{"title":"[Programme of the Young DOG at the DOG conference 2025].","authors":"Andrea K M Ross, Sabrina Reinehr, Sven Schnichels","doi":"10.1007/s00347-025-02295-7","DOIUrl":"https://doi.org/10.1007/s00347-025-02295-7","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B Brechtelsbauer, Y Hermanns, M-C Kugelmann, L Priebe, O Kolbe, D Capovilla, K S Kunert
{"title":"[Tel-O-Rena-Telematic ophthalmological rehabilitation aftercare].","authors":"B Brechtelsbauer, Y Hermanns, M-C Kugelmann, L Priebe, O Kolbe, D Capovilla, K S Kunert","doi":"10.1007/s00347-025-02288-6","DOIUrl":"https://doi.org/10.1007/s00347-025-02288-6","url":null,"abstract":"<p><strong>Background: </strong>There are currently no specific rehabilitation aftercare services in Germany for people with visual impairment to ensure their long-term occupational and social participation following medical rehabilitation. Therefore, the research project \"TEL-O-Rena\" aimed to develop a multimodal, accessible, telemedical rehabilitation aftercare service for this target group. The scientific evidence regarding the effectiveness of such interventions is currently limited.</p><p><strong>Material and methods: </strong>Literature reviews, expert interviews, application observations, and surveys of people with visual impairment were conducted in the fields of visual rehabilitation, movement therapy, psychology and pedagogics. Based on this, corresponding therapy curricula are created.</p><p><strong>Results: </strong>Tools were identified in the respective subfields and compiled into assessments that systematically capture the specific needs of participants at the end of inpatient ophthalmological rehabilitation. Based on these findings, telemedical therapy modules were developed, including optometric exercises to compensate for visually induced strain symptoms, motor training to improve balance and cervical motor control and a psychological intervention to reduce severe fatigue. These modules were adapted to the specific needs of people with visual impairment under inclusive pedagogical considerations.</p><p><strong>Conclusion: </strong>A basic set of accessible telemedical therapy modules has been developed. There is a particular need for further research on the efficacy of the individual therapeutic components within the context of digital, barrier-free implementation.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Multimodal ophthalmological rehabilitation : Conception, methods and access routes to the only inpatient medical rehabilitation in ophthalmology].","authors":"Oliver Kolbe, Kathleen S Kunert","doi":"10.1007/s00347-025-02291-x","DOIUrl":"https://doi.org/10.1007/s00347-025-02291-x","url":null,"abstract":"<p><p>Visual impairments have extensive effects on the quality of life of those affected. At the only German clinic specializing in inpatient ophthalmological rehabilitation, a multiprofessional team provides medical rehabilitation for visually impaired people under ophthalmological guidance, with the program tailored to the individual needs of each patient. The rehabilitation concept is based on Social Act IV (SGB IV) § 42 and current case law and is therefore holistic, multimodal and interdisciplinary. The focus is on the impairment of visual functions, the impact on personal activity and participation in a social and professional context. In addition to a close medical care, the options of the rehabilitation program encompass visual aid provision, low-vision counselling, specific visual, balance and mobility training, workplace adjustments and psychological and sociolegal support. The financial coverage and application process for ophthalmological rehabilitation is determined by the individual's insurance status and the nature of their rehabilitation needs.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Berthold Seitz, Y Abu Dail, T Berger, S Suffo, E Flockerzi, F Flockerzi, L Daas
{"title":"[Fungal keratitis in Germany : Diagnostics, conservative and microsurgical treatment].","authors":"Berthold Seitz, Y Abu Dail, T Berger, S Suffo, E Flockerzi, F Flockerzi, L Daas","doi":"10.1007/s00347-025-02274-y","DOIUrl":"https://doi.org/10.1007/s00347-025-02274-y","url":null,"abstract":"<p><p>Fungal keratitis is still a relatively rare but very serious ophthalmological condition with a potentially vision-threatening course, possibly including even loss of the eye. Similar to acanthamoeba keratitis, it is often initially misdiagnosed with the slit lamp. For more than 20 years an increase in the incidence of fungal keratitis has been observed, also in Germany possibly due to the increased use of soft contact lenses and climate change. This article provides an overview of the typical clinical signs and symptoms of keratomycosis and presents the latest findings in the field of diagnostics as well as drug and, in particular microsurgical treatment. A special focus is placed on the indications and technique of emergency keratoplasty (à chaud) for fungal keratitis and its postoperative care.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Assessment of myopia progression].","authors":"Navid Farassat, Wolf A Lagrèze","doi":"10.1007/s00347-025-02276-w","DOIUrl":"https://doi.org/10.1007/s00347-025-02276-w","url":null,"abstract":"<p><p>The global increase in myopia prevalence and associated secondary complications necessitates adequate monitoring of myopia progression. This review highlights the advantages and disadvantages of the most commonly used target parameters for assessing myopia progression: refractive error and axial length. Although refractive error is essential for the diagnosis and optical correction of myopia, axial length proves to be a more reliable and clinically relevant parameter for monitoring progression and guiding preventive interventions. Axial length correlates more strongly with the risk of ocular complications and is less susceptible to diurnal variations and interventions that alter the eye's refractive power. Assessing myopia progression under preventive measures requires consideration of age-dependent physiological changes in axial length. Standardized comparison parameters, such as the cumulative absolute reduction in axial elongation (CARE) can facilitate the objective evaluation of the efficacy of the intervention. Regular monitoring of refraction and axial length should also be performed in young adults with risk factors, as myopia onset and progression can occur even at this age.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[From indications to outcome-A concise overview of supplementary intraocular lenses].","authors":"Petra Dávidová, Thomas Kohnen","doi":"10.1007/s00347-025-02268-w","DOIUrl":"https://doi.org/10.1007/s00347-025-02268-w","url":null,"abstract":"<p><p>Supplementary intraocular lenses (IOLs) are used to correct spherical and astigmatic refractive errors after cataract surgery. They provide patients with improved uncorrected visual acuity, resulting in a higher degree of spectacle independence. For the implantation of supplementary IOLs two approaches are distinguished: the primary and secondary Duet procedures. Indications include extreme refractive errors, desire for reversible multifocality, residual refractive errors and pediatric cataract surgery. Monofocal, extended depth of focus (EDOF) and multifocal implants are available, some also as toric variants. Thanks to specialized IOL designs, supplementary IOLs have been optimized for implantation in the ciliary sulcus, making the procedure safe, effective and associated with minimal complications. Several studies have demonstrated the favorable safety profile, predictable refractive outcomes and improvement in uncorrected visual acuity. Continuous advancements in IOL design, including the availability of EDOF and multifocal implants, have further enhanced the benefits of supplementary IOLs. Through a relatively small, low-risk and quick procedure, individualized solutions can be provided for many patients, improving vision and reducing spectacle dependence.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Accumulation of emulsified heavy oil in the anterior chamber].","authors":"Julian Bucur, Petra Dávidová, Thomas Kohnen","doi":"10.1007/s00347-025-02277-9","DOIUrl":"https://doi.org/10.1007/s00347-025-02277-9","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}