Die OphthalmologiePub Date : 2025-01-01Epub Date: 2024-12-16DOI: 10.1007/s00347-024-02145-y
Anna Sophia Jauch, Thomas Ach
{"title":"[Climate change as a factor in the development of retinal diseases: a critical review].","authors":"Anna Sophia Jauch, Thomas Ach","doi":"10.1007/s00347-024-02145-y","DOIUrl":"10.1007/s00347-024-02145-y","url":null,"abstract":"<p><p>The climate change has multiple effects on health. The eyes are not exempt from these effects and components of climate change, such as the temperature, UV radiation or air pollution that can have a relevant impact on retinal pathologies can be worked out. The alterations to the retina include UV light-induced retinal damage, age-related macular degeneration (AMD), choroidal melanoma, diabetic retinopathy, retinal detachment and vascular occlusion. Overall, there is an urgent need for prospective multicenter studies to be able to further analyze the specific impact of components of climate change on the retina.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840468","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}
Die OphthalmologiePub Date : 2025-01-01Epub Date: 2024-10-08DOI: 10.1007/s00347-024-02121-6
I P Seitz, M Zarzo Vargas, T Strasser, E Nasyrov, K U Bartz-Schmidt
{"title":"[The utilization of ophthalmological emergency departments is on the rise : 14-year results from a German tertiary university outpatient department].","authors":"I P Seitz, M Zarzo Vargas, T Strasser, E Nasyrov, K U Bartz-Schmidt","doi":"10.1007/s00347-024-02121-6","DOIUrl":"10.1007/s00347-024-02121-6","url":null,"abstract":"<p><strong>Background: </strong>The increasing congestion in emergency departments of all specialties is one of the most pressing challenges of our time.</p><p><strong>Objective: </strong>The aim of this study is to make a well-founded contribution to the development of emergency case numbers in the tertiary sector (specialist clinics) of German ophthalmology. From this, the need to develop new control and triage mechanisms for ophthalmology can be derived.</p><p><strong>Material and methods: </strong>Retrospectively, > 140,000 emergency treatment cases at the University Eye Hospital Tübingen in the period from 1 January 2010 to 31 December 2023 were analyzed. Sub-analyses were conducted to quantify the impact of the COVID-19 pandemic and differences between weekend and weekday visits. In addition, a questionnaire survey on the referral status of emergency consultations at off-peak times and at weekends was conducted in 2022.</p><p><strong>Results: </strong>The number of emergency consultations more than doubled between 2010 and 2023 and more than tripled at weekends. The peak load, which is relevant for guaranteeing treatment, has increased to the same extent. In the long term, a shift in emergency treatment from core to off-peak times can be observed, particularly at weekends. The majority of consultations (up to 87%) take place without a referral from a doctor. In 2023, the treatment figures returned to the level before the start of the COVID-19 pandemic.</p><p><strong>Discussion: </strong>The emergency outpatient clinic at the University Eye Hospital is increasingly exposed to a double burden: providing treatment for emergency cases with specialist referrals and at the same time acting as a catchment basin for general emergencies. New control and triage mechanisms are urgently needed to ensure good care in the long term.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395717","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}
Jan Henrik Terheyden, Matthias M Mauschitz, Maximilian W M Wintergerst, Petrus Chang, Philipp Herrmann, Raffael Liegl, Thomas Ach, Robert P Finger, Frank G Holz
{"title":"Erratum zu: Digitale Telemedizin zur Überwachung chronischer Netzhauterkrankungen – ein klinisches Werkzeug für die Zukunft?","authors":"Jan Henrik Terheyden, Matthias M Mauschitz, Maximilian W M Wintergerst, Petrus Chang, Philipp Herrmann, Raffael Liegl, Thomas Ach, Robert P Finger, Frank G Holz","doi":"10.1007/s00347-024-02137-y","DOIUrl":"10.1007/s00347-024-02137-y","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633789","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}
Die OphthalmologiePub Date : 2025-01-01Epub Date: 2024-12-06DOI: 10.1007/s00347-024-02140-3
C Rastoaca, T Berger, B Seitz, A D Abdin
{"title":"[Bilateral, central serous chorioretinopathy under BRAF(B-rapidly accelerated fibrosarcoma)-/MEK (mitogen-activated protein kinase kinase)-inhibitor therapy in metastatic cutaneous melanoma.]","authors":"C Rastoaca, T Berger, B Seitz, A D Abdin","doi":"10.1007/s00347-024-02140-3","DOIUrl":"10.1007/s00347-024-02140-3","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"52-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792865","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}
Die OphthalmologiePub Date : 2025-01-01Epub Date: 2025-01-14DOI: 10.1007/s00347-024-02164-9
I Goldammer, S Mielke, S Emmert, O Furashova, V Kakkassery
{"title":"[Ophthalmic oncology in a warmer world: climate-related increase in the prevalence of eyelid cancer].","authors":"I Goldammer, S Mielke, S Emmert, O Furashova, V Kakkassery","doi":"10.1007/s00347-024-02164-9","DOIUrl":"10.1007/s00347-024-02164-9","url":null,"abstract":"<p><strong>Background: </strong>Damage induced by ultraviolet (UV) radiation plays a decisive role in the carcinogenesis of malignant tumors of the eyelids.</p><p><strong>Methods: </strong>A selective literature search was performed in PubMed and Google Scholar.</p><p><strong>Results: </strong>Large epidemiological studies show an increase in the prevalence of eyelid tumors in recent decades. The incidence of malignant eyelid tumors has increased especially in the white population over the last 70 years. A UV-induced damage to tumor suppressor genes and oncogenes which play a key role in the carcinogenesis of malignant eyelid tumors has been demonstrated. Strong intermittent UV exposure and sunburn have been identified as risk factors for basal cell carcinoma and malignant melanoma. For squamous cell carcinoma, cumulative UV exposure over a longer period of time is considered a risk factor.</p><p><strong>Conclusion: </strong>In order to counteract the UV-related increase in malignant eyelid tumors, preventive protective measures, early detection and increased public awareness are essential. On the one hand, changes in behavior, appropriate clothing, wearing hats and sunglasses or contact lenses with UV filters are effective measures for UV protection. On the other hand, the underlying mechanisms of carcinogenesis should be investigated further in order to be able to carry out effective prevention and further develop treatment.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"4-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980841","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":"Dank an die Gutachterinnen und Gutachter 2024.","authors":"","doi":"10.1007/s00347-024-02180-9","DOIUrl":"10.1007/s00347-024-02180-9","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"37-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959738","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}
Marvin Lucas Biller, Klemens Paul Kaiser, Johanna Kessel, Julia Koepsell, Silke Besier, Ninel Kenikstul, Julian Bucur, Michael Müller, Thomas Kohnen
{"title":"Erratum zu: Retinitis bei Rickettsiose.","authors":"Marvin Lucas Biller, Klemens Paul Kaiser, Johanna Kessel, Julia Koepsell, Silke Besier, Ninel Kenikstul, Julian Bucur, Michael Müller, Thomas Kohnen","doi":"10.1007/s00347-024-02099-1","DOIUrl":"10.1007/s00347-024-02099-1","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047563","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}
Die OphthalmologiePub Date : 2025-01-01Epub Date: 2024-02-21DOI: 10.1007/s00347-024-01988-9
Franziska G Rauscher, Rui Bernardes
{"title":"Retinal OCT biomarkers and their association with cognitive function-clinical and AI approaches.","authors":"Franziska G Rauscher, Rui Bernardes","doi":"10.1007/s00347-024-01988-9","DOIUrl":"10.1007/s00347-024-01988-9","url":null,"abstract":"<p><p>Retinal optical coherence tomography (OCT) biomarkers have the potential to serve as early, noninvasive, and cost-effective markers for identifying individuals at risk for cognitive impairments and neurodegenerative diseases. They may also aid in monitoring disease progression and evaluating the effectiveness of interventions targeting cognitive decline. The association between retinal OCT biomarkers and cognitive performance has been demonstrated in several studies, and their importance in cognitive assessment is increasingly being recognized. Machine learning (ML) is a branch of artificial intelligence (AI) with an exponential number of applications in the medical field, particularly its deep learning (DL) subset, which is widely used for the analysis of medical images. These techniques efficiently deal with novel biomarkers when their outcome for the applications of interest is unclear, e.g., for diagnosis, prognosis prediction, disease staging, or any other relevance to clinical practice. However, using AI-based tools for medical purposes must be approached with caution, despite the many efforts to address the black-box nature of such approaches, especially due to the general underperformance in datasets other than those used for their development. Retinal OCT biomarkers are promising as potential indicators for decline in cognitive function. The underlying mechanisms are currently being explored to gain deeper insights into this relationship linking retinal health and cognitive function. Insights from neurovascular coupling and retinal microvascular changes play an important role. Further research is needed to establish the validity and utility of retinal OCT biomarkers as early indicators of cognitive decline and neurodegenerative diseases in routine clinical practice. Retinal OCT biomarkers could then provide a new avenue for early detection, monitoring and intervention in cognitive impairment with the potential to improve patient care and outcomes.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"20-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914212","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}