Schieloperationen an presbyopen Patienten

Stangler-Zuschrott, E.

doi:10.1055/s-2008-1055256

Cited by 4 publications

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“…In my opinion, the high-grade loss of elasticity is an essential factor explaining the disparity between the positions far/near. Performing surgery on patients in their 80s, I could notice the extreme density of their external rectus muscle, described [12] as senile fibrosis.…”

Section: Discussion Concerning the Pathogenesismentioning

confidence: 99%

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Diplopia Developed in Later Life, An Ophthalmologic Approach

Stangler-Zuschrott¹

2018

Geriatrics Health

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Patients suffering from double vision first are commonly suspected to have acquired a neurological disorder. Over many years, we have observed numerous elderly patients complaining of double pictures for distant objects but lacking any other neurologic symptom. For this condition, no other causality was found than aging; therefore, the name "Age-related Distance Esotropia" has internationally been accepted. These days we know that the onset of comitant strabismus may occur, not only in childhood but even in the late years of life. Physicians are generally unaware of this fact; thus, these patients fail to find timely help for their double vision. Other geriatric eye disorders, such as cataract and maculopathy, often lead to a loss of binocularity without causing diplopia, the only signs being blurred vision or the habitual closing of one eye. The treatment of this so-called "masked diplopia" by prismatic correction of the squint will restore clear binocular vision and improve the reading ability. To avoid expensive neurological examinations for ocular-caused symptoms, simple diagnostic methods have been described in this article to help distinguish between ocular and neurologic disorders.

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Section: Discussion Concerning the Pathogenesismentioning

confidence: 99%

“…The complaints of 17 patients at my office were diplopia at all distances (4), only at reading distance (12) and unilateral blindness due to glaucoma (1).…”

Section: Parkinson's Diseasementioning

confidence: 99%

Diplopia Developed in Later Life, An Ophthalmologic Approach

Stangler-Zuschrott¹

2018

Geriatrics Health

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“…An Senioren waren vor 1980 Schieloperationen verpönt gewesen wegen der Gefahr von Diplopie. Unsere Publikation [18] war die erste auf diesem Gebiet. Seitdem steigt die Zahl derartiger Operationen.…”

Section: Geriatrische Orthoptik Als Neues Wissensgebietunclassified

Fünfzig Jahre Schielbehandlung – Ein Erfahrungsbericht aus Klinik und Praxis

Stangler-Zuschrott¹

2021

Spektrum Augenheilkd.

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ZusammenfassungDer Aufbau der orthoptischen Abteilung an der historischen I. Univ.-Augenklinik Wien zwischen 1960 und 1997 und die internationalen Fortschritte werden beschrieben, jedoch auch die besonderen Behandlungsmethoden der Klinik, wie z. B. der Ausgleich des Schielwinkels mit Prismen vor Schieloperationen oder die Prismenbehandlung von kindlichem Strabismus ohne Operation. Bei Entlassung von der Klinik fühlt sich der Patient als subjektiv geheilt. Die Nachhaltigkeit der Therapie zeigt sich erst später in der augenärztlichen Praxis. Die Vielzahl von Amblyopien, konsekutiven Divergenzen, Diplopien oder Horror fusionis nach mehrfachen Schieloperationen lässt unsere Schielbehandlung als fragwürdig erscheinen. Schielen ist nur selten ein anatomisches Problem, vielmehr ein funktionelles. Ohne Fusion ist ein dauerhafter Parallelstand der Augen nicht möglich. Daher ist für die Zukunft ein geändertes Programm zu empfehlen: weniger Operationen in der Kindheit, mehr Fusionstraining mit Prismen und dem jungen Patienten mehr Zeit geben für seine Entwicklung.

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“…Jenseits des 50. Lebensjahres, also im Presbyopenalter, können manchmal Schieloperationen wegen asthenopischer Beschwerden oder Diplopie indiziert sein (28). Es erschien uns daher nutzlich, einmal N. Stark…”

Section: Introductionunclassified

Schieloperationen bei Jugendlichen und Erwachsenen

Stärk

1988

Klin Monatsbl Augenheilkd

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The present paper reports on 370 strabismic patients who underwent surgery after they had reached visual adulthood (ages 9-81). Surgery was performed for 183 exodeviations (50%), 139 esodeviations (37%) and 48 hypertropias. Patients desiring cosmetic improvement formed the largest group (172 cases, 46.5%). Most of these patients had been suffering from neglected concomitant heterotropias since childhood, but 17% attained subnormal binocular vision. To assess the risk of diplopia preoperatively, the deviation was fully corrected with prisms. Although intolerable persistent postoperative diplopia is a very rare event, the risk of this complication must be clearly pointed out to all visually adult patients. Apparently most adults, even those who have an anomalous retinal correspondence, respond as necessary to the new position of the eye and learn to ignore, suppress or fuse an initial postoperative diplopia. The best surgical results, in terms of restoration of binocular vision, were obtained in cases of intermittent exotropia and manifest exotropia without amblyopia.

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Schieloperationen an presbyopen Patienten

Cited by 4 publications

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Diplopia Developed in Later Life, An Ophthalmologic Approach

Diplopia Developed in Later Life, An Ophthalmologic Approach

Fünfzig Jahre Schielbehandlung – Ein Erfahrungsbericht aus Klinik und Praxis

Schieloperationen bei Jugendlichen und Erwachsenen

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