{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T06:06:25Z","timestamp":1774677985110,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Freiburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die Symptome des akuten Winkelblocks, ein Notfallereignis, das ohne rechtzeitige Therapie zur irreversiblen Erblindung f\u00fchren kann, sind vielf\u00e4ltig. Diese k\u00f6nnen initial als internistische oder neurologische Erkrankungen gedeutet werden, wenn Kopfschmerzen, Pupillenstarre oder \u00dcbelkeit im Vordergrund stehen. Ziel unserer Studie war es, die Rate belastender und invasiver Diagnostik durch prim\u00e4re Vorstellung bei Nichtophthalmologen bei akutem prim\u00e4ren Winkelblock zu erfassen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methode<\/jats:title>\n                <jats:p>Retrospektive Single-Center-Studie von Patienten mit akutem prim\u00e4rem Winkelblock. Zur Identifizierung dieser wurden alle Patienten erfasst, bei denen im Universit\u00e4tsklinikum Freiburg, Klinik f\u00fcr Augenheilkunde im Zeitraum 2014\u20132018 eine chirurgische Iridektomie (5-133.0) oder Iridotomie durch Laser (5-136.1) durchgef\u00fchrt wurde. Anschlie\u00dfend erfolgte durch Akteneinsicht die Datenanalyse zur Pr\u00fcfung der Ein- und Ausschlusskriterien sowie des Krankheitsverlaufs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Eingeschlossen wurden 91\u00a0Patienten mit akutem prim\u00e4ren Winkelblock. Davon stellten sich 28\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u200925) initial bei nichtophthalmologischen Fachdisziplinen vor. In dieser Patientengruppe erhielten 56\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u200911) eine nichtzielf\u00fchrende Diagnostik, wobei bei 32\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20098) eine kraniale Bildgebung und bei 8\u202f% (<jats:italic>n<\/jats:italic>\u202f=\u20092) eine Lumbalpunktion durchgef\u00fchrt wurde.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Bei akutem prim\u00e4ren Winkelblock zeigt sich eine hohe Rate an nicht wegweisender Diagnostik durch Nichtophthalmologen, weshalb dieses Krankheitsbild f\u00e4cher\u00fcbergreifend pr\u00e4sent sein sollte. Bei unspezifischen Symptomen, wie Kopfschmerzen, \u00dcbelkeit und Erbrechen sowie Pupillenstarre, muss an die M\u00f6glichkeit eines akuten Augeninnendruckanstiegs durch einen akuten Winkelblock gedacht und das fr\u00fchzeitige Hinzuziehen eines Ophthalmologen erwogen werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00063-021-00790-8","type":"journal-article","created":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T08:37:00Z","timestamp":1613291820000},"page":"137-143","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Akuter Winkelblock","Acute angle closure"],"prefix":"10.1007","volume":"117","author":[{"given":"S.","family":"Nuessle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Luebke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Boehringer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Reinhard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Anton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,2,13]]},"reference":[{"key":"790_CR1","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s12886-015-0100-5","volume":"15","author":"W Andreatta","year":"2015","unstructured":"Andreatta\u00a0W, Elaroud\u00a0I, Nightingale\u00a0P, Nessim\u00a0M (2015) Long-term outcomes after acute primary angle closure in a\u00a0White Caucasian population. 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