Die OphthalmologiePub Date : 2025-10-01Epub Date: 2025-09-02DOI: 10.1007/s00347-025-02306-7
Ramin Khoramnia, Gerald Schmidinger
{"title":"[Corneal events with mirvetuximab soravtansine : A review of ocular surface events associated with the tubulin-acting antibody-drug conjugate, mirvetuximab soravtansine].","authors":"Ramin Khoramnia, Gerald Schmidinger","doi":"10.1007/s00347-025-02306-7","DOIUrl":"10.1007/s00347-025-02306-7","url":null,"abstract":"<p><p>Antibody-drug conjugates (ADC) are a class of targeted anticancer therapy that consist of a monoclonal antibody (linker) and a cytotoxic substance. Ocular adverse events (AEs) are common among ADCs with tubulin-targeted active agents, such as belantamab mafodotin, tisotumab vedotin and mirvetuximab soravtansine (MIRV). The substance MIRV targets folate receptor alpha (FRalpha) and has a tubulin-acting agent (the maytansinoid DM4). The use of MIRV received full approval in the USA (March 2024) for FRalpha-positive platinum-resistant ovarian cancer (PROC) and is the first novel agent to demonstrate a significant survival advantage against single agent chemotherapy in a phase 3 PROC trial. The use of MIRV was recently approved by the European Medicines Agency (EMA) for the same indication, as assessed in the MIRASOL trial. Ocular AEs associated with MIRV primarily include blurred vision and keratopathy, due to transient corneal alterations; however, the mechanism by which MIRV causes ocular AEs is thought to be a result of \"off-target\" effects or non-specific uptake by corneal epithelial cells. Results from clinical trials of MIRV demonstrate that these AEs can be resolved and monitoring/prophylactic strategies are in place to mitigate their incidence, including prophylactic corticosteroid eye drops, daily lubricating eye drops, dose modifications and regular ocular examinations. Support from ophthalmologists is essential to AE management to allow MIRV therapy to continue. This review provides ophthalmologists with a clinical overview of ocular AEs associated with certain tubulin-acting ADCs, with a focus on MIRV, and the prophylactic/mitigative measures that can allow patients to stay on MIRV therapy longer.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"803-812"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980916","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 : 2025-10-01Epub Date: 2025-07-21DOI: 10.1007/s00347-025-02276-w
Navid Farassat, Wolf A Lagrèze
{"title":"[Assessment of myopia progression].","authors":"Navid Farassat, Wolf A Lagrèze","doi":"10.1007/s00347-025-02276-w","DOIUrl":"10.1007/s00347-025-02276-w","url":null,"abstract":"<p><p>The global increase in myopia prevalence and associated secondary complications necessitates adequate monitoring of myopia progression. This review highlights the advantages and disadvantages of the most commonly used target parameters for assessing myopia progression: refractive error and axial length. Although refractive error is essential for the diagnosis and optical correction of myopia, axial length proves to be a more reliable and clinically relevant parameter for monitoring progression and guiding preventive interventions. Axial length correlates more strongly with the risk of ocular complications and is less susceptible to diurnal variations and interventions that alter the eye's refractive power. Assessing myopia progression under preventive measures requires consideration of age-dependent physiological changes in axial length. Standardized comparison parameters, such as the cumulative absolute reduction in axial elongation (CARE) can facilitate the objective evaluation of the efficacy of the intervention. Regular monitoring of refraction and axial length should also be performed in young adults with risk factors, as myopia onset and progression can occur even at this age.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"789-794"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683724","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 : 2025-10-01Epub Date: 2025-08-29DOI: 10.1007/s00347-025-02310-x
Thomas Hammer, Arne Viestenz, Christiane Kesper, Anja Viestenz
{"title":"[DMEK for endothelial decompensation after penetrating keratoplasty].","authors":"Thomas Hammer, Arne Viestenz, Christiane Kesper, Anja Viestenz","doi":"10.1007/s00347-025-02310-x","DOIUrl":"10.1007/s00347-025-02310-x","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the Descemet membrane endothelial keratoplasty (DMEK) has become the standard transplantation procedure for endothelial corneal diseases due to faster visual recovery and lower graft rejection rates compared to penetrating keratoplasty (pKPL). Endothelial corneal decompensation after pKPL is also a possible indication for DMEK. The question is which intraoperative and postoperative aspects need to be considered.</p><p><strong>Methods: </strong>We retrospectively reviewed the DMEK surgeries performed in our clinic in 2020 and 2021 after pKPL (n = 10) regarding intraoperative and postoperative characteristics as well as functional and morphological results.</p><p><strong>Results: </strong>Of the 10 eyes analyzed a repeat pKPL could be avoided by DMEK in 7 cases. The initial situation of the eyes was very different with respect to corneal decompensation, the primary indications for pKPL and number of previous pKPLs. The rate of postoperative gas re-injections (re-bubblings) was 80%, in some cases requiring multiple gas injections. A 20% sulphur hexafluoride (SF6) gas-air mixture was used for gas endotamponade. The improvement in visual acuity was highly variable. Overall, visual acuity in the treated eyes increased by 5.1 ± 1.4 lines after DMEK in the pKPL eyes (p < 0.001, minimum 3 lines, maximum 7 lines; logMAR preoperative 1.48 ± 0.36 to logMAR postoperative 0.57 ± 0.28).</p><p><strong>Conclusion: </strong>The use of DMEK for endothelial graft failure after pKPL is a possible minimally invasive procedure to avoid repeat pKPL. The postoperative follow-up requires significantly more re-bubblings due to the altered anatomical situation and geometry of the posterior corneal surface after pKPL and the resulting poorer adhesion of Descemet's lamella.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"826-832"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980858","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 : 2025-10-01Epub Date: 2025-05-22DOI: 10.1007/s00347-025-02260-4
Mariya Gosheva
{"title":"[My year with the DOG Leadership Academy].","authors":"Mariya Gosheva","doi":"10.1007/s00347-025-02260-4","DOIUrl":"10.1007/s00347-025-02260-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"852-855"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121585","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 : 2025-10-01Epub Date: 2025-08-25DOI: 10.1007/s00347-025-02286-8
Maja Tabea Jerrentrup, Volker Besgen, Walter Sekundo
{"title":"[Ophthalmology online : Representation of the discipline ophthalmology on instagram].","authors":"Maja Tabea Jerrentrup, Volker Besgen, Walter Sekundo","doi":"10.1007/s00347-025-02286-8","DOIUrl":"10.1007/s00347-025-02286-8","url":null,"abstract":"<p><strong>Background: </strong>Social media, such as Instagram, are communication and information platforms essential to our way of life.</p><p><strong>Aim: </strong>This article wants to give an overview of how ophthalmology in Germany is represented on Instagram.</p><p><strong>Methods: </strong>Retrospective analysis of 1000 German public Instagram posts in January 2024 with #augenheilkunde.</p><p><strong>Results: </strong>Of the posts one third each show diseases/visual problems and marketing by presentation of ophthalmological practices. Professional information regarding congresses or exhibitions is only a small part of the content.</p><p><strong>Conclusion: </strong>The Instagram posts evaluated in this study address many ophthalmological aspects but most attention is paid to marketing. Commonly used Instagram techniques are hardly considered. Most of the offered content is factual without a negative or particularly nauseating touch. More usage of interactive or emotionally touching posts could raise the impact on the target group.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"813-818"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980885","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}
Leander Scheel, Thorsten Halling, Giacomo Padrini, Nils Hansson
{"title":"[Recognition in ophthalmology: the Sicca Advancement Award 1999-2024].","authors":"Leander Scheel, Thorsten Halling, Giacomo Padrini, Nils Hansson","doi":"10.1007/s00347-025-02327-2","DOIUrl":"https://doi.org/10.1007/s00347-025-02327-2","url":null,"abstract":"<p><p>The Sicca Advancement Award has been awarded annually for clinical and basic work in the field of dry eye research. The aim of this study is to analyze the internal structures, networks, and selection processes of Sicca Award winners using qualitative and quantitative methods. The study is based on original documents, calls for applications, meeting minutes (1999-2024), and interviews with jury members. Of a total of 360 applications (1999-2024), more than half (54%) were awarded a prize. There has been a steady increase in the number of female applicants and prize winners. Düsseldorf, Erlangen, and Cologne were identified as particularly successful research locations. Jury members often serve for long periods of time. Since 2014 at the latest, jury members have not participated in the discussion or voting for applicants from their own institution. On average, €2,497.27 prize money is awarded, which is too low to directly promote research. Rather, the Sicca Award is a funding and networking tool. The award has raised awareness in the field of dry eye research and ensured its place in German ophthalmology. Thanks to extensive marketing, the Sicca Advancement Award is more prominent than many other awards in ophthalmology.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193813","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":"[Direct selective laser trabeculoplasty for glaucoma].","authors":"Tim Schultz, Atanas Bogoev, H Burkhard Dick","doi":"10.1007/s00347-025-02315-6","DOIUrl":"https://doi.org/10.1007/s00347-025-02315-6","url":null,"abstract":"<p><p>Glaucoma is one of the leading causes of irreversible blindness. Pharmacological first-line therapies are limited by poor patient adherence. Selective laser trabeculoplasty (SLT) offers effective reduction of intraocular pressure (IOP). Direct selective laser trabeculoplasty (DSLT) represents an advancement, enabling automated and contactless treatment for the first time. It could become established as the first-line therapy in the future.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114946","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":"[Microcystic macular edema as biomarker for multiple sclerosis].","authors":"Annika Klinkenbusch, Moritz Kern, Thomas Kohnen","doi":"10.1007/s00347-025-02321-8","DOIUrl":"https://doi.org/10.1007/s00347-025-02321-8","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115039","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}
Philip Wakili, Charlotte Semoulin, Colya N Englisch, Clemens N Rudolph
{"title":"[Dexamethasone implant in the anterior chamber].","authors":"Philip Wakili, Charlotte Semoulin, Colya N Englisch, Clemens N Rudolph","doi":"10.1007/s00347-025-02325-4","DOIUrl":"https://doi.org/10.1007/s00347-025-02325-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114993","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}