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Schwere Flüssigkeiten als intraoperatives Instrument in der Netzhautchirurgie

Heavy liquids as intraoperative instrument in retinal surgery

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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.

Abstract

The introduction of perfluorocarbon liquids (PFCL) resuled in a significant change in vitreoretinal surgery. Even complicated retinal detachments could be treated reliably and successfully. The combination of vitrectomy with the use of PFCL was one of the decisive factors for the continuing success of pars plana vitrectomy (ppV) in addition to technical refinements. The PFCLs have become an established part of vitreoretinal surgery due to their wide range of application and the positive intraoperative influence. When applied correctly and intelligently, PFCL can serve as the third hand of a retinal surgeon. Contrary to the widespread scepticism, the currently discussed toxicity of PFCL is negligible for short-term use.

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  1. Augenklinik Sulzbach, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Deutschland

    Karl Boden, K. Januschowski & P. Szurman

  2. Klaus Heimann Eye Research Institute, Sulzbach/Saar, Deutschland

    Karl Boden, K. Januschowski & P. Szurman

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Boden, K., Januschowski, K. & Szurman, P. Schwere Flüssigkeiten als intraoperatives Instrument in der Netzhautchirurgie. Ophthalmologe 116, 930–939 (2019). https://doi.org/10.1007/s00347-019-00965-x

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