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Vitrectomy with short term postoperative tamponade using perfluorocarbon liquid for giant retinal tears

M Sirimaharaj, C Balachandran, W C Chan, A P Hunyor, A A Chang, J G Roberts, A B Hunyor and T J Playfair

Vitreoretinal Unit, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia

Correspondence to:
Correspondence to:
Maytinee Sirimaharaj
Vitreoretinal Unit, Mettapracharak Hospital (Watraikhing), 52 Moo 2, Raikhing District, Sampran, Nakornpathom 73210, Thailand; maytinees{at}yahoo.com

Aim: To determine the efficacy and safety of perfluorocarbon liquid as a short term postoperative tamponade in patients with retinal detachment from giant retinal tears.

Method: A retrospective consecutive case series of patients with retinal detachment from giant retinal tears who underwent vitrectomy using perfluorocarbon liquid as a short term postoperative internal tamponade. The perfluorocarbon liquid was removed 5–14 days (mean 7.5 days) later and replaced by gas or silicone oil. Scleral buckling was performed in some cases with proliferative vitreoretinopathy. The crystalline lens was removed if there was interference with the surgical view or if it was subluxated. The success rate of retinal reattachment, visual outcome, and postoperative complications were assessed.

Results: A total of 62 eyes of 61 patients with a follow up of 8–69 months (mean 24.5 months) were included. All retinas were attached intraoperatively. 14 eyes (22.6%) developed re-detachment and additional operations were performed in 13 eyes. At final visit, 58 eyes (93.5%) had retinas that remained attached with visual acuity 6/12 or better in 27 eyes (46.5%). The visual acuity improved in 34 eyes (54.8%) with 28 eyes (45.2%) improving at least two Snellen lines, it was unchanged in 20 eyes (32.3%), and was worse in eight eyes (12.9%). Three patients developed glaucoma that was controlled medically. There was no retained perfluorocarbon liquid in any eyes.

Conclusion: Perfluorocarbon liquid appears safe and effective to use as a short term postoperative tamponade in management of retinal detachment from giant retinal tears.

Abbreviations: BSS, balanced salt solution; GRT, giant retinal tears; PFCLs, perfluorocarbon liquids; PFO, perfluoro-n-octane; PVR, proliferative vitreoretinopathy; RPE, retinal pigment epithelium

Keywords: giant retinal tear; perfluorocarbon liquid; vitrectomy; retinal detachment

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