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Klin Monbl Augenheilkd 2024; 241(02): 177-185
DOI: 10.1055/a-2105-0756
Übersicht

Einflussnahme des Diabetes mellitus auf glaukomrelevante Untersuchungsergebnisse beim primären Offenwinkelglaukom

Article in several languages: deutsch | English
Carl Erb 
1   Augenklinik am Wittenbergplatz, Berlin, Deutschland
,
Clivia Erb
2   Universität Heidelberg, Deutschland
,
Avaz Kazakov
3   Department of External Relations and Development, Salymbekov University, Bishkek, Kyrgyzstan
,
Maana Umetalieva
4   Medical Faculty of Medicine, Salymbekov University, Bishkek, Kyrgyzstan
,
Burkhard Weisser
5   Sportmedizin, Institut für Sportwissenschaft, Kiel, Deutschland
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Zusammenfassung

Das primäre Offenwinkelglaukom (POWG) wird nicht mehr als eine isolierte augendruckabhängige Optikusneuropathie, sondern als eine neurodegenerative Erkrankung angesehen, bei der der oxidative Stress und die Neuroinflammation im Vordergrund stehen. Diese Prozesse können durch zusätzlich vorliegende Systemerkrankungen verstärkt werden. Am häufigsten kommen eine arterielle Hypertonie, Dyslipidämien und ein Diabetes mellitus vor. Anhand des Diabetes mellitus soll gezeigt werden, wie weitreichend eine derartige Systemerkrankung sowohl auf die funktionellen als auch auf die strukturellen diagnostischen Methoden für das POWG einen Einfluss nehmen kann. Diese Kenntnisse sind essenziell, da durch diese Interferenzen Fehlinterpretationen zum POWG denkbar sind, die auch Therapieentscheidungen betreffen können.

Schlüsselwörter

Glaukom - Diabetes - funktionelle Diagnostik - strukturelle Diagnostik - Perimetrie - optische Kohärenztomografie


Publication History

Received: 18 December 2022

Accepted: 25 May 2023

Article published online:
29 August 2023

© 2023. Thieme. All rights reserved.

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