Zusammenfassung
Die Therapie des trockenen Auges als die einer chronischen Erkrankung bedarf eines langfristigen therapeutischen Bündnisses zwischen Arzt und Patient. Ziel ist die Reduktion der Beschwerden mit einem erträglichen Therapieaufwand von Seiten des Patienten. Das therapeutische Stufenkonzept umfasst Tränenersatzmittel, Eigenserumaugentropfen, Punctum-Plugs, neue antientzündliche Augentropfen (Ciclosporin A 0,05%) sowie chirurgische Ansätze. Eine interdisziplinäre Betreuung, am besten in einer Sicca-Spezialsprechstunde mit Qualitätskontrolle, garantiert eine möglichst optimale Patientenversorgung.
Abstract
The therapy of dry eye disease as a chronic problem necessitates a long-term therapeutic association between patient and ophthalmologist. The aim of therapy is to relieve symptoms and improve vision as far as possible with an acceptable level of effort on the part of the patient. Therapy of dry eye follows a staged concept including tear replacement, serum eye drops, punctum plugs, novel anti-inflammatory drugs (cyclosporin A), and surgical procedures. Interdisciplinary care, especially of patients with autoimmune disease, is recommended and is best provided in a specialized dry eye outpatient clinic with quality control.
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Unterstützung: Sicca-Forschungsförderung des Ressorts Trockenes Auge des BVA (DOG 2005); Interdisziplinäres Zentrum für Klinische Forschung (IZKF) Erlangen (A9).
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Cursiefen, C., Jacobi, C., Dietrich, T. et al. Aktuelle Therapie des trockenen Auges. Ophthalmologe 103, 18–24 (2006). https://doi.org/10.1007/s00347-005-1300-9
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DOI: https://doi.org/10.1007/s00347-005-1300-9