Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"

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Ophthalmopathology between Yesterday and Tomorrow

Rohrbach J. M.
University Eye Clinic, Dept. I, Tuebingen / Germany

As financial resources run short, there is a tendency towards concentration of all morphological investigations in the institutes of pathology and closing the approx. 20 ophthalmopathological laboratories in German eye clinics. Hereby, some money may be saved, and there may be access to new techniques. Undoubtedly, the ophthalmopathologist needs a pathologist for certain problems. But there is no doubt too that the close link between clinical and histological microscopy has been and still is essential for the understanding of intra- and periocular diseases. Consequently, the ophthalmopathology has developed in the eye clinics widely independently from pathology in the last 150 years under the influence of famous ophthalmologists like Otto Becker, Theodor Leber, Julius von Michel, Ernst Fuchs, Wolfgang Stock, and Gottfried Naumann. When looking at the ophthalmopathological laboratory of the eye clinic Tübingen, the following conclusions can be drawn. * The annual costs are approx. € 109.000. * The diagnostic sector does not cover the costs. * Many research projects are performed or supported. "Impact factors" can be generated at comparably low costs (approx. € 12.000 per "point"). * The laboratory serves education and plays a crucial role in maintaining and improving the quality of medical processes. * Observing the spectrum of the specimens over several years reveals profound changes, thus showing advances but also deficits in patient care. * Lastly, there are always new fiel

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