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Anstalt \u00f6ffentlichen Rechts"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologie"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Die rhegmatogene Netzhautabl\u00f6sung (Amotio retinae) ist ein ophthalmologischer Notfall mit steigender Inzidenz in Deutschland. Trotz etablierter Methoden bleibt die perioperative Lagerung, insbesondere bei immobilen Patienten, eine Herausforderung, die Erfolg und Komplikationsrate ma\u00dfgeblich beeinflusst. Eine Analyse der aktuellen Trends in der chirurgischen Behandlung und perioperativen Versorgung der Amotio im Vergleich zu 2018 ist essenziell.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Online-Umfrage mit 5 hypothetischen F\u00e4llen akuter rhegmatogener Amotio wurde an vitreoretinale Chirurg*innen des retina.net gesendet; 27\u00a0Frageb\u00f6gen wurden hinsichtlich demografischer Daten, Operationsmethoden, An\u00e4sthesieform, perioperativer Lagerung und Nachsorgestrategien ausgewertet.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Es waren 50\u202f% der Befragten \u00fcber 50\u00a0Jahre alt, 86\u202f% t\u00e4tig an Universit\u00e4tsaugenkliniken, und 89\u202f% hatten \u00fcber 1000 vitreoretinale Operationen durchgef\u00fchrt. Pr\u00e4- und postoperativ wird bei einer Amotio des temporal oberen Quadranten Temporalseitenlagerung empfohlen; 86\u202f% sehen die postoperative Lagerung zur Vermeidung von Makulafalten als entscheidend an. Eine vollst\u00e4ndige Drainage subretinaler Fl\u00fcssigkeit streben 82\u202f% an. Die h\u00e4ufigste Trokargr\u00f6\u00dfe war 23\u202fG (77\u202f%). Bei phaken Augen mit einfacher Lochsituation w\u00fcrden 86\u202f% Buckelchirurgie anwenden; 50\u202f% der Operateure nutzen bei komplexen inferioren Amotiones Silikon\u00f6l. Vollnarkose war die bevorzugte An\u00e4sthesieform (61\u202f%), stets unter station\u00e4ren Bedingungen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Zusammenfassung<\/jats:title>\n            <jats:p>Bei Amotiones des temporal oberen Quadranten wird pr\u00e4- und postoperativ bevorzugt die Temporalseiten-, gefolgt von der Bauchlagerung angeordnet. F\u00fcr inferiore Amotiones wird bei Silikon\u00f6l- oder Buckelchirurgie meist keine spezielle Lagerung empfohlen; 86\u202f% sehen die postoperative Lagerung nach Pars-plana-Vitrektomie (ppV) und Gasendotamponade als entscheidend zur Vermeidung von Makulafalten. Das 23-G-Trokarsystem bleibt die erste Wahl trotz kleinerer Alternativen. In bestimmten F\u00e4llen beh\u00e4lt die Buckelchirurgie ihren Stellenwert.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00347-025-02216-8","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T23:33:56Z","timestamp":1743032036000},"page":"383-392","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Aktuelle Trends bei der Behandlung rhegmatogener Netzhautabl\u00f6sungen und perioperative Lagerungsstrategien in Deutschland: Ergebnisse einer retina.net-Umfrage","Current trends in the treatment of rhegmatogenous retinal detachment and perioperative positioning strategies in Germany: results of a\u00a0retina.net 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