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YAG Kapsulotomie nach Kataraktchirurgie: Assoziierte Komplikationen
Paperback
Series: Augenheilkunde, Book 5
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ISBN10: 1096972123
ISBN13: 9781096972129
Publisher: Independently Published
Published: May 5 2019
Pages: 32
Weight: 0.13
Height: 0.08 Width: 6.00 Depth: 9.00
Language: German
ISBN13: 9781096972129
Publisher: Independently Published
Published: May 5 2019
Pages: 32
Weight: 0.13
Height: 0.08 Width: 6.00 Depth: 9.00
Language: German
Die Kataraktoperation ist die häufigste Operation, die weltweit durchgeführt wird. Obwohl die Operation eine sehr hohe Erfolgsrate hat, können Komplikationen auftreten. Intraokulare Linsen (IOLs)-Fehlstellungen reichen von einer einfachen IOL-Dezentrierung bis hin zur Luxation in das posteriore Augensegment. Subluxierte IOLs können derart dezentriert sein, dass die IOL-Optik nur einen kleinen Teil des Pupillenbereichs abdeckt. Luxationen beschreiben eine totale Dislokation der IOL in das posteriore Segment. Die Dezentrierung einer IOL kann das Ergebnis der ursprünglichen chirurgischen Platzierung der Linse sein, oder kann sich in der postoperativen Phase aufgrund äu erer (z.B. Trauma, Augenreiben) oder innerer Kräfte (z.B. Vernarbung, periphere anteriore Synechien -PAS) entwickeln. Die hintere Dislokation einer Intraokularlinse ist auch eine seltene Komplikation der posterioren Yttrium-Aluminium-Granat Laser Behandlung (YAG-KT), die bei der Behandlung von Nachstar (posterior capsular opacification-PCO) zum Einsatz kommt. Die PCO-Entwicklung ist multifaktoriell und entsteht aufgrund von kortikalen Linsenresten, residualen Linsenepithelzellen am Linsenäquator und/oder unter der vorderen Kapsel, oder aufgrund von einer unregelmä igen nicht-zentrierten und nicht-überlappenden vorderen Kapsulorhexis. Die YAG-KT hat sich als Standardbehandlung für PCO etabliert. Obwohl die YAG-KT eine nichtinvasive und sichere Behandlung darstellt, birgt sie das Risiko einiger Komplikationen (zystoides Makulaödem, Netzhautabhebung, Iritis, Endophthalmitis, etc.). Die Verwendung von weniger Gesamtenergie und die Durchführung kleinerer Kapsulotomien sind eine effektive Methode, um Komplikationen nach YAG-KT zu minimieren.
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