Universität zu Köln

Hoerauf, H. and Kirchhof, B. (2017). Watchful waiting as a therapeutic principle for diseases of the vitreoretinal interface. Ophthalmologe, 114 (11). S. 1042 - 1050. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

Elective surgery of the vitreoretinal interface is currently the most common reason for vitrectomy in Germany. The evaluation and correct interpretation of spectral domain optical coherence tomography (SD-OCT) images is of great importance but the indications for vitrectomy in macular surgery should be based more on patient symptoms and not only the OCT findings. Watchful waiting is highlighted as an alternative therapeutic option in individual patients. This article addresses a number of aspects and discrepancies between findings and patients' level of suffering based on binocular symptoms. Postoperative retinal thickening and irregular surface of the macula after peeling operations may still allow excellent function and often require no therapeutic measures. The difficulties in differentiating between cystoid macular edema after cataract operations with simultaneous epiretinal gliosis and gliosis as the cause of macular edema are highlighted.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hoerauf, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kirchhof, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-212450
DOI:	10.1007/s00347-017-0549-0
Journal or Publication Title:	Ophthalmologe
Volume:	114
Number:	11
Page Range:	S. 1042 - 1050
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OPTICAL COHERENCE TOMOGRAPHY; IDIOPATHIC EPIRETINAL MEMBRANE; LAMELLAR MACULAR HOLE; PARS-PLANA VITRECTOMY; OUTER SEGMENT TIPS; BLUE MOUNTAINS EYE; PROGNOSTIC-FACTORS; COMBINED CATARACT; NATURAL-HISTORY; SURGERY Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21245