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Lasermembranotomie beim Management einer akuten prämakulären Blutung

Fallvorstellung und Überblick zum Vorgehen
  • M. Roth
  • L. Eisenkopf
  • D. Engineer
  • J. C. Schmidt
Kasuistiken
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Zusammenfassung

Eine akute prämakuläre Blutung kann in Zusammenhang mit vasoproliferativen retinalen Veränderungen, Gefäßanomalien oder nach einem Valsalva-Manöver auftreten. Die Diagnose wird im Rahmen der fundoskopischen Untersuchung gestellt und kann ggf. mittels optischer Kohärenztomograhie (OCT) bestätigt werden. In diesem Beitrag wird Ihnen ein beispielhafter Fall einer sub-Membrana limitans interna (ILM)/subhyaloidalen Blutung vorgestellt, die verschiedenen Behandlungsmöglichkeiten werden dargelegt, und ein Überblick zum Einsatz des Nd:YAG-Lasers zur Lasermembranotomie als wenig invasive Therapieoption mit geringem Komplikationsprofil wird gegeben.

Schlüsselwörter

Nd:YAG-Laser Lasermembranotomie Prämakuläre Blutung Valsalva-Manöver Retinales Makroaneurysma 

Laser membranotomy in the management of acute premacular hemorrhage

Case report and overview on the approach

Abstract

Acute premacular bleeding is often associated with vasoproliferative retinal changes, vascular anomalies or a Valsalva maneuver. The diagnosis is made during the funduscopic examination and can if necessary be confirmed with optical coherence tomography (OCT). This article presents a case example with a sub-inner limiting membrane (ILM)/sub-hyaloidal bleeding. Furthermore, we present various treatment options and give an overview on the use of the Nd:YAG laser for laser membranotomy as a minimally invasive treatment option with a low complication profile.

Keywords

Nd:YAG Laser Laser membranotomy Premacular bleeding Valsalva maneuver Retinal macroaneurysm 
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Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M. Roth, L. Eisenkopf, D. Engineer und J.C. Schmidt geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • M. Roth
    • 1
    • 2
  • L. Eisenkopf
    • 1
  • D. Engineer
    • 1
  • J. C. Schmidt
    • 1
    • 3
  1. 1.Augenklinik TausendfensterhausDuisburg-RuhrortDeutschland
  2. 2.Klinik für AugenheilkundeUniversitätsklinikum DüsseldorfDüsseldorfDeutschland
  3. 3.Klinik für AugenheilkundeUniversitätsklinikum MarburgMarburgDeutschland

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