Ursachen und Management von IOL-Dislokationen

Zusammenfassung

Die frühe (< 3 Monate) IOL-Dislokation tritt aufgrund einer unzureichenden Fixation im Kapselsack auf, während die späte Dislokation (≥ 3 Monate) durch eine zunehmende Insuffizienz des Zonulaapparates begründet ist. Aktuell werden zur Aphakiekorrektur bei IOL-Tausch vor allem Irisfixierte IOL (IFIOL) und mittels Naht oder nahtlos fixierte sklerafixierte IOL (SFIOL) eingesetzt. Es wurden verschiedene Methoden zur Sklerafixierung mit oder ohne Naht beschrieben. Die wichtigsten Techniken werden in dieser Arbeit zusammengefasst. IFIOL und SFIOL ermöglichen vergleichbare Visusergebnisse, unterscheiden sich aber in ihrem Risikoprofil. Die Entscheidung, welche Methode zum Einsatz kommt, hängt u. a. auch von den Gegebenheiten im jeweiligen Fall und der Präferenz des Operateurs ab.

Schlüsselwörter

IOL-Dislokation - Aphakiekorrektur - sklerafixierte IOL - irisfixierte IOL

Publikationsverlauf

Eingereicht: 28. November 2022

Angenommen: 10. April 2023

Artikel online veröffentlicht:
12. Juli 2023

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