Die Ophthalmologie最新文献

{"title":"[Intraocular pressure rise, hyphema and uveitis in chronic lymphocytic leukemia undergoing ibrutinib treatment].","authors":"Abdelrahman Assaf, Fidan Aghayeva, Ines M Lanzl","doi":"10.1007/s00347-024-02177-4","DOIUrl":"https://doi.org/10.1007/s00347-024-02177-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054431","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":"[Differential diagnoses of central serous chorioretinopathy : Is that really a central serous chorioretinopathy?]","authors":"C Lange, J Aschauer, H Hufnagel, L Pauleikhoff","doi":"10.1007/s00347-024-02171-w","DOIUrl":"https://doi.org/10.1007/s00347-024-02171-w","url":null,"abstract":"<p><p>The accurate diagnosis of central serous chorioretinopathy (CSC) and its distinction from differential diagnoses is crucial for effective patient counseling and treatment. This is achieved through a targeted patient history and multimodal imaging, which distinguish CSC from other ocular diseases also characterized by subretinal fluid and changes in the retinal pigment epithelium. In this article we identify the key differential diagnoses of CSC and illustrate the characteristic differential diagnostic features of each disease. The differential diagnoses of CSC can be categorized into eight groups: 1) (neo)vascular choroidal diseases, 2) retinal diseases, 3) inflammatory diseases of the posterior segment, 4) benign and malignant ocular tumors, 5) malignant hematological diseases, 6) genetic disorders, 7) ocular developmental anomalies and 8) medication-related and toxic retinal changes.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034893","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":"Erratum zu: Rezidivierender Strabismus mit Nystagmus.","authors":"Henriette Thönneßen, Elena Butenko, Frank Schüttauf, Hanna Faber","doi":"10.1007/s00347-025-02185-y","DOIUrl":"10.1007/s00347-025-02185-y","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034897","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":"[Stress and other risk factors in central serous chorioretinopathy-A myth?]","authors":"H J Hufnagel, C Lahmann, L Pauleikhoff, C Lange","doi":"10.1007/s00347-024-02179-2","DOIUrl":"https://doi.org/10.1007/s00347-024-02179-2","url":null,"abstract":"<p><p>Since the initial description of central serous chorioretinopathy (CSC) by von Graefe in 1866, various risk factors for this condition have been described and discussed. In addition to established factors, such as the use of corticosteroids, psychosomatic factors, particularly stress, have increasingly come into focus in the literature. Studies have shown that psychological stress and emotional stressors not only impair well-being but also trigger physiological responses that could increase the risk of CSC. This review article summarizes the most frequent risk factors for CSC and examines their influence on the pathophysiology and progression of the disease. For many of the currently discussed risk factors it remains unclear whether they have a causal relationship or should be viewed more as epiphenomena. The modification of risk factors such as stress reduction and smoking cessation is currently being debated; however, due to insufficient evidence further prospective studies with longer follow-up periods are needed to provide clear treatment recommendations.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017403","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":"[Progressive resolution of an idiopathic epiretinal membrane without vitreoretinal comorbidity].","authors":"Colya N Englisch, Claus Englisch","doi":"10.1007/s00347-024-02174-7","DOIUrl":"https://doi.org/10.1007/s00347-024-02174-7","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017402","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":"[Teaching Concept Hanover : Digitally integrated teaching for medical students at the University Clinic for Ophthalmology of the Hanover Medical School].","authors":"J Tode, M Haar, T Rauscher, K Hufendiek, K Hufendiek, A-L Becker, C Framme, U Mücke","doi":"10.1007/s00347-024-02170-x","DOIUrl":"https://doi.org/10.1007/s00347-024-02170-x","url":null,"abstract":"<p><strong>Background: </strong>Challenges in practice-oriented teaching at university clinics are increasing. A lack of resources contrasts a growing number of students. Digital lectures, seminars, and blended-learning concepts enable resource-efficient and effective teaching in ophthalmology.</p><p><strong>Aim: </strong>To implement and evaluate a digital teaching concept combining lectures, seminars, and bedside teaching at the Department of Ophthalmology at Hannover Medical School (MHH).</p><p><strong>Material and methods: </strong>Following the National Competence-Based Learning Objectives Catalogue for Medicine (NKLM), digital theoretical units were combined with practical in-person formats. The concept includes: on-demand digital lectures, a three-day, digitally pre- and post-prepared seminar on basic examination methods, and digitally enhanced bedside teaching. The concept was piloted in a cohort. Student feedback was recorded via the eLearning system and compared with previous evaluations.</p><p><strong>Results: </strong>The concept proved feasible, communicable, and digitally verifiable. Educators were satisfied with student preparation. Learners rated the implementation positively, and ophthalmology improved by 10 ranks in the MHH medical subject rankings. Satisfaction with digital teaching increased significantly.</p><p><strong>Discussion: </strong>Combining asynchronous digital preparation and review with synchronous bedside teaching and in-person seminars enables resource-efficient and effective teaching. The concept was well-accepted. Further studies are required to evaluate its nationwide implementation and its impact on exam performance.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985389","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":"[Implementation and evaluation of a solution for automated documentation of the doctor-patient dialogue (ADAPI) in ophthalmology using the example of the IVI routine].","authors":"Clemens N Rudolph, Philip Wakili, Annekatrin Rickmann, Kai Januschowski, Patrick McCrae, Kilian Foth, Marco Petris, Annika Schilk, Stephan Kiefer, Kerstin Rohm, Suhail Ahamed, Gabriele Weiler, Matthias Stennes, André Trouvain, Peter Szurman, Karl T Boden","doi":"10.1007/s00347-024-02165-8","DOIUrl":"https://doi.org/10.1007/s00347-024-02165-8","url":null,"abstract":"<p><strong>Background: </strong>The increasing bureaucratic burden in everyday clinical practice impairs doctor-patient communication (DPC). Effective use of digital technologies, such as automated semantic speech recognition (ASR) with automated extraction of diagnostically relevant information can provide a solution.</p><p><strong>Objective: </strong>The aim was to determine the extent to which ASR in conjunction with semantic information extraction for automated documentation of the doctor-patient dialogue (ADAPI) can be integrated into everyday clinical practice using the IVI routine as an example and whether patient care can be improved through process optimization.</p><p><strong>Methods: </strong>In a prospective monocentric study at the Sulzbach Eye Clinic, 50 patients were included in the period from 2020 to 2022. As part of a project funded by the \"Zentrale Initiative des Mittelstandes\" (ZIM), a demonstrator was developed with the consortium partners and integrated into the hospital information system (HIS). For qualitative and quantitative evaluation, a survey of patients was carried out using a questionnaire before and after implementation of the ADAPI module, supplemented by a determination of acceptance and possible time saving for users.</p><p><strong>Results: </strong>The ADAPI module was successfully integrated into the HIS. The documentation of the findings and connection of the subsequent processes could be automated. An improvement in the DPC was reported for 13/50 patients (26%). The majority 35/50 (70%) did not notice any subjective change. The average duration of the conversation in the area of conventional documentation was 4.46 min (1-10 min) and 3.9 min with ADAPI (1-10 min).</p><p><strong>Conclusion: </strong>With respect to the quality of the conversation within the DPC, no relevant differences could be shown with both types of documentation; however, larger case numbers and other areas of application still need to be evaluated. In the long term, the use of automated documentation solutions will sustainably improve the efficiency, completeness and consistency of clinical documentation.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985385","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":"[New systemic treatment approach for primary lymphoma of the orbit and the ocular adnexa].","authors":"Constantin Niederau, Philomena Alice Wawer Matos Reimer, Alexander Rokohl, Ludwig Heindl","doi":"10.1007/s00347-024-02169-4","DOIUrl":"https://doi.org/10.1007/s00347-024-02169-4","url":null,"abstract":"<p><strong>Background: </strong>Orbital lymphomas are the most frequently occurring malignant tumor entities in this region. They are less frequently also localized in the ocular adnexa and show a high entity-specific heterogeneity regarding the treatment and prognosis.</p><p><strong>Objective: </strong>This article gives an overview of the heterogeneity of symptoms of orbital lymphoma and lymphoma of the ocular adnexa and focuses on new systemic options for treatment of this disease.</p><p><strong>Material and methods: </strong>For this article a systematic search of the PubMed databank was carried out and the practical knowledge of the authors was taken into account.</p><p><strong>Results and conclusion: </strong>Orbital lymphoma and lymphoma of the ocular adnexa show a high variability in the clinical symptoms and therefore require a comprehensive ophthalmological examination of the affected patients. Histopathologically assisted diagnostics after an incisional biopsy are essential for the classification into the various lymphoma entities. This is necessary for developing and carrying out a targeted treatment concept consisting of local and systemic treatment modalities. Especially for the new systemic treatment approaches, in addition to the histopathological classification of the lymphoma entity it is also necessary to analyze the molecular features in order to efficiently implement the new highly specific medications. Finally, a close interdisciplinary cooperation of all disciplines involved is absolutely necessary for the best possible treatment, including ophthalmology, hemato-oncology, radiotherapy, radiology, pathology and psycho-oncology. Depending on the localization of the tumor, inclusion of otorhinolaryngology, oral and maxillofacial surgery and/or neurosurgery can be necessary.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980873","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 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":"https://doi.org/10.1007/s00347-024-02178-3","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","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}

{"title":"[Aniridia is not like aniridia!]","authors":"Jens Martin Rohrbach","doi":"10.1007/s00347-024-02172-9","DOIUrl":"https://doi.org/10.1007/s00347-024-02172-9","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967595","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}