Die OphthalmologiePub Date : 2025-02-01Epub Date: 2025-01-27DOI: 10.1007/s00347-024-02181-8
Almut Bindewald-Wittich, Mohammad Wesam Alkabouni, Armin Wolf
{"title":"[Optical coherence tomography biomarkers for neovascular age-related macular degeneration : Relevance for the diagnosis, treatment and prognosis].","authors":"Almut Bindewald-Wittich, Mohammad Wesam Alkabouni, Armin Wolf","doi":"10.1007/s00347-024-02181-8","DOIUrl":"10.1007/s00347-024-02181-8","url":null,"abstract":"<p><p>Comprehensive multimodal imaging is essential for the precise clinical diagnostics of neovascular age-related macular degeneration (nAMD). Noninvasive optical coherence tomography (OCT) is of prime importance regarding the baseline examination, follow-up and monitoring during treatment. The OCT imaging in nAMD eyes enables a high-resolution assessment of the retinal micromorphology, which can be considerably disturbed in different layers. A large number of pathological OCT alterations represent distinct micromorphological OCT biomarkers. These should be taken into account in the assessment of OCT images. This article covers the following important biomarkers: intraretinal, subretinal and subpigment epithelial fluid, outer retinal tubulations, ellipsoid zone integrity, hyperreflective foci, subretinal drusenoid deposits, onion sign, hyporeflective prechoroidal cleft, double layer sign, subretinal hyperreflective material and bacillary layer detachment.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"144-156"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054432","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 : 2025-02-01Epub Date: 2025-01-27DOI: 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":"<p><p>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.</p>","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}
Die OphthalmologiePub Date : 2025-02-01Epub Date: 2025-02-03DOI: 10.1007/s00347-024-02159-6
Viktoria C Brücher, Elisabeth Messmer, Anja Liekfeld
{"title":"[Women in ophthalmology].","authors":"Viktoria C Brücher, Elisabeth Messmer, Anja Liekfeld","doi":"10.1007/s00347-024-02159-6","DOIUrl":"https://doi.org/10.1007/s00347-024-02159-6","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":"122 2","pages":"83-84"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082461","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}
Henriette Thönneßen, Elena Butenko, Frank Schüttauf, Hanna Faber
{"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}
Constantin Niederau, Philomena Alice Wawer Matos Reimer, Alexander Rokohl, Ludwig Heindl
{"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}
Die OphthalmologiePub Date : 2025-01-01Epub Date: 2024-12-15DOI: 10.1007/s00347-024-02082-w
Jens Martin Rohrbach
{"title":"[Julius Hirschberg and the history of ophthalmology : On the 100th anniversary of his death].","authors":"Jens Martin Rohrbach","doi":"10.1007/s00347-024-02082-w","DOIUrl":"10.1007/s00347-024-02082-w","url":null,"abstract":"<p><p>The works of Julius Hirschberg (1843-1925), especially his \"History of ophthalmology\" are even now still worth reading and indispensable for those who are interested in the history of the discipline ophthalmology. In addition to his scientific achievements in the field of ophthalmology, he was particularly concerned with international understanding and is therefore more current than ever before.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"65-78"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824962","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 : 2025-01-01Epub Date: 2024-10-16DOI: 10.1007/s00347-024-02127-0
Jennifer Prues-Hölscher, Theo G Seiler, Gerd Geerling
{"title":"[Sudden unilateral loss of vision in chronic dacryocystitis : An unusual cause and triple procedure for treatment of acute hydrops in unilateral keratoconus].","authors":"Jennifer Prues-Hölscher, Theo G Seiler, Gerd Geerling","doi":"10.1007/s00347-024-02127-0","DOIUrl":"10.1007/s00347-024-02127-0","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482273","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}
Julian E Klaas, Albrecht Lommatzsch, Tim U Krohne, Lars-Olof Hattenbach, Siegfried Priglinger
{"title":"Erratum zu: Makulaschichtforamen – im Zentrum der vitreomakulären Grenzflächenerkrankungen.","authors":"Julian E Klaas, Albrecht Lommatzsch, Tim U Krohne, Lars-Olof Hattenbach, Siegfried Priglinger","doi":"10.1007/s00347-024-02070-0","DOIUrl":"10.1007/s00347-024-02070-0","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"37-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536080","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}