[Ophthalmic Plastic Surgery of Exposure Keratopathy in the Intensive Care Unit].


:Critically ill patients in the intensive care unit (ICU) may develop eye problems, due to impaired ocular protective mechanisms or direct involvement of the eye in severe systemic diseases. If eye infections or ocular surface disorders are not identified in time, endophthalmitis or corneal ulcer may develop and can cause permanent functional injuries of the eye. A retrospective analysis was performed and a total of 283 complete intensive care courses of treatment were evaluated, taking into account ophthalmic medical consultations for frequent cardinal symptoms. The most common cardinal symptoms were lagophthalmus (exposure keratopathy), chemosis, redness and periorbital haematoma. The following predisposing risk factors for the onset of ocular complications during intensive care treatment were detected: chemosis (p < 0.001), redness (p = 0.007), lagophthalmus (p = 0.001), ventilation (p < 0.001), use of muscle relaxants (p < 0.001), cardiovascular (p < 0.001), and neurological diseases (p < 0.001). In 71.7 % of ICU patients, additional treatment was prescribed during the eye consultation. This includes special eye care treatment (6.0 %) and/or drug therapy (64.0 %), as well as oculoplastic surgery in 4,3 % of critically ill patients. The most common oculoplastic-surgical procedure in the ICU was lid adhesion to achieve adequate protection of the corneal surface in patients with severe exposure keratopathy. Oculoplastic surgery is the method of choice for protecting the cornea in critically ill patients, when conservative options such as hypoallergenic adhesive tape or a moisture chamber are not sufficient to protect the ocular surface. The main challenges are to pay attention to the indication and performance in due time, and to avoid permanent loss of function through transparency reduction or irregular astigmatism in post-recovery patients.


Klin Monbl Augenheilkd


Siebert C,Menges A,Tost FH




Has Abstract


2017-01-01 00:00:00












  • Reattachment of Descemet's membrane using C3F8 gas in an eye with a Baerveldt aqueous shunt.

    abstract::Descemetʼs membrane detachment (DMD) is a rare complication following cataract and glaucoma surgery as well as lamellar graft procedures. DMD can lead to blurry vision, halos and severe visual loss. Clinically, when there is a large central detachment, a double anterior chamber is seen to form. In this scenario, surgi...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Wimmersberger Y,Bergin C,Sharkawi E

    更新日期:2013-04-01 00:00:00

  • [Results of Cüpper's "thread fixation" in squinters with inconstant angle (author's transl)].

    abstract::The results of strabismus operations on strabismus patients with variable angles are presented. The so-called "Fadenfixation" (Cüppers) is compared with the usual recess-resect method. Of the 62 cases of strabismus with variable angle which were operated without the "Fixation", only 3 cases were parallel post-operatio...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Behrens-Baumann W,Wölz U

    更新日期:1978-12-01 00:00:00

  • [Controlled hypotension by sodium-nitroprusside in general anaesthesia for difficult intraocular surgery (preliminary report) (author's transl)].

    abstract::General anaesthesia was performed in 75 patients with difficult intraocular procedures in which the standard relaxation and hyperventilation was supplemented by controlled short-term hypotension by sodium-nitroprusside. This resulted in a significant decrease of the "vis a tergo"--e.g. the threatening prolaps of intra...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Naumann GO,Eisert S,Gieler J,Baur KF

    更新日期:1977-06-01 00:00:00

  • [Effect of rubeosis iridis and active neovascularization of the fundus on vitreous surgery in diabetic retinopathy].

    abstract::To determine the influence of preoperative rubeosis iridis and active neovascularization at the fundus on surgical results, the authors analyzed a consecutive series of 85 eyes that underwent vitrectomy for diabetic tractional detachment of the macula. Minimum follow-up was 12 months. Rubeosis was present in 51%, acti...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Oldendoerp J,Spitznas M

    更新日期:1988-06-01 00:00:00

  • [Idiopathic episcleral venous stasis with secondary open-angle glaucoma (Radius-Maumenee syndrome)].

    abstract:BACKGROUND:Dilated episcleral vessels may be observed in patients with orbital tumors, carotid-cavernous-sinus fistula and other orbital obstructive lesions. As an idiopathic phenomenon dilated episcleral vessels may be associated with secondary open-angle glaucoma. PATIENT:We report on a 59-year-old patient with a hi...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Groh MJ,Küchle M

    更新日期:1997-08-01 00:00:00

  • [Results of combined cataract/glaucoma operations (author's transl)].

    abstract::In general the combined cataract/glaucoma operation is a good procedure for treating cataract and glaucoma simultaneously. The operation was performed in 157 eyes between 1976 and 1980. The mean IOP remained constant after surgery for a follow-up period of over three years on average. The review covered 136 eyes, of w...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Robert Y,Gloor B

    更新日期:1982-05-01 00:00:00

  • [Autosome dominant vitreoretinal dystrophy with skeletal dysplasia in one generation].

    abstract::We report on ten patients of four generations with autosomal dominant vitreoretinal dystrophy with different manifestation. The ophthalmological findings are retinal detachment, retinal holes, retinoschisis, lattice and snowflake degeneration, vitreoretinal adhesions, chorioretinal atrophy and peripheral pigment epith...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Lang GE,Laudi B,Pfeiffer RA

    更新日期:1991-03-01 00:00:00

  • [Torsional shift operation, a tool in complete early childhood strabismus].

    abstract::By means of torsional shift operation, or "rotatory Kestenbaum procedure" - in which both ocular bulbs are rotated to the side to which the head is inclined - head malpostures can be eliminated or alleviated in three out of four cases. This applies both to the smaller group of patients with true nystagmus compensation...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: de Decker W,Conrad HG

    更新日期:1988-12-01 00:00:00

  • [Independence of retinopathy and optic atrophy in the DIDMOAD syndrome].

    abstract::A brother and a sister with DIDMOAD syndrome (diabetes insipidus, diabetes mellitus, optic atrophy, deafness, etc.) are described. The 15-year-old girl was suffering from severe optic atrophy, severe sensorineural hearing loss but only slight diabetic retinopathy. The 16-year-old boy presented with symptoms which were...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Hennekes R,Koletzko S,Hockauf H

    更新日期:1984-08-01 00:00:00

  • [Effect of diffractive multi-focal lenses on contrast vision, glare sensitivity and color vision].

    abstract:BACKGROUND:Due to theoretical considerations an increase in the depth of field of the diffractive IOL may be combined with a reduction in contrast sensitivity, glare sensitivity and colour perception. PATIENTS AND METHODS:A comparative analysis of both eyes was performed in ten patients with a diffractive multifocal I...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Rüther K,Eisenmann D,Zrenner E,Jacobi KW

    更新日期:1994-01-01 00:00:00

  • [Hemianopsias in cortical and subcortical lesions of the visual system: what is the difference?].

    abstract::The neuronal correlate of perception in the visual area remains unimpaired in lesions of the optic tracts or the radiatio optica. Hemianopsias due to lesions of these pathways are perceived immediately. On the contrary, hemianopsias due to a lesion of the visual cortex are not perceived or are only indirectly realized...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审


    authors: Baumgartner G

    更新日期:1988-05-01 00:00:00

  • [Ophthalmological symptoms following extrathoracal reanimation (author's transl)].

    abstract::In patients with cardiac arrest and extrathorakal reanimation, hyposphagma, vitreous and retinal hemorrhages, fat embolism in the retinal arteries as well as fluffy exudates of the fundus were observed. Pathogenesis and connections with Purtscher's traumatic angiopathic retinopathy are discussed. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Rochels R,Schmitt EJ

    更新日期:1980-12-01 00:00:00

  • [Fluorescein fundus angiography of the iris (author's transl)].

    abstract::A special method of examining hemodynamic and hydrodynamic conditions of the iris and the ciliary body is described. The process is based on the injection of fluorescein solution into the vortex vein of a rabbit. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Bisantis C,Romeo G

    更新日期:1980-10-01 00:00:00

  • [Carcinoma in situ of the conjunctiva bulbi. Clinical and histopathologic findings].

    abstract::The present paper communicates clinical and pathohistologic findings in a case of carcinoma in situ of the conjunctiva (Bowen's disease) with a five-year course. Initially, there are clinical similarities between Bowen's disease and Mooren's ulcer; the diagnosis can be established on the basis of the histologic findin...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Pham Duy T,Scholman HJ,Mercks C

    更新日期:1987-10-01 00:00:00

  • [New aspects of corneal pachymetry in congenital glaucoma and pediatric aphakic glaucoma].

    abstract:BACKGROUND:Knowledge of individual corneal thickness in individual eyes is proving to be more and more crucial for correcting Goldmann applanation tonometry, as well as to assess its predictive value regarding the possible progression of glaucomatous damage. It has become an important factor in determining appropriate ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Jordan JF,Dietlein TS,Dinslage S,Krieglstein GK

    更新日期:2005-11-01 00:00:00

  • [Anatomic and subjective success of structured surgical treatment strategy in the management of chronic epiphora - a postoperative analysis of contentment].

    abstract:BACKGROUND:Epiphora is the result of hypersecretion or reduced tear outflow because of relative or absolute obstruction of the lacrimal system. For the treatment a specific surgical procedure is usually required. Herein we present the subjective and objective findings of 243 consecutive patients with non-irritative ind...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Eisenbeis C,Neppert B,Menke T,Pape S,Schrader S,Geerling G,Müller M

    更新日期:2010-11-01 00:00:00

  • [Implant Design by Means of Multiphoton Polymerization].

    abstract:BACKGROUND:Additive manufacturing and 3D printing create new paths for the design and manufacturing of implants. Technologies with high resolution are required for the development of microstructured eye implants. In the present study, we demonstrate how these technologies can be used during the design development and m...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Hinze U,El-Tamer A,Reiß S,Stolz H,Guthoff R,Stachs O,Chichkov BN

    更新日期:2015-12-01 00:00:00

  • [Sensitivity of the computer perimeter Competer in early glaucomatous loss of visual field. A controlled study].

    abstract::Comparative examinations were carried out under controlled conditions in 101 eyes of 66 open-angle glaucoma patients with field defects (Stages I-III according to Aulhorn) with the Octopus and Competer computerized perimeters. The results of the Octopus perimetry were selected as a reference system to evaluate the sen...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Gramer E,Gerlach R,Krieglstein GK

    更新日期:1982-03-01 00:00:00

  • [Acute retinal necrosis].

    abstract::Acute retinal necrosis (ARN) is a rare entity caused by Herpes viruses. An immunocompromised background and the complications of ARN mostly lead to a poor visual outcome. Confirmation of the early diagnosis through polymerase chain reaction and antibody detection from aqueous or vitreous taps is recommended to improve...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审


    authors: Winterhalter S,Adams O,Althaus Ch,Stammen J,Schöler EM,Joussen AM

    更新日期:2007-07-01 00:00:00

  • [A long-term study of morphological and functional developments after central serous chorioretinitis].

    abstract::Of 163 patients suffering from central serous chorioretinopathy, 40 who had been treated by light coagulation and 40 who had been treated conservatively were selected at random. They were examined at intervals averaging 5.7 and 4.6 years respectively after the initial treatment. Central visual acuity, central visual f...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Fuhrmeister H

    更新日期:1983-06-01 00:00:00

  • [Treatment of therapy resistant congenital postsaccular lacrimal duct stenosis with the flexible indwelling catheter].

    abstract::A flexible silicone-rubber suturamide retention tube, the procedure of intubation and special instruments for the repair of persistent congenital nasolacrimal duct obstructions are described. The results of the treatment of 8 infants are discussed. With the exception of one functional failure, the very good results ar...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Struck HG,Fikentscher R

    更新日期:1984-10-01 00:00:00

  • [Comparative results of deep sclerectomy transformed to trabeculectomy and classical trabeculectomy].

    abstract:OBJECTIVE:To study the learning risk of a new surgical technique, the deep sclerectomy (DS), which may be complicated with a perforation of the trabeculodescemetic membrane. To do so, we compared the results and the complications of patients who underwent DS transformed in trabeculectomy (DSt) and those of patients who...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Sanchez E,Schnyder CC,Mermoud A

    更新日期:1997-05-01 00:00:00

  • [Comparing specific disc findings of a European and a Bantu population].

    abstract:BACKGROUND:Glaucoma is the main cause of irreversible blindness in the world. Because of the increasing mean age, glaucoma is expected to become more common in the developing countries. Besides tonometry and perimetry the appearance of the optic nerve head is a main part of glaucoma diagnosis. Ethnic differences have t...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Krueger H,Schittkowski MP,Kilangalanga N,Hopkins A,Guthoff R

    更新日期:2009-10-01 00:00:00

  • [Corneal endothelial damage in congenital and juvenile glaucoma].

    abstract::Corneal changes are typical for infantile glaucoma. In newborns, Descemet's membrane and the stroma are still soft, and distend when intraocular pressure rises. Cell counts were performed under the reflecting microscope to determine whether the endothelium is affected when corneal diameter increases and changes occur ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Wenzel M,Krippendorff U,Hunold W,Reim M

    更新日期:1989-12-01 00:00:00

  • [Epibulbar osteomas (author's transl)].

    abstract::Epibulbar osteomas are benign tumors which are usually present at birth. Up to now 39 cases have been described in the literature. In the last three years 4 further cases have been found in the Freiburg, Hamburg, Marburg, and Munich University Eye Clinics. Epibulbar osteomas probably occur more often than is generally...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Bujara K,Stefani FH,Strempel I,Witschel H

    更新日期:1980-03-01 00:00:00

  • [Experimental studies of the significance of the renin-angiotensin system in the retina. A review].

    abstract::BACKGROUND Many peptides now identified in the brain were previously thought of as exclusively peripheral hormones. Among those, the renin-angiotensin system (RAS) is not only found to be of great importance in peripheral vasomotor and electrolyte homeostasis but also acts as neurotransmitter or modulator in the centr...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审


    authors: Jacobi PC,Jurklies B,Kohler K,Zrenner E

    更新日期:1994-06-01 00:00:00

  • [Anti-inflammatory effect of topical diclofenac sodium (Voltarène Ophta) after argon laser trabeculoplasty: preliminary results of a prospective double-blind method].

    abstract::Using the laser flare-cell meter (LFMC), we have previously determined the intensity and pattern of post-ALT ocular inflammation. Inflammation peak occurs 48 hours after ALT and clinically relevant inflammation is seen in 100% of pigmentary glaucomas (PIG), 75% of pseudoexfoliative glaucomas (PEXG) but only in 25% of ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Herbort CP,Mermoud A,Schnyder C,Pittet N

    更新日期:1992-05-01 00:00:00

  • [Discovery of Loa ophthalmia by the French ship's surgeon François Guyot (1742-1816)].

    abstract::We are indebted to François Guyot (4. 10. 1742-13. 6. 1816) for the term "loa," designating a species of filaria, pathogenic in humans, which is common tropical West Africa. Biographical details about this French ship's surgeon are published here for the first time. On several slave-trading voyages between Africa and ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 传,历史文章,杂志文章


    authors: Huber HG,Grüntzig J

    更新日期:1986-08-01 00:00:00

  • [Pronounced physiological pupillary hippus].

    abstract:BACKGROUND:The term "hippus" describes pupillary oscillations of variable amplitude and frequency and may be physiological or part of a pathological entity. Thus, pupillary hippus is often the target of extensive clinical investigation. CASE REPORT:A 9-year-old boy was seen in our emergency room in March 1998. Examina...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Hafezi F,Boltshauser E,Landau K

    更新日期:2000-02-01 00:00:00

  • [Myelinization of the optic nerve in the albino mouse (the Agnes Bluhm Jena-Halle strain)].

    abstract::Knowledge of normal differentiations is indispensable for interpreting developmental disturbances in animal experiments. Accordingly, the investigations described in the present paper were aimed at explaining the process of myelinization of the optic nerve in the domestic mouse breed Agnes Bluhm Jena-Halle. First sign...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章


    authors: Bernstein E,Tost M,Holzhausen HJ

    更新日期:1983-10-01 00:00:00