Kombinierte Katarakt- und vitreoretinale Chirurgie

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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