Zusammenfassung
Die refraktive Chirurgie und insbesondere Laser-in-situ-Keratomileusis (LASIK) haben sich in den letzten Jahren bei klinischen und experimentellen Studien bewährt und werden gegenwärtig weltweit in großer Anzahl durchgeführt. Diese Arbeit liefert eine Übersicht über die veröffentlichten Hinterabschnittskomplikationen der LASIK, die insgesamt sehr selten auftreten. Weiterhin werden aktuelle klinische und experimentelle Ansätze zur Erklärung der Pathogenese dieser Komplikationen diskutiert. Nach gegenwärtigem Stand der Wissenschaft kann trotz der hohen Zahl weltweit durchgeführter LASIK-Behandlungen kein kausaler Zusammenhang zwischen Komplikationen am hinteren Augenabschnitt und LASIK bewiesen werden.
Abstract
During the past years refractive surgical procedures and particularly laser in situ keratomileusis (LASIK) have become established by clinical and experimental studies and are performed worldwide in a high number. This paper provides a survey of the published posterior segment complications of LASIK that may occur albeit very rarely. Additionally, current clinical and experimental hypotheses regarding the pathogenesis of those complications are discussed. Currently a cause-effect relationship between LASIK and reported posterior segment complications has not been proven although a very high number of LASIK procedures have been performed worldwide.
Schlüsselwörter
LASIK - Laser-in-situ-Keratomileusis - Komplikation - Hinterabschnitt - vitreoretinal
Key words
LASIK - laser in situ keratomileusis - complication - posterior segment - vitreoretinal
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Dr. med. A. Mirshahi
Augenklinik, Klinikum Ludwigshafen
Bremserstr. 79
67063 Ludwigshafen
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