[Optic Nerve Head Diagnostics with Optical Coherence Tomography].

Abstract:

BACKGROUND:With a cooperative patient, examination of the optic nerve head using optical coherence tomography (OCT) is fast and easy to perform and facilitates identification and monitoring of different pathological changes in the optic nerve head. MATERIALS AND METHODS:Characteristic findings and scanning options are illustrated using case examples to simplify recognition of infrequent diseases of the optic nerve head and to facilitate treatment decisions using OCT results. RESULTS:Pathological changes and characteristic OCT findings are shown for glaucoma, for different anomalies of the optic nerve head, for non-glaucomatous optic atrophies and for optic disc swelling for different reasons. The most suitable OCT parameters and examination modes are listed to differentiate between specific pathological changes. CONCLUSION:Optic nerve head examination using the OCT facilitates rapid diagnosis of infrequent and hard to distinguish pathological changes, as well as exact monitoring of chronic progressive diseases of the optic nerve. Correct application and evaluation of results gathered using OCT examination of the optic nerve head facilitates accurate diagnosis and correct decisions. HINTERGRUND:Die Untersuchung des Sehnervenkopfs mit der optischen Kohärenztomografie (OCT) ist beim kooperativen Patienten schnell und einfach durchzuführen und erleichtert die Erkennung und Verlaufskontrolle verschiedener pathologischer Veränderungen der Papille deutlich. MATERIAL UND METHODEN:Anhand von Beispielen sollen Möglichkeiten und typische Befunde der OCT-Untersuchung der Papille dargestellt werden, um die Erkennung auch seltener Erkrankungen des Sehnervs zu vereinfachen und korrekte Therapieentscheidungen fundiert treffen zu können. ERGEBNISSE:Pathologische Veränderungen an der Papille und typische Papillen-OCT-Befunde bei Glaukom, bei verschiedenen Papillenanomalien, bei nicht glaukomatös bedingten Optikusatrophien und bei Papillenschwellungen unterschiedlicher Genese werden beschrieben. Darüber hinaus werden diejenigen OCT-Parameter und Untersuchungsmodalitäten dargestellt, mithilfe derer sich die jeweiligen Krankheitsbilder am einfachsten durch den Untersucher erkennen lassen. SCHLUSSFOLGERUNG:Die Untersuchung der Papille mittels OCT ermöglicht eine schnelle Diagnostik auch seltener und ophthalmoskopisch schwierig zu erkennender Pathologien des Sehnervenkopfs und genaueste Verlaufsuntersuchungen chronisch-progredienter Erkrankungen. Mithilfe der OCT-Untersuchung der Papille können bei richtiger Anwendung und Auswertung die richtigen Diagnosen korrekt gestellt werden und wichtige Therapieentscheidungen deutlich vereinfacht werden.

journal_name

Klin Monbl Augenheilkd

authors

Unterlauft JD,Tegetmeyer H

doi

10.1055/s-0042-116073

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

47-57

issue

1

eissn

0023-2165

issn

1439-3999

journal_volume

235

pub_type

杂志文章,评审
  • [Are there genuine and pseudo-normal pressure glaucomas? Body position-dependent intraocular pressure values in normal pressure glaucoma].

    abstract:BACKGROUND:Elevation of intraocular pressure in the supine position has been previously described in literature. Aim of this study is to investigate the elevation of intraocular pressure in normal tension glaucoma and its effect on the morphology of the optic disc, visual field function and capillary blood flow of the ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035128

    authors: Mardin CY,Jonas J,Michelson G,Jünemann A

    更新日期:1997-10-01 00:00:00

  • [Nyktometric examinations on eye function in diabetic retinopathy (author's transl)].

    abstract::By means of nyctometry we examinated in a group of normal persons and in a group of juvenile diabetics if the adaptability of the adaptation system in possible under various conditions of initial adaptation. It appears, that nondiabetics possess a sufficiently reactive functional system, while in diabetics, we found a...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Schulze DP,Freese R,Sauerwald R

    更新日期:1976-09-01 00:00:00

  • [Conventional versus digital planimetry of optic disc photograph: a clinical comparative study].

    abstract:BACKGROUND:The optic disc size is an important parameter for the diagnosis of glaucomatous and non-glaucomatous optic nerve damage. The aim of this study was to compare quantitative measurements of the optic disc with the established conventional planimetry and a new digital method using Soft imaging system analySIS(tm...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2001-18664

    authors: Nguyen NX,Horn FK,Langenbucher A,Mardin CY

    更新日期:2001-11-01 00:00:00

  • [Videography with the slit lamp].

    abstract:BACKGROUND:Many new diagnostic instruments have been introduced for imaging in ophthalmology, particularly for retinal diseases and diagnostics in glaucoma. The slit lamp, however, as the most important instrument in practical ophthalmological work, has been largely unchanged for decades. It will be shown that a video ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0031-1281765

    authors: Gellrich MM

    更新日期:2011-12-01 00:00:00

  • [Evidence of silicone oil deposits via high resolution ultrasound].

    abstract:BACKGROUND:Using biomicroscopy the evidence of deposits of silicone oil in the anterior segment after vitrectomy is limited. We examined the anterior segment by high resolution ultrasound to verify the possibility to identify silicone oil. MATERIALS AND METHODS:Ten patients treated by vitrectomy with instillation of s...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2002-36327

    authors: Bruder R,Clemens S,Tost F

    更新日期:2002-11-01 00:00:00

  • Contact Lenses in the Management of Corneal Dystrophies.

    abstract::Among the group of diseases comprising corneal dystrophies, there are a number for which contact lenses may be considered. For example, soft contact lenses may be beneficial in the management of recurrent corneal erosions and advanced bullous keratopathy and may lead to disease attenuation in some conditions. They als...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/a-0735-9801

    authors: Farooq AV,Colby K

    更新日期:2020-02-01 00:00:00

  • [Circumscribed peripheral (equatorial or pre-equatorial) retinoschisis (author's transl)].

    abstract::Circumscribed areas of retinoschisis along or anterior to the Equator occur mainly in elderly subjects. Diagnosis is based on biomicroscopic criteria. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1057704

    authors: Slezak H,Kenyeres P

    更新日期:1980-12-01 00:00:00

  • [Simulation of anterior ischemic optic neuropathy by optic nerve sheath meningioma].

    abstract:BACKGROUND:The optic nerve sheath meningioma usually presents with a diffuse atrophy of the disc and a diffuse depression of the visual field. Applying this rule too rigidly can lead to a false diagnosis. PATIENT:A 45y-old-woman presented with atrophy of the upper disc and a corresponding altitudinal field defect in h...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035368

    authors: Guhlmann M,Kommerell G

    更新日期:1995-09-01 00:00:00

  • [Refractive benefit and incremental costs of LASIK: results of a cost benefit study in two universities' LASIK departments].

    abstract:BACKGROUND:No data is available to date on the cost effectiveness of laser in situ keratomileusis (LASIK) with regard to the German-speaking health care system. Hence we compared the clinical outcome and cost data of two German LASIK centres in respect of procedure cost effectiveness from the patient perspective. MATE...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2003-39424

    authors: Krummenauer F,Roden M,Knorz MC,Dick HB

    更新日期:2003-05-01 00:00:00

  • [Atopic keratoconjunctivitis].

    abstract::It is useful to define atopic keratoconjunctivitis (AKC) as a non-infectious inflammatory condition of the ocular surface, which is associated with atopy. The pathogenesis of the disorder is not completely understood. The diagnosis is based on the patient's history and the clinical manifestations. Successful managemen...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1368396

    authors: Sobolewska B,Zierhut M

    更新日期:2014-05-01 00:00:00

  • [Comparative results of keratometry with three different keratometers after LASIK].

    abstract:BACKGROUND:Postoperative hyperopia is a frequent result of cataract surgery in eyes after previous myopic kerato-refractive surgery. One reason for the underestimation of intraocular lens (IOL) power is the wrong corneal refractive power measurement obtained by keratometers and corneal topography systems after LASIK. T...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2005-858212

    authors: Schäfer S,Kürzinger G,Spraul CW,Kampmeier J

    更新日期:2005-05-01 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

    doi:10.1055/s-0029-1245455

    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

  • [Virological diagnosis of ocular adenovirus infection].

    abstract::For laboratory diagnosis, virus isolation and identification from conjunctival swabs should be combined with serology (two blood specimens: early and 14 days or later after onset of disease). The group-specific complement fixation fails in almost one-half of the cases. Additional type-specific reactions (neutralizatio...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1055142

    authors: Wigand R,Keller D

    更新日期:1982-06-01 00:00:00

  • [Results of ranibizumab treatment for choroidal neovascularization secondary to pathological myopia].

    abstract:PURPOSE:Choroidal neovascularization (CNV) secondary to pathological myopia (PM) occurs in up to 10 % of PM and the natural course often leads to a considerable deterioration of visual acuity. Treatment options like laser or PDT can stabilize visual acuity. Alternatives like ranibizumab are new treatment options that s...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0031-1273210

    authors: Hefner L,Riese J,Gerding H

    更新日期:2011-04-01 00:00:00

  • [Variability of laminin isoforms in the limbus region of the eye].

    abstract:BACKGROUND:Cell adhesion in the limbal region is of outstanding importance for the regeneration of the corneal epithelium and for repair mechanisms after antiglaucomatous fistulating surgery. In the basement membranes cell adhesion is largely modified by the extracellular matrix protein laminin. The aim of our study wa...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035120

    authors: Dietlein TS,Jacobi PC,Paulsson M,Smyth N,Krieglstein GK

    更新日期:1997-09-01 00:00:00

  • [The effect of levobunolol eyedrops on trabecular outflow of aqueous humor in chronic simple glaucoma].

    abstract::The present paper reports a double-blind, cross-over, randomized study in which 31 patients (62 eyes) suffering from open-angle glaucoma were included. These patients were treated for one year with 0.5% levobunolol and 0.5% timolol ophthalmic solutions and followed up. Tonographic examinations of outflow facility show...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Călugăru M

    更新日期:1989-03-01 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

    doi:10.1055/s-2008-1050052

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

    更新日期:1989-12-01 00:00:00

  • [Stem Cells for Retina Replacement].

    abstract::In ophthalmology, regenerative medicine is rapidly becoming a reality. Cell based treatment strategies in end stage retinal degeneration may be of therapeutic value, whatever the mechanism of disease mechanism. However, while corneal transplantation is commonly performed with excellent results, many obstacles must be ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-105873

    authors: Seitz IP,Achberger K,Liebau S,Fischer MD

    更新日期:2016-12-01 00:00:00

  • [Topography-assisted correction of superficial irregularities of the cornea with the excimer laser].

    abstract:BACKGROUND:A retinal image performance distorted by an asymmetric or irregular corneal surface cannot be compensated for with spherocylindric glasses completely. The best-corrected visual acuity is markedly decreased and contact lens fitting often impossible. The purpose of this study was to calculate the differential ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1034963

    authors: Langenbucher A,Seitz B,Kus MM,van der Heyd GJ

    更新日期:1998-09-01 00:00:00

  • [Melatonin biosynthesis in the mammalian retina in dependence of light adaptation (author's transl)].

    abstract::1. The biosynthesis of melatonin was investigated in retinaextracts of bovine eyes in dependence of light adaptation of the animals. S-adenososyl (Methyl-14C) methionin and acetylserotonin were used as substrates. A higher melatonin-biosynthesis was found in the retina from animals which were adapted to lower illumina...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Cremer-Bartels G,Hollwich F,Kotulla W

    更新日期:1975-07-01 00:00:00

  • [Periocular sub-tenon triamcinolone acetonide injections for the treatment of retinal angiomatous proliferation (RAP) and occult choroidal neovascularisation].

    abstract:BACKGROUND:Intravitreal triamcinolone injections are used for the treatment of occult choroidal neovascularisations (CNV) combined with photodynamic therapy (PDT). However, this therapy is not without considerable risks. The periocular mode of application seems to be a logical alternative. PATIENTS AND METHODS:A retro...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2006-927396

    authors: Rutishauser-Arnold Y,Thölen AM

    更新日期:2007-04-01 00:00:00

  • [Frequency and risk factors of intraocular pressure increase after penetrating keratoplasty].

    abstract:PURPOSE:The aim of this study was to evaluate the incidence, risk factors and management of glaucoma following penetrating keratoplasty (PK) and to check for possible correlations with the indication for PK. PATIENTS AND METHODS:534 eyes of 483 patients (age 54.7 +/- 19.8 years), that had undergone PK from 1989 to 199...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2000-10388

    authors: Nguyen NX,Langenbucher A,Seitz B,Küchle M

    更新日期:2000-08-01 00:00:00

  • [Surgical transvenous embolization of spontaneous carotid cavernous sinus fistulas in two patients].

    abstract:BACKGROUND:Arteriovenous communications in which blood flows from meningeal branches of the internal and external carotid arteries into the venous circulation around and in the cavernous sinus are termed spontaneous (dural) carotid sinus cavernous fistulas. Due to their mostly low shunt volume they are rarely life thre...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2000-10356

    authors: Schmidbauer JM,Voges M,Hagen T,Ruprecht KW

    更新日期:2000-10-01 00:00:00

  • [Current status of infrared photoablation of the cornea].

    abstract:BACKGROUND:IR-photothermal ablation has, for some time, been described as an alternative to UV photoablation with Excimer lasers. Both procedures are based on different laser-tissue-interactions. IR solid state lasers have cost advantages over UV laser technology and allow a broader clinical use. New beam shaping princ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1034776

    authors: Jean B,Bende T

    更新日期:1999-04-01 00:00:00

  • [Keratoconus in Mulvihill-Smith syndrome].

    abstract:BACKGROUND:The Mulvihill-Smith syndrome consists of a large number of stigmata. A few of them are also seen in the LEOPARD syndrome. In both syndromes keratoconus has not yet been reported. PATIENT:We present a twenty-year-old male patient suffering from keratoconus in connection with a Mulvihill-Smith syndrome. A ker...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1045490

    authors: Rau S,Duncker GI

    更新日期:1994-07-01 00:00:00

  • [The relationship between the temperature increase caused by phacoemulsification and the damage to the corneal endothelium].

    abstract:PURPOSE:Endothelial cell damage can be found after a phacoemulsification. The reason for this cell damage is not yet known. The temperature rise inside the anterior chamber during the emulsification of the lens is considered as a potential damage mechanism. The aim of this study was to investigate the relationship betw...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0034-1382848

    authors: Buschschlüter S,von Eicken J,Wilhelm U,Wilhelm F,Werschnik C,Schlüter R,Koch C,Höh H

    更新日期:2014-08-01 00:00:00

  • [The prognostic value of the laser-interference-fringe-test with cataract patients (author's transl)].

    abstract::The retinal visual acuity of 198 cataractous eyes was tested with interference-fringes and compared with the post-operative visual acuity. A new method of creating interference-fringes was used. The interference-fringe technique showed its special clinical value with immature cataracts. It is of certain value also wit...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Rassow B,Rätzke P

    更新日期:1977-10-01 00:00:00

  • [Histology and therapy of diabetic traction detachment].

    abstract::Diabetic tractional detachment of the retina is caused by shrinking processes of the vitreous, which at most detaches only partially, and by shrinking of epiretinal proliferations. The shrinking of the vitreous results in tractional forces working centripetally and toward the base of the vitreous. The shrinking of the...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1054438

    authors: Faulborn J

    更新日期:1984-03-01 00:00:00

  • [Flicker comparison of optic disc photographs: sensitivity and specificity].

    abstract:BACKGROUND:Examination and documentation of the optic nerve head are essential in monitoring glaucoma patients. Even minor changes in optic nerve head morphology can be visualised using the so-called flicker test: Two optic nerve head photographs, taken at consecutive examinations, are superimposed by projection. When ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2002-36946

    authors: Funk J,Lagrèze W,Zeyen T,European Glaucoma Prevention Study Group.

    更新日期:2002-12-01 00:00:00

  • [The anterior hyaloid membrane of the vitreous body in congenital ectopic lens].

    abstract::Congenital, bilaterally symmetrical dislocation of the lens within the posterior chamber is referred to as lens ectopia. The behavior of the anterior hyaloid membrane in congenital lens ectopia has not been considered hitherto. The anterior hyaloid membrane in the aphakic area of the pupil is intact or ruptured and th...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1050519

    authors: Slezak H,Arocker-Mettinger E

    更新日期:1987-11-01 00:00:00