Ursachen und Management von IOL-Dislokationen

Ramin Khoramnia; Isabella Diana Baur; Gerd U. Auffarth

doi:10.1055/a-2074-9028

Klinische Monatsblätter für Augenheilkunde, Table of Contents

Klin Monbl Augenheilkd 2023; 240(08): 971-980
DOI: 10.1055/a-2074-9028

Übersicht/Review

Ursachen und Management von IOL-Dislokationen

Article in several languages: deutsch | English

Ramin Khoramnia ‡

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

,

Isabella Diana Baur ‡

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

,

Gerd U. Auffarth

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

› Author Affiliations

Abstract

Zusammenfassung

Die frühe (< 3 Monate) IOL-Dislokation tritt aufgrund einer unzureichenden Fixation im Kapselsack auf, während die späte Dislokation (≥ 3 Monate) durch eine zunehmende Insuffizienz des Zonulaapparates begründet ist. Aktuell werden zur Aphakiekorrektur bei IOL-Tausch vor allem Irisfixierte IOL (IFIOL) und mittels Naht oder nahtlos fixierte sklerafixierte IOL (SFIOL) eingesetzt. Es wurden verschiedene Methoden zur Sklerafixierung mit oder ohne Naht beschrieben. Die wichtigsten Techniken werden in dieser Arbeit zusammengefasst. IFIOL und SFIOL ermöglichen vergleichbare Visusergebnisse, unterscheiden sich aber in ihrem Risikoprofil. Die Entscheidung, welche Methode zum Einsatz kommt, hängt u. a. auch von den Gegebenheiten im jeweiligen Fall und der Präferenz des Operateurs ab.

Schlüsselwörter

IOL-Dislokation - Aphakiekorrektur - sklerafixierte IOL - irisfixierte IOL

Full Text

References

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