Die Ophthalmologie最新文献_第2页

[8.5 mm cannulas on IVODI prefilled syringes]. [8.5 mm套管，IVODI预充式注射器]。

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2025-01-15 DOI: 10.1007/s00347-024-02163-w

Martin Wenzel, Lukas Bisorca-Gassendorf, Kai Januschowski

引用次数: 0

[Optical coherence tomography biomarkers for neovascular age-related macular degeneration : Relevance for the diagnosis, treatment and prognosis].

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2025-01-27 DOI: 10.1007/s00347-024-02181-8

Almut Bindewald-Wittich, Mohammad Wesam Alkabouni, Armin Wolf

引用次数: 0

[Endothermal pupilloplasty : A minimally traumatic technique for centering the pupil in patients with corectopia. Video article]. 恒温瞳孔成形术：一种用于矫正性斜视患者瞳孔定心的微创技术。视频文章)。

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2024-12-06 DOI: 10.1007/s00347-024-02143-0

Julia Prinz, David Kuerten, Peter Walter, Matthias Fuest

{"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":"Objective of surgery: The aim of endothermal pupilloplasty (EP) is to optimize centering of the pupil, contour, or size.Indications: 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.Contraindications: In patients with pronounced iris stromal atrophy or major iris tissue defects, e.g., congenital or posttraumatic, EP could be indicated after careful consideration.Surgical technique: 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.Follow-up: 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.Evidence: To date, isolated positive retrospective case reports on EP have been published. There is a lack of prospective studies, reviews or meta-analyses.","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}

引用次数: 0

[A new validated ophthalmic patient questionnaire for cataract and lens surgery : CLOQ: cataract and lens ophthalmic questionnaire]. [一种新的有效的白内障和晶状体手术眼科患者问卷：CLOQ：白内障和晶状体眼科问卷]。

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1007/s00347-024-02155-w

E Fabian, Ph Eberwein, M Müller, K Fabian, J Weisensee, A Langenbucher, J-H Heine

{"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":"Background: The new patient cataract and lens ophthalmic questionnaire (CLOQ) determines subjective patient satisfaction before and after cataract surgery according to item response theory (IRT).Methods: 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.Results: 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 FWLE = 0.87 and 0.71, respectively. The post-surgical improvement is clearly evident in the higher person parameters, spectacle dependency, and better visual acuity.Conclusion: 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.","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}

引用次数: 0

[Academics in ophthalmology : An analysis of the gender distribution at German university hospitals and the Clinician Scientist Program]. [眼科学者：德国大学医院和临床医生科学家项目的性别分布分析]。

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2024-12-20 DOI: 10.1007/s00347-024-02153-y

Verena Anna Englmaier, Anna-Karina Maier-Wenzel, Anja Liekfeld, Nicole Eter, Viktoria Constanze Brücher

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

[Women in ophthalmology].

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2025-02-03 DOI: 10.1007/s00347-024-02159-6

Viktoria C Brücher, Elisabeth Messmer, Anja Liekfeld

引用次数: 0

[An unusual conjunctival finding]. [不寻常的结膜发现］

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2024-10-17 DOI: 10.1007/s00347-024-02130-5

Caroline Havertz, Elisabeth M Messmer, Siegfried G Priglinger, Pierre-Maurice Herr

引用次数: 0

[Surgery in ophthalmology during pregnancy].

Die Ophthalmologie Pub Date : 2025-02-01 Epub Date: 2025-01-27 DOI: 10.1007/s00347-024-02160-z

Katrin Gekeler, Viktoria C Brücher, Anja Liekfeld, Maya Niethard

{"title":"[Surgery in ophthalmology during pregnancy].","authors":"Katrin Gekeler, Viktoria C Brücher, Anja Liekfeld, Maya Niethard","doi":"10.1007/s00347-024-02160-z","DOIUrl":"10.1007/s00347-024-02160-z","url":null,"abstract":"The new Maternity Protection Act (MuSchG) enacted in 2018, is intended to enable pregnant employees to carry out their work, to protect the pregnant employee and the child and to counteract discrimination. Nevertheless, a ban on surgical activities or even a ban on employment is often issued, although the law first requires the workplace to be reorganized to enable the pregnant employee to continue working. In many cases, such bans are issued without the legally required risk assessment, which constitutes prohibited discrimination. In ophthalmology, the sedentary nature of the work and the short operating times mean that conditions are comparatively favorable to enable pregnant doctors to continue their surgical work. The procedures following notification of pregnancy by a member of staff as well as some innovations in the MuSChG are explained. Hazards in ophthalmology, such as infection risks and the handling of hazardous substances (e.g., mitomycin C or 5‑fluorouracil) are discussed in detail. The potential handling of anti-vascular endothelial growth factor (VEGF) drugs in intravitreal injections and the risks of needlestick injuries in relation to human immunodeficiency virus (HIV) and hepatitis C are also discussed. The nondiscriminatory requirements and support of female doctors during pregnancy are not only required by law but are also socially, organizationally and economically necessary in times of a shortage of doctors. This includes not only enabling surgical activities during pregnancy but also nondiscriminatory planning of the return to work in order to promote the training and further education of women during and after pregnancy.","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"107-116"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048695","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}

引用次数: 0

[Papilledema e vacuo].

Die Ophthalmologie Pub Date : 2025-01-28 DOI: 10.1007/s00347-024-02175-6

Titus Schug, Petra Dávidová, Thomas Kohnen

引用次数: 0

[Traumatic lamellar macular hole and epiretinal gliosis after cosmetic laser iridoplasty].

Die Ophthalmologie Pub Date : 2025-01-28 DOI: 10.1007/s00347-025-02184-z

Konstantin Wisdorf, Hevi Hami, Randolf A Widder, Gernot F Rössler, David Kiessling

引用次数: 0