Abstract
BackgroundThe study evaluates both functional and anatomical outcomes of retinal detachment (RD) repair by vitrectomy and perfluorocarbon liquid (PFCL) tamponade.MethodsA retrospective chart review of patients who underwent vitrectomy using PFCL tamponade for RD repair from causes such as giant tear, chronic RD, or RD with previously failed surgery.ResultsThis study included 122 eyes from 121 patients. One-hundred fourteen eyes (93.5%) had baseline vision worse than 20/200. The median duration of intraocular PFCL retainment was 14 days before gas or silicone oil replacement. The retinal reattachment rate was 80.3%. At 1 year, the retention probability of retinal reattachment was 0.84 (95% confidence interval, 0.77–0.91). Although visual improvement was found in 45.9% of patients, the median of final vision was not different between baseline and the last visit.ConclusionThe rate of retinal reattachment operated with a short- to medium-term PFCL tamponade achieved a high satisfaction rate. However, postoperative hypotony was a predictor for unfavorable visual and anatomical outcomes.
Highlights
The study evaluates both functional and anatomical outcomes of retinal detachment (RD) repair by vitrectomy and perfluorocarbon liquid (PFCL) tamponade
Patients with chronic RD or those who underwent previously failed surgery are frequently accompanied by severe proliferative vitreoretinopathy (PVR), which sometimes produces
Our study included 122 eyes from 121 patients with varied retinal pathologies. Difficult cases such as chronic rhegmatogenous RD (RRD) with PVR and previously failed surgery for retinal attachment comprised more than half of the patients included
Summary
The study evaluates both functional and anatomical outcomes of retinal detachment (RD) repair by vitrectomy and perfluorocarbon liquid (PFCL) tamponade. Perfluorocarbon liquid (PFCL) is a synthetic, fluorinated, carbon-containing compound. It is clear, colorless, odorless, and heavier than water. The PFCL does not affect the intraoperative view. The physical properties of PFCL make it an ideal tool for flattening the retina during vitreoretinal surgery for many types of pathologies, such as retinal detachment (RD) with severe proliferative vitreoretinopathy (PVR) [1–4], giant retinal tear [5–10], and pediatric RD [11]. A large multicenter study reported results of intraoperative PFCL-assisted vitrectomy for complex RD with PVR [2]. Other case series have reported results of primary vitrectomy with a short-term postoperative PFCL
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
