors":"Hatice Uecelehan, Anja Palmowski-Wolfe","doi":"10.1055/a-2511-3537","DOIUrl":"10.1055/a-2511-3537","url":null,"abstract":"<p><strong>Background: </strong>Dose effect (DE) of strabismus surgery is thought to decrease with increasing axial length (AL), and it has been suggested that this effect may be more important in hyperopes over + 2 D. Here, we analyse the influence of AL on the DE of horizontal strabismus surgery in regard to its clinical relevance.</p><p><strong>Methods: </strong>Retrospective chart analysis of patients who had undergone horizontal strabismus surgery between 2020 and 2023.</p><p><strong>Statistical analysis: </strong>descriptive analysis and ANOVA (R 4.1.2).</p><p><strong>Results: </strong>There were 65 patients (34 male and 31 female) included; mean age: 18.0 years (range 5 - 74). Mean AL was 23.50 mm (range: 20.80 - 28.50 mm). At the 3-month follow-up, 83.1% of patients demonstrated binocularity. Mean DE was 2.36 PD/mm at distance and 2.60 in near vision. There was no significant influence of AL on the DE of surgery (p = 0.30). However, DE was significantly higher in esotropia (n = 32) than exotropia (n = 33) in distant and near vision (p = 0.0 000 403) and in both groups, patients with positive binocularity had a significantly greater DE than patients without binocularity (p = 0.0032).</p><p><strong>Conclusion: </strong>Our data showed no significant correlation between AL and the DE of surgery, while the type of strabismus and binocularity had a significant influence on the DE of surgery. However, AL is still important for surgical planning, in particular, to assess the risk of a deviating muscle path or thin sclera in high myopia.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"475-477"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391186","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":"Outcome of a Mix-and-Match Approach with a Monofocal Aspherical and a Bifocal Extended Depth-of-Focus Intraocular Lens to Achieve Extended Monovision in Cataract Patients.","authors":"Dana Nagyova, Christoph Tappeiner, Andrej Blaha, David Goldblum, Dimitrios Kyroudis","doi":"10.1055/a-2479-9041","DOIUrl":"10.1055/a-2479-9041","url":null,"abstract":"<p><strong>Background: </strong>Extended monovision is a novel mix-and-match approach that has been recently introduced. It involves implanting an aspherical monofocal intraocular lens (IOL) for distance vision in the dominant eye, and a bifocal extended depth-of-focus (EDOF) IOL in the nondominant eye. The target refraction for the nondominant eye is - 1.25 diopters (D), and provides good intermediate vision at 80 cm, with an additional 1.5 D power for near vision at 36 cm. This study evaluates the visual outcomes and patient-reported experiences with this extended monovision strategy in cataract patients.</p><p><strong>Patients and methods: </strong>Patients underwent uneventful conventional or femtosecond laser-assisted cataract surgery and implantation of an aspherical monofocal IOL (Hoya Vivinex XC1-SP, Hoya Surgical Optics, Tokyo, Japan) in the dominant eye [with a target refraction closest to the spherical equivalent (SE) of 0 D] and a rotationally asymmetric refractive bifocal EDOF IOL with an additional power of + 1.5 D (Lentis Comfort-LS-313 MF15, Teleon Surgical B.V, Spankeren, Netherlands) in the nondominant eye (target refraction closest to SE - 1.25 D). These patients were included in this retrospective study. Uncorrected distance, intermediate and near visual acuity (UDVA, UIVA, and UNVA, respectively), and binocular defocus curves were determined. Additionally, uncorrected contrast sensitivity, stereoscopic depth perception, and halometry were measured. Patient satisfaction was evaluated using the PRSIQ and NEI-RQL-42 questionnaires.</p><p><strong>Results: </strong>A total of 26 eyes from 13 patients were included in the study. The mean postoperative binocular UDVA, UIVA, and UNVA were 0.05 ± 0.09, - 0.08 ± 0.11, and 0.06 ± 0.07 logMAR, respectively. The defocus curve peaked at 0.0 D (6 m), with a mean visual acuity of 0.04 ± 0.09 logMAR. Functional vision above the cutoff value of 0.3 logMAR extended across the defocus steps from + 1.0 to - 3.5 D. The mean dependence on correction score reached a mean of 89.4 ± 23.9, with an overall satisfaction rate of 83.1 ± 13.2.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study to describe the combination of a monofocal IOL for distance vision and a rotationally asymmetric refractive bifocal EDOF IOL for intermediate and near distances, with the aim of achieving extended monovision. This approach demonstrated good visual acuity for all distances and a high patient satisfaction. It may be considered a promising alternative to multifocal IOLs.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"372-378"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979086","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":"[Open Globe Injury Caused by an Eyelash Curler in a Beautician].","authors":"Karin Fröse, Matthias D Becker","doi":"10.1055/a-2498-0074","DOIUrl":"https://doi.org/10.1055/a-2498-0074","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"489-491"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024654","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":"Pain Management Using Retrobulbar Ethanol Injection in Chronic Orbital Pain.","authors":"Maximilian Felix Jacobi, Niklas Folke Kristian Winkler, Sadiq Said, Sandrine Zweifel, Daniel Barthelmes, Frank Blaser","doi":"10.1055/a-2516-8629","DOIUrl":"https://doi.org/10.1055/a-2516-8629","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"492-494"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028796","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":"Unexpected Intracameral Foreign Bodies During Regular Cataract Surgeries.","authors":"David Goldblum, Tamer Tandogan","doi":"10.1055/a-2419-1850","DOIUrl":"10.1055/a-2419-1850","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Patients and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"353-356"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","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}

{"title":"Presumed Ectopic Trilateral Retinoblastoma: Case Report.","authors":"Cecilia Clara Maria Mattavelli, Meriam Koob, Maja Beck-Popovic, Vincent Dunet, Francis Munier, Christina Stathopoulos","doi":"10.1055/a-2497-6568","DOIUrl":"10.1055/a-2497-6568","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"426-428"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567573","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":"Effect of Foveal Herniation on Surgical Outcomes of Idiopathic Epiretinal Membrane Peeling: A Challenging Presentation.","authors":"Giacomo Edoardo Bravetti, Matteo Mandrioli, Luca Cappuccini, Giorgio Enrico Bravetti","doi":"10.1055/a-2511-6405","DOIUrl":"10.1055/a-2511-6405","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this report is to describe the visual symptoms and spectral-domain optical coherence tomography (SD-OCT) findings associated with foveal herniation with epiretinal membrane and to evaluate the postoperative visual, anatomical, and surgical outcomes.</p><p><strong>Background: </strong>Foveal herniation occurs when neuroretinal tissue protrudes through and above the level of an epiretinal membrane. The pathogenesis of foveal herniation is still unknown, though it is likely attributable to the centripetal contraction of the epiretinal membrane (ERM). Moreover, thinning of the prefoveolar internal limiting membrane (ILM) may further exacerbate this process by reducing the structural support for the retina in that area. In the literature, foveal herniation with ERM is rare and usually described as unilateral. Most cases present a good visual outcome after surgical intervention.</p><p><strong>Case description: </strong>We describe the case of a 37-year-old Caucasian male patient, without any previous ocular history, who presented with metamorphopsia and a sustained reduction visual acuity to his left eye that had persisted for several months. The baseline best-corrected visual acuity (BCVA) was recorded as 0.05 decimals. Anterior segment examination was unremarkable, while dilated fundoscopy revealed an ERM with a concentric ring of foveal tissue prolapse. SD-OCT showed the foveal tissue protruding through and above the ERM, demonstrating the severe foveal herniation. A diagnosis of idiopathic ERM with foveal herniation was established based on these findings. Subsequently, the patient was scheduled for surgical intervention to undergo pars-plana vitrectomy with ERM peeling. After the surgery, the patient experienced progressive restoration of the foveal anatomy and an improvement of vision to 0.6 decimals from baseline at 3 months.</p><p><strong>Conclusion: </strong>This case report shows a rare finding of foveal herniation with ERM. This atypical presentation is of important clinical relevance in drawing clinicians' attention to the possibility of these findings, with the goal to prevent erroneous diagnosis and unnecessary treatments. We demonstrate the visual improvement and gradual resolution of foveal herniation with SD-OCT images after ERM removal, and the images show that it may take a few months for the foveal bulge to decrease in height. When the outer retinal layers are normal, visual recovery, though delayed, is appreciable.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"451-454"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391259","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":"Outcomes after Implantation of KeraNatural, a Sterile Corneal Allograft Intrastromal Ring Segment (CAIRS), in Eyes with Keratoconus.","authors":"Evelyn-Elisa Benz, Christoph Tappeiner, David Goldblum, Dimitrios Kyroudis","doi":"10.1055/a-2526-2105","DOIUrl":"10.1055/a-2526-2105","url":null,"abstract":"<p><strong>Purpose: </strong>To assess and describe the outcomes of corneal allograft intrastromal ring segment (CAIRS) implantation in eyes with keratoconus.</p><p><strong>Methods: </strong>In this retrospective analysis, we examined the early postoperative results of CAIRS (KeraNatural) implantation after cutting a corneal tunnel with a femtosecond laser device (Ziemer Z6) in patients with keratoconus. Outcome measures included best-corrected distance visual acuity (BCDVA), spherical equivalent (SE), maximal keratometry (K_max), refractive astigmatism (RA), higher-order aberrations (HOAs), and root mean square total aberrations (total RMS), evaluated both before and a variable time after surgery, ranging from at least 30 days to 338 days, with a mean follow-up time of 141.1 ± 79.9 days postoperatively.</p><p><strong>Results: </strong>A total of 17 eyes with keratoconus of 16 patients (mean age of 36.2 ± 17.3 years) were treated. In one eye, previous corneal UVA cross-linking (CXL) was reported in the medical history, and 9 eyes underwent adjunctive CXL at least 1 month postoperatively due to previously documented progressive disease. BCDVA (mean ± SD) improved from preoperative values of 0.43 ± 0.16 logMAR to 0.19 ± 0.14 logMAR postoperatively (p < 0.001). Furthermore, the results show a significant decrease in spherical and astigmatic refraction, with the mean SE decreasing from - 2.9 ± 4.7 D to - 0.7 ± 3.6 D (p = 0.004). Mean RA slightly changed from - 3.42 ± 2.18 D to - 2.51 ± 2.31 D (p = 0.13). Additionally, mean K_max significantly decreased from 57.3 ± 5.5 D to 51.4 ± 5.7 D (p < 0.001). In the comparison of pre- to postoperative HOA and total RMS values at 4, 5, and 6 mm, a slight tendency for improvement was found; however, these changes were not statistically significant (p > 0.05, each).</p><p><strong>Conclusion: </strong>CAIRS implantation reduced corneal ectasia and improved BCDVA in patients with keratoconus. This highlights its potential as an effective visual rehabilitation strategy, particularly for patients who are intolerant to wearing contact lenses.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"328-331"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523825","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}