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Aktuelle Kataraktchirurgie bei Uveitis im Kindesalter

Current cataract surgery for uveitis in childhood

Der Ophthalmologe volume 104, pages 572–576 (2007)Cite this article

Zusammenfassung

Die Kataraktentwicklung ist eine häufige Komplikation bei Uveitis im Kindesalter. Die Behandlung kann bei Uveitiskindern besonders schwierig sein. Dabei ist die Patientenauswahl für ein erfolgreiches Operationsergebnis besonders wichtig. Vor einer Operation muss eine gründliche Anamnese und Untersuchung erfolgen, um den Verlauf und die Ätiologie der Uveitis zu ermitteln. Bevor die Operation erfolgen kann, ist eine komplette Reizfreiheit erforderlich. Das Operationstrauma sollte minimiert werden. Bei ausgewählten Uveitiskindern kann eine Intraokularlinsen-Implantation erwogen werden. Bei Uveitis, die mit einer juvenilen idiopathischen Arthritis assoziiert ist, setzt dies eine absolute Entzündungskontrolle voraus, ggf. mit etablierten Immmunsuppressiva oder TNF-α-Inhibitoren. Die antientzündliche Medikation muss nach der Operation gesteigert und 8–10 Wochen fortgesetzt werden.

Abstract

Cataract formation is a frequent complication in childhood uveitis. The management of cataracts in childhood uveitis may be particularly difficult. Patient selection is important for successful surgery. Preoperative evaluation is required in order to specify the course and etiology of uveitis. Complete quiescence of the inflammation in required before surgery. The surgical trauma should be minimized. Intraocular lens implantation may be proposed for selected uveitis children and may be considered in well controlled juvenile idiopathic arthritis associated uveitis, e.g. with the use of immunosuppressive drugs or TNF-alpha inhibitors. Postoperatively, the anti-inflammatory medication must be increased and continued for 8–10 weeks.

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Affiliations

  1. Uveitis-Zentrum, Augenabteilung am St. Franziskus Hospital, Hohenzollernring 74, 48145, Münster, Deutschland

    A. Heiligenhaus & C. Heinz

  2. Department für Augenheilkunde, Universitäts-Augenklinik, Eberhard-Karls-Universität, Tübingen, Deutschland

    P. Szurman

Authors
  1. A. Heiligenhaus
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  2. P. Szurman
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  3. C. Heinz
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Correspondence to A. Heiligenhaus.

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Heiligenhaus, A., Szurman, P. & Heinz, C. Aktuelle Kataraktchirurgie bei Uveitis im Kindesalter. Ophthalmologe 104, 572–576 (2007). https://doi.org/10.1007/s00347-007-1555-4

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  • DOI: https://doi.org/10.1007/s00347-007-1555-4

Schlüsselwörter

  • Uveitis
  • Kataraktchirurgie
  • Operationsindikation
  • Intraokularlinsen-Implantation
  • Phakoemulsifikation

Keywords

  • Uveitis
  • Cataract surgery
  • Indications for surgery
  • Intraocular lens implantation
  • Phacoemulsification