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Die morphologische Evaluation des resultierenden Sickerkissens (SK) ist f\u00fcr den chirurgischen Erfolg entscheidend. H\u00e4ufig ist eine SK-Revision nach XEN-Implantation notwendig, die die Morphologie des SK beeinflussen k\u00f6nnte. Ziel dieser Studie ist, das SK mittels Vorderaugenabschnitt-OCT (AS-OCT) zu untersuchen und Unterschiede zwischen prim\u00e4rer XEN-Implantation und SK-Revision zu analysieren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Retrospektiv wurden Augen nach prim\u00e4rer XEN-Implantation (Pr-X) bzw. SK-Revision nach XEN (Re-X-Gruppe) eingeschlossen. AS-OCT-Aufnahmen des SK wurden durchgef\u00fchrt und mittels eines neuartigen Klassifikationssystems (des Jenaer Bleb Grading System [JBGS]) klassifiziert. H\u00e4ufigkeit unterschiedlicher tomographischer Muster\u00a0(M) und deren Korrelation mit dem Augeninnendruck (IOD) wurden analysiert<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse und Diskussion<\/jats:title>\n                <jats:p>Es wurden 69\u00a0Augen (40\u00a0in der Pr\u2011X, 29\u00a0in der Re-X-Gruppe) eingeschlossen. An der Ebene der Bindehaut (BH) wurden subkonjunktivale Wasserspalten (M-C2) am h\u00e4ufigsten gesehen in beiden Gruppen, gefolgt von intrakonjunktivalen Zysten (C1) und fehlenden BH-Ver\u00e4nderungen (C0). Keine Unterschiede der H\u00e4ufigkeit zwischen beiden Gruppen oder des IOD zwischen den 3\u202fM wurden beobachtet (<jats:italic>p<\/jats:italic>\u202f&gt;\u20090,05 f\u00fcr alle). An der Tenon-Ebene wurden in der Pr-X-Gruppe die hyporeflektiven und kavern\u00f6sen Ver\u00e4nderungen (M-T2, -T3) am h\u00e4ufigsten beobachtet, gefolgt von fehlenden und hyperreflektiven Ver\u00e4nderungen (T0, T1). In der Re-X- wurden die M\u2011T1 und T2 am h\u00e4ufigsten gesehen, gefolgt von M\u2011T3 und T0. Die M\u2011T2 und -T3 zeigten niedrigeren IOD in der Pr\u2011X und die T1 und T2 in der Re-X-Gruppe. Der episklerale See (M-ES1) wurde in der Pr-X-Gruppe signifikant seltener gesehen verglichen mit der Re-X-Gruppe und korrelierte in der Re-X-Gruppe mit niedrigerem IOD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Hyperreflektive Ver\u00e4nderungen der Tenon und der episklerale See wurden nach SK-Revision h\u00e4ufiger beobachtet verglichen mit prim\u00e4rer XEN-Implantation und korrelierten mit niedrigerem IOD. Die Untersuchung der Sickerkissenmorphologie mittels AS-OCT soll in Bezug auf die chirurgische Technik interpretiert werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-022-01764-7","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T14:03:46Z","timestamp":1669730626000},"page":"529-537","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Morphologie des Sickerkissens mittels optischer Koh\u00e4renztomographie","Bleb morphology using optical coherence tomography"],"prefix":"10.1007","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2478-7007","authenticated-orcid":false,"given":"Somar M.","family":"Hasan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Theilig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melih","family":"Tarhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Menelaos","family":"Papadimitriou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Meller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"1764_CR1","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1097\/00061198-200306000-00015","volume":"12","author":"LB Cantor","year":"2003","unstructured":"Cantor\u00a0LB, Mantravadi\u00a0A, Wudunn\u00a0D et\u00a0al (2003) Morphologic classification of filtering blebs after glaucoma filtration surgery: the Indiana Bleb Appearance Grading Scale. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}