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Displacement of Retained Subretinal Perfluorocarbon Liquid Through Therapeutic Retinal Detachment Induced by Balanced Salt Solution Injection

Authors Saab M, Javidi S, Dirani A, Cordahi G

Received 31 December 2019

Accepted for publication 28 April 2020

Published 19 May 2020 Volume 2020:13 Pages 183—186


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Supplementary video of "Management of Retained Subretinal PFCL" [ID 244166].

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Marc Saab,1 Simon Javidi,2 Ali Dirani,3 Ghassan Cordahi2

1Department of Ophthalmology, Hôpital Charles LeMoyne, Université de Sherbrooke, Longueuil, Québec, Canada; 2Department of Ophthalmology, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, Québec, Canada; 3Department of Ophthalmology, CHU de Québec - Université Laval, Québec, Québec, Canada

Correspondence: Simon Javidi
Department of Ophthalmology, Université de Montréal, Montréal, Québec, Canada

Purpose: To report a case of displacement of retained subretinal perfluorocarbon liquid (PFCL) through therapeutic retinal detachment (RD) induced by balanced salt solution (BSS) injection.
Methods: This is a surgical case report. We present a case of a 61-year-old woman who presented with subretinal PFCL at the papillo-macular bundle with best-corrected visual acuity (BCVA) of 20/200 at four weeks following RD surgery in her right eye. She underwent a three-port pars plana vitrectomy with therapeutic RD of a portion of the posterior pole and inferior periphery induced by BSS injection, followed by complete air-fluid exchange, and kept an upright position for three days to force the displacement of the PFCL bubble towards the inferior retinal periphery. BCVA assessment, dilated fundus examination (DFE), and optical coherence tomography (OCT) were performed before and after the surgery.
Results: Two weeks after the procedure, BCVA improved to 20/40, the subretinal PFCL was not visible on DFE, and a control OCT confirmed displacement of the PFCL bubble with atrophy at the papillo-macular bundle. There were no complications.
Conclusion: Displacement of retained subretinal PFCL through therapeutic RD induced by BSS injection seems to be an effective technique with fewer potential complications in comparison to the more traditional approach of removal by direct aspiration.

Keywords: perfluorocarbon liquid, subretinal perfluorocarbon liquid, vitreoretinal surgery, complication, retinal detachment

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