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Internistische Untersuchungen beim nichtarteriitischen retinalen Arterienverschluss

Internal medical investigations for non-arteritic retinal artery occlusion

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Zusammenfassung

Die Ursachen eines nichtarteriitischen retinalen Arterienverschlusses liegen meistens nicht im Auge selbst, sondern sind Folge thrombembolischer Ereignisse, die häufig auf dem Boden arteriosklerotischer Gefäßveränderungen entstehen, die wiederum Folge internistischer Erkrankungen sein können. Im vorliegenden Artikel werden die wichtigsten internistischen Untersuchungen aufgeführt, um entsprechende Risikoerkrankungen zu entdecken, damit eine entsprechende Therapie mit dem Ziel der Reduktion weiterer vaskulärer Ereignisse eingeleitet werden kann. Insbesondere findet auch eine kritische Bewertung bezüglich der Durchführung einer Thrombophiliediagnostik statt.

Abstract

The causes of non-arteritic retinal artery occlusions rarely originate from the eye itself but are mostly the result of thrombo-embolic events which often develop due to atherosclerotic vascular changes, which in turn are often a consequence of internal diseases. In this article the most important internal medical examinations to identify related risk conditions are highlighted, which ensure that appropriate therapy can be initiated to reduce further possible vascular events. Additionally, a critical assessment is made concerning the implementation of thrombophilia diagnostics.

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Heinz, J. Internistische Untersuchungen beim nichtarteriitischen retinalen Arterienverschluss. Ophthalmologe 107, 806–813 (2010). https://doi.org/10.1007/s00347-009-2112-0

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