Perfluorocarbon liquid utilization in primary vitrectomy repair of retinal detachment with multiple breaks.
Retina
; 23(5): 615-21, 2003 Oct.
Article
en En
| MEDLINE
| ID: mdl-14574244
ABSTRACT
PURPOSE:
To evaluate the efficacy of pars plana vitrectomy in conjunction with intraoperative perfluoro-n-octane (PFO) use as initial treatment of retinal detachment (RD) with multiple breaks located at various distances from the ora serrata.METHODS:
Twenty-two consecutive eyes (15 phakic, 2 aphakic, and 5 pseudophakic) presenting with RD with multiple breaks and tears underwent primary pars plana vitrectomy, PFO retinal reattachment, transcleral cryopexy or endolaser treatment of breaks, PFO/air exchange, and final injection of 18% perfluoropropane (C3F8). Scleral buckles were not used. The mean follow-up period was 29 months.RESULTS:
Temporary PFO utilization attached the posterior retina and facilitated the safe removal of vitreous at its base and around the retinal tears. Intraoperative complications included new breaks (3 eyes), enlargement of breaks (2 eyes), and a small bubble of subretinal PFO (1 eye). Postoperatively, the retina remained attached during follow-up in 19 eyes. Cataract developed or progressed in 13 phakic eyes.CONCLUSIONS:
Pars plana vitrectomy in conjunction with intraoperative PFO utilization is effective as initial treatment of RDs with multiple breaks. The main limitation of this technique is the postoperative progressive cataract formation in phakic eyes.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Perforaciones de la Retina
/
Vitrectomía
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Desprendimiento de Retina
/
Fluorocarburos
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Retina
Año:
2003
Tipo del documento:
Article
País de afiliación:
Grecia