{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:23:21Z","timestamp":1782181401022,"version":"3.54.5"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>\n          Zentralarterienverschluss (ZAV) und isch\u00e4mische Optikusneuropathie (ION)\u2002Isch\u00e4mische Erkrankungen der Retina bei ZAV sowie des Sehnervs bei ION sind h\u00e4ufige Ursachen von irreversiblem Sehverlust bei \u00e4lteren Patienten und bed\u00fcrfen einer intensiven internistischen Mitbetreuung.<\/jats:p><jats:p>\n          Internistische Diagnostik bei ZAV und ION\u2002Im ersten Schritt sollte eine Riesenzellarteriitis (RZA) gesichert bzw. ausgeschlossen werden. Die internistische Diagnostik von nichtarteriitischem ZAV und nichtarteriitischer ION (nAION) zielt insbesondere auf die Erfassung des kardiovaskul\u00e4ren Risikoprofils ab. Beim nichtarteriitischen ZAV ist die Emboliequellensuche zentrale diagnostische Aufgabe. Bei Patienten mit nAION sollte ein Schlafapnoe-Screening erfolgen.<\/jats:p><jats:p>\n          Transorbitale Sonografie\u2002Bei Darstellung eines Spot-Zeichens im Sehnervenkopf kann ein embolischer ZAV gesichert werden. Ein Spot-Zeichen schlie\u00dft eine arteriitische Genese eines ZAV aus.<\/jats:p>","DOI":"10.1055\/a-1010-2039","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T22:31:20Z","timestamp":1597357880000},"page":"1112-1117","source":"Crossref","is-referenced-by-count":3,"title":["Akute okul\u00e4re Isch\u00e4mien \u2013 was ist wichtig in der internistischen Diagnostik?"],"prefix":"10.1055","volume":"145","author":[{"given":"Christian","family":"Lottspeich","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik IV, Interdisziplin\u00e4res Ultraschallzentrum, Klinikum der Ludwigs-Maximilians-Universit\u00e4t, M\u00fcnchen"},{"name":"Medizinische Klinik und Poliklinik IV, Sektion Angiologie-Gef\u00e4\u00dfzentrum, Klinikum der Ludwigs-Maximilians-Universit\u00e4t, M\u00fcnchen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc J.","family":"Mackert","sequence":"additional","affiliation":[{"name":"Augenklinik 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