International Journal of Ophthalmology & Visual Science
Volume 1, Issue 1, November 2016, Pages: 29-31
Received: Dec. 2, 2016;
Accepted: Dec. 20, 2016;
Published: Jan. 13, 2017
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Burak Turgut, Fırat University, Faculty of Medicine, Department of Ophthalmology, Elazig, Turkey
Tamer Demir, Fırat University, Faculty of Medicine, Department of Ophthalmology, Elazig, Turkey
The aim of this report is to present the outcome of the surgical removal of a giant subfoveal retained perfluorocarbon liquid (PFCL). The case is a 65 years old man undergone pars plana vitrectomy and silicone oil implantation for macula-off superior retinal detachment about three months ago. He admitted our clinic with a complaint of gradual visual loss in the left eye. His visual acuity in the left eye was at the level of finger counting from one meter. Indirect ophthalmoscopy and optical coherence tomography revealed a giant PFCL bubble located in the fovea. The retained PFCL was removed via therapeutic extrafoveal retinotomy inferotemporal to fovea on PFCL bubble and passive aspiration with a back flush flute cannula during air-fluid exchange following silicon oil removal via 23 gauge pars plana scleroretinotomy. His visual acuity in the left eye improved to 1/10. A retinal atrophy developed at the region of which retinotomy was created. The retained subfoveal PFCL. should be removed surgically.
The Management of the Retention of Giant Subfoveal Perfluorocarbon Liquid, International Journal of Ophthalmology & Visual Science.
Vol. 1, No. 1,
2016, pp. 29-31.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Shulman M, Sepah YJ, Chang S, Abrams GW, Do DV, Nguyen QD. Management of retained subretinal perfluorocarbon liquid. Ophthalmic Surg Lasers Imaging Retina. 2013; 44: 577-83.
Suk KK, Flynn HW Jr. Management options for submacular perfluorocarbon liquid. Ophthalmic Surg Lasers Imaging. 2011; 42: 284-91.
Le Tien V, Pierre-Kahn V, Azan F, Renard G, Chauvaud D. Displacement of retained subfoveal perfluorocarbon liquid after vitreoretinal surgery. Arch Ophthalmol. 2008; 126: 98–101.
Garg SJ, Theventhiran AB. Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachment repair. Retina. 2012; 32: 2127–32.
Nowilaty SR. 10 year follow-up of retained sub-foveal per-fluoro-N-octane liquid. Retin Cases Brief Rep. 2009; 1: 41–3.
Scott IU, Murray TG, Flynn HW, JrSmiddy WE, Feuer WJ, Schiffman JC. Outcomes and complications associated with perfluoro-n-octane and perfluoroperhydrophenanthrene in complex retina detachment repair. Ophthalmology. 2000; 107: 860-5.
Garcia-Valenzuela E, Ito Y, Abrams GW. Risk factors for retention of subretinal perfluorocarbon liquid in vitreoretinal surgery. Retina. 2004; 24: 746–52.
Lee GA, Finnegan SJ, Bourke RD. Subretinal perfluorodecalin toxicity. Aust NZJ Ophthalmol. 1998; 26: 57–60.
Tewari A, Eliott D, Singh CN, Garcia-Valenzuela E, Ito Y, Abrams GW. Changes in retinal sensitivity from retained subretinal perfluorocarbon liquid. Retina. 2009; 29: 248–50.
Lai JC, Postel EA, McCuen BW 2nd. Recovery of visual function after removal of chronic subfoveal perfluorocarbon liquid. Retina. 2003; 23: 868–70.
Roth DB, Sears JE, Lewis H. Removal of retained subfoveal perfluoro-n-octane liquid. Am J Ophthalmol. 2004; 138: 287–9.
García-Arumí J, Castillo P, López M, Boixadera A, Martínez-Castillo V, Pimentel L. Removal of retained subretinal perfluorocarbon liquid. Br J Ophthalmol. 2008; 92: 1693–4.
Kim JM, Woo SJ, Park KH, Chung H. Surgical removal of retained subfoveal perfluorocarbon liquid through a therapeutic macular hole with intravitreal PFCL injection and gas tamponade. Korean J Ophthalmol. 2013; 27: 392-5.
Le Tien V, Pierre-Kahn V, Azan F, Renard G, Chauvaud D. Displacement of retained subfoveal perfluorocarbon liquid after vitreoretinal surgery. Arch Ophthalmol. 2008; 126: 98-101.
Konstantinidis L, Wolfensberger TJ. A novel technique for removal of inadvertent subretinal perfluorocarbon liquid after complex retinal detachment surgery. Eye (Lond). 2010; 24: 1109-11.
Oellers P, Charkoudian LD, Hahn P. Spontaneous resolution of subfoveal perfluorocarbon. Clin Ophthalmol. 2015; 9: 517-9.