Perfluoro-N-octane as Postoperative Vitreous Substitutes in Retinal Detachment: A Case Report. |
Young Suk Chang, Hyun Kyung Ghil, Chul Gu Kim |
1Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea. chulgukim@hanmail.net 2Department of Ophthalmology, Bun-Dang Jesaeng General Hospital, Seongnam, Korea. |
안내충전물로서 과불화탄소액을 이용한 거대 망막열공이 동반된 망막박리 환자 치료 증례 1예 |
장영석1ㆍ길현경2ㆍ김철구1 |
"Department of Ophthalmology, Konyang University College of Medicine1, Daejeon, Korea Department of Ophthalmology, Bun-Dang Jesaeng General Hospital2, Seongnam, Korea" |
Correspondence:
Young Suk Chang, M.D.1 |
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Abstract |
PURPOSE To report a case of retinal detachment with a giant retinal tear, which was treated with perfluorocarbon liquid as an intraocular substitute. CASE SUMMARY: A 37-year-old woman with a dislocated lens and a giant retinal tear underwent vitrectomy and lensectomy and was instructed to maintain a supine position after the operation. Perfluorocarbon liquid (Perfluoro-N-octane, C8F18) was used as a substitute in the vitreous cavity for 17 days. After 17 days, the perfluorocarbon liquid was removed and intraocular lens scleral fixation was performed. After removal of the perfluorocarbon liquid, the corneal endothelium was stable without other complications (including corneal edema, elevated intraocular pressure, ocular hypotony, macular pucker), and the best corrected visual acuity after intraocular lens scleral fixation was 0.4. CONCLUSIONS: Perfluorocarbon liquid is a useful surgical material in patients with a dislocated lens and retinal detachment with a giant retinal tear who have difficulty maintaining a prone position. |
Key Words:
Giant retinal tear;Lens dislocation;Perfluorocarbon liquid;Retinal detachment |
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