Vitrectomy or Fluid Gas Exchange

Conjunctival edema, injection, and subconjunctival hemorrhage are normal findings. As with a scleral buckle, the conjunctival incision site is at the limbus. The corneal epithelium may show some punctate staining from exposure. The amount of inflammation in the AC is the most important slit lamp finding. Flare is normal, but cells are generally less visible. The anterior chamber reaction may be quite marked in diabetics. There should not be an hypopyon. Examine the lens for possible cataract formation. (Contact with the lens by the gas markedly increases the chances for cataract development.)

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