Intraoperative Use of Perfluo rocarbon Liquids in the Management of Proliferative Vitreoretinopathy.

Choi, Jeong Beom; Kim, Si Yeol

Original Article

Journal of the Korean Ophthalmological Society 2000;41(1):156-162.
Published online January 1, 2000.

Intraoperative Use of Perfluo rocarbon Liquids in the Management of Proliferative Vitreoretinopathy.

Jeong Beom Choi, Si Yeol Kim

Department of Ophthalmology, College of Medicine, Kyungpook National University.

증식유리체망막병증에서 과불화탄소액을 이용한 수술적 치료

최정범(Jeong Beom Choi),김시열(Si Yeol Kim)

Abstract

Perfluorocarbon liquids have been shown to be a useful intraoperative adjunct in managing complicated retinal detachment. To prove the effectiveness of intraoperative use of perfluorocarbon liquid and the improvement of surgical and functional outcomes, we retrospcetively evaluated the clinical results of the patients[13 eyes]who had retinal detachment complicated with proliferative vitreoretinopathy [over PVR Grade C4, C4 :7 eyes, C5 :6 eyes]. We performed standard 3-port pars plana vitrectomy in all eyes included in this study.Perfluorodecalin[DK-line]was used as a shortterm vitreous substitute intraoperatively and removed before the end of the surgery. The mean follow-up period was 15 months.Anatomical success rate was 86%[6 eyes]in Grade C4, 67%[4 eyes]in Grade C5, Visual acuity was over 5/200 in one eye[8%]and there was improvement in 5 eyes[40%] although it was below 5/200. Consequently, we could easily manage the retinal detachment with PVR with help of intraoperative perfluorocarbon liquid and could improve the postoperative surgical and visual outcomes.

Key Words: Anatomical success;Complicated retinal detachment;Perfluorocarbon liquids;Visual outcomes