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Neben Hornhautfalten, Ziliark\u00f6rper- und Aderhautabhebung, Stauungspapille e\u00a0vacuo und Makulasternfalten kann die Schrumpfung des Auges zu einer erheblichen Visusminderung f\u00fchren. Konsekutiv kann das kontralaterale Auge mit einer okul\u00e4ren Hypertension reagieren. Die Ursache der Hypotonie muss diagnostiziert und kausal behandelt werden. Wenn mehr als 210\u00a0Grad des Ziliark\u00f6rpers verbleiben, ist ein Bulbuserhalt m\u00f6glich. H\u00e4ufige Ursache der posttraumatischen Hypotonie ist eine Zyklodialyse. Kleinere Zyklodialysespalten verschlie\u00dfen sich unter Zykloplegie, gr\u00f6\u00dfere werden chirurgisch versorgt. Die Zyklopexie kann mit einer prim\u00e4ren Wundversorgung oder auch einer Pol-zu-Pol-Chirurgie kombiniert werden. Alternativ sind bei persistierender Hypotonia bulbi eine Silikon\u00f6lendotamponade bzw. eine Okklusion des Schlemm-Kanals m\u00f6glich. Die posttraumatische Bulbushypotonie ist komplex und bedarf einer exakten Diagnostik, um ihre Ursachen differenziert und gezielt behandeln zu k\u00f6nnen.<\/jats:p>","DOI":"10.1007\/s00347-020-01290-4","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T15:03:34Z","timestamp":1609772614000},"page":"81-94","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management der posttraumatischen Bulbushypotonie"],"prefix":"10.1007","volume":"118","author":[{"given":"Arne","family":"Viestenz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Huth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Heichel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,4]]},"reference":[{"key":"1290_CR1","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1007\/s00347-008-1816-x","volume":"105","author":"W Schrader","year":"2008","unstructured":"Schrader\u00a0W, Viestenz\u00a0A (2008) Aktuelle Konzepte schwerer Bulbus er\u00f6ffnender Verletzungen. 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Biomaterials 16:891\u2013903","journal-title":"Biomaterials"}],"container-title":["Der Ophthalmologe"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00347-020-01290-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00347-020-01290-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00347-020-01290-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T16:40:46Z","timestamp":1610642446000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00347-020-01290-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["1290"],"URL":"https:\/\/doi.org\/10.1007\/s00347-020-01290-4","relation":{},"ISSN":["0941-293X","1433-0423"],"issn-type":[{"value":"0941-293X","type":"print"},{"value":"1433-0423","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"4 January 2021","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Gem\u00e4\u00df den Richtlinien des Springer Medizin Verlags werden Autoren und Wissenschaftliche Leitung im Rahmen der Manuskripterstellung und Manuskriptfreigabe aufgefordert, eine vollst\u00e4ndige Erkl\u00e4rung zu ihren finanziellen und nichtfinanziellen Interessen abzugeben.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"<b>A.\u00a0Viestenz<\/b> gibt an, dass kein finanzieller Interessenkonflikt besteht. Nichtfinanzielle Interessen: Direktor der Klinik und Poliklinik f\u00fcr Augenheilkunde, Lehrstuhlinhaber f\u00fcr Ophthalmologie, UKH, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Buchherausgeber, Chapter Editor (Karger-Verlag, Springer-Verlag, Elsevier) | Mitgliedschaften: u.\u202fa. in DOG (Sprecher der AG Trauma der DOG), BVA, RG, SATh, VOL, F\u00f6rdervereinen f\u00fcr Augenkliniken, Augenheilkunde im Saarland und in Sachsen-Anhalt, ISOT (Jahrestagungsorganisator). <b>A.\u00a0Huth<\/b> gibt an, dass kein finanzieller Interessenkonflikt besteht. Nichtfinanzielle Interessen: Leitende Ober\u00e4rztin der Universit\u00e4tsklinik und Poliklinik f\u00fcr Augenheilkunde Halle, Ernst-Grube-Str.\u00a040, 06120 Halle. <b>J.\u00a0Heichel<\/b> gibt an, dass kein finanzieller Interessenkonflikt besteht. Nichtfinanzielle Interessen: Angestellter Ophthalmologe, Klinik und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg | Mitgliedschaften: DOG (Deutsche Ophthalmologische Gesellschaft), BVA (Berufsverband der Augen\u00e4rzte), SATh (Sachsen-Anhalt-Th\u00fcringische Gesellschaft der Augen\u00e4rzte). <b>B.\u00a0Seitz<\/b> gibt an, dass kein finanzieller Interessenkonflikt besteht. Nichtfinanzielle Interessen: Direktor der Klinik f\u00fcr Augenheilkunde am Universit\u00e4tsklinikum des Saarlandes in Homburg\/Saar | Mitgliedschaften: Deutsche Ophthalmologische Gesellschaft (DOG) seit 1989, The Association for Research in Vision and Ophthalmology (ARVO) seit 1991, Berufsverband der Augen\u00e4rzte Deutschlands e.\u202fV. (BVA) seit 1992, American Academy of Ophthalmology (AAO) seit 1997, Deutsche Transplantationsgesellschaft (DTG) seit 1998, European Association for Vision and Eye Research (EVER) seit 1998, Arbeitsgemeinschaft Deutscher Hornhautbanken seit 2000, Gr\u00fcndungsmitglied und Sprecher der Sektion Kornea in der DOG seit 2002 (ExternalRef removed), International Society of Dacryology and Dry Eye (ISD&DE) seit 2003, European Eye Bank Association (EEBA) seit 2003, The Cornea Society seit 2004, European Society of Cataract and Refractive Surgeons (ESCRS) seit 2008, Deutsches Komitee zur Verh\u00fctung von Blindheit DKVB seit 03\/2016, Mitglied der Nationalen Akademie der Wissenschaften Leopoldina seit 08\/2011.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Autoren"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf ExternalRef removed.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Wissenschaftliche Leitung"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patienten zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}