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Vitrectomy of rhegmatogenous retinal detachment without perfluorocarbon liquid

Session Details

Session Title: Vitreoretinal Surgery I

Session Date/Time: Thursday 17/09/2015 | 08:30-10:30

Paper Time: 09:50

Venue: Apollon.

First Author: : V.Primavera ITALY

Co Author(s): :    N. Delle Noci              

Abstract Details

PURPOSE:In the vitrectomy of rhegmatogenous retinal detachment is generally used during surgery the perfluorocarbon liquid (PFCL). We investigated the possibility of not using the PFCL evaluating the anatomical and functional results and complications.

Setting:

Retrospective, interventional case series.

Methods:

We operated, from February 2013 to March 2014, 24 patients affected by rhegmatogenous retinal detachment with PVR

Results:

In the no PFCL group, all patients (12) presented the anatomical resolution, an average improvement of VA > 5/10, we didn’t observe complications and registered a reduced postoperative inflammation. In the PFCL group we obtained anatomical successful for all patients, an average improvement of VA > 3/10 and the following side effects: in 2 eyes micro bubbles of PFCL in the posterior chamber, in 1 sticky oil, in 2 an increase of ocular pressure and for all patients the postoperative inflammation enhancement was detected.

Conclusions:

The small-gauge vitrectomy allows the active aspiration of subretinal fluid effectively in cases of rhegmatogenous retinal detachment avoiding its persistence at the posterior pole. This allows us to not use the perfluorocarbon liquid reducing the side effects associated with its use and the cost of each procedure.

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