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Klin Monbl Augenheilkd 2023; 240(02): 142-146
DOI: 10.1055/a-1961-7186
Übersicht

Individuelle Behandlung bei Glaukompatienten mit einem Diabetes mellitus

Artikel in mehreren Sprachen: deutsch | English
Jan Luebke 
Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Deutschland
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Zusammenfassung

Das Glaukom und der Diabetes mellitus sind 2 in Europa und weltweit häufig vorkommende chronische Erkrankungen, die einer intensiven Therapie bedürfen. Pathophysiologisch werden verschiedene Mechanismen diskutiert, die vor allem beim Vorliegen eines Diabetes mellitus die Entstehung eines Glaukoms begünstigen. Die medikamentöse und chirurgische Einstellung des Augeninnendruckes ist bei Patienten mit einem Diabetes mellitus mit einigen Einschränkungen verbunden, so zeigen die filtrierenden Eingriffe geringere Erfolgsraten als bei nicht an Diabetes erkrankten Glaukompatienten. Neben der rein augenheilkundlich-endokrinologischen Therapie sollte ebenfalls die psychologische Belastung durch 2 chronische Erkrankungen bedacht und in den individuellen Therapieplan aufgenommen werden.

Schlüsselwörter

Glaukom - Diabetes mellitus - chronische Erkrankung


Publikationsverlauf

Eingereicht: 17. August 2022

Angenommen: 06. Oktober 2022

Artikel online veröffentlicht:
12. Januar 2023

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
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