By Robert Machemer M.D. (auth.), George W. Blankenship, Susanne Binder, Michel Gonvers, Mario Stirpe (eds.)
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Extra info for Basic and Advanced Vitreous Surgery
So me 01 the conditions 01 the vitreous, retina, and choroid that can be determined with standardized echography prior to vitrectomy (Ossoinig, 1983) Posterior hyphemas Height-measured in mm Quality-Thin (easy to remove) Thick (sticky) Corpuscular (sandstorm likely) C. ) Height-measured in mm Localization Extent Small Large Subtotal Total (funnel shaped) Open funnel Narrowly open funnel Triangular detachment Closed funnel (T-shaped detachment) Quality Smooth surface Folded Thickened Thinned Mobility Mobile Poorly mobile Fixed (MPP) Occasional findings Large holes Ora disinsertion Rolled edges 5) Retinoschisis 6) Choroidal Detachment Type Serous Hemorrhagic Height-Measured in mm Location-peripheral, meridians involved, etc.
Wilson suggests, with a vitrectomy instrument (Figure 3D). The surgeon can then elect to remove the anterior capsule at the end of the lentectomy or after completing his vitrectomy. In my opinon, the above technique is the logical solution to fluid-silicone vitreous substitution. An intact anterior capsule could provide the ideal barrier to the silicone bubble. Together with the remnant pars plana vitreous base, the anterior capsule could be a protecting agent against silicone infiltration in the anterior chamber.
Diabetic patients are often admitted to the hospital two days prior to vitreous surgery in order to evaluate and control the blood glucose levels under the supervision of the internist. LOCAL ANESTHESIA WITH INTRA VENOUS SEDATION Local with sedation anesthesia permits vitreous surgery on patients who would be at high risk for general anesthesia. The choice of anesthetic for regional block is variable, but most surgeons prefer to use a combination of short and long acting anesthetic agents, with hyaluronidase added.
Basic and Advanced Vitreous Surgery by Robert Machemer M.D. (auth.), George W. Blankenship, Susanne Binder, Michel Gonvers, Mario Stirpe (eds.)