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Die Ophthalmologie

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05.08.2020 | Netzhautablösung | Leitthema

Dringlichkeit der operativen Versorgung bei der rissbedingten Netzhautablösung

verfasst von: Prof. Dr. Nicolas Feltgen, Josep Callizo, Lars-Olof Hattenbach, Hans Hoerauf

Erschienen in: Die Ophthalmologie | Ausgabe 9/2020

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Zusammenfassung

Der ideale Operationszeitpunkt bei Patienten mit einer rissbedingten Netzhautablösung wird seit Jahrzehnten diskutiert. Die Studienlage hat sich in den vergangenen Jahren verbessert, sodass mittlerweile Empfehlungen ausgesprochen werden können. Wenn die Makula abgehoben ist, ist eine operative Versorgung der Netzhautablösung innerhalb weniger Tage anzustreben. Bei anliegender Makula ist die zentrumsnahe und hochblasige Ablatio von superotemporal als Notfall einzustufen. Bei der Operationsplanung sind auch Umfeldfaktoren unbedingt zu berücksichtigen. So ist der Eingriff durch ein routiniertes Operationsteam für das Gesamtergebnis meist bedeutsamer als die Netzhautsituation alleine. In diesem Beitrag werden die beeinflussenden Faktoren sowie Empfehlungen für den Umgang mit diesen Notfallpatienten diskutiert.

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Titel: Dringlichkeit der operativen Versorgung bei der rissbedingten Netzhautablösung
verfasst von: Prof. Dr. Nicolas Feltgen
Josep Callizo
Lars-Olof Hattenbach
Hans Hoerauf
Publikationsdatum: 05.08.2020
Verlag: Springer Medizin
Schlagwort: Netzhautablösung
Erschienen in: Die Ophthalmologie / Ausgabe 9/2020
Print ISSN: 2731-720X
Elektronische ISSN: 2731-7218
DOI: https://doi.org/10.1007/s00347-020-01191-6

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Dringlichkeit der operativen Versorgung bei der rissbedingten Netzhautablösung

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