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[Stress and other risk factors in central serous chorioretinopathy-A myth?] 中枢性浆液性脉络膜视网膜病变的压力和其他危险因素——一个误区？］
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-01-17 DOI: 10.1007/s00347-024-02179-2
H J Hufnagel, C Lahmann, L Pauleikhoff, C Lange
{"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":"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":"162-169"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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}
引用次数: 0
[Reversible decompensation of pediatric esophoria after atropine dose increase from 0.01 to 0.025% for myopia progression prophylaxis]. [阿托品剂量从0.01增加到0.025%预防近视进展后儿童食管可逆性失代偿]。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2024-12-03 DOI: 10.1007/s00347-024-02150-1
Colya N Englisch, Karl T Boden, Clemens N Rudolph, Peter Szurman, Gesine Szurman, Philip Wakili
{"title":"[Reversible decompensation of pediatric esophoria after atropine dose increase from 0.01 to 0.025% for myopia progression prophylaxis].","authors":"Colya N Englisch, Karl T Boden, Clemens N Rudolph, Peter Szurman, Gesine Szurman, Philip Wakili","doi":"10.1007/s00347-024-02150-1","DOIUrl":"10.1007/s00347-024-02150-1","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"231-234"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775426","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
[Posterior capsule dent in the reflection zone : A case of posterior microlenticonus]. 反射区后囊凹陷：后侧小圆锥晶状体一例。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2024-12-19 DOI: 10.1007/s00347-024-02156-9
Andriy Zhuravlyov
{"title":"[Posterior capsule dent in the reflection zone : A case of posterior microlenticonus].","authors":"Andriy Zhuravlyov","doi":"10.1007/s00347-024-02156-9","DOIUrl":"10.1007/s00347-024-02156-9","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"235-238"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856912","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
[Teaching Concept Hanover : Digitally integrated teaching for medical students at the University Clinic for Ophthalmology of the Hanover Medical School]. [教学理念汉诺威：汉诺威医学院眼科大学诊所医学生数字化集成教学]。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-01-15 DOI: 10.1007/s00347-024-02170-x
J Tode, M Haar, T Rauscher, K Hufendiek, K Hufendiek, A-L Becker, C Framme, U Mücke
{"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":"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":"201-209"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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}
引用次数: 0
[Secondary choroidal neovascularization-Really so common?] 继发性脉络膜新生血管——真的那么普遍吗？］
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-02-10 DOI: 10.1007/s00347-025-02197-8
Ulrike Brocks, Martin Ziegler, Clemens Lange, Lebriz Altay, Laurenz Pauleikhoff
{"title":"[Secondary choroidal neovascularization-Really so common?]","authors":"Ulrike Brocks, Martin Ziegler, Clemens Lange, Lebriz Altay, Laurenz Pauleikhoff","doi":"10.1007/s00347-025-02197-8","DOIUrl":"10.1007/s00347-025-02197-8","url":null,"abstract":"<p><p>The occurrence of secondary choroidal neovascularization (CNV) is a complication in patients with chronic central serous chorioretinopathy. The diagnosis is made using multimodal imaging. The treatment usually includes intravitreal anti-vascular endothelial growth factor (VEGF) injections. A combination with photodynamic therapy can be useful; however, the response to anti-VEGF treatment is significantly reduced compared to other indications for CNV, so that an irreversible decrease of visual acuity often remains.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"196-200"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384322","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
[Competent dialogue management : Delivering bad news]. [称职的对话管理：传递坏消息]。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI: 10.1007/s00347-025-02190-1
Jutta Wiek
{"title":"[Competent dialogue management : Delivering bad news].","authors":"Jutta Wiek","doi":"10.1007/s00347-025-02190-1","DOIUrl":"10.1007/s00347-025-02190-1","url":null,"abstract":"<p><p>Ophthalmologists in hospitals and private practices are repeatedly confronted with difficult conversations and the transmission of bad news. A good doctor-patient communication is based on respect and empathy and includes verbal and nonverbal interactions. An important conversation requires a sound preparation by the doctor, an environment that is as undisturbed as possible and a time frame that is not too short. The communication should be honest and understandable and tailored to the retentive abilities of the patient. The setting, perception, invitation, knowledge, empathy, strategy (SPIKES) protocol provides a guide for an important conversation. After the bad news, a break for processing and reaction is necessary for the patient and the responses should be received in an empathetic and nonjudgmental manner. The goal is that the patient is able to accept the bad news, a joint consensus about how to proceed can be reached and the patient feels supported and well cared for.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"247-256"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442854","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
[Central serous chorioretinopathy: emerging insights and therapeutic advancements]. [中枢性浆液性脉络膜视网膜病变：新见解和治疗进展]。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1007/s00347-025-02192-z
Clemens Lange, Laurenz Pauleikhoff
{"title":"[Central serous chorioretinopathy: emerging insights and therapeutic advancements].","authors":"Clemens Lange, Laurenz Pauleikhoff","doi":"10.1007/s00347-025-02192-z","DOIUrl":"https://doi.org/10.1007/s00347-025-02192-z","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":"122 3","pages":"159-161"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517605","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
[Neurovascular conflict as a rare cause of internal and external ophthalmoplegia]. [神经血管冲突是内外眼球震颤的罕见病因]。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2024-03-08 DOI: 10.1007/s00347-024-02017-5
L K Sas, A Chronopoulos, T Boujan, H Krastel, L-O Hattenbach
{"title":"[Neurovascular conflict as a rare cause of internal and external ophthalmoplegia].","authors":"L K Sas, A Chronopoulos, T Boujan, H Krastel, L-O Hattenbach","doi":"10.1007/s00347-024-02017-5","DOIUrl":"10.1007/s00347-024-02017-5","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"218-220"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061399","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
[Treatment of central serous chorioretinopathy in comparison-Micropulse laser versus photodynamic therapy]. [中枢性浆液性脉络膜视网膜病变治疗的比较-微脉冲激光与光动力治疗]。
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-02-07 DOI: 10.1007/s00347-025-02183-0
Vasilena Sitnilska, Ulrike Brocks, Jan Tode, Georg Spital, Lebriz Altay
{"title":"[Treatment of central serous chorioretinopathy in comparison-Micropulse laser versus photodynamic therapy].","authors":"Vasilena Sitnilska, Ulrike Brocks, Jan Tode, Georg Spital, Lebriz Altay","doi":"10.1007/s00347-025-02183-0","DOIUrl":"10.1007/s00347-025-02183-0","url":null,"abstract":"<p><p>The therapeutic management of central serous chorioretinopathy (CSC) remains challenging. Although CSC shows a high rate of self-resorption, frequent recurrences or chronification of the disease can result in irreversible loss of vision. Low-dose photodynamic therapy (half-dose or half-fluence PDT) represents the current standard of care for CSC, although regenerative laser procedures may also offer a safe and effective alternative for the treatment of CSC.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"186-195"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371446","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
[Differential diagnoses of central serous chorioretinopathy : Is that really a central serous chorioretinopathy?] 中枢性浆液性脉络膜视网膜病变的鉴别诊断：这真的是中枢性浆液性脉络膜视网膜病变吗？］
Die Ophthalmologie Pub Date : 2025-03-01 Epub Date: 2025-01-24 DOI: 10.1007/s00347-024-02171-w
C Lange, J Aschauer, H Hufnagel, L Pauleikhoff
{"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":"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":"178-185"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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}
引用次数: 0
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