Cargando…
Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment
BACKGROUND: Perfluorocarbon liquid (PCL)-perfused vitrectomy has been shown in previous studies to be feasible, safe, and to have advantages in managing complicated cases of tractional retinal detachment. The present study had the objectives of describing the anatomical results and measuring surgica...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258082/ https://www.ncbi.nlm.nih.gov/pubmed/22267907 http://dx.doi.org/10.2147/OPTH.S26838 |
_version_ | 1782221225713467392 |
---|---|
author | Velez-Montoya, Raul Guerrero-Naranjo, Jose Luis Garcia-Aguirre, Gerardo Morales-Cantón, Virgilio Fromow-Guerra, Jans Quiroz-Mercado, Hugo |
author_facet | Velez-Montoya, Raul Guerrero-Naranjo, Jose Luis Garcia-Aguirre, Gerardo Morales-Cantón, Virgilio Fromow-Guerra, Jans Quiroz-Mercado, Hugo |
author_sort | Velez-Montoya, Raul |
collection | PubMed |
description | BACKGROUND: Perfluorocarbon liquid (PCL)-perfused vitrectomy has been shown in previous studies to be feasible, safe, and to have advantages in managing complicated cases of tractional retinal detachment. The present study had the objectives of describing the anatomical results and measuring surgical time and PCL consumption when combining PCL-perfused techniques with modern vitrectomy equipment. METHODS: A prospective, interventional consecutive case series was investigated. We enrolled patients with diabetic tractional retinal detachment, complicated by proliferative vitreoretinopathy and poor vision. A 23 gauge PCL-perfused vitrectomy was done with three-dimensional settings. During the procedure, we assessed the degree of surgical bleeding, visualization quality, and difficulty of membrane dissections. Visual acuity, intraocular pressure, and anatomical success were assessed at one and 3 months of follow-up. RESULTS: Twelve patients were enrolled in this study. There were no statistical significant changes in intraocular pressure and visual acuity throughout the follow-up period. Surgery was performed in a hemorrhage-free environment in almost all cases, with good visualization and low technical difficulty. The mean complete surgical time was 94.92 ± 25.03 minutes. The mean effective vitrectomy time was 22.50 ± 19.04 minutes and the mean PCL consumption was 25.08 ± 9.76 mL, with a speed of 1.11 mL/minute. Anatomical success was 67% at 3 months. CONCLUSION: Although the technique proved to have some advantages in managing complicated cases of diabetic tractional retinal detachment, there was a high consumption of PCL. A redesign of the entire system is needed in order to decrease the amount of PCL needed for the technique. |
format | Online Article Text |
id | pubmed-3258082 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-32580822012-01-20 Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment Velez-Montoya, Raul Guerrero-Naranjo, Jose Luis Garcia-Aguirre, Gerardo Morales-Cantón, Virgilio Fromow-Guerra, Jans Quiroz-Mercado, Hugo Clin Ophthalmol Original Research BACKGROUND: Perfluorocarbon liquid (PCL)-perfused vitrectomy has been shown in previous studies to be feasible, safe, and to have advantages in managing complicated cases of tractional retinal detachment. The present study had the objectives of describing the anatomical results and measuring surgical time and PCL consumption when combining PCL-perfused techniques with modern vitrectomy equipment. METHODS: A prospective, interventional consecutive case series was investigated. We enrolled patients with diabetic tractional retinal detachment, complicated by proliferative vitreoretinopathy and poor vision. A 23 gauge PCL-perfused vitrectomy was done with three-dimensional settings. During the procedure, we assessed the degree of surgical bleeding, visualization quality, and difficulty of membrane dissections. Visual acuity, intraocular pressure, and anatomical success were assessed at one and 3 months of follow-up. RESULTS: Twelve patients were enrolled in this study. There were no statistical significant changes in intraocular pressure and visual acuity throughout the follow-up period. Surgery was performed in a hemorrhage-free environment in almost all cases, with good visualization and low technical difficulty. The mean complete surgical time was 94.92 ± 25.03 minutes. The mean effective vitrectomy time was 22.50 ± 19.04 minutes and the mean PCL consumption was 25.08 ± 9.76 mL, with a speed of 1.11 mL/minute. Anatomical success was 67% at 3 months. CONCLUSION: Although the technique proved to have some advantages in managing complicated cases of diabetic tractional retinal detachment, there was a high consumption of PCL. A redesign of the entire system is needed in order to decrease the amount of PCL needed for the technique. Dove Medical Press 2011 2011-12-20 /pmc/articles/PMC3258082/ /pubmed/22267907 http://dx.doi.org/10.2147/OPTH.S26838 Text en © 2011 Velez-Montoya et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Velez-Montoya, Raul Guerrero-Naranjo, Jose Luis Garcia-Aguirre, Gerardo Morales-Cantón, Virgilio Fromow-Guerra, Jans Quiroz-Mercado, Hugo Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
title | Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
title_full | Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
title_fullStr | Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
title_full_unstemmed | Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
title_short | Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
title_sort | perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258082/ https://www.ncbi.nlm.nih.gov/pubmed/22267907 http://dx.doi.org/10.2147/OPTH.S26838 |
work_keys_str_mv | AT velezmontoyaraul perfluorocarbonperfused23gaugethreedimensionalvitrectomyforcomplicateddiabetictractionalretinaldetachment AT guerreronaranjojoseluis perfluorocarbonperfused23gaugethreedimensionalvitrectomyforcomplicateddiabetictractionalretinaldetachment AT garciaaguirregerardo perfluorocarbonperfused23gaugethreedimensionalvitrectomyforcomplicateddiabetictractionalretinaldetachment AT moralescantonvirgilio perfluorocarbonperfused23gaugethreedimensionalvitrectomyforcomplicateddiabetictractionalretinaldetachment AT fromowguerrajans perfluorocarbonperfused23gaugethreedimensionalvitrectomyforcomplicateddiabetictractionalretinaldetachment AT quirozmercadohugo perfluorocarbonperfused23gaugethreedimensionalvitrectomyforcomplicateddiabetictractionalretinaldetachment |