Seitz B.,Universitatsklinikum des Saarlandes Kirrberger |
Heiligenhaus A.,St Franziskus Hospital
Klinische Monatsblatter fur Augenheilkunde | Year: 2015
In Europe, herpes simplex virus type I (HSV) is a common cause of keratitis. The disease may be well treated if the ophthalmologtist is aware of the various types of clinical expressions of this typical unilateral chameleon, and treatment is adjusted accordingly. Types of expression include: (i) epithelial keratitis (dendritica/geographica), (ii) stromal keratitis (necrotising vs. non-necrotising = interstitial keratitis), (iii) endotheliitis (= disciform keratitis), (iv) so-called metaherpetic keratitis (= neurotrophic keratopathy), (v) (vascularised) corneal scars. In the acute phase, concomitant ocular hypertension should be treated predominantly without surgery (no prostaglandin analoga!). After keratoplasty and in cases of severe recurrences of herpetic keratitis, systemic aciclovir administration (2 × 400 mg/day) for at least one year is indispensable © © Georg Thieme Verlag KG Stuttgart, New York.
Jung J.,Universitatsklinikum des Saarlandes Kirrberger |
Anagnostakos K.,Universitatsklinikum des Saarlandes Kirrberger |
Kohn D.,Universitatsklinikum des Saarlandes Kirrberger
Orthopade | Year: 2012
Aim: This article presents an analysis and review of recent literatu re with a focus on clinical results after minimally invasive (MIS) total hip arthroplasty (THA) and with special attention to the different approaches currently used. Methods: An online database (Medline) search for clinical trials after THA between 2007 and 2011 was performed with a special focus on prospective controlled randomized trials focusing on THA with a MIS approach. The data were analyzed for pain, blood loss, complications, gait analysis, Harris hip and other scores. Results: A total of 24 studies (19 comparative studies) were included in this study with a total of 801 MIS THA cases and 695 conventionally operated hips. Almost every study showed superior results for the MIS group with respect to postoperative pain, blood loss and rehabilitation but these advantages almost totally disappeared after 3-6 months. The complication rate was comparable in both groups. After 3-6 months the clinical scores, such as the Harris hip score did not show any differences between conventional and MIS groups. Conclusions: In this present study all MIS approaches showed advantages over the conventional surgical approach but these benefits disappeared after 3-6 months. With comparable risks for complications, MIS surgical approaches are superior in the early postoperative phase and rehabilitation. © Springer-Verlag 2012.