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DOI: 10.1055/s-0029-1245639
© Georg Thieme Verlag KG Stuttgart · New York
Kombinierte Katarakt- und vitreoretinale Chirurgie
Combined Cataract and Vitreoretinal SurgeryPublikationsverlauf
Eingegangen: 8.5.2010
Angenommen: 25.7.2010
Publikationsdatum:
12. August 2010 (online)
![](https://www.thieme-connect.de/media/klimo/201008/lookinside/thumbnails/10.1055-s-0029-1245639-1.jpg)
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
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80336 München
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