Die Katarakt stellt die häufigste Ursache einer reversiblen Sehverschlechterung beim
alternden Menschen dar. In Deutschland ist die altersbedingte Makuladegeneration (AMD)
die häufigste Ursache einer gesetzlich anerkannten hochgradigen Sehbehinderung oder
Erblindung. Es werden Fragen erörtert, die sich bei der Behandlung von Patienten mit
gleichzeitigem Vorliegen von Katarakt und AMD stellen. Bei adäquater Indikationsstellung
profitieren auch Patienten mit altersbedingter Makuladegeneration von einer Kataraktoperation.
Der Visusanstieg durch die Operation ist bei der Mehrzahl der Patienten über Jahre
nachweisbar. Nach derzeitigem Erkenntnisstand stellt die Kataraktoperation kein Risiko
für die Progredienz einer AMD dar. Die Verschlechterung einer AMD nach Kataraktoperation
ist ein zufälliges Ereignis, das durch die hohe Komorbidität von Katarakt und AMD
bedingt ist. Es gibt kein belastbares Datenmaterial, das den Nutzen der Implantation
von Blaufilter-Intraokularlinsen belegt.
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Prof. Dr. med. Holger Baatz
Aurelios Augenzentrum Recklinghausen
Johann Wolfgang Goethe-Universität Frankfurt am Main
Klinik für Augenheilkunde
Erlbruch 34–36
45657 Recklinghausen
Theodor-Stern-Kai 7
60590 Frankfurt am Main
Phone: 02361/30 69 7-0
Fax: 02361/30 69 7-199
Email: holger.baatz@augenzentrum.org