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[Transient maculopathy after intracameral injection of cefuroxime]. [眼内注射头孢呋辛后一过性黄斑病变]。
IF 0.6 Pub Date : 2025-11-26 DOI: 10.1007/s00347-025-02350-3
Juliane Klon, Mitja Alexander Heinrich, Laszlo Kiraly

We report on two cases of transient maculopathy following uneventful cataract surgery with intracameral administration of cefuroxime. Both patients achieved a visual acuity of no more than 20/200 on day 1 after surgery. Optical coherence tomography revealed a neurosensory detachment of the retina with schisis-like alterations in the outer nuclear layer. These findings completely resolved within 6 days of treatment with prednisolone acetate and nepafenac eye drops, resulting in full visual recovery.Intracameral administration of antibiotics, in Europe as cefuroxime 1 mg/0.1 ml, is recommended for endophthalmitis prophylaxis at the end of cataract surgery. At the same time, an association appears to exist between the rare occurrence of specific maculopathies and the application of cefuroxime, particularly in cases of overdose, but also sporadically. Patients who have undergone pars plana or anterior vitrectomy apparently have an inherently higher risk of developing maculopathy. Transient cefuroxime maculopathy usually has a benign, self-limiting course. Cataract surgeons should be aware of this condition and avoid overdosing that otherwise safe and effective drug.

我们报告了两例一过性黄斑病变后的白内障手术与内窥镜管理头孢呋辛。术后第1天,两例患者的视力均不超过20/200。光学相干断层扫描显示视网膜神经感觉脱离,外核层裂样改变。这些症状在使用醋酸泼尼松龙和尼帕芬酸滴眼液治疗6天后完全消失,视力完全恢复。在欧洲,建议在白内障手术结束时用头孢呋辛1 mg/0.1 ml进行眼内注射抗生素以预防眼内炎。同时,特定黄斑病变的罕见发生与头孢呋辛的应用之间似乎存在关联,特别是在过量使用的情况下,但也偶尔使用。显然,接受过睫状体前部或睫状体前部切除术的患者发生黄斑病变的风险更高。一过性头孢呋辛黄斑病变通常为良性、自限性病程。白内障外科医生应该意识到这种情况,并避免过量使用这种安全有效的药物。
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引用次数: 0
[Traumatic iridodialysis]. [创伤iridodialysis]。
IF 0.6 Pub Date : 2025-11-11 DOI: 10.1007/s00347-025-02338-z
Clemens N Rudolph, Colya N Englisch, Peter Szurman, Philip Wakili
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引用次数: 0
[Paracentral retinal holes after macular surgery]. [黄斑手术后视网膜中央旁孔]。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-06-28 DOI: 10.1007/s00347-025-02269-9
Bettina Isabel Deak, Christos Haritoglou
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引用次数: 0
[Anterior lenticonus in Alport Syndrome]. [Alport综合征前晶状体]。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-07-14 DOI: 10.1007/s00347-025-02294-8
Teresa Wacker, Harald Gäckle
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引用次数: 0
[Severe, acute, purulent conjunctivitis after glaucoma surgery]. 青光眼术后严重、急性、化脓性结膜炎。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-06-24 DOI: 10.1007/s00347-025-02266-y
M G Sieradzki, F A Steindor, A Strzalkowska, G Geerling
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引用次数: 0
[How to: corneal scrape in infectious keratitis-technique and clinical relevance]. 感染性角膜炎中角膜刮伤的方法及临床意义。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-09-12 DOI: 10.1007/s00347-025-02324-5
Klemens Paul Kaiser, Loay Daas, Berthold Seitz, Thomas Kohnen, Ingo Schmack
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引用次数: 0
[Nutrition and dietary supplements in age-related macular degeneration]. [年龄相关性黄斑变性的营养和膳食补充剂]。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-10-16 DOI: 10.1007/s00347-025-02334-3
Matthias M Mauschitz, Lukas Goerdt, Horst Helbig, Frank G Holz, Robert P Finger, Caroline Brandl

Background: Nutrition has an influence on the condition of our retina and appears to play a role in the complex, multifactorial pathogenesis of age-related macular degeneration (AMD).

Objectives: This article summarizes the current epidemiological evidence on nutrition and AMD and discusses the intake of specific nutrients as well as nutritional supplements and their potential role in prevention and disease modification.

Material and methods: A narrative literature review of epidemiological studies, clinical trials and experimental work on the role of individual micronutrients, supplements and dietary patterns in AMD was carried out.

Results: There is evidence of a protective effect for individual nutrients such as lutein, zeaxanthin, zinc and omega‑3 fatty acids. The AREDS studies in particular show a reduction in the progression of intermediate AMD to late stages through defined supplements. In addition, a Mediterranean diet correlates with a reduced risk of AMD. Nevertheless, the study results remain contradictory in some cases, which is due to methodological limitations and the complex pathogenesis of AMD.

Discussion: Nutrition can potentially influence and reduce the risk for and progression of AMD. The existing literature underlines the potential of nutrition-based approaches, which must be further investigated in the future.

背景:营养对视网膜的状况有影响,似乎在复杂的、多因素的老年性黄斑变性(AMD)发病机制中起作用。目的:本文综述了目前有关营养与AMD的流行病学证据,并讨论了特定营养素和营养补充剂的摄入及其在预防和改变疾病中的潜在作用。材料和方法:对流行病学研究、临床试验和个体微量营养素、补充剂和饮食模式在AMD中的作用的实验工作进行了叙述性文献综述。结果:有证据表明,叶黄素、玉米黄质、锌和omega - 3脂肪酸等个别营养素具有保护作用。AREDS研究特别表明,通过规定的补充剂可以减少中度黄斑变性向晚期的进展。此外,地中海饮食与AMD风险降低有关。然而,由于方法的限制和AMD复杂的发病机制,研究结果在某些情况下仍然存在矛盾。讨论:营养可以潜在地影响和降低AMD的风险和进展。现有的文献强调了以营养为基础的方法的潜力,这必须在未来进一步研究。
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引用次数: 0
[Nutrition and dietary supplements in eye diseases-Part 1: age-related macular degeneration and diabetic eye diseases]. 眼病中的营养和膳食补充剂-第1部分:年龄相关性黄斑变性和糖尿病性眼病。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-10-29 DOI: 10.1007/s00347-025-02326-3
Caroline Brandl, Alexander K Schuster, Robert P Finger
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引用次数: 0
[Julius Springer Prize for Ophthalmology 2025 : Dr. Martina E. Zimmermann honored for outstanding original paper]. 【2025年朱利叶斯施普林格眼科奖:Martina E. Zimmermann博士获得杰出原创论文奖】。
IF 0.6 Pub Date : 2025-11-01 DOI: 10.1007/s00347-025-02333-4
Michal Marie Meyer Zu Tittingdorf
{"title":"[Julius Springer Prize for Ophthalmology 2025 : Dr. Martina E. Zimmermann honored for outstanding original paper].","authors":"Michal Marie Meyer Zu Tittingdorf","doi":"10.1007/s00347-025-02333-4","DOIUrl":"10.1007/s00347-025-02333-4","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"928-931"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294676","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
[Spontaneous reattachment of a retinal detachment]. 视网膜脱离的自发性再附着。
IF 0.6 Pub Date : 2025-11-01 Epub Date: 2025-06-27 DOI: 10.1007/s00347-025-02279-7
Paula Schönherr, Benedict Holbach, Horst Helbig, Andreea Gamulescu
{"title":"[Spontaneous reattachment of a retinal detachment].","authors":"Paula Schönherr, Benedict Holbach, Horst Helbig, Andreea Gamulescu","doi":"10.1007/s00347-025-02279-7","DOIUrl":"10.1007/s00347-025-02279-7","url":null,"abstract":"","PeriodicalId":72808,"journal":{"name":"Die Ophthalmologie","volume":" ","pages":"870"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509830","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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