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OCT bei Makulaforamen

OCT in macular holes

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Zusammenfassung

Nach der traditionellen Stadieneinteilung von Makulaforamina (MF) nach Gass ergeben sich durch das OCT zusätzliche und genauere morphologische Kenntnisse von Makulaforamen. Als primärer Pathomechanismus der Makulaforamenentstehung wird eine perifoveale GK-Abhebung mit anteriorer fovealer Glaskörpertraktion angenommen. Bei persistierender Traktion kann diese zur foveolären Dehiszenz führen. Eine mögliche Erklärung für die intraretinale Zystenbildung ist die Hydratation der Fovea durch Glaskörperflüssigkeit. Aufgrund zusätzlicher Befunde aus dem OCT ist eine Klassifikation von MF möglich. Das OCT bei MF ist eine wertvolle Hilfe für die Differenzialdiagnose (Pseudomakulaforamen — echtes MF), präzise Stadieneinteilung, Therapieentscheidung, Erfolgskontrolle nach Makulachirurgie und als Prognoseindikator.

Abstract

The traditional Gass classification of macular holes can now be supplemented by additional and more detailed morphologic information obtained with optical coherence tomography (OCT). The perifoveal vitreous detachment and subsequent anterior foveal traction is considered to be the primary pathomechanism of macular hole formation. In cases of persistent traction on the fovea it may lead to foveal dehiscence. A possible explanation for intraretinal cyst formation may be secondary vitreous body fluid accumulation within the retina. A classification of macular holes based on additional information from OCT images is possible. Thus, OCT is a valuable tool for differential diagnosis of a pseudo macular hole versus macular hole, precise stage classification, therapy decision making process, outcome control after macular surgery, and prognosis prediction.

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Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

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Correspondence to A. Hassenstein.

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OCT-Viewer® ist ein Produkt der Firma Datamedical Consulting. Frank Scholz ist Geschäftsführer von Datamedical Consulting (Friedensallee 100c, 22763 Hamburg; Scholz@datamedicel.de)

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Hassenstein, A., Scholz, F. & Richard, G. OCT bei Makulaforamen. Ophthalmologe 101, 777–784 (2004). https://doi.org/10.1007/s00347-004-1053-x

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  • DOI: https://doi.org/10.1007/s00347-004-1053-x

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