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使用41号可伸展性视网膜下注射针手术移除黄斑下全氟碳液体

Surgical Removal of Submacular Perfluorocarbon Liquid Using a 41-Gauge Extendible Subretinal Injection Needle.

作者信息

Ghasemi Falavarjani Khalil, Anvari Pasha

机构信息

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Department of Ophthalmology, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Ophthalmic Vis Res. 2019 Jul 18;14(3):393-397. doi: 10.18502/jovr.v14i3.4798. eCollection 2019 Jul-Sep.

DOI:10.18502/jovr.v14i3.4798
PMID:31660120
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6815333/
Abstract

Submacular perfluorocarbon liquid (PFCL) retention is a well-known complication of vitreoretinal surgeries; however, the optimal surgical technique for the removal of subfoveal PFCL is yet to be determined. We describe a novel surgical technique for the removal of retained submacular PFCL by performing a retinotomy adjacent to the inferotemporal arcade using a 41-gauge extendible subretinal injection needle and inducing a therapeutic retinal detachment. Through the same retinotomy, the bent 41-gauge needle was advanced into the subretinal space to reach the PFCL bubble. Subsequently, active aspiration of PFCL was performed. The surgical procedure was successfully performed in two patients. This technique appears to be an effective surgical approach for removing retained submacular PFCL bubble.

摘要

黄斑下全氟碳液(PFCL)残留是玻璃体视网膜手术中一种众所周知的并发症;然而,去除黄斑下PFCL的最佳手术技术尚未确定。我们描述了一种通过使用41号可伸展视网膜下注射针在颞下弓附近进行视网膜切开并诱导治疗性视网膜脱离来去除残留黄斑下PFCL的新型手术技术。通过同一个视网膜切开处,将弯曲的41号针推进到视网膜下间隙以到达PFCL气泡。随后,对PFCL进行主动抽吸。该手术在两名患者中成功实施。这项技术似乎是去除残留黄斑下PFCL气泡的一种有效手术方法。

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本文引用的文献

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Removal of subfoveal perfluorocarbon liquid: Report of 3 cases.
J Curr Ophthalmol. 2017 May 17;29(4):324-328. doi: 10.1016/j.joco.2017.05.001. eCollection 2017 Dec.
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Direct transretinal removal of subfoveal perfluorocarbon liquid: the role and timing of internal limiting membrane peeling.经视网膜直接清除黄斑下全氟碳液:内界膜剥除的作用及时机
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Ten-year follow-up of retained subfoveal perfluoro-N-octane liquid.视网膜下全氟正辛烷液体留存的十年随访
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Management options for submacular perfluorocarbon liquid.黄斑下全氟碳液的管理方案
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