Perfluorocarbon liquid utilization in primary vitrectomy repair of retinal detachment with multiple breaks
| Autor: | Nick T. Papadopoulos, Sofia Androudi, Stavros A. Dimitrakos, Dimitrios L. Dereklis, Alexandros Alexandridis, Nikolaos T Stangos, Symeon Lake, Periklis Brazitikos, Donald J. D'Amico |
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| Rok vydání: | 2003 |
| Předmět: |
Pars plana
Adult Male medicine.medical_specialty genetic structures medicine.medical_treatment Vitrectomy Progressive cataract Cryosurgery chemistry.chemical_compound Ophthalmology medicine Humans Prospective Studies Ora serrata Aged Aged 80 and over Fluorocarbons business.industry Retinal Detachment Retinal detachment Retinal General Medicine Middle Aged medicine.disease Retinal Perforations eye diseases Retinal Tear medicine.anatomical_structure Treatment Outcome chemistry Tears Female sense organs Laser Therapy Ophthalmic Solutions Safety business |
| Zdroj: | Retina (Philadelphia, Pa.). 23(5) |
| ISSN: | 0275-004X |
| Popis: | PURPOSE To evaluate the efficacy of pars plana vitrectomy in conjunction with intraoperative perfluoro-n-octane (PFO) use as initial treatment of retinal detachment (RD) with multiple breaks located at various distances from the ora serrata. METHODS Twenty-two consecutive eyes (15 phakic, 2 aphakic, and 5 pseudophakic) presenting with RD with multiple breaks and tears underwent primary pars plana vitrectomy, PFO retinal reattachment, transcleral cryopexy or endolaser treatment of breaks, PFO/air exchange, and final injection of 18% perfluoropropane (C3F8). Scleral buckles were not used. The mean follow-up period was 29 months. RESULTS Temporary PFO utilization attached the posterior retina and facilitated the safe removal of vitreous at its base and around the retinal tears. Intraoperative complications included new breaks (3 eyes), enlargement of breaks (2 eyes), and a small bubble of subretinal PFO (1 eye). Postoperatively, the retina remained attached during follow-up in 19 eyes. Cataract developed or progressed in 13 phakic eyes. CONCLUSIONS Pars plana vitrectomy in conjunction with intraoperative PFO utilization is effective as initial treatment of RDs with multiple breaks. The main limitation of this technique is the postoperative progressive cataract formation in phakic eyes. |
| Databáze: | OpenAIRE |
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