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09.09.2024 | DFP-Fortbildung

Winkelblockglaukome

verfasst von: Iwona Krzyzanowska, PD Dr. med. Marc Töteberg-Harms, FEBO, Associate Professor

Erschienen in: Spektrum der Augenheilkunde

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Zusammenfassung

Die Winkelblockglaukome sind eine seltene Form des Glaukoms. Charakteristisch sind eine Enge oder ein Verschluss des Kammerwinkels und konsekutiv eine Behinderung des Kammerwasserabflusses sowie eine daraus resultierende Augendruckerhöhung. Als Symptome können starke Augen- und/oder Kopfschmerzen, Verschwommensehen, eine mittelweite und lichtstarre Pupille, ein gerötetes Auge und Übelkeit auftreten. Therapiemöglichkeiten umfassen drucksenkende lokale und systemische Medikamente sowie operative Eingriffe, insbesondere die Kataraktoperation und die Laseriridotomie. An topischen Medikamenten kommen neben Parasympathomimetika (Pilocarpin) prinzipiell alle drucksenkenden Substanzklassen zum Einsatz (Beta-Rezeptorantagonisten, Carboanhydrasehemmer, α₂-selektive adrenerge Antagonisten und Prostaglandine und Prostaglandinanaloga). Systemisch werden Carboanhydrasehemmer und Osmotika (z. B. Mannitol) angewendet.

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Titel: Winkelblockglaukome
verfasst von: Iwona Krzyzanowska
PD Dr. med. Marc Töteberg-Harms, FEBO, Associate Professor
Publikationsdatum: 09.09.2024
Verlag: Springer Vienna
Erschienen in: Spektrum der Augenheilkunde
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI: https://doi.org/10.1007/s00717-024-00581-4

Springer Medizin Österreich

Zusammenfassung

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