Riesenrissamotio

 

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Zusammenfassung

Die Riesenrissamotio mit möglicher Rissrandinvertierung stellt eine Sonderform der rhegmatogenen Amotio dar. Für den Netzhautchirurgen ist die Kenntnis der pathogenetischen und chirurgischen Besonderheiten von besonderem Interesse, um möglichst gute anatomische Ergebnisse bei niedriger PVR-Rate zu erreichen. Die seit den 60er-Jahren erzielten technischen Fortschritte der Netzhautchirurgie führten zu deutlich besseren Ergebnissen in der Behandlung der Riesenrissamotio. Um eine Riesenrissamotio des Partnerauges zu verhindern, muss über eine prophylaktische Behandlung zusammen mit dem Patienten nachgedacht werden.

Abstract

Giant retinal tears with possible tear inversion are a special group of rhegmatogenous retinal detachments. A good knowledge of the pathogenesis and surgical specifics is very important for the retinal surgeon to achieve the best anatomic results with a low PVR rate. The technical progress that was made since the 1960 s obviously led to better results in the therapy for giant retinal tears. To avoid a giant retinal tear of the second eye, a prophylactic treatment has to be discussed with the patient.

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Dr. Sibylle Winterhalter

Klinik für Augenheilkunde, Charité Universitätsmedizin Berlin

Augustenburger Platz 1

13353 Berlin

Phone: ++ 49/30/4 50 65 43 39

Fax: ++ 49/30/4 50 55 49 00

Email: Sibylle.Winterhalter@charite.de