Das Medizinportal


Schwerpunkt Refraktive Chirurgie + IOL


Presbyopiekorrigierende Linsen: Premium oder Kompromiss?

Thomas Kohnen, Lisa Hinzelmann, Kerstin Petermann

Seiten 12–15

  1. Holden BA, Fricke TR, Ho SM, Wong R, Schlenther G, Cronjé S, u. a. Global vision impairment due to uncorrected presbyopia. Arch Ophthalmol. Dezember 2008;126(12):1731–9. 
  2. Zvorničanin J, Zvorničanin E. Premium intraocular lenses: The past, present and future. J Curr Ophthalmol. Dezember 2018;30(4):287–96. 
  3. Greenstein S, Pineda R. The Quest for Spectacle Independence: A Comparison of Multifocal Intraocular Lens Implants and Pseudophakic Monovision for Patients with Presbyopia. Semin Ophthalmol. 2017;32(1):111–5. 
  4. Schuster AK, Tesarz J, Vossmerbaeumer U. The Impact on Vision of Aspheric to Spherical Monofocal Intraocular Lenses in Cataract Surgery: A Systematic Review with Meta-analysis. Ophthalmology. 1. November 2013;120(11):2166–75. 
  5. Lawu T, Mukai K, Matsushima H, Senoo T. Effects of decentration and tilt on the optical performance of 6 aspheric intraocular lens designs in a model eye. J Cataract Refract Surg. 12. März 2019; 
  6. de Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. The Cochrane database of systematic reviews. 12. Dezember 2016;12:CD003169. 
  7. Kohnen T, Klaproth OK, Bühren J. Effect of intraocular lens asphericity on quality of vision after cataract removal: an intraindividual comparison. Ophthalmology. September 2009;116(9):1697–706. 
  8. Solomon KD, Sandoval HP, Potvin R. Correcting astigmatism at the time of cataract surgery: Toric IOLs and corneal relaxing incisions planned with an image-guidance system and intraoperative aberrometer versus manual planning and surgery. J Cataract Refract Surg. Mai 2019;45(5):569–75. 
  9. Yoo A, Yun S, Kim JY, Kim MJ, Tchah H. Femtosecond Laser-assisted Arcuate Keratotomy Versus Toric IOL Implantation for Correcting Astigmatism. J Refract Surg. 4. September 2015;31(9):574–8. 
  10. Gangwani V, Hirnschall N, Findl O, Maurino V. Multifocal toric intraocular lenses versus multifocal intraocular lenses combined with peripheral corneal relaxing incisions to correct moderate astigmatism. Journal of Cataract & Refractive Surgery. 1. Oktober 2014;40(10):1625–32. 
  11. Visser N, Bauer NJC, Nuijts RMMA. Toric intraocular lenses: Historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. Journal of Cataract & Refractive Surgery. 1. April 2013;39(4):624–37. 
  12. Kessel L, Andresen J, Tendal B, Erngaard D, Flesner P, Hjortdal J. Toric Intraocular Lenses in the Correction of Astigmatism During Cataract Surgery: A Systematic Review and Meta-analysis. Ophthalmology. 1. Februar 2016;123(2):275–86. 
  13. Khandelwal SS, Jun JJ, Mak S, Booth MS, Shekelle PG. Effectiveness of multifocal and monofocal intraocular lenses for cataract surgery and lens replacement: a systematic review and meta-analysis. Graefes Arch Clin Exp Ophthalmol [Internet]. 10. Januar 2019 [zitiert 26. Februar 2019]; Verfügbar unter: doi.org/10.1007/s00417-018-04218-6
  14. Yang J-J, Liu Q-P, Li J-M, Qin L. Comparison of visual outcomes with implantation of trifocal versus bifocal intraocular lens after phacoemulsification: a Meta-analysis. Int J Ophthalmol. 2018;11(3):484–92. 
  15. Pedrotti E, Carones F, Aiello F, Mastropasqua R, Bruni E, Bonacci E, u. a. Comparative analysis of visual outcomes with 4 intraocular lenses: Monofocal, multifocal, and extended range of vision. Journal of Cataract & Refractive Surgery. 1. Februar 2018;44(2):156–67. 
  16. Böhm M, Hemkeppler E, Herzog M, Schönbrunn S, de’Lorenzo N, Petermann K, u. a. Comparison of a panfocal and trifocal diffractive intraocular lens after femtosecond laser-assisted lens surgery. J Cataract Refract Surg. Dezember 2018;44(12):1454–62. 
  17. Kohnen T, Herzog M, Hemkeppler E, Schönbrunn S, De Lorenzo N, Petermann K, u. a. Visual Performance of a Quadrifocal (Trifocal) Intraocular Lens Following Removal of the Crystalline Lens. Am J Ophthalmol. Dezember 2017;184:52–62. 
  18. Akella SS, Juthani VV. Extended depth of focus intraocular lenses for presbyopia. Curr Opin Ophthalmol. Juli 2018;29(4):318–22. 
  19. Savini G, Schiano-Lomoriello D, Balducci N, Barboni P. Visual Performance of a New Extended Depth-of-Focus Intraocular Lens Compared to a Distance-Dominant Diffractive Multifocal Intraocular Lens. J Refract Surg. 1. April 2018;34(4):228–35. 
  20. Cochener B, Boutillier G, Lamard M, Auberger-Zagnoli C. A Comparative Evaluation of a New Generation of Diffractive Trifocal and Extended Depth of Focus Intraocular Lenses. J Refract Surg. 1. August 2018;34(8):507–14. 
  21. Cochener B. Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens. OPTH. November 2018;Volume 12:2305–12. 
  22. Kohnen T, Hemkeppler E, Herzog M, Schönbrunn S, DeLorenzo N, Petermann K, u. a. Visual Outcomes After Implantation of a Segmental Refractive Multifocal Intraocular Lens Following Cataract Surgery. American Journal of Ophthalmology. 1. Juli 2018;191:156–65. 
  23. Zhou H, Zhu C, Xu W, Zhou F. The efficacy of accommodative versus monofocal intraocular lenses for cataract patients: A systematic review and meta-analysis. Medicine (Baltimore). Oktober 2018;97(40):e12693. 
  24. Takakura A, Iyer P, Adams JR, Pepin SM. Functional assessment of accommodating intraocular lenses versus monofocal intraocular lenses in cataract surgery: metaanalysis. J Cataract Refract Surg. März 2010;36(3):380–8. 
  25. Harman FE, Maling S, Kampougeris G, Langan L, Khan I, Lee N, u. a. Comparing the 1CU accommodative, multifocal, and monofocal intraocular lenses: a randomized trial. Ophthalmology. Juni 2008;115(6):993-1001.e2. 
  26. Berdahl JP, Hardten DR, Kramer BA, Potvin R. Effect of astigmatism on visual acuity after multifocal versus monofocal intraocular lens implantation. J Cataract Refract Surg. Oktober 2018;44(10):1192–7. 
  27. Braga-Mele R, Chang D, Dewey S, Foster G, Henderson BA, Hill W, u. a. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg. Februar 2014;40(2):313–22. 
  28. Logothetis HD, Feder RS. Which intraocular lens would ophthalmologists choose for themselves? Eye (Lond). 14. Mai 2019


Neues Konzept: Lochblenden-IOL kombiniert mit segmental refraktiver Bifokal-IOL

Ramin Khoramnia, Gerd. U. Auffarth

Seiten 22–24

  1. Yildirim TM, Auffarth GU, Tandogan T, Liebing S, Labuz G, Choi CY, Khoramnia R. [In Vitro Evaluation of the Optical Quality of Segmental Refractive Multifocal Intraocular Lenses]. Klin Monbl Augenheilkd. 2019 Aug;236(8):983-989.
  2. Kretz FT, Khoramnia R, Attia MS, Koss MJ, Linz K, Auffarth GU. Clinical Evaluation of Functional Vision of +1.5 Diopters near Addition, Aspheric, Rotational Asymmetric Multifocal Intraocular Lens. Korean J Ophthalmol. 2016 Oct;30(5):382-389.
  3. Gundersen KG, Potvin R. Comparative visual performance with monofocal and multifocal intraocular lenses. Clin Ophthalmol. 2013;7:1979-85. doi: 10.2147/OPTH.S52922. 
  4. De Vries NE, Webers CA, Montés-Micó R, Ferrer-Blasco T, Nuijts RM. Visual outcomes after cataract surgery with implantation of a +3.00 D or +4.00 D aspheric diffractive multifocal intraocular lens: Comparative study. J Cataract Refract Surg. 2010;36(8):1316-1322. doi: 10.1016/j.jcrs.2010.01.036.
  5. Linz K, Attia MS, Khoramnia R, et al. Clinical evaluation of reading performance using the Salzburg Reading Desk with a refractive rotational asymmetric multifocal intraocular lens. J Refract Surg. 2016;32(8):526-532. doi: 10.3928/1081597X-20160603-02.
  6. Venter JA, Pelouskova M, Bull CE, et al. Visual outcomes and patient satisfaction with a rotational asymmetric refractive intraocular lens for emmetropic presbyopia. J Cataract Refract Surg. 2015;41(3):585-93. doi: 10.1016/j.jcrs.2014.06.035
  7. Calvo-Sanz JA, Sánchez-Tena MA. Characterization of optical performance with defocusing curve: Analysis of two refractive intraocular lens models with high and medium addition. J Optom. 2018 Oct 31. doi: 10.1016/j.optom.2018.10.003. 
  8. www.healio.com/ophthalmology/cataract-surgery/news/online/%7B2809ee76-e466-43fe-b70b-dd94ff661925%7D/video-edof-iol-using-pinhole-effect-lessens-ocular-effects. 
  9. Dick HB, Elling M, Schultz, T Binocular and monocular implantation of small-aperture intraocular lenses in cataract surgery. J Refract Surg. 2018;34(9):629-631. doi: 10.3928/1081597X-20180716-02.
  10. Dick HB. Small-aperture strategies for the correction of presbyopia. Curr Opin Ophthalmol. 2019;30(4):236-242. doi: 10.1097/ICU.0000000000000576.


Refraktive Korrekturmöglichkeiten beim Keratokonus

Markus Kohlhaas, Sofia Fili, Iraklis Vastardis, Georgios Perdikakis und Göran Goekel

Seiten 28–32

  1. Ihalainen A. Clinical and epidemiological features of keratoconus genetic and external factors in the pathogenesis of the disease. Acta Ophthalmol Suppl 1986;178:1-64
  2. Pearson AR et al. Does ethic origin influence the incidence or severity of keratoconus? Eye 2000;14:625-628
  3. Godefrooij et al. Age-specific incidence and prevalence of keratoconus: a nationwide registration study. Am J Ophthalmol 2017;175:169-172
  4. Saunier V. et al. Vision-related quality o life and dependency in French keratoconus patients: Impact study. J Cataract Refract Surg 2017;43:1582-1590
  5. Bawazeer AM et al. Atopy and keratoconus: a multivariate analysis. Br J Ophthalmol 2000; 84:834-836
  6. McMonnies CW. Mechanisms of rubbing-related corneal trauma in keratoconus. Cornea 2009; 28:345-351
  7. McMonniesCW. Mechanisms of rubbing-related corneal trauma in keratoconus. Cornea 2009; 28:345-351
  8. McMonnies. Behaviour modification in the management of chronic habits of abnormal eye rubbing. Cont Lens Anterior Eye 2009;32:55-63 
  9. Gomes J. A. P., Tan D., Rapuano C. J., et al. Global Consensus on Keratokonus and Ectatic Diseases. Cornea 2015, 34:359-369
  10. Wittig-Silva C, Chan E, Islam FMA, Wu T, Whiting M, Snibson GR: A randomized, controlled trial of corneal collagen cross-linking in progressive keratoconus: three-year results. phthalmology 2014; 12: 812–21
  11. Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen. Abschlussbericht N15–05 Hornhautvernetzung bei Keratokonus Oct 2016 p. 198. Report No.: 436. www.iqwig.de/de/projekte-ergebnisse/projekte/nichtmedikamentoese-verfahren/n15–05-uv-vernetzung-mitriboflavin-bei-keratokonus. 6714.html (last accessed on 14 February 2019) 
  12. Ruckhofer J, Twa MD, Schanzlin DJ: Clinical characteristics of lamellar channel deposits after implantation of Intacs. J Cataract Refract Surg 2000; 26:1473 – 1479
  13. Hersh P.S., Issa R., Greenstein S.S. Corneal collagen crosslinking and intracorneal ring segments for keratoconus: A randomized study of concurrent versus sequential surgery. J Cataract Refract Surg 2019; 45:830-839
  14. Cennamo G, et al. Treatment of keratoconus by topography-guided customized photorefractive keratectomy: two-year follow-up study. J Refract Surg 2008; 24:145-149
  15. Guedj M. et al. Photorefracztive keratectomy in patients with suspected keratoconus: five-year follow-up. J Cataract Refract Surg 2013;39:66-73
  16. Tambe D. T., Ivarsen A, Hjortdal J. Photorefraktive Keratektomie bei Keratokonus. Karger Kompass Ophthalmol 2016; 2:36-43
  17. Shetty R et al. Current protocols of corneal cxl. Am J Ophthalmol 2015; 160:243-249
  18. Liu Y et al. Systematic review and metaanalysis. Int J Ophthalmol 2017, 10:1419-1429
  19. Mazzotta C et al. Pulsed light accelerated cxl versous continous… J Ophthalmol 2014; 60:4731


LASIK: Komplexe Fälle

Stefanie Schmickler

Seiten 34–40

  1. Bechrakis NE, Dimmer, A. Rhegmatogenous retinal detachment: Epidemiology and risk factors. Ophthalmologe 2018 Feb;115(2):163-178. doi:10.1007/s00347-017-0647-z
  2. Link zu den KRC-Empfehlungen: www.aad.to/krc/qualit.pdf