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Empfehlungen notwendiger Kontrolluntersuchungen bei okulärer Hypertension

Recommendations for follow-up examinations in patients with ocular hypertension

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Zusammenfassung

Die okuläre Hypertension bezeichnet einen über die „Norm“ ( > 21 mmHg) erhöhten Intraokulardruck (IOD). Der Kammerwinkel ist definitionsgemäß offen, glaukomtypische Gesichtsfeldausfälle und Papillenveränderungen fehlen. Es handelt sich um Individuen, die nicht an einem Glaukom leiden, wohl aber ein erhöhtes Risiko haben, ein Glaukom zu entwickeln. Um glaukomtypische Gesichtsfeldausfälle und Papillenveränderungen auszuschließen, ist eine ausführliche „Glaukombasisdiagnostik“ unabdingbar. Aufgrund des erhöhten Risikos, ein Glaukom zu entwickeln, sind feste Kontrollintervalle und eine standardisierte Untersuchung für das Follow-up ebenso zwingend erforderlich.

Abstract

Ocular hypertension (OHT) describes a condition with elevated intraocular pressure (IOP) above the norm ( > 21 mmHg). By definition the anterior chamber angle is open and there are neither signs of glaucomatous optic nerve damage nor visual field defects. Thus, for the diagnosis of OHT an extensive baseline examination is mandatory in order to rule out pre-existing glaucomatous damage. Patients with ocular hypertension are at a higher risk of developing glaucoma. Therefore, periodical routine examinations with a standardized protocol for specific follow-up examinations are highly recommended.

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  1. Augenklinik, UniversitätsSpital Zürich, Frauenklinikstr. 24, 8091, Zürich, Schweiz

    M. Töteberg-Harms, C. Hirn & J. Funk

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  1. M. Töteberg-Harms
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  2. C. Hirn
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  3. J. Funk
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Correspondence to M. Töteberg-Harms.

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Töteberg-Harms, M., Hirn, C. & Funk, J. Empfehlungen notwendiger Kontrolluntersuchungen bei okulärer Hypertension. Ophthalmologe 108, 1016–1022 (2011). https://doi.org/10.1007/s00347-011-2382-1

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