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80 D eu tsch e O p h th a ln io lo g isc h e G esellsch aft m it e in e r L ig a tu rs c h e r e an g eleg t. Die Iris e in k le m m u n g k a n n w a h lw e ise n u r te m p o ra l o d e r a u c h n a s a l erfo lg en . E in e S k le r a tr e p a n a tio n v o n n u r 1 m m D u rc h m e s s e r e m p fie h lt sic h d e sh a lb , w eil sich h ei g rö ß e re m T re p a n d u rc h - m e s se r d ie Iris leich t in d ie V o rd e rk a m m e r z u rü c k z ie h e n k a n n . u) A. B a n g e rte r (St. G allen ): Z u r o p e r a t i v e n B e h a n d lu n g d e r T r ä n e n a b f l u ß s t ö r u n g e n . F ilm v o r fü h ru n g . v) K. L im itie r (W ie n ): D ie G o n io to m ie n a c h B a r k a n . F ilm v o r fü h ru n g . (F o rts e tz u n g folgt.) B u c h b e s p r e c h u n g e n - B o o k R ev iew s - L iv re s N o u v e a u x lt. T h iel: D e r D ia b e te s m e l l i t u s e in G e f ä ß - P r o b l e m ? F e r d i n a n d E n k e. S tu t t g a r t 1956. B ü c h e re i d e s A u g en arztes 25. H eft. IV + 58 S., 25 Abb. DM 13.40. D iese A rb eit is t n a c h V o rträ g e n , d ie d e r A utor a n d en U n iv e rs itä te n in H a b a n a , G u atem a la, S an Jo s é , P a n a m a u n d L im a im F r ü h j a h r 1956 g e h a lte n h a t, v e rf a ß t w o rd e n . E in le ite n d w ird a n d e r H a n d e in e r S ta tis tik n a ch g ew iesen , d a ß d ie Z ah l d e r T o d e sfä lle n a c h D ia b e te s m e llitu s in d en letz te n 40 J a h r e n a u f e in M e h rfa c h e s an g e stie g e n ist. D iese Z u n a h m e is t n ic h t n u r sc h e in b a r, s o n d e r n e in e r s e its a u f d ie v e rlä n g e rte L e b e n s d a u e r u n d v o r allem a u f die z u n e h m e n d e T e c h n is ie ru n g in d en K u ltu r lä n d e r n z u rü c k z u f ü h re n , die m it ein em h ö h e re n L e b e n s s ta n d a rd u n d d e r d a m it v e rb u n d e n e n b e ss e re n E r n ä h r u n g w e ite r B e v ö lk e ru n g s k re ise e in h e rg e h t. E in g e h e n d w ird die F ra g e e r ö r te r t , ob es ein e sp ezifisch e d ia b e tis c h e A n g io p a th ie g ib t o d e r sie n u r F o lg e e in e r g le ic h zeitig b e s te h e n d e n A rte rio sk le ro se u n d e in es N ie re n le id e n s ist. N ach e in e r Ü b e rsic h t ü b e r d en K o h le h y d ra ts to f fw e c h s e l beim N o rm a le n u n d D ia b e tik e r g ib t d e r A u to r e in e n B e ric h t ü b e r sein e eig en e n U n te rs u c h u n g e n . A u g e n h in te r g ru n d s b ild e r ü b e r F r ü h - u n d S p ä ts ta d ie n d e r R e tin o p a th ia d ia b e tic a u n d sch ö n e fa rb ig e B ild er, die G e fä ß v e rä n d e ru n g e n (K ap illaren u n d a n d e re Gefäße) b eim ju g e n d lic h e n D iab ete s, in s b e s o n d e re A n e u ry sm e n b ild u n g e n u n d W u n d e rn e tz e zeigen, w e rd e n a n m ik ro s k o p is c h e n F la c h s c h n itte n d e m o n s trie rt. In s b e s o n d e re zeigen sich d a b e i W a n d v e rd ic k u n g e n , d ie a u f A b lag eru n g en vo n S c h la c k e n s to ffe n h in w eisen . E s w e rd e n n ic h t n u r d ie G efäße d e r R etin a, s o n d e r n a u c h d e r Uvea b e tr o ffe n , in w e itg e h e n d e r Ü b e re in s tim m u n g m it d en g le ic h a rtig e n V e rä n d e ru n gen in a n d e re n O rg an en . Sie k e n n z e ic h n e n d ie K o m p lik a tio n e n bei lan g e b e s te h e n d e m D iab ete s m e llitu s a ls u n iv e rse lle G e fä ß e rk ra n k u n g m it d em h e r v o r s te c h e n d e n M erk m al e in e r K a p illa ro p a th ie . W ie d iese V e rä n d e ru n g e n e n t s te h e n , w ird a u f h y p o th e tis c h e r B asis zu e r k lä r e n g e su c h t (V e rä n d e ru n g e n d e r Io n e n - K o n z e n tra tio n in d e m u m g e b e n d e n M ilieu d e r K a p illa re n u n d h o r m o n elle S tö ru n g e n ). A n reg u n g en f ü r d ie V e rh ü tu n g bzw. B e h a n d lu n g d e r d ia b e tisc h e n G e fä ß sc h ä d e n w e rd e n a m S ch lu ß gegeben. Die L ite r a tu r d es B u ch es ist a n re g e n d u n d n ü tzlich . A. B r ü c k n e r , Basel.
Ophthalmologica – Karger
Published: Jan 1, 2010
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