Die OphthalmologiePub Date : 2025-01-01Epub Date: 2025-01-07DOI: 10.1007/s00347-024-02176-5
M Roth, G Geerling, P Strzalkowski, H H Lindhof, R Guthoff
{"title":"[Emerging pathogens of ocular infections due to environmental changes-What lies ahead?]","authors":"M Roth, G Geerling, P Strzalkowski, H H Lindhof, R Guthoff","doi":"10.1007/s00347-024-02176-5","DOIUrl":"10.1007/s00347-024-02176-5","url":null,"abstract":"<p><p>Due to the global effects of climate change numerous infectious diseases are increasingly spreading to regions that were previously hardly or only slightly affected. As ocular involvement is possible in many of these infectious diseases, we must also adapt to new pathogens and clinical pictures in Germany in the medium to long term. Using selected bacterial, viral and mycotic pathogens and diseases as examples, the causes of the increase in dissemination and the consequences for ophthalmology are presented.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959736","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: 2024-03-08DOI: 10.1007/s00347-024-02006-8
Carolin Kolb-Wetterau, Petra Dávidová, Thomas Kohnen
{"title":"[How to: write a review].","authors":"Carolin Kolb-Wetterau, Petra Dávidová, Thomas Kohnen","doi":"10.1007/s00347-024-02006-8","DOIUrl":"10.1007/s00347-024-02006-8","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"62-64"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066351","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: 2024-12-16DOI: 10.1007/s00347-024-02148-9
Davide Garzone, Stefan Templin, Robert P Finger
{"title":"[From ozone depletion to the lens: effects of climate change on cataract progression].","authors":"Davide Garzone, Stefan Templin, Robert P Finger","doi":"10.1007/s00347-024-02148-9","DOIUrl":"10.1007/s00347-024-02148-9","url":null,"abstract":"<p><p>The incidence of cataract is expected to increase, primarily due to an aging population. However, human-induced environmental changes may also contribute. In this narrative review, we explore the connection between climate change, the depletion of the ozone layer, and modifiable risk factors for cataract development such as UV light exposure and pollution-related factors. Finally, we discuss preventative measures at both the individual and the societal level, including strategies to improve cataract care and reduce the carbon footprint of cataract surgery.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831143","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: 2024-03-04DOI: 10.1007/s00347-024-02007-7
{"title":"[Non-infectious anterior uveitis : S1 guideline of the German Society of Ophthalmology (DOG) and the German Professional Association of Ophthalmologists (BVA). Version: 13.12.2023].","authors":"","doi":"10.1007/s00347-024-02007-7","DOIUrl":"10.1007/s00347-024-02007-7","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029692","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: 2024-06-27DOI: 10.1007/s00347-024-02048-y
Marius Ader, Claus Cursiefen, Sascha Fauser, Martin Gliem, Horst Helbig, Wolf Lagrèze, John Marshall, Christian Roesky, José-Alain Sahel, Ursula Schlötzer-Schrehard, Paul Sieving, Marius Ueffing
{"title":"Ophthalmological research in Germany: suggestions by an international expert panel.","authors":"Marius Ader, Claus Cursiefen, Sascha Fauser, Martin Gliem, Horst Helbig, Wolf Lagrèze, John Marshall, Christian Roesky, José-Alain Sahel, Ursula Schlötzer-Schrehard, Paul Sieving, Marius Ueffing","doi":"10.1007/s00347-024-02048-y","DOIUrl":"10.1007/s00347-024-02048-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the research performance in ophthalmology in Germany based on the findings of the recent research map of the German Ophthalmological Society (DOG) and to suggest strategies for future improvements on a national level both to DOG as well as to politics. The focus is on preclinical and translational clinical research.</p><p><strong>Methods: </strong>International expert panel evaluation and discussion organized by the Task Force Research of the German Ophthalmological Society (DOG).</p><p><strong>Results: </strong>The international view on the German ophthalmological research landscape was generally positive. The value for money relationship was judged as very good. As Germany is facing an aging society and vision impairment will create an ever-increasing socioeconomic burden, the reviewers suggested several lines of future activities: an increased activity of securing intellectual property, more lay audience lobbying, intensified collaboration and critical mass building between \"lighthouses\" of ophthalmic research in Germany, as well as the establishment of a German national eye institute equivalent.</p><p><strong>Conclusion: </strong>The ophthalmological research performance in Germany was rated to be very good by an international expert panel. Nonetheless significant improvements were requested in the fields of translation (clinical trials, IP), synergy between specialized institutions and governmental funding for a German center for eye research.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141461195","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: 2025-01-07DOI: 10.1007/s00347-024-02167-6
A V Schilcher, G Geerling
{"title":"[Climate change and ocular surface diseases].","authors":"A V Schilcher, G Geerling","doi":"10.1007/s00347-024-02167-6","DOIUrl":"10.1007/s00347-024-02167-6","url":null,"abstract":"<p><strong>Background: </strong>The ocular surface is directly exposed to environmental influences. Noxae that have already been identified for the ocular surface are heat, air dryness, pollutant gases, fine dust particles and ultraviolet radiation.</p><p><strong>Methods: </strong>The current literature was used to investigate the relationship between frequent ocular surface diseases and various environmental factors and to analyze their development over the years.</p><p><strong>Results: </strong>Epidemiological studies on dry eye disease and allergic conjunctivitis have shown an increase in the incidences in recent years. Environmental pollutants have been identified as disease triggers. In addition, the prolonged pollen season and increased pollen concentrations are also risk factors. There is also a higher prevalence of pterygium in population groups with high UV exposure. Other diseases with potential environmental pathogenesis are acute photokeratitis, photoconjunctivitis and malignant melanoma of the conjunctiva.</p><p><strong>Conclusion: </strong>For ocular surface diseases, large epidemiological cohorts have shown climate-related increases in the incidence. A further increase in environmentally associated noxious substances can be expected in the coming decades. In addition to measures to mitigate climate change, the underlying mechanisms of disease development and new approaches to prevention and treatment, such as room humidification, air filters or contact lenses with UV filters, should be investigated.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"12-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959750","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":"[Efficacy and safety of the new generation of excimer laser trabeculotomy in a heterogeneous patient population-1-year follow-up].","authors":"Stefanie Gniesmer, Svenja Rebecca Sonntag, Swaantje Grisanti","doi":"10.1007/s00347-024-02126-1","DOIUrl":"10.1007/s00347-024-02126-1","url":null,"abstract":"<p><strong>Background: </strong>Microinvasive procedures have become established in glaucoma surgery and are preferred for patients with target pressure values that are not too low. Excimer laser trabeculotomy (ELT) represents such a minimally invasive approach and can easily be combined with cataract surgery.</p><p><strong>Objective: </strong>Over 12 months the reduction in intraocular pressure (IOP), the number of antiglaucoma drugs and the incidence of adverse events were evaluated using the new Elios<sup>TM</sup> method (Elios Vision GmbH, Germering, Germany) for real-life data from a heterogeneous patient population undergoing ELT in combination with cataract surgery (phaco-ELT).</p><p><strong>Material and methods: </strong>In this study 20 eyes of 13 patients who underwent phaco-ELT were retrospectively analyzed. After standard phacoemulsification with posterior chamber lens implantation, 10 microchannels were created using the excimer laser. The patients were followed for 12 months and the intraocular pressure (IOP), number of antiglaucoma drugs and the occurrence of adverse events were analyzed.</p><p><strong>Results: </strong>The average age was 65 years. The preoperative IOP was 17.5 (± 5.3) mm Hg. The mean IOP reduction was 4.8 mm Hg (27.4%, p < 0.001) on the first postoperative day, 3.2 mm Hg (18.3%, p = 0.22) after 6 months and 2.5 mm Hg (14.3%, p = 0.14) at 12 months. The number of antiglaucoma drugs decreased from an average of 3.2 (± 1.3) preoperatively to 0.5 (± 0.9) on day 1 (p < 0.001), 1.9 (± 1.2) after 6 months (p = 0.008) and 2.2 (± 1.3) after 12 months (p = 0.013).</p><p><strong>Discussion: </strong>In our cohort ELT in combination with cataract surgery is a safe minimally invasive procedure leading to an IOP reduction of 14.3% and a reduction of pressure-lowering medication by 1 active ingredient in patients with low initial pressure at 1‑year follow-up. As no implant is used in ELT and the conjunctiva remains untouched, subsequent procedures, including bleb-related surgery, are not negatively affected.</p>","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482269","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}