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09.09.2019 | Retinotomie | Leitthema

Schwere Flüssigkeiten als intraoperatives Instrument in der Netzhautchirurgie

verfasst von: Dr. Karl Boden, K. Januschowski, P. Szurman

Erschienen in: Die Ophthalmologie | Ausgabe 10/2019

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Zusammenfassung

Mit der Einführung der flüssigen Perfluorkohlenstoffe (PFCL) kam es zu einem deutlichen Wandel in der vitreoretinalen Chirurgie. Auch komplizierte Netzhautablösungen konnten so zuverlässig und erfolgreich behandelt werden. Die Kombination einer Vitrektomie mit dem Einsatz des PFCL war neben dem technischen Refinement einer der entscheidenden Faktoren für den anhaltenden Erfolg der Pars-plana-Vitrektomie (ppV). Die flüssigen Perfluorkohlenstoffe haben durch das breite Einsatzspektrum und den positiven intraoperativen Einfluss einen festen Platz in der vitreoretinalen Chirurgie eingenommen. Bei regelrechtem und intelligentem Einsatz kann der PFCL als dritte Hand des Netzhautchirurgen gesehen werden. Entgegen der vielfachen Skepsis ist die momentan diskutierte Toxizität bei kurzfristigem Einsatz von PFCL zu vernachlässigen.

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Titel: Schwere Flüssigkeiten als intraoperatives Instrument in der Netzhautchirurgie
verfasst von: Dr. Karl Boden
K. Januschowski
P. Szurman
Publikationsdatum: 09.09.2019
Verlag: Springer Medizin
Schlagwörter: Retinotomie
Vitrektomie
Netzhautablösung
Erschienen in: Die Ophthalmologie / Ausgabe 10/2019
Print ISSN: 2731-720X
Elektronische ISSN: 2731-7218
DOI: https://doi.org/10.1007/s00347-019-00965-x

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Schwere Flüssigkeiten als intraoperatives Instrument in der Netzhautchirurgie

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