Short-term vitreoretinal tamponade with perfl uorodecalin for retinal detachment


Öztürk E., Yildizli Y., Özsoy E., Gündüz A.

Retina-Vitreus, cilt.30, sa.2, ss.158-162, 2021 (Scopus, TRDizin)

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 30 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.37845/ret.vit.2021.30.27
  • Dergi Adı: Retina-Vitreus
  • Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, EMBASE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.158-162
  • Anahtar Kelimeler: Perfl uorodecalin, Retinal detachment, Vitrectomy, Vitreoretinal tamponade
  • İnönü Üniversitesi Adresli: Evet

Özet

Purpose: The aim of this study was to use perfl uorodecalin (PFD) as a short-term postoperative vitreoretinal tamponade and evaluate its effectiveness in retinal detachment. Materials and Methods: This retrospective case series consisted of eight consecutive patients (four female, four male) who presented with retinal detachment (traumatic, secondary to inferior retinal tear, presence of proliferative vitreoretinopathy) at a tertiary university medical center in 2018-2019. All patients underwent pars plana vitrectomy with short-term PFD tamponade. Patients with a minimum follow-up of 3 months were included in the study. The medical charts were analyzed for patient demographics, retinal attachment rates, pre- and postoperative visual acuity, and postoperative complications. Results: The mean duration of PFD tamponade was 16.5 ± 6.3 (range, 7-27) days. The mean follow-up time for the patients was 8.63 ± 2.5 months. The retina was reattached intraoperatively in all patients. In seven patients (87.5%), the retina was still attached throughout follow-up without further vitrectomies. A statistically signifi cant increase was observed when preoperative mean best-corrected visual acuity (BCVA) was compared with mean BCVA in the last follow-up visit (2.9 ± 0.3, 1.3 ± 0.7 logMAR respectively, p=0.018). In seven (87.5%) patients, BCVA improved postoperatively compared with preoperatively. In the postoperative period, pupillary membrane formation was observed in two (25.0%) patients, retrolental membrane in one (12.5%) patient, and epiretinal membrane in one (12.5%) patient. Conclusion: PFD seems to be safe to use as a short-term postoperative vitreoretinal tamponade, and it is useful in retinal detachment.