Die Ophthalmologie最新文献

{"title":"[Regeneration potential and remodelling of juvenile cornea resulting from vernal keratoconjunctivitis].","authors":"Julian Kahlert, Jessica Obst, Berthold Seitz, Fabian Norbert Fries","doi":"10.1007/s00347-026-02415-x","DOIUrl":"10.1007/s00347-026-02415-x","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"339"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286452","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":"[Endophthalmitis with keratitis-how to manage severe cases? : A narrative review].","authors":"Sundaram Natarajan, Mauricio Bayram-Suverza, Itzel Aguilar-Valdez, Mary Lady González-Suriel","doi":"10.1007/s00347-026-02423-x","DOIUrl":"10.1007/s00347-026-02423-x","url":null,"abstract":"<p><p>Endophthalmitis secondary to microbial keratitis (MK) is a rare but devastating ophthalmic emergency characterized by diagnostic and therapeutic challenges due to poor corneal clarity. Although it accounts for less than 10% of cases of exogenous endophthalmitis, it often results in poor visual outcomes or enucleation. The most common causative organisms include Staphylococcus spp., Pseudomonas spp., and Fusarium spp., with rising concerns about antimicrobial resistance. Several risk factors have been identified, including the use of topical corticosteroids, systemic immunosuppression, and fungal infections, particularly those caused by Fusarium. Early and aggressive management is essential, combining intravitreal antimicrobials with surgery to reduce the microbiological load. When corneal opacity limits visualization, a combined approach involving temporary keratoprosthesis, penetrating keratoplasty, and pars plana vitrectomy may offer a chance to salvage the eye. This narrative review synthesizes the current understanding of MK-associated endophthalmitis and presents updated management strategies to optimize visual and anatomical outcomes in these severe cases.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"345-352"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576708","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":"[Expert assessment of blindness].","authors":"Klaus Rohrschneider","doi":"10.1007/s00347-026-02426-8","DOIUrl":"10.1007/s00347-026-02426-8","url":null,"abstract":"<p><p>The determination of blindness is a secondary aspect usually performed by ophthalmologists at the request of visually impaired patients during medical treatment. It is essential to understand that proving blindness requires an examination conducted under expert conditions; it cannot be based solely on records gathered during a routine doctor-patient consultation. Important are a visual acuity test according to DIN 58220 and manual kinetic perimetry using a Goldmann perimeter or other approved devices. Functional deficits must be morphologically explainable and objectively verifiable based on the diagnosis and other objective examination findings. Due to the potentially high costs associated with blindness and in claims from social law, stringent standards must be applied to its determination; blindness must be established with near certainty.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"409-418"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701069","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":"[Revision for hypotension after trabeculectomy-Specific features in a young male patient].","authors":"Nathanael Urs Häner, Damian Jaggi, Joel-Benjamin Lincke, Jan Darius Unterlauft","doi":"10.1007/s00347-026-02398-9","DOIUrl":"10.1007/s00347-026-02398-9","url":null,"abstract":"<p><p>A 34-year-old male patient with primary juvenile open-angle glaucoma presented 3 months after trabeculectomy with mitomycin C in the left eye due to progressive visual deterioration. Ocular hypotension with an intraocular pressure of 2 mmHg was noted along with a prominent filtering bleb and macular folding of the retina and choroid as the cause of reduced visual acuity. The diagnosis of hypotony maculopathy was established. After an initial lack of improvement, revision surgery was performed. Intraoperatively, a very thin and undersized scleral flap with a torn suture as well as a disproportionately large sclerectomy were identified, rendering adequate suture revision impossible. Therefore, the fistulation site was covered with a 5 × 5 mm Lyoplant® implant (Aesculap, Braun, Melsungen, Germany, acellular bovine pericardium) and secured with sutures to achieve controlled reduction of aqueous humor filtration. The postoperative course was uneventful. The intraocular pressure normalized to 12 mmHg 6 weeks after revision surgery, visual acuity improved and optical coherence tomography demonstrated a normal macula. This case highlights the importance of adequate size and thickness of the scleral flap, particularly in young patients with more compliant sclera, to prevent hyperfiltration and hypotony maculopathy. Coverage of the scleral fistula with bovine pericardium proved to be an effective surgical treatment option.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"391-395"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215091","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":"[C-Quant scattered light measurement and corneal densitometry in Fuchs endothelial dystrophy before and after DMEK].","authors":"Melanie Da Costa, Berthold Seitz, Cristian Munteanu, Loay Daas","doi":"10.1007/s00347-026-02422-y","DOIUrl":"10.1007/s00347-026-02422-y","url":null,"abstract":"<p><strong>Background: </strong>In Germany, each surgical corneal center defines individual criteria for the indications for Descemet membrane endothelial keratoplasty (DMEK). Clinical experience shows a clear discrepancy between best corrected visual activity (BCVA) and subjective complaints, such as increased sensitivity to glare. Increasing symptoms with apparently stable visual acuity suggest that BCVA alone is not sufficient to adequately capture the overall visual impairment. The aim of this study is therefore to make subjective complaints, in particular the perceived scattered light, measurable by means of quantitative parameters and to analyze their progression preoperatively and postoperatively in the context of DMEK longitudinally and to evaluate the extent to which ocular forward scattered light can determine the optimal time for surgical intervention.</p><p><strong>Patients and methods: </strong>This retrospective study included 149 patients with Fuchs endothelial corneal dystrophy (FECD) who underwent DMEK or triple DMEK surgery at the Saarland University Hospital Medical Center between 2018 and 2020. The prerequisite for participation was the availability of complete preoperative and postoperative measurement data after 6 weeks and 6 months. All patients underwent BCVA, central corneal thickness (CCT), corneal densitometry (backward scattered light) using Pentacam and ocular forward scattered light using C‑Quant.</p><p><strong>Results: </strong>The ocular forward scattered light showed a significant improvement comparing the preoperative and 6‑month values; however, ocular forward scattered light did not correlate with BCVA or CCT at time. The CCT and backward scattered light decreased significantly after 6 weeks and remained stable in the further course. The BCVA significantly improved after 6 weeks postoperatively. There was a significant correlation between ocular forward scattered light and backward scattered light at all measurement times. Additionally, there were significant positive correlations between preoperative backward scattered light and both CCT and BCVA.</p><p><strong>Conclusion: </strong>The measurement of ocular forward scattered light via C‑Quant alone has not proven to be a reliable criterion for determining the indications for DMEK or triple DMEK; however, both surgical procedures led to a sustained reduction in CCT and backward scattered light (densitometry) as well as a significant improvement in BCVA.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"368-374"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504919","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":"[Promoting young talent and networking in ophthalmology in Europe : The synergies between the Young DOG working group and the European Society of Ophthalmology (SOE)].","authors":"Leonie Menghesha, Atanas Bogoev, Andrea K M Ross","doi":"10.1007/s00347-026-02424-w","DOIUrl":"10.1007/s00347-026-02424-w","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"406-408"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517198","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":"[Bilateral ring-shaped stromal crystalline corneal deposits in an 8-year-old child].","authors":"Ilinca Teodora Mihai, Berthold Seitz, Fabian Norbert Fries, Albéric Sneyers, Tim Berger","doi":"10.1007/s00347-026-02410-2","DOIUrl":"10.1007/s00347-026-02410-2","url":null,"abstract":"<p><p>An 8‑year-old boy was presented for assessment of stromal crystalline corneal opacity in both eyes with increasing photophobia. Slit-lamp microscopy revealed anterior stromal, crystalline, ring-shaped corneal deposits in both eyes, with otherwise unremarkable corneal findings. Based on these findings, the patient was diagnosed with a juvenile form of Schnyder corneal dystrophy. Annual follow-up was performed over a period of 3 years. The family history revealed a case of Schnyder corneal dystrophy in the patient's grandmother. In cases of atypical crystalline, annular corneal opacities in children, Schnyder corneal dystrophy should be considered in the differential diagnosis. It should be noted that crystalline deposits are present in only 50% of all patients with this corneal dystrophy. The diagnosis can be particularly challenging in young patients as typical clinical signs, such as discoid stromal corneal opacity or arcus lipoides corneae, often do not appear until the third decade of life and early findings of corneal dystrophies in childhood are rarely described in the literature. In the present case, the positive family history facilitated the diagnosis. Excimer laser-assisted phototherapeutic keratectomy was discussed as a potential treatment option but was not desired by the family.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"382-385"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291667","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":"KI beim Publizieren: Was Ärzt*innen wissen und konkret beachten sollten.","authors":"Ines Wolff, Henning Schönenberger","doi":"10.1007/s00347-026-02436-6","DOIUrl":"https://doi.org/10.1007/s00347-026-02436-6","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":"123 5","pages":"341-344"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790158","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":"[Scleral buckling for rhegmatogenous retinal detachment-The value of buckle procedures in modern retinal surgery].","authors":"Isabel Habert, A Mueller, Y Botros, R Khoramnia, I D Baur","doi":"10.1007/s00347-025-02381-w","DOIUrl":"10.1007/s00347-025-02381-w","url":null,"abstract":"<p><strong>Background: </strong>Rhegmatogenous retinal detachment (RRD) is a potentially acute vision-threatening condition. While scleral buckling (SB) was considered the standard treatment for decades, it has increasingly been replaced by pars plana vitrectomy (ppV).</p><p><strong>Objective: </strong>This study aims to re-evaluate the role of SB within the current therapeutic context by comparing the clinical outcomes of SB versus primary ppV for RRD, based on data published from 2005-2025.</p><p><strong>Material and methods: </strong>A systematic literature search across five databases identified 24 studies (2005-2025) comparing SB and ppV in primary RRD. Exclusion criteria included patient age under 18 years and proliferative vitreoretinopathy (PVR) greater than grade B. Outcomes were analyzed in terms of preoperative and postoperative corrected distance visual acuity (CDVA) and single surgery anatomical success (SSAS).</p><p><strong>Results: </strong>Across all included studies the mean preoperative CDVA was 1.22 logMAR. Postoperatively, visual acuity improved to 0.49 logMAR with SB and to 0.5 logMAR with ppV. In phakic eyes, SB resulted in an average postoperative CDVA of 0.17 logMAR, whereas ppV achieved a mean of 0.23 logMAR in the same subgroup. The SSAS was reported to be up to 93.8% for SB and up to 96.3% for ppV.</p><p><strong>Conclusion: </strong>Scleral buckling remains an effective therapeutic option for selected patient populations, particularly those with a phakic lens status. Given its clinical relevance, SB should continue to be an integral part of surgical training programs.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"359-367"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121118","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":"[Complete lens dislocation into the anterior chamber with acute tension decompensation].","authors":"Caroline Richter, Lebriz Altay, Silvia Schrittenlocher","doi":"10.1007/s00347-026-02417-9","DOIUrl":"10.1007/s00347-026-02417-9","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"340"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367473","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}