{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T14:34:58Z","timestamp":1717684498446},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Das therapeutische Management von Motilit\u00e4tseinschr\u00e4nkungen und begleitender Kopfzwangshaltung (KZH) stellt oft eine Herausforderung dar. Wir berichten \u00fcber unsere Erfahrungen mit der Prismenapplikation.<\/jats:p><jats:p>\n          Patienten und Methoden Retrospektive Fallserie von 3 Patienten mit Augenmotilit\u00e4tsst\u00f6rungen und begleitender KZH, bei denen eine Behandlung mittels Prismenkorrektur erfolgte.<\/jats:p><jats:p>\n          Ergebnisse Ein 37-j\u00e4hriger Mann mit traumatischer Okulomotoriusparese links mit leichter residueller Senkungseinschr\u00e4nkung und deutlicher Hebungseinschr\u00e4nkung zeigte nach Prismenausgleich der Hypotropie links (OS: 10^ Basis oben) ein Feld binokularen Einfachsehens (BES-Feld) nur im Abblick. Erst unter zus\u00e4tzlicher Vorgabe von beidseits 10^ Basis oben gelang eine Verlagerung des BES-Feldes in die Prim\u00e4rposition. Ein 45-j\u00e4hriger Mann mit Parinaud-Syndrom infolge eines Sch\u00e4del-Hirn-Traumas und beidseitiger Hebungseinschr\u00e4nkung beklagte erhebliche Nackenbeschwerden bei ausgepr\u00e4gter Kinnhebung. Zudem bestand bei Amaurose rechts eine sekund\u00e4re Exotropie. Unter Vorgabe von OS: 8^\u00a0Basis oben war der Patient bei Aufgabe der KZH auch subjektiv beschwerdefrei. Bei einer 69-j\u00e4hrigen Frau mit Abduzensparese links bestand eine Kompensation der Schielabweichung nur im \u00e4u\u00dfersten Rechtsblick unter Einnahme einer ausgepr\u00e4gten Linksdrehung von 20\u00b0. Mit OS: 20^ Basis temporal\n\t\t\t\t\tresultierte Doppelbildfreiheit ohne KZH in Prim\u00e4rposition.<\/jats:p><jats:p>\n          Schlussfolgerung Neben der Schielkorrektur kann auch die Blickverlagerung durch Prismen in verschiedenen klinischen Konstellationen therapeutisch hilfreich sein. Zur Reduktion der KZH erfolgt die prismeninduzierte Blickverlagerung prinzipiell in Richtung des Motilit\u00e4tsdefizits.<\/jats:p>","DOI":"10.1055\/a-1407-9437","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T22:48:38Z","timestamp":1619822918000},"page":"474-477","source":"Crossref","is-referenced-by-count":1,"title":["Prismen zur Blickverlagerung und Schielkorrektur bei Augenmotilit\u00e4tsst\u00f6rungen und Kopfzwangshaltung"],"prefix":"10.1055","volume":"238","author":[{"given":"Leila Sara","family":"Eppenberger","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahel","family":"DiTaranto","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"B\u00fccheler","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Heckmann","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veit","family":"Sturm","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s00347-017-0457-3","article-title":"Prismenadaptationstest vor Schieloperationen","volume":"115","author":"U Pichler","year":"2018","journal-title":"Ophthalmologe"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/ICU.0b013e3283567276","article-title":"Prism use in adult diplopia","volume":"23","author":"K B Gunton","year":"2012","journal-title":"Curr Opin Ophthalmol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3368\/aoj.64.1.71","article-title":"Fresnel Prism Use Among Orthoptists","volume":"64","author":"T Haller","year":"2014","journal-title":"Am Orthopt J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1001\/archopht.1990.01070110064026","article-title":"Efficacy of prism adaptation in the surgical management of acquired esotropia. 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