Die OphthalmologiePub Date : 2025-04-01Epub Date: 2025-01-13DOI: 10.1007/s00347-024-02178-3
Lukas Schloesser, Robert P Finger, Somar Hasan
{"title":"[Bilateral conspicuous iris configuration and elevation of intraocular pressure of unclear origin].","authors":"Lukas Schloesser, Robert P Finger, Somar Hasan","doi":"10.1007/s00347-024-02178-3","DOIUrl":"10.1007/s00347-024-02178-3","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"312-314"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973586","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 : 2025-04-01Epub Date: 2025-02-28DOI: 10.1007/s00347-025-02194-x
Patrizia Krauss, Heiko Philippin, Karin M Knoll, Matthias Eidel, Martin M Nentwich, Peter Shah, Freda Sii, Evarista Mgaya, Furahini G Mndeme, Christopher Mwanansao
{"title":"[Etiology of pediatric ocular trauma in a tertiary referral hospital in Tanzania].","authors":"Patrizia Krauss, Heiko Philippin, Karin M Knoll, Matthias Eidel, Martin M Nentwich, Peter Shah, Freda Sii, Evarista Mgaya, Furahini G Mndeme, Christopher Mwanansao","doi":"10.1007/s00347-025-02194-x","DOIUrl":"10.1007/s00347-025-02194-x","url":null,"abstract":"<p><strong>Background: </strong>Ocular trauma in childhood is a major cause of unilateral acquired blindness in Africa [3]. The aim of the study was to identify the underlying mechanisms of injury in order to develop region-specific prevention strategies.</p><p><strong>Patients and methods: </strong>The study was performed at the Department of Ophthalmology of Bugando Medical Centre in Mwanza, Tanzania, during a 3-month observation period in spring 2019. All children under the age of 17 years who presented with acute eye injury or a history of ocular trauma within 4 years prior to presentation were included. The data collection was performed using a standardized questionnaire based on the UK Paediatric Ocular Trauma Study I, which was adapted to the specific local conditions.</p><p><strong>Results: </strong>We included 49 patients. The mean age at the time of injury was 7 years. Boys were affected more often than girls (69% vs. 31%). The most frequent objects causing injury were wooden sticks (45%). The majority of the injuries happened at home (51%). Only 35% of the patients presented at an eye unit within 24 h after the injury, while 26% waited longer than 7 days. The most common clinical finding was corneal laceration (73%) and 33 patients needed immediate surgical treatment.</p><p><strong>Conclusion: </strong>Ocular trauma in children is a frequent and important ophthalmological issue in Tanzania. To prevent these injuries, more public education concerning adult supervision and eye protection is needed. Furthermore, it is important to raise awareness about the need for an immediate presentation at an eye unit, which can help to achieve a better visual outcome.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"297-303"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525324","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 : 2025-04-01Epub Date: 2025-02-12DOI: 10.1007/s00347-025-02201-1
Thiago Gonçalves Dos Santos Martins, Diogo Gonçalves Dos Santos Martins
{"title":"[Biomarkers of neurodegeneration in diabetic retinopathy].","authors":"Thiago Gonçalves Dos Santos Martins, Diogo Gonçalves Dos Santos Martins","doi":"10.1007/s00347-025-02201-1","DOIUrl":"10.1007/s00347-025-02201-1","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400841","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 : 2025-04-01Epub Date: 2024-11-14DOI: 10.1007/s00347-024-02135-0
Lea Holtrup, Julian Varghese, Alexander K Schuster, Broder Poschkamp, Christopher Hampf, Dagmar Waltemath, Leonie Wahle, Myriam Lipprandt, David A Merle, Philipp Berens, Oliver Kohlbacher, Vinodh Kakkassery, Martin Bartos, Focke Ziemssen, Thomas Wendt, Katja Hoffmann, Nicole Eter
{"title":"[EyeMatics-Multicenter data evaluation of real-world data with interoperable medical informatics].","authors":"Lea Holtrup, Julian Varghese, Alexander K Schuster, Broder Poschkamp, Christopher Hampf, Dagmar Waltemath, Leonie Wahle, Myriam Lipprandt, David A Merle, Philipp Berens, Oliver Kohlbacher, Vinodh Kakkassery, Martin Bartos, Focke Ziemssen, Thomas Wendt, Katja Hoffmann, Nicole Eter","doi":"10.1007/s00347-024-02135-0","DOIUrl":"10.1007/s00347-024-02135-0","url":null,"abstract":"<p><p>The evaluation of real-world data (RWD) enables insights to be gained from a wide range of patient data collected in routine clinical practice. In addition, multicenter analyses represent a broad and representative patient population and have the potential to capture the actual treatment situation. As a basis for this, the definition of datasets and an infrastructure for data exchange is necessary. Data integration centers (DIC) have already been established at (university) hospitals throughout Germany in order to extract RWD for scientific analyses from the various source systems and integrate them into research-compatible data infrastructures. The project described here aims to demonstrate the added value of this data integration using a case of application in ophthalmology, defining a core dataset as an ophthalmology extension module and establishing a cross-site data exchange infrastructure. As a first step, the treatment success of eye diseases treated with intravitreal injection (IVI) should be improved. To achieve this goal a dashboard for clinical data is provided that clearly visualizes the merged data. Furthermore, algorithms will be developed to identify new imaging biomarkers that can be used for treatment monitoring and predict treatment outcomes.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"270-277"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633810","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 : 2025-04-01Epub Date: 2025-02-24DOI: 10.1007/s00347-025-02203-z
Lars H B Mackenbrock, Timur M Yildirim, Gerd U Auffarth, Ramin Khoramnia
{"title":"[Secondary calcification of a multifocal additive intraocular lens].","authors":"Lars H B Mackenbrock, Timur M Yildirim, Gerd U Auffarth, Ramin Khoramnia","doi":"10.1007/s00347-025-02203-z","DOIUrl":"10.1007/s00347-025-02203-z","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"257"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484852","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 : 2025-04-01Epub Date: 2025-04-02DOI: 10.1007/s00347-025-02224-8
Saskia Metan, Florian Bruns
{"title":"[Artificial intelligence in medicine-Opportunities and risks from an ethical perspective].","authors":"Saskia Metan, Florian Bruns","doi":"10.1007/s00347-025-02224-8","DOIUrl":"10.1007/s00347-025-02224-8","url":null,"abstract":"<p><p>Imaging disciplines, such as ophthalmology, offer a wide range of opportunities for the beneficial use of artificial intelligence (AI). The analysis of images and data by trained algorithms has the potential to facilitate making the diagnosis and patient care and not just in ophthalmology. If AI brings about advances in clinical practice that benefit patients, this is ethically to be welcomed; however, respect for the self-determination of patients and data security must be guaranteed. Traceability and explainability of the algorithms would strengthen trust in automated decision-making and enable ultimate medical responsibility. It should be noted that algorithms are only as good and unbiased as the data used to train them. If the use of AI is likely to lead to a loss of skills on the part of doctors (deskilling), this must be counteracted, for example through improved training. Accompanying medical ethics research is necessary to identify those aspects of the use of AI that require regulation. In principle, care must be taken to ensure that AI serves people and adapts to their needs, not the other way round.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"278-285"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766055","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 : 2025-04-01Epub Date: 2024-12-18DOI: 10.1007/s00347-024-02146-x
Gabriel Stolze, Vinodh Kakkassery, Danny Kowerko, Martin Bartos, Katja Hoffmann, Martin Sedlmayr, Katrin Engelmann
{"title":"[MiHUBx: a digital progress hub for the use of intersectoral clinical data sets using the example of diabetic macular edema].","authors":"Gabriel Stolze, Vinodh Kakkassery, Danny Kowerko, Martin Bartos, Katja Hoffmann, Martin Sedlmayr, Katrin Engelmann","doi":"10.1007/s00347-024-02146-x","DOIUrl":"10.1007/s00347-024-02146-x","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based treatment recommendations are helpful in the corresponding discipline-specific treatment but can hardly take data from real-world care into account. In order to make better use of this in everyday clinical practice, including with respect to predictive statements about disease development or treatment success, models with data from treatment must be developed in order to use them for the development of assistive artificial intelligence.</p><p><strong>Goal: </strong>The aim of the Use Case 1 of the medical informatics hub in Saxony (MiHUBx) is the development of a model based on treatment and research data for a treatment algorithm supported by biomarkers and also the development of the necessary digital infrastructure.</p><p><strong>Material and methods: </strong>Step by step, the necessary partners in hospitals and practices will be brought together technically or through research questions within Use Case 1 \"Ophthalmology meets Diabetology\", a regional digital progress hub in health, the medical informatics hub in Saxony (MiHUBx ) of the nationwide medical informatics initiative (MII).</p><p><strong>Results: </strong>Based on joint studies with diabetologists, robust serological and imaging biomarkers were selected that provide evidence of the development of diabetic macular edema (DME). In the future, these and other scientifically proven prognostic markers will be incorporated into a treatment algorithm that is supported by artificial intelligence (AI). For this purpose, model procedures are being developed together with medical informatics specialists. At the same time, a data integration center (DIZ) was established.</p><p><strong>Conclusion: </strong>In addition to the structured and technical combination of the previously disseminated and partially heterogeneous treatment data, the Use Case 1 defines the chances and hurdles for using such real-world data to develop artificial intelligence.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"262-269"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848483","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}