Cargando…

Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole

To report an intraoperative perfluorocarbon liquid (PFCL) tamponade technique in treating extensive retinal detachment secondary to a myopic macular hole (MH) through pars plana vitrectomy. METHODS: The technique was applied in nine eyes with MH-RD extending two quadrants or more areas. The procedur...

Descripción completa

Detalles Bibliográficos
Autores principales: Lyu, Jiao, Xia, Fengjie, Zhao, Peiquan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Retina 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035650/
https://www.ncbi.nlm.nih.gov/pubmed/35174806
http://dx.doi.org/10.1097/IAE.0000000000003429
_version_ 1784911454658363392
author Lyu, Jiao
Xia, Fengjie
Zhao, Peiquan
author_facet Lyu, Jiao
Xia, Fengjie
Zhao, Peiquan
author_sort Lyu, Jiao
collection PubMed
description To report an intraoperative perfluorocarbon liquid (PFCL) tamponade technique in treating extensive retinal detachment secondary to a myopic macular hole (MH) through pars plana vitrectomy. METHODS: The technique was applied in nine eyes with MH-RD extending two quadrants or more areas. The procedures for pars plana vitrectomy included: 1). thorough drainage of subretinal fluid through the MH with fluid–air exchange; 2). PFCL tamponade on the macular area for more than 10 minutes; and 3). repairing the MH after PFCL was removed. RESULTS: All nine eyes gained intraoperative retinal reattachment after PFCL tamponade for 22.22 ± 8.01 minutes and removal of PFCL. Procedures for MH closure included internal limiting membrane peeling in eight eyes, with internal limiting membrane free flap insertion (four eyes), internal limiting membrane inverted flap insertion (two eyes), or lens capsular flap transplantation (three eyes). All eyes received C3F8 tamponade. During 9.11 ± 3.89 months of follow-up, eight of the nine eyes (89%) achieved retinal reattachment and MH closure; one eye achieved anatomical success after reoperations. All eyes had vision improvement at the last follow-up. CONCLUSION: This new technique in pars plana vitrectomy may promote anatomical and functional recovery in the treatment of extensive retinal detachment secondary to a myopic MH.
format Online
Article
Text
id pubmed-10035650
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Retina
record_format MEDLINE/PubMed
spelling pubmed-100356502023-03-24 Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole Lyu, Jiao Xia, Fengjie Zhao, Peiquan Retina Surgical Technique To report an intraoperative perfluorocarbon liquid (PFCL) tamponade technique in treating extensive retinal detachment secondary to a myopic macular hole (MH) through pars plana vitrectomy. METHODS: The technique was applied in nine eyes with MH-RD extending two quadrants or more areas. The procedures for pars plana vitrectomy included: 1). thorough drainage of subretinal fluid through the MH with fluid–air exchange; 2). PFCL tamponade on the macular area for more than 10 minutes; and 3). repairing the MH after PFCL was removed. RESULTS: All nine eyes gained intraoperative retinal reattachment after PFCL tamponade for 22.22 ± 8.01 minutes and removal of PFCL. Procedures for MH closure included internal limiting membrane peeling in eight eyes, with internal limiting membrane free flap insertion (four eyes), internal limiting membrane inverted flap insertion (two eyes), or lens capsular flap transplantation (three eyes). All eyes received C3F8 tamponade. During 9.11 ± 3.89 months of follow-up, eight of the nine eyes (89%) achieved retinal reattachment and MH closure; one eye achieved anatomical success after reoperations. All eyes had vision improvement at the last follow-up. CONCLUSION: This new technique in pars plana vitrectomy may promote anatomical and functional recovery in the treatment of extensive retinal detachment secondary to a myopic MH. Retina 2023-04 2023-03-22 /pmc/articles/PMC10035650/ /pubmed/35174806 http://dx.doi.org/10.1097/IAE.0000000000003429 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Opthalmic Communications Society, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Surgical Technique
Lyu, Jiao
Xia, Fengjie
Zhao, Peiquan
Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole
title Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole
title_full Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole
title_fullStr Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole
title_full_unstemmed Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole
title_short Intraoperative Perfluorocarbon Liquid Tamponade Technique for Treatment of Extensive Retinal Detachment Secondary to a Myopic Macular Hole
title_sort intraoperative perfluorocarbon liquid tamponade technique for treatment of extensive retinal detachment secondary to a myopic macular hole
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035650/
https://www.ncbi.nlm.nih.gov/pubmed/35174806
http://dx.doi.org/10.1097/IAE.0000000000003429
work_keys_str_mv AT lyujiao intraoperativeperfluorocarbonliquidtamponadetechniquefortreatmentofextensiveretinaldetachmentsecondarytoamyopicmacularhole
AT xiafengjie intraoperativeperfluorocarbonliquidtamponadetechniquefortreatmentofextensiveretinaldetachmentsecondarytoamyopicmacularhole
AT zhaopeiquan intraoperativeperfluorocarbonliquidtamponadetechniquefortreatmentofextensiveretinaldetachmentsecondarytoamyopicmacularhole