Zusammenfassung
Diese Übersicht beschreibt das klinische Erscheinungsbild von degenerativen Veränderungen der peripheren Retina im Hinblick auf das jeweilige Risiko für die Entstehung einer rhegmatogenen Netzhautablösung. Darüber hinaus werden Behandlungsempfehlungen für Augen mit einem erhöhten Risikoprofil gegeben.
Retinale Degenerationen kommen häufig vor, bleiben jedoch zumeist klinisch unbedeutend. Gittrige Degenerationen, die degenerative Retinoschisis, zystische Netzhautbüschel und Zonula-Retina-Ausziehungen können zur Entstehung einer rhegmatogenen Amotio führen. Verschiedentlich ist daher eine prophylaktische Behandlung vorgeschlagen worden, ohne dass jedoch entsprechende randomisierte Studien durchgeführt wurden. Entsprechend den vorhandenen epidemiologischen Daten müssen die meisten peripheren retinalen Degenerationen nicht behandelt werden, außer in seltenen Hochrisikosituationen. Ein erhöhtes Risiko für eine sekundäre Puckerbildung oder andere Nebenwirkungen nach prophylaktischer Laserkoagulation bestehen nach aktuellem Kenntnisstand nicht. Daher sollte die in Abhängigkeit von den Risikofaktoren, die Laserindikation eher großzügig gestellt werden.
Abstract
This report reviews the clinical appearance of degenerative diseases of the peripheral retina in relationship to the risk of developing a rhegmatogenous retinal detachment. We present recommendations for preventive treatment in eyes at increased risk of developing retinal detachment.
Retinal degenerations are common lesions involving the peripheral retina but most of them are clinically insignificant. Lattice degeneration, degenerative retinoschisis, cystic retinal tufts, and very rarely zonular traction tufts can result in rhegmatogenous retinal detachment. Therefore, these lesions have been considered for prophylactic treatment; however, adequate studies have not been performed to date. Most of the peripheral retinal degenerations may not require treatment except in rare, high-risk situations. According to current knowledge there is no higher incidence of secondary pucker or other side effects after laser coagulation. Therefore, generous laser indication is recommended if risk factors apply.
Literatur
Adler WS, Woldoff HS (1973) Retinal detachment in relation to senile retinoschisis. Trans Am Acad Ophthalmol Otolaryngol 77:OP99
Allen RA, Straatsma BR (1966) The pathology of lattice degeneration of the retina. Md Probl Ophthalmol 4:49–56
Bartels M (1933) Über die Entstehung von Netzhautablösungen. Klin Monatsbl Augenheilkd 91:437–450
Boniuk I, Okun E, Johnston GP, Arrivas N (1974) Xenon photocoagulation versus cryotherapy in the prevention of retinal detachment. Mod Probl Ophthalmol 12:81–89
Byer NE (1965) Clinical study of lattice degeneration of the retina. Trans Am Acad Ophthalmol Otolaryngol 69:1064–1071
Byer NE (1968) Clinical Study of senile retinoschisis. Arch Ophthalmol 79:36
Byer NE (1974) Prognosis of asymptomatic retinal breaks. Arch Ophthalmol 92 (3):208–210
Byer NE (1981) Cystic retinal tufts and their relationship to retinal detachment. Arch Ophthalmol 99:1788–1792
Byer NE (1986) The long-term natural history of senile retinoschisis with implications for management. Ophthalmology 93:1127–1138
Byer NE (1989) Long-term natural history of lattice degeneration of the retina. Ophthalmology 96:1396–1342
Byer NE (1979) Lattice degeneration of the retina. Surv Ophthalmol 23:213
Byer NE (1974) Changes in an progrosis of lattice degeneration of the retina. Trans Am Acad Ophthalmol Otolaryngol 78:114–125
Davis MD, Segal PP, McCormick A (1974) The natural course followed by the fellow eye in patients with rhegmatogenous retinal detachment. In: Pruett RC, Regan CDJ (eds) Retinal Congress, New York 1974. Appleton-Century-Crofts, pp 643–649
Dumas J, Schepens CL (1966) Chorioretinal lesions predisposing to retinal breaks. Am J Ophthalmol 61:620–630
Folk JC, Arrindell EL, Klugman NR (1989) The fellow eye of patients with phakic lattice retinal detachment. Ophthalmology 96:72–79
Foos RY, Simons KB (1984) Features in lattice degeneration of the retina. Ophthalmology 91:452
Foos RY, Allen RA (1967) Retinal tears and lesser lesions of the peripheral retina in autopsy eyes. Am J Ophthalmol 64:643–655
Foos RY, Simons KB (1984) Vitreous in lattice degeneration of retina. Ophthalmology 91 (5):452–457
Foos RY (1974) Vitreous base, retinal tufts and retinal tears: Pathogenic relationships. In: Pruett RC,Regan CDJ (eds) Retinal Congress. Chapter 20, New York, 1974. Apple-Century-Crofts, pp 259–271
Foos RY (1974) Post oral peripheral retinal tears. Ann Ophthalmol 6:679–689
Foos RY (1969) Zonular traction tufts of the peripheral retina in cadaver eyes. Arch Ophthalmol 82:620–632
Göttinger W (1976) Retinoschisis und Ablatio. Klin Monatsbl Augenheilkd 169:14
Gonin J (1920) Pathogenie et anatomie pathologique des decollements retiniens. Bull Mem Soc Ophtalmol 33:1–8
Hagler WS, Woldoff HS (1973) Retinal detachment in relation to senile retinoschisis. Trans Am Acad Ophthalmol Otolaryngol 77:99–113–117
Haimann MH, Burton TC, Brown CK (1982) Epidemiology of retinal detachment. Arch Ophthalmol 100:289–292
Hovlang KR (1978) Vitreous findings in fellow eyes of aphakic retinal detachment. Am J Ophthalmol 86:350–353
Hyams SW, Meir E, Ivry M, Krakowski D, Barkai S, Jedwab E, Neumann E (1974) Chorioretinal lesions predisposing to retinal detachment. Am J Ophthalmol 78 (3):429–437
Javitt JC, Tielsch JN, Canner JK (1992) National outcomes of cataract extraction. Increased risk of retinal complications associated with Nd: YAG laser capsulotomy. The cataract patient outcomes research team. Ophthalmology 99:1487–1498
Karlin DB, Curtin BJ (1974) Axial length measurements and peripheral fundus changes in the myopic eye. In: Pruett RC and Regan CDJ (eds) Retina Congress, New York 1974. Appleton-Cerntury Crofts, pp 629–632
Karlin DB, Curtin BJ (1976) Peripheral chorioretinal lesions and axial length of the myopic eye. Am J Ophthalmol 81 (5):625–35
Lindner K (1937) Zur Klinik des Glaskörpers III, Glaskörper und Netzhautabhebung. Arch Ophthalmol 137:157–161
Machemer R (1984) The importance of fluid absorbtion, traction, intraocular occurence and chorioretinal scars in the therapy of rhegmatogenous retinal detachment. Am J Ophthalmol 98:681–693
Mastropasqua L, Carpineto P, Ciancaglini M, Falconio G, Gallenga PE (1999) Treatment of retinal tears and lattice degenerations in fellow eyes in high risk patients suffering retinal detachment: a prospective study. Br J Ophthalmol 83:1046–1049
McPherson A, O‘Malley R, Bertangady SS (1981) Management of the fellow eyes of patients with rhegmatogenous retinal detachment. Ophthalmology 88:922–928
Meyer-Schwickerath G (1960) Light coagulation. CV Mosby Company, St Louis, pp 56–72
Meyer-Schwickerath G, Lund OE, Wessing A, von Barsewisch B (1975) Classification and terminology of ophthalmological changes in the retinal periphery. Mod Probl Ophthalmol 15:50–52
Michelson IC, Stein R, Barkais (1969) A study in the prevention of retinal detachment. Ann Ophthalmol 1:49–55
Murakmi-Nagasako F, Ohba N (1982) Phakic retinal detachment associated with cystic retinal tuft. Graefes Arch Clin Exp Ophthalmol 219:188–191
Okun E (1961) Gross and microscopic pathology in autopsy eyes. IV. Pars plana cysts. Am J Ophthalmol 51:1221–1228
Okun E (1961) Gross and microscopic pathology in autopsy eyes. III. Retinal breaks without detachment. Am J Ophthalmol 51:369–391
Ricci A (1969) Classification des degenerescences vitreo-retiniennes et chorio-retiniennes en relation avec le decollement de retine. Mod Probl Ophthalmol 8:183–189
Robertson DM, Priluck IA (1979) 360° prophylactic cryoretinopexy. A clinical and experimental study. Arch Ophthalmol 97:2130–2134
Rosengren B, Osterlin S (1976) Hydrodynamic events in the vitreous space accompanying eye movements. Significance for the pathogenesis of retinal detachment. Ophthalmologica 173:513–517
Romen M, Singer L (1978) Long-term follow-up of photocoagulated retinal breaks. Br J Ophthalmol 62:240–242
Rutnin U, Schepens CL (1967) Fundus appearance in normal eyes. 3. Peripheral degenerations. Am J Ophthalmol 64(6):1040–1062
Rutnin U, Schepens CL (1967) Fundus appearance in normal eyes. II. The standard peripheral fundus and developmental variations. Am J Ophthalmol 64(5):840–852
Rutnin U, Schepens CL (1967) Fundus appearance in normal eyes. IV. Retinal breaks and other findings. Am J Ophthalmol 64 (6):1063–1078
Schepens CL (1952) Subclinical retinal detachments. Arch Ophthalmol 47:593–606
Schepens CL (1952) Diagnostic and prognostic factors as ound in preoperative examination. Trans Am Acad Ophthalmol Otolaryngol 56:398-418
Sigelman J (1980) Vitreous based classification of retinal tears: Clinical applications. Surv Ophthalmol 25:59–74
Smiddy WE, Flynn HW Jr, Nicholson DH, Clarkson JG, Gass JD, Olsen KR, Feuer W (1991) Results and complications in treated retinal breaks. Am J Ophthalmol 112:623–631
Spencer LM, Foos RY, Straatsma BR (1970) Meridional folds, meridional complexes, and associated abnormalities of the peripheral retina. Am J Ophthalmol 70 (5):679–714
Straatsma BR, Allen RA (1962) Lattice degeneration of the retina. Trans Am Acad Ophthalmol Otolaryngol 66:600–613
Straatsma BR, Foos RY (1977) Morphologische und klinische Aspekte der retinalen Peripherie und der Retino-Ziliären Grenzzone. Makroskopische Aspekte der Fundusperipherie. Ber Zusammenkunft Dtsch Ophthalmol Ges 74:105–116
Straatsma BR, Foos RY (1973) Typical and reticular retinoschisis. Am J Ophthalmol 75:551–575
Straatsma BR, Foos RY, Feman SS (1986) Degenerative disease of the peripheral retina. In Duane DD (ed) Clinical ophthalmol. Vol 3, Chap 26. Harper & Row, Philadelphia, pp 1–16
Straatsma BR, Paton D, Reinecke R, Rubin M, Spivey B (1974) Editorial: Affiliated Physician Program. Trans Am Acad Ophthalmol Otolaryngol 78 (2):OP 84–85
Straatsma BR, Zeegen PD, Foos RY, Feman SS, Shabo AL (1974) Lattice degeneration of the retina. XXX Edward Jackson Memorial Lecture. Am J Ophthalmol 77 (5):619–649
Scheam M, Schepens CL, Von Pirquet SR (1960) Retinoschisis of senile type: A clinical report of 107 cases. Arch Ophthalmol 63:1–21
Tasman W, Jaegers KR (1972) A retrospective study of xenon photocoagulation and cryotherapy in the treatment of retinal breaks. In: Pruitt RC, Regan CDJ, Schepens CL (eds) Retinal Congress, New York 1972. Appleton Century Crofts, pp 557–568
Tielsch JN, Legro LW, Cassard SD (1996) Risk factors for retinal detachment after cataract surgery. A population based case controlled study. Ophthalmology 103:1537–1545
Tillery WV, Lucier LC (1976) Round atrophic holes in lattice degeneration—an important cause of phakic retinal detachments. Trans Am Acad Ophthalmol Otolaryngol 81:OP 509–518
Tolentino F, Schepens CL, Freeman HN (1976) Vitreoretinal disorders diagnosis and management. WB Saunders, Philadelphia, pp 340–361
Vogt A (1936) Die operative Therapie und die Pathogenese der Netzhautablösung. Enke, Stuttgart
Watzke RC (1961) The ophtalmoscopic sign „white with pressure“. A clinicopathologic correlation. Arch Ophthalmol 66:812–823
Wilkes SR, Beard CN, Kurland LT (1982) The incidence of retinal detachment in Rochester, Minnesota, 1970–1978. Am J Ophthalmol 94:670–673
Wilkinson CP (2000) Evidence-based analysis of prophylactic treatment of asymptomatic retinal breaks and lattice degeneration. Ophthalmology 107:12–15
Zimmerman LE, Spencer WH (1960) The pathologic anatomy of retinoschisis. Arch Ophthalmol 63:10–19
Interessenkonflikt:
Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.
Author information
Authors and Affiliations
Corresponding author
Additional information
Der Artikel wurde auf Wunsch der Autoren aufgrund eines Verstoßes gegen das Urheberrecht zurückgezogen.
This article has been retracted as requested by the authors due to copyright violation.
The retraction note to this article can be found online at http://dx.doi.org/10.1007/s00347-012-2659-z.
Rights and permissions
About this article
Cite this article
Joussen, A.M., Kirchhof, B. ZURÜCKGEZOGEN: Periphere Netzhautdegenerationen—Behandlungsempfehlungen. Ophthalmologe 101, 1035–1049 (2004). https://doi.org/10.1007/s00347-004-1107-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00347-004-1107-0
Schüsselwörter
- Rhegmatogene Netzhautablösung
- Retinale Degenerationen
- Entwicklungsbedingte Anomalien
- Retinoschisis
- Laserprophylaxe