Sato Tatsuhiko
Department of Ophthalmology, Hayashi Eye Hospital, Fukuoka, Japan.
Taiwan J Ophthalmol. 2022 May 27;13(2):253-255. doi: 10.4103/tjo.tjo_22_22. eCollection 2023 Apr-Jun.
Subfoveal perfluorocarbon liquid (PFL) is a vision-threatening complication that requires removal as safely as possible. We experienced a surgical case of proliferative vitreoretinopathy, in which a subfoveal PFL droplet was removed through the fovea, without puncturing the retina. In this case, although the retina was completely attached after primary vitrectomy and cataract removal, a subfoveal PFL droplet was found. At the second surgery, after peeling the internal limiting membrane, the droplet was passively aspirated by placing a 25-gauge blunt needle on the surface of the retina. This useful technique avoids puncturing the retina and does not require the patient to maintain a specific position postoperatively.
黄斑下全氟碳液（PFL）是一种威胁视力的并发症，需要尽可能安全地清除。我们经历了一例增生性玻璃体视网膜病变的手术病例，其中通过黄斑中心凹移除了一个黄斑下PFL液滴，而未穿刺视网膜。在该病例中，尽管在初次玻璃体切除术和白内障摘除术后视网膜完全复位，但仍发现了一个黄斑下PFL液滴。在第二次手术中，剥除内界膜后，将一根25号钝针置于视网膜表面，被动吸出该液滴。这种实用技术避免了穿刺视网膜，且术后不需要患者保持特定体位。
