Displacement of retained subfoveal perfluorocarbon liquid after vitreoretinal surgery.
OBJECTIVE
To report a novel surgical procedure to displace retained subfoveal perfluorocarbon liquid (PFCL).


METHODS
Retrospective cases series. Three patients had retained subfoveal droplets after PFCL was used in vitrectomy repair of retinal detachment. In each case, submacular PFCL was displaced to the subretinal space in the inferior periphery. A retinal detachment at the posterior pole and the inferior periphery was created by injecting balanced salt solution through a retinal puncture near the inferotemporal vessels. Fluid-air exchange was performed, followed by short-term postoperative upright head positioning.


RESULTS
In all cases, PFCL droplets were successfully displaced toward the inferior periphery, with good visual recovery.


CONCLUSIONS
This procedure seems to be safe and is an alternative to direct aspiration of PFCL through a juxtafoveal retinotomy, which risks damage to the foveal region.
Le Tien
Valérie
V
Department of Ophthalmology, Hôpital Foch, 40 Rue Worth, 92150, Suresnes, France.
Pierre-Kahn
Vincent
V
Azan
Frédéric
F
Renard
Gilles
G
Chauvaud
Dominique
D
D000085:Acetates / Q000008:administration & dosage; D000368:Aged; D004322:Drainage / Q000379:methods*; D004338:Drug Combinations; D005466:Fluorocarbons / Q000378:metabolism*; D005584:Fovea Centralis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008903:Minerals / Q000008:administration & dosage; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery*; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D014821:Vitrectomy / Q000379:methods*
D000085:Acetates; C030660:BSS solution; D004338:Drug Combinations; D005466:Fluorocarbons; D008903:Minerals; D012965:Sodium Chloride