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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 5/2008

01-05-2008 | Retinal Disorders

Avoiding retinal slippage during macular translocation surgery with 360 retinotomy

Authors: Kenneth K. W. Li, David Wong

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2008

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Abstract

Purpose

To describe a surgical technique to avoid retinal slippage.

Method

An audit was carried out on a consecutive series of 75 consecutive cases of macular translocation for age-related macular degeneration (MT360). We encountered two cases of slippage, which led to a change in technique.

Result

No further cases of slippage were encountered. We were able to perform an exchange of perfluorocarbon liquid with air or directly with silicone oil.

Discussion

Retinal slippage is caused by the presence of aqueous in the infusion tubing. Meticulous removal of all aqueous from the infusion system and vitreous cavity can eliminate this complication.
Literature
1.
go back to reference Mathis A, Pagot V, Gazagne C et al (1992) Giant retinal tears. Surgical techniques and results using perfluorodecalin and silicone oil tamponade. Retina 12:S7–S10PubMedCrossRef Mathis A, Pagot V, Gazagne C et al (1992) Giant retinal tears. Surgical techniques and results using perfluorodecalin and silicone oil tamponade. Retina 12:S7–S10PubMedCrossRef
2.
go back to reference Wong D, Williams RL, German MJ (1998) Exchange of perfluorodecalin for gas or oil: a model for avoiding slippage. Graefes Arch Clin Exp Ophthalmol 236:234–237PubMedCrossRef Wong D, Williams RL, German MJ (1998) Exchange of perfluorodecalin for gas or oil: a model for avoiding slippage. Graefes Arch Clin Exp Ophthalmol 236:234–237PubMedCrossRef
3.
go back to reference Eckardt C, Eckardt U, Conrad HG (1999) Macular rotation with and without counter-rotation of the globe in patients with age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol 237:313–325PubMedCrossRef Eckardt C, Eckardt U, Conrad HG (1999) Macular rotation with and without counter-rotation of the globe in patients with age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol 237:313–325PubMedCrossRef
4.
go back to reference Wong D, Lois N (2000) Foveal relocation by redistribution of the neurosensory retina. Br J Ophthalmol 84(4):352–357PubMedCrossRef Wong D, Lois N (2000) Foveal relocation by redistribution of the neurosensory retina. Br J Ophthalmol 84(4):352–357PubMedCrossRef
5.
go back to reference Comaratta MR, Chang S (1991) Perfluorocarbon liquids in the management of complicated retinal detachments. Curr Opin Ophthalmol 2:291–298PubMed Comaratta MR, Chang S (1991) Perfluorocarbon liquids in the management of complicated retinal detachments. Curr Opin Ophthalmol 2:291–298PubMed
6.
go back to reference Chang S, Reppucci V, Zimmerman NJ et al (1989) Perfluorocarbon liquids in the management of traumatic retinal detachments. Ophthalmology 96:785–791PubMed Chang S, Reppucci V, Zimmerman NJ et al (1989) Perfluorocarbon liquids in the management of traumatic retinal detachments. Ophthalmology 96:785–791PubMed
7.
go back to reference Chang S, Lincoff H, Zimmerman NJ et al (1989) Giant retinal tears. Surgical techniques and results using perfluorocarbon liquids. Arch Ophthalmol 107:761–766PubMed Chang S, Lincoff H, Zimmerman NJ et al (1989) Giant retinal tears. Surgical techniques and results using perfluorocarbon liquids. Arch Ophthalmol 107:761–766PubMed
8.
go back to reference Chang S, Ozmert E, Zimmerman NJ (1988) Intraoperative perfluorocarbon liquids in the management of proliferative vitreoretinopathy. Am J Ophthalmol 106:668–674PubMed Chang S, Ozmert E, Zimmerman NJ (1988) Intraoperative perfluorocarbon liquids in the management of proliferative vitreoretinopathy. Am J Ophthalmol 106:668–674PubMed
9.
go back to reference Chang S (1987) Low viscosity liquid fluorochemicals in vitreous surgery. Am J Ophthalmol 103:38–43PubMed Chang S (1987) Low viscosity liquid fluorochemicals in vitreous surgery. Am J Ophthalmol 103:38–43PubMed
10.
go back to reference Meffert S, Peyman GA (1999) Intraoperative complications of perfluoroperhydrophenanthrene: subretinal perfluorocarbon, retinal slippage and residual perfluorocarbon. Vitreon Study Group. Can J Ophthalmol 34:272–280PubMed Meffert S, Peyman GA (1999) Intraoperative complications of perfluoroperhydrophenanthrene: subretinal perfluorocarbon, retinal slippage and residual perfluorocarbon. Vitreon Study Group. Can J Ophthalmol 34:272–280PubMed
11.
go back to reference Petersen J (1987) The physical and surgical aspects of silicone oil in the vitreous cavity. Graefes Arch Clin Exp Ophthalmol 225:452–456PubMedCrossRef Petersen J (1987) The physical and surgical aspects of silicone oil in the vitreous cavity. Graefes Arch Clin Exp Ophthalmol 225:452–456PubMedCrossRef
12.
go back to reference Chang S, Lincoff H, Zimmerman NJ et al (1989) Giant retinal tears. Surgical techniques and results using perfluorocarbon liquids. Arch Ophthalmol 107:761–766PubMed Chang S, Lincoff H, Zimmerman NJ et al (1989) Giant retinal tears. Surgical techniques and results using perfluorocarbon liquids. Arch Ophthalmol 107:761–766PubMed
13.
go back to reference Toth CA, Freedman SF (2001) Macular translocation with 360-degree peripheral retinectomy impact of technique and surgical experience on visual outcomes. Retina 21:293–303PubMedCrossRef Toth CA, Freedman SF (2001) Macular translocation with 360-degree peripheral retinectomy impact of technique and surgical experience on visual outcomes. Retina 21:293–303PubMedCrossRef
Metadata
Title
Avoiding retinal slippage during macular translocation surgery with 360 retinotomy
Authors
Kenneth K. W. Li
David Wong
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2008
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-007-0677-3

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