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Klin Monbl Augenheilkd 2010; 227(8): 630-637
DOI: 10.1055/s-0029-1245639
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Kombinierte Katarakt- und vitreoretinale Chirurgie

Combined Cataract and Vitreoretinal SurgeryD. Kook1 , C. Haritoglou1 , A. Kampik1 , T. Kohnen2
  • 1Augenklinik der LMU, Klinikum der Universität München
  • 3Klinik für Augenheilkunde, Goethe-Universität, Frankfurt
Further Information

Publication History

Eingegangen: 8.5.2010

Angenommen: 25.7.2010

Publication Date:
12 August 2010 (online)

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Zusammenfassung

Die Katarakt wie auch viele vitreoretinale Erkrankungen treten gehäuft und häufig koinzident im fortgeschrittenen Lebensalter auf. Daher stellt sich oft die Frage, Kataraktchirurgie und Vitrektomie entweder kombiniert in einem einzeitigen Eingriff oder sequenziell in einem zweizeitigen Vorgehen durchzuführen. Ziel der vorliegenden Übersichtsarbeit ist es, auf Basis der derzeitigen zu dieser Thematik publizierten Literatur und der eigenen klinischen Erfahrungen die einzelnen Vor- und Nachteile eines ein- oder zweizeitigen Vorgehens darzustellen und ihm in Abgängigkeit der jeweiligen Grunderkrankung einen praxisorientierten Leitfaden zur Erleichterung der Indikationsstellung für ein kombiniertes Vorgehen zu bieten.

Abstract

Both cataract and many vitreoretinal diseases occur more frequently and often at the same time in the elderly population. Therefore, one has to consider whether to combine cataract surgery and vitrectomy or to plan a sequential approach. The aim of the present survey – based on a thorough review of the current literature – is to point out the advantages and disadvantages of a combined versus a sequential approach. Furthermore, practically oriented guidelines have been compiled for finding the right indication for a combined procedure with regard to the underlying vitreoretinal disease.

Schlüsselwörter

Katarakt - Linsenchirurgie - Phakoemulsifikation - Vitrektomie - kombinierte vitreoretinale Chirurgie

Key words

cataract - lens surgery - phacoemulsification - vitrectomy - phacovitrectomy

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Dr. Daniel Kook

Augenklinik der LMU, Klinikum der Universität München Campus Innenstadt

Mathildenstraße 8

80336 München

Phone: ++ 49/89/51 60 38 12

Fax: ++ 49/89/51 60 51 60

Email: daniel.kook@med.uni-muenchen.de