novel technique for removal of inadvertent subretinal perfluorocarbon liquid after complex retinal detachment surgery.

Details

Serval ID
serval:BIB_9324BC9C77AD
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
novel technique for removal of inadvertent subretinal perfluorocarbon liquid after complex retinal detachment surgery.
Title of the conference
Ophta 2009
Author(s)
Konstantinidis  Lazaros, Wolfensberger Thomas Jona (co-first)
Organization
102e Congrès annuel de la Société Suisse d’Ophtalmologie
Address
Palazzo dei Congressi, Piazza Indipendenza 4, CH-6900 Lugano
ISSN
1420-6838
Publication state
Published
Issued date
05/09/2009
Pages
S81
Language
english
Abstract
Subretinal migration of PFCL bubbles may occur dur- ing vitreoretinal surgery. Removal of subretinal PFCL is, however, necessary to prevent persistent focal retinal detachments and direct toxic effects on photoreceptor cells. History and Signs A 69-year-old woman presented with a total retinal detachment due to multiple retinal holes and tears in the peripheral nasal retina of her left eye. During the surgical intervention comprising a vitrectomy and sili- cone oil tamponade, PFCL moved into the subretinal space through a macular hole inadvertently caused by the PFCL’s fluid jet. Therapy and Outcome After a repeated postoperative steamroller manoeuvre and positioning on the right side, the PFCL droplets could be dis- placed into the posterior chamber through the retinal holes of the peripheral nasal retina. Intraocular silicone oil removal combined with cataract surgery was performed several months later. At the last follow-up 19 months later visual acuity was 0.8 and the retina was re-attached. Conclusions Removal of subretinal PFCL by posi- tioning seems to be safe and effective and is an alternative to direct aspiration of PFCL through a retinotomy, which invariably causes damage to the retina.
Create date
05/09/2019 12:39
Last modification date
06/09/2019 15:30
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