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Triple-Operation

Keratoplastik kombiniert mit Kataraktextraktion und Hinterkammerlinsenimplantation

Triple procedure

Keratoplasty combined with cataract surgery and intraocular lens implantation

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Zusammenfassung

Die Kombination von perforierender Keratoplastik mit extrakapsulärer Kataraktextraktion und Implantation einer Intraokularlinse („Triple-Operation“) hat sich seit den 1980er Jahren zunehmend als erfolgreiche Operationsmethode bei Patienten mit einer Hornhauterkrankung und gleichzeitiger Katarakt etabliert. Vorteile gegenüber zweizeitigen Operationsverfahren sind die schnellere visuelle Rehabilitation mit nur einem bulbuseröffnenden Eingriff, der Schutz des Transplantatendothels vor erneuter Belastung durch eine sequenzielle, spätere Kataraktoperation, sowie ähnliche bis überlegene funktionelle Resultate nach einer Triple-Operation.

Im Folgenden sollen Vor- und Nachteile der Triple-Operation abgewogen, Alternativen zu ihr beschrieben, Probleme der Intraokularlinsenberechnung bei kombiniertem Eingriff dargestellt, operative Besonderheiten erwähnt und aktuelle funktionelle Ergebnisse zum Thema diskutiert werden.

Abstract

Since the 1980s, combined perforating keratoplasty and extracapsular cataract surgery with intraocular lens implantation (triple procedure) has been performed with increasing success for patients with corneal disease and cataract. Advantages include prompt visual rehabilitation, protection of the transplanted endothelium from sequential cataract surgery, and similar up to superior functional results following triple procedures.

In the following review article, the authors discuss advantages and disadvantages of triple procedures, alternative surgical techniques, problems in intraocular lens power calculation, intraoperative pitfalls, and postoperative results of combined keratoplasty, cataract removal, and intraocular lens implantation.

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  1. Augenklinik, Ludwig-Maximilians-Universität, München

    E. M. Messmer, S. Dotse, A. Müller & A. Kampik

  2. Augenklinik, Ludwig-Maximilians-Universität, Mathildenstraße 8, 80336 , München

    E. M. Messmer

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  1. E. M. Messmer
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  2. S. Dotse
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  3. A. Müller
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  4. A. Kampik
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Correspondence to E. M. Messmer.

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Messmer, E.M., Dotse, S., Müller, A. et al. Triple-Operation. Ophthalmologe 101, 549–553 (2004). https://doi.org/10.1007/s00347-004-1040-2

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  • DOI: https://doi.org/10.1007/s00347-004-1040-2

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