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Indikation und chirurgisches Vorgehen bei Makulaschichtforamen und Pseudoforamen

Indications and surgical approach for lamellar macular holes and pseudoholes

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Zusammenfassung

Hintergrund

Es erfolgen die Darstellung und Diskussion der Indikation zur Operation von Makulaschichtforamen und Pseudoforamen.

Fragestellung

Auf welchen Kriterien basiert die Entscheidung zur chirurgischen Intervention bei einem Schichtforamen und Pseudoforamen der Makula?

Material und Methoden

Der Artikel basiert auf einer Literaturrecherche mit PubMed.

Ergebnisse

Makulaschichtforamina und Pseudoforamina werden in degenerative und traktive Veränderungen unterteilt. Beiden Veränderungen sind relativ typische morphologische Kriterien zugeordnet, die mit dem zu erwartenden funktionellen und morphologischen Ergebnis einer Operation korrelieren. Demnach profitieren eher Patienten mit einem Pseudoforamen von einem operativen Eingriff, da Veränderungen der äußeren Netzhaut in diesen Fällen weniger ausgeprägt sind.

Diskussion

Die mögliche chirurgische Behandlung von Makulaschichtforamina und Pseudoforamina orientiert sich am Typ des Schichtdefekts und seinen morphologischen und funktionellen Besonderheiten.

Abstract

Background

This article presents a discussion on the indications for surgical interventions of lamellar macular holes and pseudoholes.

Objective

What are the criteria for deciding on the surgical intervention for lamellar macular holes and pseudoholes?

Material and methods

The article is based on a literature search in PubMed

Results

Lamellar macular holes and pseudoholes are subdivided into degenerative and tractive alterations. Both entities are associated with relatively specific morphological and functional criteria, which correlate with the expected functional and morphological results of the surgical intervention. Patients with pseudoholes therefore profit more from a surgical intervention because alterations to the outer retina are less pronounced in these cases.

Conclusion

The indications for surgery of lamellar macular holes and pseudoholes are established by the type of lamellar defect and the morphological and functional alterations associated with this condition.

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Authors and Affiliations

  1. Augenklinik Herzog Carl Theodor, Nymphenburger Str. 43, 80335, München, Deutschland

    C. Haritoglou

  2. Augenklinik, Ludwig-Maximilians-Universität München, München, Deutschland

    R. G. Schumann

Authors
  1. C. Haritoglou
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  2. R. G. Schumann
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Corresponding author

Correspondence to C. Haritoglou.

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Interessenkonflikt

C. Haritoglou und R.G. Schumann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Haritoglou, C., Schumann, R.G. Indikation und chirurgisches Vorgehen bei Makulaschichtforamen und Pseudoforamen. Ophthalmologe 114, 1117–1121 (2017). https://doi.org/10.1007/s00347-017-0591-y

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  • DOI: https://doi.org/10.1007/s00347-017-0591-y

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