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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 11/2004

01-11-2004 | Laboratory Investigation

The effect of specific gravity of perfluorocarbon liquid on the retina after experimental vitreous substitution

Authors: Ulrike Stolba, Katharina Krepler, Michaela Velikay-Parel, Susanne Binder

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2004

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Abstract

Purpose

To evaluate the histological changes in the retina after experimental vitreous substitution with various amounts of perfluorophenanthrene (PFPH).

Methods

Thirty-two rabbit eyes were mechanically vitrectomized and filled up with 0.8 cc or 0.2 cc highly purified PFPH. The substance remained for 1 week (4 eyes), 2 weeks (8 eyes), 4 weeks (10 eyes) or 8 weeks (10 eyes). Eight eyes underwent the same surgical procedure without PFPH exchange to serve as a control group. A histological comparison of corresponding areas in the center and in the periphery of the inferior retina ensued.

Results

After 2 weeks, nuclear drop-downs and irregularities of the outer plexiform layer and of both nuclear layers were observed centrally in the eyes with a 0.8 cc substitution. The changes proceeded to irregularities and cell loss of all retinal layers with focal areas of complete destruction of the retinal architecture after 8 weeks. In contrast, single nuclear drop-downs, wrinkling of the outer nuclear layer and cell loss in the photoreceptor layer were observed in the peripheral retina at the end of the observation period. In those eyes where 0.2 cc PFPH was exchanged nuclear drop-downs were found after 2 weeks, leading to focal thinning of the outer plexiform layer and irregularities of the outer nuclear layer after 4 weeks with an insignificant increase after 8 weeks. At this time these histological alterations were comparable with those that we observed after 2 weeks in the eyes with a 0.8 cc tamponade in a corresponding area.

Conclusions

Even high purification of PFPH does not prevent retinal damage. The different results in different areas after vitreous substitution with 0.2 cc and with 0.8 cc demonstrate that the high specific gravity of the substance may also play a role in the development of histological changes after extended tamponade.
Literature
1.
go back to reference Binder S, Velikay M, Wedrich A, Stolba U, Datlinger P (1992) Die klinische Anwendung flüssiger Perfluorocarbone in der Netzhautchirurgie. Spektrum Augenheilkd 6:4–7 Binder S, Velikay M, Wedrich A, Stolba U, Datlinger P (1992) Die klinische Anwendung flüssiger Perfluorocarbone in der Netzhautchirurgie. Spektrum Augenheilkd 6:4–7
2.
go back to reference Blinder KJ, Peyman GA, Desai UR, Norman NC, Alturki W, Paris CL (1992) Vitreon, a short-term vitreoretinal tamponade. Br J Ophthalmol 76:525–528PubMed Blinder KJ, Peyman GA, Desai UR, Norman NC, Alturki W, Paris CL (1992) Vitreon, a short-term vitreoretinal tamponade. Br J Ophthalmol 76:525–528PubMed
3.
go back to reference Bottoni F, Sborgia M, Arpa P, De Casa N, Bertazzi E, Monticelli M (1993) Perfluorocarbon liquids as postoperative short-term vitreous substitutes in complicated retinal detachment. Graefes Arch Clin Exp Ophthalmol 231:619–628PubMed Bottoni F, Sborgia M, Arpa P, De Casa N, Bertazzi E, Monticelli M (1993) Perfluorocarbon liquids as postoperative short-term vitreous substitutes in complicated retinal detachment. Graefes Arch Clin Exp Ophthalmol 231:619–628PubMed
4.
go back to reference Bryan JS, Friedman SM, Mames RN, Margo CE (1994) Experimental vitreous replacement with Perfluorotri-n-Propylamine. Arch Ophthalmol 112:1098–1102PubMed Bryan JS, Friedman SM, Mames RN, Margo CE (1994) Experimental vitreous replacement with Perfluorotri-n-Propylamine. Arch Ophthalmol 112:1098–1102PubMed
5.
go back to reference Carroll BF, Peyman GA, Mehta NJ, Millsap CM, Greve MDJ, Dunlap WA (1994) Repair of retinal detachment associated with proliferative vitreoretinopathy using perfluoro-perhydrophenanthrene (Vitreon). Can J Ophthalmol 29:66–69PubMed Carroll BF, Peyman GA, Mehta NJ, Millsap CM, Greve MDJ, Dunlap WA (1994) Repair of retinal detachment associated with proliferative vitreoretinopathy using perfluoro-perhydrophenanthrene (Vitreon). Can J Ophthalmol 29:66–69PubMed
6.
go back to reference Chang S, Reppucci V, Zimmerman NJ, Heinemann MH, Coleman DJ (1981) Perfluorocarbon liquids in the management of traumatic retinal detachments. Ophthalmology 96:785–792 Chang S, Reppucci V, Zimmerman NJ, Heinemann MH, Coleman DJ (1981) Perfluorocarbon liquids in the management of traumatic retinal detachments. Ophthalmology 96:785–792
7.
go back to reference Chang S, Lincoff H, Zimmerman NJ, Fuchs W (1981) Giant retinal tears. Surgical techniques and results using Perfluorocarbon liquids. Arch Ophthalmol 107:761–766 Chang S, Lincoff H, Zimmerman NJ, Fuchs W (1981) Giant retinal tears. Surgical techniques and results using Perfluorocarbon liquids. Arch Ophthalmol 107:761–766
8.
go back to reference Chang S, Zimmerman NJ, Iwamoto T, Ortiz R, Faris D (1987) Experimental vitreous replacement with Perfluorotributylamine. Am J Ophthalmol 103:29–37PubMed Chang S, Zimmerman NJ, Iwamoto T, Ortiz R, Faris D (1987) Experimental vitreous replacement with Perfluorotributylamine. Am J Ophthalmol 103:29–37PubMed
9.
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
10.
go back to reference Chang S, Sparrow JR, Iwamoto T, Gershbein A, Ross R, Ortiz R (1991) Experimental studies of tolerance to intravitreal Perfluoro-n-octane. Retina 11:367–374PubMed Chang S, Sparrow JR, Iwamoto T, Gershbein A, Ross R, Ortiz R (1991) Experimental studies of tolerance to intravitreal Perfluoro-n-octane. Retina 11:367–374PubMed
11.
go back to reference Coll GE, Chang S, Sun J, Wieland MR, Berrocal MH (1995) Perfluorocarbon liquid in the management of retinal detachment with proliferative vitreoretinopathy. Ophthalmology 102:630–639PubMed Coll GE, Chang S, Sun J, Wieland MR, Berrocal MH (1995) Perfluorocarbon liquid in the management of retinal detachment with proliferative vitreoretinopathy. Ophthalmology 102:630–639PubMed
12.
go back to reference Eckardt C, Nicolai U, Winter M, Knop E (1991) Experimental intraocular tolerance to liquid Perfluorooctane and Perfluoropolyether. Retina 11:375–384CrossRefPubMed Eckardt C, Nicolai U, Winter M, Knop E (1991) Experimental intraocular tolerance to liquid Perfluorooctane and Perfluoropolyether. Retina 11:375–384CrossRefPubMed
13.
go back to reference Fanous MM, Friedman SM (1992) Ciliary sulcus fixation of a dislocated posterior chamber intraocular lens using liquid perfluorophenanthrene. Ophthalmic Surg 23:551–552PubMed Fanous MM, Friedman SM (1992) Ciliary sulcus fixation of a dislocated posterior chamber intraocular lens using liquid perfluorophenanthrene. Ophthalmic Surg 23:551–552PubMed
14.
go back to reference Flores-Aguilar M, Munguia D, Loeb E, Crapotta JA, Vuong C, Shakiba S (1995) Intraocular tolerance of Perfluoro-octylbromide (Perflubron). Retina 15:3–13PubMed Flores-Aguilar M, Munguia D, Loeb E, Crapotta JA, Vuong C, Shakiba S (1995) Intraocular tolerance of Perfluoro-octylbromide (Perflubron). Retina 15:3–13PubMed
15.
go back to reference Glaser BM, Carter JB, Kuppermann BD, Michels RG (1991) Perfluoro-octane in the treatment of giant retinal tears with proliferative vitreoretinopathy. Ophthalmology 98:1613–1621PubMed Glaser BM, Carter JB, Kuppermann BD, Michels RG (1991) Perfluoro-octane in the treatment of giant retinal tears with proliferative vitreoretinopathy. Ophthalmology 98:1613–1621PubMed
16.
go back to reference Greve MDJ, Peyman GA, Mehta NJ, Millsap CM (1993) Use of Perfluoroperhydro-phenanthrene in the management of posteriorly dislocated crystalline and intraocular lenses. Ophthalmic Surg 24:593–597PubMed Greve MDJ, Peyman GA, Mehta NJ, Millsap CM (1993) Use of Perfluoroperhydro-phenanthrene in the management of posteriorly dislocated crystalline and intraocular lenses. Ophthalmic Surg 24:593–597PubMed
17.
go back to reference Kirchhof B, Wong D, Van Meurs J, Hilgers RD, Macek M, Lois N, Schrage NF (2002) Use of perfluorohexyloctane as a long-term internal tamponade agent in complicated retinal detachment surgery. Am J Ophthalmol 133:95–101CrossRefPubMed Kirchhof B, Wong D, Van Meurs J, Hilgers RD, Macek M, Lois N, Schrage NF (2002) Use of perfluorohexyloctane as a long-term internal tamponade agent in complicated retinal detachment surgery. Am J Ophthalmol 133:95–101CrossRefPubMed
18.
go back to reference Le Mer Y, Kroll P (1991) Die Verwendung von flüssigem Perfluorocarbon bei Riesenrissen. Klin Mb Augenheilkd 198:264–267 Le Mer Y, Kroll P (1991) Die Verwendung von flüssigem Perfluorocarbon bei Riesenrissen. Klin Mb Augenheilkd 198:264–267
19.
go back to reference Lewis H, Sanchez G (1993) The use of perfluorocarbon liquids in the repositioning of posteriorly dislocated lenses. Ophthalmology 100:1055–1059PubMed Lewis H, Sanchez G (1993) The use of perfluorocarbon liquids in the repositioning of posteriorly dislocated lenses. Ophthalmology 100:1055–1059PubMed
20.
go back to reference Lewis H, Blumenkranz MS, Chang S (1992) Treament of dislocated crystalline lens and retinal detachment with perfluorocarbon liquids. Retina 12:229–304 Lewis H, Blumenkranz MS, Chang S (1992) Treament of dislocated crystalline lens and retinal detachment with perfluorocarbon liquids. Retina 12:229–304
21.
go back to reference Liu KR, Peyman GA, Chen M, Cheng K (1991) Use of high density vitreous substitutes in the removal of posteriorly dislocated lenses or intraocular lenses. Ophthalmology 22:503–507 Liu KR, Peyman GA, Chen M, Cheng K (1991) Use of high density vitreous substitutes in the removal of posteriorly dislocated lenses or intraocular lenses. Ophthalmology 22:503–507
22.
go back to reference Mathis A, Pagot V, Gazague C, Malecaze F (1992) Giant retinal tears. Surgical techniques and results using perfluorodecaline and silicone oil tamponade. Retina 12(Suppl):7–10 Mathis A, Pagot V, Gazague C, Malecaze F (1992) Giant retinal tears. Surgical techniques and results using perfluorodecaline and silicone oil tamponade. Retina 12(Suppl):7–10
23.
go back to reference Mathis A, Pagot V, Idder A, Malecaze F (1993) Utilisation de la perfluorodecaline au cours de la vitrectomie chez le diabetique. J Fr Ophtalmol 16(11):584–590PubMed Mathis A, Pagot V, Idder A, Malecaze F (1993) Utilisation de la perfluorodecaline au cours de la vitrectomie chez le diabetique. J Fr Ophtalmol 16(11):584–590PubMed
24.
go back to reference Miyamoto K, Refojo MF, Tolentino FI, Fournier GA, Albert DM (1984) Perfluoroether liquid as a long-term vitreous substitute. An experimental study. Retina 4:264–268PubMed Miyamoto K, Refojo MF, Tolentino FI, Fournier GA, Albert DM (1984) Perfluoroether liquid as a long-term vitreous substitute. An experimental study. Retina 4:264–268PubMed
25.
go back to reference Nahib M, Peyman GA, Clark LC, Hoffman RE, Miceli M, Abou-Steit M (1989) Experimental evaluation of Perfluoro-phenanthrene as a high specific gravity vitreous substitute: a preliminary report. Ophthalmic Surg 20(4):286–293PubMed Nahib M, Peyman GA, Clark LC, Hoffman RE, Miceli M, Abou-Steit M (1989) Experimental evaluation of Perfluoro-phenanthrene as a high specific gravity vitreous substitute: a preliminary report. Ophthalmic Surg 20(4):286–293PubMed
26.
go back to reference Rowson NJ, Bacon AS, Rosen PH (1992) Perfluorocarbon heavy liquids in the management of posterior dislocation of the lens nucleus during phakoemulsification. Br J Ophthalmol 76:169–170PubMed Rowson NJ, Bacon AS, Rosen PH (1992) Perfluorocarbon heavy liquids in the management of posterior dislocation of the lens nucleus during phakoemulsification. Br J Ophthalmol 76:169–170PubMed
27.
go back to reference Schulman JA, Peyman GA, Blinder KJ (1993) Management of giant retinal tears with perfluoroperhydrophenanthrene (Vitreon). Jpn J Ophthalmol 37:70–77PubMed Schulman JA, Peyman GA, Blinder KJ (1993) Management of giant retinal tears with perfluoroperhydrophenanthrene (Vitreon). Jpn J Ophthalmol 37:70–77PubMed
28.
go back to reference Shapiro MJ, Resnik KI, Kim SH, Weinberg A (1991) Management of the dislocated crystalline lens with a Perfluorocarbon liquid. Am J Ophthalmol 112:401–405PubMed Shapiro MJ, Resnik KI, Kim SH, Weinberg A (1991) Management of the dislocated crystalline lens with a Perfluorocarbon liquid. Am J Ophthalmol 112:401–405PubMed
29.
go back to reference Sparrow JR, Ortiz R, MacLeish PR, Chang S (1990) Fibroblast behaviour at aqueous interface with Perfluorocarbon, Silicone, and Fluorosilicone liquids. Invest Ophthalmol Vis Sci 31:638–646PubMed Sparrow JR, Ortiz R, MacLeish PR, Chang S (1990) Fibroblast behaviour at aqueous interface with Perfluorocarbon, Silicone, and Fluorosilicone liquids. Invest Ophthalmol Vis Sci 31:638–646PubMed
30.
go back to reference Sparrow JR, Matthews GP, Iwamoto T, Ross R, Gershbein A, Chang S (1993) Retinal tolerance to intravitreal Perfluoro-ethylcyclohexane liquid in the rabbit. Retina 13:56–62PubMed Sparrow JR, Matthews GP, Iwamoto T, Ross R, Gershbein A, Chang S (1993) Retinal tolerance to intravitreal Perfluoro-ethylcyclohexane liquid in the rabbit. Retina 13:56–62PubMed
31.
go back to reference Velikay M, Wedrich A, Stolba U, Datlinger P, Li Y, Binder S (1993) Experimental long-term vitreous replacement with purified and non purified Perfluorodecaline. Am J Ophthalmol 116:565–570PubMed Velikay M, Wedrich A, Stolba U, Datlinger P, Li Y, Binder S (1993) Experimental long-term vitreous replacement with purified and non purified Perfluorodecaline. Am J Ophthalmol 116:565–570PubMed
32.
go back to reference Velikay M, Stolba U, Wedrich A, Li Y, Datlinger P, Binder S (1995) The effect of chemical stability and purification of Perfluorocarbon liquids in experimental extended-term vitreous substitution. Graefes Arch Clin Exp Ophthalmol 223(1):26–30 Velikay M, Stolba U, Wedrich A, Li Y, Datlinger P, Binder S (1995) The effect of chemical stability and purification of Perfluorocarbon liquids in experimental extended-term vitreous substitution. Graefes Arch Clin Exp Ophthalmol 223(1):26–30
33.
go back to reference Verma LK, Peyman GA, Wafapor H, Greve MD, Millsap CM, Adile SL (1995) An analysis of posterior segment complications after vitrectomy using the perfluorocarbon perfluoroperhydrophenanthrene (Vitreon). Ophthalmic Surg 26:29–33PubMed Verma LK, Peyman GA, Wafapor H, Greve MD, Millsap CM, Adile SL (1995) An analysis of posterior segment complications after vitrectomy using the perfluorocarbon perfluoroperhydrophenanthrene (Vitreon). Ophthalmic Surg 26:29–33PubMed
34.
go back to reference Wallace RT, McNamara JA, Brown G, Benson W, Belmont J, Goldberg R (1993) The use of perfluorophenanthrene in the removal of intravitreal lens fragments. Am J Ophthalmol 116:196–200PubMed Wallace RT, McNamara JA, Brown G, Benson W, Belmont J, Goldberg R (1993) The use of perfluorophenanthrene in the removal of intravitreal lens fragments. Am J Ophthalmol 116:196–200PubMed
Metadata
Title
The effect of specific gravity of perfluorocarbon liquid on the retina after experimental vitreous substitution
Authors
Ulrike Stolba
Katharina Krepler
Michaela Velikay-Parel
Susanne Binder
Publication date
01-11-2004
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2004
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-004-0916-9

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