Cem CANKAYA, Selim DOGANAY, Derya DOGANAY

Surgical removal of subfoveal perfluorocarbon liquid using combined 41 gauge needle and active aspiration under perfluorocarbon liquid

A 57 years old patient underwent uneventfully 23-gauge pars plana vitrectomy (PPV) surgery containing perfluorocarbon liquid (PFCL) injection, endolaser retinopexy, fluid-air exchange, and silicone-oil implantation due to rhegmatogenous retinal detachment. The patient has admitted to the clinic due to decreased visual acuity caused by subfoveal retained PFCL detected with optical coherence tomography (OCT) 4 weeks after surgery. The patient underwent a reoperation to remove the residual subfoveal PFCL partially with a new technique.

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1. Chang S, Ozmert E, Zimmerman NJ. Intraoperative perfluorocarbon liquids in the management of proliferative vitreoretinopathy. Am J Ophthalmol 1988:15;668-74.
2. Shulman M, Sepah YJ, Chang S,et al. Management of retained subretinl perfluorcarbon liquid. Ophthalmic Surg Lasers Imaging Retina 2013;44:577-83.
3. Joondeph, BC, Nguyen H. Ocular cohorence tomography finding with retained submacular perfluoron. Clin Experiment Ophthalmol 2006;34:85- 6.
4. Garg SJ, Theventhiran AB. Retained subretinal perfluorocarbon liquid in microincision 23-gauge versus traditional 20-gauge vitrectomy for retinal detachement repair. Retina 2012;32:2127-32.
5. Soheilian M, Nourinia R, Shoeibi N, Peyman GA. ThreeDimensional OCT features of perfluorocarbon liquid trapped under the fovea. Ophthalmic Surg Lasers Imaging 2010;9:1-4.
6. Lee GA, Finnegan SJ, Bourke RD. Subretinal perfluorodecalin toxicity. Aust N Z J Ophthalmol 1998;26:57-60.
7. Cohen SY, Dubois L, Elmaleh C. Retinal hole as a complication of long-standing subretinal perfluorocarbon liquid. Retina 2006;26:834-43.
8. Pan Q, Deng Y, Wu W, et al. Surgical removal of subfoveal perfluorocarbon liquid using combined flute needle and vacuum aspiration in silicone oilfilled eyes: A novel technique to remove subfoveal PFCL. Indian J Ophthalmol 2018;66:1463-5.
9. Oellers P, Charkoudian LD, Hahn P. Sponteneous resolulution of subfoveal perfluorocarbon. Clin Ophthalmol 2015;9:517-9.
10. Kim JM, Woo SJ, Park KH, et al. Surgical Removal of Retained Subfoveal Perfluorocarbon Liquid through a Therapeutic Macular Hole with Intravitreal PFCL Injection and Gas Tamponade. Korean J Ophthalmol 2013;27:392-5.