The Use of Perfluoro-Octane in the Management of Giant Retinal Tears Without Proliferative Vitreoretinopathy

D, Ie; Bm, Glaser; Rn, Sjaarda; Jt, Thompson; Le, Steinberg; Lw, Gordon

doi:10.1097/00006982-199414040-00005

Cited by 35 publications

(2 citation statements)

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“…Surgeons advocating the use of scleral buckles argue that a high circumferential indentation could counteract any future contraction of the vitreous base and, hence, decrease recurrence rates. 18 Others are in favor of radical vitreous base removal without buckling in cases with no significant PVR to avoid potential buckle complications such as fishmouthing, tear slippage and choroidal hemorrhage. [19][20][21] Posterior tear slippage is even more of a risk during fluid-air exchange.…”

Section: Discussionmentioning

confidence: 99%

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Moharram¹,

Abdelhalim²,

Hamid³

et al. 2020

OPTH

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The purpose of this study is to compare anatomical and visual outcomes after using silicone oil (SO) or C 3 F 8 gas as tamponades after pars plana vitrectomy (PPV) for retinal detachment (RD) associated with giant retinal tears (GRTs). Methods: A retrospective chart review was conducted for cases that underwent PPV for GRT-associated RD. We excluded eyes that had prior vitreoretinal surgery, a history of ocular trauma or worse than grade B proliferative vitreoretinopathy (PVR). Baseline demographic and ocular characteristics, surgical details and postoperative anatomical and visual outcomes were recorded and statistically analyzed. Results: We included 88 eyes; 48 eyes had C 3 F 8 gas and 40 eyes had SO as a tamponading agent. Mean age was 39 years. All eyes underwent 23G PPV with no adjuvant scleral buckling and phacovitrectomy was performed for all phakic eyes. Final retinal reattachment was achieved in 86 eyes (97.7%). One eye from each group had recurrent RD. Postoperative vision was significantly better in the gas group (p= 0.008). Prolonged increase of IOP developed in 6 eyes in the SO group and 5 eyes in the gas group. Prolonged uveitis developed in 4 eyes in the gas group and 6 eyes in the oil group (P= 0.04). Epiretinal membranes (ERM) developed in 10 eyes in the gas group and 9 eyes in the oil group. We found no significant difference between both groups regarding postoperative glaucoma or ERM formation. Conclusion: Both agents achieved similar favorable anatomical outcomes in a series of eyes with fresh GRT-associated RD and low-grade PVR, with better visual outcome and less frequent uveitis associated with the use of gas tamponade.

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Section: Discussionmentioning

confidence: 99%

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Moharram¹,

Abdelhalim²,

Hamid³

et al. 2020

OPTH

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show abstract

“…Perfluorocarbon liquids (PFCLs), a high specific gravity and hydrophobic liquid began to be used for flap eversion and retinal positioning in the early 1990s. 27,[65][66][67][68] Perfluorocarbons are injected into the vitreous cavity to unfold the GRT flap and flatten the retina against the RPE. This allows reliable flap eversion and subsequent retinopexy with minimal iatrogenic injury.…”

Section: Treatmentmentioning

confidence: 99%