Retinal Shift with Perfluorocarbon Liquid without Air-Fluid Exchange

Abstract

A 61-year-old pseudophakic man who had pneumatic retinopexy 7 days prior, presented with counting fingers vision and a total rhegmatogenous retinal detachment with no proliferative vitreoretinopathy. He underwent 23-gauge pars plana vitrectomy and perfluorocarbon liquid (PFCL) injection. While PFCL was injected slowly, it was noted that subretinal fluid (SRF) was displaced inferiorly and temporally before exiting the retinal breaks (Fig A). One week postoperatively while PFCL was in the eye as a short-term tamponade, the retina was attached but with significant retinal displacement on fundus autofluorescence imaging in the direction of SRF flow (Fig B). PFCL removal was performed 1 week later (Fig C). The retinal displacement on FAF did not resolve (Fig D). (Magnified version of Fig A-D is available online at www.aaojournal.org).