Skip to main content
Erschienen in: Documenta Ophthalmologica 1/2015

01.08.2015 | Clinical Case Report

Reduced rod electroretinograms in carrier parents of two Japanese siblings with autosomal recessive retinitis pigmentosa associated with PDE6B gene mutations

verfasst von: Kazuki Kuniyoshi, Hiroyuki Sakuramoto, Kazutoshi Yoshitake, Kazuho Ikeo, Masaaki Furuno, Kazushige Tsunoda, Shunji Kusaka, Yoshikazu Shimomura, Takeshi Iwata

Erschienen in: Documenta Ophthalmologica | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To present the clinical and genetic findings in two siblings with autosomal recessive retinitis pigmentosa (RP) and their non-symptomatic parents.

Methods

We studied two siblings, a 48-year-old woman and her 44-year-old brother, and their parents. They had general ophthalmic examinations including ophthalmoscopy, perimetry, and electroretinography (ERG). Their whole exomes were analyzed by the next-generation sequence technique.

Results

The two siblings had night blindness for a long time, and clinical examinations revealed diffuse retinal degeneration with bone spicule pigmentation, constriction of the visual field, and non-recordable ERGs. Their parents were non-symptomatic and had normal fundi; however, their rod ERGs were reduced. Genetic examination revealed compound heterozygous mutations of I535N and H557Y in the PDE6B gene in the siblings, and the parents were heterozygous carriers of the mutations.

Conclusions

Heterozygous mutation in the PDE6B gene can cause a reduction in the rod function to different degrees. The retinal function of non-symptomatic carriers of autosomal recessive RP should be evaluated with care.
Literatur
1.
Zurück zum Zitat Weleber RG, Gregory-Evans K (2006) Retinitis pigmentosa and allied disorders. In: Hinton DR (ed), Ryan SJ (ed in chief) Retina, 4th edn, vol 1. Elsevier Inc., Philadelphia, pp 395–498 Weleber RG, Gregory-Evans K (2006) Retinitis pigmentosa and allied disorders. In: Hinton DR (ed), Ryan SJ (ed in chief) Retina, 4th edn, vol 1. Elsevier Inc., Philadelphia, pp 395–498
2.
Zurück zum Zitat Heckenlively JR (1988) Retinitis pigmentosa. J.B. Lippincott Company, Philadelphia, pp 1–24 Heckenlively JR (1988) Retinitis pigmentosa. J.B. Lippincott Company, Philadelphia, pp 1–24
3.
4.
Zurück zum Zitat Weber B, Riess O, Hutchinson G, Collins C, Lin B, Kowbel D, Andrew S, Schappert K, Hayden MR (1991) Genomic organization and complete sequence of the human gene encoding the β-subunit of the cGMP phosphodiesterase and its localisation to 4p16.3. Nucleic Acids Res 19:6263–6268PubMedCentralPubMedCrossRef Weber B, Riess O, Hutchinson G, Collins C, Lin B, Kowbel D, Andrew S, Schappert K, Hayden MR (1991) Genomic organization and complete sequence of the human gene encoding the β-subunit of the cGMP phosphodiesterase and its localisation to 4p16.3. Nucleic Acids Res 19:6263–6268PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat McLaughlin ME, Sandberg MA, Berson EL, Dryja TP (1993) Recessive mutations in the gene encoding the β-subunit of rod phosphodiesterase in patients with retinitis pigmentosa. Nat Genet 4:130–134PubMedCrossRef McLaughlin ME, Sandberg MA, Berson EL, Dryja TP (1993) Recessive mutations in the gene encoding the β-subunit of rod phosphodiesterase in patients with retinitis pigmentosa. Nat Genet 4:130–134PubMedCrossRef
6.
Zurück zum Zitat Bayés M, Giordano M, Balcells S, Grinberg D, Vilageliu L, Martínez I, Ayuso C, Benítez J, Ramos-Arroyo MA, Chivelet P, Solans T, Valverde D, Amselem S, Goossens M, Baiget M, Gonzàlez-Duarte R, Besmond C (1995) Homozygous tandem duplication within the gene encoding the β-subunit of rod phosphodiesterase as a cause for autosomal recessive retinitis pigmentosa. Hum Mutat 5:228–234PubMedCrossRef Bayés M, Giordano M, Balcells S, Grinberg D, Vilageliu L, Martínez I, Ayuso C, Benítez J, Ramos-Arroyo MA, Chivelet P, Solans T, Valverde D, Amselem S, Goossens M, Baiget M, Gonzàlez-Duarte R, Besmond C (1995) Homozygous tandem duplication within the gene encoding the β-subunit of rod phosphodiesterase as a cause for autosomal recessive retinitis pigmentosa. Hum Mutat 5:228–234PubMedCrossRef
7.
Zurück zum Zitat McLaughlin ME, Ehrhart TL, Berson EL, Dryja TP (1995) Mutation spectrum of the gene encoding the β subunit of rod phosphodiesterase among patients with autosomal recessive retinitis pigmentosa. Proc Natl Acad Sci USA 92:3249–3253PubMedCentralPubMedCrossRef McLaughlin ME, Ehrhart TL, Berson EL, Dryja TP (1995) Mutation spectrum of the gene encoding the β subunit of rod phosphodiesterase among patients with autosomal recessive retinitis pigmentosa. Proc Natl Acad Sci USA 92:3249–3253PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Danciger M, Blaney J, Gao YQ, Zhao DY, Heckenlively JR, Jacobson SG, Farber DB (1995) Mutations in the PDE6B gene in autosomal recessive retinitis pigmentosa. Genomics 30:1–7PubMedCrossRef Danciger M, Blaney J, Gao YQ, Zhao DY, Heckenlively JR, Jacobson SG, Farber DB (1995) Mutations in the PDE6B gene in autosomal recessive retinitis pigmentosa. Genomics 30:1–7PubMedCrossRef
9.
Zurück zum Zitat Valverde D, Solans T, Grinberg D, Balcells S, Vilageliu L, Bayés M, Chivelet P, Besmond C, Goossens M, González-Duarte R, Baiget M (1996) A novel mutation in exon 17 of the β-subunit of rod phosphodiesterase in two RP sisters of a consanguineous family. Hum Genet 97:35–38PubMedCrossRef Valverde D, Solans T, Grinberg D, Balcells S, Vilageliu L, Bayés M, Chivelet P, Besmond C, Goossens M, González-Duarte R, Baiget M (1996) A novel mutation in exon 17 of the β-subunit of rod phosphodiesterase in two RP sisters of a consanguineous family. Hum Genet 97:35–38PubMedCrossRef
10.
Zurück zum Zitat Danciger M, Heilbron V, Gao YQ, Zhao DY, Jacobson SG, Farber DB (1996) A homozygous PDE6B mutation in a family with autosomal recessive retinitis pigmentosa. Mol Vis 2:10PubMed Danciger M, Heilbron V, Gao YQ, Zhao DY, Jacobson SG, Farber DB (1996) A homozygous PDE6B mutation in a family with autosomal recessive retinitis pigmentosa. Mol Vis 2:10PubMed
11.
Zurück zum Zitat Valvelde D, Baiget M, Seminago R, del Rio E, García-Sandoval B, del Rio T, Bayés M, Balcells S, Martínez A, Grinberg D, Ayuso C (1996) Identification of a novel R552Q mutation in exon 13 of the β-subunit of rod phosphodiesterase gene in a Spanish family with autosomal recessive retinitis pigmentosa. Hum Mutat 8:393–394CrossRef Valvelde D, Baiget M, Seminago R, del Rio E, García-Sandoval B, del Rio T, Bayés M, Balcells S, Martínez A, Grinberg D, Ayuso C (1996) Identification of a novel R552Q mutation in exon 13 of the β-subunit of rod phosphodiesterase gene in a Spanish family with autosomal recessive retinitis pigmentosa. Hum Mutat 8:393–394CrossRef
12.
Zurück zum Zitat Saga M, Mashima Y, Akeo K, Kudoh J, Oguchi Y, Shimizu N (1998) A novel homozygous Ile535Asn mutation in the rod cGMP phosphodiesterase β-subunit gene in two brothers of a Japanese family with autosomal recessive retinitis pigmentosa. Curr Eye Res 17:332–335PubMedCrossRef Saga M, Mashima Y, Akeo K, Kudoh J, Oguchi Y, Shimizu N (1998) A novel homozygous Ile535Asn mutation in the rod cGMP phosphodiesterase β-subunit gene in two brothers of a Japanese family with autosomal recessive retinitis pigmentosa. Curr Eye Res 17:332–335PubMedCrossRef
13.
Zurück zum Zitat Jin ZB, Mandai M, Yokota T, Higuchi K, Ohmori K, Ohtsuki F, Takakura S, Itabashi T, Wada Y, Akimoto M, Ooto S, Suzuki T, Hirami Y, Ikeda H, Kawagoe N, Oishi A, Ichiyama S, Takahashi M, Yoshimura N, Kosugi S (2008) Identifying pathogenic genetic background of simplex or multiplex retinitis pigmentosa patients: a large scale mutation screening study. J Med Genet 45:465–472PubMedCrossRef Jin ZB, Mandai M, Yokota T, Higuchi K, Ohmori K, Ohtsuki F, Takakura S, Itabashi T, Wada Y, Akimoto M, Ooto S, Suzuki T, Hirami Y, Ikeda H, Kawagoe N, Oishi A, Ichiyama S, Takahashi M, Yoshimura N, Kosugi S (2008) Identifying pathogenic genetic background of simplex or multiplex retinitis pigmentosa patients: a large scale mutation screening study. J Med Genet 45:465–472PubMedCrossRef
14.
Zurück zum Zitat Tsang SH, Tsui I, Chou CL, Zernant J, Haamer E, Iranmanesh R, Tosi J, Allikmets R (2008) A novel mutation and phenotypes in phosphodiesterase 6 deficiency. Am J Ophthalmol 146:780–788PubMedCentralPubMedCrossRef Tsang SH, Tsui I, Chou CL, Zernant J, Haamer E, Iranmanesh R, Tosi J, Allikmets R (2008) A novel mutation and phenotypes in phosphodiesterase 6 deficiency. Am J Ophthalmol 146:780–788PubMedCentralPubMedCrossRef
15.
Zurück zum Zitat Hmani-Aifa M, Benzina Z, Zulfiqar F, Dhouib H, Shahzadi A, Ghorbel A, Rebaï A, Söderkvist P, Riazuddin S, Kimberling WJ, Ayadi H (2009) Identification of two new mutations in the GPR98 and the PDE6B genes segregating in a Tunisian family. Eur J Hum Genet 17:474–482PubMedCentralPubMedCrossRef Hmani-Aifa M, Benzina Z, Zulfiqar F, Dhouib H, Shahzadi A, Ghorbel A, Rebaï A, Söderkvist P, Riazuddin S, Kimberling WJ, Ayadi H (2009) Identification of two new mutations in the GPR98 and the PDE6B genes segregating in a Tunisian family. Eur J Hum Genet 17:474–482PubMedCentralPubMedCrossRef
16.
Zurück zum Zitat Ali S, Riazuddin SA, Shahzadi A, Nasir IA, Khan SN, Husnain T, Akram J, Sieving PA, Hejtmancik JF, Riazuddin S (2011) Mutations in the β-subunit of rod phosphodiesterase identified in consanguineous Pakistani families with autosomal recessive retinitis pigmentosa. Mol Vis 17:1373–1380PubMedCentralPubMed Ali S, Riazuddin SA, Shahzadi A, Nasir IA, Khan SN, Husnain T, Akram J, Sieving PA, Hejtmancik JF, Riazuddin S (2011) Mutations in the β-subunit of rod phosphodiesterase identified in consanguineous Pakistani families with autosomal recessive retinitis pigmentosa. Mol Vis 17:1373–1380PubMedCentralPubMed
17.
Zurück zum Zitat Neveling K, Collin RWJ, Gilissen C, van Huet RAC, Visser L, Kwint MP, Gijsen SJ, Zonneveld MN, Wieskamp N, de Ligt J, Siemiatkowska AM, Hoefsloot LH, Buckley MF, Kellner U, Branham KE, den Hollander AI, Hoischen A, Hoyng C, Klevering BJ, van den Born LI, Veltman JA, Cremers FPM, Scheffer H (2012) Next-generation genetic testing for retinitis pigmentosa. Hum Mutat 33:963–972PubMedCentralPubMedCrossRef Neveling K, Collin RWJ, Gilissen C, van Huet RAC, Visser L, Kwint MP, Gijsen SJ, Zonneveld MN, Wieskamp N, de Ligt J, Siemiatkowska AM, Hoefsloot LH, Buckley MF, Kellner U, Branham KE, den Hollander AI, Hoischen A, Hoyng C, Klevering BJ, van den Born LI, Veltman JA, Cremers FPM, Scheffer H (2012) Next-generation genetic testing for retinitis pigmentosa. Hum Mutat 33:963–972PubMedCentralPubMedCrossRef
18.
Zurück zum Zitat Kim C, Kim KJ, Bok J, Lee EJ, Kim DJ, Oh JH, Park SP, Shin JY, Lee JY, Yu HG (2012) Microarray-based mutation detection and phenotypic characterization in Korean patients with retinitis pigmentosa. Mol Vis 18:2398–2410PubMedCentralPubMed Kim C, Kim KJ, Bok J, Lee EJ, Kim DJ, Oh JH, Park SP, Shin JY, Lee JY, Yu HG (2012) Microarray-based mutation detection and phenotypic characterization in Korean patients with retinitis pigmentosa. Mol Vis 18:2398–2410PubMedCentralPubMed
19.
Zurück zum Zitat Bocquet B, Na Marzouka, Hebrard M, Manes G, Sénéchal A, Meunier I, Hamel CP (2013) Homozygosity mapping in autosomal recessive retinitis pigmentosa families detects novel mutations. Mol Vis 19:2487–2500PubMedCentralPubMed Bocquet B, Na Marzouka, Hebrard M, Manes G, Sénéchal A, Meunier I, Hamel CP (2013) Homozygosity mapping in autosomal recessive retinitis pigmentosa families detects novel mutations. Mol Vis 19:2487–2500PubMedCentralPubMed
20.
Zurück zum Zitat Shen S, Sujirakul T, Tsang SH (2014) Next-generation sequencing revealed a novel mutation in the gene encoding the beta subunit of rod phosphodiesterase. Ophthalmic Genet 35:142–150PubMedCentralPubMedCrossRef Shen S, Sujirakul T, Tsang SH (2014) Next-generation sequencing revealed a novel mutation in the gene encoding the beta subunit of rod phosphodiesterase. Ophthalmic Genet 35:142–150PubMedCentralPubMedCrossRef
21.
Zurück zum Zitat Gross AK, Wensel TG (2011) Biochemical cascade of phototransduction. In: Levin LA, Nilsson SFE, Ver Hoeve J, Wu SM (eds) Adler’s physiology of the eye, 11th edn. Elsevier Inc, Edinburgh, pp 394–410CrossRef Gross AK, Wensel TG (2011) Biochemical cascade of phototransduction. In: Levin LA, Nilsson SFE, Ver Hoeve J, Wu SM (eds) Adler’s physiology of the eye, 11th edn. Elsevier Inc, Edinburgh, pp 394–410CrossRef
22.
Zurück zum Zitat Bowes C, Li T, Danciger M, Baxter LC, Applebury ML, Farber DB (1990) Retinal degeneration in the rd mouse is caused by a defect in the β subunit of rod cGMP-phosphodiesterase. Nature 347:677–680PubMedCrossRef Bowes C, Li T, Danciger M, Baxter LC, Applebury ML, Farber DB (1990) Retinal degeneration in the rd mouse is caused by a defect in the β subunit of rod cGMP-phosphodiesterase. Nature 347:677–680PubMedCrossRef
23.
Zurück zum Zitat Davis RJ, Tosi J, Janisch KM, Kasanuki JM, Wang NK, Kong J, Tsui I, Cilluffo M, Woodruff ML, Fain GL, Lin CS, Tsang SH (2008) Functional rescue of degenerating photoreceptors in mice homozygous for a hypomorphic cGMP phosphodiesterase 6 b allele (Pde6b H620Q ). Investig Ophthalmol Vis Sci 49:5067–5076CrossRef Davis RJ, Tosi J, Janisch KM, Kasanuki JM, Wang NK, Kong J, Tsui I, Cilluffo M, Woodruff ML, Fain GL, Lin CS, Tsang SH (2008) Functional rescue of degenerating photoreceptors in mice homozygous for a hypomorphic cGMP phosphodiesterase 6 b allele (Pde6b H620Q ). Investig Ophthalmol Vis Sci 49:5067–5076CrossRef
24.
Zurück zum Zitat Pang JJ, Boye SL, Kumar A, Dinculescu A, Deng W, Li J, Li Q, Rani A, Foster TC, Chang B, Hawes NL, Boatright JH, Hauswirth WW (2008) AAV-mediated gene therapy for retinal degeneration in the rd10 mouse containing a recessive PDEβ mutation. Investig Ophthalmol Vis Sci 49:4278–4283CrossRef Pang JJ, Boye SL, Kumar A, Dinculescu A, Deng W, Li J, Li Q, Rani A, Foster TC, Chang B, Hawes NL, Boatright JH, Hauswirth WW (2008) AAV-mediated gene therapy for retinal degeneration in the rd10 mouse containing a recessive PDEβ mutation. Investig Ophthalmol Vis Sci 49:4278–4283CrossRef
25.
Zurück zum Zitat Allocca M, Manfredi A, Iodice C, Di Vicino U, Auricchio A (2011) AAV-mediated gene replacement, either alone or in combination with physical and pharmacological agents, results in partial and transient protection from photoreceptor degeneration associated with βPDE deficiency. Investig Ophthalmol Vis Sci 52:5713–5719CrossRef Allocca M, Manfredi A, Iodice C, Di Vicino U, Auricchio A (2011) AAV-mediated gene replacement, either alone or in combination with physical and pharmacological agents, results in partial and transient protection from photoreceptor degeneration associated with βPDE deficiency. Investig Ophthalmol Vis Sci 52:5713–5719CrossRef
26.
Zurück zum Zitat Barabas P, Peck CC, Krizaj D (2010) Do calcium channel blockers rescue dying photoreceptors in the Pde6b rd1 mouse? Adv Exp Med Biol 664:491–499PubMedCentralPubMedCrossRef Barabas P, Peck CC, Krizaj D (2010) Do calcium channel blockers rescue dying photoreceptors in the Pde6b rd1 mouse? Adv Exp Med Biol 664:491–499PubMedCentralPubMedCrossRef
27.
Zurück zum Zitat McCulloch DL, Marmor MF, Brigell MG, Hamilton R, Holder GE, Tzekov R, Bach M (2015) ISCEV Standard for full-field clinical electroretinography (2015 update). Doc Ophthalmol 130:1–12PubMedCrossRef McCulloch DL, Marmor MF, Brigell MG, Hamilton R, Holder GE, Tzekov R, Bach M (2015) ISCEV Standard for full-field clinical electroretinography (2015 update). Doc Ophthalmol 130:1–12PubMedCrossRef
28.
Zurück zum Zitat Kuniyoshi K, Sakuramoto H, Yoshitake K, Abe K, Ikeo K, Furuno M, Tsunoda K, Kusaka S, Shimomura Y, Iwata T (2014) Longitudinal clinical course of three Japanese patients with Leber congenital amaurosis/early-onset retinal dystrophy with RDH12 mutation. Doc Ophthalmol 128:219–228PubMedCrossRef Kuniyoshi K, Sakuramoto H, Yoshitake K, Abe K, Ikeo K, Furuno M, Tsunoda K, Kusaka S, Shimomura Y, Iwata T (2014) Longitudinal clinical course of three Japanese patients with Leber congenital amaurosis/early-onset retinal dystrophy with RDH12 mutation. Doc Ophthalmol 128:219–228PubMedCrossRef
29.
Zurück zum Zitat Adzhubei I, Jordan DM, Sunyaev SR (2013) Predicting functional effect of human missense mutations using PolyPhen-2. Curr Protoc Hum Genet 76:7.20.1-7.20.41 Adzhubei I, Jordan DM, Sunyaev SR (2013) Predicting functional effect of human missense mutations using PolyPhen-2. Curr Protoc Hum Genet 76:7.20.1-7.20.41
32.
Zurück zum Zitat Rambusch SHA (1909) Den medfødte Natteblindheds Arvelighedsforhold. Oversigt over det Kgl. Danske Videnskabernes Selskabs Forhandlinger 3:337–347 Rambusch SHA (1909) Den medfødte Natteblindheds Arvelighedsforhold. Oversigt over det Kgl. Danske Videnskabernes Selskabs Forhandlinger 3:337–347
33.
Zurück zum Zitat Gal A, Orth U, Baehr W, Schwinger E, Rosenberg T (1994) Heterozygous missense mutation in the rod cGMP phosphodiesterase β-subunit gene in autosomal dominant stationary night blindness. Nat Genet 7:64–68PubMedCrossRef Gal A, Orth U, Baehr W, Schwinger E, Rosenberg T (1994) Heterozygous missense mutation in the rod cGMP phosphodiesterase β-subunit gene in autosomal dominant stationary night blindness. Nat Genet 7:64–68PubMedCrossRef
34.
Zurück zum Zitat Tsang SH, Woodruff ML, Jun L, Mahajan V, Yamashita CK, Pedersen R, Lin CS, Goff SP, Rosenberg T, Larsen M, Farber DB, Nusinowitz S (2007) Transgenic mice carrying the H258N mutation in the gene encoding the β-subunit of phosphodiesterase-6 (PDE6B) provide a model for human congenital stationary night blindness. Hum Mutat 28:243–254PubMedCentralPubMedCrossRef Tsang SH, Woodruff ML, Jun L, Mahajan V, Yamashita CK, Pedersen R, Lin CS, Goff SP, Rosenberg T, Larsen M, Farber DB, Nusinowitz S (2007) Transgenic mice carrying the H258N mutation in the gene encoding the β-subunit of phosphodiesterase-6 (PDE6B) provide a model for human congenital stationary night blindness. Hum Mutat 28:243–254PubMedCentralPubMedCrossRef
35.
Zurück zum Zitat Manes G, Cheguru P, Majumder A, Bocquet B, Sénéchal A, Artemyev NO, Hamel CP, Brabet P (2014) A truncated form of rod photoreceptor PDE6 β-subunit causes autosomal dominant congenital stationary night blindness by interfering with the inhibitory activity of the γ-subunit. PLoS One 9:e95768PubMedCentralPubMedCrossRef Manes G, Cheguru P, Majumder A, Bocquet B, Sénéchal A, Artemyev NO, Hamel CP, Brabet P (2014) A truncated form of rod photoreceptor PDE6 β-subunit causes autosomal dominant congenital stationary night blindness by interfering with the inhibitory activity of the γ-subunit. PLoS One 9:e95768PubMedCentralPubMedCrossRef
Metadaten
Titel
Reduced rod electroretinograms in carrier parents of two Japanese siblings with autosomal recessive retinitis pigmentosa associated with PDE6B gene mutations
verfasst von
Kazuki Kuniyoshi
Hiroyuki Sakuramoto
Kazutoshi Yoshitake
Kazuho Ikeo
Masaaki Furuno
Kazushige Tsunoda
Shunji Kusaka
Yoshikazu Shimomura
Takeshi Iwata
Publikationsdatum
01.08.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Documenta Ophthalmologica / Ausgabe 1/2015
Print ISSN: 0012-4486
Elektronische ISSN: 1573-2622
DOI
https://doi.org/10.1007/s10633-015-9497-7

Weitere Artikel der Ausgabe 1/2015

Documenta Ophthalmologica 1/2015 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Die Verwendung von Ophthalmika in der Schwangerschaft und Stillzeit stellt immer eine Off-label-Anwendung dar. Ein Einsatz von Arzneimitteln muss daher besonders sorgfältig auf sein Risiko-Nutzen-Verhältnis bewertet werden. In der vorliegenden …

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Vitrektomie Originalie

Die endogene Endophthalmitis ist eine hämatogen fortgeleitete, bakterielle oder fungale Infektion, die über choroidale oder retinale Gefäße in den Augapfel eingeschwemmt wird [ 1 – 3 ]. Von dort infiltrieren die Keime in die Netzhaut, den …

Bakterielle endogene Endophthalmitis

Vitrektomie Leitthema

Eine endogene Endophthalmitis stellt einen ophthalmologischen Notfall dar, der umgehender Diagnostik und Therapie bedarf. Es sollte mit geeigneten Methoden, wie beispielsweise dem Freiburger Endophthalmitis-Set, ein Keimnachweis erfolgen. Bei der …

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Die bestmögliche Wundheilung der Kornea, insbesondere ohne die Ausbildung von lichtstreuenden Narben, ist oberstes Gebot, um einer dauerhaften Schädigung der Hornhaut frühzeitig entgegenzuwirken und die Funktion des Auges zu erhalten.   

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.