Welchen Beitrag kann die ambulante Chirurgie zur Operation des grauen Stars leisten?
Wir haben 300 Patienten beobachtet, die ambulant am grauen Star operiert wurden. Die Patienten bevorzugen diese Art der Chirurgie immer mehr, weil sie ihnen eine sofortige Entlassung ermöglicht. Wir haben ECCE mit Phakoemulsification in der ambulanten Chirurgie verglichen, deren Komplikationen, Vor- und Nachteile sowie die reellen Kosten dieser ambulanten Chirurgie. Wir stellen die Gründe dar, die die ambulante Chirurgie in einem großen Ausbildungszentrum der Ophthalmologie erschweren.
Summary
We monitored 300 patients who had undergone ambulatory cataract operations. Patients are more and more prefering this type of surgery, which allows them to go home immediately after the operation. We compare ambulatory ECCE and phacoemulsification operations and their complications, advantages and disadvantages. We shall not go into the real cost-saving benefits of this type of surgery compared with conventional surgery, as these have already been demonstrated in other countries. Ambulatory surgery requires that the patient is to be monitored after the operation, which is difficult to do in large centers. We explain the reasons for this. We discuss the indications and contra-indications of this type of cataract procedure.
Schlüsselwörter
Ambulante Chirurgie - Cataract
Key words
Outpatient surgery - cataract
