Die Ophthalmologie最新文献

{"title":"[Optic neuritis-Patient sees nothing, doctor sees nothing? : A case of myelin oligodendrocyte glycoprotein antibody-associated optic neuritis].","authors":"Lisa Julia Müller, Jasmin Naumann, Gesine Szurman, Karl T Boden, Peter Szurman, André Maurice Trouvain, Annekatrin Rickmann","doi":"10.1007/s00347-025-02236-4","DOIUrl":"https://doi.org/10.1007/s00347-025-02236-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054306","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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","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":"[Incidence and risk factors of late intraocular lens dislocation].","authors":"Kristina Kintzinger, Kai Rothaus, Henrik Faatz, Claudia Lommatzsch, Albrecht Lommatzsch, Matthias Gutfleisch, Clemens Lange, Jörg M Koch","doi":"10.1007/s00347-025-02240-8","DOIUrl":"https://doi.org/10.1007/s00347-025-02240-8","url":null,"abstract":"<p><strong>Background: </strong>Late intraocular lens (IOL) dislocation is the second most common late complication after successful cataract surgery. It also represents the most common cause of IOL explantations. An increasing incidence of this complication has already been described in the literature since 1995. The aim of this study is to observe the development of the incidence of IOL dislocation within our department over the last 10 years and to identify and evaluate possible risk factors.</p><p><strong>Materials and methods: </strong>In this retrospective monocentric analysis, a total of 578 eyes of 544 patients, who had undergone surgery for an IOL dislocation within the last 10 years, were included. The presence of myopia, pseudoexfoliation, prior vitrectomy or intravitreal injection (IVI), traumatic events and use of topical prostaglandin therapy were analyzed as possible risk factors.</p><p><strong>Results: </strong>Since 2017, there has been an increase in the incidence of IOL dislocations (R² = 0.45). On average, the dislocations occurred 11.7 years after cataract surgery, at an age of 75.6 ± 11 years. Myopia was present in 62% of the patients, of which 40.6% had high myopia. Pseudoexfoliation was documented in 38% of cases. No clear correlations were found for the further analyzed factors, such as prior prostaglandin therapy, IVI or trauma.</p><p><strong>Conclusion: </strong>Due to the increasing number of cataract surgeries, a further increase in the incidence of IOL dislocations is to be expected in the future. The presence of possible risk factors for IOL dislocation and the age of the patient should therefore be taken into consideration prior to indication of cataract surgery and IOL selection.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043704","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":"https://doi.org/10.1007/s00347-025-02244-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","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":"[Treatment of traumatic corneal abrasion: results of a national survey among German ophthalmologists].","authors":"C Girbardt, N Suckert, U Hampel","doi":"10.1007/s00347-025-02241-7","DOIUrl":"https://doi.org/10.1007/s00347-025-02241-7","url":null,"abstract":"<p><strong>Background: </strong>Traumatic corneal abrasion is a common condition in acute ophthalmologic care. To date, no data are available on the practical care of affected patients in Germany. This study focuses on simple traumatic corneal abrasion without foreign bodies, corneal burns or involvement of other ocular structures.</p><p><strong>Materials and methods: </strong>An online survey with 32 questions about the management of traumatic corneal abrasion was conducted among members of the German Society of Ophthalmology (DOG) and the German Professional Association of Ophthalmologists (BVA).</p><p><strong>Results: </strong>A total of 959 questionnaires were analyzed. Of the respondents, 57% prescribe a local antibiotic, most frequently ofloxacin, with a median frequency of four times daily for 5 days. Among those who do not prescribe antibiotics, 73% schedule a follow-up appointment in their clinic or practice. Therapeutic contact lenses are used by 60% of respondents, with specialists employing them significantly more often than residents. Ophthalmic dressing is used by 40%. Systemic analgesics are prescribed by 10%, while local analgesics are used by 2%.</p><p><strong>Conclusions: </strong>The routine use of antibiotics reflects concerns about infection, although a substantial number of respondents omit them when follow-ups are planned. Therapeutic contact lenses are widely used for symptom relief. Systemic and local analgesics are used remarkably rarely, which indicates a possible underestimation of pain therapy.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054415","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":"[Retreatment after keratorefractive lenticule extraction (KLEx) : Results of various methods and influence of the recommendations of the Committee for Refractive Surgery (KRC) on the incidence of retreatment].","authors":"Anika Förster, Ziad Muqbel, Samer Alkarkoukly, H Burkhard Dick, Suphi Taneri","doi":"10.1007/s00347-025-02239-1","DOIUrl":"https://doi.org/10.1007/s00347-025-02239-1","url":null,"abstract":"<p><strong>Background: </strong>Keratorefractive lenticule extraction (KLEx) has been shown to be safe and effective for the correction of myopia and myopic astigmatism. Residual refractive errors reduce the uncorrected postoperative visual acuity leading to patient dissatisfaction and increased retreatment rates.</p><p><strong>Aim of the study: </strong>The aim was to assess the potential influence of the recommendations of the Committee for Refractive Surgery (KRC) on the likelihood of retreatment and to compare the results of various methods for retreatment after KLEx for myopia.</p><p><strong>Methods: </strong>Retrospective study of eyes with myopia and myopic astigmatism in which KLEx (SMILE, Visumax 500, Carl Zeiss Meditec, Jena, Germany) was performed between April 2015 and December 2022.</p><p><strong>Results: </strong>A total of 2462 eyes from 1278 patients were analyzed. Of the eyes 3.05% (n = 75) were retreated within 24 months. Eyes in the recommended treatment range (corrections up to -8.0 dpt in the stronger main section) had a 50% lower risk of retreatment than eyes within the borderline range (corrections between -8.0 dpt and -10.0 dpt in the stronger main section). Retreatment was predominantly performed using the advanced surface ablation (ASA n = 44) or the Circle program (transformation of a SMILE cap into a flap, n = 29). The postoperative results of both methods after 3 months were comparably safe and effective; however, visual recovery was significantly faster with Circle. A second KLEx treatment in two eyes (one patient) resulted in a residual refractive error, which impaired the uncorrected visual acuity even 1.7 years later.</p><p><strong>Conclusion: </strong>There was a significantly lower retreatment rate in the recommended treatment range than in the borderline range according to the KRC recommendations. In addition, the ASA and Circle proved to be equally predictable but with different healing processes. These results can help with the education and selection of patients.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043998","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":"[Anterior chamber migration of an Ozurdex implant with Carlevale intraocular lens].","authors":"Anton Sonntag, Daniel Röck, Karl Ulrich Bartz-Schmidt, Tobias Röck","doi":"10.1007/s00347-025-02247-1","DOIUrl":"https://doi.org/10.1007/s00347-025-02247-1","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055051","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":"[Geographic-like paraproteinemic keratopathy in type I cryoglobulinemic vasculitis: a case report].","authors":"Julian Kahlert, Vadim Lesan, Paul Kohlhas, Berthold Seitz, Loïc Hamon","doi":"10.1007/s00347-025-02191-0","DOIUrl":"10.1007/s00347-025-02191-0","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"397-400"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124021","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 diffuse uveal melanocytic proliferation (BDUMP) as initial manifestation of an endocrine bronchial carcinoma].","authors":"Katharina Wall, Karin U Löffler, Thomas Ach","doi":"10.1007/s00347-025-02213-x","DOIUrl":"10.1007/s00347-025-02213-x","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"337"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574809","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":"[Current trends in the treatment of rhegmatogenous retinal detachment and perioperative positioning strategies in Germany: results of a retina.net survey].","authors":"Piotr Strzalkowski, Alicja Strzalkowska, Andreas Stahl, Alexander K Schuster, Sema Kaya, Mathias Roth, Tim U Krohne, Robert P Finger, Friederike Schaub, Stefan Dithmar, Carsten Framme, Armin Wolf, Martin Spitzer, Hansjürgen Agostini, Nicolas Feltgen, Oliver Zeitz, Julian Klaas, Jost Hillenkamp, Amelie Pielen, Horst Helbig, Salvatore Grisanti, Hans Hoerauf, Nikolaos E Bechrakis, Peter Walter, Johann Roider, Jens Schrecker, Thomas Ach, Teresa Barth, Jan Tode, Gerd Geerling, Rainer Guthoff","doi":"10.1007/s00347-025-02216-8","DOIUrl":"10.1007/s00347-025-02216-8","url":null,"abstract":"<p><strong>Background: </strong>Rhegmatogenous retinal detachment (RRD) is an ophthalmological emergency with an increasing incidence in Germany. Despite established methods, perioperative positioning is important to improve outcomes and avoid complications but may be challenging, particularly in immobile patients. An analysis of the current trends in surgical treatment and perioperative positioning practices for RRD in Germany compared to historical data from 2018 is essential.</p><p><strong>Material and methods: </strong>An online survey with five hypothetical cases of acute RRD was distributed to vitreoretinal surgeons via the retina.net research network. A total of 27 questionnaires were analyzed focusing on participant demographic data, surgical techniques, anesthesia types, perioperative positioning and aftercare strategies.</p><p><strong>Results: </strong>Of the respondents 50% were over 50 years old, 86% worked at university eye clinics and 89% had performed over 1000 vitreoretinal procedures. For RRD in the temporal upper quadrant, preoperative and postoperative temporal lateral positioning is recommended. Of the respondents 86% consider postoperative positioning crucial to prevent macular folds. Complete subretinal fluid drainage is favored by 82% and 23 G trocars were used by 77%. For phakic eyes with uncomplicated RRD 86% chose buckling surgery, while 50% opted for silicone oil in complex inferior RRD cases. General anesthesia was preferred by 61%, always in an in-patient setting.</p><p><strong>Conclusion: </strong>Preoperative and postoperative temporal lateral positioning followed by prone positioning is favored for temporal upper quadrant RRD, whereas no specific positioning is recommended for inferior RRD managed with silicone oil or buckling surgery. Postoperative positioning after pars plana vitrectomy (ppV) and gas endotamponade is considered by 86% to be decisive in preventing macular folds. The 23 G trocar system remains the preferred choice despite smaller alternatives. In certain cases buckling is still of importance.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"383-392"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702350","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}