Die Ophthalmologie最新文献

{"title":"[Roclanda®-induced cornea verticillata].","authors":"Alina M Ritter, Bogomil Voykov, Jens Martin Rohrbach","doi":"10.1007/s00347-024-02151-0","DOIUrl":"10.1007/s00347-024-02151-0","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"81"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775427","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":"[Surgical video course receives better evaluation than participation in the operating room as part of student teaching].","authors":"Stefanie Gniesmer, Svenja Rebecca Sonntag, Swaantje Grisanti, Vera Elisabeth Pawlik, Roya Piria, Michelle Prasuhn, Salvatore Grisanti, Armin Mohi","doi":"10.1007/s00347-024-02149-8","DOIUrl":"10.1007/s00347-024-02149-8","url":null,"abstract":"<p><strong>Background: </strong>Imparting knowledge in the operating room represents a particular challenge in student teaching.</p><p><strong>Objective: </strong>Participation in the operating room was compared with teaching via a surgical video course as part of the block practical course in ophthalmology at the University of Lübeck.</p><p><strong>Methods: </strong>All students took part in both observation in the operating room and in the video course. Thereafter, they were surveyed on both forms of teaching using the same items taken from a catalogue of questions. Based on the evaluation of these answers, we carried out a direct comparison between participation in the operating room and teaching with surgical videos.</p><p><strong>Results: </strong>Teaching of the surgical content and steps (p < 001), the underlying clinical picture (p < 001), the surgical indication (p < 001), and the surgical outcome (p < 001) was rated better in the surgical video course than for participation in the operating room. The assessment of learning gain (p < 001) was also higher in the surgical video course. Only the interest in ophthalmic surgery (p = 0.62) was rated similarly between participation in the operating room and teaching with surgical videos.</p><p><strong>Conclusion: </strong>The video format is well suited for pure knowledge transfer. However, it does not replace participation in the operating room, where not only the operation itself can be followed but also the preparation and post-processing of the surgery. We therefore prefer a combination of both parts of the course and will retain the structure presented. In addition, we will use the knowledge gained to further improve teaching in the operating room.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"117-121"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803086","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":"[Recurrent strabismus with nystagmus : Serious problem-Easy to overlook].","authors":"Henriette Thönneßen, Elena Butenko, Frank Schüttauf, Hanna Faber","doi":"10.1007/s00347-024-02157-8","DOIUrl":"10.1007/s00347-024-02157-8","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933978","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":"[Sebaceous gland carcinoma in disguise].","authors":"Elisa A Mahler, Louisa Bulirsch, Karin U Loeffler","doi":"10.1007/s00347-024-02147-w","DOIUrl":"10.1007/s00347-024-02147-w","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"82"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752266","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":"[8.5 mm cannulas on IVODI prefilled syringes].","authors":"Martin Wenzel, Lukas Bisorca-Gassendorf, Kai Januschowski","doi":"10.1007/s00347-024-02163-w","DOIUrl":"10.1007/s00347-024-02163-w","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"142-143"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985314","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":"[Endothermal pupilloplasty : A minimally traumatic technique for centering the pupil in patients with corectopia. Video article].","authors":"Julia Prinz, David Kuerten, Peter Walter, Matthias Fuest","doi":"10.1007/s00347-024-02143-0","DOIUrl":"10.1007/s00347-024-02143-0","url":null,"abstract":"<p><strong>Objective of surgery: </strong>The aim of endothermal pupilloplasty (EP) is to optimize centering of the pupil, contour, or size.</p><p><strong>Indications: </strong>The EP is performed in patients with congenital or acquired corectopia or an irregular pupil shape. In individual cases the technique has also been used to tighten the iris in floppy iris syndrome and to adapt iris tissue edges in patients with sectoral iris defects or iridodialysis.</p><p><strong>Contraindications: </strong>In patients with pronounced iris stromal atrophy or major iris tissue defects, e.g., congenital or posttraumatic, EP could be indicated after careful consideration.</p><p><strong>Surgical technique: </strong>Viscoelastic substances are injected into the anterior chamber via a 23-gauge paracentesis. Using the blunt tip of a bipolar endodiathermy probe, the iris tissue is selectively cauterized at several points, stretching the pupil in the direction to which cauterization is applied. The higher the energy level applied and the closer the cauterization is to the pupil margin, the more effect is achieved. The viscoelastic agents are suctioned off and the paracentesis is sealed by hydration (and additionally sewn in children). A video of the operation, which is available online, shows the surgical technique in detail.</p><p><strong>Follow-up: </strong>Control examinations are recommended after 1 day, 1 week and 1-3 months post-EP. A combination of topical steroids and antibiotics, e.g., dexamethasone and gentamicin eye drops, should be applied 5 times daily for 1 week and 3 times daily for another week.</p><p><strong>Evidence: </strong>To date, isolated positive retrospective case reports on EP have been published. There is a lack of prospective studies, reviews or meta-analyses.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"137-141"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788022","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":"[Optical coherence tomography biomarkers for neovascular age-related macular degeneration : Relevance for the diagnosis, treatment and prognosis].","authors":"Almut Bindewald-Wittich, Mohammad Wesam Alkabouni, Armin Wolf","doi":"10.1007/s00347-024-02181-8","DOIUrl":"10.1007/s00347-024-02181-8","url":null,"abstract":"<p><p>Comprehensive multimodal imaging is essential for the precise clinical diagnostics of neovascular age-related macular degeneration (nAMD). Noninvasive optical coherence tomography (OCT) is of prime importance regarding the baseline examination, follow-up and monitoring during treatment. The OCT imaging in nAMD eyes enables a high-resolution assessment of the retinal micromorphology, which can be considerably disturbed in different layers. A large number of pathological OCT alterations represent distinct micromorphological OCT biomarkers. These should be taken into account in the assessment of OCT images. This article covers the following important biomarkers: intraretinal, subretinal and subpigment epithelial fluid, outer retinal tubulations, ellipsoid zone integrity, hyperreflective foci, subretinal drusenoid deposits, onion sign, hyporeflective prechoroidal cleft, double layer sign, subretinal hyperreflective material and bacillary layer detachment.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"144-156"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054432","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":"[A new validated ophthalmic patient questionnaire for cataract and lens surgery : CLOQ: cataract and lens ophthalmic questionnaire].","authors":"E Fabian, Ph Eberwein, M Müller, K Fabian, J Weisensee, A Langenbucher, J-H Heine","doi":"10.1007/s00347-024-02155-w","DOIUrl":"10.1007/s00347-024-02155-w","url":null,"abstract":"<p><strong>Background: </strong>The new patient cataract and lens ophthalmic questionnaire (CLOQ) determines subjective patient satisfaction before and after cataract surgery according to item response theory (IRT).</p><p><strong>Methods: </strong>A total of 317 patients with bilateral cataract surgery and implantation of different intraocular lens (IOL) types were included. The questionnaire (37 questions) is divided into questions on visual acuity-relevant quality of life (VRQoL), quality of vision (QoV), spectacle dependence, and general satisfaction. For all questions, five response categories are available. Analysis is performed by determining the model parameters/item characteristic curves. Testing of the model is performed by expected score curves, infit/outfit statistics, and determination of reliability and Cronbach's α.</p><p><strong>Results: </strong>The IRT analyses for the QoL and QoV questions showed 1. a clear order of threshold parameters in the multilevel response scale; 2. a good fit of the response model of the empirical and the expected score curves; 3. unidimensionality, with values of < 1 for the mean square in- and outfit statistics; and 4. reliability of F_WLE = 0.87 and 0.71, respectively. The post-surgical improvement is clearly evident in the higher person parameters, spectacle dependency, and better visual acuity.</p><p><strong>Conclusion: </strong>Standard calculations were performed for model parameters, model tests, and reliability based on a partial credit model. The results confirm the suitability for evaluation of subjective patient satisfaction.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"122-129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911237","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":"[Academics in ophthalmology : An analysis of the gender distribution at German university hospitals and the Clinician Scientist Program].","authors":"Verena Anna Englmaier, Anna-Karina Maier-Wenzel, Anja Liekfeld, Nicole Eter, Viktoria Constanze Brücher","doi":"10.1007/s00347-024-02153-y","DOIUrl":"10.1007/s00347-024-02153-y","url":null,"abstract":"<p><strong>Background: </strong>The number of female ophthalmologists has risen steadily in recent years. The aim of this study is to investigate the gender ratios, subspecialties, and academic degrees of ophthalmologists at German university hospitals. Additionally, the study analyzes the proportion of women in science programs such as the Clinician Scientist Program.</p><p><strong>Methods: </strong>Data collection was performed in August 2023 based on the official websites of university eye clinics and the German Ophthalmological Society (DOG). The numbers of male and female residents, specialists, senior physicians, and chief physicians as well as subspecialties and academic degrees were determined. Information on the Clinician Scientist Program was collected in a 2022 survey by the Medical Faculty Council.</p><p><strong>Results: </strong>In August 2023 there were two female chief physicians at the university eye clinics (5%), both specialized in retinal surgery. There were more male senior physicians than female senior physicians (59.9% vs. 40.1%). There was no significant difference between the genders in terms of the number of habilitations (p = 0.554). There were more female specialists than male specialists at the university clinics (58.6% vs. 41.4%) as well as more female residents (56.9% vs. 43.1%). Female specialists were significantly more likely to hold a doctorate than their male colleagues (p = 0.037). The percentage of female applicants for the Clinician Scientist Program nationwide in 2022 was 46.6%, with 41.8% female program starters in 2021 and 39.7% female program graduates in 2021.</p><p><strong>Conclusion: </strong>Senior and chief physician roles at university eye clinics remain predominantly occupied by men. Additionally, support programs for young researchers are still predominantly awarded to men.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"91-99"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873591","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":"[Gender distribution of scientific contributions at German ophthalmological conferences-a baseline study].","authors":"Eda Arslan, Viktoria Brücher, Gökce Demir, Anja Liekfeld","doi":"10.1007/s00347-024-02154-x","DOIUrl":"10.1007/s00347-024-02154-x","url":null,"abstract":"<p><strong>Background: </strong>The proportion of female ophthalmologists in Germany has risen to approximately 50% in recent years, and approximately 66% of medical students are women. This represents a reversal of the past situation with a male predominance. Despite this change, many international studies show that women are still underrepresented at scientific conferences, particularly among invited speakers, chairpersons, and program committees. This study aims to investigate whether these differences in gender representation are also reflected at German ophthalmological congresses and whether the situation has changed in recent years.</p><p><strong>Methods: </strong>Data collection covered the years 2013, 2022, and 2023 and included the congresses of the five large German ophthalmological associations: the German Ophthalmological Society (DOG), German Ophthalmic Surgical Society (DOC), German Ophthalmological Academy (AAD), German Society of Cataract and Refractive Surgery (DGII) and the German Retinological Society (RG). Data were collected based on online programs and information provided by the offices and the managing committees. The numbers of female and male speakers and chairpersons were identified, as were the gender distributions of the specific program committees.</p><p><strong>Results: </strong>Overall, the percentage of female speakers across all years and conferences surveyed averaged 25%, while female chairs averaged 17%. The percentage of females in the program committees ranged from 0% to 17%. There was an increase in the percentage of female speakers over 10 years (2013-2023). For the DOG (p_trend < 0.01) and the DOC (p_trend = 0.01) there was a significant rise, while it was highest at the DOG (37%) and lowest at the DGII (11%). The percentage of female chairs was in general lower than the percentage of female speakers for all conferences (between 11% and 26% in 2023). Only for the DOG was there a statistically significant increase over the 10 years (p_trend < 0.01).</p><p><strong>Conclusion: </strong>The representation of women as speakers and chairpersons at German ophthalmology conferences is low; these continue to be predominantly male dominated. Although there has been an increase in female representation over time, it remains lower than the overall proportion of women in the profession in 2023. Significant differences are observed between the various ophthalmological conferences. Further investigation into the underrepresentation of women at these conferences is necessary, and measures to encourage greater female participation at congresses should be implemented.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"100-106"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878741","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}