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Refraktive Hornhautchirurgie trotz systemischer Erkrankungen?

Corneal refractive surgery despite systemic diseases?

  • Das diagnostische und therapeutische Prinzip
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Zusammenfassung

Es existiert laut Literatur eine Vielzahl von potenziellen systemischen Kontraindikationen für korneal refraktiv-chirurgische Verfahren. In Fällen mit relativen Kontraindikationen darf der Eingriff nur unter Abwägung der individuellen Risiken und unter stabilen Krankheitsbedingungen erfolgen. Die „Evidenz“ vieler dieser Kontraindikationen basiert aber nur auf Fallberichten oder -serien, Expertenmeinungen oder bekannten Komplikationen bei nicht lasergestützten Augenoperationen. Randomisierte klinische Studien sind daher erforderlich.

Abstract

According to the literature there are a large number of potential systemic contraindications for corneal refractive surgery. In cases with relative contraindications, surgery should be performed only after weighing up the individual risks and under controlled disease conditions; however, the “evidence” for many of these contraindications is based only on case reports or series, expert opinions or known complications in non-laser-assisted eye surgery. Randomized clinical trials are therefore required.

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Förderung

Diese Arbeit wurde von der Ernst- und Berta-Grimmke-Stiftung gefördert.

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Authors and Affiliations

  1. Institute of Ophthalmology, UCL, 11–43 Bath St, EC1V 9EL, London, Großbritannien

    A. Frings MD MHBA FEBO

  2. Univ.-Augenklinik Düsseldorf, Heinrich-Heine-Universität, Moorenstr. 5, 40225, Düsseldorf, Deutschland

    A. Frings MD MHBA FEBO

  3. CARE Vision Nürnberg, Zeltnerstr. 1–3, 90443, Nürnberg, Deutschland

    A. Frings MD MHBA FEBO

  4. Sehzentrum für Augenlaser & Augenchirurgie, Leechgasse 58, 8010, Graz, Österreich

    N. Ardjomand

  5. Augenklinik, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Deutschland

    T. Katz, S. J. Linke & J. Steinberg

  6. CARE Vision Hamburg, Martinistr. 52, 20251, Hamburg, Deutschland

    T. Katz, S. J. Linke & J. Steinberg

  7. zentrumsehstärke – Augenarztpraxis, UKE, Martinistr. 64, 20251, Hamburg, Deutschland

    S. J. Linke & J. Steinberg

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  1. A. Frings MD MHBA FEBO
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Correspondence to A. Frings MD MHBA FEBO.

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Interessenkonflikt

A. Frings, N. Ardjomand, T. Katz, S.J. Linke und J. Steinberg geben an, dass kein Interessenkonflikt besteht.

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

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Frings, A., Ardjomand, N., Katz, T. et al. Refraktive Hornhautchirurgie trotz systemischer Erkrankungen?. Ophthalmologe 116, 677–681 (2019). https://doi.org/10.1007/s00347-019-0852-z

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  • DOI: https://doi.org/10.1007/s00347-019-0852-z

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