Stellungnahme des Berufsverbandes der Augenärzte Deutschlands, der Deutschen Ophthalmologischen Gesellschaft und der Retinologischen Gesellschaft zur Lasertherapie von Drusen bei altersabhängiger Makuladegeneration (AMD)^[*]

Kernaussagen

Die konventionelle Laserkoagulation der Drusen bei AMD führt zwar zu einer Regression von Drusen, nach jetzigem Wissensstand aber nicht zu einer Reduktion des Progressionsrisikos der AMD und sollte daher nicht erfolgen.

Neuere „Mikropuls-“ und/oder „Subthreshold-Laserverfahren“ sind bei der frühen und intermediären trockenen AMD (in Abwesenheit von geografischer Atrophie) noch in klinischer Erprobung. Es liegt gegenwärtig keine ausreichende wissenschaftliche Evidenz vor, um die Wirksamkeit bei der AMD abschließend beurteilen zu können.

Aktuell sollen alle Arten möglicher retinaler Lasertherapien bei trockener AMD nicht außerhalb von klinischen Studien durchgeführt werden.

^* Dieser Beitrag wird ebenfalls in der Zeitschrift Der Ophthalmologe, Springer Verlag, Berlin Heidelberg 2017, veröffentlicht.

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