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Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy
Proliferative vitreoretinopathy (PVR) is a frequent condition following complex retinal detachments or trauma, and subretinal PVR is a common cause of retinal redetachment. Subretinal PVR removal is challenging and may require creating multiple or large retinotomies, making manipulation of the retin...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ophthalmic Research Center
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595583/ https://www.ncbi.nlm.nih.gov/pubmed/23502847 |
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author | Dalma-Weiszhausz, Jose Franco-Cardenas, Valentina Dalma, Alejandro |
author_facet | Dalma-Weiszhausz, Jose Franco-Cardenas, Valentina Dalma, Alejandro |
author_sort | Dalma-Weiszhausz, Jose |
collection | PubMed |
description | Proliferative vitreoretinopathy (PVR) is a frequent condition following complex retinal detachments or trauma, and subretinal PVR is a common cause of retinal redetachment. Subretinal PVR removal is challenging and may require creating multiple or large retinotomies, making manipulation of the retina difficult and sometimes hazardous. We propose a novel surgical technique that may facilitate subretinal removal of PVR. After peripheral retinotomy of 180 degrees or greater, perfluorocarbon liquid (PFCL) is carefully introduced into the subretinal space as a single bubble which provides space to perform the maneuvers. The PFCL serves as a second hand which folds the retina over, thereby allowing better visualization for safer and easier subretinal PVR removal. PFCL in then removed by direct aspiration as a single bubble while still under balanced salt solution, taking advantage of its high surface tension which prevents leaving bubbles behind. The described technique allows adequate exposure of the subretinal space for proper dissection of difficult-to-reach subretinal PVR. We applied this technique in five patients with chronic retinal detachment, extensive subretinal PVR and poor visual potential. The utilization of subretinal PFCL can assist dissection of subretinal PVR and may be useful in eyes with complicated retinal detachment and poor visual prognosis. |
format | Online Article Text |
id | pubmed-3595583 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Ophthalmic Research Center |
record_format | MEDLINE/PubMed |
spelling | pubmed-35955832013-03-15 Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy Dalma-Weiszhausz, Jose Franco-Cardenas, Valentina Dalma, Alejandro J Ophthalmic Vis Res Surgical Technique Proliferative vitreoretinopathy (PVR) is a frequent condition following complex retinal detachments or trauma, and subretinal PVR is a common cause of retinal redetachment. Subretinal PVR removal is challenging and may require creating multiple or large retinotomies, making manipulation of the retina difficult and sometimes hazardous. We propose a novel surgical technique that may facilitate subretinal removal of PVR. After peripheral retinotomy of 180 degrees or greater, perfluorocarbon liquid (PFCL) is carefully introduced into the subretinal space as a single bubble which provides space to perform the maneuvers. The PFCL serves as a second hand which folds the retina over, thereby allowing better visualization for safer and easier subretinal PVR removal. PFCL in then removed by direct aspiration as a single bubble while still under balanced salt solution, taking advantage of its high surface tension which prevents leaving bubbles behind. The described technique allows adequate exposure of the subretinal space for proper dissection of difficult-to-reach subretinal PVR. We applied this technique in five patients with chronic retinal detachment, extensive subretinal PVR and poor visual potential. The utilization of subretinal PFCL can assist dissection of subretinal PVR and may be useful in eyes with complicated retinal detachment and poor visual prognosis. Ophthalmic Research Center 2012-10 /pmc/articles/PMC3595583/ /pubmed/23502847 Text en © 2012 Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Surgical Technique Dalma-Weiszhausz, Jose Franco-Cardenas, Valentina Dalma, Alejandro Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy |
title | Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy |
title_full | Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy |
title_fullStr | Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy |
title_full_unstemmed | Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy |
title_short | Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy |
title_sort | subretinal perfluorocarbon liquid for dissection of proliferative vitreoretinopathy |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595583/ https://www.ncbi.nlm.nih.gov/pubmed/23502847 |
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