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Zum Einsatz von Botulinumtoxin in der Strabologie

Use of botulinum toxin in strabismus

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Zusammenfassung

In der Schielbehandlung kann Botulinumtoxin bei der Behandlung frischer Abduzensparalysen bzw. ausgeprägter Abduzensparesen und bei Motilitätsstörungen bei noch nicht stabiler endokriner Orbitopathie eingesetzt werden, bei der eine Operation noch nicht möglich ist. Sinnvoll ist auch die diagnostische Injektion zur Abschätzung möglicher postoperativer Doppelbilder. Bei Konvergenzspasmus kann eine periorbitale Injektion eine Therapieoption sein. Als Primärtherapie horizontaler Schielstellungen konnte sich Botulinumtoxin dagegen nicht durchsetzen. Nebenwirkungen sind v. a. transiente Ptosis und Vertikalabweichungen.

Abstract

Botulinum toxin can be a useful tool for treating acute sixth nerve palsy and excessive eye deviations due to unstable Graves’ disease, when surgery is not yet possible. The diagnostic injection for estimation of possible postoperative double vision also makes sense. In convergence spasms, periocular botulinum toxin injections can be a therapeutic option. Botulinum toxin is not a first line option in infantile esotropia without binocularity or in adult horizontal strabismus. Side effects include ptosis and vertical deviations.

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  1. Universitäts-Augenklinik Bonn, Ernst-Abbe-Str. 2, 53127, Bonn, Deutschland

    B. Wabbels

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Dieser Beitrag beinhaltet keine von der Autorin durchgeführten Studien an Menschen oder Tieren.

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Wabbels, B. Zum Einsatz von Botulinumtoxin in der Strabologie. Ophthalmologe 113, 544–549 (2016). https://doi.org/10.1007/s00347-016-0302-0

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  • DOI: https://doi.org/10.1007/s00347-016-0302-0

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