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Die Ophthalmologie

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01.11.2005 | Weiterbildung · Zertifizierte Fortbildung

Intraokularlinsen zur Korrektur von Refraktionsfehlern

Teil II: Phake Hinterkammerlinsen und refraktiver Linsenaustausch mit Hinterkammerlinsenimplantation

verfasst von: Prof. Dr. T. Kohnen, T. Kasper, E. Terzi

Erschienen in: Die Ophthalmologie | Ausgabe 11/2005

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Zusammenfassung

Im vorliegenden Übersichtsartikel wird der derzeitige Stand der Intraokularlinsenchirurgie zur Korrektur von Refraktionsfehlern dargestellt. Man unterscheidet zwischen additiver Chirurgie mit Kunstlinsenimplantation ohne Extraktion der kristallinen Linse [phake Intraokularlinse (PIOL)] und der Entfernung der natürlichen Linse mit Implantation einer Kunstlinse [refraktiver Linsenaustausch (RLA)]. Die phaken Intraokularlinsen (PIOL) werden in kammerwinkelgestütze und irisgetragene Vorderkammerlinsen sowie sulkusfixierte Hinterkammerlinsen unterteilt. Die Implantation der phaken IOL hat sich als effektives, sicheres, vorhersagbares und stabiles Verfahren zur Korrektur von höheren Ametropien erwiesen. Komplikationen sind selten und zwischen den 3 verschiedenen PIOL-Typen unterschiedlich, bei den Hinterkammerlinsen handelt es sich um Kataraktentwicklung und Pigmentdispersion. Der refraktive Linsenaustausch (RLA) wird bevorzugt dann bei hohen Ametropien eingesetzt, wenn keine Akkommmodationsleistung der natürlichen Linse mehr zu erwarten ist. Zu den Komplikationsmöglichkeiten des myopen RLA gehören die Netzhautablösung, zu denen des hyperopen RLA operative Schwierigkeiten bedingt durch das kurze Vordersegment.

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Titel: Intraokularlinsen zur Korrektur von Refraktionsfehlern
Teil II: Phake Hinterkammerlinsen und refraktiver Linsenaustausch mit Hinterkammerlinsenimplantation
verfasst von: Prof. Dr. T. Kohnen
T. Kasper
E. Terzi
Publikationsdatum: 01.11.2005
Verlag: Springer-Verlag
Erschienen in: Die Ophthalmologie / Ausgabe 11/2005
Print ISSN: 2731-720X
Elektronische ISSN: 2731-7218
DOI: https://doi.org/10.1007/s00347-005-1274-7

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Akutes Winkelblockglaukom nach massiver intraokularer Blutung bei exsudativer altersbedingter Makuladegeneration unter gerinnungshemmender Therapie

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Update Augenheilkunde