Biochemical investigation of vitreus: Applications in forensic medicine, especially in relation to alcohol

Vitreus biochemistry is useful in subjects dying with uraemia, dehydration, hyponatraemia; and in the presence of osmotically active substances such as alcohol and drugs. Useful tests include sodium, potassium, chloride, urea, creatinine, osmolality, osmolar gap estimation and ethanol. The significance of calcium, magnesium, zinc, copper, pH, phosphate and urate is still not clear. Transaminases and lactate dehydrogenase are found to be significantly raised; these may be associated with sudden release of hyalocyte contents at death.