3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid
Abstract Introduction Pars plana vitrectomy (PPV) is a primary strategy to restore vision for patients who have rhegmatogenous retinal detachment (RRD). Perfluorocarbon liquid (PFCL) is frequently used during PPV surgery. However, the unintended intraocular retention of PFCL may cause retina toxicit...
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2023-03-01
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| Series: | Ophthalmology and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s40123-023-00692-2 |
| _version_ | 1797832166810320896 |
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| author | Lina Guan Jiayu Chen Yu Tang Zhaolin Lu Zhengpei Zhang Sujuan Ji Meili Li Yalu Liu Suyan Li Haiyang Liu |
| author_facet | Lina Guan Jiayu Chen Yu Tang Zhaolin Lu Zhengpei Zhang Sujuan Ji Meili Li Yalu Liu Suyan Li Haiyang Liu |
| author_sort | Lina Guan |
| collection | DOAJ |
| description | Abstract Introduction Pars plana vitrectomy (PPV) is a primary strategy to restore vision for patients who have rhegmatogenous retinal detachment (RRD). Perfluorocarbon liquid (PFCL) is frequently used during PPV surgery. However, the unintended intraocular retention of PFCL may cause retina toxicity and thus lead to possible postoperative complications. In this paper, the experiences and surgical outcomes of a NGENUITY 3D Visualization System-assisted PPV are shown to evaluate the possibility of excluding the application of PFCL. Methods A consecutive series of 60 cases with RRD were presented, all of whom had undergone 23-gauge PPV with the assistance of a three-dimensional (3D) visualization system. Among them, 30 cases used PFCL to assist the drainage of subretinal fluid (SRF), while the other 30 cases did not. Parameters including retinal reattachment rate (RRR), best-corrected visual acuity (BCVA), operation time, and SRF residual were compared between the two groups. Results Baseline data showed no statistical significance between the two groups. At the last postoperative follow-up, the RRR of all the 60 cases reached 100% and best-corrected visual acuity (BCVA) gained significant improvement. The BCVA (logMAR) increased from 1.293 ± 0.881 to 0.479 ± 0.316 in the PFCL-excluded group, exhibiting better results than the PFCL included group, whose final BCVA was 0.650 ± 0.371. More importantly, excluding PFCL greatly reduced the operation time (decrease of 20%), therefore, avoiding possible complications caused by both the use of PFCL and the operation process. Conclusion With the assistance of the 3D visualization system, it is feasible to treat RRD and perform PPV without using PFCL. The 3D visualization system is highly recommendable, as not only can it achieve the same surgical effect without the assistance of PFCL, but also simplify the operation procedure, shorten the operation time, save costs, and avoid complications related to PFCL. |
| first_indexed | 2024-04-09T14:04:30Z |
| format | Article |
| id | doaj.art-7dca676e457b489ea7d9467f3ef92479 |
| institution | Directory Open Access Journal |
| issn | 2193-8245 2193-6528 |
| language | English |
| last_indexed | 2024-04-09T14:04:30Z |
| publishDate | 2023-03-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Ophthalmology and Therapy |
| spelling | doaj.art-7dca676e457b489ea7d9467f3ef924792023-05-07T11:07:37ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282023-03-011231611161910.1007/s40123-023-00692-23D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon LiquidLina Guan0Jiayu Chen1Yu Tang2Zhaolin Lu3Zhengpei Zhang4Sujuan Ji5Meili Li6Yalu Liu7Suyan Li8Haiyang Liu9The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityChina University of Mining and TechnologyThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityThe Affiliated Xuzhou Municipal Hospital of Xuzhou Medical UniversityAbstract Introduction Pars plana vitrectomy (PPV) is a primary strategy to restore vision for patients who have rhegmatogenous retinal detachment (RRD). Perfluorocarbon liquid (PFCL) is frequently used during PPV surgery. However, the unintended intraocular retention of PFCL may cause retina toxicity and thus lead to possible postoperative complications. In this paper, the experiences and surgical outcomes of a NGENUITY 3D Visualization System-assisted PPV are shown to evaluate the possibility of excluding the application of PFCL. Methods A consecutive series of 60 cases with RRD were presented, all of whom had undergone 23-gauge PPV with the assistance of a three-dimensional (3D) visualization system. Among them, 30 cases used PFCL to assist the drainage of subretinal fluid (SRF), while the other 30 cases did not. Parameters including retinal reattachment rate (RRR), best-corrected visual acuity (BCVA), operation time, and SRF residual were compared between the two groups. Results Baseline data showed no statistical significance between the two groups. At the last postoperative follow-up, the RRR of all the 60 cases reached 100% and best-corrected visual acuity (BCVA) gained significant improvement. The BCVA (logMAR) increased from 1.293 ± 0.881 to 0.479 ± 0.316 in the PFCL-excluded group, exhibiting better results than the PFCL included group, whose final BCVA was 0.650 ± 0.371. More importantly, excluding PFCL greatly reduced the operation time (decrease of 20%), therefore, avoiding possible complications caused by both the use of PFCL and the operation process. Conclusion With the assistance of the 3D visualization system, it is feasible to treat RRD and perform PPV without using PFCL. The 3D visualization system is highly recommendable, as not only can it achieve the same surgical effect without the assistance of PFCL, but also simplify the operation procedure, shorten the operation time, save costs, and avoid complications related to PFCL.https://doi.org/10.1007/s40123-023-00692-23D visualization systemRhegmatogenous retinal detachmentPars plana vitrectomyPerfluorocarbon liquid |
| spellingShingle | Lina Guan Jiayu Chen Yu Tang Zhaolin Lu Zhengpei Zhang Sujuan Ji Meili Li Yalu Liu Suyan Li Haiyang Liu 3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid Ophthalmology and Therapy 3D visualization system Rhegmatogenous retinal detachment Pars plana vitrectomy Perfluorocarbon liquid |
| title | 3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid |
| title_full | 3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid |
| title_fullStr | 3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid |
| title_full_unstemmed | 3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid |
| title_short | 3D Visualization System-Assisted Vitrectomy for Rhegmatogenous Retinal Detachment: Leave Out the Perfluorocarbon Liquid |
| title_sort | 3d visualization system assisted vitrectomy for rhegmatogenous retinal detachment leave out the perfluorocarbon liquid |
| topic | 3D visualization system Rhegmatogenous retinal detachment Pars plana vitrectomy Perfluorocarbon liquid |
| url | https://doi.org/10.1007/s40123-023-00692-2 |
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