{"title":"Imbalanced Trace Elements as Risk Factors in the Pathogenesis of Glaucoma.","authors":"Kira Steinhorst, Petra Lakatos, Bettina Hohberger","doi":"10.1055/a-2805-1399","DOIUrl":"10.1055/a-2805-1399","url":null,"abstract":"<p><strong>Abstract: </strong>Glaucoma, a neurodegenerative disease, is characterised by ocular pathogenic patterns, yet also by cerebral pathologies, particularly within the visual pathway. Oxidative stress is involved in glaucoma pathogenesis, similar to other neurodegenerative diseases, such as Alzheimer's disease. Trace elements can intervene within these molecular processes (e. g., via enzymes) and in the event of imbalances, also cause pathological changes. This review aims to provide an overview of the common features of glaucoma and other neurodegenerative diseases, focusing on the influence of imbalanced trace elements such as zinc, copper, iron and selenium, and oxidative stress.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"736-741"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302223","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":"Physical Inactivity as a Risk Factor for Neurodegeneration and Sports Medicine-based Recommendations.","authors":"Eva Schaeffer, Burkhard Weisser","doi":"10.1055/a-2815-0976","DOIUrl":"10.1055/a-2815-0976","url":null,"abstract":"<p><strong>Abstract: </strong>Brain aging, many neurological diseases, and glaucoma are associated with neurodegenerative processes of varying degrees. Regular physical activity is one of the most successful non-pharmacological interventions for prevention and treatment. The mechanisms of neuroprotection through exercise and sport are becoming increasingly well understood. In addition to general anti-inflammatory and antioxidant effects, there are specific effects on neurogenesis, brain plasticity, and angiogenesis in the brain, which are also clinically associated with, among other things, reduced cognitive decline. Dozens of exerkines are now known. These are proteins or metabolites that are released during exercise and exert neuroprotective effects in the brain via specific mechanisms of action, e. g., BDNF (brain-derived neurotrophic factor) or VEGF (vascular endothelial growth factor). Intervention studies have shown that moderate endurance training, as well as specific strength training, can stimulate these and other neurobiologically relevant factors and positively influence atrophy processes in certain brain regions (e. g., the hippocampus).</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"731-735"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146227054","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}
Christoph Spartalis, Christoph Hackl, Stephan Radda, Oliver Findl
{"title":"Efficacy of Photodynamic Therapy in Chronic Central Serous Chorioretinopathy: A Retrospective Analysis at Hanusch Hospital, Vienna.","authors":"Christoph Spartalis, Christoph Hackl, Stephan Radda, Oliver Findl","doi":"10.1055/a-2772-8827","DOIUrl":"10.1055/a-2772-8827","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Chronic central serous chorioretinopathy (cCSC) is an exudative maculopathy characterised by persistent subretinal fluid and potential visual deterioration. Photodynamic therapy (PDT) with verteporfin is an established treatment option, particularly in refractory or chronic cases. This retrospective, single centre study aimed to evaluate the functional and morphological efficacy of PDT in patients with cCSC at Hanusch Hospital, Vienna.</p><p><strong>Abstract: </strong>PATIENTS/MATERIALS AND METHODS: We analysed 49 eyes of 38 patients who underwent PDT between 2020 and 2025. Best-corrected visual acuity (decimal), central retinal thickness (CRT, µm), and subretinal fluid (SRF, µm) were assessed using spectral domain OCT before and after treatment. Statistical analyses included the Shapiro-Wilk test for normality and the Wilcoxon signed-rank test for paired samples. Subgroup analyses were conducted for repeat PDT (Re-PDT) and secondary choroidal neovascularisation (CNV).</p><p><strong>Abstract: </strong>RESULTS: Overall, PDT led to a significant improvement in visual acuity (p = 0.041) and a highly significant reduction in both CRT and SRF (each p < 0.001). In the Re-PDT subgroup (n = 6), significant morphological improvement (p = 0.028 for CRT and SRF) was observed without a statistically significant gain in vision (p = 0.109). No significant therapeutic effect was found in patients with secondary CNV. There was a significant negative correlation between visual acuity and CRT (r = - 0.42; p = 0.005) and between visual acuity and SRF (r = - 0.37; p = 0.012).</p><p><strong>Abstract: </strong>CONCLUSION: PDT appears to be an effective treatment for achieving anatomical and functional stabilisation in cCSC. The limited visual improvement in Re-PDT and CNV subgroups underscores the importance of early treatment and tailored decision-making in cases of secondary neovascularisation.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"759-766"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157785","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}
Patrick Thelen, Jakob B W Weiss, Thomas Reinhard, Wolf Alexander Lagrèze, Steffen U Eisenhardt, Philip Christian Maier
{"title":"Corneal Neurotisation in Neurotrophic Keratopathy: A Retrospective Analysis of Functional Outcomes and Clinical Courses.","authors":"Patrick Thelen, Jakob B W Weiss, Thomas Reinhard, Wolf Alexander Lagrèze, Steffen U Eisenhardt, Philip Christian Maier","doi":"10.1055/a-2864-5774","DOIUrl":"10.1055/a-2864-5774","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Neurotrophic keratopathy (NK) is a rare, chronic corneal disorder resulting from impaired sensory innervation. Corneal neurotisation, which restores corneal innervation through nerve transfer, has emerged as a promising causal treatment approach. This retrospective study aimed to evaluate the clinical outcomes of corneal neurotisation in patients with NK.</p><p><strong>Abstract: </strong>MATERIAL AND METHODS: We retrospectively reviewed all patients who underwent indirect corneal neurotisation using an autologous sural nerve interposition graft for NK at the Eye Center at Medical Center, University Freiburg. Demographic characteristics, aetiology, postoperative corneal sensitivity, epithelial integrity, visual acuity, and complications were analysed descriptively.</p><p><strong>Abstract: </strong>RESULTS: A total of four patients with Mackie stages 2 to 3 were included in the analysis. All developed measurable corneal sensitivity after surgery, whereas no sensitivity was present preoperatively. Complete corneal epithelialisation was achieved in every case, with no recurrent epithelial defects during follow-up (4 - 49 months). No intraoperative or postoperative complications occurred. All patients reported subjective improvement, including reduced discomfort, keratitis, and recurrent erosions.</p><p><strong>Abstract: </strong>CONCLUSION: Indirect corneal neurotisation using an autologous sural nerve graft appears to be a safe and effective option for treating neurotrophic keratopathy. The procedure can restore corneal sensitivity, promote epithelial healing, and substantially alleviate symptoms, thereby improving patients' overall quality of life.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148330600","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}
Anton Sonntag, Daniel Röck, Karl Ulrich Bartz-Schmidt, Tobias Röck
{"title":"[Siderotic Cataract Eight Months After Intralenticular Metallic Foreign Body: A Case Report and Surgical Management].","authors":"Anton Sonntag, Daniel Röck, Karl Ulrich Bartz-Schmidt, Tobias Röck","doi":"10.1055/a-2879-3759","DOIUrl":"10.1055/a-2879-3759","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302256","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}
Mohamed Elabbasy, Irina Berger, Antonia Hehr, Felix Treumer
{"title":"Rare Presentation of Hidradenoma Papilliferum in the Caruncle: A Case Report.","authors":"Mohamed Elabbasy, Irina Berger, Antonia Hehr, Felix Treumer","doi":"10.1055/a-2848-8836","DOIUrl":"10.1055/a-2848-8836","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609268","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}
Philip Keye, Julien Martin, Charlotte Evers, Daniel Böhringer, Thomas Reinhard, Jan Luebke
{"title":"Impact of Wearing a Face Mask on the Reliability of Standard Automated Perimetry in Glaucoma Patients and Suspects: a Retrospective Longitudinal Study.","authors":"Philip Keye, Julien Martin, Charlotte Evers, Daniel Böhringer, Thomas Reinhard, Jan Luebke","doi":"10.1055/a-2823-2534","DOIUrl":"https://doi.org/10.1055/a-2823-2534","url":null,"abstract":"<p><strong>Abstract: </strong>PURPOSE: To assess the reliability of standard automated perimetry in a real-life cohort of glaucoma patients and suspects wearing face masks due to the COVID-19 pandemic in a large German eye hospital.</p><p><strong>Abstract: </strong>METHODS: Data of 160 eyes of 83 glaucoma patients and suspects who received at least one visual field examination and optical coherence tomography for glaucoma monitoring in 2018, 2019 and 2020 were included. Mean visual field defect and the rates of false-positive and false-negative responses between tests without (2019) and tests with a face mask (2020) were compared. Mean retinal nerve fibre layer thickness and the minimum rim width of Bruch's membrane opening served as a control for glaucoma progression.</p><p><strong>Abstract: </strong>RESULTS: No statistically significant difference between visual fields without a face mask, and examinations with a face mask could be detected for mean defect (p = 0.075), rate of false-positives (p = 0.7) and rate of false-negatives (p = 0.16).</p><p><strong>Abstract: </strong>CONCLUSION: Our data suggest that protective face mask wear does not impair the quality and reliability of standard automated perimetry in a real-life cohort of glaucoma patients and glaucoma suspects.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302216","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}
Charlotte Semoulin, Colya N Englisch, Karl T Boden, Clemens N Rudolph, Ori Staszewski, Gesine Szurman, Peter Szurman, Philip Wakili
{"title":"Intraorbital Abducens Nerve Schwannoma: Clinical Presentation and Histology of a Rare Tumor.","authors":"Charlotte Semoulin, Colya N Englisch, Karl T Boden, Clemens N Rudolph, Ori Staszewski, Gesine Szurman, Peter Szurman, Philip Wakili","doi":"10.1055/a-2834-8118","DOIUrl":"10.1055/a-2834-8118","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458253","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}
Clara Gruenauer-Kloevekorn, Erika Maka, László Imre, Nagy Zsolt Zoltán, Eszter Jávorszky, Kálmán Tory, Bela Csákány, Nóra Szentmáry
{"title":"[Clinical Manifestations of the Axenfeld-Rieger Syndrome in FOXC1-associated Disease].","authors":"Clara Gruenauer-Kloevekorn, Erika Maka, László Imre, Nagy Zsolt Zoltán, Eszter Jávorszky, Kálmán Tory, Bela Csákány, Nóra Szentmáry","doi":"10.1055/a-2858-0240","DOIUrl":"https://doi.org/10.1055/a-2858-0240","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283900","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}