Retinal detachment and degeneration in response to subretinal perfluorodecalin in rabbit eyes

Perfluorocarbon liquids, including perfluorodecalin (PFD), are useful intraoperative tools in complicated vitreoretinal surgery, such as for giant retinal tears, PVR and intraocular foreign bodies. Due to its high specific gravity (1.91 g/cm3) subretinal complications of PFD may occur. The consequen...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 1993-04, Vol.231 (4), p.233-237
Hauptverfasser: BERGLIN, L, REN, J, ALGVERE, P. V
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ALGVERE, P. V
description Perfluorocarbon liquids, including perfluorodecalin (PFD), are useful intraoperative tools in complicated vitreoretinal surgery, such as for giant retinal tears, PVR and intraocular foreign bodies. Due to its high specific gravity (1.91 g/cm3) subretinal complications of PFD may occur. The consequences of subretinal PFD were studied in 23 albino rabbits (28 eyes). Using glass micropipettes (outer diameter of tip 100-120 microns), we injected 50-100 microliters PFD subretinally via the vitreous space. The same volume of BSS was injected into 18 control eyes. Eyes were monitored by indirect ophthalmoscopy and examined by light and electron microscopy at 1, 2 and 3 days, and 1, 2, 4 and 12 weeks. Progressive retinal detachments with newly formed retinal breaks in the inferior quadrants developed in 26 of 28 eyes. As early as 1 day postoperatively, subretinal PFD induced loss of outer and inner segments. Local retinal necrosis occurred in 4 eyes 5-7 days after surgery. A marked vacuole formation in retinal layers and PFD emulsification were regularly seen. The control eyes healed spontaneously. Toxic, mechanical and barrier effects may have caused the retinal damage. We advocate that all PFD be removed from the eye at surgery.
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As early as 1 day postoperatively, subretinal PFD induced loss of outer and inner segments. Local retinal necrosis occurred in 4 eyes 5-7 days after surgery. A marked vacuole formation in retinal layers and PFD emulsification were regularly seen. The control eyes healed spontaneously. Toxic, mechanical and barrier effects may have caused the retinal damage. 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subjects Animals
Biological and medical sciences
Fluorocarbons - toxicity
Injections
Medical sciences
Ophthalmology
Photoreceptor Cells - ultrastructure
Pigment Epithelium of Eye - ultrastructure
Rabbits
Retinal Degeneration - chemically induced
Retinal Degeneration - pathology
Retinal Detachment - chemically induced
Retinal Detachment - pathology
Retinal Perforations - chemically induced
Retinal Perforations - pathology
Retinopathies
Vitreous Body
title Retinal detachment and degeneration in response to subretinal perfluorodecalin in rabbit eyes
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