{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T01:05:25Z","timestamp":1768007125390,"version":"3.49.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologie"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Bei jungen myopen Erwachsenen ist die Small-Incision Lenticule Extraction (SMILE) zur langfristigen Korrektur ihrer Kurzsichtigkeit sehr beliebt. Die \u00fcberm\u00e4\u00dfigen Achsenl\u00e4ngen der myopen Augen und die damit verbundenen Risiken f\u00fcr sp\u00e4tere schwerwiegendere Augenerkrankungen bleiben bei der chirurgischen Korrektur des Refraktionsfehlers jedoch bestehen. Diese Risiken sind umso gr\u00f6\u00dfer, je h\u00f6her die Myopie ist. Sind die Patienten dar\u00fcber gut informiert, und inwieweit tritt weiteres Augenl\u00e4ngenwachstum auch nach SMILE auf?<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Myope junge Erwachsene, welche sich vor 2019 einer binokularen SMILE unterzogen haben, bekamen die M\u00f6glichkeit, im Rahmen einer Folgevisite ihre Augen untersuchen zu lassen (Biometrie mittels IOL-Master 700 [Zeiss, Oberkochen, Deutschland], subjektive Refraktion, Untersuchung des vorderen und hinteren Augenabschnittes an der Spaltlampe) und an einer Umfrage teilzunehmen. Patienten mit pr\u00e4operativer Achsl\u00e4nge\u202f\u2265\u200925,5\u202fmm und pr\u00e4operativer Achsl\u00e4nge\u202f&lt;\u200925,5\u202fmm (hohe Myopie) wurden statistisch getrennt ausgewertet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es erschienen 44\u00a0Patienten (Alter 30,39\u202f\u00b1\u20092,39\u00a0Jahre) bei der Visite, die SMILE lag 3,18\u202f\u00b1\u20090,82\u00a0Jahre zur\u00fcck: Das sph\u00e4rische \u00c4quivalent bei der Folgevisite betrug \u22120,05\u202f\u00b1\u20090,21\u202fdpt bei den schw\u00e4cher Myopen und \u22120,18\u202f\u00b1\u20090,23\u202fdpt bei den hoch Myopen; 27\u202f% der Befragten sch\u00e4tzten, dass durch SMILE ihr Risiko f\u00fcr Netzhautabl\u00f6sung und Katarakt gesenkt werden w\u00fcrde, wobei 80\u202f% der hoch Myopen ihr individuelles Risiko f\u00fcr Netzhautabl\u00f6sung zu niedrig einsch\u00e4tzten; 57\u202f% gaben an, dass sie bei Symptomen, die einer akuten Netzhautabl\u00f6sung entsprechen, erst innerhalb 1\u00a0Woche zum Augenarzt gehen, nur 27\u202f% w\u00fcrden sich sofort in eine Notaufnahme begeben. Generell gaben 59\u202f% an, ein normales Gesundheitsbewusstsein zu haben, und 41\u202f% berichteten, j\u00e4hrlich zur augen\u00e4rztlichen Kontrolle zu gehen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die erhobenen Achsl\u00e4ngen und Refraktionen zeigen keine relevante Ver\u00e4nderung der Augen hinsichtlich einer Progression der Myopie. Die Angaben der Patienten in der Umfrage verdeutlichen aber, dass den meisten Patienten das Risiko schwerwiegender Augenerkrankungen (Netzhautabl\u00f6sung, Katarakt) nicht bewusst ist. Es bedarf daher v.\u00a0a. bei den pr\u00e4operativ hoch myopen Patienten einer wiederholten Risikoaufkl\u00e4rung und einer engmaschigen postoperativen Betreuung.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-022-01741-0","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T15:04:04Z","timestamp":1666019044000},"page":"400-405","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Post-SMILE\u00a0\u2013 Was Myope \u00fcber ihre sekund\u00e4r emmetropen Augen wissen","Post-SMILE\u2014What myopes know about their secondary emmetropic eyes"],"prefix":"10.1007","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5006-7420","authenticated-orcid":false,"given":"Hakan","family":"Kaymak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Machteld","family":"Devenijn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Neller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Cosma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Sickenberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achim","family":"Langenbucher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartmut","family":"Schwahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"1741_CR1","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1007\/s00347-017-0601-0","volume":"115","author":"W Wesemann","year":"2018","unstructured":"Wesemann\u00a0W (2018) Analyse der Brillenst\u00e4rken zeigt keine Zunahme der Myopie in Deutschland von 2000 bis 2015. 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