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您的检索式：作者名="Rainer Guthoff"
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| 1 | Subclinical choroidal detachment at sclerotomy sites after 23-Gauge vitrectomy:Analysis by anterior segment optical coherence tomography显示文摘 | Rainer Guthoff Heidi Riederler Berit Meinhardt | 2010 | Ophthalmogica2010，224，5： | 1 |
| 2 | Descemet-membrane endothelial keratoplasty in patients with retinal comorbidity -a prospective cohort study显示文摘AIM:To investigate indications,surgical challenges,and outcome of Descemet-membrane endothelial keratoplasty(DMEK) in patients with retinal comorbidities(RC).· METHODS:In a prospective cohort study,8 eyes of 8DMEK-patients with known RC were compared to 38 eyes of 38 DMEK-patients without RC.The duration of surgery,the degree of difficulty graded by the surgeon,and the complications through DMEK-surgery were analyzed for each patient.The best-corrected visual acuity(BCVA),the endothelial cell count,the intraocular pressure,and the subjective satisfaction was evaluated after a 6-month follow-up.Data were compared applying the non-parametric Wilcoxon-,Chi-square- and Fisher's-exact-test with P≤0.05 as level of significance.· RESULTS:RC-patients had dry age-related macular degeneration(n=4) or history of pars-plana vitrectomy(n =4).The main indication for DMEK was pain due to bullous keratopathy for the RC-patients(n=7,88%) and visual impairment due to Fuchs endothelial keratoplasty for the non-RC-patients(n=33,87%).The BCVA increased for both groups(P=0.01,P<0.001) and all corneas cleared.For the RC-patients,the subjective satisfaction improved significantly(P=0.02).Oil-filling and missing support of the vitreous body complicated surgery in vitrectomized eyes.· CONCLUSION:DMEK is a favorable technique to treat endothelial disorders even if patients suffer from a retinal comorbidity.By enhancing the corneal clarity,it enables retinal examination or intraocular surgery and increases the patients' satisfaction.However,in vitrectomized or silicone-oil filled eyes,the duration of surgery and degree of complexity are increased.An experienced surgeon should perform DMEK in these patients.Clinical trial registration number:DRKS00007566. | Kristina Spaniol Christoph Holtmann Jan-Hendrik Schwinde Sophia Deffaa Rainer Guthoff Gerd Geerling | 2016 | International Journal of Ophthalmology(English edition)2016，9，3： | 1 |
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