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  • 1 Kanizsai Dorottya Kórház-Rendelőintézet Szemészeti Osztály Nagykanizsa Szekeres J. u. 2–8. 8800
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Az időskori maculadegeneratio a fejlett országokban mára a vaksági statisztikák vezetőjévé vált. Magyarországon is néhány százezerre becsülhető a betegségben szenvedők száma. A különböző megjelenési formák széles skáláját korábban önálló betegségnek tekintették. Amióta tisztázódott a kór teljes vertikuma, patomechanizmusa, valamint fejlődtek a kezelési módszerek, sok esetben jó kilátások nyílnak a látás megőrzésére, esetleg javítására is. A szerző az elváltozások leírása után részletesen elemzi azokat az eljárásokat, amelyek már bizonyítottan hatásosak, vagy amelyek az elmúlt években kerültek az érdeklődés homlokterébe. A betegség megelőzésénél különösen a dohányzás káros hatására hívja föl a figyelmet. A konzervatív kezelés a korábbi antioxidáns-terápia mellett ma már magában foglalja az úgynevezett metabolikus terápiát is. Széles körben használatosak a különféle lézerkezelések, kisebb számban a radioaktív besugárzás. Ugyancsak korlátozott a hagyományos sebészeti eljárások szerepe, de igen ígéretes a vascularis endothelialis növekedési faktor elleni szerek használata. A szerző utal az egyes eljárások költségeire is.

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