Skip to main content
SpringerLink
Log in

Ophthalmologische Befunde als Hinweis auf internistische Erkrankungen

Ophthalmological findings as a hint for systemic disease

  • Schwerpunkt
  • Published:
Der Internist Aims and scope Submit manuscript

Zusammenfassung

Viele Augenerkrankungen treten im Rahmen von Systemerkrankungen auf oder können Hinweise auf internistische Erkrankungen liefern. Gelegentlich ist die ophthalmologische Erkrankung die erste Manifestation eines allgemeinen Leidens. Die zunehmende Spezialisierung der Facharztgruppen macht es immer anspruchsvoller, die Schnittstellen zu anderen Fachrichtungen vollständig zu überschauen. Umso wichtiger ist die interdisziplinäre Betreuung komplexer Krankheitsbilder in Diagnostik und Therapie geworden. Zum einen sollen in einem Umfeld knapper werdender Ressourcen keine unnötigen Maßnahmen ergriffen werden und in der Diagnostik zielgerichtet vorgegangen werden. Andererseits darf eine offensichtlich notwendige Diagnostik nicht ausgelassen werden.

Abstract

Many eye diseases are associated with systemic diseases. Moreover, ophthalmological findings can be first manifestations of systemic diseases. Therefore internists and ophthalmologists should be familiar with the signs, symptoms, and the management of eye diseases with a possible systemic association. Due to subspecialization in medicine an interdisciplinary approach is mandatory for optimal patient care. In this article examples of eye diseases with a possible association with systemic diseases are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Abu El-Asrar AM, Herbort CP, Tabbara KF (2009) A clinical approach to the diagnosis of retinal vasculitis. Int Ophthalmol [Epub ahead of print]

  2. Akpek EK Thorne JE, Qazi FA et al. (2004) Evaluation of patients with scleritis for systemic disease. Ophthalmology 111: 501–506

    Article  PubMed  Google Scholar 

  3. Bullen CL, Liesegang TJ, McDonald TJ, DeRemee RA (1983) Ocular complications of Wegener’s granulomatosis. Ophthalmology 90: 279–290

    CAS  PubMed  Google Scholar 

  4. Chang JH, McCluskey PJ, Wakefield D (2005) Acute anterior uveitis and HLA-B27. Surv Ophthalmol 50: 364–388

    Article  PubMed  Google Scholar 

  5. Fraser S, Siriwardena D (2002) Interventions for acute non-arteritic central retinal artery occlusion. Cochrane Database Syst Rev: CD001989

    Google Scholar 

  6. Galor A, Thorne JE (2007) Scleritis and peripheral ulcerative keratitis. Rheum Dis Clin North Am 33: 835–854

    Article  PubMed  Google Scholar 

  7. Hansen LL, Wiek J, Wiederholt M (1989) A randomised prospective study of treatment of non-ischaemic central retinal vein occlusion by isovolaemic haemodilution. Br J Ophthalmol 73: 895–899

    Article  CAS  PubMed  Google Scholar 

  8. Haynes BF, Fishman ML, Fauci AS, Wolff SM (1977) The ocular manifestations of Wegener’s granulomatosis. Fifteen years experience and review of the literature. Am J Med 63: 131–141

    Article  CAS  PubMed  Google Scholar 

  9. Hayreh SS (2009) Ischemic optic neuropathy. Prog Retin Eye Res 28: 34–62

    Article  PubMed  Google Scholar 

  10. Hayreh SS (2005) Prevalent misconceptions about acute retinal vascular occlusive disorders. Prog Retin Eye Res 24: 493–519

    Article  PubMed  Google Scholar 

  11. Hayreh SS, Podhajsky PA, Zimmerman MB (2009) Retinal artery occlusion: associated systemic and ophthalmic abnormalities. Ophthalmology 116: 1928–1936

    Article  PubMed  Google Scholar 

  12. Lemmen KD, Helbig H (2009) Diabetic retinopathy and maculopathy update. Laser coagulation and vitreoretinal surgery as established therapies. Diabetologe 4: 102–109

    Article  Google Scholar 

  13. Mohamed Q, McIntosh RL, Saw SM, Wong TY (2007) Interventions for central retinal vein occlusion: an evidence-based systematic review. Ophthalmology 114: 507–519, 524

    Article  PubMed  Google Scholar 

  14. Neß T, Auw-Hädrich C, Schmidt D (2006) Riesenzellarteriitis (Arteriitis temporalis, Arteriitis cranialis) – Klinik, Histologie und Therapie. Ophthalmologe 103: 296–301

    Article  PubMed  Google Scholar 

  15. Ponto KA, Kahaly GJ, Pitz S (2009) Update endokrine Orbitopathie. Klin Monatsbl Augenheilkd 226: 13–31

    Article  Google Scholar 

  16. Prahs P, Helbig H (2009) Diabetic eye disease. Ther Umsch 66: 183–188

    Article  PubMed  Google Scholar 

  17. Rootman J (1988) Diseases of the orbit. Lippincott, Philadelphia

  18. The Eye Disease Case-Control Study Group (1996) Risk factors for central retinal vein occlusion. Arch Ophthalmol 114: 545–554

    Google Scholar 

  19. Unsöld R (2008) Anteriore ischämischen Optikusneuropathie – Äthiologie, Pathogenese und Therapie. Ophthalmologe 105: 867–882

    Article  PubMed  Google Scholar 

  20. Wong TY, Klein R, Sharrett AR et al. (2003) The prevalence and risk factors of retinal microvascular abnormalities in older persons: The cardiovascular health study. Ophthalmology 110: 658–666

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Augenheilkunde, Universität Regensburg, Franz-Josef-Strauss-Allee 11, 93042, Regensburg, Deutschland

    W.A. Herrmann, H. Helbig & M.A. Gamulescu

Authors
  1. W.A. Herrmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Helbig
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M.A. Gamulescu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to W.A. Herrmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Herrmann, W., Helbig, H. & Gamulescu, M. Ophthalmologische Befunde als Hinweis auf internistische Erkrankungen. Internist 51, 473–481 (2010). https://doi.org/10.1007/s00108-009-2454-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00108-009-2454-3

Schlüsselwörter

Keywords

Search

Navigation