Top

BMC Ophthalmology

Published in:

Open Access 01-12-2018 | Case report

Surgical removal of submacular perfluorocarbon liquid with a 38-gauge flexible cannula combined with internal limiting membrane peeling and intravitreal air tamponade: a case series

Authors: Zhongjing Lin, Yanwei Chen, Sha Gao, Yisheng Zhong, Xi Shen

Published in: BMC Ophthalmology | Issue 1/2018

Abstract

Background

To report a case series in which a modified technique was used to remove retained submacular perfluorocarbon liquid (PFCL) secondary to vitreoretinal surgery for rhegmatogenous retinal detachment.

Case presentation

Four patients who had undergone pars plana vitrectomy for rhegmatogenous retinal detachment were further treated with surgical intervention because of retained submacular PFCL. With a three-port pars plana approach, after the internal limiting membrane peeling with indocyanine green staining, a 38-gauge flexible cannula was used to aspirate the submacular perfluorocarbon bubble, followed by fluid-air exchange and air injection into vitreous cavity. Submacular perfluorocarbon liquid was removed successfully and visual acuity had an improvement in all cases.

Conclusion

The surgical removal of retained submacular PFCL using a 38-gauge flexible cannula combined with internal limiting membrane peeling and intravitreal air tamponade may provide anatomical and visual satisfactory outcomes.

Shulman M, Sepah YJ, Chang S, Abrams GW, Do DV, Nguyen QD. Management of retained subretinal perfluorocarbon liquid. Ophthalmic Surg Lasers Imaging Retina. 2013;44(6):577–83.CrossRefPubMed

Yu Q, Liu K, Su L, Xia X, Xu X. Perfluorocarbon liquid: its application in vitreoretinal surgery and related ocular inflammation. Biomed Res Int. 2014;2014:250323.PubMedPubMedCentral

Garcia-Valenzuela E, Ito Y, Abrams GW. Risk factors for retention of subretinal perfluorocarbon liquid in vitreoretinal surgery. Retina. 2004;24(5):746–52.CrossRefPubMed

Tewari A, Eliott D, Singh CN, Garcia-Valenzuela E, Ito Y, Abrams GW. Changes in retinal sensitivity from retained subretinal perfluorocarbon liquid. Retina. 2008;29(2):248–50.CrossRef

Chandra P, Kumar V, Takkar B, Kumar A. Epiretinal membrane development after submacular perfluorocarbon liquid removal. Oman J Ophthalmol. 2017;10(3):253–4.CrossRefPubMedPubMedCentral

Escalada Gutiérrez F, Mateo García C. Extraction of subfoveal liquid perfluorocarbon. Arch Soc Esp Oftalmol. 2002;77(9):519–21.PubMed

Sakurai E, Ogura Y. Removal of residual subfoveal perfluoro-n-octane liquid. Graefes Arch Clin Exp Ophthalmol. 2007;245(7):1063–4.CrossRefPubMed

Mirshahi A, Ghasemi F, Zarei M, Karkhaneh R, Ahmadraji A, Polkinghorne PJ. Removal of subfoveal perfluorocarbon liquid: report of 3 cases. J Curr Ophthalmol. 2017;29(4):324–8.CrossRefPubMedPubMedCentral

De Cillà S, Alkabes M, Radice P, Carini E, Mateo C. Direct transretinal removal of subfoveal perfluorocarbon liquid: the role and timing of internal limiting membrane peeling. Eur J Ophthalmol. 2017;27(2):249–52.CrossRefPubMed

10.

Lai JC, Postel EA, McCuen BW II. Recovery of visual function after removal of chronic subfoveal perfluorocarbon liquid. Retina. 2003;23(6):868–70.CrossRefPubMed

11.

Roth DB, Sears JE, Lewis H. Removal of retained subfoveal perfluoro-n-octane liquid. Am J Ophthalmol. 2004;138(2):287–9.CrossRefPubMed

12.

García-Arumí J, Castillo P, López M, Boixadera A, Martínez-Castillo V, Pimentel L. Removal of retained subretinal perfluorocarbon liquid. Br J Ophthalmol. 2008;92(12):1693–4.CrossRefPubMed

13.

Joondeph BC. Controlled aspiration of subfoveal perfluorocarbon liquid using a novel microcannula. Retina. 2011;31(5):991–3.CrossRefPubMed

Title: Surgical removal of submacular perfluorocarbon liquid with a 38-gauge flexible cannula combined with internal limiting membrane peeling and intravitreal air tamponade: a case series
Authors: Zhongjing Lin
Yanwei Chen
Sha Gao
Yisheng Zhong
Xi Shen
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Ophthalmology / Issue 1/2018
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/s12886-018-0798-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Surgical removal of submacular perfluorocarbon liquid with a 38-gauge flexible cannula combined with internal limiting membrane peeling and intravitreal air tamponade: a case series

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2018

Metabolic characterization of human aqueous humor in the cataract progression after pars plana vitrectomy

Extraocular muscle repositioning as the last therapeutic option for a patient with a severe course of Graves’ Ophthalmopathy: a case report

Repeated intraocular crystallization of ganciclovir in one eye after bilateral intravitreal injections: a case report

Analysis of pre-operative factors affecting range of optimal vaulting after implantation of 12.6-mm V4c implantable collamer lens in myopic eyes

Expression of cytokines in aqueous humor from fungal keratitis patients

Association of Genes implicated in primary angle-closure Glaucoma and the ocular biometric parameters of anterior chamber depth and axial length in a northern Chinese population