Zusammenfassung
Probleme während einer Vitrektomie wie Infusionsterminal in der Aderhaut, zunehmende
Hornhaut-und Linsentrübungen lassen sich durch einfache Maßnahmen wie Verwendung eines
Trocars beim Einführen des Infusionsterminals, von Schwimmlinsen mit einem 4füßigen
Skleralring, Spülung der Hornhaut mit 50%iger Glucose, Anreicherung der Infusionslösung
mit Glucose (500 mg/100 ml) vermeiden
Summary
Problems during a pars plana vitrectomy, such as infusion terminal within a detached
choroid or behind the retina, and opacities of the cornea and lens may be prevented
by simple means. These include introduction of the infusion terminal using a trocar;
using a scleral ring for miniature contact lenses, which is fixed by sutures to the
four rectus muscles; and in incipient opacification of the corneal epithelium, irrigation
of the cornea with a solution of 50% glucose may render removal of the corneal epithelium
unnecessary. Opacification of the cornea and lens can also be prevented by using glucose
(500 mg/100 ml) in the intraocular irrigation solution.
