Die Ophthalmologie最新文献

{"title":"[Intrasaccal foreign body after lacrimal duct surgery-A relic from the past?]","authors":"Julian Zimmermann, Nicole Eter, Ralph-Laurent Merté","doi":"10.1007/s00347-025-02211-z","DOIUrl":"10.1007/s00347-025-02211-z","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"544-547"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665472","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":"[Nonpenetrating surgical approaches to promote corneal homeostasis].","authors":"Maria Della Volpe Waizel, Annekatrin Rickmann, Nóra Szentmáry, Berthold Seitz, Loay Daas, Fabian N Fries","doi":"10.1007/s00347-025-02243-5","DOIUrl":"10.1007/s00347-025-02243-5","url":null,"abstract":"<p><p>In corneal defects that are difficult to heal, such as a treatment refractory corneal ulcer but also in cases of deep vascularized corneal scarring, various nonpenetrating surgical treatment strategies can be employed, which can result in a significant improvement of corneal findings and patient satisfaction without extensive surgical efforts. Based on three clinical cases examples surgical interventions are shown that were effective with little effort and can be considered in the routine clinical practice for similar cases.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"558-562"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061136","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":"[Vascular occlusion due to isolated retinal arteriovenous malformation].","authors":"Sarah Kleemann, Christoph R Clemens","doi":"10.1007/s00347-025-02233-7","DOIUrl":"10.1007/s00347-025-02233-7","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"500"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200930","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":"[Ocular rosacea : Clinical aspects, diagnostics, management and treatment].","authors":"Louise Partzsch, Katrin Nguyen, Sören Korsing, Uwe Pleyer","doi":"10.1007/s00347-025-02265-z","DOIUrl":"10.1007/s00347-025-02265-z","url":null,"abstract":"<p><p>Ocular rosacea is a chronic inflammatory disease that affects the surface of the eye and the eyelids. It often occurs in conjunction with rosacea in the facial area but can also occur independently. It is characterized by bilateral chronic posterior blepharitis and meibomitis, which can involve the entire surface of the eye, including the cornea, during the course of the disease. The diagnosis is largely based on clinical findings. The main symptoms include reddened, burning and itchy eyes, dryness, sensitivity to light and blurred vision. The exact etiology of ocular rosacea is not fully understood. A genetic predisposition, dysregulation of the immune system, environmental factors and microbial factors are involved. Treatment usually includes a combination of eyelid hygiene, topical and, if necessary, systemic agents. The prognosis is generally considered favorable; however, in the case of untreated ocular rosacea, severe progressive courses can also lead to blindness.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"566-580"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303774","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":"[Reverse pupillary block after implantation of a sclera-fixated intraocular lens].","authors":"Pirmin Frey, Monica Markstaller, Arthur Mueller, Isabella D Baur","doi":"10.1007/s00347-025-02270-2","DOIUrl":"https://doi.org/10.1007/s00347-025-02270-2","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546401","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":"[Shaping work with vision: process innovation and human-centered design in opthalmology at Chemnitz hospital].","authors":"Aline Lohse, Laura Horn, Katrin Engelmann, Monika Valtink, Vinodh Kakkassery","doi":"10.1007/s00347-025-02232-8","DOIUrl":"10.1007/s00347-025-02232-8","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"563-565"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058643","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":"[Uveal effusion syndrome due to immune-mediated reaction to pembrolizumab].","authors":"V Schöneberger, J Schätzel, L Kinzel, F Schaub, T A Fuchsluger, C Brockmann","doi":"10.1007/s00347-025-02215-9","DOIUrl":"10.1007/s00347-025-02215-9","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"548-551"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756289","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":"[Stellate cataract].","authors":"Colya N Englisch, Claus Englisch","doi":"10.1007/s00347-025-02244-4","DOIUrl":"10.1007/s00347-025-02244-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"499"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042987","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":"[Patient- and donor-dependent factors in descemet membrane endothelial keratoplasty and their impact on visual acuity and quality of life].","authors":"Thomas Hammer, P Wieland, J Horn, A Viestenz, A Viestenz","doi":"10.1007/s00347-025-02238-2","DOIUrl":"10.1007/s00347-025-02238-2","url":null,"abstract":"<p><strong>Background: </strong>Descemet membrane endothelial keratoplasty (DMEK) is the gold standard for the treatment of endothelial corneal decompensation. The rapid postoperative improvement in visual acuity and the lower rejection rate of this minimally invasive procedure compared to penetrating keratoplasty justify the high acceptance of DMEK.</p><p><strong>Objective: </strong>The aim of this study was to analyse the general conditions for an optimal visual outcome after DMEK by recording patient- and graft-dependent factors.</p><p><strong>Study design and methods: </strong>A total of 72 eyes were retrospectively analysed in which Fuchs' endothelial dystrophy was treated by DMEK at the University Eye Hospital in Halle in 2019 and 2020. The data at the following timepoints were collected: preoperative graft examination, examination prior to surgery and one examination within the first 6 months postoperatively and one in the second postoperative year. In particular, the best corrected visual acuity (BCVA) and endothelial cell density were compared. A patient survey was used to evaluate the subjectively perceived success of the therapy. The main focus was on reduction in symptoms and the regained independence and participation in social life.</p><p><strong>Results: </strong>The BCVA increased from 0.37 ± 0.15 (logMAR 0.43 ± 0.82) preoperatively to 0.65 ± 0.18 (logMAR 0.19 ± 0.74) in the second postoperative year. The endothelial cell density of the transplant decreased from 2503 ± 206 cells/mm² preoperatively to 1441 ± 516 cells/mm² in the second postoperative year and thus decreased on average by 42%. The corneal thickness decreased from 599 ± 58 µm preoperatively to 521 ± 48 µm in the second postoperative year and decreased on average by 78 ± 71 µm. More than 70% of the patients surveyed complained of sensitivity to light (n = 66), blurred vision (n = 64) and reduced colour perception (n = 59). 57% (n = 50) reported symptoms of glare. 50% of patients (n = 50) felt that their vision was better at the time of the survey than preoperatively and 40% (n = 40) felt that it was optimal. Of those surveyed 84% (n = 84) described their quality of life postoperatively as better or even optimal.</p><p><strong>Conclusion: </strong>DMEK is an effective and safe procedure. The visual outcome can be influenced by various patient- and graft-dependent factors. Patients who had previously undergone other eye operations or had other eye diseases achieved a lower average postoperative increase in visual acuity. In addition, a correlation between donor gender and the decrease in endothelial cell density can be recognised. The endothelial cell loss in female donors is greater than in male donors.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"524-532"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035981","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":"[Epidemiology in patient counseling].","authors":"Robert P Finger, Alexander K Schuster, Caroline Brandl","doi":"10.1007/s00347-025-02264-0","DOIUrl":"https://doi.org/10.1007/s00347-025-02264-0","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":"122 7","pages":"501-502"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546402","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}