ZURÜCKGEZOGEN: Periphere Netzhautdegenerationen—Behandlungsempfehlungen

RETRACTED ARTICLE: Peripheral retinal degenerations—treatment recommendations

This article was retracted on 23 August 2012

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.

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Correspondence to A. M. Joussen.

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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.

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Joussen, A.M., Kirchhof, B. ZURÜCKGEZOGEN: Periphere Netzhautdegenerationen—Behandlungsempfehlungen. Ophthalmologe 101, 1035–1049 (2004). https://doi.org/10.1007/s00347-004-1107-0

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Schüsselwörter

  • Rhegmatogene Netzhautablösung
  • Retinale Degenerationen
  • Entwicklungsbedingte Anomalien
  • Retinoschisis
  • Laserprophylaxe

Keywords

  • Rhegmatogenous retinal detachment
  • Retinal degenerations
  • Developmental anomalies
  • Retinoschisis
  • Laser prophylaxis