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Eine hoch dosierte AO erhielten in einer konsekutiven Fallserie 33\u00a0Orthotrope mit INS und KZH, eine KO erhielten 19\u00a0Patienten. Die Mediane und Streubreiten (min\u2013max) in den Gruppen AO\/KO betrugen: Alter bei OP\u00a07 (4\u201344) Jahre\/6 (4\u201327) Jahre; KZH 32,5\u00b0(20\u201345)\/30\u00b0(17\u201340); Operationsstrecke pro Auge AO\u00a013 (10\u201316) mm (Standarddosis), KO\u00a010 (6\u201312) mm\u202f+\u200910 (6\u201312) mm (Mittel 0,60\u202fmm\/\u00b0KZH).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Die KZH betrug nach ca.\u00a03 Monaten 10\u00b0(\u22123\u201320)\/10\u00b0(\u22127\u201320), bei der Sp\u00e4tkontrolle (8 bis 153 Monate) 10\u00b0(0\u201320)\/10\u00b0(\u221227\u201330). Sie war bei der letzten Kontrolle um 67\u202f% (20\u2013100)\/64\u202f% (14\u2013100) verringert. Eine Restdrehung \u226415\u00b0 fand sich in 79\/81\u202f% der F\u00e4lle (91\u202f% nach AO \u226513\u202fmm; <jats:italic>n<\/jats:italic>\u202f=\u200923), ein Rest \u226410\u00b0 in 55\/57\u202f%, (65\u202f% nach AO \u226513\u202fmm). Die Ad\u2011\/Abduktionsf\u00e4higkeit der r\u00fcckgelagerten Muskeln betrug nach AO 30\u00b0\/30\u00b0 (10\u201337\/15\u201345), nach KO 32\u00b0\/30\u00b0 (10\u201340\/12\u201345). Eine assoziierte Kopfneigung wurde durch den Eingriff nicht verbessert. Der mittlere Anstieg des binokularen Visus betrug jeweils &lt;1\u00a0Zeile, in der Gruppe AO 1\u00a0Zeile bei Kindern \u22646\u00a0Jahre, kein Anstieg in der Altersklasse &gt;6\u00a0Jahre.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Schlussfolgerung<\/jats:title>\n<jats:p>AO und KO waren bei der verwendeten Dosierung wirkungsgleich. Die geringere Invasivit\u00e4t der AO spricht f\u00fcr deren Anwendung als Ersteingriff.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00347-020-01086-6","type":"journal-article","created":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T18:02:26Z","timestamp":1585245746000},"page":"1210-1217","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Hoch dosierte Anderson- und Kestenbaum-Operation bei Nystagmus mit Kopfzwangshaltung","Highly dosed Anderson and Kestenbaum operations for anomalous head posture due to nystagmus"],"prefix":"10.1007","volume":"117","author":[{"given":"Michael","family":"Gr\u00e4f","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Hausmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Kowanz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgit","family":"Lorenz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,26]]},"reference":[{"key":"1086_CR1","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1136\/bjo.37.5.267","volume":"37","author":"JR Anderson","year":"1953","unstructured":"Anderson\u00a0JR (1953) Causes and treatment of congenital eccentric nystagmus. 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