Klinische Monatsblatter fur Augenheilkunde最新文献

{"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}

{"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}

{"title":"Posterior Microphthalmos in a Paediatric Patient: Characteristic Papillomacular Folds and Multimodal Imaging Findings.","authors":"Ismail Murat Seyhun, Yakup Çevik, Mehmet Citirik, Mehmet Yasin Teke","doi":"10.1055/a-2837-5845","DOIUrl":"10.1055/a-2837-5845","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":"147480863","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":"[Childhood cataract].","authors":"Dominik Knebel, Oliver Ehrt","doi":"10.1055/a-2776-7162","DOIUrl":"https://doi.org/10.1055/a-2776-7162","url":null,"abstract":"<p><strong>Abstract: </strong>Cataracts are one of the most common preventable causes of blindness and severe visual impairment in children worldwide. Early detection and consistent conservative and surgical treatment can significantly improve visual function and quality of life. Knowledge of the different types of cataracts is clinically relevant, as they differ in terms of prognosis and accompanying systemic diseases. Cataract surgery in children is more challenging than surgery for senile cataracts. Special surgical techniques must be used to prevent posterior capsule opacification (PCO). For this purpose, different surgical techniques are available. The choice of surgical technique has implications for the choice of intraocular lenses (IOL) and the postoperative follow-up. Biometry and IOL calculation should account for a myopic shift throughout childhood. To provide a visual benefit to the child, long-term amblyopia treatment with refractive correction and occlusion therapy is crucial, and long-term clinical follow-up should evaluate for late complications such as PCO and secondary glaucoma.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239541","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":"[Optical Coherence Tomography - State of the Art, Case Examples and Future Perspectives].","authors":"Carla Winter, Albrecht Peter Lommatzsch","doi":"10.1055/a-2831-9663","DOIUrl":"https://doi.org/10.1055/a-2831-9663","url":null,"abstract":"<p><strong>Abstract: </strong>Optical coherence tomography (OCT) is an essential imaging modality in modern ophthalmology, enabling high-resolution visualization of retinal microstructures. Technological advances such as spectral-domain and swept-source OCT have significantly improved image quality and acquisition speed, establishing OCT as the current state of the art in retinal imaging.A structured approach to OCT interpretation is key and includes assessment of the vitreoretinal interface, intraretinal layers, outer retinal structures such as the ellipsoid zone, and the retinal pigment epithelium. Particular attention should be paid to fluid accumulation and structural alterations.OCT-based biomarkers play an important role in clinical decision-making. Exudative biomarkers, including intraretinal and subretinal fluid, may indicate disease activity, whereas degenerative features such as outer retinal tubulations or atrophic changes (iRORA/cRORA) reflect chronic structural damage.Emerging technologies, including OCT angiography and artificial intelligence-based analysis, further expand the diagnostic and prognostic potential of OCT.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226397","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":"[Pharmacological Glaucoma Therapy].","authors":"Charlotte Evers","doi":"10.1055/a-2729-3885","DOIUrl":"https://doi.org/10.1055/a-2729-3885","url":null,"abstract":"<p><strong>Abstract: </strong>Pharmacological therapy remains a cornerstone in the management of glaucoma. The therapeutic spectrum has been broadened by the introduction of new active substances and drug classes, preservative-free topical formulations, fixed combinations, and innovative drug delivery systems. In addition, alternative routes of administration are being investigated, and interventional approaches are increasingly gaining importance as primary treatment options based on emerging clinical evidence. This article provides an overview of current pharmacological therapies, highlighting their clinical relevance for everyday practice.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226421","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":"Excimer Laser-assisted Deep Anterior Lamellar Keratoplasty (Excimer-DALK).","authors":"Loay Daas, Tim Berger, Yaser Abu Dail, Maximilian Berger, Berthold Seitz","doi":"10.1055/a-2873-0793","DOIUrl":"10.1055/a-2873-0793","url":null,"abstract":"<p><strong>Abstract: </strong>Deep anterior lamellar keratoplasty (DALK) allows selective removal of pathologically altered corneal layers. At our clinic, it is performed according to the Homburg concept as a non-mechanical, contact-free excimer laser-assisted DALK (Excimer-DALK). After early postoperative treatment, DALK gives faster visual rehabilitation. After complete suture removal, visual outcomes are comparable to those of penetrating keratoplasty (PKP), while endothelial cell density remains significantly higher in the long term. Advantages of DALK include improved graft survival, a markedly lower rate of irreversible endothelial immune reactions, and a reduced risk of postoperative intraocular pressure fluctuations. Optimal results require an intact endothelium and complete exposure of Descemet's membrane. Excimer-DALK is therefore a standardised, safe, and particularly attractive alternative to PKP for young patients with keratoconus.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"654-659"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856456","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":"A Case of Bilateral Acute Posterior Multifocal Placoid Pigment Epitheliopathy - Atypically with Monocular Subretinal Macular Fluid - in an Adolescent Female Patient and Resolving without Treatment.","authors":"Maximilian Aria Antoninus Josef Schulze, Marie Francine Hoogslag-Bienfait, Charlotte Louise Leonarde Ingrid van Meerwijk","doi":"10.1055/a-2538-2496","DOIUrl":"10.1055/a-2538-2496","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"679-683"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730725","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":"EndoArt: Indications, Mechanism of Action, Outcomes, and Complications.","authors":"Björn O Bachmann, Simona Schlereth, Mert Mestanoglu, Claus Cursiefen, Johanna Wiedemann","doi":"10.1055/a-2867-7006","DOIUrl":"https://doi.org/10.1055/a-2867-7006","url":null,"abstract":"<p><strong>Abstract: </strong>Diseases of the corneal endothelium are among the most common indications for corneal transplantation worldwide. Despite the significant advances achieved with lamellar techniques such as Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) and particularly Descemet Membrane Endothelial Keratoplasty (DMEK), which have markedly reduced rejection rates, the risk of early graft failure remains substantial in certain patient groups-such as individuals with disruptions of the blood-aqueous barrier or glaucoma patients with drainage implants. At the same time, the global shortage of donor corneas, especially in many regions of Africa and Asia, intensifies the need for a readily applicable, immunologically non-reactive artificial endothelial substitute. Endoart (EyeYon Medical, Ness Ziona, Israel) is an innovative option for high-risk eyes in which conventional transplantation is insufficient or repeatedly unsuccessful. In addition, this endothelial keratoprosthesis could help alleviate the persistent shortage of donor tissue in regions with limited access to corneal grafts. Key advantages include the relatively simple surgical procedure, the possibility of implantation even in cases with complex anterior segment anatomy, and the absence of allogeneic immune reactions. In contrast, a wide range of potential complications has been recognized. Poor adhesion can often be corrected by repeated gas injections or fixation sutures, whereas other complications-such as retroprosthetic membrane formation, suboptimal visual recovery, persistent peripheral edema, inadequate corneal dehydration, or recurrent band keratopathy-are considerably more challenging to manage and may necessitate explantation of the device. Risk factors for unfavorable attachment, including defects of the iris-lens diaphragm or irregularities of the posterior corneal surface, have already been identified. Current research aims to further delineate predictors of unfavourable outcomes following implantation of this prosthesis.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"243 6","pages":"660-668"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277873","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":"Dissolve or Evaporate: an Update to Treatment Modalities in Band-like Keratopathy.","authors":"Tonio Felix Schaffert, Daniel Böhringer, Thomas Reinhard, Philip Christian Maier","doi":"10.1055/a-2760-3432","DOIUrl":"10.1055/a-2760-3432","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Treatment modalities for band keratopathy (BK), which consists of calcium phosphate deposits in Bowman's layer and upper corneal stromal lamellae, are ethylenediamine tetraacetate (EDTA) chelation and phototherapeutic keratectomy (PTK). In this retrospective study, we compared the effectiveness and the recurrence rate for both methods.</p><p><strong>Abstract: </strong>PATIENTS/MATERIAL AND METHODS: We conducted a retrospective study of patients with idiopathic BK who had been treated with EDTA-chelation or PTK and who had no other relevant corneal disease. Of 81 patients, 34 were treated with EDTA chelation and 47 with PTK. Demographic data, comorbidities, pre- and postoperative visual acuity, preoperative severity of the disease and technical surgical parameters were recorded. The results were compared descriptively. A telephone survey was conducted to investigate the subjective outcome after surgery and the development of recurrences.</p><p><strong>Abstract: </strong>RESULTS: Regardless of the preoperative severity of BK, treatment intensity and comorbidities, this study confirmed an equal improvement in visual acuity with both EDTA chelation and PTK. The telephone survey showed that the recurrence rate after PTK was significantly lower than after EDTA-chelation (chi-square = 4.74; p = 0.03, n = 25). However, the postoperative symptomatic relief was similar in both groups.</p><p><strong>Abstract: </strong>CONCLUSION: EDTA chelation and PTK as treatment of BK provide equivalent improvement in visual acuity and postoperative symptomatic relief. A lower recurrence rate may be expected with PTK. Further prospective studies would be necessary to confirm our results.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"697-703"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181115","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}