{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T04:28:32Z","timestamp":1744172912394,"version":"3.40.3"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologie"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Die Bedeutung der Kataraktchirurgie f\u00fcr die Behandlung von Sehbeeintr\u00e4chtigung und Blindheit ist genauso wenig strittig, wie die Kosteneffizienz des Eingriffes. In Bezug auf die Qualit\u00e4t gibt es fast keine ver\u00f6ffentlichten Fallserien von Kataraktoperationen in Subsahara-Afrika, die die Vorgaben der Weltgesundheitsorganisation (WHO) im Hinblick auf die postoperative Sehsch\u00e4rfe einhalten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Die Ergebnisse nach Kataraktoperation an einer \u00f6ffentlich zug\u00e4nglichen Augenklinik der terti\u00e4ren Versorgungsstufe in Ruanda werden dargestellt und verglichen mit standardisierten Ergebnissen einer Augenklinik in Deutschland (AKW).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methoden<\/jats:title>\n            <jats:p>Die Daten von jeweils 100 konsekutiv operierten Augen (MSICS\u00a0\u2013 Ruanda, Phako\u00a0\u2013 Ruanda, Phako\u00a0\u2013 AKW) wurden retrospektiv ausgewertet. Die Ergebnisse wurden untereinander und mit den Vorgaben der WHO verglichen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Die Zahl der Patienten mit pr\u00e4operativ erheblich eingeschr\u00e4nkter Sehsch\u00e4rfe (Visus\u202f&gt;\u20091,3\u202flogMAR) war in der MSICS-Gruppe am h\u00f6chsten (MSICS 92\u202f%, Phako Ruanda 13\u202f%, Phako AKW 1\u202f%). Die unkorrigierte postoperative Sehsch\u00e4rfe war \u00e4hnlich in den Gruppen Phako Ruanda und Phako AKW (0,22\/0,21\u202flogMAR) und besser als MSICS Ruanda (0,33\u202flogMAR). Die bestkorrigierte postoperative Sehsch\u00e4rfe war in der Gruppe Phako Ruanda signifikant besser (0,07\u202flogMAR) als in den beiden Vergleichsgruppen Phako AKW (0,1\u202flogMAR) und MSICS Ruanda (0,15\u202flogMAR). Die Ergebnisse aller 3\u00a0Gruppen erf\u00fcllten die WHO-Kriterien zur postoperativen Sehsch\u00e4rfe.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Schlussfolgerung<\/jats:title>\n            <jats:p>Trotz schlechtem Ausgangsvisus k\u00f6nnen in einem klinischen Umfeld in Subsahara-Afrika in der Kataraktchirurgie qualitativ hochwertige Ergebnisse erzielt werden, die im Erwartungshorizont der WHO liegen. Ein Nebeneinander von MSICS-Technik und Phako scheint sinnvoll, um Komplikationen zu vermeiden und bestm\u00f6gliche Ergebnisse zu erzielen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphic abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1007\/s00347-025-02195-w","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T17:18:24Z","timestamp":1741281504000},"page":"288-296","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kataraktchirurgie in Subsahara-Afrika\u00a0\u2013 M\u00f6glichkeiten und Grenzen","Cataract surgery in sub-Saharan Africa\u2014Possibilities and limits"],"prefix":"10.1007","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9583-1568","authenticated-orcid":false,"given":"Stephan","family":"Irle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanne","family":"Irle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohil","family":"Paes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piet","family":"No\u00eb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"2195_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfo.2017.02.005","author":"I Ammous","year":"2017","unstructured":"Ammous\u00a0I et\u00a0al (2017) Phacoemulsification versus manual small incision cataract surgery: Anatomic and functional results. 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