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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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Metadaten
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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