Individuelle Behandlung bei Glaukompatienten mit einem Diabetes mellitus

Jan Lübke

doi:10.1055/a-2044-6415

Diabetes aktuell, Table of Contents

Diabetes aktuell 2023; 21(02): 68-73
DOI: 10.1055/a-2044-6415

Schwerpunkt

Individuelle Behandlung bei Glaukompatienten mit einem Diabetes mellitus

Pathophysiologie, Komorbiditäten und therapeutische Konsequenzen

Jan Lübke

¹Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Deutschland

› Author Affiliations

Abstract

ZUSAMMENFASSUNG

Das Glaukom und der Diabetes mellitus sind zwei in Europa und weltweit häufig vorkommende chronische Erkrankungen, die einer intensiven Therapie bedürfen. Pathophysiologisch werden verschiedene Mechanismen diskutiert, die vor allem beim Vorliegen eines Diabetes mellitus die Entstehung eines Glaukoms begünstigen. Die medikamentöse und chirurgische Einstellung des Augeninnendruckes ist bei Patienten mit einem Diabetes mellitus mit einigen Einschränkungen verbunden, so zeigen die filtrierenden Eingriffe geringere Erfolgsraten als bei nicht an Diabetes erkrankten Glaukompatienten. Neben der rein augenheilkundlich-endokrinologischen Therapie sollte ebenfalls die psychologische Belastung durch zwei chronische Erkrankungen bedacht und in den individuellen Therapieplan aufgenommen werden.

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References

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