Suk Kevin K, Flynn Harry W
Department of Ophthalmology, Bascom Palmer Eye Institute, Miami Miller School of Medicine, Miami, Florida 33136, USA.
Ophthalmic Surg Lasers Imaging. 2011 Jul-Aug;42(4):284-91. doi: 10.3928/15428877-20110603-07.
To report the anatomic and visual outcomes of patients with retained submacular perfluorocarbon liquid (PFCL).
A retrospective observational case series of patients with retained submacular PFCL. The medical and surgical records of 8 eyes of 8 patients with retained submacular PFCL after complex retinal detachment repair were reviewed.
The submacular PFCL was observed without surgery in 7 eyes and was surgically removed in one eye. In the surgical eye, the PFCL was juxtafoveal in location and had associated cystic macular edema. After surgical removal of the PFCL, visual acuity improved from 20/200 to 20/125 with marked reduction of the macular edema. The remaining 7 eyes were observed without surgery. Follow-up ranged from 10 months to 9 years, with a mean of 4.4 years. Six eyes had extrafoveal PFCL, with visual acuity ranging from 20/25 to 20/200 and 1 eye had subfoveal PFCL with a visual acuity of 20/25. Overall, visual acuity either improved or remained stable in all 7 eyes. The anatomy of the retina and the location of the PFCL also remained stable, although in one case, a small PFCL droplet coalesced into a more posteriorly located droplet.
Patients with submacular PFCL can remain stable for many years. In patients with significant visual loss, surgical removal of subfoveal PFCL can be considered.
报告黄斑下全氟碳液体（PFCL）残留患者的解剖学和视觉预后情况。
对黄斑下PFCL残留患者进行回顾性观察病例系列研究。回顾了8例复杂性视网膜脱离修复术后黄斑下PFCL残留患者8只眼的医疗和手术记录。
7只眼未行手术观察到黄斑下PFCL残留，1只眼行手术取出。手术眼的PFCL位于黄斑旁，伴有黄斑囊样水肿。手术取出PFCL后，视力从20/200提高到20/125，黄斑水肿明显减轻。其余7只眼未行手术观察。随访时间为10个月至9年，平均4.4年。6只眼的PFCL位于黄斑外，视力范围为20/25至20/200，1只眼的PFCL位于黄斑下，视力为20/25。总体而言，所有7只眼的视力均有所改善或保持稳定。视网膜解剖结构和PFCL位置也保持稳定，尽管有1例中，一个小的PFCL液滴合并成一个更靠后的液滴。
黄斑下PFCL残留患者可多年保持稳定。对于视力严重受损的患者，可考虑手术取出黄斑下PFCL。
