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Disinfection, Draping, and Perioperative Medications

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Abstract

Seemingly straightforward, these very basic elements of preparing the patient for the operation are crucially important in reducing the endophthalmitis risk. In the monocular patient who wears a prosthesis, special rules apply to deal with the increased infection potential. Finally, a rational decision must be made regarding the use of prophylactic peri- and intraocular antibiotics.

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Notes

  1. 1.

    An antiseptic (bactericide) solution, which has safely been used even in persons who are presumed to have “iodine allergy”.

  2. 2.

    The adhesive does not work on wet surfaces.

  3. 3.

    Which is usually on the nasal side, due to the surface incongruence caused by the nose (Fig. 18.2).

  4. 4.

    When the tip of the scissors point downward, possibly facing the eyeball

  5. 5.

    There is no protocol in VR surgery akin to the cataract surgeons’ intracameral injection of cefuroxime at the end of surgery.

  6. 6.

    For example, 4 mg dexamethasone.

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© 2016 Springer International Publishing Switzerland

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Kuhn, F. (2016). Disinfection, Draping, and Perioperative Medications. In: Vitreoretinal Surgery: Strategies and Tactics. Springer, Cham. https://doi.org/10.1007/978-3-319-19479-0_18

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  • DOI: https://doi.org/10.1007/978-3-319-19479-0_18

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19478-3

  • Online ISBN: 978-3-319-19479-0

  • eBook Packages: MedicineMedicine (R0)

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