{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:10:44Z","timestamp":1767139844342,"version":"3.28.0"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die DMEK ist ein etabliertes Verfahren, um endotheliale Hornhauterkrankungen zu behandeln. Dabei wird eine Endotamponade der Vorderkammer genutzt, um das Transplantat am\n          Empf\u00e4ngerbett zu fixieren. Bei Z.\u200an. nach Aphakisierung, gro\u00dfen Irisdefekten oder fistulierender Glaukomoperation kommt es oft fr\u00fch postoperativ zum Verlust der Gastamponade in den\n          Glask\u00f6rperraum oder nach subkonjunktival. Wir berichten \u00fcber 3 F\u00e4lle, bei denen eine simultane Gastamponade der Vorder- und Hinterkammer durch prim\u00e4re Kombination von DMEK und\n          23-G-Pars-plana-Vitrektomie (ppV) durchgef\u00fchrt wurde.<\/jats:p><jats:p>\n          Fallbeschreibungen Im 1. Fall zeigte sich bei einem 70-j\u00e4hrigen Mann fr\u00fch postoperativ nach DMEK eine vollst\u00e4ndige Gasdislokation in den Glask\u00f6rperraum, sodass ein Re-Bubbling in\n          Kombination mit einer 23-G-ppV durchgef\u00fchrt wurde. In Fall 2 wurde bei einem 80-j\u00e4hrigen Mann aufgrund eines vorhandenen Ahmed-Glaukom-Implantates und in Fall 3 bei einer 61-j\u00e4hrigen Frau\n          mit traumatischer Aphakie die DMEK unmittelbar mit einer ppV kombiniert. In allen F\u00e4llen erfolgte eine bestm\u00f6gliche Gasf\u00fcllung von Glask\u00f6rperraum und Vorderkammer mittels 20% SF6.\n          In Fall 2 wurde ein Re-Bubbling aufgrund einer partiellen Transplantatdehiszenz am 5. Tag nach DMEK erforderlich. In allen F\u00e4llen blieb der intraokulare Druck postoperativ kompensiert und es\n          kam trotz der visuslimitierenden komplexen Vorerkrankungen zu einem Visusanstieg.<\/jats:p><jats:p>\n          Diskussion Die kombinierte Endotamponade von Vorder- und Hinterkammer im Rahmen einer DMEK mit 23-G-ppV kann bei Augen mit komplexer Vorgeschichte die Gasendotamponade verl\u00e4ngern und\n          so eine erfolgreiche Transplantatadh\u00e4renz sichern.<\/jats:p>","DOI":"10.1055\/a-1950-6902","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T23:07:51Z","timestamp":1664233671000},"page":"909-913","source":"Crossref","is-referenced-by-count":2,"title":["Descemet-Membran-Endothel-Keratoplastik in Kombination mit Pars-plana-Vitrektomie in komplexen Augen zur extensiven Gastamponade"],"prefix":"10.1055","volume":"240","author":[{"given":"Yi Ming Emily","family":"Loi","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsklinikum D\u00fcsseldorf, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd","family":"Geerling","sequence":"additional","affiliation":[{"name":"Augenklinik, Universit\u00e4tsklinikum D\u00fcsseldorf, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1097\/00003226-199811000-00010","article-title":"A surgical technique for posterior lamellar keratoplasty","volume":"17","author":"G R Melles","year":"1998","journal-title":"Cornea"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1140","DOI":"10.1007\/s00347-005-1284-5","article-title":"Lamell\u00e4re Keratoplastik. Zur\u00fcck in die Zukunft?!","volume":"102","author":"G Geerling","year":"2005","journal-title":"Ophthalmologe"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1097\/01.ico.0000243962.60392.4f","article-title":"Posterior lamellar keratoplasty: DLEK to DSEK to DMEK","volume":"25","author":"G R Melles","year":"2006","journal-title":"Cornea"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1016\/j.ophtha.2011.09.019","article-title":"Risk of corneal transplant rejection significantly reduced with Descemet\u02bcs membrane endothelial keratoplasty","volume":"119","author":"A Anshu","year":"2012","journal-title":"Ophthalmology"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"974","DOI":"10.1007\/s00347-015-0170-z","article-title":"Komplikationen der Descemetmembran-Endothel-Keratoplastik","volume":"112","author":"K Spaniol","year":"2015","journal-title":"Ophthalmologe"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1007\/s00347-018-0818-6","article-title":"\u201cDescemet membrane endothelial keratoplasty\u201d in komplexen Augen","volume":"116","author":"B Bachmann","year":"2019","journal-title":"Ophthalmologe"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"926","DOI":"10.1007\/s00347-020-01240-0","article-title":"DMEK bei komplizierten F\u00e4llen einer bull\u00f6sen Keratopathie nach multiplen Augenoperationen","volume":"118","author":"S Fili","year":"2021","journal-title":"Ophthalmologe"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1130","DOI":"10.1016\/j.ophtha.2012.01.012","article-title":"Graft dislocation and hypotony after Descemet\u02bcs stripping automated endothelial keratoplasty in patients with previous glaucoma surgery","volume":"119","author":"J M Goshe","year":"2012","journal-title":"Ophthalmology"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"910","DOI":"10.1097\/ICO.0000000000002678","article-title":"Wound Healing of Descemet Membrane After Penetrating Keratoplasty and Its Relevance for Descemet Membrane Endothelial Keratoplasty Surgeons","volume":"40","author":"F A Steindor","year":"2021","journal-title":"Cornea"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e241","DOI":"10.1097\/OPX.0b013e31829d8e64","article-title":"Descemet membrane endothelial keratoplasty in eyes with glaucoma implants","volume":"90","author":"L M Heindl","year":"2013","journal-title":"Optom Vis Sci"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/ICO.0000000000000288","article-title":"Descemet membrane endothelial keratoplasty in vitrectomized eyes: clinical results","volume":"34","author":"E Yoeruek","year":"2015","journal-title":"Cornea"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1950-6902.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:25:31Z","timestamp":1730823931000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1950-6902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,26]]},"references-count":11,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2023,7,19]]},"published-print":{"date-parts":[[2023,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1950-6902","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"type":"print","value":"0023-2165"},{"type":"electronic","value":"1439-3999"}],"subject":[],"published-other":{"date-parts":[[2022,9,26]]},"published":{"date-parts":[[2022,9,26]]}}}