Vitrectomy with short term postoperative tamponade using perfluorocarbon liquid for giant retinal tears
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 vitrect...
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| Veröffentlicht in: | British journal of ophthalmology 2005-09, Vol.89 (9), p.1176-1179 |
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| creator | Sirimaharaj, M Balachandran, C Chan, W C Hunyor, A P Chang, A A Roberts, J G Hunyor, A B Playfair, T J |
| description | 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. |
| doi_str_mv | 10.1136/bjo.2004.065409 |
| format | Article |
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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.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.2004.065409</identifier><identifier>PMID: 16113376</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; balanced salt solution ; Biological and medical sciences ; BSS ; Cataract Extraction ; Child ; Child, Preschool ; Clinical Science - Extended Reports ; Female ; Fluorocarbons - therapeutic use ; Follow-Up Studies ; giant retinal tear ; giant retinal tears ; GRT ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Ophthalmology ; perfluoro-n-octane ; perfluorocarbon liquid ; perfluorocarbon liquids ; PFCLs ; PFO ; proliferative vitreoretinopathy ; PVR ; Reoperation ; retinal detachment ; Retinal Detachment - surgery ; Retinal Perforations - physiopathology ; Retinal Perforations - surgery ; retinal pigment epithelium ; Retinopathies ; RPE ; Treatment Outcome ; Visual Acuity ; vitrectomy ; Vitrectomy - methods</subject><ispartof>British journal of ophthalmology, 2005-09, Vol.89 (9), p.1176-1179</ispartof><rights>Copyright 2005 British Journal of Ophthalmology</rights><rights>2005 INIST-CNRS</rights><rights>Copyright: 2005 Copyright 2005 British Journal of Ophthalmology</rights><rights>Copyright © Copyright 2005 British Journal of Ophthalmology 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b522t-6e94f83b4ed2df602e66b302cc01f2dd80d596cb41e8aae37a758a3089caf25c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1772834/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1772834/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17079310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16113376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sirimaharaj, M</creatorcontrib><creatorcontrib>Balachandran, C</creatorcontrib><creatorcontrib>Chan, W C</creatorcontrib><creatorcontrib>Hunyor, A P</creatorcontrib><creatorcontrib>Chang, A A</creatorcontrib><creatorcontrib>Roberts, J G</creatorcontrib><creatorcontrib>Hunyor, A B</creatorcontrib><creatorcontrib>Playfair, T J</creatorcontrib><title>Vitrectomy with short term postoperative tamponade using perfluorocarbon liquid for giant retinal tears</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>balanced salt solution</subject><subject>Biological and medical sciences</subject><subject>BSS</subject><subject>Cataract Extraction</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Science - Extended Reports</subject><subject>Female</subject><subject>Fluorocarbons - therapeutic use</subject><subject>Follow-Up Studies</subject><subject>giant retinal tear</subject><subject>giant retinal tears</subject><subject>GRT</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>perfluoro-n-octane</subject><subject>perfluorocarbon liquid</subject><subject>perfluorocarbon liquids</subject><subject>PFCLs</subject><subject>PFO</subject><subject>proliferative vitreoretinopathy</subject><subject>PVR</subject><subject>Reoperation</subject><subject>retinal detachment</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Perforations - physiopathology</subject><subject>Retinal Perforations - surgery</subject><subject>retinal pigment epithelium</subject><subject>Retinopathies</subject><subject>RPE</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>vitrectomy</subject><subject>Vitrectomy - methods</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU1v1DAQhi0EokvhzA1ZQnBAytZfsZNLJbSCFqnABVa9WRPH2fWSxKntFPrv8WpXLXDhZNnz-NXMPAi9pGRJKZdnzc4vGSFiSWQpSP0ILaiQVcGIqh-jBSFEFZRKeoKexbjLVyapeopO8hPlXMkF2qxdCtYkP9zhny5tcdz6kHCyYcCTj8lPNkBytxYnGCY_QmvxHN24wbnQ9bMP3kBo_Ih7dzO7Fnc-4I2DMeFgkxuhz1kQ4nP0pIM-2hfH8xR9__jh2-qyuPp68Wn1_qpoSsZSIW0tuoo3wras7SRhVsqGE2YMoR1r24q0ZS1NI6itACxXoMoKOKlqAx0rDT9F54fcaW4G2xo7pgC9noIbINxpD07_XRndVm_8raZKsYqLHPD2GBD8zWxj0oOLxvY9jNbPUctK1JKIPfj6H3Dn55AHjvusqs47JixTZwfKBB9jsN19K5TovUKdFeq9Qn1QmH-8-nOCB_7oLANvjgBEA30XYDQuPnAqy-eUZK44cC4m--u-DuGHloqrUn9Zr_Tl9edrLtSFXmf-3YFvht1_u_wNnXbD5Q</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Sirimaharaj, M</creator><creator>Balachandran, C</creator><creator>Chan, W C</creator><creator>Hunyor, A P</creator><creator>Chang, A A</creator><creator>Roberts, J G</creator><creator>Hunyor, A B</creator><creator>Playfair, T J</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>Copyright 2005 British Journal of Ophthalmology</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20050901</creationdate><title>Vitrectomy with short term postoperative tamponade using perfluorocarbon liquid for giant retinal tears</title><author>Sirimaharaj, M ; Balachandran, C ; Chan, W C ; Hunyor, A P ; Chang, A A ; Roberts, J G ; Hunyor, A B ; Playfair, T J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b522t-6e94f83b4ed2df602e66b302cc01f2dd80d596cb41e8aae37a758a3089caf25c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>balanced salt solution</topic><topic>Biological and medical sciences</topic><topic>BSS</topic><topic>Cataract Extraction</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Science - Extended Reports</topic><topic>Female</topic><topic>Fluorocarbons - therapeutic use</topic><topic>Follow-Up Studies</topic><topic>giant retinal tear</topic><topic>giant retinal tears</topic><topic>GRT</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>perfluoro-n-octane</topic><topic>perfluorocarbon liquid</topic><topic>perfluorocarbon liquids</topic><topic>PFCLs</topic><topic>PFO</topic><topic>proliferative vitreoretinopathy</topic><topic>PVR</topic><topic>Reoperation</topic><topic>retinal detachment</topic><topic>Retinal Detachment - surgery</topic><topic>Retinal Perforations - physiopathology</topic><topic>Retinal Perforations - surgery</topic><topic>retinal pigment epithelium</topic><topic>Retinopathies</topic><topic>RPE</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>vitrectomy</topic><topic>Vitrectomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sirimaharaj, M</creatorcontrib><creatorcontrib>Balachandran, C</creatorcontrib><creatorcontrib>Chan, W C</creatorcontrib><creatorcontrib>Hunyor, A P</creatorcontrib><creatorcontrib>Chang, A A</creatorcontrib><creatorcontrib>Roberts, J G</creatorcontrib><creatorcontrib>Hunyor, A B</creatorcontrib><creatorcontrib>Playfair, T J</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sirimaharaj, M</au><au>Balachandran, C</au><au>Chan, W C</au><au>Hunyor, A P</au><au>Chang, A A</au><au>Roberts, J G</au><au>Hunyor, A B</au><au>Playfair, T J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitrectomy with short term postoperative tamponade using perfluorocarbon liquid for giant retinal tears</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>89</volume><issue>9</issue><spage>1176</spage><epage>1179</epage><pages>1176-1179</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>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.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>16113376</pmid><doi>10.1136/bjo.2004.065409</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult balanced salt solution Biological and medical sciences BSS Cataract Extraction Child Child, Preschool Clinical Science - Extended Reports Female Fluorocarbons - therapeutic use Follow-Up Studies giant retinal tear giant retinal tears GRT Humans Male Medical sciences Middle Aged Miscellaneous Ophthalmology perfluoro-n-octane perfluorocarbon liquid perfluorocarbon liquids PFCLs PFO proliferative vitreoretinopathy PVR Reoperation retinal detachment Retinal Detachment - surgery Retinal Perforations - physiopathology Retinal Perforations - surgery retinal pigment epithelium Retinopathies RPE Treatment Outcome Visual Acuity vitrectomy Vitrectomy - methods |
| title | Vitrectomy with short term postoperative tamponade using perfluorocarbon liquid for giant retinal tears |
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