{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T20:49:32Z","timestamp":1648673372058},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das retrobulb\u00e4re H\u00e4matom (RBH) ist eine seltene, aber potenziell visusbedrohende Komplikation nach einem Trauma oder auch nach einem chirurgischen Eingriff. Die Diagnose muss dabei zeitnah gestellt werden, da nur eine rasche chirurgische Intervention irreversible Visusminderungen ad\u00e4quat verhindern kann. Da es aufgrund der kn\u00f6chernen orbitalen Begrenzung kaum Raum f\u00fcr das zunehmende, intraorbitale Volumen durch die retrobulb\u00e4re Blutung gibt, kommt es zu einer Erh\u00f6hung des intraorbitalen Drucks und konsekutiv zu einer Kompression des N.\u00a0opticus. M\u00f6gliche Symptome umfassen insbesondere Motilit\u00e4tsst\u00f6rungen bis zur Ophthalmoplegie, eine Diplopie, eine Bindehautchemose, subkonjunktivale Blutungen, einen Exophthalmus, einen erh\u00f6hten intraokul\u00e4ren Druck, eine Verschlechterung der Sehsch\u00e4rfe sowie eine reduzierte direkte Lichtreaktion und ein relatives afferentes Pupillendefizit. Wenn die Ursache traumatisch oder iatrogen bedingt ist, ist eine zeitnahe, laterale Kanthotomie mit\n\t\t\t\t\tKantholyse das Mittel der Wahl und sorgt in den meisten F\u00e4llen f\u00fcr eine erfolgreiche Druckentlastung. Die Kanthotomie mit Kantholyse kann auch sehr gut in der Notaufnahme durch den Augenarzt durchgef\u00fchrt werden und ist ggf. sogar ohne eine vorherige Bildgebung indiziert. Da die Rekonstruktion der Kantholyse meist unkompliziert m\u00f6glich ist, empfehlen wir die Durchf\u00fchrung dieser Entlastung bereits, wenn klinisch der hochgradige Verdacht auf eine RBH gestellt wird. Sollte die Kanthotomie mit Kantholyse nicht f\u00fcr eine ausreichende Entlastung sorgen, muss eine chirurgische Orbitadekompression durchgef\u00fchrt werden. Therapiebegleitend sollte immer eine pharmakologische Therapie mit Steroiden stattfinden.<\/jats:p>","DOI":"10.1055\/a-0958-9584","type":"journal-article","created":{"date-parts":[[2019,8,15]],"date-time":"2019-08-15T22:40:48Z","timestamp":1565908848000},"page":"609-615","source":"Crossref","is-referenced-by-count":3,"title":["Das retrobulb\u00e4re H\u00e4matom \u2013 eine potenziell visusbedrohende Komplikation"],"prefix":"10.1055","volume":"238","author":[{"given":"Adam","family":"Kopecky","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tskrankenhaus Ostrava, Ostrava, Tschechische Repubik"},{"name":"Zentrum f\u00fcr Augenheilkunde, Universit\u00e4t zu K\u00f6ln, Medizinische Fakult\u00e4t und Uniklinik K\u00f6ln, K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander Christopher","family":"Rokohl","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Augenheilkunde, Universit\u00e4t zu K\u00f6ln, Medizinische Fakult\u00e4t und Uniklinik K\u00f6ln, K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Nemcansky","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tskrankenhaus Ostrava, Ostrava, Tschechische Repubik"},{"name":"Medizinische Fakult\u00e4t, Universit\u00e4t Ostrava, Ostrava, Tschechische Republik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konrad R.","family":"Koch","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Augenheilkunde, Universit\u00e4t zu K\u00f6ln, Medizinische Fakult\u00e4t und Uniklinik K\u00f6ln, K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Matousek","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen-, Ohrenheilkunde, Universit\u00e4tskrankenhaus Ostrava, Ostrava, Tschechische Republik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludwig M.","family":"Heindl","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Augenheilkunde, Universit\u00e4t zu K\u00f6ln, Medizinische Fakult\u00e4t und Uniklinik K\u00f6ln, K\u00f6ln"},{"name":"Centrum f\u00fcr Integrierte Onkologie (CIO) Aachen \u2013 Bonn \u2013 K\u00f6ln \u2013 D\u00fcsseldorf, K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,8,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2154","DOI":"10.1097\/00006534-199912000-00033","article-title":"Retrobulbar hematoma and blepharoplasty","volume":"104","author":"F G Wolfort","year":"1999","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1097\/SCS.0000000000001508","article-title":"Retrobulbar hemorrhage during or after endonasal or periorbital surgery: what to do, when and how to do\u00a0it","volume":"26","author":"G 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