Short-Term Vitreoretinal Tamponade with Heavy Liquid Following Surgery for Giant Retinal Tear.

Abstract

PURPOSE:

To study the efficacy and outcomes of short-term postoperative vitreoretinal tamponade with perfluorocarbon heavy liquid in patients with giant retinal tear.

MATERIALS AND METHODS:

The study group consisted of 13 consecutive patients (13 eyes) who presented with giant retinal tear at a tertiary medical center in 2011-2015 and were treated with vitrectomy followed by short-term tamponade with perfluorocarbon heavy liquid. A minimum of 3 months' follow-up was required for inclusion. The medical charts were retrospectively reviewed for patient demographics, procedural specifics, anatomical attachment rates, pre- and postoperative visual acuity, and postoperative complications.

RESULTS:

The duration of perfluorocarbon tamponade ranged from 6 to 13 days (mean ± SD 10 ± 2 days). Follow-up time ranged from 3 to 44 months (mean ± SD 11 ± 11 months). Retinal reattachment was achieved intraoperatively in all patients. Repeated detachment with proliferative vitreoretinopathy occurred in one patient (8%), who underwent repeated vitrectomies. At the last follow-up visit, the retina was attached in all patients. Best-corrected visual acuity improved postoperatively compared with preoperatively in all three patients with macula-off retinal detachment (100%) and was equal to or better than the initial best-corrected visual acuity in 6 (60%) of the 10 patients with macula-on retinal detachment. Complications included increased intraocular pressure, cataract, and cystoid macular edema.

CONCLUSIONS:

Perfluorocarbon heavy liquid is a safe and effective material for short-term vitreoretinal tamponade following vitrectomy for giant retinal tear.

• Authors: Maya Eiger-Moscovich, Assaf Gershoni, Ruth Axer-Siegel, Dov Weinberger, Rita Ehrlich
• Journal: Current eye research (Curr Eye Res) Vol. 42 Issue 7 Pg. 1074-1078 (07 2017) ISSN: 1460-2202 [Electronic] England
• PMID: 28157410 (Publication Type: Journal Article)

Chemical References

• Fluorocarbons

Topics

• Adult
• Aged
• Endotamponade (methods)
• Female
• Fluorocarbons (pharmacology)
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Retinal Perforations (diagnosis, surgery)
• Retrospective Studies
• Time Factors
• Treatment Outcome
• Visual Acuity
• Vitrectomy (methods)