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Verglichen wurde das DCT mit dem Goldmann-Applanationstonometer (GAT).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>In einer prospektiven Querschnittstudie wurden 100\u00a0Augen vor und nach Pars-plana-Vitrektomie (ppV) vergleichend mit dem GAT und DCT gemessen. Verwendete Endotamponaden waren verschiedene Gase und Silikon\u00f6le. Erfasst wurden der pr\u00e4operative intraokulare Druck (IOD), postoperative Druckver\u00e4nderungen und die Intertonometerdifferenz.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Pr\u00e4operativ lag der mittlere IOD mit dem GAT gemessen bei 15,8\u202f\u00b1\u00a05,2\u202fmm\u202fHg und dem DCT bei 17,5\u202f\u00b1\u00a05,9\u202fmm\u202fHg. Am ersten postoperativen Tag stieg bei Augen, die mit Gas versorgt wurden, der Druck im Mittel um 2,5\u202fmm\u202fHg (<jats:italic>p<\/jats:italic>\u202f=\u00a00,035) an. Das DCT erfasste 18\u00a0Augen (19,1\u202f%) mit einem postoperativen IOD von \u2265\u202f25\u202fmm\u202fHg. Postoperativ ma\u00df das GAT den IOD im Schnitt 2,5\u202fmm\u202fHg niedriger und bei expansiver Gasendotamponade im Mittel um 3,0\u202fmm\u202fHg niedriger als das DCT. Bei IOD-Werten von postoperativ \u00fcber 20\u202fmm\u202fHg lag das GAT im Mittel 4,7\u202fmm\u202fHg unter dem DCT. Zehn von 18\u00a0Augen mit IOD \u2265\u202f25\u202fmm\u202fHg wurden mit dem GAT nicht als hypertensiv (\u2265\u202f25\u202fmm\u202fHg) erkannt. Bei 13\u202f% ma\u00df das DCT am 1. postoperativen Tag einen um mindestens 6\u202fmm\u202fHg h\u00f6heren IOD als das GAT. In einem Extremfall wurde der IOD mit dem GAT bei Gasendotamponade um 12\u202fmm\u202fHg untersch\u00e4tzt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Postoperative Druckanstiege nach ppV sind gef\u00fcrchtete Komplikationen und k\u00f6nnen zu irreversiblem Visusverlust f\u00fchren. Abh\u00e4ngig von der verwendeten Endotamponade misst das GAT den IOD niedriger als das DCT\u00a0\u2013 besonders bei Druckspitzen durch expansive Gase. Die postoperative IOD-Messung nach ppV ist bedeutend und die Messwerte von GAT und DCT k\u00f6nnen abweichen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-021-01443-z","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T10:05:42Z","timestamp":1625565942000},"page":"71-76","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intraokularer Druckanstieg nach Vitrektomie\u00a0\u2013 Applanationstonometrie nach Goldmann misst niedriger als dynamische Konturtonometrie","Intraocular pressure elevation after vitrectomy\u2014Goldmann applanation tonometry measures lower intraocular pressure than dynamic contour tonometry"],"prefix":"10.1007","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2571-9380","authenticated-orcid":false,"given":"Sebastian","family":"B\u00e4urle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Viestenz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Viestenz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,7,6]]},"reference":[{"key":"1443_CR1","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1007\/BF02539411","volume":"234","author":"M Adachi","year":"1996","unstructured":"Adachi\u00a0M, Takahashi\u00a0K, Nishikawa\u00a0M et al (1996) High intraocular pressure-induced ischemia and reperfusion injury in the optic nerve and retina in rats. 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