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...
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| Format: | Article |
| Language: | English |
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Knowledge E
2012-01-01
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| Series: | Journal of Ophthalmic & Vision Research |
| Subjects: | |
| Online Access: | http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=4;spage=350;epage=354;aulast=Dalma-Weiszhausz |
| _version_ | 1811332630777430016 |
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| author | Jose Dalma-Weiszhausz Valentina Franco-Cardenas Alejandro Dalma |
| author_facet | Jose Dalma-Weiszhausz Valentina Franco-Cardenas Alejandro Dalma |
| author_sort | Jose Dalma-Weiszhausz |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-13T16:39:51Z |
| format | Article |
| id | doaj.art-469bf487e3404de9a6079fd0a0f3be8c |
| institution | Directory Open Access Journal |
| issn | 2008-322X |
| language | English |
| last_indexed | 2024-04-13T16:39:51Z |
| publishDate | 2012-01-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-469bf487e3404de9a6079fd0a0f3be8c2022-12-22T02:39:17ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2012-01-0174350354Subretinal Perfluorocarbon Liquid for Dissection of Proliferative VitreoretinopathyJose Dalma-WeiszhauszValentina Franco-CardenasAlejandro DalmaProliferative 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.http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=4;spage=350;epage=354;aulast=Dalma-WeiszhauszProliferative Vitreoretinopathy; Retinal Detachment; Perfluorocarbon Liquids |
| spellingShingle | Jose Dalma-Weiszhausz Valentina Franco-Cardenas Alejandro Dalma Subretinal Perfluorocarbon Liquid for Dissection of Proliferative Vitreoretinopathy Journal of Ophthalmic & Vision Research Proliferative Vitreoretinopathy; Retinal Detachment; Perfluorocarbon Liquids |
| 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 | Proliferative Vitreoretinopathy; Retinal Detachment; Perfluorocarbon Liquids |
| url | http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=4;spage=350;epage=354;aulast=Dalma-Weiszhausz |
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