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Perfluorocarbon liquid-assisted intraocular foreign body removal

Authors Ung C, Laíns I, Papakostas TD, Rahmani S, Miller JB

Received 11 December 2017

Accepted for publication 15 March 2018

Published 18 June 2018 Volume 2018:12 Pages 1099—1104


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

This video highlights the ability of perfluoro-N-octane to move a large glass intraocular foreign body away from the center of the fovea. A scleral tunnel, sheets glide, viscoelastic and 0.5 forceps were used to remove the piece of glass.

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Cindy Ung, Inês Laíns, Thanos D Papakostas, Safa Rahmani, John B Miller

Retina Service, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA

Abstract: We describe the benefits of perfluoro-N-octane (PFO), a perfluorocarbon liquid, in the removal of nonmagnetic intraocular foreign bodies (IOFBs) from the macula and posterior segment. Two consecutive cases of posterior segment IOFB were reviewed. An 18-year-old male presented to the emergency room after a motor vehicle accident with a zone 1 open globe injury and large glass IOFB in the left eye. A 53-year-old male presented to the emergency room with a history of a 3-week delayed presentation of a zone 1 open globe injury from a nail to the right eye. He was found to have a metallic IOFB. In both cases, PFO was used to slide the nonmagnetic IOFBs outside of the macula for safer retrieval. PFO was also able to protect the posterior pole from IOFB drops during early attempts at removal. PFO can be a useful surgical adjunct to pars plana vitrectomy in the removal of certain nonmagnetic IOFBs.

Keywords: intraocular foreign body, trauma, open globe, perfluorocarbon liquid

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