Department of Surgical Retina, LRBT Tertiary Teaching Eye Hospital, Karachi, Pakistan.
Department of Uveitis, LRBT Tertiary Teaching Eye Hospital, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2022 Nov;32(11):1454-1458. doi: 10.29271/jcpsp.2022.11.1454.
To determine the outcomes of using perfluorocarbon liquid (PFCL) as postoperative tamponade in complex inferior retinal detachments.
Quasi-experimental study.
Layton Rahmatullah Benevolent Trust (LRBT) Eye Hospital, Karachi, Pakistan, from January 2020 to December 2021.
This study was carried out on forty eyes of forty patients from the surgical retina clinic with rhegmatogenous inferior retinal detachment involving macula having proliferative vitreoretinopathy grade C (PVR grade-C). All eyes underwent 25G pars plana vitrectomy with PFCL as postoperative tamponade for 15 to 21 days. All patients were advised to maintain supine position postoperatively. PFCL-Silicon oil exchange was done after 15-21 days. The outcomes were measured as complete retinal reattachment between the neurosensory retina (NSR) and retinal pigment epithelium (RPE), changes in postoperative visual acuity and complications. Patients were followed up for a minimum duration of 6 months. Data were analysed using SPSS version 23.
In 39 out of 40 eyes (97.5%) retina was completely attached. Postoperative visual acuity was improved in 24 eyes (60%), while in 16 eyes (40%) it remained stable. Worsening of visual acuity was not noted in any case. During follow-ups, uveitis was detected in 2 eyes (5%), cataract in 4 eyes (10%), optic atrophy in 2 eyes (5%) and endophthalmitis and subsequently redetachment in 1 eye (2.5%).
In complex inferior retinal detachments, PFCL is safe and effective postoperative tamponade provided it is used for a short-term period, especially in those patients who are noncompliant with postoperative face-down position.
Perfluorocarbon liquid (PFCL), Postoperative tamponade, Complex inferior retinal detachments.
确定在复杂的下视网膜脱离中使用全氟碳液体（PFCL）作为术后填塞的结果。
准实验研究。
拉赫马图拉·本尼沃利特慈善信托基金会（LRBT）眼科医院，巴基斯坦卡拉奇，2020 年 1 月至 2021 年 12 月。
这项研究是在手术视网膜诊所进行的，共有 40 名患者的 40 只眼患有累及黄斑的孔源性下视网膜脱离，伴有增生性玻璃体视网膜病变 C 级（PVR-C 级）。所有眼均接受 25G 经睫状体平坦部玻璃体切除术，并用 PFCL 作为术后填塞 15 至 21 天。所有患者均被建议术后保持仰卧位。15-21 天后行 PFCL-硅油交换。将神经感觉视网膜（NSR）和视网膜色素上皮（RPE）之间的完全视网膜复位、术后视力变化和并发症作为结果进行测量。患者的随访时间至少为 6 个月。使用 SPSS 版本 23 对数据进行分析。
在 40 只眼中的 39 只（97.5%）视网膜完全贴附。24 只眼（60%）术后视力提高，16 只眼（40%）视力稳定。没有发现视力恶化的情况。在随访过程中，发现 2 只眼（5%）出现虹膜炎，4 只眼（10%）出现白内障，2 只眼（5%）出现视神经萎缩，1 只眼（2.5%）发生眼内炎和随后的视网膜脱离。
在复杂的下视网膜脱离中，PFCL 是一种安全有效的术后填塞物，只要使用时间短，特别是在那些不能遵守术后俯卧位的患者中。
全氟碳液体（PFCL）、术后填塞、复杂的下视网膜脱离。
