Universität zu Köln

Schaub, Friederike and Schick, Tina . Retinal Detachment Part 2 Treatment Strategies. Klinische Monatsblat. Augenheilkunde. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3999

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Abstract

Zusammenfassung Dieser Beitrag beschaftigt sich mit der Behandlung der Netzhautablosung. Hier wird unterschieden zwischen behandlungsbedurftigen Ablatiovorstufen, die retinopexiert werden, und der manifesten Netzhautablosung, welche weiterfuhrender Chirurgie bedarf. Nicht immer bedeutet ein anatomischer Erfolg zugleich auch einen funktionellen Erfolg. Typische postoperative Komplikationen und Einflussfaktoren auf das anatomische und funktionelle Ergebnis werden vorgestellt und diskutiert. Abstract This review article summarizes the relevant surgical strategies for retinal detachment repair and discusses common postoperative complications, as well as factors influencing the functional and anatomical results. Treatment of retinal detachment requires surgery. In most cases, pars plana vitrectomy is performed. In phakic patients with a clear lens scleral buckling can be considered as an alternative. Laser and cryotherapy are still the standard for treatment in symptomatic retinal tears or degenerations without retinal detachment. Postoperatively, the occurrence of a re-detachment as well as the development of proliferative vitreoretinopathy can have a negative influence on postoperative results. Furthermore, typical complications include the occurrence of a cystoid macular edema, epiretinal membrane or even persistent neurosensory detachment. Functional results are significantly influenced by macular involvement and the primary anatomical success rate.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schaub, Friederike UNSPECIFIED UNSPECIFIED UNSPECIFIED Schick, Tina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-311197
DOI:	10.1055/a-1243-1444
Journal or Publication Title:	Klinische Monatsblat. Augenheilkunde
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3999
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PROLIFERATIVE VITREORETINOPATHY; PRIMARY VITRECTOMY; PLANA VITRECTOMY; MANAGEMENT; REATTACHMENT; SURGERY; REPAIR Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31119